Florida 2025 2025 Regular Session

Florida House Bill H0903 Comm Sub / Bill

Filed 04/02/2025

                       
 
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A bill to be entitled 1 
An act relating to corrections; amending s. 57.085, 2 
F.S.; revising provisions relating to deferral of 3 
prepayment of court costs and fees for indigent 4 
prisoners for actions involving challenges to prison 5 
disciplinary reports; amending s. 95.11, F.S.; 6 
providing for a 1-year period of limitation for 7 
bringing certain actions relating to the condition of 8 
confinement of prisoners; creating s. 760.701, F.S.; 9 
defining the term "prisoner"; requiring exhaustion of 10 
administrative remedies before certain actions 11 
concerning confinement of prisoners may be brought; 12 
providing for dismissal of certain actions involving 13 
prisoner confinement in certain circumstances; 14 
requiring a showing of physical injury or the 15 
commission of a certain act as a condition precedent 16 
for bringing certain actions relating to prisoner 17 
confinement; specifying a time limitation period for 18 
bringing an action concerning any condition of 19 
confinement; amending s. 775.087, F.S.; providing that 20 
prison terms for certain offenses committed in 21 
conjunction with another felony offense may be 22 
sentenced to be served consecutively; amending ss. 23 
922.10 and 922.105, F.S.; revising provisions 24 
concerning methods of execution of death sentences; 25     
 
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amending s. 934.425, F.S.; exempting persons working 26 
for the Department of Corrections or the Department of 27 
Juvenile Justice, or persons authorized pursuant to a 28 
court order, from provisions regulating the use of 29 
tracking devices or tracking applications; amending s. 30 
945.41, F.S.; revising legislative intent; revising 31 
provisions relating to mental health treatment for 32 
inmates; providing that an inmate must give his or her 33 
express and informed consent to such treatment; 34 
specifying information an inmate must receive 35 
regarding treatment; authorizing the warden to 36 
authorize certain em ergency medical treatment under 37 
the direction of the inmate's attending physician 38 
under certain circumstances; amending s. 945.42, F.S.; 39 
revising and providing definitions; amending s. 40 
945.43, F.S.; revising provisions concerning 41 
involuntary examinations; amending s. 945.44, F.S.; 42 
revising provisions concerning involuntary placement 43 
and treatment of an inmate in a mental health 44 
treatment facility; repealing s. 945.45 F.S., relating 45 
to continued placement of inmates in mental health 46 
treatment facilities; ame nding s. 945.46, F.S.; 47 
providing requirements for filing petitions for 48 
involuntary inpatient placement for certain inmates; 49 
authorizing the court to order alternative means and 50     
 
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venues for certain hearings; requiring, rather than 51 
authorizing, inmates to be transported to the nearest 52 
receiving facility in certain circumstances; amending 53 
s. 945.47, F.S.; specifying purposes for which an 54 
inmate's mental health treatment records may be 55 
provided to the Florida Commission on Offender Review 56 
and the Department of C hildren and Families; 57 
authorizing such records to be provided to certain 58 
facilities upon request; amending s. 945.48, F.S.; 59 
substantially rewording provisions relating to 60 
emergency treatment orders and use of force and 61 
providing requirements therefore; pro viding 62 
requirements for emergency and psychotropic 63 
medications and use of force; creating s. 945.485, 64 
F.S.; providing legislative findings; providing 65 
requirements for management and treatment for an 66 
inmate's self-injurious behaviors; requiring facility 67 
wardens to consult with an inmate's treating physician 68 
in certain circumstances and make certain 69 
determinations; providing for petitions to compel an 70 
inmate to submit to medical treatment in certain 71 
circumstances; providing construction; amending s. 72 
945.49, F.S.; removing a requirement that the 73 
Department of Corrections adopt certain rules in 74 
cooperation with the Mental Health Program Office of 75     
 
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the Department of Children and Families; creating s. 76 
945.6402, F.S.; providing definitions; providing 77 
legislative findings and intent; providing 78 
requirements for inmate capacity, health care advance 79 
directives, and proxies; authorizing the use of force 80 
on incapacitated inmates in certain circumstances; 81 
providing immunity from liability for certain persons 82 
in certain circumstances; amending s. 947.02, F.S.; 83 
revising the manner in which the membership of the 84 
Florida Commission on Offender Review is appointed; 85 
repealing s. 947.021, F.S., relating to expedited 86 
appointments of the Florida Commission on Offender 87 
Review; amending s. 947.12, F.S.; conforming 88 
provisions to changes made by the act; amending s. 89 
957.04, F.S.; revising requirements for contracting 90 
for certain services; amending s. 957.09, F.S.; 91 
removing a provision relating to minority business 92 
enterprises; amending s. 20.32, F.S.; conforming 93 
provisions to changes made by the act; providing an 94 
effective date. 95 
 96 
Be It Enacted by the Legislature of the State of Florida: 97 
 98 
 Section 1.  Subsection (10) of section 57.085, Florida 99 
Statutes, is amended to read: 100     
 
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 57.085  Deferral of prepayment of court costs and fees for 101 
indigent prisoners.— 102 
 (10)  With the exception of challenges to prison 103 
disciplinary reports, this section does not apply to a criminal 104 
proceeding or a collateral criminal proceeding. 105 
 Section 2.  Paragraph (b) of subsection (2) and paragraphs 106 
(f), (g), and (h) of subsection (6) of section 95.11, Florida 107 
Statutes, are amended to read: 108 
 95.11  Limitations other than for the recovery of real 109 
property.—Actions other than for recovery of real property shall 110 
be commenced as follows: 111 
 (2)  WITHIN FIVE YEARS. — 112 
 (b)  A legal or equitable action on a contract, obligation, 113 
or liability founded on a written instrument, except for an 114 
action to enforce a claim against a payment bond, which shall be 115 
governed by the applica ble provisions of paragraph (6)(e), s. 116 
255.05(10), s. 337.18(1), or s. 713.23(1)(e), and except for an 117 
action for a deficiency judgment governed by paragraph (6)(g) 118 
(6)(h). 119 
 (6)  WITHIN ONE YEAR. — 120 
 (f)  Except for actions described in subsection (9), or a 121 
petition challenging a criminal conviction, all petitions; 122 
extraordinary writs; tort actions, including those under s. 123 
768.28(14); or other actions which concern any condition of 124 
confinement of a prisoner a petition for extraordinary writ, 125     
 
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other than a petition challenging a criminal conviction, filed 126 
by or on behalf of a prisoner as defined in s. 57.085. Any 127 
petition, writ, or action brought under this paragraph must be 128 
commenced within 1 year after the time the incident, conduct, or 129 
conditions occurred or within 1 year after the time the 130 
incident, conduct, or conditions were discovered, or should have 131 
been discovered. 132 
 (g)  Except for actions described in subsection (9), an 133 
action brought by or on behalf of a prisoner, as defined in s. 134 
57.085, relating to the conditions of the prisoner's 135 
confinement. 136 
 (g)(h) An action to enforce a claim of a deficiency 137 
related to a note secured by a mortgage against a residential 138 
property that is a one -family to four-family dwelling unit. The 139 
limitations period shall comme nce on the day after the 140 
certificate is issued by the clerk of court or the day after the 141 
mortgagee accepts a deed in lieu of foreclosure. 142 
 Section 3.  Section 760.701, Florida Statutes, is created 143 
to read: 144 
 760.701  Lawsuits by prisoners. — 145 
 (1)  For the purposes of this section, the term "prisoner" 146 
means any person incarcerated or detained in any jail, prison, 147 
or other correctional facility, who is accused of, convicted of, 148 
sentenced for, or adjudicated delinquent for, violations of 149 
criminal law or the terms and conditions of parole, probation, 150     
 
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pretrial release, or diversionary program. 151 
 (2)  An action may not be brought by or on behalf of a 152 
prisoner relating to the conditions of the prisoner's 153 
confinement under 42 U.S.C. s. 1983, or any other state or 154 
federal law, until such administrative remedies as are available 155 
are fully exhausted. 156 
 (3)  The court shall on its own motion or on the motion of 157 
a party dismiss any action brought relating to the conditions of 158 
the prisoner's confinement under 42 U.S.C. s. 1983, or any other 159 
state or federal law, by a prisoner if the court is satisfied 160 
that the action is frivolous, malicious, fails to state a claim 161 
upon which relief can be granted, or seeks monetary relief from 162 
a defendant who is immune from such relief. The court shall 163 
review any such action pursuant to s. 57.085(6). 164 
 (4)  An action may not be brought in state court by or on 165 
behalf of a prisoner relating to the conditions of the 166 
prisoner's confinement under 42 U.S.C. s. 1983, or any state 167 
tort action, for mental or emotional injury suffered while in 168 
custody without a prior showing of physical injury or the 169 
commission of a sexual act as defined in 18 U.S.C. s. 2246(2). 170 
 (5)  The time for bringing an action which concerns any 171 
condition of confinement of a prisoner shall be the limitations 172 
period as described in s. 95.11(6)(f). 173 
 Section 4.  Paragraph (d) of subsection (2) of section 174 
775.087, Florida Statutes, is amended, paragraph (e) is added to 175     
 
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that subsection, paragraph (e) of subsection (3) is re designated 176 
as paragraph (f), paragraph (d) of that subsection is amended, a 177 
new paragraph (e) is added to that subsection, and paragraph (a) 178 
of subsection (2) and paragraph (a) of subsection (3) are 179 
republished, to read: 180 
 775.087  Possession or use of weap on; aggravated battery; 181 
felony reclassification; minimum sentence. — 182 
 (2)(a)1.  Any person who is convicted of a felony or an 183 
attempt to commit a felony, regardless of whether the use of a 184 
weapon is an element of the felony, and the conviction was for: 185 
 a.  Murder; 186 
 b.  Sexual battery; 187 
 c.  Robbery; 188 
 d.  Burglary; 189 
 e.  Arson; 190 
 f.  Aggravated battery; 191 
 g.  Kidnapping; 192 
 h.  Escape; 193 
 i.  Aircraft piracy; 194 
 j.  Aggravated child abuse; 195 
 k.  Aggravated abuse of an elderly person or disabled 196 
adult; 197 
 l.  Unlawful throwing, placing, or discharging of a 198 
destructive device or bomb; 199 
 m.  Carjacking; 200     
 
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 n.  Home-invasion robbery; 201 
 o.  Aggravated stalking; 202 
 p.  Trafficking in cannabis, trafficking in cocaine, 203 
capital importation of cocaine, trafficking in illegal drugs, 204 
capital importation of illegal drugs, trafficking in 205 
phencyclidine, capital importation of phencyclidine, trafficking 206 
in methaqualone, capital importation of methaqualone, 207 
trafficking in amphetamine, capital importation of amphetamine, 208 
trafficking in flunitraze pam, trafficking in gamma -209 
hydroxybutyric acid (GHB), trafficking in 1,4 -Butanediol, 210 
trafficking in Phenethylamines, or other violation of s. 211 
893.135(1); 212 
 q.  Possession of a firearm by a felon; or 213 
 r.  Human trafficking 214 
 215 
and during the commission of the of fense, such person actually 216 
possessed a "firearm" or "destructive device" as those terms are 217 
defined in s. 790.001, shall be sentenced to a minimum term of 218 
imprisonment of 10 years, except that a person who is convicted 219 
for possession of a firearm by a fel on or burglary of a 220 
conveyance shall be sentenced to a minimum term of imprisonment 221 
of 3 years if such person possessed a "firearm" or "destructive 222 
device" during the commission of the offense. However, if an 223 
offender who is convicted of the offense of pos session of a 224 
firearm by a felon has a previous conviction of committing or 225     
 
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attempting to commit a felony listed in s. 775.084(1)(b)1. and 226 
actually possessed a firearm or destructive device during the 227 
commission of the prior felony, the offender shall be se ntenced 228 
to a minimum term of imprisonment of 10 years. 229 
 2.  Any person who is convicted of a felony or an attempt 230 
to commit a felony listed in sub -subparagraphs 1.a.-p. or sub-231 
subparagraph 1.r., regardless of whether the use of a weapon is 232 
an element of the felony, and during the course of the 233 
commission of the felony such person discharged a "firearm" or 234 
"destructive device" as defined in s. 790.001 shall be sentenced 235 
to a minimum term of imprisonment of 20 years. 236 
 3.  Any person who is convicted of a fe lony or an attempt 237 
to commit a felony listed in sub -subparagraphs 1.a.-p. or sub-238 
subparagraph 1.r., regardless of whether the use of a weapon is 239 
an element of the felony, and during the course of the 240 
commission of the felony such person discharged a "firea rm" or 241 
"destructive device" as defined in s. 790.001 and, as the result 242 
of the discharge, death or great bodily harm was inflicted upon 243 
any person, the convicted person shall be sentenced to a minimum 244 
term of imprisonment of not less than 25 years and not more than 245 
a term of imprisonment of life in prison. 246 
 (d)  It is the intent of the Legislature that offenders who 247 
actually possess, carry, display, use, threaten to use, or 248 
attempt to use firearms or destructive devices be punished to 249 
the fullest extent of the law. The court shall impose , and the 250     
 
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minimum term terms of imprisonment required under paragraph (a) 251 
imposed pursuant to this subsection shall be imposed for each 252 
qualifying felony offense count for which the person is 253 
convicted. If the offender is con victed of multiple felony 254 
offenses for which paragraph (a) requires the imposition of a 255 
minimum term of imprisonment, the court shall impose any such 256 
terms term of imprisonment provided for in this subsection 257 
consecutively to any other term of imprisonment imposed for any 258 
other felony offense . 259 
 (e)  If an offender commits a felony enumerated in 260 
subparagraph (a)1. in conjunction with any other felony offense 261 
not enumerated in subparagraph (a)1., the court may impose any 262 
term of imprisonment provided for in p aragraph (a) consecutively 263 
to any other term of imprisonment imposed for any other felony 264 
offense not enumerated in subparagraph (a)1. 265 
 (3)(a)1.  Any person who is convicted of a felony or an 266 
attempt to commit a felony, regardless of whether the use of a 267 
firearm is an element of the felony, and the conviction was for: 268 
 a.  Murder; 269 
 b.  Sexual battery; 270 
 c.  Robbery; 271 
 d.  Burglary; 272 
 e.  Arson; 273 
 f.  Aggravated battery; 274 
 g.  Kidnapping; 275     
 
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 h.  Escape; 276 
 i.  Sale, manufacture, delivery, or intent to sell, 277 
manufacture, or deliver any controlled substance; 278 
 j.  Aircraft piracy; 279 
 k.  Aggravated child abuse; 280 
 l.  Aggravated abuse of an elderly person or disabled 281 
adult; 282 
 m.  Unlawful throwing, placing, or discharging of a 283 
destructive device or bomb; 284 
 n.  Carjacking; 285 
 o.  Home-invasion robbery; 286 
 p.  Aggravated stalking; 287 
 q.  Trafficking in cannabis, trafficking in cocaine, 288 
capital importation of cocaine, trafficking in illegal drugs, 289 
capital importation of illegal drugs, trafficking in 290 
phencyclidine, capital importation of phencyclidine, trafficking 291 
in methaqualone, capital importation of methaqualone, 292 
trafficking in amphetamine, capital importation of amphetamine, 293 
trafficking in flunitrazepam, trafficking in gamma -294 
hydroxybutyric acid (GHB), trafficking in 1,4 -Butanediol, 295 
trafficking in Phenethylamines, or other violation of s. 296 
893.135(1); or 297 
 r.  Human trafficking 298 
 299 
and during the commission of the offense, such person possessed 300     
 
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a semiautomatic firearm and its high -capacity detachable box 301 
magazine or a machine gun as defined in s. 790.001, shall be 302 
sentenced to a minimum term of imprisonment of 15 years. 303 
 2.  Any person who is convicted of a felony or an attempt 304 
to commit a felony listed in subparagraph 1., regardless of 305 
whether the use of a weapon is an element of the felony , and 306 
during the course of the commission of the felony such person 307 
discharged a semiautomatic firearm and its high -capacity box 308 
magazine or a "machine gun" as defined in s. 790.001 shall be 309 
sentenced to a minimum term of imprisonment of 20 years. 310 
 3.  Any person who is convicted of a felony or an attempt 311 
to commit a felony listed in subparagraph 1., regardless of 312 
whether the use of a weapon is an element of the felony, and 313 
during the course of the commission of the felony such person 314 
discharged a semiautom atic firearm and its high -capacity box 315 
magazine or a "machine gun" as defined in s. 790.001 and, as the 316 
result of the discharge, death or great bodily harm was 317 
inflicted upon any person, the convicted person shall be 318 
sentenced to a minimum term of imprison ment of not less than 25 319 
years and not more than a term of imprisonment of life in 320 
prison. 321 
 (d)  It is the intent of the Legislature that offenders who 322 
possess, carry, display, use, threaten to use, or attempt to use 323 
a semiautomatic firearm and its high -capacity detachable box 324 
magazine or a machine gun as defined in s. 790.001 be punished 325     
 
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to the fullest extent of the law . The court shall impose , and 326 
the minimum term terms of imprisonment required under paragraph 327 
(a) imposed pursuant to this subsection shall be imposed for 328 
each qualifying felony offense count for which the person is 329 
convicted. If the offender is convicted of multiple felony 330 
offenses for which paragraph (a) requires the imposition of a 331 
minimum term of imprisonment, the court shall impose any such 332 
terms term of imprisonment provided for in this subsection 333 
consecutively to any other term of imprisonment imposed for any 334 
other felony offense . 335 
 (e)  If an offender commits a felony enumerated in 336 
subparagraph (a)1. in conjunction with any other felony offense 337 
not enumerated in subparagraph (a)1., the court may impose any 338 
term of imprisonment provided for in paragraph (a) consecutively 339 
to any other term of imprisonment imposed for any other felony 340 
offense not enumerated in subparagraph (a)1. 341 
 (f)(e) As used in this subsection, the term: 342 
 1.  "High-capacity detachable box magazine" means any 343 
detachable box magazine, for use in a semiautomatic firearm, 344 
which is capable of being loaded with more than 20 centerfire 345 
cartridges. 346 
 2.  "Semiautomatic firearm " means a firearm which is 347 
capable of firing a series of rounds by separate successive 348 
depressions of the trigger and which uses the energy of 349 
discharge to perform a portion of the operating cycle. 350     
 
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 Section 5.  Section 922.10, Florida Statutes, is amende d to 351 
read: 352 
 922.10  Execution of death sentence; executioner. —A death 353 
sentence shall be executed by electrocution , or lethal 354 
injection, or a method not deemed unconstitutional in accordance 355 
with s. 922.105. The warden of the state prison shall designate 356 
the executioner. The warrant authorizing the execution shall be 357 
read to the convicted person immediately before execution. 358 
 Section 6.  Subsection (3) of section 922.105, Florida 359 
Statutes, is amended to read: 360 
 922.105  Execution of death sentence; prohibit ion against 361 
reduction of death sentence as a result of determination that a 362 
method of execution is unconstitutional. — 363 
 (3)  If electrocution or lethal injection is held to be 364 
unconstitutional by the Florida Supreme Court under the State 365 
Constitution, or held to be unconstitutional by the United 366 
States Supreme Court under the United States Constitution, or if 367 
the United States Supreme Court declines to review any judgment 368 
holding a method of execution to be unconstitutional under the 369 
United States Constituti on made by the Florida Supreme Court or 370 
the United States Court of Appeals that has jurisdiction over 371 
Florida, or if the acquisition of chemicals necessary for lethal 372 
injection by the department becomes impossible or impractical, 373 
all persons sentenced to d eath for a capital crime shall be 374 
executed by a method not deemed unconstitutional any 375     
 
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constitutional method of execution . 376 
 Section 7.  Paragraphs (b) through (e) of subsection (4) of 377 
section 934.425, Florida Statutes, are redesignated as 378 
paragraphs (e) through (h), respectively, and new paragraphs 379 
(b), (c), and (d) are added to that subsection, to read: 380 
 934.425  Installation or use of tracking devices or 381 
tracking applications; exceptions; penalties. — 382 
 (4)  This section does not apply to: 383 
 (b)  A correctional officer, correctional probation 384 
officer, or any other officer or support personnel, as those 385 
terms are defined in s. 943.10, of the Department of Corrections 386 
who lawfully installs, places, or uses a tracking device or 387 
tracking application on a person in his or her care, custody, or 388 
control and in the course and scope of his or her employment. 389 
 (c)  A juvenile probation officer, an authorized agent or 390 
designee, or delinquency program staff, as those terms are 391 
defined in s. 985.03, of the Department of Juvenile Justice who 392 
lawfully installs, places, or uses a tracking device or tracking 393 
application on a person in his or her care, custody, or control 394 
and in the scope and course of his or her employment. 395 
 (d)  A person authorized to install, place, or use a 396 
tracking device or tracking application pursuant to a court 397 
order. 398 
 Section 8.  Section 945.41, Florida Statutes, is amended to 399 
read: 400     
 
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 945.41  Mental health treatment for inmates; legislative 401 
intent of ss. 945.40 -945.49.— 402 
 (1)  INTENT.—It is the intent of the Legislature that : 403 
 (a) mentally ill Inmates in the custody of the department 404 
who have a mental illness of Corrections receive an evaluation 405 
and appropriate treatment for their mental illness through a 406 
continuum of outpatient and inpatient mental h ealth treatment 407 
and services. 408 
 (b)  The department is authorized to purchase treatment 409 
materials and equipment to support inmate rehabilitation; to 410 
ameliorate disabling mental symptoms associated with impairment 411 
in behavioral functioning, sensory and motor skills, and impulse 412 
control; and to improve adaptive coping skills consistent with 413 
the department's jurisdiction as described in s. 945.025. 414 
 (c)  Sections 945.40 -945.49 do not supplement, amend, or 415 
change the responsibilities of the Department of Children and 416 
Families pursuant to chapter 916, the Forensic Client Services 417 
Act, which governs forensic services for persons who are 418 
incompetent to proceed as defined in s. 916.106. 419 
 (2)  INDIVIDUAL DIGNITY AND TREATMENT. — 420 
 (a)  An inmate in the custody of the department shall be 421 
offered treatment that is suited to his or her needs as 422 
determined by health care staff and that is provided in a humane 423 
psychological environment. Such treatment shall be administered 424 
skillfully, safely, and humanely with respect for the inmate's 425     
 
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dignity and personal integrity. 426 
 (b)  The department shall provide mental health treatment 427 
and services to inmates and may contract with any entities, 428 
persons, or agencies qualified to provide such treatment and 429 
services. 430 
 (c)  Inmates receiving mental health treatment and services 431 
shall be offered the opportunity to participate in the 432 
development of a written individualized treatment plan and 433 
provided a copy of such plan before its implementation. It is 434 
further the intent of the Legislatur e that: 435 
 (d)(1) Inmates in the custody of the department who have 436 
mental illnesses that require hospitalization and intensive 437 
mental health psychiatric inpatient treatment and services or 438 
care shall be offered receive appropriate treatment or care in 439 
an inpatient setting Department of Corrections mental health 440 
treatment facilities designated for that purpose. Inmates who 441 
have mental illnesses that require intensive hospitalization -442 
level mental health inpatient treatment and services shall be 443 
transferred to a department mental health treatment facility 444 
designated for that purpose The Department of Corrections shall 445 
provide mental health services to inmates committed to it and 446 
may contract with any entities, persons, or agencies qualified 447 
to provide such serv ices. 448 
 (e)(2) Mental health treatment facilities shall be secure 449 
and adequately equipped and staffed for the provision of mental 450     
 
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health treatment and services. Inmates shall be offered the 451 
least restrictive appropriate available treatment and services 452 
based on their assessed needs and best interests and consistent 453 
with improvement of their condition for facilitation of 454 
appropriate adjustment within the correctional environment 455 
services and that, to the extent possible, such services be 456 
provided in the leas t restrictive manner consistent with optimum 457 
improvement of the inmate's condition . 458 
 (3)  EXPRESS AND INFORMED CONSENT. — 459 
 (a)  A mentally competent inmate offered mental health 460 
treatment within the department shall give his or her express 461 
and informed consent for such treatment. Before giving such 462 
consent, the following information shall be provided and 463 
explained in plain language to the inmate: 464 
 1.  The proposed treatment. 465 
 2.  The purpose of the treatment. 466 
 3.  The common risks, benefits, and side effects of the 467 
treatment and the specific dosage range for a medication, if 468 
applicable. 469 
 4.  Alternative treatment modalities. 470 
 5.  The approximate length of treatment. 471 
 6.  The potential effects of stopping treatment. 472 
 7.  How treatment will be monitored. 473 
 8.  That any consent given for treatment may be revoked 474 
orally or in writing before or during the treatment period by 475     
 
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the inmate or by a person legally authorized to make health care 476 
decisions on behalf of the inmate. 477 
 (b)  Inmates who are determined to be inco mpetent to 478 
consent to treatment shall receive treatment deemed to be 479 
necessary for their appropriate care and for the safety of the 480 
inmate or others in accordance with the procedures established 481 
in ss. 945.40-945.49. 482 
 (4)(3) PAROLE.—Inmates who are transf erred to any facility 483 
for the purpose of mental health treatment and services shall be 484 
given consideration for parole and be eligible for release by 485 
reason of gain-time allowances as provided in s. 944.291 and 486 
release by expiration of sentence, consistent with guidelines 487 
established for that purpose by the department. 488 
 (5)(4) YOUTHFUL OFFENDERS.—Any inmate sentenced as a 489 
youthful offender, or designated as a youthful offender by the 490 
department under chapter 958, who is transferred pursuant to 491 
this act to a mental health treatment facility shall be 492 
separated from other inmates, if necessary, as determined by the 493 
warden of the mental health treatment facility. 494 
 (6)(5) TREATMENT FACILITIES. —The department may designate 495 
mental health treatment facilities for a dult, youthful, and 496 
female offenders or may contract with other appropriate 497 
entities, persons, or agencies for such services. 498 
 (7)  EMERGENCY MEDICAL TREATMENT. —Notwithstanding any other 499 
provision of this section, when the express and informed consent 500     
 
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of an inmate placed in a mental health treatment facility in 501 
accordance with s. 945.44 cannot be obtained or the inmate is 502 
incompetent to consent to treatment, the warden of a mental 503 
health treatment facility, or his or her designated 504 
representative, under the direction of the inmate's attending 505 
physician, may authorize nonpsychiatric, emergency surgical 506 
treatment or other routine medical treatment if such treatment 507 
is deemed lifesaving or there is a situation threatening serious 508 
bodily harm to the inmate. 509 
 Section 9.  Section 945.42, Florida Statutes, is amended to 510 
read: 511 
 945.42  Definitions; ss. 945.40 -945.49.—As used in ss. 512 
945.40-945.49, the following terms shall have the meanings 513 
ascribed to them, unless the context shall clearly indicate 514 
otherwise: 515 
 (1) "Court" means the circuit court. 516 
 (2)  "Crisis stabilization care" means an inpatient a level 517 
of care that is less restrictive and intensive intense than care 518 
provided in a mental health treatment facility, that includes a 519 
broad range of evaluation and t reatment and services provided 520 
within a secure and highly structured residential setting or 521 
locked residential setting , and that is intended for inmates who 522 
are experiencing acute psychological emotional distress and who 523 
cannot be adequately evaluated and treated in a transitional 524 
care unit or infirmary isolation management room. Such treatment 525     
 
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and services are is also more intense than treatment and 526 
services provided in a transitional care unit and are is devoted 527 
principally toward rapid stabilization of a cute symptoms and 528 
conditions. 529 
 (3)  "Department" means the Department of Corrections. 530 
 (4)  "Express and informed consent" means consent 531 
voluntarily given in writing, by a competent inmate, after 532 
sufficient explanation and disclosure of the subject matter 533 
involved, to enable the inmate to make a knowing and willful 534 
decision without any element of force, fraud, deceit, duress, or 535 
other form of constraint or coercion. 536 
 (5)  "Gravely disabled" means a condition in which an 537 
inmate, as a result of a diagnosed me ntal illness, is: 538 
 (a)  In danger of serious physical harm resulting from the 539 
inmate's failure to provide for his or her essential physical 540 
needs of food, clothing, hygiene, health, or safety without the 541 
assistance of others; or 542 
 (b)  Experiencing a substa ntial deterioration in behavioral 543 
functioning evidenced by the inmate's unremitting decline in 544 
volitional control over his or her actions. 545 
 (6)  "Incompetent to consent to treatment" means a state in 546 
which an inmate's judgment is so affected by mental illn ess that 547 
he or she lacks the capacity to make a well -reasoned, willful, 548 
and knowing decision concerning his or her medical or mental 549 
health treatment and services. The term is distinguished from 550     
 
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the term "incompetent to proceed," as defined in s. 916.106, and 551 
only refers to an inmate's inability to provide express and 552 
informed consent for medical or mental health treatment and 553 
services. 554 
 (4)  "Director" means the Director for Mental Health 555 
Services of the Department of Corrections or his or her 556 
designee. 557 
 (5)  "In immediate need of care and treatment" means that 558 
an inmate is apparently mentally ill and is not able to be 559 
appropriately cared for in the institution where he or she is 560 
confined and that, but for being isolated in a more restrictive 561 
and secure housing environment, because of the apparent mental 562 
illness: 563 
 (a)1.  The inmate is demonstrating a refusal to care for 564 
himself or herself and without immediate treatment intervention 565 
is likely to continue to refuse to care for himself or herself, 566 
and such refusal poses an immediate, real, and present threat of 567 
substantial harm to his or her well -being; or 568 
 2.  There is an immediate, real, and present threat that 569 
the inmate will inflict serious bodily harm on himself or 570 
herself or another person, as evidenced b y recent behavior 571 
involving causing, attempting, or threatening such harm; 572 
 (b)  The inmate is unable to determine for himself or 573 
herself whether placement is necessary; and 574 
 (c)  All available less restrictive treatment alternatives 575     
 
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that would offer an op portunity for improvement of the inmate's 576 
condition have been clinically determined to be inappropriate. 577 
 (7)(6) "In need of care and treatment" means that an 578 
inmate has a mental illness for which inpatient services in a 579 
mental health treatment facility a re necessary and that, but for 580 
being isolated in a more restrictive and secure housing 581 
environment, because of the mental illness: 582 
 (a)  But for being isolated in a more restrictive and 583 
secure housing environment: 584 
 1.  The inmate is demonstrating a refusal to care for 585 
himself or herself and without treatment is likely to continue 586 
to refuse to care for himself or herself, and such refusal poses 587 
a real and present threat of substantial harm to his or her 588 
well-being; or 589 
 2.  There is a substantial likelihood t hat in the near 590 
future the inmate will inflict serious bodily harm on himself or 591 
herself or another person, as evidenced by recent behavior 592 
causing, attempting, or threatening such harm .; 593 
 (b)  The inmate is incompetent to consent to treatment and 594 
is unable or is refusing to provide express and informed consent 595 
to treatment. 596 
 (c)(b) The inmate is unable to determine for himself or 597 
herself whether placement is necessary; and 598 
 (d)(c) All available less restrictive treatment 599 
alternatives that would offer an opportunity for improvement of 600     
 
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the inmate's condition have been clinically determined to be 601 
inappropriate. 602 
 (8)(7) "Inmate" means any person committed to the custody 603 
of the Department of Corrections. 604 
 (9)  "Involuntary examination" means a psychiatric 605 
examination performed at a mental health treatment facility to 606 
determine whether an inmate should be placed in the mental 607 
health treatment facility for inpatient mental health treatment 608 
and services. 609 
 (10)  "Likelihood of serious harm" means: 610 
 (a)  A substantial risk that the inmate will inflict 611 
serious physical harm upon his or her own person, as evidenced 612 
by threats or attempts to commit suicide or the actual 613 
infliction of serious physical harm on self; 614 
 (b)  A substantial risk that the inmate will inflict 615 
physical harm upon another person, as evidenced by behavior 616 
which has caused such harm or which places any person in 617 
reasonable fear of sustaining such harm; or 618 
 (c)  A reasonable degree of medical certainty that the 619 
inmate will suffer serious physical or m ental harm as evidenced 620 
by the inmate's recent behavior demonstrating an inability to 621 
refrain from engaging in self -harm behavior. 622 
 (11)(8) "Mental health treatment facility" means any 623 
extended treatment or hospitalization -level unit within the 624 
corrections system which the Assistant Secretary for Health 625     
 
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Services of the department specifically designates by rule to 626 
provide acute mental health psychiatric care and which may 627 
include involuntary treatment and therapeutic intervention in 628 
contrast to less intensive levels of care such as outpatient 629 
mental health care, transitional mental health care, or crisis 630 
stabilization care. The term does not include a forensic 631 
facility as defined in s. 916.106. 632 
 (12)(9) "Mental illness" or "mentally ill" means an 633 
impairment of the mental or emotional processes that exercise 634 
conscious control of one's actions or of the ability to perceive 635 
or understand reality , which impairment substantially interferes 636 
with the person's ability to meet the ordinary demands of 637 
living. However, for the purposes of transferring an inmate to a 638 
mental health treatment facility, the term does not include a 639 
developmental disability as defined in s. 393.063, simple 640 
intoxication, or conditions manifested only by antisocial 641 
behavior or substance abuse addiction. However, an individual 642 
who is developmentally disabled may also have a mental illness. 643 
 (13)(10) "Psychiatrist" means a medical practitioner 644 
licensed pursuant to chapter 458 or chapter 459 who has 645 
primarily diagnosed and treated nervous and mental disorders for 646 
a period of not less than 3 years inclusive of psychiatric 647 
residency. 648 
 (14)(11) "Psychological professional" means a beh avioral 649 
practitioner who has an approved doctoral degree in psychology 650     
 
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as defined in s. 490.003(3)(b) s. 490.003(3) and is employed by 651 
the department or who is licensed as a psychologist pursuant to 652 
chapter 490. 653 
 (15)(12) "Secretary" means the Secretary o f Corrections. 654 
 (16)(13) "Transitional mental health care" means a level 655 
of care that is more intensive than outpatient care, but less 656 
intensive than crisis stabilization care, and is characterized 657 
by the provision of traditional mental health treatment and 658 
services treatments such as group and individual therapy, 659 
activity therapy, recreational therapy, and psychotropic 660 
medications in the context of a secure, structured residential 661 
setting. Transitional mental health care is indicated for an 662 
inmate a person with chronic or residual symptomatology who does 663 
not require crisis stabilization care or acute mental health 664 
psychiatric care, but whose impairment in functioning 665 
nevertheless renders him or her incapable of adjusting 666 
satisfactorily within the general i nmate population. 667 
 (17)  "Treatment" means psychotropic medications prescribed 668 
by a medical practitioner licensed pursuant to chapter 458 or 669 
chapter 459, including those laboratory tests and related 670 
medical procedures that are essential for the safe and ef fective 671 
administration of a psychotropic medication and psychological 672 
interventions and services such as group and individual 673 
psychotherapy, activity therapy, recreational therapy, and music 674 
therapy. The term does not include forensic services for inmate 675     
 
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defendants who are incompetent to proceed as defined in s. 676 
916.106. 677 
 (18)(14) "Warden" means the warden of a state corrections 678 
facility or his or her designee. 679 
 Section 10.  Section 945.43, Florida Statutes, is amended 680 
to read: 681 
 (Substantial rewording of section. See 682 
 s. 945.43, F.S., for present text.) 683 
 945.43  Involuntary examination. — 684 
 (1)  If there is reason to believe that an inmate has a 685 
mental illness and the inmate is in need of care and treatment, 686 
the inmate's treating clinician may refer the inm ate to a mental 687 
health treatment facility for an involuntary examination. Upon 688 
referral, the warden of the facility where the inmate is housed 689 
shall transfer the inmate to a mental health treatment facility. 690 
 (2)  Upon arrival to the mental health treatmen t facility, 691 
the inmate shall be examined by a psychiatrist and a second 692 
psychiatrist or psychological professional to determine whether 693 
the inmate is in need of care and treatment. 694 
 (3)  If, after the examination, the inmate is determined to 695 
be in need of care and treatment, the psychiatrist shall propose 696 
a recommended course of treatment that is essential to the care 697 
of the inmate and the warden shall initiate proceedings for 698 
placement of the inmate in the mental health treatment facility 699 
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945.44. If the inmate is not in need of care and treatment, he 701 
or she shall be transferred out of the mental health treatment 702 
facility and provided with appropriate mental health services. 703 
 (4)  The involuntary examination and initiation of court 704 
proceedings for the placement and applicable involuntary 705 
treatment of the inmate in the mental health treatment facility 706 
shall be completed within 10 calendar days after arrival. 707 
 (5)  The inmate may remain in the menta l health treatment 708 
facility pending a hearing after the timely filing of a petition 709 
as described in s. 945.44. Pending a hearing, necessary 710 
emergency treatment may be provided in the mental health 711 
treatment facility upon the written order of a physician as 712 
provided in s. 945.48. 713 
 Section 11.  Section 945.44, Florida Statutes, is amended 714 
to read: 715 
 (Substantial rewording of section. See 716 
 s. 945.44, F.S., for present text.) 717 
 945.44  Placement and treatment of an inmate in a mental 718 
health treatment facility. — 719 
 (1)  CRITERIA FOR INVOLUNTARY PLACEMENT OR TREATMENT. — 720 
 (a)  An inmate may be placed in a mental health treatment 721 
facility if he or she is mentally ill and is in need of care and 722 
treatment. 723 
 (b)  An inmate may receive involuntary treatment for which 724 
the inmate is unable or has refused to provide express and 725     
 
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informed consent, if all of the following apply: 726 
 1.  The inmate is mentally ill. 727 
 2.  The treatment is essential to the care of the inmate. 728 
 3.  The treatment is not experimental and does not present 729 
an unreasonable risk of serious, hazardous, or irreversible side 730 
effects. 731 
 4.  The inmate is gravely disabled or poses a likelihood of 732 
serious harm. 733 
 5.  The inmate is incompetent to consent to treatment. 734 
 (2)  HEARING PROCEDURES FOR PETITIONS FOR PLACEMENT AND 735 
TREATMENT.— 736 
 (a)  An inmate may be placed and involuntarily treated in a 737 
mental health treatment facility after notice and hearing upon 738 
the recommendation of the warden of the facility where the 739 
inmate is confined. The warden of the instituti on where the 740 
mental health treatment facility is located shall petition the 741 
circuit court serving the county for an order authorizing the 742 
placement and treatment of the inmate. The petition must be 743 
supported by the expert opinion of at least one of the inm ate's 744 
treating psychiatrists. 745 
 (b)  The inmate shall be provided with a copy of the 746 
petition along with the proposed treatment, the basis for the 747 
proposed treatment, the names of the examining experts, and the 748 
date, time, and location of the hearing. After considering the 749 
public safety and security concerns presented by transporting 750     
 
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the inmate or in conducting onsite hearings, the court may order 751 
that the hearing be conducted by electronic means or in person 752 
at the facility or at another location designated by the court. 753 
If the hearing is ordered by the court to be conducted at a 754 
location other than the facility, the department is authorized 755 
to transport the inmate to the location of the hearing. 756 
 (c)  The inmate may have an attorney represent him or her 757 
at the hearing, and, if the inmate is indigent, the court shall 758 
appoint the office of the public defender or private counsel 759 
pursuant to s. 27.40(1) to represent the inmate at the hearing. 760 
An attorney representing the inmate shall have access to the 761 
inmate and any records, including medical or mental health 762 
records, which are relevant to the representation of the inmate. 763 
 (d)  The hearing on the petition for involuntary placement 764 
and treatment shall be held as expeditiously as possible after 765 
the petition is filed, but no later than 14 calendar days after 766 
filing. The court may appoint a general or special magistrate to 767 
preside. The inmate may testify or not, as he or she chooses, 768 
may cross-examine witnesses testifying on behalf of the 769 
facility, and may present h is or her own witnesses. 770 
 (e)  The court may waive the presence of the inmate at the 771 
hearing if the waiver is consistent with the best interests of 772 
the inmate and the inmate's counsel does not object. One of the 773 
inmate's physicians whose opinion supported the petition shall 774 
appear as a witness at the hearing. 775     
 
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 (3)  ORDERS FOR INVOLUNTARY PLACEMENT AND TREATMENT. — 776 
 (a)  If the court finds by clear and convincing evidence 777 
that the inmate meets the criteria in paragraph (1)(a), the 778 
court must order that the in mate be involuntarily placed in the 779 
mental health treatment facility for a period not to exceed 6 780 
months. 781 
 (b)  If the court finds by clear and convincing evidence 782 
that the inmate meets the criteria in paragraph (1)(b), the 783 
court may order that the inmate be involuntarily treated for a 784 
period not to exceed 6 months, concurrent with an order for 785 
placement in the mental health treatment facility. In 786 
determining whether to order involuntary treatment under this 787 
section, the court must consider the inmate's exp ressed 788 
preference regarding treatment; whether the inmate is able to 789 
express a preference; the probability of adverse side effects; 790 
the prognosis for the inmate without treatment; the prognosis 791 
for the inmate with treatment; and any other factors the court 792 
deems relevant. 793 
 (4)  STATUS HEARINGS AND CONTINUING JURISDICTION. —An order 794 
authorizing involuntary placement and treatment shall allow such 795 
placement and treatment for a period not to exceed 6 months 796 
following the date of the order. Unless the court is n otified in 797 
writing that the inmate has been discharged from the mental 798 
health treatment facility because he or she is no longer in need 799 
of care and treatment, has been transferred to another 800     
 
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institution of the department, or has been released from the 801 
department's custody, the warden shall, before the expiration of 802 
the initial order, file a notice with the court to set a status 803 
hearing for an order authorizing the continuation of placement 804 
and treatment for another period not to exceed 6 months. This 805 
procedure shall be repeated until the inmate is no longer in 806 
need of care and treatment. Placement and treatment may be 807 
continued pending a hearing after the timely filing of any 808 
petition. 809 
 (5)  COPIES OF ORDERS. —The court shall provide a copy of 810 
its order authorizing placement and treatment along with all 811 
supporting documentation relating to the inmate's condition to 812 
the warden of the mental health treatment facility. 813 
 (6)  DISMISSAL OF PETITIONS. —If the court finds that 814 
criteria for placement and treatment are not satisfied, it shall 815 
dismiss the petition and the inmate shall be transferred out of 816 
the mental health treatment facility and provided with 817 
appropriate mental health services. 818 
 Section 12. Section 945.45, Florida Statutes, is repealed. 819 
 Section 13. Subsection (3) of section 945.46, Florida 820 
Statutes, is renumbered as subsection (5) and amended, and new 821 
subsections (3) and (4) are added to that section, to read: 822 
 945.46  Initiation of involuntary placement proceedings 823 
with respect to a mentally ill i nmate scheduled for release. — 824 
 (3)  The warden shall file petitions for involuntary 825     
 
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inpatient placement for inmates scheduled to be released in the 826 
court in the county where the inmate is located. Upon filing, 827 
the clerk of the court shall provide copies to the Department of 828 
Children and Families, the inmate, and the state attorney and 829 
public defender of the judicial circuit in which the inmate is 830 
located. A fee may not be charged for the filing of a petition 831 
under chapter 394. Within 1 court working day aft er the filing 832 
of a petition for involuntary inpatient placement, the court 833 
shall appoint the public defender to represent the inmate who is 834 
the subject of the petition, unless the inmate is otherwise 835 
represented by counsel. The clerk of the court shall imm ediately 836 
notify the public defender of such appointment. Any attorney 837 
representing the inmate shall have access to the inmate, 838 
witnesses, and records relevant to the presentation of the 839 
patient's case and shall represent the interests of the inmate, 840 
regardless of the source of payment to the attorney. The state 841 
attorney for the circuit in which the inmate is located shall 842 
represent the state, rather than the petitioning warden, as the 843 
real party in interest in the proceeding. The remainder of the 844 
proceedings shall be governed by chapter 394. 845 
 (4)  After considering the public safety and security 846 
concerns presented by transporting the inmate or in conducting 847 
onsite hearings, the court may order that the hearing be 848 
conducted by electronic means or in person at the facility or at 849 
another location designated by the court. If the hearing is 850     
 
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ordered by the court to be conducted at a location other than 851 
the facility, the department is authorized to transport the 852 
inmate to the location of the hearing. 853 
 (5)(3) The department may transport an individual who is 854 
being released from its custody to a receiving or mental health 855 
treatment facility for involuntary examination or placement. 856 
Such transport shall be made to a facility that is specified by 857 
the Department of Children and Families as able to meet the 858 
specific needs of the individual. If the Department of Children 859 
and Families does not specify a facility, transport shall may be 860 
made to the nearest receiving facility. 861 
 Section 14.  Section 945.47, Florida St atutes, is amended 862 
to read: 863 
 945.47  Discharge of inmate from mental health treatment. — 864 
 (1)  An inmate who has been placed in a mental health 865 
treatment facility transferred for the purpose of mental health 866 
treatment shall be discharged from treatment by t he warden under 867 
the following conditions: 868 
 (a)  If the inmate is no longer in need of care and 869 
treatment, as defined in s. 945.42, he or she may be transferred 870 
out of the mental health treatment facility and provided with 871 
appropriate mental health services ; or 872 
 (b)  If the inmate's sentence expires during his or her 873 
treatment, but he or she is no longer in need of care and 874 
treatment as an inpatient, the inmate may be released with a 875     
 
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recommendation for outpatient treatment, pursuant to the 876 
provisions of ss. 945.40-945.49. 877 
 (2)  At any time that an inmate who has received mental 878 
health treatment while in the custody of the department becomes 879 
eligible for release under supervision or upon end of sentence, 880 
a record of the inmate's mental health treatment may be provided 881 
to the Florida Commission on Offender Review and to the 882 
Department of Children and Families to arrange postrelease 883 
aftercare placement and to prospective recipient inpatient 884 
health care or residential facilities upon request. The record 885 
shall include, at a minimum, a summary of the inmate's 886 
diagnosis, length of stay in treatment, clinical history, 887 
prognosis, prescribed medication, treatment plan, and 888 
recommendations for aftercare services. 889 
 Section 15.  Section 945.48, Florida Statutes, is amende d 890 
to read: 891 
 (Substantial rewording of section. See 892 
 s. 945.48, F.S., for present text.) 893 
 945.48  Emergency treatment orders and use of force. — 894 
 (1)  EMERGENCY MEDICATION. —The department is authorized to 895 
involuntarily administer psychotropic medication to a n inmate on 896 
an emergency basis without following the procedure outlined in 897 
s. 945.43 only as specified in this section. An emergency 898 
treatment order for psychotropic medication may be provided to 899 
the inmate upon the written order of a physician licensed 900     
 
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pursuant to chapter 458 or chapter 459 in an emergency not 901 
exceeding 72 hours, excluding weekends and legal holidays. An 902 
emergency exists when an inmate with a mental illness presents 903 
an immediate threat of: 904 
 (a)  Bodily harm to self or others; or 905 
 (b)  Extreme deterioration in behavioral functioning 906 
secondary to the mental illness. 907 
 (2)  PSYCHOTROPIC MEDICATION. —Psychotropic medication may 908 
be administered only when the medication constitutes an 909 
appropriate treatment for a mental illness and its symptoms and 910 
alternative treatments are not available or indicated, or would 911 
not be effective. If after the 72 -hour period the inmate has not 912 
given express and informed consent to the medication initially 913 
refused, the inmate's treating physician shall refer the inmate 914 
to a mental health treatment facility for an involuntary 915 
examination in accordance with the procedures described in s. 916 
945.43. Upon such referral, the warden shall, within 48 hours, 917 
excluding weekends and legal holidays, transfer the inmate to a 918 
mental health treatment facility. Upon transfer of the inmate 919 
for an involuntary examination, the emergency treatment order 920 
may be continued upon the written order of a physician as long 921 
as the physician has determined that the emergency continues to 922 
present a danger to the safety of the inmate or others and the 923 
criteria described in this subsection are satisfied. If 924 
psychotropic medication is still recommended after the 925     
 
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emergency, it may only be administered after following the 926 
procedures outlined in s. 945.44. 927 
 (3) USE OF FORCE.—An employee or agent of the department 928 
is authorized to apply physical force upon an inmate when and to 929 
the extent that it reasonably appears necessary to effectuate 930 
the treatment of an inmate as described in this section, for the 931 
application of psychiatric restraint, to effectuate clinically 932 
necessary hygiene, or pursuant to a valid court order issued 933 
under s. 945.44 or s. 945.485. The requirements of s. 944.35 934 
shall be followed when using force to effectuate such treatment, 935 
apply such restraint, or effectuate such hygiene. 936 
 Section 16.  Section 945.485, Florida Statutes, is created 937 
to read: 938 
 945.485  Management and treatment for self -injurious 939 
behaviors.— 940 
 (1)  The Legislature finds that nonsuicidal self -injurious 941 
behaviors in correctional institutions, or acts intended to 942 
cause bodily harm but not death, have increased in the 943 
correctional environment. Self -injurious behavior may include 944 
nonsuicidal self-injury or self-mutilation, such as cutting, 945 
reopening wounds, and ingesting or inserting foreign objects or 946 
dangerous instruments into the body. These behaviors pose a 947 
significant threat to inmates, staff, and, in many cases, the 948 
safe and secure operation of the correctional institution. In 949 
addition, self-injurious behaviors, coupled with repeated 950     
 
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refusals to provide express and informed consent for medical 951 
treatment and care, are a significant challenge for correctional 952 
medical and mental health professionals , resulting in higher 953 
costs for medical services, and may result in inadvertent 954 
mortality in the incarcerated population. 955 
 (2)  In accordance with s. 945.6042, the Legislature finds 956 
that an inmate retains the fundamental right of self -957 
determination regardi ng decisions pertaining to his or her own 958 
health, including the right to choose or refuse medical 959 
treatment or life-saving medical procedures. However, the 960 
inmate's right to privacy and decisionmaking regarding medical 961 
treatment may be outweighed by compel ling state interests. 962 
 (3)  When an inmate is engaging in active or ongoing self -963 
injurious behavior and has refused to provide express and 964 
informed consent for treatment related to the self -injurious 965 
behavior, the warden of the facility where the inmate is housed 966 
shall consult with the inmate's treating physician regarding the 967 
inmate's medical and mental health status, current medical and 968 
mental health treatment needs, and competency to provide express 969 
and informed consent for treatment. The warden shall al so 970 
determine whether the inmate's self -injurious behavior presents 971 
a danger to the safety of department staff or other inmates or 972 
the security, internal order, or discipline of the institution. 973 
 (a)  If the inmate's treating physician determines that the 974 
inmate has a mental illness and is incompetent to consent to 975     
 
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treatment, the physician shall proceed in accordance with s. 976 
945.6042 for any necessary surgical or medical services. If the 977 
inmate is in need of care and treatment as defined in s. 945.42, 978 
the inmate shall be referred to a mental health treatment 979 
facility for an involuntary examination in accordance with s. 980 
945.44. 981 
 (b)  If the inmate is competent, refusing necessary 982 
surgical or medical treatment, and engaging in active or ongoing 983 
self-injurious behavior that presents a threat to the safety of 984 
department staff or other inmates or the security, internal 985 
order, or discipline of the institution, the warden shall follow 986 
the procedure set forth in subsection (4). 987 
 (4)(a)  The warden, or his or her desig nated 988 
representative, shall, on behalf of the state, petition the 989 
circuit court of the county in which the inmate is residing or 990 
the county in which the inmate is hospitalized for an order 991 
compelling the inmate to submit to emergency surgical 992 
intervention or other medical services to the extent necessary 993 
to remedy the threat to the safety of staff or other inmates or 994 
the security, internal order, or discipline of the institution. 995 
The petition must be supported by the expert opinion of at least 996 
one of the inmate's treating physicians and may be supported by 997 
other staff as necessary. 998 
 (b)  The inmate shall be provided with a copy of the 999 
petition along with the proposed intervention, the basis for the 1000     
 
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proposed intervention, the names of the testifying experts a nd 1001 
witnesses, and the date, time, and location of the hearing. 1002 
After considering the medical status of the inmate, public 1003 
safety, and security concerns presented by transporting the 1004 
inmate, the court may order that the hearing be conducted by 1005 
electronic means or in person at the institution or at another 1006 
location designated by the court. If the hearing is ordered by 1007 
the court to be conducted at a location other than the 1008 
institution, the department is authorized to transport the 1009 
inmate to the location of the hearing. 1010 
 (c)  The inmate may have an attorney represent him or her 1011 
at the hearing, and, if the inmate is indigent, the court shall 1012 
appoint the office of the public defender or private counsel 1013 
pursuant to s. 27.40(1) to represent the inmate at the hearing . 1014 
An attorney representing the inmate shall have access to the 1015 
inmate and any records, including medical or mental health 1016 
records, which are relevant to the representation of the inmate. 1017 
 (d)  The hearing on the petition shall be held as 1018 
expeditiously as possible after the petition is filed, but no 1019 
later than 5 calendar days after filing. The court may appoint a 1020 
general or special magistrate to preside. The inmate may testify 1021 
or not, as he or she chooses, may cross -examine witnesses 1022 
testifying on behalf of the institution, and may present his or 1023 
her own witnesses. 1024 
 (e)  The court may waive the presence of the inmate at the 1025     
 
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hearing if the waiver is consistent with the best interests of 1026 
the inmate and the inmate's counsel does not object. 1027 
 (f)  The court shall determine whether the warden has 1028 
established, by clear and convincing evidence, a compelling 1029 
state interest sufficient to outweigh the inmate's right to 1030 
refuse treatment. The court shall consider all of the following: 1031 
 1.  Preservation of the life of the inmate. 1032 
 2.  Prevention of suicide. 1033 
 3.  Protection of innocent third parties. 1034 
 4.  Maintenance of the ethical integrity of the medical 1035 
profession. 1036 
 5.  Preservation of the security, internal order, or 1037 
discipline of the institution. 1038 
 6.  Rehabilitation of the inmate. 1039 
 7.  Any other compelling state interest. 1040 
 (g)  If the court determines that there are compelling 1041 
state interests sufficient to override the inmate's right to 1042 
refuse treatment, the court shall enter an order authorizing 1043 
emergency surgical inter vention or other medical services, 1044 
narrowly tailored and in the least intrusive manner possible, 1045 
only as necessary to remedy the threat to the safety of third 1046 
parties or the security, internal order, or discipline of the 1047 
institution. Emergency surgical int ervention or other medical 1048 
services authorized by the court may be carried out at the 1049 
institution or at a licensed hospital, as applicable. 1050     
 
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 (5)  This section does not repeal by implication any 1051 
provision of s. 766.103, the Florida Medical Consent Law, or s . 1052 
768.13, the Good Samaritan Act. For all purposes, the Florida 1053 
Medical Consent Law and the Good Samaritan Act shall be 1054 
considered alternatives to this section. 1055 
 Section 17.  Subsection (2) of section 945.49, Florida 1056 
Statutes, is amended to read: 1057 
 945.49 Operation and administration. — 1058 
 (2)  RULES.—The department, in cooperation with the Mental 1059 
Health Program Office of the Department of Children and 1060 
Families, shall adopt rules necessary for administration of ss. 1061 
945.40-945.49 in accordance with chapter 12 0. 1062 
 Section 18.  Section 945.6402, Florida Statutes, is created 1063 
to read: 1064 
 945.6402  Inmate health care advance directives. — 1065 
 (1)  DEFINITIONS.—The terms used in this section have the 1066 
same meanings as in s. 765.101 unless otherwise specified in 1067 
this section. For purposes of this section, the term: 1068 
 (a)  "Health care facility" has the same meaning as in s. 1069 
765.101 and includes any correctional institution or facility 1070 
where health care is provided. 1071 
 (b)  "Incapacity" or "incompetent" means an inmate is 1072 
physically or mentally unable to communicate a willful and 1073 
knowing health care decision. 1074 
 (c)  "Informed consent" means consent voluntarily given by 1075     
 
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an inmate after a sufficient explanation and disclosure of the 1076 
subject matter involved to enable the inmate to h ave a general 1077 
understanding of the treatment or procedure and the medically 1078 
acceptable alternatives, including the substantial risks and 1079 
hazards inherent in the proposed treatment or procedures, and to 1080 
make a knowing health care decision without coercion o r undue 1081 
influence. 1082 
 (d)  "Inmate" means any person committed to the custody of 1083 
the department. 1084 
 (e)  "Ombudsman" means an individual designated and 1085 
specifically trained by the department to identify conditions 1086 
that may pose a threat to the rights, health, safety, and 1087 
welfare of inmates in a health care facility and who may be 1088 
appointed to serve as a proxy for an inmate who is physically or 1089 
mentally unable to communicate a willful and knowing health care 1090 
decision. 1091 
 (f)  "Proxy" means a competent adult who ha s not been 1092 
expressly designated to make health care decisions for a 1093 
particular incapacitated inmate, but who, nevertheless, is 1094 
authorized pursuant to s. 765.401 and as specified in this 1095 
section to make health care decisions for such inmate. 1096 
 (g)  "Proxy review team" means a team of at least five 1097 
members, appointed by the Assistant Secretary for Health 1098 
Services. The team shall be composed of, at a minimum, one 1099 
physician licensed pursuant to chapter 458 or chapter 459, one 1100     
 
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psychologist licensed pursuant to ch apter 490, one nurse 1101 
licensed pursuant to chapter 464, and one department chaplain. 1102 
 (2)  LEGISLATIVE FINDINGS AND INTENT. - 1103 
 (a)  In accordance with chapter 765, the Legislature finds 1104 
that an inmate retains the fundamental right of self -1105 
determination regarding decisions pertaining to his or her own 1106 
health, including the right to choose or refuse medical 1107 
treatment. In accordance with chapter 765, this right is subject 1108 
to certain institutional interests including the protection of 1109 
human life, the preservation of ethical standards in the medical 1110 
profession, and, for inmates committed to the custody of the 1111 
department, the security and good order of the institutional 1112 
setting. 1113 
 (b)  To ensure that such right is not lost or diminished by 1114 
virtue of later physical or mental incapacity, the Legislature 1115 
intends that the procedures specified in chapter 765, and as 1116 
modified in this section for the institutional health care 1117 
setting, apply to incarcerated inmates. These procedures should 1118 
be less expensive and less restricti ve than guardianship and 1119 
allow an inmate to plan for incapacity by executing a document 1120 
or orally designating another person to direct the course of his 1121 
or her health care or receive his or her health information, or 1122 
both, upon his or her incapacity. These procedures permit a 1123 
previously incapacitated inmate to exercise his or her full 1124 
right to make health care decisions as soon as the capacity to 1125     
 
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make such decisions has been regained. 1126 
 (c)  In order to ensure that the rights and intentions of 1127 
an inmate are respected when the inmate is not able to 1128 
participate actively in decisions concerning himself or herself, 1129 
and to encourage communication among such inmate, his or her 1130 
family, and his or her treating physicians, the Legislature 1131 
declares that the laws of thi s state recognize the right of a 1132 
competent incarcerated adult to make an advance directive 1133 
instructing his or her physicians to provide, withhold, or 1134 
withdraw life-prolonging procedures or to designate another 1135 
person to make the health care decision for hi m or her in the 1136 
event that such incarcerated person should become incapacitated 1137 
and unable to personally direct his or her health care. It is 1138 
further the intent of the Legislature that the department 1139 
provide the opportunity for inmates to make advance dire ctives 1140 
as specified in this section. 1141 
 (d)  The Legislature further recognizes that incarcerated 1142 
inmates may not avail themselves of the opportunity to make an 1143 
advance directive or, because of incarceration, may not have a 1144 
surrogate, as defined in s. 765.10 1, willing, able, or 1145 
reasonably available to make health care decisions on his or her 1146 
behalf. Additionally, because of incarceration, the individuals 1147 
designated in s. 765.401 who are eligible to serve as an 1148 
appointed proxy may not be reasonably available, willing, or 1149 
competent to make health care decisions for the inmate in the 1150     
 
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event of incapacity. Thus, it is the intent of the Legislature 1151 
that the department have an efficient process that is less 1152 
expensive and less restrictive than guardianship for the 1153 
appointment of a proxy to allow for the expedient delivery of 1154 
necessary health care to an incarcerated inmate. 1155 
 (e)  This section does not supersede the process for inmate 1156 
involuntary mental health treatment in ss. 945.40 -945.49. 1157 
 (3)  CAPACITY OF INMATE; PRO CEDURE.— 1158 
 (a)  An inmate is presumed to be capable of making health 1159 
care decisions for himself or herself unless he or she is 1160 
determined to be incapacitated. When an inmate has 1161 
decisionmaking capacity, the inmate's wishes are controlling. 1162 
Each physician or health care provider must clearly communicate 1163 
the treatment plan and any change to the treatment plan before 1164 
implementation of the plan or any change to the plan. Incapacity 1165 
may not be inferred from an inmate's involuntary hospitalization 1166 
for mental illness or from his or her intellectual disability. 1167 
 (b)  If an inmate's capacity to make health care decisions 1168 
for himself or herself or provide informed consent is in 1169 
question, the inmate's treating physician at the health care 1170 
facility where the inmate is lo cated shall evaluate the inmate's 1171 
capacity and, if the evaluating physician concludes that the 1172 
inmate lacks capacity, enter that evaluation in the inmate's 1173 
medical record. If the evaluating physician has a question as to 1174 
whether the inmate lacks capacity, another physician shall also 1175     
 
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evaluate the inmate's capacity, and if the second physician 1176 
finds that the inmate lacks the capacity to make health care 1177 
decisions for himself or herself or provide informed consent, 1178 
both physicians' evaluations shall be entere d in the inmate's 1179 
medical record. 1180 
 (c)  If the inmate is found to be incapacitated and has 1181 
designated a health care surrogate in accordance with chapter 1182 
765, the institution's or facility's health care staff shall 1183 
notify the surrogate and proceed as specif ied in chapter 765. If 1184 
the incapacitated inmate has not designated a health care 1185 
surrogate, the health care facility shall appoint a proxy to 1186 
make health care decisions for the inmate as specified in this 1187 
section. 1188 
 (d)  A determination made pursuant to this section that an 1189 
inmate lacks the capacity to make health care decisions for 1190 
himself or herself may not be construed as a finding that an 1191 
inmate lacks capacity for any other purpose. 1192 
 (4)  HEALTH CARE ADVANCE DIRECTIVE; PROCEDURE. — 1193 
 (a)  In accordance with chapter 765, the department shall 1194 
offer inmates the opportunity to execute an advance directive as 1195 
defined in s. 765.101. 1196 
 (b)  The department shall provide to each inmate written 1197 
information concerning advance directives and necessary forms to 1198 
allow inmates to execute an advance directive. The department 1199 
and its health care providers shall document in the inmate's 1200     
 
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medical records whether the inmate has executed an advance 1201 
directive. Neither the department nor its health care providers 1202 
may require an inmate to execute an advance directive using the 1203 
department's forms. The inmate's advance directive shall travel 1204 
with the inmate within the department as part of the inmate's 1205 
medical record. 1206 
 (c)  An advance directive may be amended or revoked at any 1207 
time by a competent inmate by means of: 1208 
 1.  A signed, dated writing of intent to amend or revoke; 1209 
 2.  The physical cancellation or destruction of the advance 1210 
directive by the inmate or by another person in the inmate's 1211 
presence and at the inmate's direction; 1212 
 3.  An oral expression of intent to amend or revoke; or 1213 
 4.  A subsequently executed advance directive that is 1214 
materially different from a previously executed advance 1215 
directive. 1216 
 (5)  PROXY.— 1217 
 (a)  If an incapacitated inmate has not executed an advance 1218 
directive, or designated a health care surrogate in accordance 1219 
with the procedures specified in chapter 765 or the designated 1220 
health care surrogate is no longer available to make health care 1221 
decisions, health care decisions may be made for the inmate by 1222 
any of the individuals specified in the priority order provided 1223 
in s. 765.401(1)(a)-(g) as proxy. Documentation of the efforts 1224 
to locate a proxy from the classes specified in s. 1225     
 
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765.401(1)(a)-(g) shall be recorded in the inmate's medical 1226 
file. 1227 
 (b)  If there are no individuals as specified in s. 1228 
765.401(1)(a)-(g) available, willing, or competent to act on 1229 
behalf of the inmate, and the inmate is housed in a correctional 1230 
institution or facility where health care is provided in a 1231 
nonhospital setting, the warden of the institution where the 1232 
inmate is housed, or the warden's designee, shall consult with 1233 
the Assistant Secretary for Health Services or his or her 1234 
designee who shall appoint a department ombudsman to serve as 1235 
the proxy. This appointment terminates when the inmate regains 1236 
capacity or is no longer incarcerated in the custody of the 1237 
department. In accordance with chapter 765 and as provided in 1238 
this section, decisions to withhold or withdraw life -prolonging 1239 
procedures will be reviewed by the department's proxy review 1240 
team for compliance with chapter 765 and the requirements of 1241 
this section. 1242 
 (c)  The ombudsman appointed to serve as the proxy is 1243 
authorized to request the assistance of the treating physician 1244 
and, upon request, a second physician not involved in th e 1245 
inmate's care to assist the proxy in evaluating the inmate's 1246 
treatment. 1247 
 (d)  In accordance with chapter 765, any health care 1248 
decision made by any appointed proxy under this section must be 1249 
based on the proxy's informed consent and on the decision that 1250     
 
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the proxy reasonably believes the inmate would have made under 1251 
the circumstances. If there is no indication of what decision 1252 
the inmate would have made, the proxy may consider the inmate's 1253 
best interest in deciding that proposed treatments are to be 1254 
withheld or that treatments currently in effect are to be 1255 
withdrawn. 1256 
 (e)  Before exercising the incapacitated inmate's rights to 1257 
select or decline health care, the proxy must comply with ss. 1258 
765.205 and 765.305, except that any proxy's decision to 1259 
withhold or withdraw life-prolonging procedures must be 1260 
supported by clear and convincing evidence that the decision 1261 
would have been the one the inmate would have made had he or she 1262 
been competent or, if there is no indication of what decision 1263 
the inmate would have made , that the decision is in the inmate's 1264 
best interest. 1265 
 (f)  Notwithstanding s. 456.057 and pursuant to s. 945.10 1266 
and 45 C.F.R. part 164, subpart E, relevant protected health 1267 
information and mental health and medical records of an 1268 
incapacitated inmate may b e disclosed to a proxy appointed to 1269 
make health care decisions for an inmate. 1270 
 (6)  USE OF FORCE.—In addition to s. 944.35(1), an employee 1271 
of the department may apply reasonable physical force upon an 1272 
incapacitated inmate to administer medical treatment on ly by or 1273 
under the clinical supervision of a physician or his or her 1274 
designee and only to carry out a health care decision made in 1275     
 
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accordance with this section and chapter 765. 1276 
 (7)  IMMUNITY FROM LIABILITY. —A department health care 1277 
provider, ombudsman, or other employee who acts under the 1278 
direction of a health care provider as authorized in this 1279 
section or chapter 765 is not subject to criminal prosecution or 1280 
civil liability and may not be deemed to have engaged in 1281 
unprofessional conduct as a result of car rying out a health care 1282 
decision made in accordance with this section or chapter 765 on 1283 
an inmate's behalf. 1284 
 Section 19.  Section 947.02, Florida Statutes, is amended 1285 
to read: 1286 
 947.02  Florida Commission on Offender Review; members, 1287 
appointment.— 1288 
 (1)  Except as provided in s. 947.021, The members of the 1289 
Florida Commission on Offender Review shall be directly 1290 
appointed by the Governor and Cabinet from a list of eligible 1291 
applicants submitted by a parole qualifications committee . The 1292 
appointments of members of the commission shall be certified to 1293 
the Senate by the Governor and Cabinet for confirmation , and the 1294 
membership of the commission shall include representation from 1295 
minority persons as defined in s. 288.703 . 1296 
 (2)  If the Legislature decreases the membe rship of the 1297 
commission, all commission member terms of office shall expire 1298 
and new members of the commission must be appointed in 1299 
accordance with subsection (1). Members appointed to the 1300     
 
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commission may be selected from incumbents A parole 1301 
qualifications committee shall consist of five persons who are 1302 
appointed by the Governor and Cabinet. One member shall be 1303 
designated as chair by the Governor and Cabinet. The committee 1304 
shall provide for statewide advertisement and the receiving of 1305 
applications for any pos ition or positions on the commission and 1306 
shall devise a plan for the determination of the qualifications 1307 
of the applicants by investigations and comprehensive 1308 
evaluations, including, but not limited to, investigation and 1309 
evaluation of the character, habits , and philosophy of each 1310 
applicant. Each parole qualifications committee shall exist for 1311 
2 years. If additional vacancies on the commission occur during 1312 
this 2-year period, the committee may advertise and accept 1313 
additional applications; however, all previo usly submitted 1314 
applications shall be considered along with the new applications 1315 
according to the previously established plan for the evaluation 1316 
of the qualifications of applicants . 1317 
 (3)  Within 90 days before an anticipated vacancy by 1318 
expiration of term pu rsuant to s. 947.03 or upon any other 1319 
vacancy, the Governor and Cabinet shall appoint a parole 1320 
qualifications committee if one has not been appointed during 1321 
the previous 2 years. The committee shall consider applications 1322 
for the commission seat, including the application of an 1323 
incumbent commissioner if he or she applies, according to 1324 
subsection (2). The committee shall submit a list of three 1325     
 
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eligible applicants, which may include the incumbent if the 1326 
committee so decides, without recommendation, to the Gove rnor 1327 
and Cabinet for appointment to the commission. In the case of an 1328 
unexpired term, the appointment must be for the remainder of the 1329 
unexpired term and until a successor is appointed and qualified. 1330 
If more than one seat is vacant, the committee shall sub mit a 1331 
list of eligible applicants, without recommendation, containing 1332 
a number of names equal to three times the number of vacant 1333 
seats; however, the names submitted may not be distinguished by 1334 
seat, and each submitted applicant shall be considered eligibl e 1335 
for each vacancy. 1336 
 (4)  Upon receiving a list of eligible persons from the 1337 
parole qualifications committee, the Governor and Cabinet may 1338 
reject the list. If the list is rejected, the committee shall 1339 
reinitiate the application and examination procedure ac cording 1340 
to subsection (2). 1341 
 (5)  Section 120.525 and chapters 119 and 286 apply to all 1342 
activities and proceedings of a parole qualifications committee. 1343 
 Section 20.  Section 947.021, Florida Statutes, is 1344 
repealed. 1345 
 Section 21.  Subsection (2) of section 947.12, Florida 1346 
Statutes, is amended to read: 1347 
 947.12  Members, employees, expenses. — 1348 
 (2)  The members of the examining board created in s. 1349 
947.02 shall each be paid per diem and travel expenses pursuant 1350     
 
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to s. 112.061 when traveling in the perform ance of their duties. 1351 
 Section 22.  Paragraph (g) of subsection (1) and subsection 1352 
(5) of section 957.04, Florida Statutes, are amended to read: 1353 
 957.04  Contract requirements. — 1354 
 (1)  A contract entered into under this chapter for the 1355 
operation of contractor-operated correctional facilities shall 1356 
maximize the cost savings of such facilities and: 1357 
 (g)  Require the contractor to be responsible for a range 1358 
of dental, medical, and psychological services; diet; education; 1359 
and work programs at least equal to th ose provided by the 1360 
department in comparable facilities. The work and education 1361 
programs must be designed to reduce recidivism, and include 1362 
opportunities to participate in such work programs as authorized 1363 
pursuant to s. 946.523. However, with respect to th e dental, 1364 
medical, psychological, and dietary services, the department is 1365 
authorized to exclude any or all of these services from a 1366 
contract for private correctional services entered into under 1367 
this chapter and retain responsibility for the delivery of tho se 1368 
services, whenever the department finds it to be in the best 1369 
interests of the state. 1370 
 (5)  Each contract entered into by the department must 1371 
include substantial minority participation unless demonstrated 1372 
by evidence, after a good faith effort, as imprac tical and must 1373 
also include any other requirements the department considers 1374 
necessary and appropriate for carrying out the purposes of this 1375     
 
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chapter. 1376 
 Section 23.  Subsection (3) of section 957.09, Florida 1377 
Statutes, is amended to read: 1378 
 957.09  Applicability of chapter to other provisions of 1379 
law.— 1380 
 (3)  The provisions of law governing the participation of 1381 
minority business enterprises are applicable to this chapter. 1382 
 Section 24.  Subsection (2) of section 20.32, Florida 1383 
Statutes, is amended to read: 1384 
 20.32  Florida Commission on Offender Review. — 1385 
 (2)  All powers, duties, and functions relating to the 1386 
appointment of the Florida Commission on Offender Review as 1387 
provided in s. 947.02 or s. 947.021 shall be exercised and 1388 
performed by the Governor and Cabinet . Except as provided in s. 1389 
947.021, each appointment shall be made from among the first 1390 
three eligible persons on the list of the persons eligible for 1391 
said position. 1392 
 Section 25. This act shall take effect July 1, 2025. 1393