STORAGE NAME: h1013.HSS
DATE: 3/24/2025
1
FLORIDA HOUSE OF REPRESENTATIVES
BILL ANALYSIS
This bill analysis was prepared by nonpartisan committee staff and does not constitute an official statement of legislative intent.
BILL #: HB 1013
TITLE: Crisis Care Coordination
SPONSOR(S): Kincart Jonsson
COMPANION BILL: SB 886 (Leek)
LINKED BILLS: None
RELATED BILLS: None
Committee References
Human Services
Health & Human Services
SUMMARY
Effect of the Bill:
HB 1013 requires the Department of Children and Families (DCF) to launch a coordinated system of care pilot
program within Polk and Volusia counties, through managing entities (MEs), pairing crisis counselors with local
law enforcement agencies so that they can provide post-mental-health-crisis intervention services, reduce the
number of involuntary Baker Act examinations initiated by law enforcement, and alleviate the responsibility of law
enforcement to handle mental health crisis events. The bill requires an independent evaluator to report on the pilot
program’s efficacy and return-on-investment within two years of implementation.
Fiscal or Economic Impact:
A determinate, negative fiscal impact on state government.
JUMP TO SUMMARY ANALYSIS RELEVANT INFORMATION BILL HISTORY
ANALYSIS
EFFECT OF THE BILL:
When individuals experience an acute mental health crisis, law enforcement officers are often the first point of
contact. Without sufficient partnerships with professional crisis counselors, law enforcement officers initiate
involuntary Baker Act examinations of these individuals, sometimes on multiple occasions because their mental
health issues are not being appropriately addressed.
HB 1013 requires the Department of Children and Families (DCF) to launch a coordinated system of care pilot
program within Polk and Volusia counties, through managing entities (MEs), pairing crisis counselors with local
law enforcement agencies so that they can provide post-mental-health-crisis intervention services, reduce the
number of involuntary Baker Act examinations initiated by law enforcement, and alleviate the responsibility of law
enforcement to handle mental health crisis events. (Section 1).
The bill requires nationally accredited community mental health centers and local law enforcement departments in
Polk and Volusia Counties to implement the pilot program, which must provide community-based care
coordination and support for the children, adolescents, and adults whom law enforcement officers encounter
during an acute mental health crisis event. The pilot program service array for this population group must include
individualized assessment, safety planning, assistance in accessing recommended services, supportive counseling,
and other necessary follow-up supports. (Section 1).
The bill requires DCF, through the managing entities, to develop referral agreements and information exchange
procedures with behavioral health service providers in Polk and Volusia counties. These agreements and
procedures must facilitate timely access to community-based behavioral health services and other service
providers as detailed in discharge plans. (Section 1).
JUMP TO SUMMARY ANALYSIS RELEVANT INFORMATION BILL HISTORY
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The bill requires the pilot program itself to engage an independent evaluator, who must provide a written report
on the program’s efficacy and return-on-investment within two years after the program’s implementation. (Section
1).
The bill subjects the implementation of the pilot program to a specific appropriation. (Section 1).
The effective date of the bill is July 1, 2025. (Section 2).
RULEMAKING:
The bill modifies a provision of law that is already under the Department of Children and Families existing
rulemaking authority, pursuant to s. 394.457(5), F.S.
Lawmaking is a legislative power; however, the Legislature may delegate a portion of such power to executive
branch agencies to create rules that have the force of law. To exercise this delegated power, an agency must
have a grant of rulemaking authority and a law to implement.
FISCAL OR ECONOMIC IMPACT:
STATE GOVERNMENT:
The bill has a determinate, negative effect on state government.
RELEVANT INFORMATION
SUBJECT OVERVIEW:
Mental Health System
Mental illness affects millions of people in the United States each year. It is estimated that more than one in five
adults live with a mental illness.
1 In 2023, approximately 22.8 percent of adults experienced mental illness.
2
Mental Health Safety Net Services
The Department of Children and Families (DCF) administers a statewide system of safety-net services for
substance abuse and mental health (SAMH) prevention, treatment and recovery for children and adults who are
otherwise unable to obtain these services. SAMH programs include a range of prevention, acute interventions (e.g.
crisis stabilization), residential treatment, transitional housing, outpatient treatment, and recovery support
services. Services are provided based upon state and federally-established priority populations.
Behavioral Health Managing Entities
In 2001, the Legislature authorized DCF to implement behavioral health managing entities (ME) as the
management structure for the delivery of local mental health and substance abuse services.
3 The implementation
of the ME system initially began on a pilot basis and, in 2008, the Legislature authorized DCF to implement MEs
statewide.
4 MEs were fully implemented statewide in 2013, serving all geographic regions.
1
National Institute of Mental Health (NIH), Mental Illness, (last updated Sept. 2024) https://www.nimh.nih.gov/health/statistics/mental-
illness (last visited Mar. 21, 2025).
2
Substance Abuse and Mental Health Services Administration (SAMHSA), Key Substance Use and Mental Health Indicators in the United
States: Results from the 2023 National Survey on Drug Use and Health (Jul. 30, 2024) https://www.samhsa.gov/data/report/2023-nsduh-
annual-national-report (last visited Mar. 21, 2025).
3
Ch. 2001-191, Laws of Fla.
4
Ch. 2008-243, Laws of Fla. JUMP TO SUMMARY ANALYSIS RELEVANT INFORMATION BILL HISTORY
3
DCF currently contracts with seven MEs for behavioral health services throughout the state. These entities do not
provide direct services; rather, they allow the department’s funding to be tailored to the specific behavioral health
needs in the various regions of the state.
5
Coordinated System of Care
Managing entities are required to promote the development and implementation of a coordinated system of care.
6
A coordinated system of care means a full array of behavioral and related services in a region or community
offered by all service providers, participating either under contract with a managing entity or by another method
of community partnership or mutual agreement.
7 A community or region provides a coordinated system of care for
those with a mental illness or substance abuse disorder through a no-wrong-door model, to the extent allowed by
available resources. If funding is provided by the Legislature, DCF may award system improvement grants to
managing entities.
8 MEs must submit detailed plans to enhance crisis services based on the no-wrong-door model
or to meet specific needs identified in DCF’s assessment of behavioral health services in this state.
9 DCF must use
performance-based contracts to award grants.
10
There are several essential elements which make up a coordinated system of care, including:
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Community interventions;
Case management;
Care coordination;
Outpatient services;
Residential services;
Hospital inpatient care;
Aftercare and post-discharge services;
Medication assisted treatment and medication management; and
Recovery support.
A coordinated system of care must include, but is not limited to, the following array of services:
12
Prevention services;
Home-based services;
School-based services;
Family therapy;
Family support;
Respite services;
Outpatient treatment;
Crisis stabilization;
Therapeutic foster care;
5
DCF, Managing Entities, available at https://www.myflfamilies.com/services/samh/providers/managing-entities, (last visited Mar. 21,
2025).
6
S. 394.9082(5)(d), F.S.
7
S. 394.4573(1)(c), F.S.
8
S. Legislature has not funded system improvement grants.
9
Id.
10
Id.
11
S. 394.4573(2), F.S.
12
S. 394.495(4), F.S. JUMP TO SUMMARY ANALYSIS RELEVANT INFORMATION BILL HISTORY
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Residential treatment;
Inpatient hospitalization;
Case management;
Services for victims of sex offenses;
Transitional services; and
Trauma-informed services for children who have suffered sexual exploitation.
Mobile Response Teams
As of March 21, 2025, DCF has 55 Mobile Response Teams (MRTs) under contract, strategically stationed across
the state, and ready to deploy 24/7 at a moment’s notice to provide emergency on-site behavioral health crisis
services to Floridians in need.
13 The MEs procure contracts with local mental health and behavioral health
providers for MRT staffing and services.
14 These providers professionally staff MRTs with licensed mental health
professionals, certified peer recovery specialists, on-call psychiatrists and psychiatric nurse practitioners, and
support staff.
15 MRT services consist of brief crisis intervention services, which includes crisis screenings and
assessment, crisis de-escalation and stabilization services, crisis counseling, safety planning, psychoeducation, and
short-term targeted follow-up to help with the transition to ongoing care.
16
Current law requires MRTs to serve, at a minimum, children, adolescents, and young adults ages 18 to 25 who
manifest any of the following acute mental health crisis symptoms:
17
Have an emotional disturbance;
Are experiencing an actual mental or emotional crisis;
Are experiencing escalating emotional or behavioral reactions and symptoms that impact their ability to
function typically within the family, living situation, or community environment; or
Are served by the child welfare system and are experiencing or are at high risk of placement instability.
Current law sets the minimum standards for MRTs. At a minimum, MRTs must:
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Triage and prioritize requests, then, to the extent permitted by available resources, respond in person
within 60 minutes of prioritization;
Respond to a crisis in the location where the crisis is occurring;
Provide behavioral health crisis-oriented services that are responsive to the needs of the child, adolescent,
or young adult and his or her family and enable them to deescalate and respond to behavioral health
challenges through evidence-based practices;
Provide screening, standardized assessments, early identification, and referrals to community services;
Provide care coordination by facilitating the transition to ongoing services;
Ensure a process for informed consent and confidentiality compliance measures is in place;
Promote information sharing and the use of innovative technology; and
13 S. 394.495(7), F.S.; Department of Children and Families, Mobile Response Teams, https://www.myflfamilies.com/services/samh/mobile-
response-teams (last visited Mar. 21, 2025); Department of Children and Families, Specialty Treatment Team Maps, (last updated Feb. 18,
2025) https://www.myflfamilies.com/specialty-treatment-team-maps (last visited Mar. 21, 2025). Under the Map Selection menu on the
left-hand side, select “Mobile Response Teams (MRT)”.
14 S. 394.495(7)(c), F.S.
15 Department of Children and Families, Mobile Response Teams, https://www.myflfamilies.com/services/samh/mobile-response-teams
(last visited Mar. 21, 2025).
16 Department of Children and Families, Mobile Response Teams, https://www.myflfamilies.com/services/samh/mobile-response-teams
(last visited Mar. 21, 2025).
17 S. 394.495(7)(a), F.S., see s. 394.495(1), F.S., see s. 394.495(5)(q), F.S.
18 S. 394.495(7)(b), F.S. JUMP TO SUMMARY ANALYSIS RELEVANT INFORMATION BILL HISTORY
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Coordinate with the managing entity and other key entities providing services and supports to the child,
adolescent, or young adult and their family.
The Baker Act
The Florida Mental Health Act, commonly referred to as the Baker Act, was enacted in 1971 to revise the state’s
mental health commitment laws.
19 The Act includes legal procedures for mental health examination and treatment,
including voluntary and involuntary examinations. It additionally protects the rights of all individuals examined or
treated for mental illness in Florida.
20
Involuntary Examination
Individuals in an acute mental health crisis may require emergency treatment to stabilize their condition.
Emergency mental health examination and stabilization services may be provided on a voluntary or involuntary
basis.
21 Certain courts or authorized individuals may initiate an involuntary examination if there is reason to
believe that the person of concern has a mental illness and, because of that mental illness:
has refused voluntary examination,
is likely to refuse to care for him or herself to the extent that such refusal threatens to cause substantial
harm to that person’s well-being, and
such harm is unavoidable through the help of willing, able, and responsible family members or friends, or
will cause serious bodily harm to him or herself or others in the near future based on recent behavior.
22
An involuntary examination may be initiated by:
a circuit or county court entering an ex parte order stating that a person appears to meet the criteria for
involuntary examination, based on sworn testimony;
23
a law enforcement officer taking a person who appears to meet the criteria for involuntary examination
into custody and delivering the person or having him or her delivered to a receiving facility for
examination;
24 or
a physician, clinical psychologist, psychiatric nurse, an autonomous advanced practice registered nurse,
mental health counselor, marriage and family therapist, or clinical social worker executing a certificate
stating that he or she has examined a person within the preceding 48 hours and finds that the person
appears to meet the criteria for involuntary examination, including a statement of the professional’s
observations supporting such conclusion.
25
Involuntary patients must be taken to either a public or a private facility that has been designated by DCF as a
Baker Act receiving facility. Under the Baker Act, a receiving facility has up to 72 hours to examine an involuntary
patient.
26 During that 72 hours, an involuntary patient must be examined by a physician or a clinical psychologist,
or by a psychiatric nurse performing within the framework of an established protocol with a psychiatrist at a
facility, to determine if the criteria for involuntary services are met.
27 The 72-hour examination period begins
19
The Baker Act is contained in Part I of ch. 394, F.S.
20
S. 394.459, F.S.
21
Ss. 394.4625 and 394.463, F.S.
22
S. 394.463(1), F.S.
23 S. 394.463(2)(a)1., F.S. The order of the court must be made a part of the patient’s clinical record.
24 S. 394.463(2)(a)2., F.S. The officer must execute a written report detailing the circumstances under which the person was taken into
custody, and the report must be made a part of the patient’s clinical record. If transporting a minor and the parent or legal guardian of the
minor is present, the law enforcement officer must provide the parent or legal guardian of the minor the name, address, and contact
information of the receiving facility to which the minor is being transported.
25 S. 394.463(2)(a)3., F.S. The report and certificate shall be made a part of the patient’s clinical record.
26 S. 394.463(2)(g), F.S.
27 S. 394.463(2)(f), F.S. JUMP TO SUMMARY ANALYSIS RELEVANT INFORMATION BILL HISTORY
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when the patient arrives at the receiving facility. However, if the patient is a minor, a receiving facility must initiate
the examination within 12 hours of arrival.
28
Law Enforcement
Individuals in mental health crisis are more likely to encounter law enforcement than to receive a coordinated
crisis care response.
29 The Florida Criminal Justice Executive Institute (FCJEI), the research and educational arm of
the Florida Department of Law Enforcement,
30 published a commanding officer’s independent research project to
document law enforcement’s response to community mental health crisis events. The literature review component
emphasized the dangers associated with mental health crisis, the strain on police resources, criticism of police
response, liability issues, and training challenges. The poll-based survey of 68 police departments across the state
measured the amount of Baker Acts completed during the 2021 calendar year. Of the 33 police departments
31 that
responded, 23 departments completed more than 90 Baker Act crisis calls during 2021. In addition, all 33
responding departments indicated they repeatedly respond to certain individuals experiencing recurring mental
health crises.
32
The FCJEI survey also revealed that any partnership between law enforcement and mental health professionals in
Florida is a discretionary decision made at the police department level. At the time of the report’s publication:
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Seven police departments were considering partnerships.
Six police departments were not considering partnerships.
Ten police departments entered partnerships.
Three police departments offered nuanced answers.
Co-Response Models
The co-responder model pairs at least one law enforcement officer and one mental health or substance abuse
professional together to coordinate a joint response in real-time to a possible behavioral health crisis event.
34 This
model provides appropriate alternatives to arrest, officer use of force, hospitalizations and promotes the
development of and access to quality mental health treatment and services. This model allows the mental health or
substance abuse professional to follow-up with individuals and families after a crisis to decrease the probability of
28 S. 394.463(2)(g), F.S.
29 Crisis Intervention and Community-Based Services, National Council of State Legislatures, (last updated Aug. 28, 2024)
https://www.ncsl.org/civil-and-criminal-justice/crisis-intervention-and-community-based-services (last visited Mar. 21, 2025).
30 Florida Criminal Justice Executive Institute, FCJEI History, Florida Department of Law Enforcement,
https://www.fdle.state.fl.us/FCJEI/History/FCJEI-History-Home.aspx (last visited Mar. 21, 2025).
31 The responding police departments were as follows: Apopka Police Department, Bradenton Police Department, Casselberry Police
Department, Clermont Police Department, Coca Beach Police Department, Columbia County Sheriff’s Office, Florida State University Police
Department, Haines City Police Department, Homestead Police Department, Jacksonville Beach Police Department, Leesburg Police
Department, Maitland Police Department, Nassau County Sheriff’s Office, New Smyrna Beach Police Department, North Miami Beach Police
Department, Ocoee Police Department, Oviedo Police Department, Palm Bay Police Department, Port Orange Police Department, Sanford
Police Department, South Miami Police Department, St. Augustine Police Department, St. Cloud Police Department, Sunny Isles Beach Police
Department, Suwannee County Sheriff’s Office, Sweet Water Police Department, Tarpon Springs Police Department, Titusville Police
Department, University of Florida Police Department, Wakulla County Sheriff’s Office, Winter Garden Police Department, Winter Park Police
Department, and Winter Springs Police Department. Marcos Ramirez, “Officer’s Response to Community Mental Health Crisis,” Florida
Criminal Justice Executive Institute, pp. 14-15, (May 2022, SLP – 24) https://www.fdle.state.fl.us/FCJEI/Programs/SLP/SLP-Papers-by-
Author.aspx (last visited Mar. 21, 2025). This independent research project was published as a part of FCJEI’s Senior Leadership Program
and the Executive Future Studies Program.
32 Marcos Ramirez, “Officer’s Response to Community Mental Health Crisis,” Florida Criminal Justice Executive Institute, (May 2022, SLP –
24) https://www.fdle.state.fl.us/FCJEI/Programs/SLP/SLP-Papers-by-Author.aspx (last visited Mar. 21, 2025). This independent research
project was published as a part of FCJEI’s Senior Leadership Program and the Executive Future Studies Program.
33 Marcos Ramirez, “Officer’s Response to Community Mental Health Crisis,” Florida Criminal Justice Executive Institute, (May 2022, SLP –
24) https://www.fdle.state.fl.us/FCJEI/Programs/SLP/SLP-Papers-by-Author.aspx (last visited Mar. 21, 2025).
34 Ashley Krider, Regina Huerter, Kirby Gaherty, and Andrew Moore, “Responding to Individuals in Behavioral Health Crisis via Co-
Responder Models: The Roles of Citeis, Counties, Law Enforcement, and Providers,” Policy Research Inc. and The National League of Cities,
pp. 4 (Jan. 2020) https://www.nlc.org/wp-content/uploads/2020/10/RespondingtoBHCrisisviaCRModels.pdf (last visited Mar. 21, 2025). JUMP TO SUMMARY ANALYSIS RELEVANT INFORMATION BILL HISTORY
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a future acute mental health crisis, a counterproductive diversion through the criminal justice system, and an
unnecessary psychiatric hospitalization.
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Crisis Care Coordination Pilot
Crisis care coordination functions as a referral-based concierge of follow-up stabilization and rehabilitative
services for individuals screened by law enforcement for a Baker Act involuntary examination. For this reason,
crisis care coordination is distinguishable from both the MRT model of full-court press crisis intervention services
and the co-response model where an interdisciplinary unit, consisting of one law enforcement officer and one
crisis counselor, responds to calls involving acute mental health crises.
The purpose of the pilot program is to reduce the number of repetitive involuntary examinations initiated by law
enforcement involving the same individuals in crisis. The crisis care coordination partnership model, which
facilitates warm hand-offs of individuals involuntarily committed from local law enforcement to crisis counselors,
is the means to accomplish the pilot program’s purpose. This model, anchored by referral and information-sharing
agreements between the MEs and the local service providers, connects individuals involuntarily committed with
ongoing care, which can help these individuals avoid subsequent involuntary commitments and, simultaneously,
relieve the time burden on law enforcement officers.
BILL HISTORY
COMMITTEE REFERENCE ACTION DATE
STAFF
DIRECTOR/
POLICY CHIEF
ANALYSIS
PREPARED BY
Human Services Subcommittee Mitz DesRochers
Health & Human Services
Committee
35 University of Florida Police Department, Co-Responder Model, University of Florida, https://police.ufl.edu/divisions/behavioral-
services/co-responder-team/co-responder-model/ (last visited Mar. 21, 2025).