Bill Text: FL S0330 | 2024 | Regular Session | Comm Sub
NOTE: There are more recent revisions of this legislation. Read Latest Draft
Bill Title: Behavioral Health Teaching Hospitals
Spectrum:
Status: (Passed) 2024-03-22 - Chapter No. 2024-12 [S0330 Detail]
Download: Florida-2024-S0330-Comm_Sub.html
Bill Title: Behavioral Health Teaching Hospitals
Spectrum:
Status: (Passed) 2024-03-22 - Chapter No. 2024-12 [S0330 Detail]
Download: Florida-2024-S0330-Comm_Sub.html
Florida Senate - 2024 CS for SB 330 By the Appropriations Committee on Health and Human Services; and Senators Boyd and Rouson 603-03302-24 2024330c1 1 A bill to be entitled 2 An act relating to behavioral health teaching 3 hospitals; creating part VI of ch. 395, F.S., entitled 4 “Behavioral Health Teaching Hospitals”; creating s. 5 395.901, F.S.; defining the terms “agency” and 6 “behavioral health teaching hospital”; providing 7 legislative findings and intent; creating s. 395.902, 8 F.S.; specifying criteria that a hospital must meet to 9 receive designation as a behavioral health teaching 10 hospital; notwithstanding such criteria, designating 11 specified existing partnerships as pilot behavioral 12 health teaching hospitals for a 3-year period; 13 requiring such hospitals to meet the designation 14 criteria by a specified date; requiring the Department 15 of Children and Families, in collaboration with the 16 Florida Center for Behavioral Health Workforce, the 17 pilot hospitals, and other relevant stakeholders, to 18 submit a report to the Governor and the Legislature by 19 a specified date; specifying requirements for the 20 report; amending s. 409.91256, F.S.; revising the 21 purpose and intent of the Training, Education, and 22 Clinicals in Health (TEACH) Funding Program; revising 23 the definition of the term “qualifying facility”; 24 amending s. 1004.44, F.S.; establishing the Florida 25 Center for Behavioral Health Workforce within the 26 Louis de la Parte Florida Mental Health Institute for 27 a specified purpose; specifying the primary goals of 28 the center; requiring the center to establish and 29 maintain a database on the supply and demand of 30 behavioral health professionals in this state for a 31 specified purpose; authorizing the center to request 32 from, and requiring certain boards to provide, certain 33 information regarding behavioral health professionals 34 licensed or practicing in this state; requiring the 35 center to submit an annual report of certain 36 information to the Governor and the Legislature; 37 requiring the Board of Governors and the State Board 38 of Education, in consultation with the center, to 39 adopt certain regulations and rules, as applicable; 40 requiring the Department of Children and Families to 41 contract for a study of the bed capacity in the 42 state’s forensic, voluntary and involuntary civil 43 commitment, and statewide inpatient psychiatric 44 programs; requiring that the study be completed by a 45 specified date and include specified information; 46 providing appropriations; providing effective dates. 47 48 Be It Enacted by the Legislature of the State of Florida: 49 50 Section 1. Part VI of chapter 395, Florida Statutes, 51 consisting of ss. 395.901 and 395.902, Florida Statutes, is 52 created and entitled “Behavioral Health Teaching Hospitals.” 53 Section 2. Section 395.901, Florida Statutes, is created to 54 read: 55 395.901 Behavioral health teaching hospitals.— 56 (1) DEFINITIONS.—As used in this part, the term: 57 (a) “Agency” means the Agency for Health Care 58 Administration. 59 (b) “Behavioral health teaching hospital” means a 60 community-based hospital licensed under this chapter which has 61 partnered with a university school of medicine and offers 62 integrated behavioral health education as specified in s. 63 395.902. 64 (2) LEGISLATIVE FINDINGS AND INTENT.— 65 (a) The Legislature finds that there is a critical shortage 66 of behavioral health professionals and recognizes the urgent 67 need to expand the existing behavioral health workforce, prepare 68 for an aging workforce, incentivize entry into behavioral health 69 professions, and train a modernized workforce in innovative 70 integrated care. 71 (b) The Legislature finds there is a specific need to 72 support a behavioral health education system that not only 73 trains the next generation of professionals in innovative and 74 integrated care for those with behavioral health needs, but also 75 works to modernize the state’s overall behavioral health system 76 of care. 77 (c) Therefore, the Legislature intends to identify and 78 designate multiple behavioral health teaching hospitals that 79 work to provide the necessary research, education, and services 80 to not only enhance this state’s behavioral health workforce, 81 but to make that workforce and system of care the national 82 standard. The Legislature intends to establish pilot designated 83 behavioral health teaching hospitals with the intent of 84 developing and implementing a statewide model. 85 (d) The Legislature further intends to create the Florida 86 Center for Behavioral Health Workforce within the Louis de la 87 Parte Florida Mental Health Institute to address issues of 88 workforce supply and demand in behavioral health professions, 89 including issues of recruitment, retention, and workforce 90 resources. 91 (e) The Legislature intends for designated behavioral 92 health teaching hospitals to: 93 1. Focus on state-of-the-art behavioral health research. 94 2. Provide leading-edge education and training for this 95 state’s behavioral health workforce in innovative and integrated 96 care. 97 3. Collaborate with other university colleges and schools 98 of nursing, psychology, social work, pharmacy, public health, 99 and other relevant disciplines to promote and enhance a 100 modernized behavioral health system of care. 101 4. Develop, implement, and promote public-private 102 partnerships throughout this state to support and enhance the 103 intent of this part. 104 5. Partner with the state to provide inpatient and 105 outpatient behavioral health care, address systemwide behavioral 106 health needs, and support the state in providing treatment and 107 care for those whose need and acuity has resulted in the need 108 for long-term voluntary or involuntary civil commitment. 109 Section 3. Section 395.902, Florida Statutes, is created to 110 read: 111 395.902 Designated behavioral health teaching hospitals.— 112 (1) To be designated as a behavioral health teaching 113 hospital, a hospital must meet all of the following criteria: 114 (a) Offer a psychiatric residency program accredited 115 through the Residency Review Committee of the Accreditation 116 Council of Graduate Medical Education. 117 (b) Offer an accredited postdoctoral clinical psychology 118 fellowship program. 119 (c) Develop and maintain a consultation agreement with the 120 Louis de la Parte Florida Mental Health Institute as established 121 in s. 1004.44, including with the Florida Center for Behavioral 122 Health Workforce. 123 (d) As part of its partnership with a university school of 124 medicine, develop and submit a plan to the Department of 125 Children and Families and the Florida Center for Behavioral 126 Health Workforce which meets all of the following criteria: 127 1. Promotes the development of integrated behavioral health 128 workforce educational programs, including, but not limited to, 129 practicums and internships for clinical and nonclinical 130 behavioral and physical health professions. 131 2. Promotes a coordinated system of care which offers 132 inpatient and outpatient treatment and services for individuals 133 with behavioral health needs, including, but not limited to, 134 prevention, community inpatient care, crisis stabilization, 135 short-term residential treatment, screening, therapeutic and 136 supportive services, and long-term care. 137 3. Coordinates and promotes innovative partnerships that 138 integrate colleges and schools of nursing, psychology, social 139 work, pharmacy, public health, and other relevant disciplines 140 with existing local and regional programs, clinics, and 141 resources. 142 4. Develops processes to identify local gaps in access to 143 inpatient care. 144 5. Partners with the Department of Children and Families 145 and managing entities to build capacity in safety net inpatient 146 and outpatient behavioral health services. 147 6. Provides bed capacity to support state hospital needs, 148 when needed. 149 (2) Notwithstanding subsection (1), to accomplish the 150 stated intent of this section to develop and implement a 151 statewide model of a behavioral health teaching hospital, the 152 following partnerships are designated as pilot behavioral health 153 teaching hospitals for a period of 3 years without meeting the 154 required criteria of this section, with the expectation that 155 they meet all criteria and requirements of subsection (1) by 156 July 1, 2027: 157 (a) The University of South Florida Morsani College of 158 Medicine and Tampa General Hospital. 159 (b) The University of Florida School of Medicine and UF 160 Health Shands Hospitals in Gainesville and Jacksonville. 161 (c) The University of Miami Miller School of Medicine and 162 Jackson Memorial Hospital. 163 (3)(a) A designated behavioral health teaching hospital 164 must annually report to the Department of Children and Families 165 by December 1, the current status of the designated behavioral 166 health teaching hospital program, including, but not limited to 167 the: 168 1. Number of psychiatric residents. 169 2. Number of postdoctoral clinical psychology fellows. 170 3. Status and details of the consultation agreement with 171 the Louis de la Parte Florida Mental Health Institute and 172 Florida Center for Behavioral Health Workforce. 173 4. Status and implementation details of the plan required 174 under paragraph (1)(d). 175 (b) Upon completion of the 3-year pilot period on July 1, 176 2027, the Department of Children and Families, in collaboration 177 with the Florida Center for Behavioral Health Workforce, the 178 pilot behavioral health teaching hospitals, and other relevant 179 stakeholders must submit a report to the Governor, the President 180 of the Senate, and the Speaker of the House of Representatives 181 by July 1, 2028. This report must, at a minimum: 182 1. Evaluate the effectiveness of the behavioral health 183 teaching hospital model. 184 2. Discuss barriers to the implementation and operation of 185 the model. 186 3. Recommend policy changes to enhance the model to better 187 meet the intent of the Legislature. 188 4. Evaluate and recommend whether the state should maintain 189 the original designated pilot behavioral teaching hospital 190 locations or detail the necessity for and recommend the 191 expansion of the model to new partnership sites. 192 Section 4. Subsection (1) and paragraph (d) of subsection 193 (2) of section 409.91256, Florida Statutes, as created by SB 194 7016, Regular Session 2024, are amended to read: 195 409.91256 Training, Education, and Clinicals in Health 196 (TEACH) Funding Program.— 197 (1) PURPOSE AND INTENT.—The Training, Education, and 198 Clinicals in Health (TEACH) Funding Program is created to 199 provide a high-quality educational experience while supporting 200 participating federally qualified health centers, community 201 mental health centers, rural health clinics, behavioral health 202 teaching hospitals, and certified community behavioral health 203 clinics by offsetting administrative costs and loss of revenue 204 associated with training residents and students to become 205 licensed health care practitioners. Further, it is the intent of 206 the Legislature to use the program to support the state Medicaid 207 program and underserved populations by expanding the available 208 health care workforce. 209 (2) DEFINITIONS.—As used in this section, the term: 210 (d) “Qualified facility” means a federally qualified health 211 center, a community mental health center, rural health clinic, 212 behavioral health teaching hospital, or a certified community 213 behavioral health clinic. 214 Section 5. Subsections (6), (7), and (8) are added to 215 section 1004.44, Florida Statutes, to read: 216 1004.44 Louis de la Parte Florida Mental Health Institute. 217 There is established the Louis de la Parte Florida Mental Health 218 Institute within the University of South Florida. 219 (6)(a) There is established, within the institute, the 220 Florida Center for Behavioral Health Workforce to address issues 221 of workforce supply and demand in behavioral health professions, 222 including issues of recruitment, retention, and workforce 223 resources. 224 (b) The primary goals for the center are to: 225 1. Design and implement a longitudinal study of the state’s 226 behavioral health workforce that, at a minimum: 227 a. Produces a statistically valid biennial data-driven 228 analysis of the supply and demand of the behavioral health 229 workforce. To achieve such goal, the center must: 230 (I) Identify and define specific professions to be 231 considered behavioral health professions for analysis. 232 (II) Establish and maintain a database on the supply and 233 demand of behavioral health professionals in this state, to 234 include current supply and demand. 235 (III) Analyze the current and future supply and demand in 236 this state. 237 b. Develops recommendations and strategies to increase the 238 state’s behavioral health workforce, behavioral health 239 profession training and education programs, and behavioral 240 health profession faculty development. 241 c. Develops best practices in the academic preparation and 242 continuing education needs of behavioral health professionals. 243 d. Collects data on behavioral health professions, 244 employment, distribution, and retention. 245 2. Develop a strategic statewide plan for the state’s 246 behavioral health workforce that: 247 a. Pilots innovative projects to support the recruitment, 248 development, and retention of qualified behavioral health 249 professionals, to include behavioral health educators, faculty, 250 and clinical preceptors. 251 b. Encourages and coordinates the development of academic 252 practice partnerships that support behavioral health faculty 253 employment and advancement. 254 c. Develops distance learning infrastructure for behavioral 255 health education and the evidence-based use of technology, 256 simulation, and distance learning techniques. 257 d. Enhances and promotes behavioral health professions and 258 professionals in this state by developing and promoting: 259 (I) Behavioral health excellence programs. 260 (II) Reward, recognition, and renewal activities. 261 (III) Media and image-building efforts. 262 3. Convene various groups representative of behavioral 263 health professions, other health care providers, business and 264 industry, consumers, lawmakers, educators, and the Commission on 265 Mental Health and Substance Use Disorder to: 266 a. Review and comment on the center’s behavioral health 267 workforce data analysis. 268 b. Provide an overview of the state’s behavioral health 269 infrastructure and perform a gap analysis to recommend systemic 270 changes, including strategies for implementation of recommended 271 changes. 272 c. Develop a strategic plan to implement the 273 recommendations of the Commission on Mental Health and Substance 274 Use Disorder to: 275 (I) Strengthen community networks and cross-agency 276 collaboration. 277 (II) Enhance the state’s crisis care continuum. 278 (III) Improve data collection and management processes. 279 (IV) Optimize financial management of the behavioral health 280 system of care. 281 d. Evaluate how to best promote, integrate, and incentivize 282 the establishment and growth of the behavioral health teaching 283 hospital model. 284 4. Evaluate and report the results of these efforts to the 285 Legislature and other entities. 286 (c) The center may request from any board as defined in s. 287 456.001, and the board must provide to the center upon its 288 request, any information held by the board regarding a 289 behavioral health professional licensed in this state or holding 290 a multistate license pursuant to a professional multistate 291 licensure compact or information reported to the board by 292 employers of such behavioral health professionals, other than 293 personal identifying information. 294 (d) By January 10 of each year, the center shall submit a 295 report to the Governor, the President of the Senate, and the 296 Speaker of the House of Representatives providing details of its 297 activities during the preceding calendar year in pursuit of its 298 goals and in the execution of its duties under paragraph (b). 299 (7) The Board of Governors and the State Board of 300 Education, in consultation with the center, shall expeditiously 301 adopt any necessary regulations and rules, as applicable, to 302 allow the center to perform its responsibilities as soon as 303 practicable. 304 Section 6. Effective upon this act becoming a law, the 305 Department of Children and Families must contract for a detailed 306 study of bed capacity in this state’s forensic, voluntary and 307 involuntary civil commitment, and statewide inpatient 308 psychiatric programs. The study must be completed by January 31, 309 2025, and must, at a minimum, include all of the following: 310 (1) An analysis of bed capacity in forensic, voluntary and 311 involuntary civil commitment, and statewide inpatient 312 psychiatric programs. 313 (2) Policy recommendations for ensuring sufficient bed 314 capacity in these settings. 315 (3) An evaluation of maintaining civil commitment beds as a 316 requirement for designation as a behavioral health teaching 317 hospital, to include potential costs related to capital outlay, 318 enhanced bed rate, and staffing requirements. 319 (4) Recommendations for promoting coordination between this 320 state’s civil commitment system and behavioral health teaching 321 hospitals. 322 (5) Recommendations to build capacity for safety net 323 inpatient and outpatient services that will mitigate involuntary 324 commitments. 325 Section 7. For the 2024-2025 fiscal year, the sum of $1 326 million in nonrecurring funds from the General Revenue Fund is 327 appropriated to the Department of Children and Families to 328 contract for a detailed study of bed capacity of this state’s 329 forensic, voluntary and involuntary civil commitment, and state 330 inpatient psychiatric programs as required pursuant to section 6 331 of this act. In order to solicit the expertise of and leverage 332 the partnerships developed between state universities and 333 behavioral health teaching hospitals, the study must include an 334 evaluation of the feasibility of increasing bed capacity for 335 civil commitments within nonstate entities. 336 Section 8. For the 2024-2025 fiscal year, the sum of $5 337 million in recurring funds from the General Revenue Fund is 338 appropriated to the Louis de la Parte Florida Mental Health 339 Institute for the operation of the Florida Center for Behavioral 340 Health Workforce as created by this act. 341 Section 9. For the 2024-2025 fiscal year, the sums of 342 $2,557,800 in recurring funds from the General Revenue Fund and 343 $3,442,200 in recurring funds from the Medical Care Trust Fund 344 are appropriated to the Agency for Health Care Administration 345 for the Slots for Doctors Program established in s. 409.909, 346 Florida Statutes. Each hospital is eligible to receive funding 347 for up to 10 newly created resident positions within each of the 348 pilot behavioral health teaching hospitals designated under part 349 VI of chapter 395, Florida Statutes, as created by this act. 350 Notwithstanding s. 409.909, Florida Statutes, the agency shall 351 allocate $150,000 for each newly created position. 352 Section 10. For the 2024-2025 fiscal year, the sum of $100 353 million in nonrecurring funds from the General Revenue Fund is 354 appropriated to the Grants and Donations Trust Fund in the 355 Designated Behavioral Health Teaching Hospitals Category for the 356 Department of Children and Families to develop and implement the 357 behavioral health teaching hospital model as created by this 358 act. The funds shall be provided to the pilot behavioral health 359 teaching hospitals designated under part VI of chapter 395, 360 Florida Statutes, as created by this act, to help meet the 361 criteria and requirements necessary for designation and may be 362 used for fixed capital outlay, such as facility upgrades, or 363 operations and expenses. The funds shall be placed in reserve. 364 The department is authorized pursuant to chapter 216, Florida 365 Statutes, to submit budget amendments requesting the release of 366 the funds. The release of the funds is contingent upon the 367 submission of an equitable allocation and detailed spending 368 plan, developed in consultation with the pilot behavioral health 369 teaching hospitals, which details the manner in which the funds 370 requested for release will be expended. 371 Section 11. For the 2024-2025 fiscal year, the sum of $2 372 million in recurring funds from the General Revenue Fund is 373 appropriated to the Agency for Health Care Administration to 374 implement the Training, Education, and Clinicals in Health 375 (TEACH) Funding Program established in s. 409.91256, Florida 376 Statutes, as created by SB 7016, 2024 Regular Session. 377 Notwithstanding s. 409.91256(5)(b), Florida Statutes, as created 378 by SB 7016, 2024 Regular Session, the funds appropriated 379 pursuant to this section shall be equitably distributed to the 380 pilot behavioral health teaching hospitals designated under part 381 VI of chapter 395, Florida Statutes, as created by this act. 382 Section 12. Except as otherwise expressly provided in this 383 act and except for this section, which shall take effect upon 384 this act becoming a law, this act shall take effect July 1, 385 2024.