Bill Text: FL S0330 | 2024 | Regular Session | Engrossed

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-Engrossed.html
       CS for SB 330                                    First Engrossed
       
       
       
       
       
       
       
       
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    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 terms; providing legislative
    6         findings and intent; creating s. 395.902, F.S.;
    7         authorizing hospitals to apply for a behavioral health
    8         teaching hospital designation beginning on a specified
    9         date; specifying criteria a hospital must meet to
   10         receive such designation; notwithstanding such
   11         criteria, requiring the Agency for Health Care
   12         Administration to designate specified existing
   13         hospitals as behavioral health teaching hospitals;
   14         requiring such hospitals to meet the designation
   15         criteria within a specified timeframe; authorizing the
   16         agency to designate a specified number of additional
   17         behavioral health teaching hospitals by a specified
   18         date, taking into account specified factors; requiring
   19         the agency to award behavioral health teaching
   20         hospitals certain funds upon their designation;
   21         requiring designated behavioral health teaching
   22         hospitals to submit an annual report to the agency and
   23         the Department of Children and Families; specifying
   24         requirements for the report; providing for expiration
   25         and renewal of behavioral health teaching hospital
   26         designations; authorizing the agency to deny, revoke,
   27         or suspend a designation at any time under certain
   28         circumstances; authorizing the agency to adopt rules;
   29         creating s. 395.903, F.S.; establishing a grant
   30         program within the agency for the purpose of funding
   31         designated behavioral health teaching hospitals;
   32         providing an administrative process to receive,
   33         evaluate, and rank applications that request grant
   34         funds; authorizing the agency to submit a budget
   35         amendment to the Legislature requesting the release of
   36         grant funds to make awards; providing a carry forward
   37         for a specified period for obligated funds not
   38         disbursed in the same year in which the funds were
   39         appropriated; authorizing the agency to adopt rules;
   40         amending s. 1004.44, F.S.; establishing the Florida
   41         Center for Behavioral Health Workforce within the
   42         Louis de la Parte Florida Mental Health Institute for
   43         a specified purpose; specifying the goals and duties
   44         of the center; authorizing the center to convene
   45         groups to assist in its work; authorizing the center
   46         to request, and requiring certain boards to provide,
   47         certain information regarding behavioral health
   48         professionals licensed or practicing in this state;
   49         requiring the center to submit an annual report of
   50         certain information to the Governor and the
   51         Legislature; requiring the Board of Governors of the
   52         State University System and the State Board of
   53         Education, in consultation with the center, to adopt
   54         certain regulations and rules, as applicable;
   55         requiring the Department of Children and Families to
   56         contract for a specified study of the state’s
   57         forensic, voluntary and involuntary civil commitment,
   58         and statewide inpatient psychiatric programs;
   59         requiring that the study be completed by a specified
   60         date and include specified information and
   61         recommendations; providing appropriations; providing
   62         effective dates.
   63          
   64  Be It Enacted by the Legislature of the State of Florida:
   65  
   66         Section 1. Part VI of chapter 395, Florida Statutes,
   67  consisting of ss. 395.901, 395.902, and 395.903, Florida
   68  Statutes, is created and entitled Behavioral Health Teaching
   69  Hospitals.
   70         Section 2. Section 395.901, Florida Statutes, is created to
   71  read:
   72         395.901 Definitions; legislative findings and intent.—
   73         (1)DEFINITIONS.—As used in this part, the term:
   74         (a) “Agency” means the Agency for Health Care
   75  Administration.
   76         (b) “Behavioral health” means the prevention and treatment
   77  of, and recovery from, any substance use disorder, mental health
   78  disorder, or co-occurring disorder.
   79         (c) “Behavioral health professions” means licensed or
   80  certified professionals serving the needs of patients with
   81  behavioral health disorders, including, but not limited to,
   82  psychiatrists licensed under chapter 458 or chapter 459,
   83  psychologists licensed under chapter 490, psychiatric nurses
   84  licensed under chapter 464, and social workers, marriage and
   85  family therapists, and mental health counselors licensed under
   86  chapter 491.
   87         (d) “Behavioral health teaching hospital” means a hospital
   88  licensed under this chapter and designated as a behavioral
   89  health teaching hospital by the agency under s. 395.902.
   90         (e) “Department” means the Department of Children and
   91  Families.
   92         (2)LEGISLATIVE FINDINGS AND INTENT.—
   93         (a)The Legislature finds that there is a critical shortage
   94  of behavioral health professionals and recognizes the urgent
   95  need to expand the existing behavioral health workforce, prepare
   96  for an aging workforce, incentivize entry into behavioral health
   97  professions, and train a modernized workforce in innovative
   98  integrated care.
   99         (b)The Legislature finds that there is a specific need to
  100  support a behavioral health education system that not only
  101  trains the next generation of professionals in innovative and
  102  integrated care for those with behavioral health needs, but also
  103  works to modernize the state’s overall behavioral health system
  104  of care.
  105         (c)The Legislature intends to identify and designate
  106  multiple behavioral health teaching hospitals that work to
  107  provide the necessary research, education, and services to
  108  enhance the state’s behavioral health workforce and make that
  109  workforce and system of care the national standard.
  110         (d)The Legislature intends to create the Florida Center
  111  for Behavioral Health Workforce within the Louis de la Parte
  112  Florida Mental Health Institute at the University of South
  113  Florida to address issues of workforce supply and demand in
  114  behavioral health professions, including issues of recruitment,
  115  retention, and workforce resources.
  116         (e)The Legislature intends for designated behavioral
  117  health teaching hospitals to:
  118         1.Conduct state-of-the-art behavioral health research.
  119         2.Provide leading-edge education and training in
  120  innovative and integrated care for the state’s behavioral health
  121  workforce.
  122         3.Collaborate with other university colleges and schools
  123  of medicine, nursing, psychology, social work, public health,
  124  and other relevant disciplines to promote and enhance a
  125  modernized behavioral health system of care.
  126         4.Develop, implement, and promote public-private
  127  partnerships throughout this state to support and enhance the
  128  intent of this part.
  129         5.Partner with the state to provide behavioral health
  130  care, address regional and systemwide behavioral health needs,
  131  and support the state in providing treatment and care for those
  132  whose need and acuity has resulted in the need for long-term
  133  voluntary services or involuntary civil commitment.
  134         Section 3. Section 395.902, Florida Statutes, is created to
  135  read:
  136         395.902Behavioral health teaching hospitals.—
  137         (1) Beginning July 1, 2025, a licensed hospital may apply
  138  to the agency for designation as a behavioral health teaching
  139  hospital by submitting a form furnished by the agency and
  140  providing documentation establishing eligibility.
  141         (2) To be designated as a behavioral health teaching
  142  hospital, a hospital must meet all of the following criteria:
  143         (a) Operate as a teaching hospital as defined in s. 408.07.
  144         (b) Offer a psychiatric residency program accredited
  145  through the Residency Review Committee of the Accreditation
  146  Council of Graduate Medical Education and an accredited
  147  postdoctoral clinical psychology fellowship program.
  148         (c) Provide behavioral health services.
  149         (d) Establish an affiliation with a university in this
  150  state to create and maintain integrated workforce development
  151  programs for students of the university’s colleges or schools of
  152  medicine, nursing, psychology, social work, and public health
  153  related to the entire continuum of behavioral health care,
  154  including, at a minimum, screening, therapeutic and supportive
  155  services, community outpatient care, crisis stabilization,
  156  short-term residential treatment, and long-term care.
  157         (e) Develop a plan to create and maintain integrated
  158  workforce development programs with the affiliated university’s
  159  colleges or schools and to supervise clinical care provided by
  160  students participating in such programs.
  161         (3) A designated behavioral health teaching hospital must:
  162         (a) Within 90 days after receiving the designation, develop
  163  and maintain a consultation agreement with the Florida Center
  164  for Behavioral Health Workforce within the Louis de la Parte
  165  Florida Mental Health Institute to establish best practices
  166  related to integrated workforce development programs for the
  167  behavioral health professions.
  168         (b) Collaborate with the department and managing entities
  169  as defined in s. 394.9082(2) to identify gaps in the regional
  170  continuum of behavioral health care which are appropriate for
  171  the behavioral health teaching hospital to address, either
  172  independently or in collaboration with other organizations
  173  providing behavioral health services, and which will facilitate
  174  implementation of the plan developed under paragraph (2)(e).
  175         (c) Within 90 days after receiving the designation, enter
  176  into an agreement with the department to provide state treatment
  177  facility beds when determined necessary by the department.
  178         (d) Provide data related to the hospital’s integrated
  179  workforce development programs and the services provided by the
  180  hospital to the agency, the department, and the Office of
  181  Reimagining Education and Career Help created under s. 14.36, as
  182  determined by the agency, department, or the office.
  183         (4)Notwithstanding subsections (1) and (2), within 30 days
  184  after this act becomes a law, the agency shall designate the
  185  following hospitals as behavioral health teaching hospitals:
  186         (a) Tampa General Hospital, in affiliation with the
  187  University of South Florida.
  188         (b) UF Health Shands Hospital, in affiliation with the
  189  University of Florida.
  190         (c) UF Health Jacksonville, in affiliation with the
  191  University of Florida.
  192         (d) Jackson Memorial Hospital, in affiliation with the
  193  University of Miami.
  194  
  195  Within 90 days after receiving the designation, each behavioral
  196  health teaching hospital designated under this subsection shall
  197  submit documentation to the agency establishing compliance with
  198  the requirements of paragraphs (2)(a)-(d) and submit the plan
  199  required by paragraph (2)(e).
  200         (5)The agency may designate up to four additional
  201  behavioral health teaching hospitals by July 1, 2027, taking
  202  into account equitable distribution of such hospitals by
  203  geographical service area and behavioral health services access.
  204         (6) Upon designating a behavioral health teaching hospital
  205  under this section, the agency shall award the hospital funds as
  206  follows:
  207         (a) For up to 10 resident positions through the Slots for
  208  Doctors Program established in s. 409.909. Notwithstanding that
  209  section, the agency shall allocate $150,000 for each such
  210  position.
  211         (b) Through the Training, Education, and Clinicals in
  212  Health Funding Program established in s. 409.91256 to offset the
  213  costs of maintaining integrated workforce development programs.
  214         (7) By December 1 of each year, a designated behavioral
  215  health teaching hospital must submit a report to the agency and
  216  the department on the designated behavioral health teaching
  217  hospital program, including, but not limited to, all of the
  218  following:
  219         (a) The number of psychiatric residents.
  220         (b) The number of postdoctoral clinical psychology fellows.
  221         (c) The status and details of the consultation agreement
  222  with the Florida Center for Behavioral Health Workforce within
  223  the Louis de la Parte Florida Mental Health Institute.
  224         (d) The implementation status of the plan required by
  225  paragraph (2)(e).
  226         (e) Activities, agreements, and accomplishments of the
  227  collaboration required by paragraph (3)(b).
  228         (f) The number of any facility beds and patients served
  229  under paragraph (3)(c).
  230         (8) A behavioral health teaching hospital designation is
  231  valid for 2 years. To renew the designation, a hospital must
  232  submit an application for renewal to the agency on a form
  233  established by the agency at least 90 days before the expiration
  234  of the designation. The renewal process is subject to the time
  235  periods and tolling provisions of s. 120.60. The agency may
  236  deny, revoke, or suspend a designation at any time if a
  237  behavioral health teaching hospital is not in compliance with
  238  the requirements of this section.
  239         (9) The agency may adopt rules necessary to implement this
  240  section.
  241         Section 4. Section 395.903, Florida Statutes, is created to
  242  read:
  243         395.903 Behavioral Health Teaching Hospital grant program.—
  244         (1) There is established within the agency a grant program
  245  for the purpose of funding designated behavioral health teaching
  246  hospitals, subject to legislative appropriation. Grant funding
  247  may be used for operations and expenses and fixed capital
  248  outlay, including, but not limited to, facility renovation and
  249  upgrades.
  250         (a)1.For the 2024-2025 fiscal year, the agency shall hold
  251  a 30-day, open application period beginning November 1, 2024, to
  252  accept applications from the behavioral health teaching
  253  hospitals designated under s. 395.902(4), in a manner determined
  254  by the agency. Applicants must include a detailed spending plan
  255  with the application.
  256         2.For the 2025-2026 and 2026-2027 fiscal years, subject to
  257  the availability of funds, the agency shall hold a 30-day, open
  258  application period beginning October 1 of each year to accept
  259  applications from behavioral health teaching hospitals
  260  designated under s. 395.902, in a manner determined by the
  261  agency. Applicants must include a detailed spending plan with
  262  the application.
  263         (b) The agency, in consultation with the department, shall
  264  evaluate and rank grant applications based on compliance with s.
  265  395.902(2) and the quality of the plan submitted under s.
  266  395.902(2)(e) or plan implementation, as applicable, related to
  267  achieving the purposes of the behavioral health teaching
  268  hospital program. The agency, in consultation with the
  269  department, shall make recommendations for grant awards and
  270  distribution of available funding for such awards. The agency
  271  shall submit the evaluation and grant award recommendations to
  272  the President of the Senate and the Speaker of the House of
  273  Representatives within 90 days after the open application period
  274  closes.
  275         (c) Notwithstanding ss. 216.181 and 216.292, the agency may
  276  submit budget amendments, subject to the notice, review, and
  277  objection procedures under s. 216.177, requesting the release of
  278  the funds to make awards. The agency is authorized to submit
  279  budget amendments relating to expenses under subsection (1)
  280  under the grant program only within the 90 days after the open
  281  application period closes.
  282         (2) Notwithstanding s. 216.301 and pursuant to s. 216.351,
  283  the balance of any appropriation from the General Revenue Fund
  284  for the program which is not disbursed but which is obligated
  285  pursuant to contract or committed to be expended by June 30 of
  286  the fiscal year for which the funds are appropriated may be
  287  carried forward for up to 8 years after the effective date of
  288  the original appropriation.
  289         (3) The agency may adopt rules necessary to implement this
  290  section.
  291         Section 5. Subsections (6) and (7) are added to section
  292  1004.44, Florida Statutes, to read:
  293         1004.44 Louis de la Parte Florida Mental Health Institute.
  294  There is established the Louis de la Parte Florida Mental Health
  295  Institute within the University of South Florida.
  296         (6)(a)There is established within the institute the
  297  Florida Center for Behavioral Health Workforce. The purpose of
  298  the center is to support an adequate, highly skilled, resilient,
  299  and innovative workforce that meets the current and future human
  300  resources needs of the state’s behavioral health system in order
  301  to provide high-quality care, services, and supports to
  302  Floridians with, or at risk of developing, behavioral health
  303  conditions through original research, policy analysis,
  304  evaluation, and development and dissemination of best practices.
  305  The goals of the center are, at a minimum, to research the
  306  state’s current behavioral health workforce and future needs;
  307  expand the number of clinicians, professionals, and other
  308  workers involved in the behavioral health workforce; and enhance
  309  the skill level and innovativeness of the workforce. The center
  310  shall, at a minimum, do all of the following:
  311         1. Describe and analyze the current workforce and project
  312  possible future workforce demand, especially in critical roles,
  313  and develop strategies for addressing any gaps. The center’s
  314  efforts may include, but need not be limited to, producing a
  315  statistically valid biennial analysis of the supply and demand
  316  of the behavioral health workforce.
  317         2. Expand pathways to behavioral health professions through
  318  enhanced educational opportunities and improved faculty
  319  development and retention. The center’s efforts may include, but
  320  need not be limited to:
  321         a. Identifying best practices in the academic preparation
  322  and continuing education of behavioral health professionals.
  323         b. Facilitating and coordinating the development of
  324  academic-practice partnerships that support behavioral health
  325  faculty employment and advancement.
  326         c. Developing and implementing innovative projects to
  327  support the recruitment, development, and retention of
  328  behavioral health educators, faculty, and clinical preceptors.
  329         d. Developing distance learning infrastructure for
  330  behavioral health education and the evidence-based use of
  331  technology, simulation, and distance learning techniques.
  332         3. Promote behavioral health professions. The center’s
  333  efforts may include, but need not be limited to:
  334         a. Conducting original research on the factors affecting
  335  recruitment, retention, and advancement of the behavioral health
  336  workforce, such as designing and implementing a longitudinal
  337  study of the state’s behavioral health workforce.
  338         b. Developing and implementing innovative projects to
  339  support the recruitment, development, and retention of
  340  behavioral health workers.
  341         (b) The center may:
  342         1. Convene groups, including, but not limited to,
  343  behavioral health clinicians, professionals, and workers, and
  344  employers of such individuals; other health care providers;
  345  individuals with behavioral health conditions and their
  346  families; business and industry leaders, policymakers, and
  347  educators to assist the center in its work; and
  348         2. Request from any board as defined in s. 456.001 any
  349  information held by the board regarding a behavioral health
  350  professional licensed in this state or holding a multistate
  351  license pursuant to a professional multistate licensure compact
  352  or information reported to the board by employers of such
  353  behavioral health professionals, other than personal identifying
  354  information. The boards must provide such information to the
  355  center upon request.
  356         (c) By January 10 of each year, the center shall submit a
  357  report to the Governor, the President of the Senate, and the
  358  Speaker of the House of Representatives providing details of its
  359  activities during the preceding calendar year in pursuit of its
  360  goals and in the execution of its duties under paragraph (a).
  361  The report submitted in 2025 must include an initial statewide
  362  strategic plan for meeting the goals in subsection (6), which
  363  must be updated in each subsequent report.
  364         (7) The Board of Governors and the State Board of
  365  Education, in consultation with the center, shall expeditiously
  366  adopt any necessary regulations and rules, as applicable, to
  367  allow the center to perform its responsibilities under
  368  subsection (6) as soon as practicable.
  369         Section 6. Effective upon this act becoming a law, the
  370  Department of Children and Families must contract for a detailed
  371  study of capacity for inpatient treatment services for adults
  372  with serious mental illness and children with serious emotional
  373  disturbance or psychosis in this state’s forensic inpatient,
  374  safety-net voluntary and involuntary civil inpatient placement,
  375  and Medicaid statewide inpatient psychiatric programs. The study
  376  must include analyses of current capacity, current and projected
  377  future demand, and the state’s current and projected future
  378  ability to meet that demand, and must include recommendations
  379  for enhancing the availability of inpatient treatment services
  380  and for providing alternatives to such services. The study must
  381  be completed by January 31, 2025, and must include, at a
  382  minimum, all of the following:
  383         (1) By facility and by program type, the current number and
  384  allocation of beds for inpatient treatment, the number of
  385  individuals admitted and discharged annually, and the lengths of
  386  stays.
  387         (2) By department region, the current number and allocation
  388  of beds in receiving, treatment, and state treatment facilities
  389  and residential treatment centers for children and adolescents
  390  for inpatient treatment between forensic and civil placements,
  391  the number of individuals admitted and discharged annually, the
  392  types and frequency of diagnoses, and the lengths of stays.
  393         (3) By department region, the current and projected future
  394  demand for civil and forensic inpatient placements at receiving,
  395  treatment, and state treatment facilities and residential
  396  treatment centers for children and adolescents, any gaps in
  397  current and projected future availability of these services
  398  compared to current and projected future service demand, and the
  399  number of inpatient beds needed by facility type and placement
  400  type to meet current and projected future demand.
  401         (4) By agency region, the number of individuals admitted
  402  and discharged annually, the types and frequency of diagnoses,
  403  and the lengths of stays for Medicaid statewide inpatient
  404  psychiatric program services, the current and projected future
  405  demand for these services, any gaps in current and projected
  406  future availability of these services compared to current and
  407  projected future service demand, and the number of inpatient
  408  beds needed by facility type to meet current and projected
  409  future demand.
  410         (5) Policy recommendations for ensuring sufficient bed
  411  capacity for inpatient treatment at treatment facilities, state
  412  treatment facilities, or receiving facilities, or at residential
  413  treatment centers for children and adolescents, and for
  414  enhancing services that could prevent the need for involuntary
  415  inpatient placements.
  416         (6)A gap analysis as recommended by the Commission on
  417  Mental Health and Substance Use Disorder in the annual interim
  418  report dated January 1, 2024.
  419         Section 7. For the 2024-2025 fiscal year, the sum of $5
  420  million in recurring funds from the General Revenue Fund is
  421  appropriated to the Louis de la Parte Florida Mental Health
  422  Institute for the operation of the Florida Center for Behavioral
  423  Health Workforce as created by this act.
  424         Section 8. (1)For the 2024-2025 fiscal year, the sums of
  425  $2,557,800 in recurring funds from the General Revenue Fund and
  426  $3,442,200 in recurring funds from the Medical Care Trust Fund
  427  are appropriated to the Agency for Health Care Administration
  428  for the Slots for Doctors Program established in s. 409.909,
  429  Florida Statutes, for up to 10 newly created resident positions
  430  for each designated behavioral health teaching hospital
  431  designated under s. 395.902(4), Florida Statutes, as created by
  432  this act. Notwithstanding s. 409.909, Florida Statutes, the
  433  agency shall allocate $150,000 for each newly created position.
  434         (2)For the 2024-2025 fiscal year, the sums of $2,557,800
  435  in recurring funds from the General Revenue Fund and $3,442,200
  436  in recurring funds from the Medical Care Trust Fund are
  437  appropriated to the Agency for Health Care Administration for
  438  the Slots for Doctors Program established in s. 409.909, Florida
  439  Statutes, for up to 10 newly created resident positions for each
  440  designated behavioral health teaching hospital designated under
  441  s. 395.902, Florida Statutes, other than those designated under
  442  s. 395.902(4), Florida Statutes, if any, as created by this act.
  443  Notwithstanding s. 409.909, Florida Statutes, the agency shall
  444  allocate $150,000 for each newly created position. The funds
  445  shall be held in reserve. Upon designation of a behavioral
  446  health teaching hospital, the Agency for Health Care
  447  Administration shall submit budget amendments to request release
  448  of the funds pursuant to chapter 216, Florida Statutes.
  449         Section 9. (1)For the 2024-2025 fiscal year, the sum of $2
  450  million in recurring funds from the General Revenue Fund is
  451  appropriated to the Agency for Health Care Administration to
  452  implement the Training, Education, and Clinicals in Health
  453  (TEACH) Funding Program established in s. 409.91256, Florida
  454  Statutes, as created by SB 7016, 2024 Regular Session.
  455  Notwithstanding s. 409.91256(5)(b), Florida Statutes, as created
  456  by SB 7016, 2024 Regular Session, the funds appropriated under
  457  this section shall be equally distributed to the behavioral
  458  health teaching hospitals designated under s. 395.902(4),
  459  Florida Statutes, as created by this act.
  460         (2)For the 2024-2025 fiscal year, the sum of $2 million in
  461  recurring funds from the General Revenue Fund is appropriated to
  462  the Agency for Health Care Administration to implement TEACH
  463  Funding Program established in s. 409.91256, Florida Statutes,
  464  as created by SB 7016, 2024 Regular Session. Notwithstanding s.
  465  409.91256(5)(b), Florida Statutes, as created by SB 7016, 2024
  466  Regular Session, the funds appropriated pursuant to this section
  467  shall be equally distributed to the behavioral health teaching
  468  hospitals designated under s. 395.902, Florida Statutes, other
  469  than those designated under s. 395.902(4), Florida Statutes, as
  470  created by this act. The funds shall be held in reserve. Upon
  471  designation of a behavioral health teaching hospital, the Agency
  472  for Health Care Administration shall submit budget amendments to
  473  request release of the funds pursuant to chapter 216, Florida
  474  Statutes. The agency is authorized to submit a final budget
  475  amendment in the last quarter of the fiscal year to provide an
  476  adjustment in the amount of funds provided to behavioral health
  477  teaching hospitals based upon the number of designations
  478  finalized during the fiscal year.
  479         Section 10. For the 2024-2025 fiscal year, the nonrecurring
  480  sum of $300 million from the General Revenue Fund is
  481  appropriated to the Agency for Health Care Administration for
  482  the behavioral health teaching hospital grant program as created
  483  in s. 395.902(7), Florida Statutes. Grant funds shall be awarded
  484  over a 3-year period. Notwithstanding s. 216.301, Florida
  485  Statutes, and pursuant to s. 216.351, Florida Statutes, funds
  486  appropriated for this purpose which are not disbursed by June 30
  487  shall be carried forward for up to 8 years after the effective
  488  date of the original appropriation.
  489         (1)For the 2024-2025 fiscal year, the Agency for Health
  490  Care Administration is authorized to award grants in an amount
  491  not to exceed $100 million to the behavioral health teaching
  492  hospitals designated under s. 395.902(4), Florida Statutes, as
  493  created by this act.
  494         (2)For the 2025-2026 fiscal year, the Agency for Health
  495  Care Administration is authorized to award grants in an amount
  496  not to exceed $100 million to behavioral health teaching
  497  hospitals designated under s. 395.902, Florida Statutes, as
  498  created by this act.
  499         (3)For the 2026-2027 fiscal year, the Agency for Health
  500  Care Administration is authorized to award grants up to the
  501  amount of the original appropriation which has not yet been
  502  awarded as of June 30, 2026, to behavioral health teaching
  503  hospitals designated under s. 395.902, Florida Statutes, as
  504  created by this act.
  505         Section 11. Except as otherwise expressly provided in this
  506  act and except for this section, which shall take effect upon
  507  this act becoming a law, this act shall take effect July 1,
  508  2024.

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