Bill Text: FL S1388 | 2010 | Regular Session | Comm Sub
Bill Title: Intellectual Disabilities [SPSC]
Spectrum: Partisan Bill (Republican 2-0)
Status: (Failed) 2010-04-30 - Died in Committee on Health and Human Services Appropriations [S1388 Detail]
Download: Florida-2010-S1388-Comm_Sub.html
Florida Senate - 2010 CS for CS for SB 1388 By the Committees on Criminal Justice; and Children, Families, and Elder Affairs; and Senator Haridopolos 591-04779-10 20101388c2 1 A bill to be entitled 2 An act relating to intellectual disabilities; amending 3 s. 39.502, F.S.; substituting the Arc of Florida for 4 the Association for Retarded Citizens; amending ss. 5 40.013, 86.041, 92.53, 92.54, and 92.55, F.S.; 6 substituting the term “intellectual disability” for 7 the term “mental retardation”; amending s. 320.10, 8 F.S.; substituting the Arc of Florida for the 9 Association for Retarded Citizens; amending ss. 10 383.14, 393.063, 393.11, and 394.455, F.S.; 11 substituting the term “intellectual disability” for 12 the term “mental retardation”; clarifying in s. 13 393.063, that the meaning of the terms “intellectual 14 disability” or “intellectually disabled” is the same 15 as the meaning of the terms “mental retardation,” 16 “retarded,” and “mentally retarded” for purposes of 17 matters relating to the criminal laws and court rules; 18 amending s. 400.960, F.S.; revising definitions 19 relating to intermediate care facilities for the 20 developmentally disabled to delete unused terms; 21 amending s. 408.032, F.S.; conforming a cross 22 reference; amending s. 409.908, F.S.; substituting the 23 term “intellectually disabled” for the term “mentally 24 retarded”; amending ss. 413.20, 440.49, and 499.0054, 25 F.S.; substituting the term “intellectual disability” 26 for the term “mental retardation”; amending s. 27 514.072, F.S.; conforming a cross-reference and 28 deleting obsolete provisions; amending ss. 627.6041, 29 627.6615, 641.31, 650.05, 765.204, 849.04, 914.16, 30 914.17, 916.105, and 916.106, F.S.; substituting the 31 term “intellectual disability” for the term “mental 32 retardation”; amending s. 916.107, F.S.; substituting 33 the term “intellectual disability” for the term 34 “retardation”; providing a directive to the Division 35 of Statutory Revision; amending ss. 916.301, 916.3012, 36 916.302, 916.3025, 916.303, 916.304, 918.16, 921.137, 37 941.38, 944.602, 945.025, 945.12, 945.42, 947.185, 38 984.19, 985.14, 985.145, 985.18, 985.19, 985.195, and 39 985.61, F.S.; clarifying in s. 921.137 that the terms 40 “intellectual disability” or “intellectually disabled” 41 are interchangeable with and have the same meaning as 42 the terms “mental retardation,” or “retardation” and 43 “mentally retarded,” as defined prior to the effective 44 date of the act; substituting the term “intellectual 45 disability” for the term “mental retardation”; 46 expressing legislative intent; providing an effective 47 date. 48 49 Be It Enacted by the Legislature of the State of Florida: 50 51 Section 1. Subsection (15) of section 39.502, Florida 52 Statutes, is amended to read: 53 39.502 Notice, process, and service.— 54 (15) A party who is identified as a person who has awith55 mental illness orwitha developmental disability must be 56 informed by the court of the availability of advocacy services 57 through the department, the Arc of FloridaAssociation for58Retarded Citizens, or other appropriate mental health or 59 developmental disability advocacy groups and encouraged to seek 60 such services. 61 Section 2. Subsection (9) of section 40.013, Florida 62 Statutes, is amended to read: 63 40.013 Persons disqualified or excused from jury service.— 64 (9) Any person who is responsible for the care of a person 65 who, because of mental illness, intellectual disabilitymental66retardation, senility, or other physical or mental incapacity, 67 is incapable of caring for himself or herself shall be excused 68 from jury service upon request. 69 Section 3. Section 86.041, Florida Statutes, is amended to 70 read: 71 86.041 Actions by executors, administrators, trustees, 72 etc.—Any person interested as or through an executor, 73 administrator, trustee, guardian, or other fiduciary, creditor, 74 devisee, legatee, heir, next of kin, or cestui que trust, in the 75 administration of a trust, a guardianship, orofthe estate of a 76 decedent, an infant, a mental incompetent, or insolvent may have 77 a declaration of rights or equitable or legal relations toin78respect thereto: 79 (1)ToAscertain any class of creditors, devisees, 80 legatees, heirs, next of kin, or others;or81 (2)ToDirect the executor, administrator, or trustee to 82 refrain from doing any particular act in his or her fiduciary 83 capacity; or 84 (3)ToDetermine any question relating toarising inthe 85 administration of the guardianship, estate, or trust, including 86 questions of construction of wills and other writings. 87 88 For the purpose of this section, a “mental incompetent” is one 89 who, because of mental illness, intellectual disabilitymental90retardation, senility, excessive use of drugs or alcohol, or 91 other mental incapacity, is incapable ofeithermanaging his or 92 her property or caring for himself or herself,or both. 93 Section 4. Section 92.53, Florida Statutes, is amended to 94 read: 95 92.53 Videotaping of testimony of a victim or witness under 96 age 16 or who has an intellectual disabilitypersonwith mental97retardation.— 98 (1) On motion and hearing in camera and a finding that 99 there is a substantial likelihood that a victim or witness who 100 is under the age of 16 or who has an intellectual disabilityis101a person with mental retardationas defined in s. 393.063 would 102 suffer at least moderate emotional or mental harm due to the 103 presence of the defendant if such victim or witnessthe child or104person with mental retardationis required to testify in open 105 court, orthat such victim or witnessisotherwiseunavailable 106 as defined in s. 90.804(1), the trial court may order the 107 videotaping of the testimony of the victim or witness in a case, 108 whether civil or criminal in nature, in which videotaped 109 testimony is to be usedutilizedat trial in lieu of trial 110 testimony in open court. 111 (2) The motion may be filed by: 112 (a) The victim or witness, or the victim’s or witness’s 113 attorney, parent, legal guardian, or guardian ad litem; 114 (b) A trial judge on his or her own motion; 115 (c) Any party in a civil proceeding; or 116 (d) The prosecuting attorney or the defendant, or the 117 defendant’s counsel. 118 (3) The judge shall preside, or shall appoint a special 119 master to preside, at the videotaping unlessthe following120conditions are met: 121 (a) The child or the person who has the intellectual 122 disabilitywith mental retardationis represented by a guardian 123 ad litem or counsel; 124 (b) The representative of the victim or witness and the 125 counsel for each party stipulate that the requirement for the 126 presence of the judge or special master may be waived; and 127 (c) The court finds at a hearing on the motion that the 128 presence of a judge or special master is not necessary to 129 protect the victim or witness. 130 (4) The defendant and the defendant’s counsel mustshallbe 131 present at the videotaping, unless the defendant has waived this 132 right. The court may require the defendant to view the testimony 133 from outside the presence of the child or the person who has an 134 intellectual disabilitywithmental retardationby means of a 135 two-way mirror or another similar method that ensureswill136ensurethat the defendant can observe and hear the testimony of 137 the victim or witness in person, butthatthe victim or witness 138 cannot hear or see the defendant. The defendant and the attorney 139 for the defendant may communicate by any appropriate private 140 method. 141 (5) Any party, or the court on its own motion, may request 142 the aid of an interpreter, as provided in s. 90.606, to aid the 143 parties in formulating methods of questioning the child or 144 person who has the intellectual disabilitywith mental145retardationand in interpreting the answers of the child or 146 personwith mental retardationthroughout proceedings conducted 147 under this section. 148 (6) The motion referred to in subsection (1) may be made at 149 any time with reasonable notice to each party to the cause, and 150 videotaping of testimony may be made any time after the court 151 grants the motion. The videotaped testimony isshall be152 admissible as evidence in the trial of the cause; however, such 153 testimony isshallnotbeadmissible in any trial or proceeding 154 in which such witness testifies by use of closed circuit 155 television pursuant to s. 92.54. 156 (7) The court shall make specific findings of fact, on the 157 record, as to the basis for its ruling under this section. 158 Section 5. Section 92.54, Florida Statutes, is amended to 159 read: 160 92.54 Use of closed circuit television in proceedings 161 involving a victim or witnessvictims or witnessesunder the age 162 of 16 or who has an intellectual disabilitypersons with mental163retardation.— 164 (1) Upon motion and hearing in camera and upon a finding 165 that there is a substantial likelihood that a victim or witness 166 under the age of 16 or who has an intellectual disabilitythe167child or person withmental retardationwill suffer at least 168 moderate emotional or mental harm due to the presence of the 169 defendant if such victim or witnessthe child or person with170mental retardationis required to testify in open court, orthat171such victim or witnessis unavailable as defined in s. 172 90.804(1), the trial court may order that the testimony of thea173child under the age of 16 or person with mental retardation who174is avictim or witness be taken outside of the courtroom and 175 shown by means of closed circuit television. 176 (2) The motion may be filed by the victim or witness; the 177 attorney, parent, legal guardian, or guardian ad litem of the 178 victim or witness; the prosecutor; the defendant or the 179 defendant’s counsel; or the trial judge on his or her own 180 motion. 181 (3) Only the judge, the prosecutor, the defendant, the 182 attorney for the defendant, the operators of the videotape 183 equipment, an interpreter, and some other person who, in the 184 opinion of the court, contributes to the well-being of the child 185 or the person who has an intellectual disabilitywith mental186retardationand who will not be a witness in the case may be in 187 the room during the recording of the testimony. 188 (4) During the victim’s or witness’schild’s or person’s189with mental retardationtestimony by closed circuit television, 190 the court may require the defendant to view the testimony from 191 the courtroom. In such a case, the court shall permit the 192 defendant to observe and hear the testimony of the victim or 193 witnesschild or person with mental retardation, but mustshall194 ensure that the victim or witnesschild or person with mental195retardationcannot hear or see the defendant. The defendant’s 196 right to assistance of counsel, which includes the right to 197 immediate and direct communication with counsel conducting 198 cross-examination, must be protected and, upon the defendant’s 199 request, such communication shall be provided by any appropriate 200 electronic method. 201 (5) The court shall make specific findings of fact, on the 202 record, as to the basis for its ruling under this section. 203 Section 6. Section 92.55, Florida Statutes, is amended to 204 read: 205 92.55 Judicial or other proceedings involving a victim or 206 witness under the age of 16 or who has an intellectual 207 disabilityperson with mental retardation; special protections.— 208 (1) Upon motion of any party, upon motion of a parent, 209 guardian, attorney, or guardian ad litem for a victim or witness 210childunder the age of 16 or who has an intellectual disability 211person with mental retardation, or upon its own motion, the 212 court may enter any order necessary to protect sucha child213under the age of 16 or person with mental retardation who is a214 victim or witness in any judicial proceeding or other official 215 proceeding from severe emotional or mental harm due to the 216 presence of the defendant if the victim or witnesschild or217person with mental retardationis required to testify in open 218 court. Such orders mustshallrelate to the taking of testimony 219 andshallinclude, but arenot belimited to: 220 (a) Interviewing or the taking of depositions as part of a 221 civil or criminal proceeding. 222 (b) Examination and cross-examination for the purpose of 223 qualifying as a witness or testifying in any proceeding. 224 (c) The use of testimony taken outside of the courtroom, 225 including proceedings under ss. 92.53 and 92.54. 226 (2) In ruling upon the motion, the court shall take into 227 consideration: 228 (a) The age of the child, the nature of the offense or act, 229 the relationship of the child to the parties in the case or to 230 the defendant in a criminal action, the degree of emotional 231 trauma that will result to the child as a consequence of the 232 defendant’s presence, and any other fact that the court deems 233 relevant; or 234 (b) The age of the person who has an intellectual 235 disabilitywith mental retardation, the functional capacity of 236 suchthepersonwith mental retardation, the nature of the 237 offenses or act, the relationship of the personwith mental238retardationto the parties in the case or to the defendant in a 239 criminal action, the degree of emotional trauma that will result 240 to the personwith mental retardationas a consequence of the 241 defendant’s presence, and any other fact that the court deems 242 relevant. 243 (3) In addition to such other reliefas isprovided by law, 244 the court may enter orders limiting the number of times that a 245 child or a person who has an intellectual disabilitywith mental246retardationmay be interviewed, prohibiting depositions of such 247achild or personwith mental retardation, requiring the 248 submission of questions prior to examination of theachild or 249 personwith mental retardation, setting the place and conditions 250 for interviewing theachild or personwith mental retardation251 or for conducting any other proceeding, or permitting or 252 prohibiting the attendance of any person at any proceeding. The 253 court shall enter any order necessary to protect the rights of 254 all parties, including the defendant in any criminal action. 255 Section 7. Subsection (1) of section 320.10, Florida 256 Statutes, is amended to read: 257 320.10 Exemptions.— 258 (1) The provisions of s. 320.08 do not apply to: 259 (a) Any motor vehicle or mobile home owned by, and operated 260 exclusively for the personal use of, any member of the United 261 States Armed Forces who is not a resident of this state and who 262 is stationed in the state while in compliance with military or 263 naval orders; 264 (b) Any motor vehicle owned or operated exclusively by the 265 Federal Government; 266 (c) Any motor vehicle owned and operated exclusively for 267 the benefit of the Boys’ Clubs of America, the National Audubon 268 Society, the National Children’s Cardiac Hospital, any humane 269 society, any nationally chartered veterans’ organization that 270 maintains a state headquarters in this state, the Children’s 271 Bible Mission, the Boy Scouts of America, the Girl Scouts of 272 America, the Salvation Army, the American National Red Cross, 273 the United Service Organization, any local member unit of the 274 National Urban League which provides free services to municipal 275 and county residents who are in need of such services, the Young 276 Men’s Christian Association, the Young Men’s Hebrew Association, 277 the Camp Fire Girls’ Council, the Young Women’s Christian 278 Association, the Young Women’s Hebrew Association, any local 279 member unit of the Arc of FloridaAssociation for Retarded280Citizens, the Children’s Home Society of Florida, or the 281 Goodwill Industries. A not-for-profit organization named in this 282 paragraph and its local affiliate organizations isshall be283 eligible for the exemption if itfor so long as eachmaintains 284 current articles of incorporation on file with the Department of 285 State and qualifies as a not-for-profit organization under s. 286 212.08; 287 (d) Any motor vehicle owned and operated by a church, 288 temple, or synagogue for exclusive use as a community service 289 van or to transport passengers without compensation to religious 290 services or for religious education; 291 (e) Any motor vehicle owned and operated by the Civil Air 292 Patrol or the United States Coast Guard Auxiliary; 293 (f) Any mobile blood bank unit when operated as a nonprofit 294 service by an organization; 295 (g) Any mobile X-ray unit or truck or bus used exclusively 296 for public health purposes; 297 (h) Any school bus owned and operated by a nonprofit 298 educational or religious corporation; 299 (i) Any vehicle used by any of the various search and 300 rescue units of the several counties for exclusive use as a 301 search and rescue vehicle; and 302 (j) Any motor vehicle used by a community transportation 303 coordinator or a transportation operator as defined in part I of 304 chapter 427, and which is used exclusively to transport 305 transportation disadvantaged persons. 306 Section 8. Paragraph (d) of subsection (3) of section 307 383.14, Florida Statutes, is amended to read: 308 383.14 Screening for metabolic disorders, other hereditary 309 and congenital disorders, and environmental risk factors.— 310 (3) DEPARTMENT OF HEALTH; POWERS AND DUTIES.—The department 311 shall administer and provide certain services to implement the 312 provisions of this section and shall: 313 (d) Maintain a confidential registry of cases, including 314 information of importance for the purpose of followup services 315 to prevent intellectual disabilitiesmental retardation, to 316 correct or ameliorate physical disabilitieshandicaps, and for 317 epidemiologic studies, if indicated. Such registry shall be 318 exempt from the provisions of s. 119.07(1). 319 320 All provisions of this subsection must be coordinated with the 321 provisions and plans established under this chapter, chapter 322 411, and Pub. L. No. 99-457. 323 Section 9. Subsection (9) and subsections (20) through (31) 324 of section 393.063, Florida Statutes, are reordered and amended 325 to read: 326 393.063 Definitions.—For the purposes of this chapter, the 327 term: 328 (9) “Developmental disability” means a disorder or syndrome 329 that is attributable to intellectual disabilityretardation, 330 cerebral palsy, autism, spina bifida, or Prader-Willi syndrome; 331 that manifests before the age of 18; and that constitutes a 332 substantial handicap that can reasonably be expected to continue 333 indefinitely. 334 (21)(20)“Intermediate care facility for the 335 developmentally disabled” or “ICF/DD” means a residential 336 facility licensed and certified underpursuant topart VIII of 337 chapter 400. 338 (22)(21)“Medical/dental services” means medically 339 necessary services thatwhichare provided or ordered for a 340 client by a person licensed under chapter 458, chapter 459, or 341 chapter 466. Such services may include, but are not limited to, 342 prescription drugs, specialized therapies, nursing supervision, 343 hospitalization, dietary services, prosthetic devices, surgery, 344 specialized equipment and supplies, adaptive equipment, and 345 other services as required to prevent or alleviate a medical or 346 dental condition. 347 (23)(22)“Personal care services” means individual 348 assistance with or supervision of essential activities of daily 349 living for self-care, including ambulation, bathing, dressing, 350 eating, grooming, and toileting, and other similar services that 351 are incidental to the care furnished and essential to the 352 health, safety, and welfare of the client ifwhen there isno 353 one else is available to perform those services. 354 (24)(23)“Prader-Willi syndrome” means an inherited 355 condition typified by neonatal hypotonia with failure to thrive, 356 hyperphagia or an excessive drive to eat which leads to obesity 357 usually at 18 to 36 months of age, mild to moderate mental 358 retardation, hypogonadism, short stature, mild facial 359 dysmorphism, and a characteristic neurobehavior. 360 (25)(24)“Relative” means an individual who is connected by 361 affinity or consanguinity to the client and who is 18 years of 362 age or older. 363 (26)(25)“Resident” means aanyperson who has awith364 developmental disability and residesdisabilities residingat a 365 residential facility, whether or not such person is a client of 366 the agency. 367 (27)(26)“Residential facility” means a facility providing 368 room and board and personal care for persons who havewith369 developmental disabilities. 370 (28)(27)“Residential habilitation” means supervision and 371 training with the acquisition, retention, or improvement in 372 skills related to activities of daily living, such as personal 373 hygiene skills, homemaking skills, and the social and adaptive 374 skills necessary to enable the individual to reside in the 375 community. 376 (29)(28)“Residential habilitation center” means a 377 community residential facility licensed under this chapter which 378 provides habilitation services. The capacity of such a facility 379 mayshallnot be fewer than nine residents. After October 1, 380 1989, new residential habilitation centers may not be licensed 381 and the licensed capacity for any existing residential 382 habilitation center may not be increased. 383 (30)(29)“Respite service” means appropriate, short-term, 384 temporary care that is provided to a person who has awith385 developmental disability in orderdisabilitiesto meet the 386 planned or emergency needs of the person or the family or other 387 direct service provider. 388 (31)(30)“Restraint” means a physical device, method, or 389 drug used to control dangerous behavior. 390 (a) A physical restraint is any manual method or physical 391 or mechanical device, material, or equipment attached or 392 adjacent to antheindividual’s body so that he or she cannot 393 easily remove the restraint and which restricts freedom of 394 movement or normal access to one’s body. 395 (b) A drug used as a restraint is a medication used to 396 control the person’s behavior or to restrict his or her freedom 397 of movement and is not a standard treatment for the person’s 398 medical or psychiatric condition. Physically holding a person 399 during a procedure to forcibly administer psychotropic 400 medication is a physical restraint. 401 (c) Restraint does not include physical devices, such as 402 orthopedically prescribed appliances, surgical dressings and 403 bandages, supportive body bands, or other physical holdingwhen404 necessary for routine physical examinations and tests; for 405 purposes of orthopedic, surgical, or other similar medical 406 treatment;when usedto provide support for the achievement of 407 functional body position or proper balance; orwhen usedto 408 protect a person from falling out of bed. 409 (20)(31)“Intellectual disability”“Retardation”means 410 significantly subaverage general intellectual functioning 411 existing concurrently with deficits in adaptive behavior which 412thatmanifests before the age of 18 and can reasonably be 413 expected to continue indefinitely. For the purposes of this 414 definition, the term: 415 (a) “Adaptive behavior” means the effectiveness or degree 416 with which an individual meets the standards of personal 417 independence and social responsibility expected of his or her 418 age, cultural group, and community. 419 (b) “Significantly subaverage general intellectual 420 functioning,”for the purpose of this definition,means 421 performance thatwhichis two or more standard deviations from 422 the mean score on a standardized intelligence test specified in 423 the rules of the agency.“Adaptive behavior,” for the purpose of424this definition, means the effectiveness or degree with which an425individual meets the standards of personal independence and426social responsibility expected of his or her age, cultural427group, and community.428 429 For purposes of the application of the criminal laws and 430 procedural rules of this state to matters relating to pretrial, 431 trial, sentencing, and any matters relating to the imposition 432 and execution of the death penalty, the terms “intellectual 433 disability” or “intellectually disabled” are interchangeable 434 with and have the same meaning as the terms “mental 435 retardation,” or “retardation” and “mentally retarded” as 436 defined in s. 393.063 prior to July 1, 2010. 437 Section 10. Subsection (1), paragraphs (c) and (d) of 438 subsection (2), paragraphs (b) through (d) of subsection (3), 439 paragraph (b) of subsection (4), paragraphs (b), (e), (f), and 440 (g) of subsection (5), subsection (6), paragraph (d) of 441 subsection (7), paragraph (b) of subsection (8), subsection 442 (10), and paragraph (b) of subsection (12) of section 393.11, 443 Florida Statutes, are amended to read: 444 393.11 Involuntary admission to residential services.— 445 (1) JURISDICTION.—IfWhena person has an intellectual 446 disabilityis mentally retardedand requires involuntary 447 admission to residential services provided by the agency, the 448 circuit court of the county in which the person resides has 449shall havejurisdiction to conduct a hearing and enter an order 450 involuntarily admitting the person in order forthatthe person 451 tomayreceive the care, treatment, habilitation, and 452 rehabilitation thatwhichthe person needs. For the purpose of 453 identifying intellectual disabilitymental retardation, 454 diagnostic capability shall be established by the agency. Except 455 as otherwise specified, the proceedings under this section are 456shall begoverned by the Florida Rules of Civil Procedure. 457 (2) PETITION.— 458 (c) The petition shall be verified and mustshall: 459 1. State the name, age, and present address of the 460 commissioners and their relationship to the person who has an 461 intellectual disabilitywith mental retardationor autism; 462 2. State the name, age, county of residence, and present 463 address of the person who has an intellectual disabilitywith464mental retardationor autism; 465 3. Allege that the commission believes that the person 466 needs involuntary residential services and specify the factual 467 information on which the belief is based; 468 4. Allege that the person lacks sufficient capacity to give 469 express and informed consent to a voluntary application for 470 services and lacks the basic survival and self-care skills to 471 provide for the person’s well-being or is likely to physically 472 injure others if allowed to remain at liberty; and 473 5. State which residential setting is the least restrictive 474 and most appropriate alternative and specify the factual 475 information on which the belief is based. 476 (d) The petition shall be filed in the circuit court of the 477 county in which the person who has the intellectual disability 478with mental retardationor autism resides. 479 (3) NOTICE.— 480 (b) IfWhenevera motion or petition has been filed 481 pursuant to s. 916.303 to dismiss criminal charges against a 482 defendant who has an intellectual disabilitywith retardationor 483 autism, and a petition is filed to involuntarily admit the 484 defendant to residential services under this section, the notice 485 of the filing of the petition mustshallalso be given to the 486 defendant’s attorney, the state attorney of the circuit from 487 which the defendant was committed, and the agency. 488 (c) The notice mustshallstate that a hearing shall be set 489 to inquire into the need of the person who has an intellectual 490 disabilitywith mental retardationor autism for involuntary 491 residential services. The notice mustshallalso state the date 492 of the hearing on the petition. 493 (d) The notice mustshallstate that the individual who has 494 an intellectual disabilitywith mental retardationor autism has 495 the right to be represented by counsel of his or her own choice 496 and that, if the person cannot afford an attorney, the court 497 shall appoint one. 498 (4) AGENCY PARTICIPATION.— 499 (b) Following examination, the agency shall file a written 500 report with the court at leastnot less than10 working days 501 before the date of the hearing. The report must be served on the 502 petitioner, the person who has the intellectual disabilitywith503mental retardation, and the person’s attorney at the time the 504 report is filed with the court. 505 (5) EXAMINING COMMITTEE.— 506 (b) The court shall appoint at leastno fewer thanthree 507 disinterested experts who have demonstrated to the court an 508 expertise in the diagnosis, evaluation, and treatment of persons 509 who have intellectual disabilitieswith mental retardation. The 510 committee must include at least one licensed and qualified 511 physician, one licensed and qualified psychologist, and one 512 qualified professional who, atwitha minimum, hasofa masters 513 degree in social work, special education, or vocational 514 rehabilitation counseling, to examine the person and to testify 515 at the hearing on the involuntary admission to residential 516 services. 517 (e) The committee shall prepare a written report for the 518 court. The report must explicitly document the extent that the 519 person meets the criteria for involuntary admission. The report, 520 and expert testimony, must include, but not be limited to: 521 1. The degree of the person’s intellectual disability 522mental retardationand whether, using diagnostic capabilities 523 established by the agency, the person is eligible for agency 524 services; 525 2. Whether, because of the person’s degree of intellectual 526 disabilitymental retardation, the person: 527 a. Lacks sufficient capacity to give express and informed 528 consent to a voluntary application for services pursuant to s. 529 393.065; 530 b. Lacks basic survival and self-care skills to such a 531 degree that close supervision and habilitation in a residential 532 setting is necessary and if not provided would result in a real 533 and present threat of substantial harm to the person’s well 534 being; or 535 c. Is likely to physically injure others if allowed to 536 remain at liberty. 537 3. The purpose to be served by residential care; 538 4. A recommendation on the type of residential placement 539 which would be the most appropriate and least restrictive for 540 the person; and 541 5. The appropriate care, habilitation, and treatment. 542 (f) The committee shall file the report with the court at 543 leastnot less than10 working days before the date of the 544 hearing. The report mustshallbe served on the petitioner, the 545 person who has the intellectual disabilitywith mental546retardation, the person’s attorney at the time the report is 547 filed with the court, and the agency. 548 (g) Members of the examining committee shall receive a 549 reasonable fee to be determined by the court. The fees shallare550tobe paid from the general revenue fund of the county in which 551 the person who has the intellectual disabilitywith mental552retardationresided when the petition was filed. 553 (6) COUNSEL; GUARDIAN AD LITEM.— 554 (a) The person who has the intellectual disability must 555with mental retardation shallbe represented by counsel at all 556 stages of the judicial proceeding. IfIn the eventthe person is 557 indigent and cannot afford counsel, the court shall appoint a 558 public defender at leastnot less than20 working days before 559 the scheduled hearing. The person’s counsel shall have full 560 access to the records of the service provider and the agency. In 561 all cases, the attorney shall represent the rights and legal 562 interests of the personwith mental retardation, regardless of 563 who initiatesmay initiatethe proceedings or payspaythe 564 attorney’s fee. 565 (b) If the attorney, during the course of his or her 566 representation, reasonably believes that the person who has the 567 intellectual disabilitywith mental retardationcannot 568 adequately act in his or her own interest, the attorney may seek 569 the appointment of a guardian ad litem. A prior finding of 570 incompetency is not required before a guardian ad litem is 571 appointed pursuant to this section. 572 (7) HEARING.— 573 (d) The person who has the intellectual disability must 574with mental retardation shallbe physically present throughout 575 the entire proceeding. If the person’s attorney believes that 576 the person’s presence at the hearing is not in his or herthe577person’sbest interest, the person’s presence may be waived once 578 the court has seen the person and the hearing has commenced. 579 (8) ORDER.— 580 (b) An order of involuntary admission to residential 581 services may not be entered unless the court finds that: 582 1. The person is intellectually disabledmentally retarded583 or autistic; 584 2. Placement in a residential setting is the least 585 restrictive and most appropriate alternative to meet the 586 person’s needs; and 587 3. Because of the person’s degree of intellectual 588 disabilitymental retardationor autism, the person: 589 a. Lacks sufficient capacity to give express and informed 590 consent to a voluntary application for services pursuant to s. 591 393.065 and lacks basic survival and self-care skills to such a 592 degree that close supervision and habilitation in a residential 593 setting is necessary and, if not provided, would result in a 594 real and present threat of substantial harm to the person’s 595 well-being; or 596 b. Is likely to physically injure others if allowed to 597 remain at liberty. 598 (10) COMPETENCY.— 599 (a) The issue of competency isshall beseparate and 600 distinct from a determination of the appropriateness of 601 involuntary admission to residential services due to 602 intellectual disabilityfor a condition of mental retardation. 603 (b) The issue of the competency of a person who has an 604 intellectual disabilitywith mental retardationfor purposes of 605 assigning guardianship shall be determined in a separate 606 proceeding according to the procedures and requirements of 607 chapter 744. The issue of the competency of a person who has an 608 intellectual disabilitywith mental retardationor autism for 609 purposes of determining whether the person is competent to 610 proceed in a criminal trial shall be determined in accordance 611 with chapter 916. 612 (12) APPEAL.— 613 (b) The filing of an appeal by the person who has an 614 intellectual disability stayswith mental retardation shall stay615 admission of the person into residential care. The stay remains 616shall remainin effect during the pendency of all review 617 proceedings in Florida courts until a mandate issues. 618 Section 11. Subsection (18) of section 394.455, Florida 619 Statutes, is amended to read: 620 394.455 Definitions.—As used in this part, unless the 621 context clearly requires otherwise, the term: 622 (18) “Mental illness” means an impairment of the mental or 623 emotional processes that exercise conscious control of one’s 624 actions or of the ability to perceive or understand reality, 625 which impairment substantially interferes with theaperson’s 626 ability to meet the ordinary demands of living, regardless of627etiology. For the purposes of this part, the term does not 628 include aretardation ordevelopmental disability as defined in 629 chapter 393, intoxication, or conditions manifested only by 630 antisocial behavior or substance abuse impairment. 631 Section 12. Subsections (3) through (13) of section 632 400.960, Florida Statutes, are amended to read: 633 400.960 Definitions.—As used in this part, the term: 634(3)“Autism” has the same meaning as in s.393.063.635(4)“Cerebral palsy” has the same meaning as in s.393.063.636 (3)(5)“Client” means any person determined by the Agency 637 for Persons with Disabilities to be eligible for developmental 638 services. 639 (4)(6)“Developmentally disabled”“developmental640disability”has the same meaning as “developmental disability” 641 as that term is defined in s. 393.063. 642 (5)(7)“Direct service provider” means a person 18 years of 643 age or older who has direct contact with individuals who have 644withdevelopmental disabilities and who is unrelated to suchthe645 individualswith developmental disabilities. 646 (6)(8)“Intermediate care facility for the developmentally 647 disabled” means a residential facility licensed and certified in 648 accordance with state law, and certified by the Federal 649 Government, pursuant to the Social Security Act, as a provider 650 of Medicaid services to persons who havewithdevelopmental 651 disabilities. 652(9)“Prader-Willi syndrome” has the same meaning as in s.653393.063.654 (7)(10)(a)“Restraint” means a physical device, method, or 655 drug used to control behavior. 656 (a) A physical restraint is any manual method or physical 657 or mechanical device, material, or equipment attached or 658 adjacent to the individual’s body so that he or she cannot 659 easily remove the restraint and which restricts freedom of 660 movement or normal access to one’s body. 661 (b) A drug used as a restraint is a medication used to 662 control the person’s behavior or to restrict his or her freedom 663 of movement. Physically holding a person during a procedure to 664 forcibly administer psychotropic medication is a physical 665 restraint. 666 (c) Restraint does not include physical devices, such as 667 orthopedically prescribed appliances, surgical dressings and 668 bandages, supportive body bands, or other physical holdingwhen669 necessary for routine physical examinations and tests; for 670 purposes of orthopedic, surgical, or other similar medical 671 treatment;when usedto provide support for the achievement of 672 functional body position or proper balance; orwhen usedto 673 protect a person from falling out of bed. 674(11) “Retardation” has the same meaning as in s.393.063.675 (8)(12)“Seclusion” means the physical segregation of a 676 person in any fashion or the involuntary isolation of a person 677 in a room or area from which the person is prevented from 678 leaving. The prevention may be by physical barrier or by a staff 679 member who is acting in a manner, or who is physically situated, 680 so as to prevent the person from leaving the room or area. For 681 purposes of this part, the term does not mean isolation due to a 682 person’s medical condition or symptoms. 683(13)“Spina bifida” has the same meaning as in s.393.063.684 Section 13. Subsection (12) of section 408.032, Florida 685 Statutes, is amended to read: 686 408.032 Definitions relating to Health Facility and 687 Services Development Act.—As used in ss. 408.031-408.045, the 688 term: 689 (12) “Intermediate care facility for the developmentally 690 disabled” means a residential facility licensed under part VIII 691 of chapter 400chapter 393 and certified by the Federal692Government pursuant to the Social Security Act as a provider of693Medicaid services to persons who are mentally retarded or who694have a related condition. 695 Section 14. Subsection (8) of section 409.908, Florida 696 Statutes, is amended to read 697 (8) A provider of home-based or community-based services 698 rendered pursuant to a federally approved waiver shall be 699 reimbursed based on an established or negotiated rate for each 700 service. These rates shall be established according to an 701 analysis of the expenditure history and prospective budget 702 developed by each contract provider participating in the waiver 703 program, or under any other methodology adopted by the agency 704 and approved by the Federal Government in accordance with the 705 waiver. Privately owned and operated community-based residential 706 facilities which meet agency requirements and which formerly 707 received Medicaid reimbursement for the optional intermediate 708 care facility for the intellectually disabledmentally retarded709 service may participate in the developmental services waiver as 710 part of a home-and-community-based continuum of care for 711 Medicaid recipients who receive waiver services. 712 Section 15. Subsection (17) of section 413.20, Florida 713 Statutes, is amended to read: 714 413.20 Definitions.—As used in this part, the term: 715 (17) “Person who has a significant disability” means an 716 individual who has a disability that is a severe physical or 717 mental impairment that seriously limits one or more functional 718 capacities, such as mobility, communication, self-care, self 719 direction, interpersonal skills, work tolerance, or work skills, 720 in terms of an employment outcome; whose vocational 721 rehabilitation may be expected to require multiple vocational 722 rehabilitation services over an extended period of time; and who 723 has one or more physical or mental disabilities resulting from 724 amputation, arthritis, autism, blindness, burn injury, cancer, 725 cerebral palsy, cystic fibrosis, deafness, head injury, heart 726 disease, hemiplegia, hemophilia, respiratory or pulmonary 727 dysfunction, intellectual disabilitymental retardation, mental 728 illness, multiple sclerosis, muscular dystrophy, musculoskeletal 729 disorder, neurological disorder, including stroke and epilepsy, 730 paraplegia, quadriplegia, or other spinal cord condition, 731 sickle-cell anemia, specific learning disability, end-stage 732 renal disease, or another disability or a combination of 733 disabilities whichthatis determined, after an assessment for 734 determining eligibility and vocational rehabilitation needs, to 735 cause comparable substantial functional limitation. 736 Section 16. Paragraph (a) of subsection (6) of section 737 440.49, Florida Statutes, is amended to read: 738 440.49 Limitation of liability for subsequent injury 739 through Special Disability Trust Fund.— 740 (6) EMPLOYER KNOWLEDGE, EFFECT ON REIMBURSEMENT.— 741 (a) Reimbursement is not allowed under this section unless 742 it is established that the employer knew of the preexisting 743 permanent physical impairment beforeprior tothe occurrence of 744 the subsequent injury or occupational disease, andthatthe 745 permanent physical impairment is one of the following: 746 1. Epilepsy. 747 2. Diabetes. 748 3. Cardiac disease. 749 4. Amputation of foot, leg, arm, or hand. 750 5. Total loss of sight of one or both eyes or a partial 751 loss of corrected vision of more than 75 percent bilaterally. 752 6. Residual disability from poliomyelitis. 753 7. Cerebral palsy. 754 8. Multiple sclerosis. 755 9. Parkinson’s disease. 756 10. Meniscectomy. 757 11. Patellectomy. 758 12. Ruptured cruciate ligament. 759 13. Hemophilia. 760 14. Chronic osteomyelitis. 761 15. Surgical or spontaneous fusion of a major weight 762 bearing joint. 763 16. Hyperinsulinism. 764 17. Muscular dystrophy. 765 18. Thrombophlebitis. 766 19. Herniated intervertebral disk. 767 20. Surgical removal of an intervertebral disk or spinal 768 fusion. 769 21. One or more back injuries or a disease process of the 770 back resulting in disability over a total of 120 or more days, 771 if substantiated by a doctor’s opinion that there was a 772 preexisting impairment to the claimant’s back. 773 22. Total deafness. 774 23. Intellectual disability ifMental retardation, provided775 the employee’s intelligence quotient is such that she or he 776 falls within the lowest 2 percentile of the general population. 777 However,it shall not be necessary forthe employer does not 778 need to know the employee’s actual intelligence quotient or 779 actual relative ranking in relation to the intelligence quotient 780 of the general population. 781 24. Any permanent physical condition thatwhich, before 782prior tothe industrial accident or occupational disease, 783 constitutes a 20 percent20-percentimpairment of a member or of 784 the body as a whole. 785 25. Obesity if, providedthe employee is 30 percent or more 786 over the average weight designated for her or his height and age 787 in the Table of Average Weight of Americans by Height and Age 788 prepared by the Society of Actuaries using data from the 1979 789 Build and Blood Pressure Study. 790 26. Any permanent physical impairment as provideddefined791 in s. 440.15(3) which is a result of a prior industrial accident 792 with the same employer or the employer’s parent company, 793 subsidiary, sister company, or affiliate located within the 794 geographical boundaries of this state. 795 Section 17. Paragraph (g) of subsection (1) of section 796 499.0054, Florida Statutes, is amended to read: 797 499.0054 Advertising and labeling of drugs, devices, and 798 cosmetics; exemptions.— 799 (1) It is a violation of the Florida Drug and Cosmetic Act 800 to perform or cause the performance of any of the following 801 acts: 802 (g) The advertising of any drug or device represented to 803 have any effect in any of the following conditions, disorders, 804 diseases, or processes: 805 1. Blood disorders. 806 2. Bone or joint diseases. 807 3. Kidney diseases or disorders. 808 4. Cancer. 809 5. Diabetes. 810 6. Gall bladder diseases or disorders. 811 7. Heart and vascular diseases. 812 8. High blood pressure. 813 9. Diseases or disorders of the ear or auditory apparatus, 814 including hearing loss or deafness. 815 10. Mental disease or intellectual disabilitymental816retardation. 817 11. Paralysis. 818 12. Prostate gland disorders. 819 13. Conditions of the scalp affecting hair loss. 820 14. Baldness. 821 15. Endocrine disorders. 822 16. Sexual impotence. 823 17. Tumors. 824 18. Venereal diseases. 825 19. Varicose ulcers. 826 20. Breast enlargement. 827 21. Purifying blood. 828 22. Metabolic disorders. 829 23. Immune system disorders or conditions affecting the 830 immune system. 831 24. Extension of life expectancy. 832 25. Stress and tension. 833 26. Brain stimulation or performance. 834 27. The body’s natural defense mechanisms. 835 28. Blood flow. 836 29. Depression. 837 30. Human immunodeficiency virus or acquired immune 838 deficiency syndrome or related disorders or conditions. 839 Section 18. Section 514.072, Florida Statutes, is amended 840 to read: 841 514.072 Certification of swimming instructors for people 842 who have developmental disabilitiesrequired.—Any person working 843 at a swimming pool who holds himself or herself out as a 844 swimming instructor specializing in training people who have 845 developmental disabilities, as defined in s. 393.063(10), may be 846 certified by the Dan Marino Foundation, Inc., in addition to 847 being certified under s. 514.071. The Dan Marino Foundation, 848 Inc., must develop certification requirements and a training 849 curriculum for swimming instructors for people who have 850 developmental disabilitiesand must submit the certification851requirements to the Department of Health for review by January8521, 2007.A person certified under s.514.071before July 1,8532007, must meet the additional certification requirements of854this section before January 1, 2008.A person certified under s. 855 514.071on or after July 1, 2007,must meet the additional 856 certification requirements of this section within 6 months after 857 receiving certification under s. 514.071. 858 Section 19. Section 627.6041, Florida Statutes, is amended 859 to read: 860 627.6041HandicappedChildren with disabilities; 861 continuation of coverage.— 862 (1) A hospital or medical expense insurance policy or 863 health care services plan contract that is delivered or issued 864 for delivery in this state and that provides that coverage of a 865 dependent child terminateswill terminateupon attainment of the 866 limiting age for dependent children specified in the policy or 867 contract mustshallalso provide in substance that attainment of 868 the limiting age does not terminate the coverage of the child 869 while the child continues to be both: 870 (a)(1)Incapable of self-sustaining employment by reason of 871 an intellectual ormental retardationor physical disability. 872handicap; and873 (b)(2)Chiefly dependent upon the policyholder or 874 subscriber for support and maintenance. 875 (2) If a claim is denied under a policy or contract for the 876 stated reason that the child has attained the limiting age for 877 dependent children specified in the policy or contract, the 878 notice of denial must state that the policyholder has the burden 879 of establishing that the child continues to meet the criteria 880 specified in subsectionsubsections(1)and (2). 881 Section 20. Section 627.6615, Florida Statutes, is amended 882 to read: 883 627.6615HandicappedChildren with disabilities; 884 continuation of coverage under group policy.— 885 (1) A group health insurance policy or health care services 886 plan contract that is delivered or issued for delivery in this 887 state and that provides that coverage of a dependent child of an 888 employee or other member of the covered group terminateswill889terminateupon attainment of the limiting age for dependent 890 children specified in the policy or contract mustshallalso 891 provide in substance that attainment of the limiting age does 892 not terminate the coverage of the child while the child 893 continues to be both: 894 (a)(1)Incapable of self-sustaining employment by reason of 895 an intellectualmental retardationor physical disability. 896handicap; and897 (b)(2)Chiefly dependent upon the employee or member for 898 support and maintenance. 899 (2) If a claim is denied under a policy or contract for the 900 stated reason that the child has attained the limiting age for 901 dependent children specified in the policy or contract, the 902 notice of denial must state that the certificateholder or 903 subscriber has the burden of establishing that the child 904 continues to meet the criteria specified in subsection 905subsections(1)and (2). 906 Section 21. Subsection (29) of section 641.31, Florida 907 Statutes, is amended to read: 908 641.31 Health maintenance contracts.— 909 (29) If a health maintenance contract provides that 910 coverage of a dependent child of the subscriber terminateswill911terminateupon attainment of the limiting age for dependent 912 children which is specified in the contract, the contract must 913 also provide in substance that attainment of the limiting age 914 does not terminate the coverage of the child while the child 915 continues to be both: 916 (a) Incapable of self-sustaining employment by reason of an 917 intellectualmental retardationor physical disability. 918handicap, and919 (b) Chiefly dependent upon the employee or member for 920 support and maintenance. 921 922 If the claim is denied under a contract for the stated reason 923 that the child has attained the limiting age for dependent 924 children specified in the contract, the notice or denial must 925 state that the subscriber has the burden of establishing that 926 the child continues to meet the criteria specified in this 927 subsectionparagraphs (a) and (b). 928 Section 22. Subsection (4) of section 650.05, Florida 929 Statutes, is amended to read: 930 650.05 Plans for coverage of employees of political 931 subdivisions.— 932 (4)(a)Notwithstanding any other provision of this chapter, 933 effective January 1, 1972, all state political subdivisions 934 receiving financial aid whichthatprovide social security 935 coverage for their employees pursuant tothe provisions ofthis 936 chapter and theprovisions of thevarious retirement systems as 937 authorized by law shall, in addition to other purposes, use 938utilizeall grants-in-aid and other revenue received from the 939 state to pay the employer’s share of social security cost. 940(b)The grants-in-aid and other revenuereferred to in941paragraph (a)specifically include, but are not limited to, 942 minimum foundation program grants to public school districts and 943 community colleges; gasoline, motor fuel, cigarette, racing, and 944 insurance premium taxes distributed to political subdivisions; 945 and amounts specifically appropriated as grants-in-aid for 946 mental health, intellectual disabilitiesmental retardation, and 947 mosquito control programs. 948 Section 23. Subsection (1) of section 765.204, Florida 949 Statutes, is amended to read: 950 765.204 Capacity of principal; procedure.— 951 (1) A principal is presumed to be capable of making health 952 care decisions for herself or himself unless she or he is 953 determined to be incapacitated. Incapacity may not be inferred 954 from the person’s voluntary or involuntary hospitalization for 955 mental illness or from her or his intellectual disabilitymental956retardation. 957 Section 24. Section 849.04, Florida Statutes, is amended to 958 read: 959 849.04 Permitting minors and persons under guardianship to 960 gamble.—Whoever beingThe proprietor, owner, or keeper of any E. 961 O., keno or pool table, or billiard table, wheel of fortune, or 962 other game of chance,kept for the purpose of betting, who 963 willfully and knowingly allows aanyminor oranyperson who is 964 mentally incompetent or under guardianship to play at such game 965 or to bet on such game of chance; or whoever aids or abets or 966 otherwise encourages such playing or betting of any money or 967 other valuable thing upon the result of such game of chance by a 968anyminor oranyperson who is mentally incompetent or under 969 guardianship, commitsshall be guilty ofa felony of the third 970 degree, punishable as provided in s. 775.082, s. 775.083, or s. 971 775.084. For the purpose of this section, the terma“person who 972 is mentally incompetentperson” means a personis onewho 973 because of mental illness, intellectual disabilitymental974retardation, senility, excessive use of drugs or alcohol, or 975 other mental incapacity is incapable ofeithermanaging his or 976 her property or caring for himself or herself or both. 977 Section 25. Section 914.16, Florida Statutes, is amended to 978 read: 979 914.16 Child abuse and sexual abuse of victims under age 16 980 or who has an intellectual disabilitypersons with mental981retardation; limits on interviews.—The chief judge of each 982 judicial circuit, after consultation with the state attorney and 983 the public defender for the judicial circuit, the appropriate 984 chief law enforcement officer, and any other person deemed 985 appropriate by the chief judge, shallprovide byorder 986 reasonable limits on the number of interviews whichthata 987 victim of a violation of s. 794.011, s. 800.04, s. 827.03, or s. 988 847.0135(5) who is under 16 years of age or a victim of a 989 violation of s. 794.011, s. 800.02, s. 800.03, or s. 825.102 who 990 has an intellectual disabilityis a person with mental991retardationas defined in s. 393.063 must submit to for law 992 enforcement or discovery purposes.The order shall,To the 993 extent possible, the order must protect the victim from the 994 psychological damage of repeated interrogations while preserving 995 the rights of the public, the victim, and the person charged 996 with the violation. 997 Section 26. Section 914.17, Florida Statutes, is amended to 998 read: 999 914.17 Appointment of advocate for victims or witnesses who 1000 are minors or intellectually disabledpersons with mental1001retardation.— 1002 (1) A guardian ad litem or other advocate shall be 1003 appointed by the court to represent a minor in any criminal 1004 proceeding if the minor is a victim of or witness to child abuse 1005 or neglect,or if the minor isa victim of a sexual offense, or 1006 a witness to a sexual offense committed against another minor. 1007 The court may appoint a guardian ad litem or other advocate in 1008 any other criminal proceeding in which a minor is involved as 1009eithera victim or a witness. The guardian ad litem or other 1010 advocate shall have full access to all evidence and reports 1011 introduced during the proceedings, may interview witnesses, may 1012 make recommendations to the court, shall be noticed and have the 1013 right to appear on behalf of the minor at all proceedings, and 1014 may request additional examinations by medical doctors, 1015 psychiatrists, or psychologists.It is the duty ofThe guardian 1016 ad litem or other advocate shallto perform the following1017services: 1018 (a)ToExplain, in language understandable to the minor, 1019 all legal proceedings in which the minor isshall beinvolved; 1020 (b)ToAct, as a friend of the court, to advise the judge, 1021 whenever appropriate, of the minor’s ability to understand and 1022 cooperate with any court proceeding; and 1023 (c)ToAssist the minor and the minor’s family in coping 1024 with the emotional effects of the crime and subsequent criminal 1025 proceedings in which the minor is involved. 1026 (2) An advocate shall be appointed by the court to 1027 represent a person who has an intellectual disabilitywith1028mental retardationas defined in s. 393.063 in any criminal 1029 proceeding if the personwith mental retardationis a victim of 1030 or witness to abuse or neglect,orif the person with mental1031retardation isa victim of a sexual offense, or a witness to a 1032 sexual offense committed against a minor or person who has an 1033 intellectual disabilitywith mental retardation. The court may 1034 appoint an advocate in any other criminal proceeding in which 1035 suchapersonwith mental retardationis involved aseithera 1036 victim or a witness. The advocate shall have full access to all 1037 evidence and reports introduced during the proceedings, may 1038 interview witnesses, may make recommendations to the court, 1039 shall be noticed and have the right to appear on behalf of the 1040 personwith mental retardationat all proceedings, and may 1041 request additional examinations by medical doctors, 1042 psychiatrists, or psychologists.It is the duty ofThe advocate 1043 shallto perform the following services: 1044 (a)ToExplain, in language understandable to the person 1045with mental retardation, all legal proceedings in which the 1046 person isshall beinvolved; 1047 (b)ToAct, as a friend of the court, to advise the judge, 1048 whenever appropriate, of the person’sperson with mental1049retardation’sability to understand and cooperate with any court 1050 proceedings; and 1051 (c) To assist the personwith mental retardationand the 1052 person’s family in coping with the emotional effects of the 1053 crime and subsequent criminal proceedings in which the person 1054with mental retardationis involved. 1055 (3) Any person participating in a judicial proceeding as a 1056 guardian ad litem or other advocate isshall bepresumed prima 1057 facie to be acting in good faith and in so doing isshall be1058 immune from any liability, civil or criminal, whichthat1059otherwisemight be incurred or imposed. 1060 Section 27. Subsections (1), (2), and (3) of section 1061 916.105, Florida Statutes, are amended to read: 1062 916.105 Legislative intent.— 1063 (1) It is the intent of the Legislature that the Department 1064 of Children and Family Services and the Agency for Persons with 1065 Disabilities, as appropriate, establish, locate, and maintain 1066 separate and secure forensic facilities and programs for the 1067 treatment or training of defendants who have been charged with a 1068 felony and who have been found to be incompetent to proceed due 1069 to their mental illness, intellectual disabilitymental1070retardation, or autism, or who have been acquitted of a felony 1071 by reason of insanity, and who, while still under the 1072 jurisdiction of the committing court, are committed to the 1073 department or agency underthe provisions ofthis chapter. Such 1074 facilities mustshallbe sufficient to accommodate the number of 1075 defendants committed under the conditions noted above. Except 1076 for those defendants found by the department or agency to be 1077 appropriate for treatment or training in a civil facility or 1078 program pursuant to subsection (3), forensic facilities must 1079shallbe designed and administered so that ingress and egress, 1080 together with other requirements of this chapter, may be 1081 strictly controlled by staff responsible for security in order 1082 to protect the defendant, facility personnel, other clients, and 1083 citizens in adjacent communities. 1084 (2) It is the intent of the Legislature that treatment or 1085 training programs for defendants who are found to have mental 1086 illness, intellectual disabilitymental retardation, or autism 1087 and are involuntarily committed to the department or agency, and 1088 who are still under the jurisdiction of the committing court, be 1089 provided in a manner, subject to security requirements and other 1090 mandates of this chapter, which ensuresas to ensurethe rights 1091 of the defendants as provided in this chapter. 1092 (3) It is the intent of the Legislature that evaluation and 1093 services to defendants who have mental illness, intellectual 1094 disabilitymental retardation, or autism be provided in 1095 community settings, in community residential facilities, or in 1096 civil facilities, whenever this is a feasible alternative to 1097 treatment or training in a state forensic facility. 1098 Section 28. Subsections (10) through (17) of section 1099 916.106, Florida Statutes, are reordered and amended to read: 1100 916.106 Definitions.—For the purposes of this chapter, the 1101 term: 1102 (10) “Forensic facility” means a separate and secure 1103 facility established within the department or agency to serve 1104 forensic clients. A separate and secure facility means a 1105 security-grade building for the purpose of separately housing 1106 persons who have mental illness from persons who have 1107 intellectual disabilitieswith retardationor autism and 1108 separately housing persons who have been involuntarily committed 1109 pursuant to this chapter from nonforensic residents. 1110 (11) “Incompetent to proceed” means unable to proceed at 1111 any material stage of a criminal proceeding, which includes 1112shall includetrial of the case, pretrial hearings involving 1113 questions of fact on which the defendant might be expected to 1114 testify, entry of a plea, proceedings for violation of probation 1115 or violation of community control, sentencing, and hearings on 1116 issues regarding a defendant’s failure to comply with court 1117 orders or conditions or other matters in which the mental 1118 competence of the defendant is necessary for a just resolution 1119 of the issues being considered. 1120 (12) “Institutional security personnel” means the staff of 1121 forensic facilities who meet or exceed the requirements of s. 1122 943.13 and who are responsible for providing security, 1123 protecting clients and personnel, enforcing rules, preventing 1124 and investigating unauthorized activities, and safeguarding the 1125 interests of residentscitizensin the surrounding communities. 1126 (14)(13)“Mental illness” means an impairment of the 1127 emotional processes that exercise conscious control of one’s 1128 actions, or of the ability to perceive or understand reality, 1129 which impairment substantially interferes with theadefendant’s 1130 ability to meet the ordinary demands of living. For the purposes 1131 of this chapter, the term does not apply to defendants who have 1132 only an intellectual disabilitywith only mental retardationor 1133 autism and does not include intoxication or conditions 1134 manifested only by antisocial behavior or substance abuse 1135 impairment. 1136 (15)(14)“Restraint” means a physical device, method, or 1137 drug used to control dangerous behavior. 1138 (a) A physical restraint is any manual method or physical 1139 or mechanical device, material, or equipment attached or 1140 adjacent to a person’s body so that he or she cannot easily 1141 remove the restraint and that restricts freedom of movement or 1142 normal access to one’s body. 1143 (b) A drug used as a restraint is a medication used to 1144 control the person’s behavior or to restrict his or her freedom 1145 of movement and not part of the standard treatment regimen of 1146 the person with a diagnosed mental illness who is a client of 1147 the department. Physically holding a person during a procedure 1148 to forcibly administer psychotropic medication is a physical 1149 restraint. 1150 (c) Restraint does not include physical devices, such as 1151 orthopedically prescribed appliances, surgical dressings and 1152 bandages, supportive body bands, or other physical holdingwhen1153 necessary for routine physical examinations and tests; for 1154 purposes of orthopedic, surgical, or other similar medical 1155 treatment;when usedto provide support for the achievement of 1156 functional body position or proper balance; orwhen usedto 1157 protect a person from falling out of bed. 1158 (13)(15)“Intellectual disability”“Retardation”has the 1159 same meaning as in s. 393.063. 1160 (16) “Seclusion” means the physical segregation of a person 1161 in any fashion or the involuntary isolation of a person in a 1162 room or area from which the person is prevented from leaving. 1163 The prevention may be by physical barrier or by a staff member 1164 who is acting in a manner, or who is physically situated, so as 1165 to prevent the person from leaving the room or area. For 1166 purposes of this chapter, the term does not mean isolation due 1167 to a person’s medical condition or symptoms, the confinement in 1168 a forensic facility to a bedroom or area during normal hours of 1169 sleep when there is not an active order for seclusion, or during 1170 an emergency such as a riot or hostage situation when clients 1171 may be temporarily placed in their rooms for their own safety. 1172 (17) “Social service professional” means a person whose 1173 minimum qualifications include a bachelor’s degree and at least 1174 2 years of social work, clinical practice, special education, 1175 habilitation, or equivalent experience working directly with 1176 persons who have intellectual disabilitieswith retardation, 1177 autism, or other developmental disabilities. 1178 Section 29. Paragraph (a) of subsection (1) and paragraph 1179 (a) of subsection (3) of section 916.107, Florida Statutes, are 1180 amended to read: 1181 916.107 Rights of forensic clients.— 1182 (1) RIGHT TO INDIVIDUAL DIGNITY.— 1183 (a) The policy of the state is that the individual dignity 1184 of the client shall be respected at all times and upon all 1185 occasions, including any occasion when the forensic client is 1186 detained, transported, or treated. Clients with mental illness, 1187 intellectual disabilityretardation, or autism and who are 1188 charged with committing felonies shall receive appropriate 1189 treatment or training. In a criminal case involving a client who 1190 has been adjudicated incompetent to proceed or not guilty by 1191 reason of insanity, a jail may be used as an emergency facility 1192 for up to 15 days following the date the department or agency 1193 receives a completed copy of the court commitment order 1194 containing all documentation required by the applicable Florida 1195 Rules of Criminal Procedure. For a forensic client who is held 1196 in a jail awaiting admission to a facility of the department or 1197 agency, evaluation and treatment or training may be provided in 1198 the jail by the local community mental health provider for 1199 mental health services, by the developmental disabilities 1200 program for persons with intellectual disabilityretardationor 1201 autism, the client’s physician or psychologist, or any other 1202 appropriate program until the client is transferred to a civil 1203 or forensic facility. 1204 (3) RIGHT TO EXPRESS AND INFORMED CONSENT.— 1205 (a) A forensic client shall be asked to give express and 1206 informed written consent for treatment. If a client refuses such 1207 treatment as is deemed necessary and essential by the client’s 1208 multidisciplinary treatment team for the appropriate care of the 1209 client, such treatment may be provided under the following 1210 circumstances: 1211 1. In an emergency situation in which there is immediate 1212 danger to the safety of the client or others, such treatment may 1213 be provided upon the written order of a physician for a period 1214 not to exceed 48 hours, excluding weekends and legal holidays. 1215 If, after the 48-hour period, the client has not given express 1216 and informed consent to the treatment initially refused, the 1217 administrator or designee of the civil or forensic facility 1218 shall, within 48 hours, excluding weekends and legal holidays, 1219 petition the committing court or the circuit court serving the 1220 county in which the facility is located, at the option of the 1221 facility administrator or designee, for an order authorizing the 1222 continued treatment of the client. In the interim, the need for 1223 treatment shall be reviewed every 48 hours and may be continued 1224 without the consent of the client upon the continued written 1225 order of a physician who has determined that the emergency 1226 situation continues to present a danger to the safety of the 1227 client or others. 1228 2. In a situation other than an emergency situation, the 1229 administrator or designee of the facility shall petition the 1230 court for an order authorizing necessary and essential treatment 1231 for the client. The order shall allow such treatment for a 1232 period not to exceed 90 days following the date of the entry of 1233 the order. Unless the court is notified in writing that the 1234 client has provided express and informed consent in writing or 1235 that the client has been discharged by the committing court, the 1236 administrator or designee shall, prior to the expiration of the 1237 initial 90-day order, petition the court for an order 1238 authorizing the continuation of treatment for another 90-day 1239 period. This procedure shall be repeated until the client 1240 provides consent or is discharged by the committing court. 1241 3. At the hearing on the issue of whether the court should 1242 enter an order authorizing treatment for which a client was 1243 unable to or refused to give express and informed consent, the 1244 court shall determine by clear and convincing evidence that the 1245 client has mental illness, intellectual disabilityretardation, 1246 or autism, that the treatment not consented to is essential to 1247 the care of the client, and that the treatment not consented to 1248 is not experimental and does not present an unreasonable risk of 1249 serious, hazardous, or irreversible side effects. In arriving at 1250 the substitute judgment decision, the court must consider at 1251 least the following factors: 1252 a. The client’s expressed preference regarding treatment; 1253 b. The probability of adverse side effects; 1254 c. The prognosis without treatment; and 1255 d. The prognosis with treatment. 1256 1257 The hearing shall be as convenient to the client as may be 1258 consistent with orderly procedure and shall be conducted in 1259 physical settings not likely to be injurious to the client’s 1260 condition. The court may appoint a general or special magistrate 1261 to preside at the hearing. The client or the client’s guardian, 1262 and the representative, shall be provided with a copy of the 1263 petition and the date, time, and location of the hearing. The 1264 client has the right to have an attorney represent him or her at 1265 the hearing, and, if the client is indigent, the court shall 1266 appoint the office of the public defender to represent the 1267 client at the hearing. The client may testify or not, as he or 1268 she chooses, and has the right to cross-examine witnesses and 1269 may present his or her own witnesses. 1270 Section 30. The Division of Statutory Revision is requested 1271 to rename part III of chapter 916, Florida Statutes, consisting 1272 of ss. 916.301-916.304, as “Forensic Services for Persons who 1273 are Intellectually Disabled or Autistic.” 1274 Section 31. Subsections (1) and (2) of section 916.301, 1275 Florida Statutes, are amended to read: 1276 916.301 Appointment of experts.— 1277 (1) All evaluations ordered by the court under this part 1278 must be conducted by qualified experts who have expertise in 1279 evaluating persons who have an intellectual disabilitywith1280retardationor autism. The agency shall maintain and provide the 1281 courts annually with a list of availableretardation and autism1282 professionals who are appropriately licensed and qualified to 1283 perform evaluations of defendants alleged to be incompetent to 1284 proceed due to intellectual disabilityretardationor autism. 1285 The courts may use professionals from this list when appointing 1286 experts and ordering evaluations under this part. 1287 (2) If a defendant’s suspected mental condition is 1288 intellectual disabilityretardationor autism, the court shall 1289 appoint the following: 1290 (a) At least one, or at the request of any party, two 1291 experts to evaluate whether the defendant meets the definition 1292 of intellectual disabilityretardationor autism and, if so, 1293 whether the defendant is competent to proceed; and 1294 (b) A psychologist selected by the agency who is licensed 1295 or authorized by law to practice in this state, with experience 1296 in evaluating persons suspected of having an intellectual 1297 disabilityretardationor autism, and a social service 1298 professional, with experience in working with persons who have 1299 an intellectual disabilitywith retardationor autism. 1300 1. The psychologist shall evaluate whether the defendant 1301 meets the definition of intellectual disabilityretardationor 1302 autism and, if so, whether the defendant is incompetent to 1303 proceed due to intellectual disabilityretardationor autism. 1304 2. The social service professional shall provide a social 1305 and developmental history of the defendant. 1306 Section 32. Subsections (1), (2), and (4) of section 1307 916.3012, Florida Statutes, are amended to read: 1308 916.3012 Mental competence to proceed.— 1309 (1) A defendant whose suspected mental condition is 1310 intellectual disabilityretardationor autism is incompetent to 1311 proceed within the meaning of this chapter if the defendant does 1312 not have sufficient present ability to consult with the 1313 defendant’s lawyer with a reasonable degree of rational 1314 understanding or if the defendant has no rational, as well as 1315 factual, understanding of the proceedings against the defendant. 1316 (2) Experts in intellectual disabilityretardationor 1317 autism appointed pursuant to s. 916.301 shall first consider 1318 whether the defendant meets the definition of intellectual 1319 disabilityretardationor autism and, if so, consider the 1320 factors related to the issue of whether the defendant meets the 1321 criteria for competence to proceed as described in subsection 1322 (1). 1323 (4) If the expertsshouldfind that the defendant is 1324 incompetent to proceed, the experts shall report on any 1325 recommended training for the defendant to attain competence to 1326 proceed. In considering the issues relating to training, the 1327 examining experts shall specifically report on: 1328 (a) The intellectual disabilityretardationor autism 1329 causing the incompetence; 1330 (b) The training appropriate for the intellectual 1331 disabilityretardationor autism of the defendant and an 1332 explanation of each of the possible training alternatives in 1333 order of choices; 1334 (c) The availability of acceptable training and, if 1335 training is available in the community, the expert shall so 1336 state in the report; and 1337 (d) The likelihood of the defendant’s attaining competence 1338 under the training recommended, an assessment of the probable 1339 duration of the training required to restore competence, and the 1340 probability that the defendant will attain competence to proceed 1341 in the foreseeable future. 1342 Section 33. Subsection (1), paragraphs (a) and (b) of 1343 subsection (2), and paragraph (a) of subsection (3) of section 1344 916.302, Florida Statutes, are amended to read: 1345 916.302 Involuntary commitment of defendant determined to 1346 be incompetent to proceed.— 1347 (1) CRITERIA.—Every defendant who is charged with a felony 1348 and who is adjudicated incompetent to proceed due to 1349 intellectual disabilityretardationor autism may be 1350 involuntarily committed for training upon a finding by the court 1351 of clear and convincing evidence that: 1352 (a) The defendant has an intellectual disability 1353retardationor autism; 1354 (b) There is a substantial likelihood that in the near 1355 future the defendant will inflict serious bodily harm on himself 1356 or herself or another person, as evidenced by recent behavior 1357 causing, attempting, or threatening such harm; 1358 (c) All available, less restrictive alternatives, including 1359 services provided in community residential facilities or other 1360 community settings, which would offer an opportunity for 1361 improvement of the condition have been judged to be 1362 inappropriate; and 1363 (d) There is a substantial probability that the 1364 intellectual disabilityretardationor autism causing the 1365 defendant’s incompetence will respond to training and the 1366 defendant will regain competency to proceed in the reasonably 1367 foreseeable future. 1368 (2) ADMISSION TO A FACILITY.— 1369 (a) A defendant who has been charged with a felony and who 1370 is found to be incompetent to proceed due to intellectual 1371 disabilityretardationor autism, and who meets the criteria for 1372 involuntary commitment to the agency underthe provisions of1373 this chapter, shall be committed to the agency, and the agency 1374 shall retain and provide appropriate training for the defendant. 1375 WithinNo later than6 months after the date of admission or at 1376 the end of any period of extended commitment or at any time the 1377 administrator or designee determinesshall have determinedthat 1378 the defendant has regained competency to proceed or no longer 1379 meets the criteria for continued commitment, the administrator 1380 or designee shall file a report with the court pursuant to this 1381 chapter and the applicable Florida Rules of Criminal Procedure. 1382 (b) A defendant determined to be incompetent to proceed due 1383 to intellectual disabilityretardationor autism may be ordered 1384 by a circuit court into a forensic facility designated by the 1385 agency for defendants who have an intellectual disabilitymental1386retardationor autism. 1387 (3) PLACEMENT OF DUALLY DIAGNOSED DEFENDANTS.— 1388 (a) If a defendant has both an intellectual disability 1389mental retardationor autism andhasa mental illness, 1390 evaluations must address which condition is primarily affecting 1391 the defendant’s competency to proceed. Referral of the defendant 1392 should be made to a civil or forensic facility most appropriate 1393 to address the symptoms that are the cause of the defendant’s 1394 incompetence. 1395 Section 34. Subsection (1) of section 916.3025, Florida 1396 Statutes, is amended to read: 1397 916.3025 Jurisdiction of committing court.— 1398 (1) The committing court shall retain jurisdiction in the 1399 case of any defendant found to be incompetent to proceed due to 1400 intellectual disabilityretardationor autism and ordered into a 1401 forensic facility designated by the agency for defendants who 1402 have intellectual disabilitiesmental retardationor autism. A 1403 defendant may not be released except by the order of the 1404 committing court. An administrative hearing examiner does not 1405 have jurisdiction to determine issues of continuing commitment 1406 or release of any defendant involuntarily committed pursuant to 1407 this chapter. 1408 Section 35. Section 916.303, Florida Statutes, is amended 1409 to read: 1410 916.303 Determination of incompetencydue to retardation or1411autism; dismissal of charges.— 1412 (1) The charges against any defendant found to be 1413 incompetent to proceed due to intellectual disability 1414retardationor autism shall be dismissed without prejudice to 1415 the state if the defendant remains incompetent to proceed within 1416 a reasonable time after such determination, not to exceed 2 1417 years, unless the court in its order specifies its reasons for 1418 believing that the defendant will become competent to proceed 1419 within the foreseeable future and specifies the time within 1420 which the defendant is expected to become competent to proceed. 1421 The charges may be refiled by the state if the defendant is 1422 declared competent to proceed in the future. 1423 (2) If the charges are dismissed and if the defendant is 1424 considered to lack sufficient capacity to give express and 1425 informed consent to a voluntary application for services and 1426 lacks the basic survival and self-care skills to provide for his 1427 or her well-being or is likely to physically injure himself or 1428 herself or others if allowed to remain at liberty, the agency, 1429 the state attorney, or the defendant’s attorney shall apply to 1430 the committing court to involuntarily admit the defendant to 1431 residential services pursuant to s. 393.11. 1432 (3) If the defendant is considered to need involuntary 1433 residential services for reasons described in subsection (2) 1434 and, further, there is a substantial likelihood that the 1435 defendant will injure another person or continues to present a 1436 danger of escape, and all available less restrictive 1437 alternatives, including services in community residential 1438 facilities or other community settings, which would offer an 1439 opportunity for improvement of the condition have been judged to 1440 be inappropriate, the agency, the state attorney, or the 1441 defendant’s counsel may request the committing court to continue 1442 the defendant’s placement in a secure facility pursuant to this 1443 part. Any placement so continuedunder this subsectionmust be 1444 reviewed by the court at least annually at a hearing. The annual 1445 review and hearing mustshalldetermine whether the defendant 1446 continues to meet the criteria described in this subsection and, 1447 if so, whether the defendant still requires involuntary 1448 placement in a secure facility and whether the defendant is 1449 receiving adequate care, treatment, habilitation, and 1450 rehabilitation, including psychotropic medication and behavioral 1451 programming. Notice of the annual review and review hearing 1452 shall be given to the state attorney and the defendant’s 1453 attorney.In no instance mayA defendant’s placement in a secure 1454 facility may not exceed the maximum sentence for the crime for 1455 which the defendant was charged. 1456 Section 36. Subsection (1) of section 916.304, Florida 1457 Statutes, is amended to read: 1458 916.304 Conditional release.— 1459 (1) Except for an inmate currently serving a prison 1460 sentence, the committing court may order a conditional release 1461 of any defendant who has been found to be incompetent to proceed 1462 due to intellectual disabilityretardationor autism, based on 1463 an approved plan for providing community-based training. The 1464 committing criminal court may order a conditional release of any 1465 defendant to a civil facility in lieu of an involuntary 1466 commitment to a forensic facility pursuant to s. 916.302. Upon a 1467 recommendation that community-based training for the defendant 1468 is appropriate, a written plan for community-based training, 1469 including recommendations from qualified professionals, may be 1470 filed with the court, with copies to all parties. Such a plan 1471 may also be submitted by the defendant and filed with the court, 1472 with copies to all parties. The plan must include: 1473 (a) Special provisions for residential care and adequate 1474 supervision of the defendant, including recommended location of 1475 placement. 1476 (b) Recommendations for auxiliary services such as 1477 vocational training, psychological training, educational 1478 services, leisure services, and special medical care. 1479 1480 In its order of conditional release, the court shall specify the 1481 conditions of release based upon the release plan and shall 1482 direct the appropriate agencies or persons to submit periodic 1483 reports to the courts regarding the defendant’s compliance with 1484 the conditions of the release and progress in training, with 1485 copies to all parties. 1486 Section 37. Subsection (1) of section 918.16, Florida 1487 Statutes, is amended to read: 1488 918.16 Sex offenses; testimony of person under age 16 or 1489 person with mental retardation; testimony of victim; courtroom 1490 cleared; exceptions.— 1491 (1) Except as provided in subsection (2), in the trial of 1492 any case, civil or criminal, when any person under the age of 16 1493 or any person with intellectual disabilitymental retardationas 1494 defined in s. 393.063 is testifying concerning any sex offense, 1495 the court shall clear the courtroom of all persons except 1496 parties to the cause and their immediate families or guardians, 1497 attorneys and their secretaries, officers of the court, jurors, 1498 newspaper reporters or broadcasters, court reporters, and, at 1499 the request of the victim, victim or witness advocates 1500 designated by the state attorney’s office. 1501 Section 38. Section 921.137, Florida Statutes, is amended 1502 to read: 1503 921.137 Imposition of the death sentence upon an 1504 intellectually disabledadefendantwith mental retardation1505 prohibited.— 1506 (1) As used in this section, the term “intellectually 1507 disabled” or “intellectual disability”“mental retardation”1508 means significantly subaverage general intellectual functioning 1509 existing concurrently with deficits in adaptive behavior and 1510 manifested during the period from conception to age 18. The term 1511 “significantly subaverage general intellectual functioning,” for 1512 the purpose of this section, means performance that is two or 1513 more standard deviations from the mean score on a standardized 1514 intelligence test specified in the rules of the Agency for 1515 Persons with Disabilities. The term “adaptive behavior,” for the 1516 purpose of this definition, means the effectiveness or degree 1517 with which an individual meets the standards of personal 1518 independence and social responsibility expected of his or her 1519 age, cultural group, and community. The Agency for Persons with 1520 Disabilities shall adopt rules to specify the standardized 1521 intelligence tests as provided in this subsection. 1522 (2) A sentence of death may not be imposed upon a defendant 1523 convicted of a capital felony if it is determined in accordance 1524 with this section that the defendant is intellectually disabled 1525has mental retardation. 1526 (3) A defendant charged with a capital felony who intends 1527 to raise intellectual disabilitymental retardationas a bar to 1528 the death sentence must give notice of such intention in 1529 accordance with the rules of court governing notices of intent 1530 to offer expert testimony regarding mental health mitigation 1531 during the penalty phase of a capital trial. 1532 (4) After a defendant who has given notice of his or her 1533 intention to raise intellectual disabilitymental retardationas 1534 a bar to the death sentence is convicted of a capital felony and 1535 an advisory jury has returned a recommended sentence of death, 1536 the defendant may file a motion to determine whether the 1537 defendant is intellectually disabledhas mental retardation. 1538 Upon receipt of the motion, the court shall appoint two experts 1539 in the field of intellectual disabilitiesmental retardationwho 1540 shall evaluate the defendant and report their findings to the 1541 court and all interested parties prior to the final sentencing 1542 hearing. Notwithstanding s. 921.141 or s. 921.142, the final 1543 sentencing hearing shall be held without a jury. At the final 1544 sentencing hearing, the court shall consider the findings of the 1545 court-appointed experts and consider the findings of any other 1546 expert which is offered by the state or the defense on the issue 1547 of whether the defendant has an intellectual disabilitymental1548retardation. If the court finds, by clear and convincing 1549 evidence, that the defendant has an intellectual disability 1550mental retardationas defined in subsection (1), the court may 1551 not impose a sentence of death and shall enter a written order 1552 that sets forth with specificity the findings in support of the 1553 determination. 1554 (5) If a defendant waives his or her right to a recommended 1555 sentence by an advisory jury following a plea of guilt or nolo 1556 contendere to a capital felony and adjudication of guilt by the 1557 court, or following a jury finding of guilt of a capital felony, 1558 upon acceptance of the waiver by the court, a defendant who has 1559 given notice as required in subsection (3) may file a motion for 1560 a determination of intellectual disabilitymental retardation. 1561 Upon granting the motion, the court shall proceed as provided in 1562 subsection (4). 1563 (6) If, following a recommendation by an advisory jury that 1564 the defendant be sentenced to life imprisonment, the state 1565 intends to request the court to order that the defendant be 1566 sentenced to death, the state must inform the defendant of such 1567 request if the defendant has notified the court of his or her 1568 intent to raise intellectual disabilitymental retardationas a 1569 bar to the death sentence. After receipt of the notice from the 1570 state, the defendant may file a motion requesting a 1571 determination by the court of whether the defendant is 1572 intellectually disabledhas mental retardation. Upon granting 1573 the motion, the court shall proceed as provided in subsection 1574 (4). 1575 (7) Pursuant to s. 924.07, the state may appeal,pursuant1576to s.924.07,a determination of intellectual disabilitymental1577retardationmade under subsection (4). 1578 (8) This section does not apply to a defendant who was 1579 sentenced to death before June 12, 2001prior to the effective1580date of this act. 1581 (9) For purposes of the application of the criminal laws 1582 and procedural rules of this state to any matters relating to 1583 the imposition and execution of the death penalty, the terms 1584 “intellectual disability” or “intellectually disabled” are 1585 interchangeable with and have the same meaning as the terms 1586 “mental retardation,” or “retardation” and “mentally retarded” 1587 as defined prior to July 1, 2010. 1588 Section 39. Paragraph (b) of subsection (2) of section 1589 941.38, Florida Statutes, is amended to read: 1590 941.38 Extradition of persons alleged to be of unsound 1591 mind.— 1592 (2) For the purpose of this section: 1593 (b) A “mentally incompetent person” is one who because of 1594 mental illness, intellectual disabilitymental retardation, 1595 senility, excessive use of drugs or alcohol, or other mental 1596 incapacity is incapable ofeithermanaging his or her property 1597 or caring for himself or herself or both. 1598 Section 40. Section 944.602, Florida Statutes, is amended 1599 to read: 1600 944.602 Agency notification before release of 1601 intellectually disabledmentally retardedinmates.—Before the 1602 release by parole, release by reason of gain-time allowances 1603 provided for in s. 944.291, or expiration of sentence of any 1604 inmate who has been diagnosed as having an intellectual 1605 disabilitymentally retardedas defined in s. 393.063, the 1606 Department of Corrections shall notify the Agency for Persons 1607 with Disabilities in order that sufficient time be allowed to 1608 notify the inmate or the inmate’s representative, in writing, at 1609 least 7 days beforeprior tothe inmate’s release, of available 1610 community services. 1611 Section 41. Subsection (2) of section 945.025, Florida 1612 Statutes, is amended to read: 1613 945.025 Jurisdiction of department.— 1614 (2) In establishing, operating, and usingutilizingthese 1615 facilities, the department shall attempt, whenever possible, to 1616 avoid the placement of nondangerous offenders who have potential 1617 for rehabilitation with repeat offenders or dangerous offenders. 1618 Medical, mental, and psychological problems mustshallbe 1619 diagnosed and treated whenever possible. The Department of 1620 Children and Family Services and the Agency for Persons with 1621 Disabilities shall cooperate to ensure the delivery of services 1622 to persons under the custody or supervision of the department. 1623 IfWhen it is the intent ofthe department intends to transfer a 1624mentally ill or retardedprisoner who has a mental illness or 1625 intellectual disability to the Department of Children and Family 1626 Services or the Agency for Persons with Disabilities, an 1627 involuntary commitment hearing shall be held in accordance with 1628according to the provisions ofchapter 393 or chapter 394. 1629 Section 42. Subsection (5) of section 945.12, Florida 1630 Statutes, is amended to read: 1631 945.12 Transfers for rehabilitative treatment.— 1632 (5) When the department plans to release a mentally ill or 1633 intellectually disabledretardedoffender, an involuntary 1634 commitment hearing shall be held as soon as possible before 1635prior tohis or her release in accordance with, according to the1636provisions ofchapter 393 or chapter 394. 1637 Section 43. Subsection (9) of section 945.42, Florida 1638 Statutes, is amended to read: 1639 945.42 Definitions; ss. 945.40-945.49.—As used in ss. 1640 945.40-945.49, the following terms shall have the meanings 1641 ascribed to them, unless the context shall clearly indicate 1642 otherwise: 1643 (9) “Mentally ill” means an impairment of the mental or 1644 emotional processes that, of the ability toexercise conscious 1645 control of one’s actions,or of the ability to perceive or 1646 understand reality, which impairment substantially interferes 1647 with theaperson’s ability to meet the ordinary demands of 1648 living. However,regardless of etiology, except that,for the 1649 purposes of transferringtransfer ofan inmate to a mental 1650 health treatment facility, the term does not include a 1651retardation ordevelopmental disability as defined in chapter 1652 393, simple intoxication, or conditions manifested only by 1653 antisocial behavior or substance abuse addiction. However, an 1654 individual who ismentally retarded ordevelopmentally disabled 1655 may also have a mental illness. 1656 Section 44. Section 947.185, Florida Statutes, is amended 1657 to read: 1658 947.185 Application for intellectual disabilitymental1659retardationservices as condition of parole.—The Parole 1660 Commission may require as a condition of parole that any inmate 1661 who has been diagnosed as having an intellectual disability 1662mentally retardedas defined in s. 393.063 shall, upon release, 1663 apply for services from the Agency for Persons with 1664 Disabilities. 1665 Section 45. Subsection (4) of section 984.19, Florida 1666 Statutes, is amended to read: 1667 984.19 Medical screening and treatment of child; 1668 examination of parent, guardian, or person requesting custody.— 1669 (4) A judge may order that a child alleged to be or 1670 adjudicated a child in need of services be treated by a licensed 1671 health care professional. The judge may also order such child to 1672 receive mental health or intellectual disabilityretardation1673 services from a psychiatrist, psychologist, or other appropriate 1674 service provider. If it is necessary to place the child in a 1675 residential facility for such services,thenthe procedures and 1676 criteria established in s. 394.467 or chapter 393 shall be used, 1677 aswhichever isapplicable. A child may be providedmental1678health or retardationservices in emergency situations,pursuant 1679 to the procedures and criteria contained in s. 394.463(1) or 1680 chapter 393, aswhichever isapplicable. 1681 Section 46. Paragraph (a) of subsection (3) of section 1682 985.14, Florida Statutes, is amended to read: 1683 985.14 Intake and case management system.— 1684 (3) The intake and case management system shall facilitate 1685 consistency in the recommended placement of each child, and in 1686 the assessment, classification, and placement process, with the 1687 following purposes: 1688 (a) An individualized, multidisciplinary assessment process 1689 that identifies the priority needs of eachindividualchild for 1690 rehabilitation and treatment and identifies any needs of the 1691 child’s parents or guardians for services that would enhance 1692 their ability to provide adequate support, guidance, and 1693 supervision for the child. This process beginsshall beginwith 1694 the detention risk assessment instrument and decision, includes 1695shall includethe intake preliminary screening and comprehensive 1696 assessment for substance abuse treatment services, mental health 1697 services, intellectual disabilityretardationservices, literacy 1698 services, and other educational and treatment services as 1699 components, additional assessment of the child’s treatment 1700 needs, and classification regarding the child’s risks to the 1701 community and, for a serious or habitual delinquent child, 1702 includesshall include theassessment for placement in a serious 1703 or habitual delinquent children program under s. 985.47. The 1704 completed multidisciplinary assessment process mustshallresult 1705 in the predisposition report. 1706 Section 47. Paragraph (g) of subsection (1) and subsection 1707 (5) of section 985.145, Florida Statutes, are amended to read: 1708 985.145 Responsibilities of juvenile probation officer 1709 during intake; screenings and assessments.— 1710 (1) The juvenile probation officer shall serve as the 1711 primary case manager for the purpose of managing, coordinating, 1712 and monitoring the services provided to the child. Each program 1713 administrator within the Department of Children and Family 1714 Services shall cooperate with the primary case manager in 1715 carrying out the duties and responsibilities described in this 1716 section. In addition to duties specified in other sections and 1717 through departmental rules, the assigned juvenile probation 1718 officer shall be responsible for the following: 1719 (g) Comprehensive assessment.—The juvenile probation 1720 officer, pursuant to uniform procedures established by the 1721 department and upon determining that the report, affidavit, or 1722 complaint is complete, shall: 1723 1. Perform the preliminary screening and make referrals for 1724 a comprehensive assessment regarding the child’s need for 1725 substance abuse treatment services, mental health services, 1726 intellectual disabilityretardationservices, literacy services, 1727 or other educational or treatment services. 1728 2. IfWhenindicated by the preliminary screening, provide 1729 for a comprehensive assessment of the child and family for 1730 substance abuse problems, using community-based licensed 1731 programs with clinical expertise and experience in the 1732 assessment of substance abuse problems. 1733 3. IfWhenindicated by the preliminary screening, provide 1734 for a comprehensive assessment of the child and family for 1735 mental health problems, using community-based psychologists, 1736 psychiatrists, or other licensed mental health professionals who 1737 have clinical expertise and experience in the assessment of 1738 mental health problems. 1739 (5) If the screening and assessment indicate that the 1740 interests of the child and the public will be best served 1741thereby, the juvenile probation officer, with the approval of 1742 the state attorney, may refer the child for care, diagnostic, 1743 and evaluation services; substance abuse treatment services; 1744 mental health services; intellectual disabilityretardation1745 services; a diversionary, arbitration, or mediation program; 1746 community service work; or other programs or treatment services 1747 voluntarily accepted by the child and the child’s parents or 1748 legal guardian. IfWhenevera child volunteers to participate in 1749 any work program under this chapter or volunteers to work in a 1750 specified state, county, municipal, or community service 1751 organization supervised work program or to work for the victim, 1752 the child isshall beconsidered an employee of the state for 1753 the purposes of liability. In determining the child’s average 1754 weekly wage, unless otherwise determined by a specific funding 1755 program, all remuneration received from the employer is 1756 considered a gratuity, and the child is not entitled to any 1757 benefits otherwise payable under s. 440.15,regardless of 1758 whether the child may be receiving wages and remuneration from 1759 other employment with another employer and regardless of the 1760 child’s future wage-earning capacity. 1761 Section 48. Subsections (2) and (6) of section 985.18, 1762 Florida Statutes, are amended to read: 1763 985.18 Medical, psychiatric, psychological, substance 1764 abuse, and educational examination and treatment.— 1765 (2) IfWhenevera child has been found to have committed a 1766 delinquent act, or before such finding with the consent of any 1767 parent or legal custodian of the child, the court may order the 1768 child to be treated by a physician. The court may also order the 1769 child to receive mental health, substance abuse, or intellectual 1770 disabilityretardationservices from a psychiatrist, 1771 psychologist, or other appropriate service provider. If it is 1772 necessary to place the child in a residential facility for such 1773 services, the procedures and criteria established in chapter 1774 393, chapter 394, or chapter 397, aswhichever isapplicable, 1775 mustshallbe used. After a child has been adjudicated 1776 delinquent, if an educational needs assessment by the district 1777 school board or the Department of Children and Family Services 1778 has beenpreviouslyconducted, the court shall order the report 1779of such needs assessmentincluded in the child’s court record in 1780 lieu of a new assessment. For purposes of this section, an 1781 educational needs assessment includes, but is not limited to, 1782 reports of intelligence and achievement tests, screening for 1783 learning and other disabilitiesand other handicaps, and 1784 screening for the need for alternative education. 1785 (6) A physician mustshallbe immediately notified by the 1786 person taking the child into custody or the person having 1787 custody if there are indications of physical injury or illness, 1788 or the child shall be taken to the nearest available hospital 1789 for emergency care. A child may be provided mental health, 1790 substance abuse, or intellectual disabilityretardation1791 services,in emergency situations,pursuant to chapter 393, 1792 chapter 394, or chapter 397, aswhichever isapplicable. After a 1793 hearing, the court may order the custodial parent or parents, 1794 guardian, or other custodian, if found able to do so, to 1795 reimburse the county or state for the expense involved in such 1796 emergency treatment or care. 1797 Section 49. Paragraph (e) of subsection (1), subsections 1798 (2) through (4), and paragraph (a) of subsection (6) of section 1799 985.19, Florida Statutes, are amended to read: 1800 985.19 Incompetency in juvenile delinquency cases.— 1801 (1) If, at any time prior to or during a delinquency case, 1802 the court has reason to believe that the child named in the 1803 petition may be incompetent to proceed with the hearing, the 1804 court on its own motion may, or on the motion of the child’s 1805 attorney or state attorney must, stay all proceedings and order 1806 an evaluation of the child’s mental condition. 1807 (e) For incompetency evaluations related to intellectual 1808 disabilitymental retardationor autism, the court shall order 1809 the Agency for Persons with Disabilities to examine the child to 1810 determine if the child meets the definition of “intellectual 1811 disability”“retardation”or “autism” in s. 393.063 and, if so, 1812 whether the child is competent to proceed with delinquency 1813 proceedings. 1814 (2) A child who is adjudicated incompetent to proceed, and 1815 who has committed a delinquent act or violation of law, either 1816 of which would be a felony if committed by an adult, must be 1817 committed to the Department of Children and Family Services for 1818 treatment or training. A child who has been adjudicated 1819 incompetent to proceed because of age or immaturity, or for any 1820 reason other than for mental illness, intellectual disability, 1821or retardationor autism, must not be committed to the 1822 department or to the Department of Children and Family Services 1823 for restoration-of-competency treatment or training services. 1824 For purposes of this section, a child who has committed a 1825 delinquent act or violation of law, either of which would be a 1826 misdemeanor if committed by an adult, may not be committed to 1827 the department or to the Department of Children and Family 1828 Services for restoration-of-competency treatment or training 1829 services. 1830 (3) If the court finds that a child has mental illness, 1831 intellectual disabilitymental retardation, or autism and 1832 adjudicates the child incompetent to proceed, the court must 1833 also determine whether the child meets the criteria for secure 1834 placement. A child may be placed in a secure facility or program 1835 if the court makes a finding by clear and convincing evidence 1836 that: 1837 (a) The child has mental illness, intellectual disability 1838mental retardation, or autism and because of the mental illness, 1839 intellectual disabilitymental retardation, or autism: 1840 1. The child is manifestly incapable of surviving with the 1841 help of willing and responsible family or friends, including 1842 available alternative services, and without treatment or 1843 training the child is likely toeithersuffer from neglect or 1844 refuse to care for self, and such neglect or refusal poses a 1845 real and present threat of substantial harm to the child’s well 1846 being; or 1847 2. There is a substantial likelihood that in the near 1848 future the child will inflict serious bodily harm on self or 1849 others, as evidenced by recent behavior causing, attempting, or 1850 threatening such harm; and 1851 (b) All available less restrictive alternatives, including 1852 treatment or training in community residential facilities or 1853 community settings, which would offer an opportunity for 1854 improvement of the child’s condition, are inappropriate. 1855 (4) A child who is determined to have mental illness, 1856 intellectual disabilitymental retardation, or autism, who has 1857 been adjudicated incompetent to proceed, and who meets the 1858 criteria set forth in subsection (3), must be committed to the 1859 Department of Children and Family Services and receive treatment 1860 or training in a secure facility or program that is the least 1861 restrictive alternative consistent with public safety. Any 1862 placement of a child to a secure residential program must be 1863 separate from adult forensic programs. If the child attains 1864 competency,thencustody, case management, and supervision of 1865 the child shallwillbe transferred to the department in order 1866 to continue delinquency proceedings; however, the court retains 1867 authority to order the Department of Children and Family 1868 Services to provide continued treatment or training to maintain 1869 competency. 1870 (a) A child adjudicated incompetent due to intellectual 1871 disabilitymental retardationor autism may be ordered into a 1872 secure program or facility designated by the Department of 1873 Children and Family Services for children who have intellectual 1874 disabilitieswith mental retardationor autism. 1875 (b) A child adjudicated incompetent due to mental illness 1876 may be ordered into a secure program or facility designated by 1877 the Department of Children and Family Services for children 1878 having mental illnesses. 1879 (c) IfWhenevera child is placed in a secure residential 1880 facility, the department shallwillprovide transportation to 1881 the secure residential facility for admission and from the 1882 secure residential facility upon discharge. 1883 (d) The purpose of the treatment or training is the 1884 restoration of the child’s competency to proceed. 1885 (e) The service provider must file a written report with 1886 the court pursuant to the applicable Florida Rules of Juvenile 1887 Procedure withinnot later than6 months after the date of 1888 commitment, or at the end of any period of extended treatment or 1889 training, and at any time the Department of Children and Family 1890 Services, through its service provider, determines the child has 1891 attained competency or no longer meets the criteria for secure 1892 placement, or at such shorter intervals as ordered by the court. 1893 A copy of a written report evaluating the child’s competency 1894 must be filed by the provider with the court and with the state 1895 attorney, the child’s attorney, the department, and the 1896 Department of Children and Family Services. 1897 (6)(a) If a child is determined to have mental illness, 1898 intellectual disabilitymental retardation, or autism and is 1899 found to be incompetent to proceed but does not meet the 1900 criteria set forth in subsection (3), the court shall commit the 1901 child to the Department of Children and Family Services and 1902shallorder the Department of Children and Family Services to 1903 provide appropriate treatment and training in the community. The 1904 purpose of the treatment or training is the restoration of the 1905 child’s competency to proceed. 1906 Section 50. Section 985.195, Florida Statutes, is amended 1907 to read: 1908 985.195 Transfer to other treatment services.—Any child 1909 committed to the department may be transferred to intellectual 1910 disabilityretardation, mental health, or substance abuse 1911 treatment facilities for diagnosis and evaluation pursuant to 1912 chapter 393, chapter 394, or chapter 397, aswhichever is1913 applicable, for up toa period not to exceed90 days. 1914 Section 51. Paragraph (b) of subsection (1) of section 1915 985.61, Florida Statutes, is amended to read: 1916 985.61 Early delinquency intervention program; criteria.— 1917 (1) The Department of Juvenile Justice shall, contingent 1918 upon specific appropriation and with the cooperation of local 1919 law enforcement agencies, the judiciary, district school board 1920 personnel, the office of the state attorney, the office of the 1921 public defender, the Department of Children and Family Services, 1922 and community service agencies that work with children, 1923 establish an early delinquency intervention program, the 1924 components of which shall include, but not be limited to: 1925 (b) Treatment modalities, including substance abuse 1926 treatment services, mental health services, andretardation1927 services for intellectual disabilities. 1928 Section 52. It is the intent of the Legislature that this 1929 act is not intended to expand or contract the scope or 1930 application of any provisions of the Florida Statutes. Nothing 1931 in this act may be construed to change the application of any 1932 provisions of the Florida Statutes to any person. 1933 Section 53. This act shall take effect July 1, 2010.