Bill Text: FL S0450 | 2018 | Regular Session | Comm Sub
NOTE: There are more recent revisions of this legislation. Read Latest Draft
Bill Title: Mental Health and Substance Use Disorders
Spectrum: Bipartisan Bill
Status: (Failed) 2018-03-10 - Died in Messages [S0450 Detail]
Download: Florida-2018-S0450-Comm_Sub.html
Bill Title: Mental Health and Substance Use Disorders
Spectrum: Bipartisan Bill
Status: (Failed) 2018-03-10 - Died in Messages [S0450 Detail]
Download: Florida-2018-S0450-Comm_Sub.html
Florida Senate - 2018 CS for SB 450 By the Committee on Children, Families, and Elder Affairs; and Senator Garcia 586-01082-18 2018450c1 1 A bill to be entitled 2 An act relating to mental health and substance use 3 disorders; amending s. 394.455, F.S.; defining the 4 term “peer specialist”; amending s. 394.4572, F.S.; 5 requiring a specific level of screening for peer 6 specialists working in mental health programs and 7 facilities; amending s. 394.4573, F.S.; specifying 8 that the use of peer specialists for recovery support 9 is an essential element of a coordinated system of 10 behavioral health care; amending s. 397.311, F.S.; 11 defining the term “peer specialist”; amending s. 12 397.4073, F.S.; conforming provisions to changes made 13 by the act; creating s. 397.417, F.S.; providing 14 legislative findings and intent; authorizing a person 15 to seek certification as a peer specialist if he or 16 she meets specified qualifications; requiring a 17 background screening, completion of a training 18 program, and a passing score on a competency exam for 19 a qualified person to obtain certification as a peer 20 specialist; requiring the Department of Children and 21 Families to develop a training program for peer 22 specialists and give preference to trainers who are 23 certified peer specialists; requiring the training 24 program to coincide with a competency exam and be 25 based on current practice standards; requiring the 26 department to certify peer specialists directly or by 27 designating a nonprofit certification organization; 28 requiring that a person providing peer specialist 29 services be certified or supervised by a licensed 30 behavioral health care professional or a certified 31 peer specialist; authorizing the department, a 32 behavioral health managing entity, or the Medicaid 33 program to reimburse a peer specialist service as a 34 recovery service; encouraging Medicaid managed care 35 plans to use peer specialists in providing recovery 36 services; requiring peer specialists to meet the 37 requirements of a background screening as a condition 38 of employment and continued employment; authorizing 39 the department or the Agency for Health Care 40 Administration to require by rule that fingerprints be 41 submitted electronically to the Department of Law 42 Enforcement; authorizing the department or the agency 43 to contract with certain vendors for fingerprinting; 44 specifying requirements for vendors; specifying 45 offenses to be considered in the background screening 46 of a peer specialist; authorizing a person who does 47 not meet background screening requirements to request 48 an exemption from disqualification from the department 49 or the agency; providing that all peer specialists 50 certified as of the effective date of this act are 51 recognized as having met the requirements of this act; 52 amending ss. 212.055, 394.495, 394.496, 394.9085, 53 397.416, 409.972, 440.102, and 744.2007, F.S.; 54 conforming cross-references; making technical changes; 55 providing an effective date. 56 57 Be It Enacted by the Legislature of the State of Florida: 58 59 Section 1. Present subsections (32) through (48) of section 60 394.455, Florida Statutes, are redesignated as subsections (33) 61 through (49), respectively, and a new subsection (32) is added 62 to that section, to read: 63 394.455 Definitions.—As used in this part, the term: 64 (32) “Peer specialist” means a person who has been in 65 recovery from a substance use disorder or mental illness for the 66 past 2 years or a family member or caregiver of a person with a 67 substance use disorder or mental illness and who is certified 68 under s. 397.417. 69 Section 2. Paragraph (a) of subsection (1) of section 70 394.4572, Florida Statutes, is amended to read: 71 394.4572 Screening of mental health personnel.— 72 (1)(a) The department and the Agency for Health Care 73 Administration shall require level 2 background screening 74 pursuant to chapter 435 for mental health personnel. “Mental 75 health personnel” includes all program directors, professional 76 clinicians, staff members, and volunteers working in public or 77 private mental health programs and facilities who have direct 78 contact with individuals held for examination or admitted for 79 mental health treatment. For purposes of this chapter, 80 employment screening of mental health personnel also includes, 81 but is not limited to, employment screening as provided under 82 chapter 435 and s. 408.809. The department and the Agency for 83 Health Care Administration shall require a level 2 background 84 screening pursuant to s. 397.417(5) for persons working as peer 85 specialists in public or private mental health programs or 86 facilities who have direct contact with individuals held for 87 involuntary examination or admitted for mental health treatment. 88 Section 3. Paragraph (l) of subsection (2) of section 89 394.4573, Florida Statutes, is amended to read: 90 394.4573 Coordinated system of care; annual assessment; 91 essential elements; measures of performance; system improvement 92 grants; reports.—On or before December 1 of each year, the 93 department shall submit to the Governor, the President of the 94 Senate, and the Speaker of the House of Representatives an 95 assessment of the behavioral health services in this state. The 96 assessment shall consider, at a minimum, the extent to which 97 designated receiving systems function as no-wrong-door models, 98 the availability of treatment and recovery services that use 99 recovery-oriented and peer-involved approaches, the availability 100 of less-restrictive services, and the use of evidence-informed 101 practices. The department’s assessment shall consider, at a 102 minimum, the needs assessments conducted by the managing 103 entities pursuant to s. 394.9082(5). Beginning in 2017, the 104 department shall compile and include in the report all plans 105 submitted by managing entities pursuant to s. 394.9082(8) and 106 the department’s evaluation of each plan. 107 (2) The essential elements of a coordinated system of care 108 include: 109 (l) Recovery support, including, but not limited to, the 110 use of peer specialists as described in s. 397.417 to assist in 111 the individual’s recovery from a substance use disorder or 112 mental illness, support for competitive employment, educational 113 attainment, independent living skills development, family 114 support and education, wellness management and self-care, and 115 assistance in obtaining housing that meets the individual’s 116 needs. Such housing may include mental health residential 117 treatment facilities, limited mental health assisted living 118 facilities, adult family care homes, and supportive housing. 119 Housing provided using state funds must provide a safe and 120 decent environment free from abuse and neglect. 121 Section 4. Present subsections (30) through (49) of section 122 397.311, Florida Statutes, are redesignated as subsections (31) 123 through (50), respectively, and a new subsection (30) is added 124 to that section, to read: 125 397.311 Definitions.—As used in this chapter, except part 126 VIII, the term: 127 (30) “Peer specialist” means a person who has been in 128 recovery from a substance use disorder or mental illness for the 129 past 2 years or a family member or caregiver of a person with a 130 substance use disorder or mental illness and who is certified 131 under s. 397.417. 132 Section 5. Paragraphs (b) and (c) of subsection (4) of 133 section 397.4073, Florida Statutes, are amended to read: 134 397.4073 Background checks of service provider personnel.— 135 (4) EXEMPTIONS FROM DISQUALIFICATION.— 136 (b)Since rehabilitated substance abuse impaired persons137are effective in the successful treatment and rehabilitation of138individuals with substance use disorders, for service providers139which treat adolescents 13 years of age and older, service140provider personnel whose background checks indicate crimes under141s. 817.563, s. 893.13, or s. 893.147 may be exempted from142disqualification from employment pursuant to this paragraph.143(c)The department may grant exemptions from 144 disqualification which would limit service provider personnel to 145 working with adults in substance use disorderabusetreatment 146 facilities. 147 Section 6. Section 397.417, Florida Statutes, is created to 148 read: 149 397.417 Behavioral health peer specialists.— 150 (1) LEGISLATIVE FINDINGS AND INTENT.— 151 (a) The Legislature finds that: 152 1. The ability to provide adequate behavioral health 153 services is limited by a shortage of professionals and 154 paraprofessionals. 155 2. The state is experiencing an increase in opioid 156 addictions, which prove fatal to persons in many cases. 157 3. Peer specialists provide effective support services 158 because they share common life experiences with the persons they 159 assist. 160 4. Peer specialists promote a sense of community among 161 those in recovery. 162 5. Research has shown that peer support facilitates 163 recovery and reduces health care costs. 164 6. Peer specialists may have a criminal history that 165 prevents them from meeting background screening requirements. 166 (b) The Legislature intends to expand the use of peer 167 specialists as a cost-effective means of providing services by 168 ensuring that peer specialists meet specified qualifications, 169 meet modified background screening requirements, and are 170 adequately reimbursed for their services. 171 (2) QUALIFICATIONS.— 172 (a) A person may seek certification as a peer specialist if 173 he or she has been in recovery from a substance use disorder or 174 mental illness for the past 2 years or if he or she is a family 175 member or caregiver of a person with a substance use disorder or 176 mental illness. 177 (b) To obtain certification as a peer specialist, a person 178 must meet the background screening requirements of subsection 179 (5), complete the training program, and achieve a passing score 180 on the competency exam described in paragraph (3)(a). 181 (3) DUTIES OF THE DEPARTMENT.— 182 (a) The department must develop a training program for 183 persons seeking certification as peer specialists. The 184 department must give preference to trainers who are certified 185 peer specialists. The training program must coincide with a 186 competency exam and be based on current practice standards. 187 (b) The department shall certify peer specialists. The 188 department may certify peer specialists directly or may 189 designate a private, nonprofit certification organization to 190 certify peer specialists, implement the training program, and 191 administer the competency exam. 192 (c) The department must require that a person providing 193 peer specialist services be certified or be supervised by a 194 licensed behavioral health care professional or a certified peer 195 specialist. 196 (4) PAYMENT.—Peer specialist services may be reimbursed as 197 a recovery service through the department, a behavioral health 198 managing entity, or the Medicaid program. Medicaid managed care 199 plans are encouraged to use peer specialists in providing 200 recovery services. 201 (5) BACKGROUND SCREENING.— 202 (a) All peer specialists must have completed or been 203 lawfully released from confinement, supervision, or any 204 nonmonetary condition imposed by the court for any felony and 205 must undergo a background screening as a condition of employment 206 and continued employment. The background screening must include 207 fingerprinting for statewide criminal history records checks 208 through the Department of Law Enforcement and national criminal 209 history records checks through the Federal Bureau of 210 Investigation. The background screening may include local 211 criminal records checks through local law enforcement agencies. 212 (b) The department or the Agency for Health Care 213 Administration, as applicable, may require by rule that 214 fingerprints submitted pursuant to this section be submitted 215 electronically to the Department of Law Enforcement. 216 (c) The department or the Agency for Health Care 217 Administration, as applicable, may contract with one or more 218 vendors to perform all or part of the electronic fingerprinting 219 pursuant to this section. Such contracts must ensure that the 220 owners and personnel of the vendor performing the electronic 221 fingerprinting are qualified and will ensure the integrity and 222 security of all personal identifying information. 223 (d) Vendors who submit fingerprints on behalf of employers 224 must: 225 1. Meet the requirements of s. 943.053; and 226 2. Have the ability to communicate electronically with the 227 department or the Agency for Health Care Administration, as 228 applicable, accept screening results from the Department of Law 229 Enforcement and provide the applicant’s full first name, middle 230 initial, and last name; social security number or individual 231 taxpayer identification number; date of birth; mailing address; 232 sex; and race. 233 (e) The background screening under this section must ensure 234 that a peer specialist has not, during the previous 3 years, 235 been arrested for and is awaiting final disposition of, been 236 found guilty of, regardless of adjudication, or entered a plea 237 of nolo contendere or guilty to, or been adjudicated delinquent 238 and the record has not been sealed or expunged for, any felony. 239 (f) The background screening under this section must ensure 240 that a peer specialist has not been found guilty of, regardless 241 of adjudication, or entered a plea of nolo contendere or guilty 242 to, or been adjudicated delinquent and the record has not been 243 sealed or expunged for, any offense prohibited under any of the 244 following state laws or similar laws of another jurisdiction: 245 1. Section 393.135, relating to sexual misconduct with 246 certain developmentally disabled clients and reporting of such 247 sexual misconduct. 248 2. Section 394.4593, relating to sexual misconduct with 249 certain mental health patients and reporting of such sexual 250 misconduct. 251 3. Section 409.9201, relating to Medicaid fraud. 252 4. Section 415.111, relating to adult abuse, neglect, or 253 exploitation of aged persons or disabled adults. 254 5. Section 741.28, relating to domestic violence. 255 6. Section 777.04, relating to attempts, solicitation, and 256 conspiracy to commit an offense listed in this section. 257 7. Section 782.04, relating to murder. 258 8. Section 782.07, relating to manslaughter, aggravated 259 manslaughter of an elderly person or disabled adult, aggravated 260 manslaughter of a child, or aggravated manslaughter of an 261 officer, a firefighter, an emergency medical technician, or a 262 paramedic. 263 9. Section 782.071, relating to vehicular homicide. 264 10. Section 782.09, relating to killing of an unborn child 265 by injury to the mother. 266 11. Chapter 784, relating to assault, battery, and culpable 267 negligence, if the offense was a felony. 268 12. Section 787.01, relating to kidnapping. 269 13. Section 787.02, relating to false imprisonment. 270 14. Section 787.025, relating to luring or enticing a 271 child. 272 15. Section 787.04(2), relating to leading, taking, 273 enticing, or removing a minor beyond the state limits, or 274 concealing the location of a minor, with criminal intent pending 275 custody proceedings. 276 16. Section 787.04(3), relating to leading, taking, 277 enticing, or removing a minor beyond the state limits, or 278 concealing the location of a minor, with criminal intent pending 279 dependency proceedings or proceedings concerning alleged abuse 280 or neglect of a minor. 281 17. Section 790.115(1), relating to exhibiting firearms or 282 weapons within 1,000 feet of a school. 283 18. Section 790.115(2)(b), relating to possessing an 284 electric weapon or device, destructive device, or other weapon 285 on school property. 286 19. Section 794.011, relating to sexual battery. 287 20. Former s. 794.041, relating to prohibited acts of 288 persons in familial or custodial authority. 289 21. Section 794.05, relating to unlawful sexual activity 290 with certain minors. 291 22. Section 794.08, relating to female genital mutilation. 292 23. Section 798.02, relating to lewd and lascivious 293 behavior. 294 24. Chapter 800, relating to lewdness and indecent 295 exposure. 296 25. Section 806.01, relating to arson. 297 26. Section 810.02, relating to burglary, if the offense 298 was a felony of the first degree. 299 27. Section 810.14, relating to voyeurism, if the offense 300 was a felony. 301 28. Section 810.145, relating to video voyeurism, if the 302 offense was a felony. 303 29. Section 812.13, relating to robbery. 304 30. Section 812.131, relating to robbery by sudden 305 snatching. 306 31. Section 812.133, relating to carjacking. 307 32. Section 812.135, relating to home-invasion robbery. 308 33. Section 817.50, relating to fraudulently obtaining 309 goods or services from a health care provider and false reports 310 of a communicable disease. 311 34. Section 817.505, relating to patient brokering. 312 35. Section 825.102, relating to abuse, aggravated abuse, 313 or neglect of an elderly person or disabled adult. 314 36. Section 825.1025, relating to lewd or lascivious 315 offenses committed upon or in the presence of an elderly person 316 or disabled person. 317 37. Section 825.103, relating to exploitation of an elderly 318 person or disabled adult, if the offense was a felony. 319 38. Section 826.04, relating to incest. 320 39. Section 827.03, relating to child abuse, aggravated 321 child abuse, or neglect of a child. 322 40. Section 827.04, relating to contributing to the 323 delinquency or dependency of a child. 324 41. Former s. 827.05, relating to negligent treatment of 325 children. 326 42. Section 827.071, relating to sexual performance by a 327 child. 328 43. Section 831.30, relating to fraud in obtaining 329 medicinal drugs. 330 44. Section 831.31, relating to sale, manufacture, 331 delivery, possession with intent to sell, manufacture, or 332 deliver any counterfeit controlled substance if the offense was 333 a felony. 334 45. Section 843.01, relating to resisting arrest with 335 violence. 336 46. Section 843.025, relating to depriving a law 337 enforcement, correctional, or correctional probation officer 338 means of protection or communication. 339 47. Section 843.12, relating to aiding in an escape. 340 48. Section 843.13, relating to aiding in the escape of 341 juvenile inmates of correctional institutions. 342 49. Chapter 847, relating to obscene literature. 343 50. Section 874.05, relating to encouraging or recruiting 344 another to join a criminal gang. 345 51. Chapter 893, relating to drug abuse prevention and 346 control, if the offense was a felony of the second degree or 347 greater severity. 348 52. Section 895.03, relating to racketeering and collection 349 of unlawful debts. 350 53. Section 896.101, relating to the Florida Money 351 Laundering Act. 352 54. Section 916.1075, relating to sexual misconduct with 353 certain forensic clients and reporting of such sexual 354 misconduct. 355 55. Section 944.35(3), relating to inflicting cruel or 356 inhuman treatment on an inmate resulting in great bodily harm. 357 56. Section 944.40, relating to escape. 358 57. Section 944.46, relating to harboring, concealing, or 359 aiding an escaped prisoner. 360 58. Section 944.47, relating to introduction of contraband 361 into a correctional facility. 362 59. Section 985.701, relating to sexual misconduct in 363 juvenile justice programs. 364 60. Section 985.711, relating to contraband introduced into 365 detention facilities. 366 (6) EXEMPTION REQUESTS.—Persons who wish to become a peer 367 specialist and are disqualified under subsection (5) may request 368 an exemption from disqualification pursuant to s. 435.07 from 369 the department or the Agency for Health Care Administration, as 370 applicable. 371 (7) GRANDFATHER CLAUSE.—All peer specialists certified as 372 of the effective date of this act are recognized as having met 373 the requirements of this act. 374 Section 7. Paragraph (e) of subsection (5) of section 375 212.055, Florida Statutes, is amended to read: 376 212.055 Discretionary sales surtaxes; legislative intent; 377 authorization and use of proceeds.—It is the legislative intent 378 that any authorization for imposition of a discretionary sales 379 surtax shall be published in the Florida Statutes as a 380 subsection of this section, irrespective of the duration of the 381 levy. Each enactment shall specify the types of counties 382 authorized to levy; the rate or rates which may be imposed; the 383 maximum length of time the surtax may be imposed, if any; the 384 procedure which must be followed to secure voter approval, if 385 required; the purpose for which the proceeds may be expended; 386 and such other requirements as the Legislature may provide. 387 Taxable transactions and administrative procedures shall be as 388 provided in s. 212.054. 389 (5) COUNTY PUBLIC HOSPITAL SURTAX.—Any county as defined in 390 s. 125.011(1) may levy the surtax authorized in this subsection 391 pursuant to an ordinance either approved by extraordinary vote 392 of the county commission or conditioned to take effect only upon 393 approval by a majority vote of the electors of the county voting 394 in a referendum. In a county as defined in s. 125.011(1), for 395 the purposes of this subsection, “county public general 396 hospital” means a general hospital as defined in s. 395.002 397 which is owned, operated, maintained, or governed by the county 398 or its agency, authority, or public health trust. 399 (e) A governing board, agency, or authority shall be 400 chartered by the county commission upon this act becoming law. 401 The governing board, agency, or authority shall adopt and 402 implement a health care plan for indigent health care services. 403 The governing board, agency, or authority shall consist of no 404 more than seven and no fewer than five members appointed by the 405 county commission. The members of the governing board, agency, 406 or authority shall be at least 18 years of age and residents of 407 the county. ANomember may not be employed by or affiliated 408 with a health care provider or the public health trust, agency, 409 or authority responsible for the county public general hospital. 410 The following community organizations shall each appoint a 411 representative to a nominating committee: the South Florida 412 Hospital and Healthcare Association, the Miami-Dade County 413 Public Health Trust, the Dade County Medical Association, the 414 Miami-Dade County Homeless Trust, and the Mayor of Miami-Dade 415 County. This committee shall nominate between 10 and 14 county 416 citizens for the governing board, agency, or authority. The 417 slate shall be presented to the county commission and the county 418 commission shall confirm the top five to seven nominees, 419 depending on the size of the governing board. Until such time as 420 the governing board, agency, or authority is created, the funds 421 provided for in subparagraph (d)2. shall be placed in a 422 restricted account set aside from other county funds and not 423 disbursed by the county for any other purpose. 424 1. The plan shall divide the county into a minimum of four 425 and maximum of six service areas, with no more than one 426 participant hospital per service area. The county public general 427 hospital shall be designated as the provider for one of the 428 service areas. Services shall be provided through participants’ 429 primary acute care facilities. 430 2. The plan and subsequent amendments to it shall fund a 431 defined range of health care services for both indigent persons 432 and the medically poor, including primary care, preventive care, 433 hospital emergency room care, and hospital care necessary to 434 stabilize the patient. For the purposes of this section, 435 “stabilization” means stabilization as defined in s. 397.311s.436397.311(45). Where consistent with these objectives, the plan 437 may include services rendered by physicians, clinics, community 438 hospitals, and alternative delivery sites, as well as at least 439 one regional referral hospital per service area. The plan shall 440 provide that agreements negotiated between the governing board, 441 agency, or authority and providers shall recognize hospitals 442 that render a disproportionate share of indigent care, provide 443 other incentives to promote the delivery of charity care to draw 444 down federal funds where appropriate, and require cost 445 containment, including, but not limited to, case management. 446 From the funds specified in subparagraphs (d)1. and 2. for 447 indigent health care services, service providers shall receive 448 reimbursement at a Medicaid rate to be determined by the 449 governing board, agency, or authority created pursuant to this 450 paragraph for the initial emergency room visit, and a per-member 451 per-month fee or capitation for those members enrolled in their 452 service area, as compensation for the services rendered 453 following the initial emergency visit. Except for provisions of 454 emergency services, upon determination of eligibility, 455 enrollment shall be deemed to have occurred at the time services 456 were rendered. The provisions for specific reimbursement of 457 emergency services shall be repealed on July 1, 2001, unless 458 otherwise reenacted by the Legislature. The capitation amount or 459 rate shall be determined before program implementation by an 460 independent actuarial consultant. In no event shall such 461 reimbursement rates exceed the Medicaid rate. The plan must also 462 provide that any hospitals owned and operated by government 463 entities on or after the effective date of this act must, as a 464 condition of receiving funds under this subsection, afford 465 public access equal to that provided under s. 286.011 as to any 466 meeting of the governing board, agency, or authority the subject 467 of which is budgeting resources for the retention of charity 468 care, as that term is defined in the rules of the Agency for 469 Health Care Administration. The plan shall also include 470 innovative health care programs that provide cost-effective 471 alternatives to traditional methods of service and delivery 472 funding. 473 3. The plan’s benefits shall be made available to all 474 county residents currently eligible to receive health care 475 services as indigents or medically poor as defined in paragraph 476 (4)(d). 477 4. Eligible residents who participate in the health care 478 plan shall receive coverage for a period of 12 months or the 479 period extending from the time of enrollment to the end of the 480 current fiscal year, per enrollment period, whichever is less. 481 5. At the end of each fiscal year, the governing board, 482 agency, or authority shall prepare an audit that reviews the 483 budget of the plan, delivery of services, and quality of 484 services, and makes recommendations to increase the plan’s 485 efficiency. The audit shall take into account participant 486 hospital satisfaction with the plan and assess the amount of 487 poststabilization patient transfers requested, and accepted or 488 denied, by the county public general hospital. 489 Section 8. Subsection (3) of section 394.495, Florida 490 Statutes, is amended to read: 491 394.495 Child and adolescent mental health system of care; 492 programs and services.— 493 (3) Assessments must be performed by: 494 (a) A professional as defined in s. 394.455(5), (7), (33) 495(32), (36)(35), or (37)(36); 496 (b) A professional licensed under chapter 491; or 497 (c) A person who is under the direct supervision of a 498 qualified professional as defined in s. 394.455(5), (7), (33) 499(32), (36)(35), or (37)(36)or a professional licensed under 500 chapter 491. 501 Section 9. Subsection (5) of section 394.496, Florida 502 Statutes, is amended to read: 503 394.496 Service planning.— 504 (5) A professional as defined in s. 394.455(5), (7), (33) 505(32), (36)(35), or (37)(36)or a professional licensed under 506 chapter 491 must be included among those persons developing the 507 services plan. 508 Section 10. Subsection (6) of section 394.9085, Florida 509 Statutes, is amended to read: 510 394.9085 Behavioral provider liability.— 511 (6) For purposes of this section, the termterms512 “detoxification services,” has the same meaning as 513 detoxification in s. 397.311(26)(a), “addictions receiving 514 facility,” has the same meaning as provided in s. 515 397.311(26)(a), and “receiving facility” hashavethe same 516 meaningmeaningsasthoseprovided in s. 394.455ss.517397.311(26)(a)4., 397.311(26)(a)1., and394.455(39),518respectively. 519 Section 11. Section 397.416, Florida Statutes, is amended 520 to read: 521 397.416 Substance use disorderabusetreatment services; 522 qualified professional.—Notwithstanding any other provision of 523 law, a person who was certified through a certification process 524 recognized by the former Department of Health and Rehabilitative 525 Services before January 1, 1995, may perform the duties of a 526 qualified professional with respect to substance useabuse527 treatment services as defined in this chapter, and need not meet 528 the certification requirements contained in s. 397.311(35)s.529397.311(34). 530 Section 12. Paragraph (b) of subsection (1) of section 531 409.972, Florida Statutes, is amended to read: 532 409.972 Mandatory and voluntary enrollment.— 533 (1) The following Medicaid-eligible persons are exempt from 534 mandatory managed care enrollment required by s. 409.965, and 535 may voluntarily choose to participate in the managed medical 536 assistance program: 537 (b) Medicaid recipients residing in residential commitment 538 facilities operated through the Department of Juvenile Justice 539 or in a treatment facility as defined in s. 394.455s.540394.455(47). 541 Section 13. Paragraphs (d) and (g) of subsection (1) of 542 section 440.102, Florida Statutes, are amended to read: 543 440.102 Drug-free workplace program requirements.—The 544 following provisions apply to a drug-free workplace program 545 implemented pursuant to law or to rules adopted by the Agency 546 for Health Care Administration: 547 (1) DEFINITIONS.—Except where the context otherwise 548 requires, as used in this act: 549 (d) “Drug rehabilitation program” means a service provider 550 as defined in s. 397.311 which,established pursuant to s.551397.311(43), thatprovides confidential, timely, and expert 552 identification, assessment, and resolution of employee drug 553 abuse. 554 (g) “Employee assistance program” means an established 555 program capable of providing expert assessment of employee 556 personal concerns; confidential and timely identification 557 services with regard to employee drug abuse; referrals of 558 employees for appropriate diagnosis, treatment, and assistance; 559 and followup services for employees who participate in the 560 program or require monitoring after returning to work. If, in 561 addition to the above activities, an employee assistance program 562 provides diagnostic and treatment services, these services shall 563 in all cases be provided by service providers as defined in s. 564 397.311pursuant to s. 397.311(43). 565 Section 14. Subsection (7) of section 744.2007, Florida 566 Statutes, is amended to read: 567 744.2007 Powers and duties.— 568 (7) A public guardian may not commit a ward to a treatment 569 facility, as defined in s. 394.455s. 394.455(47), without an 570 involuntary placement proceeding as provided by law. 571 Section 15. This act shall take effect July 1, 2018.