Bill Text: FL S1104 | 2011 | Regular Session | Introduced
Bill Title: Intellectual Disabilities
Spectrum: Partisan Bill (Republican 1-0)
Status: (Introduced - Dead) 2011-05-07 - Indefinitely postponed and withdrawn from consideration [S1104 Detail]
Download: Florida-2011-S1104-Introduced.html
Florida Senate - 2011 SB 1104 By Senator Altman 24-00645-11 20111104__ 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 for purposes of 5 certain proceedings relating to children; amending ss. 6 40.013, 86.041, 92.53, 92.54, and 92.55, F.S.; 7 substituting the term “intellectual disability” for 8 the term “mental retardation”; amending s. 320.10, 9 F.S.; substituting the Arc of Florida for the 10 Association for Retarded Citizens; amending ss. 11 383.14, 393.063, 393.11, and 394.455, F.S.; 12 substituting the term “intellectual disability” for 13 the term “mental retardation”; clarifying in s. 14 393.063, that the meaning of the terms “intellectual 15 disability” or “intellectually disabled” is the same 16 as the meaning of the terms “mental retardation,” 17 “retarded,” and “mentally retarded” for purposes of 18 matters relating to the criminal laws and court rules; 19 amending s. 400.960, F.S.; revising definitions 20 relating to intermediate care facilities for the 21 developmentally disabled to delete unused terms; 22 amending s. 408.032, F.S.; conforming a cross 23 reference; amending s. 409.908, F.S.; substituting the 24 term “intellectually disabled” for the term “mentally 25 retarded”; amending ss. 413.20, 440.49, and 499.0054, 26 F.S.; substituting the term “intellectual disability” 27 for the term “mental retardation”; amending s. 28 514.072, F.S.; conforming a cross-reference and 29 deleting obsolete provisions; amending ss. 627.6041, 30 627.6615, 641.31, 650.05, 765.204, 849.04, 914.16, 31 914.17, 916.105, and 916.106, F.S.; substituting the 32 term “intellectual disability” for the term “mental 33 retardation”; amending s. 916.107, F.S.; substituting 34 the term “intellectual disability” for the term 35 “retardation”; providing a directive to the Division 36 of Statutory Revision; amending ss. 916.301, 916.3012, 37 916.302, 916.3025, 916.303, 916.304, 918.16, 921.137, 38 941.38, 944.602, 945.025, 945.12, 945.42, 947.185, 39 984.19, 985.14, 985.145, 985.18, 985.19, 985.195, and 40 985.61, F.S.; clarifying in s. 921.137, F.S., that the 41 terms “intellectual disability” or “intellectually 42 disabled” are interchangeable with and have the same 43 meaning as the terms “mental retardation,” or 44 “retardation” and “mentally retarded,” as defined 45 before the effective date of the act; substituting the 46 term “intellectual disability” for the term “mental 47 retardation”; expressing legislative intent; providing 48 an effective date. 49 50 Be It Enacted by the Legislature of the State of Florida: 51 52 Section 1. Subsection (15) of section 39.502, Florida 53 Statutes, is amended to read: 54 39.502 Notice, process, and service.— 55 (15) A party who is identified as a person who has awith56 mental illness orwitha developmental disability must be 57 informed by the court of the availability of advocacy services 58 through the department, the Arc of FloridaAssociation for59Retarded Citizens, or other appropriate mental health or 60 developmental disability advocacy groups and encouraged to seek 61 such services. 62 Section 2. Subsection (9) of section 40.013, Florida 63 Statutes, is amended to read: 64 40.013 Persons disqualified or excused from jury service.— 65 (9) Any person who is responsible for the care of a person 66 who, because of mental illness, intellectual disabilitymental67retardation, senility, or other physical or mental incapacity, 68 is incapable of caring for himself or herself shall be excused 69 from jury service upon request. 70 Section 3. Section 86.041, Florida Statutes, is amended to 71 read: 72 86.041 Actions by executors, administrators, trustees, 73 etc.—Any person interested as or through an executor, 74 administrator, trustee, guardian, or other fiduciary, creditor, 75 devisee, legatee, heir, next of kin, or cestui que trust, in the 76 administration of a trust, a guardianship, orofthe estate of a 77 decedent, an infant, a mental incompetent, or insolvent may have 78 a declaration of rights or equitable or legal relations toin79respect thereto: 80 (1)ToAscertain any class of creditors, devisees, 81 legatees, heirs, next of kin, or others;or82 (2)ToDirect the executor, administrator, or trustee to 83 refrain from doing any particular act in his or her fiduciary 84 capacity; or 85 (3)ToDetermine any question relating toarising inthe 86 administration of the guardianship, estate, or trust, including 87 questions of construction of wills and other writings. 88 89 For the purpose of this section, a “mental incompetent” is one 90 who, because of mental illness, intellectual disabilitymental91retardation, senility, excessive use of drugs or alcohol, or 92 other mental incapacity, is incapable ofeithermanaging his or 93 her property or caring for himself or herself,or both. 94 Section 4. Section 92.53, Florida Statutes, is amended to 95 read: 96 92.53 Videotaping of testimony of a victim or witness under 97 age 16 or who has an intellectual disabilitypersonwith mental98retardation.— 99 (1) On motion and hearing in camera and a finding that 100 there is a substantial likelihood that a victim or witness who 101 is under the age of 16 or who has an intellectual disabilityis102a person with mental retardationas defined in s. 393.063 would 103 suffer at least moderate emotional or mental harm due to the 104 presence of the defendant if such victim or witnessthe child or105person with mental retardationis required to testify in open 106 court, orthat such victim or witnessisotherwiseunavailable 107 as defined in s. 90.804(1), the trial court may order the 108 videotaping of the testimony of the victim or witness in a case, 109 whether civil or criminal in nature, in which videotaped 110 testimony is to be usedutilizedat trial in lieu of trial 111 testimony in open court. 112 (2) The motion may be filed by: 113 (a) The victim or witness, or the victim’s or witness’s 114 attorney, parent, legal guardian, or guardian ad litem; 115 (b) A trial judge on his or her own motion; 116 (c) Any party in a civil proceeding; or 117 (d) The prosecuting attorney or the defendant, or the 118 defendant’s counsel. 119 (3) The judge shall preside, or shall appoint a special 120 master to preside, at the videotaping unlessthe following121conditions are met: 122 (a) The child or the person who has the intellectual 123 disabilitywith mental retardationis represented by a guardian 124 ad litem or counsel; 125 (b) The representative of the victim or witness and the 126 counsel for each party stipulate that the requirement for the 127 presence of the judge or special master may be waived; and 128 (c) The court finds at a hearing on the motion that the 129 presence of a judge or special master is not necessary to 130 protect the victim or witness. 131 (4) The defendant and the defendant’s counsel mustshallbe 132 present at the videotaping, unless the defendant has waived this 133 right. The court may require the defendant to view the testimony 134 from outside the presence of the child or the person who has an 135 intellectual disabilitywithmental retardationby means of a 136 two-way mirror or another similar method that ensureswill137ensurethat the defendant can observe and hear the testimony of 138 the victim or witness in person, butthatthe victim or witness 139 cannot hear or see the defendant. The defendant and the attorney 140 for the defendant may communicate by any appropriate private 141 method. 142 (5) Any party, or the court on its own motion, may request 143 the aid of an interpreter, as provided in s. 90.606, to aid the 144 parties in formulating methods of questioning the child or 145 person who has the intellectual disabilitywith mental146retardationand in interpreting the answers of the child or 147 personwith mental retardationthroughout proceedings conducted 148 under this section. 149 (6) The motion referred to in subsection (1) may be made at 150 any time with reasonable notice to each party to the cause, and 151 videotaping of testimony may be made any time after the court 152 grants the motion. The videotaped testimony isshall be153 admissible as evidence in the trial of the cause; however, such 154 testimony isshallnotbeadmissible in any trial or proceeding 155 in which such witness testifies by use of closed circuit 156 television pursuant to s. 92.54. 157 (7) The court shall make specific findings of fact, on the 158 record, as to the basis for its ruling under this section. 159 Section 5. Section 92.54, Florida Statutes, is amended to 160 read: 161 92.54 Use of closed circuit television in proceedings 162 involving a victim or witnessvictims or witnessesunder the age 163 of 16 or who has an intellectual disabilitypersons with mental164retardation.— 165 (1) Upon motion and hearing in camera and upon a finding 166 that there is a substantial likelihood that a victim or witness 167 under the age of 16 or who has an intellectual disabilitythe168child or person withmental retardationwill suffer at least 169 moderate emotional or mental harm due to the presence of the 170 defendant if such victim or witnessthe child or person with171mental retardationis required to testify in open court, orthat172such victim or witnessis unavailable as defined in s. 173 90.804(1), the trial court may order that the testimony of thea174child under the age of 16 or person with mental retardation who175is avictim or witness be taken outside of the courtroom and 176 shown by means of closed circuit television. 177 (2) The motion may be filed by the victim or witness; the 178 attorney, parent, legal guardian, or guardian ad litem of the 179 victim or witness; the prosecutor; the defendant or the 180 defendant’s counsel; or the trial judge on his or her own 181 motion. 182 (3) Only the judge, the prosecutor, the defendant, the 183 attorney for the defendant, the operators of the videotape 184 equipment, an interpreter, and some other person who, in the 185 opinion of the court, contributes to the well-being of the child 186 or the person who has an intellectual disabilitywith mental187retardationand who will not be a witness in the case may be in 188 the room during the recording of the testimony. 189 (4) During the victim’s or witness’schild’s or person’s190with mental retardationtestimony by closed circuit television, 191 the court may require the defendant to view the testimony from 192 the courtroom. In such a case, the court shall permit the 193 defendant to observe and hear the testimony of the victim or 194 witnesschild or person with mental retardation, but mustshall195 ensure that the victim or witnesschild or person with mental196retardationcannot hear or see the defendant. The defendant’s 197 right to assistance of counsel, which includes the right to 198 immediate and direct communication with counsel conducting 199 cross-examination, must be protected and, upon the defendant’s 200 request, such communication shall be provided by any appropriate 201 electronic method. 202 (5) The court shall make specific findings of fact, on the 203 record, as to the basis for its ruling under this section. 204 Section 6. Section 92.55, Florida Statutes, is amended to 205 read: 206 92.55 Judicial or other proceedings involving a victim or 207 witness under the age of 16 or who has an intellectual 208 disabilityperson with mental retardation; special protections.— 209 (1) Upon motion of any party, upon motion of a parent, 210 guardian, attorney, or guardian ad litem for a victim or witness 211childunder the age of 16 or who has an intellectual disability 212person with mental retardation, or upon its own motion, the 213 court may enter any order necessary to protect sucha child214under the age of 16 or person with mental retardation who is a215 victim or witness in any judicial proceeding or other official 216 proceeding from severe emotional or mental harm due to the 217 presence of the defendant if the victim or witnesschild or218person with mental retardationis required to testify in open 219 court. Such orders mustshallrelate to the taking of testimony 220 andshallinclude, but arenot belimited to: 221 (a) Interviewing or the taking of depositions as part of a 222 civil or criminal proceeding. 223 (b) Examination and cross-examination for the purpose of 224 qualifying as a witness or testifying in any proceeding. 225 (c) The use of testimony taken outside of the courtroom, 226 including proceedings under ss. 92.53 and 92.54. 227 (2) In ruling upon the motion, the court shall take into 228 consideration: 229 (a) The age of the child, the nature of the offense or act, 230 the relationship of the child to the parties in the case or to 231 the defendant in a criminal action, the degree of emotional 232 trauma that will result to the child as a consequence of the 233 defendant’s presence, and any other fact that the court deems 234 relevant; or 235 (b) The age of the person who has an intellectual 236 disabilitywith mental retardation, the functional capacity of 237 suchthepersonwith mental retardation, the nature of the 238 offenses or act, the relationship of the personwith mental239retardationto the parties in the case or to the defendant in a 240 criminal action, the degree of emotional trauma that will result 241 to the personwith mental retardationas a consequence of the 242 defendant’s presence, and any other fact that the court deems 243 relevant. 244 (3) In addition to such other reliefas isprovided by law, 245 the court may enter orders limiting the number of times that a 246 child or a person who has an intellectual disabilitywith mental247retardationmay be interviewed, prohibiting depositions of such 248achild or personwith mental retardation, requiring the 249 submission of questions before theprior toexamination of a 250 child or personwith mental retardation, setting the place and 251 conditions for interviewing theachild or personwith mental252retardationor for conducting any other proceeding, or 253 permitting or prohibiting the attendance of any person at any 254 proceeding. The court shall enter any order necessary to protect 255 the rights of all parties, including the defendant in any 256 criminal action. 257 Section 7. Subsection (1) of section 320.10, Florida 258 Statutes, is amended to read: 259 320.10 Exemptions.— 260 (1) The provisions of s. 320.08 do not apply to: 261 (a) Any motor vehicle or mobile home owned by, and operated 262 exclusively for the personal use of, any member of the United 263 States Armed Forces who is not a resident of this state and who 264 is stationed in the state while in compliance with military or 265 naval orders; 266 (b) Any motor vehicle owned or operated exclusively by the 267 Federal Government; 268 (c) Any motor vehicle owned and operated exclusively for 269 the benefit of the Boys’ Clubs of America, the National Audubon 270 Society, the National Children’s Cardiac Hospital, any humane 271 society, any nationally chartered veterans’ organization that 272 maintains a state headquarters in this state, the Children’s 273 Bible Mission, the Boy Scouts of America, the Girl Scouts of 274 America, the Salvation Army, the American National Red Cross, 275 the United Service Organization, any local member unit of the 276 National Urban League which provides free services to municipal 277 and county residents who are in need of such services, the Young 278 Men’s Christian Association, the Young Men’s Hebrew Association, 279 the Camp Fire Girls’ Council, the Young Women’s Christian 280 Association, the Young Women’s Hebrew Association, any local 281 member unit of the Arc of FloridaAssociation for Retarded282Citizens, the Children’s Home Society of Florida, or the 283 Goodwill Industries. A not-for-profit organization named in this 284 paragraph and its local affiliate organizations isshall be285 eligible for the exemption if itfor so long as eachmaintains 286 current articles of incorporation on file with the Department of 287 State and qualifies as a not-for-profit organization under s. 288 212.08; 289 (d) Any motor vehicle owned and operated by a church, 290 temple, or synagogue for exclusive use as a community service 291 van or to transport passengers without compensation to religious 292 services or for religious education; 293 (e) Any motor vehicle owned and operated by the Civil Air 294 Patrol or the United States Coast Guard Auxiliary; 295 (f) Any mobile blood bank unit when operated as a nonprofit 296 service by an organization; 297 (g) Any mobile X-ray unit or truck or bus used exclusively 298 for public health purposes; 299 (h) Any school bus owned and operated by a nonprofit 300 educational or religious corporation; 301 (i) Any vehicle used by any of the various search and 302 rescue units of the several counties for exclusive use as a 303 search and rescue vehicle; and 304 (j) Any motor vehicle used by a community transportation 305 coordinator or a transportation operator as defined in part I of 306 chapter 427, and which is used exclusively to transport 307 transportation disadvantaged persons. 308 Section 8. Paragraph (d) of subsection (3) of section 309 383.14, Florida Statutes, is amended to read: 310 383.14 Screening for metabolic disorders, other hereditary 311 and congenital disorders, and environmental risk factors.— 312 (3) DEPARTMENT OF HEALTH; POWERS AND DUTIES.—The department 313 shall administer and provide certain services to implement the 314 provisions of this section and shall: 315 (d) Maintain a confidential registry of cases, including 316 information of importance for the purpose of followup services 317 to prevent intellectual disabilitiesmental retardation, to 318 correct or ameliorate physical disabilitieshandicaps, and for 319 epidemiologic studies, if indicated. Such registry shall be 320 exempt from the provisions of s. 119.07(1). 321 322 All provisions of this subsection must be coordinated with the 323 provisions and plans established under this chapter, chapter 324 411, and Pub. L. No. 99-457. 325 Section 9. Subsection (9) and subsections (20) through (31) 326 of section 393.063, Florida Statutes, are reordered and amended 327 to read: 328 393.063 Definitions.—For the purposes of this chapter, the 329 term: 330 (9) “Developmental disability” means a disorder or syndrome 331 that is attributable to intellectual disabilityretardation, 332 cerebral palsy, autism, spina bifida, or Prader-Willi syndrome; 333 that manifests before the age of 18; and that constitutes a 334 substantial handicap that can reasonably be expected to continue 335 indefinitely. 336 (21)(20)“Intermediate care facility for the 337 developmentally disabled” or “ICF/DD” means a residential 338 facility licensed and certified underpursuant topart VIII of 339 chapter 400. 340 (22)(21)“Medical/dental services” means medically 341 necessary services thatwhichare provided or ordered for a 342 client by a person licensed under chapter 458, chapter 459, or 343 chapter 466. Such services may include, but are not limited to, 344 prescription drugs, specialized therapies, nursing supervision, 345 hospitalization, dietary services, prosthetic devices, surgery, 346 specialized equipment and supplies, adaptive equipment, and 347 other services as required to prevent or alleviate a medical or 348 dental condition. 349 (23)(22)“Personal care services” means individual 350 assistance with or supervision of essential activities of daily 351 living for self-care, including ambulation, bathing, dressing, 352 eating, grooming, and toileting, and other similar services that 353 are incidental to the care furnished and essential to the 354 health, safety, and welfare of the client ifwhen there isno 355 one else is available to perform those services. 356 (24)(23)“Prader-Willi syndrome” means an inherited 357 condition typified by neonatal hypotonia with failure to thrive, 358 hyperphagia or an excessive drive to eat which leads to obesity 359 usually at 18 to 36 months of age, mild to moderate mental 360 retardation, hypogonadism, short stature, mild facial 361 dysmorphism, and a characteristic neurobehavior. 362 (25)(24)“Relative” means an individual who is connected by 363 affinity or consanguinity to the client and who is 18 years of 364 age or older. 365 (26)(25)“Resident” means aanyperson who has awith366 developmental disability and residesdisabilities residingat a 367 residential facility, whether or not such person is a client of 368 the agency. 369 (27)(26)“Residential facility” means a facility providing 370 room and board and personal care for persons who havewith371 developmental disabilities. 372 (28)(27)“Residential habilitation” means supervision and 373 training with the acquisition, retention, or improvement in 374 skills related to activities of daily living, such as personal 375 hygiene skills, homemaking skills, and the social and adaptive 376 skills necessary to enable the individual to reside in the 377 community. 378 (29)(28)“Residential habilitation center” means a 379 community residential facility licensed under this chapter which 380 provides habilitation services. The capacity of such a facility 381 mayshallnot be fewer than nine residents. After October 1, 382 1989, new residential habilitation centers may not be licensed 383 and the licensed capacity for any existing residential 384 habilitation center may not be increased. 385 (30)(29)“Respite service” means appropriate, short-term, 386 temporary care that is provided to a person who has awith387 developmental disability in orderdisabilitiesto meet the 388 planned or emergency needs of the person or the family or other 389 direct service provider. 390 (31)(30)“Restraint” means a physical device, method, or 391 drug used to control dangerous behavior. 392 (a) A physical restraint is any manual method or physical 393 or mechanical device, material, or equipment attached or 394 adjacent to antheindividual’s body so that he or she cannot 395 easily remove the restraint and which restricts freedom of 396 movement or normal access to one’s body. 397 (b) A drug used as a restraint is a medication used to 398 control the person’s behavior or to restrict his or her freedom 399 of movement and is not a standard treatment for the person’s 400 medical or psychiatric condition. Physically holding a person 401 during a procedure to forcibly administer psychotropic 402 medication is a physical restraint. 403 (c) Restraint does not include physical devices, such as 404 orthopedically prescribed appliances, surgical dressings and 405 bandages, supportive body bands, or other physical holdingwhen406 necessary for routine physical examinations and tests; for 407 purposes of orthopedic, surgical, or other similar medical 408 treatment;when usedto provide support for the achievement of 409 functional body position or proper balance; orwhen usedto 410 protect a person from falling out of bed. 411 (20)(31)“Intellectual disability”“Retardation”means 412 significantly subaverage general intellectual functioning 413 existing concurrently with deficits in adaptive behavior which 414thatmanifests before the age of 18 and can reasonably be 415 expected to continue indefinitely. For the purposes of this 416 definition, the term: 417 (a) “Adaptive behavior” means the effectiveness or degree 418 with which an individual meets the standards of personal 419 independence and social responsibility expected of his or her 420 age, cultural group, and community. 421 (b) “Significantly subaverage general intellectual 422 functioning,”for the purpose of this definition,means 423 performance thatwhichis two or more standard deviations from 424 the mean score on a standardized intelligence test specified in 425 the rules of the agency.“Adaptive behavior,” for the purpose of426this definition, means the effectiveness or degree with which an427individual meets the standards of personal independence and428social responsibility expected of his or her age, cultural429group, and community.430 431 For purposes of the application of the criminal laws and 432 procedural rules of this state to matters relating to pretrial, 433 trial, sentencing, and any matters relating to the imposition 434 and execution of the death penalty, the terms “intellectual 435 disability” or “intellectually disabled” are interchangeable 436 with and have the same meaning as the terms “mental retardation” 437 or “retardation” and “mentally retarded” as defined in s. 438 393.063 before July 1, 2011. 439 Section 10. Subsection (1), paragraphs (c) and (d) of 440 subsection (2), paragraphs (b) through (d) of subsection (3), 441 paragraph (b) of subsection (4), paragraphs (b), (e), (f), and 442 (g) of subsection (5), subsection (6), paragraph (d) of 443 subsection (7), paragraph (b) of subsection (8), subsection 444 (10), and paragraph (b) of subsection (12) of section 393.11, 445 Florida Statutes, are amended to read: 446 393.11 Involuntary admission to residential services.— 447 (1) JURISDICTION.—IfWhena person has an intellectual 448 disabilityis mentally retardedand requires involuntary 449 admission to residential services provided by the agency, the 450 circuit court of the county in which the person resides has 451shall havejurisdiction to conduct a hearing and enter an order 452 involuntarily admitting the person in order forthatthe person 453 tomayreceive the care, treatment, habilitation, and 454 rehabilitation thatwhichthe person needs. For the purpose of 455 identifying intellectual disabilitymental retardation, 456 diagnostic capability shall be established by the agency. Except 457 as otherwise specified, the proceedings under this section are 458shall begoverned by the Florida Rules of Civil Procedure. 459 (2) PETITION.— 460 (c) The petition shall be verified and mustshall: 461 1. State the name, age, and present address of the 462 commissioners and their relationship to the person who has an 463 intellectual disabilitywith mental retardationor autism; 464 2. State the name, age, county of residence, and present 465 address of the person who has an intellectual disabilitywith466mental retardationor autism; 467 3. Allege that the commission believes that the person 468 needs involuntary residential services and specify the factual 469 information on which the belief is based; 470 4. Allege that the person lacks sufficient capacity to give 471 express and informed consent to a voluntary application for 472 services and lacks the basic survival and self-care skills to 473 provide for the person’s well-being or is likely to physically 474 injure others if allowed to remain at liberty; and 475 5. State which residential setting is the least restrictive 476 and most appropriate alternative and specify the factual 477 information on which the belief is based. 478 (d) The petition shall be filed in the circuit court of the 479 county in which the person who has the intellectual disability 480with mental retardationor autism resides. 481 (3) NOTICE.— 482 (b) IfWhenevera motion or petition has been filed 483 pursuant to s. 916.303 to dismiss criminal charges against a 484 defendant who has an intellectual disabilitywith retardationor 485 autism, and a petition is filed to involuntarily admit the 486 defendant to residential services under this section, the notice 487 of the filing of the petition mustshallalso be given to the 488 defendant’s attorney, the state attorney of the circuit from 489 which the defendant was committed, and the agency. 490 (c) The notice mustshallstate that a hearing shall be set 491 to inquire into the need of the person who has an intellectual 492 disabilitywith mental retardationor autism for involuntary 493 residential services. The notice mustshallalso state the date 494 of the hearing on the petition. 495 (d) The notice mustshallstate that the individual who has 496 an intellectual disabilitywith mental retardationor autism has 497 the right to be represented by counsel of his or her own choice 498 and that, if the person cannot afford an attorney, the court 499 shall appoint one. 500 (4) AGENCY PARTICIPATION.— 501 (b) Following examination, the agency shall file a written 502 report with the court at leastnot less than10 working days 503 before the date of the hearing. The report must be served on the 504 petitioner, the person who has the intellectual disabilitywith505mental retardation, and the person’s attorney at the time the 506 report is filed with the court. 507 (5) EXAMINING COMMITTEE.— 508 (b) The court shall appoint at leastno fewer thanthree 509 disinterested experts who have demonstrated to the court an 510 expertise in the diagnosis, evaluation, and treatment of persons 511 who have intellectual disabilitieswith mental retardation. The 512 committee must include at least one licensed and qualified 513 physician, one licensed and qualified psychologist, and one 514 qualified professional who, atwitha minimum, hasofa masters 515 degree in social work, special education, or vocational 516 rehabilitation counseling, to examine the person and to testify 517 at the hearing on the involuntary admission to residential 518 services. 519 (e) The committee shall prepare a written report for the 520 court. The report must explicitly document the extent that the 521 person meets the criteria for involuntary admission. The report, 522 and expert testimony, must include, but not be limited to: 523 1. The degree of the person’s intellectual disability 524mental retardationand whether, using diagnostic capabilities 525 established by the agency, the person is eligible for agency 526 services; 527 2. Whether, because of the person’s degree of intellectual 528 disabilitymental retardation, the person: 529 a. Lacks sufficient capacity to give express and informed 530 consent to a voluntary application for services pursuant to s. 531 393.065; 532 b. Lacks basic survival and self-care skills to such a 533 degree that close supervision and habilitation in a residential 534 setting is necessary and if not provided would result in a real 535 and present threat of substantial harm to the person’s well 536 being; or 537 c. Is likely to physically injure others if allowed to 538 remain at liberty. 539 3. The purpose to be served by residential care; 540 4. A recommendation on the type of residential placement 541 which would be the most appropriate and least restrictive for 542 the person; and 543 5. The appropriate care, habilitation, and treatment. 544 (f) The committee shall file the report with the court at 545 leastnot less than10 working days before the date of the 546 hearing. The report mustshallbe served on the petitioner, the 547 person who has the intellectual disabilitywith mental548retardation, the person’s attorney at the time the report is 549 filed with the court, and the agency. 550 (g) Members of the examining committee shall receive a 551 reasonable fee to be determined by the court. The fees shallare552tobe paid from the general revenue fund of the county in which 553 the person who has the intellectual disabilitywith mental554retardationresided when the petition was filed. 555 (6) COUNSEL; GUARDIAN AD LITEM.— 556 (a) The person who has the intellectual disability must 557with mental retardation shallbe represented by counsel at all 558 stages of the judicial proceeding. IfIn the eventthe person is 559 indigent and cannot afford counsel, the court shall appoint a 560 public defender at leastnot less than20 working days before 561 the scheduled hearing. The person’s counsel shall have full 562 access to the records of the service provider and the agency. In 563 all cases, the attorney shall represent the rights and legal 564 interests of the personwith mental retardation, regardless of 565 who initiatesmay initiatethe proceedings or payspaythe 566 attorney’s fee. 567 (b) If the attorney, during the course of his or her 568 representation, reasonably believes that the person who has the 569 intellectual disabilitywith mental retardationcannot 570 adequately act in his or her own interest, the attorney may seek 571 the appointment of a guardian ad litem. A prior finding of 572 incompetency is not required before a guardian ad litem is 573 appointed pursuant to this section. 574 (7) HEARING.— 575 (d) The person who has the intellectual disability must 576with mental retardation shallbe physically present throughout 577 the entire proceeding. If the person’s attorney believes that 578 the person’s presence at the hearing is not in his or herthe579person’sbest interest, the person’s presence may be waived once 580 the court has seen the person and the hearing has commenced. 581 (8) ORDER.— 582 (b) An order of involuntary admission to residential 583 services may not be entered unless the court finds that: 584 1. The person is intellectually disabledmentally retarded585 or autistic; 586 2. Placement in a residential setting is the least 587 restrictive and most appropriate alternative to meet the 588 person’s needs; and 589 3. Because of the person’s degree of intellectual 590 disabilitymental retardationor autism, the person: 591 a. Lacks sufficient capacity to give express and informed 592 consent to a voluntary application for services pursuant to s. 593 393.065 and lacks basic survival and self-care skills to such a 594 degree that close supervision and habilitation in a residential 595 setting is necessary and, if not provided, would result in a 596 real and present threat of substantial harm to the person’s 597 well-being; or 598 b. Is likely to physically injure others if allowed to 599 remain at liberty. 600 (10) COMPETENCY.— 601 (a) The issue of competency isshall beseparate and 602 distinct from a determination of the appropriateness of 603 involuntary admission to residential services due to 604 intellectual disabilityfor a condition of mental retardation. 605 (b) The issue of the competency of a person who has an 606 intellectual disabilitywith mental retardationfor purposes of 607 assigning guardianship shall be determined in a separate 608 proceeding according to the procedures and requirements of 609 chapter 744. The issue of the competency of a person who has an 610 intellectual disabilitywith mental retardationor autism for 611 purposes of determining whether the person is competent to 612 proceed in a criminal trial shall be determined in accordance 613 with chapter 916. 614 (12) APPEAL.— 615 (b) The filing of an appeal by the person who has an 616 intellectual disability stayswith mental retardation shall stay617 admission of the person into residential care. The stay remains 618shall remainin effect during the pendency of all review 619 proceedings in Florida courts until a mandate issues. 620 Section 11. Subsection (18) of section 394.455, Florida 621 Statutes, is amended to read: 622 394.455 Definitions.—As used in this part, unless the 623 context clearly requires otherwise, the term: 624 (18) “Mental illness” means an impairment of the mental or 625 emotional processes that exercise conscious control of one’s 626 actions or of the ability to perceive or understand reality, 627 which impairment substantially interferes with theaperson’s 628 ability to meet the ordinary demands of living, regardless of629etiology. For the purposes of this part, the term does not 630 include aretardation ordevelopmental disability as defined in 631 chapter 393, intoxication, or conditions manifested only by 632 antisocial behavior or substance abuse impairment. 633 Section 12. Subsections (3) through (13) of section 634 400.960, Florida Statutes, are amended to read: 635 400.960 Definitions.—As used in this part, the term: 636(3)“Autism” has the same meaning as in s.393.063.637(4)“Cerebral palsy” has the same meaning as in s.393.063.638 (3)(5)“Client” means any person determined by the Agency 639 for Persons with Disabilities to be eligible for developmental 640 services. 641 (4)(6)“Developmentally disabled”“developmental642disability”has the same meaning as “developmental disability” 643 as that term is defined in s. 393.063. 644 (5)(7)“Direct service provider” means a person 18 years of 645 age or older who has direct contact with individuals who have 646withdevelopmental disabilities and who is unrelated to suchthe647 individualswith developmental disabilities. 648 (6)(8)“Intermediate care facility for the developmentally 649 disabled” means a residential facility licensed and certified in 650 accordance with state law, and certified by the Federal 651 Government, pursuant to the Social Security Act, as a provider 652 of Medicaid services to persons who havewithdevelopmental 653 disabilities. 654(9)“Prader-Willi syndrome” has the same meaning as in s.655393.063.656 (7)(10)(a)“Restraint” means a physical device, method, or 657 drug used to control behavior. 658 (a) A physical restraint is any manual method or physical 659 or mechanical device, material, or equipment attached or 660 adjacent to the individual’s body so that he or she cannot 661 easily remove the restraint and which restricts freedom of 662 movement or normal access to one’s body. 663 (b) A drug used as a restraint is a medication used to 664 control the person’s behavior or to restrict his or her freedom 665 of movement. Physically holding a person during a procedure to 666 forcibly administer psychotropic medication is a physical 667 restraint. 668 (c) Restraint does not include physical devices, such as 669 orthopedically prescribed appliances, surgical dressings and 670 bandages, supportive body bands, or other physical holdingwhen671 necessary for routine physical examinations and tests; for 672 purposes of orthopedic, surgical, or other similar medical 673 treatment;when usedto provide support for the achievement of 674 functional body position or proper balance; orwhen usedto 675 protect a person from falling out of bed. 676(11) “Retardation” has the same meaning as in s.393.063.677 (8)(12)“Seclusion” means the physical segregation of a 678 person in any fashion or the involuntary isolation of a person 679 in a room or area from which the person is prevented from 680 leaving. The prevention may be by physical barrier or by a staff 681 member who is acting in a manner, or who is physically situated, 682 so as to prevent the person from leaving the room or area. For 683 purposes of this part, the term does not mean isolation due to a 684 person’s medical condition or symptoms. 685(13)“Spina bifida” has the same meaning as in s.393.063.686 Section 13. Subsection (12) of section 408.032, Florida 687 Statutes, is amended to read: 688 408.032 Definitions relating to Health Facility and 689 Services Development Act.—As used in ss. 408.031-408.045, the 690 term: 691 (12) “Intermediate care facility for the developmentally 692 disabled” means a residential facility licensed under part VIII 693 of chapter 400chapter 393 and certified by the Federal694Government pursuant to the Social Security Act as a provider of695Medicaid services to persons who are mentally retarded or who696have a related condition. 697 Section 14. Subsection (8) of section 409.908, Florida 698 Statutes, is amended to read 699 (8) A provider of home-based or community-based services 700 rendered pursuant to a federally approved waiver shall be 701 reimbursed based on an established or negotiated rate for each 702 service. These rates shall be established according to an 703 analysis of the expenditure history and prospective budget 704 developed by each contract provider participating in the waiver 705 program, or under any other methodology adopted by the agency 706 and approved by the Federal Government in accordance with the 707 waiver. Privately owned and operated community-based residential 708 facilities which meet agency requirements and which formerly 709 received Medicaid reimbursement for the optional intermediate 710 care facility for the intellectually disabledmentally retarded711 service may participate in the developmental services waiver as 712 part of a home-and-community-based continuum of care for 713 Medicaid recipients who receive waiver services. 714 Section 15. Subsection (16) of section 413.20, Florida 715 Statutes, is amended to read: 716 413.20 Definitions.—As used in this part, the term: 717 (16) “Person who has a significant disability” means an 718 individual who has a disability that is a severe physical or 719 mental impairment that seriously limits one or more functional 720 capacities, such as mobility, communication, self-care, self 721 direction, interpersonal skills, work tolerance, or work skills, 722 in terms of an employment outcome; whose vocational 723 rehabilitation may be expected to require multiple vocational 724 rehabilitation services over an extended period of time; and who 725 has one or more physical or mental disabilities resulting from 726 amputation, arthritis, autism, blindness, burn injury, cancer, 727 cerebral palsy, cystic fibrosis, deafness, head injury, heart 728 disease, hemiplegia, hemophilia, respiratory or pulmonary 729 dysfunction, intellectual disabilitymental retardation, mental 730 illness, multiple sclerosis, muscular dystrophy, musculoskeletal 731 disorder, neurological disorder, including stroke and epilepsy, 732 paraplegia, quadriplegia, or other spinal cord condition, 733 sickle-cell anemia, specific learning disability, end-stage 734 renal disease, or another disability or a combination of 735 disabilities that is determined, after an assessment for 736 determining eligibility and vocational rehabilitation needs, to 737 cause comparable substantial functional limitation. 738 Section 16. Paragraph (a) of subsection (6) of section 739 440.49, Florida Statutes, is amended to read: 740 440.49 Limitation of liability for subsequent injury 741 through Special Disability Trust Fund.— 742 (6) EMPLOYER KNOWLEDGE, EFFECT ON REIMBURSEMENT.— 743 (a) Reimbursement is not allowed under this section unless 744 it is established that the employer knew of the preexisting 745 permanent physical impairment beforeprior tothe occurrence of 746 the subsequent injury or occupational disease, andthatthe 747 permanent physical impairment is one of the following: 748 1. Epilepsy. 749 2. Diabetes. 750 3. Cardiac disease. 751 4. Amputation of foot, leg, arm, or hand. 752 5. Total loss of sight of one or both eyes or a partial 753 loss of corrected vision of more than 75 percent bilaterally. 754 6. Residual disability from poliomyelitis. 755 7. Cerebral palsy. 756 8. Multiple sclerosis. 757 9. Parkinson’s disease. 758 10. Meniscectomy. 759 11. Patellectomy. 760 12. Ruptured cruciate ligament. 761 13. Hemophilia. 762 14. Chronic osteomyelitis. 763 15. Surgical or spontaneous fusion of a major weight 764 bearing joint. 765 16. Hyperinsulinism. 766 17. Muscular dystrophy. 767 18. Thrombophlebitis. 768 19. Herniated intervertebral disk. 769 20. Surgical removal of an intervertebral disk or spinal 770 fusion. 771 21. One or more back injuries or a disease process of the 772 back resulting in disability over a total of 120 or more days, 773 if substantiated by a doctor’s opinion that there was a 774 preexisting impairment to the claimant’s back. 775 22. Total deafness. 776 23. Intellectual disability ifMental retardation, provided777 the employee’s intelligence quotient is such that she or he 778 falls within the lowest 2 percentile of the general population. 779 However,it shall not be necessary forthe employer does not 780 need to know the employee’s actual intelligence quotient or 781 actual relative ranking in relation to the intelligence quotient 782 of the general population. 783 24. Any permanent physical condition thatwhich, before 784prior tothe industrial accident or occupational disease, 785 constitutes a 20 percent20-percentimpairment of a member or of 786 the body as a whole. 787 25. Obesity if, providedthe employee is 30 percent or more 788 over the average weight designated for her or his height and age 789 in the Table of Average Weight of Americans by Height and Age 790 prepared by the Society of Actuaries using data from the 1979 791 Build and Blood Pressure Study. 792 26. Any permanent physical impairment as provideddefined793 in s. 440.15(3) which is a result of a prior industrial accident 794 with the same employer or the employer’s parent company, 795 subsidiary, sister company, or affiliate located within the 796 geographical boundaries of this state. 797 Section 17. Paragraph (g) of subsection (1) of section 798 499.0054, Florida Statutes, is amended to read: 799 499.0054 Advertising and labeling of drugs, devices, and 800 cosmetics; exemptions.— 801 (1) It is a violation of the Florida Drug and Cosmetic Act 802 to perform or cause the performance of any of the following 803 acts: 804 (g) The advertising of any drug or device represented to 805 have any effect in any of the following conditions, disorders, 806 diseases, or processes: 807 1. Blood disorders. 808 2. Bone or joint diseases. 809 3. Kidney diseases or disorders. 810 4. Cancer. 811 5. Diabetes. 812 6. Gall bladder diseases or disorders. 813 7. Heart and vascular diseases. 814 8. High blood pressure. 815 9. Diseases or disorders of the ear or auditory apparatus, 816 including hearing loss or deafness. 817 10. Mental disease or intellectual disabilitymental818retardation. 819 11. Paralysis. 820 12. Prostate gland disorders. 821 13. Conditions of the scalp affecting hair loss. 822 14. Baldness. 823 15. Endocrine disorders. 824 16. Sexual impotence. 825 17. Tumors. 826 18. Venereal diseases. 827 19. Varicose ulcers. 828 20. Breast enlargement. 829 21. Purifying blood. 830 22. Metabolic disorders. 831 23. Immune system disorders or conditions affecting the 832 immune system. 833 24. Extension of life expectancy. 834 25. Stress and tension. 835 26. Brain stimulation or performance. 836 27. The body’s natural defense mechanisms. 837 28. Blood flow. 838 29. Depression. 839 30. Human immunodeficiency virus or acquired immune 840 deficiency syndrome or related disorders or conditions. 841 Section 18. Section 514.072, Florida Statutes, is amended 842 to read: 843 514.072 Certification of swimming instructors for people 844 who have developmental disabilitiesrequired.—Any person working 845 at a swimming pool who holds himself or herself out as a 846 swimming instructor specializing in training people who have 847 developmental disabilities, as defined in s. 393.063(10), may be 848 certified by the Dan Marino Foundation, Inc., in addition to 849 being certified under s. 514.071. The Dan Marino Foundation, 850 Inc., must develop certification requirements and a training 851 curriculum for swimming instructors for people who have 852 developmental disabilitiesand must submit the certification853requirements to the Department of Health for review by January8541, 2007.A person certified under s.514.071before July 1,8552007, must meet the additional certification requirements of856this section before January 1, 2008.A person certified under s. 857 514.071on or after July 1, 2007,must meet the additional 858 certification requirements of this section within 6 months after 859 receiving certification under s. 514.071. 860 Section 19. Section 627.6041, Florida Statutes, is amended 861 to read: 862 627.6041HandicappedChildren with disabilities; 863 continuation of coverage.— 864 (1) A hospital or medical expense insurance policy or 865 health care services plan contract that is delivered or issued 866 for delivery in this state and that provides that coverage of a 867 dependent child terminateswill terminateupon attainment of the 868 limiting age for dependent children specified in the policy or 869 contract mustshallalso provide in substance that attainment of 870 the limiting age does not terminate the coverage of the child 871 while the child continues to be both: 872 (a)(1)Incapable of self-sustaining employment by reason of 873 an intellectualmental retardationor physical disability. 874handicap; and875 (b)(2)Chiefly dependent upon the policyholder or 876 subscriber for support and maintenance. 877 (2) If a claim is denied under a policy or contract for the 878 stated reason that the child has attained the limiting age for 879 dependent children specified in the policy or contract, the 880 notice of denial must state that the policyholder has the burden 881 of establishing that the child continues to meet the criteria 882 specified in subsectionsubsections(1)and (2). 883 Section 20. Section 627.6615, Florida Statutes, is amended 884 to read: 885 627.6615HandicappedChildren with disabilities; 886 continuation of coverage under group policy.— 887 (1) A group health insurance policy or health care services 888 plan contract that is delivered or issued for delivery in this 889 state and that provides that coverage of a dependent child of an 890 employee or other member of the covered group terminateswill891terminateupon attainment of the limiting age for dependent 892 children specified in the policy or contract mustshallalso 893 provide in substance that attainment of the limiting age does 894 not terminate the coverage of the child while the child 895 continues to be both: 896 (a)(1)Incapable of self-sustaining employment by reason of 897 an intellectualmental retardationor physical disability. 898handicap; and899 (b)(2)Chiefly dependent upon the employee or member for 900 support and maintenance. 901 (2) If a claim is denied under a policy or contract for the 902 stated reason that the child has attained the limiting age for 903 dependent children specified in the policy or contract, the 904 notice of denial must state that the certificateholder or 905 subscriber has the burden of establishing that the child 906 continues to meet the criteria specified in subsection 907subsections(1)and (2). 908 Section 21. Subsection (29) of section 641.31, Florida 909 Statutes, is amended to read: 910 641.31 Health maintenance contracts.— 911 (29) If a health maintenance contract provides that 912 coverage of a dependent child of the subscriber terminateswill913terminateupon attainment of the limiting age for dependent 914 children which is specified in the contract, the contract must 915 also provide in substance that attainment of the limiting age 916 does not terminate the coverage of the child while the child 917 continues to be both: 918 (a) Incapable of self-sustaining employment by reason of an 919 intellectualmental retardationor physical disability. 920handicap, and921 (b) Chiefly dependent upon the employee or member for 922 support and maintenance. 923 924 If the claim is denied under a contract for the stated reason 925 that the child has attained the limiting age for dependent 926 children specified in the contract, the notice or denial must 927 state that the subscriber has the burden of establishing that 928 the child continues to meet the criteria specified in this 929 subsectionparagraphs (a) and (b). 930 Section 22. Subsection (4) of section 650.05, Florida 931 Statutes, is amended to read: 932 650.05 Plans for coverage of employees of political 933 subdivisions.— 934 (4)(a)Notwithstanding any other provision of this chapter, 935 effective January 1, 1972, all state political subdivisions 936 receiving financial aid whichthatprovide social security 937 coverage for their employees pursuant tothe provisions ofthis 938 chapter and theprovisions of thevarious retirement systems as 939 authorized by law shall, in addition to other purposes, use 940utilizeall grants-in-aid and other revenue received from the 941 state to pay the employer’s share of social security cost. 942(b)The grants-in-aid and other revenuereferred to in943paragraph (a)specifically include, but are not limited to, 944 minimum foundation program grants to public school districts and 945 community colleges; gasoline, motor fuel, cigarette, racing, and 946 insurance premium taxes distributed to political subdivisions; 947 and amounts specifically appropriated as grants-in-aid for 948 mental health, intellectual disabilitiesmental retardation, and 949 mosquito control programs. 950 Section 23. Subsection (1) of section 765.204, Florida 951 Statutes, is amended to read: 952 765.204 Capacity of principal; procedure.— 953 (1) A principal is presumed to be capable of making health 954 care decisions for herself or himself unless she or he is 955 determined to be incapacitated. Incapacity may not be inferred 956 from the person’s voluntary or involuntary hospitalization for 957 mental illness or from her or his intellectual disabilitymental958retardation. 959 Section 24. Section 849.04, Florida Statutes, is amended to 960 read: 961 849.04 Permitting minors and persons under guardianship to 962 gamble.—Whoever beingThe proprietor, owner, or keeper of any E. 963 O., keno or pool table, or billiard table, wheel of fortune, or 964 other game of chance,kept for the purpose of betting, who 965 willfully and knowingly allows aanyminor oranyperson who is 966 mentally incompetent or under guardianship to play at such game 967 or to bet on such game of chance; or whoever aids or abets or 968 otherwise encourages such playing or betting of any money or 969 other valuable thing upon the result of such game of chance by a 970anyminor oranyperson who is mentally incompetent or under 971 guardianship, commitsshall be guilty ofa felony of the third 972 degree, punishable as provided in s. 775.082, s. 775.083, or s. 973 775.084. For the purpose of this section, the terma“person who 974 is mentally incompetentperson” means a personis onewho 975 because of mental illness, intellectual disabilitymental976retardation, senility, excessive use of drugs or alcohol, or 977 other mental incapacity is incapable ofeithermanaging his or 978 her property or caring for himself or herself or both. 979 Section 25. Section 914.16, Florida Statutes, is amended to 980 read: 981 914.16 Child abuse and sexual abuse of victims under age 16 982 or who have an intellectual disabilitypersons with mental983retardation; limits on interviews.—The chief judge of each 984 judicial circuit, after consultation with the state attorney and 985 the public defender for the judicial circuit, the appropriate 986 chief law enforcement officer, and any other person deemed 987 appropriate by the chief judge, shallprovide byorder 988 reasonable limits on the number of interviews whichthata 989 victim of a violation of s. 794.011, s. 800.04, s. 827.03, or s. 990 847.0135(5) who is under 16 years of age or a victim of a 991 violation of s. 794.011, s. 800.02, s. 800.03, or s. 825.102 who 992 has an intellectual disabilityis a person with mental993retardationas defined in s. 393.063 must submit to for law 994 enforcement or discovery purposes.The order shall,To the 995 extent possible, the order must protect the victim from the 996 psychological damage of repeated interrogations while preserving 997 the rights of the public, the victim, and the person charged 998 with the violation. 999 Section 26. Section 914.17, Florida Statutes, is amended to 1000 read: 1001 914.17 Appointment of advocate for victims or witnesses who 1002 are minors or intellectually disabledpersons with mental1003retardation.— 1004 (1) A guardian ad litem or other advocate shall be 1005 appointed by the court to represent a minor in any criminal 1006 proceeding if the minor is a victim of or witness to child abuse 1007 or neglect,or if the minor isa victim of a sexual offense, or 1008 a witness to a sexual offense committed against another minor. 1009 The court may appoint a guardian ad litem or other advocate in 1010 any other criminal proceeding in which a minor is involved as 1011eithera victim or a witness. The guardian ad litem or other 1012 advocate shall have full access to all evidence and reports 1013 introduced during the proceedings, may interview witnesses, may 1014 make recommendations to the court, shall be noticed and have the 1015 right to appear on behalf of the minor at all proceedings, and 1016 may request additional examinations by medical doctors, 1017 psychiatrists, or psychologists.It is the duty ofThe guardian 1018 ad litem or other advocate shallto perform the following1019services: 1020 (a)ToExplain, in language understandable to the minor, 1021 all legal proceedings in which the minor isshall beinvolved; 1022 (b)ToAct, as a friend of the court, to advise the judge, 1023 whenever appropriate, of the minor’s ability to understand and 1024 cooperate with any court proceeding; and 1025 (c)ToAssist the minor and the minor’s family in coping 1026 with the emotional effects of the crime and subsequent criminal 1027 proceedings in which the minor is involved. 1028 (2) An advocate shall be appointed by the court to 1029 represent a person who has an intellectual disabilitywith1030mental retardationas defined in s. 393.063 in any criminal 1031 proceeding if the personwith mental retardationis a victim of 1032 or witness to abuse or neglect,orif the person with mental1033retardation isa victim of a sexual offense, or a witness to a 1034 sexual offense committed against a minor or person who has an 1035 intellectual disabilitywith mental retardation. The court may 1036 appoint an advocate in any other criminal proceeding in which 1037 suchapersonwith mental retardationis involved aseithera 1038 victim or a witness. The advocate shall have full access to all 1039 evidence and reports introduced during the proceedings, may 1040 interview witnesses, may make recommendations to the court, 1041 shall be noticed and have the right to appear on behalf of the 1042 personwith mental retardationat all proceedings, and may 1043 request additional examinations by medical doctors, 1044 psychiatrists, or psychologists.It is the duty ofThe advocate 1045 shallto perform the following services: 1046 (a)ToExplain, in language understandable to the person 1047with mental retardation, all legal proceedings in which the 1048 person isshall beinvolved; 1049 (b)ToAct, as a friend of the court, to advise the judge, 1050 whenever appropriate, of the person’sperson with mental1051retardation’sability to understand and cooperate with any court 1052 proceedings; and 1053 (c) To assist the personwith mental retardationand the 1054 person’s family in coping with the emotional effects of the 1055 crime and subsequent criminal proceedings in which the person 1056with mental retardationis involved. 1057 (3) Any person participating in a judicial proceeding as a 1058 guardian ad litem or other advocate isshall bepresumed prima 1059 facie to be acting in good faith and in so doing isshall be1060 immune from any liability, civil or criminal, whichthat1061otherwisemight be incurred or imposed. 1062 Section 27. Subsections (1), (2), and (3) of section 1063 916.105, Florida Statutes, are amended to read: 1064 916.105 Legislative intent.— 1065 (1) It is the intent of the Legislature that the Department 1066 of Children and Family Services and the Agency for Persons with 1067 Disabilities, as appropriate, establish, locate, and maintain 1068 separate and secure forensic facilities and programs for the 1069 treatment or training of defendants who have been charged with a 1070 felony and who have been found to be incompetent to proceed due 1071 to their mental illness, intellectual disabilitymental1072retardation, or autism, or who have been acquitted of a felony 1073 by reason of insanity, and who, while still under the 1074 jurisdiction of the committing court, are committed to the 1075 department or agency underthe provisions ofthis chapter. Such 1076 facilities mustshallbe sufficient to accommodate the number of 1077 defendants committed under the conditions noted above. Except 1078 for those defendants found by the department or agency to be 1079 appropriate for treatment or training in a civil facility or 1080 program pursuant to subsection (3), forensic facilities must 1081shallbe designed and administered so that ingress and egress, 1082 together with other requirements of this chapter, may be 1083 strictly controlled by staff responsible for security in order 1084 to protect the defendant, facility personnel, other clients, and 1085 citizens in adjacent communities. 1086 (2) It is the intent of the Legislature that treatment or 1087 training programs for defendants who are found to have mental 1088 illness, intellectual disabilitymental retardation, or autism 1089 and are involuntarily committed to the department or agency, and 1090 who are still under the jurisdiction of the committing court, be 1091 provided in a manner, subject to security requirements and other 1092 mandates of this chapter, which ensuresas to ensurethe rights 1093 of the defendants as provided in this chapter. 1094 (3) It is the intent of the Legislature that evaluation and 1095 services to defendants who have mental illness, intellectual 1096 disabilitymental retardation, or autism be provided in 1097 community settings, in community residential facilities, or in 1098 civil facilities, whenever this is a feasible alternative to 1099 treatment or training in a state forensic facility. 1100 Section 28. Subsections (10) through (17) of section 1101 916.106, Florida Statutes, are reordered and amended to read: 1102 916.106 Definitions.—For the purposes of this chapter, the 1103 term: 1104 (10) “Forensic facility” means a separate and secure 1105 facility established within the department or agency to serve 1106 forensic clients. A separate and secure facility means a 1107 security-grade building for the purpose of separately housing 1108 persons who have mental illness from persons who have 1109 intellectual disabilitieswith retardationor autism and 1110 separately housing persons who have been involuntarily committed 1111 pursuant to this chapter from nonforensic residents. 1112 (11) “Incompetent to proceed” means unable to proceed at 1113 any material stage of a criminal proceeding, which includes 1114shall includetrial of the case, pretrial hearings involving 1115 questions of fact on which the defendant might be expected to 1116 testify, entry of a plea, proceedings for violation of probation 1117 or violation of community control, sentencing, and hearings on 1118 issues regarding a defendant’s failure to comply with court 1119 orders or conditions or other matters in which the mental 1120 competence of the defendant is necessary for a just resolution 1121 of the issues being considered. 1122 (12) “Institutional security personnel” means the staff of 1123 forensic facilities who meet or exceed the requirements of s. 1124 943.13 and who are responsible for providing security, 1125 protecting clients and personnel, enforcing rules, preventing 1126 and investigating unauthorized activities, and safeguarding the 1127 interests of residentscitizensin the surrounding communities. 1128 (14)(13)“Mental illness” means an impairment of the 1129 emotional processes that exercise conscious control of one’s 1130 actions, or of the ability to perceive or understand reality, 1131 which impairment substantially interferes with theadefendant’s 1132 ability to meet the ordinary demands of living. For the purposes 1133 of this chapter, the term does not apply to defendants who have 1134 only an intellectual disabilitywith only mental retardationor 1135 autism and does not include intoxication or conditions 1136 manifested only by antisocial behavior or substance abuse 1137 impairment. 1138 (15)(14)“Restraint” means a physical device, method, or 1139 drug used to control dangerous behavior. 1140 (a) A physical restraint is any manual method or physical 1141 or mechanical device, material, or equipment attached or 1142 adjacent to a person’s body so that he or she cannot easily 1143 remove the restraint and that restricts freedom of movement or 1144 normal access to one’s body. 1145 (b) A drug used as a restraint is a medication used to 1146 control the person’s behavior or to restrict his or her freedom 1147 of movement and not part of the standard treatment regimen of 1148 the person with a diagnosed mental illness who is a client of 1149 the department. Physically holding a person during a procedure 1150 to forcibly administer psychotropic medication is a physical 1151 restraint. 1152 (c) Restraint does not include physical devices, such as 1153 orthopedically prescribed appliances, surgical dressings and 1154 bandages, supportive body bands, or other physical holdingwhen1155 necessary for routine physical examinations and tests; for 1156 purposes of orthopedic, surgical, or other similar medical 1157 treatment;when usedto provide support for the achievement of 1158 functional body position or proper balance; orwhen usedto 1159 protect a person from falling out of bed. 1160 (13)(15)“Intellectual disability”“Retardation”has the 1161 same meaning as in s. 393.063. 1162 (16) “Seclusion” means the physical segregation of a person 1163 in any fashion or the involuntary isolation of a person in a 1164 room or area from which the person is prevented from leaving. 1165 The prevention may be by physical barrier or by a staff member 1166 who is acting in a manner, or who is physically situated, so as 1167 to prevent the person from leaving the room or area. For 1168 purposes of this chapter, the term does not mean isolation due 1169 to a person’s medical condition or symptoms, the confinement in 1170 a forensic facility to a bedroom or area during normal hours of 1171 sleep when there is not an active order for seclusion, or during 1172 an emergency such as a riot or hostage situation when clients 1173 may be temporarily placed in their rooms for their own safety. 1174 (17) “Social service professional” means a person whose 1175 minimum qualifications include a bachelor’s degree and at least 1176 2 years of social work, clinical practice, special education, 1177 habilitation, or equivalent experience working directly with 1178 persons who have intellectual disabilitieswith retardation, 1179 autism, or other developmental disabilities. 1180 Section 29. Paragraph (a) of subsection (1) and paragraph 1181 (a) of subsection (3) of section 916.107, Florida Statutes, are 1182 amended to read: 1183 916.107 Rights of forensic clients.— 1184 (1) RIGHT TO INDIVIDUAL DIGNITY.— 1185 (a) The policy of the state is that the individual dignity 1186 of the client shall be respected at all times and upon all 1187 occasions, including any occasion when the forensic client is 1188 detained, transported, or treated. Clients with mental illness, 1189 intellectual disabilityretardation, or autism and who are 1190 charged with committing felonies shall receive appropriate 1191 treatment or training. In a criminal case involving a client who 1192 has been adjudicated incompetent to proceed or not guilty by 1193 reason of insanity, a jail may be used as an emergency facility 1194 for up to 15 days following the date the department or agency 1195 receives a completed copy of the court commitment order 1196 containing all documentation required by the applicable Florida 1197 Rules of Criminal Procedure. For a forensic client who is held 1198 in a jail awaiting admission to a facility of the department or 1199 agency, evaluation and treatment or training may be provided in 1200 the jail by the local community mental health provider for 1201 mental health services, by the developmental disabilities 1202 program for persons with intellectual disabilityretardationor 1203 autism, the client’s physician or psychologist, or any other 1204 appropriate program until the client is transferred to a civil 1205 or forensic facility. 1206 (3) RIGHT TO EXPRESS AND INFORMED CONSENT.— 1207 (a) A forensic client shall be asked to give express and 1208 informed written consent for treatment. If a client refuses such 1209 treatment as is deemed necessary and essential by the client’s 1210 multidisciplinary treatment team for the appropriate care of the 1211 client, such treatment may be provided under the following 1212 circumstances: 1213 1. In an emergency situation in which there is immediate 1214 danger to the safety of the client or others, such treatment may 1215 be provided upon the written order of a physician for a period 1216 not to exceed 48 hours, excluding weekends and legal holidays. 1217 If, after the 48-hour period, the client has not given express 1218 and informed consent to the treatment initially refused, the 1219 administrator or designee of the civil or forensic facility 1220 shall, within 48 hours, excluding weekends and legal holidays, 1221 petition the committing court or the circuit court serving the 1222 county in which the facility is located, at the option of the 1223 facility administrator or designee, for an order authorizing the 1224 continued treatment of the client. In the interim, the need for 1225 treatment shall be reviewed every 48 hours and may be continued 1226 without the consent of the client upon the continued written 1227 order of a physician who has determined that the emergency 1228 situation continues to present a danger to the safety of the 1229 client or others. 1230 2. In a situation other than an emergency situation, the 1231 administrator or designee of the facility shall petition the 1232 court for an order authorizing necessary and essential treatment 1233 for the client. The order shall allow such treatment for a 1234 period not to exceed 90 days following the date of the entry of 1235 the order. Unless the court is notified in writing that the 1236 client has provided express and informed consent in writing or 1237 that the client has been discharged by the committing court, the 1238 administrator or designee shall, beforeprior tothe expiration 1239 of the initial 90-day order, petition the court for an order 1240 authorizing the continuation of treatment for another 90-day 1241 period. This procedure shall be repeated until the client 1242 provides consent or is discharged by the committing court. 1243 3. At the hearing on the issue of whether the court should 1244 enter an order authorizing treatment for which a client was 1245 unable to or refused to give express and informed consent, the 1246 court shall determine by clear and convincing evidence that the 1247 client has mental illness, intellectual disabilityretardation, 1248 or autism, that the treatment not consented to is essential to 1249 the care of the client, and that the treatment not consented to 1250 is not experimental and does not present an unreasonable risk of 1251 serious, hazardous, or irreversible side effects. In arriving at 1252 the substitute judgment decision, the court must consider at 1253 least the following factors: 1254 a. The client’s expressed preference regarding treatment; 1255 b. The probability of adverse side effects; 1256 c. The prognosis without treatment; and 1257 d. The prognosis with treatment. 1258 1259 The hearing shall be as convenient to the client as may be 1260 consistent with orderly procedure and shall be conducted in 1261 physical settings not likely to be injurious to the client’s 1262 condition. The court may appoint a general or special magistrate 1263 to preside at the hearing. The client or the client’s guardian, 1264 and the representative, shall be provided with a copy of the 1265 petition and the date, time, and location of the hearing. The 1266 client has the right to have an attorney represent him or her at 1267 the hearing, and, if the client is indigent, the court shall 1268 appoint the office of the public defender to represent the 1269 client at the hearing. The client may testify or not, as he or 1270 she chooses, and has the right to cross-examine witnesses and 1271 may present his or her own witnesses. 1272 Section 30. The Division of Statutory Revision is requested 1273 to rename part III of chapter 916, Florida Statutes, consisting 1274 of ss. 916.301-916.304, as “Forensic Services for Persons who 1275 are Intellectually Disabled or Autistic.” 1276 Section 31. Subsections (1) and (2) of section 916.301, 1277 Florida Statutes, are amended to read: 1278 916.301 Appointment of experts.— 1279 (1) All evaluations ordered by the court under this part 1280 must be conducted by qualified experts who have expertise in 1281 evaluating persons who have an intellectual disabilitywith1282retardationor autism. The agency shall maintain and provide the 1283 courts annually with a list of availableretardation and autism1284 professionals who are appropriately licensed and qualified to 1285 perform evaluations of defendants alleged to be incompetent to 1286 proceed due to intellectual disabilityretardationor autism. 1287 The courts may use professionals from this list when appointing 1288 experts and ordering evaluations under this part. 1289 (2) If a defendant’s suspected mental condition is 1290 intellectual disabilityretardationor autism, the court shall 1291 appoint the following: 1292 (a) At least one, or at the request of any party, two 1293 experts to evaluate whether the defendant meets the definition 1294 of intellectual disabilityretardationor autism and, if so, 1295 whether the defendant is competent to proceed; and 1296 (b) A psychologist selected by the agency who is licensed 1297 or authorized by law to practice in this state, with experience 1298 in evaluating persons suspected of having an intellectual 1299 disabilityretardationor autism, and a social service 1300 professional, with experience in working with persons who have 1301 an intellectual disabilitywith retardationor autism. 1302 1. The psychologist shall evaluate whether the defendant 1303 meets the definition of intellectual disabilityretardationor 1304 autism and, if so, whether the defendant is incompetent to 1305 proceed due to intellectual disabilityretardationor autism. 1306 2. The social service professional shall provide a social 1307 and developmental history of the defendant. 1308 Section 32. Subsections (1), (2), and (4) of section 1309 916.3012, Florida Statutes, are amended to read: 1310 916.3012 Mental competence to proceed.— 1311 (1) A defendant whose suspected mental condition is 1312 intellectual disabilityretardationor autism is incompetent to 1313 proceed within the meaning of this chapter if the defendant does 1314 not have sufficient present ability to consult with the 1315 defendant’s lawyer with a reasonable degree of rational 1316 understanding or if the defendant has no rational, as well as 1317 factual, understanding of the proceedings against the defendant. 1318 (2) Experts in intellectual disabilityretardationor 1319 autism appointed pursuant to s. 916.301 shall first consider 1320 whether the defendant meets the definition of intellectual 1321 disabilityretardationor autism and, if so, consider the 1322 factors related to the issue of whether the defendant meets the 1323 criteria for competence to proceed as described in subsection 1324 (1). 1325 (4) If the expertsshouldfind that the defendant is 1326 incompetent to proceed, the experts shall report on any 1327 recommended training for the defendant to attain competence to 1328 proceed. In considering the issues relating to training, the 1329 examining experts shall specifically report on: 1330 (a) The intellectual disabilityretardationor autism 1331 causing the incompetence; 1332 (b) The training appropriate for the intellectual 1333 disabilityretardationor autism of the defendant and an 1334 explanation of each of the possible training alternatives in 1335 order of choices; 1336 (c) The availability of acceptable training and, if 1337 training is available in the community, the expert shall so 1338 state in the report; and 1339 (d) The likelihood of the defendant’s attaining competence 1340 under the training recommended, an assessment of the probable 1341 duration of the training required to restore competence, and the 1342 probability that the defendant will attain competence to proceed 1343 in the foreseeable future. 1344 Section 33. Subsection (1), paragraphs (a) and (b) of 1345 subsection (2), and paragraph (a) of subsection (3) of section 1346 916.302, Florida Statutes, are amended to read: 1347 916.302 Involuntary commitment of defendant determined to 1348 be incompetent to proceed.— 1349 (1) CRITERIA.—Every defendant who is charged with a felony 1350 and who is adjudicated incompetent to proceed due to 1351 intellectual disabilityretardationor autism may be 1352 involuntarily committed for training upon a finding by the court 1353 of clear and convincing evidence that: 1354 (a) The defendant has an intellectual disability 1355retardationor autism; 1356 (b) There is a substantial likelihood that in the near 1357 future the defendant will inflict serious bodily harm on himself 1358 or herself or another person, as evidenced by recent behavior 1359 causing, attempting, or threatening such harm; 1360 (c) All available, less restrictive alternatives, including 1361 services provided in community residential facilities or other 1362 community settings, which would offer an opportunity for 1363 improvement of the condition have been judged to be 1364 inappropriate; and 1365 (d) There is a substantial probability that the 1366 intellectual disabilityretardationor autism causing the 1367 defendant’s incompetence will respond to training and the 1368 defendant will regain competency to proceed in the reasonably 1369 foreseeable future. 1370 (2) ADMISSION TO A FACILITY.— 1371 (a) A defendant who has been charged with a felony and who 1372 is found to be incompetent to proceed due to intellectual 1373 disabilityretardationor autism, and who meets the criteria for 1374 involuntary commitment to the agency underthe provisions of1375 this chapter, shall be committed to the agency, and the agency 1376 shall retain and provide appropriate training for the defendant. 1377 WithinNo later than6 months after the date of admission or at 1378 the end of any period of extended commitment or at any time the 1379 administrator or designee determinesshall have determinedthat 1380 the defendant has regained competency to proceed or no longer 1381 meets the criteria for continued commitment, the administrator 1382 or designee shall file a report with the court pursuant to this 1383 chapter and the applicable Florida Rules of Criminal Procedure. 1384 (b) A defendant determined to be incompetent to proceed due 1385 to intellectual disabilityretardationor autism may be ordered 1386 by a circuit court into a forensic facility designated by the 1387 agency for defendants who have an intellectual disabilitymental1388retardationor autism. 1389 (3) PLACEMENT OF DUALLY DIAGNOSED DEFENDANTS.— 1390 (a) If a defendant has both an intellectual disability 1391mental retardationor autism andhasa mental illness, 1392 evaluations must address which condition is primarily affecting 1393 the defendant’s competency to proceed. Referral of the defendant 1394 should be made to a civil or forensic facility most appropriate 1395 to address the symptoms that are the cause of the defendant’s 1396 incompetence. 1397 Section 34. Subsection (1) of section 916.3025, Florida 1398 Statutes, is amended to read: 1399 916.3025 Jurisdiction of committing court.— 1400 (1) The committing court shall retain jurisdiction in the 1401 case of any defendant found to be incompetent to proceed due to 1402 intellectual disabilityretardationor autism and ordered into a 1403 forensic facility designated by the agency for defendants who 1404 have intellectual disabilitiesmental retardationor autism. A 1405 defendant may not be released except by the order of the 1406 committing court. An administrative hearing examiner does not 1407 have jurisdiction to determine issues of continuing commitment 1408 or release of any defendant involuntarily committed pursuant to 1409 this chapter. 1410 Section 35. Section 916.303, Florida Statutes, is amended 1411 to read: 1412 916.303 Determination of incompetencydue to retardation or1413autism; dismissal of charges.— 1414 (1) The charges against any defendant found to be 1415 incompetent to proceed due to intellectual disability 1416retardationor autism shall be dismissed without prejudice to 1417 the state if the defendant remains incompetent to proceed within 1418 a reasonable time after such determination, not to exceed 2 1419 years, unless the court in its order specifies its reasons for 1420 believing that the defendant will become competent to proceed 1421 within the foreseeable future and specifies the time within 1422 which the defendant is expected to become competent to proceed. 1423 The charges may be refiled by the state if the defendant is 1424 declared competent to proceed in the future. 1425 (2) If the charges are dismissed and if the defendant is 1426 considered to lack sufficient capacity to give express and 1427 informed consent to a voluntary application for services and 1428 lacks the basic survival and self-care skills to provide for his 1429 or her well-being or is likely to physically injure himself or 1430 herself or others if allowed to remain at liberty, the agency, 1431 the state attorney, or the defendant’s attorney shall apply to 1432 the committing court to involuntarily admit the defendant to 1433 residential services pursuant to s. 393.11. 1434 (3) If the defendant is considered to need involuntary 1435 residential services for reasons described in subsection (2) 1436 and, further, there is a substantial likelihood that the 1437 defendant will injure another person or continues to present a 1438 danger of escape, and all available less restrictive 1439 alternatives, including services in community residential 1440 facilities or other community settings, which would offer an 1441 opportunity for improvement of the condition have been judged to 1442 be inappropriate, the agency, the state attorney, or the 1443 defendant’s counsel may request the committing court to continue 1444 the defendant’s placement in a secure facility pursuant to this 1445 part. Any placement so continuedunder this subsectionmust be 1446 reviewed by the court at least annually at a hearing. The annual 1447 review and hearing mustshalldetermine whether the defendant 1448 continues to meet the criteria described in this subsection and, 1449 if so, whether the defendant still requires involuntary 1450 placement in a secure facility and whether the defendant is 1451 receiving adequate care, treatment, habilitation, and 1452 rehabilitation, including psychotropic medication and behavioral 1453 programming. Notice of the annual review and review hearing 1454 shall be given to the state attorney and the defendant’s 1455 attorney.In no instance mayA defendant’s placement in a secure 1456 facility may not exceed the maximum sentence for the crime for 1457 which the defendant was charged. 1458 Section 36. Subsection (1) of section 916.304, Florida 1459 Statutes, is amended to read: 1460 916.304 Conditional release.— 1461 (1) Except for an inmate currently serving a prison 1462 sentence, the committing court may order a conditional release 1463 of any defendant who has been found to be incompetent to proceed 1464 due to intellectual disabilityretardationor autism, based on 1465 an approved plan for providing community-based training. The 1466 committing criminal court may order a conditional release of any 1467 defendant to a civil facility in lieu of an involuntary 1468 commitment to a forensic facility pursuant to s. 916.302. Upon a 1469 recommendation that community-based training for the defendant 1470 is appropriate, a written plan for community-based training, 1471 including recommendations from qualified professionals, may be 1472 filed with the court, with copies to all parties. Such a plan 1473 may also be submitted by the defendant and filed with the court, 1474 with copies to all parties. The plan must include: 1475 (a) Special provisions for residential care and adequate 1476 supervision of the defendant, including recommended location of 1477 placement. 1478 (b) Recommendations for auxiliary services such as 1479 vocational training, psychological training, educational 1480 services, leisure services, and special medical care. 1481 1482 In its order of conditional release, the court shall specify the 1483 conditions of release based upon the release plan and shall 1484 direct the appropriate agencies or persons to submit periodic 1485 reports to the courts regarding the defendant’s compliance with 1486 the conditions of the release and progress in training, with 1487 copies to all parties. 1488 Section 37. Subsection (1) of section 918.16, Florida 1489 Statutes, is amended to read: 1490 918.16 Sex offenses; testimony of person under age 16 or 1491 person with mental retardation; testimony of victim; courtroom 1492 cleared; exceptions.— 1493 (1) Except as provided in subsection (2), in the trial of 1494 any case, civil or criminal, when any person under the age of 16 1495 or any person with intellectual disabilitymental retardationas 1496 defined in s. 393.063 is testifying concerning any sex offense, 1497 the court shall clear the courtroom of all persons except 1498 parties to the cause and their immediate families or guardians, 1499 attorneys and their secretaries, officers of the court, jurors, 1500 newspaper reporters or broadcasters, court reporters, and, at 1501 the request of the victim, victim or witness advocates 1502 designated by the state attorney’s office. 1503 Section 38. Section 921.137, Florida Statutes, is amended 1504 to read: 1505 921.137 Imposition of the death sentence upon an 1506 intellectually disabledadefendantwith mental retardation1507 prohibited.— 1508 (1) As used in this section, the term “intellectually 1509 disabled” or “intellectual disability”“mental retardation”1510 means significantly subaverage general intellectual functioning 1511 existing concurrently with deficits in adaptive behavior and 1512 manifested during the period from conception to age 18. The term 1513 “significantly subaverage general intellectual functioning,” for 1514 the purpose of this section, means performance that is two or 1515 more standard deviations from the mean score on a standardized 1516 intelligence test specified in the rules of the Agency for 1517 Persons with Disabilities. The term “adaptive behavior,” for the 1518 purpose of this definition, means the effectiveness or degree 1519 with which an individual meets the standards of personal 1520 independence and social responsibility expected of his or her 1521 age, cultural group, and community. The Agency for Persons with 1522 Disabilities shall adopt rules to specify the standardized 1523 intelligence tests as provided in this subsection. 1524 (2) A sentence of death may not be imposed upon a defendant 1525 convicted of a capital felony if it is determined in accordance 1526 with this section that the defendant is intellectually disabled 1527has mental retardation. 1528 (3) A defendant charged with a capital felony who intends 1529 to raise intellectual disabilitymental retardationas a bar to 1530 the death sentence must give notice of such intention in 1531 accordance with the rules of court governing notices of intent 1532 to offer expert testimony regarding mental health mitigation 1533 during the penalty phase of a capital trial. 1534 (4) After a defendant who has given notice of his or her 1535 intention to raise intellectual disabilitymental retardationas 1536 a bar to the death sentence is convicted of a capital felony and 1537 an advisory jury has returned a recommended sentence of death, 1538 the defendant may file a motion to determine whether the 1539 defendant is intellectually disabledhas mental retardation. 1540 Upon receipt of the motion, the court shall appoint two experts 1541 in the field of intellectual disabilitiesmental retardationwho 1542 shall evaluate the defendant and report their findings to the 1543 court and all interested parties prior to the final sentencing 1544 hearing. Notwithstanding s. 921.141 or s. 921.142, the final 1545 sentencing hearing shall be held without a jury. At the final 1546 sentencing hearing, the court shall consider the findings of the 1547 court-appointed experts and consider the findings of any other 1548 expert which is offered by the state or the defense on the issue 1549 of whether the defendant has an intellectual disabilitymental1550retardation. If the court finds, by clear and convincing 1551 evidence, that the defendant has an intellectual disability 1552mental retardationas defined in subsection (1), the court may 1553 not impose a sentence of death and shall enter a written order 1554 that sets forth with specificity the findings in support of the 1555 determination. 1556 (5) If a defendant waives his or her right to a recommended 1557 sentence by an advisory jury following a plea of guilt or nolo 1558 contendere to a capital felony and adjudication of guilt by the 1559 court, or following a jury finding of guilt of a capital felony, 1560 upon acceptance of the waiver by the court, a defendant who has 1561 given notice as required in subsection (3) may file a motion for 1562 a determination of intellectual disabilitymental retardation. 1563 Upon granting the motion, the court shall proceed as provided in 1564 subsection (4). 1565 (6) If, following a recommendation by an advisory jury that 1566 the defendant be sentenced to life imprisonment, the state 1567 intends to request the court to order that the defendant be 1568 sentenced to death, the state must inform the defendant of such 1569 request if the defendant has notified the court of his or her 1570 intent to raise intellectual disabilitymental retardationas a 1571 bar to the death sentence. After receipt of the notice from the 1572 state, the defendant may file a motion requesting a 1573 determination by the court of whether the defendant is 1574 intellectually disabledhas mental retardation. Upon granting 1575 the motion, the court shall proceed as provided in subsection 1576 (4). 1577 (7) Pursuant to s. 924.07, the state may appeal,pursuant1578to s.924.07,a determination of intellectual disabilitymental1579retardationmade under subsection (4). 1580 (8) This section does not apply to a defendant who was 1581 sentenced to death before June 12, 2001prior to the effective1582date of this act. 1583 (9) For purposes of the application of the criminal laws 1584 and procedural rules of this state to any matters relating to 1585 the imposition and execution of the death penalty, the terms 1586 “intellectual disability” or “intellectually disabled” are 1587 interchangeable with and have the same meaning as the terms 1588 “mental retardation” or “retardation” and “mentally retarded” as 1589 those terms were defined before July 1, 2011. 1590 Section 39. Paragraph (b) of subsection (2) of section 1591 941.38, Florida Statutes, is amended to read: 1592 941.38 Extradition of persons alleged to be of unsound 1593 mind.— 1594 (2) For the purpose of this section: 1595 (b) A “mentally incompetent person” is one who because of 1596 mental illness, intellectual disabilitymental retardation, 1597 senility, excessive use of drugs or alcohol, or other mental 1598 incapacity is incapable ofeithermanaging his or her property 1599 or caring for himself or herself or both. 1600 Section 40. Section 944.602, Florida Statutes, is amended 1601 to read: 1602 944.602 Agency notification before release of 1603 intellectually disabledmentally retardedinmates.—Before the 1604 release by parole, release by reason of gain-time allowances 1605 provided for in s. 944.291, or expiration of sentence of any 1606 inmate who has been diagnosed as having an intellectual 1607 disabilitymentally retardedas defined in s. 393.063, the 1608 Department of Corrections shall notify the Agency for Persons 1609 with Disabilities in order that sufficient time be allowed to 1610 notify the inmate or the inmate’s representative, in writing, at 1611 least 7 days beforeprior tothe inmate’s release, of available 1612 community services. 1613 Section 41. Subsection (2) of section 945.025, Florida 1614 Statutes, is amended to read: 1615 945.025 Jurisdiction of department.— 1616 (2) In establishing, operating, and usingutilizingthese 1617 facilities, the department shall attempt, whenever possible, to 1618 avoid the placement of nondangerous offenders who have potential 1619 for rehabilitation with repeat offenders or dangerous offenders. 1620 Medical, mental, and psychological problems mustshallbe 1621 diagnosed and treated whenever possible. The Department of 1622 Children and Family Services and the Agency for Persons with 1623 Disabilities shall cooperate to ensure the delivery of services 1624 to persons under the custody or supervision of the department. 1625 IfWhen it is the intent ofthe department intends to transfer a 1626mentally ill or retardedprisoner who has a mental illness or 1627 intellectual disability to the Department of Children and Family 1628 Services or the Agency for Persons with Disabilities, an 1629 involuntary commitment hearing shall be held in accordance with 1630according to the provisions ofchapter 393 or chapter 394. 1631 Section 42. Subsection (5) of section 945.12, Florida 1632 Statutes, is amended to read: 1633 945.12 Transfers for rehabilitative treatment.— 1634 (5) When the department plans to release a mentally ill or 1635 intellectually disabledretardedoffender, an involuntary 1636 commitment hearing shall be held as soon as possible before 1637prior tohis or her release in accordance with, according to the1638provisions ofchapter 393 or chapter 394. 1639 Section 43. Subsection (9) of section 945.42, Florida 1640 Statutes, is amended to read: 1641 945.42 Definitions; ss. 945.40-945.49.—As used in ss. 1642 945.40-945.49, the following terms shall have the meanings 1643 ascribed to them, unless the context shall clearly indicate 1644 otherwise: 1645 (9) “Mentally ill” means an impairment of the mental or 1646 emotional processes that, of the ability toexercise conscious 1647 control of one’s actions,or of the ability to perceive or 1648 understand reality, which impairment substantially interferes 1649 with theaperson’s ability to meet the ordinary demands of 1650 living. However,regardless of etiology, except that,for the 1651 purposes of transferringtransfer ofan inmate to a mental 1652 health treatment facility, the term does not include a 1653retardation ordevelopmental disability as defined in chapter 1654 393, simple intoxication, or conditions manifested only by 1655 antisocial behavior or substance abuse addiction. However, an 1656 individual who ismentally retarded ordevelopmentally disabled 1657 may also have a mental illness. 1658 Section 44. Section 947.185, Florida Statutes, is amended 1659 to read: 1660 947.185 Application for intellectual disabilitymental1661retardationservices as condition of parole.—The Parole 1662 Commission may require as a condition of parole that any inmate 1663 who has been diagnosed as having an intellectual disability 1664mentally retardedas defined in s. 393.063 shall, upon release, 1665 apply for services from the Agency for Persons with 1666 Disabilities. 1667 Section 45. Subsection (4) of section 984.19, Florida 1668 Statutes, is amended to read: 1669 984.19 Medical screening and treatment of child; 1670 examination of parent, guardian, or person requesting custody.— 1671 (4) A judge may order that a child alleged to be or 1672 adjudicated a child in need of services be treated by a licensed 1673 health care professional. The judge may also order such child to 1674 receive mental health or intellectual disabilityretardation1675 services from a psychiatrist, psychologist, or other appropriate 1676 service provider. If it is necessary to place the child in a 1677 residential facility for such services,thenthe procedures and 1678 criteria established in s. 394.467 or chapter 393 shall be used, 1679 aswhichever isapplicable. A child may be providedmental1680health or retardationservices in emergency situations,pursuant 1681 to the procedures and criteria contained in s. 394.463(1) or 1682 chapter 393, aswhichever isapplicable. 1683 Section 46. Paragraph (a) of subsection (3) of section 1684 985.14, Florida Statutes, is amended to read: 1685 985.14 Intake and case management system.— 1686 (3) The intake and case management system shall facilitate 1687 consistency in the recommended placement of each child, and in 1688 the assessment, classification, and placement process, with the 1689 following purposes: 1690 (a) An individualized, multidisciplinary assessment process 1691 that identifies the priority needs of eachindividualchild for 1692 rehabilitation and treatment and identifies any needs of the 1693 child’s parents or guardians for services that would enhance 1694 their ability to provide adequate support, guidance, and 1695 supervision for the child. This process beginsshall beginwith 1696 the detention risk assessment instrument and decision, includes 1697shall includethe intake preliminary screening and comprehensive 1698 assessment for substance abuse treatment services, mental health 1699 services, intellectual disabilityretardationservices, literacy 1700 services, and other educational and treatment services as 1701 components, additional assessment of the child’s treatment 1702 needs, and classification regarding the child’s risks to the 1703 community and, for a serious or habitual delinquent child, 1704 includesshall include theassessment for placement in a serious 1705 or habitual delinquent children program under s. 985.47. The 1706 completed multidisciplinary assessment process mustshallresult 1707 in the predisposition report. 1708 Section 47. Paragraph (g) of subsection (1) and subsection 1709 (5) of section 985.145, Florida Statutes, are amended to read: 1710 985.145 Responsibilities of juvenile probation officer 1711 during intake; screenings and assessments.— 1712 (1) The juvenile probation officer shall serve as the 1713 primary case manager for the purpose of managing, coordinating, 1714 and monitoring the services provided to the child. Each program 1715 administrator within the Department of Children and Family 1716 Services shall cooperate with the primary case manager in 1717 carrying out the duties and responsibilities described in this 1718 section. In addition to duties specified in other sections and 1719 through departmental rules, the assigned juvenile probation 1720 officer shall be responsible for the following: 1721 (g) Comprehensive assessment.—The juvenile probation 1722 officer, pursuant to uniform procedures established by the 1723 department and upon determining that the report, affidavit, or 1724 complaint is complete, shall: 1725 1. Perform the preliminary screening and make referrals for 1726 a comprehensive assessment regarding the child’s need for 1727 substance abuse treatment services, mental health services, 1728 intellectual disabilityretardationservices, literacy services, 1729 or other educational or treatment services. 1730 2. IfWhenindicated by the preliminary screening, provide 1731 for a comprehensive assessment of the child and family for 1732 substance abuse problems, using community-based licensed 1733 programs with clinical expertise and experience in the 1734 assessment of substance abuse problems. 1735 3. IfWhenindicated by the preliminary screening, provide 1736 for a comprehensive assessment of the child and family for 1737 mental health problems, using community-based psychologists, 1738 psychiatrists, or other licensed mental health professionals who 1739 have clinical expertise and experience in the assessment of 1740 mental health problems. 1741 (5) If the screening and assessment indicate that the 1742 interests of the child and the public will be best served 1743thereby, the juvenile probation officer, with the approval of 1744 the state attorney, may refer the child for care, diagnostic, 1745 and evaluation services; substance abuse treatment services; 1746 mental health services; intellectual disabilityretardation1747 services; a diversionary, arbitration, or mediation program; 1748 community service work; or other programs or treatment services 1749 voluntarily accepted by the child and the child’s parents or 1750 legal guardian. IfWhenevera child volunteers to participate in 1751 any work program under this chapter or volunteers to work in a 1752 specified state, county, municipal, or community service 1753 organization supervised work program or to work for the victim, 1754 the child isshall beconsidered an employee of the state for 1755 the purposes of liability. In determining the child’s average 1756 weekly wage, unless otherwise determined by a specific funding 1757 program, all remuneration received from the employer is 1758 considered a gratuity, and the child is not entitled to any 1759 benefits otherwise payable under s. 440.15,regardless of 1760 whether the child may be receiving wages and remuneration from 1761 other employment with another employer and regardless of the 1762 child’s future wage-earning capacity. 1763 Section 48. Subsections (2) and (6) of section 985.18, 1764 Florida Statutes, are amended to read: 1765 985.18 Medical, psychiatric, psychological, substance 1766 abuse, and educational examination and treatment.— 1767 (2) IfWhenevera child has been found to have committed a 1768 delinquent act, or before such finding with the consent of any 1769 parent or legal custodian of the child, the court may order the 1770 child to be treated by a physician. The court may also order the 1771 child to receive mental health, substance abuse, or intellectual 1772 disabilityretardationservices from a psychiatrist, 1773 psychologist, or other appropriate service provider. If it is 1774 necessary to place the child in a residential facility for such 1775 services, the procedures and criteria established in chapter 1776 393, chapter 394, or chapter 397, aswhichever isapplicable, 1777 mustshallbe used. After a child has been adjudicated 1778 delinquent, if an educational needs assessment by the district 1779 school board or the Department of Children and Family Services 1780 has beenpreviouslyconducted, the court shall order the report 1781of such needs assessmentincluded in the child’s court record in 1782 lieu of a new assessment. For purposes of this section, an 1783 educational needs assessment includes, but is not limited to, 1784 reports of intelligence and achievement tests, screening for 1785 learning and other disabilitiesand other handicaps, and 1786 screening for the need for alternative education. 1787 (6) A physician mustshallbe immediately notified by the 1788 person taking the child into custody or the person having 1789 custody if there are indications of physical injury or illness, 1790 or the child shall be taken to the nearest available hospital 1791 for emergency care. A child may be provided mental health, 1792 substance abuse, or intellectual disabilityretardation1793 services,in emergency situations,pursuant to chapter 393, 1794 chapter 394, or chapter 397, aswhichever isapplicable. After a 1795 hearing, the court may order the custodial parent or parents, 1796 guardian, or other custodian, if found able to do so, to 1797 reimburse the county or state for the expense involved in such 1798 emergency treatment or care. 1799 Section 49. Paragraph (e) of subsection (1), subsections 1800 (2) through (4), and paragraph (a) of subsection (6) of section 1801 985.19, Florida Statutes, are amended to read: 1802 985.19 Incompetency in juvenile delinquency cases.— 1803 (1) If, at any time prior to or during a delinquency case, 1804 the court has reason to believe that the child named in the 1805 petition may be incompetent to proceed with the hearing, the 1806 court on its own motion may, or on the motion of the child’s 1807 attorney or state attorney must, stay all proceedings and order 1808 an evaluation of the child’s mental condition. 1809 (e) For incompetency evaluations related to intellectual 1810 disabilitymental retardationor autism, the court shall order 1811 the Agency for Persons with Disabilities to examine the child to 1812 determine if the child meets the definition of “intellectual 1813 disability”“retardation”or “autism” in s. 393.063 and, if so, 1814 whether the child is competent to proceed with delinquency 1815 proceedings. 1816 (2) A child who is adjudicated incompetent to proceed, and 1817 who has committed a delinquent act or violation of law, either 1818 of which would be a felony if committed by an adult, must be 1819 committed to the Department of Children and Family Services for 1820 treatment or training. A child who has been adjudicated 1821 incompetent to proceed because of age or immaturity, or for any 1822 reason other than for mental illness, intellectual disability, 1823or retardationor autism, must not be committed to the 1824 department or to the Department of Children and Family Services 1825 for restoration-of-competency treatment or training services. 1826 For purposes of this section, a child who has committed a 1827 delinquent act or violation of law, either of which would be a 1828 misdemeanor if committed by an adult, may not be committed to 1829 the department or to the Department of Children and Family 1830 Services for restoration-of-competency treatment or training 1831 services. 1832 (3) If the court finds that a child has mental illness, 1833 intellectual disabilitymental retardation, or autism and 1834 adjudicates the child incompetent to proceed, the court must 1835 also determine whether the child meets the criteria for secure 1836 placement. A child may be placed in a secure facility or program 1837 if the court makes a finding by clear and convincing evidence 1838 that: 1839 (a) The child has mental illness, intellectual disability 1840mental retardation, or autism and because of the mental illness, 1841 intellectual disabilitymental retardation, or autism: 1842 1. The child is manifestly incapable of surviving with the 1843 help of willing and responsible family or friends, including 1844 available alternative services, and without treatment or 1845 training the child is likely toeithersuffer from neglect or 1846 refuse to care for self, and such neglect or refusal poses a 1847 real and present threat of substantial harm to the child’s well 1848 being; or 1849 2. There is a substantial likelihood that in the near 1850 future the child will inflict serious bodily harm on self or 1851 others, as evidenced by recent behavior causing, attempting, or 1852 threatening such harm; and 1853 (b) All available less restrictive alternatives, including 1854 treatment or training in community residential facilities or 1855 community settings which would offer an opportunity for 1856 improvement of the child’s condition, are inappropriate. 1857 (4) A child who is determined to have mental illness, 1858 intellectual disabilitymental retardation, or autism, who has 1859 been adjudicated incompetent to proceed, and who meets the 1860 criteria set forth in subsection (3), must be committed to the 1861 Department of Children and Family Services and receive treatment 1862 or training in a secure facility or program that is the least 1863 restrictive alternative consistent with public safety. Any 1864 placement of a child to a secure residential program must be 1865 separate from adult forensic programs. If the child attains 1866 competency,thencustody, case management, and supervision of 1867 the child shallwillbe transferred to the department in order 1868 to continue delinquency proceedings; however, the court retains 1869 authority to order the Department of Children and Family 1870 Services to provide continued treatment or training to maintain 1871 competency. 1872 (a) A child adjudicated incompetent due to intellectual 1873 disabilitymental retardationor autism may be ordered into a 1874 secure program or facility designated by the Department of 1875 Children and Family Services for children who have intellectual 1876 disabilitieswith mental retardationor autism. 1877 (b) A child adjudicated incompetent due to mental illness 1878 may be ordered into a secure program or facility designated by 1879 the Department of Children and Family Services for children 1880 having mental illnesses. 1881 (c) IfWhenevera child is placed in a secure residential 1882 facility, the department shallwillprovide transportation to 1883 the secure residential facility for admission and from the 1884 secure residential facility upon discharge. 1885 (d) The purpose of the treatment or training is the 1886 restoration of the child’s competency to proceed. 1887 (e) The service provider must file a written report with 1888 the court pursuant to the applicable Florida Rules of Juvenile 1889 Procedure withinnot later than6 months after the date of 1890 commitment, or at the end of any period of extended treatment or 1891 training, and at any time the Department of Children and Family 1892 Services, through its service provider, determines the child has 1893 attained competency or no longer meets the criteria for secure 1894 placement, or at such shorter intervals as ordered by the court. 1895 A copy of a written report evaluating the child’s competency 1896 must be filed by the provider with the court and with the state 1897 attorney, the child’s attorney, the department, and the 1898 Department of Children and Family Services. 1899 (6)(a) If a child is determined to have mental illness, 1900 intellectual disabilitymental retardation, or autism and is 1901 found to be incompetent to proceed but does not meet the 1902 criteria set forth in subsection (3), the court shall commit the 1903 child to the Department of Children and Family Services and 1904shallorder the Department of Children and Family Services to 1905 provide appropriate treatment and training in the community. The 1906 purpose of the treatment or training is the restoration of the 1907 child’s competency to proceed. 1908 Section 50. Section 985.195, Florida Statutes, is amended 1909 to read: 1910 985.195 Transfer to other treatment services.—Any child 1911 committed to the department may be transferred to intellectual 1912 disabilityretardation, mental health, or substance abuse 1913 treatment facilities for diagnosis and evaluation pursuant to 1914 chapter 393, chapter 394, or chapter 397, aswhichever is1915 applicable, for up toa period not to exceed90 days. 1916 Section 51. Paragraph (b) of subsection (1) of section 1917 985.61, Florida Statutes, is amended to read: 1918 985.61 Early delinquency intervention program; criteria.— 1919 (1) The Department of Juvenile Justice shall, contingent 1920 upon specific appropriation and with the cooperation of local 1921 law enforcement agencies, the judiciary, district school board 1922 personnel, the office of the state attorney, the office of the 1923 public defender, the Department of Children and Family Services, 1924 and community service agencies that work with children, 1925 establish an early delinquency intervention program, the 1926 components of which shall include, but not be limited to: 1927 (b) Treatment modalities, including substance abuse 1928 treatment services, mental health services, andretardation1929 services for intellectual disabilities. 1930 Section 52. It is the intent of the Legislature that this 1931 act not expand or contract the scope or application of any 1932 provision of the Florida Statutes. This act may not be construed 1933 to change the application of any provision of the Florida 1934 Statutes to any person. 1935 Section 53. This act shall take effect July 1, 2011.