Bill Amendment: FL S1440 | 2020 | Regular Session
NOTE: For additional amemendments please see the Bill Drafting List
Bill Title: Children's Mental Health
Status: 2020-03-11 - Laid on Table, refer to CS/CS/HB 945 [S1440 Detail]
Download: Florida-2020-S1440-Senate_Committee_Amendment_777132.html
Bill Title: Children's Mental Health
Status: 2020-03-11 - Laid on Table, refer to CS/CS/HB 945 [S1440 Detail]
Download: Florida-2020-S1440-Senate_Committee_Amendment_777132.html
Florida Senate - 2020 COMMITTEE AMENDMENT Bill No. SB 1440 Ì777132ÉÎ777132 LEGISLATIVE ACTION Senate . House . . . . . ————————————————————————————————————————————————————————————————— ————————————————————————————————————————————————————————————————— The Committee on Children, Families, and Elder Affairs (Powell) recommended the following: 1 Senate Amendment (with title amendment) 2 3 Delete everything after the enacting clause 4 and insert: 5 Section 1. Subsection (4) is added to section 394.493, 6 Florida Statutes, to read: 7 394.493 Target populations for child and adolescent mental 8 health services funded through the department.— 9 (4) Beginning with fiscal year 2020-2021 through fiscal 10 year 2021-2022, the department and the Agency for Health Care 11 Administration shall identify children and adolescents who are 12 the highest utilizers of crisis stabilization services. The 13 department and agency shall collaboratively take appropriate 14 action within available resources to meet the behavioral health 15 needs of such children and adolescents more effectively, and 16 shall jointly submit to the Legislature a quarterly report 17 listing the actions taken by both agencies to better serve such 18 children and adolescents. 19 Section 2. Paragraph (q) is added to subsection (4) of 20 section 394.495, Florida Statutes, and subsection (7) is added 21 to that section, to read: 22 394.495 Child and adolescent mental health system of care; 23 programs and services.— 24 (4) The array of services may include, but is not limited 25 to: 26 (q) Crisis response services provided through mobile 27 response teams. 28 (7)(a) The department shall contract with managing entities 29 for mobile response teams throughout the state to provide 30 immediate, onsite behavioral health crisis services to children, 31 adolescents, and young adults ages 18 to 25, inclusive, who: 32 1. Have an emotional disturbance; 33 2. Are experiencing an acute mental or emotional crisis; 34 3. Are experiencing escalating emotional or behavioral 35 reactions and symptoms that impact their ability to function 36 typically within the family, living situation, or community 37 environment; or 38 4. Are served by the child welfare system and are 39 experiencing or are at high risk of placement instability. 40 (b) A mobile response team shall, at a minimum: 41 1. Respond to new requests for services within 60 minutes 42 after such requests are made. 43 2. Respond to a crisis in the location where the crisis is 44 occurring. 45 3. Provide behavioral health crisis-oriented services that 46 are responsive to the needs of the child, adolescent, or young 47 adult and his or her family. 48 4. Provide evidence-based practices to children, 49 adolescents, young adults, and families to enable them to 50 independently and effectively deescalate and respond to 51 behavioral challenges that they are facing and to reduce the 52 potential for future crises. 53 5. Provide screening, standardized assessments, early 54 identification, and referrals to community services. 55 6. Engage the child, adolescent, or young adult and his or 56 her family as active participants in every phase of the 57 treatment process whenever possible. 58 7. Develop a care plan for the child, adolescent, or young 59 adult. 60 8. Provide care coordination by facilitating the transition 61 to ongoing services. 62 9. Ensure there is a process in place for informed consent 63 and confidentiality compliance measures. 64 10. Promote information sharing and the use of innovative 65 technology. 66 11. Coordinate with the managing entity within the service 67 location and other key entities providing services and supports 68 to the child, adolescent, or young adult and his or her family, 69 including, but not limited to, the child, adolescent, or young 70 adult’s school, the local educational multiagency network for 71 severely emotionally disturbed students under s. 1006.04, the 72 child welfare system, and the juvenile justice system. 73 (c) When procuring mobile response teams, the managing 74 entity must, at a minimum: 75 1. Collaborate with local sheriff’s offices and public 76 schools in the planning, development, evaluation, and selection 77 processes. 78 2. Require that services be made available 24 hours per 79 day, 7 days per week, with onsite response time to the location 80 of the referred crisis within 60 minutes after the request for 81 services is made. 82 3. Require the provider to establish response protocols 83 with local law enforcement agencies, local community-based care 84 lead agencies as defined in s. 409.986(3), the child welfare 85 system, and the Department of Juvenile Justice. The response 86 protocol with a school district shall be consistent with the 87 model response protocol developed under s. 1004.44. 88 4. Require access to a board-certified or board-eligible 89 psychiatrist or psychiatric nurse practitioner. 90 5. Require mobile response teams to refer children, 91 adolescents, or young adults and their families to an array of 92 crisis response services that address individual and family 93 needs, including screening, standardized assessments, early 94 identification, and community services as necessary to address 95 the immediate crisis event. 96 Section 3. Section 394.4955, Florida Statutes, is created 97 to read: 98 394.4955 Coordinated system of care; child and adolescent 99 mental health treatment and support.— 100 (1) Pursuant to s. 394.9082(5)(d), each managing entity 101 shall develop a plan that promotes the development and effective 102 implementation of a coordinated system of care which integrates 103 services provided through providers funded by the state’s child 104 serving systems and facilitates access by children and 105 adolescents, as resources permit, to needed mental health 106 treatment and services at any point of entry regardless of the 107 time of year, intensity, or complexity of the need, and other 108 systems with which such children and adolescents are involved, 109 as well as treatment and services available through other 110 systems for which they would qualify. 111 (2)(a) The managing entity shall lead a planning process 112 that includes, but is not limited to, children and adolescents 113 with behavioral health needs and their families; behavioral 114 health service providers; law enforcement agencies; school 115 districts or superintendents; the multiagency network for 116 students with emotional or behavioral disabilities; the 117 department; and representatives of the child welfare and 118 juvenile justice systems, early learning coalitions, the Agency 119 for Health Care Administration, Medicaid managed medical 120 assistance plans, the Agency for Persons with Disabilities, the 121 Department of Juvenile Justice, and other community partners. An 122 organization receiving state funding must participate in the 123 planning process if requested by the managing entity. 124 (b) The managing entity and collaborating organizations 125 shall take into consideration the geographical distribution of 126 the population, needs, and resources, and create separate plans 127 on an individual county or multi-county basis, as needed, to 128 maximize collaboration and communication at the local level. 129 (c) To the extent permitted by available resources, the 130 coordinated system of care shall include the array of services 131 listed in s. 394.495. 132 (d) Each plan shall integrate with the local plan developed 133 under s. 394.4573. 134 (3) By July 1, 2021, the managing entity shall complete the 135 plans developed under this section and submit them to the 136 department. By July 1, 2022, the entities involved in the 137 planning process shall implement the coordinated system of care 138 specified in each plan. The managing entity and collaborating 139 organizations shall review and update the plans, as necessary, 140 at least every 3 years thereafter. 141 (4) The managing entity and collaborating organizations 142 shall create integrated service delivery approaches within 143 current resources that facilitate parents and caregivers 144 obtaining services and support by making referrals to 145 specialized treatment providers, if necessary, with follow up to 146 ensure services are received. 147 (5) The managing entity and collaborating organizations 148 shall document each coordinated system of care for children and 149 adolescents through written memoranda of understanding or other 150 binding arrangements. 151 (6) The managing entity shall identify gaps in the arrays 152 of services for children and adolescents listed in s. 394.495 153 available under each plan and include relevant information in 154 its annual needs assessment required by s. 394.9082. 155 Section 4. Paragraph (c) of subsection (3) and paragraphs 156 (b) and (d) of subsection (5) of section 394.9082, Florida 157 Statutes, are amended, and paragraph (t) is added to subsection 158 (5) of that section, to read: 159 394.9082 Behavioral health managing entities.— 160 (3) DEPARTMENT DUTIES.—The department shall: 161 (c) Define the priority populations that will benefit from 162 receiving care coordination. In defining such populations, the 163 department shall take into account the availability of resources 164 and consider: 165 1. The number and duration of involuntary admissions within 166 a specified time. 167 2. The degree of involvement with the criminal justice 168 system and the risk to public safety posed by the individual. 169 3. Whether the individual has recently resided in or is 170 currently awaiting admission to or discharge from a treatment 171 facility as defined in s. 394.455. 172 4. The degree of utilization of behavioral health services. 173 5. Whether the individual is a parent or caregiver who is 174 involved with the child welfare system. 175 6. Whether the individual is an adolescent, as defined in 176 s. 394.492, who requires assistance in transitioning to services 177 provided in the adult system of care. 178 (5) MANAGING ENTITY DUTIES.—A managing entity shall: 179 (b) Conduct a community behavioral health care needs 180 assessment every 3 years in the geographic area served by the 181 managing entity which identifies needs by subregion. The process 182 for conducting the needs assessment shall include an opportunity 183 for public participation. The assessment shall include, at a 184 minimum, the information the department needs for its annual 185 report to the Governor and Legislature pursuant to s. 394.4573. 186 The assessment shall also include a list and descriptions of any 187 gaps in the arrays of services for children or adolescents 188 identified pursuant to s. 394.4955 and recommendations for 189 addressing such gaps. The managing entity shall provide the 190 needs assessment to the department. 191 (d) Promote the development and effective implementation of 192 a coordinated system of care pursuant to ss. 394.4573 and 193 394.495s. 394.4573. 194 (t) Promote the use of available crisis intervention 195 services by requiring contracted providers to provide contact 196 information for mobile response teams established under s. 197 394.495 to parents and caregivers of children, adolescents, and 198 young adults between ages 18 and 25, inclusive, who receive 199 safety-net behavioral health services. 200 Section 5. Paragraph (b) of subsection (14) of section 201 409.175, Florida Statutes, is amended to read: 202 409.175 Licensure of family foster homes, residential 203 child-caring agencies, and child-placing agencies; public 204 records exemption.— 205 (14) 206 (b) As a condition of licensure, foster parents shall 207 successfully complete preservice training. The preservice 208 training shall be uniform statewide and shall include, but not 209 be limited to, such areas as: 210 1. Orientation regarding agency purpose, objectives, 211 resources, policies, and services; 212 2. Role of the foster parent as a treatment team member; 213 3. Transition of a child into and out of foster care, 214 including issues of separation, loss, and attachment; 215 4. Management of difficult child behavior that can be 216 intensified by placement, by prior abuse or neglect, and by 217 prior placement disruptions; 218 5. Prevention of placement disruptions; 219 6. Care of children at various developmental levels, 220 including appropriate discipline;and221 7. Effects of foster parenting on the family of the foster 222 parent; and 223 8. Information about and contact information for the local 224 mobile response team as a means for addressing a behavioral 225 health crisis or preventing placement disruption. 226 Section 6. Paragraph (c) of subsection (2) of section 227 409.967, Florida Statutes, is amended to read: 228 409.967 Managed care plan accountability.— 229 (2) The agency shall establish such contract requirements 230 as are necessary for the operation of the statewide managed care 231 program. In addition to any other provisions the agency may deem 232 necessary, the contract must require: 233 (c) Access.— 234 1. The agency shall establish specific standards for the 235 number, type, and regional distribution of providers in managed 236 care plan networks to ensure access to care for both adults and 237 children. Each plan must maintain a regionwide network of 238 providers in sufficient numbers to meet the access standards for 239 specific medical services for all recipients enrolled in the 240 plan. The exclusive use of mail-order pharmacies may not be 241 sufficient to meet network access standards. Consistent with the 242 standards established by the agency, provider networks may 243 include providers located outside the region. A plan may 244 contract with a new hospital facility before the date the 245 hospital becomes operational if the hospital has commenced 246 construction, will be licensed and operational by January 1, 247 2013, and a final order has issued in any civil or 248 administrative challenge. Each plan shall establish and maintain 249 an accurate and complete electronic database of contracted 250 providers, including information about licensure or 251 registration, locations and hours of operation, specialty 252 credentials and other certifications, specific performance 253 indicators, and such other information as the agency deems 254 necessary. The database must be available online to both the 255 agency and the public and have the capability to compare the 256 availability of providers to network adequacy standards and to 257 accept and display feedback from each provider’s patients. Each 258 plan shall submit quarterly reports to the agency identifying 259 the number of enrollees assigned to each primary care provider. 260 The agency shall conduct, or contract for, systematic and 261 continuous testing of the provider network databases maintained 262 by each plan to confirm accuracy, confirm that behavioral health 263 providers are accepting enrollees, and confirm that enrollees 264 have access to behavioral health services. 265 2. Each managed care plan must publish any prescribed drug 266 formulary or preferred drug list on the plan’s website in a 267 manner that is accessible to and searchable by enrollees and 268 providers. The plan must update the list within 24 hours after 269 making a change. Each plan must ensure that the prior 270 authorization process for prescribed drugs is readily accessible 271 to health care providers, including posting appropriate contact 272 information on its website and providing timely responses to 273 providers. For Medicaid recipients diagnosed with hemophilia who 274 have been prescribed anti-hemophilic-factor replacement 275 products, the agency shall provide for those products and 276 hemophilia overlay services through the agency’s hemophilia 277 disease management program. 278 3. Managed care plans, and their fiscal agents or 279 intermediaries, must accept prior authorization requests for any 280 service electronically. 281 4. Managed care plans serving children in the care and 282 custody of the Department of Children and Families must maintain 283 complete medical, dental, and behavioral health encounter 284 information and participate in making such information available 285 to the department or the applicable contracted community-based 286 care lead agency for use in providing comprehensive and 287 coordinated case management. The agency and the department shall 288 establish an interagency agreement to provide guidance for the 289 format, confidentiality, recipient, scope, and method of 290 information to be made available and the deadlines for 291 submission of the data. The scope of information available to 292 the department shall be the data that managed care plans are 293 required to submit to the agency. The agency shall determine the 294 plan’s compliance with standards for access to medical, dental, 295 and behavioral health services; the use of medications; and 296 followup on all medically necessary services recommended as a 297 result of early and periodic screening, diagnosis, and 298 treatment. 299 Section 7. Paragraph (f) of subsection (1) of section 300 409.988, Florida Statutes, is amended to read: 301 409.988 Lead agency duties; general provisions.— 302 (1) DUTIES.—A lead agency: 303 (f) Shall ensure that all individuals providing care for 304 dependent children receive: 305 1. Appropriate training and meet the minimum employment 306 standards established by the department. 307 2. Contact information for the local mobile response team 308 established under s. 394.495. 309 Section 8. Subsection (4) of section 985.601, Florida 310 Statutes, is amended to read: 311 985.601 Administering the juvenile justice continuum.— 312 (4) The department shall maintain continuing cooperation 313 with the Department of Education, the Department of Children and 314 Families, the Department of Economic Opportunity, and the 315 Department of Corrections for the purpose of participating in 316 agreements with respect to dropout prevention and the reduction 317 of suspensions, expulsions, and truancy; increased access to and 318 participation in high school equivalency diploma, vocational, 319 and alternative education programs; and employment training and 320 placement assistance. The cooperative agreements between the 321 departments shall include an interdepartmental plan to cooperate 322 in accomplishing the reduction of inappropriate transfers of 323 children into the adult criminal justice and correctional 324 systems. As part of its continuing cooperation, the department 325 shall participate in the planning process for promoting a 326 coordinated system of care for children and adolescents pursuant 327 to s. 394.4955. 328 Section 9. Subsection (5) is added to section 1003.02, 329 Florida Statutes, to read: 330 1003.02 District school board operation and control of 331 public K-12 education within the school district.—As provided in 332 part II of chapter 1001, district school boards are 333 constitutionally and statutorily charged with the operation and 334 control of public K-12 education within their school district. 335 The district school boards must establish, organize, and operate 336 their public K-12 schools and educational programs, employees, 337 and facilities. Their responsibilities include staff 338 development, public K-12 school student education including 339 education for exceptional students and students in juvenile 340 justice programs, special programs, adult education programs, 341 and career education programs. Additionally, district school 342 boards must: 343 (5) Participate in the planning process for promoting a 344 coordinated system of care for children and adolescents pursuant 345 to s. 394.4955. 346 Section 10. Present subsection (4) of section 1004.44, 347 Florida Statutes, is redesignated as subsection (5), and a new 348 subsection (4) is added to that section, to read: 349 1004.44 Louis de la Parte Florida Mental Health Institute. 350 There is established the Louis de la Parte Florida Mental Health 351 Institute within the University of South Florida. 352 (4) By August 1, 2020, the institute shall develop a model 353 response protocol for schools to use mobile response teams 354 established under s. 394.495. In developing the protocol, the 355 institute shall, at a minimum, consult with school districts 356 that effectively use such teams, school districts that use such 357 teams less often, local law enforcement agencies, the Department 358 of Children and Families, managing entities as defined in s. 359 394.9082(2), and mobile response team providers. 360 Section 11. Paragraph (c) of subsection (1) of section 361 1006.04, Florida Statutes, is amended to read: 362 1006.04 Educational multiagency services for students with 363 severe emotional disturbance.— 364 (1) 365 (c) The multiagency network shall: 366 1. Support and represent the needs of students in each 367 school district in joint planning with fiscal agents of 368 children’s mental health funds, including the expansion of 369 school-based mental health services, transition services, and 370 integrated education and treatment programs. 371 2. Improve coordination of services for children with or at 372 risk of emotional or behavioral disabilities and their families 373 by assisting multi-agency collaborative initiatives to identify 374 critical issues and barriers of mutual concern and develop local 375 response systems that increase home and school connections and 376 family engagement. 377 3. Increase parent and youth involvement and development 378 with local systems of care. 379 4. Facilitate student and family access to effective 380 services and programs for students with and at risk of emotional 381 or behavioral disabilities that include necessary educational, 382 residential, and mental health treatment services, enabling 383 these students to learn appropriate behaviors, reduce 384 dependency, and fully participate in all aspects of school and 385 community living. 386 5. Participate in the planning process for promoting a 387 coordinated system of care for children and adolescents pursuant 388 to s. 394.4955. 389 Section 12. Paragraph (b) of subsection (16) of section 390 1011.62, Florida Statutes, is amended to read: 391 1011.62 Funds for operation of schools.—If the annual 392 allocation from the Florida Education Finance Program to each 393 district for operation of schools is not determined in the 394 annual appropriations act or the substantive bill implementing 395 the annual appropriations act, it shall be determined as 396 follows: 397 (16) MENTAL HEALTH ASSISTANCE ALLOCATION.—The mental health 398 assistance allocation is created to provide funding to assist 399 school districts in establishing or expanding school-based 400 mental health care; train educators and other school staff in 401 detecting and responding to mental health issues; and connect 402 children, youth, and families who may experience behavioral 403 health issues with appropriate services. These funds shall be 404 allocated annually in the General Appropriations Act or other 405 law to each eligible school district. Each school district shall 406 receive a minimum of $100,000, with the remaining balance 407 allocated based on each school district’s proportionate share of 408 the state’s total unweighted full-time equivalent student 409 enrollment. Charter schools that submit a plan separate from the 410 school district are entitled to a proportionate share of 411 district funding. The allocated funds may not supplant funds 412 that are provided for this purpose from other operating funds 413 and may not be used to increase salaries or provide bonuses. 414 School districts are encouraged to maximize third-party health 415 insurance benefits and Medicaid claiming for services, where 416 appropriate. 417 (b) The plans required under paragraph (a) must be focused 418 on a multitiered system of supports to deliver evidence-based 419 mental health care assessment, diagnosis, intervention, 420 treatment, and recovery services to students with one or more 421 mental health or co-occurring substance abuse diagnoses and to 422 students at high risk of such diagnoses. The provision of these 423 services must be coordinated with a student’s primary mental 424 health care provider and with other mental health providers 425 involved in the student’s care. At a minimum, the plans must 426 include the following elements: 427 1. Direct employment of school-based mental health services 428 providers to expand and enhance school-based student services 429 and to reduce the ratio of students to staff in order to better 430 align with nationally recommended ratio models. These providers 431 include, but are not limited to, certified school counselors, 432 school psychologists, school social workers, and other licensed 433 mental health professionals. The plan also must identify 434 strategies to increase the amount of time that school-based 435 student services personnel spend providing direct services to 436 students, which may include the review and revision of district 437 staffing resource allocations based on school or student mental 438 health assistance needs. 439 2. An interagency agreement or memorandum of understanding 440 with the managing entity, as defined in s. 394.9082(2), that 441 facilitates referrals of students to community-based services 442 and coordinates care for students served by school-based and 443 community-based providers. Such agreement or memorandum of 444 understanding must address the sharing of records and 445 information as authorized under s. 1006.07(7)(d) to coordinate 446 care and increase access to appropriate services. 447 3.2.Contracts or interagency agreements with one or more 448 local community behavioral health providers or providers of 449 Community Action Team services to provide a behavioral health 450 staff presence and services at district schools. Services may 451 include, but are not limited to, mental health screenings and 452 assessments, individual counseling, family counseling, group 453 counseling, psychiatric or psychological services, trauma 454 informed care, mobile crisis services, and behavior 455 modification. These behavioral health services may be provided 456 on or off the school campus and may be supplemented by 457 telehealth. 458 4.3.Policies and procedures, including contracts with 459 service providers, which will ensure that: 460 a. Parents of students are provided information about 461 behavioral health services available through the students’ 462 school or local community-based behavioral health services 463 providers, including, but not limited to, the mobile response 464 team as established in s. 394.495 serving their area. A school 465 may meet this requirement by providing information about and 466 Internet addresses for web-based directories or guides of local 467 behavioral health services as long as such directories or guides 468 are easily navigated and understood by individuals unfamiliar 469 with behavioral health delivery systems or services and include 470 specific contact information for local behavioral health 471 providers. 472 b. School districts use the services of the mobile response 473 teams to the extent that such services are available. Each 474 school district shall establish policies and procedures to carry 475 out the model response protocol developed under s. 1004.44. 476 c. Students who are referred to a school-based or 477 community-based mental health service provider for mental health 478 screening for the identification of mental health concerns and 479 ensure that the assessment of students at risk for mental health 480 disorders occurs within 15 days of referral. School-based mental 481 health services must be initiated within 15 days after 482 identification and assessment, and support by community-based 483 mental health service providers for students who are referred 484 for community-based mental health services must be initiated 485 within 30 days after the school or district makes a referral. 486 d. Referrals to behavioral health services available 487 through other delivery systems or payors for which a student or 488 individuals living in the household of a student receiving 489 services under this subsection may qualify, if such services 490 appear to be needed or enhancements in those individuals’ 491 behavioral health would contribute to the improved well-being of 492 the student. 493 5.4.Strategies or programs to reduce the likelihood of at 494 risk students developing social, emotional, or behavioral health 495 problems, depression, anxiety disorders, suicidal tendencies, or 496 substance use disorders. 497 6.5.Strategies to improve the early identification of 498 social, emotional, or behavioral problems or substance use 499 disorders, to improve the provision of early intervention 500 services, and to assist students in dealing with trauma and 501 violence. 502 Section 13. The Department of Children and Families and the 503 Agency for Health Care Administration shall assess the quality 504 of care provided in crisis stabilization units to children and 505 adolescents who are high utilizers of crisis stabilization 506 services. The department and agency shall review current 507 standards of care for such settings applicable to licensure 508 under chapters 394 and 408, Florida Statutes, and designation 509 under s. 394.461, Florida Statutes; compare the standards to 510 other states’ standards and relevant national standards; and 511 make recommendations for improvements to such standards. The 512 assessment and recommendations shall address, at a minimum, 513 efforts by each facility to gather and assess information 514 regarding each child or adolescent, to coordinate with other 515 providers treating the child or adolescent, and to create 516 discharge plans that comprehensively and effectively address the 517 needs of the child or adolescent to avoid or reduce his or her 518 future use of crisis stabilization services. The department and 519 agency shall jointly submit a report of their findings and 520 recommendations to the Governor, the President of the Senate, 521 and the Speaker of the House of Representatives by November 15, 522 2020. 523 Section 14. This act shall take effect July 1, 2020. 524 525 ================= T I T L E A M E N D M E N T ================ 526 And the title is amended as follows: 527 Delete everything before the enacting clause 528 and insert: 529 A bill to be entitled 530 An act relating to children’s mental health; amending 531 s. 394.493, F.S.; requiring the Department of Children 532 and Families and the Agency for Health Care 533 Administration to identify certain children and 534 adolescents who use crisis stabilization services 535 during specified fiscal years; requiring the 536 department and agency to collaboratively meet the 537 behavioral health needs of such children and 538 adolescents and submit a quarterly report to the 539 Legislature; amending s. 394.495, F.S.; including 540 crisis response services provided through mobile 541 response teams in the array of services available to 542 children and adolescents; requiring the department to 543 contract with managing entities for mobile response 544 teams to provide certain services to certain children, 545 adolescents, and young adults; providing requirements 546 for such mobile response teams; providing requirements 547 for managing entities when procuring mobile response 548 teams; creating s. 394.4955, F.S.; requiring managing 549 entities to develop a plan promoting the development 550 of a coordinated system of care for certain services; 551 providing requirements for the planning process; 552 requiring each managing entity to submit such plan by 553 a specified date; requiring the entities involved in 554 the planning process to implement such plan by a 555 specified date; requiring that such plan be reviewed 556 and updated periodically; amending s. 394.9082, F.S.; 557 revising the duties of the department relating to 558 priority populations that will benefit from care 559 coordination; requiring that a managing entity’s 560 behavioral health care needs assessment include 561 certain information regarding gaps in certain 562 services; requiring a managing entity to promote the 563 use of available crisis intervention services; 564 amending s. 409.175, F.S.; revising requirements 565 relating to preservice training for foster parents; 566 amending s. 409.967, F.S.; requiring the agency to 567 conduct, or contract for, the testing of provider 568 network databases maintained by Medicaid managed care 569 plans for specified purposes; amending s. 409.988, 570 F.S.; revising the duties of a lead agency relating to 571 individuals providing care for dependent children; 572 amending s. 985.601, F.S.; requiring the Department of 573 Juvenile Justice to participate in the planning 574 process for promoting a coordinated system of care for 575 children and adolescents; amending s. 1003.02, F.S.; 576 requiring each district school board to participate in 577 the planning process for promoting a coordinated 578 system of care; amending s. 1004.44, F.S.; requiring 579 the Louis de la Parte Florida Mental Health Institute 580 to develop, in consultation with other entities, a 581 model response protocol for schools; amending s. 582 1006.04, F.S.; requiring the educational multiagency 583 network to participate in the planning process for 584 promoting a coordinated system of care; amending s. 585 1011.62, F.S.; revising the elements of a plan 586 required for school district funding under the mental 587 health assistance allocation; requiring the Department 588 of Children and Families and the Agency for Health 589 Care Administration to assess the quality of care 590 provided in crisis stabilization units to certain 591 children and adolescents; requiring the department and 592 agency to review current standards of care for certain 593 settings and make recommendations; requiring the 594 department and agency to jointly submit a report to 595 the Governor and the Legislature by a specified date; 596 providing an effective date.