HB 1013 — Crisis Care Coordination

F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HBCS/HB 1013 2025 A bill to be entitled An act relating to crisis care coordination;

amendingcreating s.

394.4573,394.6581, F.S.;

requiring,requiring subject to an appropriation, the Department of Children and Families to implementimplement, asubject to appropriation, Crisis Care Coordination Pilot Program,Programs with a specific emphasis, in specified counties for certain purposes;

providing requirements for the pilot program;programs;

requiring the department to contract for an independent evaluation of the pilot programprograms toand engagesubmit a thirdreport partyto forthe certainGovernor purposes;and the Legislature by a specified date;

providing rulemaking authority;

providing for expiration of the pilot programs;

SubsectionSection (4)394.6581, is added to section 394.4573, Florida Statutes, is created to read:

394.4573394.6581 CoordinatedCrisis systemCare ofCoordination care;Pilot Programs.— (1) Subject to a specific appropriation, the department shall establish and implement Crisis Care Coordination Pilot Programs in Polk and Volusia Counties.

annualThe assessment;purpose of the pilot programs is to reduce repeat involuntary examinations initiated by law enforcement, provide persons who are experiencing an acute mental health crisis an option for crisis intervention Page 1 of 4 CODING:

essential elements;

measures of performance;

system improvement grants;

reports.—On or before December 1 of each year, the department shall submit to the Governor, the President of the Senate, and the Speaker of the House of Representatives an assessment of the behavioral health services in this state.

The assessment shall consider, at a minimum, the extent to which designated receiving systems function as no-wrong-door models, the availability of treatment and recovery services that use recovery-oriented and peer-involved approaches, the availability Page 1 of 3 CODING:

hb1013-00hb1013-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HBCS/HB 1013 2025 other than the use of less-restrictivelaw services,enforcement, andreduce thetheir uselevel of evidence-informedfollowup practices.interaction with law enforcement officers post crisis, and assist them with engagement in behavioral health care.

(a) The assessmentpilot programs shall alsofacilitate considerpartnerships thebetween availabilitylaw ofenforcement andagencies accessin toPolk coordinatedand specialtyVolusia careCounties programs and identifyorganizations any gaps in the availabilitycoordinated system of andcare accessunder tos. such programs in the state.

The394.4573 department'sthat assessmentare shalloperating consider,in atthose acounties minimum,by theplacing needscrisis assessmentscounselors conductedwithin bylaw theenforcement managingagencies entitiesto pursuantintervene towith s.and provide followup care for persons who are experiencing or have experienced an acute mental health crisis and their families and support networks.

394.9082(5).(b) The pilot programs shall be implemented by nationally accredited community mental health centers in partnership with local law enforcement.

The(2) departmentCrisis counselors placed in law enforcement agencies shall compileprovide support and includeassistance into thepersons reportwho allare plansexperiencing submittedor byhave managingexperienced entitiesan pursuantacute mental health crisis, connecting them to s.the coordinated system of care.

394.9082(8)Duties andof thecrisis department'scounselors evaluationshall ofinclude: each plan.

(4)(a) AsIntervening partwhen oflaw aenforcement coordinatedis systemcontacted ofrelating care and subject to a specificperson appropriationexperiencing by the Legislature, the department, through the managing entities, shall implement a Crisis Care Coordination Pilot Program with an emphasisacute onmental ahealth coordinatedcrisis systemto ofmake careobservations in Polk and Volusiaprovide Countiesinformation to beresponding implementedofficers, byconduct nationallyassessments, accreditedde-escalate communitythe mentalcrisis healthsituation, centersor inprovide partnershipreferrals, withas localappropriate. law enforcement.

(a)(b) TheFollow pilotup program must provide community-based care coordination and support for children, adolescents, and adults after contact with lawsuch enforcementpersons duringfollowing aan acute mental healthPage crisis2 event,of including4 involuntaryCODING: examinations initiated by a law enforcement officer.

(b) Services provided by the pilot program shall include assessment, safety planning, assistance in accessing recommended services, supportive counseling, and other supports needed Page 2 of 3 CODING:

hb1013-00hb1013-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S HBCS/HB 1013 2025 followinghealth acrisis mentalinvolving healthlaw crisisenforcement, event.such as an involuntary examination as defined in s.

(c)394.455 Theinitiated pilotby programlaw mustenforcement. coordinate with community partners, including development of referral agreements and information exchange procedures.

ReferralA agreementsperson's mustinvolvement be developed with behavioralfollowup healthcare serviceshall providersbe involuntary. the pilot program's service area to facilitate timely access to community- based behavioral health services and other local systems and entities as outlined in the individual's discharge plan.

(d)Such Thefollowup goalcare of the pilot program is to reduce repeat involuntary examinations initiated by law enforcement, reduce the time burden of law enforcement working with individuals after an involuntary examination, provide post-crisis intervention services, assist individuals with engagement in mental health care, and provide individuals an option for crisis interventioncounselors othermay thaninclude, thebut useneed ofnot lawbe enforcement.limited to:

(e)1. The pilot program must engage a third-party evaluator to assess the pilot program's efficacy and return on investment and provide a written report of the findings within 2 years after implementation of the pilot program.

Conducting assessments.

2.

Providing individualized safety planning tailored to the person's needs and risks.

3.

Providing supportive counseling.

4.

Assisting persons in accessing recommended mental health services and substance abuse services.

5.

Assisting persons in adhering to discharge plans.

6.