HB 1103 — Services for Individuals with Developmental Disabilities

39.6035.

The community-based care lead agency must fund room and board at the rate established in s.

(12) To ensure transparency and timely access to information,Page the6 agency shall post on its website in a conspicuous location the total number of individuals25 inCODING: each priority category by county of residence.

The posted numbers shall reflect the current status of the preenrollment priority list and shall be updated at least every 5 days.

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hb1103-02-c2hb1103-01-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 CS/CS/HBCS/HB 1103 2025 Sectioninformation, 3.the agency shall post on its website in a conspicuous location the total number of individuals in each priority category.

The posted numbers shall reflect the current status of the preenrollment priority list and shall be updated at least every 5 days.

Section 3.

4.Page 7 of 25 CODING:

Foster collaboration and the sharing of best practices and available resources among local family care councils to improve service delivery across regions.

5.

Submit an annual report no later than December 1 of each year to the Governor, the President of the Senate, the Page 8 of 28 CODING:

hb1103-02-c2hb1103-01-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 CS/CS/HBCS/HB 1103 2025 Speaker4. of the House of Representatives, and the agency.

Foster collaboration and the sharing of best practices and available resources among local family care councils to improve service delivery across regions.

5.

Submit an annual report no later than December 1 of each year to the Governor, the President of the Senate, the Speaker of the House of Representatives, and the agency.

One individual representing an advocacy organization representingPage individuals8 withof disabilities.25 CODING:

3.

One representative of a public or private entity that provides services to individuals with developmental disabilities that does not have a Medicaid waiver service contract with the agency.

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hb1103-02-c2hb1103-01-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 CS/CS/HBCS/HB 1103 2025 (b)representing Employeesindividuals ofwith thedisabilities. agency or the Agency for Health Care Administration are not eligible to serve on the statewide council.

3.

One representative of a public or private entity that provides services to individuals with developmental disabilities that does not have a Medicaid wavier service contract with the agency.

(b) Employees of the agency or the Agency for Health Care Administration are not eligible to serve on the statewide council.

(b) A member who has served two consecutive terms shall not be eligible to serve again until at least 12 months have elapsed since ending service on the statewide council.

If the Governor fails to make an appointment for a member under subsection (2), the chair of the local council may appoint a member meeting the requirements of subsection (2) to act as the statewidePage council9 representativeof for25 thatCODING: local council until the Governor makes an appointment.

2.

If no member of a local council is willing and able to serve on the statewide council, the Governor shall appoint an individual from another local council to serve on the statewide Page 10 of 28 CODING:

hb1103-02-c2hb1103-01-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 CS/CS/HBCS/HB 1103 2025 council.statewide council representative for that local council until the Governor makes an appointment.

2.

If no member of a local council is willing and able to serve on the statewide council, the Governor shall appoint an individual from another local council to serve on the statewide council.

(6) LOCAL FAMILY CARE COUNCIL DUTIES.—The local family carePage councils10 shall:of 25 CODING:

(a) Assist in providing information and conducting outreach to individuals with developmental disabilities and their families.

(b) Convene family listening sessions at least twice a Page 11 of 28 CODING:

hb1103-02-c2hb1103-01-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 CS/CS/HBCS/HB 1103 2025 yearcare tocouncils gathershall: input on local service delivery challenges.

(a) Assist in providing information and conducting outreach to individuals with developmental disabilities and their families.

(b) Convene family listening sessions at least twice a year to gather input on local service delivery challenges.

One such member shall be an individual who has been receiving services within the 4 years before the date of recommendation.Page 11 of 25 CODING:

The remainder of the council members shall be parents, grandparents, guardians, or siblings of individuals who have developmental disabilities and qualify for services pursuant to this chapter.

For a grandparent to be a council member, the grandchild's parent or legal guardian must consent Page 12 of 28 CODING:

hb1103-02-c2hb1103-01-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 CS/CS/HBCS/HB 1103 2025 torecommendation. the appointment and report the consent to the agency.

The remainder of the council members shall be parents, grandparents, guardians, or siblings of individuals who have developmental disabilities and qualify for services pursuant to this chapter.

For a grandparent to be a council member, the grandchild's parent or legal guardian must consent to the appointment and report the consent to the agency.

(c)1.Page 12 of 25 CODING:

Upon expiration of a term or in the case of any other vacancy, the local council shall, by majority vote, recommend to the Governor for appointment a person for each vacancy based on recommendations received from the family-led nominating committee described in paragraph (9)(a).

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hb1103-02-c2hb1103-01-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 CS/CS/HBCS/HB 1103 2025 2.(c)1.

Upon expiration of a term or in the case of any other vacancy, the local council shall, by majority vote, recommend to the Governor for appointment a person for each vacancy based on recommendations received from the family-led nominating committee described in paragraph (9)(a).

2.

If the Governor fails to make an appointment within 45 days, the local council shall, by majority vote, select an interim appointment for each vacancy from the panel of candidates recommended by the family-led nomination committee.

(7) PURPOSE.—The purpose of the local family care councils Page 1413 of 2825 CODING:

hb1103-02-c2hb1103-01-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 CS/CS/HBCS/HB 1103 2025 (7) PURPOSE.—The purpose of the local family care councils shall be to advise the agency, to develop a plan for the delivery of family support services within the local area, and to monitor the implementation and effectiveness of services and support provided under the plan.

FINANCIAL REVIEW.—The statewide and local family care councils council may apply for, receive, and accept grants, gifts, donations, bequests, and other payments from any publicPage or14 privateof entity25 orCODING: person.

Each local council is Page 15 of 28 CODING:

hb1103-02-c2hb1103-01-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 CS/CS/HBCS/HB 1103 2025 subjectpublic toor anprivate annualentity financialor reviewperson. by staff assigned by the agency.

Each local council is subject to an annual financial review by staff assigned by the agency.

(14) DUTIES.—The agency shall publish on its website all annual reports submitted by the local family care councils and the Statewide Family Care Council within 15 days after receipt of such reports in a designated and easily accessible section of thePage website.15 of 25 CODING:

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hb1103-02-c2hb1103-01-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 CS/CS/HBCS/HB 1103 2025 (15) ADMINISTRATIVE SUPPORT.—The agency shall provide administrative support to the statewidewebsite. council and local councils, including, but not limited to, staff assistance and meeting facilities, within existing resources.

(15) ADMINISTRATIVE SUPPORT.—The agency shall provide administrative support to the statewide council and local councils, including, but not limited to, staff assistance and meeting facilities, within existing resources.

Subsection (1) of section 409.972, Florida Statutes, is amended to read:

409.972 Mandatory and voluntary enrollment.— (1) The following Medicaid-eligible persons are exempt from mandatory managed care enrollment required by s.

409.965, and may voluntarily choose to participate in the managed medical assistance program.

These eligible persons must make an affirmative choice before any enrollment action by the agency.

The agency may not automatically enroll these eligible persons.:

(a) Medicaid recipients who have other creditable health care coverage, excluding Medicare.

(b) Medicaid recipients residing in residential commitment facilities operated through the Department of Juvenile Justice or a treatment facility as defined in s.

394.455.

(c) Persons eligible for refugee assistance.

(d) Medicaid recipients who are residents of a developmental disability center, including Sunland Center in Marianna and Tacachale in Gainesville.

(e) Medicaid recipients enrolled in the home and community based services waiver pursuant to chapter 393, and Medicaid recipients waiting for waiver services.

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Words stricken are deletions;

words underlined are additions.

hb1103-02-c2 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 CS/CS/HB 1103 2025 (f) Medicaid recipients residing in a group home facility licensed under chapter 393.

(g) Children receiving services in a prescribed pediatric extended care center.

Section 5.

409.963409.903 and as a component of the Statewide Medicaid Managed Care model established by this part.section.

(c)Page Pursuant16 toof s.25 CODING:

409.963, the agency shall administer Page 18 of 28 CODING:

hb1103-02-c2hb1103-01-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 CS/CS/HBCS/HB 1103 2025 the(c) pilotPursuant programto ins. consultation with the Agency for Persons with Disabilities.

409.963, the agency shall administer the pilot program in consultation with the Agency for Persons with Disabilities.

An individual must make an affirmative choice before any enrollment action by the agency.

The agency may not automatically enroll eligible individuals.

The assessment methodology may be administered by persons who have Page 1917 of 2825 CODING:

hb1103-02-c2hb1103-01-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 CS/CS/HBCS/HB 1103 2025 assessment methodology may be administered by persons who have completed such training as may be offered by the agency.

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The Agency for Persons with Disabilities shall transmit Page 18 of 25 CODING:

hb1103-02-c2hb1103-01-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 CS/CS/HBCS/HB 1103 2025 1.to the agency weekly data files of clients enrolled in the Medicaid home and community-based services waiver program under chapter 393 and clients in preenrollment categories pursuant to s.

The Agency for Persons with Disabilities shall transmit to the agency weekly data files of clients enrolled in the Medicaid home and community-based services waiver program under chapter 393 and clients in preenrollment categories pursuant to s.

The agency shall coordinate with the Department of Children and Families and the Agency for Persons with Disabilities to develop partnerships with community-based organizations to disseminate information about the pilot program Page 2119 of 2825 CODING:

hb1103-02-c2hb1103-01-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 CS/CS/HBCS/HB 1103 2025 organizations to disseminate information about the pilot program to providers of covered services and potential enrollees.

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Adult day training.

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hb1103-02-c2hb1103-01-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 CS/CS/HBCS/HB 1103 2025 a.b.

Adult day training.

b.

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Specialized mental health counseling.

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hb1103-02-c2hb1103-01-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 CS/CS/HBCS/HB 1103 2025 u.v.

Specialized mental health counseling.

v.

(e) Participating plans must provide benefits services must be provided to enrollees in accordance with an individualized care plan which is evaluated and updated at least quarterly and as warranted by changes in an enrollee's Page 2422 of 2825 CODING:

hb1103-02-c2hb1103-01-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 CS/CS/HBCS/HB 1103 2025 quarterly and as warranted by changes in an enrollee's circumstances.

(b)(c) The agency, in consultation with the Agency for Persons with Disabilities, shall submit progress reports to the Page 2523 of 2825 CODING:

hb1103-02-c2hb1103-01-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 CS/CS/HBCS/HB 1103 2025 Persons with Disabilities, shall submit progress reports to the Governor, the President of the Senate, and the Speaker of the House of Representatives upon the federal approval, implementation, and operation of the pilot program, as follows:

health and quality-of-life Pageoutcomes; 26 of 28 CODING:

and quality of care by each eligibility category and Page 24 of 25 CODING:

hb1103-02-c2hb1103-01-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 CS/CS/HBCS/HB 1103 2025 outcomes;managed care plan in each pilot program site.

and quality of care by each eligibility category and managed care plan in each pilot program site.

Section 6.5.

(1) The agency shall contract for a study to review, evaluate, and identify recommendations regarding the algorithm required under s.

393.0662, Florida Statutes.

The individual contractor must possess or, if the contractor is a firm must include at least one lead team member who possesses, a doctorate in statistics and advanced knowledge of the development and selection of multiple linear regression models.

The study must, at a minimum, assess the performance of the current algorithm used by the agency and determine whether a different algorithm would better meet the requirements of that section.

In conducting this assessment and determination, at a minimum, the study must also review the fit of recent Page 27 of 28 CODING:

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words underlined are additions.

hb1103-02-c2 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 CS/CS/HB 1103 2025 expenditure data to the current algorithm, determine and refine dependent and independent variables, develop and apply a method for identifying and removing outliers, develop alternative algorithms using multiple linear regression, test the accuracy and reliability of the algorithms, provide recommendations for improving accuracy and reliability, recommend an algorithm for use by the agency, assess the robustness of the recommended algorithm, and provide suggestions for improving any recommended alternative algorithm, if appropriate.

The study must also consider whether any waiver services that are not currently funded through the algorithm can be funded through the current algorithm or an alternative algorithm, and the impact of doing so on that algorithm's fit and effectiveness.

The study must present for any recommended alternative algorithm, at a minimum, the estimated number and percent of waiver enrollees who would require supplemental funding under s.

393.0662(1)(b), Florida Statutes, compared to the current algorithm;

and the number and percent of waiver enrollees whose budgets are estimated to increase or decrease, categorized by level of increase or decrease, age, living setting, and current total individual budget amount.

(2) The agency shall report to the Governor, the President of the Senate, and the Speaker of the House of Representatives findings and recommendations by November 15, 2025.

Section 7.

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