Amendment AA3-SB70

SB70-AA3,229,15 (b) Subject to pars. (c) and (d), from the appropriation under s. 20.435 (4) (bu), the department shall establish and implement the statewide healthy eating incentives Double Up Food Bucks pilot program under the federal Gus Schumacher Nutrition Incentive Program to match benefit amounts spent by recipients under the food stamp program on fruits and vegetables from participating retailers with additional benefit amounts to be used for the purchase of fruits and vegetables.

SB70-AA3,229,17 (c) The department shall do all of the following, on a schedule determined by the department:

SB70-AA3,229,20 1. Submit to the U.S. department of agriculture a request for a waiver or any other federal approval necessary to allow the department to implement the program under this subsection.

SB70-AA3,229,23 2. Seek any available moneys, including federal moneys under the federal Gus Schumacher Nutrition Incentive Program, to fund implementation of the program under this subsection.

SB70-AA3,230,3 (d) If the U.S. department of agriculture disapproves the request under par. (c) 1. or if the department is unable to obtain sufficient funding for the program, the department may not implement the program under this subsection.”.

SB70-AA3,230,4 252. Page 374, line 11: after that line insert:

SB70-AA3,230,5 “ Section 292. 49.79 (7s) of the statutes is created to read:

SB70-AA3,230,14 49.79 (7s) Payment processing program. From the appropriation under s. 20.435 (4) (bu), the department shall administer a payment processing program to provide to farmers' markets and farmers who sell directly to consumers electronic benefit transfer and credit and debit card processing equipment and services, including electronic benefit transfer for the food stamp program. To participate in the payment processing program, the vendor that is under contract to process the electronic benefit transfer and credit and debit card transactions shall also process any local purchasing incentives, even if those local purchasing incentives are funded by a local 3rd-party entity.

SB70-AA3,9219 Section 9219. Fiscal changes; Health Services.

SB70-AA3,230,19 (1) Payment processing program. In the schedule under s. 20.005 (3) for the appropriation to the department of health services under s. 20.435 (4) (bu), the dollar amount for fiscal year 2023-24 is increased by $735,000 and the dollar amount for fiscal year 2024-25 is increased by $735,000 for the program under s. 49.79 (7s).”.

SB70-AA3,230,20 253. Page 374, line 11: after that line insert:

SB70-AA3,230,22 “ Section 293. 20.005 (3) (schedule) of the statutes: at the appropriate place, insert the following amounts for the purposes indicated: - See PDF for table - See PDF for table

SB70-AA3,294 Section 294. 20.435 (5) (cm) of the statutes is created to read:

SB70-AA3,231,3 20.435 (5) (cm) Service dog training grants. The amounts in the schedule for awarding grants to organizations for service dog training under s. 46.250.

SB70-AA3,295 Section 295. 46.250 of the statutes is created to read:

SB70-AA3,231,8 46.250 Service dog training grants. (1) From the appropriation under s. 20.435 (5) (cm), the department shall award grants to organizations that train service dogs for the purpose of assisting providers in attaining accreditation specific to post-traumatic stress disorder training from Assistance Dog International.

SB70-AA3,231,10 (2) The department shall promulgate rules to establish a process and criteria for organizations to apply for the grants under this section.”.

SB70-AA3,231,11 254. Page 374, line 11: after that line insert:

SB70-AA3,231,12 “ Section 245m. 46.48 (34) of the statutes is created to read:

SB70-AA3,231,15 46.48 (34) Stimulant prevention and treatment response programs. The department may distribute not more than $1,644,000 in each fiscal year to support stimulant use prevention and treatment programs and services.”.

SB70-AA3,231,16 255. Page 374, line 11: after that line insert:

SB70-AA3,231,17 “ Section 296. 20.435 (1) (b) of the statutes is amended to read:

SB70-AA3,232,5 20.435 (1) (b) General aids and local assistance. The amounts in the schedule for aids and local assistance relating to public health services , for grants for the suicide prevention program under s. 255.20 (4), and for grants for community programs under s. 46.48. Notwithstanding ss. 20.001 (3) (a) and 20.002 (1), the department may transfer funds between fiscal years under this paragraph. Except as otherwise provided in this paragraph, all funds allocated but not encumbered by December 31 of each year lapse to the general fund on the next January 1 unless carried forward to the next calendar year by the joint committee on finance.

SB70-AA3,297 Section 297. 255.20 (4) of the statutes is created to read:

SB70-AA3,232,11 255.20 (4) (a) Implement a suicide prevention program that creates public awareness for issues relating to suicide prevention, builds community networks, and conducts training programs on suicide prevention for law enforcement personnel, health care providers, school employees, and other persons who have contact with persons at risk of suicide.

SB70-AA3,232,13 (b) As part of the suicide prevention program under this subsection, the department shall do all of the following:

SB70-AA3,232,14 1. Coordinate suicide prevention activities with other state agencies.

SB70-AA3,232,16 2. Provide educational activities to the general public relating to suicide prevention.

SB70-AA3,232,19 3. Provide training to persons who routinely interact with persons at risk of suicide, including training on recognizing persons at risk of suicide and referring those persons for appropriate treatment or support services.

SB70-AA3,232,21 4. Develop and carry out public awareness and media campaigns in each county targeting groups of persons who are at risk of suicide.

SB70-AA3,232,22 5. Enhance crisis services relating to suicide prevention.

SB70-AA3,232,25 6. Link persons trained in the assessment of and intervention in suicide with schools, public community centers, nursing homes, and other facilities serving persons most at risk of suicide.

SB70-AA3,233,2 7. Coordinate the establishment of local advisory groups in each county to support the efforts of the suicide prevention program under this subsection.

SB70-AA3,233,7 8. Work with groups advocating suicide prevention, community coalitions, managers of existing crisis hotlines that are nationally accredited or certified, and staff members of mental health agencies in this state to identify and address the barriers that interfere with providing services to groups of persons who are at risk of suicide.

SB70-AA3,233,11 9. Develop and maintain a website with links to appropriate resource documents, suicide hotlines that are nationally accredited or certified, credentialed professional personnel, state and local mental health agencies, and appropriate national organizations.

SB70-AA3,233,14 10. Review current research on data collection for factors related to suicide and develop recommendations for improved systems of surveillance for suicide and uniform collection of data related to suicide.

SB70-AA3,233,16 11. Develop and submit proposals for funding from federal government agencies and nongovernmental organizations.

SB70-AA3,233,17 12. Administer grant programs involving suicide prevention.

SB70-AA3,233,20 (c) 1. The department shall award grants to organizations or coalitions of organizations, which may include a city, village, town, county, or federally recognized American Indian tribe or band in this state for any of the following purposes:

SB70-AA3,233,22 a. To train staff at a firearm retailer or firearm range on how to recognize a person that may be considering suicide.

SB70-AA3,233,24 b. To provide suicide prevention materials for distribution at a firearm retailer or firearm range.

SB70-AA3,233,25 c. To provide voluntary, temporary firearm storage.

SB70-AA3,234,3 2. The department may not award a grant under subd. 1. unless the recipient contributes matching funds or in-kind services having a value equal to at least 20 percent of the grant.

SB70-AA3,234,11 3. The department may not award a grant to a recipient under subd. 1. for an amount that exceeds $5,000. The department may not award a grant under subd. 1. having a duration of more than one year and may not automatically renew a grant awarded under subd. 1. This subdivision shall not be construed to prevent an organization or coalition of organizations from reapplying for a grant in consecutive years. In awarding grants under subd. 1., the department shall give preference to organizations or coalitions of organizations that have not previously received a grant under this paragraph.

SB70-AA3,234,14 (d) From the appropriation under s. 20.435 (1) (b), the department may distribute up to $500,000 in grants each fiscal year for grants under this subsection, up to $75,000 of which may be distributed each fiscal year for grants under par. (c).”.

SB70-AA3,234,15 256. Page 374, line 11: after that line insert:

SB70-AA3,234,16 “ Section 298. 254.11 (5m) of the statutes is repealed.

SB70-AA3,299 Section 299. 254.11 (9) of the statutes is amended to read:

SB70-AA3,234,19 254.11 (9) “Lead poisoning or lead exposure" means a level of lead in the blood of 5 3.5 or more micrograms per 100 milliliters of blood.

SB70-AA3,300 Section 300. 254.166 (1) of the statutes is amended to read:

SB70-AA3,235,19 254.166 (1) The department may shall, after being notified that an occupant of a dwelling or premises who is under 6 years of age has blood lead poisoning or lead exposure, present official credentials to the owner or occupant of the dwelling or premises, or to a representative of the owner, and request admission to conduct a lead investigation of the dwelling or premises. If the department is notified that an occupant of a dwelling or premises who is a child under 6 years of age has an elevated blood lead level blood lead poisoning or lead exposure, the department shall conduct a lead investigation of the dwelling or premises or ensure that a lead investigation of the dwelling or premises is conducted. The lead investigation shall be conducted during business hours, unless the owner or occupant of the dwelling or premises consents to an investigation during nonbusiness hours or unless the department determines that the dwelling or premises presents an imminent lead hazard. The department shall use reasonable efforts to provide prior notice of the lead investigation to the owner of the dwelling or premises. The department may remove samples or objects necessary for laboratory analysis to determine the presence of a lead hazard in the dwelling or premises. The department shall prepare and file written reports of all lead investigations conducted under this section and shall make the contents of these reports available for inspection by the public, except for medical information, which may be disclosed only to the extent that patient health care records may be disclosed under ss. 146.82 to 146.835. If the owner or occupant refuses admission, the department may seek a warrant to investigate the dwelling or premises. The warrant shall advise the owner or occupant of the scope of the lead investigation.”.

SB70-AA3,235,20 257. Page 374, line 11: after that line insert:

SB70-AA3,235,22 “ Section 301. 49.45 (41) (a) of the statutes is renumbered 49.45 (41) (a) (intro.) and amended to read:

SB70-AA3,236,3 49.45 (41) (a) (intro.) In this subsection, “crisis intervention services" means crisis intervention services for the treatment of mental illness, intellectual disability, substance abuse, and dementia that are provided by a any of the following:

SB70-AA3,236,5 2. A crisis intervention program operated by, or under contract with, a county, if the county is certified as a medical assistance provider.

SB70-AA3,302 Section 302. 49.45 (41) (a) 1. of the statutes is created to read:

SB70-AA3,236,8 49.45 (41) (a) 1. A crisis urgent care and observation facility certified under s. 51.036.

SB70-AA3,303 Section 303. 49.45 (41) (b) of the statutes is amended to read:

SB70-AA3,236,18 49.45 (41) (b) If a county elects to become certified as a provider of crisis intervention services under par. (a) 2., the county may provide crisis intervention services under this subsection in the county to medical assistance recipients through the medical assistance program. A county that elects to provide the services shall pay the amount of the allowable charges for the services under the medical assistance program that is not provided by the federal government. The department shall reimburse the county under this subsection only for the amount of the allowable charges for those services under the medical assistance program that is provided by the federal government.

SB70-AA3,304 Section 304. 49.45 (41) (c) (intro.) of the statutes is amended to read:

SB70-AA3,236,23 49.45 (41) (c) (intro.) Notwithstanding par. (b), if a county elects, pursuant to par. (a) 2., to deliver crisis intervention services under the Medical Assistance program on a regional basis according to criteria established by the department, all of the following apply:

SB70-AA3,305 Section 305. 49.45 (41) (d) of the statutes is created to read:

SB70-AA3,237,7 49.45 (41) (d) The department shall request any necessary federal approval required to provide reimbursement to crisis urgent care and observation facilities certified under s. 51.036 for crisis intervention services under this subsection. If federal approval is granted or no federal approval is required, the department shall provide reimbursement under s. 49.46 (2) (b) 15. If federal approval is necessary but is not granted, the department may not provide reimbursement for crisis intervention services provided by crisis urgent care and observation facilities.

SB70-AA3,306 Section 306. 51.036 of the statutes is created to read:

SB70-AA3,237,10 51.036 Crisis urgent care and observation facilities. (1) Definitions. In this section:

SB70-AA3,237,15 (a) “Crisis” means a situation caused by an individual's apparent mental or substance use disorder that results in a high level of stress or anxiety for the individual, persons providing care for the individual, or the public and that is not resolved by the available coping methods of the individual or by the efforts of those providing ordinary care or support for the individual.

SB70-AA3,237,19 (b) “Crisis urgent care and observation facility” means a treatment facility that admits an individual to prevent, de-escalate, or treat the individual's mental health or substance use disorder and includes the necessary structure and staff to support the individual's needs relating to the mental health or substance use disorder.

SB70-AA3,238,4 (2) Certification required; exemption. (a) The department shall establish a certification process for crisis urgent care and observation facilities and may establish criteria by rule for the certification of crisis urgent care and observation facilities. The department may limit the number of certifications it grants to operate crisis urgent care and observation facilities. No person may operate a crisis urgent care and observation facility without a certification under this section. The department shall establish by rule a process for crisis urgent care and observation facilities to apply to the department for certification of the facility for the receipt of funds for services provided as a benefit to a recipient under the Medical Assistance program.

SB70-AA3,238,9 (b) A crisis urgent care and observation facility certified under this section is not subject to facility regulation under ch. 50, unless otherwise required due to the facility's licensure or certification for other services or purposes. A crisis urgent care and observation facility is not a hospital under s. 50.32 and nothing in this paragraph limits services a hospital may provide under s. 50.32.

SB70-AA3,238,11 (c) A crisis urgent care and observation facility certified under this section shall do all of the following:

SB70-AA3,238,15 1. Accept referrals for crisis services for both youths and adults, including involuntary patients under emergency detention, voluntary patients, walk-ins, and individuals brought by law enforcement, emergency medical responders, and other emergency medical services practitioners.

SB70-AA3,238,17 2. Abstain from having a requirement for medical clearance before admission assessment.

SB70-AA3,238,19 3. Provide assessments for physical health, substance use disorder, and mental health.

SB70-AA3,238,20 4. Provide screens for suicide and violence risk.

SB70-AA3,238,21 5. Provide medication management and therapeutic counseling.

SB70-AA3,238,22 6. Provide coordination of services for basic needs.

SB70-AA3,239,2 7. Have adequate staffing 24 hours a day, 7 days a week, with a multidisciplinary team including, as needed, psychiatrists or psychiatric nurse practitioners, nurses, licensed clinicians capable of completing assessments and providing necessary treatment, peers with lived experience, and other appropriate staff.

SB70-AA3,239,6 8. Allow for voluntary and involuntary treatment of individuals in crisis as a means to avoid unnecessary placement of those individuals in hospital inpatient beds and allow for an effective conversion to voluntary stabilization when warranted in the same setting.

SB70-AA3,239,11 (3) Admission. (a) A crisis urgent care and observation facility certified under this section may accept individuals for voluntary stabilization, observation and treatment, including for assessments for mental health or substance use disorder, screening for suicide and violence risk, and medication management and therapeutic counseling.

SB70-AA3,239,18 (b) A crisis urgent care and observation facility certified under this section may accept individuals for emergency detention under s. 51.15 if the facility agrees to accept the individual. A county crisis assessment under s. 51.15 (2) (c) is required prior to acceptance of an individual for purposes of emergency detention at a crisis urgent care and observation facility certified under this section. Medical clearance is not required before admission, but the facility shall provide necessary medical services on site.

SB70-AA3,239,21 (4) Grants. From the appropriation under s. 20.435 (5) (ck), the department shall award grants to individuals and entities to develop and support crisis urgent care and observation facilities under this section.

SB70-AA3,240,6 (5) Rules. The department may promulgate rules to implement this section, including requirements for admitting and holding individuals for purposes of emergency detention. The department may promulgate the rules under this section as emergency rules under s. 227.24. Notwithstanding s. 227.24 (1) (c) and (2), a rule promulgated under this subsection may remain in effect for not more than 24 months. Notwithstanding s. 227.24 (1) (a) and (3), the department is not required to provide evidence that promulgating a rule under this subsection as an emergency rule is necessary for the preservation of the public peace, health, safety, or welfare and is not required to provide a finding of emergency for a rule promulgated under this subsection.”.

SB70-AA3,240,7 258. Page 374, line 11: after that line insert:

SB70-AA3,240,8 “ Section 307. 20.437 (1) (dd) of the statutes is amended to read:

SB70-AA3,240,20 20.437 (1) (dd) State out-of-home care, adoption services, and subsidized guardianships. The amounts in the schedule for foster care, institutional child care, and subsidized adoptions under ss. 48.48 (12) and 48.52, for the cost of care for children under s. 49.19 (10) (d), for the cost of placements of children 18 years of age or over in residential care centers for children and youth under voluntary agreements under s. 48.366 (3) or under orders that terminate as provided in s. 48.355 (4) (b) 4., 48.357 (6) (a) 4., or 48.365 (5) (b) 4., for the cost of the foster care monitoring system, for the cost of reimbursing counties and Indian tribes for subsidized guardianship payments under s. 48.623 (3) (a), for the cost of services to children with special needs who are under the guardianship of the department to prepare those children for adoption, and for the cost of postadoption services to children with special needs.

SB70-AA3,308 Section 308. 20.437 (1) (pd) of the statutes is amended to read:

SB70-AA3,241,10 20.437 (1) (pd) Federal aid; state out-of-home care, adoption services, and subsidized guardianships. All federal moneys received for meeting the costs of providing foster care, institutional child care, and subsidized adoptions under ss. 48.48 (12) and 48.52, the cost of care for children under s. 49.19 (10) (d), the cost of placements of children 18 years of age or over in residential care centers for children and youth under voluntary agreements under s. 48.366 (3) or under orders that terminate as provided in s. 48.355 (4) (b) 4., 48.357 (6) (a) 4., or 48.365 (5) (b) 4., the cost of reimbursing counties and Indian tribes for subsidized guardianship payments under s. 48.623 (3) (a), the cost of services to children with special needs who are under the guardianship of the department to prepare those children for adoption, and the cost of postadoption services to children with special needs. Disbursements for foster care under s. 49.32 (2) and for the purposes described under s. 48.627 may be made from this appropriation.

SB70-AA3,309 Section 309. 48.48 (8r) of the statutes is amended to read:

SB70-AA3,241,15 48.48 (8r) To reimburse county departments and Indian tribes, from the appropriations under s. 20.437 (1) (dd) and (pd), for subsidized guardianship payments made under s. 48.623 (1) or (6), including guardianships of Indian children ordered by tribal courts.