AB468: Bill Text

AB468,3,20 (h) Establish criteria to determine, and determine, whether an enrollee is at substantial risk for being admitted to a mental health institute, as defined in s. 51.01 (12).

AB468,4 Section 4. 46.284 (8) of the statutes is created to read:

AB468,3,23 46.284 (8) Admissions to mental health institutes. (a) In this subsection, "mental health institute" has the meaning given in s. 51.01 (12).

AB468,4,3 (b) Every care management organization shall maintain for each enrollee a record of individuals who can be contacted in case of an emergency involving that enrollee.

AB468,4,10 (c) Subject to par. (d), every care management organization and each county in which the care management organization operates shall create an emergency plan for every enrollee who the department determines is at substantial risk of being admitted to a mental health institute. The care management organization and county shall include in the emergency plan an emergency contact in case the enrollee is admitted and a potential placement for when the enrollee is discharged from the mental health institute.

AB468,4,15 (d) If an enrollee is admitted to a mental health institute, the financially responsible county; the county that approved the admission to the mental health institute, if different; and the care management organization in which the enrollee was enrolled shall create a team that includes all of the following to coordinate a new placement for the enrollee:

AB468,4,16 1. The enrollee's guardian or emergency contact.

AB468,4,17 2. A social worker from each county involved.

AB468,4,18 3. A social worker from the care management organization.

AB468,4,19 4. A psychiatrist or psychologist.

AB468,4,20 5. An individual representing a law enforcement agency.

AB468,5 Section 5 . Nonstatutory provisions.

AB468,4,22 (1) Funding of Family Care enrollees admitted to mental health institutes.

AB468,4,23 (a) In this subsection:

AB468,4,24 1. "Department" means the department of health services.

AB468,5,2 2. "Family Care program" means the benefit program under section 46.286 of the statutes.

AB468,5,4 3. "Mental health institute" has the meaning given in section 51.01 (12) of the statutes.

AB468,5,9 (b) Before the first day of the third month beginning after the effective date of this paragraph, the department shall submit to the joint committee on finance a report that identifies issues relating to cost liability for counties with residents who were formerly enrolled in the Family Care program and who are admitted to a mental health institute.

AB468,5,19 (c) After submitting the report under paragraph (b ) and during the 2013-15 fiscal biennium, the department shall submit one or more requests to the joint committee on finance under section 13.10 of the statutes to supplement appropriations under section 20.435 (2) (bj) of the statutes from the appropriation under section 20.865 (4) (a) of the statutes for the purpose of paying a portion of the additional costs counties incur to support services provided by the mental health institutes to certain enrollees in the Family Care program. If the joint committee on finance releases the moneys, the department may reimburse the county for all of the following for a stay of an enrollee of the Family Care program at a mental health institute subject to paragraph (d ):

AB468,5,22 1. For any portion of a stay longer than 30 days but not longer than 60 days at a mental health institute, 50 percent of the state share of the cost of care incurred by the county for that portion of the stay.

AB468,5,25 2. For any portion of a stay longer than 60 days but not longer than 90 days, 75 percent of the state share of the cost of care incurred by the county for that portion of the stay.

AB468,6,2 3. For any portion of a stay longer than 90 days, all of the state share of the cost of care incurred by the county for that portion of the stay.

AB468,6,11 (d) The department may provide reimbursement to counties for Family Care program enrollees admitted to mental health institutes on or after the effective date of this paragraph and, if the Family Care program enrollee is still at the mental health institute on the effective date of this paragraph, before the effective date of this paragraph. For a Family Care program enrollee admitted to a mental health institute before the effective date of this paragraph, the department shall base the reimbursement on the Family Care program enrollee's total length of stay since admission to the mental health institute using the calculations under paragraph (c) 1. to 3.

AB468,6,14 (e) The financial liability of the state to pay reimbursements for services at a mental health institute for Family Care program enrollees under this subsection is limited to services provided at a mental health institute before July 1, 2015.

AB468,6 Section 6. Fiscal changes.

AB468,7,2 (1) Costs in mental health institutes for Family Care enrollees. In the schedule under section 20.005 (3) of the statutes for the appropriation to the joint committee on finance under section 20.865 (4) (a) of the statutes, as affected by the acts of 2013, the dollar amount is increased by $375,000 for the first fiscal year of the fiscal biennium in which this subsection takes effect to pay for reimbursements to counties for costs of services provided to Family Care enrollees who are admitted mental health institutes. In the schedule under section 20.005 (3) of the statutes for the appropriation to the joint committee on finance under section 20.865 (4) (a) of the statutes, as affected by the acts of 2013, the dollar amount is increased by $375,000 for the second fiscal year of the fiscal biennium in which this subsection takes effect to pay for reimbursements to counties for costs of services provided to Family Care enrollees who are admitted mental health institutes.

AB468,7 Section 7. Effective dates. This act takes effect on the day after publication, except as follows:

AB468,7,7 (1) Costs in mental health institutes for Family Care enrollees. The treatment of section 20.435 (2) (bj) (by Section 2) of the statutes takes effect on July 1, 2015.

AB468,7,8 (End)