Mission: Protect the Vulnerable, Promote Strong and Economically Self- Sufficient Families, and Advance Personal and Family Recovery and Resiliency.

Rick Scott, GovernorRick Scott, GovernorEsther Jacobo, Interim SecretaryEsther Jacobo, Interim Secretary

Proposed ch. 65D-30, F.A.C. Proposed ch. 65D-30, F.A.C. RevisionsRevisions

September 4, 2013September 4, 2013

Rob Siedlecki, Assistant SecretarySubstance Abuse and Mental Health

Agenda

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• Welcome and Introductions

• Workshop Guidelines

• Presentation of Proposed Rule Concepts

• Stakeholder Comments

• Closing Remarks

Workshop Guidelines

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This workshop will be used to:

•Present broad concepts the Department is interested in addressing in the rule revision process•Gather feedback from the substance abuse community regarding the concepts presented

Proposed ch. 65D-30, F.A.C. Revisions

License by Component

Proposed Addition or Modification Rationale

Modify language to license providers by component not by premises

Result: Providers will have one license for a component with multiple addresses associated with it rather separate licenses for each address

Ch. 65D-30.003(1)(b), F.A.C.

Current rule requires a license, application, and fee for each component at each address The proposed modification would give providers one license for each program component regardless of the number of locations

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Proposed ch. 65D-30, F.A.C. Revisions

Day Night With Community Housing and Adolescents

Proposed Addition or Modification Rationale

Clarify appropriate clients for day night treatment with community housing

Ch. 65D-30.0081(4), F.A.C.

Current rule states day night treatment with community housing providers are only required to have staff “on call” at the housing location

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Proposed ch. 65D-30, F.A.C. Revisions

Reviewable Client Records During Probationary Period

Proposed Addition or Modification Rationale

Clarify language for providers with a probationary license to have clients and client records for review to receive a regular license

Ch. 65D-30.003(2)(b)1.a., F.A.C.

Current rule does not clearly state a provider must have clients and client records to review to receive a regular license

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Proposed ch. 65D-30, F.A.C. Revisions

Reviewable Client Records for Renewals

Proposed Addition or Modification Rationale

Clarify language for providers to have active clients and client records for review to renew regular licenses

Ch. 65D-30.003(2)(b)1.b., F.A.C.

Current rule does not clearly state a provider must have clients and client records to review to retain a regular license

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Proposed ch. 65D-30, F.A.C. Revisions

Minimum Number of Clients

Proposed Addition or Modification Rationale

Add language establishing a minimum number of clients a provider shall have enrolled within a specified time to maintain licensure

Ch. 65D-30.003(2)(b)1.b., F.A.C.

Currently the rule does not provide a minimum number of clients a provider shall have enrolled within a specified time

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Proposed ch. 65D-30, F.A.C. Revisions

Maximum Period Without Clients

Proposed Addition or Modification Rationale

Add language establishing a maximum period of time a provider can go without clients

Ch. 65D-30.003(2)(b)1.b., F.A.C.

Currently rule does not provide a maximum period of time a provider can go without clients

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Proposed ch. 65D-30, F.A.C. Revisions

Separation of Children and Adults in Residential Settings

Proposed Addition or Modification Rationale

Clarify language stating children/adolescents should not be housed with adults

Ch. 65D-30.004, F.A.C. (new section)

Current rule does not make any statement regarding the separation between adults and adolescents

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Proposed ch. 65D-30, F.A.C. Revisions

Promotional Materials for Licensed Programs

Proposed Addition or Modification Rationale

Clarify language stating provider promotional materials must state the specific service(s) the provider is licensed to provide

Ch. 65D-30.004, F.A.C. (new section)

Some provider promotional materials refer to licensed components by other names

The most common example is “partial hospitalization”

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Proposed ch. 65D-30, F.A.C. Revisions

Certification Process for Community Coalitions

Proposed Addition or Modification Rationale

Add language describing a process to certify community substance abuse prevention coalitions

Ch. 65D-30.013, F.A.C.

Development of this section is required by s. 397.321(17), F.S.

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Proposed ch. 65D-30, F.A.C. Revisions

Licensure Fees

Proposed Addition or Modification Rationale

Modify the fee section with a new fee structure for substance abuse licensing

Anticipate further developing fee structure proposed during last Rule revision attempt (License by component not premises)

Ch. 65D-30.003(5), F.A.C.

Development of this section is required by s. 397.407(1), F.S.

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Proposed ch. 65D-30, F.A.C. Revisions

Opiate Addiction

Proposed Addition or Modification Rationale

Modify existing methadone chapter with a revised opiate addiction section to include buprenorphine

Ch. 65D-30.014, F.A.C.

Development of this section is required by s. 397.427(3), F.S.

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Proposed ch. 65D-30, F.A.C. Revisions

Medication-Assisted Treatment

Proposed Addition or Modification Rationale

Add language to establish a Medication-Assisted Treatment (MAT) treatment section, which would describe the process for all MATs the Department regulates

Note: This section may contain the opiate addiction section

Ch. 65D-30.014, F.A.C.

Development of this section is required by s. 397.427(8), F.S.

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Proposed ch. 65D-30, F.A.C. Revisions

Policy and Procedure Manual

Proposed Addition or Modification Rationale

Clarified language for providers to submit a complete Policy and Procedure Manual as a prerequisite for obtaining a probationary license

Ch. 65D-30.003(6), F.A.C.

To issue a probationary license, the Department must confirm compliance with numerous statutory and rule requirements found in the Policy and Procedure manual

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Proposed ch. 65D-30, F.A.C. Revisions

Qualified Professional for Prevention Programs

Proposed Addition or Modification Rationale

Remove requirement for non client specific programs to have a “Qualified Professional” as defined in Ch. 65D-30.003(6)(m), F.A.C.

Ch. 65D-30.013, F.A.C.

It is unecessary to have a “Qualified Professional” on staff for non client specific prevention programs

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Proposed ch. 65D-30, F.A.C. Revisions

CPR Training

Proposed Addition or Modification Rationale

Add language requiring:

1. CPR training for new employees to occur before six months (TBD)

2. A refresher course every two years

Ch. 65D-30.004(31)(b), F.A.C.

Current requirement for CPR training is within six months with no refresher

Staff can be either not trained for a significant period or their CPR skills can atrophy over time

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Proposed ch. 65D-30, F.A.C. Revisions

Non-Residential Programs and Consulting Physicians

Proposed Addition or Modification Rationale

Clarify non-residential programs (e.g. aftercare, prevention) are not required to have a consultant physician available

Ch. 65D-30.004(6), F.A.C.

It is not necessary to mandate low intensity programs to have a consultant physician available

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Proposed ch. 65D-30, F.A.C. Revisions

Overlay Sites

Proposed Addition or Modification Rationale

Remove all references to overlay sites

Ch. 65D-30.003(13), F.A.C.

With providers being licensed by the service component and not by premises, overlay sites will become unnecessary

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Proposed ch. 65D-30, F.A.C. Revisions

Refine Inspection Scoring

Proposed Addition or Modification Rationale

Add language redefining inspection scoring to state a score of 80% is required for non-component sections (e.g. Common Licensing Standards) as well as component sections

Ch. 65D-30.003(9)(a)3, F.A.C.

The current rule references the component score only

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Proposed ch. 65D-30, F.A.C. Revisions

Methadone Consultant Pharmacist Visits

Proposed Addition or Modification Rationale

Modify language requiring consultant pharmacists visits to methadone providers to once every four weeks from once every two weeks

Ch. 65D-30.014(4)(c)2.f., F.A.C.

Proposed change would bring the Department standard into alignment with the Board of Pharmacy requirement of once every four weeks

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Proposed ch. 65D-30, F.A.C. Revisions

Partial Ownership Change

Proposed Addition or Modification Rationale

Clarifying language for partial changes in ownership (1-99%) as an ownership change

Ch. 65D-30.003(4), F.A.C.

The current rule does not address partial changes in ownership (e.g. 15%), only complete changes

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Proposed ch. 65D-30, F.A.C. Revisions

Prevention Programs

Proposed Addition or Modification Rationale

Clarifying language for the criteria for prevention programs requiring licensure

Ch. 65D-30.013(1), F.A.C.

The current rule does not clearly define the characteristics of programs requiring licensure

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Proposed ch. 65D-30, F.A.C. Revisions

Simultaneous Renewals and Relocations

Proposed Addition or Modification Rationale

Add language establishing the procedure to relocate and renew a license at the same time

Ch. 65D-30.003(4)(b), F.A.C.

Many providers wish to time their relocations with license renewal in order to go through the licensure process once

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Proposed ch. 65D-30, F.A.C. Revisions

Exemption for DOC Programs for Fire, Health, and Safety Document Submission

Proposed Addition or Modification Rationale

Add language to include an exemption for Corrections programs to provide evidence of Fire, Health, and Safety inspections at application submission

Ch. 65D-30.003(6)(b), F.A.C.

Current rule conflicts with Ch. 65D-30.004 (34)(k), F.A.C.

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