Transcript Ch. 65D-30, F.A.C. Workshop Presentation Final (9-4

Rick Scott, Governor
Esther Jacobo, Interim Secretary
Proposed ch. 65D-30, F.A.C.
Revisions
September 4, 2013
Rob Siedlecki, Assistant Secretary
Substance Abuse and Mental Health
Mission: Protect the Vulnerable, Promote Strong and Economically Self- Sufficient Families,
and Advance Personal and Family Recovery and Resiliency.
Agenda
• Welcome and Introductions
• Workshop Guidelines
• Presentation of Proposed Rule Concepts
• Stakeholder Comments
• Closing Remarks
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Workshop Guidelines
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
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Proposed ch. 65D-30, F.A.C.
Revisions
License by Component
Proposed Addition or Modification
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
Rationale
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
Ch. 65D-30.003(1)(b), F.A.C.
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Proposed ch. 65D-30, F.A.C.
Revisions
Day Night With Community Housing and Adolescents
Proposed Addition or Modification
Clarify appropriate clients for day night
treatment with community housing
Ch. 65D-30.0081(4), F.A.C.
4/13/2015
Rationale
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
Clarify language for providers with a
probationary license to have clients and
client records for review to receive a
regular license
Rationale
Current rule does not clearly state a
provider must have clients and client
records to review to receive a regular
license
Ch. 65D-30.003(2)(b)1.a., F.A.C.
4/13/2015
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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
Current rule does not clearly state a
active clients and client records for review provider must have clients and client
to renew regular licenses
records to review to retain a regular
license
Ch. 65D-30.003(2)(b)1.b., F.A.C.
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Proposed ch. 65D-30, F.A.C.
Revisions
Minimum Number of Clients
Proposed Addition or Modification
Add language establishing a minimum
number of clients a provider shall have
enrolled within a specified time to
maintain licensure
Rationale
Currently the rule does not provide a
minimum number of clients a provider
shall have enrolled within a specified time
Ch. 65D-30.003(2)(b)1.b., F.A.C.
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Proposed ch. 65D-30, F.A.C.
Revisions
Maximum Period Without Clients
Proposed Addition or Modification
Add language establishing a maximum
period of time a provider can go without
clients
Rationale
Currently rule does not provide a
maximum period of time a provider can go
without clients
Ch. 65D-30.003(2)(b)1.b., F.A.C.
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Proposed ch. 65D-30, F.A.C.
Revisions
Separation of Children and Adults in Residential Settings
Proposed Addition or Modification
Clarify language stating
children/adolescents should not be
housed with adults
Rationale
Current rule does not make any statement
regarding the separation between adults
and adolescents
Ch. 65D-30.004, F.A.C. (new section)
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Proposed ch. 65D-30, F.A.C.
Revisions
Promotional Materials for Licensed Programs
Proposed Addition or Modification
Clarify language stating provider
promotional materials must state the
specific service(s) the provider is licensed
to provide
Rationale
Some provider promotional materials refer
to licensed components by other names
The most common example is “partial
hospitalization”
Ch. 65D-30.004, F.A.C. (new section)
4/13/2015
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Proposed ch. 65D-30, F.A.C.
Revisions
Certification Process for Community Coalitions
Proposed Addition or Modification
Add language describing a process to
certify community substance abuse
prevention coalitions
Rationale
Development of this section is required by
s. 397.321(17), F.S.
Ch. 65D-30.013, F.A.C.
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Proposed ch. 65D-30, F.A.C.
Revisions
Licensure Fees
Proposed Addition or Modification
Modify the fee section with a new fee
structure for substance abuse licensing
Rationale
Development of this section is required by
s. 397.407(1), F.S.
Anticipate further developing fee structure
proposed during last Rule revision attempt
(License by component not premises)
Ch. 65D-30.003(5), F.A.C.
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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 Development of this section is required by
revised opiate addiction section to include s. 397.427(3), F.S.
buprenorphine
Ch. 65D-30.014, F.A.C.
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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 MedicationDevelopment of this section is required by
Assisted Treatment (MAT) treatment
s. 397.427(8), F.S.
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.
4/13/2015
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Proposed ch. 65D-30, F.A.C.
Revisions
Policy and Procedure Manual
Proposed Addition or Modification
Clarified language for providers to submit
a complete Policy and Procedure Manual
as a prerequisite for obtaining a
probationary license
Rationale
To issue a probationary license, the
Department must confirm compliance
with numerous statutory and rule
requirements found in the Policy and
Procedure manual
Ch. 65D-30.003(6), F.A.C.
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Proposed ch. 65D-30, F.A.C.
Revisions
Qualified Professional for Prevention Programs
Proposed Addition or Modification
Remove requirement for non client
specific programs to have a “Qualified
Professional” as defined in Ch. 65D30.003(6)(m), F.A.C.
Rationale
It is unecessary to have a “Qualified
Professional” on staff for non client
specific prevention programs
Ch. 65D-30.013, F.A.C.
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Proposed ch. 65D-30, F.A.C.
Revisions
CPR Training
Proposed Addition or Modification
Add language requiring:
1. CPR training for new employees to
occur before six months (TBD)
2. A refresher course every two years
Rationale
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
Ch. 65D-30.004(31)(b), F.A.C.
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Proposed ch. 65D-30, F.A.C.
Revisions
Non-Residential Programs and Consulting Physicians
Proposed Addition or Modification
Clarify non-residential programs (e.g.
aftercare, prevention) are not required to
have a consultant physician available
Rationale
It is not necessary to mandate low
intensity programs to have a consultant
physician available
Ch. 65D-30.004(6), F.A.C.
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Proposed ch. 65D-30, F.A.C.
Revisions
Overlay Sites
Proposed Addition or Modification
Remove all references to overlay sites
Rationale
With providers being licensed by the
service component and not by premises,
overlay sites will become unnecessary
Ch. 65D-30.003(13), F.A.C.
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Proposed ch. 65D-30, F.A.C.
Revisions
Refine Inspection Scoring
Proposed Addition or Modification
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
Rationale
The current rule references the
component score only
Ch. 65D-30.003(9)(a)3, F.A.C.
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Proposed ch. 65D-30, F.A.C.
Revisions
Methadone Consultant Pharmacist Visits
Proposed Addition or Modification
Modify language requiring consultant
pharmacists visits to methadone
providers to once every four weeks from
once every two weeks
Rationale
Proposed change would bring the
Department standard into alignment with
the Board of Pharmacy requirement of
once every four weeks
Ch. 65D-30.014(4)(c)2.f., F.A.C.
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Proposed ch. 65D-30, F.A.C.
Revisions
Partial Ownership Change
Proposed Addition or Modification
Clarifying language for partial changes in
ownership (1-99%) as an ownership
change
Rationale
The current rule does not address partial
changes in ownership (e.g. 15%), only
complete changes
Ch. 65D-30.003(4), F.A.C.
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Proposed ch. 65D-30, F.A.C.
Revisions
Prevention Programs
Proposed Addition or Modification
Clarifying language for the criteria for
prevention programs requiring licensure
Rationale
The current rule does not clearly define
the characteristics of programs requiring
licensure
Ch. 65D-30.013(1), F.A.C.
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Proposed ch. 65D-30, F.A.C.
Revisions
Simultaneous Renewals and Relocations
Proposed Addition or Modification
Add language establishing the procedure
to relocate and renew a license at the
same time
Rationale
Many providers wish to time their
relocations with license renewal in order
to go through the licensure process once
Ch. 65D-30.003(4)(b), F.A.C.
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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 Current rule conflicts with Ch. 65D-30.004
Corrections programs to provide evidence (34)(k), F.A.C.
of Fire, Health, and Safety inspections at
application submission
Ch. 65D-30.003(6)(b), F.A.C.
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