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

Agenda 3/12/20142 Welcome and Introductions Workshop Guidelines Presentation of Proposed Rule Concepts Stakeholder Comments Closing Remarks

Workshop Guidelines 3/12/20143 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 ModificationRationale 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 (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 3/12/20144

Proposed ch. 65D-30, F.A.C. Revisions Day Night With Community Housing and Adolescents Proposed Addition or ModificationRationale Clarify appropriate clients for day night treatment with community housing Ch. 65D (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 3/12/20145

Proposed ch. 65D-30, F.A.C. Revisions Reviewable Client Records During Probationary Period Proposed Addition or ModificationRationale Clarify language for providers with a probationary license to have clients and client records for review to receive a regular license Ch. 65D (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 3/12/20146

Proposed ch. 65D-30, F.A.C. Revisions Reviewable Client Records for Renewals Proposed Addition or ModificationRationale Clarify language for providers to have active clients and client records for review to renew regular licenses Ch. 65D (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 3/12/20147

Proposed ch. 65D-30, F.A.C. Revisions Minimum Number of Clients Proposed Addition or ModificationRationale Add language establishing a minimum number of clients a provider shall have enrolled within a specified time to maintain licensure Ch. 65D (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 3/12/20148

Proposed ch. 65D-30, F.A.C. Revisions Maximum Period Without Clients Proposed Addition or ModificationRationale Add language establishing a maximum period of time a provider can go without clients Ch. 65D (2)(b)1.b., F.A.C. Currently rule does not provide a maximum period of time a provider can go without clients 3/12/20149

Proposed ch. 65D-30, F.A.C. Revisions Separation of Children and Adults in Residential Settings Proposed Addition or ModificationRationale Clarify language stating children/adolescents should not be housed with adults Ch. 65D , F.A.C. (new section) Current rule does not make any statement regarding the separation between adults and adolescents 3/12/201410

Proposed ch. 65D-30, F.A.C. Revisions Promotional Materials for Licensed Programs Proposed Addition or ModificationRationale Clarify language stating provider promotional materials must state the specific service(s) the provider is licensed to provide Ch. 65D , F.A.C. (new section) Some provider promotional materials refer to licensed components by other names The most common example is partial hospitalization 3/12/201411

Proposed ch. 65D-30, F.A.C. Revisions Certification Process for Community Coalitions Proposed Addition or ModificationRationale Add language describing a process to certify community substance abuse prevention coalitions Ch. 65D , F.A.C. Development of this section is required by s (17), F.S. 3/12/201412

Proposed ch. 65D-30, F.A.C. Revisions Licensure Fees Proposed Addition or ModificationRationale 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 (5), F.A.C. Development of this section is required by s (1), F.S. 3/12/201413

Proposed ch. 65D-30, F.A.C. Revisions Opiate Addiction Proposed Addition or ModificationRationale Modify existing methadone chapter with a revised opiate addiction section to include buprenorphine Ch. 65D , F.A.C. Development of this section is required by s (3), F.S. 3/12/201414

Proposed ch. 65D-30, F.A.C. Revisions Medication-Assisted Treatment Proposed Addition or ModificationRationale 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 , F.A.C. Development of this section is required by s (8), F.S. 3/12/201415

Proposed ch. 65D-30, F.A.C. Revisions Policy and Procedure Manual Proposed Addition or ModificationRationale Clarified language for providers to submit a complete Policy and Procedure Manual as a prerequisite for obtaining a probationary license Ch. 65D (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 3/12/201416

Proposed ch. 65D-30, F.A.C. Revisions Qualified Professional for Prevention Programs Proposed Addition or ModificationRationale Remove requirement for non client specific programs to have a Qualified Professional as defined in Ch. 65D (6)(m), F.A.C. Ch. 65D , F.A.C. It is unecessary to have a Qualified Professional on staff for non client specific prevention programs 3/12/201417

Proposed ch. 65D-30, F.A.C. Revisions CPR Training Proposed Addition or ModificationRationale Add language requiring: 1. CPR training for new employees to occur before six months (TBD) 2. A refresher course every two years Ch. 65D (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 3/12/201418

Proposed ch. 65D-30, F.A.C. Revisions Non-Residential Programs and Consulting Physicians Proposed Addition or ModificationRationale Clarify non-residential programs (e.g. aftercare, prevention) are not required to have a consultant physician available Ch. 65D (6), F.A.C. It is not necessary to mandate low intensity programs to have a consultant physician available 3/12/201419

Proposed ch. 65D-30, F.A.C. Revisions Overlay Sites Proposed Addition or ModificationRationale Remove all references to overlay sites Ch. 65D (13), F.A.C. With providers being licensed by the service component and not by premises, overlay sites will become unnecessary 3/12/201420

Proposed ch. 65D-30, F.A.C. Revisions Refine Inspection Scoring Proposed Addition or ModificationRationale 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 (9)(a)3, F.A.C. The current rule references the component score only 3/12/201421

Proposed ch. 65D-30, F.A.C. Revisions Methadone Consultant Pharmacist Visits Proposed Addition or ModificationRationale Modify language requiring consultant pharmacists visits to methadone providers to once every four weeks from once every two weeks Ch. 65D (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 3/12/201422

Proposed ch. 65D-30, F.A.C. Revisions Partial Ownership Change Proposed Addition or ModificationRationale Clarifying language for partial changes in ownership (1-99%) as an ownership change Ch. 65D (4), F.A.C. The current rule does not address partial changes in ownership (e.g. 15%), only complete changes 3/12/201423

Proposed ch. 65D-30, F.A.C. Revisions Prevention Programs Proposed Addition or ModificationRationale Clarifying language for the criteria for prevention programs requiring licensure Ch. 65D (1), F.A.C. The current rule does not clearly define the characteristics of programs requiring licensure 3/12/201424

Proposed ch. 65D-30, F.A.C. Revisions Simultaneous Renewals and Relocations Proposed Addition or ModificationRationale Add language establishing the procedure to relocate and renew a license at the same time Ch. 65D (4)(b), F.A.C. Many providers wish to time their relocations with license renewal in order to go through the licensure process once 3/12/201425

Proposed ch. 65D-30, F.A.C. Revisions Exemption for DOC Programs for Fire, Health, and Safety Document Submission Proposed Addition or ModificationRationale Add language to include an exemption for Corrections programs to provide evidence of Fire, Health, and Safety inspections at application submission Ch. 65D (6)(b), F.A.C. Current rule conflicts with Ch. 65D (34)(k), F.A.C. 3/12/201426