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Florida’s behavioral health safety net — a model of accountability, transparency

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Florida has built a unique and effective safety net system to ensure uninsured and underinsured individuals receive critical behavioral health services. After the Parkland tragedy, the Legislature also tasked our safety net with implementing crisis response teams to assist anyone in need within 59 minutes.

Behavioral Health Managing Entities, acting as a Lead Agency under contract with the Department of Children and Families, work with more than 300 local providers statewide to offer local services, ranging from crisis intervention to long-term recovery support. Florida’s behavioral health safety net system serves more than 250,000 individuals annually.

These lead agencies operate as not-for-profits and provide the highest return on investment, with an administrative rate below 3.2%. This efficiency ensures that every taxpayer dollar is used effectively, with fiscal prudence and transparency.

Recently, Florida lawmakers introduced House Bill 633 and Senate Bill 1354, requiring the Department of Children and Families to subcontract operational and financial audits to evaluate which metrics and criteria best assess performance and outcomes. The bill would also standardize data requirements and reporting, increasing transparency for all stakeholders.

As CEO of Florida’s Association of Managing Entities, I can confidently affirm that our commitment to accountability and transparency is unwavering. Each Behavioral Health Managing Entity submits more than 65 reports annually to the Department of Children and Families, detailing business practices, contracting requirements, performance outcomes, and expenditures.

We commend Representative Koster and Senator Trumbull for their leadership and commitment to developing the behavioral health performance management system of the future.

Beyond financial accountability, Florida’s Behavioral Health Managing Entities focus on evidence-based best practices to maximize positive outcomes. In Fiscal Year 2023-2024, our network of providers achieved the following results:

  • 98% of children in the Community Action Treatment (CAT) Teams were diverted from juvenile justice system involvement.
  • 97% of children in the CAT program avoided placement in State Inpatient Psychiatric Programs.
  • 96% of individuals enrolled in payor-level care coordination avoided costly crisis stabilization units, emergency rooms, and jails.
  • Through Mobile Response Teams, 80% of individuals were diverted from Baker Act admissions, resulting in an estimated annual cost savings of $12.2 million for the state.

Behavioral Health Managing Entities are just one part of Florida’s vast and complex behavioral health system. Transparency and accountability must be extended to the entire behavioral health system of care, including private insurance and Florida’s Statewide Medicaid Managed Care Program, overseen by the Agency for Health Care Administration.

Behavioral Health Managing Entities and their network of providers are the safety net that cares for the state’s most vulnerable populations. We are dedicated to serving Floridians with complete transparency and accountability in the best way possible. We meet each community’s unique needs and help Floridians get back on their feet to live life to their fullest potential.

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Natalie Kelly is CEO of the Florida Association of Managing Entities.


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Judge says ‘hard row to hoe’ for Florida to justify social media ban for young teens

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A federal Judge on Friday told lawyers in a landmark social media case it would be a “hard row to hoe” for state officials to justify a complete ban on social media for young teenagers, signaling his skepticism toward the new Florida law championed by Gov. Ron DeSantis.

U.S. District Judge Mark Walker did not immediately rule on a request for a preliminary injunction that would further block the new law from taking effect. Walker said a decision may come within three weeks.

Walker’s questions during oral arguments in his courtroom in U.S. District Court for the Northern District of Florida also included a pointed jab at Republican themes — on public policy issues like school vouchers and what can be taught in classrooms — that the GOP wants to empower parents to make choices on behalf of their children.

The law would include an outright ban for social media accounts for teens younger than 14, no matter how parents feel.

Florida “picks and chooses when parents make a decision” for their children, the Judge said.

The social media law, which was supposed to take effect Jan. 1, would block anyone under 16 from using some social media but would allow 14- and 15-year-olds to use the online services with a parent’s permission. Companies that violate the law could be fined up to $50,000 per violation.

The hearing Friday was supposed to last fewer than 90 minutes — but stretched more than three hours. It was supposed to focus narrowly on the request by tech companies to temporarily block the law, at least until a broader decision is resolved on whether the law is constitutional.

The Judge’s questions to lawyers for the technology companies and the attorney general seemed aimed at the heart of the case.

Walker said it would be a challenge to justify how a complete ban for minors under 14 doesn’t infringe on their First Amendment rights to free speech. He said he has trouble finding differences with a social media ban that lawmakers in Utah tried to implement in 2024, which was blocked by a Judge.

Walker was appointed by then-President Barack Obama in 2012 and has often ruled against the DeSantis administration, although at times those decisions have been overturned by higher courts.

The lawyer for Florida’s Attorney General, Kevin Golembiewski, said the ban doesn’t intend to restrict the speech of minors. He said it was meant to reduce their exposure to harmful content online and addictive practices that companies use to keep users on the app. The state has described those practices as scrolling videos or other content infinitely, or algorithms that serve videos based on users’ perceived interests.

The lawyer for the tech companies, Erin Murphy, said social media features like push notifications help users know when their friends are interacting with them on the platform, which if removed from the app would cease to do what it was designed to do. It would be impossible for these platforms to shut down features that make users engage with the app, Murphy said.

Although the law is intended to keep young teens off social media, it also necessarily could require that adult users of some of the most popular platforms prove their age. There are few generally agreed-upon, full-proof methods for age verification on the internet.

One wrinkle that hasn’t been ironed out: Exactly which social media apps are covered under the ban? The law doesn’t name any particular company’s products but says it applies only to social media platforms with addictive features and with 10% or more of daily active users who are younger than 16 and who spend an average of two hours or more on the service. All conditions must be met, or the law doesn’t apply to that social media provider.

Walker said it would be the tech companies’ responsibility to compile the data on their users to determine whether the law applied to them.

The law was a priority last year for DeSantis and the GOP-led House and Senate. DeSantis vetoed an early version of the proposal after a dispute with lawmakers about whether to give parents the choice for 14- and 15-year-olds.

In the face of legal questions after DeSantis signed the law, then-Attorney General Ashley Moody paused enforcing the ban until the outcome of the federal case in Tallahassee.

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This story was produced by Fresh Take Florida, a news service of the University of Florida College of Journalism and Communications. The reporter can be reached at [email protected]. You can donate to support our students here.


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Keith Truenow looks to strike redundancies in Florida’s day labor laws

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The lawmaker said duplicative and unnecessary regulations should be dropped from statute.

Florida could soon drop regulations about the use of day laborers.

Sen. Keith Truenow, a Tavares Republican, filed legislation (SB 1672) that would repeal Labor Pool Act provisions about day labor from Florida’s state statutes.

“We have an obligation to review laws on the books and eliminate waste when we identify it,” Truenow said.

In this case, the use of day laborers already is regulated by federal rules. The Department of Labor maintains regulations of wages, allowed hours, overtime pay and record-keeping for employers.

“Florida’s Labor Pool Act may be duplicative and unnecessary — day labor centers are already subject to extensive federal, state, and local regulations that ensure worker safety, fair wages, and employer accountability. Repealing this redundant law cuts bureaucratic red tape while keeping strong protections in place,” Truenow said.

State law defines day labor as “employment that is occasional or irregular for which the worker is employed for not longer than the time period required to complete the temporary assignment for which the individual worker was hired.”

Truenow’s bill drops mention of labor pool hires in state regulations about temporary work firms, and dumps day labor from statutory language on what defines temporary employees.

It also eliminates a large section of state law regarding leased employees.

Current law defines day laborers as those hired for completion of jobs from labor pools, and requires employees to be notified that the assignment of work ends with the start of a new business day. The change drops state requirements that employers notice these terms on paychecks at the end of jobs.

A House version (HB 6033) of Truenow’s legislation was filed by Rep. Shane Abbott, a DeFuniak Springs Republican. Abbott owns a pharmacy in North Florida, The Prescription Place. Truenow founded Lake Jem Farms in Lake County. So both lawmakers have experience with hiring labor.


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Democrats’ legislation would mandate Florida’s universities and state colleges be used for early voting

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A pair of Democrats are pushing a new law to make it mandatory for Florida’s public universities and colleges to be used as early voting sites.

Sen. Tina Scott Polsky and Rep. Debra Tendrich filed bills that would require main campuses to be opened up for early voting, which is something some counties are already doing in Florida.

The legislation (SB 1634, HB 1473) requires at least one early voting site at a school’s main campus, and also calls for a public awareness campaign to inform students about voting opportunities. The campaign, “at a minimum,” must inform students through regular mail and electronic mail, as well as social media and signs around campus, according to the measures.

The identical bills address early voting, which in some places, like Orange County, drew long lines during the General Election as people were deciding between Donald Trump and Kamala Harris, as well as several high-profile referendums on abortion rights and legalizing marijuana. Some people waited two or more hours in line, a group of Orange County Democratic leaders said in a letter voicing their concerns and complaining about the early voting sites being understaffed.

Floridians, in general, are big fans of early voting.

Nearly 9 in 10 Floridians said they supported early voting, according to a poll conducted by Tyson Group last year of 1,000 likely voters.

If passed, the new legislation would take effect July 1.

Polsky, a Boca Raton Democrat, and Tendrich, a Lake Worth Democrat, did not return messages for comment Friday.

Their bills were filed just before Regular Session convenes Tuesday

Lawmakers were already called to Tallahassee for three Special Sessions earlier this year that were focused on immigration enforcement. Gov. Ron DeSantis signed a package of bills that beefed up laws over illegal immigration, gave $250 million to local law enforcement for reimbursement for taking up on more immigration enforcement responsibilities and took away in-college tuition waivers from undocumented students known as Dreamers.


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