HOUSE OF REPRESENTATIVES STAFF ANALYSIS
BILL #: HB 7011 PCB GOS 22-03 OGSR/Substance Abuse Impaired Persons
SPONSOR(S): Government Operations Subcommittee, Borrero
TIED BILLS: IDEN./SIM. BILLS: SB 7008
REFERENCE ACTION ANALYST STAFF DIRECTOR or
BUDGET/POLICY CHIEF
Orig. Comm.: Government Operations 13 Y, 0 N Mwakyanjala Toliver
Subcommittee
1) Children, Families & Seniors Subcommittee 15 Y, 0 N Morris Brazzell
2) State Affairs Committee 20 Y, 0 N Mwakyanjala Williamson
SUMMARY ANALYSIS
The Open Government Sunset Review Act requires the Legislature to review each public record and each
public meeting exemption five years after enactment. If the Legislature does not reenact the exemption, it
automatically repeals on October 2nd of the fifth year after enactment.
The Marchman Act addresses substance abuse through a system of prevention, detoxification, and treatment
services. An individual may receive services under the Marchman Act through either voluntary or involuntary
admission. Involuntary admission under the Marchman Act can only occur when there is good faith reason to
believe an individual is substance abuse impaired and, because of such impairment, has lost the power of self-
control with respect to substance use; and either has inflicted, attempted or threatened to inflict, or unless
admitted, is likely to inflict physical harm on himself or herself or another; or the person’s judgment has been
so impaired because of substance abuse that he or she is incapable of appreciating the need for substance
abuse services and of making a rational decision in regard to substance abuse services.
Involuntary assessment and stabilization are short-term court-ordered substance abuse services under the
Marchman Act. Current law provides a public record exemption for all petitions for involuntary assessment and
stabilization, pleadings, court orders, related records and other documents, and the images of all pleadings
and other documents, filed with a court under the Marchman Act. Such information is confidential and exempt
from public record requirements but may be disclosed by the clerk of the court under certain circumstances to
specific parties and entities.
The bill saves from repeal the public record exemption, which will repeal on October 2, 2021, if this bill does
not become law.
The bill does not appear to have a fiscal impact on state or local governments.
This docum ent does not reflect the intent or official position of the bill sponsor or House of Representatives .
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DATE: 1/20/2022
FULL ANALYSIS
I. SUBSTANTIVE ANALYSIS
A. EFFECT OF PROPOSED CHANGES:
Background
Open Government Sunset Review Act
The Open Government Sunset Review Act (Act) 1 sets forth a legislative review process for newly
created or substantially amended public record or public meeting exemptions. It requires an automatic
repeal of the exemption on October 2nd of the fifth year after creation or substantial amendment,
unless the Legislature reenacts the exemption.2
The Act provides that a public record or public meeting exemption may be created or maintained only if
it serves an identifiable public purpose. In addition, it may be no broader than is necessary to meet one
of the following purposes:3
Allow the state or its political subdivisions to effectively and efficiently administer a
governmental program, which administration would be significantly impaired without the
exemption.
Protect sensitive personal information that, if released, would be defamatory or would
jeopardize an individual’s safety; however, only the identity of an individual may be exempted
under this provision.
Protect trade or business secrets.
If, and only if, in reenacting an exemption that will repeal, the exemption is expanded (essentially
creating a new exemption), then a public necessity statement and a two-thirds vote for passage are
required.4 If the exemption is reenacted with grammatical or stylistic changes that do not expand the
exemption, if the exemption is narrowed, or if an exception to the exemption is created then a public
necessity statement and a two-thirds vote for passage are not required.
Substance Abuse
Substance abuse refers to the harmful or hazardous use of psychoactive substances, including alcohol
and illicit drugs.5 Substance use disorders occur when the chronic use of alcohol or drugs causes
significant impairment, such as health problems, disability, and failure to meet major responsibilities at
work, school, or home.6 Repeated drug use leads to changes in the brain’s structure and function that
can make a person more susceptible to developing a substance use disorder. 7 Brain imaging studies of
persons with substance use disorders show physical changes in areas of the brain that are critical to
judgment, decision making, learning and memory, and behavior control. 8
According to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, a diagnosis of
substance use disorder is based on evidence of impaired control, social impairment, risky use, and
pharmacological criteria.9 The most common substance use disorders in the United States are from the
use of alcohol, tobacco, cannabis, stimulants, hallucinogens, and opioids. 10
1 Section 119.15, F.S.
2 Section 119.15(3), F.S.
3 Section 119.15(6)(b), F.S.
4 Art. I, s. 24(c), FLA. C ONST.
5 World Health Organization, Sub stance Ab use, http://www.who.int/topics/substance_abuse/en/ (last visited Jan. 15, 2022).
6 Substance Abuse and Mental Health Services Administration, Sub stance Use Disorders, http://www.samhsa.gov/disorders/substance-
use (last visited Jan. 15, 2022).
7 National Institute on Drug Abuse, Drugs, Brains, and Behavior: The Science of Addiction,
https://www.drugabuse.gov/publications/drugs-brains-behavior-science-addiction/drug-abuse-addiction (last visited Jan. 15, 2022).
8 Id.
9 Supra, note 6.
10 Id.
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The Marchman Act
In the early 1970s, the federal government furnished grants for states “to develop continuums of care
for individuals and families affected by substance abuse.”11 The grants provided separate funding
streams and requirements for alcoholism and drug abuse. 12 In response, the Florida Legislature
enacted ch. 396, F.S., (alcohol) and ch. 397, F.S. (drug abuse). 13 In 1993, legislation combined chs.
396 and 397, F.S., into a single law, entitled the Hal S. Marchman Alcohol and Other Drug Services Act
(Marchman Act).14 The Marchman Act supports substance abuse prevention and remediation through a
system of prevention, detoxification, and treatment services to assist individuals at risk for or affected
by substance abuse.
Voluntary and Involuntary Admissions
An individual may receive services under the Marchman Act through either voluntary15 or involuntary
admission.16 The Marchman Act establishes a variety of methods under which substance abuse
assessment, stabilization, and treatment can be obtained on an involuntary basis.17 There are five
involuntary admission procedures that can be broken down into two categories: non-court involved
admissions and court involved admissions. Regardless of the nature of the proceedings, an individual
meets the criteria for an involuntary admission under the Marchman Act when there is good faith
reason to believe the individual is substance abuse impaired and, because of such impairment, has lost
the power of self-control with respect to substance use; and either has inflicted, attempted or
threatened to inflict, or unless admitted, is likely to inflict physical harm on himself or herself or another;
or the person’s judgment has been so impaired because of substance abuse that he or she is incapable
of appreciating the need for substance abuse services and of making a rational decision in regard to
substance abuse services.18
Non-court Involved Involuntary Admissions
The three types of non-court procedures for involuntary admission for substance abuse treatment under
the Marchman Act are:
Protective Custody: This procedure is used by law enforcement officers when an individual is
substance-impaired or intoxicated in public and is brought to the attention of the officer. 19
Emergency Admission: This procedure permits an individual who appears to meet the criteria
for involuntary admission to be admitted to a hospital, an addiction receiving facility, or a
detoxification facility for emergency assessment and stabilization. Individuals admitted for
involuntary assessment and stabilization under this provision must have a physician’s certificate
for admission, demonstrating the need for this type of placement and recommending the least
restrictive type of service that is appropriate to the needs of the individual. 20
Alternative Involuntary Assessment for Minors: This procedure provides a way for a parent,
legal guardian, or legal custodian to have a minor admitted to an addiction receiving facility to
assess the minor’s need for treatment by a qualified professional. 21
11 Darran Duchene & Patrick Lane, Fundamentals of the Marchman Act, Risk RX, Vol. 6 No. 2 (Apr. – Jun. 2006) State University
System of Florida Self-Insurance Program, available at http://flbog.sip.ufl.edu/risk-rx-article/fundamentals-of-the-marchman-act/ (last
visited Jan. 15, 2022).
12 Id.
13 Id.
14 Chapter 93-39, L.O.F., codified in Chapter 397, F.S. Reverend Hal S. Marchman was an advocate for persons who suffer from
alcoholism and drug abuse. Supra note 11.
15 See s. 397.601, F.S.
16 See ss. 397.675 – 397.6978, F.S.
17 See ss. 397.675 – 397.6978, F.S.
18 Section 397.675, F.S.
19 Sections 397.6771 – 397.6772, F.S. A law enforcement officer may take the individual to his or her residence, to a hospital, a
detoxification center, or addiction receiving facility, or in certain circumstances, to jail. Minors, however, cannot be taken to j ail.
20 Section 397.679, F.S.
21 Section 397.6798, F.S.
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Court Involved Involuntary Admissions
The two court-involved Marchman Act procedures are involuntary assessment and stabilization, which
provides for short-term court-ordered substance abuse services, and involuntary services,22 which
provides for long-term court-ordered substance abuse treatment.
Involuntary Assessment and Stabilization
Involuntary assessment and stabilization involves filing a petition with the clerk of court.23 Once the
petition is filed with the Clerk of Court, the court issues a summons to the respondent and the court
must schedule a hearing to take place within 10 days, or issue an ex parte order immediately.24 After
hearing all relevant testimony, the court determines whether the respondent meets the criteria for
involuntary assessment and stabilization and immediately enters an order that either dismisses the
petition or authorizes the involuntary assessment and stabilization of the respondent. 25
If the court determines the respondent meets the criteria, it may order him or her to be admitted for five
days 26 to a hospital, licensed detoxification facility, or addictions receiving facility, for involuntary
assessment and stabilization.27 During that time, an assessment is completed on the individual. 28 The
written assessment is sent to the court. Once the written assessment is received, the court must either:
29
Release the individual and, if appropriate, refer the individual to another treatment facility or
service provider, or to community services;
Allow the individual to remain voluntarily at the licensed provider; or
Hold the individual if a petition for involuntary services has been initiated.
Involuntary Services
Involuntary services allows the court to require the individual to be admitted for treatment for a longer
period only if the individual has previously been involved in at least one of the four other involuntary
admissions procedures within a specified period. 30 Similar to a petition for involuntary assessment and
stabilization, a petition for involuntary services must contain identifying information for all parties and
attorneys and facts necessary to support the petitioner’s belief that the respondent is in need of
involuntary services.31
A hearing on a petition for involuntary services must be held within five days unless a continuance is
granted.32 If the court finds that the conditions for involuntary substance abuse treatment have been
22 The term “involuntary services ” means “an array of behavioral health services that may be ordered by the court for a person with
substance abuse impairment or co-occurring substance abuse impairment and mental health disorders.” Section 397.311(22), F.S. SB
12 (2016), ch. 2016-241, Laws of Fla., renamed “involuntary treatment” as “involuntary services ” in ss. 397.695 – 397.6987, F.S.;
however, some sections of the Marchman Act continue to refer to “involuntary treatment.” For consistency, this analysis will use the
term “involuntary services.”
23 Section 397.6811, F.S.
24 Section 397.6815, F.S. Under the ex parte order, the court may order a law enforcement officer or other designated agent of t he court
to take the respondent into custody and deliver him or her to the nearest appropriate licensed service provider.
25
Section 397.6818, F.S.
26 If a licensed service provider is unable to complete the involuntary assessment and, if necessary, stabilization of an indivi dual within
5 days after the court's order, it may, within the original time period, file a request for an exte nsion of time to complete its assessment.
The court may grant additional time, not to exceed seven days after the date of the renewal order, for the completion of the involuntary
assessment and stabilization of the individual. The original court order auth orizing the involuntary assessment and stabilization, or a
request for an extension of time to complete the assessment and stabilization that is timely filed, constitutes legal authori ty to
involuntarily hold the individual for a period not to exceed 10 da ys in the absence of a court order to the contrary. Section 397.6821,
F.S.
27 Section 397.6811, F.S. The individual may also be ordered to a less restrictive component of a licensed service provider for
assessment only upon entry of a court order or upon receipt by the licensed service provider of a petition.
28 Section 397.6819, F.S., The licensed service provider must assess the individual without unnecessary delay using a qualified
professional. If an assessment is performed by a qualified professional who is not a physician, the assessment must be reviewed by a
physician before the end of the assessment period.
29 Section 397.6822, F.S. The timely filing of a Petition for Involuntary Services authorizes the service provider to retain physical
custody of the individual pending further order of the court.
30 Section 397.693, F.S.
31 Section 397.6951, F.S.
32 Section 397.6955, F.S.
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proven, it may order the respondent to receive services for a period not to exceed 90 days. 33 However,
substance abuse treatment facilities other than addictions receiving facilities are not locked; therefore,
individuals receiving treatment in such unlocked facilities under the Marchman Act may voluntarily
leave treatment at any time, and the only legal recourse is for a judge to issue a contempt of court
charge and impose brief jail time.34
Department of Children and Families
The Department of Children and Families (DCF) is the single state authority for substance abuse and
mental health treatment services in the state of Florida.35 DCF, through its Office of Substance Abuse
and Mental Health (SAMH), develops standards for the prevention, treatment, and recovery services in
partnership with other state agencies that also fund behavioral health services. 36 SAMH programs
include a range of prevention, acute interventions (such as crisis stabilization or detoxification),
residential, transitional housing, outpatient treatment, and recovery support services. 37 DCF provides
treatment for substance abuse through a community-based provider system.38
Confidentiality of Service Provider Records in Marchman Act Proceedings in Florida
In 2017, the Legislature created a public record exemption for certain information filed with a court
under the Marchman Act.39 Specifically, all petitions for involuntary assessment and stabilization, court
orders, and related records that are filed with or by a court under the Marchman Act are confidential
and exempt from public record requirements.40 However, the clerk of court may disclose the pleadings
and ot