Key Story- Successes For Hospitals during the 2023 Legislative Session
Budget Success: $269.9 M in additional Medicaid funding for hospitals in the state budget (includes $103 M General Revenue) – Hospitals and health care systems have contended with legislative proposals to cut Medicaid funding for many years. This year was different, as our successful hospital advocacy and healthy state coffers led to a budget that prioritizes equitable reimbursement for the quality of care hospitals provide. From educating lawmakers in the off-season to countless meetings and hearings at the capitol, legislators were in the know on key hospital challenges in 2023. FHA is extremely encouraged by several key wins for hospitals in this year’s budget and thanks our membership for your dedicated work.
- $76 M for complex pediatric care – Initially proposed by the Florida Senate, FHA advocated strongly for the inclusion of this enhanced funding for hospitals that treat complex level III & IV pediatrics. This is a significant shift in the narrative as FHA has moved away from conversations about Medicaid cuts to working with legislators to explore Medicaid funding increases for certain services and populations.
- $93.8 M for Graduate Medical Education Statewide Residency / $30 M for new Slots for Doctors GME Program / $15 M additional GME increase – A 2021 FHA report projects Florida will experience a shortage of 36,000 physicians by 2035. . FHA was proud to work with appropriations leaders and staff to secure a 48% increase in overall funding for GME, including statewide residencies and a new slots for doctors program that rewards the expansion of residency slots.
- $54 M in Non-Recurring General Revenue for Standalone Specialty Children’s Hospitals
Budget Success: $10 M for Rural Hospital Capital Improvement Program
- FHA led the way to reinvigorate this program which provides grants to rural hospitals to upgrade and harden facilities, invest in technology, and more. Health Care Appropriations Chair Gayle Harrell referenced the importance of this budget provision during her final floor presentation of the budget. Rural hospitals are a key part of the health care delivery system in Florida and FHA will continue to advocate for resources to address their unique needs.
Budget Success: Renewed $125 M for LINE & PIPELINE Nurse Education Programs
- Florida is projected to face a shortage of nearly 60,000 nurses by 2035, and Florida’s hospitals experienced a 32% turnover rate amongst nurses last year. While there is no immediate fix, investing in the nursing talent pipeline will set Florida on a better path for the future. FHA was once again pleased to secure $100 Million for PIPELINE & $25 million for LINE programs to increase the number of nurses entering the health care system.
Policy Success: Assault or Battery on Hospital Personnel (HB 825 Passed)
- People working in hospitals are six times more likely to experience violence in their line of duty than in traditional private sector industries. The passage of HB 825 demonstrates the legislature’s and hospitals’ dedication to protecting our front-line workers and recognizing their unique sacrifice. By providing enhanced penalties on those who assault or batter a hospital employee or volunteer anywhere in the facility, our health care heroes can be better protected from violent incidents and repeat offenders. FHA was proud to lead this effort throughout session and will be communicating its support for the bill to Governor DeSantis. We hope to receive his approval in the coming weeks and encourage members to echo their support.
Policy Success: White Bagging Protections (SB 1550 Passed)
- FHA has engaged with legislators in support of white bagging protections for multiple years – filing a standalone bill in 2022 and working with Governor DeSantis to craft his priority legislation for 2023. Throughout the bill’s legislative path, we strongly supported the provisions protecting hospitals in instances of in-person administration of covered prescription drugs. We are extremely pleased that Governor DeSantis signed these provisions into law alongside regulations on PBM and insurer drug pricing practices.
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State Budget Overview
The final budget approved by lawmakers and to be presented to the Governor totals $117 B, of which $46.5 B is general revenue. Please note – the Low Income Pool, the Directed Payment Program, and other hospital supplemental payment programs authorized through budget amendments do not reflect in this total ($121 B in total with these supplemental payment programs). Medicaid has been allocated $34.5 B ($38.5 B including supplemental payments) including $10.1 B in general revenue. Health and Human Services represent 42.4% of all spending but only 32.7% of general revenue spending. The Education budget, by comparison, totals $30.3 B including $20.4 B in general revenue, making up 25% of all spending and a major 43.9% of general revenue spending. Across the entire state budget – Medicaid payments to hospitals make up approximately 8% of all spending and only 4% of general revenue spending.
GME Increases – FHA is extremely pleased that the House and Senate included increases in funding for Medicaid Graduate Medical Education as Florida continues to face a physician shortage. This includes a total of $93.8 M for the statewide residency program and $30 M for a new Slots for Doctors Program.
Pediatric Physician Rate Increase – $76.1 M
Behavioral Health – FHA continues to support meaningful investments in community mental health models and Florida’s psychiatric bed infrastructure. DCF’s community mental health budget has increased by 47% and includes $31 M for central receiving facilities, $77.9 M to expand bed capacity at state mental health facilities, and a substantial $156.3 M block grant for community-based mental health services. FHA thanks the legislature for these critical investments in the mental well-being of Floridians.
Workforce/Education – In addition to the aforementioned LINE & PIPELINE investments, the Florida legislature has also renewed $100 M for the Hometown Heroes Housing Program to assist nurses in buying a home as well as $100 M for University incentives that will support increased nursing faculty at Florida’s schools
While over 1600 general bills were filed this session – rarely are that many new laws needed. FHA is constantly monitoring for hospital impact legislation that adds duplicative or burdensome regulatory requirements, detracts from quality patient care, or disrupts hospitals’ business operations. FHA worked alongside our member hospital experts to educate lawmakers and successfully defeat several bills that could have impacted hospitals.
Health Care Expenses (SB 268 / HB 1413 Failed) – While we appreciate efforts to provide consumers with meaningful pricing information, the bills are duplicative of existing federal rules that are still in their infancy. A priority of the Florida House for several years, FHA worked with the Senate to stall this bill’s progress and prevent any negotiations that could have seen it move further in the process.
Protection of Medical Freedom (SB 222 / HB 305 Failed) – This legislation would have interfered with a provider’s ability to withhold services from an individual suffering from, not having been vaccinated from, or recovering from an illness. The bill would have also prohibited certain immunization tracking by the state. FHA worked with other stakeholders to communicate these concerns and prevent the bills from receiving a hearing.
Sovereign Immunity (SB 604 / HB 401 Failed) – For the last several years lawmakers have considered proposals to increase the statutory limits of liability in claims against the state or its agencies. This affects many of Florida’s public and rural hospitals and could negatively affect their ability to provide the highest quality of care to the patients they serve. After initial conversations early in session, this bill was stalled.
Surgical Smoke (SB 380 / HB 587 Failed) – The bills would require Florida hospitals to implement smoke evacuation systems during surgical procedures. Many hospitals already operate or plan to include them in any future facilities and the bills did not sustain their momentum, failing after a pair of committee hearings.
Motor Vehicle Insurance (SB 586 / HB 429 Failed) – PIP repeal was not considered by the Florida legislature this year but FHA will continue to monitor these discussions and the associated financial impact it could have on hospitals and health systems.
Physician Assistant Licensure (HB 1133– Passed)
FHA is pleased by the passing of this legislation as it revises the eligibility requirements for physician assistants (PAs) seeking licensure, ultimately addressing PA workforce shortages. Notably, these changes reinstate the licensure eligibility for PAs who graduated from accredited PA programs with a bachelor’s degree and who were negatively impacted by the Legislature’s 2021 revisions to the PA licensure statutes.
Psychology Interjurisdictional Compact (HB 33– Passed)
Senator Harrell and Representative Hunschofsky are hospital champions with whom FHA has worked continuously to educate them on hospitals and their needs. FHA is pleased by their work this legislative session to enact the Psychology Interjurisdictional Compact and authorizes Florida to enter into the compact with all other jurisdictions that have legally joined the compact. This allows an eligible Florida licensed psychologist to provide services to out-of-state patients through either telehealth or temporary authorization to practice.
Live Local Act- Housing (SB 102– Passed & Approved by Governor)
As a 2023 legislative priority of Senate President Passidomo, FHA is delighted with this legislation which provides a significant investment of $711 million to workforce housing to increase opportunities for our workers to find attainable housing close to the communities they serve.
Nursing Education Pathways for Military Combat Medics (SB 274– Passed)
This bill addressed the nursing shortage present in Florida as it promotes uniformity in the application of military combat medic training and education toward creditor clock hours by public postsecondary educational institutions.
Payer Accountability Legislation
Florida KidCare Program Thresholds (HB – Passed)
FHA has worked closely with Representatives Bartleman and Trabulsy since they took office to educate them on the state of health care coverage in Florida. We were pleased to work alongside them to pass income eligibility changes that will assist more than 70,000 Floridians in these health insurance programs in the first year by increasing the threshold to 300% of the FPL. FHA thanks the bill sponsors and House Speaker Renner for championing this critical victory for Florida’s health care delivery system.
Group Health Plans (HB 897 Passed)
This legislation was supported by FHA and better align Florida with existing federal law by amending the requirements and processes by which group health plans may operate in Florida.
Behavioral Health Legislation
Operation and Administration of the Baker Act (HB 829 – Passed)
This bill requires the Department of Children and Families to update and maintain key information resources such as a Baker Act handbook and a frequently asked questions repository, as the handbook has not been updated since 2014.
Suicide Prevention (SB 914 – Passed)
This legislation extends the work of the Commission to January 1st, 2025, as the final report from the Commission would be submitted to the Florida Legislature and Governor by September 1st, 2026. SB 914 also broadens the purpose and duties of The Commission on Mental Health and Substance Abuse to include assessment, recommendations, and Medicaid funding opportunities for Florida’s National Suicide Prevention Lifeline (NSPL) infrastructure, commonly known as, the 988 Suicide & Crisis Lifeline.
Civil Remedies (HB 837 – Passed & Approved by Governor)
These Governor & Speaker-backed lawsuit reforms were quickly passed by the legislature and signed by the Governor in March. The bills eliminate one-way attorneys fees and make other substantive legal reforms to curb the number of frivolous lawsuits driving up insurance rates.
Telehealth Audio-only (HB 267 – Passed)
A simple bill that changes the definition of telehealth to allow audio-only phone calls, FHA was encouraged to support this bill over the finish line in 2023.
Hospital Impact Legislation
COVID-19 Mandates (SB 252 – Passed)
A priority of Governor DeSantis, SB 252 has been passed and will present to the Governor in the coming weeks. The bill prohibits hospitals from interfering with a patient’s right to choose COVID treatment alternatives and requires health care practitioners to obtain informed consent about alternative COVID treatments. Additionally, FHA worked to amend the language to permit the use of masks by hospitals with review and approval by the state. FHA will convene our members to discuss any questions or comments about the implementation of these provisions should it be signed into law.
Immigration (SB 1718 – Passed)
The Governor-backed immigration legislation affects hospitals by requiring them to ask each patient for their immigration status upon a hospital admission or an emergency department visit. FHA worked to successfully amend the language to narrow the circumstances in which hospitals must ask for immigration status. The bill as passed still allows the individual to decline to provide their immigration status. FHA will be working closely with members, AHCA, and the legislature to create an appropriate strategy for hospitals to implement these regulations.
Protection of Medical Conscience (SB 1580 – Passed)
SB 1580 was closely monitored by FHA as it allows health care providers and payers to refuse to provide or pay for a given service based on a conscience objection. The bill was heavily debated by the minority party as they argued health plans will use this to deny a greater number of health care claims. As passed, the bill does not allow payers to deny payment for a service that is covered under the current contract year. FHA worked with lawmakers to ensure emergency medical treatment under EMTALA was clearly exempted from the provisions of the bill.
Gender Clinical Interventions (SB 254 – Passed)
This effort was led by House Health & Human Services Committee Chair Randy Fine as the bill prohibits prescriptions or procedures for sex reassignment for individuals under 18 years of age. The bill was held in the Senate late during session as the chambers worked towards agreements on other pieces of health care legislation. In the final days, the bill was amended to remove a provider attestation and passed by both chambers.
Pregnancy & Parenting Support (SB 300 – Passed)
Signed by Governor DeSantis during session, Florida has moved to criminalize the performance of a termination of pregnancy beyond 6 weeks gestational age of the fetus. While FHA did not take a position on this legislation, we encourage members to reach out to us if you have questions or concerns about the passage of this legislation.
Florida Hurricane Preparedness Week
Governor Ron DeSantis has proclaimed the first week of May as Florida Hurricane Preparedness Week in coordination with the National Weather Service Hurricane Preparedness Week. All Florida residents are urged to take time now to make family and business emergency plans and stock disaster supply kits ahead of the 2023 Atlantic Hurricane Season.
National Preparedness Week and Florida Preparedness Week are observed every May to educate families and communities on the importance of disaster mitigation, preparedness, and response. More information on National Preparedness Month can be found here.
FHA Submits Comments on 1115 Waiver Days Proposed Rule
On Monday, FHA submitted comments to the Centers for Medicare and Medicaid Services (CMS) on their proposed rule on Medicare DSH payments “Counting Certain Days Associated with Section 1115 Demonstrations in the Medicaid Fraction.” The proposed rule is a third attempt by CMS to limit the inclusion of patient days for patients who are regarded as eligible for Medicaid benefits under a Section 1115 demonstration project for purposes of the Medicare DSH calculation – the Agency has made, and withdrawn, similar proposals in the 2022, and 2023 IPPS proposed rules.
In its comments, FHA reiterated the position that this proposal is against the authority granted to the Agency in the Social Security Act. FHA’s comments: cite two federal courts, including one case where 14 Florida hospitals are plaintiffs, which have unambiguously ruled against CMS’s interpretation of the relevant statutory language; point to the statutory intent of Congress when passing the statute; and note that the Secretary of HHS has exceeded their discretionary authority by attempting to amend 1115 demonstration projects after they have received agency approval. Ultimately, FHA has called on CMS to follow the statute as written and withdraw the proposed rule.
CMS Issues Proposed Rules on Rule Regarding Medicaid Fee-for-Service Quality, Transparency and Managed Care Access and Directed Payment Programs
On May 3, the Centers for Medicare & Medicaid Services (“CMS”) published two proposed rules focused on the Medicaid Program: Medicaid and CHIP Children’s Health Insurance Program Managed Care Access, Finance, and Quality managed care Proposed Rule in the Federal Register. and fee-for-service delivery systems – “Medicaid Program: Medicaid and Children’s Health Insurance Program Managed Care Access, Finance, and Quality” and “Medicaid Program; Ensuring Access to Medicaid Services.” The proposed rules aim to bolster access by increasing pay rate transparency in the fee-for-service program and bolster network adequacy requirements for managed care plans. The rule also seeks to codify a February CMS Informational Bulletin related to the directed payment program.
The managed care rule includes provisions that would require states to ensure providers receiving funding through state-directed payment programs to attest that they do not participate in any arrangement that holds taxpayers harmless for the cost of a health care- related tax in violation of the federal requirements. This is an attempt to put into rule the February 17 Informational Bulletin that alleges these prohibitions are a longtime policy of CMS. FHA maintains the position that CMS, as a federal court stated last year, is misinterpreting the law and the Agency’s attempts to police private agreements among providers should not withstand legal scrutiny. This proposal would become effective two years after the publication of the final rule.The proposed rule will be open for comments through July 3. FHA encourages all of its members to weigh in on this important subject and will be providing further guidance through the comment period.
CMS Updates Guidance for Expiration of PHE
The Centers for Medicare & Medicaid Services (CMS) on May 1 published a memorandum directed to state surveyors outlining the regulatory requirements set to be reinstated when the public health emergency (PHE) ends.
Perhaps most notably, CMS has announced its intent to end the requirement that covered providers establish policies and procedures for staff vaccination. Repeal of the so-called vaccine mandate Condition of Participation (CoP) may require Administrative Procedures Act notice and comment, which could take time. FHA will be on the lookout for more information from CMS.
The guidance document goes on to describe each of the flexibilities that will expire on May 11, the date the PHE will end. This includes waivers for telemedicine CoPs; physical environment waivers; the EMTALA waiver that allowed off-site screening; discharge planning; and the Critical Access Hospital 96-hour length of stay requirement.
Note that some waivers were extended by statute, such as certain telemedicine waivers and the acute-hospital at-home program.
More From the End of the PHE: DEA Extends Telemedicine Waiver
On Wednesday the Drug Enforcement Administration (DEA) announced that they will be extending the telemedicine prescribing flexibilities until they can issue a final rule related to prescription of drugs using telehealth.
This is something of an about-face from the Agency, as many were expecting a final DEA telemedicine rule to be issued prior to the May 11 end of the PHE. In fact, the Agency published a proposed rule late February, that would have walked back a lot of the PHE flexibilities. In comments to the proposed rule, FHA warned the DEA that its proposal was too restrictive, and asked the agency to extend the waiver while it better addresses the needs of patients and providers. To that end, the continued flexibilities appear to be an effort by the agency to reevaluate its position on telemedicine prescribing and FHA hopes the results will better align with our recommendations.
CMS Issues Updated Hospital Price Transparency Guidance
Last week, CMS issued updated guidance on their process for monitoring and enforcing the Hospital Price Transparency rule which includes three key changes:
CMS will no longer issue warning letters to hospitals that
- CMS will no longer issue warning letters to hospitals determined to be out of compliance with the hospital price transparency regulation but will request a corrective action plan (CAP).
- CAPs must be completed within 45 days instead of hospitals proposing a completion date
- CMS will automatically impose civil monetary penalties if CAPs are not submitted or completed by their deadlines. Penalties range from $300 to $5,500 per day depending on the hospital’s size.
For more on the new guidance: Hospital Price Transparency Enforcement Updates | CMS
Senate HELP Committee Postpones Hearing on Pharmacy Benefit Managers
On Tuesday, the Senate HELP Committee postponed a markup on four pieces of legislation aimed at stemming the rising cost of drugs in the U.S., including a bill that would push significant reforms to the pharmacy benefit managers (PBM) industry. Republicans on the Committee requested the recess until they can review Congressional Budget Office scores for the legislation.
The Committee will now host a markup on the bills on May 11, a day after the Committee hosts the CEOs of three large insulin manufacturers, Eli Lilly, Novo Nordisk, Sanofi, as well as PBM executives from CVS Health, Express Scripts, and OptumRX.
In addition to insulin pricing and PBMs, we expect there to be at least some consideration of the 340B program.
Senate Finance Committee Met Wednesday to Discuss Behavioral Health Networks
On Wednesday, May 3, the Senate Finance Committee met to discuss ways to improve behavioral health networks. The Committee was particularly focused on provider directories and the prevalence of “ghost networks,” or situations where a health plan provider directory includes inaccurate or unavailable provider listings. FHA supports the committee’s focus on the adequacy of Medicare Advantage behavioral health provider networks and will look for opportunities to shape policies that facilitate the delivery of behavioral health care services.
AHA Launches #WeAreHealthCare Telling the Hospital Story Campaign
AHA is launching a major initiative to highlight the positive role of hospitals in the communities they serve. AHA will organize its storytelling efforts across digital and social platforms using a broad framework to amplify positive stories. Hospitals are encouraged to use #WeAreHealthCare on their social media channels to further amplify these efforts, such as highlighting the many ways your hospital is helping people get and stay healthy, whether that be providing holistic care, including behavioral health services, efforts to improve maternal health, as well as disease education and prevention efforts.
Cybersecurity and Infrastructure Safety Agency (CISA)
CISA offers no-cost cybersecurity Incident Response (IR) Training series with a range of offerings for beginner and intermediate cybersecurity analysts encompassing basic cybersecurity awareness, best practices for organizations, and facilitated lab activities. Course types include Awareness Webinars (100-level) and Cyber Range (200-level) Training. These courses provide valuable learning opportunities for everyone from cyber newbies to veteran cybersecurity engineers. Sign up for the training offerings via the Registration section or Upcoming Events sections here.
To learn more about how CISA may assist potentially impacted entities after a cyber incident, visit the Cyber Incident Response page.
FHA Convenes Meeting with Florida Association of Colleges of Nursing (FACN)
This week, FHA convened a meeting with several members of FACN. FHA shared a comprehensive update on FHA’s efforts to support and advocate for the healthcare workforce. FHA shared the advocacy efforts being made to help address the Florida nursing workforce crisis and the importance of establishing an infrastructure to support building the nursing workforce pipeline. Strengthening industry and academic partnerships, and LINE/PIPELINE funding have been valuable in attracting, recruiting and retaining nursing program faculty who are critical for developing future nurses.
FHA and FACN are committed to continuing to working toward effectively addressing the nursing workforce shortage!
President Mayhew released a statement praising the recently passed legislation that aims to increase protections for hospital employees. The Senate voted 38-1 to pass the bill (HB 825), which was unanimously approved last month by the House. Current law leads to increased penalties for people who assault emergency-room employees, but the bill would expand those protections to other hospital workers. “This legislation will lead to better patient care by creating a safer working environment for our healthcare workers,” she said.
During the COVID-19 PHE, the number of Floridians qualifying for Medicaid coverage increased from 3.8 million in March 2020 to 5.7 million in January 2023. With the end of continuous eligibility, on April 1, the Department of Children and Families started disenrolling individuals who are no longer eligible for coverage due to income changes that happened between 2020 and 2023. Consistent health care coverage is critical for timely access to preventive, primary, specialty, and behavioral health care and for treatment plan adherence. And it helps to lower the expense of charity care incurred by hospitals. (Column by Mary Mayhew)
FHA Quality Conference June 22-23, 2023 – Registration Early!
FHA invites you to attend the first annual FHA Quality Conference on June 22-23, 2023! Please join your colleagues for an exceptional event, focused on the most pertinent quality and patient safety topics for hospitals. The registration portal is open to all FHA hospital and health care system member employees, as well as non-member health care providers.
The conference will take place at the Westin Lake Mary, 2974 International Pkwy, Lake Mary, FL, 32746. Please click here to reserve your room in the FHA room block – now! The deadline is Tuesday, May 30, 2023.
The registration website is open, please click here to register today! FHA Member Hospital Employees: $195 Non-member Health Care Providers and Physician Group Practices: $295
Groups of 10 or more are eligible for a discount of $20 off per registrant. Please contact AK Consulting Group for information.
Attendees will hear from esteemed subject matter experts and distinguished colleagues, including two special national speakers for the conference opening and closing keynote sessions.
Informative presentations from hospitals and other providers will include:
- Improving Care Transitions/Reducing Readmissions
- Reducing Sepsis Mortality
- Measuring and Implementing Programs to Create a Safety Culture and High Reliability
- Reducing Maternal Mortality, C-sections, and Improving Care for Mothers and Babies
- Approaches to Improve Medication Safety
For questions about the conference, please contact FHA Education at 850-222-9800 or [email protected].
2023 Annual Hurricane Season Preparedness Webinar
Wednesday, May 24, 2023, 12:00 p.m. – 1:00 p.m. ET
Please join us for an overview of the 2023 hurricane season projections with Florida’s State Meteorologist and updates on response planning from state agency partners, including the Florida Division of Emergency Management, the Florida Department of Health, and the Agency for Health Care Administration. The webinar’s learning objectives include:
- Provide an overview of Florida’s meteorological partners’ 2023 Atlantic Basin hurricane season forecast predictions.
- Discuss hospital and community preparedness considerations with Florida state agency leaders.
- Review important response considerations for hospital and health system emergency management planning.
- Understand critical factors that challenge hurricane response and FHA’s role in emergency response.
Please contact John Wilgis, Vice President of Member and Business Relations, at [email protected] or (850) 524-2037 if you have any questions.
FHA Medicare 101 Course – Register now!
Updated for 2023, this FHA member training provides a high-level overview of the Medicare program, how it is organized, and how it impacts hospitals and health systems. It will focus on the sources of supplemental coverage, the funding of the program, a payment system overview, and discuss the basics of the Medicare Advantage plan. The goal of this training is to give attendees the fundamental framework to understand how Medicare reimburses for hospital-related services and will include a discussion of recent policy developments. Please join us for the two-hour training on Tuesday, June 6, 2023, 1:00 – 3:00 p.m. ET
Infection Prevention Hot Topics – Antibiotic Stewardship and What We Can Learn from Antibiograms
May 17, 2023, 2:00 p.m. – 3:00 p.m. ET
2023 Hurricane Season Preparedness Webinar
May 24, 2023, 12:00 p.m. – 1:00 p.m. ET
Infection Prevention Hot Topics – Ventilator-associated Events
June 20, 2023, 2:00 p.m. – 3:00 p.m. ET
Infection Prevention “Next Level” Training for the Novice Infection Preventionist (3-part series)
July 11 – 13, 2023, 2:00 p.m. – 4:00 p.m. ET, daily
HFMA | Healthcare 2023: Dancing to a Different Beat
May 14–17, 2023
Florida Department of Health (DH) Health Care-Associated Infection Prevention
Every Friday, 3:00 p.m. – 4:00 p.m. ET
Florida Alcohol and Drug Abuse Assocation (FDAA) in conjunction with Department of Children and Families (DCF) Office of Substance Abuse and Mental Health (SAMH) – Strategies to Address Behavioral Health Workforce Issues Workshop
May 15, 2023, 9:00 a.m. – 4:00 p.m. ET
May 17, 2023, 9:00 a.m. – 4:00 p.m. ET
Coconut Creek, Florida
May 18, 2023, 9:00 a.m. – 4:00 p.m. ET
Winter Garden Florida