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ORDINANCE NO. 10-18
AN ORDINANCE OF THE VILLAGE COUNCIL OF THE VILLAGE OF
TEQUESTA, FLORIDA, AMENDING THE VILLAGE CODE OF
ORDINANCES AT CHAPTER 78. ZONING. ARTICLE I. IN GENERAL.
SEC. 78-4. DEFINITIONS. BY AMENDING THE DEFINITION FOR
"REHABILITATION FACILITY" TO PROVIDE FOR THE LIMITED
PROVISION OF INSURANCE PAYMENTS FOR PATIENT CARE,
INCLUDING PARTIAL PAYMENTS FROM COMMERCIAL OR SELF-
FUNDED INSURANCE PLANS FOR PATIENT CARE; PROVIDING
THAT EACH AND EVERY OTHER SECTION AND SUBSECTION OF
CHAPTER 78. SHALL REMAIN IN FULL FORCE AND EFFECT AS
PREVIOUSLY ADOPTED; PROVIDING A CONFLICTS CLAUSE, A
SEVERABILITY CLAUSE AND AUTHORITY TO CODIFY;
PROVIDING AN EFFECTIVE DATE, AND FOR OTHER PURPOSES.
WHEREAS, the Village of Tequesta has received a privately initiated application from
GMH Tequesta Holdings, LLC to amend the Village's zoning code text to allow rehabilitation
facilities to accept in-network insurance payments from clients for payment; and
WHEREAS, the applicant has previously provided informational presentations at Village
Council workshops; and
WHEREAS, the applicant has met with Village staff in order to prepare its application in
a manner that will serve not only its own purposes, but also those of the Village; and
WHEREAS, the applicant has taken into account all the input obtained at all the
aforesaid workshops, resulting in the zoning code text amendments as set forth herein, which the
Village Council believes will be in the best interests of the Village of Tequesta, and will promote
the public health, safety and welfare.
NOW, THEREFORE, BE IT ORDAINED BY THE VILLAGE COUNCIL OF THE
VILLAGE OF TEQUESTA, PALM BEACH COUNTY, FLORIDA, AS FOLLOWS:
Section 1: Chapter 78. Zoning. of the Code of Ordinances of the Village of Tequesta
is hereby amended at Article I. In General. Sec. 78-4. Definitions. by amending the definition for
"Rehabilitation facility" to provide for the limited provision of insurance payments for patient
care, including partial payments from commercial or self-funded insurance plans for patient
care; providing that this definition shall hereafter read as follows:
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Section 78-4. Definitions
Rehabilitation facility means a private State of Florida licensed facility that provides
rehabilitation care for patients who are eighteen years of age or older. The primary purpose of a
rehabilitation facility is to provide treatment for drug and alcohol addiction and eating disorders;
however, the rehabilitation facility must be a dual diagnostic facility staffed and equipped to
provide treatment for co-occurring disorders. Rehabilitation facilities may also provide
programs that promote health, wellness and overall lifestyle enhancements for their residents.
Rehabilitation facilities must provide a structured residential living environment which includes
the following features: 24-hour on-site security; 24-hour patient supervision by licensed nursing
staff; and quality of life services such as swimming pools, garden areas, sport-courts, exterior
patios or sitting areas, community living areas, meditation areas, fitness rooms, libraries,
recreation rooms, televisions, on-site food preparation, and telephone and internet service.
Rehabilitation facilities must provide rehabilitation care by means of short-term care treatment
and extended care treatment as needed, and may also provide follow-up treatment and outpatient
treatment to current residential patients of the Rehabilitation facility, as well as a limited number
of non-residential patients who have, at a minimum, successfully completed short-term care
treatment at the Rehabilitation facility. Rehabilitation facilities shall not offer any services for
individuals with a history of violent behavior or threats to the public health, safety and welfare or
the health, safety and welfare of other patients. The following definitions apply to the definition
of rehabilitation facility:
l. Rehabilitation care means diagnosis and treatment for drug and alcohol addiction
disorders, eating disorders and physical, behavioral, mental or emotional issues that
are directly attributed to those disorders. Rehabilitation care does not include
emergency or medical detoxification, which is specifically considered a prohibited
use. Should a rehabilitation facility patient require emergency or medical
detoxification, this must be completed at an off-site facility prior to beginning
rehabilitation care.
2. Private means privately owned and funded with no use of state or federal (including
Medicare or Medicaid) funds for the operation of the facility, the treatment of
patients, or research work that would require the acceptance and treatment of
federally or state funded patients. Partial navments from commercial or self-funded
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insurance nlans mav be accented bv the Rehabilitation Facilitv for natient care.
3. Short-term care means a program designed for a minimum residential stay of 30
calendar days.
4. Extended care treatment means an additional 30 to 60 calendar day stay in residential
treatment after completing the initial short-term care residential treatment program.
5. Follow-up treatment means a program designed for an additional one week stay in
residential treatment, subsequent to the previous completion of the Short-term care or
Extended care treatment program, and must occur at the same facility where Short-
term care or Extended care treatment was received. Follow-up treatment is for those
patients who need additional structured follow-up treatment that does not require the
clinical intensity of the Short term or Extended care treatment program. At any given
time, Follow-up treatment shall not account for more than ten percent (10%) of the
Rehabilitation facility's patient clientele. Follow-up treatment sa�e can also be in the
form of electronic correspondence or tele-conferencing, and in such cases has no limit
or restrictions regarding the duration of the care, the location of the treatment or the
number of participating patients.
6. Outpatient treatment means a regimen of treatment that may include any or all of the
following services: group counseling, individual counseling, relapse prevention
counseling, and educational lectures. Outpatient treatment may be offered at the
following levels: "Day or Night with Community Housing" which provides a
minimum of 25 hours of services per patient per week; "Day or Night" which
provides 12-24 hours of services per patient per week, "Intensive Outpatient" which
provides 9-11 hours of services per patient per week; and "Outpatient" which
provides less than 9 hours of services per patient per week. At any given time,
Outpatient treatment may only be provided to a maximum number of non-residential
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patients equivalent to five percent (5%) of the Rehabilitation facility's current Short
term care, Extended care and residential Follow-up treatment clientele. Outpatient
treatment services can also be provided to the Rehabilitation facility's patients who
are currently receiving Short-term care, Extended care or residential Follow-up
treatment, and in such cases the number of participating patients is only limited by the
Rehabilitation facility's residential occupancy limits as set forth at Sec. 78-180(i)(16).
7. Emergency or medical detoxification means the elimination of toxins such as alcohol
or controlled substances from the body of individuals who require acute care and/or
may have serious health risks as a result of their substance abuse. Medical or
emergency detoxification is performed under the direct supervision of inedical
doctors and medical support staff, and may include the administration of inedication
or tranquilizers in order to ease the withdrawal process. Emergency or medical
detoxification is a prohibited use in a Rehabilitation Facility.
Section 2: Each and every other Section and Subsection of Chapter 78. Zoning. shall
remain in full force and effect as previously adopted.
Section 3: All ordinances or parts of ordinances in conflict be and the same are
hereby repealed.
Section 4: Should any section or provision of this Ordinance or any portion thereof,
any paragraph, sentence or word be declared by a court of competent jurisdiction to be invalid,
such decision shall not affect the validity of the remainder of this Ordinance.
Section 5: Specific authority is hereby granted to codify this Ordinance.
Section 6: This Ordinance shall take effect immediately upon passage.
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Failed
ORDINANCE Date
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10-18 06/14/2018
Upon Second Reading
Motion Council Member Laurie Brandon Second Council Member Vince Arena
VOTE
FOR ADOPTION AGAINST ADOPTION ABSENT
Mayor Abigail Brennan � � �
Vice-Mayor Tom Paterno � a �
Council Member Vince Arena � � �
Council Member Laurie Brandon � � �
Council Member Kristi Johnson � � �
The Mayor thereupon declared the Ordinance duly . denied.
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b�gail rennat Lori McWilliams, MMC
Village Clerk