A stalled bill on high-acuity children exposes what state government doesn't know — and won't track — about its most vulnerable kids
Opinion | TC Sentinel Editorial Board
Nobody in Florida's Capitol can tell you how many foster beds are available for a child with a severe disability right now. Not this morning. Not this week. Nobody knows how long the waitlist is, because there is no waitlist — just a fog of institutional silence surrounding some of the most vulnerable children in this state.
That should alarm every parent on the Treasure Coast.
State Rep. Michelle Salzman, R-Escambia County, brought a high-acuity foster care bill through the Florida House floor this session, only to watch it die in the Senate. Her legislation targeted a gap that, once you hear it described plainly, is almost impossible to defend: Florida has no statutory definition of a "high-acuity child" — a child with dual diagnoses, severe physical limitations, or profound emotional and mental disabilities who cannot easily be placed in a standard foster home. Because there is no definition, the Department of Children and Families cannot reliably count these children. Because it cannot count them, it cannot report on them. Because it cannot report on them, the Legislature cannot fund solutions to help them.
That is not a policy disagreement. That is a systems failure.
Here on the Treasure Coast, that failure has a human face. The Community Based Care of the Treasure Coast, which administers foster care and child welfare services across Martin, St. Lucie, and Indian River counties under contract with the state, serves a region that has seen persistent strain in foster home recruitment and placement capacity. When a high-acuity child in Port St. Lucie or Hobe Sound must be removed from their home, caseworkers here face the same statewide void Salzman describes: no reliable bed count, no transparent reporting, no defined category to even begin the search. Families like those served through the Hibiscus Children's Center in Jensen Beach know that reality firsthand — the distance between a child in crisis and a qualified placement can be measured in hours of driving and years of waiting.
Salzman said some children are being sent on six- to eight-hour drives away from their families — away from the Indian River Lagoon, away from their schools, away from every anchor they have — when the state's actual priority should be reunification planning. That is not a solution. That is a symptom of a government that has chosen not to look too hard at a problem it cannot easily solve.
To be fair to the Senate and to the institutions involved, this is genuinely difficult terrain. High-acuity placements are expensive, and licensed homes capable of caring for children with complex dual diagnoses are scarce everywhere in the country, not just Florida. The Senate's reluctance to advance the bill may reflect not indifference but fiscal anxiety about creating a statutory obligation without a funding mechanism attached. Salzman herself acknowledged that new legislative leadership arriving in November — in both chambers and the Governor's office — may reshape the political landscape, and she signaled she would evaluate that landscape before pushing further legislation. That is a reasonable posture.
But reasonable caution is not the same as acceptable inaction. Florida currently cannot answer a basic question about children in its care. Every month that question goes unanswered, a child somewhere — possibly in Fort Pierce, possibly in Vero Beach — is sleeping six hours from home because the system never built the infrastructure to keep them closer.
Salzman is right that the House took meaningful steps this session. But meaningful steps toward a destination nobody can see, on a road nobody is measuring, do not constitute progress. They constitute motion.
What You Can Do: The Florida Department of Children and Families accepts public comment on foster care policy through its Office of Child Welfare. Treasure Coast residents should contact State Sen. Erin Grall (District 27, covering Indian River and parts of St. Lucie County) and State Sen. Gayle Harrell (District 31, covering Martin and St. Lucie counties) before the next legislative interim committee period begins this fall and urge them to demand a high-acuity reporting requirement from DCF — no new legislation required, just administrative accountability. You can also attend a Community Based Care of the Treasure Coast board meeting and ask directly: how many high-acuity children are waiting for placement in our three counties right now? The answer you get — or don't get — will tell you everything.
This article was generated with AI assistance using publicly available information. It was reviewed and approved by a human editor before publication. TC Sentinel uses AI writing tools in accordance with FTC guidelines.
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