1 | 1 | | |
---|
2 | 2 | | |
---|
3 | 3 | | HB 747 2022 |
---|
4 | 4 | | |
---|
5 | 5 | | |
---|
6 | 6 | | |
---|
7 | 7 | | CODING: Words stricken are deletions; words underlined are additions. |
---|
8 | 8 | | hb0747-00 |
---|
9 | 9 | | Page 1 of 5 |
---|
10 | 10 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
11 | 11 | | |
---|
12 | 12 | | |
---|
13 | 13 | | |
---|
14 | 14 | | A bill to be entitled 1 |
---|
15 | 15 | | An act relating to protections of medical conscience; 2 |
---|
16 | 16 | | creating s. 381.00321, F.S.; providing a short title; 3 |
---|
17 | 17 | | providing legislative findings and intent; providing 4 |
---|
18 | 18 | | definitions; providing that health care providers and 5 |
---|
19 | 19 | | health care payers have the right to not participate 6 |
---|
20 | 20 | | in or pay for any health care services that violate 7 |
---|
21 | 21 | | their consciences; providing that such providers and 8 |
---|
22 | 22 | | payers have a right to make certain decision s 9 |
---|
23 | 23 | | consistent with their religious beliefs under certain 10 |
---|
24 | 24 | | circumstances; prohibiting a person from taking or 11 |
---|
25 | 25 | | threatening to take adverse action against such 12 |
---|
26 | 26 | | providers and payers for specified actions; providing 13 |
---|
27 | 27 | | for civil remedies and damages; providing immun ity 14 |
---|
28 | 28 | | from civil, criminal, and administrative liability for 15 |
---|
29 | 29 | | such providers and payers under certain circumstances; 16 |
---|
30 | 30 | | providing an effective date. 17 |
---|
31 | 31 | | 18 |
---|
32 | 32 | | Be It Enacted by the Legislature of the State of Florida: 19 |
---|
33 | 33 | | 20 |
---|
34 | 34 | | Section 1. Section 381.00321, Florida Statute s, is created 21 |
---|
35 | 35 | | to read: 22 |
---|
36 | 36 | | 381.00321 Rights of conscience of health care providers 23 |
---|
37 | 37 | | and health care payers. — 24 |
---|
38 | 38 | | (1) SHORT TITLE.—This section may be cited as the 25 |
---|
39 | 39 | | |
---|
40 | 40 | | HB 747 2022 |
---|
41 | 41 | | |
---|
42 | 42 | | |
---|
43 | 43 | | |
---|
44 | 44 | | CODING: Words stricken are deletions; words underlined are additions. |
---|
45 | 45 | | hb0747-00 |
---|
46 | 46 | | Page 2 of 5 |
---|
47 | 47 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
48 | 48 | | |
---|
49 | 49 | | |
---|
50 | 50 | | |
---|
51 | 51 | | "Healthcare Ethics and Liberty Protection Act." 26 |
---|
52 | 52 | | (2) LEGISLATIVE FINDINGS AND INTENT. — 27 |
---|
53 | 53 | | (a) The Legislature finds that the right of conscience is 28 |
---|
54 | 54 | | a fundamental and inalienable right. Threats to the right of 29 |
---|
55 | 55 | | conscience of health care providers and health care payers have 30 |
---|
56 | 56 | | become increasingly common and severe in recent years. The swift 31 |
---|
57 | 57 | | pace of scientific advancement, the expansion of medical 32 |
---|
58 | 58 | | capabilities, and with the mistaken notion that health care 33 |
---|
59 | 59 | | providers and health care payers are mere public utilities, 34 |
---|
60 | 60 | | promise to make the crisis worse unless action is taken to 35 |
---|
61 | 61 | | restore conscience to its rightful p lace. As patient autonomy to 36 |
---|
62 | 62 | | decline a health care service must be respected, health care 37 |
---|
63 | 63 | | providers and health care payers must have the right to decline 38 |
---|
64 | 64 | | participating in or paying for specific, nonemergency services 39 |
---|
65 | 65 | | that violate their consciences. 40 |
---|
66 | 66 | | (b) A health care provider or health care payer should not 41 |
---|
67 | 67 | | be compelled to participate in or pay for any health care 42 |
---|
68 | 68 | | service that the provider or payer objects to on the basis of 43 |
---|
69 | 69 | | conscience. 44 |
---|
70 | 70 | | (3) DEFINITIONS.—As used in this section, the term: 45 |
---|
71 | 71 | | (a) "Conscience" means the religious, moral, or ethical 46 |
---|
72 | 72 | | beliefs or principles held by a health care provider or health 47 |
---|
73 | 73 | | care payer. 48 |
---|
74 | 74 | | (b) "Health care payer" means a health insurer that pays 49 |
---|
75 | 75 | | for, or arranges for, the payment of a health care service 50 |
---|
76 | 76 | | |
---|
77 | 77 | | HB 747 2022 |
---|
78 | 78 | | |
---|
79 | 79 | | |
---|
80 | 80 | | |
---|
81 | 81 | | CODING: Words stricken are deletions; words underlined are additions. |
---|
82 | 82 | | hb0747-00 |
---|
83 | 83 | | Page 3 of 5 |
---|
84 | 84 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
85 | 85 | | |
---|
86 | 86 | | |
---|
87 | 87 | | |
---|
88 | 88 | | provided to a patient , whether such payment is made in whole or 51 |
---|
89 | 89 | | in part. 52 |
---|
90 | 90 | | (c) "Health care provider" means a health care provider as 53 |
---|
91 | 91 | | defined in s. 768.381(1)(f) or a student of a health care 54 |
---|
92 | 92 | | education program. 55 |
---|
93 | 93 | | (d) "Health care service" means inpatient or outpatient 56 |
---|
94 | 94 | | tests or treatments of a human disease, condition, or 57 |
---|
95 | 95 | | dysfunction or medical or other health care -related research. 58 |
---|
96 | 96 | | (e) "Health insurer" means an authorized insurer offering 59 |
---|
97 | 97 | | health insurance as defined in s. 624.603 for individual or 60 |
---|
98 | 98 | | group coverage, a health mai ntenance organization as defined in 61 |
---|
99 | 99 | | s. 641.19(12) issuing coverage through an individual or group 62 |
---|
100 | 100 | | contract, or a self-insurance plan as defined in 624.031. 63 |
---|
101 | 101 | | (f) "Participate" means to take part in any way in 64 |
---|
102 | 102 | | providing a health care service or any part of such service. 65 |
---|
103 | 103 | | (4) RIGHTS OF CONSCIENCE. — 66 |
---|
104 | 104 | | (a) A health care provider or health care payer has the 67 |
---|
105 | 105 | | right not to participate in or pay for any specific health care 68 |
---|
106 | 106 | | service that violates the provider's or payer's conscience. 69 |
---|
107 | 107 | | (b) A health care provider th at is a business entity, or a 70 |
---|
108 | 108 | | health care payer that holds itself out to the public as 71 |
---|
109 | 109 | | religious, and states in its governing documents that it has a 72 |
---|
110 | 110 | | religious purpose or mission and has internal operating policies 73 |
---|
111 | 111 | | or procedures that implement such purpose or mission, has the 74 |
---|
112 | 112 | | right to make employment, staffing, contracting, and 75 |
---|
113 | 113 | | |
---|
114 | 114 | | HB 747 2022 |
---|
115 | 115 | | |
---|
116 | 116 | | |
---|
117 | 117 | | |
---|
118 | 118 | | CODING: Words stricken are deletions; words underlined are additions. |
---|
119 | 119 | | hb0747-00 |
---|
120 | 120 | | Page 4 of 5 |
---|
121 | 121 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
122 | 122 | | |
---|
123 | 123 | | |
---|
124 | 124 | | |
---|
125 | 125 | | credentialing decisions consistent with the provider's or 76 |
---|
126 | 126 | | payer's religious beliefs. 77 |
---|
127 | 127 | | (5) VIOLATIONS AND CIVIL REMEDIES. — 78 |
---|
128 | 128 | | (a) A person may not take or threaten to take adverse 79 |
---|
129 | 129 | | action against a health care provider or health care payer for: 80 |
---|
130 | 130 | | 1. Declining to participate in a health care service on 81 |
---|
131 | 131 | | the basis of conscience. 82 |
---|
132 | 132 | | 2. Disclosing information to an appropriate governmental 83 |
---|
133 | 133 | | agency that the health care provider or health care p ayer 84 |
---|
134 | 134 | | reasonably believes is evidence of an employer's: 85 |
---|
135 | 135 | | a. Violation of this section; 86 |
---|
136 | 136 | | b. Violation of any law, rule, or regulation; 87 |
---|
137 | 137 | | c. Violation of any standard of care or other ethical 88 |
---|
138 | 138 | | guidelines for the provision of any health care service; or 89 |
---|
139 | 139 | | d. Gross mismanagement, gross waste of funds, abuse of 90 |
---|
140 | 140 | | authority, or any action that is a substantial and specific 91 |
---|
141 | 141 | | danger to public health or safety. 92 |
---|
142 | 142 | | (b) A health care provider or health care payer that 93 |
---|
143 | 143 | | establishes a violation of this section has a civil ca use of 94 |
---|
144 | 144 | | action for treble damages, an injunction, or any other 95 |
---|
145 | 145 | | appropriate relief in law or equity. Injunctive relief includes, 96 |
---|
146 | 146 | | but is not limited to, reinstatement of a health care provider 97 |
---|
147 | 147 | | or health care payer to a previous position, reinstatement of 98 |
---|
148 | 148 | | board certification, and relicensure. Such damages are 99 |
---|
149 | 149 | | cumulative and may not be limited by any other remedies that may 100 |
---|
150 | 150 | | |
---|
151 | 151 | | HB 747 2022 |
---|
152 | 152 | | |
---|
153 | 153 | | |
---|
154 | 154 | | |
---|
155 | 155 | | CODING: Words stricken are deletions; words underlined are additions. |
---|
156 | 156 | | hb0747-00 |
---|
157 | 157 | | Page 5 of 5 |
---|
158 | 158 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
---|
159 | 159 | | |
---|
160 | 160 | | |
---|
161 | 161 | | |
---|
162 | 162 | | be available under any other law. A prevailing plaintiff is 101 |
---|
163 | 163 | | entitled to recover reasonable attorney fees and court costs. 102 |
---|
164 | 164 | | Any additional burden or expense incurred by another health care 103 |
---|
165 | 165 | | provider or health care payer arising from the exercise of the 104 |
---|
166 | 166 | | right of conscience is not a defense to a violation of this 105 |
---|
167 | 167 | | section. 106 |
---|
168 | 168 | | (6) IMMUNITY FROM LIABILITY .—Health care providers and 107 |
---|
169 | 169 | | health care payers a re immune from civil, criminal, or 108 |
---|
170 | 170 | | administrative liability for exercising the right of conscience 109 |
---|
171 | 171 | | with respect to a health care service. A health care provider or 110 |
---|
172 | 172 | | health care payer that is a business entity is immune from 111 |
---|
173 | 173 | | civil, criminal, or administrativ e liability for any claims 112 |
---|
174 | 174 | | related to or arising out of the exercise of the right of 113 |
---|
175 | 175 | | conscience by a person employed, contracted, or credentialed by 114 |
---|
176 | 176 | | such provider or payer. 115 |
---|
177 | 177 | | Section 2. This act shall take effect July 1, 2022. 116 |
---|