Florida 2022 2022 Regular Session

Florida House Bill H1557 Analysis / Analysis

Filed 02/17/2022

                    This docum ent does not reflect the intent or official position of the bill sponsor or House of Representatives. 
STORAGE NAME: h1557b.JDC 
DATE: 2/17/2022 
 
HOUSE OF REPRESENTATIVES STAFF ANALYSIS  
 
BILL #: CS/CS/HB 1557    Parental Rights in Education 
SPONSOR(S): Judiciary Committee, Education & Employment Committee, Harding and others 
TIED BILLS:   IDEN./SIM. BILLS: SB 1834 
 
REFERENCE 	ACTION ANALYST STAFF DIRECTOR or 
BUDGET/POLICY CHIEF 
1) Education & Employment Committee 15 Y, 5 N, As CS Wolff Hassell 
2) Judiciary Committee 	13 Y, 7 N, As CS Wolff Kramer 
SUMMARY ANALYSIS 
The bill specifies how a parent’s fundamental right to make decisions regarding the care and upbringing of his 
or her child must be addressed in the public school setting. The bill requires that school districts adopt 
procedures for notifying parents if there is a change in their student’s services or monitoring related to a 
student’s mental, emotional, or physical health or well-being. All procedures adopted under the bill must 
reinforce the fundamental right of parents to make decisions regarding the upbringing and control of their 
children by requiring school district personnel to encourage students to discuss issues related to his or her 
well-being with his or her parent. 
 
The bill prohibits school districts from maintaining procedures that withhold information, or encourage students 
to withhold information, related to a student’s mental, emotional, or physical health or well-being from parents. 
A school district may only withhold information if a prudent person would reasonably believe that disclosure 
would subject the student to abuse, abandonment, or neglect. 
 
The bill prohibits instruction on sexual orientation or gender identity in kindergarten through grade 3 or in a 
manner that is not age-appropriate or developmentally appropriate for students. 
 
At the beginning of each school year, a school district must notify parents of all health care services offered at 
their student’s school and provide the parent the opportunity to individually consent to, or decline, each service. 
Additionally, schools may not administer a questionnaire or health screening form to a student in kindergarten 
through grade 3 without first receiving consent from the student’s parent. 
 
All school district student support services training must adhere to guidelines, standards, and frameworks 
established by the Department of Education (DOE). By June 30, 2023, the DOE must review and update, as 
necessary, all relevant guidelines, standards, and frameworks for compliance with this bill. 
 
The bill creates a cause of action for parents that permits them to enforce their rights through declaratory and 
injunctive relief. A prevailing parent is entitled to attorney fees and court costs and may be awarded damages. 
 
The bill does not appear have a fiscal impact. See Fiscal Comments. 
 
The bill has an effective date of July 1, 2022.   STORAGE NAME: h1557b.JDC 	PAGE: 2 
DATE: 2/17/2022 
  
FULL ANALYSIS 
I.  SUBSTANTIVE ANALYSIS 
 
A. EFFECT OF PROPOSED CHANGES: 
Present Situation 
 
Constitutional Rights of Parents  
 
It is well settled that the interest of parents in the care, custody, and control of their children is perhaps 
the oldest of the recognized fundamental liberty interests protected by the Due Process Clause of the 
Fourteenth Amendment to the United States Constitution.
1
 This fundamental liberty interest is rooted in 
the fundamental right of privacy in making important decisions relating to marriage, family relationships, 
and child rearing and education.
2
 The United States Supreme Court has explained the fundamental 
nature of this right is rooted in history and tradition:
3
 
 
The history and culture of Western civilization reflect a strong tradition of parental 
concern for the nurture and upbringing of their children. This primary role of the 
parents in the upbringing of their children is now established beyond debate as an 
enduring American tradition. 
 
The Florida Supreme Court has likewise recognized that parents have a fundamental liberty interest in 
determining the care and upbringing of their children.
4
 These rights may not be intruded upon absent a 
compelling state interest.
5
 According to the Florida Supreme Court, when analyzing a statute that 
infringes on the fundamental right of privacy, the applicable standard of review requires that the statute 
survive the highest level of scrutiny:
6
 
 
The right of privacy is a fundamental right which we believe demands the compelling state 
interest standard. This test shifts the burden of proof to the state to justify an intrusion on 
privacy. The burden can be met by demonstrating that the challenged regulation serves a 
compelling state interest and accomplishes its goal through the use of the least intrusive 
means. 
 
The United States Supreme Court has held that students in schools are ‘persons’ under the constitution 
and that they are possessed of fundamental rights which the state must respect.
7
 Florida’s constitution 
provides broad protections to its citizens right to privacy
8
 and the Florida Supreme Court has held that 
such protections extend to minors.
9
 However, the rights to privacy granted to minors do not invalidate a 
                                                
1
 Santosky v. Kramer, 455 U.S. 745, 748 and 753 (1982) (holding the fundamental liberty interest of natural parents in the care 
custody, and management of their child is protected by the Fourteenth Amendment, and termination of any parental rights requires due 
process proceedings); Troxel v. Granville, 530 U.S. 57, 66 (2000) (holding there is a fundamental right under the Fourteenth 
Amendment for parents to oversee the care, custody, and control of their children). 
2
 Carey v. Population Svcs. Int’l, 431 US 678, 684-685 (1977) (recognizing the right of privacy in personal decisions relating to 
marriage, family relationships, child rearing, and education); See Wisconsin v. Yoder, 406, U.S. 205, 232-33 (1972) (holding a state 
law requiring that children attend school past eight grade violates the parents’ constitutional right to direct the religious upbringing of 
their children); See Parham v. J.R., 442 U.S. 584, 602 (1979) (recognizing the presumption that parents act in their children’s best 
interest); Meyer v. Nebraska, 262 U.S. 390, 400-01 (1923) (affirming that the Constitution protects the preferences of the parent in 
education over those of the state); Pierce v. Society of Sisters, 268 U.S. 510, 534-35 (1925) (recognizing the right of parents to direct 
the upbringing of and education of their children). 
3
 Wisconsin v. Yoder, 406, U.S. 205, 232 (1972). 
4
 Beagle v. Beagle, 678 So. 2d 1271, 1272 (Fla. 1996) (holding a state law violated a parent’s constitutional right to privacy by 
imposing grandparent visitation rights over objection of the parent without evidence of harm to the child or other compelling state 
interest). 
5
 Id. See, e.g., Shevin v. Byron, Harless, Schaffer, Reid & Assocs., Inc., 379 So. 2d 633, 637 (Fla. 1980) and Belair v. Drew, 776 So. 
2d 1105, 1107 (Fla. 5th DCA 2001). 
6
 Winfield v. Division of Pari-Mutuel Wagering, Dept. of Bus. Regulation, 477 So. 2d 544, 547 (Fla. 1985). 
7
 Tinker v. Des Moines Indep. Cmty. Sch. Dist., 393 U.S. 503, 511 (1969). 
8
 Art. I, s. 23, Fla. Const. 
9
 B.B. v. State, 659 So. 2d 256, 258 (Fla. 1995).  STORAGE NAME: h1557b.JDC 	PAGE: 3 
DATE: 2/17/2022 
  
state’s effort to protect minors from the conduct of others
10
 nor do they necessarily override the 
fundamental rights of parents related to child rearing.
11
 
 
Parents’ Bill of Rights 
 
Overview 
 
In 2021,
12
 the legislature created the Parents’ Bill of Rights which enumerates parental rights with 
respect to a minor child for education, health care, and criminal justice procedures.
13
 The bill prohibits 
the state, its political subdivisions, any other governmental entities and any other institutions from 
infringing upon the fundamental right of a parent to direct the upbringing, education, health care, and 
mental health of his or her minor child without demonstrating a compelling state interest for such 
actions.
14
 
 
Additionally, the Legislature found that important information relating to a minor child should not be 
withheld, either inadvertently or purposefully, from his or her parent, including information relating to the 
minor child’s health, well-being, and education, while the minor child is in the custody of the school 
district. Therefore, the Legislature established a consistent mechanism for parents to be notified of 
information relating to the health and well-being of their minor children.
15
 
 
Parents’ Rights Related to Education of their Child 
 
The Parents’ Bill of Rights enumerates several rights of a parent, such as:
16
  
 The right to direct the education and care of his or her minor child. 
 The right to direct the upbringing and the moral or religious training of the minor child. 
 The right, pursuant to s. 1002.20(13), F.S., to access and review all school records relating to 
the minor child.  
 The right to make health care decisions for his or her minor child, unless otherwise prohibited by 
law. 
 The right to access and review all medical records of the minor child, unless prohibited by law or 
if the parent is the subject of an investigation of a crime committed against the minor child and a 
law enforcement agency or official requests that the information not be released. 
 
The Parents’ Bill of Rights is not exhaustive but, unless required by law, the rights of a parent of a 
minor child in Florida may not be limited or denied.
17
 To this end, any employee of the state, or any of 
its political subdivisions, or any governmental entity may be subject to disciplinary action if they 
encourage or coerce a minor child to withhold information from his or her parent.
18
 
 
However, the law specifies that it does not:
19
 
 Authorize a parent of a minor child in this state to engage in conduct that is unlawful or to abuse 
or neglect his or her minor child in violation of general law. 
 Condone, authorize, approve, or apply to a parental action or decision that would end life. 
                                                
10
 Id. at 259. 
11
 Frazier ex rel. Frazier v. Winn, 535 F.3d 1279, 1285 (11th Cir. 2008) (holding that a law requiring a parent’s approval for a student 
to refuse to stand during the pledge of allegiance survived a facial challenge as the rights of a parent to raise their children would 
control in a substantial number of cases). The court did acknowledge that in individual cases, such as those involving mature high 
school students, the balance of rights between parents, the school, and the student could favor the student. Id. 
12
 Chapter 2021-199, L.O.F. 
13
 Chapter 1014, F.S. 
14
 Section 1014.03, F.S. 
15
 See Section 1014.02(1), F.S. 
16
 Section 1014.04(1), F.S. 
17
 Section 1014.04(4), F.S. 
18
 Section 1014.04(3), F.S. 
19
 Section 1014.04(2), F.S.  STORAGE NAME: h1557b.JDC 	PAGE: 4 
DATE: 2/17/2022 
  
 Prohibit a court of competent jurisdiction, law enforcement officer, or employees of a 
government agency that is responsible for child welfare from acting in his or her official capacity 
within the reasonable and prudent scope of his or her authority. 
 Prohibit a court of competent jurisdiction from issuing an order that is otherwise permitted by 
law. 
 
In addition to the above enumerated rights, the Parents’ Bill of Rights requires Florida’s school districts 
to adopt policies designed to promote parental involvement in the public school system.
20
 Such policies 
must provide for:
21
 
 A plan, pursuant to s. 1002.23, F.S., for parental participation in schools to improve parent and 
teacher cooperation in such areas as homework, school attendance, and discipline. 
 A procedure, pursuant to s. 1002.20(19)(b), F.S., for a parent to learn about his or her child's 
course of study, including the source of any supplemental education materials. 
 Procedures for a parent to object to instructional materials, pursuant to s. 1006.28(2)(a)2., F.S. 
Such objections may be based on beliefs regarding morality, sex, and religion or the belief that 
such materials are harmful. 
 Procedures, pursuant to s. 1002.20(3)(d), F.S., for a parent to withdraw his or her student from 
any portion of the school district's comprehensive health education required under s. 
1003.42(2)(n), F.S., that relates to sex education or instruction in acquired immune deficiency 
syndrome education or any instruction regarding sexuality if the parent provides a written 
objection to his or her child's participation. Such procedures must provide for a parent to be 
notified in advance of such course content so that he or she may withdraw his or her student 
from those portions of the course. 
 Procedures, pursuant to s. 1006.195(1)(a), F.S., for a parent to learn about the nature and 
purpose of clubs and activities offered at his or her child's school, including those that are 
extracurricular or part of the school curriculum. 
 
Parents must be explicitly notified about a number of parental rights and responsibilities set forth in the 
education code.
22
 A school district may comply with these notice requirements by providing information 
to parents electronically or by publishing it to their website.
23
 
 
Florida School Districts Maintain Policies that Exclude Parents 
 
While the Parents’ Bill of Rights provides that important information relating to a minor child should not 
be withheld from his or her parent while the minor child is in the custody of the school district,
24
 multiple 
school districts in Florida maintain policies that exclude parents from discussions and decisions on 
sensitive topics relating to students.
25
 In addition, at least one Florida school district is currently 
                                                
20
 Section 1014.05(1), F.S. 
21
 Id. 
22
 Section 1014.05(1)(f), F.S. For example, school district must provide notice about the right to exempt their student from 
immunizations, the right to inspect school district instructional materials, and the right to opt out of any school district data collection 
not required by law. Id. 
23
 Section 1014.05(2), F.S. 
24
 Section 1014.02(1), F.S. 
25
 See Broward County Public Schools, Lesbian, Gay, Bisexual, Transgender, Questioning + Critical Support Guide (2012), pp. 29-
30, available at 
https://www.browardschools.com/cms/lib/FL01803656/Centricity/Domain/13475/BCPS%20LGBTQ%20Critical%20Support%20Gui
de%20Edition%20III%202020FinalRev2421.pdf; School District of Palm Beach County, The School District of Palm Beach County 
LGBTQ+ Critical Support Guide, (2017), pp. 52-53, available at 
https://p14cdn4static.sharpschool.com/UserFiles/Servers/Server_270532/File/Curriculum/Middle%20&%20HS/LGBTQ_Critical_Sup
port_Guide_SDPBC_v02_2021.pdf; Miami-Dade County Public Schools, 2020-2021 Guidelines for Promoting Safe and Inclusive 
Schools, p. 7, available at https://api.dadeschools.net/WMSFiles/94/pdfs/GUIDELINES-FOR-PROMOTING-SAFE-07-2020.pdf; 
Sarasota County Schools, Creating Safe Schools for All Students: Gender Diverse Student Guidelines, (Oct. 2018), p. 2, available at 
https://www.sarasotacountyschools.net/cms/lib/FL50000189/Centricity/Domain/1167/SCSBGenderDiverseGuidelinesFINA L_102320
18.pdf; Volusia County Schools, Lesbian, Gay, Bi-sexual, Transgender and Questioning (LGBTQ) Support Guide, pp. 11-12, 
available at https://www.vcsedu.org/sites/default/files/department-files/Equity/VCS%20LGBTQ%20Support%20Guide%202020.pdf; 
and Hillsborough County Public Schools, Creating Safe Schools for All Students, p. 5, available at https://www.lgba.org/wp-
content/uploads/2019/12/lgbtq-resource-guide-1.pdf.  STORAGE NAME: h1557b.JDC 	PAGE: 5 
DATE: 2/17/2022 
  
involved in litigation with a parent after allegedly withholding information from the parent regarding their 
student’s gender transition at school.
26
 
 
Parental Consent for Healthcare Services in Schools 
 
Parental Consent for Medical Treatment 
 
Parents generally have the right to be informed about, and give consent for, proposed medical 
procedures on their children. However, the state also has an obligation to ensure that children receive 
reasonable medical treatment that is necessary for the preservation of life.
27
 The state's interest 
diminishes as the severity of an affliction and the likelihood of death increase:
28
 
 
There is a substantial distinction in the State's insistence that human life be saved where 
the affliction is curable, as opposed to the State interest where . . . the issue is not whether, 
but when, for how long and at what cost to the individual . . . life may be briefly extended. 
 
A parent may reject medical treatment for a child and the state may not interfere with such decision if 
the evidence is not sufficiently compelling to establish the primacy of the state's interest, or that the 
child's own welfare would be best served by such treatment.
29
 
 
In 2021,
30
 the Parents’ Bill of Rights established parental consent requirements for health care services. 
Specifically, unless otherwise permitted by law, without written, parental consent:
31
 
 A health care practitioner,
32
 or an individual employed by such health care practitioner, may not 
provide or solicit or arrange to provide health care services or prescribe medicinal drugs to a 
minor. 
 A provider
33
 may not allow a medical procedure to be performed on a minor child in its facility.  
 
It is a first-degree misdemeanor to violate these parental consent requirements, subject to a fine of up 
to $1,000 and imprisonment of up to one year,
34
 and health care practitioners may also be subject to 
disciplinary action
35
 for such violations.
36
 
 
Medical Treatment without Parental Consent 
 
Physicians, paramedics, emergency medical technicians, or other emergency medical services 
personnel are authorized to provide emergency medical care or treatment to a minor without parental 
consent when a child has been injured in an accident or is suffering from an acute illness, disease, or 
condition and delaying treatment would endanger the health or physical well-being of the minor.
37
 Even 
in emergency situations, medical treatment can only be provided without parental consent if:
38
 
                                                
26
 Ana Goni-Lessan, Lawsuit against Leon Schools says district excluded parents from gender discussions, Nov. 16, 2021, 
https://www.tallahassee.com/story/news/2021/11/16/leon-county-schools-sued-over-lgbtq-guide-transgender-lgbtq-
guide/6342695001/ (last visited Jan 17, 2022). The Leon County School District LGBTQ guide previously did not require disclosure 
of information to parents but has been taken down from the website and is undergoing review by the district. Id. 
27
 Von Eiff v. Azicri, 720 So. 2d 510, 515 (Fla. 1998). 
28
 M.N. v. S. Baptist Hosp., 648 So. 2d 769, 771 (Fla. 1st DCA 1994). 
29
 Id. 
30
 Chapter 2021-199, F.S. 
31
 Section 1014.06(1)-(2), F.S. 
32
 Section 456.001, F.S. 
33
 “Provider” means any activity, service, agency, or facility regulated by the agency and listed in s. 408.802, F.S. 
34
 Section 1014.06(5), F.S. 
35
 Section 456.072(1), F.S., provides grounds for disciplinary action against health care practitioners. Section 408.813, F.S., authorizes 
the Agency for Health Care Administration to impose administrative fines against providers for violations of its regulations. See e.g. 
rule 64B9-8.006, F.A.C. (Board of Nursing rule including discipline for violations of s. 1014.06, F.S.). 
36
 Section 1014.06(5), F.S. 
37
 Section 743.064, F.S. 
38
 Section 743.064(2), F.S.  STORAGE NAME: h1557b.JDC 	PAGE: 6 
DATE: 2/17/2022 
  
 The child’s condition has rendered him or her unable to reveal the identity of his or her parents, 
guardian, or legal custodian, and such information is unknown to any person who accompanied 
the child to the hospital.  
 The parents, guardian, or legal custodian cannot be immediately located by telephone at their 
place of residence or business. 
 
The hospital must notify the parent or legal guardian as soon as possible after the emergency medical 
care or treatment is administered and document in the hospital records the reason parental consent 
was not initially obtained. This must include a statement from the attending physician that immediate 
emergency medical care or treatment was necessary for the child’s health or physical well-being.
39
  
 
Current law establishes a list of people, by priority, who may consent to the medical care or treatment 
of a minor in instances where the treatment provider is unable to contact the parent or legal guardian 
and the provider has not been given contrary instructions.
40
 Specifically, the following people may 
consent, in this order:
41
 
 A health care surrogate or a person with power of attorney to provide medical consent for the 
minor;
42
 
 The stepparent; 
 The grandparent of the minor; 
 An adult brother or sister of the minor; or 
 An adult aunt or uncle of the minor.  
 
If a parent or legal guardian cannot be reached while the child is committed to the Department of 
Children Families or the Department of Juvenile Justice,
43
 then the following individuals may consent to 
the medical care or treatment of a minor, unless the parent or legal guardian has expressly stated 
otherwise:
44
 
 The caseworker, juvenile probation officer, or person primarily responsible for the case 
management of the child. 
 The administrator of the state-licensed facility
45
 or state-contracted or state-operated 
delinquency residential treatment facility where the child is committed.  
 
In both of these instances, the treatment provider must document the reasonable attempts made to 
contact the parent or legal guardian in the minor’s treatment records, and must notify the parent or legal 
guardian as soon as possible after the medical care or treatment is administered.
46
 
 
The Parents’ Bill of Rights consent requirements specifically do not apply to health care related to an 
abortion.
47
 Additionally, the Parents’ Bill of Rights created an exception for parental consent 
requirements for a clinical laboratory, unless the services provided are delivered through a direct 
encounter with the minor at the clinical laboratory facility.
48
  
 
School District Compliance with Parental Consent for Health Care Services  
 
                                                
39
 Section 743.064(3), F.S. 
40
 Section 743.0645, F.S. 
41
 Section 746.0645(2), F.S. 
42
 A health care surrogate designation under s. 765.2035, F.S., executed after September 30, 2015, or a power of attorney executed 
after July 1, 2001, to provide medical consent for a minor includes the power to consent to medically necessary surgical and general 
anesthesia services for the minor unless such services are excluded by the individual who executes the health care surrogate for a 
minor or power of attorney, s. 743.0645(2)(a), F.S. 
43
 Specifically, under chs. 39, 984, or 985, F.S.  
44
 Section 743.0645, F.S. 
45
 Section 393.067, F.S., licensed facilities for individuals with developmental disabilities; s. 394.875, F.S., licensed mental health 
facilities for children and adolescents; s. 409.175, F.S., licensed family foster homes, residential child-caring agencies, and child-
placing agencies. 
46
 Section 743.0645(2)-(4), F.S. 
47
 Section 1014.06(3), F.S. Abortions in Florida are exclusively governed by ch. 390, F.S. 
48
 Section 1014.06(4), F.S.  STORAGE NAME: h1557b.JDC 	PAGE: 7 
DATE: 2/17/2022 
  
Public schools in Florida offer a wide range of health care services to students ranging from treatment 
of minor cuts and scrapes to vision, hearing, scoliosis, and other screenings to the administration of 
immunizations and emotional and mental health counseling.
49
 To comply with the requirement for 
parental consent when providing health care services to minors, school districts have developed 
parental consent forms.
50
 In some instances, parents are provided the opportunity to consent 
individually to services provided at schools.
51
 However, some school district consent forms provide for a 
to blanket consent to all health care services provided through the school district.
52
 
 
Effect of Proposed Changes 
 
The bill specifies how a parent’s fundamental right to make decisions regarding the care and upbringing 
of his or her child must be addressed in the public school setting. The bill requires that school districts 
adopt procedures for notifying parents if there is a change in the student’s services or monitoring 
related to a student’s mental, emotional, or physical health or well-being. The procedures must 
reinforce the fundamental right of parents to make decisions regarding the upbringing and control of 
their children by requiring school district personnel to encourage students to discuss issues related to 
their well-being with their parent or facilitate a discussion with the parent. 
 
The bill expressly prohibits a school district from adopting any procedures or student support forms 
that: 
 require district personnel to withhold from a parent information about his or her student’s 
mental, emotional, or physical health or well-being; or 
 encourage or have the effect of encouraging a student to withhold from a parent such 
information. 
 
The bill bars school personnel from discouraging or prohibiting the notification of parents or parental 
involvement in critical decisions affecting a student’s mental, emotional, or physical health or well-
being. However, the bill allows such information to be withheld if a reasonably prudent person would 
believe that such disclosure would result in abuse, abandonment, or neglect of the student.  
 
                                                
49
 See Broward County Public Schools, Parent/Guardian Consent for School Health Services, August 2021, available at 
https://www.browardschools.com/cms/lib/FL01803656/Centricity/Domain/20468/PARENT%20GUARDIA N%20CONSENT%20FO
R%20SCHOOL%20HEA LTH%20SERVICES_1.pdf ; Florida Department of Health in Pinellas County, Consent for School-Based 
Health Clinic Services, April 2021, available at https://pinellas.floridahealth.gov/programs-and-services/clinical-and-nutrition-
services/school-clinics/_documents/clinic-consent-packet.pdf; Bay District Schools, Parental Consent for School Health Services 
2021-2022, available at https://www.bay.k12.fl.us/uploads/BDS%20School%20Health%20Consent%20Form%202021-
22%20SY%20ENGLISH.pdf. 
50
 Broward County Public Schools, Parent/Guardian Consent for School Health Services, August 2021, available at 
https://www.browardschools.com/cms/lib/FL01803656/Centricity/Domain/20468/PARENT%20GUARDIA N%20CONSENT%20FO
R%20SCHOOL%20HEA LTH%20SERVICES_1. pdf; Florida Department of Health in Pinellas County, Consent for School-Based 
Health Clinic Services, April 2021, available at https://pinellas.floridahealth.gov/programs-and-services/clinical-and-nutrition-
services/school-clinics/_documents/clinic-consent-packet.pdf; Bay District Schools, Parental Consent for School Health Services 
2021-2022, available at https://www.bay.k12.fl.us/uploads/BDS%20School%20Health%20Consent%20Form%202021-
22%20SY%20ENGLISH.pdf. 
51
 Broward County Public Schools, Parent/Guardian Consent for School Health Services, August 2021, available at 
https://www.browardschools.com/cms/lib/FL01803656/Centricity/Domain/20468/PARENT%20GUARDIA N%20CONSENT%20FO
R%20SCHOOL%20HEA LTH%20SERVICES_1.pdf ; Florida Department of Health in Pinellas County, Consent for School-Based 
Health Clinic Services, April 2021, available at https://pinellas.floridahealth.gov/programs-and-services/clinical-and-nutrition-
services/school-clinics/_documents/clinic-consent-packet.pdf; Bay District Schools, Parental Consent for School Health Services 
2021-2022, available at https://www.bay.k12.fl.us/uploads/BDS%20School%20Health%20Consent%20Form%202021-
22%20SY%20ENGLISH.pdf. 
52
 See Brevard Public Schools, Parental Consent for Healthcare, available at 
https://fl02201431.schoolwires.net/site/handlers/filedownload.ashx?moduleinstanceid=10161&dataid=80765&FileName=Parental%2
0Consent%20for%20Healthcare.pdf; School District of Osceola County, Student Health Information, Feb. 2020, available at 
https://www.osceolaschools.net/cms/lib/FL50000609/Centricity/Domain/2370/Health%20Form.pdf; Sarasota County Schools, 
Parental Consent for Health Services 2021-2022, July 2021, available at 
https://www.sarasotacountyschools.net/site/handlers/filedownload.ashx?moduleinstanceid=3465&dataid=85414&FileName=Parental
%20Consent%20for%20Health%20Services%202021-2022.pdf.  STORAGE NAME: h1557b.JDC 	PAGE: 8 
DATE: 2/17/2022 
  
Additionally, the bill prohibits classroom instruction by school personnel and third parties about sexual 
orientation or gender identity in kindergarten through grade 3 or in a manner that is not age-appropriate 
or developmentally appropriate for students in accordance with state standards. 
 
The bill requires school districts, at the beginning of each school year, to notify parents of each health 
care service available to their student through the school district and permit parents to consent to, or 
decline, each service individually. The bill also requires school districts to obtain parental consent 
before administering a student well-being questionnaire or health screening form to a student in 
kindergarten through grade 3. A copy of the questionnaire or health screening form must be provided to 
the parent in advance. 
 
The bill creates a cause of action for declarative and injunctive for parents against a school district that 
violates the provisions of the bill. A prevailing parent may receive damages and is entitled to 
reasonable attorney fees and court costs. 
 
The bill requires that all student support training provided by school districts to school personnel adhere 
to guidelines, standards, and frameworks established by the Department of Education (DOE). By June 
30, 2023, the DOE is required to review and update, as necessary for compliance with this bill, the 
following: 
 school counseling frameworks and standards; 
 educator practices and professional conduct principles; and 
 other student services personnel guidelines, standards, or frameworks. 
 
B. SECTION DIRECTORY: 
Section 1. Amends s. 1001.42, F.S.; requiring district school boards to adopt procedures that 
comport with certain provisions of law for notifying a student's parent of specified 
information; requiring such procedures to reinforce the fundamental right of parents to 
make decisions regarding the upbringing and control of their children in a specified 
manner; prohibiting the procedures from prohibiting a parent from accessing certain 
records; providing construction; prohibiting a school district from adopting procedures or 
student support forms that prohibit school district personnel from notifying a parent about 
specified information or that encourage or have the effect of encouraging a student to 
withhold from a parent such information; prohibiting school district personnel from 
discouraging or prohibiting parental notification and involvement in critical decisions 
affecting a student's mental, emotional, or physical well-being; providing construction; 
prohibiting classroom discussion about sexual orientation or gender identity in certain 
grade levels or in a specified manner; requiring certain training developed or provided by 
a school district to adhere to standards established by the Department of Education; 
requiring the department to review and update, as necessary, specified materials by a 
certain date; requiring school districts to notify parents of healthcare services and 
provide opportunity to consent or decline such services; requiring school districts to 
obtain parental permission before administering questionnaire or health screening form; 
authorizing a parent to bring an action against a school district to obtain a declaratory 
judgment that a school district procedure or practice violates certain provisions of law; 
providing for the additional award of injunctive relief, damages, and reasonable attorney 
fees and court costs to certain parents. 
 
Section 2. Requires the department to review and update, as necessary, specified materials by a 
certain date 
 
Section 3. Provides an effective date. 
 
II.  FISCAL ANALYSIS & ECONOMIC IMPACT STATEMENT 
 
A. FISCAL IMPACT ON STATE GOVERNMENT: 
  STORAGE NAME: h1557b.JDC 	PAGE: 9 
DATE: 2/17/2022 
  
1. Revenues: 
None. 
 
2. Expenditures: 
None. 
 
B. FISCAL IMPACT ON LOCAL GOVERNMENTS: 
 
1. Revenues: 
None. 
 
2. Expenditures: 
None. 
 
C. DIRECT ECONOMIC IMPACT ON PRIVATE SECTOR: 
None. 
 
D. FISCAL COMMENTS: 
The bill requires the DOE to review and update, as necessary, existing guidelines, standards and 
frameworks. Additionally, school districts may need to adopt updated training materials based on the 
DOE review. Any updates to existing guidelines, standards, and frameworks, as well as the adoption of 
compliant training, would be accomplished within existing resources. 
 
III.  COMMENTS 
 
A. CONSTITUTIONAL ISSUES: 
 
 1. Applicability of Municipality/County Mandates Provision: 
None. 
 
 2. Other: 
None. 
 
B. RULE-MAKING AUTHORITY: 
None. 
 
C. DRAFTING ISSUES OR OTHER COMMENTS: 
None. 
 
IV.  AMENDMENTS/COMMITTEE SUBSTITUTE CHANGES 
On February 17, 2022, the Judiciary Committee adopted a proposed committee substitute (PCS) and reported 
the bill favorably as a committee substitute. The PCS differed from the original bill in that it: 
 Clarified that school personnel should facilitate discussion about a student’s mental, emotional, or 
physical well-being with a parent. 
 Removed the requirement to seek student permission to discuss the student’s well-being with a parent.  
 Removed language prohibiting school districts from encouraging classroom discussions in “primary 
grades” and limited the prohibition to classroom instruction in kindergarten through grade 3, either by 
school personnel or by third parties.  
 Specified that school districts must obtain parental consent for any health care service provided at 
schools.   STORAGE NAME: h1557b.JDC 	PAGE: 10 
DATE: 2/17/2022 
  
 Required parent consent before a school administers a well-being questionnaire or health screening 
form to a student in kindergarten through grade 3.  
 
This analysis is drafted to the committee substitute as passed by the Judiciary Committee.