This docum ent does not reflect the intent or official position of the bill sponsor or House of Representatives. STORAGE NAME: h0591.CFS DATE: 1/23/2024 HOUSE OF REPRESENTATIVES STAFF ANALYSIS BILL #: HB 591 Hot Car Death Prevention SPONSOR(S): Brannan TIED BILLS: IDEN./SIM. BILLS: SB 554 REFERENCE ACTION ANALYST STAFF DIRECTOR or BUDGET/POLICY CHIEF 1) Children, Families & Seniors Subcommittee DesRochers Brazzell 2) Transportation & Modals Subcommittee 3) Health & Human Services Committee SUMMARY ANALYSIS Heatstroke is a debilitating illness characterized clinically by the following conditions: severe hyperthermia (i.e., a core body temperature of 104°F or greater), profound central nervous system dysfunction (e.g., delirium, seizures, or coma), and additional organ and tissue damage. Vehicular heatstroke occurs when a person experiencing heatstroke cannot escape the vehicle in which the person is trapped. Since 1998, Florida lost 110 children to vehicular heatstroke. In 2023, 7 children died in Florida from vehicular heatstroke. Florida’s Uniform Traffic Control Law (ch. 316) includes a section about children left unattended or unsupervised in motor vehicles. A parent, legal guardian, or other person responsible for a child under 6 years of age (a U-6 child) may not leave that child unattended or unsupervised in a motor vehicle. If someone leaves a U-6 child unattended or unsupervised in a motor vehicle, current law imposes criminal or civil penalties. The Florida Department of Highway Safety and Motor Vehicles reports that law enforcement cited 1,282 people statewide for leaving a U-6 child unattended or unsupervised from 2012-2022. Any law enforcement officer who observes a child left unattended or unsupervised in a motor vehicle may use whatever means reasonably necessary to protect the minor child and to remove the child from the vehicle. When the law enforcement officer removes the child from the immediate area, notification that the law enforcement officer removed the child from the immediate area should be placed on the vehicle. If the law enforcement officer cannot locate the child’s parents, legal guardian, or other person responsible for the child, the officer must deliver physical custody of the child to the Florida Department of Children and Families (DCF) for the purposes of a dependency court shelter hearing. In addition, anyone from the general public may rescue a vulnerable person by removing that person from a vehicle. The bill is named “Ariya’s Act” in memoriam of a 10-month-old infant who died of a heatstroke after being left in a vehicle. The bill designates April as “Hot Car Death Prevention Month” to raise the public’s awareness of the dangers of leaving children unattended in motor vehicles and to educate the public on how to prevent children dying from vehicular heatstroke. The bill requires the educational component to include at least three parts: proper motor vehicle safety for children, the criminal penalties associated with leaving a child in a motor vehicle unattended or unsupervised, and the steps a bystander can take to rescue a vulnerable child in imminent danger. The bill encourages DCF, the Florida Department of Health (DOH), local governments, and other agencies to sponsor events that promote awareness on the dangers of leaving a child unattended in a motor vehicle and methods to prevent hot car deaths of children. The bill has no fiscal impact on state government and an indeterminate cost to local governments. See Fiscal Analysis and Economic Impact Statement. The bill provides an effective date of July 1, 2024. STORAGE NAME: h0591.CFS PAGE: 2 DATE: 1/23/2024 FULL ANALYSIS I. SUBSTANTIVE ANALYSIS A. EFFECT OF PROPOSED CHANGES: Background Vehicular Heatstroke and Child Mortality Heat illness occurs when the elevation of the core body temperature surpasses the compensatory limits of thermoregulation. Heat illness is the result of environmental heat stress or exertion, or both, and represents a set of conditions that exist along a continuum from less severe (heat exhaustion) to potentially life threatening (heatstroke). 1 Heatstroke is a debilitating illness characterized clinically by the following conditions: severe hyperthermia (i.e., a core body temperature of 104°F or greater), profound central nervous system dysfunction (e.g., delirium, seizures, or coma), and additional organ and tissue damage. Even with medical intervention, heatstroke may have lasting effects, including damage to the nervous system and other vital organs and decreased heat tolerance, making an individual more susceptible to subsequent episodes of heat illness. Furthermore, the continued manifestation of multiorgan system dysfunction after heatstroke increases patients’ risk of mortality during the ensuing months and years. Multiorgan system failure is the ultimate cause of mortality from heatstroke. 2 Vehicular heatstroke occurs when a person experiencing heatstroke cannot escape the vehicle in which the person is trapped. Vehicular heatstroke can become fatal when the internal body core temperature reaches 107°F – the point when the body cannot cool itself down. A child’s body temperature rises three to five times faster than an adult’s body temperature. 3 Since 1998, 969 children have died nationwide due to vehicular heatstroke. 505 of these children (52.17%) were forgotten by a caregiver, and another 237 children were knowingly left behind by a caregiver (20.66%). More than half of these deaths are children under 2 years of age. Since 1998, Florida lost 110 children to vehicular heatstroke. 4 In 2023, 7 children died in Florida from vehicular heatstroke. 5 In July 2023, 10-month-old Ariya Paige of Baker County died after her babysitter left her in a car for five hours during 95-degree weather. 6 The Baker County Sheriff’s Office subsequently arrested the babysitter and charged her with aggravated manslaughter of a child in violation of s. 782.07, F.S. 7 1 Armed Forces Health Surveillance Division, Heat Illness, Active Component, U.S. Armed Forces, 2021, The Military Health System and Defense Health Agency (Apr. 1, 2022) https://health.mil/News/Articles/2022/04/01/Update-Ht-MSMR (last visited Jan. 11, 2024). 2 Id. 3 National Highway Traffic Safety Administration, Child Heatstroke Prevention: Prevent Hot Car Deaths, U.S. Department of Transportation, https://www.nhtsa.gov/campaign/heatstroke (last visited Jan. 11, 2024). 4 National Safety Council, Hot Car Deaths: Heatstroke deaths of children in vehicles, https://injuryfacts.nsc.org/motor-vehicle/motor- vehicle-safety-issues/hotcars/ (last visited Jan 11, 2024). 5 Jan Null, Heatstroke Deaths of Children in Vehicles, The San Jose State University Department of Meteorology & Climate Science (last updated Jan. 3, 2024) https://www.noheatstroke.org/ (last visited Jan. 11, 2024). The National Weather Service of the National Oceanic and Atmospheric Administration sources its data from Jan Null’s research. 6 Baker County Sheriff’s Office, Arrest Report Number BCSO23CR00421S, (July 19, 2023) available at https://s3.documentcloud.org/documents/23883703/23-1585-arrest-jewell.pdf (last visited Jan. 11, 2024). 7 Id. STORAGE NAME: h0591.CFS PAGE: 3 DATE: 1/23/2024 Certain Offenses, Corresponding Penalties, and Rescuer Actions Florida’s Uniform Traffic Control Law (ch. 316) includes a section about children left unattended or unsupervised in motor vehicles. A parent, legal guardian, or other person responsible for a child under 6 years of age (a U-6 child) may not leave that child unattended or unsupervised in a motor vehicle. As the following infographic illustrates, the Florida Department of Highway Safety and Motor Vehicles reports that law enforcement cited 1,282 people statewide for leaving a U-6 child unattended or unsupervised in Florida from 2012-2022. 8 8 The Florida Department of Highway Safety and Motor Vehicles, Child Safety: Car and Driveway Safety, https://www.flhsmv.gov/safety-center/child-safety/car-driveway-safety/ (last visited Jan. 11, 2024). STORAGE NAME: h0591.CFS PAGE: 4 DATE: 1/23/2024 If someone leaves a U-6 child unattended or unsupervised in a motor vehicle in one of the three following situations, current law imposes corresponding penalties. 9 Offending Situation Corresponding Penalty (No Serious Harm) Corresponding Penalty (Great Bodily Harm, Permanent Disability, or Permanent Disfigurement) U-6 child left in vehicle in excess of 15 minutes Second degree misdemeanor 10 Third degree felony 11 U-6 child left in running vehicle Noncriminal traffic infraction ($500 maximum fine) Third degree felony U-6 child left in vehicle and the child’s health is in danger or child appears to be in distress Noncriminal traffic infraction ($500 maximum fine) Third degree felony Any law enforcement officer who observes a child left unattended or unsupervised in a motor vehicle may use whatever means reasonably necessary to protect the minor child and to remove the child from the vehicle. 12 When the law enforcement officer removes the child from the immediate area, notification that the law enforcement officer removed the child from the immediate area should be placed on the vehicle. 13 If the law enforcement officer cannot locate the child’s parents, legal guardian, or other person responsible for the child, the officer must deliver physical custody of the child to DCF for the purposes of a dependency court shelter hearing. 14 In addition, anyone from the general public may rescue a vulnerable person by removing that person from a vehicle. The rescuer may acquire immunity from civil liability for vehicle damage during the rescue effort if all of the following criteria are met: The rescuer determines the motor vehicle is locked or there is otherwise no reasonable method for the vulnerable person to exit the vehicle without assistance. The rescuer has a good faith and reasonable belief, based upon the known circumstances, that entry into a motor vehicle is necessary because the vulnerable person is in imminent danger of suffering harm. The rescuer ensures that law enforcement is notified or 911 called before entering the motor vehicle or immediately thereafter. The rescuer uses no more force than is necessary to enter the vehicle. The rescuer remains with the vulnerable person in a safe location, in reasonable proximity to the motor vehicle, until law enforcement or other first responder arrives. 15 In the event of death, government prosecutors might choose to pursue criminal charges for, at the very least depending on the facts, aggravated manslaughter 16 or the family of the decedent minor child might seek legal advice on whether to sue in civil court for wrongful death. 17 9 S. 316.6135(1)-(4), F.S. 10 A second-degree misdemeanor conviction generally carries a term of imprisonment not exceeding 60 days and, or a $500 maximum fine. ss. 775.082(4)(b), 775.083(1)(e), F.S. 11 A third-degree felony conviction generally carries a term of imprisonment not exceeding 5 years or a $5,000 maximum fine. ss. 775.082(3)(e), 755.083(1)(c), F.S. (However, ordinarily, a person who willfully or by culpable negligence neglects a child and in so doing causes great bodily harm, permanent disability, or permanent disfigurement to the child commits a felony of the second degree. s. 827.03(2)(b), F.S.). 12 S. 316.6135(5), F.S. 13 S. 316.6135(6), F.S. 14 S. 316.6135(7), F.S. 15 S. 768.139(2), F.S. 16 A person who causes the death of any person under the age of 18 by culpable negligence commits aggravated manslaughter of a child, a felony of the first degree. s. 782.07(3), F.S. STORAGE NAME: h0591.CFS PAGE: 5 DATE: 1/23/2024 Public Awareness Campaigns by the State of Florida The Florida Department of Children and Families The Florida Department of Children and Families (DCF) is responsible for providing services that support child and family well-being. DCF contracts with the Ounce of Prevention Fund of Florida, Inc. (Ounce) 18 for various situational awareness campaigns throughout the year. The Ounce raises awareness in April for Child Abuse Prevention Month, in May for Water Safety Month, and October for Safe Sleep Month. The activities for these awareness months include public service announcements, radio and television advertisements, social media campaigns, media tool kits, and more. 19 The Department pays for this contract using federal Community-Based Child Abuse Prevention grant dollars. On August 21 st , 2023, DCF, the Florida Department of Health (DOH), Agency for Persons with Disabilities, and the Ounce held an event that called for a greater awareness of children left in hot cars. 20 The Florida Department of Health The DOH’s Injury Prevention Section collaborates with Safe Kids Florida 21 to implement evidence- based programs that help parents and caregivers prevent childhood injuries. 22 As of June 2023, 15 local Safe Kids coalitions cover 42 counties throughout Florida. These coalitions promote prevention efforts by hosting educational events for parents and caregivers. 23 The Florida Department of Highway Safety and Motor Vehicles Current law authorizes the Florida Department of Highway Safety and Motor Vehicles (FLHSMV) to purchase educational items as part of the public information and educational campaigns promoting highway safety, awareness, and community-based initiatives. 24 FLHSMV’s 2023 Safe Summer Travel campaign recently raised awareness of, among other topics, vehicular heatstroke prevention. 25 Effects of Proposed Changes The bill allows the act to be cited as “Ariya’s Act” in memoriam of a 10-month-old infant who died of heatstroke after being left in a vehicle. The bill creates s. 638.336, F.S., to designate April as “Hot Car Death Prevention Month” for two purposes: 1. To raise the public’s awareness of the dangers of leaving children unattended in motor vehicles, and 2. To educate the public on how to prevent children dying from vehicular heatstroke. 17 Ss. 768.16 – 768.26, F.S. The Florida Wrongful Death Act creates a civil cause of action when the death of a person is caused by the wrongful act or negligence (although the death was caused under circumstances constituting a felony) and the event would have entitled the person injured to maintain an action and recover damages if the death had not occurred. 18 The Ounce is a private, nonprofit corporation dedicated to shaping prevention policy and investing in innovative prevention programs that provide measurable benefits to Florida’s children, families, and communities. The Ounce of Prevention of Florida, Home, http://www.ounce.org (last visited Jan. 11, 2024). 19 Florida Department of Children and Families, Agency Analysis of 2024 House Bill 591, p. 2 (Dec. 27, 2023). 20 Id. 21 Safe Kids is a 501(c)(3) non-profit organization located in the Washington, D.C. area with a mission of preventing unintentional childhood injury. Safe Kids was founded by Children’s National Hospital (Washington D.C.) in 1988. Safe Kids Worldwide, Who We Are, https://www.safekids.org/who-we-are (last visited Jan. 11, 2024). 22 Safe Kids Worldwide, Safe Kids Florida, https://www.safekids.org/coalition/safe-kids-florida (last visited Jan. 11, 2024). 23 Florida Department of Health, Safe Kids Florida, (last reviewed June 24, 2023) https://www.floridahealth.gov/programs-and- services/safe-kids-florida/index.html (last visited Jan. 11, 2024). 24 Ss. 316.003(19), 316.6131, F.S. 25 Florida Department of Highway Safety and Motor Vehicles, Safe Summer Travel, https://www.flhsmv.gov/safety-center/driving- safety/safe-summer-travel/ (last visited Jan. 11, 2024). STORAGE NAME: h0591.CFS PAGE: 6 DATE: 1/23/2024 The bill requires the educational component to include at least three parts: 1. Proper motor vehicle safety for children, 2. The criminal penalties associated with leaving a child in a motor vehicle unattended or unsupervised, and 3. The steps a bystander can take to rescue a vulnerable child in imminent danger, as set forth in s. 768.139. The bill encourages DCF, DOH, local governments, and other agencies to sponsor events that promote awareness on the dangers of leaving a child unattended in a motor vehicle and methods to prevent hot car deaths of children. The bill provides an effective date of July 1, 2024. B. SECTION DIRECTORY: Section 1: Creating an unnumbered section of law. Section 2: Creating s. 683.336, F.S., relating to hot car death prevention month. Section 3: Providing an effective date of July 1, 2024. II. FISCAL ANALYSIS & ECONOMIC IMPACT STATEMENT A. FISCAL IMPACT ON STATE GOVERNMENT: 1. Revenues: None. 2. Expenditures: None. Any additional costs to state agencies can be absorbed within existing resources. B. FISCAL IMPACT ON LOCAL GOVERNMENTS: 1. Revenues: None. 2. Expenditures: The bill encourages local governments to sponsor events. Costs to local governments are indeterminate, but any costs due to actions under the bill are voluntarily incurred as the bill does not require local governments to undertake any action. C. DIRECT ECONOMIC IMPACT ON PRIVATE SECTOR: None. D. FISCAL COMMENTS: None. III. COMMENTS A. CONSTITUTIONAL ISSUES: 1. Applicability of Municipality/County Mandates Provision: STORAGE NAME: h0591.CFS PAGE: 7 DATE: 1/23/2024 Not Applicable. This bill does not appear to require counties or municipalities to spend funds or take action requiring the expenditures of funds; reduce the authority that counties or municipalities have to raise revenues in the aggregate; or reduce the percentage of state tax shared with counties or municipalities. 2. Other: None. B. RULE-MAKING AUTHORITY: State agencies have sufficient rulemaking authority to implement the provisions of the bill. C. DRAFTING ISSUES OR OTHER COMMENTS: None. IV. AMENDMENTS/COMMITTEE SUBSTITUTE CHANGES