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9 | 9 | | Page 1 of 9 |
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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 |
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14 | 14 | | A bill to be entitled 1 |
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15 | 15 | | An act relating to access to contraception; creating 2 |
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16 | 16 | | s. 381.998, F.S.; providing a short title; providing 3 |
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17 | 17 | | definitions; authorizing a person to obtain 4 |
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18 | 18 | | contraceptives and engage in contraception; 5 |
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19 | 19 | | authorizing a health care provider to provide 6 |
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20 | 20 | | contraceptives, contraception, and contraception -7 |
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21 | 21 | | related information; providing requirements for a 8 |
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22 | 22 | | defense to certain violations; authorizing the 9 |
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23 | 23 | | Attorney General, a person, or an entity to bring 10 |
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24 | 24 | | enforcement actions under certain circumstances; 11 |
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25 | 25 | | authorizing civil penalties; providing applicability 12 |
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26 | 26 | | and construction; providing an effective date. 13 |
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27 | 27 | | 14 |
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28 | 28 | | WHEREAS, the right to contraception is a fundamental right, 15 |
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29 | 29 | | central to a person's privacy, health, well -being, dignity, 16 |
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30 | 30 | | liberty, equality, and ability to participate in the social and 17 |
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31 | 31 | | economic life of the state, and 18 |
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32 | 32 | | WHEREAS, the United States Supreme Court has repeatedly 19 |
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33 | 33 | | recognized the constitutional right to contraception, and 20 |
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34 | 34 | | WHEREAS, in Griswold v. Connecticut , 381 U.S. 479 (1965), 21 |
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35 | 35 | | the United States Supreme Court first recognized the 22 |
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36 | 36 | | constitutional right for married people to use contraceptives, 23 |
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37 | 37 | | and 24 |
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38 | 38 | | WHEREAS, in Eisenstadt v. Baird, 405 U.S. 438 (1972), the 25 |
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46 | 46 | | Page 2 of 9 |
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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 |
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51 | 51 | | United States Supreme Court confirmed the constitutional right 26 |
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52 | 52 | | of all people to legally access contraceptives regardless of 27 |
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53 | 53 | | marital status, and 28 |
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54 | 54 | | WHEREAS, in Carey v. Population Services International , 431 29 |
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55 | 55 | | U.S. 678 (1977), the United States Supreme Court affirmed the 30 |
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56 | 56 | | constitutional right to contraceptives for minors, and 31 |
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57 | 57 | | WHEREAS, the right to contraception has been repeatedly 32 |
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58 | 58 | | recognized internationally as a human right , and 33 |
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59 | 59 | | WHEREAS, the United Nations Population Fund has published 34 |
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60 | 60 | | several reports outlining family planni ng as a basic human right 35 |
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61 | 61 | | that advances women's health, economic empowerment, and 36 |
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62 | 62 | | equality, and 37 |
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63 | 63 | | WHEREAS, access to contraceptives is internationally 38 |
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64 | 64 | | recognized by the World Health Organization as advancing other 39 |
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65 | 65 | | human rights such as the right to life, lib erty, expression, 40 |
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66 | 66 | | health, work, and education, and 41 |
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67 | 67 | | WHEREAS, contraception is safe, essential health care, and 42 |
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68 | 68 | | access to contraceptive products and services is central to 43 |
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69 | 69 | | people's ability to participate equally in economic and social 44 |
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70 | 70 | | life, allowing people to make decisions about their families and 45 |
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71 | 71 | | their lives, and 46 |
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72 | 72 | | WHEREAS, contraception is key to sexual and reproductive 47 |
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73 | 73 | | health and is critical to preventing unintended pregnancy, and 48 |
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74 | 74 | | many contraceptives are highly effective in preventing and 49 |
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75 | 75 | | treating a wide array of often severe medical conditions and 50 |
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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 |
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88 | 88 | | decrease the risk of certain cancers, and 51 |
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89 | 89 | | WHEREAS, family planning improves health outcomes for 52 |
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90 | 90 | | women, their families, and their communities and reduces rates 53 |
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91 | 91 | | of maternal and infant mortality and morbidity, and 54 |
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92 | 92 | | WHEREAS, the United States has a long history of 55 |
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93 | 93 | | reproductive coercion, including the childbearing forced upon 56 |
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94 | 94 | | enslaved women, as well as the forced sterilization of Black 57 |
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95 | 95 | | women, Puerto Rican women, indigenous women, immigrant women, 58 |
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96 | 96 | | and disabled women, and reproductive coercion continues to 59 |
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97 | 97 | | occur, and 60 |
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98 | 98 | | WHEREAS, the right to make personal decisions about 61 |
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99 | 99 | | contraceptive use is important for all people, and is especially 62 |
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100 | 100 | | critical for historically marginalized groups, including Black, 63 |
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101 | 101 | | indigenous, and other pe ople of color; immigrants; lesbian, gay, 64 |
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102 | 102 | | bisexual, transgender, and queer people; people with 65 |
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103 | 103 | | disabilities; people with low incomes; and people living in 66 |
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104 | 104 | | rural and underserved areas , and 67 |
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105 | 105 | | WHEREAS, many people who are part of these marginalized 68 |
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106 | 106 | | groups already face barriers, exacerbated by social, political, 69 |
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107 | 107 | | economic, and environmental inequities, to comprehensive health 70 |
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108 | 108 | | care, including reproductive health care, that reduce their 71 |
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109 | 109 | | ability to make decisions about their health, families, and 72 |
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110 | 110 | | lives, and 73 |
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111 | 111 | | WHEREAS, policies governing pharmaceutical and insurance 74 |
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112 | 112 | | policies affect the accessibility of contraceptives and the 75 |
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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 |
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125 | 125 | | settings in which contraception services are delivered, and 76 |
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126 | 126 | | WHEREAS, despite the clearly established constitutional 77 |
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127 | 127 | | right to contraception , access to contraceptives, including 78 |
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128 | 128 | | emergency contraceptives and long -acting reversible 79 |
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129 | 129 | | contraceptives, has been obstructed in various ways, and 80 |
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130 | 130 | | WHEREAS, as of June 2023, at least 4 states tried to ban 81 |
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131 | 131 | | access to some or all contraceptives by restricting access to 82 |
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132 | 132 | | public funding for these products and services, and 83 |
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133 | 133 | | WHEREAS, health care providers' refusals to offer 84 |
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134 | 134 | | contraceptives and contraception -related information on the 85 |
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135 | 135 | | basis of their own personal beliefs impede patients from 86 |
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136 | 136 | | obtaining their preferred method of contraception, and 87 |
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137 | 137 | | WHEREAS, states have attempted to define abortion 88 |
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138 | 138 | | expansively so as to include contraceptives in state bans on 89 |
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139 | 139 | | abortion and have also restricted access to emergency 90 |
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140 | 140 | | contraception, and 91 |
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141 | 141 | | WHEREAS, in June 2022, Justice Thomas, i n his concurring 92 |
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142 | 142 | | opinion in Dobbs v. Jackson Women's Health Organization , 142 S. 93 |
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143 | 143 | | Ct. 2228 (2022), stated that the United States Supreme Court 94 |
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144 | 144 | | "should reconsider all of this Court's substantive due process 95 |
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145 | 145 | | precedents, including Griswold, Lawrence, and Oberg efell" and 96 |
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146 | 146 | | that the court has "a duty to correct the error established in 97 |
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147 | 147 | | those precedents" by overruling them, and 98 |
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148 | 148 | | WHEREAS, in order to further public health and to combat 99 |
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149 | 149 | | efforts to restrict access to reproductive health care, action 100 |
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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 |
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162 | 162 | | is necessary to protect access to contraceptives, contraception, 101 |
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163 | 163 | | and contraception-related information for everyone, regardless 102 |
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164 | 164 | | of actual or perceived race, ethnicity, sex, including gender 103 |
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165 | 165 | | identity and sexual orientation, income, disability, national 104 |
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166 | 166 | | origin, immigration sta tus, or geography, NOW, THEREFORE, 105 |
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167 | 167 | | 106 |
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168 | 168 | | Be It Enacted by the Legislature of the State of Florida: 107 |
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169 | 169 | | 108 |
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170 | 170 | | Section 1. Section 381.998, Florida Statutes, is created 109 |
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171 | 171 | | to read: 110 |
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172 | 172 | | 381.998 Right to contraception. — 111 |
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173 | 173 | | (1) This section may be cited as the "Right to 112 |
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174 | 174 | | Contraception Act." 113 |
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175 | 175 | | (2) As used in this section, the term: 114 |
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176 | 176 | | (a) "Contraception" means an action taken to prevent 115 |
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177 | 177 | | pregnancy, including the use of contraceptives or fertility 116 |
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178 | 178 | | awareness-based methods and sterilization procedures. 117 |
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179 | 179 | | (b) "Contraceptive" means any drug, device, or biological 118 |
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180 | 180 | | product intended for use in the prevention of pregnancy, whether 119 |
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181 | 181 | | specifically intended to prevent pregnancy or for other health 120 |
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182 | 182 | | needs, that is legally marketed under the Federal Food, Drug, 121 |
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183 | 183 | | and Cosmetic Act, such as oral contra ceptives, long-acting 122 |
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184 | 184 | | reversible contraceptives, emergency contraceptives, internal 123 |
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185 | 185 | | and external condoms, injectables, vaginal barrier methods, 124 |
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186 | 186 | | transdermal patches, and vaginal rings or other contraceptives. 125 |
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187 | 187 | | |
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195 | 195 | | 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 |
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199 | 199 | | (c) "Health care provider" has the meaning as in s. 126 |
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200 | 200 | | 381.00321(1). 127 |
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201 | 201 | | (d) "Political subdivision" has the same meaning as in s. 128 |
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202 | 202 | | 1.01(8). 129 |
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203 | 203 | | (3)(a) A person may obtain contraceptives and engage in 130 |
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204 | 204 | | contraception, and a health care provider may provide 131 |
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205 | 205 | | contraceptives, contraception, and contraception -related 132 |
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206 | 206 | | information. 133 |
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207 | 207 | | (b) This subsection does not limit any of the following: 134 |
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208 | 208 | | 1. Expressly, effectively, implicitly, or as implemented, 135 |
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209 | 209 | | the provision of contraceptives, contraception, or 136 |
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210 | 210 | | contraception-related information; health care providers who 137 |
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211 | 211 | | provide contraceptives, contraception, or contraception -related 138 |
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212 | 212 | | information; or facilities in which contraceptives, 139 |
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213 | 213 | | contraception, or contraception -related information is provided. 140 |
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214 | 214 | | 2. Access to contraceptives, contraception, or 141 |
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215 | 215 | | contraception-related information. 142 |
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216 | 216 | | (c) For a defense against a claim that a limitation or 143 |
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217 | 217 | | requirement violates a health care provider's or patient's 144 |
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218 | 218 | | rights under paragraph (b), a party must establish, by clear and 145 |
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219 | 219 | | convincing evidence, all of the following: 146 |
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220 | 220 | | 1. The limitation or requiremen t significantly advances 147 |
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221 | 221 | | the safety of contraceptives, contraception, and contraception -148 |
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222 | 222 | | related information. 149 |
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223 | 223 | | 2. The safety of contraceptives, contraception, and 150 |
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232 | 232 | | 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 |
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236 | 236 | | contraception-related information or the health of patients 151 |
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237 | 237 | | cannot be advanced by a less rest rictive alternative measure or 152 |
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238 | 238 | | action. 153 |
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239 | 239 | | (4)(a) The state or any political subdivision may not 154 |
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240 | 240 | | administer, implement, or enforce any law, rule, regulation, 155 |
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241 | 241 | | standard, or other provision having the force and effect of law 156 |
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242 | 242 | | in a manner that: 157 |
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243 | 243 | | 1. Prohibits or restricts the sale, provision, or use of 158 |
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244 | 244 | | any contraceptives that have been approved by the federal Food 159 |
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245 | 245 | | and Drug Administration for contraceptive purposes. 160 |
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246 | 246 | | 2. Prohibits or restricts any person from aiding another 161 |
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247 | 247 | | person in obtaining any contraceptives ap proved by the federal 162 |
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248 | 248 | | Food and Drug Administration or contraceptive methods. 163 |
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249 | 249 | | 3. Exempts any contraceptives approved by the federal Food 164 |
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250 | 250 | | and Drug Administration from any other general law in a way that 165 |
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251 | 251 | | would make it more difficult to sell, provide, obtain, or use 166 |
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252 | 252 | | those contraceptives or contraceptive methods. 167 |
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253 | 253 | | (b) This section does not supersede or otherwise affect 168 |
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254 | 254 | | any provision relating to coverage under group health plans or 169 |
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255 | 255 | | group or individual health insurance coverage and may not be 170 |
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256 | 256 | | construed as requiring the provision of specific benefits under 171 |
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257 | 257 | | these plans or coverage. 172 |
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258 | 258 | | (c) An individual or entity who is subject to a limitation 173 |
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259 | 259 | | or requirement that violates this section sha ll have an 174 |
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260 | 260 | | affirmative defense to any action brought under this section to 175 |
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269 | 269 | | 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 |
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273 | 273 | | any cause of action against the individual or entity. 176 |
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274 | 274 | | (5)(a) This section shall be liberally construed to 177 |
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275 | 275 | | effectuate its purposes. 178 |
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276 | 276 | | (b) This section does not: 179 |
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277 | 277 | | 1. Authorize the state or a political subdivision to 180 |
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278 | 278 | | interfere with a health care provider's ability to provide 181 |
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279 | 279 | | contraceptives or contraception -related information or a 182 |
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280 | 280 | | person's ability to obtain contraceptives or to engage in 183 |
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281 | 281 | | contraception. 184 |
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282 | 282 | | 2. Permit or sanction the con duct of any sterilization 185 |
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283 | 283 | | procedure without the patient's voluntary and informed consent. 186 |
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284 | 284 | | (6)(a) The Attorney General may commence a civil action on 187 |
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285 | 285 | | behalf of the state against any person that violates or enforces 188 |
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286 | 286 | | a limitation or requirement that violate s this section. In any 189 |
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287 | 287 | | civil action brought under this paragraph, the Attorney General 190 |
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288 | 288 | | may compromise and settle the action as he or she determines is 191 |
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289 | 289 | | in the best interest of the state. 192 |
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290 | 290 | | (b) Any person or entity, including a health care provider 193 |
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291 | 291 | | or patient, adversely affected by an alleged violation of this 194 |
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292 | 292 | | section may commence a civil action against any person that 195 |
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293 | 293 | | violates, implements, or enforces a limitation or a requirement 196 |
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294 | 294 | | that violates this section. 197 |
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295 | 295 | | (c) A health care provider may commence an actio n for 198 |
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296 | 296 | | relief on its own behalf, on behalf of the health care 199 |
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297 | 297 | | provider's staff, and on behalf of the health care provider's 200 |
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306 | 306 | | 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 |
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310 | 310 | | patients who are or may be adversely affected by an alleged 201 |
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311 | 311 | | violation of this section. 202 |
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312 | 312 | | (d) If a court finds that there has been a v iolation of 203 |
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313 | 313 | | this section, the court shall hold unlawful and set aside the 204 |
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314 | 314 | | limitation or requirement. In any action under this section, the 205 |
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315 | 315 | | court may award appropriate equitable relief, including 206 |
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316 | 316 | | temporary, preliminary, or permanent injunctive relief. 207 |
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317 | 317 | | (e) The court shall award to any prevailing plaintiff 208 |
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318 | 318 | | attorney fees and costs. Unless a court determines an action is 209 |
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319 | 319 | | frivolous, the court may not hold a plaintiff liable to a 210 |
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320 | 320 | | defendant for attorney fees and costs in an action under this 211 |
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321 | 321 | | section. 212 |
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322 | 322 | | Section 2. This act shall take effect July 1, 2024. 213 |
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