STORAGE NAME: h1607a.PKB
DATE: 4/11/2025
1
FLORIDA HOUSE OF REPRESENTATIVES
BILL ANALYSIS
This bill analysis was prepared by nonpartisan committee staff and does not constitute an official statement of legislative intent.
BILL #: CS/HB 1607
TITLE: Cardiac Emergencies
SPONSOR(S): Yarkosky, Rizo
COMPANION BILL: CS/SB 430 (Simon)
LINKED BILLS: None
RELATED BILLS: None
Committee References
Education Administration
17 Y, 0 N, As CS
PreK-12 Budget
Education & Employment
SUMMARY
Effect of the Bill:
The bill requires school districts to provide basic training in first aid, including cardiopulmonary resuscitation
(CPR) once during middle school and once during high school in a physical education or health class. The
instruction must allow students to practice the skills associated with performing CPR and use an automated
external defibrillator (AED). The bill also requires, by July 1, 2027, that every public school, including charter
schools, have at least one operational AED on school grounds. Each public school must also develop a plan for
urgent life-saving emergencies (PULSE) to guide school personnel in responding to sudden cardiac arrest or similar
emergencies on school grounds.
Fiscal or Economic Impact:
There is no state fiscal impact, but there is an indeterminate, negative fiscal impact to school districts and charter
schools to comply with the provisions of the bill.
JUMP TO SUMMARY ANALYSIS RELEVANT INFORMATION BILL HISTORY
ANALYSIS
EFFECT OF THE BILL:
The bill requires school districts to provide basic training in first aid, including cardiopulmonary resuscitation
(CPR) in middle school and revises the previously required training for high school students. The training must
occur in a physical education or health class. The instruction in both the middle and high school courses must:
Allow students to practice the psychomotor skills associated with performing CPR; and
Include the use of an automated external defibrillator (AED). (Section 1).
Under the bill, each public school must develop a plan for urgent life-saving emergencies (PULSE) that addresses
the appropriate use of school personnel to respond to incidents involving an individual experiencing sudden
cardiac arrest or a similar life-threatening emergency while on school grounds. The PULSE must integrate
evidence-based core elements for schools responding to cardiac emergencies, like those recommended by the
American Heart Association. Schools are required to work directly with local emergency service providers to
integrate the PULSE into the community’s emergency responder protocols. (Section 2).
The bill also requires that no later than July 1, 2027, each public school, including charter schools, must have at
least one operational AED on school grounds. The defibrillator must be available in a clearly marked and publicized
location. Schools are required to maintain the defibrillator according to the manufacturer’s recommendations and
maintain all verification records for such defibrillators. The bill clarifies that a public school that is a member of the
Florida High School Athletic Association (FHSAA) and required to maintain an operational AED on campus related
to athletics does not constitute compliance with this requirement. Schools are also required to:
Ensure appropriate school staff are trained in first aid, CPR, and AED use.
Register the location of each AED with a local emergency medical services medical director. (Section 2).
JUMP TO SUMMARY ANALYSIS RELEVANT INFORMATION BILL HISTORY
2
The bill provides that school employees and volunteers who use an AED are immune from civil liability under the
Good Samaritan Act
1 and the Cardiac Arrest Survival Act
2. (Section 2).
Finally, the bill requires the State Board of Education to adopt rules to administer the bill. (Section 2).
The bill takes effect on July 1, 2025. (Section 3).
RULEMAKING:
The bill requires that the State Board of Education adopt rules to administer the requirements of the bill.
Lawmaking is a legislative power; however, the Legislature may delegate a portion of such power to executive
branch agencies to create rules that have the force of law. To exercise this delegated power, an agency must
have a grant of rulemaking authority and a law to implement.
FISCAL OR ECONOMIC IMPACT:
LOCAL GOVERNMENT:
The bill requires that all public schools, including charter schools, have at least one operational AED on school
grounds by July 1, 2027. It is not known how many public schools, including charter schools, currently have an
AED on its premises; therefore, the fiscal impact on school districts and charter schools to acquire AEDs by the July
1, 2027, deadline is not known. Additionally, there is an indeterminate fiscal impact to school districts and charter
schools to provide maintenance requirements as well as the training requirements.
RELEVANT INFORMATION
SUBJECT OVERVIEW:
Sudden Cardiac Arrest
Heart disease is the leading cause of death in the United States.
3 Sudden cardiac arrest is the leading cause of death
for student athletes.
4
Sudden cardiac arrest is the sudden loss of all heart activity due to an irregular heart rhythm. It can come on
suddenly or in the wake of other symptoms. More than 356,000 cardiac arrests occur outside a hospital in the
United States each year,
5 more than 23,000 of those who suffer cardiac arrests are children.
6 Nearly 90 percent of
all incidents of out of hospital cardiac arrests are fatal.
7 Emergency treatment for sudden cardiac arrest includes
CPR and shocks to the heart with an AED.
Cardiopulmonary Resuscitation
1
Section 768.13, F.S.
2
Section 768.1325, F.S.
3
Centers for Disease Control and Prevention, Leading Causes of Death, https://www.cdc.gov/nchs/fastats/leading-causes-of-
death.htm (last visited Mar. 24, 2025).
4
Mayo Clinic, Sudden death in young people: Heart Problems often blamed, https://www.mayoclinic.org/diseases-
conditions/sudden-cardiac-arrest/in-depth/sudden-death/art-20047571, (last visited Mar. 24, 2025); University of Kansas
Health System, The Scary Side of Sports, https://www.kansashealthsystem.com/news-room/blog/0001/01/cardiac-death-
young-athletes (last visited Mar. 24, 2025).
5
American Heart Association, CPR Facts and Stats, https://cpr.heart.org/en/resources/cpr-facts-and-stats/ (last visited Mar.
24, 2025).
6
Sudden Cardiac Arrest Foundation, Latest Statistics, https://www.sca-aware.org/about-sudden-cardiac-arrest/latest-
statistics (last visited Mar. 24, 2025). This report notes that data from 2015 showed that there were 7,037 incidents of cardiac
arrest, but more recent research not reported in AHA statistics indicates that the incidence of OHCA in children is 23,514. Id.
7
Id. JUMP TO SUMMARY ANALYSIS RELEVANT INFORMATION BILL HISTORY
3
Though the vast majority of cardiac arrests occur at home, approximately 15 percent of adult cardiac arrests and
12 percent of juvenile cardiac arrests occur in public.
8 Bystander CPR can double or triple a person's chances of
survival if started immediately.
9 A barrier to bystanders providing lifesaving care for cardiac arrest victims is a lack
of training, especially in how to perform CPR. Only 46 percent of cardiac arrest victims receive CPR.
10 Most
Americans are hesitant to perform CPR because they have no training or their knowledge has lapsed.
11
Automated External Defibrillators
An AED is a computerized defibrillator that automatically analyzes the heart rhythm in people who are
experiencing cardiac arrest.
12 If the AED detects cardiac arrest, it delivers an electrical shock to the heart to restore
its normal rhythm.
13 Sudden cardiac events have an 85 percent survival rate when an AED is applied within 3
minutes of a collapse.
14
Florida Law
In 2021, the Governor signed HB 157 into law, requiring that school districts provide basic training in first aid and
CPR to students in grades 9 and 11.
15 Prior to HB 157 becoming law, districts were encouraged to provide basic
training in first aid, including CPR, for all students beginning in grade 6 and occurring every 2 years thereafter.
Now, school districts are required to provide first aid training—including at least 1 hour of CPR training—for
students in grades 9 and 11.
16 School districts are encouraged to provide first aid and CPR training to students in
grades 6 and 8.
17 Schools must only provide practice with the psychomotor skills associated with CPR and AED use
if they have the equipment (AEDs and CPR training devices) necessary to do so.
18
Each public school that is a member of the FHSAA must have an AED on school grounds.
19 The AED must be
available in a clearly marked and publicized location for every athletic contest, practice, workout, or conditioning
session,
20 and an employee or volunteer with current CPR and AED training must be present as well.
21 Public and
private partnerships are encouraged to cover the cost associated with the purchase and placement of the AED and
training in the use of an AED.
22 Any high school, middle school, or combination school, including charter schools,
virtual schools, private schools, and home education cooperatives, may become a member of the FHSAA; however,
membership in the FHSAA is not mandatory.
23 Moreover, while they are permitted to join the FHSAA, only a small
fraction of middle schools are FHSAA members.
24 As a result, elementary schools are not statutorily required to
keep an AED on school grounds nor are numerous middle and high schools.
8
American Heart Association, Why People Fear Performing CPR on Women—and What to Do About It,
https://www.heart.org/en/news/2020/11/23/why-people-fear-performing-cpr-on-women-and-what-to-do-about-it (last
visited Mar. 24, 2025).
9
American Heart Association, CPR Facts and Stats, https://cpr.heart.org/en/resources/cpr-facts-and-stats/ (last visited Mar.
24, 2025).
10
CPR Select, Understanding SPR Success Rates: Effectiveness and Influencing Factors,
https://www.mycprcertificationonline.com/blog/cpr-success-rate (last visited Mar. 24, 2025).
11
Id.
12
U.S. Food and Drug Department, How AED’s in Public Places Can Restart Hearts, https://www.fda.gov/consumers/consumer-
updates/how-aeds-public-places-can-restart-hearts (last visited Mar. 24, 2025).
13
Id.
14
The National Federation of State High School Associations, Emergency Action Plans Should be Reviewed, Rehearsed Annually,
nfhs.org/articles/emergency-action-plans-should-be-reviewed-rehearsed-annually/ (last visited Mar. 24, 2025).
15
Section 1003.453, F.S.
16
Section 1003.453(3), F.S.
17
Id.
18
Id.
19
Section 1006.165(1)(a), F.S.
20
Id. In 2020, the Legislature passed the “Zachary Martin Act” which imposed the AED placement and training requirements
for athletic events.
21
Section 1006.165(1)(b), F.S.
22
Section 1006.165(1)(a), F.S.
23
Section 1006.20, F.S.
24
See Florida High School Athletic Association, 2024-2025 Membership List, available at
https://fhsaa.com/documents/2024/8/26//Membership_List_2024_25.pdf?id=5659. JUMP TO SUMMARY ANALYSIS RELEVANT INFORMATION BILL HISTORY
4
Since July 1, 2024, all athletic coaches at public schools have been required to hold and maintain a certification in
CPR, first aid, and the use of an AED.
25 The use of defibrillators by employees and volunteers is covered under the
Good Samaritan Act and the Cardiac Arrest survival act.
26
RECENT LEGISLATION:
YEAR BILL # HOUSE SPONSOR(S) SENATE SPONSOR OTHER INFORMATION
2024 CS/HB 865 Yeager Became law on July 1, 2024.
2021 CS/HB 157 Hawkins, Busatta Became law on July 1, 2021.
BILL HISTORY
COMMITTEE REFERENCE ACTION DATE
STAFF
DIRECTOR/
POLICY CHIEF
ANALYSIS
PREPARED BY
Education Administration
Subcommittee
17 Y, 0 N, As CS 3/27/2025 Sleap Blank
THE CHANGES ADOPTED BY THE
COMMITTEE:
Revised student training in CPR and AED use by requiring training once
in middle school and specifying that required training in middle and
high school occur during specific courses and include equipment.
Required that each public school develop a plan for urgent life-saving
emergencies (PULSE) that addresses the use of school personnel to
respond to sudden cardiac arrest or similar emergencies.
Removed reporting of AED use to the Commissioner of Education.
Removed reimbursement for 50 percent of the cost of the purchase of
an AED for each school.
PreK-12 Budget Subcommittee Potvin Bailey
Education & Employment
Committee
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THIS BILL ANALYSIS HAS BEEN UPDATED TO INCORPORATE ALL OF THE CHANGES DESCRIBED ABOVE.
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25
Section 1012.55(2)(a), F.S.
26
Section 1006.165(1)(c)-(d), F.S.