Florida Senate - 2024 SB 680
By Senator Gruters
22-00113-24 2024680__
1 A bill to be entitled
2 An act relating to protection of medical freedom;
3 amending s. 381.003, F.S.; prohibiting the Department
4 of Health from requiring enrollment in the state’s
5 immunization registry or otherwise requiring persons
6 to submit to immunization tracking; prohibiting the
7 department from including a person’s immunization
8 records in any interstate or federal immunization
9 tracking system or otherwise giving an entity access
10 to a person’s immunization records without first
11 obtaining written informed consent from the person or
12 person’s parent or guardian, as applicable; making
13 technical changes; amending s. 381.00316, F.S.;
14 revising and deleting definitions; prohibiting
15 business entities from requiring individuals to
16 provide proof of vaccination or postinfection recovery
17 from any communicable disease to gain access to, entry
18 upon, or service from such entities; prohibiting a
19 business entity from requiring individuals currently
20 employed or seeking employment with that business to
21 provide proof of vaccination or postinfection recovery
22 from any communicable disease; prohibiting health care
23 providers from discriminating in providing health care
24 to a patient based solely on his or her vaccination
25 status; prohibiting governmental entities from
26 requiring that individuals show proof of vaccination
27 or postinfection recovery from any communicable
28 disease or requiring a certain test in order to gain
29 access to, entry upon, or service from that
30 governmental entity’s operations, or for employment,
31 continued employment, or contracting with the
32 governmental entity; reordering and amending s.
33 381.00319, F.S.; conforming provisions to changes made
34 by the act; amending s. 420.9075, F.S.; adding a
35 person’s vaccination and immunity status to the
36 prohibited forms of discrimination by local housing
37 assistance plans; creating s. 448.077, F.S.; defining
38 terms; prohibiting employers from refusing employment
39 to, or discharging, disciplining, demoting, or
40 otherwise discriminating against, an individual solely
41 on the basis of vaccination or immunity status;
42 creating a right of action for aggrieved individuals;
43 providing for relief; creating ss. 626.9708, 627.6441,
44 627.6614, and 641.31078, F.S.; defining the term
45 “vaccination or immunity status”; specifying
46 prohibited discriminatory practices in the provision
47 of life and disability insurance policies, health
48 insurance policies, group health insurance policies,
49 and health maintenance contracts, respectively;
50 providing construction; amending s. 760.01, F.S.;
51 revising the purposes of the Florida Civil Rights Act
52 of 1992 to include discrimination protection for
53 vaccination or immunity status; reordering and
54 amending s. 760.02, F.S.; defining the term
55 “vaccination or immunity status”; amending s. 760.05,
56 F.S.; revising the functions of the Florida Commission
57 on Human Relations to conform to changes made by the
58 act; amending s. 760.07, F.S.; revising provisions
59 regarding remedies for unlawful discrimination to
60 conform to changes made by the act; amending s.
61 760.08, F.S.; prohibiting places of public
62 accommodation from discriminating on the basis of
63 vaccination or immunity status; amending s. 760.10,
64 F.S.; prohibiting employers from engaging in specified
65 discriminatory employment practices on the basis of a
66 person’s vaccination or immunity status; providing an
67 exception; amending s. 760.22, F.S.; defining the term
68 “vaccination or immunity status”; amending ss. 760.23,
69 760.24, 760.25, and 760.26, F.S.; prohibiting
70 discrimination on the basis of a person’s vaccination
71 or immunity status in the sale or rental of housing,
72 the provision of brokerage services, the financing of
73 housing or residential real estate transactions, and
74 land use decisions or permitting of development,
75 respectively; amending s. 760.29, F.S.; revising an
76 exemption from the Fair Housing Act regarding the
77 appraisal of real property to conform to changes made
78 by the act; amending s. 760.60, F.S.; prohibiting
79 certain clubs from engaging in specified
80 discriminatory practices on the basis of a person’s
81 vaccination or immunity status; amending s. 1002.20,
82 F.S.; conforming provisions to changes made by the
83 act; amending s. 1003.22, F.S.; prohibiting the
84 Department of Health from requiring, as a school-entry
85 requirement, that children receive immunizations
86 approved only for emergency use; reenacting s.
87 381.00318(1), F.S., relating to complaints alleging
88 violations, to incorporate the amendments made to s.
89 381.00316, F.S., in a reference thereto; reenacting s.
90 760.11(1), F.S., relating to administrative and civil
91 remedies, to incorporate the amendments made to ss.
92 760.01 and 760.02, F.S., in references thereto;
93 reenacting s. 760.11(15), F.S., relating to discharge
94 of a person employed by the state or any governmental
95 entity or agency, to incorporate the amendments made
96 to s. 760.10, F.S., in a reference thereto; reenacting
97 ss. 760.20, 760.30, 760.31(4) and (5), 760.34(1), (3),
98 (4), and (7), 760.35(1) and (5)(a), and 760.37, F.S.,
99 relating to a short title, authority of the Florida
100 Commission of Human Relations, powers and duties of
101 the commission, enforcement of penalties for housing
102 discrimination violations, commencement of a civil
103 action for persons alleging discriminatory housing
104 practices, and penalties for interfering with a
105 person’s rights, respectively, to incorporate the
106 amendments made to ss. 760.25 and 760.26, F.S., in
107 references thereto; reenacting s. 1002.42(6)(a), F.S.,
108 relating to immunization requirements for private
109 school governing authorities, to incorporate the
110 amendment made to s. 1003.22, F.S. in a reference
111 thereto; providing an effective date.
112
113 Be It Enacted by the Legislature of the State of Florida:
114
115 Section 1. Paragraph (e) of subsection (1) of section
116 381.003, Florida Statutes, is amended to read:
117 381.003 Communicable disease and AIDS prevention and
118 control.—
119 (1) The department shall conduct a communicable disease
120 prevention and control program as part of fulfilling its public
121 health mission. A communicable disease is any disease caused by
122 transmission of a specific infectious agent, or its toxic
123 products, from an infected person, an infected animal, or the
124 environment to a susceptible host, either directly or
125 indirectly. The communicable disease program must include, but
126 need not be limited to:
127 (e) Programs for the prevention and control of vaccine
128 preventable diseases, including programs to immunize school
129 children as required by s. 1003.22(3)-(11) and the development
130 of an automated, electronic, and centralized database and
131 registry of immunizations. The department may not require
132 enrollment in the immunization registry or otherwise require
133 persons to submit to any form of immunization tracking. The
134 department shall ensure that all children in this state are
135 immunized against vaccine-preventable diseases. The immunization
136 registry must allow the department to enhance current
137 immunization activities for the purpose of improving the
138 immunization of all children in this state.
139 1. Except as provided in subparagraph 2., the department
140 shall include all children born in this state in the
141 immunization registry by using the birth records from the Office
142 of Vital Statistics. The department shall add other children to
143 the registry as immunization services are provided.
144 2. The parent or guardian of a child may refuse to have the
145 child included in the immunization registry by signing a form
146 obtained from the department, or from the health care
147 practitioner or entity that provides the immunization, which
148 indicates that the parent or guardian does not wish to have the
149 child included in the immunization registry. Each consent to
150 treatment form provided by a health care practitioner or by an
151 entity that administers vaccinations or causes vaccinations to
152 be administered to children from birth through 17 years of age
153 must contain a notice stating that the parent or guardian of a
154 child may refuse to have his or her child included in the
155 immunization registry. The parent or guardian may either submit
156 the opt-out form directly to the department or must provide it
157 such opt-out form to the health care practitioner or entity upon
158 administration of the vaccination. Such health care practitioner
159 or entity shall submit the form to the department. If a parent
160 or guardian has refused to have his or her child included in the
161 immunization registry, A parent or guardian may submit the opt
162 out form directly to the department. any records or identifying
163 information pertaining to the child must shall be removed from
164 the registry, if the parent or guardian has refused to have his
165 or her child included in the immunization registry.
166 3. A college or university student, from 18 years of age to
167 23 years of age, who obtains an immunization a vaccination from
168 a college or university student health center or clinic in this
169 the state may refuse to be included in the immunization registry
170 by signing a form obtained from the department, health center,
171 or clinic which indicates that the student does not wish to be
172 included in the immunization registry. The student may either
173 submit the opt-out form directly to the department or must
174 provide it such opt-out form to the health center or clinic upon
175 administration of the immunization vaccination. Such health
176 center or clinic shall submit the form to the department. If the
177 student has refused to be included in the immunization registry,
178 A student may submit the opt-out form directly to the
179 department. any records or identifying information pertaining to
180 the student must shall be removed from the registry if the
181 student has refused to be included in the immunization registry.
182 4. The immunization registry shall allow for immunization
183 records to be electronically available to entities that are
184 required by law to have such records, including, but not limited
185 to, schools and licensed child care facilities. However, the
186 department may not include a person’s immunization records in
187 any interstate or federal immunization tracking system or
188 otherwise allow an entity not required by law to have such
189 records without first obtaining written informed consent from
190 the person or the person’s parent or guardian, if the person is
191 a minor, to release the immunization records for such purpose.
192 5. A health care practitioner licensed under chapter 458,
193 chapter 459, or chapter 464 in this state who administers
194 vaccinations or causes vaccinations to be administered to
195 children from birth through 17 years of age is required to
196 report vaccination data to the immunization registry, unless a
197 parent or guardian of a child has refused to have the child
198 included in the immunization registry by meeting the
199 requirements of subparagraph 2. A health care practitioner
200 licensed under chapter 458, chapter 459, or chapter 464 in this
201 state who administers vaccinations or causes vaccinations to be
202 administered to college or university students from 18 years of
203 age to 23 years of age at a college or university student health
204 center or clinic is required to report vaccination data to the
205 immunization registry, unless the student has refused to be
206 included in the immunization registry by meeting the
207 requirements of subparagraph 3. Vaccination data for students in
208 other age ranges may be submitted to the immunization registry
209 only if the student consents to inclusion in the immunization
210 registry. The upload of data from existing automated systems is
211 an acceptable method for updating immunization information in
212 the immunization registry. The information in the immunization
213 registry must include the child’s name, date of birth, address,
214 and any other unique identifier necessary to correctly identify
215 the child; the immunization record, including the date, type of
216 administered vaccine, and vaccine lot number; and the presence
217 or absence of any adverse reaction or contraindication related
218 to the immunization. Information received by the department for
219 the immunization registry retains its status as confidential
220 medical information and the department must maintain the
221 confidentiality of that information as otherwise required by
222 law. A health care practitioner or other agency that obtains
223 information from the immunization registry must maintain the
224 confidentiality of any medical records in accordance with s.
225 456.057 or as otherwise required by law.
226 Section 2. Present paragraphs (c) and (d) through (g) of
227 subsection (2) of section 381.00316, Florida Statutes, are
228 redesignated as paragraphs (f) and (b) through (e),
229 respectively, and present paragraphs (b) and (c) of that
230 subsection and subsections (3) and (4) of that section are
231 amended, to read:
232 381.00316 Discrimination by governmental and business
233 entities based on health care choices; prohibition.—
234 (2) As used in this section, the term:
235 (b) “COVID-19” means the novel coronavirus identified as
236 SARS-CoV-2; any disease caused by SARS-CoV-2, its viral
237 fragments, or a virus mutating therefrom; and all conditions
238 associated with the disease which are caused by SARS-CoV-2, its
239 viral fragments, or a virus mutating therefrom.
240 (f)(c) “COVID-19 Vaccine” means a preparation designed to
241 stimulate the human body’s immune response against a
242 communicable disease COVID-19.
243 (3)(a) A business entity may not require any person to
244 provide any documentation certifying vaccination with any
245 vaccine defined under subsection (2) or postinfection recovery
246 from any communicable disease COVID-19, or require a presumptive
247 or confirmatory COVID-19 test showing proof of recovery from any
248 communicable disease, to gain access to, entry upon, or service
249 from the business operations in this state or as a condition of
250 contracting, hiring, promotion, or continued employment with the
251 business entity.
252 (b) A business entity may not discharge or refuse to hire a
253 person; deprive or attempt to deprive a person of employment
254 opportunities; adversely affect a person’s status as an employee
255 or as an applicant for employment; or otherwise discriminate
256 against a person based on knowledge or belief of the person’s
257 status relating to vaccination with any vaccine defined under
258 subsection (2) or COVID-19 postinfection recovery from a
259 communicable disease, or a person’s failure to take a
260 presumptive or confirmatory COVID-19 test showing proof of
261 recovery from any communicable disease.
262 (c) For matters relating to vaccines other than those
263 defined under subsection (2), a business entity shall provide
264 for exemptions and reasonable accommodations for religious and
265 medical reasons in accordance with federal law.
266 (d) A licensed facility as defined in s. 395.002 may not
267 discriminate in providing health care to a patient based solely
268 on that patient’s vaccination status with a COVID-19 vaccine.
269 (4)(a) A governmental entity may not require any person to
270 provide any documentation certifying vaccination with any
271 vaccine defined under subsection (2) or postinfection recovery
272 from a communicable disease COVID-19, or require a presumptive
273 or confirmatory COVID-19 test for any communicable disease, to
274 gain access to, entry upon, or service from the governmental
275 entity’s operations in this state or as a condition of
276 contrac