The Florida Senate
BILL ANALYSIS AND FISCAL IMPACT STATEMENT
(This document is based on the provisions contained in the legislation as of the latest date listed below.)
Prepared By: The Professional Staff of the Committee on Rules
BILL: CS/SB 274
INTRODUCER: Children, Families, and Elder Affairs Committee and Senator Rodriguez
SUBJECT: Child Water Safety Requirements
DATE: February 13, 2024 REVISED:
ANALYST STAFF DIRECTOR REFERENCE ACTION
1. Looke Brown HP Favorable
2. Rao Tuszynski CF Fav/CS
3. Looke Twogood RC Favorable
Please see Section IX. for Additional Information:
COMMITTEE SUBSTITUTE - Substantial Changes
I. Summary:
CS/SB 274 creates the Kareem Angel Green Act to require certain organizations that bring a
child in its care to a public bathing place or public swimming pool to require the child’s parent or
legal guardian to attest whether the child is able to swim or is at risk in the water. If the child is
at risk in the water, the organization must provide a specified flotation device to the child and
ensure that the flotation device is properly fitted and fastened when the child is within a fenced-
in area containing a public bathing place or pool or if the child is within 100 feet of an unfenced
public bathing place or pool. The requirement to provide a flotation device does not apply to an
organization providing swimming instruction or a swimming competition. Additionally, the bill
provides specified types of organizations that are exempt from its requirements.
The bill authorizes the Department of Health (DOH) to adopt rules to administer the bill’s
provisions and provides that organizations in violation are subject to disciplinary action by any
state agency that has jurisdiction over that type of organization. The bill also requires DOH to
include information relevant to newborn and infant drowning prevention in a publication
available to health care facilities.
The bill provides an effective date of July 1, 2024.
BILL: CS/SB 274 Page 2
II. Present Situation:
The Danger of Drowning
Drowning is one of the leading causes of accidental death among children. For all ages, the
current annual global estimate is 295,000 drowning deaths, although this figure is thought to
underreport fatal drowning, in particular boating and disaster related drowning mortality.
Drowning disproportionately impacts children and young people, with over half of all drowning
deaths occurring among people younger than 25 years old. In many countries, children under five
years of age represent the highest rate of fatal and non-fatal drowning, with incidents commonly
occurring in swimming pools and bathtubs in high-income countries and in bodies of water in
and around a home in low-income contexts.1
Drowning Deaths in Florida
Drowning deaths in Florida have consistently ranged between 350 and 500 deaths per year in the
state from 2003 to present. Data from 2022 show that most counties suffered less than 10 deaths
from drowning in that year, but many highly-populated and coastal counties suffered from a
much higher rate of drowning.2 For example, Broward County had 46 drowning deaths in 2022,
Miami-Dade had 30, Hillsborough had 33, and Palm Beach had 42.3
Drowning Prevention
The National Drowning Prevention Alliance (NDPA) recommends five items for protecting
children from drowning: barriers and alarms, supervision, water competency, life jackets, and
emergency preparation.4 Specific to supervision, and since many drowning incidents occur when
people are actively swimming, the NDPA recommends that an adult be within arms’ length of
any children who lack water competency.5 Active supervision is recommended even in bodies of
water where a lifeguard is present.6
Life Jackets
The NDPA recommends that everyone wear a life jacket or personal flotation device (PFD)
approved by the United States Coast Guard (USCG) whenever boating or in a natural or open
body of water. The NDPA indicates it is important that the life jacket is USCG approved and
fitted for the individual. Not all devices sold by retailers are tested and approved flotation
1
Peden AE, Franklin RC. Learning to Swim: An Exploration of Negative Prior Aquatic Experiences among Children. Int J
Environ Res Public Health. 2020 May 19;17(10):3557. doi: 10.3390/ijerph17103557. PMID: 32438661; PMCID:
PMC7277817 available at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7277817/. (Last visited Jan. 25, 2024).
2
Florida Health Charts, Deaths from Unintentional Drowning, available at
https://www.flhealthcharts.gov/ChartsDashboards/rdPage.aspx?rdReport=Death.DataViewer&cid=0105, (last visited Jan 25,
2024).
3
Id.
4
National Drowning Prevention Alliance, Learn the 5 Layers of Protection, available at https://ndpa.org/layers/, (last visited
Jan., 25, 2024)
5
National Drowning Prevention Alliance, Supervision, available at https://ndpa.org/supervision, (last visited Jan., 24, 2024).
6
Id.
BILL: CS/SB 274 Page 3
devices. Devices that are not tested and approved cannot be considered a safe layer of protection
and should not be part of a family’s water safety plan, according to the NDPA.7
Personal flotation devices come in four types: Types I, II, III, and V. A Type I PFD has the
greatest required inherent buoyancy and turns most unconscious persons in the water from a
face-down position to a vertical and slightly backward position, thereby greatly increasing the
chance of survival. A Type 2 PFD is intended to turn some unconscious persons from a face-
down position in the water to a position where the wearer’s respiration is not impeded. A Type
III PFD is intended to support a conscious person in the water in an upright position. This type of
device is not required to turn an unconscious person in the water from a face-down position to a
position where the wearer’s respiration is not impeded. A Type V PFD is approved for restricted
uses or activities such as boardsailing or commercial white water rafting. These devices may not
be suitable for other boating activities. The label indicates whether a particular design of Type V
can be used in specific application, what restrictions or limitations apply, and its performance
type.8
III. Effect of Proposed Changes:
CS/SB 274 creates s. 514.073, F.S., to establish the Kareem Angel Green Act. The bill defines
the following terms:
 “Child” means a person younger than 12 years of age.
 “Organization” means a summer day camp, a summer 24-hour camp, a school, a preschool, a
kindergarten, a nursery school, or a child care facility as defined in s. 402.302.9
 “Public swimming pool” has the same meaning as in s. 514.011(2) but does not include a
wading pool.
 “Wading pool” means a pool, including a pool that contains a public interactive water feature
or fountain, with a maximum water depth of no more than 18 inches.
The bill requires any organization that takes a child in its care or under its supervision to a public
bathing place or public swimming pool to require the child’s parent to attest in writing whether
the child is able to swim or is at risk of injury or death when swimming or otherwise accessing a
pool or body of water. Any organization that conducts an activity that provides a child under its
care or supervision with access to a public bathing place or public swimming pool, whenever a
child who is at risk of injury or death when swimming, is within a fenced-in area around the pool
or bathing place, or is within 100 feet of a pool or bathing place that is not fenced-in, must:
 Provide the child with a USCG-approved Type II PFD if the child is near a public bathing
place;
 Provide the child with either a USCG-approved Type II or Type III PFD if the child is near a
public swimming pool; and
7
National Drowning Prevention Alliance, Life Jackets, available at https://ndpa.org/life-jackets/ https://ndpa.org/life-jackets/,
(last visited Jan., 25, 2024).
8
USCG, Life Jacket Wear / Wearing your Life Jacket, available at https://uscgboating.org/recreational-boaters/life-jacket-
wear-wearing-your-life-jacket.php, (last visited Jan. 24, 2024).
9
Section 402.302, F.S., defines “child care facility” as any child care center or child care arrangement which provides child
care for more than five children unrelated to the operator and which receives a payment, fee, or grant for any of the children
receiving care, wherever operated, and whether or not operated for profit. The definition specifically excludes schools,
summer camps, vacation Bible schools, and operators of transient establishments under specified circumstances.
BILL: CS/SB 274 Page 4
 Ensure that the PFD is properly fitted and fastened on the child.
The requirement to provide a PFD does not apply if the child is actively participating in
swimming instruction or a swimming competition if the organization ensures that each such
child is supervised during that time. Additionally, none of the requirements of the section apply
to:
 A residential boarding school that allows employees and their family members and guests to
use a body of water at the school for recreational purposes.
 A child-placing agency, family foster home, or residential child-caring agency as defined in
s. 409.175(2), F.S.
 A child care facility licensed under s. 402.305, F.S.
The bill authorizes the DOH to adopt rules to administer the bill’s provisions and provides that
organizations in violation are subject to disciplinary action, equivalent to licensure action, by any
state agency that has jurisdiction over that type of organization.
The bill also amends s. 515.31, F.S., to require the DOH to include information relevant to
newborn and infant drowning prevention in a publication available to the public. The bill
requires this information to be available to health care facilities including, but not limited to,
hospitals, birth centers, and perinatal facilities.
The bill provides an effective date of July 1, 2024.
IV. Constitutional Issues:
A. Municipality/County Mandates Restrictions:
None.
B. Public Records/Open Meetings Issues:
None.
C. Trust Funds Restrictions:
None.
D. State Tax or Fee Increases:
None.
E. Other Constitutional Issues:
None identified.
BILL: CS/SB 274 Page 5
V. Fiscal Impact Statement:
A. Tax/Fee Issues:
None.
B. Private Sector Impact:
The bill may have a negative fiscal impact on organizations that will be required to
provide PFDs under the bill.
C. Government Sector Impact:
None.
VI. Technical Deficiencies:
None.
VII. Related Issues:
CS/SB 274 defines the term “public swimming pool” but uses a number of other terms
throughout the bill including public bathing place, body of water, and pool. It may be advisable
to define the other terms used in the bill.
VIII. Statutes Affected:
This bill creates section 514.073 of the Florida Statutes.
The bill substantially amends section 515.31 of the Florida Statutes.
IX. Additional Information:
A. Committee Substitute – Statement of Substantial Changes:
(Summarizing differences between the Committee Substitute and the prior version of the bill.)
CS by Children, Families, and Elder Affairs on February 6, 2024:
The CS makes the following changes:
 Amends s. 515.31, F.S. to require the DOH to include information relevant to
newborn and infant drowning prevention in a publication available to the public and
health care facilities.
B. Amendments:
None.
This Senate Bill Analysis does not reflect the intent or official position of the bill’s introducer or the Florida Senate.

Statutes affected:
S 274 c1: 515.31