Florida Senate - 2011                        COMMITTEE AMENDMENT
       Bill No. CS for SB 432
       
       
       
       
       
       
                                Barcode 422568                          
       
                              LEGISLATIVE ACTION                        
                    Senate             .             House              
                  Comm: RCS            .                                
                  03/28/2011           .                                
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       The Committee on Health Regulation (Altman) recommended the
       following:
       
    1         Senate Amendment (with title amendment)
    2  
    3         Delete everything after the enacting clause
    4  and insert:
    5         Section 1. Section 790.338, Florida Statutes, is created to
    6  read:
    7         790.338 Medical privacy concerning firearms; prohibitions;
    8  penalties, exceptions.—
    9         (1) A health care provider licensed under chapter 456 or a
   10  health care facility licensed under chapter 395 may not
   11  intentionally enter any disclosed information concerning firearm
   12  ownership into the patient’s medical record when the provider
   13  knows that such information is not relevant to the patient’s
   14  medical care or safety.
   15         (2) A health care provider licensed under chapter 456 or a
   16  health care facility licensed under chapter 395 shall respect a
   17  patient’s right to privacy and should refrain from making a
   18  written inquiry or asking questions concerning the ownership of
   19  a firearm or ammunition by the patient or by a family member of
   20  the patient, or the presence of a firearm in a private home or
   21  other domicile of the patient or a family member of the patient.
   22  Notwithstanding this provision, a health care provider or health
   23  care facility that in good faith believes that this information
   24  is relevant to the patient’s medical care or safety may make
   25  such a verbal or written inquiry.
   26         (3) A patient may decline to answer or provide any
   27  information regarding ownership of a firearm by the patient or a
   28  family member of the patient, or the presence of a firearm in
   29  the domicile of the patient or a family member of the patient. A
   30  patient’s decision not to answer a question relating to the
   31  presence or ownership of a firearm does not alter existing law
   32  regarding a physician’s authorization to choose his or her
   33  patients.
   34         (4) A health care provider licensed under chapter 456 or a
   35  health care facility licensed under chapter 395 may not
   36  discriminate against a patient based solely upon the patient’s
   37  exercise of the constitutional right to own and possess firearms
   38  or ammunition.
   39         (5) A health care provider licensed under chapter 456 or a
   40  health care facility licensed under chapter 395 shall respect a
   41  patient’s legal right to own or possess a firearm and should
   42  refrain from unnecessarily harassing a patient about firearm
   43  ownership during an examination.
   44         (6) Violations of the provisions of subsections 1-4 of this
   45  section shall constitute grounds for disciplinary action under
   46  s. 456.072(2) and s. 395.1055.
   47         Section 2.Paragraph (b) of subsection (4) of section
   48  381.026, Florida Statutes is amended to read:
   49         381.026 Florida Patient’s Bill of Rights and
   50  Responsibilities.—
   51         (4) RIGHTS OF PATIENTS.— Each health care facility or
   52  provider shall observe the following standards:
   53         (b) Information.—
   54         1. A patient has the right to know the name, function, and
   55  qualifications of each health care provider who is providing
   56  medical services to the patient. A patient may request such
   57  information from his or her responsible provider or the health
   58  care facility in which he or she is receiving medical services.
   59         2. A patient in a health care facility has the right to
   60  know what patient support services are available in the
   61  facility.
   62         3. A patient has the right to be given by his or her health
   63  care provider information concerning diagnosis, planned course
   64  of treatment, alternatives, risks, and prognosis, unless it is
   65  medically inadvisable or impossible to give this information to
   66  the patient, in which case the information must be given to the
   67  patient’s guardian or a person designated as the patient’s
   68  representative. A patient has the right to refuse this
   69  information.
   70         4. A patient has the right to refuse any treatment based on
   71  information required by this paragraph, except as otherwise
   72  provided by law. The responsible provider shall document any
   73  such refusal.
   74         5. A patient in a health care facility has the right to
   75  know what facility rules and regulations apply to patient
   76  conduct.
   77         6. A patient has the right to express grievances to a
   78  health care provider, a health care facility, or the appropriate
   79  state licensing agency regarding alleged violations of patients’
   80  rights. A patient has the right to know the health care
   81  provider’s or health care facility’s procedures for expressing a
   82  grievance.
   83         7. A patient in a health care facility who does not speak
   84  English has the right to be provided an interpreter when
   85  receiving medical services if the facility has a person readily
   86  available who can interpret on behalf of the patient.
   87         8. A health care provider or health care facility shall
   88  respect a patient’s right to privacy and should refrain from
   89  making a written inquiry or asking questions concerning the
   90  ownership of a firearm or ammunition by the patient or by a
   91  family member of the patient, or the presence of a firearm in a
   92  private home or other domicile of the patient or a family member
   93  of the patient. Notwithstanding this provision, a health care
   94  provider or health care facility that in good faith believes
   95  that this information is relevant to the patient’s medical care
   96  or safety may make such a verbal or written inquiry.
   97         9. A patient may decline to answer or provide any
   98  information regarding ownership of a firearm by the patient or a
   99  family member of the patient, or the presence of a firearm in
  100  the domicile of the patient or a family member of the patient. A
  101  patient’s decision not to answer a question relating to the
  102  presence or ownership of a firearm does not alter existing law
  103  regarding a physician’s authorization to choose his or her
  104  patients.
  105         10. A health care provider or health care facility may not
  106  discriminate against a patient based solely upon the patient’s
  107  exercise of the constitutional right to own and possess firearms
  108  or ammunition.
  109         11. A health care provider or health care facility shall
  110  respect a patient’s legal right to own or possess a firearm and
  111  should refrain from unnecessarily harassing a patient about
  112  firearm ownership during an examination.
  113         Section 3. Subsection (mm) is added to section 456.072(1),
  114  Florida Statutes, to read:
  115         456.072 Grounds for discipline; penalties; enforcement.—
  116         (1) The following acts shall constitute grounds for which
  117  the disciplinary actions specified in subsection (2) may be
  118  taken:
  119         (mm) Violating any of the provisions of s. 790.338, Florida
  120  Statutes.
  121         Section 4. Section 627.xxx, Florida Statutes, is created to
  122  read:
  123         No insurer issuing any type of insurance policy pursuant to
  124  this chapter may deny coverage or increase any premium, or
  125  otherwise discriminate against any insured or applicant for
  126  insurance on the basis of, or upon reliance upon (i) the lawful
  127  ownership or possession of a firearm or ammunition or (ii) the
  128  lawful use or storage of a firearm or ammunition.
  129         Section 5. This act shall take effect upon becoming law.
  130  
  131  ================= T I T L E  A M E N D M E N T ================
  132         And the title is amended as follows:
  133         Delete everything before the enacting clause
  134  and insert:
  135                        A bill to be entitled                      
  136         An act relating to the privacy of firearm owners;
  137         creating s. 790.338, F.S.; providing that a licensed
  138         medical care provider or health care facility may not
  139         record information regarding firearm ownership in a
  140         patient’s medical record; providing an exception for
  141         relevance of the information to the patient’s medical
  142         care or safety; providing that unless the information
  143         is relevant to the patient’s medical care or safety,
  144         inquiries regarding firearm ownership or possession
  145         should not be made by licensed health care providers
  146         or health care facilities; providing that a patient
  147         may decline to provide information regarding the
  148         ownership or possession of firearms; clarifying that a
  149         physician’s authorization to choose his or her
  150         patients is not altered by this subsection;
  151         prohibiting discrimination by licensed health care
  152         providers or facilities based solely upon a patient’s
  153         firearm ownership or possession; prohibiting
  154         harassment of a patient regarding firearm ownership by
  155         a licensed health care provider or facility during an
  156         examination; providing for disciplinary action;
  157         amending s. 381.026, F.S.; providing that unless the
  158         information is relevant to the patient’s medical care
  159         or safety, inquiries regarding firearm ownership or
  160         possession should not be made by licensed health care
  161         providers or health care facilities; providing that a
  162         patient may decline to provide information regarding
  163         the ownership or possession of firearms; clarifying
  164         that a physician’s authorization to choose his or her
  165         patients is not altered by this section; prohibiting
  166         discrimination by licensed health care providers or
  167         facilities based solely upon a patient’s firearm
  168         ownership or possession; prohibiting harassment of a
  169         patient regarding firearm ownership during an
  170         examination by a licensed health care provider or
  171         facility; amending s. 456.072(1), F.S.; including the
  172         violation of the provisions of s. 790.338, F.S. as
  173         grounds for disciplinary action; creating an
  174         undesignated section of the Florida Statutes;
  175         prohibiting denial of insurance coverage, increased
  176         premiums, or any other form of discrimination by
  177         insurance companies issuing policies pursuant to ch.
  178         627, F.S. on the basis of an insured’s or applicant’s
  179         ownership, possession, or storage of firearms or
  180         ammunition; providing an effective date.