Florida Senate - 2022                                    SB 1468
       
       
        
       By Senator Stewart
       
       
       
       
       
       13-00402A-22                                          20221468__
    1                        A bill to be entitled                      
    2         An act relating to the human immunodeficiency virus;
    3         amending s. 775.0877, F.S.; excluding saliva from the
    4         offenses involving the transmission of body fluids for
    5         which certain offenders must undergo HIV testing;
    6         deleting offenses relating to prostitution from the
    7         offenses under which certain offenders must undergo
    8         HIV testing; reducing criminal penalties for the
    9         commission of criminal transmission of HIV; amending
   10         s. 796.08, F.S.; deleting requirements relating to the
   11         screening, treatment, and counseling for sexually
   12         transmissible diseases of certain offenders; deleting
   13         criminal penalties for related violations; making
   14         technical changes; amending s. 960.003, F.S.;
   15         conforming cross-references; amending ss. 98.0751 and
   16         381.004, F.S.; conforming provisions to changes made
   17         by the act; providing an effective date.
   18          
   19  Be It Enacted by the Legislature of the State of Florida:
   20  
   21         Section 1. Subsections (1), (3), and (6) of section
   22  775.0877, Florida Statutes, are amended to read:
   23         775.0877 Criminal transmission of HIV; procedures;
   24  penalties.—
   25         (1) In any case in which a person has been convicted of or
   26  has pled nolo contendere or guilty to, regardless of whether
   27  adjudication is withheld, any of the following offenses, or the
   28  attempt thereof, which offense or attempted offense involves the
   29  transmission of body fluids, excluding saliva, from one person
   30  to another:
   31         (a) Section 794.011, relating to sexual battery;
   32         (b) Section 826.04, relating to incest;
   33         (c) Section 800.04, relating to lewd or lascivious offenses
   34  committed upon or in the presence of persons less than 16 years
   35  of age;
   36         (d) Sections 784.011, 784.07(2)(a), and 784.08(2)(d),
   37  relating to assault;
   38         (e) Sections 784.021, 784.07(2)(c), and 784.08(2)(b),
   39  relating to aggravated assault;
   40         (f) Sections 784.03, 784.07(2)(b), and 784.08(2)(c),
   41  relating to battery;
   42         (g) Sections 784.045, 784.07(2)(d), and 784.08(2)(a),
   43  relating to aggravated battery;
   44         (h) Section 827.03(2)(c), relating to child abuse;
   45         (i) Section 827.03(2)(a), relating to aggravated child
   46  abuse;
   47         (j) Section 825.102(1), relating to abuse of an elderly
   48  person or disabled adult;
   49         (k) Section 825.102(2), relating to aggravated abuse of an
   50  elderly person or disabled adult;
   51         (l) Section 827.071, relating to sexual performance by
   52  person less than 18 years of age;
   53         (m) Sections 796.07 and 796.08, relating to prostitution;
   54         (n) Section 381.0041(11)(b), relating to donation of blood,
   55  plasma, organs, skin, or other human tissue; or
   56         (n)(o) Sections 787.06(3)(b), (d), (f), and (g), relating
   57  to human trafficking,
   58  
   59  the court shall order the offender to undergo HIV testing, to be
   60  performed under the direction of the Department of Health in
   61  accordance with s. 381.004, unless the offender has undergone
   62  HIV testing voluntarily or pursuant to procedures established in
   63  s. 381.004(2)(h)6. or s. 951.27, or any other applicable law or
   64  rule providing for HIV testing of criminal offenders or inmates,
   65  subsequent to her or his arrest for an offense enumerated in
   66  paragraphs (a)-(m) (a)-(n) for which she or he was convicted or
   67  to which she or he pled nolo contendere or guilty. The results
   68  of an HIV test performed on an offender pursuant to this
   69  subsection are not admissible in any criminal proceeding arising
   70  out of the alleged offense.
   71         (3) An offender who has undergone HIV testing pursuant to
   72  subsection (1), and to whom positive test results have been
   73  disclosed pursuant to subsection (2), who commits a second or
   74  subsequent offense enumerated in paragraphs (1)(a)-(m) (1)(a)
   75  (n), commits criminal transmission of HIV, a misdemeanor of the
   76  first felony of the third degree, punishable as provided in s.
   77  775.082 or, s. 775.083, or s. 775.084. A person may be convicted
   78  and sentenced separately for a violation of this subsection and
   79  for the underlying crime enumerated in paragraphs (1)(a)-(m)
   80  (1)(a)-(n).
   81         (6) For an alleged violation of any offense enumerated in
   82  paragraphs (1)(a)-(m) (1)(a)-(n) for which the consent of the
   83  victim may be raised as a defense in a criminal prosecution, it
   84  is an affirmative defense to a charge of violating this section
   85  that the person exposed knew that the offender was infected with
   86  HIV, knew that the action being taken could result in
   87  transmission of the HIV infection, and consented to the action
   88  voluntarily with that knowledge.
   89         Section 2. Section 796.08, Florida Statutes, is amended to
   90  read:
   91         796.08 Screening for HIV and sexually transmissible
   92  diseases; providing penalties.—
   93         (1)(a) As used in this section, the term For the purposes
   94  of this section, “sexually transmissible disease” means a
   95  bacterial, viral, fungal, or parasitic disease, determined by
   96  rule of the Department of Health to be sexually transmissible, a
   97  threat to the public health and welfare, and a disease for which
   98  a legitimate public interest is served by providing for
   99  regulation and treatment.
  100         (b) In considering which diseases are designated as
  101  sexually transmissible diseases, the Department of Health shall
  102  consider such diseases as chancroid, gonorrhea, granuloma
  103  inguinale, lymphogranuloma venereum, genital herpes simplex,
  104  chlamydia, nongonococcal urethritis (NGU), pelvic inflammatory
  105  disease (PID)/acute salpingitis, syphilis, and human
  106  immunodeficiency virus infection for designation and shall
  107  consider the recommendations and classifications of the Centers
  108  for Disease Control and Prevention and other nationally
  109  recognized authorities. Not all diseases that are sexually
  110  transmissible need be designated for purposes of this section.
  111         (2) A person arrested under s. 796.07 may request screening
  112  for a sexually transmissible disease, including human
  113  immunodeficiency virus, under direction of the Department of
  114  Health and, if infected, shall submit to appropriate treatment
  115  and counseling. A person who requests screening for a sexually
  116  transmissible disease under this subsection must pay any costs
  117  associated with such screening.
  118         (3) A person convicted under s. 796.07 of prostitution or
  119  procuring another to commit prostitution must undergo screening
  120  for a sexually transmissible disease, including, but not limited
  121  to, screening to detect exposure to the human immunodeficiency
  122  virus, under direction of the Department of Health. If the
  123  person is infected, he or she must submit to treatment and
  124  counseling prior to release from probation, community control,
  125  or incarceration. Notwithstanding the provisions of s. 384.29,
  126  the results of tests conducted pursuant to this subsection shall
  127  be made available by the Department of Health to the offender,
  128  medical personnel, appropriate state agencies, state attorneys,
  129  and courts of appropriate jurisdiction in need of such
  130  information in order to enforce the provisions of this chapter.
  131         (4) A person who commits prostitution or procures another
  132  for prostitution and who, prior to the commission of such crime,
  133  had tested positive for a sexually transmissible disease other
  134  than human immunodeficiency virus infection and knew or had been
  135  informed that he or she had tested positive for such sexually
  136  transmissible disease and could possibly communicate such
  137  disease to another person through sexual activity commits a
  138  misdemeanor of the first degree, punishable as provided in s.
  139  775.082 or s. 775.083. A person may be convicted and sentenced
  140  separately for a violation of this subsection and for the
  141  underlying crime of prostitution or procurement of prostitution.
  142         (5) A person who:
  143         (a) Commits or offers to commit prostitution; or
  144         (b) Procures another for prostitution by engaging in sexual
  145  activity in a manner likely to transmit the human
  146  immunodeficiency virus,
  147  
  148  and who, prior to the commission of such crime, had tested
  149  positive for human immunodeficiency virus and knew or had been
  150  informed that he or she had tested positive for human
  151  immunodeficiency virus and could possibly communicate such
  152  disease to another person through sexual activity commits
  153  criminal transmission of HIV, a felony of the third degree,
  154  punishable as provided in s. 775.082, s. 775.083, or s. 775.084.
  155  A person may be convicted and sentenced separately for a
  156  violation of this subsection and for the underlying crime of
  157  prostitution or procurement of prostitution.
  158         Section 3. Paragraphs (a) and (b) of subsection (2) and
  159  paragraph (a) of subsection (3) of section 960.003, Florida
  160  Statutes, are amended to read:
  161         960.003 Hepatitis and HIV testing for persons charged with
  162  or alleged by petition for delinquency to have committed certain
  163  offenses; disclosure of results to victims.—
  164         (2) TESTING OF PERSON CHARGED WITH OR ALLEGED BY PETITION
  165  FOR DELINQUENCY TO HAVE COMMITTED CERTAIN OFFENSES.—
  166         (a) In any case in which a person has been charged by
  167  information or indictment with or alleged by petition for
  168  delinquency to have committed any offense enumerated in s.
  169  775.0877(1)(a)-(m) s. 775.0877(1)(a)-(n), which involves the
  170  transmission of body fluids from one person to another, upon
  171  request of the victim or the victim’s legal guardian, or of the
  172  parent or legal guardian of the victim if the victim is a minor,
  173  the court shall order such person to undergo hepatitis and HIV
  174  testing within 48 hours after the information, indictment, or
  175  petition for delinquency is filed. In the event the victim or,
  176  if the victim is a minor, the victim’s parent or legal guardian
  177  requests hepatitis and HIV testing after 48 hours have elapsed
  178  from the filing of the indictment, information, or petition for
  179  delinquency, the testing shall be done within 48 hours after the
  180  request.
  181         (b) However, when a victim of any sexual offense enumerated
  182  in s. 775.0877(1)(a)-(m) s. 775.0877(1)(a)-(n) is under the age
  183  of 18 at the time the offense was committed or when a victim of
  184  any sexual offense enumerated in s. 775.0877(1)(a)-(m) s.
  185  775.0877(1)(a)-(n) or s. 825.1025 is a disabled adult or elderly
  186  person as defined in s. 825.1025 regardless of whether the
  187  offense involves the transmission of bodily fluids from one
  188  person to another, then upon the request of the victim or the
  189  victim’s legal guardian, or of the parent or legal guardian, the
  190  court shall order such person to undergo hepatitis and HIV
  191  testing within 48 hours after the information, indictment, or
  192  petition for delinquency is filed. In the event the victim or,
  193  if the victim is a minor, the victim’s parent or legal guardian
  194  requests hepatitis and HIV testing after 48 hours have elapsed
  195  from the filing of the indictment, information, or petition for
  196  delinquency, the testing shall be done within 48 hours after the
  197  request. The testing shall be performed under the direction of
  198  the Department of Health in accordance with s. 381.004. The
  199  results of a hepatitis and HIV test performed on a defendant or
  200  juvenile offender pursuant to this subsection shall not be
  201  admissible in any criminal or juvenile proceeding arising out of
  202  the alleged offense.
  203         (3) DISCLOSURE OF RESULTS.—
  204         (a) The results of the test shall be disclosed no later
  205  than 2 weeks after the court receives such results, under the
  206  direction of the Department of Health, to the person charged
  207  with or alleged by petition for delinquency to have committed or
  208  to the person convicted of or adjudicated delinquent for any
  209  offense enumerated in s. 775.0877(1)(a)-(m) s. 775.0877(1)(a)
  210  (n), which involves the transmission of body fluids from one
  211  person to another, and, upon request, to the victim or the
  212  victim’s legal guardian, or the parent or legal guardian of the
  213  victim if the victim is a minor, and to public health agencies
  214  pursuant to s. 775.0877. If the alleged offender is a juvenile,
  215  the test results shall also be disclosed to the parent or
  216  guardian. When the victim is a victim as described in paragraph
  217  (2)(b), the test results must also be disclosed no later than 2
  218  weeks after the court receives such results, to the person
  219  charged with or alleged by petition for delinquency to have
  220  committed or to the person convicted of or adjudicated
  221  delinquent for any offense enumerated in s. 775.0877(1)(a)-(m)
  222  s. 775.0877(1)(a)-(n), or s. 825.1025 regardless of whether the
  223  offense involves the transmission of bodily fluids from one
  224  person to another, and, upon request, to the victim or the
  225  victim’s legal guardian, or the parent or legal guardian of the
  226  victim, and to public health agencies pursuant to s. 775.0877.
  227  Otherwise, hepatitis and HIV test results obtained pursuant to
  228  this section are confidential and exempt from the provisions of
  229  s. 119.07(1) and s. 24(a), Art. I of the State Constitution and
  230  shall not be disclosed to any other person except as expressly
  231  authorized by law or court order.
  232         Section 4. Paragraph (b) of subsection (2) of section
  233  98.0751, Florida Statutes, is amended to read:
  234         98.0751 Restoration of voting rights; termination of
  235  ineligibility subsequent to a felony conviction.—
  236         (2) For purposes of this section, the term:
  237         (b) “Felony sexual offense” means any of the following:
  238         1. Any felony offense that serves as a predicate to
  239  registration as a sexual offender in accordance with s.
  240  943.0435;
  241         2. Section 491.0112;
  242         3. Section 784.049(3)(b);
  243         4. Section 794.08;
  244         5. Section 796.08;
  245         6. Section 800.101;
  246         6.7. Section 826.04;
  247         7.8. Section 847.012;
  248         8.9. Section 872.06(2);
  249         9.10. Section 944.35(3)(b)2.;
  250         10.11. Section 951.221(1); or
  251         11.12. Any similar offense committed in another
  252  jurisdiction which would be an offense listed in this paragraph
  253  if it had been committed in violation of the laws of this state.
  254         Section 5. Paragraph (h) of subsection (2) of section
  255  381.004, Florida Statutes, is amended to read:
  256         381.004 HIV testing.—
  257         (2) HUMAN IMMUNODEFICIENCY VIRUS TESTING; INFORMED CONSENT;
  258  RESULTS; COUNSELING; CONFIDENTIALITY.—
  259         (h) Paragraph (a) does not apply:
  260         1. When testing for sexually transmissible diseases is
  261  required by state or federal law, or by rule, including the
  262  following situations:
  263         a. HIV testing pursuant to s. 796.08 of persons convicted
  264  of prostitution or of procuring another to commit prostitution.
  265         b. HIV testing of inmates pursuant to s. 945.355 before
  266  their release from prison by reason of parole, accumulation of
  267  gain-time credits, or expiration of sentence.
  268         c. Testing for HIV by a medical examiner in accordance with
  269  s. 406.11.
  270         d. HIV testing of pregnant women pursuant to s. 384.31.
  271         2. To those exceptions provided for blood, plasma, organs,
  272  skin, semen, or other human tissue pursuant to s. 381.0041.
  273         3. For the performance of an HIV-related test by licensed
  274  medical personnel in bona fide medical emergencies if the test
  275  results are necessary for medical diagnostic purposes to provide
  276  appropriate emergency care or treatment to the person being
  277  tested and the patient is unable to consent, as supported by
  278  documentation in the medical record. Notification of test
  279  results in accordance with paragraph (c) is required.
  280         4. For the performance of an HIV-related test by licensed
  281  medical personnel for medical diagnosis of acute illness where,
  282  in the opinion of the attending physician, providing
  283  notification would be detrimental to the patient, as supported
  284  by documentation in the medical record, and the test results are
  285  necessary for medical diagnostic purposes to provide appropriate
  286  care or treatment to the person being tested. Notification of
  287  test results in accordance with paragraph (c) is required if it
  288  would not be detrimental to the patient. This subparagraph does
  289  not authorize the routine testing of patients for HIV infection
  290  without notification.
  291         5. If HIV testing is performed as part of an autopsy for
  292  which consent was obtained pursuant to s. 872.04.
  293         6. For the performance of an HIV test upon a defendant
  294  pursuant to the victim’s request in a prosecution for any type
  295  of sexual battery where a blood sample is taken from the
  296  defendant voluntarily, pursuant to court order for any purpose,
  297  or pursuant to s. 775.0877, s. 951.27, or s. 960.003; however,
  298  the results of an HIV test performed shall be disclosed solely
  299  to the victim and the defendant, except as provided in ss.
  300  775.0877, 951.27, and 960.003.
  301         7. If an HIV test is mandated by court order.
  302         8. For epidemiological research pursuant to s. 381.0031,
  303  for research consistent with institutional review boards created
  304  by 45 C.F.R. part 46, or for the performance of an HIV-related
  305  test for the purpose of research, if the testing is performed in
  306  a manner by which the identity of the test subject is not known
  307  and may not be retrieved by the researcher.
  308         9. If human tissue is collected lawfully without the
  309  consent of the donor for corneal removal as authorized by s.
  310  765.5185 or enucleation of the eyes as authorized by s. 765.519.
  311         10. For the performance of an HIV test upon an individual
  312  who comes into contact with medical personnel in such a way that
  313  a significant exposure has occurred during the course of
  314  employment, within the scope of practice, or during the course
  315  of providing emergency medical assistance to the individual. The
  316  term “medical personnel” includes a licensed or certified health
  317  care professional; an employee of a health care professional or
  318  health care facility; employees of a laboratory licensed under
  319  chapter 483; personnel of a blood bank or plasma center; a
  320  medical student or other student who is receiving training as a
  321  health care professional at a health care facility; and a
  322  paramedic or emergency medical technician certified by the
  323  department to perform life-support procedures under s. 401.23.
  324         a. The occurrence of a significant exposure shall be
  325  documented by medical personnel under the supervision of a
  326  licensed physician and recorded only in the personnel record of
  327  the medical personnel.
  328         b. Costs of an HIV test shall be borne by the medical
  329  personnel or the employer of the medical personnel. However,
  330  costs of testing or treatment not directly related to the
  331  initial HIV tests or costs of subsequent testing or treatment
  332  may not be borne by the medical personnel or the employer of the
  333  medical personnel.
  334         c. In order to use the provisions of this subparagraph, the
  335  medical personnel must be tested for HIV pursuant to this
  336  section or provide the results of an HIV test taken within 6
  337  months before the significant exposure if such test results are
  338  negative.
  339         d. A person who receives the results of an HIV test
  340  pursuant to this subparagraph shall maintain the confidentiality
  341  of the information received and of the persons tested. Such
  342  confidential information is exempt from s. 119.07(1).
  343         e. If the source of the exposure is not available and will
  344  not voluntarily present himself or herself to a health facility
  345  to be tested for HIV, the medical personnel or the employer of
  346  such person acting on behalf of the employee may seek a court
  347  order directing the source of the exposure to submit to HIV
  348  testing. A sworn statement by a physician licensed under chapter
  349  458 or chapter 459 that a significant exposure has occurred and
  350  that, in the physician’s medical judgment, testing is medically
  351  necessary to determine the course of treatment constitutes
  352  probable cause for the issuance of an order by the court. The
  353  results of the test shall be released to the source of the
  354  exposure and to the person who experienced the exposure.
  355         11. For the performance of an HIV test upon an individual
  356  who comes into contact with nonmedical personnel in such a way
  357  that a significant exposure has occurred while the nonmedical
  358  personnel provides emergency medical assistance during a medical
  359  emergency. For the purposes of this subparagraph, a medical
  360  emergency means an emergency medical condition outside of a
  361  hospital or health care facility that provides physician care.
  362  The test may be performed only during the course of treatment
  363  for the medical emergency.
  364         a. The occurrence of a significant exposure shall be
  365  documented by medical personnel under the supervision of a
  366  licensed physician and recorded in the medical record of the
  367  nonmedical personnel.
  368         b. Costs of any HIV test shall be borne by the nonmedical
  369  personnel or the employer of the nonmedical personnel. However,
  370  costs of testing or treatment not directly related to the
  371  initial HIV tests or costs of subsequent testing or treatment
  372  may not be borne by the nonmedical personnel or the employer of
  373  the nonmedical personnel.
  374         c. In order to use the provisions of this subparagraph, the
  375  nonmedical personnel shall be tested for HIV pursuant to this
  376  section or shall provide the results of an HIV test taken within
  377  6 months before the significant exposure if such test results
  378  are negative.
  379         d. A person who receives the results of an HIV test
  380  pursuant to this subparagraph shall maintain the confidentiality
  381  of the information received and of the persons tested. Such
  382  confidential information is exempt from s. 119.07(1).
  383         e. If the source of the exposure is not available and will
  384  not voluntarily present himself or herself to a health facility
  385  to be tested for HIV, the nonmedical personnel or the employer
  386  of the nonmedical personnel acting on behalf of the employee may
  387  seek a court order directing the source of the exposure to
  388  submit to HIV testing. A sworn statement by a physician licensed
  389  under chapter 458 or chapter 459 that a significant exposure has
  390  occurred and that, in the physician’s medical judgment, testing
  391  is medically necessary to determine the course of treatment
  392  constitutes probable cause for the issuance of an order by the
  393  court. The results of the test shall be released to the source
  394  of the exposure and to the person who experienced the exposure.
  395         12. For the performance of an HIV test by the medical
  396  examiner or attending physician upon an individual who expired
  397  or could not be resuscitated while receiving emergency medical
  398  assistance or care and who was the source of a significant
  399  exposure to medical or nonmedical personnel providing such
  400  assistance or care.
  401         a. HIV testing may be conducted only after appropriate
  402  medical personnel under the supervision of a licensed physician
  403  documents in the medical record of the medical personnel or
  404  nonmedical personnel that there has been a significant exposure
  405  and that, in accordance with the written protocols based on the
  406  National Centers for Disease Control and Prevention guidelines
  407  on HIV postexposure prophylaxis and in the physician’s medical
  408  judgment, the information is medically necessary to determine
  409  the course of treatment for the medical personnel or nonmedical
  410  personnel.
  411         b. Costs of an HIV test performed under this subparagraph
  412  may not be charged to the deceased or to the family of the
  413  deceased person.
  414         c. For this subparagraph to be applicable, the medical
  415  personnel or nonmedical personnel must be tested for HIV under
  416  this section or must provide the results of an HIV test taken
  417  within 6 months before the significant exposure if such test
  418  results are negative.
  419         d. A person who receives the results of an HIV test
  420  pursuant to this subparagraph shall comply with paragraph (e).
  421         13. For the performance of an HIV-related test medically
  422  indicated by licensed medical personnel for medical diagnosis of
  423  a hospitalized infant as necessary to provide appropriate care
  424  and treatment of the infant if, after a reasonable attempt, a
  425  parent cannot be contacted to provide consent. The medical
  426  records of the infant must reflect the reason consent of the
  427  parent was not initially obtained. Test results shall be
  428  provided to the parent when the parent is located.
  429         14. For the performance of HIV testing conducted to monitor
  430  the clinical progress of a patient previously diagnosed to be
  431  HIV positive.
  432         15. For the performance of repeated HIV testing conducted
  433  to monitor possible conversion from a significant exposure.
  434         Section 6. This act shall take effect July 1, 2022.