Florida’s Invoice Concentrating on Gender Affirming Care Impacts Minors and Adults


On Might 4, 2023, SB 254 handed the Florida Senate by a protected majority vote of 83 to twenty-eight and is now on Governor DeSantis’s desk for approval. As soon as signed (anticipated shortly) , this legislation will take rapid impact and disrupt the supply of gender affirming care within the state of Florida. Particularly, the legislation will:

  • prohibit the supply of sex-reassignment prescriptions or procedures to minors;
  • affect the power to prescribe sex-reassignment drugs to adults through telemedicine; and
  • prohibit state funds from paying for sex-reassignment prescriptions or procedures.

This legislation solely impacts prescriptions and procedures and won’t affect the supply of different sorts of care, similar to behavioral well being providers.

Prohibition of Remedy of Minors

The proposed legislation broadly prohibits any sex-reassignment prescriptions and procedures for sufferers youthful than 18 years of age no matter parental consent or doctor suggestion. The one exception to the prohibition is for sufferers who commenced any prescriptions or procedures previous to or on the date of when the proposed legislation is signed. In these instances, the Board of Drugs and the Board of Osteopathic Drugs should undertake emergency guidelines dictating the required knowledgeable consent necessities from the affected person’s mum or dad or authorized guardian and the supply {of professional} counseling providers by a psychiatrist or psychologist for the affected person. Willful violation of this legislation by a well being care practitioner can be thought of a felony of the third diploma.

Moreover, the legislation would permit Florida courts to take emergency short-term jurisdiction of a kid current on this state if crucial to forestall a minor from both being susceptible to or at present present process any sex-reassignment prescriptions or procedures.

In Individual Knowledgeable Consent for Remedy of Adults

Beneath the proposed legislation, a affected person over 18 should present voluntary knowledgeable consent, in writing, earlier than acquiring sex-reassignment prescriptions or procedures. For the consent to be thought of knowledgeable, the prescribing or administering doctor should, whereas “bodily current in the identical room”:

  • Inform the affected person of the character and dangers;
  • Present the knowledgeable consent varieties adopted by the Board of Drugs and the Board of Osteopathic Drugs; and
  • Obtain the affected person’s written acknowledgement earlier than the prescription or process is prescribed, administered, or carried out.

The treating doctor solely must acquire consent as soon as for a prescription and any renewals, however separate consent can be wanted earlier than the doctor prescribes any new pharmaceutical merchandise. Additional, solely a doctor can acquire consent (i.e., nurse practitioners and doctor assistants can’t fulfill the consent necessities) and failure to take action can be categorised as a misdemeanor of the primary diploma.

The “bodily current in the identical room” requirement means physicians could not present the consent through telehealth applied sciences which may considerably limit a affected person’s capacity to obtain wanted prescriptions through telemedicine.

State Funds

As soon as the invoice is signed into legislation, state funds can’t be used to pay for sex-reassignment prescriptions or procedures.

Foley is right here that can assist you tackle the short- and long-term impacts within the wake of regulatory adjustments. We now have the sources that can assist you navigate these and different vital authorized concerns associated to enterprise operations and industry-specific points. Please attain out to the authors, your Foley relationship associate, or to our Well being Care Apply Group with any questions.


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