Florida Senate - 2011 CS for CS for SB 432 By the Committees on Health Regulation; and Criminal Justice; and Senator Evers 588-03219-11 2011432c2 1 A bill to be entitled 2 An act relating to the privacy of firearm owners; 3 creating s. 790.338, F.S.; providing that a licensed 4 medical care provider or health care facility may not 5 record information regarding firearm ownership in a 6 patient’s medical record; providing an exception for 7 relevance of the information to the patient’s medical 8 care or safety; providing that unless the information 9 is relevant to the patient’s medical care or safety, 10 inquiries regarding firearm ownership or possession 11 should not be made by licensed health care providers 12 or health care facilities; providing that a patient 13 may decline to provide information regarding the 14 ownership or possession of firearms; clarifying that a 15 physician’s authorization to choose his or her 16 patients is not altered by the act; prohibiting 17 discrimination by licensed health care providers or 18 facilities based solely upon a patient’s firearm 19 ownership or possession; prohibiting harassment of a 20 patient regarding firearm ownership by a licensed 21 health care provider or facility during an 22 examination; providing for disciplinary action; 23 amending s. 381.026, F.S.; providing that unless the 24 information is relevant to the patient’s medical care 25 or safety, inquiries regarding firearm ownership or 26 possession should not be made by licensed health care 27 providers or health care facilities; providing that a 28 patient may decline to provide information regarding 29 the ownership or possession of firearms; clarifying 30 that a physician’s authorization to choose his or her 31 patients is not altered by the act; prohibiting 32 discrimination by licensed health care providers or 33 facilities based solely upon a patient’s firearm 34 ownership or possession; prohibiting harassment of a 35 patient regarding firearm ownership during an 36 examination by a licensed health care provider or 37 facility; amending s. 456.072, F.S.; including the 38 violation of the provisions of s. 790.338, F.S., as 39 grounds for disciplinary action; prohibiting denial of 40 insurance coverage, increased premiums, or any other 41 form of discrimination by insurance companies issuing 42 policies pursuant to ch. 627, F.S., on the basis of an 43 insured’s or applicant’s ownership, possession, or 44 storage of firearms or ammunition; providing an 45 effective date. 46 47 Be It Enacted by the Legislature of the State of Florida: 48 49 Section 1. Section 790.338, Florida Statutes, is created to 50 read: 51 790.338 Medical privacy concerning firearms; prohibitions; 52 penalties, exceptions.— 53 (1) A health care provider licensed under chapter 456 or a 54 health care facility licensed under chapter 395 may not 55 intentionally enter any disclosed information concerning firearm 56 ownership into the patient’s medical record if the provider 57 knows that such information is not relevant to the patient’s 58 medical care or safety. 59 (2) A health care provider licensed under chapter 456 or a 60 health care facility licensed under chapter 395 shall respect a 61 patient’s right to privacy and should refrain from making a 62 written inquiry or asking questions concerning the ownership of 63 a firearm or ammunition by the patient or by a family member of 64 the patient, or the presence of a firearm in a private home or 65 other domicile of the patient or a family member of the patient. 66 Notwithstanding this provision, a health care provider or health 67 care facility that in good faith believes that this information 68 is relevant to the patient’s medical care or safety may make 69 such a verbal or written inquiry. 70 (3) A patient may decline to answer or provide any 71 information regarding ownership of a firearm by the patient or a 72 family member of the patient, or the presence of a firearm in 73 the domicile of the patient or a family member of the patient. A 74 patient’s decision not to answer a question relating to the 75 presence or ownership of a firearm does not alter existing law 76 regarding a physician’s authorization to choose his or her 77 patients. 78 (4) A health care provider licensed under chapter 456 or a 79 health care facility licensed under chapter 395 may not 80 discriminate against a patient based solely upon the patient’s 81 exercise of the constitutional right to own and possess firearms 82 or ammunition. 83 (5) A health care provider licensed under chapter 456 or a 84 health care facility licensed under chapter 395 shall respect a 85 patient’s legal right to own or possess a firearm and should 86 refrain from unnecessarily harassing a patient about firearm 87 ownership during an examination. 88 (6) Violations of the provisions of subsections (1)-(4) 89 constitute grounds for disciplinary action under ss. 456.072(2) 90 and 395.1055. 91 Section 2. Paragraph (b) of subsection (4) of section 92 381.026, Florida Statutes, is amended to read: 93 381.026 Florida Patient’s Bill of Rights and 94 Responsibilities.— 95 (4) RIGHTS OF PATIENTS.—Each health care facility or 96 provider shall observe the following standards: 97 (b) Information.— 98 1. A patient has the right to know the name, function, and 99 qualifications of each health care provider who is providing 100 medical services to the patient. A patient may request such 101 information from his or her responsible provider or the health 102 care facility in which he or she is receiving medical services. 103 2. A patient in a health care facility has the right to 104 know what patient support services are available in the 105 facility. 106 3. A patient has the right to be given by his or her health 107 care provider information concerning diagnosis, planned course 108 of treatment, alternatives, risks, and prognosis, unless it is 109 medically inadvisable or impossible to give this information to 110 the patient, in which case the information must be given to the 111 patient’s guardian or a person designated as the patient’s 112 representative. A patient has the right to refuse this 113 information. 114 4. A patient has the right to refuse any treatment based on 115 information required by this paragraph, except as otherwise 116 provided by law. The responsible provider shall document any 117 such refusal. 118 5. A patient in a health care facility has the right to 119 know what facility rules and regulations apply to patient 120 conduct. 121 6. A patient has the right to express grievances to a 122 health care provider, a health care facility, or the appropriate 123 state licensing agency regarding alleged violations of patients’ 124 rights. A patient has the right to know the health care 125 provider’s or health care facility’s procedures for expressing a 126 grievance. 127 7. A patient in a health care facility who does not speak 128 English has the right to be provided an interpreter when 129 receiving medical services if the facility has a person readily 130 available who can interpret on behalf of the patient. 131 8. A health care provider or health care facility shall 132 respect a patient’s right to privacy and should refrain from 133 making a written inquiry or asking questions concerning the 134 ownership of a firearm or ammunition by the patient or by a 135 family member of the patient, or the presence of a firearm in a 136 private home or other domicile of the patient or a family member 137 of the patient. Notwithstanding this provision, a health care 138 provider or health care facility that in good faith believes 139 that this information is relevant to the patient’s medical care 140 or safety may make such a verbal or written inquiry. 141 9. A patient may decline to answer or provide any 142 information regarding ownership of a firearm by the patient or a 143 family member of the patient, or the presence of a firearm in 144 the domicile of the patient or a family member of the patient. A 145 patient’s decision not to answer a question relating to the 146 presence or ownership of a firearm does not alter existing law 147 regarding a physician’s authorization to choose his or her 148 patients. 149 10. A health care provider or health care facility may not 150 discriminate against a patient based solely upon the patient’s 151 exercise of the constitutional right to own and possess firearms 152 or ammunition. 153 11. A health care provider or health care facility shall 154 respect a patient’s legal right to own or possess a firearm and 155 should refrain from unnecessarily harassing a patient about 156 firearm ownership during an examination. 157 Section 3. Subsection (mm) is added to subsection (1) of 158 section 456.072, Florida Statutes, to read: 159 456.072 Grounds for discipline; penalties; enforcement.— 160 (1) The following acts shall constitute grounds for which 161 the disciplinary actions specified in subsection (2) may be 162 taken: 163 (mm) Violating any of the provisions of s. 790.338. 164 Section 4. An insurer issuing any type of insurance policy 165 pursuant to chapter 627, Florida Statutes, may not deny coverage 166 or increase any premium, or otherwise discriminate against any 167 insured or applicant for insurance, on the basis of or upon 168 reliance upon the lawful ownership or possession of a firearm or 169 ammunition or the lawful use or storage of a firearm or 170 ammunition. 171 Section 5. This act shall take effect upon becoming a law.