Florida Senate - 2011 CS for CS for CS for SB 432 By the Committees on Judiciary; Health Regulation; and Criminal Justice; and Senator Evers 590-04428-11 2011432c3 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 practitioner or health care facility may 5 not record information regarding firearm ownership in 6 a patient’s medical record; providing an exception for 7 relevance of the information to the patient’s medical 8 care or safety or the safety of others; providing that 9 unless the information is relevant to the patient’s 10 medical care or safety or the safety of others, 11 inquiries regarding firearm ownership or possession 12 should not be made by licensed health care 13 practitioners or health care facilities; providing an 14 exception for emergency medical technicians and 15 paramedics; providing that a patient may decline to 16 provide information regarding the ownership or 17 possession of firearms; clarifying that a physician’s 18 authorization to choose his or her patients is not 19 altered by the act; prohibiting discrimination by 20 licensed health care practitioners or facilities based 21 solely upon a patient’s firearm ownership or 22 possession; prohibiting harassment of a patient 23 regarding firearm ownership by a licensed health care 24 practitioner or facility during an examination; 25 prohibiting denial of insurance coverage, increased 26 premiums, or any other form of discrimination by 27 insurance companies issuing policies on the basis of 28 an insured’s or applicant’s ownership, possession, or 29 storage of firearms or ammunition; clarifying that an 30 insurer is not prohibited from considering the fair 31 market value of firearms or ammunition in setting 32 personal property coverage premiums; providing for 33 disciplinary action; amending s. 381.026, F.S.; 34 providing that unless the information is relevant to 35 the patient’s medical care or safety, or the safety of 36 others, inquiries regarding firearm ownership or 37 possession should not be made by licensed health care 38 providers or health care facilities; providing that a 39 patient may decline to provide information regarding 40 the ownership or possession of firearms; clarifying 41 that a physician’s authorization to choose his or her 42 patients is not altered by the act; prohibiting 43 discrimination by licensed health care providers or 44 facilities based solely upon a patient’s firearm 45 ownership or possession; prohibiting harassment of a 46 patient regarding firearm ownership during an 47 examination by a licensed health care provider or 48 facility; amending s. 456.072, F.S.; including the 49 violation of the provisions of s. 790.338, F.S., as 50 grounds for disciplinary action; providing an 51 effective date. 52 53 Be It Enacted by the Legislature of the State of Florida: 54 55 Section 1. Section 790.338, Florida Statutes, is created to 56 read: 57 790.338 Medical privacy concerning firearms; prohibitions; 58 exceptions; penalties.— 59 (1) A health care practitioner licensed under chapter 456 60 or a health care facility licensed under chapter 395 may not 61 intentionally enter any disclosed information concerning firearm 62 ownership into the patient’s medical record if the practitioner 63 knows that such information is not relevant to the patient’s 64 medical care or safety, or the safety of others. 65 (2) A health care practitioner licensed under chapter 456 66 or a health care facility licensed under chapter 395 shall 67 respect a patient’s right to privacy and should refrain from 68 making a written inquiry or asking questions concerning the 69 ownership of a firearm or ammunition by the patient or by a 70 family member of the patient, or the presence of a firearm in a 71 private home or other domicile of the patient or a family member 72 of the patient. Notwithstanding this provision, a health care 73 practitioner or health care facility that in good faith believes 74 that this information is relevant to the patient’s medical care 75 or safety, or the safety of others, may make such a verbal or 76 written inquiry. 77 (3) Any emergency medical technician or paramedic acting 78 under the supervision of an emergency medical services director 79 under chapter 401 may make an inquiry concerning the possession 80 or presence of a firearm if he or she, in good faith, believes 81 that information regarding the possession of a firearm by the 82 patient or the presence of a firearm in the home or domicile of 83 a patient or a patient’s family member is necessary to treat a 84 patient during the course and scope of a medical emergency or 85 that the presence or possession of a firearm would pose an 86 imminent danger or threat to the patient or others. 87 (4) A patient may decline to answer or provide any 88 information regarding ownership of a firearm by the patient or a 89 family member of the patient, or the presence of a firearm in 90 the domicile of the patient or a family member of the patient. A 91 patient’s decision not to answer a question relating to the 92 presence or ownership of a firearm does not alter existing law 93 regarding a physician’s authorization to choose his or her 94 patients. 95 (5) A health care practitioner licensed under chapter 456 96 or a health care facility licensed under chapter 395 may not 97 discriminate against a patient based solely upon the patient’s 98 exercise of the constitutional right to own and possess firearms 99 or ammunition. 100 (6) A health care practitioner licensed under chapter 456 101 or a health care facility licensed under chapter 395 shall 102 respect a patient’s legal right to own or possess a firearm and 103 should refrain from unnecessarily harassing a patient about 104 firearm ownership during an examination. 105 (7) An insurer issuing any type of insurance policy 106 pursuant to chapter 627 may not deny coverage or increase any 107 premium, or otherwise discriminate against any insured or 108 applicant for insurance, on the basis of or upon reliance upon 109 the lawful ownership or possession of a firearm or ammunition or 110 the lawful use or storage of a firearm or ammunition. Nothing 111 herein shall prevent an insurer from considering the fair market 112 value of firearms or ammunition in the setting of premiums for 113 scheduled personal property coverage. 114 (8) Violations of the provisions of subsections (1)-(4) 115 constitute grounds for disciplinary action under ss. 456.072(2) 116 and 395.1055. 117 Section 2. Paragraph (b) of subsection (4) of section 118 381.026, Florida Statutes, is amended to read: 119 381.026 Florida Patient’s Bill of Rights and 120 Responsibilities.— 121 (4) RIGHTS OF PATIENTS.—Each health care facility or 122 provider shall observe the following standards: 123 (b) Information.— 124 1. A patient has the right to know the name, function, and 125 qualifications of each health care provider who is providing 126 medical services to the patient. A patient may request such 127 information from his or her responsible provider or the health 128 care facility in which he or she is receiving medical services. 129 2. A patient in a health care facility has the right to 130 know what patient support services are available in the 131 facility. 132 3. A patient has the right to be given by his or her health 133 care provider information concerning diagnosis, planned course 134 of treatment, alternatives, risks, and prognosis, unless it is 135 medically inadvisable or impossible to give this information to 136 the patient, in which case the information must be given to the 137 patient’s guardian or a person designated as the patient’s 138 representative. A patient has the right to refuse this 139 information. 140 4. A patient has the right to refuse any treatment based on 141 information required by this paragraph, except as otherwise 142 provided by law. The responsible provider shall document any 143 such refusal. 144 5. A patient in a health care facility has the right to 145 know what facility rules and regulations apply to patient 146 conduct. 147 6. A patient has the right to express grievances to a 148 health care provider, a health care facility, or the appropriate 149 state licensing agency regarding alleged violations of patients’ 150 rights. A patient has the right to know the health care 151 provider’s or health care facility’s procedures for expressing a 152 grievance. 153 7. A patient in a health care facility who does not speak 154 English has the right to be provided an interpreter when 155 receiving medical services if the facility has a person readily 156 available who can interpret on behalf of the patient. 157 8. A health care provider or health care facility shall 158 respect a patient’s right to privacy and should refrain from 159 making a written inquiry or asking questions concerning the 160 ownership of a firearm or ammunition by the patient or by a 161 family member of the patient, or the presence of a firearm in a 162 private home or other domicile of the patient or a family member 163 of the patient. Notwithstanding this provision, a health care 164 provider or health care facility that in good faith believes 165 that this information is relevant to the patient’s medical care 166 or safety, or safety or others, may make such a verbal or 167 written inquiry. 168 9. A patient may decline to answer or provide any 169 information regarding ownership of a firearm by the patient or a 170 family member of the patient, or the presence of a firearm in 171 the domicile of the patient or a family member of the patient. A 172 patient’s decision not to answer a question relating to the 173 presence or ownership of a firearm does not alter existing law 174 regarding a physician’s authorization to choose his or her 175 patients. 176 10. A health care provider or health care facility may not 177 discriminate against a patient based solely upon the patient’s 178 exercise of the constitutional right to own and possess firearms 179 or ammunition. 180 11. A health care provider or health care facility shall 181 respect a patient’s legal right to own or possess a firearm and 182 should refrain from unnecessarily harassing a patient about 183 firearm ownership during an examination. 184 Section 3. Paragraph (mm) is added to subsection (1) of 185 section 456.072, Florida Statutes, to read: 186 456.072 Grounds for discipline; penalties; enforcement.— 187 (1) The following acts shall constitute grounds for which 188 the disciplinary actions specified in subsection (2) may be 189 taken: 190 (mm) Violating any of the provisions of s. 790.338. 191 Section 4. This act shall take effect upon becoming a law.