| 1 | A bill to be entitled |
| 2 | An act relating to parental notification of termination of |
| 3 | a minor's pregnancy; amending s. 390.01114, F.S.; amending |
| 4 | a definition; providing procedural requirements for actual |
| 5 | notice given by telephone; providing procedural |
| 6 | requirements for certain waivers of notice; revising the |
| 7 | procedures for judicial waiver of notice; revising |
| 8 | evidentiary standards for a court determining judicial |
| 9 | waiver of notice; providing factors with which a court |
| 10 | determines whether a minor is sufficiently mature; |
| 11 | revising the best interest standard; requiring the Supreme |
| 12 | Court to include in reports reasons for judicial waiver of |
| 13 | notice; providing for the application of mandatory child |
| 14 | abuse reporting provisions; providing an effective date. |
| 15 |
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| 16 | Be It Enacted by the Legislature of the State of Florida: |
| 17 |
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| 18 | Section 1. Section 390.01114, Florida Statutes, is amended |
| 19 | to read: |
| 20 | 390.01114 Parental Notice of Abortion Act.-- |
| 21 | (1) SHORT TITLE.--This section may be cited as the |
| 22 | "Parental Notice of Abortion Act." |
| 23 | (2) DEFINITIONS.--As used in this section, the term: |
| 24 | (a) "Actual notice" means notice that is given directly, |
| 25 | in person or by telephone, to a parent or legal guardian of a |
| 26 | minor, by a physician, at least 48 hours before the inducement |
| 27 | or performance of a termination of pregnancy, and documented in |
| 28 | the minor's files. |
| 29 | (b) "Child abuse" has the same meaning as s. 39.0015(3). |
| 30 | (c) "Constructive notice" means notice that is given in |
| 31 | writing, signed by the physician, and mailed at least 72 hours |
| 32 | before the inducement or performance of the termination of |
| 33 | pregnancy, to the last known address of the parent or legal |
| 34 | guardian of the minor, by regular mail and by certified mail, |
| 35 | return receipt requested, and delivery restricted to the parent |
| 36 | or legal guardian. After the 72 hours have passed, delivery is |
| 37 | deemed to have occurred. |
| 38 | (d) "Medical emergency" means a condition that, on the |
| 39 | basis of a physician's good faith clinical judgment, so |
| 40 | complicates the medical condition of a pregnant woman as to |
| 41 | necessitate the immediate termination of her pregnancy to avert |
| 42 | her death, or for which a delay in the termination of her |
| 43 | pregnancy will create serious risk of substantial and |
| 44 | irreversible impairment of a major bodily function. |
| 45 | (e) "Sexual abuse" has the meaning ascribed in s. 39.01. |
| 46 | (f) "Minor" means a person under the age of 18 years. |
| 47 | (3) NOTIFICATION REQUIRED.-- |
| 48 | (a) Actual notice shall be provided by the physician |
| 49 | performing or inducing the termination of pregnancy before the |
| 50 | performance or inducement of the termination of the pregnancy of |
| 51 | a minor. The notice may be given by a referring physician. The |
| 52 | physician who performs or induces the termination of pregnancy |
| 53 | must receive the written statement of the referring physician |
| 54 | certifying that the referring physician has given notice. If |
| 55 | actual notice is not possible after a reasonable effort has been |
| 56 | made, the physician performing or inducing the termination of |
| 57 | pregnancy or the referring physician must give constructive |
| 58 | notice. Notice given under this subsection by the physician |
| 59 | performing or inducing the termination of pregnancy must include |
| 60 | the name and address of the facility providing the termination |
| 61 | of pregnancy, the name of the physician providing notice. Notice |
| 62 | given under this subsection by a referring physician must |
| 63 | include the name and address of the facility where he or she is |
| 64 | referring the minor and the name of the physician providing |
| 65 | notice. If actual notice is provided by telephone, the physician |
| 66 | must actually speak with the parent or guardian, and must record |
| 67 | in the minor's medical file the name of the parent or guardian |
| 68 | provided notice, the phone number dialed, and the date and time |
| 69 | of the call. If constructive notice is given, the physician must |
| 70 | document that notice by placing copies of any document related |
| 71 | to the constructive notice, including, but not limited to, a |
| 72 | copy of the letter and the return receipt, in the minor's |
| 73 | medical file. Actual notice given by telephone shall be |
| 74 | confirmed in writing, signed by the physician, and mailed to the |
| 75 | last known address of the parent or legal guardian of the minor, |
| 76 | by regular mail and by certified mail, return receipt requested, |
| 77 | and delivery restricted to the parent or legal guardian. |
| 78 | (b) Notice is not required if: |
| 79 | 1. In the physician's good faith clinical judgment, a |
| 80 | medical emergency exists and there is insufficient time for the |
| 81 | attending physician to comply with the notification |
| 82 | requirements. If a medical emergency exists, the physician |
| 83 | should make reasonable attempts, whenever possible without |
| 84 | endangering the minor, to contact the parent or legal guardian. |
| 85 | The physician may proceed without prior notice but must document |
| 86 | reasons for the medical necessity in the patient's medical |
| 87 | records and must provide notice directly, in person, or by |
| 88 | telephone to the parent or legal guardian, with details of the |
| 89 | medical emergency and any additional risks to the minor. If the |
| 90 | parent or legal guardian has not been notified within 24 hours |
| 91 | of the termination of the pregnancy, the physician must provide |
| 92 | notice in writing including details of the medical emergency and |
| 93 | any additional risks to the minor, signed by the physician, to |
| 94 | the last known address of the parent or legal guardian of the |
| 95 | minor, by regular mail and by certified mail, return receipt |
| 96 | requested, and delivery restricted to the parent or legal |
| 97 | guardian; |
| 98 | 2. Notice is waived in writing by the person who is |
| 99 | entitled to notice and such waiver is notarized, dated not more |
| 100 | than 30 days before the termination of pregnancy, and contains a |
| 101 | specific waiver of the right of the parent or legal guardian to |
| 102 | notice of the minor's termination of pregnancy; |
| 103 | 3. Notice is waived by the minor who is or has been |
| 104 | married or has had the disability of nonage removed under s. |
| 105 | 743.015 or a similar statute of another state; |
| 106 | 4. Notice is waived by the patient because the patient has |
| 107 | a minor child dependent on her; or |
| 108 | 5. Notice is waived under subsection (4). |
| 109 | (c) Violation of this subsection by a physician |
| 110 | constitutes grounds for disciplinary action under s. 458.331 or |
| 111 | s. 459.015. |
| 112 | (4) PROCEDURE FOR JUDICIAL WAIVER OF NOTICE.-- |
| 113 | (a) A minor may petition any circuit court in the a |
| 114 | judicial circuit within the jurisdiction of the District Court |
| 115 | of Appeal in which she resides for a waiver of the notice |
| 116 | requirements of subsection (3) and may participate in |
| 117 | proceedings on her own behalf. The petition may be filed under a |
| 118 | pseudonym or through the use of initials, as provided by court |
| 119 | rule. The petition must include a statement that the petitioner |
| 120 | is pregnant and notice has not been waived. The court shall |
| 121 | advise the minor that she has a right to court-appointed counsel |
| 122 | and shall provide her with counsel upon her request at no cost |
| 123 | to the minor. |
| 124 | (b)1. Court proceedings under this subsection must be |
| 125 | given precedence over other pending matters to the extent |
| 126 | necessary to ensure that the court reaches a decision promptly. |
| 127 | The court shall rule, and issue written findings of fact and |
| 128 | conclusions of law, within 5 days 48 hours after the petition is |
| 129 | filed, except that the 5-day 48-hour limitation may be extended |
| 130 | at the request of the minor. If the court fails to rule within |
| 131 | the 5-day 48-hour period and an extension has not been |
| 132 | requested, the petition is not granted, and the notice |
| 133 | requirement is not waived. The minor may then immediately |
| 134 | petition for a hearing upon the expiration of the 5-day period |
| 135 | to the chief judge of the circuit, who must ensure a hearing is |
| 136 | held within 48 hours after receipt of the minor's petition and |
| 137 | an order entered within 24 hours after the hearing. |
| 138 | 2. A court's ruling need not be a final order if the court |
| 139 | deems it needs more information, but a final order must be |
| 140 | entered within 14 days after the petition is filed. If the |
| 141 | circuit court does not grant judicial waiver of notice, the |
| 142 | minor has the right to appeal. An appellate court must rule |
| 143 | within 7 days after receipt of appeal, but a ruling may be |
| 144 | remanded with further instruction for a ruling within 7 days |
| 145 | after the remand. The reason for overturning a ruling on appeal |
| 146 | must be based on abuse of discretion by the circuit court and |
| 147 | may not be based on the weight of the evidence presented to the |
| 148 | circuit court since the proceeding is a nonadversarial |
| 149 | proceeding. |
| 150 | (c) If the court finds, by clear and convincing evidence, |
| 151 | that the minor is sufficiently mature to decide whether to |
| 152 | terminate her pregnancy, the court shall issue an order |
| 153 | authorizing the minor to consent to the performance or |
| 154 | inducement of a termination of pregnancy without the |
| 155 | notification of a parent or guardian. If the court does not make |
| 156 | the finding specified in this paragraph or paragraph (d), it |
| 157 | must dismiss the petition. Factors a court shall consider when |
| 158 | determining whether a minor is sufficiently mature include, but |
| 159 | are not limited to: |
| 160 | 1. The minor's: |
| 161 | a. Age. |
| 162 | b. Overall intelligence. |
| 163 | c. Emotional stability. |
| 164 | d. Credibility and demeanor as a witness. |
| 165 | e. Ability to accept responsibility. |
| 166 | f. Ability to assess the future impact of her present |
| 167 | choices. |
| 168 | g. Ability to understand and explain the medical |
| 169 | consequences of abortion and apply that understanding to her |
| 170 | decision. |
| 171 | 2. Whether there has been any undue influence by another |
| 172 | on the minor's decision to have an abortion. |
| 173 | (d) If the court finds, by a preponderance of the |
| 174 | evidence, that there is evidence of child abuse or sexual abuse |
| 175 | of the petitioner by one or both of her parents or her guardian, |
| 176 | or by clear and convincing evidence that the notification of a |
| 177 | parent or guardian is not in the best interest of the |
| 178 | petitioner, the court shall issue an order authorizing the minor |
| 179 | to consent to the performance or inducement of a termination of |
| 180 | pregnancy without the notification of a parent or guardian. The |
| 181 | best interest standard must not include financial best interest |
| 182 | or considerations, or the potential financial impact on the |
| 183 | minor or her family if she does not terminate her pregnancy. If |
| 184 | the court finds evidence of child abuse or sexual abuse of the |
| 185 | minor petitioner by any person, the court shall report the |
| 186 | evidence of child abuse or sexual abuse of the petitioner, as |
| 187 | provided in s. 39.201. If the court does not make the finding |
| 188 | specified in this paragraph or paragraph (c), it must dismiss |
| 189 | the petition. |
| 190 | (e) A court that conducts proceedings under this section |
| 191 | shall provide for a written transcript of all testimony and |
| 192 | proceedings and issue written and specific factual findings and |
| 193 | legal conclusions supporting its decision and shall order that a |
| 194 | confidential record be maintained, as required under s. |
| 195 | 390.01116. At the hearing, the court shall hear evidence |
| 196 | relating to the emotional development, maturity, intellect, and |
| 197 | understanding of the minor, and all other relevant evidence. All |
| 198 | hearings under this section, including appeals, shall remain |
| 199 | confidential and closed to the public, as provided by court |
| 200 | rule. |
| 201 | (f) An expedited appeal shall be available, as the Supreme |
| 202 | Court provides by rule, to any minor to whom the circuit court |
| 203 | denies a waiver of notice. An order authorizing a termination of |
| 204 | pregnancy without notice is not subject to appeal. |
| 205 | (g) No filing fees or court costs shall be required of any |
| 206 | pregnant minor who petitions a court for a waiver of parental |
| 207 | notification under this subsection at either the trial or the |
| 208 | appellate level. |
| 209 | (h) No county shall be obligated to pay the salaries, |
| 210 | costs, or expenses of any counsel appointed by the court under |
| 211 | this subsection. |
| 212 | (5) PROCEEDINGS.--The Supreme Court is requested to adopt |
| 213 | rules and forms for petitions to ensure that proceedings under |
| 214 | subsection (4) are handled expeditiously and in a manner |
| 215 | consistent with this act. The Supreme Court is also requested to |
| 216 | adopt rules to ensure that the hearings protect the minor's |
| 217 | confidentiality and the confidentiality of the proceedings. |
| 218 | (6) REPORT.--The Supreme Court, through the Office of the |
| 219 | State Courts Administrator, shall report by February 1 of each |
| 220 | year to the Governor, the President of the Senate, and the |
| 221 | Speaker of the House of Representatives on the number of |
| 222 | petitions filed under subsection (4) for the preceding year, and |
| 223 | the timing and manner of disposal of such petitions by each |
| 224 | circuit court. For each petition resulting in a waiver of |
| 225 | notice, the reason for the waiver shall be reported. |
| 226 | (7) MANDATORY CHILD ABUSE REPORTING.--The requirements of |
| 227 | s. 39.201 relating to mandatory reports of child abuse apply to |
| 228 | this section. |
| 229 | Section 2. This act shall take effect July 1, 2006. |