Senate Bill sb2850

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    Florida Senate - 2007                                  SB 2850

    By Senator Diaz de la Portilla





    36-1437-07

  1                      A bill to be entitled

  2         An act relating to exceptional student

  3         evaluation; amending s. 1003.57, F.S.;

  4         requiring that parents be provided full

  5         information regarding student evaluation and

  6         treatment before giving parental consent;

  7         requiring the Department of Education to

  8         provide an informed-consent form to obtain a

  9         parent's informed consent; amending s.

10         1006.0625, F.S.; redefining the term

11         "psychotropic medication"; revising provisions

12         relating to the administration of psychotropic

13         medication in public schools; requiring

14         parental consent for psychological screening;

15         prohibiting personnel from recommending

16         psychotropic medications; providing an

17         effective date.

18  

19         WHEREAS, the Individuals with Disabilities Education

20  Act (IDEA) was first enacted in 1975 to provide equal access

21  to education for every disabled child, and

22         WHEREAS, IDEA requires that every child considered for

23  exceptional education services must first be evaluated to

24  determine if the child qualifies as a child with a disability,

25  and that the agency proposing to conduct the evaluation and

26  any subsequent reevaluation "shall obtain informed consent

27  from the parent of such child before conducting the

28  evaluation" (20 U.S.C. s. 1414(a)(1)(D)(i)(I)), and

29         WHEREAS, on August 14, 2006, the United States

30  Department of Education published final regulations for

31  implementation of IDEA, strengthening the informed-consent

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    Florida Senate - 2007                                  SB 2850
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 1  requirements, including a new paragraph (34 C.F.R. s.

 2  300.300(d)(5)) requiring the school or other public agency to

 3  document its efforts to obtain parental consent, and

 4         WHEREAS, Rule 6A-6.03311 (1)-(3), Florida

 5  Administrative Code, entitled "Exceptional Student Education

 6  Rules," which implements IDEA in Florida, requires that before

 7  a student may be evaluated, the parents must be "fully

 8  informed of all information relevant to the activity for which

 9  consent is sought," that "the consent describes that

10  activity," that it must be "informed parental consent," and

11  that the parents must also be informed of "procedural

12  safeguards," and

13         WHEREAS, the legal definition of "informed consent"

14  means a person's agreement to allow something to happen, made

15  with full knowledge of the risks involved and the

16  alternatives, and

17         WHEREAS, in practice, school districts throughout the

18  state provide information only on the due-process rights of

19  parents and should provide information to parents on the risks

20  and alternatives to the evaluation process and the potential

21  consequences of evaluation, including likely courses of

22  treatment, and

23         WHEREAS, the new IDEA regulations provide for "model

24  forms" to notify parents at each stage of a child's

25  exceptional education program, noting that states may choose

26  to add additional content to the model forms consistent with

27  "the importance of including parents in decisions regarding

28  the education of their children," NOW, THEREFORE,

29  

30  Be It Enacted by the Legislature of the State of Florida:

31  

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    Florida Senate - 2007                                  SB 2850
    36-1437-07




 1         Section 1.  Paragraph (h) is added to subsection (1) of

 2  section 1003.57, Florida Statutes, to read:

 3         1003.57  Exceptional students instruction.--

 4         (1)  Each district school board shall provide for an

 5  appropriate program of special instruction, facilities, and

 6  services for exceptional students as prescribed by the State

 7  Board of Education as acceptable, including provisions that:

 8         (h)1.  Before a public school student is evaluated for

 9  an emotional, behavioral, or mental disorder, the student's

10  parents are provided full information about the evaluation

11  process and possible courses of treatment, including, but not

12  limited to, the following potential risks and alternatives to

13  such evaluation, and must give written informed consent for

14  the evaluation:

15         a.  The behaviors prompting the evaluation could be the

16  result of underlying physical conditions, developmental or

17  environmental factors, or normal variants of child behavior.

18  Physical factors may include, but are not limited to, exposure

19  to toxins, including lead, mercury, pesticides, and other

20  neurotoxins; allergies; seizure disorders; thyroid imbalances;

21  or sleep deprivation.

22         b.  A parent may want to consider consulting a medical

23  doctor to rule out physical causes before pursuing

24  psychological or psychiatric evaluation for his or her child.

25         c.  Recommended treatment for emotional, behavioral, or

26  mental disorders may include psychotropic medications that may

27  have potential dangerous side effects listed in the current

28  package insert for the medication approved by the federal Food

29  and Drug Administration.

30         d.  There are alternative interventions for mental and

31  behavioral disorders which do not include psychotropic

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    Florida Senate - 2007                                  SB 2850
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 1  medications and which parents have the right to consider and

 2  use, regardless of whether they consent to the proposed

 3  evaluation. The specifically designed instruction and related

 4  services of special education programs are available to the

 5  child regardless of the parent's choice of behavioral, mental,

 6  or medical care for his or her child.

 7         2.  The Department of Education shall provide an

 8  informed-consent form to each of the school districts which

 9  includes the information contained in subparagraph 1. followed

10  by a provision for each parent's signed acknowledgement of

11  having read the information and the parent's consent or lack

12  of consent for the evaluation or reevaluation. The

13  informed-consent form shall be provided to the parents of any

14  child referred for any evaluation or reevaluation in

15  connection with any emotional, behavioral, or mental disorder,

16  or any other psychological or psychiatric evaluation. In the

17  case of an initial evaluation of a child being considered for

18  inclusion in an exceptional student education program, the

19  informed-consent form shall be provided to the parent along

20  with any procedural safeguard notification.

21         Section 2.  Section 1006.0625, Florida Statutes, is

22  amended to read:

23         1006.0625  Administration of psychotropic medication;

24  prohibition; conditions.--

25         (1)  As used in this section, the term "psychotropic

26  medication" means a prescription medication that is used for

27  the treatment of mental disorders and includes, without

28  limitation, hypnotics antihypnotics, antipsychotics,

29  antidepressants, anxiety agents, sedatives, neurostimulants

30  psychomotor stimulants, and mood stabilizers.

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    Florida Senate - 2007                                  SB 2850
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 1         (2)  A public school may not deny any student access to

 2  programs or services because the parent of the student has

 3  refused to place the student on psychotropic medication.

 4         (3)  A public school teacher and school district

 5  personnel may share school-based observations of a student's

 6  academic, functional, and behavioral performance with the

 7  student's parent and offer program options and other

 8  assistance that is available to the parent and the student

 9  based on the observations. However, a public school teacher

10  and school district personnel may not compel or attempt to

11  compel any specific actions by the parent or require that a

12  student take medication. A parent of a student must give

13  written informed consent to any psychological screening of the

14  student and may refuse such psychological screening of the

15  student.

16         (4)  Public school and school district personnel may

17  not recommend psychotropic medications to any parent. The

18  parent of a student who refuses to provide psychotropic

19  medication to his or her child may not be charged with child

20  neglect or abuse.

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22  Any medical decision made to address a student's needs is a

23  matter between the student, the student's parent, and a

24  competent health care professional chosen by the parent.

25         Section 3.  This act shall take effect July 1, 2007.

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    Florida Senate - 2007                                  SB 2850
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 1            *****************************************

 2                          SENATE SUMMARY

 3    Requires that a parent be fully informed of potential
      consequences and alternatives prior to his or her child's
 4    evaluation for an emotional, behavioral, or mental
      disorder. Specifies information relating to consequences
 5    of and alternatives for such evaluation. Requires the
      Department of Education to provide to school districts a
 6    form to obtain a parent's informed consent. Revises
      provisions relating to administration of psychotropic
 7    medication in public schools. Requires parental consent
      for psychological screening. Prohibits personnel from
 8    recommending use of psychotropic medications.

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