Florida Senate - 2011 CS for SB 1086 By the Committee on Criminal Justice; and Senator Hill 591-02454A-11 20111086c1 1 A bill to be entitled 2 An act relating to the restraint of incarcerated 3 pregnant women; providing a short title; defining 4 terms; prohibiting use of restraints on a prisoner 5 known to be pregnant during labor, delivery, and 6 postpartum recovery unless a corrections official 7 makes an individualized determination that the 8 prisoner presents an extraordinary circumstance 9 requiring restraints; providing that a doctor, nurse, 10 or other health care professional treating the 11 prisoner may request that restraints not be used, in 12 which case the corrections officer or other official 13 accompanying the prisoner shall remove all restraints; 14 requiring that any restraint applied must be done in 15 the least restrictive manner necessary; requiring the 16 corrections official to make written findings within 17 10 days as to the extraordinary circumstance that 18 dictated the use of restraints; restricting the use of 19 waist, wrist, or leg and ankle restraints during the 20 third trimester of pregnancy or when requested by a 21 doctor, nurse, or other health care professional 22 treating the prisoner; providing that the use of 23 restraints at any time after it is known that a 24 prisoner is pregnant must be by the least restrictive 25 manner necessary in order to mitigate the possibility 26 of adverse clinical consequences; requiring that the 27 findings be kept on file by the correctional 28 institution or detention facility for at least 5 years 29 and be made available for public inspection under 30 certain circumstances; authorizing any woman who is 31 restrained in violation of the act to file a complaint 32 within a specified period; providing that these 33 remedies do not prevent a woman harmed from filing a 34 complaint under any other relevant provision of 35 federal or state law; directing the Department of 36 Corrections and the Department of Juvenile Justice to 37 adopt rules; requiring correctional institutions and 38 detention facilities to inform female prisoners of the 39 rules upon admission, include the policies and 40 practices in the prisoner handbook, and post the 41 policies and practices in the correctional institution 42 or detention facility; requiring the Secretary of 43 Corrections, the Secretary of Juvenile Justice, and 44 county and municipal corrections officials to annually 45 file written reports with the Executive Office of the 46 Governor detailing each incident of restraint in 47 violation of law or as an authorized exception; 48 providing an effective date. 49 50 WHEREAS, restraining a pregnant prisoner can pose undue 51 health risks and increase the potential for physical harm to the 52 woman and her pregnancy, and 53 WHEREAS, the vast majority of female prisoners in this 54 state are nonviolent offenders, and 55 WHEREAS, the impact of such harm to a pregnant woman can 56 negatively affect her pregnancy, and 57 WHEREAS, freedom from physical restraints is especially 58 critical during labor, delivery, and postpartum recovery after 59 delivery as women often need to move around during labor and 60 recovery, including moving their legs as part of the birthing 61 process, and 62 WHEREAS, restraints on a pregnant woman can interfere with 63 the medical staff’s ability to appropriately assist in 64 childbirth or to conduct sudden emergency procedures, and 65 WHEREAS, the Federal Bureau of Prisons, the United States 66 Marshals Service, the American Correctional Association, the 67 American College of Obstetricians and Gynecologists, and the 68 American Public Health Association all oppose restraining women 69 during labor, delivery, and postpartum recovery because it is 70 unnecessary and dangerous to a woman’s health and well-being, 71 NOW, THEREFORE, 72 73 Be It Enacted by the Legislature of the State of Florida: 74 75 Section 1. Shackling of incarcerated pregnant women.— 76 (1) SHORT TITLE.—This section may be cited as the “Healthy 77 Pregnancies for Incarcerated Women Act.” 78 (2) DEFINITIONS.—As used in this section, the term: 79 (a) “Correctional institution” means any facility under the 80 authority of the department, the Department of Juvenile Justice, 81 or a county or municipal detention facility, or operated by a 82 private entity. 83 (b) “Corrections official” means the official who is 84 responsible for oversight of a correctional institution, or his 85 or her designee. 86 (c) “Department” means the Department of Corrections. 87 (d) “Extraordinary circumstance” means a substantial flight 88 risk or some other extraordinary medical or security 89 circumstance that dictates restraints be used to ensure the 90 safety and security of the prisoner, the staff of the 91 correctional institution or medical facility, other prisoners, 92 or the public. 93 (e) “Labor” means the period of time before a birth during 94 which contractions are of sufficient frequency, intensity, and 95 duration to bring about effacement and progressive dilation of 96 the cervix. 97 (f) “Postpartum recovery” means, as determined by her 98 physician, the period immediately following delivery, including 99 the recovery period when a woman is in the hospital or infirmary 100 following birth. 101 (g) “Prisoner” means any person incarcerated or detained in 102 any correctional institution who is accused of, convicted of, 103 sentenced for, or adjudicated delinquent for a violation of 104 criminal law or the terms and conditions of parole, probation, 105 community control, pretrial release, or a diversionary program. 106 For purposes of this section, the term includes any woman 107 detained under the immigration laws of the United States at any 108 correctional institution. 109 (h) “Restraints” means any physical restraint or mechanical 110 device used to control the movement of a prisoner’s body or 111 limbs, including, but not limited to, flex cuffs, soft 112 restraints, hard metal handcuffs, a black box, chubb cuffs, leg 113 irons, belly chains, a security or tether chain, or a convex 114 shield. 115 (3) RESTRAINT OF PRISONERS.— 116 (a) Restraints may not be used on a prisoner who is known 117 to be pregnant during labor, delivery, and postpartum recovery, 118 unless the corrections official makes an individualized 119 determination that the prisoner presents an extraordinary 120 circumstance, except that: 121 1. If the doctor, nurse, or other health care professional 122 treating the prisoner requests that restraints not be used, the 123 corrections officer, correctional institution employee, or other 124 officer accompanying the pregnant prisoner shall remove all 125 restraints; and 126 2. Under no circumstances shall leg, ankle, or waist 127 restraints be used on any pregnant prisoner who is in labor or 128 delivery. 129 (b) If restraints are used on a pregnant prisoner pursuant 130 to paragraph (a): 131 1. The type of restraint applied and the application of the 132 restraint must be done in the least restrictive manner 133 necessary; and 134 2. The corrections official shall make written findings 135 within 10 days as to the extraordinary circumstance that 136 dictated the use of the restraints. These findings shall be kept 137 on file by the correctional institution for at least 5 years and 138 be made available for public inspection, except that the 139 identifying information of a prisoner may not be made public 140 without the prisoner’s prior written consent. 141 (c) During the third trimester of pregnancy, or when 142 requested by the doctor, nurse, or other health care 143 professional treating the pregnant prisoner: 144 1. Waist restraints that directly constrict the area of 145 pregnancy may not be used; 146 2. If wrist restraints are used, they must be applied in 147 such a way that the pregnant prisoner is able to protect herself 148 in the event of a forward fall; and 149 3. Leg and ankle restraints that restrain the legs close 150 together may not be used when the prisoner is required to walk 151 or stand. 152 4. Use of leg, ankle, or waist restraints is subject to the 153 provisions of subparagraph (a)2. 154 (d) In addition to the specific requirements of paragraphs 155 (a)-(c), any restraint of a prisoner who is known to be pregnant 156 must be done in the least restrictive manner necessary in order 157 to mitigate the possibility of adverse clinical consequences. 158 (4) ENFORCEMENT.— 159 (a) Notwithstanding any relief or claims afforded by 160 federal or state law, any prisoner who is restrained in 161 violation of this section may file a complaint within 1 year 162 after the incident. 163 (b) This section does not prevent a woman harmed under this 164 section from filing a complaint under any other relevant 165 provision of federal or state law. 166 (5) NOTICE TO PRISONERS.— 167 (a) By September 1, 2011, the department and the Department 168 of Juvenile Justice shall adopt rules pursuant to ss. 120.536(1) 169 and 120.54, Florida Statutes, to administer this section. 170 (b) Each correctional institution shall inform female 171 prisoners of the rules developed pursuant to paragraph (a) upon 172 admission to the correctional institution, including the 173 policies and practices in the prisoner handbook, and post the 174 policies and practices in locations in the correctional 175 institution where such notices are commonly posted and will be 176 seen by female prisoners, including common housing areas and 177 medical care facilities. 178 (6) ANNUAL REPORT.—By June 30 of each year, the Secretary 179 of Corrections, the Secretary of Juvenile Justice, and the 180 corrections official of each municipal and county detention 181 facility where a pregnant prisoner has been restrained pursuant 182 to paragraph (3)(a), or in violation of subsection (3), during 183 the previous year shall submit a written report to the Executive 184 Office of the Governor which includes an account of every such 185 instance. The written reports may not contain identifying 186 information of any prisoner. Such reports shall be made 187 available for public inspection. 188 Section 2. This act shall take effect July 1, 2011.