Florida Senate - 2013                        COMMITTEE AMENDMENT
       Bill No. SB 56
                                Barcode 596680                          
                              LEGISLATIVE ACTION                        
                    Senate             .             House              
                   Comm: WD            .                                
                  03/13/2013           .                                

       The Committee on Children, Families, and Elder Affairs (Hays)
       recommended the following:
    1         Senate Amendment (with title amendment)
    3         Delete everything after the enacting clause
    4  and insert:
    5         Section 1. Section 383.3362, Florida Statutes, is amended
    6  to read:
    7         383.3362 Sudden Unexpected Infant Death Syndrome.—
    8         (1) FINDINGS AND INTENT.—The Legislature recognizes that
    9  more than 4,500 infants in the United States die suddenly and
   10  unexpectedly of no immediate or obvious cause. According to
   11  statistics from the Department of Health, more than 200 infants
   12  in this state experienced Sudden Unexpected Infant Death in 2010
   13  sudden Infant death Syndrome, or SIDS, is a leading cause of
   14  death among children under the age of 1 year, both nationally
   15  and in this state. The Legislature further recognizes that first
   16  responders to emergency calls relating to such a death need
   17  access to special training to better enable them to recognize
   18  that such deaths may result from natural and accidental causes
   19  or may be caused distinguish SIDS from death caused by criminal
   20  acts and to appropriately interact with the deceased infant’s
   21  parents or caretakers. At the same time, the Legislature,
   22  recognizing that the primary focus of first responders is to
   23  carry out their assigned duties, intends to increase the
   24  awareness of the possible causes of Sudden Unexpected Infant
   25  Death SIDS by first responders, but in no way expand or take
   26  away from their duties. Further, the Legislature recognizes the
   27  importance of a multidisciplinary investigation and standardized
   28  investigative protocols in cases of Sudden Unexpected Infant
   29  Death standard protocol for review of SIDS deaths by medical
   30  examiners and the importance of appropriate followup in cases of
   31  certified or suspected SIDS deaths. Finally, the Legislature
   32  finds that it is desirable to analyze existing data, and to
   33  conduct further research on, the possible causes of Sudden
   34  Unexpected Infant Death SIDS and on how to reduce its incidence
   35  lower the number of sudden infant deaths.
   36         (2) DEFINITION.—As used in this section, the term “Sudden
   37  Unexpected Infant Death Syndrome,” or “SUID,” “SIDS,” means the
   38  sudden unexpected death of an infant under 1 year of age while
   39  in apparent good health whose death may have been a result of
   40  natural or unnatural causes which remains unexplained after a
   41  complete autopsy, death-scene investigation, and review of the
   42  case history. The term includes only those deaths for which,
   43  currently, there is no known cause or cure.
   44         (3) TRAINING.—
   45         (a) The Legislature finds that an emergency medical
   46  technician, a paramedic, a firefighter, or a law enforcement
   47  officer is likely to be the first responder to a request for
   48  assistance which is made immediately after the sudden unexpected
   49  death of an infant. The Legislature further finds that these
   50  first responders should be trained in appropriate responses to
   51  sudden infant death.
   52         (b) After January 1, 1995, The basic training programs
   53  required for certification as an emergency medical technician, a
   54  paramedic, a firefighter, or a law enforcement officer as
   55  defined in s. 943.10, other than a correctional officer or a
   56  correctional probation officer, must include curriculum that
   57  contains instruction on SUID Sudden Infant Death Syndrome.
   58         (c) The Department of Health, in consultation with the
   59  Emergency Medical Services Advisory Council, the Firefighters
   60  Employment, Standards, and Training Council, the child
   61  protection teams established in Children’s Medical Services
   62  program, and the Criminal Justice Standards and Training
   63  Commission, shall develop and adopt, by rule, curriculum that,
   64  at a minimum, includes training in the nature of SUID SIDS,
   65  standard procedures to be followed by law enforcement agencies
   66  in investigating cases involving sudden deaths of infants, and
   67  training in responding appropriately to the parents or
   68  caretakers who have requested assistance.
   69         (4) AUTOPSIES.—
   70         (a) The death of any infant younger than 1 year of age who
   71  dies suddenly and unexpectedly while in apparent good health
   72  falls under the jurisdiction of the medical examiner as provided
   73  in s. 406.11. The medical examiner must perform an autopsy upon
   74  any infant under the age of 1 year who is suspected to have died
   75  of Sudden Infant Death Syndrome. The autopsy must be performed
   76  within 24 hours after the death, or as soon thereafter as is
   77  feasible. When the medical examiner’s findings are consistent
   78  with the definition of sudden infant death syndrome in
   79  subsection (2), the medical examiner must state on the death
   80  certificate that sudden infant death syndrome was the cause of
   81  death.
   82         (b) The Medical Examiners Commission shall provide for the
   83  development and implementation of develop and implement a
   84  protocol for the medicolegal investigation of SUID dealing with
   85  suspected sudden infant death syndrome. The protocol must be
   86  followed by all medical examiners when conducting the autopsies
   87  required under this subsection. The protocol may include
   88  requirements and standards for scene investigations,
   89  requirements for specific data, criteria for any specific tissue
   90  sampling, and any other requirements that are deemed
   91  ascertaining cause of death based on the autopsy, criteria for
   92  any specific tissue sampling, and any other requirements that
   93  the commission considers necessary.
   94         (c) A medical examiner is not liable for damages in a civil
   95  action for any act or omission done in compliance with this
   96  subsection.
   97         (d) An autopsy must be performed under the authority of a
   98  medical examiner under s. 406.11.
  100  DEATH (SUID) SYNDROME (SIDS).—The Department of Health, in
  101  consultation with the child protection teams established in the
  102  Children’s Medical Services program, shall:
  103         (a) Collaborate with other agencies in the development and
  104  presentation of the SUID Sudden Infant Death Syndrome (SIDS)
  105  training programs for first responders, including those for
  106  emergency medical technicians and paramedics, firefighters, and
  107  law enforcement officers.
  108         (b) Maintain a database of statistics on reported SUID SIDS
  109  deaths, and analyze the data as funds allow.
  110         (c) Serve as liaison and closely coordinate activities with
  111  the Florida SIDS Alliance, including the services related to the
  112  SIDS hotline.
  113         (d) Maintain a library reference list and materials about
  114  SUID SIDS for public dissemination.
  115         (e) Provide professional support to field staff.
  116         (f) Coordinate the activities of and promote a link between
  117  the fetal and infant mortality review committees of the local
  118  healthy start coalitions, the Florida local SIDS Alliance, and
  119  other related support groups.
  120         (6) SUID AND SAFE SLEEP INFORMATION.—Each hospital and
  121  birthing center in this state shall provide information on SUID
  122  and safe sleep practices to parents of newborns before
  123  discharge.
  124         Section 2. This act shall take effect July 1, 2013.
  126  ================= T I T L E  A M E N D M E N T ================
  127         And the title is amended as follows:
  128         Delete everything before the enacting clause
  129  and insert:
  130                        A bill to be entitled                      
  131         An act relating to infant death; amending s. 383.3362,
  132         F.S.; revising legislative findings and intent with
  133         respect to the sudden unexpected death of an infant
  134         under a specified age; defining the term “Sudden
  135         Unexpected Infant Death” (SUID); revising provisions
  136         relating to training requirements for first
  137         responders; revising requirements relating to
  138         autopsies performed by medical examiners; requiring
  139         the Medical Examiners Commission to provide for the
  140         development and implementation of a protocol for the
  141         medicolegal investigation of SUID; requiring each
  142         hospital and birthing center in this state to provide
  143         information on SUID and safe sleep practices to
  144         parents of newborns before discharge; providing an
  145         effective date.