Florida Senate - 2023                        COMMITTEE AMENDMENT
       Bill No. CS for SB 254
       
       
       
       
       
       
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                              LEGISLATIVE ACTION                        
                    Senate             .             House              
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       The Committee on Fiscal Policy (Jones) recommended the
       following:
       
    1         Senate Amendment 
    2  
    3         Between lines 175 and 176
    4  insert:
    5         4. Treatment provided by a health care practitioner to a
    6  minor if:
    7         a. The minor has been diagnosed as suffering from severe
    8  gender dysphoria by at least two medical or mental health care
    9  practitioners, one of whom is a mental health care practitioner
   10  or adolescent medicine specialist, and both of whom have
   11  relevant training in the diagnosis and treatment of severe
   12  gender dysphoria in adolescents;
   13         b. The diagnosing health care practitioners express in
   14  written opinions that treatment with sex-reassignment
   15  prescriptions or procedures is medically necessary to treat the
   16  minor’s psychiatric symptoms and limit self-harm, or the
   17  possibility of self-harm, by the minor;
   18         c. The minor, the minor’s parents, legal guardians, or
   19  person or other persons charged with health care decisionmaking
   20  for the minor, and the minor’s primary physician agree in
   21  writing with the treatment with sex-reassignment prescriptions
   22  or procedures for the minor; and
   23         d. Any use of sex-reassignment prescriptions or procedures
   24  is limited to the lowest titratable dosage necessary to treat
   25  the psychiatric condition and not for purposes of affirming a
   26  person’s perception of his or her sex if that perception is
   27  inconsistent with the person’s sex as defined in subsection (8).
   28  
   29  Notwithstanding sub-subparagraphs a.-d., sex-reassignment
   30  prescriptions or procedures may not be provided to the minor if
   31  the minor is prepubescent.