Florida Senate - 2026                        CS for CS for SB 54
       
       
        
       By the Appropriations Committee on Criminal and Civil Justice;
       the Committee on Criminal Justice; and Senators Sharief, Osgood,
       Rouson, and Bernard
       
       
       
       604-01946-26                                            202654c2
    1                        A bill to be entitled                      
    2         An act relating to the use of substances affecting
    3         cognitive function; creating s. 406.139, F.S.;
    4         defining terms; requiring medical examiners to take
    5         specified actions when performing an autopsy on a
    6         decedent who is a violent offender; requiring that
    7         autopsy reports for such individuals include certain
    8         findings and information; requiring notification of
    9         certain findings and information to the Department of
   10         Law Enforcement, the Department of Health, and the
   11         Agency for Health Care Administration; amending s.
   12         456.057, F.S.; authorizing the release of certain
   13         patient records to law enforcement agencies without
   14         patient authorization under certain circumstances;
   15         amending s. 1006.07, F.S.; requiring school safety
   16         specialists to provide school district staff with
   17         certain training on the adverse effects of specified
   18         substances; specifying requirements for training;
   19         amending s. 1006.12, F.S.; requiring safe-school
   20         officers to complete certain training on the adverse
   21         effects of specified substances; specifying
   22         requirements for training; amending s. 381.028, F.S.;
   23         conforming a cross-reference; providing an effective
   24         date.
   25          
   26  Be It Enacted by the Legislature of the State of Florida:
   27  
   28         Section 1. Section 406.139, Florida Statutes, is created to
   29  read:
   30         406.139 Autopsy of a suspected violent offender.—
   31         (1) DEFINITIONS.—As used in this section, the term:
   32         (a) “Intoxicating substance” means any alcoholic beverage,
   33  controlled substance controlled under chapter 893, or chemical
   34  substance set forth in s. 877.111.
   35         (b) “Psychotropic drug” means any drug prescribed to affect
   36  an individual’s mental state, including, but not limited to,
   37  antidepressants, antipsychotics, mood stabilizers, and
   38  antianxiety medications.
   39         (c) “Violent offender” means any person who is suspected by
   40  law enforcement of engaging in unprovoked violence that results
   41  in, or is likely to result in, the death or serious bodily
   42  injury of another.
   43         (2) CONSULTATION; TOXICOLOGY SCREENING.—If a medical
   44  examiner’s office performs an autopsy on a decedent who is a
   45  violent offender, the medical examiner must do all of the
   46  following:
   47         (a)1. Make reasonable efforts to determine the identity of
   48  any treating mental health professional or primary care
   49  physician of the decedent; and
   50         2. Consult such individuals, if known and available, to
   51  obtain information and records regarding the decedent’s history
   52  of psychotropic drug use, including any prescribed or
   53  discontinued medications.
   54         (b) Order and perform a toxicology screening on the
   55  decedent to determine whether psychotropic drugs or intoxicating
   56  substances are present in the decedent’s body.
   57         (3) AUTOPSY REPORT; NOTIFICATION.—
   58         (a) All findings under subsection (2) must be documented
   59  and included in the final autopsy report, along with any
   60  available corroborating information.
   61         (b)1. Any findings relating to the use of intoxicating
   62  substances or psychotropic drugs must be reported to the
   63  Department of Law Enforcement.
   64         2. Any findings relating to the use of psychotropic drugs
   65  and, if known, the prescribing facility, must be reported to the
   66  Department of Health and the Agency for Health Care
   67  Administration.
   68         Section 2. Present subsections (8) through (20) of section
   69  456.057, Florida Statutes, are redesignated as subsections (9)
   70  through (21), respectively, and a new subsection (8) is added to
   71  that section, to read:
   72         456.057 Ownership and control of patient records; report or
   73  copies of records to be furnished; disclosure of information.—
   74         (8) Notwithstanding any other law, records must be
   75  furnished to a law enforcement agency as defined in s. 914.28
   76  upon request for the purpose of investigating a violent offender
   77  as defined in s. 406.139. The release of such medical records
   78  must include:
   79         (a) Any medical records that may be relevant to the mental
   80  or psychological state of the suspected person.
   81         (b) Any records related to the prescription or use of
   82  psychotropic drugs as defined in s. 406.139 or the prescription
   83  or use of any drugs or substances that may contribute to a
   84  person’s mental or psychological state.
   85         Section 3. Paragraph (a) of subsection (6) of section
   86  1006.07, Florida Statutes, is amended to read:
   87         1006.07 District school board duties relating to student
   88  discipline and school safety.—The district school board shall
   89  provide for the proper accounting for all students, for the
   90  attendance and control of students at school, and for proper
   91  attention to health, safety, and other matters relating to the
   92  welfare of students, including:
   93         (6) SAFETY AND SECURITY BEST PRACTICES.—Each district
   94  school superintendent shall establish policies and procedures
   95  for the prevention of violence on school grounds, including the
   96  assessment of and intervention with individuals whose behavior
   97  poses a threat to the safety of the school community.
   98         (a) School safety specialist.—Each district school
   99  superintendent shall designate a school safety specialist for
  100  the district. The school safety specialist must be a school
  101  administrator employed by the school district or a law
  102  enforcement officer employed by the sheriff’s office located in
  103  the school district. Any school safety specialist designated
  104  from the sheriff’s office must first be authorized and approved
  105  by the sheriff employing the law enforcement officer. Any school
  106  safety specialist designated from the sheriff’s office remains
  107  the employee of the office for purposes of compensation,
  108  insurance, workers’ compensation, and other benefits authorized
  109  by law for a law enforcement officer employed by the sheriff’s
  110  office. The sheriff and the school superintendent may determine
  111  by agreement the reimbursement for such costs, or may share the
  112  costs, associated with employment of the law enforcement officer
  113  as a school safety specialist. The school safety specialist must
  114  earn a certificate of completion of the school safety specialist
  115  training provided by the Office of Safe Schools within 1 year
  116  after appointment and is responsible for the supervision and
  117  oversight for all school safety and security personnel,
  118  policies, and procedures in the school district. The school
  119  safety specialist, or his or her designee, shall:
  120         1. In conjunction with the district school superintendent,
  121  annually review school district policies and procedures for
  122  compliance with state law and rules, including the district’s
  123  timely and accurate submission of school environmental safety
  124  incident reports to the department pursuant to s. 1001.212(8).
  125  At least quarterly, the school safety specialist must report to
  126  the district school superintendent and the district school board
  127  any noncompliance by the school district with laws or rules
  128  regarding school safety.
  129         2. Provide the necessary training and resources to students
  130  and school district staff in matters relating to youth mental
  131  health awareness and assistance; emergency procedures, including
  132  active shooter training; and school safety and security.
  133         3. Provide the necessary training and resources to school
  134  district staff in matters relating to the adverse effects of
  135  psychotropic drugs and intoxicating substances as those terms
  136  are defined in s. 406.139, including the irrational, violent, or
  137  suicidal behavior that may be demonstrated by students under the
  138  influence of such drugs or substances. The training must include
  139  instruction on how such staff can identify and safely interact
  140  with students who may be under the influence of such drugs or
  141  substances, including de-escalation techniques to ensure student
  142  and staff safety.
  143         4. Serve as the school district liaison with local public
  144  safety agencies and national, state, and community agencies and
  145  organizations in matters of school safety and security.
  146         5.4. In collaboration with the appropriate public safety
  147  agencies, as that term is defined in s. 365.171, by October 1 of
  148  each year, conduct a school security risk assessment at each
  149  public school using the Florida Safe Schools Assessment Tool
  150  developed by the Office of Safe Schools pursuant to s.
  151  1006.1493. Based on the assessment findings, the district’s
  152  school safety specialist shall provide recommendations to the
  153  district school superintendent and the district school board
  154  which identify strategies and activities that the district
  155  school board should implement in order to address the findings
  156  and improve school safety and security. Each district school
  157  board must receive such findings and the school safety
  158  specialist’s recommendations at a publicly noticed district
  159  school board meeting to provide the public an opportunity to
  160  hear the district school board members discuss and take action
  161  on the findings and recommendations. Each school safety
  162  specialist, through the district school superintendent, shall
  163  report such findings and school board action to the Office of
  164  Safe Schools within 30 days after the district school board
  165  meeting.
  166         6.5. Conduct annual unannounced inspections, using the form
  167  adopted by the Office of Safe Schools pursuant to s.
  168  1001.212(13), of all public schools, including charter schools,
  169  while school is in session and investigate reports of
  170  noncompliance with school safety requirements.
  171         7.6. Report violations of paragraph (f) by administrative
  172  personnel and instructional personnel to the district school
  173  superintendent or charter school administrator, as applicable.
  174         Section 4. Subsection (6) of section 1006.12, Florida
  175  Statutes, is amended to read:
  176         1006.12 Safe-school officers at each public school.—For the
  177  protection and safety of school personnel, property, students,
  178  and visitors, each district school board and school district
  179  superintendent shall partner with law enforcement agencies or
  180  security agencies to establish or assign one or more safe-school
  181  officers at each school facility within the district, including
  182  charter schools. A district school board must collaborate with
  183  charter school governing boards to facilitate charter school
  184  access to all safe-school officer options available under this
  185  section. The school district may implement any combination of
  186  the options in subsections (1)-(4) to best meet the needs of the
  187  school district and charter schools.
  188         (6) CRISIS INTERVENTION TRAINING; SUBSTANCE USE TRAINING.—
  189         (a) Each safe-school officer who is also a sworn law
  190  enforcement officer shall complete mental health crisis
  191  intervention training using a curriculum developed by a national
  192  organization with expertise in mental health crisis
  193  intervention. The training must improve the officer’s knowledge
  194  and skills as a first responder to incidents involving students
  195  with emotional disturbance or mental illness, including de
  196  escalation skills to ensure student and officer safety.
  197         (b) Each safe-school officer shall complete training on the
  198  adverse effects of psychotropic drugs and intoxicating
  199  substances as those terms are defined in s. 406.139, including
  200  the irrational, violent, or suicidal behavior that may be
  201  demonstrated by students under the influence of such drugs or
  202  substances. The training must include instruction on how such a
  203  safe-school officer can identify and safely interact with
  204  students who may be under the influence of such drugs or
  205  substances, including de-escalation techniques to ensure student
  206  and officer safety.
  207  
  208  If a district school board, through its adopted policies,
  209  procedures, or actions, denies a charter school access to any
  210  safe-school officer options pursuant to this section, the school
  211  district must assign a school resource officer or school safety
  212  officer to the charter school. Under such circumstances, the
  213  charter school’s share of the costs of the school resource
  214  officer or school safety officer may not exceed the safe school
  215  allocation funds provided to the charter school pursuant to s.
  216  1011.62(12) and shall be retained by the school district.
  217         Section 5. Paragraph (c) of subsection (7) of section
  218  381.028, Florida Statutes, is amended to read:
  219         381.028 Adverse medical incidents.—
  220         (7) PRODUCTION OF RECORDS.—
  221         (c)1. Fees charged by a health care facility for copies of
  222  records requested by a patient under s. 25, Art. X of the State
  223  Constitution may not exceed the reasonable and actual cost of
  224  complying with the request, including a reasonable charge for
  225  the staff time necessary to search for records and prevent the
  226  disclosure of the identity of any patient involved in the
  227  adverse medical incident through redaction or other means as
  228  required by the Health Insurance Portability and Accountability
  229  Act of 1996 or its implementing regulations. The health care
  230  facility may require payment, in full or in part, before acting
  231  on the records request.
  232         2. Fees charged by a health care provider for copies of
  233  records requested by a patient under s. 25, Art. X of the State
  234  Constitution may not exceed the amount established under s.
  235  456.057(18) s. 456.057(17), which may include a reasonable
  236  charge for the staff time necessary to prevent the disclosure of
  237  the identity of any patient involved in the adverse medical
  238  incident through redaction or other means as required by the
  239  Health Insurance Portability and Accountability Act of 1996 or
  240  its implementing regulations. The health care provider may
  241  require payment, in full or in part, before acting on the
  242  records request.
  243         Section 6. This act shall take effect July 1, 2026.