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F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/CS/HB 511 2025 A bill to be entitled An act relating to specific medical diagnoses in child protective investigations;
F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/HB 511 2025 A bill to be entitled An act relating to specific medical diagnoses in child protective investigations;
39.201, F.S.;
requiring that reports made by certain persons contain a summary of a specified analysis;
amending s.
Section 1.
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Paragraph (a) of subsection (2), paragraph (a) Page 1 of 11 CODING:
hb511-02-c2 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/CS/HB 511 2025 of subsection (5), and paragraph (c) of subsection (14) of section 39.301, Florida Statutes, are amended to read:
hb511-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/HB 511 2025 Section 1.
39.301 Initiation of protective investigations.— (2)(a) The department shall immediately forward allegations of criminal conduct to the municipal or county law enforcement agency of the municipality or county in which the alleged conduct has occurred.
Paragraph (d) is added to subsection (1) of section 39.201, Florida Statutes, to read:
However, the department need not immediately forward allegations of criminal conduct to the appropriate law enforcement agency if the parent or legal custodian:
39.201 Required reports of child abuse, abandonment, or neglect, sexual abuse of a child, and juvenile sexual abuse;
required reports of death;
reports involving a child who has exhibited inappropriate sexual behavior.— (1) MANDATORY REPORTING.— (d) Any report made by a person whose occupation is listed in sub-subparagraph (b)2.a.
must contain a summary of the analysis used to rule out a differential diagnosis of the conditions specified in s.
39.303(4)(b).
Section 2.
Paragraph (a) of subsection (2), paragraph (a) of subsection (5), and paragraph (c) of subsection (14) of section 39.301, Florida Statutes, are amended to read:
39.301 Initiation of protective investigations.— (2)(a) The department shall immediately forward allegations of criminal conduct to the municipal or county law enforcement agency of the municipality or county in which the alleged conduct has occurred, unless the parent or legal custodian:
Allegations of criminal conduct that are not immediately forwarded to the law enforcement agency pursuant to subparagraph 1.
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hb511-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/HB 511 2025 Allegations of criminal conduct that are not immediately forwarded to the law enforcement agency pursuant to subparagraph 1.
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2.
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hb511-02-c2 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/CS/HB 511 2025 2.
7.
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hb511-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/HB 511 2025 7.
Such factors must include, but are not limited to, Page 3 of 11 CODING:
Such factors must include, but are not limited to, noncompliance with a safety plan or the case plan developed by the department, and the family under this chapter, and prior abuse reports with findings that involve the child, the child's sibling, or the child's caregiver.
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hb511-02-c2 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/CS/HB 511 2025 noncompliance with a safety plan or the case plan developed by the department, and the family under this chapter, and prior abuse reports with findings that involve the child, the child's sibling, or the child's caregiver.
In addition, for all cases that must be referred to Child Protection Teams pursuant to s.
In addition, for all cases that must be Page 4 of 12 CODING:
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hb511-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/HB 511 2025 referred to Child Protection Teams pursuant to s.
Section 2.
Section 3.
eligible cases.— (3) The Department of Health shall use and convene the Page 4 of 11 CODING:
eligible cases.— (3) The Department of Health shall use and convene the Child Protection Teams to supplement the assessment and protective supervision activities of the family safety and preservation program of the Department of Children and Families.
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hb511-02-c2 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/CS/HB 511 2025 Child Protection Teams to supplement the assessment and protective supervision activities of the family safety and preservation program of the Department of Children and Families.
The specialized diagnostic assessment, evaluation, coordination, consultation, and other supportive services that a Child Protection Team must be capable of providing include, but are not limited to, the following:
The specialized diagnostic assessment, evaluation, coordination, consultation, and other supportive services that a Child Protection Team must be capable of Page 5 of 12 CODING:
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hb511-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/HB 511 2025 providing include, but are not limited to, the following:
(d) Such psychological and psychiatric diagnosis and evaluation services for the child or the child's parent or Page 5 of 11 CODING:
(d) Such psychological and psychiatric diagnosis and evaluation services for the child or the child's parent or parents, legal custodian or custodians, or other caregivers, or any other individual involved in a child abuse, abandonment, or neglect case, as the team may determine to be needed.
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words underlined are additions.
hb511-02-c2 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/CS/HB 511 2025 parents, legal custodian or custodians, or other caregivers, or any other individual involved in a child abuse, abandonment, or neglect case, as the team may determine to be needed.
A Child Protection Team may provide consultation with respect to a child who is alleged or is shown to be abused, abandoned, or neglected, which consultation shall be provided at the request of a representative of the family safety and preservation program or at the request of any other professional involved with a child or the child's parent or parents, legal custodian or custodians, or other caregivers.
A Child Protection Team may provide consultation with respect to a child who is alleged or is shown to be abused, abandoned, or neglected, which consultation shall be provided at the request of a representative of the family safety and preservation program or at the request of any other professional involved with a child or the child's parent or parents, legal custodian or custodians, Page 6 of 12 CODING:
In every such Child Protection Team case staffing, consultation, or staff activity involving a child, a family safety and preservation program representative shall attend and participate.
(g) Case service coordination and assistance, including the location of services available from other public and private agencies in the community.
(h) Such training services for program and other employees of the Department of Children and Families, employees of the Department of Health, and other medical professionals as is deemed appropriate to enable them to develop and maintain their professional skills and abilities in handling child abuse, Page 6 of 11 CODING:
hb511-02-c2 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/CS/HB 511 2025 abandonment, and neglect cases.
hb511-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/HB 511 2025 or other caregivers.
In every such Child Protection Team case staffing, consultation, or staff activity involving a child, a family safety and preservation program representative shall attend and participate.
(g) Case service coordination and assistance, including the location of services available from other public and private agencies in the community.
(h) Such training services for program and other employees of the Department of Children and Families, employees of the Department of Health, and other medical professionals as is deemed appropriate to enable them to develop and maintain their professional skills and abilities in handling child abuse, abandonment, and neglect cases.
A Child Protection Team that is evaluating a report of medical neglect and assessing the health care needs of a medically complex child shall consult with a physician who has experience in treating children with the same condition.
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(4) A Child Protection Team shall consult with a physician licensed under chapter 458 or chapter 459 or an advanced practice registered nurse licensed under chapter 464 who has experience in and routinely provides medical care to pediatric patients when evaluating a report of:
(a) Medical neglect and assessing the needs of a medically complex child;
or Page 7 of 11 CODING:
hb511-02-c2 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/CS/HB 511 2025 (b) A child with a reported preexisting diagnosis of any of the following:
hb511-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/HB 511 2025 A Child Protection Team that is evaluating a report of medical neglect and assessing the health care needs of a medically complex child shall consult with a physician who has experience in treating children with the same condition.
(4) A Child Protection Team shall consult with a physician licensed under chapter 458 or chapter 459 or an advanced practice registered nurse licensed under chapter 464 who has experience in and routinely provides medical care to pediatric patients when evaluating a report of:
(a) Medical neglect and assessing the needs of a medically complex child;
or (b) A child with a reported preexisting diagnosis of any of the following:
For the purpose of determining whether a face-to-face medical evaluation by a Child Protection Team is necessary, all cases transmitted to the Child Protection Team which meet the criteria in subsection (5) (4) must be timely reviewed by:
For the purpose of determining whether a face-to-face medical evaluation by a Child Protection Team is necessary, all cases transmitted to the Child Protection Team which meet the criteria in Page 8 of 12 CODING:
(a) A physician licensed under chapter 458 or chapter 459 who holds board certification in pediatrics and is a member of a Child Protection Team;
(b) A physician licensed under chapter 458 or chapter 459 who holds board certification in a specialty other than pediatrics, who may complete the review only when working under the direction of the Child Protection Team medical director or a physician licensed under chapter 458 or chapter 459 who holds board certification in pediatrics and is a member of a Child Protection Team;
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hb511-02-c2 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/CS/HB 511 2025 (c) An advanced practice registered nurse licensed under chapter 464 who has a specialty in pediatrics or family medicine and is a member of a Child Protection Team;
hb511-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/HB 511 2025 subsection (5) (4) must be timely reviewed by:
(a) A physician licensed under chapter 458 or chapter 459 who holds board certification in pediatrics and is a member of a Child Protection Team;
(b) A physician licensed under chapter 458 or chapter 459 who holds board certification in a specialty other than pediatrics, who may complete the review only when working under the direction of the Child Protection Team medical director or a physician licensed under chapter 458 or chapter 459 who holds board certification in pediatrics and is a member of a Child Protection Team;
(c) An advanced practice registered nurse licensed under chapter 464 who has a specialty in pediatrics or family medicine and is a member of a Child Protection Team;
or (e) A registered nurse licensed under chapter 464, who may complete the review only when working under the direct supervision of the Child Protection Team medical director or a physician licensed under chapter 458 or chapter 459 who holds board certification in pediatrics and is a member of a Child Protection Team.
or (e) A registered nurse licensed under chapter 464, who may complete the review only when working under the direct supervision of the Child Protection Team medical director or a physician licensed under chapter 458 or chapter 459 who holds board certification in pediatrics and is a member of a Child Page 9 of 12 CODING:
(7)(6) A face-to-face medical evaluation by a Child Protection Team is not necessary when:
(a) The child was examined for the alleged abuse or neglect by a physician who is not a member of the Child Protection Team, and a consultation between the Child Protection Team medical director or a Child Protection Team board-certified pediatrician, advanced practice registered nurse, physician assistant working under the supervision of a Child Protection Team medical director or a Child Protection Team board-certified pediatrician, or registered nurse working under the direct Page 9 of 11 CODING:
hb511-02-c2 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/CS/HB 511 2025 supervision of a Child Protection Team medical director or a Child Protection Team board-certified pediatrician, and the examining physician concludes that a further medical evaluation is unnecessary;
hb511-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/HB 511 2025 Protection Team.
(7)(6) A face-to-face medical evaluation by a Child Protection Team is not necessary when:
(a) The child was examined for the alleged abuse or neglect by a physician who is not a member of the Child Protection Team, and a consultation between the Child Protection Team medical director or a Child Protection Team board-certified pediatrician, advanced practice registered nurse, physician assistant working under the supervision of a Child Protection Team medical director or a Child Protection Team board-certified pediatrician, or registered nurse working under the direct supervision of a Child Protection Team medical director or a Child Protection Team board-certified pediatrician, and the examining physician concludes that a further medical evaluation is unnecessary;
Notwithstanding paragraphs (a), (b), and (c), a Child Protection Team medical director or a Child Protection Team pediatrician, as authorized in subsection (6) (5), may determine that a face- to-face medical evaluation is necessary.
Notwithstanding paragraphs (a), (b), and (c), a Child Protection Page 10 of 12 CODING:
Section 3.
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words underlined are additions.
hb511-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/HB 511 2025 Team medical director or a Child Protection Team pediatrician, as authorized in subsection (6) (5), may determine that a face- to-face medical evaluation is necessary.
Section 4.
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1.
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hb511-02-c2 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/CS/HB 511 2025 1.
For the purpose of ruling out a differential diagnosis, request that the child be examined by a physician licensed under chapter 458 or chapter 459 or an advanced practice registered nurse licensed under chapter 464 who routinely provides diagnosis of and medical care to pediatric patients for the conditions specified in s.
For the purpose of ruling out a differential diagnosis, request that the child be examined by a physician licensed under chapter 458 or chapter 459 or an advanced practice registered nurse licensed under chapter 464 who routinely provides Page 11 of 12 CODING:
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hb511-01-c1 F L O R I D A H O U S E O F R E P R E S E N T A T I V E S CS/HB 511 2025 diagnosis of and medical care to pediatric patients for the conditions specified in s.
Section 4.
Section 5.
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hb511-02-c2
hb511-01-c1
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