child abuse, neglect, abandonment (Florida)

Any person who knows or has reasonable cause to suspect child abuse, abandonment or neglect by a person responsible for a child's welfare is required to report that information to the state's toll-free hotline, an appropriate law enforcement agency or (in the case of a child's death) medical examiner. (FL Stat 39.201)

Health professionals are among those specifically enumerated as required reporters under this law. When reporting, such persons are required to provide their names. (Others may report anonymously.) Any report by a physician is considered valid and accepted for investigation.

Note that there is an exception in the reporting provisions for health care professionals or other persons who provide medical or counseling services to pregnant children, when such reporting would interfere with the provision of medical services.

State law also provides for: the confidentiality of such reports (39.202); immunity from liability for good-faith reporting, and a civil cause of action for anyone whose employment is adversely affected by that reporting (39.203); abrogation of privileged communications, except between attorney and client (39.204); civil, criminal misdemeanor and, in some circumstances, felony penalties for non-reporting or false reporting (39.205,206).

Investigators of suspected child abuse, abandonment or neglect, such as those working for the state Department of Children and Families (DCF) may refer a child for diagnosis to a licensed physician or an emergency department in a hospital without the consent of the child's parents or legal custodian. (39.304)

Any licensed physician, or advanced registered nurse practitioner who has reasonable cause to suspect that an injury was the result of child abuse, abandonment, or neglect may authorize a radiological or other examination to be performed on the child without the consent of the child's parent or legal custodian. (39.304)

Health facilities must provide to state investigative agencies (such as DCF) copies of any photographs, x-rays or examination reports in these circumstances (39.304).

Every licensed health care facility must incorporate into its policies a duty to report actual or suspected case of child abuse, abandonment or neglect, and must also include provisions (if a hospital) to appoint a staff physician to act as liaison to any investigative team. A copy of the policy must be submitted to the State. (395.1023)

The preceeding are not preempted by HIPAA.

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   © 2002-2006 Contributing authors and University of Miami School of Medicine