Note: 254 was challenged in the courts after it went into effect in 2023. The Florida District Court ruled that it was unconstitutional and blocked most of the provisions of 254. The state appealed, and the Eleventh Circuit Court stayed the injunction in the summer of 2024. These restrictions are currently in effect. We strive to post updates on our Florida State of the State page.
Florida Senate Bill 254 has been sent to Governor Ron DeSantis for his signature, and he is expected to sign it. The law does not have a waiting period: it will be in effect as soon as it is signed. It will also be challenged immediately. We owe our understanding of what 254 does and does not do to the outstanding communications we’ve received from Southern Legal Counsel. SLC is a partner in several lawsuits challenging Florida’s transphobic and hateful policies. This blog may not have entirely correct information and should not be considered legal advice. We will do our best to update as more details are available
SLC, GLAD, NCLR, and HRC will request that federal courts block 254 from going into effect as soon as it is signed. A block may apply to the entire law or to select portions of the law.
SO HERE’S WHAT 254 DOES AND DOES NOT DO:
New Restrictions on Gender Affirming Care in Florida:
For YOUTH:
- Adolescents who had prescriptions for gender affirming care treatment before the law goes into effect can continue receiving care. They may not “move on” to next-step treatments in Florida, such as beginning hormones if they are on blockers or getting surgery before age 18.
- 254 turns the rules adopted by the Board of Medicine and the Osteopathic Medical Board into law.
- It also creates a felony penalty for providers who prescribe blockers or hormones to youth who have not previously had a prescription for them.
About CUSTODY:
- 254 allows Florida courts to change custody agreements that originated in another state if one parent (in Florida) requests interference.
- This only applies to legal custody agreements created during divorce proceedings or the dissolution of a marriage.
- This does not allow Florida to remove children from affirming parents.
For ALL INDIVIDUALS Seeking Gender Affirming Care:
For ADULTS:
- New prescriptions may only be written by a doctor – an MD or a DO. Nurses with prescribing authority, such as advanced practice registered nurses (APRNs) and nurse practitioners (NPs), or mid-level providers, such as Physician Assistants (PAs) may not prescribe gender affirming medications.
- The first prescription may only be written at a physical appointment where the doctor is in the room with the patient if it is prescribed for a gender diagnosis. There may be alternative, appropriate diagnoses that allow prescriptions via telehealth. Subsequent prescriptions of the same medicine may be done in telehealth appointments. For our patients currently receiving care, you can continue to receive care from us via telehealth.
- Informed consent is required for all new treatments. (We already practice informed consent!)
For YOUTH and ADULTS:
- Private insurance is not prohibited from covering gender affirming care.
- Physicians can refer patients out of state.
About GENDER MARKER CHANGES:
- The final bill does not restrict changes to gender markers on legal documents. Other actions in Florida do, however.
- For more information on updating legal documents in Florida, we recommend Florida Name Change.
QueerDoc and Florida
We are accepting new patients in Florida: both youth and adults.
If you need to travel for care after 254 goes into effect, we partner with organizations that can get you–free of charge–from Point A in Florida to Point B in a safe state for your telehealth appointment. Please see Getting Care At QueerDoc: Appointments for more information about our intake process.
Stay in touch with us!
