Subject: Florida Statutes
FLORIDA STATUTES
Chapter 232
232.032 Immunization against communicable diseases; school attendance
requirements; exemptions.
(1) The Department of Health may adopt rules necessary to administer and
enforce this section. The Department of Health, after consultation with the
Department of Education, shall adopt rules governing the immunization of
children against, the testing for, and the control of preventable
communicable diseases. The rules must include procedures for exempting a
child from immunization requirements. Immunizations shall be required for
poliomyelitis, diphtheria, rubeola, rubella, pertussis, mumps, tetanus, and
other communicable diseases as determined by rules of the Department of
Health. The manner and frequency of administration of the immunization or
testing shall conform to recognized standards of medical practice. The
Department of Health shall supervise and secure the enforcement of the
required immunization. Immunizations required by this section shall be
available at no cost from the county health departments.
(2) The school board of each district and the governing authority of each
nonpublic school shall establish and enforce as policy that, prior to
admittance to or attendance in a public or nonpublic school, grades
preschool
through 12, each child present or have on file with the school a
certification of immunization for the prevention of those communicable
diseases for which immunization is required by the Department of Health and
further shall provide for appropriate screening of its pupils for scoliosis
at the proper age. Such certification shall be made on forms approved and
provided by the Department of Health and shall become a part of each
student's permanent record, to be transferred when the student transfers,
is
promoted, or changes schools. The transfer of such immunization
certification
by Florida public schools shall be accomplished using the Florida Automated
System for Transferring Education Records and shall be deemed to meet the
requirements of this section.
(3) The provisions of this section shall not apply if:
The parent or guardian of the child objects in writing that the
administration of immunizing agents conflicts with his or her religious
tenets or practices;
A physician licensed under the provisions of Chapter 458 or Chapter 459
certifies in writing, on a form approved and provided by the Department of
Health, that the child should be permanently exempt from the required
immunization for medical reasons stated in writing, based upon valid
clinical
reasoning or evidence, demonstrating the need for the permanent exemption;
A physician licensed under the provisions of Chapter 458, Chapter 459, or
Chapter 460 certifies in writing, on a form approved and provided by the
Department of Health, that the child has received as many immunizations as
are medically indicated at the time and is in the process of completing
necessary immunizations; The Department of Health determines that,
according
to recognized standards of medical practice, any required immunization is
unnecessary or hazardous; or
An authorized school official issues a temporary exemption, for a period
not
to exceed 30 school days, to permit a child who transfers into a new county
to attend class until his or her records can be obtained. The public school
health nurse or authorized nonpublic school official is responsible for
follow-up of each such child until proper documentation or immunizations
are
obtained. An exemption for 30 days may be issued for a child who enters a
juvenile justice program to permit the child to attend class until his or
her
records can be obtained or until the immunizations can be obtained. An
authorized juvenile justice official is responsible for follow up of each
child who enters a juvenile justice program until proper documentation or
immunizations are obtained.
(4)(a) No person licensed by this state as a physician or nurse shall be
liable for any injury caused by his or her action or failure to act in the
administration of a vaccine or other immunizing agent pursuant to the
provisions of this section if the person acts as a reasonably prudent
person
with similar professional training would have acted under the same or
similar
circumstances.
(4)(b) No member of a school board, or any of its employees, or member of a
governing board of a nonpublic school, or any of its employees, shall be
liable for any injury caused by the administration of a vaccine to any
student who is required to be so immunized or for a failure to diagnose
scoliosis pursuant to the provisions of this section.
(5) The parents or guardians of any child admitted to or in attendance at a
Florida public or nonpublic school, grades preschool through 12, are
responsible for assuring that the child is in compliance with the
provisions
of this section.
(6) Each public school, kindergarten, or preschool, and each nonpublic
school, kindergarten, or preschool shall be required to provide to the
county
health department director or administrator annual reports of compliance
with
the provisions of this section. Reports shall be completed on forms
provided
by the Department of Health for each preschool, kindergarten
(7) The presence of any of the communicable diseases for which immunization
is required by the Department of Health in a Florida public or nonpublic
school shall permit the county health department director or administrator
or
the State Health Officer to declare a communicable disease emergency. The
declaration of such emergency shall mandate that all children in attendance
in the school who are not in compliance with the provisions of this section
be identified by the district school board or by the governing authority of
the nonpublic school; and the school health and immunization records of
such
children shall be made available to the county health department director
or
administrator. Those children identified as not being immunized against the
disease for which the emergency has been declared shall be temporarily
excluded from school by the district school board, or the governing
authority, until such time as is specified by the county health department
director or administrator.
(8) The school board of each district and the governing authority of each
private school shall: (a) Refuse admittance to any child otherwise entitled
to admittance to kindergarten, or any other initial entrance into a Florida
public or nonpublic school, who is not in compliance with the provisions of
subsection (2); (b) Temporarily exclude from attendance any student who is
not in compliance with the provisions of subsection (2).
(9) The provisions of this section do not apply to those persons admitted
to
or attending adult education classes unless the adult students are under 21
years of age.
Florida Case History on Religious Exemption
Florida Case History on Religious Exemption
Department of Health vs. Curry - 1998
A religious exemption to mandated vaccination requirements is explicitly
provided for in Section 3 (a) of Florida Statute 232.032
(3) The provisions of this section shall not apply if:
(a) The parent or
guardian of the child objects in writing that the administration of
immunizing agents conflicts with his or her religious tenets or practices
In 1998, the First District Court of Appeal upheld a trial court's judgment
regarding a mother's request for a religious exemption for her daughter.
Specifically, the Court declared that when a student's parent or guardian
objects to vaccination requirements on religious grounds, the Department of
Health is prohibited from inquiring into the bona fides of the objection.
In August 1996, Sara Curry wrote a letter to the Holmes County Department
of
Health and Rehabilitative Services* objecting to the vaccination of her
daughter against communicable diseases as a condition precedent to her
admission to public school for the upcoming school year on the ground that
the administration of immunizing agents conflicts with her religious
beliefs
and requested a religious exemption. The Department responded that her
letter
was legally insufficient to grant a religious exemption from vaccinations.
In
addition to being denied the exemption to which she was entitled, Curry's
daughter was being denied admission to public school because she had not
received the mandated vaccinations. Curry was told by the Department that
she
could "request an administrative hearing" if she was not satisfied with
their
decision.
Instead of requesting an administrative hearing, Curry filed an action in
trial court, seeking declaratory and injunctive relief. Curry effectively
asked the court for an interpretation of the pertinent language in this
statute that guarantees religious rights.
Curry asserted that, according to the plain language of Section 232.032,
her
daughter was entitled to exemption from the mandatory vaccination provision
upon receipt by the Department of a written objection, for religious
reasons,
to vaccination. Curry requested that her daughter be declared exempt from
the
vaccination requirement because of the letter which expressed objection on
religious grounds;
requested the court to stop the Department from barring her daughter from
attending school until the declaratory judgment action was completed;
the Department be enjoined from attempting to go behind her expressed
objection to determine whether it actually was based upon religious
grounds.
The Department responded with a motion to dismiss, in which it argued that
the trial court lacked subject matter jurisdiction;
Curry had failed to exhaust administrative remedies before filing the
action;
Curry had failed to allege ultimate facts establishing an entitlement to
either declaratory or injunctive relief.
Following a hearing, the trial court denied the motion to dismiss and
granted
Curry a temporary injunction so that her daughter could attend school. The
Department of Health appealed and filed an answer in which it admitted that
it required an applicant to articulate the specific religious tenet or
practice which conflicts with the administration of immunizing agents
before
issuing a religiously based exemption from vaccination. The Department
maintained that section 232.032 allows it to investigate whether a request
for exemption is actually based upon a religious ground and, if it
determines
that it is not, to deny it.
Curry argued that section 232.032 clearly and unambiguously provides that a
parent or guardian is entitled to have his or her child exempted from the
required vaccinations if he or she "objects in writing that the
administration of immunizing agents conflicts with his or her religious
tenets or practices," and that nothing in the statute authorizes the
Department to investigate the bona fides of such an objection. Thus, it was
argued, the Department's attempt to investigate a request for exemption
clearly exceeds it statutory authority.
The opinion of the Court stated:
The legislature provided that the Department is to be responsible for the
implementation and enforcement of section 232.032, however
The legislature also provides, in relatively plain language, that "the
provisions of the section shall not apply if the parent or guardian of the
child objects in writing that the administration of immunizing agents
conflicts with his or her religious tenets or practices.
Furthermore, it stated, had the legislature intended to place with the
Department the responsibility for determining the bona fides of such an
objection, one would expect to find within the language of the statute some
language suggesting such an intent. When given its commonly understood
meaning, the language does not permit the interpretation urged by the
Department.
The issue that the Court was called upon to decide implicates two very
important social policies:
the desire to protect the public health and welfare; and
the desire to protect a parent's fundamental right to raise his or her
child
according to the religious tenets that he or she chooses.
The court concluded that the legislature intended that when the two
policies
collide, greater protection be afforded to the latter by prohibiting any
inquiry by the Department into the bona fides of the parent's or guardian's
objection.
Whereas the Department argued that such an interpretation of section
232.032
would lead to unreasonable and absurd results because parent's could get a
religious exemption for entirely bogus, fraudulent, or otherwise
non-religious reasons, thereby defeating the purpose of the statute, the
Court defended the legislature, saying this was a relatively minor concern
compared to the danger that giving to the Department the authority to
determine the bona fides of such objection would pose to the free exercise
of
religion guaranteed by both the federal and state constitutions.
The Department doctrine that requires the exhaustion of administrative
remedies (i.e., proof) is based upon considerations of policy rather than
of
jurisdiction. The Court's decision affirmed that the statute does not
authorize the Department to question the sincerity of a religious objection
to vaccination.
Note: Previously set precedence acknowledges that defining religion or
religious belief is an inherently difficult task and that attempts to
ascertain the sincerity of claims of religious belief must be undertaken
with
extreme caution. The Court concluded that there is nothing to suggest that
the Department possesses any particular expertise with regard to such
matters. In other words, the Court emphasized that the Department is not
qualified to judge religious beliefs. Moreover, they added, most parents
are
legitimately concerned about the health and welfare of their children, and
that the overwhelming majority will recognize the value of vaccination.
The Court also pointed out that section 232.032 permits the Department to
require that children who have not been vaccinated be prevented from
attending school in the event of an outbreak of any communicable disease.
Thus, the intent of the legislature has little impact upon the Department's
ability to ensure that the purpose of the statute is carried out.
The trial court directed the Department to certify to the Holmes County
School Board that Curry's daughter was exempt, for religious reasons, from
the vaccinations mandated by section 232.032. The Court of Appeal affirmed
the trial court's denial of the Department's motion to dismiss and it
affirmed the award of declaratory and injunctive relief to Curry.
* In January 1997 the newly created Department of Health became responsible
for matters related to public and environmental health, including
preventing
the occurrence and progression of communicable diseases.