As a longtime healthcare policymaker, I have learned that some of the most important decisions we make are the ones that never make headlines. For decades, Florida’s school-entry immunization requirements have done exactly what they were designed to do: quietly protect children, support families, and prevent outbreaks of serious disease. Because they have worked because of “herd immunity,” requiring about a 95% vaccination rate, many of us have not had to think about them often. But that does not make them any less important.
I have great concern about SB 6-D, recently filed for Special Session. It would expand nonmedical vaccine exemptions and alter long-standing safeguards dealing with vaccines. These are not abstract policy discussions. They have real implications for children, families, and the healthcare system that serves them.
Florida currently ranks fourth among all states with the highest number of measles cases, with 145 cases, year to date. Prior to the significant policy changes instituted by the Department of Health during COVID in 2020, Florida had zero cases. Providers across our state are also reporting increases in illnesses like pertussis. These trends are a reminder that the stability we have relied on for decades depends on maintaining strong, consistent immunization standards.
At the same time, public sentiment on this issue is clear. Recent polling shows that nearly eight in ten Florida voters support maintaining current school vaccine requirements, with strong support across party lines. Roughly two-thirds say they would be less likely to support a legislator who votes to eliminate these protections. That includes a substantial share of Republican voters and voters in competitive districts.
This is not a partisan issue. It is a safety issue.
That is why I am offering an amendment to SB 6-D that puts in statute requirements that existed prior to 2020 to ensure that parents have access to meaningful, evidence-based information when making decisions about nonmedical exemptions from Florida’s immunization requirements. Chapter 381 in Florida Statutes requires the Department of Health to conduct a communicable disease prevention and control program as part of fulfilling its public health mission. That directive specifically includes the school-entry immunization requirements and directs the Department to “ensure that all children in this state are immunized against vaccine-preventable diseases.”
Prior to COVID, Florida required parents to have a direct, consultative conversation with a qualified healthcare provider to opt out for nonmedical reasons. That approach ensured that parents had the opportunity to ask questions and understand both the benefits and risks associated with vaccination.
Policy changes by the Department of Health have moved away from that model, no longer requiring parents to have that conversation. My amendment would restore the requirement that parents seeking nonmedical exemptions consult with a licensed physician or an advanced practice registered nurse. These conversations would be available at no cost through county health departments or other accessible settings and could be conducted in person or electronically. It would ensure that decisions are informed by clinical expertise and grounded in real-world medical practice.
Florida’s vaccine policies have never been about politics. They are about prevention, predictability, and protecting the most vulnerable among us – including infants too young to be fully vaccinated and individuals with medical conditions that limit their ability to receive certain vaccines.
Please call your local Legislator and ask them to support my amendment so that parents have access to meaningful medical guidance prior to opting out of having their children vaccinated. Without these safeguards, the unintended consequences of SB 6-D could have devastating consequences for our families and our healthcare system.
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Sen. Gayle Harrell represents Senate District 31, which includes Martin County and parts of Palm Beach and St. Lucie counties.
Phil Ammann is a veteran journalist, editor, and writer with experience covering news and public affairs across print and digital platforms.
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