SESSION WATCH
Died SENATE · SESSION 2026

No. SB 188

Medical Examiners’ Duties
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SPONSOR
Garcia
FILED BY
Ileana Garcia — District 36, Republican [search donations]
EFFECTIVE
7/1/2026
DIED IN
Health Policy

Filed under Public Health & Safety.

PROVIDED SUMMARY

Medical Examiners’ Duties; Specifying autopsy requirements for certain cases involving sudden and unexpected deaths; requiring medical examiners to report specified cases to the national Sudden Unexpected Infant Death and Sudden Death in the Young Case Registry in accordance with protocols established by the Department of Health and the United States Centers for Disease Control and Prevention; requiring the department to impose certain administrative penalties against medical examiners for failure to report such cases in a specified timeframe, etc.

Full bill text →

Plain English Summary

AI-GENERATED
Requires medical examiners to report sudden child deaths to a national registry.

Medical examiners must give sudden infant and child deaths -- including SIDS, SUID, and SDY cases -- an autopsy with microscopic and toxicology studies, a review of immunization and medical records, and documentation of any immunizations given in the 90 days before death.

The same enhanced autopsy and documentation duties extend to a suspected Sudden Arrhythmic Death Syndrome case at any age, though the case is only reported to the national registry if the person was younger than 20.

Every qualifying case must be reported to the national SUID and SDY registry within 30 days after the medical examiner completes the autopsy report.

A medical examiner who misses that deadline faces a fine of up to $1,000 for a first unreported case, up to $5,000 for a second, and possible referral for discipline -- including suspension or removal -- after repeated noncompliance.

KEY PROVISIONS
§ 1 Requires reporting sudden infant, child, and youth SADS deaths to a national registry majors. 406.11

AIA medical examiner must report a SIDS, SUID, SDY, or under-20 SADS case to the national SUID and SDY Case Registry, following protocols the Department of Health and the CDC establish.

“report the case to the SUID and SDY Case Registry in accordance with protocols established by the Department of Health and the Centers for Disease” bill text, line 78 →
§ 2 Requires documenting recent immunizations in sudden child-death autopsies majors. 406.11

AIFor a sudden infant or child death, the medical examiner must record in the autopsy report any immunizations or emergency countermeasures the child received in the 90 days before death.

“document in the autopsy report any immunizations or emergency countermeasures administered to the child within 90 days before the child's death” bill text, line 76 →
§ 3 Sets mandatory fines and discipline for medical examiners who don't report majors. 406.11

AIThe Department of Health must fine a district medical examiner who misses the 30-day reporting deadline -- up to $1,000 for a first unreported case and up to $5,000 for a second -- and refer repeated noncompliance for possible suspension or removal.

“The Department of Health shall impose the following administrative penalties against a district medical examiner who fails to report” bill text, line 94 →
§ 4 Extends the enhanced autopsy standard to suspected SADS deaths at any age moderates. 406.11

AIA suspected Sudden Arrhythmic Death Syndrome case gets the same expanded autopsy -- microscopic and toxicology studies plus immunization and medical record review -- regardless of the decedent's age, not just for the young.

“In the case of a sudden death suspected to be caused by SADS in an individual of any age, the autopsy must include microscopic and” bill text, line 82 →
§ 5 Deems the required reporting a permissible disclosure under privacy law moderates. 406.11

AIComplying with these autopsy documentation and registry-reporting duties counts as a permissible disclosure under state and federal medical privacy statutes, including HIPAA, rather than a prohibited release of protected health information.

“Compliance with the reporting and documentation requirements of this section is deemed a permissible disclosure under state and federal medical privacy laws” bill text, line 105 →
TIMELINE
3/13/2026
Died in Health Policy
1/13/2026
Introduced
11/3/2025
Referred to Health Policy; Appropriations Committee on Health and...
10/14/2025
Filed
STATUTES IT CHANGES
s. 406.11
+596 / −0