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Ana Maria Rodriguez files a bill to better ensure patient choices are honored in end-of-life care

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Sen. Ana Maria Rodriguez wants to make sure physicians follow directives from Florida patients who communicate and preauthorize end-of-life care preferences.

Those can include pain management choices and interventions that artificially prolong the process of dying.

The Doral Republican filed a bill (SB 312) that aims to establish and regulate “patient-directed medical orders” within Florida law, ensuring that patient preferences, such as withholding or withdrawing life-sustaining interventions, are honored and respected across health care settings.

Patient-directed medical orders — defined as medical directives created between the patient and their licensed physicians, physician assistants, or advanced practice registered nurse — would facilitate a patient’s instructions on whether they want to continue with medical treatments such as pain management, breathing support, nutritional support, medications such as antibiotics, or CPR. 

Patient orders could be combined with a do not resuscitate (DNR) order. Incapacitated patients could have a surrogate, proxy, guardian, or attorney-in-fact sign on their behalf, and electronic signatures would be recognized as valid.

The orders would be portable and stored in a voluntary online registry.

The bill would further clarify that palliative care must include respect for the patient’s orders and any other end-of-life directives, as well as emphasizing the need for patients to be treated with dignity, comfort and culturally appropriate care at the end of their lives.

Medical professionals and facilities would be shielded from liability or disciplinary action if they follow a patient-directed order or DNR orders. The absence of an order would also not prevent providers from withholding any life-prolonging procedures if authorized by law.

Multiple statutes would be amended to ensure orders are recognized in hospitals, nursing homes, hospices, home health agencies, emergency medical services, adult-family care homes and assisted living facilities.

Patient guardians would be authorized to execute or honor a patient-directed order with court approval, or without approval if death is imminent, there are no known objections, or if it is in a hospital setting.

Patient-directed orders would be required to be on a standardized form that would be adopted by the Florida Department of Health and signed by both the patient and a licensed medical professional.

The definition of “advance directive” would be broadened to include patient orders alongside living wills and health care surrogate designations.

According to a study from Florida TaxWatch, Florida’s aging population drives a need for patient-centered hospice care. In 2024, the state had 166,116 hospice patients across 94 licensed programs.

Florida providers currently operate under a Certificate of Need (CON) program, ranking sixth in the nation on the Hospice & Palliative Care Composite Process Measure, and second on the Hospice Care Index. 

The Agency for Health Care administration would be responsible for creating and maintaining a secure, electronic database for storing patient orders.

Rodriguez introduced a similar measure (SB 566) during the 2025 Legislative Session. However, the bill died during its passage through committee.

If passed, the bill would take effect July 1, 2026.



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Miles Davis tapped to lead School Board organizing workshop at national LGBTQ conference

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Miles Davis is taking his Florida-focused organizing playbook to the national stage.

Davis, Policy Director at PRISM Florida and Director of Advocacy and Communications at SAVE, has been selected to present a workshop at the 2026 Creating Change Conference, the largest annual LGBTQ advocacy and movement-building convention.

It’s a major nod to his rising role in Florida’s LGBTQ policy landscape.

The National LGBTQ Task Force, which organizes the conference, announced that Davis will present his session, “School Board Organizing 101.” His proposal rose to the top of more than 550 submissions competing for roughly 140 slots, a press note said, making this year’s conference one of the most competitive program cycles in the event’s history.

His workshop will be scheduled during the Jan. 21-24 gathering in Washington, D.C.

Davis said his selection caps a strong year for PRISM Florida, where he helped shepherd the organization’s first-ever bill (HB 331) into the Legislature. The measure, sponsored by Tampa Democratic Rep. Dianne Hart, would restore local oversight over reproductive health and HIV/AIDS instruction, undoing changes enacted under a 2023 expansion to Florida’s “Parental Rights in Education” law, dubbed “Don’t Say Gay” by critics.

Davis’ workshop draws directly from that work and aims to train LGBTQ youth, families and advocates in how local boards operate, how public comment can shape decisions and how communities can mobilize around issues like book access, inclusive classrooms and student safety.

“School boards are where the real battles over student safety, book access, and inclusive classrooms are happening,” Davis said. “I’m honored to bring this training to Creating Change and help our community build the skills to show up, speak out, and win — especially as PRISM advances legislation like HB 331 that returns power to our local communities.”

Davis’ profile has grown in recent years, during which he jumped from working on the campaigns and legislative teams of lawmakers like Hart and Miami Gardens Democratic Sen. Shevrin Jones to working in key roles for organizations like America Votes, PRISM and SAVE.

The National LGBTQ Task Force, founded in 1973, is one of the nation’s oldest LGBTQ advocacy organizations. It focuses on advancing civil rights through federal policy work, grassroots engagement and leadership development.

Its Creating Change Conference draws thousands for four days of training and strategy-building yearly, a press note said.



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Kevin Steele seeks insight from conservative leaders at Rick Scott-led summit

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State Rep. Kevin Steele’s campaign for Chief Financial Officer already enjoys political support from U.S. Sen. Rick Scott. The Dade City Republican attended a summit headlined by the Senator to also gain some policy insight and mentoring.

Steele was among the attendees for the Rescuing the American Dream summit held on Thursday in Washington, D.C. He said it was a quest for knowledge that drew him to Capitol Hill to hear the discussion.

“The way you do things better in the future is by learning from people who have already accomplished something,” Steele told Florida Politics at the event.

Scott gave a shoutout to Steele from the stage. The Governor already endorsed Steele, who is challenging the appointed Chief Financial Officer Blaise Ingoglia in 2026. At the summit, Scott both promoted conservative successes in the first year of President Donald Trump’s second term and laid out visions on issues from health care reform to cryptocurrency.

Steele called the panel discussions “amazing” and instructive on tackling affordability issues in Florida.

“If we don’t start addressing those things head first, we’re going to fall behind,” Steele said. “I think we’ve lost several million jobs in the state of Florida over the past six or seven years. Learning from Rick Scott and how to bring jobs back to the state is a good thing. And I think that we need to start tackling some of the big, big things that we need to attack.”

That includes addressing property insurance premiums head on and evaluating the property tax situation.

While he will be challenging a Republican incumbent in a Primary, Steele voiced caution at comparing his philosophy too directly with Ingoglia, a former Republican Party of Florida Chair with a history of animus with Scott.

But he did suggest Ingoglia’s recent scrutinizing of local governments may be starting at the wrong place when it comes to cutting spending.

“We need to start focusing on state down, instead of going to a county and pointing out flaws there,” Steele said. “There’s a lot of issues at the state level that we can address, some of which we are, some of which I’ve submitted different bills to address. I think that there’s a lot of waste and abuse at the state level that we can focus on.”



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Darren Soto refuses to call for Sheila Cherfilus-McCormick’s resignation

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U.S. Rep. Darren Soto is refusing to say whether indicted U.S. Rep. Sheila Cherfilus-McCormick should vacate her seat in Congress.

Video obtained by Florida Politics shows Soto being confronted on Capitol Hill. “Will you call on Sheila Cherfilus-McCormick to resign?” the videographer asks.

Initially, Soto remains silent, but the questioner suggests that silence shows “support” for someone who “stole $5 million in health care funds for the most vulnerable.” The Kissimmee Democrat then responds but continues walking away from the camera. He then conflates a censure motion against U.S. Rep. Cory Mills, a New Smyrna Beach Republican, and Cherfilus-McCormick, a Miramar Democrat.

“Both Mills and Cherfilus-McCormick, both will have due process. Thank you,” Soto said.

Both Cherfilus-McCormick and Mills remain the subjects of ongoing House Ethics Committee investigations. But only Cherfilus-McCormick now faces criminal prosecution for alleged financial crimes.

A grand jury in November indicted Cherfilus-McCormick on charges she stole $5 million in disaster relief funds to finance her 2021 congressional campaign.

The indictment alleges that Cherfilus-McCormick and her brother, Edwin Cherfilus, secured funding intended for a COVID vaccine distribution program, but when overpayments were made, she routed the spending through several accounts that later donated the funds as campaign contributions.

Minority Leader Hakeem Jeffries said pursuant to House rules that Cherfilus-McCormick had to give up her ranking status on the Subcommittee on the Middle East and North Africa. Local Democrats have started to issue calls for the Miramar Democrat’s resignation. But there have been no calls from Democratic members of Congress.

U.S. Rep. Greg Steube, a Sarasota Republican, has said if she won’t resign, he will move for her expulsion.

The National Republican Congressional Committee (NRCC), which lists Soto as a target in 2026, slammed Soto’s unwillingness to criticize a fellow Democrat.

“Darren Soto’s refusal to call on Sheila Cherfilus-McCormick to resign is unacceptable,” said NRCC spokesperson Maureen O’Toole. “Floridians deserve a representative who fights for them, not his taxpayer-thieving colleague.”



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