Florida Gov. Ron DeSantis signed medical-conscience law excluding LGBTQ+ patients from anti-discrimination protections

On May 11, 2023, Florida Gov. Ron DeSantis signed CS/SB 1580, the "Protections of Medical Conscience" Act, at a news conference in Destin, Florida, giving health care providers and payors a right to opt out of any health care service on the basis of a conscience-based religious, moral, or ethical objection. The law's anti-discrimination clause bars providers from refusing care based on a patient's race, color, religion, sex, or national origin but omits sexual orientation and gender identity. It took effect July 1, 2023, as Chapter 2023-57.

On May 11, 2023, Florida Governor Ron DeSantis signed CS/SB 1580, the "Protections of Medical Conscience" Act, at a news conference in Destin, Florida, where he was joined by Florida Surgeon General Joseph Ladapo. The measure, passed by the Florida Legislature, creates sections 381.00321 and 456.61 of the Florida Statutes and gives any health care provider or payor the right to opt out of participating in or paying for a health care service on the basis of a "conscience-based objection," defined to include religious, moral, or ethical beliefs. It grants those who decline care immunity from civil liability and disciplinary action, provides whistleblower protections, and bars licensing boards from disciplining or denying a license to providers based solely on their exercise of free speech.

The law states that care may not be refused because of a patient's race, color, religion, sex, or national origin, but it does not list sexual orientation or gender identity among the protected characteristics. Civil-rights groups including the Human Rights Campaign and the ACLU of Florida said the omission would let providers and insurers deny services, such as gender-affirming care or HIV-prevention medication, to LGBTQ+ patients. The act, signed as part of a package of "medical freedom" bills, was assigned Chapter 2023-57 and took effect July 1, 2023.

Equal protection and nondiscrimination require that access to health care not depend on who a patient is. Florida enacted a law granting providers and insurers a broad right to refuse care on conscience grounds while writing an anti-discrimination carve-out that lists race, color, religion, sex, and national origin but leaves out sexual orientation and gender identity. By omitting those characteristics, the statute withholds from LGBTQ+ patients the nondiscrimination floor it guarantees to others, and it bars licensing boards from disciplining providers based solely on their exercise of free speech. This archive records when a government structures its own policy so that a protected group can be denied a public-facing service others receive.

  1. CS/SB 1580: Protections of Medical ConscienceThe Florida Senate primary accessed July 16, 2026
  2. CS for SB 1580, Enrolled — An act relating to protections of medical conscienceThe Florida Senate primary accessed July 16, 2026
  3. Florida Gov. DeSantis signs health care bills into lawNews 6 / ClickOrlando (WKMG) secondary accessed July 16, 2026
  4. Florida Gov. Ron DeSantis signs bill legalizing anti-LGBTQ medical discriminationLGBTQ Nation secondary accessed July 16, 2026
  5. BREAKING: Gov. DeSantis Signs Extreme License to Discriminate Healthcare BillHuman Rights Campaign secondary accessed July 16, 2026