CS/SB 476 expands Florida’s Wrongful Death Act to allow the parents of an unborn child to recover noneconomic damages for mental pain and suffering from a person who is responsible for the death of the unborn child. However, the mother cannot be sued in a wrongful death action for the death of her unborn child.

Requires social media platforms to prohibit minors younger than 16 years of age from entering into contracts to become account holders.

• Requires commercial entities to perform reasonable age-verification methods to verify that the age of a person attempting to access the material is 18 years of age or older.
• Requires commercial entities that knowingly and intentionally publish or distribute material harmful to minors on a website or application to prohibit access to such material by any person younger than 18 years of age, if their website or application contains a substantial portion of material that is harmful to minors. 

• Amends the definition of certified recovery residence to include standards regarding the level of care provided at those residences.
• Prohibits any recovery residence from denying an individual access to the residence solely on the basis the individual had been prescribed federally approved medication that assists with treatment for substance use disorders.

Amends s. 395.1055, F.S., to amend requirements in that section related to the Agency for Health Care Administration’s (AHCA) rules governing adult cardiovascular services (ACS) to specify that Level I services include rotational or other atherectomy devices, electrophysiology, and treatment of chronic total occlusions.

• Requires coverage for biomarker testing in Medicaid and the state group health insurance program.
• The insured and health care providers must have access to a clear and convenient process to request authorization for such testing through a readily accessible website of the insurer or plan.
• Coverage would not be required for biomarker testing for screening purposes. 

• Creates several consumer protections relating to the collection of medical debt and creates price transparency requirements for hospitals, ambulatory surgical centers (ASC) and insurers relating to nonemergency services.

Includes the following price transparency requirements:

• A hospital or ASC must post standard charges for specified services on its website and establish a process for reviewing and responding to grievances from patients.
• Hospitals and ASCs must provide estimates of anticipated charges for nonemergency services and provide such estimates to the patient’s health insurer.
• A health insurer, in turn, must prepare an “advanced explanation of benefits” for the patient, within a specified time frame prior to the service being provided, based on the facility’s estimate.

Requires all athletic coaches employed by public schools to hold and maintain certification in CPR, first aid, and the use of an AED. The certification must be consistent with national evidence-based emergency cardiovascular care guidelines.

• Requires hospitals and ambulatory surgical centers to adopt and implement policies by January 1, 2025, that require the use of a smoke evacuation system during any surgical procedure that is likely to generate surgical smoke.
• Smoke evacuation systems must effectively capture, filter, and eliminate surgical smoke at the site of origin before the smoke makes contact with the eyes or respiratory tract of occupants in the room.

• Changes Florida licensure requirements to allow rural hospitals complying with federal REH requirements to be designated as REH hospitals by AHCA.
• Exempts licensed REHs from those requirements applicable to all licensed hospitals but contrary to federal REH standards. 

• Designates April as “Hot Car Prevention Month” to raise awareness of the dangers of leaving children unattended in motor vehicles and educate the public on how to prevent hot car deaths.
• Encourages the Florida Department of Children and Families, Florida Department of Health, Florida Department of Highway Safety and Motor Vehicles, local governments, and other agencies to sponsor events on specific topics that promote public awareness and education on the dangers of leaving children unattended in motor vehicles and how to prevent hot car deaths. 

Requires contracted state group health insurance plans or health maintenance organizations (HMOs) to provide coverage and payment, without the imposition of a deductible, copayment, coinsurance, or any other cost sharing requirement, an annual skin cancer screening by a dermatologist.