1. Orange County Medical Examiner Ordinance June 30, 2015 1

2. Presentation Overview  Florida Statute Ch. 406: Medical Examiners  District Nine Medical Examiner  Charter County “Home Rule” Option  Next Steps 2

3. Presentation Overview  Florida Statute Ch. 406: Medical Examiners  District Nine Medical Examiner  Charter County “Home Rule” Option  Next Steps 3

4.  The “Medical Examiners Act” – Establishes the Medical Examiners Commission (MEC) – Defines Medical Examiner (ME) districts – Addresses District ME appointments and disciplinary proceedings – Establishes ME duties related to examinations, investigations, and autopsies – Allows Home Rule counties to establish their own ME in lieu of deferring to the State for appointment Ch. 406: Medical Examiners 4

5.  Medical Examiners Commission – Consists of 9 members 7 members appointed by the Governor Attorney General or designee State Surgeon General or designee – Administratively organized under FDLE – F.S. 406 authorizes the MEC to remove or suspend district medical examiners and to investigate breeches of duty – Responsible for publishing annual ME Report Ch. 406: Medical Examiners 5

7. Presentation Overview  Florida Statute Ch. 406: Medical Examiners  District Nine Medical Examiner  Charter County “Home Rule” Option  Next Steps 7

8.  Serving both Orange & Osceola – State of the art facility – Nationally accredited (NAME) – All Physicians hold highest level certifications – 2 nd only to Miami-Dade in number of autopsies performed in 2013 District 9 Medical Examiner 8

9.  Dr. Garavaglia retired on June 2, 2015 – Currently seeking her replacement Dr. Stephany is our Acting District ME – We have encountered significant problems in the past with leadership transition under current system – This position is high profile and of great importance to our local community District 9 Medical Examiner 9

10. Presentation Overview  Florida Statute Ch. 406: Medical Examiners  District Nine Medical Examiner  Charter County “Home Rule” Option  Next Steps 10

11.  F.S. 406.17: – Option for home rule counties to establish a “Medical Examiner” position under the provisions of an ordinance – The medical examiner shall serve as the district medical examiner who would otherwise be appointed under F.S. chapter 406. Home Rule Option This changes the appointing entity, not the professional or statutorily defined duties 11

12. District ME Offices under “Home Rule” District 11 - Miami-DadeYES District 17 - BrowardYES District 15 - Palm BeachYES District 13 - HillsboroughYES District 9 - Orange/OsceolaNO Home Rule Option 12

13. Home Rule Option Ordinance Convene Selection Committee Mayor / BCC Appointment High degree of local input and accountability 13

14. Presentation Overview  Florida Statute Ch. 406: Medical Examiners  District Nine Medical Examiner  Charter County “Home Rule” Option  Next Steps 14

15. Next Steps  Draft ordinance  Advertise public hearing for Orange County Medical Examiner ordinance under the Home Rule option in F.S. 406.17 15

16. Orange County Medical Examiner Ordinance June 30, 2015