Florida Supreme Court Opinion Full Text: ADVISORY OPINION TO THE ATTORNEY GENERAL RE: LIMITING GOVERNMENT INTERFERENCE WITH ABORTION

 Supreme Court of Florida 

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No. SC2023-1392 

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ADVISORY OPINION TO THE ATTORNEY GENERAL RE: LIMITING GOVERNMENT INTERFERENCE WITH ABORTION. 

April 1, 2024 

PER CURIAM. 

The Attorney General of Florida has petitioned this Court for  an advisory opinion concerning the validity of a proposed citizen  initiative amendment to the Florida Constitution, circulated under  article XI, section 3 of the Florida Constitution, and titled  “Amendment to Limit Government Interference with Abortion.” We  have jurisdiction. See art. IV, § 10; art. V, § 3(b)(10), Fla. Const.  We approve the proposed amendment for placement on the ballot.

I. BACKGROUND 

On October 9, 2023, the Attorney General petitioned this  Court for an opinion regarding the validity of this initiative petition  sponsored by Floridians Protecting Freedom, Inc. (the Sponsor). We  invited interested parties to file briefs regarding the validity of the 

initiative petition. We received initial briefs from the Attorney  General and four other opponents of the proposed amendment:  Susan B. Anthony Pro Life America (“Susan B. Anthony”); the  National Center for Life and Liberty (“Center for Life”); Florida  Voters Against Extremism; and the Florida Conference of Catholic  Bishops. We received answer briefs arguing in favor of placing the  proposed amendment on the ballot from the Sponsor and four other  proponents: certain Former Florida Republican Elected Officials  (“Former Republican Officials”); the American College of  Obstetricians and Gynecologists; certain Florida Doctors; and  certain Law Professors and Instructors. Oral argument was heard  on February 7, 2024.  

The full text of the proposed amendment, which would create  a new section in the Declaration of Rights in article I of the Florida  Constitution, states:  

SECTION __. Limiting government interference with  abortion.—Except as provided in Article X, Section 22,  no law shall prohibit, penalize, delay, or restrict abortion  before viability or when necessary to protect the patient’s  health, as determined by the patient’s healthcare  

provider.

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The ballot title for the proposed amendment is “Amendment to  Limit Government Interference with Abortion,” and the ballot  summary states: 

No law shall prohibit, penalize, delay, or restrict abortion  before viability or when necessary to protect the patient’s  health, as determined by the patient’s healthcare  

provider. This amendment does not change the  

Legislature’s constitutional authority to require  

notification to a parent or guardian before a minor has  an abortion. 

II. ANALYSIS 

A. Standard of Review 

In reviewing the validity of an initiative petition for placement on the ballot, “[t]his Court has traditionally applied a deferential  standard of review.” Advisory Op. to Att’y Gen. re Use of Marijuana  for Certain Med. Conditions (Medical Marijuana I), 132 So. 3d 786,  794 (Fla. 2014). Without regard to the merits or wisdom of the  initiative, our review is limited to the following issues: (1) “the  compliance of the text of the proposed amendment or revision with  s. 3, Art. XI of the State Constitution”; (2) “the compliance of the  proposed ballot title and substance with s. 101.161”; and (3) “whether the proposed amendment is facially invalid under the  United States Constitution.” § 16.061(1), Fla. Stat (2023). This 

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Court will invalidate a proposed amendment “only if it is shown to  be ‘clearly and conclusively defective.’ ”1 Advisory Op. to Att’y Gen.  re Regulate Marijuana in a Manner Similar to Alcohol to Establish  Age, Licensing, & Other Restrictions, 320 So. 3d 657, 667 (Fla. 2021)  (quoting Advisory Op. to Att’y Gen. re Amend. to Bar Gov’t from  Treating People Differently Based on Race in Pub. Educ. (Treating  People Differently), 778 So. 2d 888, 891 (Fla. 2000)). This Court’s  review of a proposal’s compliance with article X, section 3 and  section 101.161 is governed by the following principles:  

First, the Court will not address the merits or wisdom of  the proposed amendment. Second, “[t]he Court must act  with extreme care, caution, and restraint before it  

removes a constitutional amendment from the vote of the  people.” Specifically, where citizen initiatives are  

concerned, “[the] Court has no authority to inject itself in  

1. In her briefing, the Attorney General invites this Court to  reconsider its long-held requirement that to invalidate a ballot  initiative, this Court must conclude that the initiative is clearly and  conclusively defective. The Attorney General suggests that this  Court need only consider whether the initiative violates the  requirements of section 101.161(1), not whether it does so “clearly.”  Essentially, the Attorney General seeks to reduce the opponents’ burden here, see Floridians Against Casino Takeover v. Let’s Help  Florida, 363 So. 2d 337, 339 (Fla. 1978) (stating that the burden  upon the opponent of an initiative proposal is to establish that the  proposal is “clearly and conclusively defective” (quoting Weber v.  Smathers, 338 So. 2d 819 (Fla. 1976); Goldner v. Adams, 167 So. 2d  575 (Fla. 1964))), which we decline to do.

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the process, unless the laws governing the process have  been ‘clearly and conclusively’ violated.” 

Advisory Op. to Att’y Gen. re 1.35% Prop. Tax Cap, Unless Voter  Approved, 2 So. 3d 968, 971 (Fla. 2009) (alterations in original)  (citations omitted). 

With these principles in mind, we turn to the task at hand. B. Single-subject Requirement 

Article XI, section 3 of the Florida Constitution provides in  pertinent part: 

The power to propose the revision or amendment of  any portion or portions of this constitution by initiative is  reserved to the people, provided that, any such revision  or amendment, except for those limiting the power of  government to raise revenue, shall embrace but one  subject and matter directly connected therewith. 

(Emphasis added.) “[I]n determining whether a proposal addresses  a single subject the test is whether it ‘may be logically viewed as  having a natural relation and connection as component parts or  aspects of a single dominant plan or scheme.’ ” Fine v. Firestone,  448 So. 2d 984, 990 (Fla. 1984) (quoting City of Coral Gables v.  Gray, 19 So. 2d 318, 320 (Fla. 1944)). In other words, a proposal  must manifest “a logical and natural oneness of purpose” to 

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accomplish the purpose of article XI, section 3.2 Advisory Op. to  Att’y Gen. re Fla. Marriage Prot. Amend. (Marriage Protection), 926  So. 2d 1229, 1233 (Fla. 2006) (quoting Fine, 448 So. 2d at 990).  

The single-subject requirement is intended to “prevent[] a proposal  ‘from engaging in either of two practices: (a) logrolling; or (b)  substantially altering or performing the functions of multiple  branches of state government.’ ” Medical Marijuana I, 132 So. 3d  at 795 (quoting Advisory Op. to Att’y Gen. re Water & Land  Conservation—Dedicates Funds to Acquire & Restore Fla. Conservation & Recreation Lands (Water & Land Conservation), 123  

2. Opponent Susan B. Anthony urges this Court to reconsider  the “oneness of purpose” standard, asserting that it is too subjective  and that the plain text of article XI, section 3, requiring “one  subject,” should instead be read more narrowly as requiring “one  proposition.” While Susan B. Anthony suggests that a narrower  interpretation of the single-subject requirement would be more  faithful to the supremacy-of-text principle, its interpretation bears  little relationship to the actual constitutional text. There is a  difference between a proposal addressing a particular “subject,” and  one that presents a single “proposition,” and the constitutional text  plainly states that an initiative “embrace but one subject.” Further,  Susan B. Anthony ignores the text that immediately follows the  word “subject” in article XI, section 3, which plainly permits a  proposed amendment to address “matter directly connected” to the  single subject. Finally, our cases do not reflect a commitment to  defining “subject” in such a narrow manner. We thus decline  Susan B. Anthony’s invitation to adopt a narrower interpretation of  the single-subject requirement. 

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So. 3d 47, 50-51 (Fla. 2013)). It “is a rule of restraint designed to  insulate Florida’s organic law from precipitous and cataclysmic  change.” Advisory Op. to Att’y Gen.—Save Our Everglades (Save Our  Everglades), 636 So. 2d 1336, 1339 (Fla. 1994). As explained  below, the proposed amendment here does not violate the single subject requirement. 

This Court has defined logrolling as “a practice wherein several  separate issues are rolled into a single initiative in order to  aggregate votes or secure approval of an otherwise unpopular  issue.” Id. at 1339. “The purpose of the single-subject requirement  is to allow the citizens to vote on singular changes in our  government that are identified in the proposal and to avoid voters  having to accept part of a proposal which they oppose in order to  obtain a change which they support.” Fine, 448 So. 2d at 993.  

Susan B. Anthony and Florida Voters Against Extremism  assert that the proposed amendment engages in logrolling by  reaching two separate categories of abortion—abortion before  viability of the fetus and abortion based on a healthcare provider’s  authority—which present distinct moral and policy issues. The  “viability provision” would ban any law prohibiting, penalizing, 

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delaying, or restricting abortion before viability, regardless of the  circumstances or the mother’s reasons for seeking an abortion.  This, according to these opponents, would be, in effect, a  constitutional guarantee of abortion at any time and for any  purpose before the fetus is viable. The “health provision” would bar  any law that prohibits, penalizes, delays, or restricts abortion at  any time—including after viability and until the moment of birth— so long as a “healthcare provider” says it is necessary to “protect” the mother’s “health”—not “life.” Opponents argue that these two  provisions of the proposed amendment involve entirely different  subjects. Susan B. Anthony points out that many voters would  simultaneously oppose an amendment that prohibits government  interference with all previability abortions but support an  amendment prohibiting government interference with abortions  sought to protect the health of the mother. Opponents argue that  the proposed amendment forces those voters “to accept part of a  proposal which they oppose,” id.—a ban on laws prohibiting abortion before viability—“in order to obtain a change which they  support,” id.—a ban on laws prohibiting abortion when maternal  health is in need of protection. The Sponsor and other proponents 

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contend that the proposed amendment addresses a single subject,  namely, “limiting government interference with abortion.” Under both Florida and federal law, the subject of abortion has  historically involved two major interconnected matters: the viability  of the fetus and the health of the mother. See generally Dobbs v.  Jackson Women’s Health Org., 597 U.S. 215, 301 (2022); Roe v.  Wade, 410 U.S. 113, 163-64 (1973), overruled by Dobbs, 597 U.S.  215, and holding modified by Planned Parenthood of Se. Pa. v.  Casey, 505 U.S. 833 (1992); In re T.W., 551 So. 2d 1186, 1190 (Fla.  1989), receded from by Planned Parenthood of Sw. & Cent. Fla. v.  State, No. SC2022-1050 (Apr. 1, 2024) (slip op. at 2). “Abortion”— or, more specifically, “limits on government interference with  abortion”—is the subject of the proposed amendment, and the  viability of the fetus and the mother’s health are “matter[s] directly  connected” thereto. For this reason, the argument that the  proposed amendment violates the single-subject requirement  because voters may support some of the amendment’s applications  but not others also fails. Whether some voters may support only a  portion of a proposed amendment and oppose another portion is  not the inquiry that determines whether there is a violation of the 

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single-subject requirement. Instead, the prohibition on “logrolling  refers to a practice whereby an amendment is proposed which  contains unrelated provisions, some of which electors might wish to  support, in order to get an otherwise disfavored provision passed.”  Advisory Op. to Att’y Gen. re Rts. of Elec. Consumers Regarding Solar  Energy Choice (Solar Energy Choice), 188 So. 3d 822, 828-29 (Fla.  2016) (emphasis added) (citing Advisory Op. to Att’y Gen. re Protect  People, Especially Youth, from Addiction, Disease, & Other Health  Hazards of Using Tobacco, 926 So. 2d 1186, 1191 (Fla. 2006)); see  also Advisory Op. to Att’y Gen.—Ltd. Marine Net Fishing, 620 So. 2d  997, 999 (Fla. 1993) (“The purpose of the single-subject restriction  is to prevent the proposal of an amendment which contains two  unrelated provisions, one which electors might wish to support and  one which they might disfavor.” (emphasis added)). Because viability and maternal health are interconnected matters related to  the subject of abortion, the mere fact that electors might not agree  with the entirety of the amendment does not render it violative of  the single-subject requirement. 

The Former Republican Officials point out that this Court has  repeatedly approved ballot measures that addressed multiple 

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related facets of a subject. For example, in Marriage Protection, the  proposed amendment both defined “marriage” as “the legal union of  only one man and one woman” and prohibited “the substantial  equivalent thereof,” i.e., civil unions or domestic partnerships. 926  So. 2d at 1232. Although the opponents of the proposed  amendment in that case contended that the definition of “marriage” and the prohibition on substantial equivalents were separate  subjects, this Court concluded that they were both facets of “the  singular subject of whether the concept of marriage and the rights  and obligations traditionally embodied therein should be limited to  the union of one man and one woman.” Id. at 1234. 

Similarly, within the context of the proposed amendment here,  abortion “before viability” and “when necessary to protect the  patient’s health” are not separate subjects but facets of the singular  subject of whether government “interference with abortion” should  be “limit[ed]” when those circumstances are present. We have  explained that “a proposed amendment may ‘delineate a number of  guidelines’ consistent with the single-subject requirement as long  as these components possess ‘a natural relation and connection as  component parts or aspects of a single dominant plan or scheme.’ ” 

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Medical Marijuana I, 132 So. 3d at 796 (quoting Advisory Op. to  Att’y Gen. re Standards for Establishing Legis. Dist. Boundaries, 2  So. 3d 175, 181-82 (Fla. 2009)). Banning laws that restrict  previability abortion and abortion performed to protect maternal  health are aspects of a single scheme: limiting government  interference with abortion. 

Susan B. Anthony’s reliance on In re Advisory Opinion to the  Attorney General—Restricts Laws Related to Discrimination (Discrimination Laws), 632 So. 2d 1018 (Fla. 1994), in support of its  position is misplaced. The proposed amendment in that case  stated, in pertinent part, 

The state, political subdivisions of the state,  

municipalities or any other governmental entity shall not  enact or adopt any law regarding discrimination against  persons which creates, establishes or recognizes any  right, privilege or protection for any person based upon  any characteristic, trait, status, or condition other than  race, color, religion, sex, national origin, age, handicap,  ethnic background, marital status, or familial status. 

Id. at 1020. This Court concluded that the proposed initiative  violated the single-subject rule because “it enumerate[d] ten  classifications of people that would be entitled to protection from  discrimination if the amendment were passed.” Id. (“[A] voter may 

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want to support protection from discrimination for people based on  race and religion, but oppose protection based on marital status  and familial status.”). Here, unlike what we characterized as the  “expansive generality” and “disparate” classifications present in  Discrimination Laws, the proposed amendment concerns only a single item—abortion. 

Susan B. Anthony also relies on Advisory Opinion to the  Attorney General re Fairness Initiative Requiring Legislative  Determination that Sales Tax Exemptions and Exclusions Serve a  Public Purpose (Fairness Initiative), 880 So. 2d 630 (Fla. 2004). In  that case, we concluded that the proposed amendment  

contain[ed] three disparate subjects: (1) a scheme for the  Legislature to review existing exemptions to the sales tax  under chapter 212; (2) the creation of a sales tax on  services that currently does not exist; and (3) limitations  on the Legislature’s ability to create or continue  

exemptions and exclusions from the sales tax. 

Id. at 634. This Court reasoned that 

[w]hile all of these three goals arguably relate to sales  taxes, and any one of these three goals might be the  permissible subject of a constitutional amendment under  the initiative process, we conclude that together they  constitute impermissible logrolling and violate the single subject requirement of article XI, section 3, of the Florida  Constitution because of the substantial, yet disparate,  impact they may have.

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Id. at 635. The elements of the proposed amendment in Fairness  Initiative lacked the “natural relation and connection” present in the  proposed amendment in this case. The singular goal of the  proposed amendment here is to limit government interference with  the termination of pregnancy. It involves one subject and addresses  the related ability of State and local governments to “interfere[]  with” that subject. 

The proposed amendment also will not substantially alter or perform the functions of multiple branches of government. “This  Court has held that while most amendments will ‘affect’ multiple  branches of government this fact alone is insufficient to invalidate  

an amendment on single-subject grounds . . . .” Advisory Op. to  Att’y Gen. re Right to Treatment & Rehab., 818 So. 2d 491, 496 (Fla.  2002). Indeed “it [is] difficult to conceive of a constitutional  amendment that would not affect other aspects of government to  some extent.” Solar Energy Choice, 188 So. 3d at 830 (alteration in  original) (quoting Advisory Op. to Att’y Gen. re Ltd. Casinos, 644 So.  2d 71, 74 (Fla. 1994)). But it is only “when a proposal substantially alters or performs the functions of multiple branches that it violates  the single-subject test.’ ” Medical Marijuana I, 132 So. 3d at 795

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(emphasis added) (quoting Advisory Op. to Att’y Gen. re Fish &  Wildlife Conservation Comm’n, 705 So. 2d 1351, 1353-54 (Fla.  1998)); see also Advisory Op. to Att’y Gen. re Prohibiting State  Spending for Experimentation that Involves the Destruction of a Live  Hum. Embryo (Prohibiting State Spending), 959 So. 2d 210, 213 (Fla.  2007) (“While we recognize that the proposed amendment, if  enacted, appears to limit the authority of the legislative and  executive branches of state government, we conclude that this  proposed amendment does not substantially alter or perform the  functions of multiple branches of government.”). 

Here, the proposed amendment will affect the government  “only in the general sense that any constitutional provision does” by  requiring compliance with a new constitutional rule. Solar Energy  Choice, 188 So. 3d at 830. It will not require any of the branches of  government to perform any specific functions nor would it  substantially alter their functions. Instead, it primarily restricts the  authority of the legislative branch to pass legislation that would  “interfere” with abortion under certain circumstances. This is not  the type of “precipitous” or “cataclysmic” change to the government  structure indicative of substantially altering or performing the 

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functions of multiple branches of government that the single subject rule is intended to prevent. See, e.g., In re Advisory Op. to  Att’y Gen. re Limits or Prevents Barriers to Local Solar Elec. Supply,  177 So. 3d 235, 244-45 (Fla. 2015) (concluding that although the  proposed amendment would limit the authority of the Legislature  and other governmental entities to regulate in certain areas, it did  “not substantially alter or perform the functions of multiple  branches of government producing ‘precipitous’ or ‘cataclysmic’ changes”). 

We conclude that the proposed amendment before us  embraces but one subject—limiting government interference with  abortion—and matter directly connected therewith. It does not  violate the single-subject provision of article XI, section 3. C. Ballot Title and Summary 

Section 101.161(1), Florida Statutes (2023), sets forth certain technical and clarity requirements for ballot titles and summaries.  As to the technical requirements, the statute requires that the  ballot title “consist of a caption, not exceeding 15 words in length,  by which the measure is commonly referred to or spoken of” and  that “[t]he ballot summary of the amendment or other public 

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measure shall be an explanatory statement, not exceeding 75 words  in length, of the chief purpose of the measure.” § 101.161(1), Fla.  Stat. Here, the ballot title is composed of seven words and the ballot summary is composed of thirty-four words, clearly meeting  the word count limitations provided in section 101.161(1). 

Section 101.161(1) also requires that a ballot summary “be  printed in clear and unambiguous language.” “This is to provide  fair notice of the content of the proposed amendment so that the  voter will not be misled as to its purpose, and can cast an  

intelligent and informed ballot.” Advisory Op. to Att’y Gen.—Fee on  Everglades Sugar Prod., 681 So. 2d 1124, 1127 (Fla. 1996).  “Accordingly, in reviewing the ballot title and summary, this Court  asks two questions: (1) whether the ballot title and summary fairly  inform the voter of the chief purpose of the amendment; and (2)  whether the language of the ballot title and summary misleads the  public.” Solar Energy Choice, 188 So. 3d at 831. “[I]t is not  necessary to explain every ramification of a proposed amendment,  only the chief purpose.” Water & Land Conservation, 123 So. 3d at 50-51 (alteration in original) (quoting Advisory Op. to Att’y Gen. re 

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Additional Homestead Tax Exemption (Homestead Tax Exemption), 880 So. 2d 646, 651 (Fla. 2004)). 

Opponents contend that the ballot title and summary fail to  fairly inform voters of the chief purpose of the amendment because,  they argue, the chief purpose is not to limit government interference  with abortion, as the title states, but to effectively provide for  abortion on demand, up until the moment of birth, by requiring  broad exceptions for maternal health. The opponents find it all but  impossible to imagine a circumstance in which a woman who wants  a postviability (including late-term or partial-birth) abortion will not  be able to find a “healthcare provider” willing to say that an abortion is somehow necessary to protect her health—physical,  mental, or otherwise. The opponents further argue that the ballot  title and summary do not fully inform voters that the sweep of the  proposed amendment is broad in its collateral effects on current  Florida statutes regulating abortion; that the amendment may  authorize late-term abortions for the sake of maternal health; or that “health” could encompass mental as well as physical health.  

While it may well be true that the proposed amendment would  have broad effects flowing from its adoption that are not fully 

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explained in the ballot summary, to fairly inform voters of its chief  purpose, a ballot summary—as we have already said—“need not  explain every detail or ramification of the proposed amendment.”  Treating People Differently, 778 So. 2d at 899 (quoting Advisory Op.  to Att’y Gen. re Prohibiting Pub. Funding of Pol. Candidates, 693 So.  2d 972, 975 (Fla. 1997)). Nor must it provide “an exhaustive  explanation of the interpretation and future possible effects of the  amendment.” Id.  

The ballot summary here tracks the language of the proposed  amendment itself and provides that “no law shall prohibit, penalize,  delay, or restrict abortion before viability or when necessary to  protect the patient’s health, as determined by the patient’s  healthcare provider.” That the proposed amendment’s principal goal and chief purpose is to limit government interference with  abortion is plainly stated in terms that clearly and unambiguously  reflect the text of the proposed amendment. And the broad sweep of this proposed amendment is obvious in the language of the  summary. Denying this requires a flight from reality. We  acknowledge that the text of the amendment—like any legal text— presents interpretive questions, but we neither endorse nor reject 

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any litigant’s assertions about how the proposed amendment might  be interpreted in the future and our decision today takes no  position on the scope of legislative discretion that would remain if  the proposed amendment were to become law. 

The second question we must consider in reviewing the ballot  title and summary is whether the language of the ballot title and  summary will be misleading to voters. Medical Marijuana I, 132 So.  3d at 797. The ballot title—“Amendment to Limit Government  Interference with Abortion”—clearly identifies the subject of the  proposed amendment. Nonetheless, some opponents still contend  that the ballot title is misleading because, they suggest, the  proposed amendment does more than “limit” government  interference with abortion and the phrase “government interference  with abortion” is improper inflammatory political rhetoric. We  disagree. The word “limit” is not misleading in the title or  summary. The proposed amendment does not eliminate the  government’s ability to “interfere” with abortion in all  circumstances; by its plain language, it limits government  interference before viability or when necessary to protect the  mother’s health. Its reference to article X, section 22 of the Florida 

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Constitution—which grants the Legislature authority to require  notification to a parent or guardian of a minor before termination of  the minor’s pregnancy—explicitly provides for an instance in which  the legislative authority to “interfere[] with” abortion will be  preserved in the event the proposed amendment is passed. And the  proposed amendment would not prohibit the Legislature from  passing laws “interfering” with abortion after the point of viability  and when the mother’s health is not in jeopardy. The ballot title’s  inclusion of the word “limit” is therefore not misleading but accurately explains that the Legislature will retain authority to  “interfere[] with” abortions under certain circumstances. 

Nor does the ballot title contain inflammatory political  rhetoric. The “government interference” language in the ballot title  is also found in both state and federal abortion precedent. See, e.g., N. Fla. Women’s Health & Counseling Servs., Inc. v. State, 866 So.  2d 612, 615 (Fla. 2003) (“Under our decision, parent and minor are  free to do as they wish in this regard, without government interference.”), receded from by Planned Parenthood of Sw. & Cent.  Fla., No. SC2022-1050 (Apr. 1, 2024) (slip op. at 2-3, 50); Dobbs,  597 U.S. at 273 (reasoning that Roe conflated “the right to shield 

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information from disclosure and the right to make and implement  important personal decisions without governmental interference”).  The “government interference” terminology is a fair description of  the proposal. Thus, we cannot say that the phrase “government interference” is inflammatory political rhetoric. 

The opponents contend that the ballot summary is misleading  because it fails to define “viability,” “health,” or “healthcare  provider”; does not disclose that it might be left to a “healthcare  provider” to determine when a fetus is viable; and does not disclose  that despite its proclamation that no law will prohibit previability  abortion, previability partial-birth abortions will remain prohibited  under the federal partial-birth abortion ban, see 18 U.S.C. § 1531.  But none of these things render the summary misleading or  inadequate in any way. 

This Court has held that it will not strike a proposal from the  ballot based upon an argument concerning “the ambiguous legal  effect of the amendment’s text rather than the clarity of the ballot  title and summary.” Advisory Op. to Att’y Gen. re Voter Control of  Gambling (Voter Control of Gambling), 215 So. 3d 1209, 1216 (Fla.  2017). The question for our consideration here is not whether the 

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proposed constitutional language itself is free of any ambiguity or  whether there are uncertainties regarding the potential legal effect if  the proposed amendment were to pass but whether the ballot  summary misleads voters as to the new constitutional language  voters are asked to adopt in the proposed amendment itself. In  other words, it asks whether the ballot summary will give voters a  false impression about what is contained in the actual text of the  proposed amendment. 

The ballot summary essentially follows the language of the  proposed amendment. It says nothing more and nothing less than  what the operative language of the proposed amendment itself says.  In light of this almost verbatim recitation of the text of the proposed  amendment, it cannot be said that the ballot summary will mislead voters regarding the actual text of the proposed amendment. See Advisory Op. to Att’y Gen. re Voting Restoration Amend., 215 So. 3d  1202, 1208 (Fla. 2017) (“[T]he ballot title and summary also do not  mislead voters with regard to the actual content of the proposed  amendment. Rather, together they recite the language of the  amendment almost in full.”); Prohibiting State Spending, 959 So. 2d  at 214 (upholding a summary that contained language identical to 

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that in the proposed amendment); Marriage Protection, 926 So. 2d  1229 (upholding a summary that reiterated almost all of the  language contained in the amendment); Advisory Op. to Att’y Gen.  re Med. Liab. Claimant’s Comp. Amend., 880 So. 2d 675 (Fla. 2004)  (same). 

The fundamental problem with the main clarity arguments  advanced by the opponents is that they effectively would impose  requirements on the substance of a proposed amendment rather  than require accuracy in the ballot summary. But an alleged  ambiguity of a proposed amendment itself does not render a ballot  summary misleading. And this Court “does not have the authority  or responsibility to rule on the merits or the wisdom of these  proposed initiative amendments.” Treating People Differently, 778  So. 2d at 891 (quoting Advisory Op. to Att’y Gen. re Tax Limitation,  644 So. 2d 486, 489 (Fla. 1994)). There is simply no basis in the  constitution for imposing a requirement for clarity on the substance  of a proposed amendment. And section 101.161(1)’s requirement  for a ballot summary to be in “clear and unambiguous language”  cannot be reasonably understood as imposing an extra constitutional requirement concerning the substance of proposed 

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amendments. Nor should a summary be expected to resolve every  interpretive question presented by a proposed amendment. Any  summary that attempts to do so will no doubt be challenged for  making the wrong interpretive choices. Indeed, the sponsor of an  initiative does not have the authority—under the guise of  clarification—to use the ballot summary to narrow or broaden the  meaning of the words used in the amendment text itself. In our  legal system, the meaning of terms placed in the constitution is  determined by the application of established interpretive  conventions and separation of powers principles; legal meaning is  not dictated by an amendment’s sponsor. 

The opponents argue that the proposed amendment is  misleading for failing to mention that it would not affect the federal  ban on partial-birth abortion. “This Court has . . . never required  that a ballot summary inform voters as to the current state of  federal law and the impact of a proposed state constitutional  amendment on federal statutory law as it exists at this moment in  time.” Medical Marijuana I, 132 So. 3d at 808. This case is thus  distinguishable from Advisory Opinion to the Attorney General re  Adult Use of Marijuana, 315 So. 3d 1176 (Fla. 2021), in which this 

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Court concluded that a ballot summary was affirmatively  misleading “regarding the interplay between the proposed  amendment and federal law.” Id. at 1180 (quoting Medical  Marijuana I, 132 So. 3d at 808). There, we expressly rejected the  idea that the ballot summary was defective for failing to “include  language that [wa]s not in the proposed amendment itself,” and  instead concluded that the ballot summary was defective for its  omission of “important language that [wa]s found ‘in the proposed  amendment itself.’ ” Id. at 1183 (quoting Medical Marijuana I, 132  So. 3d at 808). 

In the end, the ballot title and summary fairly inform voters, in  clear and unambiguous language, of the chief purpose of the  amendment and they are not misleading. The ballot summary’s  nearly verbatim recitation of the proposed amendment language is  an “accurate, objective, and neutral summary of the proposed  amendment.” See Homestead Tax Exemption, 880 So. 2d at 653-54  (“[A]n accurate, objective, and neutral summary of the proposed  amendment is the sine qua non of the citizen-driven process of  amending our constitution.”). Accordingly, there is no basis to 

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reject the proposed summary and ballot title under section  101.161, Florida Statutes. 

In reaching this conclusion, we recognize that “the polestar of  our analysis is the candor and accuracy with which the ballot  language informs the voters of a proposed amendment’s effects.”  Dep’t of State v. Fla. Greyhound Ass’n, Inc., 253 So. 3d 513, 520  (Fla. 2018). Here, there is no lack of candor or accuracy: the ballot  language plainly informs voters that the material legal effects of the  proposed amendment will be that the government will be unable to  enact laws that “prohibit, penalize, delay, or restrict” previability  abortions or abortions necessary to protect the mother’s health. It  is undeniable that those are the main and material legal effects of  the proposed amendment.  

“[W]e have also recognized ‘that voters may be presumed to  have the ability to reason and draw logical conclusions’ from the  information they are given.” Id. at 520 (quoting Smith v. Am. Airlines, Inc., 606 So. 2d 618, 621 (Fla. 1992)). Because of this,  ballot language—as we have previously mentioned—“is not required  to explain every detail or ramification of the proposed amendment.”  Id. (quoting Smith, 606 So. 2d at 620). We thus presume that 

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voters will have an understanding of the obviously broad sweep of  this proposed amendment despite the fact that the ballot summary  does not and cannot reveal its every possible ramification or  collateral effect. Cf. Advisory Op. to Att’y Gen. re Ltd. Casinos, 644  So. 2d at 75 (noting that “[t]he seventy-five word limit placed on the  ballot summary as required by statute does not lend itself to an  explanation of all of a proposed amendment’s details”). 

Even if elements of ambiguity in the text of a proposed  amendment could result in the invalidity of a proposal—a  proposition we reject—no such ambiguity has been shown here.  Rather, the challenged concepts have been at the forefront of the  abortion debate in this country for more than fifty years—a debate  that may be at its height today in the wake of Dobbs. And while  some indeterminacy remains regarding these concepts, it is difficult  to imagine a Florida voter in 2024 who would be befuddled in any  material way by the ballot summary or proposed amendment due to  the use of the terms “viability,” “health,” and “healthcare provider.” 

Regarding whether ambiguity in the text of a proposed  amendment can be the basis for a finding that the proposal is  invalid, we acknowledge tension in our case law. But we have never 

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given a reasoned explanation of any basis for applying the  requirements designed to prevent misleading ballot summaries as a  substantive limitation on the content of a proposed amendment.  And our most recent pronouncement on the subject is in  Department of State v. Hollander, 256 So. 3d 1300, 1311 (Fla.  2018), in which we unequivocally stated: “[T]his Court has held that  it will not strike a proposal from the ballot based upon an argument  concerning ‘the ambiguous legal effect of the amendment’s text  rather than the clarity of the ballot title and summary.’ ” (quoting  Voter Control of Gambling, 215 So. 3d at 1216). We see no reason to  depart from our most recent ruling on this question. 

The opponents emphasize our decision in Askew v. Firestone,  421 So. 2d 151 (Fla. 1982). But Askew is entirely inapposite. In  Askew, we determined that the chief purpose of the proposed  amendment was “to remove the two-year ban on lobbying by former  legislators and elected officers.” Id. at 156. We found the ballot  summary to be fatally defective because although it “indicate[d] that  the amendment [wa]s a restriction on one’s lobbying activities, the  amendment actually g[ave] incumbent office holders, upon filing a  financial disclosure statement, a right to immediately commence 

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lobbying before their former agencies which [wa]s . . . precluded.”  Id. at 155-56. In other words, the ballot summary was fatally  misleading because it operated to permit something when it said  that it was “[p]rohibit[ing]” something. Id. at 153. No similar  infirmity exists in this case. As previously stated, “[t]hat the  proposed amendment’s principal goal and chief purpose is to limit  government interference with abortion is plainly stated in terms  that clearly and unambiguously reflect the text of the proposed  amendment.” Supra at 19.  

The decision in Wadhams v. Board of County Commissioners of  Sarasota County, 567 So. 2d 414 (Fla. 1990), is likewise  distinguishable from the circumstances here. In Wadhams, the full  text of a charter provision—with amendments engrossed—was placed on the ballot so that the voters were not informed of what  was being changed in the text of the charter. Id. at 415. We held  “that the chief purpose of the amendment was to curtail the Charter  Review Board’s right to meet,” but nothing on the ballot gave the  voter information necessary to understand that fact. Id. at 416.  Nothing like that is occurring in this case.

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We are told by dissenting colleagues that “the vagueness of the  proposed amendment itself leaves many key issues undetermined.”  Dissenting op. at 46 (Grosshans, J.). Indeed, we are advised that  the “language and structure” of the proposed amendment are  “overwhelmingly vague and ambiguous” and that the proposal in  fact has “no readily discernible meaning.” Dissenting op. at 66 (Sasso, J.). We are further instructed that the summary—in  tracking the text of the proposed amendment—“does not attempt to  explain that the amendment itself is similarly vague and  ambiguous.” Id. at 76. Furthermore, the supposed ambiguity is  not “self-evident from the vague and ambiguous nature of the  summary.” Id. We are also told that the language of the summary  and proposed amendment “hides the ball” and “explains nothing”  but then are instructed on a series of far-reaching “effects” gleaned  from that very language. Dissenting op. at 53 (Francis, J.). Again,  as we have explained, the suggestion that an amendment sponsor  must use a ballot summary to “clarify” the text of an assertedly  vague proposal ignores limits on the sponsor’s own authority. And  we see no basis in law or common sense to require a ballot  summary to announce, as if in a warning label, “caution: this 

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amendment contains terms with contestable meanings or  applications.” Voters can see and decide for themselves how the  specificity of the proposal’s terms relates to the proposal’s merits.  For reasons that are evident from what we have already said, none  of this is convincing.3 

Lawyers are adept at finding ambiguity. Show me the text and  I’ll show you the ambiguity. The predominant reasoning in the  dissents would set this Court up as the master of the constitution  with unfettered discretion to find a proposed amendment  ambiguous and then to deprive the people of the right to be the  judges of the merits of the proposal. It would open up a playground  for motivated reasoning and judicial willfulness. This Court has an  

3. It is also suggested that the voters should be informed that  the proposed amendment “could, and likely would, impact how  personhood is defined for purposes of article I, section 2 of our  constitution.” Dissenting op. at 49 (Grosshans, J.). The  constitutional status of a preborn child under existing article I,  section 2 presents complex and unsettled questions. Until our  decision today to recede from T.W., this Court’s jurisprudence for  the past thirty-odd years had assumed that preborn human beings  are not constitutional persons. See T.W., 551 So. 2d at 1193-94  (treating the fetus as only “potential life”), receded from on other  grounds by Planned Parenthood of Sw. & Cent. Fla., No. SC2022- 1050 (Apr. 1, 2024). Given the unsettled nature of this issue, any  “disclosure” would be speculative and therefore unwarranted.

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important role in determining the validity of proposed amendments  and ensuring that ballot summaries do not mislead the voters. But  nothing in the law of this state gives the Court a stranglehold on the  amendment process. We decline to adopt a standard that would  effectively vest us with the power to bar an amendment from the  ballot because of a supposed ambiguity in the text of the  amendment. We decline to encroach on the prerogative to amend  their constitution that the people have reserved to themselves. D. Facial Invalidity 

In 2020, section 16.061(1), Florida Statutes, was amended to  direct the Attorney General that in addition to requesting an  advisory opinion regarding the compliance of a proposed  amendment and ballot language with article XI, section 3 and  section 101.161, she also requests an opinion as to “whether the  proposed amendment is facially invalid under the United States  Constitution.” See ch. 2020-15, § 2, Laws of Fla. Despite this  directive, the Attorney General failed to request that we issue an  opinion concerning the facial invalidity of the proposed amendment in this proceeding, and only one opponent contends that the  proposed amendment is facially invalid. Opponent Center for Life

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argues that the proposed amendment is facially invalid under the  Supremacy Clause of the United States Constitution,4 because it is  preempted by federal law, namely 18 U.S.C. § 1531, which prohibits partial-birth abortion.5 Specifically, the Center for Life argues that  the “viability provision” of the proposed amendment—which  purportedly would ban any law that “prohibit[s], penalize[s],  delay[s], or restrict[s] abortion before viability”—sets up an  inherent, irreconcilable conflict with federal law because the  proposed amendment’s efforts to prohibit any restriction on  

4. See art. VI, cl. 2, U.S. Const. (“This Constitution, and the  Laws of the United States . . . shall be the supreme Law of the  Land; and the Judges in every State shall be bound thereby, any  Thing in the Constitution or Laws of any State to the Contrary  notwithstanding.”). 

5. Under federal law, partial-birth abortion is defined as 

deliberately and intentionally vaginally deliver[ing] a  living fetus until, in the case of a head-first presentation,  the entire fetal head is outside the body of the mother, or,  in the case of breech presentation, any part of the fetal  trunk past the navel is outside the body of the mother,  for the purpose of performing an overt act that the person  knows will kill the partially delivered living fetus[,] 

18 U.S.C. § 1531(b)(1)(A), and is prohibited unless “necessary to  save the life of a mother whose life is endangered by a physical  disorder, physical illness, or physical injury,” 18 U.S.C. § 1531(a). 

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previability abortion cannot coexist with the federal ban on partial birth abortion. Neither the Sponsor nor any of the proponents  addressed the Center for Life’s argument. 

Assuming congressional preemption is even an appropriate  consideration for this Court in assessing facial validity,6 there is no  basis for accepting the Center for Life’s argument here. For a  provision of state law, including a state constitutional amendment,  “to be held facially unconstitutional, the challenger must  demonstrate that no set of circumstances exists in which the  [provision] can be constitutionally applied.” Abdool v. Bondi, 141  So. 3d 529, 538 (Fla. 2014). The federal prohibition on partial-birth  abortion would by no means invalidate the proposed amendment in  all its applications.  

6. As a threshold issue, no one has briefed whether section  16.061 uses the phrase “invalid under the United States  Constitution” to include any proposed amendment that would be  preempted by an act of Congress or if that phrase should instead be  interpreted to apply only if a proposed amendment is in conflict  with a substantive provision of the United States Constitution. See  Advisory Op. to Att’y Gen. re: Adult Personal Use of Marijuana,  SC2023-0682, at 16 note 7 (Apr. 1, 2024).

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III. CONCLUSION 

We conclude that the proposed amendment complies with the  single-subject requirement of article XI, section 3 of the Florida  Constitution, and that the ballot title and summary comply with  section 101.161(1), Florida Statutes. And there is no basis for  concluding that the proposed amendment is facially invalid under  the United States Constitution. Accordingly, we approve the  proposed amendment for placement on the ballot. 

No rehearing will be permitted. 

It is so ordered. 

CANADY, LABARGA, and COURIEL, JJ., concur. 

MUÑIZ, C.J., concurs with an opinion, in which CANADY and COURIEL, JJ., concur. 

GROSSHANS, J., dissents with an opinion, in which SASSO, J.,  concurs. 

FRANCIS, J., dissents with an opinion. 

SASSO, J., dissents with an opinion, in which GROSSHANS and  FRANCIS, JJ., concur. 

MUÑIZ, C.J., concurring. 

Animating the majority’s decision today is the constitutional  principle that “[a]ll political power is inherent in the people.” Art. I,  § 1, Fla. Const. A judge’s obedience to that principle does not  signal personal indifference to the objective justice of a proposed 

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constitutional amendment. It also does not imply that our legal  tradition views considerations of justice as irrelevant to legal  interpretation. See, e.g., Bancroft Inv. Corp. v. City of Jacksonville,  27 So. 2d 162, 171 (Fla. 1946) (“If the positive law (constitution or  statute) does not give a direct answer to the question, the court is at  liberty on the factual basis to indulge the rule of reason to reach a  result consonant with law and justice.”). Instead, our Court’s  constrained role in the amendment process is dictated by the  limited authority and task the people have assigned us. 

By contrast, questions of justice are appropriately at the heart  of the voters’ assessment of a proposed amendment like the one  under review. With its reference to the existence of “inalienable  rights” in all persons, our constitution’s Declaration of Rights  assumes a pre-constitutional, objective moral reality that demands  our respect—indeed, a moral order that government exists to  protect. The proposed amendment would constitutionalize  restrictions on the people’s authority to use law to protect an entire  class of human beings from private harm. It would cast into doubt  the people’s authority even to enact protections that are prudent,  compassionate, and mindful of the complexities involved. Under 

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our system of government, it is up to the voters—not this Court—to  decide whether such a rule is consistent with the deepest  commitments of our political community. 

With these considerations in mind, we fully concur in the  Court’s opinion. 

CANADY and COURIEL, JJ., concur. 

GROSSHANS, J., dissenting. 

In the decades after Roe v. Wade was decided, abortion was  rarely an issue on which the public made decisions—either directly  or through their elected representatives. See Roe, 410 U.S. 113  (1973). Instead, the courts acted as policymakers, and judges  determined the boundaries and scope of abortion regulations.  However, courts were unable to settle the complicated issues  surrounding abortion, and even the U.S. Supreme Court struggled  to justify the constitutional basis for such a right. See id. at 153  (holding that abortion is a constitutional right as part of the “right  of privacy”); Planned Parenthood of Se. Pa. v. Casey, 505 U.S. 833,  846 (1992) (joint opinion) (“Constitutional protection of the woman’s  decision to terminate her pregnancy derives from the Due Process  Clause of the Fourteenth Amendment.” (emphasis added)); cf. Dobbs 

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v. Jackson Women’s Health Org., 597 U.S. 215, 279 (2022) (“The  Court [in Casey] abandoned any reliance on a privacy right and  instead grounded the abortion right entirely on the Fourteenth  Amendment’s Due Process Clause.”). 

Stressing these points and others, the Supreme Court  relinquished the power that Roe claimed—returning the issue of  abortion “to the people and their elected representatives.”  See Dobbs, 597 U.S. at 259. Now, in the post-Dobbs era, citizens  must wrestle with how to balance the compelling interests of bodily  autonomy and unborn life, while considering scientific advances,  policy choices, and serious ethical implications. Cf. Casey, 505  U.S. at 979 (Scalia, J., concurring in the judgment in part and  dissenting in part) (“The permissibility of abortion, and the  limitations upon it, are to be resolved like most important questions  in our democracy: by citizens trying to persuade one another and  then voting.”). These are difficult issues, and both sides of the  debate have acted, at times rashly, in an attempt to resolve an issue on which there is little consensus. And we are reminded, yet again,  what has been acknowledged by the Supreme Court many times—

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abortion is fundamentally different. See Dobbs, 597 U.S. at 257;  Roe, 410 U.S. at 159; Casey, 505 U.S. at 852 (joint opinion). Today, we consider an initiative that proposes to amend our  constitution by providing express protection for abortion  procedures. The proposed amendment, with one exception, broadly  forbids any “law” “prohibit[ing], penaliz[ing], delay[ing], or  restrict[ing] abortion before viability or when necessary to protect  the patient’s health, as determined by the patient’s healthcare  provider.” 

We have described our role in these advisory opinions as  narrow. We determine if the proposed amendment meets our  constitution’s single-subject requirement and assess whether the  ballot summary offers an explanatory statement of the amendment’s  chief purpose. See In re Advisory Op. to Att’y. Gen. re Use of  Marijuana for Debilitating Med. Conditions, 181 So. 3d 471, 478 (Fla.  2015); cf. art. XI, § 3, Fla. Const. (single-subject rule); § 101.161,  Fla. Stat. (2023) (requiring summary to set forth “explanatory  statement . . . of the chief purpose of the measure”). 

Nevertheless, as revealed by our precedent, the precise scope  of our review in this advisory role is subject to debate. The majority 

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implies that we check to see if the summary and title track the  amendment’s text. See majority op. at 23-24 (collecting cases  which involved summaries that tracked the proposed amendments).  However, in a long line of decisions, we have consistently  interpreted our role to be more comprehensive and have examined  the material legal effects of the amendment—thereby ensuring that  the voters are not misled and have fair notice of the decision before  them on the ballot. See, e.g., Wadhams v. Bd. of Cnty. Comm’rs of  Sarasota Cnty., 567 So. 2d 414, 416 (Fla. 1990); Dep’t of State v.  Fla. Greyhound Ass’n, Inc., 253 So. 3d 513, 520 (Fla. 2018) (“Ballot  language may be clearly and conclusively defective either in an  affirmative sense, because it misleads the voters as to the material  effects of the amendment, or in a negative sense by failing to inform  the voters of those material effects.” (emphasis added)); Advisory Op.  to Att’y Gen. re Prohibits Possession of Defined Assault Weapons (Assault Weapons), 296 So. 3d 376, 381 (Fla. 2020) (same). As  Justice Sasso notes in her dissent, no party in this case has argued  that our precedent applying this approach in ballot-summary  review is erroneous. And under this approach, we have found both  citizens’ initiative proposals and legislatively proposed ballot 

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initiatives to be defective. Yet, to my knowledge, the Legislature has  not acted to restrict or narrow this Court’s role in reviewing a ballot  summary, nor has it attempted to clarify that our interpretation is  improper. 

Accordingly, our precedent supports the conclusion that our  statutory duty requires more than simply inspecting the summary  for technical compliance. Instead, we determine if the summary  clearly explains the chief purpose of the amendment. This will, at  times, require the summary do more than simply echo the  amendment’s text.  

We have stated many times that the summary and title must  be accurate and informative so that the “electorate is advised of the  true meaning, and ramifications, of an amendment.” See, e.g.Advisory Op. to Att’y Gen. re Tax Limitation, 644 So. 2d 486, 490  (Fla. 1994) (emphasis added); Advisory Op. to Att’y Gen. re Med. Liab. Claimant’s Comp. Amend., 880 So. 2d 675, 679 (Fla. 2004)  (“These requirements make certain that the ‘electorate is advised of  the true meaning, and ramifications, of an amendment.’ ” (quoting  Tax Limitation, 644 So. 2d at 490)); Detzner v. League of Women  Voters of Fla., 256 So. 3d 803, 807 (Fla. 2018) (same). And I 

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acknowledge that the summary “need not explain every detail or  ramification of the proposed amendment” so long as they “give the  voter fair notice of the decision he or she must make.” Detzner, 256  So. 3d at 807 (citations omitted). 

However, I disagree with the majority’s suggestion that if the  summary is an “almost verbatim recitation of the text of the  proposed amendment” it cannot be misleading. Majority op. at 23.  The majority finds that a parroting summary cannot be affirmatively  “mislead[ing] . . . regarding the actual text of the proposed  amendment.” Id. That, however, fails to address if the summary is  negatively misleading for omitting material legal effects. And in  declining to consider this point, the majority distinguishes our  opinion in Advisory Opinion to the Attorney General re Adult Use of  Marijuana, 315 So. 3d 1176 (Fla. 2021) (rejecting a summary for  omitting material language found in the amendment), seemingly  characterizing that case as the axiomatic example of misleading by  omission.  

The majority also does not account for the numerous other  cases that have rejected summaries for misleading by omission, and  others that have approved summaries while reaffirming that 

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doctrine. We have repeatedly reaffirmed the broader holding that  summaries must tell voters the amendment’s legal effects. See, e.g.Evans v. Firestone, 457 So. 2d 1351, 1355 (Fla. 1984) (the summary  “should tell the voter the legal effect of the amendment, and no  more”); Advisory Op. to Att’y Gen. re Fla. Marriage Prot. Amend., 926  So. 2d 1229, 1238 (Fla. 2006) (same); Assault Weapons, 296 So. 3d  at 381 (ballot can be clearly and conclusively defective “in a  negative sense by failing to inform the voters [of] material effects of  the amendment” (quoting Advisory Op. to Att’y Gen. re Right to  Competitive Energy Mkt. for Customers of Inv’r-Owned Utils., 287 So.  3d 1256, 1260 (Fla. 2020)); Greyhound, 253 So. 3d at 520 (same). 

Although we have indicated that parroting the language of an  amendment in the summary may easily satisfy the misleading  prong,7 we have never claimed that doing so would always be  

7. See Advisory Op. to Att’y Gen. re Voting Restoration Amend.,  215 So. 3d 1202, 1208 (Fla. 2017) (“[T]he ballot title and summary  also do not mislead voters with regard to the actual content of the  proposed amendment. Rather, together they recite the language of  the amendment almost in full.”); Advisory Op. to Att’y Gen. re  Prohibiting State Spending for Experimentation that Involves the  Destruction of a Live Hum. Embryo, 959 So. 2d 210, 214 (Fla. 2007)  (upholding a summary that contained language identical to that in  the proposed amendment); Fla. Marriage Prot. Amend., 926 So. 2d  at 1236-40 (upholding a summary that reiterated almost all of the 

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sufficient to satisfy the statutory requirements. For example, in  Wadhams, we found that even though a ballot contained “the entire  section as it would actually appear subsequent to amendment,” it  still “fail[ed] to contain an explanatory statement of the amendment”  and thus was “deceptive, because although it contains an  absolutely true statement, it omits to state a material fact necessary  in order to make the statement made not misleading.” 567 So. 2d  at 416; see also Armstrong v. Harris, 773 So. 2d 7, 15-16, 18 (Fla.  2000).8 Nor have we receded from our cases requiring the summary  to inform the voter as to material legal effects. See Live Human  Embryo, 959 So. 2d at 215. Sometimes a verbatim summary will  capture the material legal effects contained in the amendment. But  sometimes it will not. See, e.g., Wadhams, 567 So. 2d at 416. 

language contained in the amendment); Advisory Op. to Att’y Gen.  re Med. Liab. Claimant’s Comp. Amend., 880 So. 2d at 679 (same).  

8. Even where we have upheld a ballot summary, we have still  reaffirmed Wadhams and its logic, reiterating our precedents  against parroting while approving a summary because it “is an  accurate description of what the proposed amendment will do,  consistent with the requirement that ballot language accurately  represent the main legal effect and ramifications of a proposed  amendment.” Detzner v. Anstead, 256 So. 3d 820, 824 (Fla. 2018)  (emphases added) (first citing Armstrong, 773 So. 2d at 12; and  then citing Wadhams, 567 So. 2d at 417-18).

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Turning to this ballot summary, the vagueness of the proposed  amendment itself leaves many key issues undetermined. Thus, as  Justice Sasso notes, we ask: “[I]s the Sponsor relieved of its  obligation to explain the legal effect of the proposed amendment  just because the amendment has no readily discernable meaning?” Dissenting op. at 75-76 (Sasso, J.) Like Justice Sasso, I conclude  the answer is no and agree with her detailed analysis that the  summary’s language fails to convey the amendment’s ramifications  to the voter.  

The majority implies that I am concerned only with “ambiguity  in the text of the amendment” itself. Majority op. at 33. That is not  so. On the contrary, it is the summary that has failed to adequately  explain the amendment. In my view, the summary does not give  

the voter any clarity on the decision they must actually make or  reveal the amendment’s chief purpose. Instead, it misleads by  omission and fails to convey the breadth of what the amendment  actually accomplishes—to enshrine broad, undefined terms in our  constitution that will lead to decades of litigation.  

A voter may think this amendment simply returns Florida to a  pre-Dobbs status quo. It does not. A voter may think that a 

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healthcare provider would be clearly defined as a licensed physician  specializing in women’s health. It is not. A voter may think that  viability falls within a readily apparent time frame. It does not. A  voter may think that the comma is an insignificant grammatical tool  that would have very little interpretive purpose. It will not. And,  critically, the voter may think this amendment results in settling  this issue once and for all. It does not. Instead, this amendment  returns abortion issues back to the courts to interpret scope,  boundary, definitions, and policy, effectively removing it from the  people and their elected representatives. Perhaps this is a choice  that Floridians wish to make, but it should be done with clarity as  to their vote’s ramifications and not based on a misleading ballot  summary. 

To be clear, I do not criticize the content of the proposed  amendment itself. The amendment’s sponsors may draft an  amendment as they see fit. But, contrary to the majority’s  assessment, it would seem “common sense” that the language a  sponsor chooses clearly affects what must be included in the  summary to meet the statutory requirements. The sponsor’s  burden to properly summarize the material legal effects of a 

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proposed amendment is not lessened by its decision to include  undefined terms or broad, abstract language.  

Moreover, the breadth of this amendment would likely impact  existing constitutional provisions. Article I, section 2, a provision of  our constitution’s Declaration of Rights, states that “[a]ll natural  persons . . . are equal before the law and have inalienable rights,”  including “the right to enjoy and defend life.” Art. I, § 2, Fla. Const. 

We have held time and again that a summary must “identify  the provisions of the constitution substantially affected by the  proposed amendment.” Right of Citizens to Choose Health Care  Providers, 705 So. 2d at 566 (citing Tax Limitation, 644 So. 2d at  490). This is required “in order for the public to fully comprehend  the contemplated changes.” Id.9  

9. The requirement that a summary list substantially affected  provisions is so embedded in our jurisprudence that some older  cases have described it as being rooted in our constitution. See Fine v. Firestone, 448 So. 2d 984, 989-90 (Fla. 1984); Tax  Limitation, 644 So. 2d at 490; Advisory Op. to Att’y Gen. re Right of  Citizens to Choose Health Care Providers, 705 So. 2d 563, 565-66 (Fla. 1998) (reiterating that “it is imperative that an initiative  identify the provisions of the constitution substantially affected by  the proposed amendment”); Advisory Op. to Att’y Gen. re Amend. to  Bar Gov’t from Treating People Differently Based on Race in Pub. Educ., 778 So. 2d 888, 892 (Fla. 2000) (same). More recently, we  have found that the modern clarity statute requires the same rule. 

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The amendment’s potential effects on article I, section 2 have  present significance, even though we don’t have the benefit of a  robust body of case law on the topic. That is, the public should be  made aware that the scope of the amendment could, and likely  would, impact how personhood is defined for purposes of article I,  section 2 of our constitution. The voters are owed that “candor and  accuracy.” See majority op. at 27 (quoting Greyhound, 253 So. 3d  at 520).  

I do not deny that the return of abortion policy to the states in  the wake of Dobbs has resulted in a minefield of potential issues,  many of which are “unsettled.” Majority op. at 32 n.3. As I  previously discussed, citizens have not been asked to contend with  these questions in decades. In similar fashion, this Court has failed  to address whether the rights guaranteed in article I, section 2  apply to the unborn and, if so, what the scope of those rights could  

See Treating People Differently Based on Race, 778 So. 2d at 898  (rejecting a ballot summary as misleading under section 101.161  because it failed to mention its effect on article I, section 2’s  nondiscrimination provision; concluding that “the ballot titles are  defective because of the misleading negative implication that no  such constitutional provision addressing differential treatment  currently exists”).

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be. However, our failure to decide on this issue does not render the  provision void. Nor does it alleviate a sponsor’s duty to advise the  voter of impact. Nowhere has this requirement to inform been  arbitrarily limited to substantial effects on issues that this Court  has already weighed in on. Cf. Greyhound, 253 So. 3d at 523  (evaluating substantial effect on then-recently added article X,  section 23, and citing no cases for its interpretation). While a  substantial effect would be even more obvious if we had previously  addressed this issue, our silence should not eliminate a citizen’s  right to be informed. If advised of the conflict, the voter could  recognize for themselves that, at some level, an amendment  providing broad protection for abortion would bear upon  constitutional personhood rights as applied to the unborn child.  Thus, the voter would be able to consider the choice before them  and the decision they must make. See Fine, 448 So. 2d at 989.  Accordingly, I cannot say that failing to inform voters as to the  proposed amendment’s impact on article I, section 2 is acceptable. 

In summary, Floridians have the right to amend their  constitution through the initiative process, and it is an integral part  of our state’s commitment to responsible citizenship. However, 

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there are constitutional and statutory requirements that must be  satisfied in order for an amendment to reach the ballot. Holding a  sponsor to those requirements is far from what the majority  characterizes as a “stranglehold on the amendment process.” See majority op. at 33. Consequently, I find the ballot summary  conclusively defective for failing to inform the voter of the material  legal effects of the amendment, including the substantial effect this  amendment could have on article I, section 2 of our constitution.  This conclusion requires me to respectfully dissent from the  majority’s opinion.  

SASSO, J., concurs. 

FRANCIS, J., dissenting. 

The issue of abortion is incredibly divisive. See Dobbs v.  Jackson Women’s Health Org., 597 U.S. 215, 292 (2022) (“Roe [v.  Wade, 410 U.S. 113 (1973)] ‘inflamed’ a national issue that has  remained bitterly divisive for the past half century. And for the past  30 years, [Planned Parenthood of Se. Pa. v.] Casey [505 U.S. 883  (1992)] has done the same.” (citations omitted)).  

When Dobbs found there was no federal constitutional right to  it, the Court “return[ed] the issue of abortion to the people’s elected 

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representatives.” Id. at 232. Our elected representatives here in  Florida did address the issue of abortion legislatively. See §§  390.011-.0111, .0112, Fla. Stat. (2023). But those laws have faced  legal challenges.  

Simultaneously, groups have undertaken the use of the  initiative process, see art. XI, § 3, Fla. Const., to enshrine abortion  in our state constitution.  

Today, we are asked to opine on one such effort—an Amendment to Limit Government Interference with Abortion.10 As written, the title and the ballot summary (which parrots the  amendment) fail to give the voters what they need to make an  

10. Specifically, we must determine whether the language of  this proposed amendment embraces but one subject, see art. XI, §  3, Fla. Const., and whether the ballot summary explains the “chief  purpose” of the proposed amendment in clear, unambiguous, non 

misleading terms, § 101.161(1), Fla. Stat. (2023). The short ballot  title must also be clear, unambiguous, and non-misleading.  Together, the ballot summary and title must “ ‘provide fair notice of  the content of the proposed amendment’ to voters so that they ‘will  not be misled as to [the proposed amendment’s] purpose, and can  cast an intelligent and informed ballot.’ ” Advisory Op. to Att’y Gen.  re Voter Control of Gambling, 215 So. 3d 1209, 1215 (Fla. 2017)  (alteration in original) (emphasis added) (quoting Advisory Op. to  Att’y Gen. re Right of Citizens to Choose Health Care Providers, 705  So. 2d 563, 566 (Fla. 1998)). 

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informed decision; thus, both violate the truth-in-packaging law. §  101.161(1), Fla. Stat. 

The title fails to communicate to the voters that the purpose of  the proposed amendment is ending (as opposed to “limiting”)  legislative and executive action on abortion, while inviting limitless and protracted litigation in the courts because of its use of vague  and undefined terms. Just as it played out on the federal stage for  over 50 years, the issue of abortion—far from the people settling the  matter—will continue to be decided by each iteration of this Court. 

And the summary hides the ball as to the chief purpose of the  proposed amendment: which, ultimately, is to—for the first time in  Florida history—grant an almost unrestricted right to abortion.11 

Because the summary only parrots the language of the  proposed amendment, it explains nothing, and does not disclose its chief purpose. See § 101.161(1), Fla. Stat. The fact that the 

11. I disagree with the majority’s conclusions that “the broad  sweep of this proposed amendment is obvious in the language of  the summary,” majority op. at 19, and that “[t]he ballot title’s  inclusion of the word ‘limit’ is . . . not misleading but accurately  explains that the Legislature will retain authority to ‘interfere[] with’  abortions under certain circumstances.” Majority op. at 21 (second  alteration in original).

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language has a “broad sweep,” see majority op. at 19, as to its “no  law” restriction, to me, doesn’t end the inquiry. Rather, the sponsor  is statutorily and constitutionally required to provide the voter an  explanation of the summary’s vague language (e.g., as to what  constitutes “health” or who may qualify as a “healthcare provider”),  as well as tell the voter of the amendment’s chief effects. This is not  some run-of-the-mill restoration of Roe—it goes far beyond that into  uncharted territory in this State.  

As to the majority’s statement that the Court cannot place a  “stranglehold” on the initiative process, majority op. at 33, I could  not agree more! But this is not that. It is my view that while the  constitution enshrines the reserved right of the people to amend  their constitution, this Court also has a role in ensuring the people  can exercise that right free of anything that would mislead them or  present them with ambiguity. See art. V, § 3(b)(10), art. IV, § 10, art. XI, § 3, Fla. Const.; § 101.161, Fla. Stat.12 And quite simply,  

12. See supra note 10.

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for the reasons expressed in greater detail here and elsewhere, the  summary and title, I submit, don’t pass muster.13 

The effects I discern from the parroted-proposed-amendment  summary here—which effects are the best evidence of its chief  purpose—are fourfold:  

(1) to immediately abrogate meaningful abortion laws and  restrictions;  

(2) to eliminate any meaningful, future participation by the  Legislature by prohibiting any laws on previability abortions and subjecting any laws regulating postviability abortions to a  “healthcare provider’s” veto;  

(3) to—by eliminating the Legislature’s interference—vastly  expand the right to abortion at any time during pregnancy as a  “health” issue for the mother; and  

13. I also remain convinced that our precedent has read the  single-subject requirement far too broadly. However, as I tackle  that topic in my dissent in Advisory Opinion to the Attorney General  re Adult Personal Use of Marijuana, SC2023-0682 (Apr. 1, 2024)  (Francis, J., dissenting), I limit my dissent here to the proposal’s  violation of the truth-in-packaging provisions.

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(4) troublingly, to—by ignoring the State’s legitimate interests  in protecting life—completely redefine abortion as a health issue in  Florida without saying so.  

I address these four effects—that are left unexplained by the  summary—in part I, below. And in part II, I further address why  the title will mislead voters.  

I. Ballot Summary 

(1) 

First, the ballot summary doesn’t explain that the scope and  immediate impact of the “no law” language is to abrogate Florida’s  current prohibitions, restrictions, and regulations on both pre and  postviability abortions. This includes current laws defining viability  and drawing the line at a certain number of weeks, §§ 390.011(15),  .0111(1), Fla. Stat. (2023); those requiring a sonogram and  informed consent, § 390.0111(3), Fla. Stat. (2023); and those  prohibiting abortions postviability with limited exceptions. §§  390.0111(1)(a)-(c), .0112, Fla. Stat. (2023). 

The summary also provides that the Legislature can’t make  laws interfering with a “healthcare provider’s” determination that a 

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late term abortion is medically necessary for the sake of the  patient’s “health.”  

“Health” is undefined and, thus, not limited to just life threatening physical conditions. Rather, “health” could mean  anything, really. And “health” seems to include nebulous  conditions that could be used to justify a late term abortion. The  ballot summary does not explain this. 

(2) 

Second, the ballot summary doesn’t explain that the proposed  amendment effectively eliminates the Legislature’s ability to pass  laws in the future regulating abortion in any meaningful,  substantive way. This prohibition applies to previability  pregnancies. But it applies to postviability pregnancies, too,  because the undefined “healthcare provider” gets a veto over any  laws the Legislature might be able to pass to protect the unborn as  long as said “healthcare provider” decides a “health” issue exists  necessitating an abortion.14 The ballot summary does not explain  this.  

14. I completely agree with Justice Sasso’s excellent dissent  concerning the vagueness of the language used by the sponsor, 

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(3) 

Third, the ballot summary doesn’t explain that by eliminating  the Legislature’s ability to meaningfully pass laws regulating  abortion either pre or postviability, and housing the proposed  amendment under Article I’s “Declaration of Rights” in the Florida  Constitution, the amendment vastly expands the right to abortion  beyond anything Florida has ever done in the history of the State.  

Whatever limits on the “right” to abortion remain are placed  squarely in the “healthcare provider’s” hands as ultimate  decisionmaker. The ballot summary neither explains nor discloses  this.  

(4) 

Fourth, the summary doesn’t explain that the proposed  amendment implicitly and completely redefines the abortion issue  as a “patient’s health” issue without acknowledging what even Roe  and Casey acknowledged: the State’s compelling interest in  

though, arguendo, for purposes of my dissent, I assume that the  placement of the comma means the worst-case scenario: the  “healthcare provider” also determines viability. See dissenting op.  at 74-75 (Sasso, J.).

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protecting “the potentiality of human life,” particularly viable  pregnancies. See Dobbs, 597 U.S. at 228, 271 (defining “viability”  as the ability to survive outside the womb).15 

While I recognize that our review in ballot initiative cases is  narrow, this case is different because abortion is different. Dobbs,  597 U.S. at 218 (Syllabus) (“Abortion is different because it destroys  what Roe termed ‘potential life’ . . . . None of the other decisions  cited by Roe and Casey involved the critical moral question posed  by abortion.”). The exercise of a “right” to an abortion literally  results in a devastating infringement on the right of another person:  the right to live. And our Florida Constitution recognizes that “life” is a “basic right” for “[a]ll natural persons.” Art. I, § 2, Fla. Const.  One must recognize the unborn’s competing right to life and the  State’s moral duty to protect that life. 

15. Roe found that “in ‘the stage subsequent to viability,’  which in 1973 roughly coincided with the beginning of the third  trimester, the State’s interest in the ‘potentiality of human life’  became compelling, and therefore a State could ‘regulate, and even  proscribe, abortion except where it is necessary, in appropriate  medical judgment, for the preservation of the life or health of the  mother.’ ” Dobbs, 597 U.S. at 271 (citing Roe, 410 U.S. at 164-65).

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Contrary to what the summary—which parrots the proposed  amendment—suggests, abortion is not just about a medical  procedure, and it is not just about the rights of women to bodily  integrity. “Abortion presents a profound moral issue on which  Americans hold sharply conflicting views.” Dobbs, 597 U.S. at  223.16 The summary does not address this. Instead, it is a Trojan  horse for the elimination of any recognition of the State’s interest in  protecting what Roe termed “potential life.” 

II. Title 

Based on the four points above, it is clear that the title is also  misleading in its use of the term “limit government interference.” A  more truthful title may be “eliminating the Legislature’s ability to  regulate abortion in any meaningful way.” 

16. “Some believe fervently that a human person comes into  being at conception and that abortion ends an innocent life.” Id. at  223-24. “Others feel just as strongly that any regulation of abortion  invades a woman’s right to control her own body and prevents  women from achieving full equality.” Id. at 224. “Still others in a  third group think that abortion should be allowed under some but  not all circumstances, and those within this group hold a variety of  views about the particular restrictions that should be imposed.” Id. at 223-25. 

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Beyond this, the current title isn’t even accurate because it  does not limit government interference: it actively encourages it.  This is so because the prohibition on the law- and rule-making  authority of the legislative and executive branches does not extend  to the judicial branch. In fact, quite the opposite: the summary— which parrots the amendment—reflects multiple undefined terms  that invite protracted litigation and, thus, limitless interference by  the judicial branch of government.  

This is exactly what happened after Roe, when abortion was  recognized as a fundamental right under the United States  Constitution. It led to 50 years of protracted litigation and to the  courts continually policing state provisions seeking to protect the  lives of both the unborn and their mothers.17 

17. See, e.g., Planned Parenthood of Cent. Mo. v. Danforth, 428  U.S. 52 (1976) (blocking Missouri law requiring spousal consent for  abortion); Maher v. Roe, 432 U.S. 464 (1977) (reversing decision  striking a Connecticut law that excluded abortion services from  Medicaid coverage); Colautti v. Franklin, 439 U.S. 379 (1979)  (striking Pennsylvania law requiring physicians to save the life of a  potentially viable fetus as unconstitutionally vague); Harris v.  McRae, 448 U.S. 297 (1980) (upholding federal law proscribing  federal funding for abortions except for abortions necessary to  either preserve the mother’s life or terminate pregnancies resulting  from rape or incest); H.L. v. Matheson, 450 U.S. 398 (1981)  (upholding Utah law requiring parental notification when the 

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After Dobbs returned the abortion issue to the states, both  abortion proponents and opponents identified the states as the new  abortion battleground and started filing lawsuits in the courts.18  

patient is a minor living with parents); City of Akron v. Akron Ctr. for  Reprod. Health, Inc., 462 U.S. 416 (1983) (striking portions of Ohio  law imposing limitations, such as a waiting period, parental consent  without judicial bypass, and a ban on abortions outside of hospitals  after the first trimester); Thornburgh v. Am. Coll. of Obstetricians and  Gynecologists, 476 U.S. 747 (1986) (striking Pennsylvania law  requiring informed consent to include information about fetal  development and alternatives to abortion); Webster v. Reprod.  Health Servs., 492 U.S. 490 (1989) (upholding Missouri law that  required physician viability testing and blocked state funding and  state facility participation in abortion services); Casey, 505 U.S. 833  (announcing “undue burden” test in landmark case striking  portions of Pennsylvania abortion law); Hill v. Colorado, 530 U.S.  703 (2000) (upholding Colorado law limiting protest and leafletting  close to an abortion clinic); Stenberg v. Carhart, 530 U.S. 914 (2000)  (striking Nebraska law banning partial birth abortion); Gonzales v.  Carhart, 550 U.S. 124 (2007) (upholding 2003 federal law banning  partial birth abortion). 

18. See Center for Reproductive Rights, New Digital Tool  Provides State-by-State Analysis of High Court Rulings on Abortion,  https://reproductiverights.org/state-constitutions-abortion-rights digital-tool (last visited Mar. 14, 2024) (“Since the U.S. Supreme  Court eliminated the federal constitutional right to abortion in its  2022 ruling in Dobbs v. Jackson Women’s Health Organization,  states have become the battlegrounds for abortion rights.”); Alliance  Defending Freedom, “What You May Not Know: How ADF Helped  Overturn Roe v. Wade,” https://adflegal.org/article/what-you-may not-know-how-adf-helped-overturn-roe-v-wade (last visited Mar. 27,  2024) (“Roe v. Wade has finally been overturned. But this does not  mean the work of the pro-life movement is over—far from it . . . .”; playing video of ADF CEO, President, and General Counsel Kristen 

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Those state lawsuits began immediately.19 According to the  Brennan Center for Justice’s “State Court Abortion Litigation  

Waggoner explaining that there are now generally four areas of  abortion laws that will be litigated post-Dobbs: (1) trigger laws (state  laws with provisions restricting or prohibition abortion to some  degree upon Roe being overturned); (2) pre-Roe laws limiting  abortion; (3) post-Roe/pre-Dobbs laws stricken under Roe; and (4)  post-Dobbs (new) laws restricting and regulating abortions); Becky  Sullivan, “With Roe Overturned, State Constitutions Are Now at the  Center of the Abortion Fight,”  

https://www.npr.org/2022/06/29/1108251712/roe-v-wade abortion-ruling-state-constitutions (last visited Mar. 14, 2024)  (“Now, with Roe v. Wade overturned, the legal spotlight has shifted  to the states, where abortion supporters and opponents must  contend with 50 different constitutions that, in many places,  guarantee rights more broadly than their federal counterpart.”); see also David S. Cohen et. al., The New Abortion Battleground, 123  Colum. L. Rev. 1, 2–3 (2023) (predicting that “interjurisdictional  abortion wars are coming” now that there is no longer a national,  uniform abortion right, which will involve intervention by the federal  government). 

19. See American Civil Liberties Union (ACLU), “Reproductive  Rights Organizations Go to Court in 11 States to Protect Abortion  Access in Aftermath of Roe v. Wade Falling,”  

https://www.aclu.org/press-releases/reproductive-rights organizations-go-court-11-states-protect-abortion-access (last  visited Mar. 14, 2024) (“This week, following the U.S. Supreme  Court’s decision to overturn Roe v. Wade and eliminate the federal  constitutional right to abortion, Planned Parenthood Federation of  America (PPFA), the American Civil Liberties Union, and the Center  for Reproductive Rights (CRR) took legal action to block abortion  bans in 11 states: Arizona, Idaho, Kentucky, Louisiana, Mississippi,  Ohio, Oklahoma, Florida, Texas, Utah, and West Virginia. So far,  these efforts have successfully blocked abortion bans in five  states—Utah, Kentucky, Louisiana, Florida, and Texas—through 

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Tracker,” “[a]s of January 11, 2024, a total of 40 cases have been  filed challenging abortion bans in 23 states, of which 22 remain  pending at either the trial or appellate levels.”20 In fact, Planned  Parenthood of Southwest Florida v. State of Florida, No. 2022-CA 000912 (Fla. 2d Cir. Ct.),21 is one of the cases filed immediately  after Dobbs in which abortion proponents succeeded in obtaining a  temporary restraining order from a Florida trial court to keep a  fifteen-week abortion ban from going into effect.  

All of this illustrates that the proposed amendment will not do  what the Sponsor and the title say it will do. Instead of limiting  government interference, it will ultimately encourage a great deal of  interference by the judicial branch. So, I must conclude the title is  misleading.  

temporary restraining orders, allowing some providers there to  resume abortion care for now.”); Becky Sullivan, supra note 18 (“The legal chaos has already begun. In a half-dozen states and  counting, lawsuits argue that new restrictive abortion laws are in  violation of state constitutions.”). 

20. https://www.brennancenter.org/our-work/research reports/state-court-abortion-litigation-tracker (last visited Mar. 14,  2024); see also supra note 19.  

21. Review was granted by this Court in SC2022-1050.

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III. Conclusion 

In sum, the Sponsor is required to tell the truth about the  purpose and scope of the proposed amendment and not mislead  voters; it has done neither.  

For these reasons, I dissent. 

SASSO, J., dissents with an opinion. 

SASSO, J., dissenting. 

After a sincere assessment of this case, I conclude that the  Sponsor’s cut-and-paste approach to preparing the ballot summary  fails to satisfy its legal obligation to provide an explanatory  statement of the proposal’s chief purpose. For that reason, and  with the utmost respect for the majority’s decision to the contrary, I  respectfully dissent. 

I. 

This case is somewhat unprecedented. Since this Court first  stepped into its role reviewing ballot summaries in the citizen  initiative context, we have not been presented with an amendment  quite like this. What makes the amendment unique is not its  controversial subject matter; this Court has considered  controversial amendments before. Instead, it is unique because of 

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the proposed amendment’s overwhelmingly vague and ambiguous  language and structure. 

In essence, the Sponsor has submitted a proposal with no  readily discernable meaning, leaving it up to courts to determine  even its most essential legal effects over time. The challenge, then,  is to evaluate whether the summary meets the requirements of  section 101.161, Florida Statutes (2023), when we have said that in  doing so we evaluate “objective criteria inherent in the amendment  itself,” Advisory Op. to Att’y Gen. re Citizenship Requirement to Vote  in Fla. Elections, 288 So. 3d 524, 529 (2020) (quoting Fla. Dep’t of State v. Fla. State Conf. of NAACP Branches, 43 So. 3d 662, 667  (Fla. 2010)), to determine whether or not the ballot title and  summary fairly inform the voter of the “true meaning, and  ramifications, of an amendment,” Askew v. Firestone, 421 So. 2d  151, 156 (Fla. 1982). To answer this question, I will explain what  our precedent requires,22 how that applies here, and why my  decision is consistent with our role. 

22. Critical to my determination in this case—no one has  argued that our precedent is wrong. No one questions the  constitutionality of section 101.161, no one argues that the  requirements this Court has applied to ballot summaries do not 

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II. 

A. 

When a sponsor submits a constitutional amendment to the  voters, section 101.161 imposes on the sponsor the obligation to  prepare a ballot summary of the proposed amendment.  § 101.161(2), Fla. Stat. The requirements the sponsor must meet in  preparing the summary are delineated in section 101.161(1), which  provides: 

Whenever a constitutional amendment or other public  measure is submitted to the vote of the people, a ballot  summary of such amendment or other public measure  shall be printed in clear and unambiguous language on  

the ballot after the list of candidates . . . . The ballot  summary of the amendment or other public measure  shall be an explanatory statement, not exceeding 75  words in length, of the chief purpose of the measure. 

Id. (emphases added). 

From this text, our Court has derived a few requirements. First, the statute requires an “explanatory statement” of the  

flow from the statutory text, and no one argues that this Court  lacks the authority to prevent ballot summaries that fail to meet  those requirements from being submitted to the voters. And while  this Court’s precedent related to citizen initiatives has been  disjointed at best, because no one has argued that even one of this  Court’s decisions is clearly erroneous, I will do my best in this case  to follow the common thread those cases provide.

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amendment’s chief purpose. That is something distinct from an  accurate replication of the proposed amendment. See, e.g.,  Wadhams v. Bd. of Cnty. Comm’rs of Sarasota Cnty., 567 So. 2d  414, 416 (Fla. 1990). 

Second, the ballot summary’s explanatory statement must be  clear and unambiguous. This means 1) the summary must not  mislead the public, and 2) the ballot summary must fairly inform  the voter of the chief purpose of the amendment. See Fla. Dep’t of  State v. Slough, 992 So. 2d 142, 147 (Fla. 2008) (quoting Advisory Op. to Att’y Gen. re Prohibiting State Spending for Experimentation that Involves the Destruction of a Live Hum. Embryo, 959 So. 2d 210, 213-14 (Fla. 2007)). 

And although the term “chief purpose” is undefined in the  statute, this Court has filled in the gaps. For decades, this Court  has described “chief purpose” to mean “the amendment’s chief  effect,” Askew, 421 So. 2d at 155, and even more specifically to  mean the “legal effect of the amendment,” Evans v. Firestone, 457  So. 2d 1351, 1355 (Fla. 1984); see also Advisory Op. to Att’y Gen. re All Voters Vote in Primary Elections for State Legislature, Governor, & Cabinet, 291 So. 3d 901, 913 (Fla. 2020) (Muñiz, J., dissenting) 

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(“[T]he ‘chief purpose’ of the amendment can be understood in  terms of the subset of those legal effects that would be material to a  reasonable voter.”). 

In doing so, we have clarified that a sponsor “need not explain  every detail or ramification of the proposed amendment.” Advisory  Op. to Att’y Gen. re Amend. to Bar Gov’t from Treating People  Differently Based on Race in Pub. Educ., 778 So. 2d 888, 899 (Fla.  2000) (quoting Advisory Op. to Att’y Gen. re Prohibiting Pub. Funding  of Pol. Candidates’ Campaigns, 693 So. 2d 972, 975 (Fla. 1997)).  Even so, “drafters of proposed amendments cannot circumvent the  requirements of section 101.161, Florida Statutes, by cursorily  contending that the summary need not be exhaustive.” Id.; see also Dep’t of State v. Fla. Greyhound Ass’n, 253 So. 3d 513, 520 (Fla.  2018) (a ballot summary that fails to inform the voter of an  amendment’s “material effects” is defective). 

Together, these requirements serve a greater purpose than  guaranteeing the sponsor fulfills technical rules. Section 101.161  ensures that “[t]he voter should not be misled and . . . [will] have an  opportunity to know and be on notice as to the proposition on  which he is to cast his vote.” Wadhams, 567 So. 2d at 417 

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(omission in original) (quoting Hill v. Milander, 72 So. 2d 796, 798  (Fla. 1954)). In other words, to make an informed decision, the  voter must know the “true meaning, and ramifications, of an amendment.” Askew, 421 So. 2d at 156. 

B. 

Giving effect to these requirements, this Court has never  hesitated to hold a sponsor to its statutory obligations. And this  has been true particularly when presented with ballot summaries  that contain vague and ambiguous language, even when that  language closely mirrors the underlying proposal. 

For example, in Askew, a ballot summary closely followed the  text of a proposed amendment that would prohibit former state  officers from lobbying without disclosing financial interests. 421  So. 2d at 153. This Court still found the summary misleading  because it neglected to advise the public of an existing two-year  lobbying ban that did not require financial disclosures. Id. at 155.  We concluded that “[t]he problem, therefore, lies not with what the  summary says, but, rather, with what it does not say.” Id. at 156.  “[S]uch a change must stand on its own merits and not be  disguised as something else.” Id.

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And in Wadhams, similar to the Sponsor here, the  

amendment’s proponents simply provided the text of the  amendment without a summary. 567 So. 2d at 415. The Court  held that a summary explaining the effects of the amendment was  necessary, concluding: 

The problem with the ballot in the present case is  

much the same as the problem with the ballot in Askew.  By containing the entire section as it would actually  appear subsequent to amendment, rather than a  

summary of the amendment to the section, the ballot  arguably informed the voters that the Charter Review  Board would only be permitted to meet once every four  years. By failing to contain an explanatory statement of  the amendment, however, the ballot failed to inform the  public that there was presently no restriction on  

meetings and that the chief purpose of the amendment  was to curtail the Charter Review Board’s right to meet.  Similar to the ballot summary at issue in Askew, the  present ballot “is deceptive, because although it contains  an absolutely true statement, it omits to state a material  fact necessary in order to make the statement made not  misleading.” 

Id. at 416 (quoting Askew, 421 So. 2d at 158 (Ehrlich, J.,  concurring)). 

In similar fashion, in 2018 a majority of this Court concluded  that “it is not sufficient for a ballot summary to faithfully track the  text of a proposed amendment.” Detzner v. League of Women Voters  of Fla., 256 So. 3d 803, 811 (Fla. 2018). With that rule guiding its 

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analysis, this Court held that a ballot summary was defective for  failing to explain the phrase “established by” because that phrase  “is neither commonly nor consistently used” and therefore “cannot  be commonly understood by voters.” Id. at 809-10. Likewise, we  determined the ballot summary failed to explain the categories of  schools that would be affected by the proposal and therefore “voters  will simply not be able to understand the true meaning and  ramifications of the revision,” so “the ballot language [was] clearly  and conclusively defective.” Id. at 810. 

This Court has also, at times, determined that ballot  summaries fail when specific terms are left undefined. See, e.g.Advisory Op. to Att’y Gen. re People’s Prop. Rts. Amends. Providing Comp. for Restricting Real Prop. Use May Cover Multiple Subjects,  699 So. 2d 1304, 1308-09 (Fla. 1997) (failure to define “owner,”  “common law nuisance,” and “in fairness” in the summary, even  though those terms were properly replicated from and also  undefined in the text of the proposed amendment, caused the  amendment to be stricken from ballot); Race in Pub. Educ., 778 So.  2d at 899-900 (“[T]his Court has repeatedly held that ballot  summaries which do not adequately define terms, use inconsistent

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terminology, fail to mention constitutional provisions that are  affected, and do not adequately describe the general operation of  the proposed amendment must be invalidated.”); Smith v. Am.  Airlines, Inc., 606 So. 2d 618, 621 (Fla. 1992) (observing the  statutory word limit “does not give drafters of proposed  amendments leave to ignore the importance of the ballot summary  and to provide an abbreviated, ambiguous statement in the hope  that this Court’s reluctance to remove issues from the ballot will  prevent us from insisting on clarity and meaningful information”). 

Of course, I recognize this Court did not deem any of those  ballot summaries defective because they parroted language.  Instead, the best I can do to synthesize our cases is to conclude  that this Court has considered ballot summaries defective where,  despite parroting, the summary either misled by omission, failed to  explain the material ramifications of the amendment, or resulted in  a disconnect between the operative meaning of a term and a voter’s  understanding of it.

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III. 

So, how do these principles apply here? 

A. 

The Sponsor argues that this Court’s cases referenced in  section II(B) are inapplicable because there is no ambiguity in the  amendment. It argues that the terms “viability,” “healthcare  provider,” and “patient’s health” all have clear meanings that are  obvious to voters. Similarly, the Sponsor argues that the comma  placed between “patient’s health” and “as determined by the  patient’s healthcare provider” means that the term “viability” used  earlier in the amendment is also modified by the phrase “as  determined by the patient’s healthcare provider.” This too, says the  Sponsor, is clear and obvious to the voter because of common rules  of grammar. 

The Sponsor is just plain wrong. None of those terms have  any sort of widely shared meaning,23 nor do I think the comma  

23. “Health” and “healthcare provider” have obviously broad  and undefined boundaries which are seemingly unlimited without  the benefit of a technical, legal analysis. As for “viability,” “[t]his  arbitrary line has not found much support among philosophers and  ethicists . . . . The most obvious problem with [relying on or  attempting to define viability] is that viability is heavily dependent 

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accomplishes what the Sponsor says it does.24 So if the ballot  summary is sufficient in this case, it is not for the reasons the  Sponsor has presented to this Court. 

B. 

The more difficult question is whether the ballot summary is  sufficient because it parrots the proposed amendment, which itself  is vague and ambiguous. In other words, is the Sponsor relieved of  its obligation to explain the legal effect of the proposed amendment  just because the amendment has no readily discernable meaning? In my view, the answer is no. I agree with the majority that, at  

on factors that have nothing to do with the characteristics of a  fetus.” Dobbs v. Jackson Women’s Health Org., 597 U.S. 215, 275- 76 (2022). 

24. Antonin Scalia & Bryan A. Garner, Reading Law: The  Interpretation of Legal Texts (2012), a treatise devoted to the  interpretation of legal text, identifies the application of the series  qualifier canon as “highly sensitive to context.” Id. at 150. This  sensitivity to context is exemplified in Justice Alito’s concurrence in  Facebook, Inc. v. Duguid, 592 U.S. 395 (2021), where he lays out  several examples of sentences that go against the canon. And so,  application of the series qualifier canon is not so straightforward  that all reasonable Florida voters will mechanistically apply this  arcane rule and discover that, “indeed, ‘as determined by the  patient’s healthcare provider’ also modifies ‘viability.’ ” See id. at  413 (Alito, J., concurring) (“No reasonable reader interprets texts  that way.”).

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a very high level, the voters will understand that this amendment  creates a broad right to abortion in Florida. However, our precedent  has consistently required that the summary explain more than the  amendment’s general aim. Indeed, we have said that ballot  summaries must explain the “material legal effect,” so that the  electorate is advised of the “true meaning, and ramifications, of an  amendment” and is thereby “adequately informed.” 

The summary here does none of this. Instead, it leaves the  legally operative terms that define the amendment’s scope  (“viability,” “health,” and “healthcare provider”) up in the air.  Likewise, the summary does not attempt to explain that the  amendment itself is similarly vague and ambiguous, nor do I believe  that this fact is self-evident from the vague and ambiguous nature  of the summary. 

What we are left with, then, is a summary that does not  attempt to explain the amendment’s material legal effects and  employs terms that are neither consistently nor commonly  understood. As a result, I find it much more likely that this  summary will mislead voters into committing the same error the  Sponsor did in its briefing to this Court: they will carry their 

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personal conception of the amendment’s meaning into the voting  booth, operating under the assumption that their particular  interpretation is widely understood. Similarly, I find it highly  unlikely that voters will understand the true ramifications of this  amendment—that they will read the ballot summary and vote based  on an informed understanding and acceptance of the uncertainties  posed by its vague and ambiguous language. 

For that reason, I believe this case better fits with those  decisions in which we concluded that ballot summaries were  defective, rather than those relied upon by the majority. See, e.g.Race in Pub. Educ., 778 So. 2d at 899 (concluding an undefined  term left “voters to guess at its meaning. . . . [V]oters would  undoubtedly rely on their own conceptions of what constitutes a  bona fide qualification,” and that the summary violated section  101.161); League of Women Voters, 256 So. 3d at 811; People’s  Prop. Rts. Amends., 699 So. 2d 1304; Askew, 421 So. 2d 151.25  

25. The closest cases cited by the majority to this one are Advisory Opinion to the Attorney General re Medical Liability Claimant’s Compensation Amendment, 880 So. 2d 675 (Fla. 2004),  and Advisory Opinion to the Attorney General re Florida Marriage Protection Amendment, 926 So. 2d 1229 (Fla. 2006). I find Medical  Liability distinguishable because the chief purpose of the 

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And so, I conclude the Sponsor has failed to prepare a ballot  summary that meets the requirements of section 101.161 as  previously interpreted by this Court. 

IV. 

I will end by briefly touching upon one point in the majority  opinion. The majority argues that if we conclude the summary is  defective due to its vague and ambiguous nature, we may be  inadvertently imposing a substantive limitation on what types of  amendments can be proposed via the citizen initiative process.  While I do not think this concern is totally unfounded, I also think  the concern is more for the legislature than the judiciary. 

Again, no one challenges the constitutionality of section  101.161, and no one challenges this Court’s precedent interpreting  it. If a sponsor cannot fulfill its statutory obligation because its  

amendment was still communicated to the voter despite the  undefined term. I find Marriage Protection Amendment distinguishable because the meaning of the undefined terms was  clear to the ordinary voter. Likewise, I do not think Advisory Opinion to the Attorney General re Voter Control of Gambling, 215 So.  3d 1209 (Fla. 2017), provides helpful guidance because the  undisclosed ambiguous legal effect in that case was retroactivity— not a legal effect that constituted a pillar of the amendment’s scope,  like viability, health, and healthcare provider here.

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proposed amendment is too vague and ambiguous to explain, I  believe the statute places the burden of that bargain with the  sponsor—not the voters. See Smith, 606 So. 2d at 621 (“[T]he  burden of informing the public should not fall only on the press and  opponents of the measure—the ballot title and summary must do  this.” (quoting Askew, 421 So. 2d at 156)). 

And that is what happened here. The Sponsor has made no  attempt to “explain” the material legal effects of the proposed ballot  amendment as required by section 101.161. Instead, the Sponsor  has punted, leaving the legal effect to be revealed by the eye of the  beholder. The Sponsor’s statutory obligation, as explained by this  Court’s precedent, demands more. As a result, I respectfully  dissent. 

GROSSHANS and FRANCIS, JJ., concur. 

Original Proceeding – Advisory Opinion – Attorney General 

Ashley Moody, Attorney General, Henry C. Whitaker, Solicitor  General, Jeffrey Paul DeSousa, Chief Deputy Solicitor General,  Daniel W. Bell, Chief Deputy Solicitor General, Nathan A. Forrester,  Senior Deputy Solicitor General, John M. Guard, Chief Deputy  Attorney General, and James H. Percival, Chief of Staff, Office of the  Attorney General, Tallahassee, Florida, 

for Petitioner

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Mathew D. Staver, Anita L. Staver, Horatio G. Mihet, and Hugh C.  Phillips of Liberty Counsel, Orlando, Florida, 

for Interested Party, Florida Voters Against Extremism, PC Stephen C. Emmanuel of Ausley McMullen, Tallahassee, Florida, 

for Interested Party, Florida Conference of Catholic Bishops,  Inc. 

Alan Lawson, Samuel J. Salario, Jr., Jason Gonzalez, and Caroline  May Poor of Lawson Huck Gonzalez, PLLC, Tallahassee, Florida, 

for Interested Party, Susan B. Anthony Pro-Life America 

Jeremy D. Bailie and R. Quincy Bird of Weber, Crabb & Wein, P.A.,  St. Petersburg, Florida, 

for Interested Party, National Center for Life and Liberty 

Quinn Yeargain of Widener University Commonwealth Law School,  Harrisburg, Pennsylvania; and Mark Dorosin of Florida A&M  University College of Law, Orlando, Florida, 

for Interested Parties, Law Professors & Instructors 

Joshua A. Rosenthal and Aadika Singh of Public Rights Project,  Oakland, California; and Matthew A. Goldberger of Matthew A.  Goldberger, P.A., West Palm Beach, Florida, 

for Interested Parties, Current and Former Florida Republican  Elected Officials 

Kelly O’Keefe and Hannah Murphy of Stearns Weaver Miller  Weissler Alhadeff & Sitterson, P.A., Tallahassee, Florida, and Abby  G. Corbett and Jenea E. Reed of Stearns Weaver Miller Weissler  Alhadeff & Sitterson, P.A., Miami, Florida; Stephen Petkis, Judy  Baho, Kendall J. Christie, and Aubrey Stoddard of Covington &  Burling LLP, Washington, District of Columbia; Isaac D. Chaput of 

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