Who Makes Medical Decisions for My Child After Divorce?
After a divorce in Florida, most parents share the responsibility for major medical decisions for their minor child. Florida law creates a presumption that both parents should participate in these choices, and the law presumes shared parental responsibility and equal time-sharing. Although this is the general expectation, families can reach their own agreements based on what works best for their situation, and the reality of how decisions are made may vary from household to household.
How Florida Approaches Shared Parental Responsibility

In the past, medical decision making often fell automatically to the mother, even when both parents were involved in raising the child. That is no longer the case. Florida law now presumes that both parents should share parental responsibility for their children, which means cooperating on major decisions such as medical care, schooling, and activities.
Shared parental responsibility also connects to time-sharing. Under Florida’s statutes, there is a presumption of equal time-sharing measured in overnights. This structure was designed to bring more predictability to the divorce system and to encourage parents to work out their parenting plan rather than rely on a judge to decide it for them. When you know what a judge is likely to do, you are more likely to reach an agreement outside of court, which saves time, money, and conflict.
Shared parental responsibility applies only to important issues. Daily decisions, such as what your child eats or what they wear, remain with the parent who has the child at that time. The law focuses on making sure the major decisions are made jointly unless there is a serious reason for one parent to have primary or sole authority.
How Families Handle Decision Making in Real Life
Even though the statutes promote shared decision making, real life does not always mirror the legal language. Many fathers today are far more involved than fathers were decades ago, and shared parental responsibility reflects that change. Many parents cooperate well and jointly select doctors, agree on medical treatment, and attend appointments together.
However, some families reach agreements that look equal on paper while day-to-day decision making still falls primarily on one parent. This often happens when one parent has historically taken the child to medical appointments and knows more about the child’s needs. In these cases, the written agreement may include shared parental responsibility, but the practical responsibility may still lean heavily toward one parent.
The law allows parents to make the arrangements that feel right for their family. Even with the presumption of shared parental responsibility, you and your co-parent can agree on a structure that fits your child’s needs and your individual strengths.
When Problems Arise with Medical Decision Making
Although the system has improved, there are still situations where decision making becomes difficult. Some children have a strained relationship with one parent. In other cases, one parent may intentionally alienate the child from the other parent or make accusations that influence the child’s feelings. These situations are heartbreaking and can affect medical decisions and every other part of the parenting relationship.
Judges are required to make choices based on the law and the child’s best interests, but mistakes still happen. Sometimes judges make decisions that later get overturned on appeal. The system is better now than it was years ago, but problems still arise, and parents need to be aware that court decisions do not always reflect what is truly best for the child.
Even with these challenges, most families find a healthier path forward when both parents stay involved, communicate frequently, and remain focused on the child instead of past hurt. And despite the challenges, the evolution of parental involvement has been positive. Fathers tend to be more engaged than in previous generations, and families benefit from that involvement.
Contact the Law Offices of Robert J. Merlin
If you have questions about how parenting decisions for your child will be handled after divorce, the Law Offices of Robert J. Merlin can offer guidance tailored to your family’s circumstances. Robert J. Merlin helps parents understand their rights, their responsibilities, and the options available for building a workable parenting plan. To schedule a consultation, call (305) 448-1555.
The office is located at 250 Catalonia Avenue, Suite 706, Coral Gables, Florida 33134.
Frequently Asked Questions
Does Florida always require shared parental responsibility?
Shared responsibility is the legal presumption, but a judge can grant one parent primary or sole authority if there is a strong reason, such as safety concerns or an inability to communicate.
Can we agree on our own decision-making structure?
Yes. Parents can agree to any arrangement they believe is best for their child, even if it differs from what a judge might order.
What counts as a major medical decision?
Major decisions include selecting a doctor, choosing a treatment plan, managing long term care, and approving procedures. Routine daily choices remain with the parent who has the child at that time.
What happens if one parent refuses to participate?
You may need a modified parenting plan or support from a mediator or attorney to resolve disagreements and protect your child’s well-being.
Bob Merlin is a Florida Bar Board Certified Family Law Specialist, he practices in the areas of divorce, time-sharing of children and parenting plans, child support, alimony, paternity, pre-nuptial and post-nuptial agreements, and cohabitation/partnership agreements.
As an experienced Collaborative attorney, Bob continually hones his skills in the Collaborative Process and trains other professionals how to become a Collaborative professional as he is.
“My goal is to help divorcing and other family law clients make well-informed decisions so they experience a more efficient process and feel more in control over their futures.”






