In a case that has drawn attention from state officials and national commentators, an administrative law judge recommended that the Florida Department of Health reprimand and fine Boca Raton labor‑and‑delivery nurse Lexie Lawler. Lawler posted a TikTok video in January 2026 wishing former White House press secretary Karoline Leavitt, who was pregnant at the time, a “fourth‑degree tear” during childbirth.

Legal recommendation and disciplinary action

Judge Robert Cohen of the Florida Division of Administrative Hearings issued a recommended order on September 1, stating that the Florida Board of Nursing should issue a reprimand, impose a $250 fine, and require Lawler to complete continuing education that includes a course on appropriate social‑media use. Cohen also suggested that Lawler reimburse the costs of the investigation and prosecution, noting that she “has learned from this costly experience” after losing her long‑time position at Baptist Health Boca Raton Regional Hospital.

Response from officials and critics

Attorney General James Uthmeier called the nurse’s conduct “vile” and urged the Board of Nursing to revoke her license immediately. The video gained viral traction after being shared by commentator Chaya Raichik, known online as “Libs of TikTok,” prompting widespread condemnation from Republican leaders.

Defense and legal arguments

Lawler’s attorney, Julie Gallagher, argued that the disciplinary rule requires the offensive language to be directed at a patient or spoken in a patient’s presence, which did not occur in this case. Gallagher contended that no patient witnessed the remarks and that the Board had not proven a violation of the specific regulation.

Judge Cohen rejected that interpretation, describing it as “absurd” to limit the rule to in‑person statements. He emphasized that Lawler used the internet to spread the hateful message, stating that posting the video privately or sharing it only with family would have altered the case’s complexion.

Impact on the nursing community

The incident underscores ongoing concerns about professional conduct and the use of social media by healthcare workers. While Lawner has a 12‑year record with no prior disciplinary actions, the recommended penalties reflect the seriousness with which the state views abusive language that could undermine patient trust and safety.

Lawler plans to file exceptions to the judge’s recommendation, arguing that the disciplinary process should consider the precise language of the rule and the context of the online post.

Original reporting: NBC6 Miami — read the source article.