PER CURIAM.

The Florida Department of State and the Secretary of State appealed a judgment of the circuit court to the First District Court of Appeal, which in turn certified to this Court that the judgment is of great public importance and requires immediate resolution by this Court. We have jurisdiction. See art. V, § 3(b)(5), Fla. Const. For the reasons explained below, we affirm the judgment of the circuit court in this case.

FACTUAL AND PROCEDURAL HISTORY

This case involves a joint resolution of the Florida Legislature that proposes an amendment to the Florida Constitution creating a new section relating to health care services in article I of the Florida Constitution. See Fla. H.J. Res. 37 (2010) (joint resolution proposing article I, section 28 of the Florida Constitution relating to health care services) (hereinafter Joint Resolution). The proposed amendment, which has been designated as Amendment 9 by the Division of Elections, was passed by the constitutionally required three-fifths vote of the membership of each house during the 2010 Florida legislative session. The Joint Resolution contained the text of the proposed amendment and a ballot title and summary that the Legislature specified should be placed on the ballot. The full text of the proposed amendment provides:

Joint Resolution at 1-3.

The Joint Resolution also provided that the following title and summary be placed on the ballot:

Joint Resolution at 3-5.

Florida voters Mona Mangat, Diana Demarest, Gracie Fowler, and Louisa McQueeney filed a complaint, asking the Second Judicial Circuit Court to determine whether the ballot summary passed by the Legislature complies with the requirements of section 101.161(1), Florida Statutes (2009), and the various appellate court decisions that have applied and interpreted the requirements of that statutory provision. The parties submitted memoranda of law to the court and the court heard arguments at a hearing in July. In addition, the Florida Senate and House of Representatives filed amicus briefs addressing the available remedies should the circuit court find the ballot summary defective. The circuit court issued an order determining that the ballot summary was misleading and should be removed from the ballot of the November 2, 2010, general election.

The circuit court found three statements in the introduction of the ballot summary to be misleading. The court noted that a citizen reading the statement "to ensure access to health care services without waiting lists" "could only conclude that once [the amendment was] passed a constitutional right would exist to obtain a doctor of one's choice without being put on a waiting list," while the amendment itself says nothing about waiting lists. The court noted that a second statement in the ballot summary provides that the amendment will "protect the doctor-patient relationship," but the amendment itself says nothing about this relationship and does not have anything to do with doctor-patient confidentiality. Finally, the summary states that the amendment will "guard against mandates that don't work," but neither the summary nor the amendment explains what mandates are at issue, why they do not work, or for whom the mandates do not work. The court concluded that this statement is a subjective term intended to influence a voter's decision on the amendment. The circuit court concluded that all of these phrases are examples of comments that this Court has held may not be included in ballot summaries. Thus, the circuit court found that the ballot summary contained in the Legislature's Joint Resolution did not meet the requirements of section 101.106(1), Florida Statutes (2009).

The amici and the Secretary of State asked the circuit court to substitute the text of the proposed amendment for the ballot summary, rather than striking the proposed amendment from the November ballot. The circuit court ruled that it did not have authority to grant this remedy because its limited function was to determine whether the ballot summary, ballot title, and the amendment comply with the requirements of the Florida Constitution and section 101.161(1). The court stated that it was not empowered to correct the acts of the Legislature, even if its failure to do so resulted in the amendment being struck from the ballot.

The Department of State filed a notice of appeal in the First District Court of Appeal and also filed an unopposed suggestion for certification of the case to this Court. The First District certified that the final judgment of the trial court presents issues of great public importance that require immediate resolution by this Court. We have expedited our review of the case in light of the time constraints for printing the ballot for the November general election.

ANALYSIS

In most ballot summary cases, we are asked to determine whether the ballot summary for a proposed constitutional amendment meets the constitutional and statutory requirements for accuracy. In the instant case, however, the Appellant does not ask the Court to look at the lower court's determination that the ballot summary set forth in the Joint Resolution is misleading. In fact, the Appellant concedes that the ballot summary is misleading. Rather, the Appellant focuses entirely on the applicable remedy after such a determination has been made. The Appellant argues that the Court should substitute the text of the proposed amendment contained in the Joint Resolution for the misleading ballot summary on the November ballot and permit the voters to determine whether the proposed amendment will become part of the Florida Constitution.

We agree with the circuit court's determination that the ballot summary for Amendment 9 does not meet the statutory or constitutional requirements for accuracy. The first two statements that the circuit court found misleading are classic examples of a ballot summary "flying under false colors" as the amendment does not address "waiting lists" or "the doctor-patient relationship" at all. These statements do not give fair notice of the purpose and effect of the amendment. Even if the amendment is approved by the voters, it will not create a constitutional right to access health care services without a waiting list and will not affect the doctor-patient relationship.

While the third statement about "mandates that don't work" might arguably have a relationship to the amendment which is intended to prevent mandated participation in any health care system, neither the amendment nor the summary identifies what mandates are at issue, explains how the mandates do not work, or specifies for whom they do not work. Thus, this statement is ambiguous. It appears to be a reference to the federal health care mandate, which is the type of political rhetoric that this Court has condemned in other cases. See In re Advisory Op. to the Att'y Gen. re Additional Homestead Tax Exemption, 880 So.2d 646, 653 (Fla.2004) (concluding that use of the phrase "provides property tax relief" in the ballot summary "constitutes political rhetoric that invites an emotional response from the voter by materially misstating the substance of the amendment"); Advisory Op. to the Att'y Gen. re Tax Limitation, 644 So.2d 486, 490 (Fla.1994) (stating that the ballot summary must be accurate and informative and "objective and free from political rhetoric"); In re Advisory Op. to the Att'y Gen.-Save Our Everglades, 636 So.2d 1336, 1341-42 (Fla.1994) (finding "emotional language" of ballot title and summary to be misleading as it resembled "political rhetoric" more than "an accurate and informative synopsis"); Evans v. Firestone, 457 So.2d 1351, 1355 (Fla.1984) (holding ballot summary defective in part because phrase "thus avoiding unnecessary costs" constituted "editorial comment"). The Court has repeatedly stated that the "ballot summary should tell the voter the legal effect of the amendment, and no more." Evans, 457 So.2d at 1355. The Court has also condemned "[p]olitical rhetoric in a ballot title and summary that invites an emotional response from the voters as opposed to providing only a synopsis of a proposed amendment." Advisory Op. to Att'y Gen. re Fla. Marriage Prot. Amendment, 926 So.2d 1229, 1238 (Fla. 2006).

Because the misleading statements in the ballot summary here do not reflect the true legal effect of the proposed amendment, the ballot summary does not comply with the requirements of section 101.161(1) that the substance of the amendment be printed in "clear and unambiguous language on the ballot." It also does not comply with the implicit accuracy requirement of article XI, section 5 of the Florida Constitution. Thus, we affirm the circuit court's conclusion that the ballot summary for Amendment 9 is invalid.

Next, we turn to the Appellant's argument concerning the appropriate remedy in this case. Prior to 2000, all proposed amendments were subject to a requirement that "[t]he substance 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." § 101.161(1), Fla. Stat. (1999). In 2000, however, the Legislature revised this requirement. See ch. 2000-361, § 1, at 4035, Laws of Fla.1 The current law now provides: "Except for amendments and ballot language proposed by joint resolution, the substance 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." § 101.161(1) (emphasis added).

Based upon this new statutory language, we agree with the Appellant that the Legislature is not limited to 75 words in a ballot summary. See Sancho v. Smith, 830 So.2d 856, 859 (Fla. 1st DCA 2002) ("The effect of this change in the statute is to exempt the Florida Legislature from the 75-word limit applicable to a ballot summary for an amendment by citizen initiative or by another authorized method of amending the constitution."). Indeed, the Legislature is not required to provide a ballot summary.2 Instead, the Legislature may resolve to place the exact text of a proposed amendment on a voter ballot.3 However, the Joint Resolution in this case specifically provides that the summary language be placed on the ballot. The Joint Resolution says nothing about placing the text of the actual amendment on the ballot.

Nevertheless, the Appellant argues that this Court should "sever" the misleading ballot summary language from the Joint Resolution and place the text of the proposed amendment itself on the ballot. For the reasons stated below, we conclude that there are several problems with the remedy proposed in this case, including that the Appellant actually seeks substitution rather than severance of language and that this Court does not have authority to substitute language for that the Legislature has clearly intended to appear on the ballot.

Severability is a judicially created doctrine which recognizes a court's obligation to uphold the constitutionality of legislative enactments where it is possible to remove the unconstitutional portions. Ray v. Mortham, 742 So.2d 1276, 1280 (Fla.1999). It is "derived from the respect of the judiciary for the separation of powers, and is `designed to show great deference to the legislative prerogative to enact laws.'" Id. (quoting Schmitt v. State, 590 So.2d 404, 415 (Fla.1991)).

Indeed, Florida courts have stricken invalid portions of legislative enactments and have permitted the remainder to be preserved as valid law. See, e.g., Florida Hosp. Waterman, Inc. v. Buster, 984 So.2d 478, 493-94 (Fla.2008) (severing several subsections from a statute that unconstitutionally impinged upon the "Patients' right to know about adverse medical incidents" provision in the Florida Constitution). We have also applied the doctrine to a citizen-initiated constitutional amendment in one instance. See Ray, 742 So.2d at 1280-84. (severing provisions relating to federal legislators from voter-approved constitutional amendment that imposed term limits on elected state officials). However, this Court has historically applied the severability doctrine to a statute or amendment after it has been enacted by the Legislature or approved by the voters. See, e.g., Ray, 742 So.2d at 1281 ("The issue of severability arises only after an amendment already approved by voters has been challenged."). In this case, this Court is not reviewing a legislative enactment or an approved constitutional amendment, but rather a joint resolution containing a proposed amendment that has not yet been submitted to the voters for approval.

While the Appellant speaks in terms of "severance," the remedy being proposed is in fact a substitution of other language for the ballot summary. The Joint Resolution specifically provides that the ballot summary appear on the ballot. The Legislature "resolved" that the proposed Health Care Services amendment would be represented on the ballot by the ballot title and summary. The Legislature did not resolve to place the entire text of the proposed amendment on the ballot. Thus, if the summary is struck from the ballot, it leaves nothing but the ballot title for the voters to consider. Therefore, the solution the Appellant seeks is substitution, not severance, of the ballot summary. The severability doctrine has only been used to strike objectionable language. It is not a vehicle for the wholesale substitution of other language for language that is stricken.

Further, in the context of a ballot summary review, we have not severed defective language from a ballot summary that contains misleading or ambiguous language. Instead, we have stricken the misleading summary from the ballot, thereby removing the proposed amendment from a vote of the electorate. See, e.g., Askew v. Firestone, 421 So.2d 151, 156 (Fla.1982) (striking from the ballot a proposed constitutional amendment regarding the ban on lobbying by former legislators based on the misleading ballot summary in the joint resolution); Advisory Op. to Atty. Gen. re 1.35 Property Tax Cap, Unless Voter Approved, 2 So.3d 968, 977 (Fla.2009) (striking from the ballot a misleading ballot summary in a citizens initiative petition relating to property tax cap).

The Appellant suggests that the Courts paramount focus should be the Legislatures intent in passing the joint resolution, i.e., that the proposed Health Care Services amendment be put to the vote of Florida citizens. While we acknowledge this intent, we are also cognizant that the Legislature clearly expressed its intent that a summary of the amendment, rather than the text of the amendment or both the summary and the text, appear on the ballot to be presented to Florida voters. This Court does not have the authority to substitute the language that three-fifths of the members of the Legislature have voted to place on the ballot.

The Appellant relies heavily on the fact that this Court ordered substitution of the text of a proposed amendment in a previous case. See ACLU v. Hood, No. SC04-1671, 888 So.2d 621 (Fla. Sept. 2, 2004) (unpublished order directing the Secretary of State to remove the ballot summary and replace it with the actual text of the proposed amendment). We note that the Court's direction in ACLU was issued through an unpublished order that contained no explanation, analysis, or authority for the Court's action. Id. However, to the extent that our order in ACLU is viewed as authority for the remedy the Appellant requests in this case, we specifically recede from ACLU as it is not consistent with a long line of cases involving proposed constitutional amendments. We have faithfully reviewed proposed amendments for compliance with the "strict minimum for ballot clarity" and not ventured into fixing problems with the ballot language. Armstrong v. Harris, 773 So.2d 7, 21 (Fla.2000); see also Askew, 421 So.2d at 155. Our role in this process is as a reviewer of constitutional validity, not as an editor or author. For example, in Smith v. American Airlines, Inc., 606 So.2d 618 (Fla.1992), where we found the ballot summary for an amendment proposed by the Taxation and Budget Reform Commission to be fatally defective, we specifically stated that the Court has no "authority to independently rewrite the ballot summary to conform to the [requirements of section 101.161(1)]." Id. at 621. Rather than fixing the problem with the ballot summary, we struck the amendment proposed by the Commission from the general election ballot. Id. at 622. Pursuant to our role and precedent, the only remedy in the instant case is to strike the proposal from the ballot.

Moreover, although the Appellant argues that the striking of the entire amendment in this case thwarts legislative intent by preventing Florida voters from voting on the merits of the proposal, we have previously asked the Legislature to establish a procedure that would avoid this problem. See American Airlines, '606 So.2d at 622 ("In order to prevent this problem from recurring in the future, we urge the legislature to consider amending the statute to empower this Court to fix fatal problems with ballot summaries, at least with respect to those amendments proposed by revision commissions or the legislature."); see also Askew, 421 So.2d at 157 (Overton, J., concurring) (suggesting a process whereby misleading ballot language can be challenged and corrected in sufficient time to allow the people to vote on the proposal); Armstrong, 773 So.2d at 25-26 (Pariente, J., specially concurring) (agreeing with Justice Overton's concerns in Askew). The Legislature has yet to establish such a process.

Finally, if we were to place the entire text of the amendment on the ballot we would be ignoring the Legislature's explicit language that the ballot summary and title be placed on the ballot. Indeed, if the Legislature had intended for the text of Amendment 9 to be placed on the ballot along with the summary, it could have done so. See Sancho v. Smith, 830 So.2d 856, 861-62 (Fla. 1st DCA 2002) (concluding that the ballot summary accurately described the proposed amendment and noting that the summary included a copy of the full text of the amendment).

In this case, the ballot language put forth by the party proposing the constitutional amendment contains misleading and ambiguous language. Currently, our only recourse is to strike the proposed constitutional amendment from the ballot, thereby removing it from a vote of the electorate. See, e.g., Askew, 421 So.2d at 156.

CONCLUSION

For the reasons explained above, we affirm the circuit court's order finding the ballot summary for Amendment 9 does not meet the requirements of section 101.161(1) and therefore may not be included on the November 2010 ballot.

It is so ordered.

QUINCE, LABARGA and PERRY, JJ., concur.

PARIENTE, J., concurs in result with an opinion.

LEWIS, J., concurs in result.

CANADY, C.J., dissenting with an opinion, in which POLSTON, J., concurs.

PARIENTE, J., concurring in result.

I agree with the majority that it would be inappropriate in this case for this Court to substitute a lengthy and complex amendment in lieu of a misleading ballot summary for placement on the ballot.4 As the majority has explained, the Legislature voted to place only the summary on the ballot, and the Legislature does not contest that the summary it proposed was misleading.

Rather than a simple and straightforward amendment, the text of Amendment 9 is lengthy and complex. In this case, I would conclude that an explanation of its chief purpose and effect would be required. If the intent of the proposed amendment was to avoid federal mandates that have been placed into recently enacted federal laws regarding health care and health insurance, that purpose should be clearly and unambiguously set forth. Instead, the ballot summary claimed its purpose was to "ensure access to health care services without waiting lists, protect the doctor-patient relationship," and "guard against mandates that don't work." I assume this latter phrase was a veiled reference to the Legislature's view of recently passed federal health care legislation.

As stressed repeatedly by this Court, it is of paramount importance that the voters have fair notice of the purpose and effect of the proposed amendment before they cast a vote. For some proposed amendments, the purpose and effect of the proposed change may be readily apparent based on the full text of the proposed amendment itself. However, more lengthy and complex amendments will certainly require an explanatory statement to explain the impact of the amendment and the effect on existing constitutional provisions. See, e.g., Askew v. Firestone, 421 So.2d 151, 155 (Fla.1982) (striking a proposed legislative amendment from the ballot because although the ballot summary tracked the text of the proposed amendment, the summary failed to explain that the amendment was intended to replace an already existing constitutional provision that imposed an absolute two-year ban on lobbying by former legislators).

I concur in the result because I would not reach the issue in this case of whether the Legislature can, in a future case, fulfill its obligation to accurately explain the legal effect of a proposed amendment in clear and unambiguous terms by simply voting to place the entire amendment on the ballot without a summary or explanation. Majority op. at 649. In Sancho v. Smith, 830 So.2d 856 (Fla. 1st DCA 2002), the Legislature placed on the ballot both a summary explaining in detail the effect of the amendment and the text of the amendment. While it is clear that the Legislature has exempted itself from the 75-word restriction, it is not clear that the Legislature is exempt from the requirement to provide an explanatory statement of the chief purpose of a proposed amendment.

In any event, in this case the summary provided by the Legislature was misleading. I agree that it would be impermissible for this Court to substitute the entire lengthy amendment in this case for submission to the voters.

For the above reasons, I concur in the result.

CANADY, C.J., dissenting.

I dissent from the majority's decision to prevent the people of Florida from voting on amendment 9, the Legislature's duly proposed constitutional amendment related to healthcare services.

In 2004, this Court considered a challenge to a constitutional amendment proposed by the Legislature similar to the challenge presented here. Amer. Civil Liberties Union of Fla., Inc. v. Hood, No. SC04-1671, 888 So.2d 621, 2004 Fla. Lexis 1514 (Fla. Sept. 2, 2004) (ACLU). We resolved that case by issuing an unpublished order requiring the Secretary of State to place on the general election ballot "the actual text of the amendment itself and not the proposed ballot summary." Id. We should do likewise in the case now before us.

The decision in ACLU was not inconsistent with our decision in Smith v. American Airlines, Inc., 606 So.2d 618 (Fla. 1992). In American Airlines, we made the following observation: "Neither party argues that this Court has the authority to independently rewrite the ballot summary to conform to the statute, and our independent research has revealed no authority to do so." Id. at 621. This statement by no means resolves the question at issue here. First, the Court's comments regarding an issue not raised by the parties should not be viewed as a holding. Second, the comments related to rewriting the ballot summary-not substituting the text of the amendment for the summary.

In 1992, when this Court decided American Airlines, the Legislature was still subject to the requirement that "[t]he substance of the amendment . . . shall be an explanatory statement, not exceeding 75 words in length, of the chief purpose of the measure." § 101.161(1), Fla. Stat. (1999). Since the text of the proposed amendment exceeded seventy-five words, placing the full text of the amendment on the ballot was not an option. Thus, the American Airlines Court only had the option of actually rewriting a ballot summary "not exceeding 75 words in length, of the chief purpose of the measure." That is an entirely different matter than substituting the full text of the proposed amendment contained in the joint resolution for a defective ballot summary. It is clear that in ACLU this Court understood the difference.

Although I recognize that unpublished orders do not constitute binding precedent, it is undeniable that we have looked to such unpublished orders for guidance in the past and that we have not been reluctant to rely on such orders in justifying our decisions. See, e.g., Sims v. State, 998 So.2d 494, 498 (Fla.2008) (relying on unpublished orders treating "belated notices to invoke as timely filed when a late filing was due to some fault of the attorney and beyond the incarcerated defendant's control" to justify treating petitioner's notice to invoke as timely filed); Fla. Bar v. Pape, 918 So.2d 240, 250 (Fla.2005) (citing unpublished order to establish that in matters of discipline, "[w]e have also required that attorneys attend the Florida Bar Advertising Workshop"); Calamia v. Singletary, 686 So.2d 1337, 1340 (Fla.1996) (citing unpublished orders of federal district courts to support decision that "administrative gaintime and provisional credit statutes are . . . not subject to ex post facto proscriptions"), vacated on other grounds, 520 U.S. 1141, 117 S.Ct. 1309, 137 L.Ed.2d 473 (1997).

The Legislature has the authority to propose amendments to the Florida Constitution "by joint resolution agreed to by three-fifths of the membership of each house of the legislature." Art. XI, § 1, Fla. Const. The elected representatives of the people are thereby empowered to present to the people proposals for amending the people's constitution. The courts should act with restraint when we are asked to interpose judicial power to bar the people from voting on a proposal submitted to them by their elected representatives. Here, we could and should demonstrate appropriate restraint by placing on the ballot the "actual text of the amendment itself and not the proposed ballot summary." ACLU, 888 So.2d 621, 2004 Fla. Lexis 1514.

I reject the notion that faithfulness to the intention of the Legislature forecloses us from acting as we did in ACLU. Whenever the Legislature proposes a constitutional amendment, it is overwhelmingly clear that the Legislature's objective is to give the people an opportunity to vote on the proposed amendment. Placing the full text of the proposed amendment on the ballot would undeniably be consistent with that objective. Failing to place the full text on the ballot undeniably defeats that objective.

I also reject the notion that the text of amendment 9 does not adequately inform the voters of the substance of the proposed amendment. Ordinarily, the text of a proposed amendment will necessarily contain the most direct and accurate expression of the substance and effect of the amendment. The text itself may, however, be inadequate to sufficiently inform the voters if the text does not disclose that it will effect the repeal of an existing constitutional provision. But amendment 9 would not repeal any provision of the Florida Constitution. The text of the amendment hides nothing from the voters.

I would therefore reverse the trial court's order and remand for entry of an order directing that the Secretary of State place on the ballot the full text of the amendment rather than the defective ballot summary.

POLSTON, J., concurs.