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H.B. 200
This document includes House Committee Amendments incorporated into the bill on Fri,
Jan 29, 2010 at 12:20 PM by lerror. -->
This document includes House Committee Amendments (CORRECTED) incorporated
into the bill on Fri, Jan 29, 2010 at 4:28 PM by jeyring. -->
This document includes Senate Committee Amendments incorporated into the bill on Fri,
Feb 12, 2010 at 9:42 AM by rday. -->
This document includes Senate 2nd Reading Floor Amendments incorporated into the bill
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1
INFORMED CONSENT AMENDMENTS
2
2010 GENERAL SESSION
3
STATE OF UTAH
4
Chief Sponsor: Carl Wimmer
5
Senate Sponsor:
D. Chris Buttars
6
7
LONG TITLE
8
General Description:
9
This bill amends provisions of the Utah Criminal Code relating to providing informed
10
consent to a woman who is seeking an abortion.
11
Highlighted Provisions:
12
This bill:
13
. describes informed consent requirements relating to a woman who is seeking an
14
abortion;
15
. requires that, if an ultrasound is performed on a woman before an abortion is
16
performed, the ultrasound images will be simultaneously displayed in a manner to
17
permit the woman to choose to view the images or not to view the images;
18
. requires that, if a woman described in the preceding paragraph desires, the woman
19
shall be given a detailed description of the ultrasound images;
20
. describes exceptions to the informed consent provisions contained in this bill;
21
. describes the printed materials and informational video relating to abortion that the
22
Department of Health is required to produce;
23
. subject to certain exceptions, requires a facility that performs an abortion on a
24
woman to provide the printed materials and informational video described in the
25
preceding paragraph to the woman at least 24 hours before the abortion is
26
performed;
27
. requires that the printed materials and video described in this bill be made available:
28
. at no cost; and
29
. for viewing on the Department of Health's website;
30
. requires the Department of Health to make an annual report to the Health and
31
Human Services Interim Committee on statistics relating to the informed consent
32
provisions described in this bill;
33
. describes reporting requirements for physicians; and
34
. makes technical changes.
35
Monies Appropriated in this Bill:
36
None
37
Other Special Clauses:
38
None
39
Utah Code Sections Affected:
40
AMENDS:
41
76-7-304.5, as enacted by Laws of Utah 2006, Chapter 207
42
76-7-305, as last amended by Laws of Utah 2009, Chapter 57
43
76-7-313, as enacted by Laws of Utah 1981, Chapter 126
44
ENACTS:
45
76-7-305.6, Utah Code Annotated 1953
46
76-7-305.7, Utah Code Annotated 1953
47
REPEALS AND REENACTS:
48
76-7-305.5, as last amended by Laws of Utah 2009, Chapter 57
49
50
Be it enacted by the Legislature of the state of Utah:
51
Section 1.
Section
76-7-304.5
is amended to read:
52
76-7-304.5. Consent required for abortions performed on minors -- Hearing to
53
allow a minor to self-consent -- Appeals.
54
(1) As used in this section, "minor" is as defined in Subsection
76-7-304
(1).
55
(2) In addition to the other requirements of this part, a physician may not perform an
56
abortion on a minor unless:
57
(a) the physician obtains the informed written consent of a parent or guardian of the
58
minor, consistent with [Section] Sections
76-7-305
,
76-7-305.5
, and
76-7-305.6
;
59
(b) the minor is granted the right, by court order under Subsection (5)(b), to consent to
60
the abortion without obtaining consent from a parent or guardian; or
61
(c) (i) a medical condition exists that, on the basis of the physician's good faith clinical
62
judgment, so complicates the medical condition of a pregnant minor as to necessitate the
63
abortion of her pregnancy to avert:
64
(A) the minor's death; or
65
(B) a serious risk of substantial and irreversible impairment of a major bodily function
66
of the minor; and
67
(ii) there is not sufficient time to obtain the consent in the manner chosen by the minor
68
under Subsection (3) before it is necessary to terminate the minor's pregnancy in order to avert
69
the minor's death or impairment described in Subsection (2)(c)(i).
70
(3) A pregnant minor who wants to have an abortion may choose:
71
(a) to seek consent from a parent or guardian under Subsection (2)(a); or
72
(b) to seek a court order under Subsection (2)(b).
73
(4) If a pregnant minor fails to obtain the consent of a parent or guardian of the minor
74
to the performance of an abortion, or if the minor chooses not to seek the consent of a parent or
75
guardian, the minor may file a petition with the juvenile court to obtain a court order under
76
Subsection (2)(b).
77
(5) (a) A hearing on a petition described in Subsection (4) shall be closed to the public.
78
(b) After considering the evidence presented at the hearing, the court shall order that
79
the minor may obtain an abortion without the consent of a parent or guardian of the minor if
80
the court finds by a preponderance of the evidence that:
81
(i) the minor:
82
(A) has given her informed consent to the abortion; and
83
(B) is mature and capable of giving informed consent to the abortion; or
84
(ii) an abortion would be in the minor's best interest.
85
(6) The Judicial Council shall make rules that:
86
(a) provide for the administration of the proceedings described in this section;
87
(b) provide for the appeal of a court's decision under this section;
88
(c) ensure the confidentiality of the proceedings described in this section and the
89
records related to the proceedings; and
90
(d) establish procedures to expedite the hearing and appeal proceedings described in
91
this section.
92
Section 2.
Section
76-7-305
is amended to read:
93
76-7-305. Informed consent requirements for abortion -- 24-hour wait mandatory
94
-- Exceptions.
95
(1) [No abortion may be performed unless] A person may not perform an abortion,
96
unless, before performing the abortion, the S. [
attending physician
] physician who will perform
96a
the abortion .S obtains a voluntary and
97
informed written consent[,] from the woman on whom the abortion is performed, that is
98
consistent with:
99
(a) Section 8.08 of the American Medical Association's Code of Medical Ethics,
100
Current Opinions[,]; and
101
(b) the provisions of this section [is first obtained by the attending physician from the
102
woman upon whom the abortion is to be performed].
103
(2) Except [in the case of a medical emergency] as provided in Subsection (8), consent
104
to an abortion is voluntary and informed only if:
105
(a) at least 24 hours [prior to] before the abortion, the physician who is to perform the
106
abortion, the referring physician, a registered nurse, nurse practitioner, advanced practice
107
registered nurse, certified nurse midwife, S. genetic counselor, .S or physician's assistant, in a
107a
face-to-face consultation,
108
orally informs the woman:
109
(i) consistent with Subsection (3)(a), of:
110
(A) the nature of the proposed abortion procedure [or treatment,];
111
(B) specifically how [that] the procedure described in Subsection (2)(a)(i)(A) will
112
affect the fetus[,]; and
113
(C) the risks and alternatives to an abortion procedure or treatment [that any person
114
would consider material to the decision of whether or not to undergo an abortion];
115
(ii) of the probable gestational age and a description of the development of the unborn
116
child at the time the abortion would be performed;
117
(iii) of the medical risks associated with carrying her child to term; and
118
(iv) except as provided in Subsection (3)(b), if the abortion is to be performed on an
119
unborn child who is at least 20 weeks gestational age:
120
(A) that, upon the woman's request, an anesthetic or analgesic will be administered to
121
the unborn child, through the woman, to eliminate or alleviate organic pain to the unborn child
122
that may be caused by the particular method of abortion to be employed; and
123
(B) of any medical risks to the woman that are associated with administering the
124
anesthetic or analgesic described in Subsection (2)(a)(iv)(A);
125
(b) at least 24 hours prior to the abortion the physician who is to perform the abortion,
126
the referring physician, or, as specifically delegated by either of those physicians, a registered
127
nurse, licensed practical nurse, certified nurse-midwife, advanced practice registered nurse,
128
clinical laboratory technologist, psychologist, marriage and family therapist, clinical social
129
worker, S. genetic counselor, .S or certified social worker H. [
has
] .H orally, in a
129a
face-to-face consultation, [informed]
129a
informs
130
the pregnant woman that:
131
(i) the Department of Health, in accordance with Section
76-7-305.5
, publishes printed
132
material and an informational video that:
133
(A) provides medically accurate information regarding all abortion procedures that may
134
be used;
135
(B) describes the gestational stages of an unborn child; and
136
(C) includes information regarding public and private services and agencies available
137
to assist her through pregnancy, at childbirth, and while the child is dependent, including
138
private and agency adoption alternatives;
139
(ii) the printed material and a viewing of or a copy of the informational video H. [
:
140
(A) shall be provided to her free of charge; and
141
(B) is also available
] shall be made available to her, free of charge, .H on the
141a
Department of Health's website;
142
(iii) medical assistance benefits may be available for prenatal care, childbirth, and
143
neonatal care, and that more detailed information on the availability of that assistance is
144
contained in the printed materials and the informational video published by the Department of
145
Health;
146
(iv) except as provided in Subsection (3)(c)[,]:
147
(A) the father of the unborn child is legally required to assist in the support of her
148
child, even [in instances where] if he has offered to pay for the abortion[, and that]; and
149
(B) the Office of Recovery Services within the Department of Human Services will
150
assist her in collecting child support; and
151
(v) she has the right to view an ultrasound of the unborn child, at no expense to her,
152
upon her request;
153
(c) the information required to be provided to the pregnant woman under Subsection
154
(2)(a) is also provided by the physician who is to perform the abortion, in a face-to-face
155
consultation, prior to performance of the abortion, unless the attending or referring physician is
156
the individual who provides the information required under Subsection (2)(a);
157
(d) a copy of the printed materials published by the Department of Health has been
158
provided to the pregnant woman;
159
(e) the informational video, published by the Department of Health, has been provided
160
to the pregnant woman in accordance with Subsection (4); and
161
(f) the pregnant woman has certified in writing, prior to the abortion, that the
162
information required to be provided under Subsections (2)(a) through (e) was provided, in
163
accordance with the requirements of those subsections.
164
(3) (a) The alternatives required to be provided under Subsection (2)(a)(i) [shall]
165
include:
166
(i) a description of adoption services, including private and agency adoption methods;
167
and
168
(ii) a statement that it is legal for adoptive parents to financially assist in pregnancy and
169
birth expenses.
170
(b) The information described in Subsection (2)(a)(iv) may be omitted from the
171
information required to be provided to a pregnant woman under this section if[: (i)] the
172
abortion is performed for a reason described in Subsection
76-7-302
(3)(b)(i)[; and].
173
[(ii) due to a serious medical emergency, time does not permit compliance with the
174
requirement to provide the information described in Subsection (2)(a)(iv).]
175
(c) The information described in Subsection (2)(b)(iv) may be omitted from the
176
information required to be provided to a pregnant woman under this section if the woman is
177
pregnant as the result of rape.
178
(d) Nothing in this section shall be construed to prohibit a person described in
179
Subsection (2)(a) from, when providing the information described in Subsection (2)(a)(iv),
180
informing a woman of the person's own opinion regarding:
181
(i) the capacity of an unborn child to experience pain;
182
(ii) the advisability of administering an anesthetic or analgesic to an unborn child; or
183
(iii) any other matter related to fetal pain.
184
(4) (a) When the informational video described in Section
76-7-305.5
is provided to a
185
pregnant woman, the person providing the information shall [first]:
186
(i) request that the woman view the video at that time or at another specifically
187
designated time and location[. If]; or
188
(ii) if the woman chooses not to [do so,] view the video at a time described in
189
Subsection (4)(a), H. [
give a copy of the video
] .H [shall be provided to her] H. [
to the woman
]
189a
inform the woman that she can access the video on the Department of Health's website .H .
190
(5) When a serious medical emergency compels the performance of an abortion, the
191
physician shall inform the woman prior to the abortion, if possible, of the medical indications
192
supporting the physician's judgment that an abortion is necessary.
193
(6) If an ultrasound is performed on a woman before an abortion is performed, the
194
person who performs the ultrasound, or another qualified person, shall:
195
(a) inform the woman that the ultrasound images will be simultaneously displayed in a
196
manner to permit her to:
197
(i) view the images, if she chooses to view the images; or
198
(ii) not view the images, if she chooses not to view the images;
199
(b) simultaneously display the ultrasound images in order to permit the woman to:
200
(i) view the images, if she chooses to view the images; or
201
(ii) not view the images, if she chooses not to view the images;
202
(c) inform the woman that, if she desires, the person performing the ultrasound, or
203
another qualified person shall provide a detailed description of the ultrasound images,
204
including:
205
(i) the dimensions of the unborn child;
206
(ii) the presence of cardiac activity in the unborn child, if present and viewable; and
207
(iii) the presence of external body parts or internal organs, if present and viewable; and
208
(d) provide the detailed description described in Subsection (6)(c), if the woman
209
requests it.
210
[(6)] (7) [Any] In addition to the criminal penalties described in this part, a physician
211
who violates the provisions of this section:
212
(a) is guilty of unprofessional conduct as defined in Section
58-67-102
or
58-68-102
;
213
and
214
(b) shall be subject to:
215
(i) suspension or revocation of the physician's license for the practice of medicine and
216
surgery in accordance with Section
58-67-401
or
58-68-401
; and
217
(ii) administrative penalties in accordance with Section
58-67-402
or
58-68-402
.
218
[(7)] (8) A physician is not guilty of violating this section for failure to furnish any of
219
the information described in Subsection (2), or for failing to comply with Subsection (6), if:
220
(a) the physician can demonstrate by a preponderance of the evidence that the
221
physician reasonably believed that furnishing the information would have resulted in a severely
222
adverse effect on the physical or mental health of the pregnant woman;
223
(b) in the physician's professional judgment, the abortion was necessary to [save the
224
pregnant woman's life;] avert:
225
(i) the death of the woman on whom the abortion is performed; or
226
(ii) a serious risk of substantial and irreversible impairment of a major bodily function
227
of the woman on whom the abortion is performed;
228
(c) the pregnancy was the result of rape or rape of a child, as defined in Sections
229
76-5-402
and
76-5-402.1
;
230
(d) the pregnancy was the result of incest, as defined in Subsection
76-5-406
(10) and
231
Section
76-7-102
; or
232
(e) at the time of the abortion, the pregnant woman was 14 years of age or younger.
233
[(8)] (9) A physician who complies with the provisions of this section and Section
234
76-7-304.5
may not be held civilly liable to the physician's patient for failure to obtain
235
informed consent under Section
78B-3-406
.
236
(10) H. (a) .H The Department of Health H. [
and local health departments
] .H
236a
shall provide an
237
ultrasound, in accordance with the provisions of Subsection (2)(b), at no expense to the
238
pregnant woman.
238a
H. (b) A local health department shall refer a person who requests an ultrasound
238b
described in Subsection (10)(a) to the Department of Health. .H
239
Section 3.
Section
76-7-305.5
is repealed and reenacted to read:
240
76-7-305.5. Requirements for printed materials and informational video.
241
(1) In order to ensure that a woman's consent to an abortion is truly an informed
242
consent, the Department of Health shall, in accordance with the requirements of this section:
243
(a) publish printed materials; and
244
(b) produce an informational video.
245
(2) The printed materials and the informational video described in Subsection (1) shall:
246
(a) be scientifically accurate, comprehensible, and presented in a truthful,
247
nonmisleading manner;
248
(b) present adoption as a preferred and positive choice and alternative to abortion;
249
(c) be printed and produced in a manner that conveys the state's preference for
250
childbirth over abortion;
251
(d) state that the state prefers childbirth over abortion;
252
(e) state that it is unlawful for any person to coerce a woman to undergo an abortion;
253
(f) state that any physician who performs an abortion without obtaining the woman's
254
informed consent or without providing her a private medical consultation in accordance with
255
the requirements of this section, may be liable to her for damages in a civil action at law;
256
(g) provide information on resources and public and private services available to assist
257
a pregnant woman, financially or otherwise, during pregnancy, at childbirth, and while the
258
child is dependent, including:
259
(i) medical assistance benefits for prenatal care, childbirth, and neonatal care;
260
(ii) services and supports available under Section
35A-3-308
;
261
(iii) other financial aid that may be available during an adoption; and
262
(iv) services available from public adoption agencies, private adoption agencies, and
263
private attorneys whose practice includes adoption;
264
(h) describe the adoption-related expenses that may be paid under Section
76-7-203
;
265
(i) describe the persons who may pay the adoption related expenses described in
266
Subsection (2)(h);
267
(j) describe the legal responsibility of the father of a child to assist in child support,
268
even if the father has agreed to pay for an abortion;
269
(k) describe the services available through the Office of Recovery Services, within the
270
Department of Human Services, to establish and collect the support described in Subsection
271
(2)(j);
272
(l) state that private adoption is legal;
273
(m) in accordance with Subsection (3), describe the probable anatomical and
274
physiological characteristics of an unborn child at two-week gestational increments from
275
fertilization to full term, including:
276
(i) brain and heart function; and
277
(ii) the presence and development of external members and internal organs;
278
(n) describe abortion procedures used in current medical practice at the various stages
279
of growth of the unborn child, including:
280
(i) the medical risks associated with each procedure;
281
(ii) the risk related to subsequent childbearing that are associated with each procedure;
282
and
283
(iii) the consequences of each procedure to the unborn child at various stages of fetal
284
development;
285
(o) describe the possible detrimental psychological effects of abortion;
286
(p) describe the medical risks associated with carrying a child to term; and
287
(q) include relevant information on the possibility of an unborn child's survival at the
288
two-week gestational increments described in Subsection (2)(m).
289
(3) The information described in Subsection (2)(m) shall be accompanied by the
290
following for each gestational increment described in Subsection (2)(m):
291
(a) pictures or video segments that accurately represent the normal development of an
292
unborn child at that stage of development; and
293
(b) the dimensions of the fetus at that stage of development.
294
(4) The printed material and video described in Subsection (1) may include a toll-free
295
24-hour telephone number that may be called in order to obtain, orally, a list and description of
296
services, agencies, and adoption attorneys in the locality of the caller.
297
(5) In addition to the requirements described in Subsection (2), the printed material
298
described in Subsection (1)(a) shall:
299
(a) be printed in a typeface large enough to be clearly legible;
300
(b) in accordance with Subsection (6), include a geographically indexed list of public
301
and private services and agencies available to assist a woman, financially or otherwise, through
302
pregnancy, at childbirth, and while the child is dependent;
303
(c) except as provided in Subsection (7), include a separate brochure that contains
304
truthful, nonmisleading information regarding:
305
(i) the ability of an unborn child to experience pain during an abortion procedure;
306
(ii) the measures that may be taken, including the administration of an anesthetic or
307
analgesic to an unborn child, to alleviate or eliminate pain to an unborn child during an
308
abortion procedure;
309
(iii) the effectiveness and advisability of taking the measures described in Subsection
310
(5)(c)(ii); and
311
(iv) potential medical risks to a pregnant woman that are associated with the
312
administration of an anesthetic or analgesic to an unborn child during an abortion procedure.
313
(6) The list described in Subsection (5)(b) shall include:
314
(a) private attorneys whose practice includes adoption; and
315
(b) the names, addresses, and telephone numbers of each person listed under
316
Subsection (5)(b) or (6)(a).
317
(7) A person or facility is not required to provide the information described in
318
Subsection (5)(c) to a patient or potential patient, if the abortion is to be performed:
319
(a) on an unborn child who is less than 20 weeks gestational age at the time of the
320
abortion; or
321
(b) on an unborn child who is at least 20 weeks gestational age at the time of the
322
abortion, if:
323
(i) the abortion is being performed for a reason described in Subsection
324
76-7-302
(3)(b)(i); and
325
(ii) due to a serious medical emergency, time does not permit compliance with the
326
requirement to provide the information described in Subsection (5)(c).
327
(8) In addition to the requirements described in Subsection (2), the video described in
328
Subsection (1)(b) shall:
329
(a) make reference to the list described in Subsection (5)(b); and
330
(b) show an ultrasound of the heartbeat of an unborn child at:
331
(i) S. [
three weeks gestational age;
] four weeks from conception; .S
332
(ii) six to eight weeks S. [
gestational age
] from conception .S ; and
333
(iii) each month after S. [
eight
] ten .S weeks gestational age, up to 14 weeks gestational age.
334
Section 4.
Section
76-7-305.6
is enacted to read:
335
76-7-305.6. Abortion facilities required to provide printed materials and
336
informational video -- Department of Health to make printed materials and
337
informational video available.
338
(1) Except as provided in Subsection
76-7-305.5
(7), every facility in which abortions
339
are performed shall provide the printed materials and a viewing or a copy of the video
340
described in Section
76-7-305.5
to each patient or potential patient at least 24 hours before the
341
abortion is performed, unless:
342
(a) the physician can demonstrate by a preponderance of the evidence that the
343
physician reasonably believed that furnishing the information would have resulted in a severely
344
adverse effect on the physical or mental health of the pregnant woman;
345
(b) in the physician's professional judgment, the abortion was necessary to avert:
346
(i) the death of the woman on whom the abortion is performed; or
347
(ii) a serious risk of substantial and irreversible impairment of a major bodily function
348
of the woman on whom the abortion is performed;
349
(c) the pregnancy was the result of rape or rape of a child, as defined in Sections
350
76-5-402
and
76-5-402.1
;
351
(d) the pregnancy was the result of incest, as defined in Subsection
76-5-406
(10) and
352
Section
76-7-102
; or
353
(e) at the time of the abortion, the pregnant woman was 14 years of age or younger.
354
(2) The Department of Health and each local health department shall make the printed
355
materials and the video described in Section
76-7-305.5
available at no cost to any person.
356
(3) The Department of Health shall make the printed materials and the video described
357
in Section
76-7-305.5
available for viewing on the Department of Health's website by clicking
358
on a conspicuous link on the home page of the website.
359
(4) If the printed materials or a viewing of the video are not provided to a pregnant
360
woman under Subsection (1), the physician who performs the abortion on the woman shall,
361
within 10 days after the day on which the abortion is performed, provide to the Department of
362
Health an affidavit that:
363
(a) specifies the information that was not provided to the woman; and
364
(b) states the reason that the information was not provided to the woman.
365
Section 5.
Section
76-7-305.7
is enacted to read:
366
76-7-305.7. Statistical report by the Department of Health.
367
(1) In accordance with Subsection (2), the Department of Health shall, on an annual
368
basis, after July 1 of each year, compile and report the following information, relating to the
369
preceding fiscal year, to the Health and Human Services Interim Committee:
370
(a) the total amount of informed consent material described in this section that was
371
distributed H. or accessed .H ;
372
(b) the number of women who obtained abortions in this state without receiving the
373
informed consent materials described in this section;
374
(c) the number of statements signed by attending physicians under Subsection
375
76-7-305.6
(4); and
376
(d) any other information pertaining to obtaining informed consent from a woman who
377
seeks an abortion.
378
(2) The report described in Subsection (1) shall be prepared and presented in a manner
379
that preserves physician and patient anonymity.
380
Section 6.
Section
76-7-313
is amended to read:
381
76-7-313. Physician's report to Department of Health.
382
(1) In order for the state Department of Health to maintain necessary statistical
383
information and ensure enforcement of the provisions of this part, any physician performing an
384
abortion must obtain and record in writing:
385
(a) the age [of the pregnant woman; her], marital status, and county of residence of the
386
woman on whom the abortion was performed;
387
(b) the number of previous abortions performed on [her] the woman described in
388
Subsection (1)(a);
389
(c) the hospital or other facility where the abortion was performed;
390
(d) the weight in grams of the unborn child aborted, if it is possible to ascertain;
391
(e) the pathological description of the unborn child;
392
(f) the given menstrual age of the unborn child;
393
(g) the measurements of the unborn child, if possible to ascertain; and
394
(h) the medical procedure used to abort the unborn child. [This information, and]
395
(2) Each physician who performs an abortion shall provide the following to the
396
Department of Health within S. [
10
] 30 .S days after the day on which the abortion is
performed:
397
(a) the information described in Subsection (1);
398
(b) a copy of the pathologist's report[, as required] described in Section
76-7-309
[,
399
together with];
400
(c) an affidavit:
401
(i) that the required consent was obtained pursuant to [Section] Sections
76-7-305
402
[and],
76-7-305.5
, and 76-7-305.6; and
403
(ii) described in Subsection
76-7-305.6
(4), if applicable; and
404
(d) a certificate [by the physician that] indicating:
405
(i) whether the unborn child was or was not S. [
capable of survival outside of the mother's
406
womb
] .S [, must be filed by the physician with the state Department of Health within 10 days
407
after] S. viable, as defined in Subsection 76-7-302(1), .S at the time of the abortion[.]; and
408
(ii) if the unborn child was S. [
capable of survival outside of the mother's womb
] viable, as
408a
defined in Subsection 76-7-302(1), .S at the
409
time of the abortion, the reason for the abortion.
410
(3) All information supplied to the [state] Department of Health shall be confidential
411
and privileged pursuant to Title 26, Chapter 25, Confidential Information Release.
Legislative Review Note
as of 12-4-09 1:36 PM