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H.B. 85

This document includes House Committee Amendments incorporated into the bill on Wed, Jan 18, 2006 at 2:00 PM by chopkin. -->              1     

ABORTION BY A MINOR - PARENTAL

             2     
NOTIFICATION AND CONSENT

             3     
2006 GENERAL SESSION

             4     
STATE OF UTAH

             5     
Chief Sponsor: Kerry W. Gibson

             6     
Senate Sponsor: Darin G. Peterson

             7      Cosponsors:
             8      Brad L. Dee
             9      Aaron Tilton
             10      John G. Mathis
             11      Glenn A. Donnelson
             12      Lorie D. Fowlke
             13      Michael E. Noel
             14      Gregory H. Hughes
             15      Curtis Oda
             16      Julie FisherRonda Rudd Menlove
Craig W. Buttars
Bradley G. Last
Scott L Wyatt
Peggy Wallace
Ann W. Hardy
Paul Ray
Michael T. Morley
Douglas C. Aagard
Richard W. WheelerBradley T. Johnson
Margaret Dayton
David Ure
James A. Dunnigan
John Dougall
Rebecca D. Lockhart
Joseph G. Murray
DeMar Bud Bowman
Mark W. Walker              17     
             18      LONG TITLE
             19      General Description:
             20          This bill amends the Utah Criminal Code, the Utah Human Services Code, and the Utah
             21      Health Care Malpractice Act to require parental consent and notification for abortions
             22      performed upon minors, subject to certain exceptions.
             23      Highlighted Provisions:
             24          This bill:
             25          .    defines terms;
             26          .    provides that a written report of incest or abuse made in connection with a minor
             27      seeking an abortion may not disclose that the minor obtained or considered an
             28      abortion;
             29          .    requires that at least 24 hours before a physician performs an abortion on a minor,
             30      the physician shall notify a parent or guardian of the minor that the minor intends to


             31      have an abortion, unless:
             32              .    a medical emergency exists;
             33              .    the physician reports that the parent or guardian abused the woman or caused
             34      the woman's pregnancy by engaging in incest with the woman; or
             35              .    the parent or guardian has not assumed responsibility for the minor's care and
             36      upbringing;
             37          .    provides that, in a medical emergency, except when it is necessary to immediately
             38      perform an abortion, the physician shall notify a parent or guardian of the minor, as
             39      early as possible before the abortion, that the minor intends to have an abortion;
             40          .    removes the requirement that a physician notify the spouse of a married woman that
             41      she intends to obtain an abortion;
             42          .    requires that a minor obtain parental consent before obtaining an abortion unless:
             43              .    the minor obtains the right, by court order, to consent to an abortion without
             44      parental consent; or
             45              .    a medical emergency exists;
             46          .    establishes a procedure for a court to determine whether a minor should be granted
             47      the right to consent to an abortion without parental consent;
             48          .    provides that the proceedings described above are closed and that the name of the
             49      juvenile, the nature of the proceedings, and the records relating thereto, are
             50      confidential;
             51          .    provides that a court shall order that a minor may consent to an abortion without
             52      parental consent only if the court finds H. by a preponderance of the evidence .H that:
             53              .    the minor is mature and capable of giving informed consent to the abortion and
             54      has given her informed consent; or    
             55              .    an abortion would be in the minor's best interest;
             56          .    establishes expedited, confidential, appellate procedures;
             57          .    grants rulemaking authority to the Judicial Council;
             58          .    amends the Utah Health Care Malpractice Act and related provisions to conform to
             59      the consent requirements of this bill; and
             60          .    makes technical changes.
             61      Monies Appropriated in this Bill:


             62          None
             63      Other Special Clauses:
             64          None
             65      Utah Code Sections Affected:
             66      AMENDS:
             67          62A-4a-408, as renumbered and amended by Chapter 260, Laws of Utah 1994
             68          76-7-304, as enacted by Chapter 33, Laws of Utah 1974
             69          76-7-305, as last amended by Chapter 221, Laws of Utah 1997
             70          76-7-305.5, as last amended by Chapter 13, Laws of Utah 1998
             71          76-7-315, as last amended by Chapter 5, Laws of Utah 1996, Second Special Session
             72          78-14-5, as last amended by Chapter 9, Laws of Utah 2001
             73      ENACTS:
             74          76-7-304.5, Utah Code Annotated 1953
             75     
             76      Be it enacted by the Legislature of the state of Utah:
             77          Section 1. Section 62A-4a-408 is amended to read:
             78           62A-4a-408. Written reports.
             79          (1) Reports made pursuant to this part shall be followed by a written report within 48
             80      hours, if requested by the division. The division shall immediately forward a copy of that
             81      report to the statewide central register, on forms supplied by the register.
             82          (2) If, in connection with an intended or completed abortion by a minor, a physician is
             83      required to make a report of incest or abuse pursuant to Subsection 76-7-304 (5), the report may
             84      not include information that would in any way disclose that the report was made in connection
             85      with:
             86          (a) an abortion; or
             87          (b) a consultation regarding an abortion.
             88          Section 2. Section 76-7-304 is amended to read:
             89           76-7-304. Considerations by physician -- Notice to a parent or guardian --
             90      Exceptions.
             91          (1) As used in this section, "minor" means a person who is:
             92          (a) under 18 years of age;


             93          (b) unmarried; and
             94          (c) not emancipated.
             95          (2) To enable the physician to exercise [his] the physician's best medical judgment,
             96      [he] the physician shall[: (1) Consider] consider all factors relevant to the well-being of the
             97      woman upon whom the abortion is to be performed including[, but not limited to,]:
             98          (a) her physical, emotional and psychological health and safety[,];
             99          (b) her age[,]; and
             100          (c) her familial situation.
             101          [(2) Notify, if possible, the parents or guardian of the woman upon whom the abortion
             102      is to be performed, if she is a minor or the husband of the woman, if she is married.]
             103          (3) Subject to Subsection (4), at least 24 hours before a physician performs an abortion
             104      on a minor, the physician shall notify a parent or guardian of the minor that the minor intends
             105      to have an abortion.
             106          (4) A physician is not required to comply with Subsection (3) if:
             107          (a) subject to Subsection (6)(a):
             108          (i) a medical condition exists that poses a significant threat of harm to the life or health
             109      of the minor; and
             110          (ii) there is not sufficient time to give the notice required under Subsection (3) before it
             111      is necessary to terminate the minor's pregnancy in order to prevent the threatened harm
             112      described in Subsection (4)(a)(i);
             113          (b) subject to Subsection (6)(b):
             114          (i) the physician complies with Subsection (5); and
             115          (ii) (A) the minor is pregnant as a result of incest to which the parent or guardian was a
             116      party; or
             117          (B) the parent or guardian has abused the minor; or
             118          (c) subject to Subsection (6)(b), the parent or guardian has not assumed responsibility
             119      for the minor's care and upbringing.
             120          (5) If, for a reason described in Subsection (4)(b)(ii)(A) or (B), a physician does not
             121      notify a parent or guardian of a minor that the minor intends to have an abortion, the physician
             122      shall report the incest or abuse to the Division of Child and Family Services within the
             123      Department of Human Services.


             124          (6) (a) If, for the reason described in Subsection (4)(a), a physician does not give the
             125      24-hour notice described in Subsection (3), the physician shall give the required notice as early
             126      as possible before the abortion, unless it is necessary to perform the abortion immediately in
             127      order to prevent the threatened harm described in Subsection (4)(a)(i).
             128          (b) If, for a reason described in Subsection (4)(b) or (c), a parent or guardian of a minor
             129      is not notified that the minor intends to have an abortion, the physician shall notify another
             130      parent or guardian of the minor, if the minor has another parent or guardian that is not exempt
             131      from notification under Subsection (4)(b) or (c).
             132          Section 3. Section 76-7-304.5 is enacted to read:
             133          76-7-304.5. Consent required for abortions performed on minors -- Hearing to
             134      allow a minor to self-consent -- Appeals.
             135          (1) As used in this section, "minor" is as defined in Subsection 76-7-304 (1).
             136          (2) In addition to the other requirements of this part, an abortion may not be performed
             137      on a minor unless:
             138          (a) the minor obtains the informed written consent of a parent or guardian of the minor;
             139          (b) the minor is granted the right, by court order under Subsection (6), to consent to the
             140      abortion without obtaining consent from a parent or guardian; or
             141          (c) (i) a medical condition exists that poses a significant threat of harm to the life or
             142      health of a pregnant minor; and
             143          (ii) there is not sufficient time to obtain the consent in the manner chosen by the minor
             144      under Subsection (3) before it is necessary to terminate the minor's pregnancy in order to
             145      prevent the threatened harm described in Subsection (2)(c)(i).
             146          (3) A pregnant minor who wants to have an abortion may choose:
             147          (a) to seek consent from a parent or guardian under Subsection (2)(a); or
             148          (b) to seek the right to consent to the abortion under Subsection (2)(b).
             149          (4) (a) If H. [ one or both of a pregnant minor's parents or the minor's guardian refuses to
             150      consent
] a pregnant minor fails to obtain the consent of a parent or guardian of the minor .H

             150a      to the performance of an abortion, or if the minor chooses not to seek the consent of
             151      H. [ one or both of her parents ] a parent .H or guardian, the minor may file a petition with the
             151a      juvenile court to
             152      obtain the right to consent to the abortion without the consent of the minor's parent or guardian.
             153          (b) If the minor chooses to file the petition described in Subsection (4)(a), the court
             154      shall assist the minor, or a person designated by the minor, in preparing the petition required by


             155      this section.
             156          (c) The petition described in Subsection (4)(a) shall include:
             157          (i) the initials of the minor;
             158          (ii) the age of the minor;
             159          (iii) a statement that:
             160          (A) the minor has been fully informed regarding the abortion pursuant to the
             161      requirements of Section 76-7-305 ; or
             162          (B) under Section 76-7-305 , the minor is not required to be fully informed regarding
             163      the abortion;
             164          (iv) a claim that:
             165          (A) the minor is sufficiently mature to make the decision to have an abortion; or
             166          (B) an abortion is in the minor's best interest; and
             167          (v) the name of each parent or guardian of the minor.
             168          (5) If a petition is filed under Subsection (4), the court:
             169          (a) may appoint a guardian ad litem for the minor;
             170          (b) shall, if the minor is not already represented by an attorney:
             171          (i) advise the minor that she has the right to a court-appointed attorney; and
             172          (ii) appoint an attorney to represent the minor upon the minor's request;
             173          (c) shall preserve the confidentiality of:
             174          (i) the minor's identity;
             175          (ii) the nature of the proceeding; and
             176          (iii) all records related to the proceeding; and
             177          (d) shall hold a hearing and render a decision on the petition no later than five calendar
             178      days after the day on which the petition is filed.
             179          (6) (a) The hearing described in Subsection (5)(d) shall be closed to the public.
             180          (b) After considering the evidence presented at the hearing, the court shall order that
             181      the minor may consent to an abortion without the consent of a parent or guardian of the minor
             182      if the court finds H. by a preponderance of the evidence .H that:
             183          (i) the minor:
             184          (A) has given her informed consent to the abortion; and
             185          (B) is mature and capable of giving informed consent to the abortion; or


             186          (ii) an abortion would be in the minor's best interest.
             187          (c) If the court does not make the finding described in Subsection (6)(b), the court shall
             188      order that the minor must obtain consent from the minor's parent or guardian before the minor
             189      may obtain an abortion.
             190          (d) A parent or guardian of a woman who is under the age of 18 may not be informed
             191      of the proceedings under this section, unless the minor gives written authorization for the
             192      parent or guardian to be informed.
             193          (7) (a) The minor may appeal the decision of the juvenile court by filing a written
             194      notice of appeal at any time after the entry of the order described in Subsection (6).
             195          (b) The appeal described in Subsection (7)(a) shall be:
             196          (i) closed to the public; and
             197          (ii) considered and decided no later than five calendar days from the day on which the
             198      notice of appeal is filed.
             199          (c) The decision described in Subsection (7)(b)(ii) may be issued in the form of a
             200      written order.
             201          (d) Nothing in this Subsection (7) shall require the court to write an opinion within five
             202      calendar days from the day on which the notice of appeal is filed.
             203          (e) The court hearing the appeal shall preserve the confidentiality of:
             204          (i) the minor's identity; and
             205          (ii) subject to Subsection (7)(f), all records related to the proceeding.
             206          (f) Notwithstanding Subsection (7)(e)(ii), the court may publish an opinion relating to
             207      the appeal, if the opinion protects the minor's identity.
             208          (8) The Judicial Council shall make rules that:
             209          (a) ensure the confidentiality of the proceedings described in this section and the
             210      records related to the proceedings; and
             211          (b) establish procedures to expedite the hearing and appeal proceedings described in
             212      this section.
             213          Section 4. Section 76-7-305 is amended to read:
             214           76-7-305. Informed consent requirements for abortion -- 24-hour wait mandatory
             215      -- Emergency exceptions.
             216          (1) No abortion may be performed unless a voluntary and informed written consent,


             217      consistent with Section 8.08 of the American Medical Association's Code of Medical Ethics,
             218      Current Opinions, and the provisions of this section is first obtained by the attending physician
             219      from the woman upon whom the abortion is to be performed.
             220          (2) Except in the case of a medical emergency, consent to an abortion is voluntary and
             221      informed only if:
             222          (a) at least 24 hours prior to the abortion, the physician who is to perform the abortion,
             223      the referring physician, a registered nurse, nurse practitioner, advanced practice registered
             224      nurse, certified nurse midwife, or physician's assistant [shall], in a face-to-face consultation,
             225      orally [inform] informs the woman of:
             226          (i) consistent with Subsection (3)(a), the nature of the proposed abortion procedure or
             227      treatment, specifically how that procedure will affect the fetus, and the risks and alternatives to
             228      an abortion procedure or treatment that any person would consider material to the decision of
             229      whether or not to undergo an abortion[. The alternatives required to be provided under this
             230      subsection shall include a description of adoption services, including private and agency
             231      adoption methods, and a statement that it is legal for adoptive parents to financially assist in
             232      pregnancy and birth expenses];
             233          (ii) the probable gestational age and a description of the development of the unborn
             234      child at the time the abortion would be performed; and
             235          (iii) the medical risks associated with carrying her child to term;
             236          (b) at least 24 hours prior to the abortion the physician who is to perform the abortion,
             237      the referring physician, or, as specifically delegated by either of those physicians, a registered
             238      nurse, licensed practical nurse, certified nurse-midwife, advanced practice registered nurse,
             239      clinical laboratory technologist, psychologist, marriage and family therapist, clinical social
             240      worker, or certified social worker has orally, in a face-to-face consultation, informed the
             241      pregnant woman that:
             242          (i) the Department of Health, in accordance with Section 76-7-305.5 , publishes printed
             243      material and an informational video that:
             244          (A) provides medically accurate information regarding all abortion procedures that may
             245      be used;
             246          (B) describes the gestational stages of an unborn child; and
             247          (C) includes information regarding public and private services and agencies available


             248      to assist her through pregnancy, at childbirth, and while the child is dependent, including
             249      private and agency adoption alternatives; [and]
             250          (ii) the printed material and a viewing of or a copy of the informational video shall be
             251      provided to her free of charge;
             252          (iii) medical assistance benefits may be available for prenatal care, childbirth, and
             253      neonatal care, and that more detailed information on the availability of that assistance is
             254      contained in the printed materials and the informational video published by the Department of
             255      Health;
             256          (iv) except as provided in Subsection (3)(b), the father of the unborn child is legally
             257      required to assist in the support of her child, even in instances where he has offered to pay for
             258      the abortion, and that the Office of Recovery Services within the Department of Human
             259      Services will assist her in collecting child support[. In the case of rape, this information may
             260      be omitted]; and
             261          (v) she has the right to view an ultrasound of the unborn child, at no expense to her,
             262      upon her request;
             263          (c) the information required to be provided to the pregnant woman under Subsection
             264      (2)(a) is also provided by the physician who is to perform the abortion, in a face-to-face
             265      consultation, prior to performance of the abortion, unless the attending or referring physician
             266      [was] is the individual [providing] who provides the information required under Subsection
             267      (2)(a);
             268          (d) a copy of the printed materials published by the Department of Health has been
             269      provided to the pregnant woman;
             270          (e) the informational video, published by the Department of Health, has been provided
             271      to the pregnant woman in accordance with Subsection [(2)] (4); and
             272          (f) the pregnant woman has certified in writing, prior to the abortion, that the
             273      information required to be provided under Subsections (2)(a)[, (b), (c), (d), and] through (e)
             274      was provided, in accordance with the requirements of those subsections.
             275          (3) (a) The alternatives required to be provided under Subsection (2)(a)(i) shall include:
             276          (i) a description of adoption services, including private and agency adoption methods;
             277      and
             278          (ii) a statement that it is legal for adoptive parents to financially assist in pregnancy and


             279      birth expenses.
             280          (b) The information described in Subsection (2)(b)(iv) may be omitted from the
             281      information required to be provided to a pregnant woman under this section if the woman is
             282      pregnant as the result of rape.
             283          [(2)] (4) When the informational video described in Section 76-7-305.5 is provided to a
             284      pregnant woman, the person providing the information shall first request that the woman view
             285      the video at that time or at another specifically designated time and location. If the woman
             286      chooses not to do so, a copy of the video shall be provided to her.
             287          [(3)] (5) When a serious medical emergency compels the performance of an abortion,
             288      the physician shall inform the woman prior to the abortion, if possible, of the medical
             289      indications supporting [his] the physician's judgment that an abortion is necessary.
             290          [(4)] (6) Any physician who violates the provisions of this section:
             291          (a) is guilty of unprofessional conduct as defined in Section 58-67-102 or 58-68-102 [,];
             292      and [his license for the practice of medicine and surgery]
             293          (b) shall be subject to suspension or revocation of the physician's license for the
             294      practice of medicine and surgery in accordance with Sections 58-67-401 and 58-67-402 , Utah
             295      Medical Practice Act, or Sections 58-68-401 and 58-68-402 , Utah Osteopathic Medical
             296      Practice Act.
             297          [(5)] (7) A physician is not guilty of violating this section for failure to furnish any of
             298      the information described in Subsection [(1)] (2), if:
             299          (a) [he] the physician can demonstrate by a preponderance of the evidence that [he] the
             300      physician reasonably believed that furnishing the information would have resulted in a severely
             301      adverse effect on the physical or mental health of the pregnant woman;
             302          (b) in [his] the physician's professional judgment, the abortion was necessary to save
             303      the pregnant woman's life;
             304          (c) the pregnancy was the result of rape or rape of a child, as defined in Sections
             305      76-5-402 and 76-5-402.1 ;
             306          (d) the pregnancy was the result of incest, as defined in Subsection 76-5-406 (10) and
             307      Section 76-7-102 ;
             308          (e) in his professional judgment the abortion was to prevent the birth of a child who
             309      would have been born with grave defects; or


             310          (f) the pregnant woman was 14 years of age or younger.
             311          [(6)] (8) A physician who complies with the provisions of this section and Section
             312      76-7-304.5 may not be held civilly liable to [his] the physician's patient for failure to obtain
             313      informed consent under Section 78-14-5 .
             314          Section 5. Section 76-7-305.5 is amended to read:
             315           76-7-305.5. Requirements for printed materials and informational video --
             316      Annual report of Department of Health.
             317          (1) In order to insure that a woman's consent to an abortion is truly an informed
             318      consent, the Department of Health shall publish printed materials and produce an informational
             319      video in accordance with the requirements of this section. The department and each local
             320      health department shall make those materials and a viewing of the video available at no cost to
             321      any person. The printed material and the informational video shall be comprehensible and
             322      contain all of the following:
             323          (a) geographically indexed materials informing the woman of public and private
             324      services and agencies available to assist her, financially and otherwise, through pregnancy, at
             325      childbirth, and while the child is dependent, including services and supports available under
             326      Section 35A-3-308 . Those materials shall contain a description of available adoption services,
             327      including a comprehensive list of the names, addresses, and telephone numbers of public and
             328      private agencies and private attorneys whose practice includes adoption, and explanations of
             329      possible available financial aid during the adoption process. The information regarding
             330      adoption services shall include the fact that private adoption is legal, and that the law permits
             331      adoptive parents to pay the costs of prenatal care, childbirth, and neonatal care. The printed
             332      information and video shall present adoption as a preferred and positive choice and alternative
             333      to abortion. The department may, at its option, include printed materials that describe the
             334      availability of a toll-free 24-hour telephone number that may be called in order to obtain,
             335      orally, the list and description of services, agencies, and adoption attorneys in the locality of the
             336      caller;
             337          (b) truthful and nonmisleading descriptions of the probable anatomical and
             338      physiological characteristics of the unborn child at two-week gestational increments from
             339      fertilization to full term, accompanied by pictures or video segments representing the
             340      development of an unborn child at those gestational increments. The descriptions shall include


             341      information about brain and heart function and the presence of external members and internal
             342      organs during the applicable stages of development. Any pictures used shall contain the
             343      dimensions of the fetus and shall be realistic and appropriate for that woman's stage of
             344      pregnancy. The materials shall be designed to convey accurate scientific information about an
             345      unborn child at the various gestational ages, and to convey the state's preference for childbirth
             346      over abortion;
             347          (c) truthful, nonmisleading descriptions of abortion procedures used in current medical
             348      practice at the various stages of growth of the unborn child, the medical risks commonly
             349      associated with each procedure, including those related to subsequent childbearing, the
             350      consequences of each procedure to the fetus at various stages of fetal development, the possible
             351      detrimental psychological effects of abortion, and the medical risks associated with carrying a
             352      child to term;
             353          (d) any relevant information on the possibility of an unborn child's survival at the
             354      two-week gestational increments described in Subsection (1)(b);
             355          (e) information on the availability of medical assistance benefits for prenatal care,
             356      childbirth, and neonatal care;
             357          (f) a statement conveying that it is unlawful for any person to coerce a woman to
             358      undergo an abortion;
             359          (g) a statement conveying that any physician who performs an abortion without
             360      obtaining the woman's informed consent or without according her a private medical
             361      consultation in accordance with the requirements of this section, may be liable to her for
             362      damages in a civil action at law;
             363          (h) a statement conveying that the state of Utah prefers childbirth over abortion; and
             364          (i) information regarding the legal responsibility of the father to assist in child support,
             365      even in instances where he has agreed to pay for an abortion, including a description of the
             366      services available through the Office of Recovery Services, within the Department of Human
             367      Services, to establish and collect that support.
             368          (2) (a) The materials described in Subsection (1) shall be produced and printed in a
             369      way that conveys the state's preference for childbirth over abortion.
             370          (b) The printed material described in Subsection (1) shall be printed in a typeface large
             371      enough to be clearly legible.


             372          (3) Every facility in which abortions are performed shall immediately provide the
             373      printed informed consent materials and a viewing of or a copy of the informational video
             374      described in Subsection (1) to any patient or potential patient prior to the performance of an
             375      abortion, unless the patient's attending or referring physician certifies in writing that he
             376      reasonably believes that provision of the materials or video to that patient would result in a
             377      severely adverse effect on her physical or mental health.
             378          (4) The Department of Health shall produce a standardized videotape that may be used
             379      statewide, containing all of the information described in Subsection (1), in accordance with the
             380      requirements of that subsection and Subsection (2). In preparing the video, the department may
             381      summarize and make reference to the printed comprehensive list of geographically indexed
             382      names and services described in Subsection (1)(a). The videotape shall, in addition to the
             383      information described in Subsection (1), show an ultrasound of the heart beat of an unborn
             384      child at three weeks gestational age, at six to eight weeks gestational age, and each month
             385      thereafter, until 14 weeks gestational age. That information shall be presented in a truthful,
             386      nonmisleading manner designed to convey accurate scientific information, the state's
             387      preference for childbirth over abortion, and the positive aspects of adoption.
             388          (5) The Department of Health and local health departments shall provide ultrasounds in
             389      accordance with the provisions of Subsection 76-7-305 [(1)](2)(b), at no expense to the
             390      pregnant woman.
             391          (6) The Department of Health shall compile and report the following information
             392      annually, preserving physician and patient anonymity:
             393          (a) the total amount of informed consent material described in Subsection (1) that was
             394      distributed;
             395          (b) the number of women who obtained abortions in this state without receiving those
             396      materials;
             397          (c) the number of statements signed by attending physicians certifying to his opinion
             398      regarding adverse effects on the patient under Subsection (3); and
             399          (d) any other information pertaining to protecting the informed consent of women
             400      seeking abortions.
             401          (7) The Department of Health shall annually report to the Health and Human Services
             402      Interim Committee regarding the information described in Subsection (6), and provide a copy


             403      of the printed materials and the videotape produced in accordance with this section to that
             404      committee.
             405          Section 6. Section 76-7-315 is amended to read:
             406           76-7-315. Exceptions to certain requirements in serious medical emergencies.
             407          When due to a serious medical emergency, time does not permit compliance with
             408      Section 76-7-302 , [ 76-7-304 ,] 76-7-305 , 76-7-305.5 , or 76-7-310.5 the provisions of those
             409      sections do not apply.
             410          Section 7. Section 78-14-5 is amended to read:
             411           78-14-5. Failure to obtain informed consent -- Proof required of patient --
             412      Defenses -- Consent to health care.
             413          (1) When a person submits to health care rendered by a health care provider, it shall be
             414      presumed that what the health care provider did was either expressly or impliedly authorized to
             415      be done. For a patient to recover damages from a health care provider in an action based upon
             416      the provider's failure to obtain informed consent, the patient must prove the following:
             417          (a) that a provider-patient relationship existed between the patient and health care
             418      provider;
             419          (b) the health care provider rendered health care to the patient;
             420          (c) the patient suffered personal injuries arising out of the health care rendered;
             421          (d) the health care rendered carried with it a substantial and significant risk of causing
             422      the patient serious harm;
             423          (e) the patient was not informed of the substantial and significant risk;
             424          (f) a reasonable, prudent person in the patient's position would not have consented to
             425      the health care rendered after having been fully informed as to all facts relevant to the decision
             426      to give consent. In determining what a reasonable, prudent person in the patient's position
             427      would do under the circumstances, the finder of fact shall use the viewpoint of the patient
             428      before health care was provided and before the occurrence of any personal injuries alleged to
             429      have arisen from said health care; and
             430          (g) the unauthorized part of the health care rendered was the proximate cause of
             431      personal injuries suffered by the patient.
             432          (2) It shall be a defense to any malpractice action against a health care provider based
             433      upon alleged failure to obtain informed consent if:


             434          (a) the risk of the serious harm which the patient actually suffered was relatively
             435      minor;
             436          (b) the risk of serious harm to the patient from the health care provider was commonly
             437      known to the public;
             438          (c) the patient stated, prior to receiving the health care complained of, that he would
             439      accept the health care involved regardless of the risk; or that he did not want to be informed of
             440      the matters to which he would be entitled to be informed;
             441          (d) the health care provider, after considering all of the attendant facts and
             442      circumstances, used reasonable discretion as to the manner and extent to which risks were
             443      disclosed, if the health care provider reasonably believed that additional disclosures could be
             444      expected to have a substantial and adverse effect on the patient's condition; or
             445          (e) the patient or his representative executed a written consent which sets forth the
             446      nature and purpose of the intended health care and which contains a declaration that the patient
             447      accepts the risk of substantial and serious harm, if any, in hopes of obtaining desired beneficial
             448      results of health care and which acknowledges that health care providers involved have
             449      explained his condition and the proposed health care in a satisfactory manner and that all
             450      questions asked about the health care and its attendant risks have been answered in a manner
             451      satisfactory to the patient or his representative; such written consent shall be a defense to an
             452      action against a health care provider based upon failure to obtain informed consent unless the
             453      patient proves that the person giving the consent lacked capacity to consent or shows by clear
             454      and convincing proof that the execution of the written consent was induced by the defendant's
             455      affirmative acts of fraudulent misrepresentation or fraudulent omission to state material facts.
             456          (3) Nothing contained in this act shall be construed to prevent any person 18 years of
             457      age or over from refusing to consent to health care for his own person upon personal or
             458      religious grounds.
             459          (4) [The] Except as provided in Section 76-7-304.5 , the following persons are
             460      authorized and empowered to consent to any health care not prohibited by law:
             461          (a) any parent, whether an adult or a minor, for [his] the parent's minor child;
             462          (b) any married person, for a spouse;
             463          (c) any person temporarily standing in loco parentis, whether formally serving or not,
             464      for the minor under [his] that person's care and any guardian for [his] the guardian's ward;


             465          (d) any person 18 years of age or over for [his or her] that person's parent who is unable
             466      by reason of age, physical or mental condition, to provide such consent;
             467          (e) any patient 18 years of age or over;
             468          (f) any female regardless of age or marital status, when given in connection with her
             469      pregnancy or childbirth;
             470          (g) in the absence of a parent, any adult for [his] the adult's minor brother or sister; and
             471          (h) in the absence of a parent, any grandparent for [his] the grandparent's minor
             472      grandchild.
             473          (5) No person who in good faith consents or authorizes health care treatment or
             474      procedures for another as provided by this act shall be subject to civil liability.




Legislative Review Note
    as of 1-4-06 11:07 AM


Based on a limited legal review, this legislation has not been determined to have a high
probability of being held unconstitutional.

Office of Legislative Research and General Counsel


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