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S.B. 71

             1     

INFORMED CONSENT AMENDMENTS

             2     
2014 GENERAL SESSION

             3     
STATE OF UTAH

             4     
Chief Sponsor: Wayne A. Harper

             5     
House Sponsor: Paul Ray

             6     
             7      LONG TITLE
             8      General Description:
             9          This bill amends informed consent provisions for certain abortions.
             10      Highlighted Provisions:
             11          This bill:
             12          .    removes the requirement for informed consent if the abortion is performed when:
             13              .    the treating physician and one other physician concur, in writing, that an
             14      abortion is necessary to avert the woman's death or a serious risk of substantial
             15      and irreversible impairment of a major bodily function of the woman; or
             16              .    two physicians who practice maternal fetal medicine concur, in writing, in the
             17      patient's medical record that the fetus has a defect that is uniformly diagnosable
             18      and uniformly lethal.
             19      Money Appropriated in this Bill:
             20          None
             21      Other Special Clauses:
             22          None
             23      Utah Code Sections Affected:
             24      AMENDS:
             25           76-7-305 , as last amended by Laws of Utah 2012, Chapter 228
             26     
             27      Be it enacted by the Legislature of the state of Utah:


             28          Section 1. Section 76-7-305 is amended to read:
             29           76-7-305. Informed consent requirements for abortion -- 72-hour wait mandatory
             30      -- Exceptions.
             31          (1) A person may not perform an abortion, unless, before performing the abortion, the
             32      physician who will perform the abortion obtains a voluntary and informed written consent from
             33      the woman on whom the abortion is performed, that is consistent with:
             34          (a) Section 8.08 of the American Medical Association's Code of Medical Ethics,
             35      Current Opinions; and
             36          (b) the provisions of this section.
             37          (2) Except as provided in Subsection (8), consent to an abortion is voluntary and
             38      informed only if:
             39          (a) at least 72 hours before the abortion, the physician who is to perform the abortion,
             40      the referring physician, a physician, a registered nurse, nurse practitioner, advanced practice
             41      registered nurse, certified nurse midwife, genetic counselor, or physician's assistant, in a
             42      face-to-face consultation in any location in the state, orally informs the woman:
             43          (i) consistent with Subsection (3)(a), of:
             44          (A) the nature of the proposed abortion procedure;
             45          (B) specifically how the procedure described in Subsection (2)(a)(i)(A) will affect the
             46      fetus; and
             47          (C) the risks and alternatives to an abortion procedure or treatment;
             48          (ii) of the probable gestational age and a description of the development of the unborn
             49      child at the time the abortion would be performed;
             50          (iii) of the medical risks associated with carrying her child to term; and
             51          (iv) except as provided in Subsection (3)(b), if the abortion is to be performed on an
             52      unborn child who is at least 20 weeks gestational age:
             53          (A) that, upon the woman's request, an anesthetic or analgesic will be administered to
             54      the unborn child, through the woman, to eliminate or alleviate organic pain to the unborn child
             55      that may be caused by the particular method of abortion to be employed; and
             56          (B) of any medical risks to the woman that are associated with administering the
             57      anesthetic or analgesic described in Subsection (2)(a)(iv)(A);
             58          (b) at least 72 hours prior to the abortion the physician who is to perform the abortion,


             59      the referring physician, or, as specifically delegated by either of those physicians, a physician, a
             60      registered nurse, licensed practical nurse, certified nurse-midwife, advanced practice registered
             61      nurse, clinical laboratory technologist, psychologist, marriage and family therapist, clinical
             62      social worker, genetic counselor, or certified social worker orally, in a face-to-face consultation
             63      in any location in the state, informs the pregnant woman that:
             64          (i) the Department of Health, in accordance with Section 76-7-305.5 , publishes printed
             65      material and an informational video that:
             66          (A) provides medically accurate information regarding all abortion procedures that may
             67      be used;
             68          (B) describes the gestational stages of an unborn child; and
             69          (C) includes information regarding public and private services and agencies available
             70      to assist her through pregnancy, at childbirth, and while the child is dependent, including
             71      private and agency adoption alternatives;
             72          (ii) the printed material and a viewing of or a copy of the informational video shall be
             73      made available to her, free of charge, on the Department of Health's website;
             74          (iii) medical assistance benefits may be available for prenatal care, childbirth, and
             75      neonatal care, and that more detailed information on the availability of that assistance is
             76      contained in the printed materials and the informational video published by the Department of
             77      Health;
             78          (iv) except as provided in Subsection (3)(c):
             79          (A) the father of the unborn child is legally required to assist in the support of her
             80      child, even if he has offered to pay for the abortion; and
             81          (B) the Office of Recovery Services within the Department of Human Services will
             82      assist her in collecting child support; and
             83          (v) she has the right to view an ultrasound of the unborn child, at no expense to her,
             84      upon her request;
             85          (c) the information required to be provided to the pregnant woman under Subsection
             86      (2)(a) is also provided by the physician who is to perform the abortion, in a face-to-face
             87      consultation, prior to performance of the abortion, unless the attending or referring physician is
             88      the individual who provides the information required under Subsection (2)(a);
             89          (d) a copy of the printed materials published by the Department of Health has been


             90      provided to the pregnant woman;
             91          (e) the informational video, published by the Department of Health, has been provided
             92      to the pregnant woman in accordance with Subsection (4); and
             93          (f) the pregnant woman has certified in writing, prior to the abortion, that the
             94      information required to be provided under Subsections (2)(a) through (e) was provided, in
             95      accordance with the requirements of those subsections.
             96          (3) (a) The alternatives required to be provided under Subsection (2)(a)(i) include:
             97          (i) a description of adoption services, including private and agency adoption methods;
             98      and
             99          (ii) a statement that it is legal for adoptive parents to financially assist in pregnancy and
             100      birth expenses.
             101          [(b) The information described in Subsection (2)(a)(iv) may be omitted from the
             102      information required to be provided to a pregnant woman under this section if the abortion is
             103      performed for a reason described in Subsection 76-7-302 (3)(b)(i).]
             104          [(c)] (b) The information described in Subsection (2)(b)(iv) may be omitted from the
             105      information required to be provided to a pregnant woman under this section if the woman is
             106      pregnant as the result of rape.
             107          [(d)] (c) Nothing in this section shall be construed to prohibit a person described in
             108      Subsection (2)(a) from, when providing the information described in Subsection (2)(a)(iv),
             109      informing a woman of the person's own opinion regarding:
             110          (i) the capacity of an unborn child to experience pain;
             111          (ii) the advisability of administering an anesthetic or analgesic to an unborn child; or
             112          (iii) any other matter related to fetal pain.
             113          (4) When the informational video described in Section 76-7-305.5 is provided to a
             114      pregnant woman, the person providing the information shall:
             115          (a) request that the woman view the video at that time or at another specifically
             116      designated time and location; or
             117          (b) if the woman chooses not to view the video at a time described in Subsection (4)(a),
             118      inform the woman that she can access the video on the Department of Health's website.
             119          (5) When a serious medical emergency compels the performance of an abortion, the
             120      physician shall inform the woman prior to the abortion, if possible, of the medical indications


             121      supporting the physician's judgment that an abortion is necessary.
             122          (6) If an ultrasound is performed on a woman before an abortion is performed, the
             123      person who performs the ultrasound, or another qualified person, shall:
             124          (a) inform the woman that the ultrasound images will be simultaneously displayed in a
             125      manner to permit her to:
             126          (i) view the images, if she chooses to view the images; or
             127          (ii) not view the images, if she chooses not to view the images;
             128          (b) simultaneously display the ultrasound images in order to permit the woman to:
             129          (i) view the images, if she chooses to view the images; or
             130          (ii) not view the images, if she chooses not to view the images;
             131          (c) inform the woman that, if she desires, the person performing the ultrasound, or
             132      another qualified person shall provide a detailed description of the ultrasound images,
             133      including:
             134          (i) the dimensions of the unborn child;
             135          (ii) the presence of cardiac activity in the unborn child, if present and viewable; and
             136          (iii) the presence of external body parts or internal organs, if present and viewable; and
             137          (d) provide the detailed description described in Subsection (6)(c), if the woman
             138      requests it.
             139          (7) The information described in Subsections (2), (3), (4), and (6) is not required to be
             140      provided to a pregnant woman under this section if the abortion is performed for a reason
             141      described in:
             142          (a) Subsection 76-7-302 (3)(b)(i), if the treating physician and one other physician
             143      concur, in writing, that the abortion is necessary to avert:
             144          (i) the death of the woman on whom the abortion is performed; or
             145          (ii) a serious risk of substantial and irreversible impairment of a major bodily function
             146      of the woman on whom the abortion is performed; or
             147          (b) Subsection 76-7-302 (3)(b)(ii).
             148          [(7)] (8) In addition to the criminal penalties described in this part, a physician who
             149      violates the provisions of this section:
             150          (a) is guilty of unprofessional conduct as defined in Section 58-67-102 or 58-68-102 ;
             151      and


             152          (b) shall be subject to:
             153          (i) suspension or revocation of the physician's license for the practice of medicine and
             154      surgery in accordance with Section 58-67-401 or 58-68-401 ; and
             155          (ii) administrative penalties in accordance with Section 58-67-402 or 58-68-402 .
             156          [(8)] (9) A physician is not guilty of violating this section for failure to furnish any of
             157      the information described in Subsection (2), or for failing to comply with Subsection (6), if:
             158          (a) the physician can demonstrate by a preponderance of the evidence that the
             159      physician reasonably believed that furnishing the information would have resulted in a severely
             160      adverse effect on the physical or mental health of the pregnant woman;
             161          (b) in the physician's professional judgment, the abortion was necessary to avert:
             162          (i) the death of the woman on whom the abortion is performed; or
             163          (ii) a serious risk of substantial and irreversible impairment of a major bodily function
             164      of the woman on whom the abortion is performed;
             165          (c) the pregnancy was the result of rape or rape of a child, as defined in Sections
             166      76-5-402 and 76-5-402.1 ;
             167          (d) the pregnancy was the result of incest, as defined in Subsection 76-5-406 (10) and
             168      Section 76-7-102 ; or
             169          (e) at the time of the abortion, the pregnant woman was 14 years of age or younger.
             170          [(9)] (10) A physician who complies with the provisions of this section and Section
             171      76-7-304.5 may not be held civilly liable to the physician's patient for failure to obtain
             172      informed consent under Section 78B-3-406 .
             173          [(10)] (11) (a) The Department of Health shall provide an ultrasound, in accordance
             174      with the provisions of Subsection (2)(b), at no expense to the pregnant woman.
             175          (b) A local health department shall refer a person who requests an ultrasound described
             176      in Subsection [(10)] (11)(a) to the Department of Health.
             177          [(11)] (12) A physician is not guilty of violating this section if:
             178          (a) the physician provides the information described in Subsection (2) less than 72
             179      hours before performing the abortion; and
             180          (b) in the physician's professional judgment, the abortion was necessary in a case
             181      where:
             182          (i) a ruptured membrane, documented by the attending or referring physician, will


             183      cause a serious infection; or
             184          (ii) a serious infection, documented by the attending or referring physician, will cause a
             185      ruptured membrane.




Legislative Review Note
    as of 2-20-14 11:57 AM


Office of Legislative Research and General Counsel


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