1     
ABORTION AMENDMENTS

2     
2019 GENERAL SESSION

3     
STATE OF UTAH

4     
Chief Sponsor: Cheryl K. Acton

5     
Senate Sponsor: Deidre M. Henderson

6     Cosponsors:
7     Carl R. Albrecht
8     Kyle R. Andersen
9     Melissa G. Ballard
10     Stewart E. Barlow
11     Brady Brammer
12     Walt Brooks
13     Kay J. Christofferson
14     Kim F. Coleman
15     Brad M. Daw
Steve Eliason
Timothy D. Hawkes
Jon Hawkins
Ken Ivory
Dan N. Johnson
Marsha Judkins
Karianne Lisonbee
Phil Lyman
A. Cory Maloy
Merrill F. Nelson
Susan Pulsipher
Adam Robertson
Douglas V. Sagers
Travis M. Seegmiller
Rex P. Shipp
Keven J. Stratton
Mark A. Strong
Norman K. Thurston

16     

17     LONG TITLE
18     General Description:
19          This bill enacts and modifies provisions relating to abortion.
20     Highlighted Provisions:
21          This bill:
22          ▸     defines terms;
23          ▸     prohibits an abortion from being performed after the unborn child reaches 18 weeks
24     gestational age except under certain circumstances;
25          ▸     modifies the circumstances under which an abortion may be performed after the
26     unborn child reaches 18 weeks gestational age;
27          ▸     modifies provisions that require a physician to report certain information to the

28     Department of Health relating to an abortion; and
29          ▸     makes technical changes.
30     Money Appropriated in this Bill:
31          None
32     Other Special Clauses:
33          None
34     Utah Code Sections Affected:
35     AMENDS:
36          76-7-301, as last amended by Laws of Utah 2018, Chapter 282
37          76-7-302, as last amended by Laws of Utah 2018, Chapter 282
38          76-7-313, as last amended by Laws of Utah 2018, Chapter 282
39          76-7-314, as last amended by Laws of Utah 2018, Chapter 282
40     ENACTS:
41          76-7-302.5, Utah Code Annotated 1953
42     

43     Be it enacted by the Legislature of the state of Utah:
44          Section 1. Section 76-7-301 is amended to read:
45          76-7-301. Definitions.
46          As used in this part:
47          (1) (a) "Abortion" means:
48          (i) the intentional termination or attempted termination of human pregnancy after
49     implantation of a fertilized ovum through a medical procedure carried out by a physician or
50     through a substance used under the direction of a physician;
51          (ii) the intentional killing or attempted killing of a live unborn child through a medical
52     procedure carried out by a physician or through a substance used under the direction of a
53     physician; or
54          (iii) the intentional causing or attempted causing of a miscarriage through a medical

55     procedure carried out by a physician or through a substance used under the direction of a
56     physician.
57          (b) "Abortion" does not include:
58          (i) removal of a dead unborn child;
59          (ii) removal of an ectopic pregnancy; or
60          (iii) the killing or attempted killing of an unborn child without the consent of the
61     pregnant woman, unless:
62          (A) the killing or attempted killing is done through a medical procedure carried out by
63     a physician or through a substance used under the direction of a physician; and
64          (B) the physician is unable to obtain the consent due to a medical emergency.
65          (2) "Abortion clinic" means the same as that term is defined in Section 26-21-2.
66          (3) "Abuse" means the same as that term is defined in Section 78A-6-105.
67          (4) "Department" means the Department of Health.
68          (5) "Gestational age" means the age of an unborn child as calculated from the first day
69     of the last menstrual period of the pregnant woman.
70          [(5)] (6) "Hospital" means:
71          (a) a general hospital licensed by the department according to Title 26, Chapter 21,
72     Health Care Facility Licensing and Inspection Act; and
73          (b) a clinic or other medical facility to the extent that such clinic or other medical
74     facility is certified by the department as providing equipment and personnel sufficient in
75     quantity and quality to provide the same degree of safety to the pregnant woman and the
76     unborn child as would be provided for the particular medical procedures undertaken by a
77     general hospital licensed by the department.
78          [(6)] (7) "Information module" means the pregnancy termination information module
79     prepared by the department.
80          [(7)] (8) "Medical emergency" means that condition which, on the basis of the
81     physician's good faith clinical judgment, so threatens the life of a pregnant woman as to

82     necessitate the immediate abortion of her pregnancy to avert her death, or for which a delay
83     will create serious risk of substantial and irreversible impairment of major bodily function.
84          [(8)] (9) "Minor" means an individual who is:
85          (a) under 18 years of age;
86          (b) unmarried; and
87          (c) not emancipated.
88          [(9)] (10) (a) "Partial birth abortion" means an abortion in which the person performing
89     the abortion:
90          (i) deliberately and intentionally vaginally delivers a living fetus until, in the case of a
91     head first presentation, the entire fetal head is outside the body of the mother, or, in the case of
92     breech presentation, any part of the fetal trunk past the navel is outside the body of the mother,
93     for the purpose of performing an overt act that the person knows will kill the partially delivered
94     living fetus; and
95          (ii) performs the overt act, other than completion of delivery, that kills the partially
96     living fetus.
97          (b) "Partial birth abortion" does not include the dilation and evacuation procedure
98     involving dismemberment prior to removal, the suction curettage procedure, or the suction
99     aspiration procedure for abortion.
100          [(10)] (11) "Physician" means:
101          (a) a medical doctor licensed to practice medicine and surgery under Title 58, Chapter
102     67, Utah Medical Practice Act;
103          (b) an osteopathic physician licensed to practice osteopathic medicine under Title 58,
104     Chapter 68, Utah Osteopathic Medical Practice Act; or
105          (c) a physician employed by the federal government who has qualifications similar to a
106     person described in Subsection [(10)] (11)(a) or (b).
107          (12) (a) "Severe brain abnormality" means a malformation or defect that causes an
108     individual to live in a mentally vegetative state.

109          (b) "Severe brain abnormality" does not include:
110          (i) Down syndrome;
111          (ii) spina bifida;
112          (iii) cerebral palsy; or
113          (iv) any other malformation, defect, or condition that does not cause an individual to
114     live in a mentally vegetative state.
115          Section 2. Section 76-7-302 is amended to read:
116          76-7-302. Circumstances under which abortion authorized.
117          (1) As used in this section, "viable" means that the unborn child has reached a stage of
118     fetal development when the unborn child is potentially able to live outside the womb, as
119     determined by the attending physician to a reasonable degree of medical certainty.
120          (2) An abortion may be performed in this state only by a physician.
121          (3) An abortion may be performed in this state only under the following circumstances:
122          (a) the unborn child is not viable; or
123          (b) the unborn child is viable, if:
124          (i) the abortion is necessary to avert:
125          (A) the death of the woman on whom the abortion is performed; or
126          (B) a serious risk of substantial and irreversible impairment of a major bodily function
127     of the woman on whom the abortion is performed;
128          (ii) two physicians who practice maternal fetal medicine concur, in writing, in the
129     patient's medical record that the fetus:
130          (A) has a defect that is uniformly diagnosable and uniformly lethal; or
131          (B) has a severe brain abnormality that is uniformly diagnosable; or
132          (iii) (A) the woman is pregnant as a result of:
133          (I) rape, as described in Section 76-5-402;
134          (II) rape of a child, as described in Section 76-5-402.1; or
135          (III) incest, as described in Subsection 76-5-406(10) or Section 76-7-102; and

136          (B) before the abortion is performed, the physician who performs the abortion:
137          (I) verifies that the incident described in Subsection (3)(b)(iii)(A) has been reported to
138     law enforcement; and
139          (II) complies with the requirements of Section 62A-4a-403.
140          (4) An abortion may be performed only in an abortion clinic or a hospital, unless it is
141     necessary to perform the abortion in another location due to a medical emergency.
142          Section 3. Section 76-7-302.5 is enacted to read:
143          76-7-302.5. Circumstances under which abortion prohibited.
144          Notwithstanding any other provision of this part, a person may not perform or attempt
145     to perform an abortion after the unborn child reaches 18 weeks gestational age unless the
146     abortion is permissible for a reason described in Subsection 76-7-302(3)(b).
147          Section 4. Section 76-7-313 is amended to read:
148          76-7-313. Department's enforcement responsibility -- Physician's report to
149     department.
150          (1) In order for the department to maintain necessary statistical information and ensure
151     enforcement of the provisions of this part:
152          (a) any physician performing an abortion must obtain and record in writing:
153          (i) the age, marital status, and county of residence of the woman on whom the abortion
154     was performed;
155          (ii) the number of previous abortions performed on the woman described in Subsection
156     (1)(a)(i);
157          (iii) the hospital or other facility where the abortion was performed;
158          (iv) the weight in grams of the unborn child aborted, if it is possible to ascertain;
159          (v) the pathological description of the unborn child;
160          (vi) the given [menstrual] gestational age of the unborn child;
161          (vii) the date the abortion was performed;
162          [(vii)] (viii) the measurements of the unborn child, if possible to ascertain; and

163          [(viii)] (ix) the medical procedure used to abort the unborn child; and
164          (b) the department shall make rules in accordance with Title 63G, Chapter 3, Utah
165     Administrative Rulemaking Act.
166          (2) Each physician who performs an abortion shall provide the following to the
167     department within 30 days after the day on which the abortion is performed:
168          (a) the information described in Subsection (1);
169          (b) a copy of the pathologist's report described in Section 76-7-309;
170          (c) an affidavit:
171          (i) that the required consent was obtained pursuant to Sections 76-7-305 and
172     76-7-305.5; and
173          (ii) described in Subsection (3), if applicable; and
174          (d) a certificate indicating:
175          (i) whether the unborn child was or was not viable, as defined in Subsection
176     76-7-302(1), at the time of the abortion; [and]
177          (ii) whether the unborn child was older than 18 weeks gestational age at the time of the
178     abortion; and
179          [(ii)] (iii) if the unborn child was viable, as defined in Subsection 76-7-302(1), or older
180     than 18 weeks gestational age at the time of the abortion, the reason for the abortion.
181          (3) If the information module or the address to the website is not provided to a
182     pregnant woman, the physician who performs the abortion on the woman shall, within 10 days
183     after the day on which the abortion is performed, provide to the department an affidavit that:
184          (a) specifies the information that was not provided to the woman; and
185          (b) states the reason that the information was not provided to the woman.
186          (4) All information supplied to the department shall be confidential and privileged
187     pursuant to Title 26, Chapter 25, Confidential Information Release.
188          (5) The department shall pursue all administrative and legal remedies when the
189     department determines that a physician or a facility has not complied with the provisions of this

190     part.
191          Section 5. Section 76-7-314 is amended to read:
192          76-7-314. Violations of abortion laws -- Classifications.
193          (1) A willful violation of Section 76-7-307, 76-7-308, 76-7-310, 76-7-310.5, 76-7-311,
194     or 76-7-312 is a felony of the third degree.
195          (2) A violation of Section 76-7-326 is a felony of the third degree.
196          (3) A violation of Section 76-7-302.5 or 76-7-314.5 is a felony of the second degree.
197          (4) A violation of any other provision of this part, including Subsections
198     76-7-305(2)(a) through (c), and (e), is a class A misdemeanor.
199          (5) The Department of Health shall report a physician's violation of any provision of
200     this part to the Physicians Licensing Board, described in Section 58-67-201.
201          (6) Any person with knowledge of a physician's violation of any provision of this part
202     may report the violation to the Physicians Licensing Board, described in Section 58-67-201.
203          (7) In addition to the penalties described in this section, the department may take any
204     action described in Section 26-21-11 against an abortion clinic if a violation of this chapter
205     occurs at the abortion clinic.