Representative Cheryl K. Acton proposes the following substitute bill:


1     
ABORTION AMENDMENTS

2     
2019 GENERAL SESSION

3     
STATE OF UTAH

4     
Chief Sponsor: Cheryl K. Acton

5     
Senate Sponsor: Deidre M. Henderson

6     

7     LONG TITLE
8     General Description:
9          This bill enacts and modifies provisions relating to abortion.
10     Highlighted Provisions:
11          This bill:
12          ▸     defines terms;
13          ▸     prohibits an abortion from being performed after the unborn child reaches 18 weeks
14     gestational age except under certain circumstances;
15          ▸     modifies the circumstances under which an abortion may be performed after the
16     unborn child reaches 18 weeks gestational age;
17          ▸     modifies provisions that require a physician to report certain information to the
18     Department of Health relating to an abortion; and
19          ▸     makes technical changes.
20     Money Appropriated in this Bill:
21          None
22     Other Special Clauses:
23          None
24     Utah Code Sections Affected:
25     AMENDS:

26          76-7-301, as last amended by Laws of Utah 2018, Chapter 282
27          76-7-302, as last amended by Laws of Utah 2018, Chapter 282
28          76-7-313, as last amended by Laws of Utah 2018, Chapter 282
29          76-7-314, as last amended by Laws of Utah 2018, Chapter 282
30     ENACTS:
31          76-7-302.5, Utah Code Annotated 1953
32     

33     Be it enacted by the Legislature of the state of Utah:
34          Section 1. Section 76-7-301 is amended to read:
35          76-7-301. Definitions.
36          As used in this part:
37          (1) (a) "Abortion" means:
38          (i) the intentional termination or attempted termination of human pregnancy after
39     implantation of a fertilized ovum through a medical procedure carried out by a physician or
40     through a substance used under the direction of a physician;
41          (ii) the intentional killing or attempted killing of a live unborn child through a medical
42     procedure carried out by a physician or through a substance used under the direction of a
43     physician; or
44          (iii) the intentional causing or attempted causing of a miscarriage through a medical
45     procedure carried out by a physician or through a substance used under the direction of a
46     physician.
47          (b) "Abortion" does not include:
48          (i) removal of a dead unborn child;
49          (ii) removal of an ectopic pregnancy; or
50          (iii) the killing or attempted killing of an unborn child without the consent of the
51     pregnant woman, unless:
52          (A) the killing or attempted killing is done through a medical procedure carried out by
53     a physician or through a substance used under the direction of a physician; and
54          (B) the physician is unable to obtain the consent due to a medical emergency.
55          (2) "Abortion clinic" means the same as that term is defined in Section 26-21-2.
56          (3) "Abuse" means the same as that term is defined in Section 78A-6-105.

57          (4) "Department" means the Department of Health.
58          (5) "Gestational age" means the age of an unborn child as calculated from the first day
59     of the last menstrual period of the pregnant woman.
60          [(5)] (6) "Hospital" means:
61          (a) a general hospital licensed by the department according to Title 26, Chapter 21,
62     Health Care Facility Licensing and Inspection Act; and
63          (b) a clinic or other medical facility to the extent that such clinic or other medical
64     facility is certified by the department as providing equipment and personnel sufficient in
65     quantity and quality to provide the same degree of safety to the pregnant woman and the
66     unborn child as would be provided for the particular medical procedures undertaken by a
67     general hospital licensed by the department.
68          [(6)] (7) "Information module" means the pregnancy termination information module
69     prepared by the department.
70          [(7)] (8) "Medical emergency" means that condition which, on the basis of the
71     physician's good faith clinical judgment, so threatens the life of a pregnant woman as to
72     necessitate the immediate abortion of her pregnancy to avert her death, or for which a delay
73     will create serious risk of substantial and irreversible impairment of major bodily function.
74          [(8)] (9) "Minor" means an individual who is:
75          (a) under 18 years of age;
76          (b) unmarried; and
77          (c) not emancipated.
78          [(9)] (10) (a) "Partial birth abortion" means an abortion in which the person performing
79     the abortion:
80          (i) deliberately and intentionally vaginally delivers a living fetus until, in the case of a
81     head first presentation, the entire fetal head is outside the body of the mother, or, in the case of
82     breech presentation, any part of the fetal trunk past the navel is outside the body of the mother,
83     for the purpose of performing an overt act that the person knows will kill the partially delivered
84     living fetus; and
85          (ii) performs the overt act, other than completion of delivery, that kills the partially
86     living fetus.
87          (b) "Partial birth abortion" does not include the dilation and evacuation procedure

88     involving dismemberment prior to removal, the suction curettage procedure, or the suction
89     aspiration procedure for abortion.
90          [(10)] (11) "Physician" means:
91          (a) a medical doctor licensed to practice medicine and surgery under Title 58, Chapter
92     67, Utah Medical Practice Act;
93          (b) an osteopathic physician licensed to practice osteopathic medicine under Title 58,
94     Chapter 68, Utah Osteopathic Medical Practice Act; or
95          (c) a physician employed by the federal government who has qualifications similar to a
96     person described in Subsection [(10)] (11)(a) or (b).
97          (12) (a) "Severe brain abnormality" means a malformation or defect that causes an
98     individual to live in a mentally vegetative state.
99          (b) "Severe brain abnormality" does not include:
100          (i) Down syndrome;
101          (ii) spina bifida;
102          (iii) cerebral palsy; or
103          (iv) any other malformation, defect, or condition that does not cause an individual to
104     live in a mentally vegetative state.
105          Section 2. Section 76-7-302 is amended to read:
106          76-7-302. Circumstances under which abortion authorized.
107          (1) As used in this section, "viable" means that the unborn child has reached a stage of
108     fetal development when the unborn child is potentially able to live outside the womb, as
109     determined by the attending physician to a reasonable degree of medical certainty.
110          (2) An abortion may be performed in this state only by a physician.
111          (3) An abortion may be performed in this state only under the following circumstances:
112          (a) the unborn child is not viable; or
113          (b) the unborn child is viable, if:
114          (i) the abortion is necessary to avert:
115          (A) the death of the woman on whom the abortion is performed; or
116          (B) a serious risk of substantial and irreversible impairment of a major bodily function
117     of the woman on whom the abortion is performed;
118          (ii) two physicians who practice maternal fetal medicine concur, in writing, in the

119     patient's medical record that the fetus:
120          (A) has a defect that is uniformly diagnosable and uniformly lethal; or
121          (B) has a severe brain abnormality that is uniformly diagnosable; or
122          (iii) (A) the woman is pregnant as a result of:
123          (I) rape, as described in Section 76-5-402;
124          (II) rape of a child, as described in Section 76-5-402.1; or
125          (III) incest, as described in Subsection 76-5-406(10) or Section 76-7-102; and
126          (B) before the abortion is performed, the physician who performs the abortion:
127          (I) verifies that the incident described in Subsection (3)(b)(iii)(A) has been reported to
128     law enforcement; and
129          (II) complies with the requirements of Section 62A-4a-403.
130          (4) An abortion may be performed only in an abortion clinic or a hospital, unless it is
131     necessary to perform the abortion in another location due to a medical emergency.
132          Section 3. Section 76-7-302.5 is enacted to read:
133          76-7-302.5. Circumstances under which abortion prohibited.
134          Notwithstanding any other provision of this part, a person may not perform or attempt
135     to perform an abortion after the unborn child reaches 18 weeks gestational age unless the
136     abortion is permissible for a reason described in Subsection 76-7-302(3)(b).
137          Section 4. Section 76-7-313 is amended to read:
138          76-7-313. Department's enforcement responsibility -- Physician's report to
139     department.
140          (1) In order for the department to maintain necessary statistical information and ensure
141     enforcement of the provisions of this part:
142          (a) any physician performing an abortion must obtain and record in writing:
143          (i) the age, marital status, and county of residence of the woman on whom the abortion
144     was performed;
145          (ii) the number of previous abortions performed on the woman described in Subsection
146     (1)(a)(i);
147          (iii) the hospital or other facility where the abortion was performed;
148          (iv) the weight in grams of the unborn child aborted, if it is possible to ascertain;
149          (v) the pathological description of the unborn child;

150          (vi) the given [menstrual] gestational age of the unborn child;
151          (vii) the date the abortion was performed;
152          [(vii)] (viii) the measurements of the unborn child, if possible to ascertain; and
153          [(viii)] (ix) the medical procedure used to abort the unborn child; and
154          (b) the department shall make rules in accordance with Title 63G, Chapter 3, Utah
155     Administrative Rulemaking Act.
156          (2) Each physician who performs an abortion shall provide the following to the
157     department within 30 days after the day on which the abortion is performed:
158          (a) the information described in Subsection (1);
159          (b) a copy of the pathologist's report described in Section 76-7-309;
160          (c) an affidavit:
161          (i) that the required consent was obtained pursuant to Sections 76-7-305 and
162     76-7-305.5; and
163          (ii) described in Subsection (3), if applicable; and
164          (d) a certificate indicating:
165          (i) whether the unborn child was or was not viable, as defined in Subsection
166     76-7-302(1), at the time of the abortion; [and]
167          (ii) whether the unborn child was older than 18 weeks gestational age at the time of the
168     abortion; and
169          [(ii)] (iii) if the unborn child was viable, as defined in Subsection 76-7-302(1), or older
170     than 18 weeks gestational age at the time of the abortion, the reason for the abortion.
171          (3) If the information module or the address to the website is not provided to a
172     pregnant woman, the physician who performs the abortion on the woman shall, within 10 days
173     after the day on which the abortion is performed, provide to the department an affidavit that:
174          (a) specifies the information that was not provided to the woman; and
175          (b) states the reason that the information was not provided to the woman.
176          (4) All information supplied to the department shall be confidential and privileged
177     pursuant to Title 26, Chapter 25, Confidential Information Release.
178          (5) The department shall pursue all administrative and legal remedies when the
179     department determines that a physician or a facility has not complied with the provisions of this
180     part.

181          Section 5. Section 76-7-314 is amended to read:
182          76-7-314. Violations of abortion laws -- Classifications.
183          (1) A willful violation of Section 76-7-307, 76-7-308, 76-7-310, 76-7-310.5, 76-7-311,
184     or 76-7-312 is a felony of the third degree.
185          (2) A violation of Section 76-7-326 is a felony of the third degree.
186          (3) A violation of Section 76-7-302.5 or 76-7-314.5 is a felony of the second degree.
187          (4) A violation of any other provision of this part, including Subsections
188     76-7-305(2)(a) through (c), and (e), is a class A misdemeanor.
189          (5) The Department of Health shall report a physician's violation of any provision of
190     this part to the Physicians Licensing Board, described in Section 58-67-201.
191          (6) Any person with knowledge of a physician's violation of any provision of this part
192     may report the violation to the Physicians Licensing Board, described in Section 58-67-201.
193          (7) In addition to the penalties described in this section, the department may take any
194     action described in Section 26-21-11 against an abortion clinic if a violation of this chapter
195     occurs at the abortion clinic.