Senator Curtis S. Bramble proposes the following substitute bill:


1     
DISPOSITION OF FETAL REMAINS

2     
2020 GENERAL SESSION

3     
STATE OF UTAH

4     
Chief Sponsor: Curtis S. Bramble

5     
House Sponsor: Karianne Lisonbee

6     

7     LONG TITLE
8     General Description:
9          This bill enacts provisions relating to the disposition of fetal remains.
10     Highlighted Provisions:
11          This bill:
12          ▸     defines terms;
13          ▸     requires a health care facility having possession of an aborted fetus or miscarried
14     fetus to provide for the final disposition of the fetal remains;
15          ▸     requires a health care facility to provide certain information to a woman regarding
16     the disposition of an aborted fetus or miscarried fetus;
17          ▸     requires a health care provider to notify a woman regarding the right to determine
18     the final disposition of the remains of the aborted fetus before performing an
19     abortion;
20          ▸     requires a health care facility to allow a woman who has a medication-induced
21     abortion to return the aborted fetus to the health care facility for disposition;
22          ▸     requires a health care facility to maintain records that demonstrate compliance with
23     the provisions of this bill;
24          ▸     amends the Funeral Services Licensing Act to allow for the disposition of certain
25     fetal remains; and

26          ▸     makes technical and conforming changes.
27     Money Appropriated in this Bill:
28          None
29     Other Special Clauses:
30          None
31     Utah Code Sections Affected:
32     AMENDS:
33          26-2-2, as last amended by Laws of Utah 2018, Chapters 49 and 153
34          26-2-17, as last amended by Laws of Utah 2007, Chapter 60
35          26-2-18, as last amended by Laws of Utah 2006, Chapter 56
36          58-9-607, as enacted by Laws of Utah 2008, Chapter 353
37          76-7-305, as last amended by Laws of Utah 2019, Chapters 124 and 189
38     ENACTS:
39          26-21-33, Utah Code Annotated 1953
40          26-21-34, Utah Code Annotated 1953
41          58-9-619, Utah Code Annotated 1953
42     

43     Be it enacted by the Legislature of the state of Utah:
44          Section 1. Section 26-2-2 is amended to read:
45          26-2-2. Definitions.
46          As used in this chapter:
47          (1) "Adoption document" means an adoption-related document filed with the office, a
48     petition for adoption, a decree of adoption, an original birth certificate, or evidence submitted
49     in support of a supplementary birth certificate.
50          (2) "Custodial funeral service director" means a funeral service director who:
51          (a) is employed by a licensed funeral establishment; and
52          (b) has custody of a dead body.
53          (3) "Dead body" or "decedent" means a human body or parts of the human body from
54     the condition of which it reasonably may be concluded that death occurred.
55          (4) "Dead fetus" means a product of human conception, other than those circumstances
56     described in Subsection 76-7-301(1):

57          (a) of 20 weeks' gestation or more, calculated from the date the last normal menstrual
58     period began to the date of delivery; and
59          (b) that was not born alive.
60          (5) "Declarant father" means a male who claims to be the genetic father of a child, and,
61     along with the biological mother, signs a voluntary declaration of paternity to establish the
62     child's paternity.
63          (6) "Dispositioner" means:
64          (a) a person designated in a written instrument, under Subsection 58-9-602(1), as
65     having the right and duty to control the disposition of the decedent, if the person voluntarily
66     acts as the dispositioner; or
67          (b) the next of kin of the decedent, if:
68          (i) (A) a person has not been designated as described in Subsection (6)(a); or
69          (B) the person described in Subsection (6)(a) is unable or unwilling to exercise the
70     right and duty described in Subsection (6)(a); and
71          (ii) the next of kin voluntarily acts as the dispositioner.
72          (7) "Fetal remains" means:
73          (a) an aborted fetus as that term is defined in Section 26-21-33; or
74          (b) a miscarried fetus as that term is defined in Section 26-21-34.
75          [(7)] (8) "File" means the submission of a completed certificate or other similar
76     document, record, or report as provided under this chapter for registration by the state registrar
77     or a local registrar.
78          [(8)] (9) "Funeral service director" means the same as that term is defined in Section
79     58-9-102.
80          [(9)] (10) "Health care facility" means the same as that term is defined in Section
81     26-21-2.
82          [(10)] (11) "Health care professional" means a physician, physician assistant, or nurse
83     practitioner.
84          [(11)] (12) "Licensed funeral establishment" means:
85          (a) if located in Utah, a funeral service establishment, as that term is defined in Section
86     58-9-102, that is licensed under Title 58, Chapter 9, Funeral Services Licensing Act; or
87          (b) if located in a state, district, or territory of the United States other than Utah, a

88     funeral service establishment that complies with the licensing laws of the jurisdiction where the
89     establishment is located.
90          [(12)] (13) "Live birth" means the birth of a child who shows evidence of life after the
91     child is entirely outside of the mother.
92          [(13)] (14) "Local registrar" means a person appointed under Subsection 26-2-3(3)(b).
93          [(14)] (15) "Nurse practitioner" means an individual who:
94          (a) is licensed to practice as an advanced practice registered nurse under Title 58,
95     Chapter 31b, Nurse Practice Act; and
96          (b) has completed an education program regarding the completion of a certificate of
97     death developed by the department by administrative rule made in accordance with Title 63G,
98     Chapter 3, Utah Administrative Rulemaking Act.
99          [(15)] (16) "Office" means the Office of Vital Records and Statistics within the
100     Department of Health, operating under Title 26, Chapter 2, Utah Vital Statistics Act.
101          [(16)] (17) "Physician" means a person licensed to practice as a physician or osteopath
102     in this state under Title 58, Chapter 67, Utah Medical Practice Act, or Title 58, Chapter 68,
103     Utah Osteopathic Medical Practice Act.
104          [(17)] (18) "Physician assistant" means an individual who:
105          (a) is licensed to practice as a physician assistant under Title 58, Chapter 70a, Utah
106     Physician Assistant Act; and
107          (b) has completed an education program regarding the completion of a certificate of
108     death developed by the department by administrative rule made in accordance with Title 63G,
109     Chapter 3, Utah Administrative Rulemaking Act.
110          [(18)] (19) "Presumed father" means the father of a child conceived or born during a
111     marriage as defined in Section 30-1-17.2.
112          [(19)] (20) "Registration" or "register" means acceptance by the local or state registrar
113     of a certificate and incorporation of the certificate into the permanent records of the state.
114          [(20)] (21) "State registrar" means the state registrar of vital records appointed under
115     Subsection 26-2-3(2)(e).
116          [(21)] (22) "Vital records" means:
117          (a) registered certificates or reports of birth, death, fetal death, marriage, divorce,
118     dissolution of marriage, or annulment;

119          (b) amendments to any of the registered certificates or reports described in Subsection
120     [(21)] (22)(a);
121          (c) an adoption document; and
122          (d) other similar documents.
123          [(22)] (23) "Vital statistics" means the data derived from registered certificates and
124     reports of birth, death, fetal death, induced termination of pregnancy, marriage, divorce,
125     dissolution of marriage, or annulment.
126          Section 2. Section 26-2-17 is amended to read:
127          26-2-17. Certificate of death -- Registration prerequisite to interment --
128     Burial-transit permits -- Procedure where body donated under anatomical gift law --
129     Permit for disinterment.
130          (1) (a) A dead body or dead fetus may not be interred or otherwise disposed of or
131     removed from the registration district in which death or fetal death occurred or the remains are
132     found until a certificate of death is registered.
133          (b) Subsection (1)(a) does not apply to fetal remains for a fetus that is less than 20
134     weeks in gestational age.
135          (2) (a) For deaths or fetal deaths which occur in this state, no burial-transit permit is
136     required for final disposition of the remains if:
137          [(a)] (i) disposition occurs in the state and is performed by a funeral service director; or
138           [(b)] (ii) the disposition takes place with authorization of the next of kin and in:
139          (A) a general acute hospital[,] as that term is defined in Section 26-21-2, that is
140     licensed by the department[,]; or
141          (B) in a pathology laboratory operated under contract with a general acute hospital
142     licensed by the department.
143          (b) For an abortion or miscarriage that occurs at a health care facility, no burial-transit
144     permit is required for final disposition of the fetal remains if:
145          (i) disposition occurs in the state and is performed by a funeral service director; or
146          (ii) the disposition takes place:
147          (A) with authorization of the parent of a miscarried fetus or the pregnant woman for an
148     aborted fetus; and
149          (B) in a general acute hospital as that term is defined in Section 26-21-2, or a pathology

150     laboratory operated under contract with a general acute hospital.
151          (3) (a) A burial-transit permit shall be issued by the local registrar of the district where
152     the certificate of death or fetal death is registered:
153          [(a)] (i) for [dead bodies or fetuses] a dead body or a dead fetus to be transported out of
154     the state for final disposition; or
155          [(b)] (ii) when disposition of the dead body or dead fetus is made by a person other
156     than a funeral service director.
157          (b) For fetal remains that are less than 20 weeks in gestational age, a burial-transit
158     permit shall be issued by the local registrar of the district where the health care facility that is in
159     possession of the fetal remains is located:
160          (i) for the fetal remains to be transported out of the state for final disposition; or
161          (ii) when disposition of the fetal remains is made by a person other than a funeral
162     service director.
163          (c) A local registrar issuing a burial-transit permit issued under Subsection (3)(b):
164          (i) may not require an individual to designate a name for the fetal remains; and
165          (ii) may leave the space for a name on the burial-transit permit blank; and
166          (d) shall redact from any public records maintained under this chapter any information:
167          (i) that is submitted under Subsection (3)(b); and
168          (ii) that may be used to identify the parent or pregnant woman.
169          (4) A burial-transit permit issued under the law of another state which accompanies a
170     dead body [or], dead fetus, or fetal remains brought into this state is authority for final
171     disposition of the dead body [or], dead fetus, or fetal remains in this state.
172          (5) When a dead body or dead fetus or any part of the dead body or dead fetus has been
173     donated under the Revised Uniform Anatomical Gift Act or similar laws of another state and
174     the preservation of the gift requires the immediate transportation of the dead body, dead fetus,
175     or any part of the body or fetus outside of the registration district in which death occurs or the
176     remains are found, or into this state from another state, the dead body or dead fetus or any part
177     of the body or fetus may be transported and the burial-transit permit required by this section
178     obtained within a reasonable time after transportation.
179          (6) A permit for disinterment and reinterment is required prior to disinterment of a
180     dead body [or], dead fetus, or fetal remains, except as otherwise provided by statute or

181     department rule.
182          Section 3. Section 26-2-18 is amended to read:
183          26-2-18. Interments -- Duties of sexton or person in charge -- Record of
184     interments -- Information filed with local registrar.
185          (1) (a) A sexton or person in charge of any premises in which interments are made may
186     not inter or permit the interment of any dead body [or], dead fetus, or fetal remains unless the
187     interment is made by a funeral service director or by a person holding a burial-transit permit.
188          (b) The right and duty to control the disposition of a deceased person shall be governed
189     by Sections 58-9-601 through 58-9-604.
190          (2) (a) The sexton or the person in charge of any premises where interments are made
191     shall keep a record of all interments made in the premises under [his] their charge, stating the
192     name of the decedent, place of death, date of burial, and name and address of the funeral
193     service director or other person making the interment.
194          (b) The record described in this Subsection (2) shall be open to public inspection.
195          (c) A city or county clerk may, at the clerk's option, maintain the interment records
196     described in this Subsection (2) on behalf of the sexton or person in charge of any premises in
197     which interments are made.
198          (3) (a) Not later than the tenth day of each month, the sexton, person in charge of the
199     premises, or city or county clerk who maintains the interment records shall send to the local
200     registrar and the department a list of all interments made in the premises during the preceding
201     month.
202          (b) The list described in Subsection (3)(a) shall be in the form prescribed by the state
203     registrar.
204          Section 4. Section 26-21-33 is enacted to read:
205          26-21-33. Treatment of aborted remains.
206          (1) As used in this section, "aborted fetus" means a product of human conception,
207     regardless of gestational age, that has died from an abortion as that term is defined in Section
208     76-7-301.
209          (2) (a) A health care facility having possession of an aborted fetus shall provide for the
210     final disposition of the aborted fetus through:
211          (i) cremation as that term is defined in Section 58-9-102; or

212          (ii) interment.
213          (b) Within 120 business days after the day on which an abortion is performed, a health
214     care facility possessing an aborted fetus shall:
215          (i) conduct the final disposition of the aborted fetus in accordance with this section; or
216          (ii) ensure that the aborted fetus is preserved until final disposition.
217          (3) Before performing an abortion, a health care facility shall:
218          (a) provide the pregnant woman with the information described in Subsection
219     76-7-305(2)(d)(ix); and
220          (b) document the pregnant woman's decision under Subsection (4)(b) in the pregnant
221     woman's medical record.
222          (4) A pregnant woman who has an abortion:
223          (a) except as provided in Subsection (6), has the right to control the final disposition of
224     the aborted fetus;
225          (b) shall inform the health care facility of the pregnant woman's decision for final
226     disposition of the aborted fetus:
227          (i) in writing; and
228          (ii) on a form approved by the department;
229          (c) is responsible for the costs related to the final disposition of the aborted fetus at the
230     chosen location if the pregnant woman chooses a method or location for the final disposition of
231     the aborted fetus that is different from the method or location that is usual and customary for
232     the health care facility; and
233          (d) for a medication-induced abortion, shall be permitted to return the aborted fetus to
234     the health care facility in a sealed container for disposition by the health care facility in
235     accordance with this section.
236          (5) The form described in Subsection (4)(b)(ii) shall include the following information:
237          "You have the right to decide what you would like to do with the aborted fetus. You
238     may decide for the provider to be responsible for disposition of the fetus. If you are having a
239     medication-induced abortion, you also have the right to bring the aborted fetus back to this
240     provider for disposition after the fetus is expelled. The provider may dispose of the aborted
241     fetus by burial or cremation. You can ask the provider if you want to know the specific method
242     for disposition."

243          (6) If the pregnant woman is a minor, the health care facility shall obtain parental
244     consent for the disposition of the aborted fetus unless the minor is granted a court order under
245     Subsection 76-7-304(1)(b).
246          (7) (a) A health care facility may not include fetal remains with other biological,
247     infectious, or pathological waste.
248          (b) Notwithstanding Subsection 58-9-610(4), an aborted fetus may be cremated by
249     simultaneous cremation.
250          (c) Fetal tissue that is submitted to a pathologist for the purpose of conducting an
251     examination of the fetal tissue is not subject to the requirements of this section.
252          (d) (i) A health care facility is responsible for maintaining a record to demonstrate to
253     the department that the health care facility has complied with the provisions of this section.
254          (ii) The records described in Subsection (7)(e)(i) shall be:
255          (A) maintained for at least two years; and
256          (B) made available to the department for inspection upon request by the department.
257          Section 5. Section 26-21-34 is enacted to read:
258          26-21-34. Treatment of miscarried remains.
259          (1) As used in this section, "miscarried fetus" means a product of human conception,
260     regardless of gestational age, that has died from a spontaneous or accidental death before
261     expulsion or extraction from the mother, regardless of the duration of the pregnancy.
262          (2) (a) A health care facility having possession of a miscarried fetus shall provide for
263     the final disposition of the miscarried fetus through:
264          (i) cremation as that term is defined in Section 58-9-102; or
265          (ii) interment.
266          (b) Within 120 business days after the day on which a miscarriage occurs, a health care
267     facility possessing miscarried remains shall:
268          (i) conduct the final disposition of the miscarried remains in accordance with this
269     section; or
270          (ii) ensure that the miscarried remains are preserved until final disposition.
271          (3) No more than 24 hours after a woman has her miscarried fetus expelled or extracted
272     in a health care facility, the health care facility shall provide information to the parent or
273     parents of the miscarried fetus, both orally and in writing, regarding:

274          (a) the parents' right to determine the final disposition of the miscarried fetus;
275          (b) the available options for disposition of the miscarried fetus; and
276          (c) counseling that may be available concerning the death of the miscarried fetus.
277          (4) The parents of a miscarried fetus:
278          (a) have the right to control the final disposition of the miscarried fetus;
279          (b) shall inform the health care facility of the parents' decision for final disposition of
280     the miscarried fetus:
281          (i) in writing; and
282          (ii) on a form approved by the department; and
283          (c) are responsible for the costs related to the final disposition of the miscarried fetus at
284     the chosen location if the parents choose a method or location for the final disposition of the
285     miscarried fetus that is different from the method or location that is usual and customary for the
286     health care facility.
287          (5) The form described in Subsection (4)(b)(ii) shall include the following information:
288          "You have the right to decide what you would like to do with the miscarried fetus. You
289     may decide for the provider to be responsible for disposition of the fetus. The provider may
290     dispose of the miscarried fetus by burial or cremation. You can ask the provider if you want to
291     know the specific method for disposition."
292          (6) (a) A health care facility may not include miscarried fetus with other biological,
293     infectious, or pathological waste.
294          (b) Notwithstanding Subsection 58-9-610(4), a miscarried fetus may be cremated by
295     simultaneous cremation.
296          (c) Fetal tissue that is submitted to a pathologist for the purpose of conducting an
297     examination of the fetal tissue is not subject to the requirements of this section.
298          (d) (i) A health care facility is responsible for maintaining a record to demonstrate to
299     the department that the health care facility has complied with the provisions of this section.
300          (ii) The records described in Subsection (6)(e)(i) shall be:
301          (A) maintained for at least two years; and
302          (B) made available to the department for inspection upon request by the department.
303          Section 6. Section 58-9-607 is amended to read:
304          58-9-607. Authorization to cremate -- Penalties for removal of items from human

305     remains.
306          (1) Except as otherwise provided in this section and Section 58-9-619, a funeral service
307     establishment may not cremate human remains until it has received:
308          (a) a cremation authorization form signed by an authorizing agent;
309          (b) a completed and executed burial transit permit or similar document, as provided by
310     state law, indicating that human remains are to be cremated; and
311          (c) any other documentation required by the state, county, or municipality.
312          (2) (a) The cremation authorization form shall contain, at a minimum, the following
313     information:
314          (i) the identity of the human remains and the time and date of death, including a signed
315     declaration of visual identification of the deceased or refusal to visually identify the deceased;
316          (ii) the name of the funeral director and funeral service establishment that obtained the
317     cremation authorization;
318          (iii) notification as to whether the death occurred from a disease declared by the
319     department of health to be infectious, contagious, communicable, or dangerous to the public
320     health;
321          (iv) the name of the authorizing agent and the relationship between the authorizing
322     agent and the decedent;
323          (v) a representation that the authorizing agent has the right to authorize the cremation
324     of the decedent and that the authorizing agent is not aware of any living person with a superior
325     or equal priority right to that of the authorizing agent, except that if there is another living
326     person with a superior or equal priority right, the form shall contain a representation that the
327     authorizing agent has:
328          (A) made reasonable efforts to contact that person;
329          (B) been unable to do so; and
330          (C) no reason to believe that the person would object to the cremation of the decedent;
331          (vi) authorization for the funeral service establishment to cremate the human remains;
332          (vii) a representation that the human remains do not contain a pacemaker or other
333     material or implant that may be potentially hazardous or cause damage to the cremation
334     chamber or the person performing the cremation;
335          (viii) the name of the person authorized to receive the cremated remains from the

336     funeral service establishment;
337          (ix) the manner in which the final disposition of the cremated remains is to take place,
338     if known;
339          (x) a listing of each item of value to be delivered to the funeral service establishment
340     along with the human remains, and instructions as to how each item should be handled;
341          (xi) the signature of the authorizing agent, attesting to the accuracy of all
342     representations contained on the authorization form;
343          (xii) if the cremation authorization form is being executed on a preneed basis, the form
344     shall contain the disclosure required for preneed programs under this chapter; and
345          (xiii) except for a preneed cremation authorization, the signature of the funeral director
346     of the funeral service establishment that obtained the cremation authorization.
347          (b) (i) The individual [referred to] described in Subsection (2)(a)(xiii) shall execute the
348     funeral authorization form as a witness and is not responsible for any of the representations
349     made by the authorizing agent.
350          (ii) The funeral director or the funeral service establishment shall warrant to the
351     crematory that the human remains delivered to the funeral service establishment have been
352     positively identified as the decedent listed on the cremation authorization form by the
353     authorizing agent or a designated representative of the authorizing agent.
354          (iii) The authorizing agent or the agent's designee may make the identification referred
355     to in Subsection (2)(b)(ii) in person or by photograph.
356          (3) (a) [A] Except as provided in Section 58-9-619, a funeral service establishment
357     may not accept unidentified human remains for cremation.
358          (b) If a funeral service establishment takes custody of a cremation container subsequent
359     to the human remains being placed within the container, it can rely on the identification made
360     before the remains were placed in the container.
361          (c) The funeral service establishment shall place appropriate identification on the
362     exterior of the cremation container based on the prior identification.
363          (4) (a) A person who removes or possesses dental gold or silver, jewelry, or mementos
364     from human remains:
365          (i) with purpose to deprive another over control of the property is guilty of an offense
366     and subject to the punishments provided in Section 76-6-412;

367          (ii) with purpose to exercise unauthorized control and with intent to temporarily
368     deprive another of control over the property is guilty of an offense and subject to the
369     punishments provided in Section 76-6-404.5; and
370          (iii) under circumstances not amounting to Subsection (4)(a)(i) or (ii) and without
371     specific written permission of the individual who has the right to control those remains is guilty
372     of a class B misdemeanor.
373          (b) The fact that residue or any unavoidable dental gold or dental silver or other
374     precious metals remain in a cremation chamber or other equipment or a container used in a
375     prior cremation is not a violation of Subsection (4)(a).
376          Section 7. Section 58-9-619 is enacted to read:
377          58-9-619. Exception for disposition of fetal remains.
378          (1) As used in this section, "fetal remains" means the same as that term is defined in
379     Section 26-2-2.
380          (2) Notwithstanding any other provision in this part, a funeral service establishment:
381          (a) is exempt from any requirement to name the miscarried fetus or the aborted fetus:
382          (i) for the purpose of identifying the fetal remains; or
383          (ii) for any record keeping requirements under this chapter; and
384          (b) is not required to obtain a death certificate or fetal death certificate for the
385     cremation or disposition of fetal remains that are less than 20 weeks in gestational age.
386          Section 8. Section 76-7-305 is amended to read:
387          76-7-305. Informed consent requirements for abortion -- 72-hour wait mandatory
388     -- Exceptions.
389          (1) A person may not perform an abortion, unless, before performing the abortion, the
390     physician who will perform the abortion obtains from the woman on whom the abortion is to
391     be performed a voluntary and informed written consent that is consistent with:
392          (a) Section 8.08 of the American Medical Association's Code of Medical Ethics,
393     Current Opinions; and
394          (b) the provisions of this section.
395          (2) Except as provided in Subsection (8), consent to an abortion is voluntary and
396     informed only if, at least 72 hours before the abortion:
397          (a) a staff member of an abortion clinic or hospital, physician, registered nurse, nurse

398     practitioner, advanced practice registered nurse, certified nurse midwife, genetic counselor, or
399     physician's assistant presents the information module to the pregnant woman;
400          (b) the pregnant woman views the entire information module and presents evidence to
401     the individual described in Subsection (2)(a) that the pregnant woman viewed the entire
402     information module;
403          (c) after receiving the evidence described in Subsection (2)(b), the individual described
404     in Subsection (2)(a):
405          (i) documents that the pregnant woman viewed the entire information module;
406          (ii) gives the pregnant woman, upon her request, a copy of the documentation
407     described in Subsection (2)(c)(i); and
408          (iii) provides a copy of the statement described in Subsection (2)(c)(i) to the physician
409     who is to perform the abortion, upon request of that physician or the pregnant woman;
410          (d) after the pregnant woman views the entire information module, the physician who
411     is to perform the abortion, the referring physician, a physician, a registered nurse, nurse
412     practitioner, advanced practice registered nurse, certified nurse midwife, genetic counselor, or
413     physician's assistant, in a face-to-face consultation in any location in the state, orally informs
414     the woman of:
415          (i) the nature of the proposed abortion procedure;
416          (ii) specifically how the procedure described in Subsection (2)(d)(i) will affect the
417     fetus;
418          (iii) the risks and alternatives to the abortion procedure or treatment;
419          (iv) the options and consequences of aborting a medication-induced abortion, if the
420     proposed abortion procedure is a medication-induced abortion;
421          (v) the probable gestational age and a description of the development of the unborn
422     child at the time the abortion would be performed;
423          (vi) the medical risks associated with carrying her child to term;
424          (vii) the right to view an ultrasound of the unborn child, at no expense to the pregnant
425     woman, upon her request; [and]
426          (viii) when the result of a prenatal screening or diagnostic test indicates that the unborn
427     child has or may have Down syndrome, the Department of Health website containing the
428     information described in Section 26-10-14, including the information on the informational

429     support sheet; and
430          (ix) the pregnant woman's right to:
431          (A) determine the final disposition of the remains of the aborted fetus;
432          (B) receive information about options for disposition of the aborted fetus, including the
433     method of disposition that is usual and customary for the health care facility; and
434          (C) return the aborted fetus to the health care facility for disposition under Subsection
435     26-21-33(4)(d); and
436          (e) after the pregnant woman views the entire information module, a staff member of
437     the abortion clinic or hospital provides to the pregnant woman:
438          (i) on a document that the pregnant woman may take home:
439          (A) the address for the department's website described in Section 76-7-305.5; and
440          (B) a statement that the woman may request, from a staff member of the abortion clinic
441     or hospital where the woman viewed the information module, a printed copy of the material on
442     the department's website; and
443          (ii) a printed copy of the material on the department's website described in Section
444     76-7-305.5, if requested by the pregnant woman.
445          (3) Before performing an abortion, the physician who is to perform the abortion shall:
446          (a) in a face-to-face consultation, provide the information described in Subsection
447     (2)(d), unless the attending physician or referring physician is the individual who provided the
448     information required under Subsection (2)(d); and
449          (b) (i) obtain from the pregnant woman a written certification that the information
450     required to be provided under Subsection (2) and this Subsection (3) was provided in
451     accordance with the requirements of Subsection (2) and this Subsection (3); and
452          (ii) obtain a copy of the statement described in Subsection (2)(c)(i).
453          (4) When a serious medical emergency compels the performance of an abortion, the
454     physician shall inform the woman prior to the abortion, if possible, of the medical indications
455     supporting the physician's judgment that an abortion is necessary.
456          (5) If an ultrasound is performed on a woman before an abortion is performed, the
457     individual who performs the ultrasound, or another qualified individual, shall:
458          (a) inform the woman that the ultrasound images will be simultaneously displayed in a
459     manner to permit her to:

460          (i) view the images, if she chooses to view the images; or
461          (ii) not view the images, if she chooses not to view the images;
462          (b) simultaneously display the ultrasound images in order to permit the woman to:
463          (i) view the images, if she chooses to view the images; or
464          (ii) not view the images, if she chooses not to view the images;
465          (c) inform the woman that, if she desires, the person performing the ultrasound, or
466     another qualified person shall provide a detailed description of the ultrasound images,
467     including:
468          (i) the dimensions of the unborn child;
469          (ii) the presence of cardiac activity in the unborn child, if present and viewable; and
470          (iii) the presence of external body parts or internal organs, if present and viewable; and
471          (d) provide the detailed description described in Subsection (5)(c), if the woman
472     requests it.
473          (6) The information described in Subsections (2), (3), and (5) is not required to be
474     provided to a pregnant woman under this section if the abortion is performed for a reason
475     described in:
476          (a) Subsection 76-7-302(3)(b)(i), if the treating physician and one other physician
477     concur, in writing, that the abortion is necessary to avert:
478          (i) the death of the woman on whom the abortion is performed; or
479          (ii) a serious risk of substantial and irreversible impairment of a major bodily function
480     of the woman on whom the abortion is performed; or
481          (b) Subsection 76-7-302(3)(b)(ii).
482          (7) In addition to the criminal penalties described in this part, a physician who violates
483     the provisions of this section:
484          (a) is guilty of unprofessional conduct as defined in Section 58-67-102 or 58-68-102;
485     and
486          (b) shall be subject to:
487          (i) suspension or revocation of the physician's license for the practice of medicine and
488     surgery in accordance with Section 58-67-401 or 58-68-401; and
489          (ii) administrative penalties in accordance with Section 58-67-402 or 58-68-402.
490          (8) A physician is not guilty of violating this section for failure to furnish any of the

491     information described in Subsection (2) or (3), or for failing to comply with Subsection (5), if:
492          (a) the physician can demonstrate by a preponderance of the evidence that the
493     physician reasonably believed that furnishing the information would have resulted in a severely
494     adverse effect on the physical or mental health of the pregnant woman;
495          (b) in the physician's professional judgment, the abortion was necessary to avert:
496          (i) the death of the woman on whom the abortion is performed; or
497          (ii) a serious risk of substantial and irreversible impairment of a major bodily function
498     of the woman on whom the abortion is performed;
499          (c) the pregnancy was the result of rape or rape of a child, as defined in Sections
500     76-5-402 and 76-5-402.1;
501          (d) the pregnancy was the result of incest, as defined in Subsection 76-5-406(2)(j) and
502     Section 76-7-102; or
503          (e) at the time of the abortion, the pregnant woman was 14 years of age or younger.
504          (9) A physician who complies with the provisions of this section and Section
505     76-7-304.5 may not be held civilly liable to the physician's patient for failure to obtain
506     informed consent under Section 78B-3-406.
507          (10) (a) The department shall provide an ultrasound, in accordance with the provisions
508     of Subsection (5)(b), at no expense to the pregnant woman.
509          (b) A local health department shall refer a pregnant woman who requests an ultrasound
510     described in Subsection (10)(a) to the department.
511          (11) A physician is not guilty of violating this section if:
512          (a) the information described in Subsection (2) is provided less than 72 hours before
513     the physician performs the abortion; and
514          (b) in the physician's professional judgment, the abortion was necessary in a case
515     where:
516          (i) a ruptured membrane, documented by the attending or referring physician, will
517     cause a serious infection; or
518          (ii) a serious infection, documented by the attending or referring physician, will cause a
519     ruptured membrane.
520