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7 LONG TITLE
8 General Description:
9 This bill modifies provisions related to abortion.
10 Highlighted Provisions:
11 This bill:
12 ▸ modifies definitions;
13 ▸ requires abortions to be performed in a hospital with limited exceptions;
14 ▸ prohibits licensing of abortion clinics after May 2, 2023;
15 ▸ removes certain references to abortion clinics;
16 ▸ provides that inducing or performing an abortion contrary to statutory requirements
17 is unprofessional conduct for a physician, osteopathic physician, physician assistant,
18 advanced practice registered nurse, certified nurse midwife, and direct-entry
19 midwife;
20 ▸ modifies provisions that govern what constitutes a medical emergency in relation to
21 an abortion;
22 ▸ modifies the conditions under which an abortion may be performed to protect the
23 life or health of the mother;
24 ▸ amends language related to medical defects of a fetus;
25 ▸ establishes that certain abortion methods are preferred in an abortion involving
26 medical defects of a fetus;
27 ▸ repeals the statute that established a prohibition on abortions after 18 weeks and
28 incorporates its contents into existing statute, replacing language that established
29 now-superseded viability standards;
30 ▸ standardizes language between various statutes that regulate abortion;
31 ▸ treats an individual who becomes pregnant at a certain age as having the same
32 access to abortion services as rape or incest situations;
33 ▸ restricts the ability to receive an abortion due to rape or incest to a pregnancy where
34 the unborn child has not reached 18 weeks gestational age;
35 ▸ modifies state of mind standards for criminal act;
36 ▸ provides for severability;
37 ▸ provides for regulation of drugs that are known to be used in relation to an abortion;
38 ▸ creates a criminal offense for prescribing a drug for the purpose of causing an
39 abortion, unless the prescriber is licensed as a physician under the laws of this state;
40 and
41 ▸ makes technical changes.
42 Money Appropriated in this Bill:
43 None
44 Other Special Clauses:
45 None
46 Utah Code Sections Affected:
47 AMENDS:
48 26-21-6.5, as last amended by Laws of Utah 2018, Chapter 282
49 26-21-7, as last amended by Laws of Utah 2019, Chapter 349
50 26-21-8, as last amended by Laws of Utah 2016, Chapter 74
51 26-21-11, as last amended by Laws of Utah 1997, Chapter 209
52 26-21-25, as last amended by Laws of Utah 2010, Chapter 218
53 58-31b-502, as last amended by Laws of Utah 2022, Chapter 290
54 58-44a-502, as last amended by Laws of Utah 2020, Chapter 25
55 58-67-304, as last amended by Laws of Utah 2020, Chapters 12, 339
56 58-67-502, as last amended by Laws of Utah 2021, Chapter 337
57 58-68-304, as last amended by Laws of Utah 2020, Chapters 12, 339
58 58-68-502, as last amended by Laws of Utah 2021, Chapter 337
59 58-70a-501, as last amended by Laws of Utah 2021, Chapter 312
60 58-77-603, as enacted by Laws of Utah 2005, Chapter 299
61 63I-2-276, as last amended by Laws of Utah 2022, Chapter 117
62 76-7-301, as last amended by Laws of Utah 2021, Chapter 262
63 76-7-302, as last amended by Laws of Utah 2022, Chapter 335
64 76-7-302.4, as enacted by Laws of Utah 2019, Chapter 124
65 76-7-304, as last amended by Laws of Utah 2018, Chapter 282
66 76-7-304.5, as last amended by Laws of Utah 2022, Chapter 287
67 76-7-305, as last amended by Laws of Utah 2022, Chapter 181
68 76-7-314, as last amended by Laws of Utah 2019, Chapter 208
69 76-7-314.5, as last amended by Laws of Utah 2010, Chapter 13
70 76-7-317, as enacted by Laws of Utah 1974, Chapter 33
71 76-7a-101, as last amended by Laws of Utah 2021, Chapter 262
72 76-7a-201, as enacted by Laws of Utah 2020, Chapter 279
73 ENACTS:
74 76-7-332, Utah Code Annotated 1953
75 REPEALS:
76 76-7-302.5, as enacted by Laws of Utah 2019, Chapter 208
77
78 Be it enacted by the Legislature of the state of Utah:
79 Section 1. Section 26-21-6.5 is amended to read:
80 26-21-6.5. Licensing of an abortion clinic -- Rulemaking authority -- Fee.
81 (1) (a) No abortion clinic may operate in the state on or after January 1, 2024, or the
82 last valid date of an abortion clinic license issued under the requirements of this section,
83 whichever date is later.
84 (b) Notwithstanding Subsection (1)(a), a licensed abortion clinic may not perform an
85 abortion in violation of any provision of state law.
86 (2) The state may not issue a license for an abortion clinic after May 2, 2023.
87 (3) For any license that is issued under this section:
88 (a) A type I abortion clinic may not operate in the state without a license issued by the
89 department to operate a type I abortion clinic.
90 [
91 by the department to operate a type II abortion clinic.
92 [
93 sanitary, and recordkeeping requirements for:
94 [
95 [
96 [
97 shall:
98 [
99 [
100 requirements established under Subsection [
101 licensed;
102 [
103 76-7-313;
104 [
105 Title 76, Chapter 7a, Abortion Prohibition;
106 [
107 [
108 [
109 the state to ensure that the abortion clinic is complying with all statutory and licensing
110 requirements relating to the abortion clinic. At least one of the inspections shall be made
111 without providing notice to the abortion clinic.
112 [
113 accordance with the procedures described in Section 63J-1-504, to an abortion clinic in an
114 amount that will pay for the cost of the licensing requirements described in this section and the
115 cost of inspecting abortion clinics.
116 [
117 General Fund as a dedicated credit to be used solely to pay for the cost of the licensing
118 requirements described in this section and the cost of inspecting abortion clinics.
119 Section 2. Section 26-21-7 is amended to read:
120 26-21-7. Exempt facilities.
121 This chapter does not apply to:
122 (1) a dispensary or first aid facility maintained by any commercial or industrial plant,
123 educational institution, or convent;
124 (2) a health care facility owned or operated by an agency of the United States;
125 (3) the office of a physician, physician assistant, or dentist whether it is an individual
126 or group practice[
127 (4) a health care facility established or operated by any recognized church or
128 denomination for the practice of religious tenets administered by mental or spiritual means
129 without the use of drugs, whether gratuitously or for compensation, if it complies with statutes
130 and rules on environmental protection and life safety;
131 (5) any health care facility owned or operated by the Department of Corrections,
132 created in Section 64-13-2; and
133 (6) a residential facility providing 24-hour care:
134 (a) that does not employ direct care staff;
135 (b) in which the residents of the facility contract with a licensed hospice agency to
136 receive end-of-life medical care; and
137 (c) that meets other requirements for an exemption as designated by administrative
138 rule.
139 Section 3. Section 26-21-8 is amended to read:
140 26-21-8. License required -- Not assignable or transferable -- Posting --
141 Expiration and renewal -- Time for compliance by operating facilities.
142 (1) (a) A person or governmental unit acting severally or jointly with any other person
143 or governmental unit, may not establish, conduct, or maintain a health care facility in this state
144 without receiving a license from the department as provided by this chapter and the rules
145 adopted pursuant to this chapter.
146 (b) This Subsection (1) does not apply to facilities that are exempt under Section
147 26-21-7.
148 (2) A license issued under this chapter is not assignable or transferable.
149 (3) The current license shall at all times be posted in each health care facility in a place
150 readily visible and accessible to the public.
151 (4) (a) The department may issue a license for a period of time [
152
153 date of issuance for [
154 department rules adopted pursuant to this chapter.
155 (b) Each license expires at midnight on the day designated on the license as the
156 expiration date, unless previously revoked by the department.
157 (c) The license shall be renewed upon completion of the application requirements,
158 unless the department finds the health care facility has not complied with the provisions of this
159 chapter or the rules adopted pursuant to this chapter.
160 (5) A license may be issued under this section only for the operation of a specific
161 facility at a specific site by a specific person.
162 (6) Any health care facility in operation at the time of adoption of any applicable rules
163 as provided under this chapter shall be given a reasonable time for compliance as determined
164 by the committee.
165 Section 4. Section 26-21-11 is amended to read:
166 26-21-11. Violations -- Denial or revocation of license -- Restricting or prohibiting
167 new admissions -- Monitor.
168 (1) If the department finds a violation of this chapter or any rules adopted pursuant to
169 this chapter the department may take one or more of the following actions:
170 [
171 include time frames for correction of all violations;
172 [
173 [
174 chapter;
175 [
176 or
177 [
178 of the state;
179 [
180 license of a health care facility for:
181 [
182 [
183 care facility;
184 [
185 action is completed;
186 [
187 [
188 [
189 (2) If the department finds that an abortion has been performed in violation of Section
190 76-7-314 or 76-7a-201, the department shall deny or revoke the license.
191 Section 5. Section 26-21-25 is amended to read:
192 26-21-25. Patient identity protection.
193 (1) As used in this section:
194 (a) "EMTALA" means the federal Emergency Medical Treatment and Active Labor
195 Act.
196 (b) "Health professional office" means:
197 (i) a physician's office; or
198 (ii) a dental office.
199 (c) "Medical facility" means:
200 (i) a general acute hospital;
201 (ii) a specialty hospital;
202 (iii) a home health agency;
203 (iv) a hospice;
204 (v) a nursing care facility;
205 (vi) a residential-assisted living facility;
206 (vii) a birthing center;
207 (viii) an ambulatory surgical facility;
208 (ix) a small health care facility;
209 [
210 [
211 [
212 [
213 [
214 (2) (a) In order to discourage identity theft and health insurance fraud, and to reduce
215 the risk of medical errors caused by incorrect medical records, a medical facility or a health
216 professional office shall request identification from an individual prior to providing in-patient
217 or out-patient services to the individual.
218 (b) If the individual who will receive services from the medical facility or a health
219 professional office lacks the legal capacity to consent to treatment, the medical facility or a
220 health professional office shall request identification:
221 (i) for the individual who lacks the legal capacity to consent to treatment; and
222 (ii) from the individual who consents to treatment on behalf of the individual described
223 in Subsection (2)(b)(i).
224 (3) A medical facility or a health professional office:
225 (a) that is subject to EMTALA:
226 (i) may not refuse services to an individual on the basis that the individual did not
227 provide identification when requested; and
228 (ii) shall post notice in its emergency department that informs a patient of the patient's
229 right to treatment for an emergency medical condition under EMTALA;
230 (b) may not be penalized for failing to ask for identification;
231 (c) is not subject to a private right of action for failing to ask for identification; and
232 (d) may document or confirm patient identity by:
233 (i) photograph;
234 (ii) fingerprinting;
235 (iii) palm scan; or
236 (iv) other reasonable means.
237 (4) The identification described in this section:
238 (a) is intended to be used for medical records purposes only; and
239 (b) shall be kept in accordance with the requirements of the Health Insurance
240 Portability and Accountability Act of 1996.
241 Section 6. Section 58-31b-502 is amended to read:
242 58-31b-502. Unprofessional conduct.
243 (1) "Unprofessional conduct" includes:
244 (a) failure to safeguard a patient's right to privacy as to the patient's person, condition,
245 diagnosis, personal effects, or any other matter about which the licensee is privileged to know
246 because of the licensee's or person with a certification's position or practice as a nurse or
247 practice as a medication aide certified;
248 (b) failure to provide nursing service or service as a medication aide certified in a
249 manner that demonstrates respect for the patient's human dignity and unique personal character
250 and needs without regard to the patient's race, religion, ethnic background, socioeconomic
251 status, age, sex, or the nature of the patient's health problem;
252 (c) engaging in sexual relations with a patient during any:
253 (i) period when a generally recognized professional relationship exists between the
254 person licensed or certified under this chapter and the patient; or
255 (ii) extended period when a patient has reasonable cause to believe a professional
256 relationship exists between the person licensed or certified under the provisions of this chapter
257 and the patient;
258 (d) (i) as a result of any circumstance under Subsection (1)(c), exploiting or using
259 information about a patient or exploiting the licensee's or the person with a certification's
260 professional relationship between the licensee or holder of a certification under this chapter and
261 the patient; or
262 (ii) exploiting the patient by use of the licensee's or person with a certification's
263 knowledge of the patient obtained while acting as a nurse or a medication aide certified;
264 (e) unlawfully obtaining, possessing, or using any prescription drug or illicit drug;
265 (f) unauthorized taking or personal use of nursing supplies from an employer;
266 (g) unauthorized taking or personal use of a patient's personal property;
267 (h) unlawful or inappropriate delegation of nursing care;
268 (i) failure to exercise appropriate supervision of persons providing patient care services
269 under supervision of the licensed nurse;
270 (j) employing or aiding and abetting the employment of an unqualified or unlicensed
271 person to practice as a nurse;
272 (k) failure to file or record any medical report as required by law, impeding or
273 obstructing the filing or recording of such a report, or inducing another to fail to file or record
274 such a report;
275 (l) breach of a statutory, common law, regulatory, or ethical requirement of
276 confidentiality with respect to a person who is a patient, unless ordered by a court;
277 (m) failure to pay a penalty imposed by the division;
278 (n) prescribing a Schedule II controlled substance without complying with the
279 requirements in Section 58-31b-803, if applicable;
280 (o) violating Section 58-31b-801;
281 (p) violating the dispensing requirements of Section 58-17b-309 or Chapter 17b, Part
282 8, Dispensing Medical Practitioner and Dispensing Medical Practitioner Clinic Pharmacy, if
283 applicable;
284 (q) performing or inducing an abortion in violation of the requirements of Section
285 76-7-302 or Section 76-7a-201, regardless of whether the person licensed or certified under the
286 provisions of this chapter is found guilty of a crime in connection with the violation;
287 [
288 conceal:
289 (i) a wrongful or negligent act or omission of an individual licensed under this chapter
290 or an individual under the direction or control of an individual licensed under this chapter; or
291 (ii) conduct described in Subsections (1)(a) through (o) or Subsection 58-1-501(1); or
292 [
293 Act.
294 (2) "Unprofessional conduct" does not include, in accordance with Title 26, Chapter
295 61a, Utah Medical Cannabis Act, when registered as a qualified medical provider, or acting as
296 a limited medical provider, as those terms are defined in Section 26-61a-102, recommending
297 the use of medical cannabis.
298 (3) Notwithstanding Subsection (2), the division, in consultation with the board and in
299 accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, shall define
300 unprofessional conduct for an advanced practice registered nurse described in Subsection (2).
301 Section 7. Section 58-44a-502 is amended to read:
302 58-44a-502. Unprofessional conduct.
303 "Unprofessional conduct" includes:
304 (1) disregard for a patient's dignity or right to privacy as to the patient's person,
305 condition, possessions, or medical record;
306 (2) engaging in an act, practice, or omission which when considered with the duties
307 and responsibilities of a certified nurse midwife does or could jeopardize the health, safety, or
308 welfare of a patient or the public;
309 (3) failure to confine one's practice as a certified nurse midwife to those acts or
310 practices permitted by law;
311 (4) failure to file or record any medical report as required by law, impeding or
312 obstructing the filing or recording of such a report, or inducing another to fail to file or record
313 such a report;
314 (5) breach of a statutory, common law, regulatory, or ethical requirement of
315 confidentiality with respect to a person who is a patient, unless ordered by the court;
316 (6) failure to pay a penalty imposed by the division;
317 (7) prescribing a schedule II-III controlled substance without a consulting physician;
318 (8) performing or inducing an abortion in violation of the requirements of Section
319 76-7-302 or Section 76-7a-201, regardless of whether the individual licensed under this chapter
320 is found guilty of a crime in connection with the violation;
321 [
322 consultation, collaboration, and referral with a consulting physician, including failure to
323 identify one or more consulting physicians in the written documents required by Subsection
324 58-44a-102(9)(b)(iii); or
325 (b) representing that the certified nurse midwife is in compliance with Subsection
326 [
327 (9)(a); or
328 [
329 conceal:
330 (a) a wrongful or negligent act or omission of an individual licensed under this chapter
331 or an individual under the direction or control of an individual licensed under this chapter; or
332 (b) conduct described in Subsections (1) through [
333 Section 8. Section 58-67-304 is amended to read:
334 58-67-304. License renewal requirements.
335 (1) As a condition precedent for license renewal, each licensee shall, during each
336 two-year licensure cycle or other cycle defined by division rule:
337 (a) complete qualified continuing professional education requirements in accordance
338 with the number of hours and standards defined by division rule made in collaboration with the
339 board;
340 (b) appoint a contact person for access to medical records and an alternate contact
341 person for access to medical records in accordance with Subsection 58-67-302(1)(i);
342 (c) if the licensee practices medicine in a location with no other persons licensed under
343 this chapter, provide some method of notice to the licensee's patients of the identity and
344 location of the contact person and alternate contact person for the licensee; and
345 (d) if the licensee is an associate physician licensed under Section 58-67-302.8,
346 successfully complete the educational methods and programs described in Subsection
347 58-67-807(4).
348 (2) If a renewal period is extended or shortened under Section 58-67-303, the
349 continuing education hours required for license renewal under this section are increased or
350 decreased proportionally.
351 (3) (a) An application to renew a license under this chapter shall:
352 [
353 abortions in Utah in a location other than a hospital?"; and
354 [
355 purposes of the immediately preceding question, elective abortion means an abortion other than
356 one of the following: removal of a dead fetus, removal of an ectopic pregnancy, an abortion
357 that is necessary to avert the death of a woman, an abortion that is necessary to avert a serious
358 physical risk of substantial [
359 woman, an abortion of a fetus that has a defect that is uniformly diagnosable and uniformly
360 lethal, or an abortion where the woman is pregnant as a result of rape or incest."
361 (b) The statement in Subsection (3)(a)(ii) shall be modified, if necessary, to ensure
362 compliance with the definitions and requirements of Title 76, Chapter 7, Part 3, Abortion, and
363 Title 76, Chapter 7a, Abortion Prohibition.
364 (4) In order to assist the Department of Health and Human Services in fulfilling [
365 the department's responsibilities relating to the licensing of [
366 facility and the enforcement of Title 76, Chapter 7, Part 3, Abortion, and Title 76, Chapter 7a,
367 Abortion Prohibition, if a physician responds positively to the question described in Subsection
368 [
369 renews the physician's license under this chapter, inform the Department of Health and Human
370 Services in writing:
371 (a) of the name and business address of the physician; and
372 (b) that the physician responded positively to the question described in Subsection
373 [
374 (5) The division shall accept and apply toward the hour requirement in Subsection
375 (1)(a) any continuing education that a physician completes in accordance with Sections
376 26-61a-106 and 26-61a-403.
377 Section 9. Section 58-67-502 is amended to read:
378 58-67-502. Unprofessional conduct.
379 (1) "Unprofessional conduct" includes, in addition to the definition in Section
380 58-1-501:
381 (a) using or employing the services of any individual to assist a licensee in any manner
382 not in accordance with the generally recognized practices, standards, or ethics of the
383 profession, state law, or division rule;
384 (b) making a material misrepresentation regarding the qualifications for licensure under
385 Section 58-67-302.7 or Section 58-67-302.8;
386 (c) violating the dispensing requirements of Chapter 17b, Part 8, Dispensing Medical
387 Practitioner and Dispensing Medical Practitioner Clinic Pharmacy, if applicable;
388 (d) violating the requirements of Title 26, Chapter 61a, Utah Medical Cannabis Act;
389 [
390 (e) performing or inducing an abortion in violation of the requirements of Section
391 76-7-302 or Section 76-7a-201, regardless of whether the individual licensed under this chapter
392 is found guilty of a crime in connection with the violation; or
393 [
394 conceal:
395 (i) a wrongful or negligent act or omission of an individual licensed under this chapter
396 or an individual under the direction or control of an individual licensed under this chapter; or
397 (ii) conduct described in Subsections (1)(a) through (d) or Subsection 58-1-501(1).
398 (2) "Unprofessional conduct" does not include:
399 (a) in compliance with Section 58-85-103:
400 (i) obtaining an investigational drug or investigational device;
401 (ii) administering the investigational drug to an eligible patient; or
402 (iii) treating an eligible patient with the investigational drug or investigational device;
403 or
404 (b) in accordance with Title 26, Chapter 61a, Utah Medical Cannabis Act:
405 (i) when registered as a qualified medical provider or acting as a limited medical
406 provider, as those terms are defined in Section 26-61a-102, recommending the use of medical
407 cannabis;
408 (ii) when registered as a pharmacy medical provider, as that term is defined in Section
409 26-61a-102, providing pharmacy medical provider services in a medical cannabis pharmacy; or
410 (iii) when registered as a state central patient portal medical provider, as that term is
411 defined in Section 26-61a-102, providing state central patient portal medical provider services.
412 (3) Notwithstanding Subsection (2)(b), the division, in consultation with the board and
413 in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, shall define
414 unprofessional conduct for a physician described in Subsection (2)(b).
415 Section 10. Section 58-68-304 is amended to read:
416 58-68-304. License renewal requirements.
417 (1) As a condition precedent for license renewal, each licensee shall, during each
418 two-year licensure cycle or other cycle defined by division rule:
419 (a) complete qualified continuing professional education requirements in accordance
420 with the number of hours and standards defined by division rule in collaboration with the
421 board;
422 (b) appoint a contact person for access to medical records and an alternate contact
423 person for access to medical records in accordance with Subsection 58-68-302(1)(i);
424 (c) if the licensee practices osteopathic medicine in a location with no other persons
425 licensed under this chapter, provide some method of notice to the licensee's patients of the
426 identity and location of the contact person and alternate contact person for access to medical
427 records for the licensee in accordance with Subsection 58-68-302(1)(j); and
428 (d) if the licensee is an associate physician licensed under Section 58-68-302.5,
429 successfully complete the educational methods and programs described in Subsection
430 58-68-807(4).
431 (2) If a renewal period is extended or shortened under Section 58-68-303, the
432 continuing education hours required for license renewal under this section are increased or
433 decreased proportionally.
434 (3) (a) An application to renew a license under this chapter shall:
435 [
436 abortions in Utah in a location other than a hospital?"; and
437 [
438 purposes of the immediately preceding question, elective abortion means an abortion other than
439 one of the following: removal of a dead fetus, removal of an ectopic pregnancy, an abortion
440 that is necessary to avert the death of a woman, an abortion that is necessary to avert a serious
441 physical risk of substantial [
442 woman, an abortion of a fetus that has a defect that is uniformly diagnosable and uniformly
443 lethal, or an abortion where the woman is pregnant as a result of rape or incest."
444 (b) The statement in Subsection (3)(a)(ii) shall be modified, if necessary, to ensure
445 compliance with the definitions and requirements of Title 76, Chapter 7, Part 3, Abortion, and
446 Title 76, Chapter 7a, Abortion Prohibition.
447 (4) In order to assist the Department of Health and Human Services in fulfilling [
448 the department's responsibilities relating to the licensing of [
449 facility and the enforcement of Title 76, Chapter 7, Part 3, Abortion, and Title 76, Chapter 7a,
450 Abortion Prohibition, if a physician responds positively to the question described in Subsection
451 [
452 physician's license under this chapter, inform the Department of Health and Human Services in
453 writing:
454 (a) of the name and business address of the physician; and
455 (b) that the physician responded positively to the question described in Subsection
456 [
457 (5) The division shall accept and apply toward the hour requirement in Subsection
458 (1)(a) any continuing education that a physician completes in accordance with Sections
459 26-61a-106 and 26-61a-403.
460 Section 11. Section 58-68-502 is amended to read:
461 58-68-502. Unprofessional conduct.
462 (1) "Unprofessional conduct" includes, in addition to the definition in Section
463 58-1-501:
464 (a) using or employing the services of any individual to assist a licensee in any manner
465 not in accordance with the generally recognized practices, standards, or ethics of the
466 profession, state law, or division rule;
467 (b) violating the dispensing requirements of Chapter 17b, Part 8, Dispensing Medical
468 Practitioner and Dispensing Medical Practitioner Clinic Pharmacy, if applicable;
469 (c) making a material misrepresentation regarding the qualifications for licensure under
470 Section 58-68-302.5;
471 (d) violating the requirements of Title 26, Chapter 61a, Utah Medical Cannabis Act;
472 [
473 (e) performing or inducing an abortion in violation of the requirements of Section
474 76-7-302 or Section 76-7a-201, regardless of whether the individual licensed under this chapter
475 is found guilty of a crime in connection with the violation; or
476 [
477 conceal:
478 (i) a wrongful or negligent act or omission of an individual licensed under this chapter
479 or an individual under the direction or control of an individual licensed under this chapter; or
480 (ii) conduct described in Subsections (1)(a) through (d) or Subsection 58-1-501(1).
481 (2) "Unprofessional conduct" does not include:
482 (a) in compliance with Section 58-85-103:
483 (i) obtaining an investigational drug or investigational device;
484 (ii) administering the investigational drug to an eligible patient; or
485 (iii) treating an eligible patient with the investigational drug or investigational device;
486 or
487 (b) in accordance with Title 26, Chapter 61a, Utah Medical Cannabis Act:
488 (i) when registered as a qualified medical provider or acting as a limited medical
489 provider, as those terms are defined in Section 26-61a-102, recommending the use of medical
490 cannabis;
491 (ii) when registered as a pharmacy medical provider, as that term is defined in Section
492 26-61a-102, providing pharmacy medical provider services in a medical cannabis pharmacy; or
493 (iii) when registered as a state central patient portal medical provider, as that term is
494 defined in Section 26-61a-102, providing state central patient portal medical provider services.
495 (3) Notwithstanding Subsection (2)(b), the division, in consultation with the board and
496 in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, shall define
497 unprofessional conduct for a physician described in Subsection (2)(b).
498 Section 12. Section 58-70a-501 is amended to read:
499 58-70a-501. Scope of practice.
500 (1) A physician assistant may provide any medical services that are not specifically
501 prohibited under this chapter or rules adopted under this chapter, and that are within the
502 physician assistant's skills and scope of competence.
503 (2) A physician assistant shall consult, collaborate with, and refer to appropriate
504 members of the health care team:
505 (a) as indicated by the patient's condition;
506 (b) based on the physician assistant's education, experience, and competencies;
507 (c) the applicable standard of care; and
508 (d) if applicable, in accordance with the requirements described in Section 58-70a-307.
509 (3) Subject to Section 58-70a-307, the degree of collaboration under Subsection (2):
510 (a) shall be determined at the physician assistant's practice, including decisions made
511 by the physician assistant's:
512 (i) employer;
513 (ii) group;
514 (iii) hospital service; or
515 (iv) health care facility credentialing and privileging system; and
516 (b) may also be determined by a managed care organization with whom the physician
517 assistant is a network provider.
518 (4) A physician assistant may only provide healthcare services:
519 (a) for which the physician assistant has been trained and credentialed, privileged, or
520 authorized to perform; and
521 (b) that are within the physician assistant's practice specialty.
522 (5) A physician assistant may authenticate through a signature, certification, stamp,
523 verification, affidavit, or endorsement any document that may be authenticated by a physician
524 and that is within the physician assistant's scope of practice.
525 (6) A physician assistant is responsible for the care that the physician assistant
526 provides.
527 (7) (a) As used in this Subsection (7):
528 (i) "ALS/ACLS certification" means a certification:
529 (A) in advanced life support by the American Red Cross;
530 (B) in advanced cardiac life support by the American Heart Association; or
531 (C) that is equivalent to a certification described in Subsection (7)(a)(i)(A) or (B).
532 (ii) "Minimal sedation anxiolysis" means creating a drug induced state:
533 (A) during which a patient responds normally to verbal commands;
534 (B) which may impair cognitive function and physical coordination; and
535 (C) which does not affect airway, reflexes, or ventilatory and cardiovascular function.
536 (b) Except as provided in Subsections (c) through (e), a physician assistant may not
537 administer general anesthetics.
538 (c) A physician assistant may perform minimal sedation anxiolysis if the procedure is
539 within the physician assistant's scope of practice.
540 (d) A physician assistant may perform rapid sequence induction for intubation of a
541 patient if:
542 (i) the procedure is within the physician assistant's scope of practice;
543 (ii) the physician assistant holds a valid ALS/ACLS certification and is credentialed
544 and privileged at the hospital where the procedure is performed; and
545 (iii) (A) a qualified physician is not available and able to perform the procedure; or
546 (B) the procedure is performed by the physician assistant under supervision of or
547 delegation by a physician.
548 (e) Subsection (7)(b) does not apply to anesthetics administered by a physician
549 assistant:
550 (i) in an intensive care unit of a hospital;
551 (ii) for the purpose of enabling a patient to tolerate ventilator support or intubation; and
552 (iii) under supervision of or delegation by a physician whose usual scope of practice
553 includes the procedure.
554 (8) (a) A physician assistant may prescribe or administer an appropriate controlled
555 substance that is within the physician assistant's scope of practice if the physician assistant
556 holds a Utah controlled substance license and a DEA registration.
557 (b) A physician assistant may prescribe, order, administer, and procure a drug or
558 medical device that is within the physician assistant's scope of practice.
559 (c) A physician assistant may dispense a drug if dispensing the drug:
560 (i) is permitted under Title 58, Chapter 17b, Pharmacy Practice Act; and
561 (ii) is within the physician assistant's scope of practice.
562 (9) A physician assistant may not perform or induce an abortion in violation of the
563 requirements of Section 76-7-302 or Section 76-7a-201, regardless of whether the physician
564 assistant is found guilty of a crime in connection with the violation.
565 [
566 a health care service that:
567 (a) is appropriate to perform or provide outside of a health care facility; and
568 (b) the physician assistant has been trained and credentialed or authorized to provide or
569 perform independently without physician supervision.
570 [
571 (a) shall wear an identification badge showing the physician assistant's license
572 classification as a physician assistant;
573 (b) shall identify themselves to a patient as a physician assistant; and
574 (c) may not identify themselves to any person in connection with activities allowed
575 under this chapter other than as a physician assistant or PA.
576 Section 13. Section 58-77-603 is amended to read:
577 58-77-603. Prohibited practices.
578 A direct-entry midwife may not:
579 (1) administer a prescription drug to a client in a manner that violates this chapter;
580 (2) effect any type of surgical delivery except for the cutting of an emergency
581 episiotomy;
582 (3) administer any type of epidural, spinal, or caudal anesthetic, or any type of narcotic
583 analgesia;
584 (4) use forceps or a vacuum extractor;
585 (5) manually remove the placenta, except in an emergency that presents an immediate
586 threat to the life of the client; or
587 (6) [
588 Section 76-7-302 or Section 76-7a-201, regardless of whether the direct-entry midwife is found
589 guilty of a crime in connection with the violation.
590 Section 14. Section 63I-2-276 is amended to read:
591 63I-2-276. Repeal dates: Title 76.
592 (1) Subsection 76-5-102.7(2)(b), regarding assault or threat of violence against an
593 owner, employee, or contractor of a health facility, is repealed January 1, 2027.
594 [
595
596 [
597 Section 15. Section 76-7-301 is amended to read:
598 76-7-301. Definitions.
599 As used in this part:
600 (1) (a) "Abortion" means[
601 prescribing a drug, with the intent to cause the death of an unborn child of a woman known to
602 be pregnant, except as permitted under this part.
603 [
604
605
606 [
607
608
609 [
610
611
612 (b) "Abortion" does not include:
613 (i) removal of a dead unborn child;
614 (ii) removal of an ectopic pregnancy; or
615 (iii) the killing or attempted killing of an unborn child without the consent of the
616 pregnant woman, unless:
617 (A) the killing or attempted killing is done through a medical procedure carried out by
618 a physician or through a substance used under the direction of a physician; and
619 (B) the physician is unable to obtain the consent due to a medical emergency.
620 [
621 [
622 [
623 [
624 chromosome 21, in whole or in part, or an effective trisomy for chromosome 21.
625 [
626 day of the last menstrual period of the pregnant woman.
627 [
628 (a) a general hospital licensed by the department according to Title 26, Chapter 21,
629 Health Care Facility Licensing and Inspection Act; and
630 (b) a clinic or other medical facility to the extent that such clinic or other medical
631 facility is certified by the department as providing equipment and personnel sufficient in
632 quantity and quality to provide the same degree of safety to the pregnant woman and the
633 unborn child as would be provided for the particular medical procedures undertaken by a
634 general hospital licensed by the department.
635 [
636 prepared by the department.
637 [
638
639
640
641 life threatening physical condition aggravated by, caused by, or arising from a pregnancy that
642 places the pregnant woman at risk of death, or poses a serious risk of substantial impairment of
643 a major bodily function, unless the abortion is performed or induced.
644 [
645 (a) under 18 years old;
646 (b) unmarried; and
647 (c) not emancipated.
648 [
649 performing the abortion:
650 (i) deliberately and intentionally vaginally delivers a living fetus until, in the case of a
651 head first presentation, the entire fetal head is outside the body of the mother, or, in the case of
652 breech presentation, any part of the fetal trunk past the navel is outside the body of the mother,
653 for the purpose of performing an overt act that the person knows will kill the partially delivered
654 living fetus; and
655 (ii) performs the overt act, other than completion of delivery, that kills the partially
656 living fetus.
657 (b) "Partial birth abortion" does not include the dilation and evacuation procedure
658 involving dismemberment prior to removal, the suction curettage procedure, or the suction
659 aspiration procedure for abortion.
660 [
661 (a) a medical doctor licensed to practice medicine and surgery under Title 58, Chapter
662 67, Utah Medical Practice Act;
663 (b) an osteopathic physician licensed to practice osteopathic medicine under Title 58,
664 Chapter 68, Utah Osteopathic Medical Practice Act; or
665 (c) a physician employed by the federal government who has qualifications similar to
666 [
667 [
668 an individual to live in a mentally vegetative state.
669 (b) "Severe brain abnormality" does not include:
670 (i) Down syndrome;
671 (ii) spina bifida;
672 (iii) cerebral palsy; or
673 (iv) any other malformation, defect, or condition that does not cause an individual to
674 live in a mentally vegetative state.
675 Section 16. Section 76-7-302 is amended to read:
676 76-7-302. Circumstances under which abortion authorized.
677 [
678
679
680 [
681 [
682 circumstances:
683 (a) the unborn child [
684 (b) the unborn child [
685 (i) the abortion is necessary to avert:
686 (A) the death of the woman on whom the abortion is performed; or
687 (B) a serious physical risk of substantial [
688 bodily function of the woman on whom the abortion is performed; or
689 (ii) subject to Subsection (4), two physicians who practice maternal fetal medicine
690 concur, in writing, in the patient's medical record that the fetus[
691 the physicians' reasonable medical judgment is incompatible with life; or
692 [
693 [
694 [
695 (i) (A) the woman is pregnant as a result of:
696 (I) rape, as described in Section 76-5-402;
697 (II) rape of a child, as described in Section 76-5-402.1; or
698 (III) incest, as described in Subsection 76-5-406(2)(j) or Section 76-7-102; [
699 (B) the pregnant woman is under the age of 12; and
700 [
701 [
702 has been reported to law enforcement; and
703 [
704 [
705 it is necessary to perform the abortion in another location due to a medical emergency.
706 (4) If an abortion is performed under Subsection (2)(b)(ii), the abortion shall be
707 performed by means of labor rather than in utero, unless the induction of labor poses an
708 unacceptably higher risk to the mother than other methods.
709 Section 17. Section 76-7-302.4 is amended to read:
710 76-7-302.4. Abortion restriction of an unborn child with Down syndrome.
711 Notwithstanding any other provision of this part, an abortion may not be performed if
712 the pregnant mother's sole reason for the abortion is that the unborn child has or may have
713 Down syndrome, unless the abortion is permissible for a reason described in [
714
715 Section 18. Section 76-7-304 is amended to read:
716 76-7-304. Considerations by physician -- Notice to a parent or guardian --
717 Exceptions.
718 (1) To enable the physician to exercise the physician's best medical judgment, the
719 physician shall consider all factors relevant to the well-being of a pregnant woman upon whom
720 an abortion is to be performed, including:
721 (a) her physical, emotional, and psychological health and safety;
722 (b) her age; and
723 (c) her familial situation.
724 (2) Subject to Subsection (3), at least 24 hours before a physician performs an abortion
725 on a minor, the physician shall notify a parent or guardian of the minor that the minor intends
726 to have an abortion.
727 (3) A physician is not required to comply with Subsection (2) if:
728 (a) subject to Subsection (4)(a):
729 (i) a medical condition exists that, on the basis of the physician's good faith clinical
730 judgment, so complicates the medical condition of a pregnant minor as to necessitate the
731 abortion of her pregnancy to avert:
732 (A) the minor's death; or
733 (B) a serious physical risk of substantial [
734 bodily function of the minor; and
735 (ii) there is not sufficient time to give the notice required under Subsection (2) before it
736 is necessary to terminate the minor's pregnancy in order to avert the minor's death or
737 impairment described in Subsection (3)(a)(i);
738 (b) subject to Subsection (4)(b):
739 (i) the physician complies with Subsection (5); and
740 (ii) (A) the minor is pregnant as a result of incest to which the parent or guardian was a
741 party; or
742 (B) the parent or guardian has abused the minor; or
743 (c) subject to Subsection (4)(b), the parent or guardian has not assumed responsibility
744 for the minor's care and upbringing.
745 (4) (a) If, for the reason described in Subsection (3)(a), a physician does not give the
746 24-hour notice described in Subsection (2), the physician shall give the required notice as early
747 as possible before the abortion, unless it is necessary to perform the abortion immediately in
748 order to avert the minor's death or impairment described in Subsection (3)(a)(i).
749 (b) If, for a reason described in Subsection (3)(b) or (c), a parent or guardian of a minor
750 is not notified that the minor intends to have an abortion, the physician shall notify another
751 parent or guardian of the minor, if the minor has another parent or guardian that is not exempt
752 from notification under Subsection (3)(b) or (c).
753 (5) If, for a reason described in Subsection (3)(b)(ii)(A) or (B), a physician does not
754 notify a parent or guardian of a minor that the minor intends to have an abortion, the physician
755 shall report the incest or abuse to the Division of Child and Family Services within the
756 Department of Health and Human Services.
757 Section 19. Section 76-7-304.5 is amended to read:
758 76-7-304.5. Consent required for abortions performed on minors -- Division of
759 Child and Family Services as guardian of a minor -- Hearing to allow a minor to
760 self-consent -- Appeals.
761 (1) In addition to the other requirements of this part, a physician may not perform an
762 abortion on a minor unless:
763 (a) the physician obtains the informed written consent of a parent or guardian of the
764 minor, in accordance with Sections 76-7-305 and 76-7-305.5;
765 (b) the minor is granted the right, by court order under Subsection (4)(b), to consent to
766 the abortion without obtaining consent from a parent or guardian; or
767 (c) (i) a medical condition exists that, on the basis of the physician's good faith clinical
768 judgment, so complicates the medical condition of a pregnant minor as to necessitate the
769 abortion of her pregnancy to avert:
770 (A) the minor's death; or
771 (B) a serious physical risk of substantial [
772 bodily function of the minor; and
773 (ii) there is not sufficient time to obtain the consent in the manner chosen by the minor
774 under Subsection (2) before it is necessary to terminate the minor's pregnancy in order to avert
775 the minor's death or impairment described in Subsection (1)(c)(i).
776 (2) (a) A minor who wants to have an abortion may choose:
777 (i) to seek consent from the minor's parent or guardian as described in Subsection (1);
778 or
779 (ii) to seek a court order as described in Subsection (1).
780 (b) Neither Subsection (1) nor this Subsection (2) require the minor to seek or obtain
781 consent from the minor's parent or guardian if the circumstances described in Subsection
782 76-7-304(3)(b)(ii) exist.
783 (3) If a minor does not obtain the consent of the minor's parent or guardian, the minor
784 may file a petition with the juvenile court to obtain a court order as described in Subsection (1).
785 (4) (a) The juvenile court shall close the hearing on a petition described in Subsection
786 (3) to the public.
787 (b) After considering the evidence presented at the hearing, the court shall order that
788 the minor may obtain an abortion without the consent of a parent or guardian of the minor if
789 the court finds by a preponderance of the evidence that:
790 (i) the minor:
791 (A) has given her informed consent to the abortion; and
792 (B) is mature and capable of giving informed consent to the abortion; or
793 (ii) an abortion would be in the minor's best interest.
794 (5) The Judicial Council shall make rules that:
795 (a) provide for the administration of the proceedings described in this section;
796 (b) provide for the appeal of a court's decision under this section;
797 (c) ensure the confidentiality of the proceedings described in this section and the
798 records related to the proceedings; and
799 (d) establish procedures to expedite the hearing and appeal proceedings described in
800 this section.
801 Section 20. Section 76-7-305 is amended to read:
802 76-7-305. Informed consent requirements for abortion -- 72-hour wait mandatory
803 -- Exceptions.
804 (1) A person may not perform an abortion, unless, before performing the abortion, the
805 physician who will perform the abortion obtains from the woman on whom the abortion is to
806 be performed a voluntary and informed written consent that is consistent with:
807 (a) Section 8.08 of the American Medical Association's Code of Medical Ethics,
808 Current Opinions; and
809 (b) the provisions of this section.
810 (2) Except as provided in Subsection (8), consent to an abortion is voluntary and
811 informed only if, at least 72 hours before the abortion:
812 (a) a staff member of [
813 nurse practitioner, advanced practice registered nurse, certified nurse midwife, genetic
814 counselor, or physician's assistant presents the information module to the pregnant woman;
815 (b) the pregnant woman views the entire information module and presents evidence to
816 the individual described in Subsection (2)(a) that the pregnant woman viewed the entire
817 information module;
818 (c) after receiving the evidence described in Subsection (2)(b), the individual described
819 in Subsection (2)(a):
820 (i) documents that the pregnant woman viewed the entire information module;
821 (ii) gives the pregnant woman, upon her request, a copy of the documentation
822 described in Subsection (2)(c)(i); and
823 (iii) provides a copy of the statement described in Subsection (2)(c)(i) to the physician
824 who is to perform the abortion, upon request of that physician or the pregnant woman;
825 (d) after the pregnant woman views the entire information module, the physician who
826 is to perform the abortion, the referring physician, a physician, a registered nurse, nurse
827 practitioner, advanced practice registered nurse, certified nurse midwife, genetic counselor, or
828 physician's assistant, in a face-to-face consultation in any location in the state, orally informs
829 the woman of:
830 (i) the nature of the proposed abortion procedure;
831 (ii) specifically how the procedure described in Subsection (2)(d)(i) will affect the
832 fetus;
833 (iii) the risks and alternatives to the abortion procedure or treatment;
834 (iv) the options and consequences of aborting a medication-induced abortion, if the
835 proposed abortion procedure is a medication-induced abortion;
836 (v) the probable gestational age and a description of the development of the unborn
837 child at the time the abortion would be performed;
838 (vi) the medical risks associated with carrying her child to term;
839 (vii) the right to view an ultrasound of the unborn child, at no expense to the pregnant
840 woman, upon her request; and
841 (viii) when the result of a prenatal screening or diagnostic test indicates that the unborn
842 child has or may have Down syndrome, the [
843 department's website, which contains the information described in Section 26-10-14, including
844 the information on the informational support sheet; and
845 (e) after the pregnant woman views the entire information module, a staff member of
846 the [
847 (i) on a document that the pregnant woman may take home:
848 (A) the address for the department's website described in Section 76-7-305.5; and
849 (B) a statement that the woman may request, from a staff member of the [
850
851 material on the department's website;
852 (ii) a printed copy of the material on the department's website described in Section
853 76-7-305.5, if requested by the pregnant woman; and
854 (iii) a copy of the form described in Subsection 26-21-33(3)(a)(i) regarding the
855 disposition of the aborted fetus.
856 (3) Before performing an abortion, the physician who is to perform the abortion shall:
857 (a) in a face-to-face consultation, provide the information described in Subsection
858 (2)(d), unless the attending physician or referring physician is the individual who provided the
859 information required under Subsection (2)(d); and
860 (b) (i) obtain from the pregnant woman a written certification that the information
861 required to be provided under Subsection (2) and this Subsection (3) was provided in
862 accordance with the requirements of Subsection (2) and this Subsection (3);
863 (ii) obtain a copy of the statement described in Subsection (2)(c)(i); and
864 (iii) ensure that:
865 (A) the woman has received the information described in Subsections 26-21-33(3) and
866 (4); and
867 (B) if the woman has a preference for the disposition of the aborted fetus, the woman
868 has informed the health care facility of the woman's decision regarding the disposition of the
869 aborted fetus.
870 (4) When a [
871 physician shall inform the woman prior to the abortion, if possible, of the medical indications
872 supporting the physician's judgment that an abortion is necessary.
873 (5) If an ultrasound is performed on a woman before an abortion is performed, the
874 individual who performs the ultrasound, or another qualified individual, shall:
875 (a) inform the woman that the ultrasound images will be simultaneously displayed in a
876 manner to permit her to:
877 (i) view the images, if she chooses to view the images; or
878 (ii) not view the images, if she chooses not to view the images;
879 (b) simultaneously display the ultrasound images in order to permit the woman to:
880 (i) view the images, if she chooses to view the images; or
881 (ii) not view the images, if she chooses not to view the images;
882 (c) inform the woman that, if she desires, the person performing the ultrasound, or
883 another qualified person shall provide a detailed description of the ultrasound images,
884 including:
885 (i) the dimensions of the unborn child;
886 (ii) the presence of cardiac activity in the unborn child, if present and viewable; and
887 (iii) the presence of external body parts or internal organs, if present and viewable; and
888 (d) provide the detailed description described in Subsection (5)(c), if the woman
889 requests it.
890 (6) The information described in Subsections (2), (3), and (5) is not required to be
891 provided to a pregnant woman under this section if the abortion is performed for a reason
892 described in:
893 (a) Subsection 76-7-302(3)(b)(i), if the treating physician and one other physician
894 concur, in writing, that the abortion is necessary to avert:
895 (i) the death of the woman on whom the abortion is performed; or
896 (ii) a serious physical risk of substantial [
897 bodily function of the woman on whom the abortion is performed; or
898 (b) Subsection 76-7-302(3)(b)(ii).
899 (7) In addition to the criminal penalties described in this part, a physician who violates
900 the provisions of this section:
901 (a) is guilty of unprofessional conduct as defined in Section 58-67-102 or 58-68-102;
902 and
903 (b) shall be subject to:
904 (i) suspension or revocation of the physician's license for the practice of medicine and
905 surgery in accordance with Section 58-67-401 or 58-68-401; and
906 (ii) administrative penalties in accordance with Section 58-67-402 or 58-68-402.
907 (8) A physician is not guilty of violating this section for failure to furnish any of the
908 information described in Subsection (2) or (3), or for failing to comply with Subsection (5), if:
909 (a) the physician can demonstrate by a preponderance of the evidence that the
910 physician reasonably believed that furnishing the information would have resulted in a severely
911 adverse effect on the physical or mental health of the pregnant woman;
912 (b) in the physician's professional judgment, the abortion was necessary to avert:
913 (i) the death of the woman on whom the abortion is performed; or
914 (ii) a serious physical risk of substantial [
915 bodily function of the woman on whom the abortion is performed;
916 (c) the pregnancy was the result of rape or rape of a child, as described in Sections
917 76-5-402 and 76-5-402.1;
918 (d) the pregnancy was the result of incest, as defined in Subsection 76-5-406(2)(j) and
919 Section 76-7-102; or
920 (e) at the time of the abortion, the pregnant woman was 14 years old or younger.
921 (9) A physician who complies with the provisions of this section and Section
922 76-7-304.5 may not be held civilly liable to the physician's patient for failure to obtain
923 informed consent under Section 78B-3-406.
924 (10) (a) The department shall provide an ultrasound, in accordance with the provisions
925 of Subsection (5)(b), at no expense to the pregnant woman.
926 (b) A local health department shall refer a pregnant woman who requests an ultrasound
927 described in Subsection (10)(a) to the department.
928 (11) A physician is not guilty of violating this section if:
929 (a) the information described in Subsection (2) is provided less than 72 hours before
930 the physician performs the abortion; and
931 (b) in the physician's professional judgment, the abortion was necessary in a case
932 where:
933 (i) a ruptured membrane, documented by the attending or referring physician, will
934 cause a serious infection; or
935 (ii) a serious infection, documented by the attending or referring physician, will cause a
936 ruptured membrane.
937 Section 21. Section 76-7-314 is amended to read:
938 76-7-314. Violations of abortion laws -- Classifications.
939 (1) [
940 76-7-310.5, 76-7-311, or 76-7-312 is a felony of the third degree.
941 (2) A violation of Section 76-7-326 is a felony of the third degree.
942 (3) A violation of Section [
943 (4) A violation of any other provision of this part, including Subsections
944 76-7-305(2)(a) through (c), and (e), is a class A misdemeanor.
945 (5) The [
946 provision of this part to the Physicians Licensing Board, described in Section 58-67-201.
947 (6) Any person with knowledge of a physician's violation of any provision of this part
948 may report the violation to the Physicians Licensing Board, described in Section 58-67-201.
949 (7) In addition to the penalties described in this section, the department may take any
950 action described in Section 26-21-11 against [
951 violation of this chapter occurs at the [
952 Section 22. Section 76-7-314.5 is amended to read:
953 76-7-314.5. Killing an unborn child.
954 (1) A person is guilty of killing an unborn child if the person intentionally causes the
955 death of an unborn child by performing an abortion of the unborn child in violation of the
956 provisions of Subsection [
957 (2) A woman is not criminally liable for:
958 (a) seeking to obtain, or obtaining, an abortion that is permitted by this part; or
959 (b) a physician's failure to comply with Subsection [
960 76-7-302(2)(b)(ii) or Section 76-7-305.
961 Section 23. Section 76-7-317 is amended to read:
962 76-7-317. Severability clause.
963 If any one or more provision, section, subsection, sentence, clause, phrase, or word of
964 this part or the application thereof to any person or circumstance is found to be
965 unconstitutional, the same is hereby declared to be severable and the balance of this part shall
966 remain effective notwithstanding such unconstitutionality. The legislature hereby declares that
967 it would have passed this part, and each provision, section, subsection, sentence, clause, phrase,
968 or word thereof, irrespective of the fact that any one or more provision, section, subsection,
969 sentence, clause, phrase, or word be declared unconstitutional. This section applies to any
970 provision, section, subsection, sentence, clause, phrase, or word of this part, regardless of the
971 time of enactment, amendment, or repeal.
972 Section 24. Section 76-7-332 is enacted to read:
973 76-7-332. Drugs known to be used for abortion -- Prescriber limitation --
974 Criminal penalties.
975 (1) As used in the section, "abortion-related drug" means a drug or medication that is
976 known to be used for the purpose of performing an abortion, and includes:
977 (a) methotrexate, or methotrexate with misoprostol;
978 (b) mifepristone, also known as mifeprex;
979 (c) misoprostol, also known as cytotec; and
980 (d) RU-486.
981 (2) An individual may not prescribe an abortion-related drug for the purpose of causing
982 an abortion, unless the individual is licensed as a physician in this state under:
983 (a) Title 58, Chapter 67, Utah Medical Practice Act; or
984 (b) Title 58, Chapter 68, Utah Osteopathic Medical Practice Act.
985 (3) A violation of Subsection (2) is a class B misdemeanor.
986 Section 25. Section 76-7a-101 is amended to read:
987 76-7a-101. Definitions.
988 As used in this chapter:
989 (1) (a) "Abortion" means[
990 prescribing a drug, with the intent to cause the death of an unborn child of a woman known to
991 be pregnant, except as permitted under this chapter.
992 [
993
994
995 [
996
997
998 [
999
1000
1001 (b) "Abortion" does not include:
1002 (i) removal of a dead unborn child;
1003 (ii) removal of an ectopic pregnancy; or
1004 (iii) the killing or attempted killing of an unborn child without the consent of the
1005 pregnant woman, unless:
1006 (A) the killing or attempted killing is done through a medical procedure carried out by
1007 a physician or through a substance used under the direction of a physician; and
1008 (B) the physician is unable to obtain the consent due to a medical emergency.
1009 [
1010
1011 [
1012 [
1013 chromosome 21, in whole or in part, or an effective trisomy for chromosome 21.
1014 [
1015 (a) a general hospital licensed by the department; or
1016 (b) a clinic or other medical facility to the extent the clinic or other medical facility is
1017 certified by the department as providing equipment and personnel sufficient in quantity and
1018 quality to provide the same degree of safety to a pregnant woman and an unborn child as would
1019 be provided for the particular medical procedure undertaken by a general hospital licensed by
1020 the department.
1021 [
1022 [
1023
1024
1025
1026 threatening physical condition aggravated by, caused by, or arising from a pregnancy that
1027 places the pregnant woman at risk of death, or poses a serious risk of substantial impairment of
1028 a major bodily function, unless the abortion is performed or induced.
1029 [
1030 (a) a medical doctor licensed to practice medicine and surgery in the state;
1031 (b) an osteopathic physician licensed to practice osteopathic medicine in the state; or
1032 (c) a physician employed by the federal government who has qualifications similar to
1033 an individual described in Subsection [
1034 [
1035 [
1036 individual to live in a mentally vegetative state.
1037 (b) "Severe brain abnormality" does not include:
1038 (i) Down syndrome;
1039 (ii) spina bifida;
1040 (iii) cerebral palsy; or
1041 (iv) any other malformation, defect, or condition that does not cause an individual to
1042 live in a mentally vegetative state.
1043 Section 26. Section 76-7a-201 is amended to read:
1044 76-7a-201. Abortion prohibition -- Exceptions -- Penalties.
1045 (1) An abortion may be performed in this state only under the following circumstances:
1046 (a) the abortion is necessary to avert:
1047 (i) the death of the woman on whom the abortion is performed; or
1048 (ii) a serious physical risk of substantial [
1049 bodily function of the woman on whom the abortion is performed;
1050 (b) subject to Subsection (3), two physicians who practice maternal fetal medicine
1051 concur, in writing, in the patient's medical record that the fetus[
1052 the physicians' reasonable medical judgment is incompatible with life; or
1053 [
1054 [
1055 (c) [
1056 (i) (A) the woman is pregnant as a result of:
1057 [
1058 [
1059 [
1060 or
1061 (B) the pregnant woman is under the age of 12; and
1062 (ii) before the abortion is performed, the physician who performs the abortion:
1063 (A) verifies that the incident described in Subsection [
1064 reported to law enforcement; and
1065 (B) if applicable, complies with requirements related to reporting suspicions of or
1066 known child abuse.
1067 (2) An abortion may be performed only:
1068 (a) by a physician; and
1069 (b) in [
1070 another location due to a medical emergency.
1071 (3) If an abortion is performed under Subsection (1)(b), the abortion shall be performed
1072 by means of labor rather than in utero, unless the induction of labor poses an unacceptably
1073 higher risk to the mother than other methods.
1074 [
1075 second degree felony.
1076 [
1077 may take appropriate corrective action against [
1078 including revoking the [
1079 chapter occurs at the [
1080 [
1081 section to the state entity that regulates the licensing of a physician.
1082 Section 27. Repealer.
1083 This bill repeals:
1084 Section 76-7-302.5, Circumstances under which abortion prohibited.