1 HB23 2 214981-2 3 By Representatives Kiel, Shedd, Mooney, Hanes, Standridge, 4 Smith, Estes, Dismukes, Carns, Holmes, Wilcox, Lipscomb, 5 Bedsole, Robertson, Moore (P), Shaver, Sorrells, Allen, 6 Marques, Reynolds, Stadthagen, Sorrell and Whorton 7 RFD: Judiciary 8 First Read: 11-JAN-22 Page 0 1 214981-2:n:09/08/2021:AHP*/cmg LSA2021-1926R1 2 3 4 5 6 7 8 SYNOPSIS: Under existing law, it is unlawful for any 9 person to intentionally perform or attempt to 10 perform an abortion except where a medical 11 emergency exists. 12 This bill would prohibit a physician from 13 performing an abortion if a fetal heart beat has 14 been detected or if no test for a fetal heartbeat 15 has been performed, except in circumstances where a 16 medical emergency exists. 17 This bill would provide a private cause of 18 action for enforcement of this act by any person 19 who performs or induces an abortion or who 20 knowingly engages in conduct that aids or abets the 21 performance or inducement of an abortion, including 22 paying for or reimbursing costs of an abortion. 23 This bill would provide injunctive relief 24 and provide damages in an amount of not less than 25 $10,000 for each abortion performed or induced and 26 attorneys' fees. Page 1 1 This bill would provide that a defendant 2 against whom a civil action is brought does not 3 have standing to assert the rights of women seeking 4 an abortion as a defense to liability, with certain 5 exceptions based on federal case law. 6 This bill would prohibit a court from 7 allowing, in certain circumstances, as an 8 affirmative defense to a cause of action, that a 9 woman seeking an abortion faces an undue burden. 10 This bill would also provide that any person 11 who seeks declaratory or injunctive relief to 12 prevent this state from enforcing any law that 13 restricts abortion or that limits taxpayer funding 14 of abortions is jointly and severally liable to pay 15 costs and attorneys' fees of the prevailing party. 16 17 A BILL 18 TO BE ENTITLED 19 AN ACT 20 21 Relating to abortion; to prohibit abortions after 22 detection of an unborn child's heartbeat; to authorize a 23 private civil right of action against anyone who performs or 24 aids and abets an abortion procedure; to provide for 25 injunctive relief and damages; to prohibit certain defenses in 26 a cause of action; and to provide that a person challenging a Page 2 1 state abortion law pay the costs and attorneys' fees of the 2 prevailing party. 3 BE IT ENACTED BY THE LEGISLATURE OF ALABAMA: 4 Section 1. This act shall be known and may be cited 5 as the Alabama Heartbeat Act. 6 Section 2. For the purposes of this act, the 7 following terms shall have the following meanings: 8 (1) FETAL HEARTBEAT. A cardiac activity or the 9 steady and repetitive rhythmic contraction of the fetal heart 10 within the gestational sac. 11 (2) GESTATIONAL AGE. The amount of time that has 12 elapsed from the first day of a woman's last menstrual period. 13 (3) GESTATIONAL SAC. The structure comprising the 14 extraembryonic membranes that envelop the unborn child and 15 that is typically visible by ultrasound after the fourth week 16 of pregnancy. 17 (4) PHYSICIAN. An individual licensed to practice 18 medicine or osteopathy in this state. 19 (5) PREGNANCY. The human female reproductive 20 condition that: 21 a. Begins with fertilization; 22 b. Occurs when the woman is carrying the developing 23 human offspring; and 24 c. Is calculated from the first day of the woman's 25 last menstrual period. Page 3 1 (6) STANDARD MEDICAL PRACTICE. The degree of skill, 2 care, and diligence that an obstetrician of ordinary judgment, 3 learning, and skill would employ in like circumstances. 4 (7) UNBORN CHILD. A human fetus or embryo in any 5 stage of gestation from fertilization until birth. 6 Section 3. The Legislature finds, according to 7 contemporary medical research, all of the following: 8 (1) That a fetal heartbeat has become a key medical 9 predictor that an unborn child will reach live birth. 10 (2) That cardiac activity begins at a biologically 11 identifiable moment in time, normally when the fetal heart is 12 formed in the gestational sac. 13 (3) That this state has compelling interests from 14 the outset of a woman's pregnancy in protecting the health of 15 the woman and the life of the unborn child. 16 (4) That to make an informed choice about whether to 17 continue her pregnancy, the pregnant woman has a compelling 18 interest in knowing the likelihood of her unborn child 19 surviving to full-term birth based on the presence of cardiac 20 activity. 21 Section 4. (a) For the purposes of determining the 22 presence of a fetal heartbeat under this section, "standard 23 medical practice" includes employing the appropriate means of 24 detecting the heartbeat based on the estimated gestational age 25 of the unborn child and the condition of the woman and her 26 pregnancy. Page 4 1 (b) Except as provided by Section 6, a physician may 2 not knowingly perform or induce an abortion on a pregnant 3 woman unless the physician has determined, in accordance with 4 this section, whether the woman's unborn child has a 5 detectable fetal heartbeat. 6 (c) In making a determination under subsection (b), 7 the physician must use a test that meets both of the following 8 criteria: 9 (1) Is consistent with the physician's good faith 10 and reasonable understanding of standard medical practice. 11 (2) Is appropriate for the estimated gestational age 12 of the unborn child and the condition of the pregnant woman 13 and her pregnancy. 14 (d) A physician making a determination under 15 subsection (b) shall record in the pregnant woman's medical 16 record all of the following: 17 (1) The estimated gestational age of the unborn 18 child. 19 (2) The method used to estimate the gestational age. 20 (3) The test used for detecting a fetal heartbeat, 21 including the date, time, and results of the test. 22 Section 5. (a) Except as provided by Section 6, a 23 physician may not knowingly perform or induce an abortion on a 24 pregnant woman if the physician detected a fetal heartbeat for 25 the unborn child as required by Section 4 or failed to perform 26 a test to detect a fetal heartbeat. Page 5 1 (b) A physician does not violate this section if the 2 physician performed a test for a fetal heartbeat as required 3 by Section 4 and did not detect a fetal heartbeat. 4 (c) This section does not affect either of the 5 following: 6 (1) Any provision of Title 26 that restricts or 7 regulates an abortion by a particular method or during a 8 particular stage of pregnancy. 9 (2) Any other provision of state law that regulates 10 or prohibits abortion. 11 Section 6. (a) Sections 4 and 5 do not apply if a 12 physician believes a medical emergency exists that prevents 13 compliance with this act. 14 (b) A physician who performs or induces an abortion 15 under circumstances described by subsection (a) shall make 16 written notations in the pregnant woman's medical record of 17 both of the following: 18 (1) The physician's belief that a medical emergency 19 necessitated the abortion. 20 (2) The medical condition of the pregnant woman that 21 prevented compliance with this act. 22 (c) A physician performing or inducing an abortion 23 under this section shall maintain in the physician's practice 24 records a copy of the notations made under subsection (b). 25 Section 7. (a) This act does not create or recognize 26 a right to abortion before a fetal heartbeat is detected. Page 6 1 (b) This act may not be construed to do either of 2 the following: 3 (1) Authorize the initiation of a cause of action 4 against or the prosecution of a woman on whom an abortion is 5 performed or induced or attempted to be performed or induced 6 in violation of this act. 7 (2) Wholly or partly repeal, either expressly or by 8 implication, any other law that regulates or prohibits 9 abortion. 10 Section 8. (a) Notwithstanding any other law, the 11 requirements of this act shall be enforced exclusively through 12 the private civil actions described in Section 9. No 13 enforcement of this act, in response to violations of this 14 act, may be taken by this state, a political subdivision, a 15 district attorney, or a public official or public employee of 16 this state or a political subdivision against any person, 17 except as provided in Section 9. 18 (b) Subsection (a) may not be construed to: 19 (1) Legalize the conduct prohibited by this act or 20 by Chapter 23H, Title 26, Code of Alabama 1975. 21 (2) Limit in any way or affect the availability of a 22 remedy established in Section 9. 23 (3) Limit the enforceability of any other laws that 24 regulate or prohibit abortion. 25 Section 9. (a) Any person, other than a public 26 official or public employee of a state or political Page 7 1 subdivision of this state, may bring a civil action against 2 any person who does any of the following: 3 (1) Performs or induces an abortion in violation of 4 this act. 5 (2) Knowingly engages in conduct that aids or abets 6 the performance or inducement of an abortion, including paying 7 for or reimbursing the costs of an abortion through insurance 8 or otherwise, if the abortion is performed or induced in 9 violation of this act, regardless of whether the person knew 10 or should have known that the abortion would be performed or 11 induced in violation of this act. 12 (3) Intends to engage in the conduct described by 13 subdivision (1) or (2). 14 (b) If a claimant prevails in an action brought 15 under this section, the court shall award all of the 16 following: 17 (1) Injunctive relief sufficient to prevent the 18 defendant from violating this act or engaging in acts that aid 19 or abet violations of this act. 20 (2) Damages in an amount of not less than ten 21 thousand dollars ($10,000) for each abortion that the 22 defendant performed or induced in violation of this act and 23 for each abortion performed or induced in violation of this 24 act that the defendant aided or abetted. 25 (3) Court costs and attorneys' fees. 26 (c) Notwithstanding subsection (b), a court may not 27 award relief under this section in response to a violation of Page 8 1 subdivision (a)(1) or (2) if the defendant demonstrates that 2 the defendant previously paid the full amount of damages under 3 subdivision (b)(2) in a previous action for that particular 4 abortion performed or induced in violation of this act or for 5 the particular conduct that aided or abetted an abortion 6 performed or induced in violation of this act. 7 (d) Notwithstanding Title 6, Code of Alabama 1975, 8 or any other law, a person may bring an action under this 9 section not later than four years from the date the cause of 10 action accrues. 11 (e) Notwithstanding any other law, the following are 12 not a defense to an action brought under this section: 13 (1) Ignorance or mistake of law. 14 (2) A defendant's belief that the requirements of 15 this act are unconstitutional or were unconstitutional. 16 (3) A defendant's reliance on any court decision 17 that has been overruled on appeal or by a subsequent court, 18 even if that court decision had not been overruled when the 19 defendant engaged in conduct that violates this act. 20 (4) A defendant's reliance on any state or federal 21 court decision that is not binding on the court in which the 22 action has been brought. 23 (5) Non-mutual issue preclusion or non-mutual claim 24 preclusion. 25 (6) The consent of the unborn child's mother to the 26 abortion. Page 9 1 (7) Any claim that the enforcement of this act or 2 the imposition of civil liability against the defendant will 3 violate the constitutional rights of third parties, except as 4 provided by Section 10. 5 (f) It is an affirmative defense to an action under 6 this section if either of the following occur: 7 (1) A person sued under subdivision (a)(2) 8 reasonably believed, after conducting a reasonable 9 investigation, that the physician performing or inducing the 10 abortion had complied or would comply with this act. 11 (2) A person sued under subdivision (a)(3) 12 reasonably believed, after conducting a reasonable 13 investigation, that the physician performing or inducing the 14 abortion will comply with this act. 15 (g) The defendant has the burden of proving an 16 affirmative defense under subdivision (f)(1) or (2) by a 17 preponderance of the evidence. 18 (h) This section may not be construed to impose 19 liability on any speech or conduct protected by the First 20 Amendment of the United States Constitution, as made 21 applicable to the states through the United States Supreme 22 Court's interpretation of the Fourteenth Amendment of the 23 United States Constitution, or by Section 4, Article 1, 24 Constitution of Alabama of 1901. 25 (i) Notwithstanding any other law, this state, a 26 public official of the state or a political subdivision, or a 27 district attorney may not intervene in an action brought under Page 10 1 this section. This subsection does not prohibit an individual 2 described in this subsection from filing an amicus curiae 3 brief in the action. 4 (j) Notwithstanding any other law, a court may not 5 award costs or attorneys' fees. 6 (k) Notwithstanding any other law, a civil action 7 under this section may not be brought by a person who 8 impregnated the abortion patient through an act of rape, 9 sexual abuse, incest, or any other sex offense referenced in 10 Section 15-20A-5, Code of Alabama 1975. 11 Section 10. (a) A defendant against whom an action 12 is brought under Section 9 does not have standing to assert 13 the rights of women seeking an abortion as a defense to 14 liability under that section unless either of the following 15 occur: 16 (1) The United States Supreme Court holds that the 17 courts of this state must confer standing on that defendant to 18 assert the third-party rights of women seeking an abortion in 19 state court as a matter of federal constitutional law. 20 (2) The defendant has standing to assert the rights 21 of women seeking an abortion under the tests for third-party 22 standing established by the United States Supreme Court. 23 (b) A defendant in an action brought under Section 9 24 may assert an affirmative defense to liability under this 25 section if both of the following occur: Page 11 1 (1) The defendant has standing to assert the 2 third-party rights of a woman or group of women seeking an 3 abortion in accordance with subsection (a). 4 (2) The defendant demonstrates that the relief 5 sought by the claimant will impose an undue burden on that 6 woman or that group of women seeking an abortion. 7 (c) A court may not find an undue burden under 8 subsection (b) unless the defendant introduces evidence 9 proving both of the following: 10 (1) An award of relief will prevent a woman or a 11 group of women from obtaining an abortion. 12 (2) An award of relief will place a substantial 13 obstacle in the path of a woman or a group of women who are 14 seeking an abortion. 15 (d) A defendant may not establish an undue burden 16 under this section by doing either of the following: 17 (1) Merely demonstrating that an award of relief 18 will prevent women from obtaining support or assistance, 19 financial or otherwise, from others in their effort to obtain 20 an abortion. 21 (2) Arguing or attempting to demonstrate that an 22 award of relief against other defendants or other potential 23 defendants will impose an undue burden on women seeking an 24 abortion. 25 (e) The affirmative defense under subsection (b) is 26 not available if the United States Supreme Court overrules Roe 27 v. Wade, 410 U.S. 113 (1973) or Planned Parenthood v. Casey, Page 12 1 505 U.S. 833 (1992), regardless of whether the conduct on 2 which the cause of action is based under Section 9 occurred 3 before the Supreme Court overruled either of those decisions. 4 (f) Nothing in this section shall in any way limit 5 or preclude a defendant from asserting the defendant's 6 personal constitutional rights as a defense to liability under 7 Section 9, and a court may not award relief under Section 9 if 8 the conduct for which the defendant has been sued was an 9 exercise of state or federal constitutional rights that 10 personally belong to the defendant. 11 Section 11. (a) Notwithstanding any other law, 12 including Chapter 3, Title 6, Code of Alabama 1975, a civil 13 action brought under Section 9 shall be brought in one of the 14 following: 15 (1) The county in which all or a substantial part of 16 the events or omissions giving rise to the claim occurred. 17 (2) The county of residence for any one of the 18 natural person defendants at the time the cause of action 19 accrued. 20 (3) The county of the principal office in this state 21 of any one of the defendants that is not a natural person. 22 (4) The county of residence for the claimant if the 23 claimant is a natural person residing in this state. 24 (b) If a civil action is brought under Section 9 in 25 any one of the venues described in subsection (a), the action 26 may not be transferred to a different venue without the 27 written consent of all parties. Page 13 1 Section 12. (a) This section prevails over any 2 conflicting law, including the Uniform Declaratory Judgments 3 Act and Title 6, Code of Alabama 1975. 4 (b) This state or a political subdivision has 5 sovereign immunity, and each public official and public 6 employee of this state or a political subdivision shall be 7 immune from liability in any action, claim, or counterclaim or 8 any type of legal or equitable action that challenges the 9 validity of any provision or application of this act, on 10 constitutional grounds or otherwise. 11 (c) A provision of state law may not be construed to 12 waive or abrogate an immunity described in subsection (b) 13 unless it expressly waives immunity under this section. 14 Section 13. (a) Notwithstanding any other law, any 15 person, including an entity, attorney, or law firm, who seeks 16 declaratory or injunctive relief to prevent this state, a 17 political subdivision, any governmental entity or public 18 official in this state, or any person in this state from 19 enforcing any state law, ordinance, rule, or any other type of 20 law that regulates or restricts abortion or that limits 21 taxpayer funding for individuals or entities that perform or 22 promote abortions, in any state or federal court, or that 23 represents any litigant seeking such relief in any state or 24 federal court, is jointly and severally liable to pay the 25 court costs and attorneys' fees of the prevailing party. Page 14 1 (b) For purposes of this section, a party is 2 considered a prevailing party if a state or federal court does 3 either of the following: 4 (1) Dismisses any claim or cause of action brought 5 against the party that seeks the declaratory or injunctive 6 relief described by subsection (a), regardless of the reason 7 for the dismissal. 8 (2) Enters judgment in the party's favor on any such 9 claim or cause of action. 10 (c) Regardless of whether a prevailing party sought 11 to recover costs or attorneys' fees in the underlying action, 12 a prevailing party under this section may bring a civil action 13 to recover costs and attorneys' fees against a person, 14 including an entity, attorney, or law firm, that sought 15 declaratory or injunctive relief described by subsection (a) 16 not later than the third anniversary of the date on which, as 17 applicable either of the following: 18 (1) The dismissal or judgment described by 19 subsection (b) becomes final on the conclusion of appellate 20 review. 21 (2) The time for seeking appellate review expires. 22 (d) It is not a defense to an action brought under 23 subsection (c) that any of the following occur: 24 (1) A prevailing party under this section failed to 25 seek recovery of costs or attorneys' fees in the underlying 26 action. Page 15 1 (2) The court in the underlying action declined to 2 recognize or enforce the requirements of this section. 3 (3) The court in the underlying action held that any 4 provisions of this section are invalid, unconstitutional, or 5 preempted by federal law, notwithstanding the doctrines of 6 issue or claim preclusion. 7 Section 14. (a) A state law that regulates or 8 prohibits abortion may not be construed to repeal any other 9 law that regulates or prohibits abortion, either wholly or 10 partly, unless the act of the Legislature repealing the law 11 explicitly states that it is repealing the other law. 12 (b) A state law may not be construed to restrict a 13 political subdivision from regulating or prohibiting abortion 14 in a manner that is at least as stringent as the laws of this 15 state unless the statute explicitly states that political 16 subdivisions are prohibited from regulating or prohibiting 17 abortion in the manner described by the state law. 18 (c) Every state law that regulates or prohibits 19 abortion is severable in each of its applications to every 20 person and circumstance. If any law that regulates or 21 prohibits abortion is found by any court to be 22 unconstitutional, either on its face or as applied, then all 23 applications of that law that do not violate the United States 24 Constitution and the Constitution of Alabama of 1901, shall be 25 severed from the unconstitutional applications and shall 26 remain enforceable, notwithstanding any other law, and the 27 statute shall be interpreted as if containing language Page 16 1 limiting the statute's application to the persons, group of 2 persons, or circumstances for which the statute's application 3 will not violate the United States Constitution and the 4 Constitution of Alabama of 1901. 5 Section 15. The provisions of this act are 6 severable. If any part of this act is declared invalid or 7 unconstitutional, that declaration shall not affect the part 8 which remains. 9 Section 16. This act shall become effective on the 10 first day of the third month following its passage and 11 approval by the Governor, or its otherwise becoming law. Page 17