Alabama 2022 Regular Session

Alabama House Bill HB349 Compare Versions

Only one version of the bill is available at this time.

Old	New	Differences
1	1	1 HB349
2	2	2 217215-3
3	3	3 By Representatives Meadows, Holmes, Almond, Mooney,
4	4	4 Stadthagen, Sorrell, Shaver, Kiel, Hanes, Whorton, Collins,
5	5	5 Wilcox, Wood (D), Wingo and Shiver
6	6	6 RFD: Judiciary
7	7	7 First Read: 15-FEB-22
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15	15	7
16	16	8 SYNOPSIS: Existing law requires abortion providers, 48
17	17	9 hours before performing an abortion on a woman, to
18	18	10 provide the woman with a state-produced pamphlet of
19	19	11 pregnancy-related services in this state.
20	20	12 This bill would require a physician, before
21	21	13 performing an abortion on a woman, to confirm that
22	22	14 the woman has received a free resource access
23	23	15 assistance offer. This offer would be provided
24	24	16 through a phone call to a toll-free number that is
25	25	17 staffed by support professionals who would explain
26	26	18 available pregnancy-related services to the woman,
27	27	19 help her learn about and connect to those
28	28	20 resources, and make available additional direct
29	29	21 support related to her pregnancy.
30	30	22 This bill would make available substantive
31	31	23 services to help pregnant women and parents of
32	32	24 young children navigate existing private and public
33	33	25 resources to support their pregnancy and parenting,
34	34	26 and would establish a process to ensure every woman
35	35	Page 1 1 seeking to obtain an abortion in Alabama learns
36	36	2 about those services prior to an abortion.
37	37	3 This bill would also support follow-up
38	38	4 services for women after the birth of their
39	39	5 children, including referrals to resources in their
40	40	6 community and public assistance programs.
41	41	7
42	42	8 A BILL
43	43	9 TO BE ENTITLED
44	44	10 AN ACT
45	45	11
46	46	12 Relating to pregnancy, parenting, and abortion; to
47	47	13 create the Every Mother Matters Act; to support certain
48	48	14 services for women before and after childbirth; to require a
49	49	15 physician, prior to the performance of an abortion, to confirm
50	50	16 that a woman upon whom an abortion is to be performed has
51	51	17 received a free resource access assistance offer; and to
52	52	18 provide for the provision and contents of the offer.
53	53	19 BE IT ENACTED BY THE LEGISLATURE OF ALABAMA:
54	54	20 Section 1. This act shall be known and may be cited
55	55	21 as the Every Mother Matters Act.
56	56	22 Section 2. For the purposes of this act, the
57	57	23 following terms have the following meanings:
58	58	24 (1) ABORTION. The same meaning as in Section
59	59	25 26-23H-3, Code of Alabama 1975.
60	60	Page 2 1 (2) ABORTION PROVIDER. An entity that offers or
61	61	2 advertises the provision of abortions or that operates a
62	62	3 facility at which abortions are performed or induced.
63	63	4 (3) ABUSE. The same meaning as in Section 30-5-2,
64	64	5 Code of Alabama 1975.
65	65	6 (4) AGENCY. An entity that contracts with the
66	66	7 department to provide the services required by this act.
67	67	8 (5) ASSAULT. The acts or offenses described in
68	68	9 Sections 13A-6-20, 13A-6-21, and 13A-6-22, Code of Alabama
69	69	10 1975.
70	70	11 (6) CARE AGENT. A person employed by an agency to
71	71	12 perform the services required by this act.
72	72	13 (7) COERCION. The acts or offenses described in
73	73	14 Section 13A-6-25, Code of Alabama 1975.
74	74	15 (8) DEPARTMENT. The Alabama Department of Public
75	75	16 Health.
76	76	17 (9) ECTOPIC PREGNANCY. The same meaning as in
77	77	18 Section 26-23H-3, Code of Alabama 1975.
78	78	19 (10) HUMAN TRAFFICKING. The acts or offenses
79	79	20 described in Sections 13A-6-152 and 13A-6-153, Code of Alabama
80	80	21 1975.
81	81	22 (11) MEDICAL EMERGENCY. A condition that, based on
82	82	23 the good faith clinical judgment of a physician, has
83	83	24 complicated the medical condition of a pregnant woman so as to
84	84	25 necessitate the immediate termination of the woman's pregnancy
85	85	26 to avert her death or for which a delay will create a serious
86	86	Page 3 1 risk of substantial and irreversible impairment of a major
87	87	2 bodily function.
88	88	3 (12) NEGLECT. The same meaning as in Section
89	89	4 26-16-2, Code of Alabama 1975.
90	90	5 (13) PARTICIPANT. An individual receiving Pregnancy
91	91	6 Launch Program Services as provided in this act.
92	92	7 (14) SEXUAL ABUSE. The acts or offenses described in
93	93	8 Sections 13A-6-66 and 13A-6-67, Code of Alabama 1975.
94	94	9 Section 3. The department shall establish the
95	95	10 Pregnancy Launch Program by contracting with one or more
96	96	11 agencies to provide direct services, support, social services
97	97	12 case management, and program referrals statewide to biological
98	98	13 parents of unborn children, biological or adoptive parents of
99	99	14 children under two years of age, and parents and legal
100	100	15 guardians of pregnant minors.
101	101	16 Section 4. The Pregnancy Launch Program shall do all
102	102	17 of the following:
103	103	18 (1) Encourage healthy childbirth.
104	104	19 (2) Support childbirth as an alternative to
105	105	20 abortion.
106	106	21 (3) Promote family formation.
107	107	22 (4) Aid successful parenting.
108	108	23 (5) Increase families' economic self-sufficiency.
109	109	24 (6) Improve maternal health, mortality, and
110	110	25 postpartum outcomes.
111	111	26 Section 5. (a) The Pregnancy Launch Program shall
112	112	27 consist of at least the following components:
113	113	Page 4 1 (1) The use of licensed nurses, community health
114	114	2 workers, or other individuals of equivalent expertise to offer
115	115	3 healthy pregnancy program services to participants in the
116	116	4 Pregnancy Launch Program, including all of the following:
117	117	5 a. Assistance assessing and evaluating needs related
118	118	6 to pregnancy or parenting.
119	119	7 b. Medically accurate pregnancy-related medical
120	120	8 information.
121	121	9 c. Assistance obtaining obstetric care, primary
122	122	10 care, mental health or behavioral health counseling, and
123	123	11 postpartum care.
124	124	12 d. Support for factors affecting a pregnant woman's
125	125	13 pregnancy, including her or her family's well-being and
126	126	14 available support services.
127	127	15 e. Information on adoption.
128	128	16 (2) The use of licensed social workers, nurses,
129	129	17 community health workers, licensed professional counselors, or
130	130	18 other individuals of equivalent experience to offer care plan
131	131	19 coordination services to participants in the Pregnancy Launch
132	132	20 Program, including all of the following:
133	133	21 a. Assistance in identifying needs related to the
134	134	22 pregnancy or parent's ability to care for his or her unborn
135	135	23 child.
136	136	24 b. Development of a care plan of resources and
137	137	25 support to address the needs identified.
138	138	Page 5 1 c. Referrals to appropriate local resources,
139	139	2 including state and federal benefits programs and local
140	140	3 charitable organizations.
141	141	4 d. Assistance in applying for state and federal
142	142	5 benefits programs.
143	143	6 e. Assistance in accomplishing elements of the care
144	144	7 plan.
145	145	8 f. Services related to postpartum depression and
146	146	9 related referrals.
147	147	10 g. Assistance obtaining pediatric care and
148	148	11 postpartum care.
149	149	12 h. Assistance obtaining substance abuse treatment
150	150	13 and alcohol abuse treatment.
151	151	14 i. Education on available public and private
152	152	15 resources to address the pregnant woman's or biological
153	153	16 father's socioeconomic needs.
154	154	17 j. Social services or assistance in obtaining social
155	155	18 services related to education, professional certification,
156	156	19 housing, employment, resume development, childcare, adoption
157	157	20 services, financial needs, substance abuse, and health
158	158	21 benefits plan coverage.
159	159	22 k. Assistance for abuse, assault, sexual assault,
160	160	23 neglect, coercion, and human trafficking.
161	161	24 l. Assistance obtaining mental health or behavioral
162	162	25 counseling.
163	163	Page 6 1 (3) Administrative support and other expenses
164	164	2 necessary for the development or ongoing provision of
165	165	3 services.
166	166	4 (b)(1) The Pregnancy Launch Program shall be
167	167	5 available to residents of all counties of the state, including
168	168	6 residents in rural areas that may currently lack access to
169	169	7 similar services.
170	170	8 (2) Notwithstanding any law to the contrary, healthy
171	171	9 pregnancy program services and care plan coordination services
172	172	10 of the Pregnancy Launch Program may be provided in person
173	173	11 through existing facilities or remotely through a telephonic
174	174	12 system or other comparable, synchronous direct audio or video
175	175	13 technologies.
176	176	14 (c) To be eligible to be a participant, an
177	177	15 individual shall, at the time of initial contact with the
178	178	16 Pregnancy Launch Program, be one of the following:
179	179	17 (1) A resident of this state who is the biological
180	180	18 parent of an unborn child or a biological or adoptive parent
181	181	19 of a child under two years of age.
182	182	20 (2) A pregnant woman seeking to obtain an abortion
183	183	21 in this state.
184	184	22 (3) A parent or legal guardian of a minor residing
185	185	23 in this state who is pregnant or has a child under the age of
186	186	24 two years.
187	187	25 (d) Existing participants of the Pregnancy Launch
188	188	26 Program whose pregnancies are terminated are eligible to
189	189	Page 7 1 continue to receive services for six months after the date of
190	190	2 termination.
191	191	3 Section 6. Each agency providing Pregnancy Launch
192	192	4 Program services shall record and report monthly to the
193	193	5 department the following information pertaining to care plan
194	194	6 coordination and healthy pregnancy services:
195	195	7 (1) The number of pregnant women, biological
196	196	8 fathers, or parents or guardians of a pregnant minor
197	197	9 requesting assistance in developing a personalized care plan.
198	198	10 (2) The number of unique pregnant women, biological
199	199	11 fathers, or parents or guardians of a pregnant minor receiving
200	200	12 support in the following categories:
201	201	13 a. Education.
202	202	14 b. Training for a professional certification.
203	203	15 c. Housing.
204	204	16 d. Employment.
205	205	17 e. Resume development.
206	206	18 f. Child care.
207	207	19 g. Adoption services.
208	208	20 h. Financial needs.
209	209	21 i. Substance abuse.
210	210	22 j. Health benefit coverage.
211	211	23 (3) The number of pregnant women needing assistance
212	212	24 for abuse, assault, sexual assault, neglect, coercion, and
213	213	25 human trafficking.
214	214	26 (4) The number of women needing assistance for
215	215	27 postpartum depression and related referrals.
216	216	Page 8 1 (5) The number of pregnant women needing assistance
217	217	2 obtaining obstetric care, pediatric care, postpartum care, or
218	218	3 mental health or behavioral counseling.
219	219	4 (6) The number of pregnant women receiving
220	220	5 assistance or education for issues related to their health,
221	221	6 unborn children's health, pregnancy, abortion, fetal
222	222	7 development, or birth.
223	223	8 Section 7. (a) An individual shall not perform or
224	224	9 induce an abortion unless the individual verifies, in
225	225	10 accordance with Section 12, that the woman upon whom the
226	226	11 abortion is to be performed or induced has received a resource
227	227	12 access assistance offer.
228	228	13 (b) A resource access assistance offer under
229	229	14 subsection (a) shall consist of a care agent doing all of the
230	230	15 following:
231	231	16 (1) Informing the pregnant woman of and making
232	232	17 available the following:
233	233	18 a. Free healthy pregnancy program services offered
234	234	19 under Section 5.
235	235	20 b. Free care plan coordination services offered
236	236	21 under Section 5.
237	237	22 (2) Providing education on other public and private
238	238	23 resources available to address the socioeconomic needs of the
239	239	24 pregnant woman or the biological father of the unborn child.
240	240	25 (3) Offering screening and assistance for abuse,
241	241	26 assault, sexual assault, neglect, coercion, and human
242	242	27 trafficking.
243	243	Page 9 1 (c)(1) The pregnant woman is not required to do
244	244	2 either of the following in order to obtain an abortion:
245	245	3 a. Provide any personally identifiable information
246	246	4 to the department, care agent, or contracting agency.
247	247	5 b. Initiate, accept, or complete any services
248	248	6 offered pursuant to this section in order to obtain an
249	249	7 abortion.
250	250	8 (2) The pregnant woman may decline services offered
251	251	9 pursuant to Section 5 at any time.
252	252	10 (d) The resource access assistance offer shall be
253	253	11 provided at the expense of the state at no cost to the woman.
254	254	12 (e) This section does not apply in the case of a
255	255	13 medical emergency necessitating the performance of an
256	256	14 abortion. An individual who performs or induces an abortion in
257	257	15 a medical emergency shall do both of the following:
258	258	16 (1) Include in the woman's medical records a
259	259	17 statement signed by the physician certifying the nature of the
260	260	18 medical emergency.
261	261	19 (2) Not later than the 30th day after the
262	262	20 performance of the abortion, certify to the department the
263	263	21 specific medical condition that constituted the emergency.
264	264	22 (f) This section shall become operative 18 months
265	265	23 following the effective date of this act.
266	266	24 Section 8. (a) The department shall, not later than
267	267	25 nine months following the effective date of this act, contract
268	268	26 with one or more agencies sufficient to ensure that every
269	269	27 woman seeking an abortion in Alabama receives a resource
270	270	Page 10 1 access assistance offer as well as the opportunity to receive
271	271	2 free care plan coordination and free healthy pregnancy program
272	272	3 services.
273	273	4 (b) The department shall only contract with agencies
274	274	5 that are capable of offering resource access assistance
275	275	6 offers, care plan coordination, and healthy pregnancy program
276	276	7 services by telephonic means or other comparable, synchronous
277	277	8 direct audio or video technologies.
278	278	9 Section 9. An agency and any of its subcontractors
279	279	10 or agents who provide services under Sections 3 through 8
280	280	11 shall not do any of the following:
281	281	12 (1) Be an abortion provider or entity that directly
282	282	13 or indirectly promotes, refers for, or assists women in
283	283	14 obtaining an abortion.
284	284	15 (2) Own, operate, or be affiliated with an abortion
285	285	16 provider or an entity that directly or indirectly promotes,
286	286	17 refers for, or assists women in obtaining an abortion.
287	287	18 (3) Employ an individual who has performed or
288	288	19 induced an abortion in the last two years.
289	289	20 (4) Have as a director, board member, officer,
290	290	21 volunteer, or employee an individual who has performed or
291	291	22 induced an abortion in the last two years or who serves in any
292	292	23 of these roles for an entity described in subdivision (1).
293	293	24 (5) Refer women to an abortion provider, recommend
294	294	25 abortion, or take any other action that directly or indirectly
295	295	26 assists a woman in obtaining an abortion.
296	296	Page 11 1 Section 10. Each care agent providing services under
297	297	2 this act, and any individual providing program services
298	298	3 through a subcontract or through an agency on a volunteer
299	299	4 basis, shall:
300	300	5 (1) Meet the qualifications established by the
301	301	6 department.
302	302	7 (2) Have not performed or induced an abortion in the
303	303	8 last two years.
304	304	9 (3) Have not, within the last two years, served as a
305	305	10 director, board member, officer, volunteer, or employee for an
306	306	11 entity that is an abortion provider or an entity that directly
307	307	12 or indirectly promotes abortion or assists women in obtaining
308	308	13 an abortion.
309	309	14 (4) Maintain the confidentiality of information the
310	310	15 care agent obtains while performing services under this act.
311	311	16 (5) Complete a training program regarding
312	312	17 recognizing signs that an individual may have been a victim of
313	313	18 human trafficking and provide appropriate assistance to that
314	314	19 individual.
315	315	20 (6) Not refer women to an abortion provider,
316	316	21 recommend abortion, or take any other action that directly or
317	317	22 indirectly assists a woman in obtaining an abortion.
318	318	23 Section 11. The department shall do all of the
319	319	24 following:
320	320	25 (1) Annually designate the proportion of resource
321	321	26 access assistance offers to be provided by each agency based
322	322	Page 12 1 on the agency's share of participants initiating care plan
323	323	2 coordination services or healthy pregnancy program services.
324	324	3 (2) Establish a single toll-free number by which all
325	325	4 pregnant women seeking an abortion in Alabama may immediately
326	326	5 receive resource access assistance offers by automatically
327	327	6 connecting the pregnant woman to an agency based on this
328	328	7 proportion.
329	329	8 (3)a. Develop and maintain a secure process for
330	330	9 completing the verification requirements of this section and
331	331	10 Section 12 and enforcing the auditing requirements of Section
332	332	11 13.
333	333	12 b. The process shall not transmit any information to
334	334	13 either of the following:
335	335	14 1. The agency or care agent concerning the identity
336	336	15 or location of the individual who may perform or induce the
337	337	16 abortion or the facility at which the abortion may occur.
338	338	17 2. The individual performing or inducing the
339	339	18 abortion or the individual's agent regarding the identity of
340	340	19 the agency or care agent providing the resource access
341	341	20 assistance offer.
342	342	21 (4) Provide a monthly report to each agency
343	343	22 regarding the percentage of pregnant women who were provided
344	344	23 resource access assistance offers by the agency who
345	345	24 subsequently obtained an abortion in this state.
346	346	25 (5) Adopt rules for the implementation of this act.
347	347	26 Section 12.
348	348	Page 13 1 (a) The individual who is to perform or induce an
349	349	2 abortion, or the individual's agent, shall do each of the
350	350	3 following before accepting any payment for abortion-related
351	351	4 services, before an abortion is performed or induced, and
352	352	5 before any sedative or anesthesia is administered:
353	353	6 (1) Verify through the department's secure
354	354	7 verification process that the woman received a resource access
355	355	8 assistance offer from an agency.
356	356	9 (2) Record the verification in the woman's medical
357	357	10 record.
358	358	11 (3) Take any other steps required by department rule
359	359	12 to complete the secure verification process.
360	360	13 (b) The individual who performs or induces an
361	361	14 abortion, or the individual's agent, shall, within two
362	362	15 business days of the completion of an abortion, report to the
363	363	16 department confirmation for each abortion performed or induced
364	364	17 and the date and time of the performance or induction of the
365	365	18 abortion.
366	366	19 (c) Care agents shall do both of the following:
367	367	20 (1) Provide the resource access assistance offer,
368	368	21 care coordination, and healthy pregnancy program services.
369	369	22 (2) Record the information required by Section 6.
370	370	23 (d) An agency shall record and report at least
371	371	24 monthly to the department the following information pertaining
372	372	25 to resource access assistance offers:
373	373	Page 14 1 (1) The number of pregnant women needing assistance
374	374	2 for violence, abuse, assault, sexual assault, coercion,
375	375	3 neglect, or human trafficking.
376	376	4 (2) The number of women receiving a resource access
377	377	5 assistance offer who initiate care plan coordination.
378	378	6 (3) The number of women receiving a resource access
379	379	7 assistance offer who initiate healthy pregnancy program
380	380	8 services.
381	381	9 (e) This section shall become operative 18 months
382	382	10 following the effective date of this act.
383	383	11 Section 13. (a) The department, in order to enforce
384	384	12 compliance with this act, shall audit the medical records kept
385	385	13 by every individual who performs or induces an abortion and
386	386	14 every abortion provider according to the following process:
387	387	15 (1) At least once a year, the department shall audit
388	388	16 10 percent of the abortion medical records at random,
389	389	17 unannounced, and reasonable times.
390	390	18 (2) The department shall determine for each audited
391	391	19 medical record whether the individual who performed or induced
392	392	20 the abortion fully complied with subsections (a) and (b) of
393	393	21 Section 12.
394	394	22 (3) If the department finds that for five percent or
395	395	23 more of the audited medical records, the individual who
396	396	24 performed or induced the abortion failed to comply with
397	397	25 subsections (a) and (b) of Section 12, the department shall
398	398	26 audit all abortion medical records from that individual since
399	399	27 the last inspection performed pursuant to this section.
400	400	Page 15 1 (b) The results of the department's audit shall be a
401	401	2 public writing for the purpose of the Alabama Open Records
402	402	3 Law, Section 36-12-40, Code of Alabama 1975, and the
403	403	4 department shall publicly post the results of each audit on
404	404	5 its website, provided that the audit results shall not contain
405	405	6 any personally identifying information on any woman who
406	406	7 obtained an abortion.
407	407	8 (c) Any individual performing or inducing an
408	408	9 abortion who fails to comply with subsections (a) and (b) of
409	409	10 Section 12 shall be subject to a civil penalty of five
410	410	11 thousand dollars ($5,000) for each abortion he or she performs
411	411	12 or induces in violation of subsections (a) and (b) of Section
412	412	13 12.
413	413	14 (d) An abortion provider shall be jointly and
414	414	15 severally liable for each fine associated with an abortion
415	415	16 performed or induced at that facility.
416	416	17 (e) The Attorney General or the district attorney of
417	417	18 the county in which the abortion was performed or induced may
418	418	19 file an action to recover a civil penalty assessed under this
419	419	20 section and, if any civil penalty is recovered, shall also
420	420	21 recover attorney fees and costs incurred in bringing the
421	421	22 action, provided no civil penalty may be recovered if the
422	422	23 Attorney General, the district attorney of the county in which
423	423	24 the abortion was performed or induced, or another individual
424	424	25 has already recovered a civil penalty for that specific
425	425	26 violation of subsections (a) and (b) of Section 12.
426	426	Page 16 1 (f)(1) Any individual may bring a civil action to
427	427	2 recover the civil penalty assessed under this section if both
428	428	3 of the following are true:
429	429	4 a. An action has not already been initiated by the
430	430	5 Attorney General or a district attorney.
431	431	6 b. Another individual has not already recovered a
432	432	7 penalty for that specific violation of subsections (a) and (b)
433	433	8 of Section 12.
434	434	9 (2) An individual who brings an action under this
435	435	10 section and prevails may recover attorney fees and costs
436	436	11 incurred in bringing the action.
437	437	12 (g) The civil penalty imposed by this section is in
438	438	13 addition to the criminal liability established by the Woman's
439	439	14 Right to Know Act, Chapter 23A of Title 26, Code of Alabama
440	440	15 1975.
441	441	16 (h) The department shall revoke the license of an
442	442	17 abortion provider if greater than five percent of medical
443	443	18 records audited at that facility do not comply with
444	444	19 subsections (a) and (b) of Section 12.
445	445	20 (i) This section shall become operative 18 months
446	446	21 following the effective date of this act.
447	447	22 Section 14. Records that identify an individual care
448	448	23 agent, pregnant woman, or biological or adoptive parent held
449	449	24 by the department pursuant to this act are not open records
450	450	25 for the purposes of Article 3 of Chapter 12 of Title 36, Code
451	451	26 of Alabama 1975. Those records may be released or made public
452	452	27 as follows:
453	453	Page 17 1 (1) For statistical purposes, but only if a care
454	454	2 agent, pregnant woman, or biological or adoptive parent is not
455	455	3 identified.
456	456	4 (2) With the consent of each individual identified
457	457	5 in the information released.
458	458	6 (3) To individuals performing or inducing abortions
459	459	7 and to agencies, to the extent necessary to fulfill their
460	460	8 obligations pursuant to this act.
461	461	9 (4) To appropriate state agencies or county and
462	462	10 district courts to enforce this chapter.
463	463	11 (5) To appropriate state licensing boards to enforce
464	464	12 state licensing laws.
465	465	13 (6) To licensed medical or health care personnel
466	466	14 currently treating the pregnant woman.
467	467	15 (7) Pursuant to a subpoena issued by a court of
468	468	16 competent jurisdiction, provided the release is made subject
469	469	17 to a confidentiality requirement as determined by that court.
470	470	18 Section 15. This act does not:
471	471	19 (1) Create or recognize a right to abortion.
472	472	20 (2) Create or recognize a right to a particular
473	473	21 method of abortion.
474	474	22 (3) Make lawful an abortion that is currently
475	475	23 unlawful under any law of this state.
476	476	24 Section 16. Nothing in this act shall be interpreted
477	477	25 to violate any speech or conduct rights protected by the First
478	478	26 Amendment of the Constitution of the United States, as made
479	479	27 applicable to the states through interpretations by the
480	480	Page 18 1 Supreme Court of the United States of the Fourteenth Amendment
481	481	2 of the Constitution of the United States, or by the
482	482	3 Constitution of Alabama of 1901, including the Alabama
483	483	4 Religious Freedom Amendment, Article 1, Section 3.01.
484	484	5 Section 17. The provisions of this act are
485	485	6 severable. If any part of this act is declared invalid or
486	486	7 unconstitutional, that declaration shall not affect the part
487	487	8 which remains.
488	488	9 Section 18. This act shall become effective on the
489	489	10 first day of the first month following its passage and
490	490	11 approval by the Governor, or its otherwise becoming law.
491	491	Page 19