1 | 1 | | 25 LC 46 1115 |
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2 | 2 | | House Bill 488 |
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3 | 3 | | By: Representatives Westbrook of the 163 |
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4 | 4 | | rd |
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5 | 5 | | , Miller of the 62 |
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6 | 6 | | nd |
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7 | 7 | | , Oliver of the 84 |
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8 | 8 | | th |
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9 | 9 | | , Lim of the |
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10 | 10 | | 98 |
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11 | 11 | | th |
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12 | 12 | | , Park of the 107 |
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13 | 13 | | th |
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14 | 14 | | , and others |
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15 | 15 | | A BILL TO BE ENTITLED |
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16 | 16 | | AN ACT |
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17 | 17 | | To amend Article 3 of Chapter 2A of Title 31 of the Official Code of Georgia Annotated, |
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18 | 18 | | 1 |
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19 | 19 | | relating to perinatal facilities, so as to explicitly prohibit limited services pregnancy centers2 |
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20 | 20 | | from engaging in false or misleading advertising about the products or services provided at3 |
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21 | 21 | | such centers; to provide for definitions; to provide for enforcement; to provide for notice and4 |
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22 | 22 | | procedures; to provide for penalties; to provide for cause of action; to provide for a short5 |
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23 | 23 | | title; to provide for legislative findings; to provide for related matters; to repeal conflicting6 |
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24 | 24 | | laws; and for other purposes.7 |
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25 | 25 | | BE IT ENACTED BY THE GENERAL ASSEMBLY OF GEORGIA:8 |
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26 | 26 | | SECTION 1.9 |
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27 | 27 | | This Act shall be known and may be cited as the "Pregnancy Center Fraud Prevention Act."10 |
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28 | 28 | | SECTION 2.11 |
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29 | 29 | | The General Assembly finds and declares that:12 |
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30 | 30 | | (1) Pregnant individuals are entitled to honest, accurate, and timely information when13 |
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31 | 31 | | seeking reproductive healthcare;14 |
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32 | 32 | | H. B. 488 |
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33 | 33 | | - 1 - 25 LC 46 1115 |
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34 | 34 | | (2) Limited services pregnancy centers typically advertise themselves as providers of |
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35 | 35 | | 15 |
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36 | 36 | | comprehensive healthcare. However, most limited services pregnancy centers do not16 |
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37 | 37 | | employ licensed medical professionals or provide referrals for emergency contraception17 |
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38 | 38 | | or abortion care;18 |
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39 | 39 | | (3) Some limited services pregnancy centers use deceptive advertising tactics to target and19 |
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40 | 40 | | acquire clients from historically marginalized groups, including Black, Indigenous, and20 |
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41 | 41 | | other people of color; those living in rural areas; LGBTQ+ communities; students; people21 |
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42 | 42 | | with lower incomes; and people for whom English is not their first language;22 |
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43 | 43 | | (4) According to the American Medical Association's Journal of Ethics, limited services23 |
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44 | 44 | | pregnancy centers, also known as antiabortion centers or "crisis pregnancy centers," often24 |
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45 | 45 | | aim "to prevent abortions by persuading people that adoption or parenting is a better25 |
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46 | 46 | | option";26 |
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47 | 47 | | (5) Some limited services pregnancy centers go so far as to advertise medication abortion27 |
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48 | 48 | | reversal, a dangerous and deceptive practice that is not supported by science or clinical28 |
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49 | 49 | | standards, according to the American College of Obstetricians and Gynecologists;29 |
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50 | 50 | | (6) The State of Georgia respects the right of limited services pregnancy centers to counsel30 |
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51 | 51 | | against abortions, if the centers are otherwise operating in compliance with this chapter,31 |
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52 | 52 | | and the state does not intend by this chapter to regulate, limit, or curtail such advocacy;32 |
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53 | 53 | | (7) Time is a critical factor for individuals seeking reproductive healthcare, and no one33 |
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54 | 54 | | should be deceived, manipulated, or face unnecessary delays when seeking support or34 |
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55 | 55 | | healthcare during pregnancy; and35 |
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56 | 56 | | (8) The State of Georgia has determined that there exists a need to regulate false and36 |
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57 | 57 | | misleading advertising by limited services pregnancy centers offering limited services.37 |
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58 | 58 | | H. B. 488 |
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59 | 59 | | - 2 - 25 LC 46 1115 |
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60 | 60 | | SECTION 3. |
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61 | 61 | | 38 |
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62 | 62 | | Article 3 of Chapter 2A of Title 31 of the Official Code of Georgia Annotated, relating to39 |
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63 | 63 | | perinatal facilities, is amended by revising Code Section 31-2A-51, relating to definitions,40 |
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64 | 64 | | as follows:41 |
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65 | 65 | | "31-2A-51.42 |
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66 | 66 | | As used in this article, the term:43 |
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67 | 67 | | (1) 'Advertising' means representations by way of any medium whatsoever about a |
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68 | 68 | | 44 |
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69 | 69 | | product or service, regardless of whether such product or service is offered for payment 45 |
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70 | 70 | | or will result in profit, for individuals who are or may be pregnant, including, but not46 |
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71 | 71 | | limited to, representations made directly to consumers; marketing practices;47 |
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72 | 72 | | communication in any print medium such as newspapers, magazines, mailers, or48 |
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73 | 73 | | handouts; any broadcast medium such as television or radio; telephone marketing; or49 |
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74 | 74 | | advertising over the internet through public websites and website advertisements.50 |
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75 | 75 | | (2) 'Client' means an individual who is inquiring about or seeking services at a limited51 |
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76 | 76 | | services pregnancy center.52 |
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77 | 77 | | (1)(3) 'Designated facility' means a perinatal facility that has been inspected and53 |
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78 | 78 | | approved by the department pursuant to this article as meeting its established criteria for54 |
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79 | 79 | | a particular maternal or neonatal level of care.55 |
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80 | 80 | | (4) 'Emergency contraception' means Levonorgestrel or any other drug, drug regimen,56 |
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81 | 81 | | or device used to prevent pregnancy when administered after sexual contact, including57 |
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82 | 82 | | prescription and over-the-counter hormonal emergency contraception.58 |
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83 | 83 | | (5) 'Health information' means any oral or written information in any form or medium59 |
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84 | 84 | | that relates to health insurance or the past, present, or future physical or mental health or60 |
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85 | 85 | | condition of a client.61 |
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86 | 86 | | (6) 'Limited services pregnancy center' means a pregnancy services center that does not62 |
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87 | 87 | | directly provide abortions or emergency contraception, and does not provide referrals to63 |
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88 | 88 | | clients for such services.64 |
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89 | 89 | | H. B. 488 |
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90 | 90 | | - 3 - 25 LC 46 1115 |
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91 | 91 | | (2)(7) 'Perinatal facility' means a hospital, clinic, or birthing center that provides65 |
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92 | 92 | | maternal or neonatal healthcare healthcare services.66 |
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93 | 93 | | (8) 'Pregnancy services center' means a facility, licensed or unlicensed and including a67 |
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94 | 94 | | mobile facility, where the primary purpose is to provide products or services to68 |
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95 | 95 | | individuals who are or may be pregnant; that either offers pregnancy counseling and69 |
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96 | 96 | | pregnancy testing or diagnosis; obstetric ultrasounds, obstetric sonograms, or prenatal70 |
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97 | 97 | | care to pregnant people; or has the appearance of a medical facility. A pregnancy71 |
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98 | 98 | | services center has the appearance of a medical facility if two or more of the following72 |
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99 | 99 | | factors are present:73 |
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100 | 100 | | (A) The facility offers pregnancy testing or pregnancy diagnosis;74 |
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101 | 101 | | (B) The facility has staff or volunteers who wear medical attire or uniforms;75 |
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102 | 102 | | (C) The facility contains one or more examination tables;76 |
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103 | 103 | | (D) The facility contains a private or semiprivate room or area containing medical77 |
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104 | 104 | | supplies or medical instruments;78 |
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105 | 105 | | (E) The facility has staff or volunteers who collect health information from clients; or79 |
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106 | 106 | | (F) The facility is located on the same premises as a state licensed medical facility or80 |
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107 | 107 | | provider or shares facility space with a state licensed medical provider.81 |
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108 | 108 | | (9) 'Premises' means land and improvements or appurtenances or any part thereof.82 |
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109 | 109 | | (10) 'Prenatal care' means services consisting of physical examinations, pelvic83 |
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110 | 110 | | examinations, or clinical laboratory services provided to an individual who is or who may84 |
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111 | 111 | | be pregnant.85 |
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112 | 112 | | (11) 'Clinical laboratory services' refers to the microbiological, serological, chemical,86 |
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113 | 113 | | hematological, biophysical, cytological or pathological examination of materials derived87 |
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114 | 114 | | from the human body, for the purposes of obtaining information for the diagnosis,88 |
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115 | 115 | | prevention, or treatment of a disease or the assessment of health condition."89 |
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116 | 116 | | H. B. 488 |
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117 | 117 | | - 4 - 25 LC 46 1115 |
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118 | 118 | | SECTION 4. |
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119 | 119 | | 90 |
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120 | 120 | | Said article is further amended by revising Code Section 31-2A-56, relating to advertisement91 |
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121 | 121 | | prohibited unless designated by department, as follows:92 |
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122 | 122 | | "31-2A-56.93 |
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123 | 123 | | (a) |
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124 | 124 | | No person or facility may advertise to the public, by way of any medium whatsoever,94 |
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125 | 125 | | that it is a designated facility or has achieved a particular level of maternal or neonatal care95 |
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126 | 126 | | according to the criteria established pursuant to this article, unless it has been designated96 |
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127 | 127 | | as such by the department.97 |
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128 | 128 | | (b) No person or limited services pregnancy center shall disseminate or cause to be98 |
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129 | 129 | | disseminated before the public in Georgia, or disseminate or cause to be disseminated99 |
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130 | 130 | | before the public anywhere from Georgia, any advertising about the actual or proposed100 |
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131 | 131 | | products or services available at a limited services pregnancy center if the center knows or,101 |
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132 | 132 | | by the exercise of reasonable care, should know that such advertising is untrue or deceptive102 |
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133 | 133 | | whether by a statement or omission, or misleading to the public about the nature of the103 |
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134 | 134 | | products or services provided.104 |
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135 | 135 | | (c) The Attorney General and local district attorneys with jurisdiction may enforce the105 |
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136 | 136 | | provisions of this Code section through a civil action in any court of competent jurisdiction. 106 |
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137 | 137 | | Before filing an action under this Code section, the Attorney General or local district107 |
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138 | 138 | | attorney with jurisdiction shall give written notice of the violation to the person or limited108 |
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139 | 139 | | services pregnancy center. The written notice shall indicate that the person or limited109 |
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140 | 140 | | services pregnancy center has ten days in which to correct the false, misleading, or110 |
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141 | 141 | | deceptive advertising. If the person or limited services pregnancy center has not responded111 |
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142 | 142 | | to the written notice within ten days of receiving such notice or refuses to correct the false,112 |
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143 | 143 | | misleading, or deceptive advertising within that period, the Attorney General or local113 |
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144 | 144 | | district attorney with jurisdiction may file the civil action.114 |
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145 | 145 | | (d) The Attorney General or local district attorney with jurisdiction may apply to any court115 |
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146 | 146 | | of jurisdiction for injunctive relief compelling compliance with any provision of this Code116 |
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147 | 147 | | H. B. 488 |
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148 | 148 | | - 5 - 25 LC 46 1115 |
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149 | 149 | | section and for any additional equitable relief or for a court order requiring, but not limited117 |
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150 | 150 | | to, any of the following from the person or limited services pregnancy center:118 |
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151 | 151 | | (1) Paying for and disseminating appropriate corrective advertising in the same form as119 |
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152 | 152 | | the false, misleading, or deceptive advertising;120 |
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153 | 153 | | (2) Posting a notice on its premises, in a location clearly noticeable from the waiting121 |
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154 | 154 | | area, examination area, or both, stating:122 |
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155 | 155 | | (A) Whether there is a licensed medical doctor, registered nurse, or other licensed123 |
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156 | 156 | | medical practitioner on staff at the center; and124 |
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157 | 157 | | (B) Whether abortion, emergency contraception, or referrals for abortion or emergency125 |
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158 | 158 | | contraception are available at the center;126 |
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159 | 159 | | (3) Paying restitution to any person or persons who are adversely affected by a violation127 |
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160 | 160 | | or violations of this Code section; or128 |
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161 | 161 | | (4) Any other narrowly tailored relief that the court deems necessary to remedy the129 |
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162 | 162 | | adverse effects of the false, misleading, or deceptive advertising on persons seeking130 |
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163 | 163 | | pregnancy related products or services.131 |
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164 | 164 | | (e) Upon a finding by a court of competent jurisdiction that a person or limited services132 |
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165 | 165 | | pregnancy center has violated this Code section:133 |
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166 | 166 | | (1) The department shall amend printed materials and materials available on the state's134 |
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167 | 167 | | public website developed under Code Section 31-9A-4 to remove contact information for135 |
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168 | 168 | | the limited services pregnancy center found to be in violation of this Code section; and136 |
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169 | 169 | | (2) The state shall be entitled to recover civil penalties from each and every party137 |
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170 | 170 | | responsible for the violation of not less than $500.00 and not more than $5,000.00 per138 |
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171 | 171 | | violation. In addition, if the state prevails, it shall be entitled to reasonable attorney's fees139 |
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172 | 172 | | and costs pursuant to order of the court.140 |
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173 | 173 | | (f) Any person claiming to be injured by the false, misleading, or deceptive advertising of141 |
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174 | 174 | | a limited services pregnancy center may bring a cause of action in any court of competent142 |
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175 | 175 | | jurisdiction for any and all of the following remedies: compensatory and punitive damages,143 |
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176 | 176 | | H. B. 488 |
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177 | 177 | | - 6 - 25 LC 46 1115 |
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178 | 178 | | injunctive and declaratory relief; attorney's fees and costs, and such other relief as a court144 |
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179 | 179 | | deems appropriate.145 |
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180 | 180 | | (g) The Attorney General shall develop, a portal on its public website to receive, review,146 |
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181 | 181 | | and investigate public complaints of noncompliance.147 |
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182 | 182 | | (h) Such portal shall be verified through user testing to be understandable for someone148 |
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183 | 183 | | with a fifth grade reading level, accessible to people with disabilities, and take an average149 |
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184 | 184 | | user no more than ten minutes to complete the complaint form."150 |
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185 | 185 | | SECTION 5.151 |
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186 | 186 | | All laws and parts of laws in conflict with this Act are repealed.152 |
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187 | 187 | | H. B. 488 |
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188 | 188 | | - 7 - |
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