*EH1217.1*
February 18, 2022
ENGROSSED
HOUSE BILL No. 1217
_____
DIGEST OF HB 1217 (Updated February 16, 2022 6:17 pm - DI 149)
Citations Affected: IC 16-18; IC 16-34; IC 35-52.
Synopsis: Coerced abortion. Requires that a pregnant woman seeking
an abortion must be informed that a coerced abortion is illegal.
Provides that certain medical personnel must inquire with a pregnant
woman seeking an abortion whether the abortion is coerced. Requires
certain medical personnel who believe that an abortion is coerced to
offer the pregnant woman information on certain services, the use of a
telephone, and an alternative exit from the health care facility. Makes
it a Level 6 felony if a person knowingly or intentionally coerces a
pregnant woman into having an abortion. Mandates reports of a
coerced abortion to law enforcement. Provides that a law enforcement
agency must immediately respond and initiate an investigation upon
receipt of a complaint of coercion or attempted coercion. Makes it a
Class C infraction if a reproductive health facility knowingly employs
a mandatory reporter who violates the mandatory reporting statute.
Effective: July 1, 2022.
King, Mayfield, Fleming, Jeter
(SENATE SPONSORS — BROWN L, ROGERS, DONATO, BOEHNLEIN)
January 6, 2022, read first time and referred to Committee on Courts and Criminal Code.
January 20, 2022, amended, reported — Do Pass.
January 24, 2022, read second time, amended, ordered engrossed.
January 25, 2022, engrossed. Read third time, passed. Yeas 73, nays 18.
SENATE ACTION
February 2, 2022, read first time and referred to Committee on Judiciary.
February 17, 2022, amended, reported favorably — Do Pass.
EH 1217—LS 7090/DI 147 February 18, 2022
Second Regular Session of the 122nd General Assembly (2022)
PRINTING CODE. Amendments: Whenever an existing statute (or a section of the Indiana
Constitution) is being amended, the text of the existing provision will appear in this style type,
additions will appear in this style type, and deletions will appear in this style type.
Additions: Whenever a new statutory provision is being enacted (or a new constitutional
provision adopted), the text of the new provision will appear in this style type. Also, the
word NEW will appear in that style type in the introductory clause of each SECTION that adds
a new provision to the Indiana Code or the Indiana Constitution.
Conflict reconciliation: Text in a statute in this style type or this style type reconciles conflicts
between statutes enacted by the 2021 Regular Session of the General Assembly.
ENGROSSED
HOUSE BILL No. 1217
A BILL FOR AN ACT to amend the Indiana Code concerning
health.
Be it enacted by the General Assembly of the State of Indiana:
1 SECTION 1. IC 16-18-2-214.9 IS ADDED TO THE INDIANA
2 CODE AS A NEW SECTION TO READ AS FOLLOWS
3 [EFFECTIVE JULY 1, 2022]: Sec. 214.9. "Mandatory reporter", for
4 purposes of IC 16-34-6, has the meaning set forth in IC 16-34-6-2.
5 SECTION 2. IC 16-18-2-282, AS AMENDED BY P.L.153-2018,
6 SECTION 5, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE
7 JULY 1, 2022]: Sec. 282. (a) "Physician", except as provided in
8 subsections (b), and (c), and (e), means a licensed physician (as
9 defined in section 202 of this chapter).
10 (b) "Physician", for purposes of IC 16-41-12, has the meaning set
11 forth in IC 16-41-12-7.
12 (c) "Physician", for purposes of IC 16-37-1-3.1 and IC 16-37-3-5,
13 means an individual who:
14 (1) was the physician last in attendance (as defined in section
15 282.2 of this chapter); or
16 (2) is licensed under IC 25-22.5.
17 (d) "Physician", for purposes of IC 16-48-1, is subject to
EH 1217—LS 7090/DI 147 2
1 IC 16-48-1-2.
2 (e) "Physician", for purposes of IC 16-34-6, has the meaning set
3 forth in IC 16-34-6-3.
4 SECTION 3. IC 16-18-2-317.3 IS ADDED TO THE INDIANA
5 CODE AS A NEW SECTION TO READ AS FOLLOWS
6 [EFFECTIVE JULY 1, 2022]: Sec. 317.3. "Reproductive health care
7 facility", for purposes of IC 16-34-6, has the meaning set forth in
8 IC 16-34-6-4.
9 SECTION 4. IC 16-34-2-1.1, AS AMENDED BY P.L.218-2021,
10 SECTION 5, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE
11 JULY 1, 2022]: Sec. 1.1. (a) An abortion shall not be performed except
12 with the voluntary and informed consent of the pregnant woman upon
13 whom the abortion is to be performed. Except in the case of a medical
14 emergency, consent to an abortion is voluntary and informed only if the
15 following conditions are met:
16 (1) At least eighteen (18) hours before the abortion and in the
17 private, not group, presence of the pregnant woman, the physician
18 who is to perform the abortion, the referring physician or a
19 physician assistant (as defined in IC 25-27.5-2-10), an advanced
20 practice registered nurse (as defined in IC 25-23-1-1(b)), or a
21 certified nurse midwife (as defined in IC 34-18-2-6.5) to whom
22 the responsibility has been delegated by the physician who is to
23 perform the abortion or the referring physician has informed the
24 pregnant woman orally and in writing of the following:
25 (A) The name of the physician performing the abortion, the
26 physician's medical license number, and an emergency
27 telephone number where the physician or the physician's
28 designee may be contacted on a twenty-four (24) hour a day,
29 seven (7) day a week basis.
30 (B) That follow-up care by the physician or the physician's
31 designee (if the designee is licensed under IC 25-22.5) is
32 available on an appropriate and timely basis when clinically
33 necessary.
34 (C) The nature of the proposed procedure or information
35 concerning the abortion inducing drug that includes the
36 following statement: "Some evidence suggests that effects of
37 Mifespristone may be avoided, ceased, or reversed if the
38 second pill, Misoprostol, has not been taken. Immediately
39 contact the following for more information at (insert
40 applicable abortion inducing drug reversal Internet web site
41 and corresponding hotline number)."
42 (D) Objective scientific information of the risks of and
EH 1217—LS 7090/DI 147 3
1 alternatives to the procedure or the use of an abortion inducing
2 drug, including:
3 (i) the risk of infection and hemorrhage;
4 (ii) the potential danger to a subsequent pregnancy; and
5 (iii) the potential danger of infertility.
6 (E) That human physical life begins when a human ovum is
7 fertilized by a human sperm.
8 (F) The probable gestational age of the fetus at the time the
9 abortion is to be performed, including:
10 (i) a picture of a fetus;
11 (ii) the dimensions of a fetus; and
12 (iii) relevant information on the potential survival of an
13 unborn fetus;
14 at this stage of development.
15 (G) That objective scientific information shows that a fetus
16 can feel pain at or before twenty (20) weeks of postfertilization
17 age.
18 (H) The medical risks associated with carrying the fetus to
19 term.
20 (I) The availability of fetal ultrasound imaging and
21 auscultation of fetal heart tone services to enable the pregnant
22 woman to view the image and hear the heartbeat of the fetus
23 and how to obtain access to these services.
24 (J) That the pregnancy of a child less than fifteen (15) years of
25 age may constitute child abuse under Indiana law if the act
26 included an adult and must be reported to the department of
27 child services or the local law enforcement agency under
28 IC 31-33-5.
29 (K) That Indiana does not allow a fetus to be aborted solely
30 because of the fetus's race, color, national origin, ancestry, sex,
31 or diagnosis or potential diagnosis of the fetus having Down
32 syndrome or any other disability.
33 (L) That no one has the right to coerce the pregnant
34 woman to have an abortion.
35 (2) At least eighteen (18) hours before the abortion, the pregnant
36 woman will be informed orally and in writing of the following:
37 (A) That medical assistance benefits may be available for
38 prenatal care, childbirth, and neonatal care from the county
39 office of the division of family resources.
40 (B) That the father of the unborn fetus is legally required to
41 assist in the support of the child. In the case of rape, the
42 information required under this clause may be omitted.
EH 1217—LS 7090/DI 147 4
1 (C) That adoption alternatives are available and that adoptive
2 parents may legally pay the costs of prenatal care, childbirth,
3 and neonatal care.
4 (D) That there are physical risks to the pregnant woman in
5 having an abortion, both during the abortion procedure and
6 after.
7 (E) That Indiana has enacted the safe haven law under
8 IC 31-34-2.5.
9 (F) The:
10 (i) Internet web site address of the state department of
11 health's web site; and
12 (ii) description of the information that will be provided on
13 the web site and that are; is;
14 described in section 1.5 of this chapter.
15 (G) For the facility in which the abortion is to be performed,
16 an emergency telephone number that is available and
17 answered on a twenty-four (24) hour a day, seven (7) day a
18 week basis.
19 (H) On a form developed by the state department and as
20 described in IC 16-34-3, that the pregnant woman has a right
21 to determine the final disposition of the remains of the aborted
22 fetus.
23 (I) On a form developed by the state department, that the
24 pregnant woman has a right, after a surgical abortion, to:
25 (i) dispose of the remains of the aborted fetus by interment
26 in compliance with IC 23-14-54, or cremation through a
27 licensee (as defined in IC 25-15-2-19) and in compliance
28 with IC 23-14-31; or
29 (ii) have the health care facility or abortion clinic dispose of
30 the remains of the aborted fetus by interment in compliance
31 with IC 23-14-54, or cremation through a licensee (as
32 defined in IC 25-15-2-19) and in compliance with
33 IC 23-14-31, and ask which method of disposition will be
34 used by the health care facility or abortion clinic.
35 (J) On a form developed by the state department:
36 (i) that a pregnant woman, after an abortion induced by an
37 abortion inducing drug, will expel an aborted fetus; and
38 (ii) the disposition policy of the health care facility or the
39 abortion clinic concerning the disposition of the aborted
40 fetus. The disposition policy must allow the pregnant
41 woman to return the aborted fetus to the health care facility
42 or abortion clinic for disposition by interment in compliance
EH 1217—LS 7090/DI 147 5
1 with IC 23-14-54, or cremation through a licensee (as
2 defined in IC 25-15-2-19) and in compliance with
3 IC 23-14-31.
4 (K) On a form developed by the state department, information
5 concerning any counseling that is available to a pregnant
6 woman after having an abortion.
7 The state department shall develop and distribute the forms
8 required by clauses (H) through (K).
9 (3) The pregnant woman certifies in writing, on a form developed
10 by the state department, before the abortion is performed, that:
11 (A) the information required by subdivisions (1) and (2) has
12 been provided to the pregnant woman;
13 (B) the pregnant woman has been offered by the provider the
14 opportunity to view the fetal ultrasound imaging and hear the
15 auscultation of the fetal heart tone if the fetal heart tone is
16 audible and that the woman has:
17 (i) viewed or refused to view the offered fetal ultrasound
18 imaging; and
19 (ii) listened to or refused to listen to the offered auscultation
20 of the fetal heart tone if the fetal heart tone is audible; and
21 (C) the pregnant woman has been given a written copy of the
22 printed materials described in section 1.5 of this chapter.
23 (4) At least eighteen (18) hours before the abortion and in the
24 presence of the pregnant woman, the physician who is to perform
25 the abortion, the referring physician or a physician assistant (as
26 defined in IC 25-27.5-2-10), an advanced practice registered
27 nurse (as defined in IC 25-23-1-1(b)), or a certified nurse midwife
28 (as defined in IC 34-18-2-6.5) to whom the responsibility has
29 been delegated by the physician who is to perform the abortion or
30 the referring physician has provided the pregnant woman with a
31 color copy of the informed consent brochure described in section
32 1.5 of this chapter by printing the informed consent brochure from
33 the state department's Internet web site and including the
34 following information on the back cover of the brochure:
35 (A) The name of the physician performing the abortion and the
36 physician's medical license number.
37 (B) An emergency telephone number where the physician or
38 the physician's designee may be contacted twenty-four (24)
39 hours a day, seven (7) days a week.
40 (C) A statement that follow-up care by the physician or the
41 physician's designee who is licensed under IC 25-22.5 is
42 available on an appropriate and timely basis when clinically
EH 1217—LS 7090/DI 147 6
1 necessary.
2 (5) At least eighteen (18) hours before an abortion is performed
3 and at the same time that the pregnant woman receives the
4 information required by subdivision (1), the provider shall
5 perform, and the pregnant woman shall view, the fetal ultrasound
6 imaging and hear the auscultation of the fetal heart tone if the
7 fetal heart tone is audible unless the pregnant woman certifies in
8 writing, on a form developed by the state department, before the
9 abortion is performed, that the pregnant woman:
10 (A) does not want to view the fetal ultrasound imaging; and
11 (B) does not want to listen to the auscultation of the fetal heart
12 tone if the fetal heart tone is audible.
13 A pregnant woman must be advised, prior to the pregnant
14 woman's decision concerning fetal ultrasound imaging, that an
15 ultrasound image of the fetus will be provided to the pregnant
16 woman to keep at no charge to the pregnant woman if the fetal
17 ultrasound is performed.
18 (6) At least eighteen (18) hours before the abortion, the
19 physician who is to perform the abortion, the referring
20 physician or a physician assistant (as defined in
21 IC 25-27.5-2-10), an advanced practice registered nurse (as
22 defined in IC 25-23-1-1(b)), or a certified nurse midwife (as
23 defined in IC 34-18-2-6.5) to whom the responsibility has been
24 delegated by the physician who is to perform the abortion or
25 the referring physician shall, in the private, not group,
26 presence of the pregnant woman, verbally ask the pregnant
27 woman if she is being coerced to have an abortion.
28 (b) This subsection applies to a pregnant woman whose unborn
29 child has been diagnosed with a lethal fetal anomaly. The requirements
30 of this subsection are in addition to the other requirements of this
31 section. At least eighteen (18) hours before an abortion is performed on
32 the pregnant woman, the physician who will perform the abortion shall:
33 (1) orally and in person, inform the pregnant woman of the
34 availability of perinatal hospice services; and
35 (2) provide the pregnant woman copies of the perinatal hospice
36 brochure developed by the state department under IC 16-25-4.5-4
37 and the list of perinatal hospice providers and programs
38 developed under IC 16-25-4.5-5, by printing the perinatal hospice
39 brochure and list of perinatal hospice providers from the state
40 department's Internet web site.
41 (c) If a pregnant woman described in subsection (b) chooses to have
42 an abortion rather than continuing the pregnancy in perinatal hospice
EH 1217—LS 7090/DI 147 7
1 care, the pregnant woman shall certify in writing, on a form developed
2 by the state department under IC 16-25-4.5-6, at least eighteen (18)
3 hours before the abortion is performed, that the pregnant woman has
4 been provided the information described in subsection (b) in the
5 manner required by subsection (b).
6 (d) For any abortion performed under this article, the physician who
7 is to perform the abortion, the referring physician or a physician
8 assistant (as defined in IC 25-27.5-2-10), an advanced practice
9 registered nurse (as defined in IC 25-23-1-1(b)), or a certified nurse
10 midwife (as defined in IC 34-18-2-6.5) to whom the responsibility has
11 been delegated by the physician who is to perform the abortion or the
12 referring physician shall include, or ensure the inclusion of, a copy of
13 a pregnant woman's ultrasound report in the pregnant woman's patient
14 file.
15 (e) If the physician who is to perform the abortion, the referring
16 physician, a physician assistant (as defined in IC 25-27.5-2-10), an
17 advanced practice registered nurse (as defined in IC 25-23-1-1(b)),
18 or a certified nurse midwife (as defined in IC 34-18-2-6.5) suspects
19 a pregnant woman is being coerced to have an abortion after
20 making the inquiry required under subsection (a)(6), the physician,
21 physician assistant, advanced practice registered nurse, or certified
22 nurse midwife shall:
23 (1) inform the pregnant woman that coercing a pregnant
24 woman to have an abortion is illegal;
25 (2) inform the pregnant woman that a demand by the father
26 to have an abortion does not relieve him of financial support
27 responsibilities; and
28 (3) provide the pregnant woman with:
29 (A) information about:
30 (i) assistance;
31 (ii) counseling; and
32 (iii) protective services offered by social programs and
33 local or state law enforcement agencies;
34 (B) access to a telephone if she needs to make a private
35 telephone call; and
36 (C) access to an alternate exit from the health care facility.
37 (f) Except as provided in subsection (g), if a physician, physician
38 assistant (as defined in IC 25-27.5-2-10), advanced practice
39 registered nurse (as defined in IC 25-23-1-1(b)), or certified nurse
40 midwife (as defined in IC 34-18-2-6.5) has specific and credible
41 information that a pregnant woman is being coerced into having an
42 abortion, then an abortion may not be provided to the pregnant
EH 1217—LS 7090/DI 147 8
1 woman during the twenty-four (24) hour period after the
2 physician, physician assistant (as defined in IC 25-27.5-2-10),
3 advanced practice registered nurse (as defined in IC 25-23-1-1(b)),
4 or certified nurse midwife (as defined in IC 34-18-2-6.5) makes a
5 report under IC 16-34-6-6(b).
6 (g) The twenty-four (24) hour period described in subsection (f)
7 may be waived if a physician, in the physician's best medical
8 judgment, determines that an abortion is necessary to prevent the
9 death of the pregnant woman or to prevent substantial and
10 irreversible injury to a major bodily function of the pregnant
11 woman.
12 SECTION 5. IC 16-34-6 IS ADDED TO THE INDIANA CODE AS
13 A NEW CHAPTER TO READ AS FOLLOWS [EFFECTIVE JULY
14 1, 2022]:
15 Chapter 6. Coerced Abortions
16 Sec. 1. As used in this chapter, "abortion" has the meaning set
17 forth in IC 16-18-2-1.
18 Sec. 2. As used in this chapter, "mandatory reporter" means
19 any person providing health care services, including:
20 (1) a physician;
21 (2) a surgeon;
22 (3) a physical therapist;
23 (4) a psychiatrist;
24 (5) a psychologist;
25 (6) a medical resident;
26 (7) a medical intern;
27 (8) hospital staff;
28 (9) a licensed nurse;
29 (10) a nurse's aide;
30 (11) any emergency medical technician;
31 (12) a paramedic; and
32 (13) any:
33 (A) employee;
34 (B) staff member; or
35 (C) volunteer;
36 at a reproductive health care facility.
37 Sec. 3. As used in this chapter, "physician" means any person
38 licensed to practice medicine in Indiana. The term includes a
39 medical doctor and a doctor of osteopathy.
40 Sec. 4. As used in this chapter, "reproductive health care
41 facility" means any office, clinic, or other physical location licensed
42 by the state to provide surgical or medical abortions, abortion
EH 1217—LS 7090/DI 147 9
1 counseling, abortion referrals, contraceptives, contraceptive
2 counseling, sex education, or gynecological services.
3 Sec. 5. A person who knowingly or intentionally coerces a
4 pregnant woman to have an abortion commits a Level 6 felony.
5 Sec. 6. (a) A mandatory reporter must report to law
6 enforcement every instance of alleged or suspected coerced
7 abortion. A mandatory reporter may not use discretion in deciding
8 whether a case should or should not be reported to law
9 enforcement.
10 (b) A mandatory reporter must make a report described in
11 subsection (a) immediately to law enforcement when the coercion
12 or attempted coercion is brought to the mandatory reporter's
13 attention.
14 (c) A mandatory reporter may not delegate the responsibility to
15 report coercion or attempted coercion under subsection (a) to
16 another individual.
17 (d) The mandatory reporter making a report under subsection
18 (a) shall provide the following information:
19 (1) The name and address of the pregnant woman.
20 (2) The name and address of the person who is responsible for
21 the care or custody of the pregnant woman if she is less than
22 eighteen (18) years of age.
23 (3) Any pertinent information relating to the alleged or
24 suspected coercion or attempted coercion of the pregnant
25 woman to undergo an abortion.
26 (e) After receiving a report under subsection (a), a law
27 enforcement agency must immediately respond and initiate an
28 investigation. The law enforcement agency shall conduct an
29 investigation under this chapter in the same manner that the law
30 enforcement agency would conduct any other criminal
31 investigation.
32 (f) A reproductive health care facility that knowingly employs
33 a mandatory reporter after a mandatory reporter violates this
34 section commits a Class C infraction.
35 SECTION 6. IC 35-52-16-23.5 IS ADDED TO THE INDIANA
36 CODE AS A NEW SECTION TO READ AS FOLLOWS
37 [EFFECTIVE JULY 1, 2022]: Sec. 23.5. IC 16-34-6-5 defines a crime
38 concerning coerced abortion.
EH 1217—LS 7090/DI 147 10
COMMITTEE REPORT
Mr. Speaker: Your Committee on Courts and Criminal Code, to
which was referred House Bill 1217, has had the same under
consideration and begs leave to report the same back to the House with
the recommendation that said bill be amended as follows:
Page 1, delete lines 1 through 17.
Page 2, delete lines 1 through 4.
Page 2, line 8, delete "16-34-6-5." and insert "16-34-6-2.".
Page 2, line 24, delete "16-34-6-6." and insert "16-34-6-3.".
Page 2, delete lines 25 through 39.
Page 3, line 2, delete "16-34-6-8." and insert "16-34-6-4.".
Page 3, delete lines 3 through 42, begin a new paragraph and insert:
"SECTION 9. IC 16-34-2-1.1, AS AMENDED BY P.L.218-2021,
SECTION 5, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE
JULY 1, 2022]: Sec. 1.1. (a) An abortion shall not be performed except
with the voluntary and informed consent of the pregnant woman upon
whom the abortion is to be performed. Except in the case of a medical
emergency, consent to an abortion is voluntary and informed only if the
following conditions are met:
(1) At least eighteen (18) hours before the abortion and in the
private, not group, presence of the pregnant woman, the physician
who is to perform the abortion, the referring physician or a
physician assistant (as defined in IC 25-27.5-2-10), an advanced
practice registered nurse (as defined in IC 25-23-1-1(b)), or a
certified nurse midwife (as defined in IC 34-18-2-6.5) to whom
the responsibility has been delegated by the physician who is to
perform the abortion or the referring physician has informed the
pregnant woman orally and in writing of the following:
(A) The name of the physician performing the abortion, the
physician's medical license number, and an emergency
telephone number where the physician or the physician's
designee may be contacted on a twenty-four (24) hour a day,
seven (7) day a week basis.
(B) That follow-up care by the physician or the physician's
designee (if the designee is licensed under IC 25-22.5) is
available on an appropriate and timely basis when clinically
necessary.
(C) The nature of the proposed procedure or information
concerning the abortion inducing drug that includes the
following statement: "Some evidence suggests that effects of
Mifespristone may be avoided, ceased, or reversed if the
EH 1217—LS 7090/DI 147 11
second pill, Misoprostol, has not been taken. Immediately
contact the following for more information at (insert
applicable abortion inducing drug reversal Internet web site
and corresponding hotline number)."
(D) Objective scientific information of the risks of and
alternatives to the procedure or the use of an abortion inducing
drug, including:
(i) the risk of infection and hemorrhage;
(ii) the potential danger to a subsequent pregnancy; and
(iii) the potential danger of infertility.
(E) That human physical life begins when a human ovum is
fertilized by a human sperm.
(F) The probable gestational age of the fetus at the time the
abortion is to be performed, including:
(i) a picture of a fetus;
(ii) the dimensions of a fetus; and
(iii) relevant information on the potential survival of an
unborn fetus;
at this stage of development.
(G) That objective scientific information shows that a fetus
can feel pain at or before twenty (20) weeks of postfertilization
age.
(H) The medical risks associated with carrying the fetus to
term.
(I) The availability of fetal ultrasound imaging and
auscultation of fetal heart tone services to enable the pregnant
woman to view the image and hear the heartbeat of the fetus
and how to obtain access to these services.
(J) That the pregnancy of a child less than fifteen (15) years of
age may constitute child abuse under Indiana law if the act
included an adult and must be reported to the department of
child services or the local law enforcement agency under
IC 31-33-5.
(K) That Indiana does not allow a fetus to be aborted solely
because of the fetus's race, color, national origin, ancestry, sex,
or diagnosis or potential diagnosis of the fetus having Down
syndrome or any other disability.
(L) That no one has the right to coerce the pregnant
woman to have an abortion.
(2) At least eighteen (18) hours before the abortion, the pregnant
woman will be informed orally and in writing of the following:
(A) That medical assistance benefits may be available for
EH 1217—LS 7090/DI 147 12
prenatal care, childbirth, and neonatal care from the county
office of the division of family resources.
(B) That the father of the unborn fetus is legally required to
assist in the support of the child. In the case of rape, the
information required under this clause may be omitted.
(C) That adoption alternatives are available and that adoptive
parents may legally pay the costs of prenatal care, childbirth,
and neonatal care.
(D) That there are physical risks to the pregnant woman in
having an abortion, both during the abortion procedure and
after.
(E) That Indiana has enacted the safe haven law under
IC 31-34-2.5.
(F) The:
(i) Internet web site address of the state department of
health's web site; and
(ii) description of the information that will be provided on
the web site and that are; is;
described in section 1.5 of this chapter.
(G) For the facility in which the abortion is to be performed,
an emergency telephone number that is available and
answered on a twenty-four (24) hour a day, seven (7) day a
week basis.
(H) On a form developed by the state department and as
described in IC 16-34-3, that the pregnant woman has a right
to determine the final disposition of the remains of the aborted
fetus.
(I) On a form developed by the state department, that the
pregnant woman has a right, after a surgical abortion, to:
(i) dispose of the remains of the aborted fetus by interment
in compliance with IC 23-14-54, or cremation through a
licensee (as defined in IC 25-15-2-19) and in compliance
with IC 23-14-31; or
(ii) have the health care facility or abortion clinic dispose of
the remains of the aborted fetus by interment in compliance
with IC 23-14-54, or cremation through a licensee (as
defined in IC 25-15-2-19) and in compliance with
IC 23-14-31, and ask which method of disposition will be
used by the health care facility or abortion clinic.
(J) On a form developed by the state department:
(i) that a pregnant woman, after an abortion induced by an
abortion inducing drug, will expel an aborted fetus; and
EH 1217—LS 7090/DI 147 13
(ii) the disposition policy of the health care facility or the
abortion clinic concerning the disposition of the aborted
fetus. The disposition policy must allow the pregnant
woman to return the aborted fetus to the health care facility
or abortion clinic for disposition by interment in compliance
with IC 23-14-54, or cremation through a licensee (as
defined in IC 25-15-2-19) and in compliance with
IC 23-14-31.
(K) On a form developed by the state department, information
concerning any counseling that is available to a pregnant
woman after having an abortion.
The state department shall develop and distribute the forms
required by clauses (H) through (K).
(3) The pregnant woman certifies in writing, on a form developed
by the state department, before the abortion is performed, that:
(A) the information required by subdivisions (1) and (2) has
been provided to the pregnant woman;
(B) the pregnant woman has been offered by the provider the
opportunity to view the fetal ultrasound imaging and hear the
auscultation of the fetal heart tone if the fetal heart tone is
audible and that the woman has:
(i) viewed or refused to view the offered fetal ultrasound
imaging; and
(ii) listened to or refused to listen to the offered auscultation
of the fetal heart tone if the fetal heart tone is audible; and
(C) the pregnant woman has been given a written copy of the
printed materials described in section 1.5 of this chapter.
(4) At least eighteen (18) hours before the abortion and in the
presence of the pregnant woman, the physician who is to perform
the abortion, the referring physician or a physician assistant (as
defined in IC 25-27.5-2-10), an advanced practice registered
nurse (as defined in IC 25-23-1-1(b)), or a certified nurse midwife
(as defined in IC 34-18-2-6.5) to whom the responsibility has
been delegated by the physician who is to perform the abortion or
the referring physician has provided the pregnant woman with a
color copy of the informed consent brochure described in section
1.5 of this chapter by printing the informed consent brochure from
the state department's Internet web site and including the
following information on the back cover of the brochure:
(A) The name of the physician performing the abortion and the
physician's medical license number.
(B) An emergency telephone number where the physician or
EH 1217—LS 7090/DI 147 14
the physician's designee may be contacted twenty-four (24)
hours a day, seven (7) days a week.
(C) A statement that follow-up care by the physician or the
physician's designee who is licensed under IC 25-22.5 is
available on an appropriate and timely basis when clinically
necessary.
(5) At least eighteen (18) hours before an abortion is performed
and at the same time that the pregnant woman receives the
information required by subdivision (1), the provider shall
perform, and the pregnant woman shall view, the fetal ultrasound
imaging and hear the auscultation of the fetal heart tone if the
fetal heart tone is audible unless the pregnant woman certifies in
writing, on a form developed by the state department, before the
abortion is performed, that the pregnant woman:
(A) does not want to view the fetal ultrasound imaging; and
(B) does not want to listen to the auscultation of the fetal heart
tone if the fetal heart tone is audible.
A pregnant woman must be advised, prior to the pregnant
woman's decision concerning fetal ultrasound imaging, that an
ultrasound image of the fetus will be provided to the pregnant
woman to keep at no charge to the pregnant woman if the fetal
ultrasound is performed.
(6) At least eighteen (18) hours before the abortion, the
physician who is to perform the abortion, the referring
physician or a physician assistant (as defined in
IC 25-27.5-2-10), an advanced practice registered nurse (as
defined in IC 25-23-1-1(b)), or a certified nurse midwife (as
defined in IC 34-18-2-6.5) to whom the responsibility has been
delegated by the physician who is to perform the abortion or
the referring physician shall, in the private, not group,
presence of the pregnant woman, verbally ask the pregnant
woman if she is being coerced to have an abortion.
(b) This subsection applies to a pregnant woman whose unborn
child has been diagnosed with a lethal fetal anomaly. The requirements
of this subsection are in addition to the other requirements of this
section. At least eighteen (18) hours before an abortion is performed on
the pregnant woman, the physician who will perform the abortion shall:
(1) orally and in person, inform the pregnant woman of the
availability of perinatal hospice services; and
(2) provide the pregnant woman copies of the perinatal hospice
brochure developed by the state department under IC 16-25-4.5-4
and the list of perinatal hospice providers and programs
EH 1217—LS 7090/DI 147 15
developed under IC 16-25-4.5-5, by printing the perinatal hospice
brochure and list of perinatal hospice providers from the state
department's Internet web site.
(c) If a pregnant woman described in subsection (b) chooses to have
an abortion rather than continuing the pregnancy in perinatal hospice
care, the pregnant woman shall certify in writing, on a form developed
by the state department under IC 16-25-4.5-6, at least eighteen (18)
hours before the abortion is performed, that the pregnant woman has
been provided the information described in subsection (b) in the
manner required by subsection (b).
(d) For any abortion performed under this article, the physician who
is to perform the abortion, the referring physician or a physician
assistant (as defined in IC 25-27.5-2-10), an advanced practice
registered nurse (as defined in IC 25-23-1-1(b)), or a certified nurse
midwife (as defined in IC 34-18-2-6.5) to whom the responsibility has
been delegated by the physician who is to perform the abortion or the
referring physician shall include, or ensure the inclusion of, a copy of
a pregnant woman's ultrasound report in the pregnant woman's patient
file.
(e) If the physician who is to perform the abortion, the referring
physician, a physician assistant (as defined in IC 25-27.5-2-10), an
advanced practice registered nurse (as defined in IC 25-23-1-1(b)),
or a certified nurse midwife (as defined in IC 34-18-2-6.5) suspects
a pregnant woman is being coerced to have an abortion after
making the inquiry required under subsection (a)(6), the physician,
physician assistant, advanced practice registered nurse, or certified
nurse midwife shall:
(1) inform the pregnant woman that coercing a pregnant
woman to have an abortion is illegal;
(2) inform the pregnant woman that a demand by the father
to have an abortion does not relieve him of financial support
responsibilities; and
(3) provide the pregnant woman with:
(A) information about:
(i) assistance;
(ii) counseling; and
(iii) protective services offered by social programs and
local or state law enforcement agencies;
(B) access to a telephone if she needs to make a private
telephone call; and
(C) access to an alternate exit from the health care facility.
(f) Except as provided in subsection (g), if a physician, physician
EH 1217—LS 7090/DI 147 16
assistant (as defined in IC 25-27.5-2-10), advanced practice
registered nurse (as defined in IC 25-23-1-1(b)), or certified nurse
midwife (as defined in IC 34-18-2-6.5) has specific and credible
information that a pregnant woman is being coerced into having an
abortion, then an abortion may not be provided to the pregnant
woman during the twenty-four (24) hour mandatory reporting
period during which law enforcement is required to be notified
under IC 16-34-6.
(g) The twenty-four (24) hour period described in subsection (f)
may be waived if a physician, in the physician's best medical
judgment, determines that an abortion is necessary to prevent the
death of the pregnant woman or to prevent substantial and
irreversible injury to a major bodily function of the pregnant
woman.
SECTION 10. IC 16-34-6 IS ADDED TO THE INDIANA CODE
AS A NEW CHAPTER TO READ AS FOLLOWS [EFFECTIVE
JULY 1, 2022]:
Chapter 6. Coerced Abortions
Sec. 1. As used in this chapter, "abortion" has the meaning set
forth in IC 16-18-2-1.
Sec. 2. As used in this chapter, "mandatory reporter" means
any person providing health care services, including:
(1) a physician;
(2) a surgeon;
(3) a physical therapist;
(4) a psychiatrist;
(5) a psychologist;
(6) a medical resident;
(7) a medical intern;
(8) hospital staff;
(9) a licensed nurse;
(10) a nurse's aide;
(11) any emergency medical technician;
(12) a paramedic; and
(13) any:
(A) employee;
(B) staff member; or
(C) volunteer;
at a reproductive health care facility.
Sec. 3. As used in this chapter, "physician" means any person
licensed to practice medicine in Indiana. The term includes a
medical doctor and a doctor of osteopathy.
EH 1217—LS 7090/DI 147 17
Sec. 4. As used in this chapter, "reproductive health care
facility" means any office, clinic, or other physical location licensed
by the state to provide surgical or medical abortions, abortion
counseling, abortion referrals, contraceptives, contraceptive
counseling, sex education, or gynecological services.
Sec. 5. A person who knowingly or intentionally coerces a
pregnant woman to have an abortion commits a Level 6 felony.
Sec. 6. (a) A mandatory reporter must report to law
enforcement every instance of alleged or suspected coerced
abortion. A mandatory reporter may not use discretion in deciding
whether a case should or should not be reported to law
enforcement.
(b) A mandatory reporter must make a report described in
subsection (a) as soon as practicable to law enforcement within
twenty-four (24) hours of the coercion or attempted coercion being
brought to the mandatory reporter's attention.
(c) A mandatory reporter may not delegate the responsibility to
report coercion or attempted coercion under subsection (a) to
another individual.
(d) The mandatory reporter making a report under subsection
(a) shall provide the following information:
(1) The name and address of the pregnant woman.
(2) The name and address of the person who is responsible for
the care or custody of the pregnant woman if she is less than
eighteen (18) years of age.
(3) Any pertinent information relating to the alleged or
suspected coercion or attempted coercion of the pregnant
woman to undergo an abortion.
(e) A law enforcement agency must immediately initiate an
investigation of the report, not later than two (2) hours from
receiving the report. The law enforcement agency shall conduct an
investigation under this chapter in the same manner that the law
enforcement agency would conduct any other criminal
investigation.
(f) A reproductive health care facility that knowingly employs
a mandatory reporter after a mandatory reporter violates this
section commits a Class C infraction.".
Delete pages 4 through 12.
Page 13, delete lines 1 through 11.
Page 13, between lines 35 and 36, begin a new paragraph and insert:
"(e) An action may not be brought against the mother of the
fetus under this section.".
EH 1217—LS 7090/DI 147 18
Page 13, line 36, delete "(e)" and insert "(f)".
Page 13, line 39, delete "(f)" and insert "(g)".
Page 13, line 41, delete "(g)" and insert "(h)".
Page 14, line 14, delete "(h)" and insert "(i)".
Page 14, line 24, delete "(i)" and insert "(j)".
Page 14, line 24, delete "(g)(2)" and insert "(h)(2)".
Page 14, line 27, delete "(j)" and insert "(k)".
Page 14, line 28, delete "(g)(1), (g)(2), (g)(3)(C)," and insert "(h)(1),
(h)(2), (h)(3)(C),".
Page 14, line 28, delete "(g)(3)(D)" and insert "(h)(3)(D)".
Page 14, line 39, delete "(k)" and insert "(l)".
Page 14, delete lines 41 through 42.
Delete pages 15 through 16.
Page 17, delete lines 1 through 33.
Page 17, line 36, delete "16-34-6-12" and insert "16-34-6-5".
Renumber all SECTIONS consecutively.
and when so amended that said bill do pass.
(Reference is to HB 1217 as introduced.)
STEUERWALD
Committee Vote: yeas 8, nays 3.
_____
HOUSE MOTION
Mr. Speaker: I move that House Bill 1217 be amended to read as
follows:
Page 8, line 1, delete "mandatory reporting" and insert "period after
the physician, physician assistant (as defined in IC 25-27.5-2-10),
advanced practice registered nurse (as defined in IC 25-23-1-1(b)),
or certified nurse midwife (as defined in IC 34-18-2-6.5) makes a
report under IC 16-34-6-6(b).".
Page 8, delete lines 2 through 3.
Page 9, line 9, delete "as soon as practicable to law enforcement
within" and insert "immediately to law enforcement when the
coercion or attempted coercion is".
Page 9, delete line 10.
Page 9, line 25, delete "report, not later than two (2) hours from"
and insert "report from the time the law enforcement agency
EH 1217—LS 7090/DI 147 19
initially receives the report.".
Page 9, line 26, delete "receiving the report.".
Page 9, delete lines 33 through 42.
Delete page 10.
Page 11, delete lines 1 through 21.
Renumber all SECTIONS consecutively.
(Reference is to HB 1217 as printed January 20, 2022.)
KING
_____
COMMITTEE REPORT
Madam President: The Senate Committee on Judiciary, to which
was referred House Bill No. 1217, has had the same under
consideration and begs leave to report the same back to the Senate with
the recommendation that said bill be AMENDED as follows:
Page 9, delete lines 26 and 27, begin a new paragraph and insert:
"(e) After receiving a report under subsection (a), a law
enforcement agency must immediately respond and initiate an
investigation.".
Page 9, line 28, delete "agency initially receives the report.".
Page 9, run in lines 26 through 28.
and when so amended that said bill do pass.
(Reference is to HB 1217 as reprinted January 25, 2022.)
BROWN L, Chairperson
Committee Vote: Yeas 6, Nays 1.
EH 1217—LS 7090/DI 147