Indiana 2022 Regular Session

Indiana House Bill HB1217 Compare Versions

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1+*EH1217.1*
2+February 18, 2022
3+ENGROSSED
4+HOUSE BILL No. 1217
5+_____
6+DIGEST OF HB 1217 (Updated February 16, 2022 6:17 pm - DI 149)
7+Citations Affected: IC 16-18; IC 16-34; IC 35-52.
8+Synopsis: Coerced abortion. Requires that a pregnant woman seeking
9+an abortion must be informed that a coerced abortion is illegal.
10+Provides that certain medical personnel must inquire with a pregnant
11+woman seeking an abortion whether the abortion is coerced. Requires
12+certain medical personnel who believe that an abortion is coerced to
13+offer the pregnant woman information on certain services, the use of a
14+telephone, and an alternative exit from the health care facility. Makes
15+it a Level 6 felony if a person knowingly or intentionally coerces a
16+pregnant woman into having an abortion. Mandates reports of a
17+coerced abortion to law enforcement. Provides that a law enforcement
18+agency must immediately respond and initiate an investigation upon
19+receipt of a complaint of coercion or attempted coercion. Makes it a
20+Class C infraction if a reproductive health facility knowingly employs
21+a mandatory reporter who violates the mandatory reporting statute.
22+Effective: July 1, 2022.
23+King, Mayfield, Fleming, Jeter
24+(SENATE SPONSORS — BROWN L, ROGERS, DONATO, BOEHNLEIN)
25+January 6, 2022, read first time and referred to Committee on Courts and Criminal Code.
26+January 20, 2022, amended, reported — Do Pass.
27+January 24, 2022, read second time, amended, ordered engrossed.
28+January 25, 2022, engrossed. Read third time, passed. Yeas 73, nays 18.
29+SENATE ACTION
30+February 2, 2022, read first time and referred to Committee on Judiciary.
31+February 17, 2022, amended, reported favorably — Do Pass.
32+EH 1217—LS 7090/DI 147 February 18, 2022
133 Second Regular Session of the 122nd General Assembly (2022)
234 PRINTING CODE. Amendments: Whenever an existing statute (or a section of the Indiana
335 Constitution) is being amended, the text of the existing provision will appear in this style type,
436 additions will appear in this style type, and deletions will appear in this style type.
537 Additions: Whenever a new statutory provision is being enacted (or a new constitutional
638 provision adopted), the text of the new provision will appear in this style type. Also, the
739 word NEW will appear in that style type in the introductory clause of each SECTION that adds
840 a new provision to the Indiana Code or the Indiana Constitution.
941 Conflict reconciliation: Text in a statute in this style type or this style type reconciles conflicts
1042 between statutes enacted by the 2021 Regular Session of the General Assembly.
11-HOUSE ENROLLED ACT No. 1217
12-AN ACT to amend the Indiana Code concerning health.
43+ENGROSSED
44+HOUSE BILL No. 1217
45+A BILL FOR AN ACT to amend the Indiana Code concerning
46+health.
1347 Be it enacted by the General Assembly of the State of Indiana:
14-SECTION 1. IC 16-18-2-214.9 IS ADDED TO THE INDIANA
15-CODE AS A NEW SECTION TO READ AS FOLLOWS
16-[EFFECTIVE JULY 1, 2022]: Sec. 214.9. "Mandatory reporter", for
17-purposes of IC 16-34-6, has the meaning set forth in IC 16-34-6-2.
18-SECTION 2. IC 16-18-2-282, AS AMENDED BY P.L.153-2018,
19-SECTION 5, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE
20-JULY 1, 2022]: Sec. 282. (a) "Physician", except as provided in
21-subsections (b), and (c), and (e), means a licensed physician (as
22-defined in section 202 of this chapter).
23-(b) "Physician", for purposes of IC 16-41-12, has the meaning set
24-forth in IC 16-41-12-7.
25-(c) "Physician", for purposes of IC 16-37-1-3.1 and IC 16-37-3-5,
26-means an individual who:
27-(1) was the physician last in attendance (as defined in section
28-282.2 of this chapter); or
29-(2) is licensed under IC 25-22.5.
30-(d) "Physician", for purposes of IC 16-48-1, is subject to
31-IC 16-48-1-2.
32-(e) "Physician", for purposes of IC 16-34-6, has the meaning set
33-forth in IC 16-34-6-3.
34-SECTION 3. IC 16-18-2-317.3 IS ADDED TO THE INDIANA
35-CODE AS A NEW SECTION TO READ AS FOLLOWS
36-HEA 1217 — Concur 2
37-[EFFECTIVE JULY 1, 2022]: Sec. 317.3. "Reproductive health care
38-facility", for purposes of IC 16-34-6, has the meaning set forth in
39-IC 16-34-6-4.
40-SECTION 4. IC 16-34-2-1.1, AS AMENDED BY P.L.218-2021,
48+1 SECTION 1. IC 16-18-2-214.9 IS ADDED TO THE INDIANA
49+2 CODE AS A NEW SECTION TO READ AS FOLLOWS
50+3 [EFFECTIVE JULY 1, 2022]: Sec. 214.9. "Mandatory reporter", for
51+4 purposes of IC 16-34-6, has the meaning set forth in IC 16-34-6-2.
52+5 SECTION 2. IC 16-18-2-282, AS AMENDED BY P.L.153-2018,
53+6 SECTION 5, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE
54+7 JULY 1, 2022]: Sec. 282. (a) "Physician", except as provided in
55+8 subsections (b), and (c), and (e), means a licensed physician (as
56+9 defined in section 202 of this chapter).
57+10 (b) "Physician", for purposes of IC 16-41-12, has the meaning set
58+11 forth in IC 16-41-12-7.
59+12 (c) "Physician", for purposes of IC 16-37-1-3.1 and IC 16-37-3-5,
60+13 means an individual who:
61+14 (1) was the physician last in attendance (as defined in section
62+15 282.2 of this chapter); or
63+16 (2) is licensed under IC 25-22.5.
64+17 (d) "Physician", for purposes of IC 16-48-1, is subject to
65+EH 1217—LS 7090/DI 147 2
66+1 IC 16-48-1-2.
67+2 (e) "Physician", for purposes of IC 16-34-6, has the meaning set
68+3 forth in IC 16-34-6-3.
69+4 SECTION 3. IC 16-18-2-317.3 IS ADDED TO THE INDIANA
70+5 CODE AS A NEW SECTION TO READ AS FOLLOWS
71+6 [EFFECTIVE JULY 1, 2022]: Sec. 317.3. "Reproductive health care
72+7 facility", for purposes of IC 16-34-6, has the meaning set forth in
73+8 IC 16-34-6-4.
74+9 SECTION 4. IC 16-34-2-1.1, AS AMENDED BY P.L.218-2021,
75+10 SECTION 5, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE
76+11 JULY 1, 2022]: Sec. 1.1. (a) An abortion shall not be performed except
77+12 with the voluntary and informed consent of the pregnant woman upon
78+13 whom the abortion is to be performed. Except in the case of a medical
79+14 emergency, consent to an abortion is voluntary and informed only if the
80+15 following conditions are met:
81+16 (1) At least eighteen (18) hours before the abortion and in the
82+17 private, not group, presence of the pregnant woman, the physician
83+18 who is to perform the abortion, the referring physician or a
84+19 physician assistant (as defined in IC 25-27.5-2-10), an advanced
85+20 practice registered nurse (as defined in IC 25-23-1-1(b)), or a
86+21 certified nurse midwife (as defined in IC 34-18-2-6.5) to whom
87+22 the responsibility has been delegated by the physician who is to
88+23 perform the abortion or the referring physician has informed the
89+24 pregnant woman orally and in writing of the following:
90+25 (A) The name of the physician performing the abortion, the
91+26 physician's medical license number, and an emergency
92+27 telephone number where the physician or the physician's
93+28 designee may be contacted on a twenty-four (24) hour a day,
94+29 seven (7) day a week basis.
95+30 (B) That follow-up care by the physician or the physician's
96+31 designee (if the designee is licensed under IC 25-22.5) is
97+32 available on an appropriate and timely basis when clinically
98+33 necessary.
99+34 (C) The nature of the proposed procedure or information
100+35 concerning the abortion inducing drug that includes the
101+36 following statement: "Some evidence suggests that effects of
102+37 Mifespristone may be avoided, ceased, or reversed if the
103+38 second pill, Misoprostol, has not been taken. Immediately
104+39 contact the following for more information at (insert
105+40 applicable abortion inducing drug reversal Internet web site
106+41 and corresponding hotline number)."
107+42 (D) Objective scientific information of the risks of and
108+EH 1217—LS 7090/DI 147 3
109+1 alternatives to the procedure or the use of an abortion inducing
110+2 drug, including:
111+3 (i) the risk of infection and hemorrhage;
112+4 (ii) the potential danger to a subsequent pregnancy; and
113+5 (iii) the potential danger of infertility.
114+6 (E) That human physical life begins when a human ovum is
115+7 fertilized by a human sperm.
116+8 (F) The probable gestational age of the fetus at the time the
117+9 abortion is to be performed, including:
118+10 (i) a picture of a fetus;
119+11 (ii) the dimensions of a fetus; and
120+12 (iii) relevant information on the potential survival of an
121+13 unborn fetus;
122+14 at this stage of development.
123+15 (G) That objective scientific information shows that a fetus
124+16 can feel pain at or before twenty (20) weeks of postfertilization
125+17 age.
126+18 (H) The medical risks associated with carrying the fetus to
127+19 term.
128+20 (I) The availability of fetal ultrasound imaging and
129+21 auscultation of fetal heart tone services to enable the pregnant
130+22 woman to view the image and hear the heartbeat of the fetus
131+23 and how to obtain access to these services.
132+24 (J) That the pregnancy of a child less than fifteen (15) years of
133+25 age may constitute child abuse under Indiana law if the act
134+26 included an adult and must be reported to the department of
135+27 child services or the local law enforcement agency under
136+28 IC 31-33-5.
137+29 (K) That Indiana does not allow a fetus to be aborted solely
138+30 because of the fetus's race, color, national origin, ancestry, sex,
139+31 or diagnosis or potential diagnosis of the fetus having Down
140+32 syndrome or any other disability.
141+33 (L) That no one has the right to coerce the pregnant
142+34 woman to have an abortion.
143+35 (2) At least eighteen (18) hours before the abortion, the pregnant
144+36 woman will be informed orally and in writing of the following:
145+37 (A) That medical assistance benefits may be available for
146+38 prenatal care, childbirth, and neonatal care from the county
147+39 office of the division of family resources.
148+40 (B) That the father of the unborn fetus is legally required to
149+41 assist in the support of the child. In the case of rape, the
150+42 information required under this clause may be omitted.
151+EH 1217—LS 7090/DI 147 4
152+1 (C) That adoption alternatives are available and that adoptive
153+2 parents may legally pay the costs of prenatal care, childbirth,
154+3 and neonatal care.
155+4 (D) That there are physical risks to the pregnant woman in
156+5 having an abortion, both during the abortion procedure and
157+6 after.
158+7 (E) That Indiana has enacted the safe haven law under
159+8 IC 31-34-2.5.
160+9 (F) The:
161+10 (i) Internet web site address of the state department of
162+11 health's web site; and
163+12 (ii) description of the information that will be provided on
164+13 the web site and that are; is;
165+14 described in section 1.5 of this chapter.
166+15 (G) For the facility in which the abortion is to be performed,
167+16 an emergency telephone number that is available and
168+17 answered on a twenty-four (24) hour a day, seven (7) day a
169+18 week basis.
170+19 (H) On a form developed by the state department and as
171+20 described in IC 16-34-3, that the pregnant woman has a right
172+21 to determine the final disposition of the remains of the aborted
173+22 fetus.
174+23 (I) On a form developed by the state department, that the
175+24 pregnant woman has a right, after a surgical abortion, to:
176+25 (i) dispose of the remains of the aborted fetus by interment
177+26 in compliance with IC 23-14-54, or cremation through a
178+27 licensee (as defined in IC 25-15-2-19) and in compliance
179+28 with IC 23-14-31; or
180+29 (ii) have the health care facility or abortion clinic dispose of
181+30 the remains of the aborted fetus by interment in compliance
182+31 with IC 23-14-54, or cremation through a licensee (as
183+32 defined in IC 25-15-2-19) and in compliance with
184+33 IC 23-14-31, and ask which method of disposition will be
185+34 used by the health care facility or abortion clinic.
186+35 (J) On a form developed by the state department:
187+36 (i) that a pregnant woman, after an abortion induced by an
188+37 abortion inducing drug, will expel an aborted fetus; and
189+38 (ii) the disposition policy of the health care facility or the
190+39 abortion clinic concerning the disposition of the aborted
191+40 fetus. The disposition policy must allow the pregnant
192+41 woman to return the aborted fetus to the health care facility
193+42 or abortion clinic for disposition by interment in compliance
194+EH 1217—LS 7090/DI 147 5
195+1 with IC 23-14-54, or cremation through a licensee (as
196+2 defined in IC 25-15-2-19) and in compliance with
197+3 IC 23-14-31.
198+4 (K) On a form developed by the state department, information
199+5 concerning any counseling that is available to a pregnant
200+6 woman after having an abortion.
201+7 The state department shall develop and distribute the forms
202+8 required by clauses (H) through (K).
203+9 (3) The pregnant woman certifies in writing, on a form developed
204+10 by the state department, before the abortion is performed, that:
205+11 (A) the information required by subdivisions (1) and (2) has
206+12 been provided to the pregnant woman;
207+13 (B) the pregnant woman has been offered by the provider the
208+14 opportunity to view the fetal ultrasound imaging and hear the
209+15 auscultation of the fetal heart tone if the fetal heart tone is
210+16 audible and that the woman has:
211+17 (i) viewed or refused to view the offered fetal ultrasound
212+18 imaging; and
213+19 (ii) listened to or refused to listen to the offered auscultation
214+20 of the fetal heart tone if the fetal heart tone is audible; and
215+21 (C) the pregnant woman has been given a written copy of the
216+22 printed materials described in section 1.5 of this chapter.
217+23 (4) At least eighteen (18) hours before the abortion and in the
218+24 presence of the pregnant woman, the physician who is to perform
219+25 the abortion, the referring physician or a physician assistant (as
220+26 defined in IC 25-27.5-2-10), an advanced practice registered
221+27 nurse (as defined in IC 25-23-1-1(b)), or a certified nurse midwife
222+28 (as defined in IC 34-18-2-6.5) to whom the responsibility has
223+29 been delegated by the physician who is to perform the abortion or
224+30 the referring physician has provided the pregnant woman with a
225+31 color copy of the informed consent brochure described in section
226+32 1.5 of this chapter by printing the informed consent brochure from
227+33 the state department's Internet web site and including the
228+34 following information on the back cover of the brochure:
229+35 (A) The name of the physician performing the abortion and the
230+36 physician's medical license number.
231+37 (B) An emergency telephone number where the physician or
232+38 the physician's designee may be contacted twenty-four (24)
233+39 hours a day, seven (7) days a week.
234+40 (C) A statement that follow-up care by the physician or the
235+41 physician's designee who is licensed under IC 25-22.5 is
236+42 available on an appropriate and timely basis when clinically
237+EH 1217—LS 7090/DI 147 6
238+1 necessary.
239+2 (5) At least eighteen (18) hours before an abortion is performed
240+3 and at the same time that the pregnant woman receives the
241+4 information required by subdivision (1), the provider shall
242+5 perform, and the pregnant woman shall view, the fetal ultrasound
243+6 imaging and hear the auscultation of the fetal heart tone if the
244+7 fetal heart tone is audible unless the pregnant woman certifies in
245+8 writing, on a form developed by the state department, before the
246+9 abortion is performed, that the pregnant woman:
247+10 (A) does not want to view the fetal ultrasound imaging; and
248+11 (B) does not want to listen to the auscultation of the fetal heart
249+12 tone if the fetal heart tone is audible.
250+13 A pregnant woman must be advised, prior to the pregnant
251+14 woman's decision concerning fetal ultrasound imaging, that an
252+15 ultrasound image of the fetus will be provided to the pregnant
253+16 woman to keep at no charge to the pregnant woman if the fetal
254+17 ultrasound is performed.
255+18 (6) At least eighteen (18) hours before the abortion, the
256+19 physician who is to perform the abortion, the referring
257+20 physician or a physician assistant (as defined in
258+21 IC 25-27.5-2-10), an advanced practice registered nurse (as
259+22 defined in IC 25-23-1-1(b)), or a certified nurse midwife (as
260+23 defined in IC 34-18-2-6.5) to whom the responsibility has been
261+24 delegated by the physician who is to perform the abortion or
262+25 the referring physician shall, in the private, not group,
263+26 presence of the pregnant woman, verbally ask the pregnant
264+27 woman if she is being coerced to have an abortion.
265+28 (b) This subsection applies to a pregnant woman whose unborn
266+29 child has been diagnosed with a lethal fetal anomaly. The requirements
267+30 of this subsection are in addition to the other requirements of this
268+31 section. At least eighteen (18) hours before an abortion is performed on
269+32 the pregnant woman, the physician who will perform the abortion shall:
270+33 (1) orally and in person, inform the pregnant woman of the
271+34 availability of perinatal hospice services; and
272+35 (2) provide the pregnant woman copies of the perinatal hospice
273+36 brochure developed by the state department under IC 16-25-4.5-4
274+37 and the list of perinatal hospice providers and programs
275+38 developed under IC 16-25-4.5-5, by printing the perinatal hospice
276+39 brochure and list of perinatal hospice providers from the state
277+40 department's Internet web site.
278+41 (c) If a pregnant woman described in subsection (b) chooses to have
279+42 an abortion rather than continuing the pregnancy in perinatal hospice
280+EH 1217—LS 7090/DI 147 7
281+1 care, the pregnant woman shall certify in writing, on a form developed
282+2 by the state department under IC 16-25-4.5-6, at least eighteen (18)
283+3 hours before the abortion is performed, that the pregnant woman has
284+4 been provided the information described in subsection (b) in the
285+5 manner required by subsection (b).
286+6 (d) For any abortion performed under this article, the physician who
287+7 is to perform the abortion, the referring physician or a physician
288+8 assistant (as defined in IC 25-27.5-2-10), an advanced practice
289+9 registered nurse (as defined in IC 25-23-1-1(b)), or a certified nurse
290+10 midwife (as defined in IC 34-18-2-6.5) to whom the responsibility has
291+11 been delegated by the physician who is to perform the abortion or the
292+12 referring physician shall include, or ensure the inclusion of, a copy of
293+13 a pregnant woman's ultrasound report in the pregnant woman's patient
294+14 file.
295+15 (e) If the physician who is to perform the abortion, the referring
296+16 physician, a physician assistant (as defined in IC 25-27.5-2-10), an
297+17 advanced practice registered nurse (as defined in IC 25-23-1-1(b)),
298+18 or a certified nurse midwife (as defined in IC 34-18-2-6.5) suspects
299+19 a pregnant woman is being coerced to have an abortion after
300+20 making the inquiry required under subsection (a)(6), the physician,
301+21 physician assistant, advanced practice registered nurse, or certified
302+22 nurse midwife shall:
303+23 (1) inform the pregnant woman that coercing a pregnant
304+24 woman to have an abortion is illegal;
305+25 (2) inform the pregnant woman that a demand by the father
306+26 to have an abortion does not relieve him of financial support
307+27 responsibilities; and
308+28 (3) provide the pregnant woman with:
309+29 (A) information about:
310+30 (i) assistance;
311+31 (ii) counseling; and
312+32 (iii) protective services offered by social programs and
313+33 local or state law enforcement agencies;
314+34 (B) access to a telephone if she needs to make a private
315+35 telephone call; and
316+36 (C) access to an alternate exit from the health care facility.
317+37 (f) Except as provided in subsection (g), if a physician, physician
318+38 assistant (as defined in IC 25-27.5-2-10), advanced practice
319+39 registered nurse (as defined in IC 25-23-1-1(b)), or certified nurse
320+40 midwife (as defined in IC 34-18-2-6.5) has specific and credible
321+41 information that a pregnant woman is being coerced into having an
322+42 abortion, then an abortion may not be provided to the pregnant
323+EH 1217—LS 7090/DI 147 8
324+1 woman during the twenty-four (24) hour period after the
325+2 physician, physician assistant (as defined in IC 25-27.5-2-10),
326+3 advanced practice registered nurse (as defined in IC 25-23-1-1(b)),
327+4 or certified nurse midwife (as defined in IC 34-18-2-6.5) makes a
328+5 report under IC 16-34-6-6(b).
329+6 (g) The twenty-four (24) hour period described in subsection (f)
330+7 may be waived if a physician, in the physician's best medical
331+8 judgment, determines that an abortion is necessary to prevent the
332+9 death of the pregnant woman or to prevent substantial and
333+10 irreversible injury to a major bodily function of the pregnant
334+11 woman.
335+12 SECTION 5. IC 16-34-6 IS ADDED TO THE INDIANA CODE AS
336+13 A NEW CHAPTER TO READ AS FOLLOWS [EFFECTIVE JULY
337+14 1, 2022]:
338+15 Chapter 6. Coerced Abortions
339+16 Sec. 1. As used in this chapter, "abortion" has the meaning set
340+17 forth in IC 16-18-2-1.
341+18 Sec. 2. As used in this chapter, "mandatory reporter" means
342+19 any person providing health care services, including:
343+20 (1) a physician;
344+21 (2) a surgeon;
345+22 (3) a physical therapist;
346+23 (4) a psychiatrist;
347+24 (5) a psychologist;
348+25 (6) a medical resident;
349+26 (7) a medical intern;
350+27 (8) hospital staff;
351+28 (9) a licensed nurse;
352+29 (10) a nurse's aide;
353+30 (11) any emergency medical technician;
354+31 (12) a paramedic; and
355+32 (13) any:
356+33 (A) employee;
357+34 (B) staff member; or
358+35 (C) volunteer;
359+36 at a reproductive health care facility.
360+37 Sec. 3. As used in this chapter, "physician" means any person
361+38 licensed to practice medicine in Indiana. The term includes a
362+39 medical doctor and a doctor of osteopathy.
363+40 Sec. 4. As used in this chapter, "reproductive health care
364+41 facility" means any office, clinic, or other physical location licensed
365+42 by the state to provide surgical or medical abortions, abortion
366+EH 1217—LS 7090/DI 147 9
367+1 counseling, abortion referrals, contraceptives, contraceptive
368+2 counseling, sex education, or gynecological services.
369+3 Sec. 5. A person who knowingly or intentionally coerces a
370+4 pregnant woman to have an abortion commits a Level 6 felony.
371+5 Sec. 6. (a) A mandatory reporter must report to law
372+6 enforcement every instance of alleged or suspected coerced
373+7 abortion. A mandatory reporter may not use discretion in deciding
374+8 whether a case should or should not be reported to law
375+9 enforcement.
376+10 (b) A mandatory reporter must make a report described in
377+11 subsection (a) immediately to law enforcement when the coercion
378+12 or attempted coercion is brought to the mandatory reporter's
379+13 attention.
380+14 (c) A mandatory reporter may not delegate the responsibility to
381+15 report coercion or attempted coercion under subsection (a) to
382+16 another individual.
383+17 (d) The mandatory reporter making a report under subsection
384+18 (a) shall provide the following information:
385+19 (1) The name and address of the pregnant woman.
386+20 (2) The name and address of the person who is responsible for
387+21 the care or custody of the pregnant woman if she is less than
388+22 eighteen (18) years of age.
389+23 (3) Any pertinent information relating to the alleged or
390+24 suspected coercion or attempted coercion of the pregnant
391+25 woman to undergo an abortion.
392+26 (e) After receiving a report under subsection (a), a law
393+27 enforcement agency must immediately respond and initiate an
394+28 investigation. The law enforcement agency shall conduct an
395+29 investigation under this chapter in the same manner that the law
396+30 enforcement agency would conduct any other criminal
397+31 investigation.
398+32 (f) A reproductive health care facility that knowingly employs
399+33 a mandatory reporter after a mandatory reporter violates this
400+34 section commits a Class C infraction.
401+35 SECTION 6. IC 35-52-16-23.5 IS ADDED TO THE INDIANA
402+36 CODE AS A NEW SECTION TO READ AS FOLLOWS
403+37 [EFFECTIVE JULY 1, 2022]: Sec. 23.5. IC 16-34-6-5 defines a crime
404+38 concerning coerced abortion.
405+EH 1217—LS 7090/DI 147 10
406+COMMITTEE REPORT
407+Mr. Speaker: Your Committee on Courts and Criminal Code, to
408+which was referred House Bill 1217, has had the same under
409+consideration and begs leave to report the same back to the House with
410+the recommendation that said bill be amended as follows:
411+Page 1, delete lines 1 through 17.
412+Page 2, delete lines 1 through 4.
413+Page 2, line 8, delete "16-34-6-5." and insert "16-34-6-2.".
414+Page 2, line 24, delete "16-34-6-6." and insert "16-34-6-3.".
415+Page 2, delete lines 25 through 39.
416+Page 3, line 2, delete "16-34-6-8." and insert "16-34-6-4.".
417+Page 3, delete lines 3 through 42, begin a new paragraph and insert:
418+"SECTION 9. IC 16-34-2-1.1, AS AMENDED BY P.L.218-2021,
41419 SECTION 5, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE
42420 JULY 1, 2022]: Sec. 1.1. (a) An abortion shall not be performed except
43421 with the voluntary and informed consent of the pregnant woman upon
44422 whom the abortion is to be performed. Except in the case of a medical
45423 emergency, consent to an abortion is voluntary and informed only if the
46424 following conditions are met:
47425 (1) At least eighteen (18) hours before the abortion and in the
48426 private, not group, presence of the pregnant woman, the physician
49427 who is to perform the abortion, the referring physician or a
50428 physician assistant (as defined in IC 25-27.5-2-10), an advanced
51429 practice registered nurse (as defined in IC 25-23-1-1(b)), or a
52430 certified nurse midwife (as defined in IC 34-18-2-6.5) to whom
53431 the responsibility has been delegated by the physician who is to
54432 perform the abortion or the referring physician has informed the
55433 pregnant woman orally and in writing of the following:
56434 (A) The name of the physician performing the abortion, the
57435 physician's medical license number, and an emergency
58436 telephone number where the physician or the physician's
59437 designee may be contacted on a twenty-four (24) hour a day,
60438 seven (7) day a week basis.
61439 (B) That follow-up care by the physician or the physician's
62440 designee (if the designee is licensed under IC 25-22.5) is
63441 available on an appropriate and timely basis when clinically
64442 necessary.
65443 (C) The nature of the proposed procedure or information
66444 concerning the abortion inducing drug that includes the
67445 following statement: "Some evidence suggests that effects of
68446 Mifespristone may be avoided, ceased, or reversed if the
447+EH 1217—LS 7090/DI 147 11
69448 second pill, Misoprostol, has not been taken. Immediately
70449 contact the following for more information at (insert
71450 applicable abortion inducing drug reversal Internet web site
72451 and corresponding hotline number)."
73452 (D) Objective scientific information of the risks of and
74453 alternatives to the procedure or the use of an abortion inducing
75454 drug, including:
76455 (i) the risk of infection and hemorrhage;
77456 (ii) the potential danger to a subsequent pregnancy; and
78457 (iii) the potential danger of infertility.
79-HEA 1217 — Concur 3
80458 (E) That human physical life begins when a human ovum is
81459 fertilized by a human sperm.
82460 (F) The probable gestational age of the fetus at the time the
83461 abortion is to be performed, including:
84462 (i) a picture of a fetus;
85463 (ii) the dimensions of a fetus; and
86464 (iii) relevant information on the potential survival of an
87465 unborn fetus;
88466 at this stage of development.
89467 (G) That objective scientific information shows that a fetus
90468 can feel pain at or before twenty (20) weeks of postfertilization
91469 age.
92470 (H) The medical risks associated with carrying the fetus to
93471 term.
94472 (I) The availability of fetal ultrasound imaging and
95473 auscultation of fetal heart tone services to enable the pregnant
96474 woman to view the image and hear the heartbeat of the fetus
97475 and how to obtain access to these services.
98476 (J) That the pregnancy of a child less than fifteen (15) years of
99477 age may constitute child abuse under Indiana law if the act
100478 included an adult and must be reported to the department of
101479 child services or the local law enforcement agency under
102480 IC 31-33-5.
103481 (K) That Indiana does not allow a fetus to be aborted solely
104482 because of the fetus's race, color, national origin, ancestry, sex,
105483 or diagnosis or potential diagnosis of the fetus having Down
106484 syndrome or any other disability.
107485 (L) That no one has the right to coerce the pregnant
108486 woman to have an abortion.
109487 (2) At least eighteen (18) hours before the abortion, the pregnant
110488 woman will be informed orally and in writing of the following:
111489 (A) That medical assistance benefits may be available for
490+EH 1217—LS 7090/DI 147 12
112491 prenatal care, childbirth, and neonatal care from the county
113492 office of the division of family resources.
114493 (B) That the father of the unborn fetus is legally required to
115494 assist in the support of the child. In the case of rape, the
116495 information required under this clause may be omitted.
117496 (C) That adoption alternatives are available and that adoptive
118497 parents may legally pay the costs of prenatal care, childbirth,
119498 and neonatal care.
120499 (D) That there are physical risks to the pregnant woman in
121500 having an abortion, both during the abortion procedure and
122-HEA 1217 — Concur 4
123501 after.
124502 (E) That Indiana has enacted the safe haven law under
125503 IC 31-34-2.5.
126504 (F) The:
127505 (i) Internet web site address of the state department of
128506 health's web site; and
129507 (ii) description of the information that will be provided on
130508 the web site and that are; is;
131509 described in section 1.5 of this chapter.
132510 (G) For the facility in which the abortion is to be performed,
133511 an emergency telephone number that is available and
134512 answered on a twenty-four (24) hour a day, seven (7) day a
135513 week basis.
136514 (H) On a form developed by the state department and as
137515 described in IC 16-34-3, that the pregnant woman has a right
138516 to determine the final disposition of the remains of the aborted
139517 fetus.
140518 (I) On a form developed by the state department, that the
141519 pregnant woman has a right, after a surgical abortion, to:
142520 (i) dispose of the remains of the aborted fetus by interment
143521 in compliance with IC 23-14-54, or cremation through a
144522 licensee (as defined in IC 25-15-2-19) and in compliance
145523 with IC 23-14-31; or
146524 (ii) have the health care facility or abortion clinic dispose of
147525 the remains of the aborted fetus by interment in compliance
148526 with IC 23-14-54, or cremation through a licensee (as
149527 defined in IC 25-15-2-19) and in compliance with
150528 IC 23-14-31, and ask which method of disposition will be
151529 used by the health care facility or abortion clinic.
152530 (J) On a form developed by the state department:
153531 (i) that a pregnant woman, after an abortion induced by an
154532 abortion inducing drug, will expel an aborted fetus; and
533+EH 1217—LS 7090/DI 147 13
155534 (ii) the disposition policy of the health care facility or the
156535 abortion clinic concerning the disposition of the aborted
157536 fetus. The disposition policy must allow the pregnant
158537 woman to return the aborted fetus to the health care facility
159538 or abortion clinic for disposition by interment in compliance
160539 with IC 23-14-54, or cremation through a licensee (as
161540 defined in IC 25-15-2-19) and in compliance with
162541 IC 23-14-31.
163542 (K) On a form developed by the state department, information
164543 concerning any counseling that is available to a pregnant
165-HEA 1217 — Concur 5
166544 woman after having an abortion.
167545 The state department shall develop and distribute the forms
168546 required by clauses (H) through (K).
169547 (3) The pregnant woman certifies in writing, on a form developed
170548 by the state department, before the abortion is performed, that:
171549 (A) the information required by subdivisions (1) and (2) has
172550 been provided to the pregnant woman;
173551 (B) the pregnant woman has been offered by the provider the
174552 opportunity to view the fetal ultrasound imaging and hear the
175553 auscultation of the fetal heart tone if the fetal heart tone is
176554 audible and that the woman has:
177555 (i) viewed or refused to view the offered fetal ultrasound
178556 imaging; and
179557 (ii) listened to or refused to listen to the offered auscultation
180558 of the fetal heart tone if the fetal heart tone is audible; and
181559 (C) the pregnant woman has been given a written copy of the
182560 printed materials described in section 1.5 of this chapter.
183561 (4) At least eighteen (18) hours before the abortion and in the
184562 presence of the pregnant woman, the physician who is to perform
185563 the abortion, the referring physician or a physician assistant (as
186564 defined in IC 25-27.5-2-10), an advanced practice registered
187565 nurse (as defined in IC 25-23-1-1(b)), or a certified nurse midwife
188566 (as defined in IC 34-18-2-6.5) to whom the responsibility has
189567 been delegated by the physician who is to perform the abortion or
190568 the referring physician has provided the pregnant woman with a
191569 color copy of the informed consent brochure described in section
192570 1.5 of this chapter by printing the informed consent brochure from
193571 the state department's Internet web site and including the
194572 following information on the back cover of the brochure:
195573 (A) The name of the physician performing the abortion and the
196574 physician's medical license number.
197575 (B) An emergency telephone number where the physician or
576+EH 1217—LS 7090/DI 147 14
198577 the physician's designee may be contacted twenty-four (24)
199578 hours a day, seven (7) days a week.
200579 (C) A statement that follow-up care by the physician or the
201580 physician's designee who is licensed under IC 25-22.5 is
202581 available on an appropriate and timely basis when clinically
203582 necessary.
204583 (5) At least eighteen (18) hours before an abortion is performed
205584 and at the same time that the pregnant woman receives the
206585 information required by subdivision (1), the provider shall
207586 perform, and the pregnant woman shall view, the fetal ultrasound
208-HEA 1217 — Concur 6
209587 imaging and hear the auscultation of the fetal heart tone if the
210588 fetal heart tone is audible unless the pregnant woman certifies in
211589 writing, on a form developed by the state department, before the
212590 abortion is performed, that the pregnant woman:
213591 (A) does not want to view the fetal ultrasound imaging; and
214592 (B) does not want to listen to the auscultation of the fetal heart
215593 tone if the fetal heart tone is audible.
216594 A pregnant woman must be advised, prior to the pregnant
217595 woman's decision concerning fetal ultrasound imaging, that an
218596 ultrasound image of the fetus will be provided to the pregnant
219597 woman to keep at no charge to the pregnant woman if the fetal
220598 ultrasound is performed.
221599 (6) At least eighteen (18) hours before the abortion, the
222600 physician who is to perform the abortion, the referring
223601 physician or a physician assistant (as defined in
224602 IC 25-27.5-2-10), an advanced practice registered nurse (as
225603 defined in IC 25-23-1-1(b)), or a certified nurse midwife (as
226604 defined in IC 34-18-2-6.5) to whom the responsibility has been
227605 delegated by the physician who is to perform the abortion or
228606 the referring physician shall, in the private, not group,
229607 presence of the pregnant woman, verbally ask the pregnant
230608 woman if she is being coerced to have an abortion.
231609 (b) This subsection applies to a pregnant woman whose unborn
232610 child has been diagnosed with a lethal fetal anomaly. The requirements
233611 of this subsection are in addition to the other requirements of this
234612 section. At least eighteen (18) hours before an abortion is performed on
235613 the pregnant woman, the physician who will perform the abortion shall:
236614 (1) orally and in person, inform the pregnant woman of the
237615 availability of perinatal hospice services; and
238616 (2) provide the pregnant woman copies of the perinatal hospice
239617 brochure developed by the state department under IC 16-25-4.5-4
240618 and the list of perinatal hospice providers and programs
619+EH 1217—LS 7090/DI 147 15
241620 developed under IC 16-25-4.5-5, by printing the perinatal hospice
242621 brochure and list of perinatal hospice providers from the state
243622 department's Internet web site.
244623 (c) If a pregnant woman described in subsection (b) chooses to have
245624 an abortion rather than continuing the pregnancy in perinatal hospice
246625 care, the pregnant woman shall certify in writing, on a form developed
247626 by the state department under IC 16-25-4.5-6, at least eighteen (18)
248627 hours before the abortion is performed, that the pregnant woman has
249628 been provided the information described in subsection (b) in the
250629 manner required by subsection (b).
251-HEA 1217 — Concur 7
252630 (d) For any abortion performed under this article, the physician who
253631 is to perform the abortion, the referring physician or a physician
254632 assistant (as defined in IC 25-27.5-2-10), an advanced practice
255633 registered nurse (as defined in IC 25-23-1-1(b)), or a certified nurse
256634 midwife (as defined in IC 34-18-2-6.5) to whom the responsibility has
257635 been delegated by the physician who is to perform the abortion or the
258636 referring physician shall include, or ensure the inclusion of, a copy of
259637 a pregnant woman's ultrasound report in the pregnant woman's patient
260638 file.
261639 (e) If the physician who is to perform the abortion, the referring
262640 physician, a physician assistant (as defined in IC 25-27.5-2-10), an
263641 advanced practice registered nurse (as defined in IC 25-23-1-1(b)),
264642 or a certified nurse midwife (as defined in IC 34-18-2-6.5) suspects
265643 a pregnant woman is being coerced to have an abortion after
266644 making the inquiry required under subsection (a)(6), the physician,
267645 physician assistant, advanced practice registered nurse, or certified
268646 nurse midwife shall:
269647 (1) inform the pregnant woman that coercing a pregnant
270648 woman to have an abortion is illegal;
271649 (2) inform the pregnant woman that a demand by the father
272650 to have an abortion does not relieve him of financial support
273651 responsibilities; and
274652 (3) provide the pregnant woman with:
275653 (A) information about:
276654 (i) assistance;
277655 (ii) counseling; and
278656 (iii) protective services offered by social programs and
279657 local or state law enforcement agencies;
280658 (B) access to a telephone if she needs to make a private
281659 telephone call; and
282660 (C) access to an alternate exit from the health care facility.
283661 (f) Except as provided in subsection (g), if a physician, physician
662+EH 1217—LS 7090/DI 147 16
284663 assistant (as defined in IC 25-27.5-2-10), advanced practice
285664 registered nurse (as defined in IC 25-23-1-1(b)), or certified nurse
286665 midwife (as defined in IC 34-18-2-6.5) has specific and credible
287666 information that a pregnant woman is being coerced into having an
288667 abortion, then an abortion may not be provided to the pregnant
289-woman during the twenty-four (24) hour period after the
290-physician, physician assistant (as defined in IC 25-27.5-2-10),
291-advanced practice registered nurse (as defined in IC 25-23-1-1(b)),
292-or certified nurse midwife (as defined in IC 34-18-2-6.5) makes a
293-report under IC 16-34-6-6(b).
294-HEA 1217 — Concur 8
668+woman during the twenty-four (24) hour mandatory reporting
669+period during which law enforcement is required to be notified
670+under IC 16-34-6.
295671 (g) The twenty-four (24) hour period described in subsection (f)
296672 may be waived if a physician, in the physician's best medical
297673 judgment, determines that an abortion is necessary to prevent the
298674 death of the pregnant woman or to prevent substantial and
299675 irreversible injury to a major bodily function of the pregnant
300676 woman.
301-SECTION 5. IC 16-34-6 IS ADDED TO THE INDIANA CODE AS
302-A NEW CHAPTER TO READ AS FOLLOWS [EFFECTIVE JULY
303-1, 2022]:
677+SECTION 10. IC 16-34-6 IS ADDED TO THE INDIANA CODE
678+AS A NEW CHAPTER TO READ AS FOLLOWS [EFFECTIVE
679+JULY 1, 2022]:
304680 Chapter 6. Coerced Abortions
305681 Sec. 1. As used in this chapter, "abortion" has the meaning set
306682 forth in IC 16-18-2-1.
307683 Sec. 2. As used in this chapter, "mandatory reporter" means
308684 any person providing health care services, including:
309685 (1) a physician;
310686 (2) a surgeon;
311687 (3) a physical therapist;
312688 (4) a psychiatrist;
313689 (5) a psychologist;
314690 (6) a medical resident;
315691 (7) a medical intern;
316692 (8) hospital staff;
317693 (9) a licensed nurse;
318694 (10) a nurse's aide;
319695 (11) any emergency medical technician;
320696 (12) a paramedic; and
321697 (13) any:
322698 (A) employee;
323699 (B) staff member; or
324700 (C) volunteer;
325701 at a reproductive health care facility.
326702 Sec. 3. As used in this chapter, "physician" means any person
327703 licensed to practice medicine in Indiana. The term includes a
328704 medical doctor and a doctor of osteopathy.
705+EH 1217—LS 7090/DI 147 17
329706 Sec. 4. As used in this chapter, "reproductive health care
330707 facility" means any office, clinic, or other physical location licensed
331708 by the state to provide surgical or medical abortions, abortion
332709 counseling, abortion referrals, contraceptives, contraceptive
333710 counseling, sex education, or gynecological services.
334711 Sec. 5. A person who knowingly or intentionally coerces a
335712 pregnant woman to have an abortion commits a Level 6 felony.
336713 Sec. 6. (a) A mandatory reporter must report to law
337-HEA 1217 — Concur 9
338714 enforcement every instance of alleged or suspected coerced
339715 abortion. A mandatory reporter may not use discretion in deciding
340716 whether a case should or should not be reported to law
341717 enforcement.
342718 (b) A mandatory reporter must make a report described in
343-subsection (a) immediately to law enforcement when the coercion
344-or attempted coercion is brought to the mandatory reporter's
345-attention.
719+subsection (a) as soon as practicable to law enforcement within
720+twenty-four (24) hours of the coercion or attempted coercion being
721+brought to the mandatory reporter's attention.
346722 (c) A mandatory reporter may not delegate the responsibility to
347723 report coercion or attempted coercion under subsection (a) to
348724 another individual.
349725 (d) The mandatory reporter making a report under subsection
350726 (a) shall provide the following information:
351727 (1) The name and address of the pregnant woman.
352728 (2) The name and address of the person who is responsible for
353729 the care or custody of the pregnant woman if she is less than
354730 eighteen (18) years of age.
355731 (3) Any pertinent information relating to the alleged or
356732 suspected coercion or attempted coercion of the pregnant
357733 woman to undergo an abortion.
358-(e) After receiving a report under subsection (a), a law
359-enforcement agency must immediately respond and initiate an
360-investigation. The law enforcement agency shall conduct an
734+(e) A law enforcement agency must immediately initiate an
735+investigation of the report, not later than two (2) hours from
736+receiving the report. The law enforcement agency shall conduct an
361737 investigation under this chapter in the same manner that the law
362738 enforcement agency would conduct any other criminal
363739 investigation.
364740 (f) A reproductive health care facility that knowingly employs
365741 a mandatory reporter after a mandatory reporter violates this
366-section commits a Class C infraction.
367-SECTION 6. IC 35-52-16-23.5 IS ADDED TO THE INDIANA
368-CODE AS A NEW SECTION TO READ AS FOLLOWS
369-[EFFECTIVE JULY 1, 2022]: Sec. 23.5. IC 16-34-6-5 defines a crime
370-concerning coerced abortion.
371-HEA 1217 — Concur Speaker of the House of Representatives
372-President of the Senate
373-President Pro Tempore
374-Governor of the State of Indiana
375-Date: Time:
376-HEA 1217 — Concur
742+section commits a Class C infraction.".
743+Delete pages 4 through 12.
744+Page 13, delete lines 1 through 11.
745+Page 13, between lines 35 and 36, begin a new paragraph and insert:
746+"(e) An action may not be brought against the mother of the
747+fetus under this section.".
748+EH 1217—LS 7090/DI 147 18
749+Page 13, line 36, delete "(e)" and insert "(f)".
750+Page 13, line 39, delete "(f)" and insert "(g)".
751+Page 13, line 41, delete "(g)" and insert "(h)".
752+Page 14, line 14, delete "(h)" and insert "(i)".
753+Page 14, line 24, delete "(i)" and insert "(j)".
754+Page 14, line 24, delete "(g)(2)" and insert "(h)(2)".
755+Page 14, line 27, delete "(j)" and insert "(k)".
756+Page 14, line 28, delete "(g)(1), (g)(2), (g)(3)(C)," and insert "(h)(1),
757+(h)(2), (h)(3)(C),".
758+Page 14, line 28, delete "(g)(3)(D)" and insert "(h)(3)(D)".
759+Page 14, line 39, delete "(k)" and insert "(l)".
760+Page 14, delete lines 41 through 42.
761+Delete pages 15 through 16.
762+Page 17, delete lines 1 through 33.
763+Page 17, line 36, delete "16-34-6-12" and insert "16-34-6-5".
764+Renumber all SECTIONS consecutively.
765+and when so amended that said bill do pass.
766+(Reference is to HB 1217 as introduced.)
767+STEUERWALD
768+Committee Vote: yeas 8, nays 3.
769+_____
770+HOUSE MOTION
771+Mr. Speaker: I move that House Bill 1217 be amended to read as
772+follows:
773+Page 8, line 1, delete "mandatory reporting" and insert "period after
774+the physician, physician assistant (as defined in IC 25-27.5-2-10),
775+advanced practice registered nurse (as defined in IC 25-23-1-1(b)),
776+or certified nurse midwife (as defined in IC 34-18-2-6.5) makes a
777+report under IC 16-34-6-6(b).".
778+Page 8, delete lines 2 through 3.
779+Page 9, line 9, delete "as soon as practicable to law enforcement
780+within" and insert "immediately to law enforcement when the
781+coercion or attempted coercion is".
782+Page 9, delete line 10.
783+Page 9, line 25, delete "report, not later than two (2) hours from"
784+and insert "report from the time the law enforcement agency
785+EH 1217—LS 7090/DI 147 19
786+initially receives the report.".
787+Page 9, line 26, delete "receiving the report.".
788+Page 9, delete lines 33 through 42.
789+Delete page 10.
790+Page 11, delete lines 1 through 21.
791+ Renumber all SECTIONS consecutively.
792+(Reference is to HB 1217 as printed January 20, 2022.)
793+KING
794+_____
795+COMMITTEE REPORT
796+Madam President: The Senate Committee on Judiciary, to which
797+was referred House Bill No. 1217, has had the same under
798+consideration and begs leave to report the same back to the Senate with
799+the recommendation that said bill be AMENDED as follows:
800+Page 9, delete lines 26 and 27, begin a new paragraph and insert:
801+"(e) After receiving a report under subsection (a), a law
802+enforcement agency must immediately respond and initiate an
803+investigation.".
804+Page 9, line 28, delete "agency initially receives the report.".
805+Page 9, run in lines 26 through 28.
806+and when so amended that said bill do pass.
807+(Reference is to HB 1217 as reprinted January 25, 2022.)
808+BROWN L, Chairperson
809+Committee Vote: Yeas 6, Nays 1.
810+EH 1217—LS 7090/DI 147