1 | 1 | | |
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2 | 2 | | Introduced Version |
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3 | 3 | | SENATE BILL No. 191 |
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4 | 4 | | _____ |
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5 | 5 | | DIGEST OF INTRODUCED BILL |
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6 | 6 | | Citations Affected: IC 16-34-2-5. |
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7 | 7 | | Synopsis: Confidentiality of termination of pregnancy reports. States |
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8 | 8 | | that a health care provider's report concerning the performance of an |
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9 | 9 | | abortion that is submitted to the Indiana department of health is a |
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10 | 10 | | medical record, confidential, and not subject to disclosure as a public |
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11 | 11 | | record. |
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12 | 12 | | Effective: Upon passage. |
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13 | 13 | | Jackson L |
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14 | 14 | | January 8, 2025, read first time and referred to Committee on Health and Provider |
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15 | 15 | | Services. |
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16 | 16 | | 2025 IN 191—LS 6473/DI 104 Introduced |
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17 | 17 | | First Regular Session of the 124th General Assembly (2025) |
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18 | 18 | | PRINTING CODE. Amendments: Whenever an existing statute (or a section of the Indiana |
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19 | 19 | | Constitution) is being amended, the text of the existing provision will appear in this style type, |
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20 | 20 | | additions will appear in this style type, and deletions will appear in this style type. |
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21 | 21 | | Additions: Whenever a new statutory provision is being enacted (or a new constitutional |
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22 | 22 | | provision adopted), the text of the new provision will appear in this style type. Also, the |
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23 | 23 | | word NEW will appear in that style type in the introductory clause of each SECTION that adds |
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24 | 24 | | a new provision to the Indiana Code or the Indiana Constitution. |
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25 | 25 | | Conflict reconciliation: Text in a statute in this style type or this style type reconciles conflicts |
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26 | 26 | | between statutes enacted by the 2024 Regular Session of the General Assembly. |
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27 | 27 | | SENATE BILL No. 191 |
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28 | 28 | | A BILL FOR AN ACT to amend the Indiana Code concerning |
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29 | 29 | | health. |
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30 | 30 | | Be it enacted by the General Assembly of the State of Indiana: |
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31 | 31 | | 1 SECTION 1. IC 16-34-2-5, AS AMENDED BY P.L.56-2023, |
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32 | 32 | | 2 SECTION 154, IS AMENDED TO READ AS FOLLOWS |
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33 | 33 | | 3 [EFFECTIVE UPON PASSAGE]: Sec. 5. (a) Every health care |
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34 | 34 | | 4 provider who performs a surgical abortion or provides, prescribes, |
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35 | 35 | | 5 administers, or dispenses an abortion inducing drug for the purposes of |
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36 | 36 | | 6 inducing an abortion shall report the performance of the abortion or the |
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37 | 37 | | 7 provision, prescribing, administration, or dispensing of an abortion |
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38 | 38 | | 8 inducing drug on a form drafted by the state department, the purpose |
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39 | 39 | | 9 and function of which shall be the improvement of maternal health and |
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40 | 40 | | 10 life through the compilation of relevant maternal life and health factors |
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41 | 41 | | 11 and data, and a further purpose and function shall be to monitor all |
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42 | 42 | | 12 abortions performed in Indiana to assure the abortions are done only |
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43 | 43 | | 13 under the authorized provisions of the law. For each abortion |
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44 | 44 | | 14 performed and abortion inducing drug provided, prescribed, |
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45 | 45 | | 15 administered, or dispensed, the report shall include, among other |
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46 | 46 | | 16 things, the following: |
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47 | 47 | | 17 (1) The age of the patient. |
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48 | 48 | | 2025 IN 191—LS 6473/DI 104 2 |
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49 | 49 | | 1 (2) Whether a waiver of consent under section 4 of this chapter |
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50 | 50 | | 2 was obtained. |
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51 | 51 | | 3 (3) Whether a waiver of notification under section 4 of this |
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52 | 52 | | 4 chapter was obtained. |
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53 | 53 | | 5 (4) The date and location, including the facility name and city or |
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54 | 54 | | 6 town, where the: |
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55 | 55 | | 7 (A) pregnant woman: |
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56 | 56 | | 8 (i) provided consent; and |
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57 | 57 | | 9 (ii) received all information; |
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58 | 58 | | 10 required under section 1.1 of this chapter; and |
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59 | 59 | | 11 (B) abortion was performed or the abortion inducing drug was |
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60 | 60 | | 12 provided, prescribed, administered, or dispensed. |
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61 | 61 | | 13 (5) The health care provider's full name and address, including the |
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62 | 62 | | 14 name of the physicians performing the abortion or providing, |
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63 | 63 | | 15 prescribing, administering, or dispensing the abortion inducing |
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64 | 64 | | 16 drug. |
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65 | 65 | | 17 (6) The city and county where the pregnancy termination |
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66 | 66 | | 18 occurred. |
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67 | 67 | | 19 (7) The age of the father, or the approximate age of the father if |
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68 | 68 | | 20 the father's age is unknown. |
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69 | 69 | | 21 (8) The patient's county and state of residence. |
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70 | 70 | | 22 (9) The marital status of the patient. |
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71 | 71 | | 23 (10) The educational level of the patient. |
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72 | 72 | | 24 (11) The race of the patient. |
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73 | 73 | | 25 (12) The ethnicity of the patient. |
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74 | 74 | | 26 (13) The number of the patient's previous live births. |
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75 | 75 | | 27 (14) The number of the patient's deceased children. |
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76 | 76 | | 28 (15) The number of the patient's spontaneous pregnancy |
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77 | 77 | | 29 terminations. |
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78 | 78 | | 30 (16) The number of the patient's previous induced terminations. |
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79 | 79 | | 31 (17) The date of the patient's last menses. |
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80 | 80 | | 32 (18) The physician's determination of the gestation of the fetus in |
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81 | 81 | | 33 weeks. |
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82 | 82 | | 34 (19) The reason for the abortion. |
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83 | 83 | | 35 (20) Whether the patient indicated that the patient was seeking an |
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84 | 84 | | 36 abortion as a result of being: |
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85 | 85 | | 37 (A) abused; |
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86 | 86 | | 38 (B) coerced; |
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87 | 87 | | 39 (C) harassed; or |
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88 | 88 | | 40 (D) trafficked. |
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89 | 89 | | 41 (21) The following information concerning the abortion or the |
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90 | 90 | | 42 provision, prescribing, administration, or dispensing of the |
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91 | 91 | | 2025 IN 191—LS 6473/DI 104 3 |
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92 | 92 | | 1 abortion inducing drug: |
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93 | 93 | | 2 (A) The postfertilization age of the fetus (in weeks). |
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94 | 94 | | 3 (B) The manner in which the postfertilization age was |
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95 | 95 | | 4 determined. |
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96 | 96 | | 5 (C) The gender of the fetus, if detectable. |
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97 | 97 | | 6 (D) Whether the fetus has been diagnosed with or has a |
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98 | 98 | | 7 potential diagnosis of having Down syndrome or any other |
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99 | 99 | | 8 disability. |
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100 | 100 | | 9 (E) If after the earlier of the time the fetus obtains viability or |
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101 | 101 | | 10 the time the postfertilization age of the fetus is at least twenty |
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102 | 102 | | 11 (20) weeks, the medical reason for the performance of the |
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103 | 103 | | 12 abortion. |
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104 | 104 | | 13 (22) For a surgical abortion, the medical procedure used for the |
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105 | 105 | | 14 abortion and, if the fetus had a postfertilization age of at least |
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106 | 106 | | 15 twenty (20) weeks: |
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107 | 107 | | 16 (A) whether the procedure, in the reasonable judgment of the |
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108 | 108 | | 17 health care provider, gave the fetus the best opportunity to |
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109 | 109 | | 18 survive; |
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110 | 110 | | 19 (B) the basis for the determination that the pregnant woman |
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111 | 111 | | 20 had a condition described in this chapter that required the |
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112 | 112 | | 21 abortion to avert the death of or serious impairment to the |
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113 | 113 | | 22 pregnant woman; and |
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114 | 114 | | 23 (C) the name of the second doctor present, as required under |
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115 | 115 | | 24 IC 16-34-2-3(a)(3). |
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116 | 116 | | 25 (23) For a nonsurgical abortion, the precise drugs provided, |
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117 | 117 | | 26 prescribed, administered, or dispensed, and the means of delivery |
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118 | 118 | | 27 of the drugs to the patient. |
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119 | 119 | | 28 (24) For a nonsurgical abortion, that the manufacturer's |
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120 | 120 | | 29 instructions were provided to the patient and that the patient |
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121 | 121 | | 30 signed the patient agreement. |
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122 | 122 | | 31 (25) For an abortion performed before twenty (20) weeks of |
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123 | 123 | | 32 postfertilization age of the fetus, the medical indication by |
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124 | 124 | | 33 diagnosis code for the fetus and the mother. |
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125 | 125 | | 34 (26) The mother's obstetrical history, including dates of other |
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126 | 126 | | 35 abortions, if any. |
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127 | 127 | | 36 (27) Any preexisting medical conditions of the patient that may |
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128 | 128 | | 37 complicate the abortion. |
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129 | 129 | | 38 (28) The results of pathological examinations if performed. |
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130 | 130 | | 39 (29) For a surgical abortion, whether the fetus was delivered |
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131 | 131 | | 40 alive, and if so, how long the fetus lived. |
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132 | 132 | | 41 (30) Records of all maternal deaths occurring at the location |
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133 | 133 | | 42 where the abortion was performed or the abortion inducing drug |
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134 | 134 | | 2025 IN 191—LS 6473/DI 104 4 |
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135 | 135 | | 1 was provided, prescribed, administered, or dispensed. |
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136 | 136 | | 2 (31) The date the form was transmitted to the state department |
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137 | 137 | | 3 and, if applicable, separately to the department of child services. |
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138 | 138 | | 4 (b) The health care provider shall complete the form provided for in |
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139 | 139 | | 5 subsection (a) and shall transmit the completed form to the state |
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140 | 140 | | 6 department, in the manner specified on the form, within thirty (30) days |
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141 | 141 | | 7 after the date of each abortion. However, if an abortion is for a female |
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142 | 142 | | 8 who is less than sixteen (16) years of age, the health care provider shall |
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143 | 143 | | 9 transmit the form to the state department and separately to the |
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144 | 144 | | 10 department of child services within three (3) days after the abortion is |
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145 | 145 | | 11 performed. A report submitted by a health care provider under this |
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146 | 146 | | 12 subsection is a medical record under IC 5-14-3-4(a)(9), is |
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147 | 147 | | 13 confidential, and may not be disclosed by the state department to |
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148 | 148 | | 14 the public under IC 5-14-3. |
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149 | 149 | | 15 (c) The dates supplied on the form may not be redacted for any |
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150 | 150 | | 16 reason before the form is transmitted as provided in this section. |
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151 | 151 | | 17 (d) Each failure to complete or timely transmit a form, as required |
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152 | 152 | | 18 under this section, for each abortion performed or abortion inducing |
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153 | 153 | | 19 drug that was provided, prescribed, administered, or dispensed, is a |
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154 | 154 | | 20 Class B misdemeanor. |
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155 | 155 | | 21 (e) On a quarterly basis, the state department shall compile a public |
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156 | 156 | | 22 report providing the following: |
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157 | 157 | | 23 (1) Statistics for the previous calendar quarter from the |
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158 | 158 | | 24 information submitted under this section. |
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159 | 159 | | 25 (2) Statistics for previous calendar years compiled by the state |
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160 | 160 | | 26 department under this subsection, with updated information for |
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161 | 161 | | 27 the calendar quarter that was submitted to the state department |
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162 | 162 | | 28 after the compilation of the statistics. |
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163 | 163 | | 29 The state department shall ensure that no identifying information of a |
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164 | 164 | | 30 pregnant woman is contained in the report. |
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165 | 165 | | 31 (f) The state department shall: |
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166 | 166 | | 32 (1) summarize aggregate data from all data submitted under this |
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167 | 167 | | 33 section; and |
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168 | 168 | | 34 (2) submit the data, before July 1 of each year, to the United |
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169 | 169 | | 35 States Centers for Disease Control and Prevention for its inclusion |
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170 | 170 | | 36 in the annual Vital Statistics Report. |
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171 | 171 | | 37 SECTION 2. An emergency is declared for this act. |
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172 | 172 | | 2025 IN 191—LS 6473/DI 104 |
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