1 | 1 | | |
---|
2 | 2 | | Introduced Version |
---|
3 | 3 | | SENATE BILL No. 240 |
---|
4 | 4 | | _____ |
---|
5 | 5 | | DIGEST OF INTRODUCED BILL |
---|
6 | 6 | | Citations Affected: IC 5-14-3-3.1; IC 16-19-3-34.5; IC 16-21-2-12.7; |
---|
7 | 7 | | IC 16-34-2. |
---|
8 | 8 | | Synopsis: Abortion reporting and education. Requires the Indiana |
---|
9 | 9 | | department of health (state department) to: (1) create a video for |
---|
10 | 10 | | practitioners concerning the state's abortion laws and the standard of |
---|
11 | 11 | | care for treating pregnant women with life threatening conditions; and |
---|
12 | 12 | | (2) publish the video on its website. Specifies the information to be |
---|
13 | 13 | | included in the video. Requires a hospital and ambulatory outpatient |
---|
14 | 14 | | surgical center to: (1) review its protocol for abortion; (2) require |
---|
15 | 15 | | certain practitioners to watch the video; and (3) certify to the state |
---|
16 | 16 | | department compliance with these provisions. Amends the information |
---|
17 | 17 | | required to be reported to the state department concerning the |
---|
18 | 18 | | performance of an abortion and an abortion complication. Provides that |
---|
19 | 19 | | a report concerning the performance of an abortion or an abortion |
---|
20 | 20 | | complication is not confidential, is a public record, and shall be open |
---|
21 | 21 | | to public inspection. Requires the state department to disclose these |
---|
22 | 22 | | reports under Indiana's access to public records act. Requires the state |
---|
23 | 23 | | department to: (1) publish the abortion complication reports on its |
---|
24 | 24 | | website; and (2) send each abortion complication report to the office of |
---|
25 | 25 | | the attorney general. Prohibits certain information on each form or |
---|
26 | 26 | | report from being redacted. Requires the state department, if redacting: |
---|
27 | 27 | | (1) a date; or (2) the age of the patient; from the form or report, to |
---|
28 | 28 | | indicate on the form or report whether any applicable reporting |
---|
29 | 29 | | deadline was met and whether or not the patient was a minor. Requires |
---|
30 | 30 | | the state department to provide verification to the general assembly that |
---|
31 | 31 | | the state department is in compliance concerning the release of these |
---|
32 | 32 | | reports. Provides that an incomplete report concerning the performance |
---|
33 | 33 | | of an abortion transmitted to the state department is subject to |
---|
34 | 34 | | investigation by the state department and the office of the attorney |
---|
35 | 35 | | general. |
---|
36 | 36 | | Effective: July 1, 2025. |
---|
37 | 37 | | Johnson T, Brown L |
---|
38 | 38 | | January 13, 2025, read first time and referred to Committee on Health and Provider |
---|
39 | 39 | | Services. |
---|
40 | 40 | | 2025 IN 240—LS 6702/DI 147 Introduced |
---|
41 | 41 | | First Regular Session of the 124th General Assembly (2025) |
---|
42 | 42 | | PRINTING CODE. Amendments: Whenever an existing statute (or a section of the Indiana |
---|
43 | 43 | | Constitution) is being amended, the text of the existing provision will appear in this style type, |
---|
44 | 44 | | additions will appear in this style type, and deletions will appear in this style type. |
---|
45 | 45 | | Additions: Whenever a new statutory provision is being enacted (or a new constitutional |
---|
46 | 46 | | provision adopted), the text of the new provision will appear in this style type. Also, the |
---|
47 | 47 | | word NEW will appear in that style type in the introductory clause of each SECTION that adds |
---|
48 | 48 | | a new provision to the Indiana Code or the Indiana Constitution. |
---|
49 | 49 | | Conflict reconciliation: Text in a statute in this style type or this style type reconciles conflicts |
---|
50 | 50 | | between statutes enacted by the 2024 Regular Session of the General Assembly. |
---|
51 | 51 | | SENATE BILL No. 240 |
---|
52 | 52 | | A BILL FOR AN ACT to amend the Indiana Code concerning |
---|
53 | 53 | | health. |
---|
54 | 54 | | Be it enacted by the General Assembly of the State of Indiana: |
---|
55 | 55 | | 1 SECTION 1. IC 5-14-3-3.1 IS ADDED TO THE INDIANA CODE |
---|
56 | 56 | | 2 AS A NEW SECTION TO READ AS FOLLOWS [EFFECTIVE JULY |
---|
57 | 57 | | 3 1, 2025]: Sec. 3.1. A report made under IC 16-34-2-4.7 or |
---|
58 | 58 | | 4 IC 16-34-2-5 is not confidential and is a public record pursuant to |
---|
59 | 59 | | 5 section 2(r) of this chapter. It shall be open to public inspection and |
---|
60 | 60 | | 6 the Indiana department of health shall disclose the report upon a |
---|
61 | 61 | | 7 request made by any person. |
---|
62 | 62 | | 8 SECTION 2. IC 16-19-3-34.5 IS ADDED TO THE INDIANA |
---|
63 | 63 | | 9 CODE AS A NEW SECTION TO READ AS FOLLOWS |
---|
64 | 64 | | 10 [EFFECTIVE JULY 1, 2025]: Sec. 34.5. (a) As used in this section, |
---|
65 | 65 | | 11 "practitioner" means the following: |
---|
66 | 66 | | 12 (1) A physician licensed under IC 25-22.5. |
---|
67 | 67 | | 13 (2) A nurse licensed under IC 25-23. |
---|
68 | 68 | | 14 (3) A physician assistant licensed under IC 25-27.5. |
---|
69 | 69 | | 15 (4) A certified nurse midwife (as defined in IC 34-18-2-6.5). |
---|
70 | 70 | | 16 (5) A certified direct entry midwife certified under IC 25-23.4. |
---|
71 | 71 | | 17 (6) Any other health care practitioner who provides emergent |
---|
72 | 72 | | 2025 IN 240—LS 6702/DI 147 2 |
---|
73 | 73 | | 1 or nonemergent gynecological or obstetric care, including the |
---|
74 | 74 | | 2 following: |
---|
75 | 75 | | 3 (A) Maternal fetal medicine. |
---|
76 | 76 | | 4 (B) Emergency medicine. |
---|
77 | 77 | | 5 (C) Family medicine. |
---|
78 | 78 | | 6 (D) Labor and delivery. |
---|
79 | 79 | | 7 (b) The state department shall create a video for practitioners |
---|
80 | 80 | | 8 that explains and describes the: |
---|
81 | 81 | | 9 (1) state's abortion laws; and |
---|
82 | 82 | | 10 (2) standard of care for practitioners when treating pregnant |
---|
83 | 83 | | 11 women diagnosed with life threatening conditions or serious |
---|
84 | 84 | | 12 health risks (as defined in IC 16-18-2-327.9). |
---|
85 | 85 | | 13 (c) The video described in subsection (b) must provide |
---|
86 | 86 | | 14 information on the following: |
---|
87 | 87 | | 15 (1) The state's abortion laws, including: |
---|
88 | 88 | | 16 (A) the definition of abortion; |
---|
89 | 89 | | 17 (B) requirements to be met by a practitioner before and |
---|
90 | 90 | | 18 after an abortion; and |
---|
91 | 91 | | 19 (C) enforcement of the state's abortion laws. |
---|
92 | 92 | | 20 (2) Medical treatment options for pregnant women and their |
---|
93 | 93 | | 21 unborn children for the most common conditions that |
---|
94 | 94 | | 22 threaten a woman's or unborn child's life or health. |
---|
95 | 95 | | 23 (3) Reporting requirements for abortion, including: |
---|
96 | 96 | | 24 (A) abortion complication reports under IC 16-34-2-4.7; |
---|
97 | 97 | | 25 (B) terminated pregnancy reports under IC 16-34-2-5; and |
---|
98 | 98 | | 26 (C) reporting of adverse events to state or federal agencies. |
---|
99 | 99 | | 27 The information described in subdivision (2) must be explained |
---|
100 | 100 | | 28 using the standard of care based on a practitioner's reasonable |
---|
101 | 101 | | 29 medical judgment. |
---|
102 | 102 | | 30 (d) The state department shall publish the video created under |
---|
103 | 103 | | 31 this section and any supplemental materials on the state |
---|
104 | 104 | | 32 department's website. |
---|
105 | 105 | | 33 SECTION 3. IC 16-21-2-12.7 IS ADDED TO THE INDIANA |
---|
106 | 106 | | 34 CODE AS A NEW SECTION TO READ AS FOLLOWS |
---|
107 | 107 | | 35 [EFFECTIVE JULY 1, 2025]: Sec. 12.7. (a) As used in this section, |
---|
108 | 108 | | 36 "abortion education video" refers to the video created by the state |
---|
109 | 109 | | 37 department under IC 16-19-3-34.5. |
---|
110 | 110 | | 38 (b) Each hospital and ambulatory outpatient surgical center |
---|
111 | 111 | | 39 shall do the following: |
---|
112 | 112 | | 40 (1) Review the hospital's or ambulatory outpatient surgical |
---|
113 | 113 | | 41 center's protocol for abortions to ensure compliance with |
---|
114 | 114 | | 42 IC 16-34. |
---|
115 | 115 | | 2025 IN 240—LS 6702/DI 147 3 |
---|
116 | 116 | | 1 (2) Provide the protocols described in subdivision (1) to each |
---|
117 | 117 | | 2 practitioner (as defined in IC 16-19-3-34.5) who: |
---|
118 | 118 | | 3 (A) is an employee, staff member, or independent |
---|
119 | 119 | | 4 contractor of; or |
---|
120 | 120 | | 5 (B) has admitting privileges at; |
---|
121 | 121 | | 6 the hospital or ambulatory outpatient surgical center. |
---|
122 | 122 | | 7 (3) Require each practitioner described in subdivision (2) to |
---|
123 | 123 | | 8 watch the abortion education video. |
---|
124 | 124 | | 9 (4) Provide a signed certification to the state department, in |
---|
125 | 125 | | 10 a manner prescribed by the state department, that the |
---|
126 | 126 | | 11 hospital or ambulatory outpatient surgical center is in |
---|
127 | 127 | | 12 compliance with the requirements of this section. |
---|
128 | 128 | | 13 (c) The state department shall: |
---|
129 | 129 | | 14 (1) maintain a certification form submitted by a hospital or |
---|
130 | 130 | | 15 ambulatory outpatient surgical center under this section; and |
---|
131 | 131 | | 16 (2) upon request, make a certification form described in |
---|
132 | 132 | | 17 subdivision (1) public under IC 5-14-3. |
---|
133 | 133 | | 18 SECTION 4. IC 16-34-2-4.7, AS AMENDED BY P.L.179-2022(ss), |
---|
134 | 134 | | 19 SECTION 26, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE |
---|
135 | 135 | | 20 JULY 1, 2025]: Sec. 4.7. (a) As used in this section, "abortion |
---|
136 | 136 | | 21 complication" means only the following physical or psychological |
---|
137 | 137 | | 22 conditions arising from the induction or performance of an abortion: |
---|
138 | 138 | | 23 (1) Uterine perforation. |
---|
139 | 139 | | 24 (2) Cervical laceration. |
---|
140 | 140 | | 25 (3) Infection. |
---|
141 | 141 | | 26 (4) Vaginal bleeding that qualifies as a Grade 2 or higher adverse |
---|
142 | 142 | | 27 event according to the Common Terminology Criteria for Adverse |
---|
143 | 143 | | 28 Events (CTCAE). |
---|
144 | 144 | | 29 (5) Pulmonary embolism. |
---|
145 | 145 | | 30 (6) Deep vein thrombosis. |
---|
146 | 146 | | 31 (7) Failure to terminate the pregnancy. |
---|
147 | 147 | | 32 (8) Incomplete abortion (retained tissue). |
---|
148 | 148 | | 33 (9) Pelvic inflammatory disease. |
---|
149 | 149 | | 34 (10) Missed ectopic pregnancy. |
---|
150 | 150 | | 35 (11) Cardiac arrest. |
---|
151 | 151 | | 36 (12) Respiratory arrest. |
---|
152 | 152 | | 37 (13) Renal failure. |
---|
153 | 153 | | 38 (14) Shock. |
---|
154 | 154 | | 39 (15) Amniotic fluid embolism. |
---|
155 | 155 | | 40 (16) Coma. |
---|
156 | 156 | | 41 (17) Placenta previa in subsequent pregnancies. |
---|
157 | 157 | | 42 (18) Pre-term delivery in subsequent pregnancies. |
---|
158 | 158 | | 2025 IN 240—LS 6702/DI 147 4 |
---|
159 | 159 | | 1 (19) Free fluid in the abdomen. |
---|
160 | 160 | | 2 (20) Hemolytic reaction due to the administration of |
---|
161 | 161 | | 3 ABO-incompatible blood or blood products. |
---|
162 | 162 | | 4 (21) Hypoglycemia occurring while the patient is being treated at |
---|
163 | 163 | | 5 the hospital or ambulatory outpatient surgical center. |
---|
164 | 164 | | 6 (22) Allergic reaction to anesthesia or abortion inducing drugs. |
---|
165 | 165 | | 7 (23) Psychological complications, including depression, suicidal |
---|
166 | 166 | | 8 ideation, anxiety, and sleeping disorders. |
---|
167 | 167 | | 9 (24) Death. |
---|
168 | 168 | | 10 (25) Any other adverse event as defined by criteria provided in |
---|
169 | 169 | | 11 the Food and Drug Administration Safety Information and |
---|
170 | 170 | | 12 Adverse Event Reporting Program. |
---|
171 | 171 | | 13 (b) The following persons shall report to the state department each |
---|
172 | 172 | | 14 case in which the person treated a patient suffering from an abortion |
---|
173 | 173 | | 15 complication: |
---|
174 | 174 | | 16 (1) A physician licensed under IC 25-22.5. |
---|
175 | 175 | | 17 (2) A hospital licensed under IC 16-21. |
---|
176 | 176 | | 18 (3) Beginning September 1, 2022, an ambulatory outpatient |
---|
177 | 177 | | 19 surgical center licensed under IC 16-21-2. |
---|
178 | 178 | | 20 (c) The state department shall develop a process for the submission |
---|
179 | 179 | | 21 of a report under this section. |
---|
180 | 180 | | 22 (d) A report under this section shall be submitted to the state |
---|
181 | 181 | | 23 department in the manner prescribed by the state department. |
---|
182 | 182 | | 24 (e) The report under this section must include the following |
---|
183 | 183 | | 25 information concerning the abortion complication: |
---|
184 | 184 | | 26 (1) The date the patient presented for treatment for the abortion |
---|
185 | 185 | | 27 complication. |
---|
186 | 186 | | 28 (2) The age of the patient. |
---|
187 | 187 | | 29 (3) The race of the patient. |
---|
188 | 188 | | 30 (4) The county and state of the patient's residence. |
---|
189 | 189 | | 31 (5) The type of abortion obtained by the patient. |
---|
190 | 190 | | 32 (6) The date of abortion obtained by the patient. |
---|
191 | 191 | | 33 (7) The name of the: |
---|
192 | 192 | | 34 (A) hospital; or |
---|
193 | 193 | | 35 (B) ambulatory outpatient surgical center; |
---|
194 | 194 | | 36 where the patient obtained the abortion. |
---|
195 | 195 | | 37 (8) Whether the abortion was performed or occurred in |
---|
196 | 196 | | 38 Indiana or outside Indiana. |
---|
197 | 197 | | 39 (8) (9) Whether the patient obtained abortion medication via mail |
---|
198 | 198 | | 40 order or Internet web site, website, and if so, information |
---|
199 | 199 | | 41 identifying the source of the medication. |
---|
200 | 200 | | 42 (9) (10) Whether the complication was previously managed by the |
---|
201 | 201 | | 2025 IN 240—LS 6702/DI 147 5 |
---|
202 | 202 | | 1 abortion provider or the abortion provider's required back-up |
---|
203 | 203 | | 2 physician. |
---|
204 | 204 | | 3 (10) (11) The name of the medications taken by the patient as part |
---|
205 | 205 | | 4 of the pharmaceutical abortion regimen, if any. |
---|
206 | 206 | | 5 (11) (12) A list of each diagnosed complication. |
---|
207 | 207 | | 6 (12) (13) A list of each treated complication, with a description of |
---|
208 | 208 | | 7 the treatment provided. |
---|
209 | 209 | | 8 (13) (14) Whether the patient's visit to treat the complications was |
---|
210 | 210 | | 9 the original visit or a follow-up visit. |
---|
211 | 211 | | 10 (14) (15) The date of each follow-up visit, if any. |
---|
212 | 212 | | 11 (15) (16) A list of each complication diagnosed at a follow-up |
---|
213 | 213 | | 12 visit, if any. |
---|
214 | 214 | | 13 (16) (17) A list of each complication treated at a follow-up visit, |
---|
215 | 215 | | 14 if any. |
---|
216 | 216 | | 15 (18) The location, including the facility name and city or town, |
---|
217 | 217 | | 16 where the patient presented for treatment of the abortion |
---|
218 | 218 | | 17 complication. |
---|
219 | 219 | | 18 (19) The full name of the health care provider who provided |
---|
220 | 220 | | 19 treatment for the abortion complication. |
---|
221 | 221 | | 20 (f) The state department shall do the following concerning a |
---|
222 | 222 | | 21 report received under this section: |
---|
223 | 223 | | 22 (1) Publish the report on the state department's website. |
---|
224 | 224 | | 23 (2) Send each report to the office of the attorney general. |
---|
225 | 225 | | 24 (g) The information described in the following is public and may |
---|
226 | 226 | | 25 not be redacted from a report described in subsection (f): |
---|
227 | 227 | | 26 (1) Subsection (e)(5). |
---|
228 | 228 | | 27 (2) Subsection (e)(7) through (e)(13). |
---|
229 | 229 | | 28 (3) Subsection (e)(18) and (e)(19). |
---|
230 | 230 | | 29 (h) A report made under this section is not confidential and is a |
---|
231 | 231 | | 30 public record pursuant to IC 5-14-3-2(r). It shall be open to public |
---|
232 | 232 | | 31 inspection and the state department shall disclose the report upon |
---|
233 | 233 | | 32 a request made by any person (as defined in IC 5-14-3-2(n)). |
---|
234 | 234 | | 33 (i) In releasing or making available to the public a report |
---|
235 | 235 | | 34 received under this section, the state department shall do the |
---|
236 | 236 | | 35 following: |
---|
237 | 237 | | 36 (1) If the state department redacts a date on a report received |
---|
238 | 238 | | 37 under this section, indicate on the report whether the report |
---|
239 | 239 | | 38 was submitted in compliance with any reporting deadline. |
---|
240 | 240 | | 39 (2) If the state department redacts the information described |
---|
241 | 241 | | 40 in subsection (e)(2) from a report, indicate on the report |
---|
242 | 242 | | 41 whether or not the patient was a minor. |
---|
243 | 243 | | 42 (f) (j) On a quarterly basis, the state department shall compile a |
---|
244 | 244 | | 2025 IN 240—LS 6702/DI 147 6 |
---|
245 | 245 | | 1 public report summarizing the information collected under this section. |
---|
246 | 246 | | 2 The report must include statistics for the previous calendar quarter, |
---|
247 | 247 | | 3 with updated information for the most recent calendar quarter. |
---|
248 | 248 | | 4 (g) (k) The state department shall summarize the aggregate data |
---|
249 | 249 | | 5 from the data submitted under this section and submit the data, on or |
---|
250 | 250 | | 6 before June 30 of each year, to the United States Centers for Disease |
---|
251 | 251 | | 7 Control and Prevention for its inclusion in the annual Vital Statistics |
---|
252 | 252 | | 8 Report. |
---|
253 | 253 | | 9 (h) (l) The state department shall ensure that no identifying |
---|
254 | 254 | | 10 information of a pregnant woman is included in the report described in |
---|
255 | 255 | | 11 subsection (f). (j). |
---|
256 | 256 | | 12 (i) (m) This subsection applies after August 31, 2020. Each failure |
---|
257 | 257 | | 13 to report an abortion complication as required under this section is a |
---|
258 | 258 | | 14 Class B misdemeanor. |
---|
259 | 259 | | 15 (j) (n) The state department shall adopt rules under IC 4-22-2 to |
---|
260 | 260 | | 16 implement this section. |
---|
261 | 261 | | 17 (o) Before October 1, 2025, and before October 1 of each |
---|
262 | 262 | | 18 even-numbered year thereafter, the state department shall provide, |
---|
263 | 263 | | 19 in an electronic format under IC 5-14-6, verification to the general |
---|
264 | 264 | | 20 assembly that the state department is in compliance with |
---|
265 | 265 | | 21 subsection (h). |
---|
266 | 266 | | 22 SECTION 5. IC 16-34-2-5, AS AMENDED BY P.L.56-2023, |
---|
267 | 267 | | 23 SECTION 154, IS AMENDED TO READ AS FOLLOWS |
---|
268 | 268 | | 24 [EFFECTIVE JULY 1, 2025]: Sec. 5. (a) Every health care provider |
---|
269 | 269 | | 25 who performs a surgical abortion or provides, prescribes, administers, |
---|
270 | 270 | | 26 or dispenses an abortion inducing drug for the purposes of inducing an |
---|
271 | 271 | | 27 abortion shall report the performance of the abortion or the provision, |
---|
272 | 272 | | 28 prescribing, administration, or dispensing of an abortion inducing drug |
---|
273 | 273 | | 29 on a form drafted by the state department, the purpose and function of |
---|
274 | 274 | | 30 which shall be the improvement of maternal health and life through the |
---|
275 | 275 | | 31 compilation of relevant maternal life and health factors and data, and |
---|
276 | 276 | | 32 a further purpose and function shall be to monitor all abortions |
---|
277 | 277 | | 33 performed in Indiana to assure the abortions are done only under the |
---|
278 | 278 | | 34 authorized provisions of the law. For each abortion performed and |
---|
279 | 279 | | 35 abortion inducing drug provided, prescribed, administered, or |
---|
280 | 280 | | 36 dispensed, the report shall include, among other things, the following: |
---|
281 | 281 | | 37 (1) The age of the patient. |
---|
282 | 282 | | 38 (2) Whether parental consent was obtained or whether a |
---|
283 | 283 | | 39 waiver of consent under section 4 of this chapter was obtained. |
---|
284 | 284 | | 40 (3) Whether a waiver of notification under section 4 of this |
---|
285 | 285 | | 41 chapter was obtained. |
---|
286 | 286 | | 42 (4) The date and location, including the facility name and city or |
---|
287 | 287 | | 2025 IN 240—LS 6702/DI 147 7 |
---|
288 | 288 | | 1 town, where the: |
---|
289 | 289 | | 2 (A) pregnant woman: |
---|
290 | 290 | | 3 (i) provided consent; and |
---|
291 | 291 | | 4 (ii) received all information; |
---|
292 | 292 | | 5 required under section 1.1 of this chapter; and |
---|
293 | 293 | | 6 (B) abortion was performed or the abortion inducing drug was |
---|
294 | 294 | | 7 provided, prescribed, administered, or dispensed. |
---|
295 | 295 | | 8 (5) The health care provider's full name and address, including the |
---|
296 | 296 | | 9 name of the physicians performing the abortion or providing, |
---|
297 | 297 | | 10 prescribing, administering, or dispensing the abortion inducing |
---|
298 | 298 | | 11 drug. |
---|
299 | 299 | | 12 (6) The city and county where the pregnancy termination |
---|
300 | 300 | | 13 occurred. |
---|
301 | 301 | | 14 (7) The age of the father, or the approximate age of the father if |
---|
302 | 302 | | 15 the father's age is unknown. |
---|
303 | 303 | | 16 (8) The patient's county and state of residence. |
---|
304 | 304 | | 17 (9) The marital status of the patient. |
---|
305 | 305 | | 18 (10) The educational level of the patient. |
---|
306 | 306 | | 19 (11) The race of the patient. |
---|
307 | 307 | | 20 (12) The ethnicity of the patient. |
---|
308 | 308 | | 21 (13) The number of the patient's previous live births. |
---|
309 | 309 | | 22 (14) The number of the patient's deceased children. |
---|
310 | 310 | | 23 (15) The number of the patient's spontaneous pregnancy |
---|
311 | 311 | | 24 terminations. |
---|
312 | 312 | | 25 (16) The number of the patient's previous induced terminations. |
---|
313 | 313 | | 26 (17) The date of the patient's last menses. |
---|
314 | 314 | | 27 (18) The physician's determination of the gestation of the fetus in |
---|
315 | 315 | | 28 weeks. |
---|
316 | 316 | | 29 (19) The reason for the abortion. Information specifying any of |
---|
317 | 317 | | 30 the following: |
---|
318 | 318 | | 31 (A) The abortion was necessary to prevent any serious |
---|
319 | 319 | | 32 health risk to the pregnant woman or to save the pregnant |
---|
320 | 320 | | 33 woman's life, including the pregnant woman's diagnosed |
---|
321 | 321 | | 34 condition. |
---|
322 | 322 | | 35 (B) The fetus was diagnosed with a lethal fetal anomaly, |
---|
323 | 323 | | 36 including the fetus's diagnosed condition. |
---|
324 | 324 | | 37 (C) The pregnancy was a result of rape or incest. |
---|
325 | 325 | | 38 (20) Whether the patient indicated that the patient was seeking an |
---|
326 | 326 | | 39 abortion as a result of being: |
---|
327 | 327 | | 40 (A) abused; |
---|
328 | 328 | | 41 (B) coerced; |
---|
329 | 329 | | 42 (C) harassed; or |
---|
330 | 330 | | 2025 IN 240—LS 6702/DI 147 8 |
---|
331 | 331 | | 1 (D) trafficked. |
---|
332 | 332 | | 2 (21) The following information concerning the abortion or the |
---|
333 | 333 | | 3 provision, prescribing, administration, or dispensing of the |
---|
334 | 334 | | 4 abortion inducing drug: |
---|
335 | 335 | | 5 (A) The postfertilization age of the fetus (in weeks). |
---|
336 | 336 | | 6 (B) The manner in which the postfertilization age was |
---|
337 | 337 | | 7 determined. |
---|
338 | 338 | | 8 (C) The gender of the fetus, if detectable. |
---|
339 | 339 | | 9 (D) Whether the fetus has been diagnosed with or has a |
---|
340 | 340 | | 10 potential diagnosis of having Down syndrome or any other |
---|
341 | 341 | | 11 disability. |
---|
342 | 342 | | 12 (E) If after the earlier of the time the fetus obtains viability or |
---|
343 | 343 | | 13 the time the postfertilization age of the fetus is at least twenty |
---|
344 | 344 | | 14 (20) weeks, the medical reason for the performance of the |
---|
345 | 345 | | 15 abortion. |
---|
346 | 346 | | 16 (22) For a surgical abortion, the specific medical procedure used |
---|
347 | 347 | | 17 for the abortion, including the postfertilization age of the fetus, |
---|
348 | 348 | | 18 and: if the fetus had a postfertilization age of at least twenty (20) |
---|
349 | 349 | | 19 weeks: |
---|
350 | 350 | | 20 (A) whether the procedure, in the reasonable judgment of the |
---|
351 | 351 | | 21 health care provider, gave the fetus the best opportunity to |
---|
352 | 352 | | 22 survive; |
---|
353 | 353 | | 23 (B) the basis for the determination that the pregnant woman |
---|
354 | 354 | | 24 had a condition described in this chapter that required the |
---|
355 | 355 | | 25 abortion to avert the death of or serious impairment to the |
---|
356 | 356 | | 26 pregnant woman; and |
---|
357 | 357 | | 27 (C) the name of the second doctor present, as required under |
---|
358 | 358 | | 28 IC 16-34-2-3(a)(3). |
---|
359 | 359 | | 29 (23) For a nonsurgical abortion, the precise drugs provided, |
---|
360 | 360 | | 30 prescribed, administered, or dispensed, and the means of delivery |
---|
361 | 361 | | 31 of the drugs to the patient. |
---|
362 | 362 | | 32 (24) For a nonsurgical abortion, that the manufacturer's |
---|
363 | 363 | | 33 instructions were provided to the patient and that the patient |
---|
364 | 364 | | 34 signed the patient agreement. |
---|
365 | 365 | | 35 (25) For a nonsurgical abortion, that the abortion inducing |
---|
366 | 366 | | 36 drug was dispensed and consumed in the presence of the |
---|
367 | 367 | | 37 physician in accordance with section 1(a) of this chapter. |
---|
368 | 368 | | 38 (25) (26) For an abortion performed before twenty (20) weeks of |
---|
369 | 369 | | 39 postfertilization age of the fetus, the medical indication by |
---|
370 | 370 | | 40 diagnosis code for the fetus and the mother. |
---|
371 | 371 | | 41 (26) (27) The mother's obstetrical history, including dates of other |
---|
372 | 372 | | 42 abortions, if any. |
---|
373 | 373 | | 2025 IN 240—LS 6702/DI 147 9 |
---|
374 | 374 | | 1 (27) (28) Any preexisting medical conditions of the patient that |
---|
375 | 375 | | 2 may complicate the abortion. |
---|
376 | 376 | | 3 (28) (29) The results of pathological examinations if performed. |
---|
377 | 377 | | 4 (29) (30) For a surgical abortion, whether the fetus was delivered |
---|
378 | 378 | | 5 alive, and if so, how long the fetus lived, and that the physician |
---|
379 | 379 | | 6 complied with the requirements in IC 16-21-2-17. |
---|
380 | 380 | | 7 (30) (31) Records of all maternal deaths occurring at the location |
---|
381 | 381 | | 8 where the abortion was performed or the abortion inducing drug |
---|
382 | 382 | | 9 was provided, prescribed, administered, or dispensed, including |
---|
383 | 383 | | 10 the specific cause of death. |
---|
384 | 384 | | 11 (31) (32) The date the form was transmitted to the state |
---|
385 | 385 | | 12 department and, if applicable, separately to the department of |
---|
386 | 386 | | 13 child services. |
---|
387 | 387 | | 14 (33) The name of each person assisting with the report. |
---|
388 | 388 | | 15 (34) Certification by the attending physician, under the |
---|
389 | 389 | | 16 penalty of perjury, that the: |
---|
390 | 390 | | 17 (A) report was reviewed and approved by the attending |
---|
391 | 391 | | 18 physician; |
---|
392 | 392 | | 19 (B) information in the report is true and correct; and |
---|
393 | 393 | | 20 (C) abortion was performed in compliance with this |
---|
394 | 394 | | 21 article. |
---|
395 | 395 | | 22 (b) The health care provider shall complete the form provided for in |
---|
396 | 396 | | 23 subsection (a), including each field on the form, and shall transmit |
---|
397 | 397 | | 24 the completed form to the state department, in the manner specified on |
---|
398 | 398 | | 25 the form, within thirty (30) days after the date of each abortion. |
---|
399 | 399 | | 26 However, if an abortion is for a female who is less than sixteen (16) |
---|
400 | 400 | | 27 years of age, the health care provider shall transmit the form to the state |
---|
401 | 401 | | 28 department and separately to the department of child services within |
---|
402 | 402 | | 29 three (3) days after the abortion is performed. |
---|
403 | 403 | | 30 (c) The dates supplied on the form may not be redacted for any |
---|
404 | 404 | | 31 reason before the form is transmitted as provided in this section. |
---|
405 | 405 | | 32 (d) Each failure to complete or timely transmit a form, as required |
---|
406 | 406 | | 33 under this section, for each abortion performed or abortion inducing |
---|
407 | 407 | | 34 drug that was provided, prescribed, administered, or dispensed, is a |
---|
408 | 408 | | 35 Class B misdemeanor. |
---|
409 | 409 | | 36 (e) An incomplete form transmitted to the state department |
---|
410 | 410 | | 37 under subsection (b) is subject to investigation by the state |
---|
411 | 411 | | 38 department and the office of the attorney general. |
---|
412 | 412 | | 39 (f) The information described in the following is public and may |
---|
413 | 413 | | 40 not be redacted from each form received under this section: |
---|
414 | 414 | | 41 (1) Subsection (a)(2) and (a)(3). |
---|
415 | 415 | | 42 (2) Subsection (a)(5). |
---|
416 | 416 | | 2025 IN 240—LS 6702/DI 147 10 |
---|
417 | 417 | | 1 (3) Subsection (a)(18) and (a)(19). |
---|
418 | 418 | | 2 (4) Subsection (a)(21)(A) and (a)(21)(E). |
---|
419 | 419 | | 3 (5) Subsection (a)(22) through (a)(26). |
---|
420 | 420 | | 4 (6) Subsection (a)(29) through (a)(32). |
---|
421 | 421 | | 5 (7) Subsection (a)(34). |
---|
422 | 422 | | 6 (g) A report made under this section is not confidential and is a |
---|
423 | 423 | | 7 public record pursuant to IC 5-14-3-2(r). It shall be open to public |
---|
424 | 424 | | 8 inspection and the state department shall disclose the report upon |
---|
425 | 425 | | 9 a request made by any person (as defined in IC 5-14-3-2(n)). |
---|
426 | 426 | | 10 (h) In releasing or making available to the public a form |
---|
427 | 427 | | 11 received under this section, the state department shall do the |
---|
428 | 428 | | 12 following: |
---|
429 | 429 | | 13 (1) If the state department redacts a date on a form received |
---|
430 | 430 | | 14 under this section, indicate on the form whether the health |
---|
431 | 431 | | 15 care provider transmitted the form to the state department by |
---|
432 | 432 | | 16 the reporting deadline described in subsection (b). |
---|
433 | 433 | | 17 (2) If the state department redacts the information described |
---|
434 | 434 | | 18 in subsection (a)(1) from a form, indicate on the form whether |
---|
435 | 435 | | 19 or not the patient was a minor. |
---|
436 | 436 | | 20 (e) (i) On a quarterly basis, the state department shall compile a |
---|
437 | 437 | | 21 public report providing the following: |
---|
438 | 438 | | 22 (1) Statistics for the previous calendar quarter from the |
---|
439 | 439 | | 23 information submitted under this section. |
---|
440 | 440 | | 24 (2) Statistics for previous calendar years compiled by the state |
---|
441 | 441 | | 25 department under this subsection, with updated information for |
---|
442 | 442 | | 26 the calendar quarter that was submitted to the state department |
---|
443 | 443 | | 27 after the compilation of the statistics. |
---|
444 | 444 | | 28 The state department shall ensure that no identifying information of a |
---|
445 | 445 | | 29 pregnant woman is contained in the report. |
---|
446 | 446 | | 30 (f) (j) The state department shall: |
---|
447 | 447 | | 31 (1) summarize aggregate data from all data submitted under this |
---|
448 | 448 | | 32 section; and |
---|
449 | 449 | | 33 (2) submit the data, before July 1 of each year, to the United |
---|
450 | 450 | | 34 States Centers for Disease Control and Prevention for its inclusion |
---|
451 | 451 | | 35 in the annual Vital Statistics Report. |
---|
452 | 452 | | 36 (k) Before October 1, 2025, and before October 1 of each |
---|
453 | 453 | | 37 even-numbered year thereafter, the state department shall provide, |
---|
454 | 454 | | 38 in an electronic format under IC 5-14-6, verification to the general |
---|
455 | 455 | | 39 assembly that the state department is in compliance with |
---|
456 | 456 | | 40 subsection (g). |
---|
457 | 457 | | 2025 IN 240—LS 6702/DI 147 |
---|