ENROLLED Page 1 of 18 CODING: Words in struck through type are deletions from existing law; words underscored are additions. ACT No. 411 Regular Session, 2011 HOUSE BILL NO. 636 (Substitute for House Bill No. 586 by Representative Hoffmann) BY REPRESENTATIVES HOFFMANN, ANDERS, ARNOLD, AUSTI N BADON, BOBBY BADON, BALDONE, BARRAS, BARROW, BILLIOT, BURFORD, HENRY BURNS, BURRELL, CARTER, CHAMPAGNE, CHANDLER, CHANEY, CONNICK, CROMER, DANAHAY, DOVE, DOWNS, EDWARDS, EL LINGTON, FANNIN, GEYMANN, GISCLAIR, GREENE, GUILLORY, GUINN, HARDY, HAZEL, HENDERSON, HENRY, HENSGENS, HILL, HINES, HONORE, HOWARD, HUTTER, JOHNSON, SAM JONES, KATZ, KL ECKLEY, LABRUZZO, LAMBERT, LANDRY, LEBAS, LIGI, LITTLE, LOPINTO, LORUSSO, MCVEA, MONICA, NOWLIN, PEARSON, PONTI, POPE, PUGH, RICHARD, RICHARDSON, RITCHIE, ROBIDEAUX, ROY, SCHRODER, SEABAUGH, SMILEY, GARY SMITH, JANE SMITH, TALBOT, TEMPLET, THIBAUT, THIERRY, WHITE, WILLIAMS, AND WILLMOTT AND SENATORS AMEDEE, APPEL, BROOME, CHEEK, CROWE, DONAHUE, ERDEY, KOSTELKA, LAFLEUR, LONG, MARTINY, MICHOT, MILLS, MORRISH, MOUNT, NEVERS, PERRY, QUINN, RISER, SHAW, SMITH, THOMPSON, AND WAL SWORTH Prefiled pursuant to Article III, Section 2(A)(4)(b)(i) of the Constitution of Louisiana. AN ACT1 To amend and reenact R.S. 40:1299.35.1(introductory paragraph) and (1)(b), 1299.35.2(A),2 1299.35.6, and 1299.35.19 and to enact R.S. 40:1299.35.1(11) and 1299.35.5.1,3 relative to abortion; to require certain signage in abortion facilities; to provide for4 certain requirements of the Department of Health and Hospitals relative to abortion;5 to provide for voluntary and informed consent criteria; to provide for delivery of6 certain information under the Woman's Right to Know law; to provide relative to7 conscience in health care protection, including provisions relative to living human8 embryos; to provide for penalties; and to provide for related matters.9 Be it enacted by the Legislature of Louisiana:10 Section 1. R.S. 40:1299.35.1(introductory paragraph) and(1)(b), 1299.35.2(A),11 1299.35.6, and 1299.35.19 are hereby amended and reenacted and R.S. 40:1299.35.1(11) and12 1299.35.5.1 are hereby enacted to read as follows: 13 §1299.35.1. Definitions14 As used in R.S. 40:1299.35.0 through 1299.35.18 1299.35.19, the following15 words have the following meanings:16 ENROLLEDHB NO. 636 Page 2 of 18 CODING: Words in struck through type are deletions from existing law; words underscored are additions. (1) "Abortion" or "induced abortion" means the act of using or prescribing1 any instrument, medicine, drug, or any other substance, device, or means with the2 intent to terminate the clinically diagnosable pregnancy of a woman with knowledge3 that the termination by those means will, with reasonable likelihood, cause the death4 of the unborn child. Such use, prescription, or means is not an abortion if done with5 the intent to:6 * * *7 (b) Remove a dead unborn child caused by or induce delivery of the uterine8 contents in case of a positive diagnosis, certified in writing in the woman's medical9 record along with the results of an obstetric ultrasound test, that the pregnancy has10 ended or is in the unavoidable and untreatable process of ending due to spontaneous11 miscarriage, also known in medical terminology as spontaneous abortion, missed12 abortion, or inevitable abortion, incomplete abortion, or septic abortion.13 * * *14 (11) "Department" means the Department of Health and Hospitals.15 * * *16 §1299.35.2. Abortion by physician; determination of viability; ultrasound test17 required; exceptions; penalties18 A. Physician requirement. No person shall perform or induce an abortion19 unless that person is a physician licensed to practice medicine in the state of20 Louisiana. Any outpatient abortion facility that knowingly employs, contracts with,21 or provides any valuable consideration for the performance of an abortion to any22 person who is not a physician licensed to practice medicine in the state of Louisiana,23 is subject to having its license denied, non-renewed, or revoked by the Department24 of Health and Hospitals in accord with R.S. 40:2175.6.25 * * *26 §1299.35.5.1. Prevention of forced abortion; signage in abortion facilities27 A. This Section shall be known and may be cited as the "Forced Abortion28 Prevention Sign Act".29 ENROLLEDHB NO. 636 Page 3 of 18 CODING: Words in struck through type are deletions from existing law; words underscored are additions. B. Any licensed Outpatient Abortion Facility as defined by R.S. 40:2175.31 shall conspicuously post a sign in a location defined in Subsection D of this Section2 which is clearly visible to patients, and which features the text contained in3 Paragraph (1) of this Subsection and the information contained in Paragraph (2) of4 this Subsection.5 (1) The sign shall feature the following text:6 "Notice: Women's Rights and Pregnancy Resources7 You can't be forced.8 * It is unlawful for anyone to make you have an abortion against your will,9 even if you are a minor.10 You and the father.11 * The father of your child must provide support of the child, even if he has12 offered to pay for an abortion.13 You and adoption.14 * The law allows adoptive parents to pay costs of prenatal care, childbirth15 and newborn care.16 You are not alone.17 * Many agencies are willing to help you to carry your child to term, and to18 assist after your child's birth."19 (2) The sign shall feature the web address of the pregnancy resources20 website maintained by the department pursuant to R.S. 40:1299.35.6, which shall be21 shown on the sign in a large, bold font designed to be clearly visible to patients,22 along with any additional information which is deemed necessary by the department23 and is in accordance with the provisions of R.S. 40:1299.35.6.24 C. The department shall cause the sign provided for in this Section to be25 designed and produced. All signs produced shall incorporate color graphics and26 shall be printed on durable signage material measuring sixteen inches by twenty27 inches with lettering presented in a size and style of font designed to be clearly28 visible to the patient.29 ENROLLEDHB NO. 636 Page 4 of 18 CODING: Words in struck through type are deletions from existing law; words underscored are additions. D. The sign provided for in this Section shall be conspicuously posted in1 each patient admission area, waiting room, and patient consultation room used by2 patients on whom abortions are performed, induced, prescribed for, or who are3 provided with the means for an abortion.4 * * *5 §1299.35.6. Woman's Right To Know6 A. Legislative findings and purposes. The Legislature of Louisiana finds7 that:8 (1) Act No. 435 of the 1978 Regular Session of the Legislature required the9 obtaining of the informed consent of a pregnant woman to the performance of an10 abortion. This law was declared unconstitutional in the cases of Margaret S. v.11 Edwards, and in Margaret S. v. Treen.12 (2) By Act No. 435 of the 1978 Regular Session of the Legislature (R.S.13 40:1299.35.7) a twenty-four-hour waiting period was required between the signing14 of an informed consent and the performance of an abortion. This law was repealed15 by Act No. 418 of the 1980 Regular Session of the Legislature because of the16 decision of the federal court in Margaret S. v. Edwards.17 (3) Subsequent to the above-referenced court decisions and legislative18 enactments, the United States Supreme Court has rendered a decision in the case of19 Planned Parenthood of Pennsylvania v. Casey, which upheld the constitutionality of20 the Pennsylva nia law which required informed consent, parental consent, and a21 twenty-four-hour waiting period prior to an abortion, and which decision has22 therefore impliedly overruled the decisions in the Margaret S. cases.23 (4) The judicial obstacles to such legislation now having been removed by24 virtue of the Casey decision, the legislature finds that it is in the public interest and25 in furtherance of the general health and welfare of the citizens of this state to reenact26 provisions of law similar to those heretofore either declared unconstitutional or27 repealed for the following reasons:28 ENROLLEDHB NO. 636 Page 5 of 18 CODING: Words in struck through type are deletions from existing law; words underscored are additions. (a) It is essential to the psychological and physical well-being of a woman1 considering an abortion that she receive complete and accurate information on2 regarding her alternatives.3 (b) The knowledgable exercise of a woman's decision to have an abortion4 depends on the extent to which the woman receives sufficient information to make5 an informed choice between two alternatives, giving birth or having an abortion.6 (c) The vast majority of all abortions are performed in clinics devoted solely7 to providing abortions and family planning services. Most women who seek8 abortions at these facilities do not have any relationship with the physician who9 performs the abortion, before or after the procedure. They do not return to the10 facility for postsurgical care. In most instances, the woman's only actual contact11 with the physician occurs simultaneously with the abortion procedure, with little12 opportunity to receive counseling concerning her decision.13 (d) The decision to abort "is an important, and often a stressful one, and it14 is desirable and imperative that it be made with full knowledge of its nature and15 consequences", Planned Parenthood v. Danforth.16 (e) "The medical, emotional, and psychological consequences of an abortion17 are serious and can be lasting...", H. L. v. Matheson.18 (f) Abortion facilities or providers offer only limited and/or impersonal19 counseling opportunities.20 (g) Many abortion facilities or providers hire untrained and unprofessional21 "counselors" whose primary goal is to sell abortion services.22 (5) Based on the above findings, it is the purpose of this Act to:23 (a) Ensure that every woman considering an abortion receive complete24 information on her alternatives and that every woman submitting to an abortion do25 so only after giving her voluntary and informed consent to the abortion procedure.26 (b) Protect unborn children from a woman's uninformed decision to have an27 abortion.28 ENROLLEDHB NO. 636 Page 6 of 18 CODING: Words in struck through type are deletions from existing law; words underscored are additions. (c) Reduce "the risk that a woman may elect an abortion only to discover1 later, with devastating psychological consequences, that her decision was not fully2 informed", Planned Parenthood v. Casey.3 (d) Ensure that every woman considering an abortion receive complete4 information regarding the availability of anesthesia or analgesics that would5 eliminate or alleviate organic pain to the unborn child that could be caused by the6 particular method of abortion to be employed.7 B. Informed consent; requirements. After a woman is determined to be8 pregnant, no abortion shall be performed or induced without the voluntary and9 informed consent of the woman upon whom the abortion is to be performed or10 induced. Except in the case of a medical emergency, consent to an abortion is11 voluntary and informed if and only if :12 (1) the The provisions of R.S. 40:1299.35.2 requiring an ultrasound test and13 determination of viability are met , and:.14 (2) The information required by this Section to be communicated orally and15 in person to the woman is provided to her individually and in a private room to16 protect her privacy, for the purpose of ensuring that the information focuses on her17 individual circumstances and that she has an adequate opportunity to ask questions.18 (1) (3) Oral information from the physician. At least twenty-four hours19 before the abortion, the physician who is to perform the abortion or the referring20 physician has informed the woman, orally and in person, of:21 (a) The name of the physician who meets the requirements of R.S.22 46:1299.35.2(A) and who will perform the abortion.23 (b) A description of the proposed abortion method and of those risks24 (including risks to the woman's reproductive health) and alternatives to the abortion25 that a reasonable patient would consider material to the decision of whether or not26 to undergo the abortion.27 (c) The probable gestational age of the unborn child at the time the abortion28 is to be performed; and, if the unborn child is viable or has reached the gestational29 ENROLLEDHB NO. 636 Page 7 of 18 CODING: Words in struck through type are deletions from existing law; words underscored are additions. age of twenty-four weeks and the abortion may be otherwise lawfully performed1 under existing law, that:2 (i) The unborn child may be able to survive outside the womb.3 (ii) The woman has the right to request the physician to use the method of4 abortion that is most likely to preserve the life of the unborn child.5 (iii) If the unborn child is born alive, that attending physicians have the legal6 obligation to take all reasonable steps necessary to maintain the life and health of the7 child.8 (d) The probable anatomical and physiological characteristics of the unborn9 child at the time the abortion is to be performed.10 (e) The medical risks associated with carrying her child to term.11 (f) Any need for anti-Rh immune globulin therapy, if she is Rh negative, the12 likely consequences of refusing such therapy, and a good faith estimate of the cost13 of the therapy.14 (g) The availability of anesthesia or analgesics to alleviate or eliminate15 organic pain to the unborn child that could be caused by the method of abortion to16 be employed.17 (h) The requirement that at least two hours prior to the woman having any18 part of an abortion performed or induced, the physician, referring physician, or19 qualified person working in conjunction with either physician must perform an20 obstetric ultrasound under the provisions of R.S. 40:1299.35.2 for the purpose of21 preserving the woman's health and determining the viability of the unborn child, and22 that neither the physician nor the woman shall be penalized should the woman23 choose not to view the obstetric ultrasound images or not to accept the photographic24 print that shall be provided offered to her in a sealed envelope.25 (i) The inclusion in her printed materials of a comprehensive list, compiled26 by the Department of Health and Hospitals department, of facilities that offer27 obstetric ultrasounds free of charge, along with an oral explanation of the provision28 that shall be included on the department's list that if the woman voluntarily chooses29 to obtain free ultrasound services, that ultrasound would likely be in addition to the30 ENROLLEDHB NO. 636 Page 8 of 18 CODING: Words in struck through type are deletions from existing law; words underscored are additions. ultrasound required by law for purposes of determining viability and preserving the1 woman's health, unless the free ultrasound is performed by the physician performing2 the abortion, the referring physician, or a qualified person working in conjunction3 with either physician. The list shall be arranged geographically and shall include the4 name, address, hours of operation, and telephone number of each entity.5 (2)(a) (4) Oral information from a physician or qualified person.6 (a) In the initial contact with an abortion provider by any person seeking to7 schedule an abortion for a minor or adult woman or for herself, whether such initial8 contact is by telephone, by Internet communication, in person, or by any other9 means, the physician who is to perform the abortion or any person acting on behalf10 of the physician informs the person of the Internet address of the department's11 abortion alternatives and informed consent website provided for in this Section.12 (b) At least twenty-four hours before the a scheduled abortion, the physician13 who is to perform the abortion, the referring physician, or a qualified person has14 informed the woman, orally and in person, that:15 (i) Medical assistance benefits may be available for prenatal care, childbirth,16 and neonatal care, and that more detailed information on the availability of such17 assistance is contained on the department's website and in the printed materials18 which shall be given to her and described as provided in this Section.19 (ii) The department's website and printed materials describe the unborn child20 and list agencies which offer alternatives to abortion.21 (iii) The father of the unborn child is liable to assist in the support of her22 child, even in instances where he has offered to pay for the abortion. In the case of23 rape, this information may be omitted.24 (iv) She is free to withhold or withdraw her consent to the abortion at any25 time before or during the abortion without affecting her right to future care or26 treatment and without the loss of any state or federally funded benefits to which she27 might otherwise be entitled.28 ENROLLEDHB NO. 636 Page 9 of 18 CODING: Words in struck through type are deletions from existing law; words underscored are additions. (b) (c) For purposes of this Paragraph, "qualified person" shall mean an1 agent of the physician who is a psychologist, licensed social worker, licensed2 professional counselor, registered nurse, or physician.3 (3) The information required by this Section is provided to the woman4 individually and in a private room to protect her privacy and maintain the5 confidentiality of her decision, to ensure that the information focuses on her6 individual circumstances, and that she has an adequate opportunity to ask questions.7 (4) (5) Provision of printed materials. At least twenty-four hours before the8 abortion, the woman is given a copy of the printed materials described in this Section9 by the physician who is to perform the abortion, the referring physician, or a10 qualified person as defined in Subparagraph (2)(b) (4)(c) of this Subsection. If the11 woman is unable to read the materials, they shall be read to her. If the woman asks12 questions concerning any of the information or materials, answers shall be provided13 to her in her own language. If an interpreter is necessary, the cost of such interpreter14 shall be borne by the state of Louisiana.15 (5) (6) Certification and reporting. The woman certifies in writing on a form16 provided by the Department of Health and Hospitals department, prior to the17 abortion, that the information and materials required to be provided under this18 Section have been provided at least twenty-four hours prior to the abortion. All19 physicians who perform abortions shall report the total number of certifications20 received monthly to the department. The department shall make the number of21 certifications received available to the public on an annual basis.22 (6) (7) Prior to the performance of the abortion, the physician who is to23 perform the abortion or his agent receives a copy of the written certification required24 by this Section.25 (7) (8) The woman is not required to pay any amount for the abortion26 procedures until the twenty-four-hour period has expired.27 C.(1) Publication of materials abortion alternatives and informed consent28 website.29 ENROLLEDHB NO. 636 Page 10 of 18 CODING: Words in struck through type are deletions from existing law; words underscored are additions. (1) The Department of Health and Hospitals department shall cause to be1 published in English, within ninety one hundred twenty days after June 20, 19952 enactment of this Act, and shall update on an annual basis, or as needed, the3 following easily comprehensible printed materials: information on a stable Internet4 website that shall be developed and maintained by the department5 (a) Geographically indexed materials designed to inform the public of the6 inform the woman of public and private agencies and services available to assist a7 woman through pregnancy, upon childbirth, and while her child is dependent,8 including but not limited to adoption agencies. The materials shall include a9 comprehensive list of the agencies, a description of the services they offer, and the10 telephone number and addresses of the agencies, and inform the woman about11 available the following information that shall indicate the agency's or service's12 physical address, telephone number, and web address if available:13 (a) Information about public and private agencies which provide medical14 assistance benefits that may be available for prenatal care, childbirth, and neonatal15 care, and easily comprehensible information on how to apply for such benefits.16 (b) Public and private pregnancy resource centers that provide information17 and services such as free abortion alternatives counseling, prenatal care, pantry18 services and parenting skills, and that do not refer, counsel, perform, induce,19 prescribe, or provide any means for abortion.20 (c) and Information about the support obligations of the father of a child who21 is born alive and information about the judicial enforcement of child support.22 (d) Information on a separate and featured subpage of the department's23 website that lists facilities that provide free obstetric ultrasound services under the24 provisions of R.S. 40:1299.35.2 and this Section.25 (e) Information on public and private adoption agencies.26 (f) Information on the anatomical and physiological characteristics of the27 unborn child pursuant to the provisions of this Section, including color photographs28 or images consistent with the most current technology depicting the unborn child at29 two-week gestational increments or closer.30 ENROLLEDHB NO. 636 Page 11 of 18 CODING: Words in struck through type are deletions from existing law; words underscored are additions. (g) Information describing the various methods of abortion procedures, the1 short-term and long-term medical risks associated with abortion, and the medical2 risks associated with carrying a child to term.3 (h) Information on the unborn child's ability to experience pain.4 (i) Video clips that convey objective and medically accurate information5 about abortion procedures, abortion risks, abortion alternative resources, and6 medically accurate information on the development of an unborn child. Video clips7 may be produced with the in-house resources of the department, or acquired for no8 cost to the state from third parties if the video is approved by the secretary as9 providing objective and medically accurate information.10 (j) Information that helps women identify unlawful abortion coercion,11 including but not limited to resources or hotlines that a minor or adult woman may12 call if she is experiencing actual or threatened physical abuse or violence, loss of13 employment or employment privileges, loss of eligible social assistance, loss of14 educational scholarship, or loss of legally protected financial support or housing.15 (k) Information to assist minors who are considering abortion, including16 parental consent information, and resources to help minors seek the protection of17 state child welfare services, temporary guardianship, or law enforcement authorities18 to report abuse as defined in Article 603 of the Children's Code. The information19 designed to assist minors shall also include a link to pregnancy resource centers as20 defined in Subparagraph (1)(b) of this Subsection.21 (2) The home page of the department's main website shall feature a button22 or other link which accesses the department's abortion alternatives and informed23 consent website, and the home page of such website shall feature user-friendly24 buttons that link to the information required in this Section. The department shall25 ensure that the materials resources described in this Section are comprehensive and26 user-friendly, and that they do not directly or indirectly promote, exclude, or27 discourage the use of any agency or service described in this Section.28 (3) No information regarding who uses the website shall be collected or29 maintained. The department shall monitor the website to prevent and correct30 ENROLLEDHB NO. 636 Page 12 of 18 CODING: Words in struck through type are deletions from existing law; words underscored are additions. tampering and shall immediately notify abortion providers of any change of the1 website address.2 (4) The search capabilities on the department's main website shall ensure that3 entering the term "abortion" yields the website and information required by this4 Section, regardless of how the information is labeled.5 (5) The information on the department's abortion alternatives and informed6 consent website shall be printable. The printed materials required in Subsection D7 of this Section shall be available to download from the website in a portable8 document format without cost. The download of such information shall not be9 deemed to satisfy the requirements of Subsection B of this Section.10 (6) The department's abortion alternatives and informed consent website11 shall be accessible to the public without requiring registration or use of a user name,12 a password, or any user identification.13 (7) The department's abortion alternatives and informed consent website14 shall have the capability of detecting when it is being accessed by a mobile device15 and shall have the capability of converting to a platform designed to be easily16 viewable on mobile devices.17 (8) If an abortion provider has a website, the abortion provider's Internet18 website home page shall include a prominent link to the department's abortion19 alternatives and informed consent website.20 D. Publication of printed materials. The department shall cause to be21 published, within one hundred twenty days after enactment of this Act and shall22 update on an annual basis or as needed, the following printed materials:23 (1) The signs provided for in the Forced Abortion Prevention Sign Act, R.S.24 40:1299.35.5.1.25 (2) A list arranged geographically, including the name, address, hours of26 operation, website address if available, and telephone number of each entity which27 offers obstetric ultrasounds free of charge. The list shall not include any facility that28 counsels, refers, performs, induces, prescribes, or provides any means for abortion.29 ENROLLEDHB NO. 636 Page 13 of 18 CODING: Words in struck through type are deletions from existing law; words underscored are additions. (3) A printed booklet that features the web address of the department's1 dedicated pregnancy resource website printed in a bold large typeface. The booklet2 shall contain an outline of the various topics on the website as provided in3 Subsection C of this Section along with an explanation that more detailed4 information can be found at the department's website. The materials shall also5 contain a separate printed listing of facilities that provide obstetric ultrasound6 services free of charge, as described in Subparagraph (B)(1)(i) of this Section. All7 materials shall include a website address where the required materials can be8 accessed on the Internet. Such website shall be maintained by the Department of9 Health and Hospitals. The printed booklet materials shall state that it is unlawful for10 any individual to coerce a minor or adult woman to undergo an abortion, that any11 physician who performs an abortion upon a woman without her informed consent12 may be liable to her for damages in a civil action at law, and that the law permits13 adoptive parents to pay costs of prenatal care, childbirth, and neonatal care.14 (a) The department's website and printed booklet materials shall include the15 following statements:16 (i) "There are many public and private agencies willing and able to help you17 to carry your child to term, and to assist you and your child after your child is born,18 whether you choose to keep your child or to place her or him for adoption. The state19 of Louisiana strongly urges you to consult an independent physician about the risks20 of abortion to your physical and psychological well-being and to contact them the21 resources provided on our website before making a final decision about abortion.22 The law requires that your physician or his agent the abortion provider give you the23 opportunity to call contact agencies like these before you undergo an abortion."24 (ii) "By twenty weeks gestation, the unborn child has the physical structures25 necessary to experience pain. There is evidence that by twenty weeks gestation26 unborn children seek to evade certain stimuli in a manner which in an infant or an27 adult would be interpreted to be a response to pain. Anesthesia is routinely28 administered to unborn children who are twenty weeks gestational age or older who29 undergo prenatal surgery."30 ENROLLEDHB NO. 636 Page 14 of 18 CODING: Words in struck through type are deletions from existing law; words underscored are additions. (b) The printed booklet shall include Materials materials that inform the1 pregnant woman of the probable anatomical and physiological characteristics of the2 unborn child at a minimum of two-week gestational increments from fertilization to3 full term, including color pictures or drawings representing photographs or medical4 images consistent with the most current technology depicting the development of5 unborn children at two-week gestational increments, and any relevant information6 on the possibility of the unborn child's survival; provided that any such color pictures7 or drawings photographs or images shall contain the dimensions of the unborn child8 and shall be realistic medically accurate. The materials shall be objective,9 nonjudgmental, and designed to convey only accurate scientific information about10 the unborn child at the various gestational ages. The material shall also contain11 objective information describing the methods of abortion procedures commonly12 employed, the short-term and long-term medical risks commonly associated with13 each such procedure abortion as supported by peer-reviewed medical journals, and14 the medical risks commonly associated with carrying a child to term.15 (4) A certification form to be used by physicians or their agents as provided16 in Paragraph B(5) of this Section, which will list all the items of information which17 are to be given to women by physicians or their agents as required by this Section.18 (2) E. The materials provided for in Subsection D of this Section shall be19 printed in a typeface large enough to be clearly legible ., 20 (3) The materials required under this Section and shall be available at no cost21 from the department upon request and in appropriate number to any person, facility,22 or hospital. The department's abortion alternatives and informed consent website23 shall contain information on ordering printed materials.24 (4) The department shall promulgate rules and regulations relative to the25 appropriate number and methods of reporting at no cost methods of distribution of26 printed materials.27 D. F. Medical emergency. Where a medical emergency compels the28 performance of an abortion, the physician shall orally inform the woman, before the29 abortion, if possible, of the medical indications supporting his judgment that an30 ENROLLEDHB NO. 636 Page 15 of 18 CODING: Words in struck through type are deletions from existing law; words underscored are additions. abortion is necessary to avert her death or to avert substantial and irreversible1 impairment of a major bodily function. 2 E. G. Reporting requirements. Any physician who has provided the3 information and materials to any woman in accordance with the requirements of this4 Section shall provide to the department:5 (1) With respect to a woman upon whom an abortion is performed, all6 information as required by R.S. 40:1299.35.10 as well as the date upon which the7 information and materials required to be provided under this Section were provided,8 as well as an executed copy of the certification form required by Paragraph B(5) of9 this Section.10 (2) With respect to any woman to whom the printed and oral information and11 materials have been provided in accordance with this Section, but upon whom the12 physician has not performed an abortion, the name and address of the facility where13 the required information was provided and the information as required by R.S.14 40:1299.35.10(A)(1) and (4) through (18) inclusive, and if executed by the woman,15 a copy of the certification form required by Paragraph B(5) of this Section.16 F. H. Criminal penalties.17 (1) Any person who intentionally, knowingly, or recklessly fails to comply18 with all the requirements of this Section shall be subject to the penalties provided in19 R.S. 40:1299.35.18 R.S. 40:1299.35.19.20 (2) No physician shall be guilty of violating this Section if he or she can21 demonstrate, by a preponderance of the evidence, that he or she reasonably believed22 that furnishing the required information would have resulted in a severely adverse23 effect on the physical or mental health of the pregnant woman, provided that the24 pregnancy is terminated in a licensed hospital and that it is necessary, as certified25 with supporting medical reasons by the physician in the woman's medical record, to26 avert the woman's death or avoid serious risk of substantial and irreversible27 impairment of a major bodily function, or to induce the premature delivery of an28 unborn child who is eighteen weeks gestational age or greater when the physician29 has made a good faith medical judgment that the unborn child's medical condition30 ENROLLEDHB NO. 636 Page 16 of 18 CODING: Words in struck through type are deletions from existing law; words underscored are additions. is such that there is no realistic possibility of maintaining the life of the unborn child1 outside the womb even if the unborn child were to be delivered after a full term2 pregnancy.3 G. Civil penalties. In addition to whatever remedies are otherwise available4 under the law of this state, failure to comply with the requirements of this Section5 shall:6 (1) Provide a basis for a civil malpractice action. Any intentional violation7 of this Section shall be admissible in a civil suit as prima facie evidence of a failure8 to obtain an informed consent. When requested, the court shall allow a woman to9 proceed using solely her initials or a pseudonym and may close any proceedings in10 the case and enter other protective orders to preserve the privacy of the woman upon11 whom the abortion was performed.12 (2) Provide a basis for professional disciplinary action under R.S. 37:126113 et seq.14 (3) Provide a basis for recovery for the woman for the death of her unborn15 child under Louisiana Civil Code Article 2315.2, whether or not the unborn child16 was viable at the time the abortion was performed, or was born alive.17 H. I. Limitation on civil liability. Any physician who complies with the18 provisions of this Section may not be held civilly liable to his patient for failure to19 obtain informed consent to the abortion under this Section. Any and all other rights20 and remedies are preserved to the patient.21 I. Severability. The provisions of the Act which originated as House Bill22 No. 2246 of the 1995 Regular Session of the Legislature are declared to be severable,23 and if any provision, word, phrase, or clause of the Act or the application thereof to24 any person shall be held invalid, such invalidity shall not affect the validity of the25 remaining portions of the Act.26 J. Construction.27 (1) Nothing in this Section shall be construed as creating or recognizing a28 right to abortion.29 ENROLLEDHB NO. 636 Page 17 of 18 CODING: Words in struck through type are deletions from existing law; words underscored are additions. (2) It is not the intention of this Section to make lawful an abortion that is1 unlawful on June 20, 1995 upon the effective date of this Act, or which later2 becomes unlawful.3 K. Right of intervention. The author and coauthors who sponsored or4 cosponsored the Act which originated as House Bill No. 2246 of the 1995 Regular5 Session of the Legislature in his or her official standing and capacity shall intervene6 as a matter of right in any case in which the constitutionality of this Section is7 challenged.8 * * *9 §1299.35.19. Penalties 10 Whoever violates the provisions of this Part shall be fined not more than one11 thousand dollars, or imprisoned for not more than two years, or both. In addition to12 whatever remedies are otherwise available under the law of this state, failure to13 comply with the provisions of this Part shall:14 (1) Provide a basis for a civil malpractice action. Any intentional violation15 of this Part shall be admissible in a civil suit as prima facie evidence of a failure to16 comply with the requirements of this Part. When requested, the court shall allow a17 woman to proceed using solely her initials or a pseudonym and may close any18 proceedings in the case and enter other protective orders to preserve the privacy of19 the woman upon whom the abortion was performed.20 (2) Provide a basis for professional disciplinary action under R.S. 37:126121 et seq.22 (3) Provide a basis for recovery for the woman for the death of her unborn23 child under Louisiana Civil Code Article 2315.2, whether or not the unborn child24 was viable at the time the abortion was performed, or was born alive.25 Section 2. If any provision or item of this Act, or the application thereof, is held26 invalid, such invalidity shall not affect other provisions, items, or applications of the Act27 ENROLLEDHB NO. 636 Page 18 of 18 CODING: Words in struck through type are deletions from existing law; words underscored are additions. which can be given effect without the invalid provision, item, or application and to this end1 the provisions of this Act are hereby declared severable.2 SPEAKER OF THE HOUSE OF REPRESENTATI VES PRESIDENT OF THE SENATE GOVERNOR OF THE STATE OF LOUISIANA APPROVED: