SLS 13RS-377 ORIGINAL Page 1 of 5 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. Regular Session, 2013 SENATE BILL NO. 90 BY SENATOR MILLS Prefiled pursuant to Article III, Section 2(A)(4)(b)(i) of the Constitution of Louisiana. HEALTH CARE. Provides for certain requirements which must be met by a physician who performs an abortion. (gov sig) AN ACT1 To amend and reenact R.S. 40:1299.35.1(7), 1299.35.2(A), and 1299.35.19(introductory2 paragraph) and (1) and to enact R.S. 40:1299.35.2.1, relative to abortions; to amend3 the definition of "physician"; to provide for certain requirements which must be met4 by a physician who performs an abortion; to provide for drugs or chemicals used; to5 provide for penalties; and to provide for related matters.6 Be it enacted by the Legislature of Louisiana:7 Section 1. R.S. 40:1299.35.1(7), 1299.35.2(A), and 1299.35.19(introductory8 paragraph) and (1) are hereby amended and reenacted and R.S. 40:1299.35.2.1 is hereby9 enacted to read as follows:10 §1299.35.1. Definitions11 As used in R.S. 40:1299.35.0 through 1299.35.19, the following words have12 the following meanings:13 * * *14 (7) "Physician" means a person licensed to practice medicine in the state of15 Louisiana who meets the requirements of R.S. 40:1299.35.2.16 * * *17 SB NO. 90 SLS 13RS-377 ORIGINAL Page 2 of 5 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. §1299.35.2. Abortion by physician; determination of viability; ultrasound test1 required; exceptions; penalties2 A. Physician requirement. No person shall perform or induce an abortion3 unless that person is a physician licensed to practice medicine in the state of4 Louisiana and is board certified or eligible in obstetrics and gynecology. Any5 outpatient abortion facility that knowingly or negligently employs, contracts with,6 or provides any valuable consideration for the performance of an abortion to in an7 outpatient abortion facility by any person who is not a physician licensed to8 practice medicine in the state of Louisiana, does not meet the requirements of this9 Section is subject to having its license denied, non-renewed, or revoked by the10 Department of Health and Hospitals in accord with R.S. 40:2175.6.11 * * *12 §1299.35.2.1. Drugs or chemicals used; follow-up visit; written instructions13 required; penalties14 A. When any drug or chemical is used for the purpose of inducing an15 abortion as defined in R.S. 40:1299.35.1(1), the drug or chemical shall be16 administered in the same room and in the physical presence of the physician17 who prescribed, dispensed, or otherwise provided the drug or chemical to the18 pregnant woman.19 B. The physician inducing the abortion, or a person acting on behalf of20 the physician inducing the abortion as defined in R.S. 40:1299.35.1(1), shall give21 the pregnant woman written instructions to return twelve to eighteen days after22 the administration or use of any drug or chemical for the purpose of inducing23 an abortion as defined in R.S. 40:1299.35.1(1) for a follow-up visit, so the24 physician may confirm the pregnancy has been terminated and assess the25 woman's medical condition. The woman's medical record shall include a brief26 description of the reasonable efforts made by the physician or someone acting27 on behalf of the physician to encourage the woman to attend the follow-up28 appointment, including the date, time, and identification by name of the person29 SB NO. 90 SLS 13RS-377 ORIGINAL Page 3 of 5 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. making such efforts.1 C. Any person who knowingly or negligently performs or attempts to2 perform an abortion without complying with Subsection B of this Section shall3 be subject to penalties pursuant to R.S. 40:1299.35.19. No penalty may be4 assessed against the woman upon whom the abortion is performed or attempted5 to be performed.6 * * *7 §1299.35.19. Penalties8 Whoever violates the provisions of this Part shall be fined not more than one9 thousand dollars per incidence or occurrence, or imprisoned for not more than two10 years, or both. In addition to whatever remedies are otherwise available under the11 law of this state, failure to comply with the provisions of this Part shall:12 (1) Provide a basis for a civil malpractice action. Such action may be13 brought by the woman on whom the abortion was performed, the natural or14 biological father of the unborn child, or the maternal grandparents of the15 unborn child. Any intentional violation of this Part shall be admissible in a civil16 suit as prima facie evidence of a failure to comply with the requirements of this Part.17 When requested, the court shall allow a woman to proceed using solely her initials18 or a pseudonym and may close any proceedings in the case and enter other protective19 orders to preserve the privacy of the woman upon whom the abortion was performed.20 * * *21 Section 2. If any provision or item of this Act, or the application thereof, is held22 invalid, such invalidity shall not affect other provisions, items, or applications of the Act23 which can be given effect without the invalid provision, item, or application and to this end24 the provisions of this Act are hereby declared severable.25 Section 3. This Act shall become effective upon signature by the governor or, if not26 signed by the governor, upon expiration of the time for bills to become law without signature27 by the governor, as provided by Article III, Section 18 of the Constitution of Louisiana. If28 vetoed by the governor and subsequently approved by the legislature, this Act shall become29 SB NO. 90 SLS 13RS-377 ORIGINAL Page 4 of 5 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. effective on the day following such approval.1 The original instrument and the following digest, which constitutes no part of the legislative instrument, were prepared by Christopher D. Adams. DIGEST Present law defines a "physician" to mean a person licensed to practice medicine in the state of Louisiana. Proposed law amends present law to define a "physician" to mean a person licensed to practice medicine in the state of Louisiana and is board certified or eligible in obstetrics and gynecology. Proposed law provides when any drug or chemical is used for the purpose of inducing an abortion as defined in present law, the drug or chemical shall be administered in the same room and in the physical presence of the physician who prescribed, dispensed, or otherwise provided the drug or chemical to the pregnant woman. Proposed law provides the physician inducing the abortion, or a person acting on behalf of the physician inducing the abortion as defined in present law, shall give the pregnant woman written instructions to return 12 to 18 days after the administration or use of any drug or chemical for the purpose of inducing an abortion as defined in present law for a follow-up visit, so the physician may confirm the pregnancy has been terminated and assess the woman's medical condition. The woman's medical record shall include a brief description of the reasonable efforts made by the physician or someone acting on behalf of the physician to encourage the woman to attend the follow-up appointment, including the date, time, and identification by name of the person making such efforts. Proposed law provides any person who knowingly or negligently performs or attempts to perform an abortion without complying with proposed law shall be subject to penalties pursuant to present law. No penalty may be assessed against the woman upon whom the abortion is performed or attempted to be performed. Present law provides whoever violates the provisions of present law shall be fined not more than $1,000, or imprisoned for not more than two years, or both. In addition to whatever remedies are otherwise available under the law of this state, failure to comply with the provisions of present law shall provide a basis for a civil malpractice action. Any intentional violation of present law shall be admissible in a civil suit as prima facie evidence of a failure to comply with the requirements of present law. When requested, the court shall allow a woman to proceed using solely her initials or a pseudonym and may close any proceedings in the case and enter other protective orders to preserve the privacy of the woman upon whom the abortion was performed. Proposed law amends present law to whoever violates the provisions of present law shall be fined not more than $1,000 per incidence or occurrence, or imprisoned for not more than two years, or both. In addition to whatever remedies are otherwise available under the law of this state, failure to comply with the provisions of present law shall provide a basis for a civil malpractice action. Such action may be brought by the woman on whom the abortion was performed, the natural or biological father of the unborn child, or the maternal grandparents of the unborn child. Any intentional violation of present law shall be admissible in a civil suit as prima facie evidence of a failure to comply with the requirements of present law. When requested, the court shall allow a woman to proceed using solely her initials or a pseudonym and may close any proceedings in the case and enter other protective orders to preserve the privacy of the woman upon whom the abortion was performed. Effective upon signature of the governor or lapse of time for gubernatorial action. SB NO. 90 SLS 13RS-377 ORIGINAL Page 5 of 5 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. (Amends R.S. 40:1299.35.1(7), 1299.35.2(A), and 1299.35.19(intro para) and (1) and adds R.S. 40:1299.35.2.1)