SLS 19RS-422 ORIGINAL 2019 Regular Session SENATE BILL NO. 184 BY SENATOR MILKOVICH Prefiled pursuant to Article III, Section 2(A)(4)(b)(i) of the Constitution of Louisiana. ABORTION. Prohibits the abortion of an unborn human being with a detectable heartbeat. (gov sig) 1 AN ACT 2 To enact R.S. 40:1061.1.3, relative to abortion; to prohibit the abortion of an unborn human 3 being with a detectable heartbeat; to provide definitions; to provide penalties; to 4 provide for effectiveness; and to provide for related matters. 5 Be it enacted by the Legislature of Louisiana: 6 Section 1. R.S. 40:1061.1.3 is hereby enacted to read as follows: 7 ยง1061.1.3. Abortion prohibited; detectable fetal heartbeat 8 A.(1) Except as provided in Paragraph (2) or (3) of this Subsection, it 9 shall be unlawful for any person to knowingly perform an abortion with the 10 specific intent of causing or abetting the termination of the life of an unborn 11 human being when a fetal heartbeat has been detected. Any person who acts 12 based on the exception provided in Paragraph (2) or (3) of this Subsection shall 13 so note in the pregnant woman's medical records and shall specify in the 14 pregnant woman's medical records which of the exceptions the person 15 performing the abortion has invoked. 16 (2)(a) A person shall not be in violation of Paragraph (1) of this 17 Subsection if the person performs a medical procedure designed to or intended, Page 1 of 5 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 184 SLS 19RS-422 ORIGINAL 1 in that person's reasonable medical judgment, to prevent the death of a 2 pregnant woman or to prevent a serious risk of the substantial and irreversible 3 impairment of a major bodily function of the pregnant woman. 4 (b)(i) A person who performs a medical procedure as described in 5 Subparagraph (a) of this Paragraph shall declare in writing, under penalty of 6 perjury, that the medical procedure was necessary, to the best of that person's 7 reasonable medical judgment, to prevent the death of the pregnant woman or 8 to prevent a serious risk of the substantial and irreversible impairment of a 9 major bodily function of the pregnant woman. The person shall also provide 10 in that written statement the specific medical condition of the pregnant woman 11 that the medical procedure was performed to address, and the medical rationale 12 for the conclusion that the medical procedure was necessary to prevent the 13 death of the pregnant woman or to prevent a serious risk of the substantial and 14 irreversible impairment of a major bodily function of the pregnant woman. 15 (ii) The person who performs a medical procedure as described in 16 Subparagraph (a) of this Paragraph shall place the written documentation 17 required by this Subparagraph in the pregnant woman's medical records, and 18 shall maintain a copy of the written documentation for not less than seven years. 19 (3) A person shall not be in violation of Paragraph (1) of this Subsection 20 if the person has performed an examination for the presence of a fetal heartbeat 21 in the unborn human individual using standard medical practice and that 22 examination does not reveal a fetal heartbeat, or the person has been informed 23 by a physician who has performed the examination for a fetal heartbeat that the 24 examination did not reveal a fetal heartbeat. 25 B. For purposes of this Section: 26 (1) "Fetal heartbeat" means cardiac activity or the steady and repetitive 27 rhythmic contraction of the fetal heart within the gestational sac. 28 (2) "Physician" means an individual licensed by the Louisiana State 29 Board of Medical Examiners. Page 2 of 5 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 184 SLS 19RS-422 ORIGINAL 1 (3) "Unborn human being" means an individual living member of the 2 species Homo sapiens throughout the entire embryonic and fetal stages, from 3 fertilization through full gestation and birth. 4 C. Whoever violates this Section shall be prosecuted pursuant to the 5 effective provisions of R.S. 14:87 and shall be subject to the penalties provided 6 in R.S. 40:1061.29. 7 D. In addition to any other grounds provided by law, it shall be grounds 8 for the nonissuance, suspension, revocation, or restriction of a license, or the 9 denial of reinstatement or renewal of a license, issued by the Louisiana State 10 Board of Medical Examiners, that the applicant or licensee has performed an 11 abortion in violation of this Section. 12 E. This Section shall not be construed to repeal any other provision of 13 law that restricts or regulates the performance of an abortion by a particular 14 method or during a particular stage of a pregnancy. 15 F. The provisions of this Section are hereby repealed in favor of the 16 provisions of R.S. 40:1061 immediately upon and to the extent that either: 17 (1) A decision of the United States Supreme Court upholds the authority 18 of each of the several states of the United States or of the state of Louisiana to 19 prohibit elective abortions. 20 (2) An amendment to the Constitution of the United States of America 21 is adopted that restores to each of the several states of the United States or to 22 the state of Louisiana the authority to prohibit elective abortions. 23 Section 2. This Act shall become effective upon signature by the governor or, if not 24 signed by the governor, upon expiration of the time for bills to become law without signature 25 by the governor, as provided by Article III, Section 18 of the Constitution of Louisiana. If 26 vetoed by the governor and subsequently approved by the legislature, this Act shall become 27 effective on the day following such approval. Page 3 of 5 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 184 SLS 19RS-422 ORIGINAL The original instrument and the following digest, which constitutes no part of the legislative instrument, were prepared by Alden A. Clement Jr. DIGEST SB 184 Original 2019 Regular Session Milkovich Proposed law provides that it is unlawful for any person to knowingly perform an abortion with the specific intent of causing or abetting the termination of the life of an unborn human being when a fetal heartbeat has been detected. Proposed law provides that a person is not in violation of proposed law under either of the following circumstances, but must note in the pregnant woman's medical records which of the exceptions the person performing the abortion has invoked: (1)The person performs a medical procedure designed to or intended, in that person's reasonable medical judgment, to prevent the death of a pregnant woman or to prevent a serious risk of the substantial and irreversible impairment of a major bodily function of the pregnant woman. The person must declare in writing, under penalty of perjury, that the medical procedure was necessary, to the best of that person's reasonable medical judgment, to prevent the death of the pregnant woman or to prevent a serious risk of the substantial and irreversible impairment of a major bodily function of the pregnant woman. The person must also provide in that written statement the specific medical condition of the pregnant woman that the medical procedure was performed to address, and the medical rationale for the conclusion that the medical procedure was necessary to prevent the death of the pregnant woman or to prevent a serious risk of the substantial and irreversible impairment of a major bodily function of the pregnant woman. The written documentation required by proposed law must be placed in the pregnant woman's medical records, and a copy maintained for at least seven years. (2)The person has performed an examination for the presence of a fetal heartbeat in the unborn human individual using standard medical practice and that examination does not reveal a fetal heartbeat, or the person has been informed by a physician who has performed the examination for a fetal heartbeat that the examination did not reveal a fetal heartbeat. Proposed law provides the following definitions: (1)"Fetal heartbeat" means cardiac activity or the steady and repetitive rhythmic contraction of the fetal heart within the gestational sac. (2)"Physician" means an individual licensed by the Louisiana State Board of Medical Examiners. (3)"Unborn human being" means an individual living member of the species Homo sapiens throughout the entire embryonic and fetal stages, from fertilization through full gestation and birth. Proposed law provides that whoever violates the provisions of proposed law is to be prosecuted pursuant to the effective provisions of present law relative to criminal abortion and is to be fined up to $1,000 per incidence or occurrence, or imprisoned for up to two years, or both, in accordance with the penalties contained in present law relative to unlawful abortion. Proposed law provides that, in addition to any other grounds provided by law, it will be grounds for the nonissuance, suspension, revocation, or restriction of a license, or the denial of reinstatement or renewal of a license, issued by the Louisiana State Board of Medical Page 4 of 5 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 184 SLS 19RS-422 ORIGINAL Examiners, that the applicant or licensee has performed an abortion in violation of proposed law. Proposed law provides that proposed law cannot be construed to repeal any other provision of present law that restricts or regulates the performance of an abortion by a particular method or during a particular stage of a pregnancy. Proposed law provides that the provisions of proposed law are repealed in favor of the provisions of present law banning all elective abortions immediately upon and to the extent that either: (1)A decision of the U.S. Supreme Court upholds the authority of each of the several states of the United States or Louisiana to prohibit elective abortions. (2)An amendment to the U.S. Constitution is adopted that restores to each of the several states of the United States or to Louisiana the authority to prohibit elective abortions. Effective upon signature of the governor or lapse of time for gubernatorial action. (Adds R.S. 40:1061.1.3) Page 5 of 5 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions.