2019 Regular Session ENROLLED SENATE BILL NO. 184 BY SENATORS MILKOVICH, CHABERT, ERDEY, FANNIN, GATTI, HENSGENS, HEWITT, JOHNS, LONG, MARTINY, MIZELL, RISER, JOHN SMITH, THOMPSON, WALSWORTH AND WHITE AND REPRESENTATIVES ABRAHAM, AMEDEE, ANDERS, ARMES, BACALA, BAGLEY, BARRAS, BERTHELOT, BILLIOT, CARMODY, CHANEY, CONNICK, CREWS, DEVILLIER, EDMONDS, EMERSON, GAROFALO, GISCLAIR, GUINN, LANCE HARRIS, HILL, HOFFMANN, HOLLIS, HORTON, HOWARD, HUVAL, IVEY, MIKE JOHNSON, NANCY LANDRY, LEBAS, MCFARLAND, MCMAHEN, MIGUEZ, MOORE, JAY MORRIS, JIM MORRIS, POPE, PUGH, PYLANT, RICHARD, SEABAUGH, STEFANSKI, TALBOT, WRIGHT AND ZERINGUE Prefiled pursuant to Article III, Section 2(A)(4)(b)(i) of the Constitution of Louisiana. 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; ultrasound required 8 A.(1)(a) Prior to any abortion being performed, there shall first be 9 performed an ultrasound, in accordance with the standards set forth in R.S. 10 40:1061.10(D), in order to determine whether or not a fetal heartbeat is present, 11 and the results of the ultrasound shall be included in the pregnant woman's 12 medical records. 13 (b) Except as provided in Paragraph (2), (3), or (4) of this Subsection, it 14 shall be unlawful for any person to knowingly perform an abortion with the 15 specific intent of causing or abetting the termination of the life of an unborn 16 human being when a fetal heartbeat has been detected. Any person who acts 17 based on the exceptions provided in Paragraph (2), (3), or (4) of this Subsection 18 shall so note in the pregnant woman's medical records and shall specify in the ACT No. 31 Page 1 of 4 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 184 ENROLLED 1 pregnant woman's medical records which of the exceptions the person 2 performing the abortion has invoked. 3 (2)(a) A person shall not be in violation of Paragraph (1) of this 4 Subsection if the person performs a medical procedure designed to or intended, 5 in that person's reasonable medical judgment, to prevent the death of a 6 pregnant woman or to prevent a serious risk of the substantial and irreversible 7 impairment of a major bodily function of the pregnant woman. 8 (b)(i) A person who performs a medical procedure as described in 9 Subparagraph (a) of this Paragraph shall declare in writing, under penalty of 10 perjury, that the medical procedure was necessary, to the best of that person's 11 reasonable medical judgment, to prevent the death of the pregnant woman or 12 to prevent a serious risk of the substantial and irreversible impairment of a 13 major bodily function of the pregnant woman. The person shall also provide in 14 that written statement the specific medical condition of the pregnant woman 15 that the medical procedure was performed to address, and the medical rationale 16 for the conclusion that the medical procedure was necessary to prevent the 17 death of the pregnant woman or to prevent a serious risk of the substantial and 18 irreversible impairment of a major bodily function of the pregnant woman. 19 (ii) The person who performs a medical procedure as described in 20 Subparagraph (a) of this Paragraph shall place the written documentation 21 required by this Subparagraph in the pregnant woman's medical records, and 22 shall maintain a copy of the written documentation for not less than seven years. 23 (3) A person shall not be in violation of Paragraph (1) of this Subsection 24 if the person has performed an examination for the presence of a fetal heartbeat 25 in the unborn human individual using standard medical practice and that 26 examination does not reveal a fetal heartbeat, or the person has been informed 27 by a physician who has performed the examination for a fetal heartbeat that the 28 examination did not reveal a fetal heartbeat. 29 (4) For purposes of this Section, "abortion" shall not include an abortion 30 performed when the pregnancy is diagnosed as medically futile. Page 2 of 4 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 184 ENROLLED 1 B. For purposes of this Section: 2 (1) "Fetal heartbeat" means cardiac activity or the steady and repetitive 3 rhythmic contraction of the fetal heart within the gestational sac. 4 (2) "Physician" means an individual licensed by the Louisiana State 5 Board of Medical Examiners. 6 (3) "Unborn human being" means an individual living member of the 7 species Homo sapiens throughout the entire embryonic and fetal stages, from 8 fertilization through full gestation and birth. 9 (4) "Medically futile" means that, in reasonable medical judgment, the 10 unborn child has a profound and irremediable congenital or chromosomal 11 anomaly that is incompatible with sustaining life after birth. This diagnosis shall 12 be a medical judgment certified in the pregnant woman's medical record by a 13 reasonably prudent physician who is knowledgeable about the case and the 14 treatment possibilities with respect to the medical conditions involved. 15 C. Whoever violates this Section shall be prosecuted pursuant to the 16 effective provisions of R.S. 14:87 and shall be subject to the penalties provided 17 in R.S. 40:1061.29. 18 D. In addition to any other grounds provided by law, it shall be grounds 19 for the nonissuance, suspension, revocation, or restriction of a license, or the 20 denial of reinstatement or renewal of a license, issued by the Louisiana State 21 Board of Medical Examiners, that the applicant or licensee has performed an 22 abortion in violation of this Section. 23 E. This Section shall not be construed to repeal any other provision of 24 law that restricts or regulates the performance of an abortion by a particular 25 method or during a particular stage of a pregnancy. 26 F. The provisions of this Section are hereby repealed in favor of the 27 provisions of R.S. 40:1061 immediately upon and to the extent that either: 28 (1) A decision of the United States Supreme Court upholds the authority 29 of each of the several states of the United States or of the state of Louisiana to 30 prohibit elective abortions. Page 3 of 4 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 184 ENROLLED 1 (2) An amendment to the Constitution of the United States of America 2 is adopted that restores to each of the several states of the United States or to 3 the state of Louisiana the authority to prohibit elective abortions. 4 Section 2. This Act shall become effective upon a final decision of the United States 5 Court of Appeals for the Fifth Circuit upholding the Act that originated as Senate Bill 2116 6 of the 2019 Regular Session of the Mississippi Legislature, which decision would thereby 7 provide the authority for a state within the jurisdiction of that court of appeals to restrict 8 abortion as provided in this Act. PRESIDENT OF THE SENATE SPEAKER OF THE HOUSE OF REPRESENTATIVES GOVERNOR OF THE STATE OF LOUISIANA APPROVED: Page 4 of 4 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions.