SLS 22RS-416 REENGROSSED 2022 Regular Session SENATE BILL NO. 388 BY SENATORS HEWITT, ABRAHAM, ALLAIN, BARROW, CATHEY, CLOUD, CONNICK, CORTEZ, FESI, JACKSON, MCMATH, MILLIGAN, FRED MILLS, ROBERT MILLS, MORRIS, PEACOCK, POPE, REESE, STINE, TALBOT, TARVER, WARD AND WOMACK AND REPRESENTATIVE MOORE ABORTION. Prohibits the sale of certain abortion-inducing drugs without a prescription and provides for criminal penalties. (8/1/22) 1 AN ACT 2 To amend and reenact R.S. 14:32.9 and R.S. 51:1402(10) and to enact R.S. 40:962.2, 3 relative to abortion-inducing drugs and the crime of criminal abortion; to define 4 criminal abortion; to prohibit criminal abortion by means of the use of an abortion- 5 inducing drug without the prescribing physician being physically present during the 6 administration of the drug; to provide criminal penalties; to provide for defenses; to 7 prohibit the selling, prescribing, distributing, dispensing, or delivering of certain 8 abortion-inducing drugs under certain circumstances; to define abortion-inducing 9 drugs; to provide for exceptions; to provide for the promulgation of rules; to provide 10 for unfair trade practices; and to provide for related matters. 11 Be it enacted by the Legislature of Louisiana: 12 Section 1. R.S. 14:32.9 is hereby amended and reenacted to read as follows: 13 §32.9. Criminal abortion 14 A. Criminal abortion is committed when a person knowingly does either 15 of the following: 16 (1) Performs an abortion, with or without the consent of the pregnant woman 17 or her legal guardian, that results in the death of an unborn child when the abortion Page 1 of 8 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 388 SLS 22RS-416 REENGROSSED 1 is performed by any individual who is not a physician licensed by the state of 2 Louisiana. 3 (2) Causes an abortion to occur by means of delivering, dispensing, 4 distributing, or providing a pregnant woman with an abortion-inducing drug 5 when the person administering the drug is not a physician licensed by the state 6 of Louisiana who administers the abortion-inducing drug in person to the 7 pregnant woman. 8 B. As used in this Section, the following terms, whether used in the 9 singular or plural, shall have the following meanings: 10 (1) "Abortion" means the act of using or prescribing any instrument, 11 medicine, drug, or any other substance, device, or means with the intent to terminate 12 the clinically diagnosable pregnancy of a woman with knowledge that the 13 termination by those means will, with reasonable likelihood, cause the death of the 14 unborn child is reasonably likely to occur. Such use, prescription, or means is not 15 an abortion if done with the intent to: 16 (a) Save the life or preserve the health of an unborn child. 17 (b) Remove a dead unborn child or induce delivery of the uterine contents in 18 case of a positive diagnosis, certified in writing in the woman's medical record along 19 with the results of an obstetric ultrasound test, that the pregnancy has ended or is in 20 the unavoidable and untreatable process of ending due to spontaneous miscarriage, 21 also known in medical terminology as spontaneous abortion, missed abortion, 22 inevitable abortion, incomplete abortion, or septic abortion. 23 (c) Remove an ectopic pregnancy. 24 (2) "Abortion-inducing drug" means a drug, medicine, or other 25 substance prescribed, dispensed, or distributed that is intended to cause an 26 abortion. "Abortion-inducing drug" includes the use of drugs, medicines, or 27 other substances that are known to have abortion-inducing properties including 28 the Mifeprex regimen, misoprostol (Cytotec), or methotrexate. 29 (2)(3) "Physician" means a natural person who is the holder of an allopathic Page 2 of 8 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 388 SLS 22RS-416 REENGROSSED 1 (M.D.) degree or an osteopathic (D.O.) degree from a medical college in good 2 standing with the Louisiana State Board of Medical Examiners who holds a license, 3 permit, certification, or registration issued by the Louisiana State Board of Medical 4 Examiners to engage in the practice of medicine in this state. 5 (4) "Serious bodily injury" means bodily injury which involves 6 unconsciousness; extreme physical pain; protracted and obvious disfigurement; 7 protracted loss or impairment of the function of a bodily member, organ, or 8 mental faculty; loss or damage to reproductive capacity; or a substantial risk 9 of death. 10 (3)(5) "Unborn child" means the unborn offspring of human beings from the 11 moment of conception through pregnancy and until live birth shall have the same 12 meaning as provided in R.S. 14:2. 13 C.(1) Any person who knowingly performs or induces an abortion in 14 violation of this Section commits the crime of performing a criminal abortion 15 and shall be imprisoned at hard labor for not less than one nor more than five years, 16 fined not less than five thousand nor more than fifty thousand dollars, or both. 17 (2) Any person who knowingly performs an abortion in violation of this 18 Section that results in the death or serious bodily injury of the pregnant woman 19 shall be imprisoned at hard labor for not less than five nor more than ten years, 20 fined not less than ten thousand nor more than seventy-five thousand dollars, 21 or both. 22 (3) Any person who knowingly performs or induces an abortion that 23 results in the death or serious bodily injury of a pregnant woman under the age 24 of eighteen in violation of this Section shall be imprisoned at hard labor for not 25 less than fifteen nor more than fifty years, fined not less than fifteen thousand 26 nor more than one hundred thousand dollars, or both. 27 D. Statutory Construction and Defenses. None of the following shall be 28 construed to create the crime of criminal abortion and shall be defenses against 29 prosecution: Page 3 of 8 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 388 SLS 22RS-416 REENGROSSED 1 (1) Any action taken when a physician or other licensed medical professional 2 is acting in the course of administering lawful medical care and an unborn child dies. 3 (2) Any act taken or omission by a pregnant woman with regard to her own 4 unborn child. 5 (3) Possessing for her own consumption or consuming an abortion- 6 inducing drug by a pregnant woman in violation of this Section shall not subject 7 the pregnant woman to the criminal consequences. 8 (4) Lawfully prescribing, dispensing, or distributing a drug, medicine, 9 or other substance for a bona fide medical reason that is not intended to cause 10 an abortion in violation of this Section. 11 Section 2. R.S. 40:962.2 is hereby enacted to read as follows: 12 §962.2. Chemical abortion and abortion-inducing drugs; restrictions of sales; 13 exceptions; penalties 14 A. Except as provided in R.S. 40:1061.11, no abortion-inducing drug may 15 be sold, prescribed, dispensed, distributed, or delivered in this state in violation 16 of this Section. 17 B. As used in this Section, "abortion-inducing drug" shall have the same 18 meaning as provided in R.S. 14:32.9. "Abortion-inducing drug" shall not 19 include any of the following: 20 (1) Contraceptive drugs or devices. 21 (2) Plan B or the morning-after pill. 22 (3) Other emergency contraception. 23 C. Notwithstanding any other provision of law to the contrary, delivery 24 to a person in Louisiana by mail-order, courier, or as a result of a sale made via 25 the internet in violation of this Section is strictly prohibited. 26 D. The Department of Health may promulgate rules pursuant to the 27 Administrative Procedure Act to provide for exemptions from this Section for 28 products using an abortion-inducing drug which are distributed for other 29 purposes that do not include causing an abortion. Page 4 of 8 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 388 SLS 22RS-416 REENGROSSED 1 E.(1) Whoever violates any provision of this Section shall be fined not 2 more than one thousand dollars or imprisoned for not more than six months, 3 or both. 4 (2) Each instance of a sale or distribution of an abortion-inducing drug 5 shall be considered a separate offense for purposes of the penalties provided in 6 Paragraph (1) of this Subsection. 7 F. Possessing for her own consumption or consuming an abortion- 8 inducing drug by a pregnant woman in violation of this Section shall not subject 9 the pregnant woman to the criminal consequences. 10 Section 3. R.S. 51:1402(10) is hereby amended and reenacted to read as follows: 11 §1402. Definitions 12 As used in this Chapter, the following words and phrases shall have the 13 meanings hereinafter ascribed to them: 14 * * * 15 (10)(a) "Trade" or "commerce" means the advertising, offering for sale, sale, 16 or distribution of any services and any property, corporeal or incorporeal, immovable 17 or movable, and any other article, commodity, or thing of value wherever situated, 18 and includes any trade or commerce directly or indirectly affecting the people of the 19 state. 20 (b) "Trade" or "commerce" shall include the advertising, offering for 21 sale, sale, or distribution of a chemical abortion drug in violation of R.S. 22 40:962.2. 23 Section 4. If any provision or item of this Act, or the application thereof, is held 24 invalid, such invalidity shall not affect other provisions, items, or applications of the Act 25 which can be given effect without the invalid provision, item, or application and to this end 26 the provisions of this Act are hereby declared severable. Page 5 of 8 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 388 SLS 22RS-416 REENGROSSED The original instrument was prepared by Carla S. Roberts. The following digest, which does not constitute a part of the legislative instrument, was prepared by Cheryl Serrett. DIGEST SB 388 Reengrossed 2022 Regular Session Hewitt Present law provides for the crime of criminal abortion. Present law defines "criminal abortion" as the performance of an abortion where the abortionist is not a La. licensed physician. Present law provides that any person who is guilty of criminal abortion will be imprisoned at hard labor for not less than one nor more than five years, fined not less than $5,000 nor more than $50,000, or both. Proposed law retains present law but expands the definition for the crime of criminal abortion to include the delivering, dispensing, distributing, or providing a pregnant woman with an abortion-inducing drug when the person administering the drug is not a physician licensed by the state who administers the abortion-inducing drug in person to the pregnant woman. Proposed law defines "abortion-inducing drug" as a drug, medicine or other substance that is intended to cause an abortion. Includes drugs known to have abortion-inducing properties such as Mifeprex regimen, misoprostol, or methotrexate. Proposed law defines "serious bodily injury" as bodily injury involving unconsciousness, extreme physical pain, protracted and obvious disfigurement, protracted loss or impairment of the function of a bodily member, organ, or mental faculty, loss or damage to reproductive capacity, or a substantial risk of death. Proposed law increases the criminal penalties when a person knowingly performs a criminal abortion that results in the death or serious bodily injury of the pregnant woman to a prison term of not less than five nor more than 10 years, fined not less than $10,000 nor more than $75,000, or both. Proposed law further provides that, if the recipient of the criminal abortion is under the age of 18, the criminal penalty increases to imprisonment at hard labor for not less than 15 years nor more than 50 years, fined not less than $15,000 nor more than $100,000, or both. Present law provides that the following are not criminal abortion: (1)Any action when a physician or other licensed medical professional is acting in the course of administering lawful medical care and an unborn child dies. (2)Any act taken or omission by a pregnant woman with regard to her own unborn child. (3)Possessing an abortion-inducing drug for her own use. (4)Lawfully prescribing, dispensing, or distributing a drug or medicine for a bona fide medical reason that is not intended to cause an abortion. Proposed law provides that Item (1) does not require the death of the unborn child and Item (2) requires that the act or omission be lawful. Proposed law otherwise retains present law. Proposed law prohibits the sale or distribution of any abortion-inducing drug that may be sold, prescribed, dispensed, distributed, or delivered in Louisiana without a prescription of a duly licensed physician who is physically present with the pregnant woman when the drug Page 6 of 8 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 388 SLS 22RS-416 REENGROSSED is administered. Proposed law further provides that an abortion-inducing drug cannot include contraceptive drugs or devices, Plan B or the morning-after pill, or other emergency contraception. Proposed law prohibits the delivery of an abortion-inducing drug to a person in Louisiana by mail-order, courier, or as a result of a sale made via the internet. Proposed law provides that the Dept. of Health may promulgate rules to allow products that contain an abortion-inducing drug to be distributed for uses other than causing an abortion. Proposed law further provides that whoever sells or distributes an abortion-inducing drug without a prescription is subject to criminal penalties of not more than $1,000 or imprisoned for not more than six months, or both, and each instance of a sale or distribution of an abortion-inducing drug is considered a separate offense for purposes of the criminal penalties. Further provides that possessing for personal consumption shall not subject a pregnant women to criminal consequences. Present law provides that unfair methods of competition and unfair or deceptive acts or practices in the conduct of any trade or commerce are unlawful. Proposed law provides that the advertising, offering for sale, sale, or distribution of chemical abortion drugs without a prescription is an unfair trade practice. Effective August 1, 2022. (Amends R.S. 14:32.9 and R.S. 51:1402(10); adds R.S. 40:962.2) Summary of Amendments Adopted by Senate Committee Amendments Proposed by Senate Committee on Judiciary C to the original bill 1. Adds provision that "induced chemical abortion" means abortion caused by certain drugs dispensed or distributed by anyone other than a physician who is in the physical presence of the pregnant woman when the drug is administered. 2. Defines "induced chemical abortion" to also mean giving instructions via certain media regarding the self-administered inducement of a chemical abortion when a physician is not physically present. 3. Provides that certain proposed law penalties apply when the unlawful act results in serious bodily injury of the pregnant woman. 4. Adds provision that a lawful dispensing of a chemical abortion drug requires the physician to be in the physical presence of the pregnant woman when the drug is administered. Senate Floor Amendments to engrossed bill 1. Changes definition of criminal abortion. 2. Defines "abortion-inducing drug". 3. Adds additional actions to list of activities not considered criminal abortion. Page 7 of 8 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 388 SLS 22RS-416 REENGROSSED 4. Prohibits delivery of abortion-inducing drug by mail-order, courier, or internet sale. 5. Provides severability. Page 8 of 8 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions.