2022 Regular Session ENROLLED 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 REPRESENTATIVES CREWS, EDMONDS, EDMONSTON, FIRMENT, GAROFALO, HORTON, MOORE, CHARLES OWEN, SCHLEGEL, SEABAUGH AND THOMPSON 1 AN ACT 2 To amend and reenact R.S. 51:1402(10) and R.S. 40:1061(A), to enact R.S. 14:87.9 and R.S. 3 40:962.2, to repeal R.S. 14:88, and to amend and reenact certain provisions if and as 4 enacted by the Act which originated as Senate Bill No. 104 of this 2022 Regular 5 Session of the Legislature, relative to abortion-inducing drugs and abortion; to define 6 criminal abortion; to prohibit criminal abortion by means of the use of an abortion- 7 inducing drug without the prescribing physician being physically present during the 8 administration of the drug; to provide criminal penalties; to provide for defenses; to 9 prohibit the selling, prescribing, distributing, dispensing, or delivering of certain 10 abortion-inducing drugs under certain circumstances; to define abortion-inducing 11 drugs; to provide for exceptions; to provide for the promulgation of rules; to provide 12 for unfair trade practices; to provide for the interpretation of multiple abortion 13 statutes; and to provide for related matters. 14 Be it enacted by the Legislature of Louisiana: 15 Section 1. R.S. 14:87.9 is hereby enacted to read as follows: 16 §87.9. Criminal abortion by means of abortion-inducing drugs 17 A. Criminal abortion by means of an abortion-inducing drug is 18 committed when a person knowingly causes an abortion to occur by means of 19 delivering, dispensing, distributing, or providing a pregnant woman with an 20 abortion-inducing drug. 21 B.(1) Except as provided in Paragraph (2) of this Subsection, the terms 22 used in this Section, unless a different meaning clearly appears in the context, 23 whether singular or plural, have the same meaning as the definitions provided 24 in R.S. 14:32.9. ACT No. 548 Page 1 of 7 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 388 ENROLLED 1 (2) For purposes of this Section, the following definitions apply: 2 (a)(i) "Abortion-inducing drug" means any drug or chemical, or any 3 combination of drugs or chemicals, or any other substance when used with the 4 intent to cause an abortion, including but not limited to RU-486, the Mifeprex 5 regimen, misoprostol (Cytotec), or methotrexate. 6 (ii) Abortion-inducing drug shall not mean a contraceptive, an 7 emergency contraceptive, or the use of methotrexate to treat an ectopic 8 pregnancy. 9 (b) "Contraceptive" means any device, measure, drug, chemical, or 10 product, including single-ingredient levonorgestrel, that has been approved by 11 the United States Food and Drug Administration for the purpose of preventing 12 pregnancy and is intended to be administered prior to the time when a clinically 13 diagnosable pregnancy can be determined, provided that the contraceptive is 14 sold, prescribed, or administered in accordance with manufacturer's 15 instructions. 16 (c) "Emergency contraceptive" means a drug, chemical, or product, 17 including single-ingredient levonorgestrel, that has been approved by the United 18 States Food and Drug Administration designed or intended to be taken after 19 sexual intercourse but prior to the time when a clinically diagnosable pregnancy 20 can be determined, provided that the emergency contraceptive is sold, 21 prescribed, or administered in accordance with manufacturer's instructions. 22 C.(1) Any person who knowingly performs an abortion by means of an 23 abortion-inducing drug in violation of this Section shall be imprisoned at hard 24 labor for not less than one nor more than five years, fined not less than five 25 thousand nor more than fifty thousand dollars, or both. 26 (2) Any person who knowingly performs an abortion by means of 27 abortion-inducing drug in violation of this Section that results in the death or 28 serious bodily injury of the pregnant woman shall be imprisoned at hard labor 29 for not less than five nor more than ten years, fined not less than ten thousand 30 nor more than seventy-five thousand dollars, or both. Page 2 of 7 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 388 ENROLLED 1 (3) Any person who knowingly performs or induces an abortion that 2 results in the death or serious bodily injury of a pregnant woman under the age 3 of eighteen in violation of this Section shall be imprisoned at hard labor for not 4 less than fifteen nor more than fifty years, fined not less than fifteen thousand 5 nor more than one hundred thousand dollars, or both. 6 D. Statutory Construction. None of the following shall be construed to 7 create the crime of criminal abortion by means of an abortion-inducing drug: 8 (1) Any action taken when a physician or other licensed medical 9 professional is acting in the course of administering lawful medical care. 10 (2) Any act taken or omission by a pregnant woman with regard to her 11 own unborn child. 12 (3) Possessing for her own consumption or consuming an 13 abortion-inducing drug by a pregnant woman in violation of this Section. 14 (4) Lawfully prescribing, dispensing, or distributing a drug, medicine, 15 or other substance for a bona fide medical reason that is not intended to cause 16 an abortion in violation of this Section. 17 (5) Any act by a licensed pharmacist or pharmacy related to filling a 18 prescription for a drug, medicine, or other substance prescribed for a bona fide 19 medical reason shall not subject the pharmacist or the pharmacy to the criminal 20 consequences of this Section. A diagnosis or a diagnosis code shall be written on 21 the prescription by the prescriber indicating that the drug, medicine, or other 22 substance is intended for a purpose other than to cause an abortion in violation 23 of this Section. 24 (6)(a) The act of administering an abortion-inducing drug when the 25 drug is administered by a physician licensed by the state of Louisiana who 26 administers the abortion-inducing drug in person to the pregnant woman. 27 (b) The provisions of Subparagraph (a) of this Paragraph shall not be 28 a defense against prosecution under any other provision of law that makes the 29 abortion unlawful, whether the other provision of law is in effect on the effective 30 date of this Act or becomes unlawful at a later date. Page 3 of 7 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 388 ENROLLED 1 (7) Any act by a licensed pharmacist or pharmacy related to filling a 2 prescription for a drug, medicine, or other substance prescribed for a bona fide 3 medical reason shall not subject the pharmacist or the pharmacy to the criminal 4 consequences of this Section. A diagnosis or a diagnosis code shall be written on 5 the prescription by the prescriber indicating that the drug, medicine, or other 6 substance is intended for a purpose other than to cause an abortion in violation 7 of this Section. 8 Section 2. R.S. 40:1061(A) is hereby amended and reenacted and R.S. 40:962.2 is 9 hereby enacted to read as follows: 10 §962.2. Abortion-inducing drugs; restrictions of sales; exceptions; penalties 11 A. Except as provided in R.S. 40:1061.11, no abortion-inducing drug may 12 be sold, prescribed, dispensed, distributed, or delivered in this state in violation 13 of this Section. 14 B. As used in this Section, "abortion-inducing drug" shall have the same 15 meaning and exclusions as provided in R.S. 14:87.9. 16 C. Notwithstanding any other provision of law to the contrary, delivery 17 to a person in Louisiana by mail-order, courier, or as a result of a sale made via 18 the internet in violation of this Section is strictly prohibited. 19 D.(1) The Louisiana Department of Health may promulgate rules 20 pursuant to the Administrative Procedure Act to provide for exemptions from 21 this Section for products using an abortion-inducing drug which are distributed 22 for other purposes that do not include causing an abortion. 23 (2) A physician or other healthcare provider who is licensed to prescribe 24 medications or drugs that are subject to the provisions of Paragraph (1) of this 25 Subsection shall write a diagnosis or a diagnosis code on the prescription that 26 clearly indicates that the prescription is not intended to cause an abortion in 27 violation of this Section. 28 E.(1) Whoever violates any provision of this Section shall be fined not 29 more than one thousand dollars or imprisoned for not more than six months, 30 or both. Page 4 of 7 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 388 ENROLLED 1 (2) Each instance of a sale or distribution of an abortion-inducing drug 2 shall be considered a separate offense for purposes of the penalties provided in 3 Paragraph (1) of this Subsection. 4 F. Possessing for her own consumption or consuming an abortion- 5 inducing drug by a pregnant woman in violation of this Section shall not subject 6 the pregnant woman to the criminal consequences. 7 G. Any act by a licensed pharmacist or pharmacy related to filling a 8 prescription for a drug, medicine, or other substance prescribed for a bona fide 9 medical reason shall not subject the pharmacist or the pharmacy to the criminal 10 consequences of this Section. A diagnosis or a diagnosis code shall be written on 11 the prescription by the prescriber indicating that the drug, medicine, or other 12 substance is intended for a purpose other than to cause an abortion in violation 13 of this Section. 14 * * * 15 §1061. Abortion; prohibition 16 A. The provisions of this Act shall become effective immediately upon, and 17 to the extent permitted, by the occurrence of any of the following circumstances: 18 (1) Any decision of the United States Supreme Court of the United States 19 which reverses overrules, in whole or in part, Roe v. Wade, 410 U.S. 113, 93 S.Ct. 20 705, 35 L.Ed. 2d 147 (1973), thereby, restoring to the state of Louisiana the authority 21 to prohibit or limit abortion. 22 (2) Adoption of an amendment to the United States Constitution which, in 23 whole or in part, restores to the state of Louisiana the authority to prohibit or limit 24 abortion. 25 (3) A decision of the Supreme Court of the United States in the case of 26 Dobbs v. Jackson Women's Health Organization, Docket No. 19-1392, which 27 overrules, in whole or in part, Roe v. Wade, 410 U.S. 113, 93 S.Ct. 705, 35 L.Ed. 28 2d 147 (1973), thereby restoring to the state of Louisiana the authority to 29 prohibit or limit abortion. 30 * * * Page 5 of 7 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 388 ENROLLED 1 Section 3. R.S. 51:1402(10) is hereby amended and reenacted to read as follows: 2 §1402. Definitions 3 As used in this Chapter, the following words and phrases shall have the 4 meanings hereinafter ascribed to them: 5 * * * 6 (10)(a) "Trade" or "commerce" means the advertising, offering for sale, sale, 7 or distribution of any services and any property, corporeal or incorporeal, immovable 8 or movable, and any other article, commodity, or thing of value wherever situated, 9 and includes any trade or commerce directly or indirectly affecting the people of the 10 state. 11 (b) "Trade" or "commerce" shall include the advertising, offering for 12 sale, sale, or distribution of an abortion-inducing drug in violation of R.S. 13 40:962.2. 14 Section 4. R.S. 14:88 is hereby repealed. 15 Section 5. If any provision or item of this Act, or the application thereof, is held 16 invalid, such invalidity shall not affect other provisions, items, or applications of the Act 17 which can be given effect without the invalid provision, item, or application and to this end 18 the provisions of this Act are hereby declared severable in accordance with R.S. 24:175. 19 Section 6. If the bill that originated as Senate Bill No. 342 of this 2022 Regular 20 Session of the legislature is enacted and becomes law, the provisions containing definitions 21 in R.S. 14:87.9(B) in Section 1 of this Act and R.S. 40:962.2(B) in Section 2 of this Act shall 22 be null and void. 23 Section 7. If Senate Bill No.104 of this 2022 Regular Session of the legislature is 24 enacted, R.S. 40:2175.8 as enacted in Section 1 of Senate Bill No.104 is hereby amended 25 and reenacted to read as follows: 26 §2175.8. Patient's right to unimpeded, private, and uncensored telephone 27 communications; condition of facility licensing; penalties 28 * * * 29 C.(1) The provisions of this Section shall not be construed to provide a 30 right to an abortion and are superseded by other provisions of law that restrict Page 6 of 7 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 388 ENROLLED 1 or prohibit abortion. 2 (2) The provisions of this Section are intended to regulate the practice 3 of abortion to provide for the health, safety, and welfare of women in outpatient 4 abortion facilities until such time and to the extent that the state of Louisiana 5 no longer regulates outpatient abortion facilities. 6 Section 8. It is the intention of the legislature that all of the following apply to this 7 Act: 8 (A) This Act shall not be construed to repeal any other provision of law that restricts 9 or prohibits abortion. 10 (B) The legislature reaffirms its long-standing public policy that every unborn child 11 is a human being and has the inalienable right to life. 12 (C) The provisions of this Act are enacted to provide for the health, safety, and 13 welfare of women until such time and to the extent that the state of Louisiana no longer 14 regulates the practice of abortion or because Roe v. Wade, 410 U.S. 113, 93 S.Ct. 705, 35 15 L.Ed. 2d 147 (1973) and its progeny have been overturned or because an amendment to the 16 Constitution of the United States of America has been enacted which restores to the state of 17 Louisiana the authority to restrict abortion and prohibit abortions. 18 (D) A decision of the Supreme Court in the case of Dobbs v. Jackson Women's 19 Health Organization, Docket No. 19-1392, which overrules, in whole or in part, Roe v. 20 Wade, 410 U.S. 113, 93 S.Ct. 705, 35 L.Ed. 2d 147 (1973), thereby restoring to the state of 21 Louisiana the authority to prohibit or limit abortion shall apply to the provisions of R.S. 22 40:1061 or Act No. 468 of the 2018 Regular Session or both, or whichever one is applicable. PRESIDENT OF THE SENATE SPEAKER OF THE HOUSE OF REPRESENTATIVES GOVERNOR OF THE STATE OF LOUISIANA APPROVED: Page 7 of 7 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions.