1 | 1 | | |
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2 | 2 | | |
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3 | 3 | | EXPLANATION: CAPITALS INDICATE MAT TER ADDED TO EXISTIN G LAW. |
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4 | 4 | | [Brackets] indicate matter deleted from existing law. |
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5 | 5 | | *hb0095* |
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6 | 6 | | |
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7 | 7 | | HOUSE BILL 95 |
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8 | 8 | | J1, J3 5lr1208 |
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9 | 9 | | (PRE–FILED) |
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10 | 10 | | By: Delegate Allen |
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11 | 11 | | Requested: October 14, 2024 |
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12 | 12 | | Introduced and read first time: January 8, 2025 |
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13 | 13 | | Assigned to: Health and Government Operations |
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14 | 14 | | |
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15 | 15 | | A BILL ENTITLED |
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16 | 16 | | |
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17 | 17 | | AN ACT concerning 1 |
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18 | 18 | | |
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19 | 19 | | Health Care Providers – Assisted Reproductive Treatment – Informed Consent 2 |
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20 | 20 | | and Fraud 3 |
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21 | 21 | | |
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22 | 22 | | FOR the purpose of prohibiting a health care provider from using the health care provider’s 4 |
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23 | 23 | | reproductive material when providing assistive reproductive treatment without the 5 |
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24 | 24 | | consent of the recipient of the treatment; prohibiting a health care provider from 6 |
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25 | 25 | | using a donor’s reproductive material to provide assisted reproductive treatment 7 |
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26 | 26 | | without the donor’s informed consent or in a manner that is inconsistent with the 8 |
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27 | 27 | | donor’s consent; requiring a health care provider to obtain certain informed consent 9 |
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28 | 28 | | before providing assistive reproductive treatment; prohibiting a health care provider 10 |
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29 | 29 | | and an employee of a health care provider from misrepresenting certain information 11 |
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30 | 30 | | regarding human reproductive material or the donor of the material to the recipient 12 |
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31 | 31 | | of an assisted reproductive treatment; and generally relating to assisted 13 |
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32 | 32 | | reproductive treatment and health care provider fraud. 14 |
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33 | 33 | | |
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34 | 34 | | BY adding to 15 |
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35 | 35 | | Article – Health – General 16 |
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36 | 36 | | Section 20–112 17 |
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37 | 37 | | Annotated Code of Maryland 18 |
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38 | 38 | | (2023 Replacement Volume and 2024 Supplement) 19 |
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39 | 39 | | |
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40 | 40 | | SECTION 1. BE IT ENACTED BY THE GENERAL ASSEMBLY OF MARYLAND, 20 |
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41 | 41 | | That the Laws of Maryland read as follows: 21 |
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42 | 42 | | |
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43 | 43 | | Article – Health – General 22 |
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44 | 44 | | |
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45 | 45 | | 20–112. 23 |
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46 | 46 | | 2 HOUSE BILL 95 |
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47 | 47 | | |
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48 | 48 | | |
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49 | 49 | | (A) (1) IN THIS SECTION THE FOLLOWING WORDS HAVE THE MEANING S 1 |
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50 | 50 | | INDICATED. 2 |
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51 | 51 | | |
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52 | 52 | | (2) (I) “ASSISTED REPRODUCTI VE TREATMENT ” MEANS A METHOD 3 |
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53 | 53 | | OF CAUSING PREGNANCY OTHER THAN THROUGH S EXUAL INTERCOURSE . 4 |
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54 | 54 | | |
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55 | 55 | | (II) “ASSISTED REPRODUCTI VE TREATMENT ” INCLUDES: 5 |
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56 | 56 | | |
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57 | 57 | | 1. DONATION OF EGGS OR SPERM ; 6 |
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58 | 58 | | |
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59 | 59 | | 2. DONATION OF EMBRYOS; 7 |
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60 | 60 | | |
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61 | 61 | | 3. INTRACYTOPLASMIC SPER M INJECTION; 8 |
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62 | 62 | | |
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63 | 63 | | 4. INTRAUTERINE OR INTRACERVICAL INS EMINATION; 9 |
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64 | 64 | | AND 10 |
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65 | 65 | | |
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66 | 66 | | 5. IN VITRO FERTILIZATION AND EMBRYO TRANSFER . 11 |
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67 | 67 | | |
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68 | 68 | | (3) “DONOR” MEANS AN INDIVIDUAL WHO PR OVIDES, WITH OR 12 |
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69 | 69 | | WITHOUT CONSIDERATIO N, SPERM OR AN OVUM INT ENDED FOR USE IN ASS ISTED 13 |
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70 | 70 | | REPRODUCTI VE TREATMENT . 14 |
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71 | 71 | | |
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72 | 72 | | (4) “HEALTH CARE PROVIDER” MEANS AN INDIVIDUAL WHO IS 15 |
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73 | 73 | | LICENSED, CERTIFIED, OR OTHERWISE AUTHORI ZED UNDER THE HEALTH 16 |
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74 | 74 | | OCCUPATIONS ARTICLE TO PROVIDE ASSISTED REPRODUCTIVE TREATME NT. 17 |
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75 | 75 | | |
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76 | 76 | | (5) “HUMAN REPRODUCTIVE MA TERIAL” MEANS: 18 |
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77 | 77 | | |
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78 | 78 | | (I) HUMAN SPERMATOZOON ; 19 |
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79 | 79 | | |
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80 | 80 | | (II) HUMAN OVUM ; OR 20 |
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81 | 81 | | |
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82 | 82 | | (III) A HUMAN ORGANISM AT ANY STAGE OF DEVE LOPMENT 21 |
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83 | 83 | | FROM FERTILIZED OVUM TO EMBRYO. 22 |
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84 | 84 | | |
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85 | 85 | | (6) “INFORMED CONSENT ” MEANS A WRITTEN DOCUMENT T HAT: 23 |
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86 | 86 | | |
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87 | 87 | | (I) IS SIGNED BY THE PATIENT; AND 24 |
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88 | 88 | | |
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89 | 89 | | (II) IS ATTESTED TO BY THE PATIENT’S TREATING HEALTH 25 |
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90 | 90 | | CARE PROVIDER AND A WITNESS. 26 |
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91 | 91 | | HOUSE BILL 95 3 |
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92 | 92 | | |
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93 | 93 | | |
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94 | 94 | | (B) BEFORE PROVIDING AN ASSISTED REPRODUCTI VE TREATMENT , A 1 |
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95 | 95 | | HEALTH CARE PROVIDER SHALL : 2 |
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96 | 96 | | |
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97 | 97 | | (1) OBTAIN A DONOR’S WRITTEN CONSENT TO USE THE DONOR’S 3 |
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98 | 98 | | REPRODUCTIVE MATERIA L; 4 |
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99 | 99 | | |
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100 | 100 | | (2) OBTAIN A RECIPIENT ’S CONSENT TO USE A S PECIFIC DONOR ’S 5 |
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101 | 101 | | REPRODUCTIVE MATERIA L; 6 |
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102 | 102 | | |
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103 | 103 | | (3) ENSURE THAT CONSENT F OR THE USE OF HUMAN REPRODUCTIVE 7 |
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104 | 104 | | MATERIAL IS PROVIDED ON A FORM THAT IS DI STINCT AND SEPARATE FROM ANY 8 |
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105 | 105 | | OTHER CONSENT FORM ; AND 9 |
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106 | 106 | | |
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107 | 107 | | (4) MAINTAIN A COPY OF WRITTEN CONSENT OBTA INED UNDER ITEM 10 |
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108 | 108 | | (1) OR (2) OF THIS SUBSECTION IN THE PROVIDER’S PATIENT RECORDS. 11 |
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109 | 109 | | |
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110 | 110 | | (C) (1) A HEALTH CARE PROVIDER SHALL: 12 |
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111 | 111 | | |
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112 | 112 | | (I) USE HUMAN REPRODUCTIVE M ATERIAL FROM A DONOR 13 |
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113 | 113 | | WITH THE RECIPIENT’S INFORMED CONSENT TO USE THA T DONOR’S REPRODUCTIVE 14 |
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114 | 114 | | MATERIAL DURING ASSI STED REPRODUCTI VE TREATMENT ; 15 |
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115 | 115 | | |
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116 | 116 | | (II) USE A DONOR ’S HUMAN REPRODUCTIVE MATERIAL FOR 16 |
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117 | 117 | | ASSISTED REPRODUCTIV E TREATMENT : 17 |
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118 | 118 | | |
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119 | 119 | | 1. WITH THE DONOR ’S INFORMED CONSENT; AND 18 |
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120 | 120 | | |
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121 | 121 | | 2. IN A MANNER THAT IS CONSISTENT WITH THE 19 |
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122 | 122 | | DONOR’S INFORMED CONSENT; 20 |
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123 | 123 | | |
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124 | 124 | | (III) INFORM THE RECIPIENT OF ANY MISUSE , 21 |
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125 | 125 | | MISREPRESENTATION , OR ERROR INVOLVING T HE REPRODUCTIVE MATE RIAL USED 22 |
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126 | 126 | | IN THE ASSISTED REPR ODUCTIVE TREATMENT ; AND 23 |
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127 | 127 | | |
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128 | 128 | | (IV) REPORT MISUSE , MISREPRESENTATION , OR ERROR 24 |
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129 | 129 | | INVOLVING THE REPROD UCTIVE MATERIAL USED IN THE ASSISTED REPR ODUCTIVE 25 |
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130 | 130 | | TREATMENT TO THE HEALTH CA RE PROVIDER’S LICENSING BOARD . 26 |
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131 | 131 | | |
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132 | 132 | | (2) A HEALTH CARE PROVIDER MAY NOT: 27 |
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133 | 133 | | |
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134 | 134 | | (I) INTENTIONALLY OR KNOWINGLY PROVIDE ASSISTED 28 |
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135 | 135 | | REPRODUCTIVE TREATME NT TO A PATIENT USIN G THE HEALTH CARE PR OVIDER’S 29 |
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136 | 136 | | SPERM OR OVUM WITHOU T THE PATIENT ’S INFORMED CONSENT TO ASSISTED 30 4 HOUSE BILL 95 |
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137 | 137 | | |
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138 | 138 | | |
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139 | 139 | | REPRODUCTIVE TREATME NT USING THE HEALTH CARE PROVIDER ’S SPERM OR 1 |
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140 | 140 | | OVUM; OR 2 |
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141 | 141 | | |
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142 | 142 | | (II) PROVIDE ASSISTED REPRODUCTIV E TREATMENT USING A 3 |
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143 | 143 | | DONOR’S SPERM OR OVUM IF THE HEALTH CARE P ROVIDER KNOWS OR REASONABLY 4 |
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144 | 144 | | SHOULD KNOW THAT THE HUMAN REPRODU CTIVE MATERIAL WAS U SED: 5 |
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145 | 145 | | |
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146 | 146 | | 1. WITHOUT THE DONOR’S CONSENT; OR 6 |
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147 | 147 | | |
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148 | 148 | | 2. IN A MANNER INCONSISTENT WITH THE DONOR ’S 7 |
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149 | 149 | | CONSENT. 8 |
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150 | 150 | | |
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151 | 151 | | (3) A HEALTH CARE PROVIDER OR AN EMPLOYEE OF A HEALTH CARE 9 |
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152 | 152 | | PROVIDER WHO HANDLES HUMAN REPRODUCTIVE M ATERIAL MAY NOT : 10 |
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153 | 153 | | |
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154 | 154 | | (I) MISREPRESENT THE QUAL ITY OF THE HUMAN 11 |
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155 | 155 | | REPRODUCTIVE MATERIA L TO THE RECIPIENT OF AN ASSISTED REPRODUCTIV E 12 |
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156 | 156 | | TREATMENT ; OR 13 |
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157 | 157 | | |
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158 | 158 | | (II) MISREPRESENT ANY INFO RMATION ABOUT THE DO NOR’S 14 |
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159 | 159 | | IDENTITY, GENETIC CHARACTERIST ICS, OR MEDICAL HISTORY T O THE RECIPIENT 15 |
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160 | 160 | | OF AN ASSISTED REPRODUCTIV E TREATMENT . 16 |
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161 | 161 | | |
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162 | 162 | | (D) (1) A HEALTH CARE PROVIDER WHO VIOLATES SUBSECTION (C)(2)(I) 17 |
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163 | 163 | | OF THIS SECTION IS LIABLE FOR CIVIL DAMAGES IN AN ACTION BROUGHT BY: 18 |
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164 | 164 | | |
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165 | 165 | | (I) THE WOMAN WHO GIVES B IRTH TO A CHILD AFTER 19 |
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166 | 166 | | RECEIVING THE ASSISTED REPRODU CTIVE TREATMENT ; 20 |
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167 | 167 | | |
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168 | 168 | | (II) THE SPOUSE OR DOMESTIC PARTNER OF THE WOMAN WHO 21 |
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169 | 169 | | GIVES BIRTH TO A CHI LD AFTER RECEIVING THE ASSISTED REPRODUCT IVE 22 |
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170 | 170 | | TREATMENT ; OR 23 |
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171 | 171 | | |
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172 | 172 | | (III) THE CHILD BORN AS A R ESULT OF THE ASSISTED 24 |
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173 | 173 | | REPRODUCTI VE TREATMENT . 25 |
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174 | 174 | | |
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175 | 175 | | (2) A HEALTH CARE PROVIDER WHO VIOLATES SUBSECT ION (C)(2)(II) 26 |
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176 | 176 | | OF THIS SECTION IS L IABLE FOR CIVIL DAMA GES IN AN ACTION BRO UGHT BY A 27 |
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177 | 177 | | DONOR WHOS E REPRODUCTIVE MATERIA L WAS USED BY THE HE ALTH CARE 28 |
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178 | 178 | | PROVIDER FOR ASSISTI VE REPRODUCTIVE TREA TMENT WITHOUT THE DO NOR’S 29 |
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179 | 179 | | CONSENT OR NOT IN CO MPLIANCE WITH THE DO NOR’S CONSENT. 30 |
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180 | 180 | | HOUSE BILL 95 5 |
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181 | 181 | | |
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182 | 182 | | |
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183 | 183 | | (3) AN INDIVIDUAL WHO BRINGS AN ACTION UNDER THIS SECTION 1 |
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184 | 184 | | MAY ASSERT A SEPARATE CA USE OF ACTION: 2 |
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185 | 185 | | |
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186 | 186 | | (I) FOR A VIOLATION OF SU BSECTION (C)(2)(I) OF THIS 3 |
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187 | 187 | | SECTION, FOR EACH CHILD BORN AS TH E RESULT OF THE ASSISTED REPRODUCT IVE 4 |
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188 | 188 | | TREATMENT ; AND 5 |
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189 | 189 | | |
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190 | 190 | | (II) FOR A VIOLATION OF SU BSECTION (C)(2)(II) OF THIS 6 |
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191 | 191 | | SECTION, FOR EACH INDIVIDUAL WHO R ECEIVED ASSISTED REPRODUCTIVE 7 |
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192 | 192 | | TREATMENT WITH THE DONOR ’S HUMAN REPRODUCTIVE MATERIAL. 8 |
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193 | 193 | | |
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194 | 194 | | (4) A CHILD BORN AS A RESU LT OF ASSISTED REPRODUCTIV E 9 |
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195 | 195 | | TREATMENT PROVIDED B Y A HEALTH CARE PROVIDER IN VIOLATION OF 10 |
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196 | 196 | | SUBSECTION (C)(2)(I) OF THIS SECTION IS ENTITLED TO A QUALIF IED PROTECTIVE 11 |
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197 | 197 | | ORDER ALLOWING THE C HILD ACCESS TO THE P ERSONAL MEDICAL RECO RDS AND 12 |
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198 | 198 | | HEALTH HISTORY OF TH E HEALTH CARE PROVID ER. 13 |
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199 | 199 | | |
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200 | 200 | | (5) A CIVIL ACTION UNDER T HIS SECTION SHALL BE FILED: 14 |
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201 | 201 | | |
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202 | 202 | | (I) WITHIN 10 YEARS AFTER THE CHILD BORN AS A RESULT OF 15 |
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203 | 203 | | THE ASSISTED REPRODU CTIVE TREATMENT REACHES THE AGE OF 18 YEARS; 16 |
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204 | 204 | | |
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205 | 205 | | (II) WITHIN 20 YEARS AFTER THE DAY ON WHICH THE ASSISTED 17 |
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206 | 206 | | REPRODUCTI VE TREATMENT WAS PROVIDED; OR 18 |
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207 | 207 | | |
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208 | 208 | | (III) WITHIN 2 YEARS AFTER THE DAY ON WHICH AN INDIVIDUAL 19 |
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209 | 209 | | FIRST DISCOVERS SUFFICIENT EVIDENCE THROUGH DNA ANALYSIS THAT THE 20 |
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210 | 210 | | INDIVIDUAL HAS A CAU SE OF ACTION AGAINST A HEALTH CARE PROVID ER UNDER 21 |
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211 | 211 | | THIS SECTION. 22 |
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212 | 212 | | |
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213 | 213 | | (6) A PLAINTIFF WHO PREVAI LS IN AN ACTION BROU GHT UNDER THIS 23 |
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214 | 214 | | SECTION SHALL BE ENT ITLED TO: 24 |
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215 | 215 | | |
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216 | 216 | | (I) FOR AN ACTION BROUGHT UNDER SUBSECTION (C)(2)(I) OF 25 |
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217 | 217 | | THIS SECTION, THE COSTS OF THE ASSISTED REPRODUCTIV E TREATMENT ; 26 |
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218 | 218 | | |
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219 | 219 | | (II) LIQUIDATED DAMAGES NO T TO EXCEED $50,000; 27 |
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220 | 220 | | |
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221 | 221 | | (III) COMPENSATORY DAMAGES ; AND 28 |
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222 | 222 | | |
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223 | 223 | | (IV) REASONABLE ATTORNEY ’S FEES AND COSTS. 29 |
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224 | 224 | | 6 HOUSE BILL 95 |
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225 | 225 | | |
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226 | 226 | | |
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227 | 227 | | (E) (1) A HEALTH CARE PROVIDER MAY NOT INTENTIONALL Y OR 1 |
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228 | 228 | | KNOWINGLY PROVIDE AS SISTED REPRODUCTIVE TREATMENT TO A PATIE NT USING 2 |
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229 | 229 | | THE HEALTH CARE PROV IDER’S SPERMATOZOON OR OV UM WITHOUT THE PATIE NT’S 3 |
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230 | 230 | | INFORMED CONSENT TO ASSISTED REPRODUCTIV E TREATMENT USING THE HEALTH 4 |
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231 | 231 | | CARE PROVIDER ’S SPERMATOZOON OR OV UM. 5 |
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232 | 232 | | |
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233 | 233 | | (2) A PERSON WHO VIOLATES PARAGRAPH (1) OF THIS SUBSECTION 6 |
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234 | 234 | | IS GUILTY OF A FELONY AND ON CONVIC TION IS SUBJECT TO I MPRISONMENT NOT 7 |
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235 | 235 | | EXCEEDING 10 YEARS OR A FINE NOT EXCEEDING $5,000 OR BOTH. 8 |
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236 | 236 | | |
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237 | 237 | | (F) THIS SECTION MAY NOT BE CONSTRUED TO PROH IBIT A PERSON FROM 9 |
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238 | 238 | | PURSUING ANY OTHER R EMEDY PROVIDED BY LA W. 10 |
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239 | 239 | | |
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240 | 240 | | SECTION 2. AND BE IT FURTHER ENACTED, That this Act shall take effect 11 |
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241 | 241 | | October 1, 2025. 12 |
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