| 30 | | - | intendedtobeomittedfromthelaw.Matterinbold-facetypeintheabovebillisproposedlanguage. 12abortion,careformiscarriagesandectopicpregnancies,andrespectfulbirthing |
|---|
| 31 | | - | 13conditions. |
|---|
| 32 | | - | 14 4.NotwithstandinganyprovisionofthisConstitutionoranyotherlawtothe |
|---|
| 33 | | - | 15contrary: |
|---|
| 34 | | - | 16 (1)Thehealth,safety,andwelfareofwomenundergoingprenatalcare, |
|---|
| 35 | | - | 17childbirth,perinatalandpostpartumcare,contraception,abortion,andcarefor |
|---|
| 36 | | - | 18miscarriagesandectopicpregnancies,andthehealth,safety,andwelfareofwomenin |
|---|
| 37 | | - | 19theconditionofgivingbirth,arelegitimateandcompellinggovernmentalinterests; |
|---|
| 38 | | - | 20 (2)Anylawregulating,safeguarding,orsecuringthehealth,safety,orwelfareof |
|---|
| 39 | | - | 21womenseekingorreceivingreproductivehealthcareatanytimebefore,during,orafter |
|---|
| 40 | | - | 22anactualorpotentialpregnancy,includinglawsregulatingtheprovisionof |
|---|
| 41 | | - | 23reproductivehealthcare,shallbevalidandenforceableinallcasesandshallbe |
|---|
| 42 | | - | 24unenforceableonlyifanaggrievedplaintiffprovesthatthelawisnotrationallyrelated |
|---|
| 43 | | - | 25toalegitimategovernmentalinterest.Inenactingorenforcingsuchlaws,the |
|---|
| 44 | | - | 26governmentshallnotberequiredtoequallyaddressallpotentialsubjectsor |
|---|
| 45 | | - | 27classificationsofindividualsorconductsolongasthegovernment'sdecisionhasa |
|---|
| 46 | | - | 28rationalbasis;and |
|---|
| 47 | | - | 29 (3)Womenreceivingreproductivehealthcarewhosufferinjuryorincur |
|---|
| 48 | | - | 30damagesarisingfromnegligence,breachofcontractualorotherduties,malpractice, |
|---|
| 49 | | - | 31violationofstandardsofcare,professionalorothermisconduct,orintentionalor |
|---|
| 50 | | - | 32criminalconductbyreproductivehealthcareprovidersorbyanypersonactingin |
|---|
| 51 | | - | 33concertwithsuchprovidersshallreceivenolessprotectionunderMissourilawthan |
|---|
| 52 | | - | 34thosereceivingothertypesofhealthcare;thecourtsofthisstateshallbenolessopento |
|---|
| 53 | | - | 35claimsbywomenagainstreproductivehealthcareprovidersforsuchmisconductthan |
|---|
| 54 | | - | 36tothosereceivingothertypesofhealthcare;andreproductivehealthcareproviders |
|---|
| 55 | | - | 37whocommitsuchmisconductshallbesubjecttothesameinvestigation,prosecution, |
|---|
| 56 | | - | 38adverseaction,andpenaltiesasanyotherproviderofhealthcare. |
|---|
| 57 | | - | 39 5.NothinginthisConstitutionshallbeinterpretedtorequirepublicorprivate |
|---|
| 58 | | - | 40fundingofanymatterrelatingtoreproductivehealthcare. |
|---|
| 59 | | - | 41 6.Anyactionchallengingthevalidityofanystatelawrelatingtoreproductive |
|---|
| 60 | | - | 42healthcareshallbebroughtintheCircuitCourtofColeCounty,Missouri.Ifsuch |
|---|
| 61 | | - | 43actiondrawingintoquestiontheconstitutionalityofastatestatutedoesnotincludethe |
|---|
| 62 | | - | 44state,oneofitsagencies,oroneofitsofficersoremployeesinanofficialcapacity,the |
|---|
| 63 | | - | 45partybringingtheactionshallfileanoticeofconstitutionalquestionandserveitonthe |
|---|
| 64 | | - | 46attorneygeneralandtheattorneygeneralshallhavetherighttointerveneinthe |
|---|
| 65 | | - | 47litigation.TheMissouriSupremeCourtshallhaveexclusiveappellatejurisdiction. |
|---|
| 66 | | - | 48 7.ForpurposesofthisSection: |
|---|
| 67 | | - | HCS#2HJR54 2 49 (1)"Government"is: |
|---|
| 68 | | - | 50 (a)ThestateofMissouri;or |
|---|
| 69 | | - | 51 (b)Anymunicipality,city,town,village,township,district,authority,public |
|---|
| 70 | | - | 52subdivisionorpubliccorporationhavingthepowertotaxorregulate,oranyportionof |
|---|
| 71 | | - | 53twoormoresuchentitieswithinthestateofMissouri; |
|---|
| 72 | | - | 54 (2)"Law",includesanyordinance,act,law,rule,regulation,order,orprovision |
|---|
| 73 | | - | 55thatabodyofthegovernmenthastheauthoritytoenact. |
|---|
| 74 | | - | 56 8.IfanyprovisionofthisSectionoritsapplicationtoanypersonor |
|---|
| 75 | | - | 57circumstanceisheldinvalid,suchdeterminationshallnotaffecttheprovisionsor |
|---|
| 76 | | - | 58applicationsofthisSection,whichmaybegiveneffectwithouttheinvalidprovisionor |
|---|
| 77 | | - | 59application,andtothatendtheprovisionsofthisSectionareseverable. |
|---|
| 31 | + | intendedtobeomittedfromthelaw.Matterinbold-facetypeintheabovebillisproposedlanguage. 12pregnantmother.Theselawsshallinclude,butnotbelimitedto,lawsrequiring |
|---|
| 32 | + | 13physiciansprovidingabortioncaretohaveadmittingprivilegesatanearbyhospital; |
|---|
| 33 | + | 14lawsrequiringfacilitieswhereabortionsareperformedorinducedtobelicensedand |
|---|
| 34 | + | 15inspectedforcleanandsafeconditionsandadequateinstrumentstotreatany |
|---|
| 35 | + | 16emergenciesarisingfromanabortionprocedure;lawsrequiringphysicianstoperform |
|---|
| 36 | + | 17asufficientexaminationofthewomantodeterminetheunbornchild'sgestationalage |
|---|
| 37 | + | 18andanypreexistingmedicalconditionsthatmayinfluencetheprocedure;andlaws |
|---|
| 38 | + | 19requiringultrasoundstobeperformedonlybyphysiciansorlicensedmedical |
|---|
| 39 | + | 20technicians. |
|---|
| 40 | + | 21 4.NotwithstandinganyprovisionofthisConstitutionoranyotherlawtothe |
|---|
| 41 | + | 22contrary,itshallbeillegalinthisstatetoprovidereproductivehealthcare,oranyother |
|---|
| 42 | + | 23healthcarerelatingtoreproductivehealthcare,toaminorchildwithouttheprior |
|---|
| 43 | + | 24notificationandinformedconsentofthechild'sparentorguardian,exceptinthecaseof |
|---|
| 44 | + | 25medicalemergency. |
|---|
| 45 | + | 26 5.Noabortionshallbeperformedorinduceduponawomanbasedonaprenatal |
|---|
| 46 | + | 27diagnosis,test,orscreeningindicatingadisabilityinanunbornchild,exceptincasesof |
|---|
| 47 | + | 28afetalanomaly. |
|---|
| 48 | + | 29 6.Nopublicfundsshallbeexpendedforthepurposeofperforming,inducing,or |
|---|
| 49 | + | 30otherwiseassistinganyabortion,exceptincasesofmedicalemergency,fetalanomaly, |
|---|
| 50 | + | 31rape,orincest,orasotherwiseauthorizedbylaw. |
|---|
| 51 | + | 32 7.Exceptincasesofamedicalemergencyinwhichconsentcannotbeobtained, |
|---|
| 52 | + | 33noabortionshallbeperformedorinduceduponawomanwithouthervoluntaryand |
|---|
| 53 | + | 34informedconsent,givenfreelyandwithoutcoercion.Inthecaseofaminorunderthe |
|---|
| 54 | + | 35ageofeighteenyears,nopersonshallknowinglyperformorinduceanabortion,except |
|---|
| 55 | + | 36incasesofamedicalemergencyinwhichconsentcannotbeobtained,unlessthe |
|---|
| 56 | + | 37attendingphysicianhasobtained:(1)thewrittenconsentoftheminorandaparent, |
|---|
| 57 | + | 38managingconservator,orlegalguardian;and(2)documentationoftheconsentis |
|---|
| 58 | + | 39retainedintheminor'smedicalrecord.Thegeneralassemblymayenactlawstoprovide |
|---|
| 59 | + | 40fortherightofaminortoconsenttoanabortionasgrantedbyacourtorder. |
|---|
| 60 | + | 41 8.Fetalorganharvestingafteranabortionisnotpermittedunderany |
|---|
| 61 | + | 42circumstances. |
|---|
| 62 | + | 43 9.Awoman'sabilitytoaccesshealthcareincasesofmiscarriages,ectopic |
|---|
| 63 | + | 44pregnancies,andothermedicalemergenciesshallnotbeinfringedbythestate. |
|---|
| 64 | + | 45 10.Nogendertransitionsurgeriesshallbeknowinglyperformedonchildren |
|---|
| 65 | + | 46undereighteenyearsofage,andnocross-sexhormonesorpuberty-blockingdrugsshall |
|---|
| 66 | + | 47beknowinglyprescribedoradministeredforthepurposeofgendertransitionto |
|---|
| 67 | + | 48childrenundereighteenyearsofage.Theprovisionsofthissectionshallnotapplyto |
|---|
| 68 | + | HCSHJR54 2 49theuseofsuchsurgeries,drugs,orhormonestotreatchildrenbornwithamedically |
|---|
| 69 | + | 50verifiabledisorderofsexdevelopmentortotreatanyinfection,injury,disease,or |
|---|
| 70 | + | 51disorderunrelatedtothepurposeofagendertransition. |
|---|
| 71 | + | 52 11.Anyactionchallengingthevalidityofanystatelawrelatingtoreproductive |
|---|
| 72 | + | 53healthcareshallbebroughtintheCircuitCourtofColeCounty,Missouri.Ifa |
|---|
| 73 | + | 54pleading,writtenmotion,orotherpaperdrawingintoquestiontheconstitutionalityofa |
|---|
| 74 | + | 55statestatutedoesnotincludethestate,oneofitsagencies,oroneofitsofficersor |
|---|
| 75 | + | 56employeesinanofficialcapacity,thepartybringingtheactionshallfileanoticeof |
|---|
| 76 | + | 57constitutionalquestionandserveitontheattorneygeneralandtheattorneygeneral |
|---|
| 77 | + | 58shallhavetherighttointerveneinthelitigation. |
|---|
| 78 | + | 59 12.Thegeneralassemblyshallhavetheauthoritytoenactlawstocarryoutthe |
|---|
| 79 | + | 60provisionsofthissection. |
|---|
| 80 | + | 61 13.Asusedinthissection,thefollowingtermsmean: |
|---|
| 81 | + | 62 (1)"Cross-sexhormones",testosterone,estrogen,orotherandrogensgiventoan |
|---|
| 82 | + | 63individualinamountsthataregreaterormorepotentthanwouldnormallyoccur |
|---|
| 83 | + | 64naturallyinahealthyindividualofthesameageandsex; |
|---|
| 84 | + | 65 (2)"Fetalanomaly",astructuralorfunctionalabnormalityintheunborn |
|---|
| 85 | + | 66child'sgestationaldevelopmentthatwouldmakelifeoutsidethewombimpossible; |
|---|
| 86 | + | 67 (3)"Fetalorganharvesting",collectionoffetaltissue,organs,orfluids, |
|---|
| 87 | + | 68includinganybiologicalmaterial,forthepurposeofsellingorcollectingforscientific |
|---|
| 88 | + | 69purposes,butshallnotincludetheutilizationoffetaltissue,organs,orfluidsto |
|---|
| 89 | + | 70determinethecauseorcausesofanyanomaly,illness,death,orgeneticconditionofthe |
|---|
| 90 | + | 71unbornchild,thepaternityoftheunbornchild,orforlawenforcementpurposes; |
|---|
| 91 | + | 72 (4)"Gendertransitionsurgery",asurgicalprocedureperformedforthe |
|---|
| 92 | + | 73purposeofassistinganindividualwithidentifyingwithandlivingasagenderdifferent |
|---|
| 93 | + | 74fromhisorherbiologicalsex; |
|---|
| 94 | + | 75 (5)"Medicalemergency",aconditionthat,basedonreasonablemedical |
|---|
| 95 | + | 76judgment,socomplicatesthemedicalconditionofapregnantwomanastonecessitate |
|---|
| 96 | + | 77theimmediateterminationofherpregnancytoavertthedeathofthepregnantwoman |
|---|
| 97 | + | 78orforwhichadelaywillcreateaseriousriskofsubstantialandirreversiblephysical |
|---|
| 98 | + | 79impairmentofamajorbodilyfunctionofthepregnantwoman.Amedicalemergency |
|---|
| 99 | + | 80shallinclude,butnotbelimitedto,anectopicpregnancyatanypointfollowingthe |
|---|
| 100 | + | 81diagnosisofsuchandtreatmentforamiscarriage; |
|---|
| 101 | + | 82 (6)"Puberty-blockingdrugs",gonadotropin-releasinghormoneanaloguesor |
|---|
| 102 | + | 83othersyntheticdrugsusedtostopluteinizinghormonesecretionandfolliclestimulating |
|---|
| 103 | + | 84hormonesecretion,syntheticantiandrogendrugstoblocktheandrogenreceptor,orany |
|---|
| 104 | + | HCSHJR54 3 85otherdrugusedtodelayorsuppresspubertaldevelopmentinchildrenforthepurpose |
|---|
| 105 | + | 86ofassistinganindividualwithagendertransition; |
|---|
| 106 | + | 87 (7)"Reasonablemedicaljudgment",amedicaljudgmentthatwouldbemadeby |
|---|
| 107 | + | 88areasonablyprudentphysician,knowledgeableaboutthecaseandthetreatment |
|---|
| 108 | + | 89possibilitieswithrespecttothemedicalconditionsinvolved. |
|---|
| 109 | + | 90 14.Allprovisionsofthissectionareseverable.Ifanyprovisionofthissectionis |
|---|
| 110 | + | 91foundbyacourtofcompetentjurisdictiontobeunconstitutionalorunconstitutionally |
|---|
| 111 | + | 92enacted,theremainingprovisionsofthissectionshallbeandremainvalid. |
|---|
| 112 | + | [Section36.1.ThisSectionshallbeknownas"TheRightto |
|---|
| 113 | + | 2 ReproductiveFreedomInitiative". |
|---|
| 114 | + | 3 2.TheGovernmentshallnotdenyorinfringeuponaperson's |
|---|
| 115 | + | 4 fundamentalrighttoreproductivefreedom,whichistherighttomakeand |
|---|
| 116 | + | 5 carryoutdecisionsaboutallmattersrelatingtoreproductivehealthcare, |
|---|
| 117 | + | 6 includingbutnotlimitedtoprenatalcare,childbirth,postpartumcare,birth |
|---|
| 118 | + | 7 control,abortioncare,miscarriagecare,andrespectfulbirthingconditions. |
|---|
| 119 | + | 8 3.Therighttoreproductivefreedomshallnotbedenied,interfered |
|---|
| 120 | + | 9 with,delayed,orotherwiserestrictedunlesstheGovernmentdemonstratesthat |
|---|
| 121 | + | 10 suchactionisjustifiedbyacompellinggovernmentalinterestachievedbythe |
|---|
| 122 | + | 11 leastrestrictivemeans.Anydenial,interference,delay,orrestrictionofthe |
|---|
| 123 | + | 12 righttoreproductivefreedomshallbepresumedinvalid.Forpurposesofthis |
|---|
| 124 | + | 13 Section,agovernmentalinterestiscompellingonlyifitisforthelimited |
|---|
| 125 | + | 14 purposeandhasthelimitedeffectofimprovingormaintainingthehealthofa |
|---|
| 126 | + | 15 personseekingcare,isconsistentwithwidelyacceptedclinicalstandardsof |
|---|
| 127 | + | 16 practiceandevidence-basedmedicine,anddoesnotinfringeonthatperson's |
|---|
| 128 | + | 17 autonomousdecision-making. |
|---|
| 129 | + | 18 4.Notwithstandingsubsection3ofthisSection,thegeneralassembly |
|---|
| 130 | + | 19 mayenactlawsthatregulatetheprovisionofabortionafterFetalViability |
|---|
| 131 | + | 20 providedthatundernocircumstanceshalltheGovernmentdeny,interfere |
|---|
| 132 | + | 21 with,delay,orotherwiserestrictanabortionthatinthegoodfaithjudgmentof |
|---|
| 133 | + | 22 atreatinghealthcareprofessionalisneededtoprotectthelifeorphysicalor |
|---|
| 134 | + | 23 mentalhealthofthepregnantperson. |
|---|
| 135 | + | 24 5.Nopersonshallbepenalized,prosecuted,orotherwisesubjectedto |
|---|
| 136 | + | 25 adverseactionbasedontheiractual,potential,perceived,orallegedpregnancy |
|---|
| 137 | + | 26 outcomes,includingbutnotlimitedtomiscarriage,stillbirth,orabortion.Nor |
|---|
| 138 | + | 27 shallanypersonassistingapersoninexercisingtheirrighttoreproductive |
|---|
| 139 | + | 28 freedomwiththatperson'sconsentbepenalized,prosecuted,orotherwise |
|---|
| 140 | + | 29 subjectedtoadverseactionfordoingso. |
|---|
| 141 | + | 30 6.TheGovernmentshallnotdiscriminateagainstpersonsprovidingor |
|---|
| 142 | + | 31 obtainingreproductivehealthcareorassistinganotherpersonindoingso. |
|---|
| 143 | + | 32 7.IfanyprovisionofthisSectionortheapplicationthereoftoanyone |
|---|
| 144 | + | 33 ortoanycircumstanceisheldinvalid,theremainderofthoseprovisionsand |
|---|
| 145 | + | 34 theapplicationofsuchprovisionstoothersorothercircumstancesshallnotbe |
|---|
| 146 | + | 35 affectedthereby. |
|---|
| 147 | + | 36 8.ForpurposesofthisSection,thefollowingtermsmean: |
|---|
| 148 | + | HCSHJR54 4 37 (1)"FetalViability",thepointinpregnancywhen,inthegoodfaith |
|---|
| 149 | + | 38 judgmentofatreatinghealthcareprofessionalandbasedontheparticular |
|---|
| 150 | + | 39 factsofthecase,thereisasignificantlikelihoodofthefetus'ssustained |
|---|
| 151 | + | 40 survivaloutsidetheuteruswithouttheapplicationofextraordinarymedical |
|---|
| 152 | + | 41 measures. |
|---|
| 153 | + | 42 (2)"Government", |
|---|
| 154 | + | 43 a.thestateofMissouri;or |
|---|
| 155 | + | 44 b.anymunicipality,city,town,village,township,district,authority, |
|---|
| 156 | + | 45 publicsubdivisionorpubliccorporationhavingthepowertotaxorregulate,or |
|---|
| 157 | + | 46 anyportionoftwoormoresuchentitieswithinthestateofMissouri.] |
|---|