1 | 1 | | 25.0682.01000 |
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2 | 2 | | Sixty-ninth |
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3 | 3 | | Legislative Assembly |
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4 | 4 | | of North Dakota |
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5 | 5 | | Introduced by |
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6 | 6 | | Representative Murphy |
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7 | 7 | | A BILL for an Act to create and enact sections 14-02.1-04.3, 14-02.1-04.4, and 14-02.1-04.5 of |
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8 | 8 | | the North Dakota Century Code, relating to the creation of an abortion approval committee, a |
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9 | 9 | | framework for abortion, and an emergency medical exception; to amend and reenact sections |
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10 | 10 | | 12.1-19.1-03, 14-02.1-02, 14-02.1-02.1, 14-02.1-02.2, and 14-02.1-03, subsection 1 of section |
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11 | 11 | | 14-02.1-03.1, sections 14-02.1-05, 14-02.1-07, 14-02.1-08, 14-02.1-09, and 14-10-15, and |
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12 | 12 | | subsection 3 of section 14-10-19 of the North Dakota Century Code, relating to abortion |
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13 | 13 | | procedures, consent, and reporting requirements; and to repeal sections 14-02.1-03.4, |
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14 | 14 | | 14-02.1-03.5, and 14-02.1-04 of the North Dakota Century Code, relating to abortion |
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15 | 15 | | restrictions. |
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16 | 16 | | BE IT ENACTED BY THE LEGISLATIVE ASSEMBLY OF NORTH DAKOTA: |
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17 | 17 | | SECTION 1. AMENDMENT. Section 12.1-19.1-03 of the North Dakota Century Code is |
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18 | 18 | | amended and reenacted as follows: |
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19 | 19 | | 12.1-19.1-03. Exceptions. |
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20 | 20 | | This chapter does not apply to: |
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21 | 21 | | 1.An abortion deemed necessary based on reasonable medical judgment which was |
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22 | 22 | | intended to prevent the death or a serious health risk to the pregnant femaleperformed |
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23 | 23 | | in accordance with chapter 14 - 02.1 . |
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24 | 24 | | 2.An abortion to terminate a pregnancy that based on reasonable medical judgment |
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25 | 25 | | resulted from gross sexual imposition, sexual imposition, sexual abuse of a ward, or |
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26 | 26 | | incest, as those offenses are defined in chapter 12.1-20, if the probable gestational |
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27 | 27 | | age of the unborn child is six weeks or less. |
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28 | 28 | | 3.An individual assisting in performing an abortion if the individual was acting within the |
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29 | 29 | | scope of that individual's regulated profession, was under the direction of or at the |
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31 | 31 | | HOUSE BILL NO. 1488 |
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55 | 55 | | 23 Sixty-ninth |
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56 | 56 | | Legislative Assembly |
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57 | 57 | | direction of a physician, and did not know the physician was performing an abortion in |
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58 | 58 | | violation of this chapter. |
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59 | 59 | | SECTION 2. AMENDMENT. Section 14-02.1-02 of the North Dakota Century Code is |
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60 | 60 | | amended and reenacted as follows: |
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61 | 61 | | 14-02.1-02. Definitions. |
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62 | 62 | | As used in this chapter: |
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63 | 63 | | 1."Abortion" means the act of using or prescribing any instrument, medicine, drug, or |
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64 | 64 | | any other substance, device, or means with the intent to terminate the clinically |
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65 | 65 | | diagnosable pregnancy of a woman, including the elimination of one or more unborn |
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66 | 66 | | childrenfetuses in a multifetal pregnancy, with knowledge that the termination by those |
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67 | 67 | | means will with reasonable likelihood cause the death of the unborn childfetus. Such |
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68 | 68 | | use, prescription, or means is not an abortion if done with the intent to: |
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69 | 69 | | a.Remove a dead unborn childfetus caused by spontaneous abortion; |
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70 | 70 | | b.Treat a woman for an ectopic pregnancy; or |
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71 | 71 | | c.Treat a woman for a molar pregnancy. |
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72 | 72 | | 2."Abortion facility" means a licensed healthcare facility in which abortions are |
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73 | 73 | | performed. The term includes a clinic, ambulatory surgical center, or physician's office, |
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74 | 74 | | or any other place or facility in which abortions are performed or prescribed, other |
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75 | 75 | | than. The term does not include a hospital. |
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76 | 76 | | 3."Abortion-inducing drug" means a medicine, drug, or any other substance prescribed |
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77 | 77 | | or dispensed with the intent of causing an abortion. |
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78 | 78 | | 4."Drug label" means the pamphlet accompanying an abortion-inducing drug which |
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79 | 79 | | outlines the protocol tested and authorized by the federal food and drug administration |
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80 | 80 | | and agreed upon by the drug company applying for the federal food and drug |
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81 | 81 | | administration authorization of that drug. Also known as "final printing labeling |
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82 | 82 | | instructions", drug label is the federal food and drug administration document that |
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83 | 83 | | delineates how a drug is to be used according to the federal food and drug |
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84 | 84 | | administration approval. |
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85 | 85 | | 5."Fertilization" means the fusion of a human spermatozoon with a human ovum. |
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86 | 86 | | 5."Fetus" means an unborn human offspring from conception until birth. |
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87 | 87 | | Page No. 2 25.0682.01000 |
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117 | 117 | | 30 Sixty-ninth |
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118 | 118 | | Legislative Assembly |
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119 | 119 | | 6."Hospital" means an institution licensed by the department of health and human |
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120 | 120 | | services under chapter 23-16 and any hospital operated by the United States or this |
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121 | 121 | | state. |
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122 | 122 | | 7."Human being" means an individual living member of the species of homo sapiens, |
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123 | 123 | | including the unborn human being during the entire embryonic and fetal ages from |
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124 | 124 | | fertilization to full gestation. |
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125 | 125 | | 8."Infant born alive" means a born child which exhibits either heartbeat, spontaneous |
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126 | 126 | | respiratory activity, spontaneous movement of voluntary muscles or pulsation of the |
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127 | 127 | | umbilical cord if still attached to the child. |
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128 | 128 | | 9."Informed consent" means voluntary consent to abortion by the woman upon whom |
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129 | 129 | | the abortion is to be performed or induced provided: |
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130 | 130 | | a.The woman is told the following by the physician who is to perform the abortion, |
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131 | 131 | | by the referring physician, or by the physician's agent, at least twenty-four hours |
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132 | 132 | | before the abortion: |
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133 | 133 | | (1)The name of the physician who will perform the abortion; |
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134 | 134 | | (2)The abortion will terminate the life of a whole, separate, unique, living |
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135 | 135 | | human being; |
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136 | 136 | | (3)The particular medical risks associated with the particular abortion |
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137 | 137 | | procedure to be employed including, when medically accurate, the risks of |
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138 | 138 | | infection, hemorrhage, danger to subsequent pregnancies, and infertility; |
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139 | 139 | | (4)(3)The probable gestational age of the unborn childfetus at the time the |
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140 | 140 | | abortion is to be performed; and |
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141 | 141 | | (5)(4)The medical risks associated with carrying her child to term. |
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142 | 142 | | b.The woman is informed, by the physician or the physician's agent, at least |
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143 | 143 | | twenty-four hours before the abortion: |
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144 | 144 | | (1)That medical assistance benefits may be available for prenatal care, |
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145 | 145 | | childbirth, and neonatal care and that more detailed information on the |
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146 | 146 | | availability of that assistance is contained in the printed materials given to |
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147 | 147 | | her as described in section 14-02.1-02.1; |
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177 | 177 | | 29 Sixty-ninth |
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178 | 178 | | Legislative Assembly |
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179 | 179 | | (2)That the printed materials given to her and described in section |
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180 | 180 | | 14-02.1-02.1 describe the unborn child and list agencies that offer |
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181 | 181 | | alternatives to abortion; |
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182 | 182 | | (3)That the father is liable to assist in the support of her child, even in |
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183 | 183 | | instances in which the father has offered to pay for the abortion; and |
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184 | 184 | | (4)That she is free to withhold or withdraw her consent to the abortion at any |
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185 | 185 | | time without affecting her right to future care or treatment and without the |
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186 | 186 | | loss of any state or federally funded benefits to which she might otherwise |
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187 | 187 | | be entitled. |
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188 | 188 | | c.The woman certifies in writing, before the abortion, that the information described |
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189 | 189 | | in subdivisions a and bsubdivision a has been furnished to her. |
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190 | 190 | | d.c.Before the performance of the abortion, the physician who is to perform or induce |
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191 | 191 | | the abortion or the physician's agent receives a copy of the written certification |
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192 | 192 | | prescribed by subdivision cb. |
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193 | 193 | | e.The physician has not received or obtained payment for a service provided to a |
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194 | 194 | | patient who has inquired about an abortion or has scheduled an abortion before |
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195 | 195 | | the twenty-four-hour period required by this section. |
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196 | 196 | | 10."Medical emergency" means a condition that, in reasonable medical judgment, so |
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197 | 197 | | complicates the medical condition of the pregnant woman that it necessitates an |
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198 | 198 | | immediate abortion to prevent her death or a serious health risk. |
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199 | 199 | | 11."Physician" means an individual licensed to practice medicine or osteopathy under |
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200 | 200 | | chapter 43-17 or a physician who practices in the armed services of the United States |
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201 | 201 | | or in the employ of the United States. |
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202 | 202 | | 12."Probable gestational age of the unborn childfetus" means what, in reasonable |
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203 | 203 | | medical judgment, will with reasonable probability be the gestational age of the unborn |
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204 | 204 | | childfetus. |
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205 | 205 | | 13."Reasonable medical judgment" means a medical judgment that would be made by a |
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206 | 206 | | reasonably prudent physician, knowledgeable about the case and the treatment |
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207 | 207 | | possibilities with respect to the medical conditions involved. |
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208 | 208 | | 14."Serious health risk" means a condition that, in reasonable medical judgment, |
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209 | 209 | | complicates the medical condition of the pregnant woman so that it necessitates an |
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241 | 241 | | 31 Sixty-ninth |
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242 | 242 | | Legislative Assembly |
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243 | 243 | | abortion to prevent substantial physical impairment of a major bodily function, not |
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244 | 244 | | including any psychological or emotional condition. The term may not be based on a |
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245 | 245 | | claim or diagnosis that the woman will engage in conduct that will result in her death or |
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246 | 246 | | in substantial physical impairment of a major bodily function. |
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247 | 247 | | 15."Unborn child" means the offspring of human beings from conception until birth. |
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248 | 248 | | 16."Viable" means the ability of an unborn childa fetus to live outside the mother's womb, |
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249 | 249 | | albeit with artificial aid. |
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250 | 250 | | SECTION 3. AMENDMENT. Section 14-02.1-02.1 of the North Dakota Century Code is |
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251 | 251 | | amended and reenacted as follows: |
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252 | 252 | | 14-02.1-02.1. Printed information - Referral service. |
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253 | 253 | | 1.The department of health and human services shall publish in English, and in every |
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254 | 254 | | other language that the department determines is the primary language of a significant |
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255 | 255 | | number of state residents, the following materials in an easily comprehensible printed |
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256 | 256 | | materialsand scientifically accurate format: |
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257 | 257 | | a.Geographically indexed materials designed to inform the woman of public and |
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258 | 258 | | private agencies and services available to assist a woman through pregnancy, |
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259 | 259 | | upon childbirth, and while the child is dependent, including adoption agencies. |
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260 | 260 | | The materials must include a comprehensive list of the agencies available, a |
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261 | 261 | | description of the services they offer and a description of the manner, including |
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262 | 262 | | telephone numbers, in which they might be contacted, or, at the option of the |
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263 | 263 | | department, printed materials, including a toll-free, twenty-four-hour-a-day |
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264 | 264 | | telephone number that may be called to obtain, orally, such a list and description |
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265 | 265 | | of agencies in the locality of the caller and of the services they offer. The |
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266 | 266 | | materials must state that it is unlawful for any individual to coerce a woman to |
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267 | 267 | | undergo an abortion and that if a minor is denied financial support by the minor's |
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268 | 268 | | parent, guardian, or custodian due to the minor's refusal to have an abortion |
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269 | 269 | | performed, the minor is deemed to be emancipated for the purposes of eligibility |
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270 | 270 | | for public assistance benefits, except that those benefits may not be used to |
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271 | 271 | | obtain an abortion. The materials also must state that any physician who |
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272 | 272 | | performs an abortion upon a woman without her informed consent may be liable |
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273 | 273 | | to her for damages in a civil action and that the law permits adoptive parents to |
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305 | 305 | | 31 Sixty-ninth |
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306 | 306 | | Legislative Assembly |
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307 | 307 | | pay costs of prenatal care, childbirth, and neonatal care. The materials must |
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308 | 308 | | include the following statement: There are many public and private agencies |
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309 | 309 | | willing and able to help you to carry your child to term and to assist you and your |
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310 | 310 | | child after your child is born, whether you choose to keep your child or to place |
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311 | 311 | | your child for adoption. The state of North Dakota strongly urges you to contact |
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312 | 312 | | one or more of these agencies before making a final decision about abortion. The |
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313 | 313 | | law requires that your physician or your physician's agent give you the |
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314 | 314 | | opportunity to call agencies like these before you undergo an abortion. |
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315 | 315 | | b.Materials, published in a booklet format, designed to inform the woman of the |
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316 | 316 | | probable anatomical and physiological characteristics of the unborn childfetus at |
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317 | 317 | | two-week gestational increments from the time when a woman can be known to |
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318 | 318 | | be pregnant to full term, including any relevant information on the possibility of |
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319 | 319 | | the survival of the unborn childfetus and color photographs of the development of |
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320 | 320 | | an unborn childfetus at two-week gestational increments. The descriptions must |
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321 | 321 | | include information about brain and heart function, the presence of external |
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322 | 322 | | members and internal organs during the applicable states of development, and |
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323 | 323 | | any relevant information on the possibility of the unborn child's survival. The |
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324 | 324 | | materials must be objective, nonjudgmental, and designed to convey only |
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325 | 325 | | accurate scientific information about the unborn childfetus at the various |
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326 | 326 | | gestational ages. The materials required under this subsection must be reviewed, |
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327 | 327 | | updated, and reprinted as needed. |
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328 | 328 | | c.Materials that include information on the support obligations of the father of a |
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329 | 329 | | child who is born alive, including the father's legal duty to support his child, which |
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330 | 330 | | may include child support payments and health insurance, and the fact that |
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331 | 331 | | paternity may be established by the father's signature on an acknowledgment of |
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332 | 332 | | paternity or by court action. The printed material must also state that more |
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333 | 333 | | information concerning paternity establishment and child support services and |
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334 | 334 | | enforcement may be obtained by calling state public assistance agencies or |
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335 | 335 | | human service zones. |
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336 | 336 | | d.Materials that contain objective information describingon the various surgical and |
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337 | 337 | | drug-induced methods of abortion as well as the immediate and long-term |
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369 | 369 | | 31 Sixty-ninth |
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370 | 370 | | Legislative Assembly |
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371 | 371 | | medical risks commonly associated with each abortion method, including the |
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372 | 372 | | risks of infection, hemorrhage, cervical or uterine perforation or rupture, danger to |
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373 | 373 | | subsequent pregnancies, the possible increased risk of breast cancer, the |
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374 | 374 | | possible adverse psychological effects associated with an abortion, and the |
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375 | 375 | | medical risks associated with carrying a child to term, and information on |
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376 | 376 | | common causes for a nonviable pregnancy. |
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377 | 377 | | e.Materials including information it may be possible to reverse the effects of an |
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378 | 378 | | abortion-inducing drug but time is of the essence. The materials must include |
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379 | 379 | | information directing the patient where to obtain further information and |
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380 | 380 | | assistance in locating a medical professional who can aid in the reversal of |
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381 | 381 | | abortion-inducing drugs. |
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382 | 382 | | f.Materials including a notice that the performance of certain abortions is prohibited |
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383 | 383 | | by law. |
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384 | 384 | | 2.The materials required under subsection 1 must be available at no cost from the |
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385 | 385 | | department of health and human services upon request and in appropriate number to |
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386 | 386 | | any person, facility, or hospital, and, except for copyrighted material, must be available |
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387 | 387 | | on the department's internet website. A woman may not be forced to accept |
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388 | 388 | | information prepared by the department. The department may make the copyrighted |
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389 | 389 | | material available on its internet website if the department pays the copyright royalties. |
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390 | 390 | | SECTION 4. AMENDMENT. Section 14-02.1-02.2 of the North Dakota Century Code is |
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391 | 391 | | amended and reenacted as follows: |
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392 | 392 | | 14-02.1-02.2. Abortion report form. |
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393 | 393 | | The department of health and human services shall prepare an abortion compliance report |
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394 | 394 | | form and an abortion data report form to be used by the physician for each abortion performed, |
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395 | 395 | | as required by section 14-02.1-07. The abortion compliance report form must include a checklist |
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396 | 396 | | designed to confirm compliance with all provisions of this chapter, chapter 14-02.3, chapter |
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397 | 397 | | 14-02.6, and section 23-16-14. The abortion data report form must include: |
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398 | 398 | | 1.The data called for in the United States standard report of induced termination of |
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399 | 399 | | pregnancy as recommended by the national center for health statistics; and |
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400 | 400 | | 2.Whether the abortion was: |
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431 | 431 | | 30 Sixty-ninth |
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432 | 432 | | Legislative Assembly |
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433 | 433 | | a.Necessary in reasonable medical judgment and was intended to prevent the |
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434 | 434 | | death of the pregnant female; |
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435 | 435 | | b.To terminate a pregnancy that resulted from gross sexual imposition, sexual |
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436 | 436 | | imposition, sexual abuse of a ward, or incest, as those offenses are defined in |
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437 | 437 | | chapter 12.1-20; or |
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438 | 438 | | c.Necessary to prevent a serious health risk. |
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439 | 439 | | SECTION 5. AMENDMENT. Section 14-02.1-03 of the North Dakota Century Code is |
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440 | 440 | | amended and reenacted as follows: |
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441 | 441 | | 14-02.1-03. Consent to abortion - Notification requirements. |
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442 | 442 | | 1.A physician may not perform an abortion unless before such performance the |
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443 | 443 | | physician certified in writing that the woman gave her informed consent as defined and |
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444 | 444 | | provided in section 14-02.1-02 and shall certify in writing the pregnant woman's marital |
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445 | 445 | | status and age based upon proof of age offered by her. |
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446 | 446 | | 2.Before the period of pregnancy when the unborn childfetus may reasonably be |
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447 | 447 | | expected to have reached viability, an abortion may not be performed upon an |
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448 | 448 | | unemancipated minor unless the attending physician certifies in writing that each of |
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449 | 449 | | the parents of the minor requesting the abortion has been provided by the physician in |
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450 | 450 | | person with the information provided for in section 14-02.1-02 at least twenty-four |
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451 | 451 | | hours before the minor's consent to the performance of abortion or unless the |
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452 | 452 | | attending physician certifies in writing that the physician has caused materials of |
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453 | 453 | | section 14-02.1-02 to be posted by certified mail to each of the parents of the minor |
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454 | 454 | | separately to the last-known addresses at least forty-eight hours before the minor's |
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455 | 455 | | consent to the performance of abortion. If a parent of the minor has died or rights and |
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456 | 456 | | interests of that parent have been legally terminated, this subsection applies to the |
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457 | 457 | | sole remaining parent. When both parents have died or the rights and interests of both |
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458 | 458 | | parents have been legally terminated, this subsection applies to the guardian or other |
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459 | 459 | | person standing in loco parentis. Notification by the attending physician is not required |
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460 | 460 | | if the minor elects not to allow the notification of one or both parents or her guardian |
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461 | 461 | | and the abortion is authorized by the juvenile court in accordance with section |
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462 | 462 | | 14-02.1-03.1. None of the requirements of this subsection apply in the case of a |
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463 | 463 | | medical emergency, except that when a medical emergency compels the performance |
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495 | 495 | | 31 Sixty-ninth |
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496 | 496 | | Legislative Assembly |
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497 | 497 | | of an abortion, the physician shall inform the woman, before the abortion if possible, of |
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498 | 498 | | the medical indications supporting the physician's judgment that an abortion is |
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499 | 499 | | necessary to prevent her death or prevent a serious health risk, and shall certify those |
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500 | 500 | | indications in writing. |
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501 | 501 | | 2.3.Subsequent to the period of pregnancy when the unborn childfetus may reasonably be |
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502 | 502 | | expected to have reached viability, an abortion, other than an abortion necessary to |
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503 | 503 | | preserve her life or to prevent a serious health risk, may not be performed upon any |
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504 | 504 | | woman in the absence of the written consent of a parent, if living, or the custodian or |
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505 | 505 | | legal guardian of the woman, if the woman is unmarried and under eighteen years of |
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506 | 506 | | age. |
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507 | 507 | | 3.4.No executive officer, administrative agency, or public employee of the state of North |
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508 | 508 | | Dakota or any local governmental body has power to issue any order requiring an |
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509 | 509 | | abortion, nor shall any such officer or entity coerce any woman to have an abortion, |
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510 | 510 | | nor shall any other person coerce any woman to have an abortion. |
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511 | 511 | | SECTION 6. AMENDMENT. Subsection 1 of section 14-02.1-03.1 of the North Dakota |
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512 | 512 | | Century Code is amended and reenacted as follows: |
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513 | 513 | | 1.A person may not knowingly perform an abortion upon a pregnant woman under the |
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514 | 514 | | age of eighteen years unless: |
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515 | 515 | | a.The attending physician has secured the written consent of the minor woman and |
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516 | 516 | | both parents, if living, or the surviving parent if one parent is deceased, or the |
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517 | 517 | | custodial parent if the parents are separated or divorced, or the legal guardian or |
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518 | 518 | | guardians if the minor is subject to guardianship; |
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519 | 519 | | b.The minor woman is married and the attending physician has secured her |
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520 | 520 | | informed written consent; or |
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521 | 521 | | c.The abortion has been authorized by the juvenile court in accordance with the |
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522 | 522 | | provisions of this section; or |
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523 | 523 | | d.The abortion is performed in response to a medical emergency. |
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524 | 524 | | SECTION 7. Section 14-02.1-04.3 of the North Dakota Century Code is created and |
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525 | 525 | | enacted as follows: |
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555 | 555 | | 29 Sixty-ninth |
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556 | 556 | | Legislative Assembly |
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557 | 557 | | 14 - 02.1 - 04.3. Abortion approval committee - Duties. |
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558 | 558 | | 1.A licensed hospital providing medical care under this chapter shall form an abortion |
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559 | 559 | | approval committee. Each committee must be comprised of the following board |
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560 | 560 | | certified physicians, licensed under chapter 43 - 17, on staff at the licensed hospital: |
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561 | 561 | | a.A physician specializing in obstetrics and gynecology; |
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562 | 562 | | b.A physician specializing in family practice; and |
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563 | 563 | | c.A physician specializing in internal medicine or pediatrics. |
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564 | 564 | | 2.The abortion committee shall: |
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565 | 565 | | a.Form a decision based upon the woman's medical records, current pregnancy |
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566 | 566 | | status, and input from the woman's attending physician; and |
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567 | 567 | | b.Render a decision within five days, or sooner upon request. |
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568 | 568 | | 3.The identity of each physician on the committee must remain confidential. A record, |
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569 | 569 | | including a physician's identity on an approval committee is not subject to section |
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570 | 570 | | 44 - 04 - 18 and section - 6 of article XI of the Constitution of North Dakota. |
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571 | 571 | | 4.An abortion approval committee shall determine if a proposed abortion procedure is |
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572 | 572 | | medically necessary. A decision by the committee to determine a proposed abortion |
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573 | 573 | | procedure is medically necessary may be approved by a majority of the members of |
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574 | 574 | | the committee. |
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575 | 575 | | 5.All discussion by a committee must remain confidential. The content of discussion |
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576 | 576 | | conducted by a committee is protected under the Federal Health Insurance Portability |
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577 | 577 | | and Accountability Act [42 U.S.C. section 1320d et al; 45 C.F.R. 160-164] and any |
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578 | 578 | | record of the discussion is not subject to section 44-04-18 and section 6 of article XI of |
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579 | 579 | | the Constitution of North Dakota. |
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580 | 580 | | SECTION 8. Section 14-02.1-04.4 of the North Dakota Century Code is created and |
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581 | 581 | | enacted as follows: |
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582 | 582 | | 14 - 02.1 - 04.4. Abortion limitations |
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583 | 583 | | 1.An abortion procedure may be performed from fertilization through fifteen weeks of |
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584 | 584 | | gestation. The abortion procedure must be performed: |
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585 | 585 | | a.Under the supervision of a physician licensed under chapter 43 - 17; |
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586 | 586 | | b.In a licensed healthcare facility; and |
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587 | 587 | | c.In compliance with section 14 - 02.1 - 03. |
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619 | 619 | | 31 Sixty-ninth |
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620 | 620 | | Legislative Assembly |
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621 | 621 | | 2.An abortion procedure may be performed from sixteen through twenty - six weeks |
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622 | 622 | | gestation only when: |
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623 | 623 | | a.Approved for a medical purpose, including a serious health risk, by the licensed |
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624 | 624 | | hospital's abortion approval committee under section 14 - 02.1 - 04.3, and |
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625 | 625 | | b.Performed by a physician, board certified or board eligible in: |
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626 | 626 | | (1)Obstetrics and gynecology; or, |
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627 | 627 | | (2)Family medicine with additional training in obstetrics and gynecology; and |
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628 | 628 | | c.In compliance with section 14 - 02.1 - 03. |
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629 | 629 | | 3.An abortion procedure may be performed from twenty - seven weeks gestation through |
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630 | 630 | | parturition only when deemed medically required and approved by an abortion |
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631 | 631 | | approval committee. |
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632 | 632 | | 4.This section does not apply in a medical emergency under section 14 - 02.1 - 04.5. |
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633 | 633 | | SECTION 9. Section 14-02.1-04.5 of the North Dakota Century Code is created and |
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634 | 634 | | enacted as follows: |
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635 | 635 | | 14 - 02.1 - 04.5. Medical emergency abortion procedures. |
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636 | 636 | | A medical emergency decision to perform an abortion does not require approval of the |
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637 | 637 | | abortion committee under 14 - 02.1 - 04.3. A medical emergency requiring an abortion procedure |
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638 | 638 | | may be carried out by any physician licensed under chapter 43 - 17 in a medical effort to |
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639 | 639 | | preserve the life of the mother and the fetus, at any point medically necessary during a |
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640 | 640 | | pregnancy. |
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641 | 641 | | SECTION 10. AMENDMENT. Section 14-02.1-05 of the North Dakota Century Code is |
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642 | 642 | | amended and reenacted as follows: |
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643 | 643 | | 14-02.1-05. Preserving life of a viable child - Penalty. |
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644 | 644 | | An abortion of a viable child may be performed only when there is in attendance a physician |
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645 | 645 | | other than the physician performing the abortion who shall take control and provide immediate |
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646 | 646 | | medical care for the viable child born as a result of the abortion. The physician performing it, |
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647 | 647 | | and subsequent to the abortion, the physician required by this section to be in attendance, shall |
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648 | 648 | | take all reasonable steps in keeping with good medical practice, consistent with the procedure |
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649 | 649 | | used, to preserve the life and health of the unborn childfetus. Failure to do so is a class C |
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650 | 650 | | felony. |
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651 | 651 | | Page No. 11 25.0682.01000 |
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681 | 681 | | 30 Sixty-ninth |
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682 | 682 | | Legislative Assembly |
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683 | 683 | | SECTION 11. AMENDMENT. Section 14-02.1-07 of the North Dakota Century Code is |
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684 | 684 | | amended and reenacted as follows: |
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685 | 685 | | 14-02.1-07. Records required - Reporting of practice of abortion. |
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686 | 686 | | 1.a.All abortionhealth care facilities and hospitals in which abortions are performed |
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687 | 687 | | shall keep records, including admission and discharge notes, histories, results of |
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688 | 688 | | tests and examinations, nurses' worksheets, social service records, and progress |
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689 | 689 | | notes, and shall further keep a copy of all written certifications provided for in this |
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690 | 690 | | chapter as well as a copy of the constructive notice forms, consent forms, court |
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691 | 691 | | orders, abortion data reports, adverse event reports, abortion compliance reports, |
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692 | 692 | | and complication reports. All abortion facilities shall keep the following records: |
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693 | 693 | | (1)The number of women who availed themselves of the opportunity to receive |
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694 | 694 | | and view an ultrasound image of their unborn children pursuant to section |
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695 | 695 | | 14-02.1-04, and the number who did not; and of each of those numbers, the |
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696 | 696 | | number who, to the best of the reporting abortion facility's information and |
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697 | 697 | | belief, went on to obtain the abortion. |
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698 | 698 | | (2)A record of the probable gestational age of the unborn child at the time of |
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699 | 699 | | the abortion. If a probable gestational age of the unborn child was not made |
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700 | 700 | | because of a medical emergency, the record must include the basis of the |
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701 | 701 | | determination that a medical emergency existedin accordance with state |
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702 | 702 | | and federal law. |
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703 | 703 | | b.The medical records of abortion facilities and hospitals in which abortions are |
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704 | 704 | | performed and all information contained therein must remain confidential and |
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705 | 705 | | may be used by the department of health and human services only for gathering |
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706 | 706 | | statistical data and ensuring compliance with the provisions of this chapter. |
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707 | 707 | | c.Records must be maintained in the permanent files of the hospital or abortion |
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708 | 708 | | facility for a period of not less than seven years. |
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709 | 709 | | d.An abortion committee formed by a hospital under section 14 - 02.1 - 04.3 shall |
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710 | 710 | | report annually: |
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711 | 711 | | (1)The number of cases considered by the committee; and |
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712 | 712 | | (2)The number of cases approved by the committee. |
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743 | 743 | | 30 Sixty-ninth |
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744 | 744 | | Legislative Assembly |
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745 | 745 | | 2.a.An individual abortion compliance report and an individual abortion data report for |
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746 | 746 | | each abortion performed upon a woman must be completed by her attending |
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747 | 747 | | physician. The abortion data report must be confidential and may not contain the |
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748 | 748 | | name of the woman. The abortion data report must include the data called for in |
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749 | 749 | | the United States standard report of induced termination of pregnancy as |
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750 | 750 | | recommended by the national center for health statistics and whether: |
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751 | 751 | | (1)The abortion was performed to prevent the death of the pregnant female; |
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752 | 752 | | (2)The pregnancy resulted from gross sexual imposition, sexual imposition, |
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753 | 753 | | sexual abuse of a ward, or incest, as those offenses are defined in chapter |
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754 | 754 | | 12.1-20; or |
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755 | 755 | | (3)Necessary due to a medical emergency. |
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756 | 756 | | b.All abortion compliance reports must be signed by the attending physician within |
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757 | 757 | | twenty-four hours and submitted to the department of health and human services |
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758 | 758 | | within ten business days from the date of the abortion. All abortion data and |
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759 | 759 | | complication reports must be signed by the attending physician and submitted to |
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760 | 760 | | the department of health and human services within thirty days from the date of |
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761 | 761 | | the abortion. If a physician provides an abortion-inducing drug to another for the |
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762 | 762 | | purpose of inducing an abortion and the physician knows that the individual |
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763 | 763 | | experiences during or after the use an adverse event, the physician shall provide |
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764 | 764 | | a written report of the adverse event within thirty days of the event to the |
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765 | 765 | | department of health and human services and the federal food and drug |
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766 | 766 | | administration via the medwatch reporting system. For purposes of this section, |
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767 | 767 | | "adverse event" is defined based upon the federal food and drug administration |
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768 | 768 | | criteria given in the medwatch reporting system. If a determination of probable |
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769 | 769 | | gestational age of the unborn child was not made, the abortion compliance report |
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770 | 770 | | must state the basis of the determination that a medical emergency existed. |
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771 | 771 | | c.A copy of the abortion report, any complication report, and any adverse event |
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772 | 772 | | report must be made a part of the medical record of the patient at the facility or |
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773 | 773 | | hospital in which the abortion was performed. In cases when post-abortion |
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774 | 774 | | complications are discovered, diagnosed, or treated by physicians not associated |
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775 | 775 | | with the facility or hospital where the abortion was performed, the department of |
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807 | 807 | | 31 Sixty-ninth |
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808 | 808 | | Legislative Assembly |
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809 | 809 | | health and human services shall forward a copy of the report to that facility or |
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810 | 810 | | hospital to be made a part of the patient's permanent record. |
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811 | 811 | | d.The department of health and human services is responsible for collecting all |
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812 | 812 | | abortion compliance reports, abortion data reports, complication reports, and |
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813 | 813 | | adverse event reports and collating and evaluating all data gathered from these |
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814 | 814 | | reports and shall annually publish a statistical report based on data from |
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815 | 815 | | abortions performed in the previous calendar year. All abortion compliance |
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816 | 816 | | reports received by the department of health and human services are public |
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817 | 817 | | records. Except for disclosure to a law enforcement officer or state agency, the |
---|
818 | 818 | | department may not disclose an abortion compliance report without first removing |
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819 | 819 | | any individually identifiable health information and any other demographic |
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820 | 820 | | information, including race, marital status, number of previous live births, and |
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821 | 821 | | education regarding the woman upon whom the abortion was performed. |
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822 | 822 | | e.The department of health and human services shall report to the attorney general |
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823 | 823 | | any apparent violation of this chapter. |
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824 | 824 | | SECTION 12. AMENDMENT. Section 14-02.1-08 of the North Dakota Century Code is |
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825 | 825 | | amended and reenacted as follows: |
---|
826 | 826 | | 14-02.1-08. Protection of infant born alive - Penalty. |
---|
827 | 827 | | 1.A person is guilty of a class C felony if the person knowingly, or negligently, causes the |
---|
828 | 828 | | death of an infant born alive. |
---|
829 | 829 | | 2.Whenever an unborn childa fetus who is the subject of abortion is born alive and is |
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830 | 830 | | viable, it becomes an abandoned child and a child in need of protection, unless: |
---|
831 | 831 | | a.The termination of the pregnancy is necessary to preserve the life of the mother; |
---|
832 | 832 | | or |
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833 | 833 | | b.The mother and her spouse, or either of them, have agreed in writing in advance |
---|
834 | 834 | | of the abortion, or within seventy-two hours thereafter, to accept the parental |
---|
835 | 835 | | rights and responsibilities for the unborn childfetus if it survives the abortion |
---|
836 | 836 | | procedure. |
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837 | 837 | | SECTION 13. AMENDMENT. Section 14-02.1-09 of the North Dakota Century Code is |
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838 | 838 | | amended and reenacted as follows: |
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839 | 839 | | Page No. 14 25.0682.01000 |
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869 | 869 | | 30 Sixty-ninth |
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870 | 870 | | Legislative Assembly |
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871 | 871 | | 14-02.1-09. Humane disposal of nonviable unborn childfetus. |
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872 | 872 | | The physician performing the abortion, if performed outside of a hospital, must see to it that |
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873 | 873 | | the unborn childfetus is disposed of in a humane fashion under regulationsrules established by |
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874 | 874 | | the department of health and human services. A licensed hospital in which an abortion is |
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875 | 875 | | performed must dispose of a dead unborn childfetus in a humane fashion in compliance with |
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876 | 876 | | regulations promulgatedrules adopted by the department of health and human services. |
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877 | 877 | | SECTION 14. AMENDMENT. Section 14-10-15 of the North Dakota Century Code is |
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878 | 878 | | amended and reenacted as follows: |
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879 | 879 | | 14-10-15. Unborn childFetus - When deemed existing person. |
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880 | 880 | | A childfetus conceived but not born is to be deemed an existing person so far as may be |
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881 | 881 | | necessary for its interests in the event of its subsequent birth. |
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882 | 882 | | SECTION 15. AMENDMENT. Subsection 3 of section 14-10-19 of the North Dakota |
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883 | 883 | | Century Code is amended and reenacted as follows: |
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884 | 884 | | 3.A physician or other health care professional who, pursuant to subsection 1, provides |
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885 | 885 | | pregnancy care services to a minor may inform the parent or guardian of the minor of |
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886 | 886 | | any pregnancy care services given or needed if the physician or other health care |
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887 | 887 | | professional discusses with the minor the reasons for informing the parent or guardian |
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888 | 888 | | prior to the disclosure and, in the judgment of the physician or other health care |
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889 | 889 | | professional: |
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890 | 890 | | a.Failure to inform the parent or guardian would seriously jeopardize the health of |
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891 | 891 | | the minor or her unborn childfetus; |
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892 | 892 | | b.Surgery or hospitalization is needed; or |
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893 | 893 | | c.Informing the parent or guardian would benefit the health of the minor or her |
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894 | 894 | | unborn childfetus. |
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895 | 895 | | SECTION 16. REPEAL. Sections 14-02.1-03.4, 14-02.1-03.5, and 14-02.1-04 of the North |
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896 | 896 | | Dakota Century Code are repealed. |
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897 | 897 | | Page No. 15 25.0682.01000 |
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