Req. No. 7723 Page 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 STATE OF OKLAHOMA 1st Session of the 58th Legislature (2021) COMMITTEE SUBSTITUTE FOR HOUSE BILL NO. 2441 By: Russ COMMITTEE SUBSTITUTE An Act relating to health; amending 63 O.S. 2011, Section 1-732, which relates to abortion; prohibiti ng abortion when a fetal heartbeat is detectable; defining term; providing exception; amending 63 O.S. 2011, Section 1-737.4, as amended by Section 1, Chapter 123, O.S.L. 2017 (63 O.S. Supp. 2020, Section 1-737.4), which relates to required signage in abortion facilities; requiring certain information in posted signage; and providing an effective date. BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA: SECTION 1. AMENDATORY 63 O.S. 2011, Section 1 -732, is amended to read as follows: Section 1-732. A. No person shall perform or induce an abortion upon a pregnant woman after such time as her unborn child has become viable been determined to have a detectable heartbeat unless such abortion is necessary to prevent the d eath of the pregnant woman or to prevent impairment to her health. Req. No. 7723 Page 2 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 B. An unborn child shall be presumed to be viable if more than twenty-four (24) weeks have elapsed since the probable beginning of the last menstrual period of the pregnant woman, based up on either information provided by her or by an examination by her attending physician. "A detectable heartbeat" shall mean embryonic or fetal cardiac activity or the steady and repetitive rhythmic contraction of the heart within the gestational sac. If it is the judgment of the attending physician that a particular unborn child is not viable where the presumption of viability pregnancy is medically futile when a detectable heartbeat exists as to that particular unborn child, then he or she shall certify in writing the precise medical criteria upon which he or she has determined that the particular unborn child is not viable pregnancy is medically futile before an abortion may be performed or induced. C. No abortion of a viable an unborn child with a detectable heartbeat shall be performed or induced except after written certification by the attending physician that in his or her best medical judgment the abortion is necessary to prevent the death of the pregnant woman or to prevent an impairment to her hea lth. The physician shall further certify in writing the medical indications for such abortion and the probable health consequences if the abortion is not performed or induced. D. The physician who shall perform or induce an abortion upon a pregnant woman after such time as her unborn child has become viable Req. No. 7723 Page 3 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 a detectable heartbeat shall utilize the available method or technique of abortion most likely to preserve the life and health of the unborn child, unless he or she shall first certify in writing that in his or her best medical judgment such method or technique shall present a significantly greater danger to the life or health of the pregnant woman than another available method or technique. E. An abortion of a viable unborn child with a heartbeat shall be performed or induced only when there is in attendance a physician other than the physician performing or inducing the abortion who shall take control of and provide immediate medical care for the child. During the performance or inducing of the abort ion, the physician performing it, and subsequent to it, the physician required by this section to be in attendance, shall take all reasonable steps in keeping with good medical practice, consistent with the procedure used, to preserve the life and health o f the child, in the same manner as if the child had been born naturally or spontaneously. The requirement of the attendance of a second physician may be waived when in the best judgment of the attending physician a medical emergency exists and further del ay would result in a serious threat to the life or physical health of the pregnant woman. Provided that, under such emergency circumstances and waiver, the attending physician shall have the duty to take all reasonable steps to preserve the life and healt h of the child before, during and after the abortion procedure, unless such steps Req. No. 7723 Page 4 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 shall, in the best medical judgment of the physician, present a significantly greater danger to the life or health of the pregnant woman. F. Any person violating subsection A of this section shall be guilty of homicide. SECTION 2. AMENDATORY 63 O.S. 2011, Section 1 -737.4, as amended by Section 1, Chapter 123, O.S.L. 2017 (63 O.S. Supp. 2020, Section 1-737.4), is amended to read as follows: Section 1-737.4 A. Any private office, freestanding outpatient clinic, or other facility or clinic in which abortions, other than abortions necessary to prevent the death of the pregnant female, are performed, induced, prescribed for, or where the means for an abortion are provided shall conspicuously post a sign in a location defined in subsection C of this section so as to be clearly visible to patients, which reads: Notice: It is against the law for anyone, regardless of his or her relationship to you, to force you to have an abortion. By law, we cannot perform, induce, prescribe for, or provide you with the means for an abortion unless we have your freely given and voluntary consent. It is against the law to perform, induce, prescribe for, or provide you with the means for an abortion against your will. You have the right to contact any local or state law enforcement agency to receive protection from any actual or threatened physical abuse or violence. In certain Req. No. 7723 Page 5 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 cases, abortions are induced by medication usi ng a two-step process. Such abortions may be reversible if the second dosage has not been taken. There are public and private agencies willing and able to help you carry your child to term, have a healthy pregnancy and a healthy baby and assist you and yo ur child after your child is born, whether you choose to keep your child or place him or her for adoption. The State of Oklahoma strongly encourages you to contact them if you are pregnant. B. The sign required pursuant to subsection A of this section shall be printed with lettering that is legible and shall be at least three-quarters-of-an-inch boldfaced type. C. A facility in which abortions are performed, induced, prescribed for, or where the means for an abortion are provided that is a private office or a freestanding outpatient clinic shall post the required sign in each patient waiting room and patient consultation room used by patients on whom abortions are performed, induced, prescribed for, or who are provided with the means for an abortion. A hospital or any other facility in which abortions are performed, induced, prescribed for, or where the means for an abortion are provided that is not a private office or freestanding outpatient clinic shall post the required sign in each patient admission area used by patients on whom abortions are performed, Req. No. 7723 Page 6 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 induced, prescribed for, or by patients who are provided with the means for an abortion. SECTION 3. This act shall become effective November 1, 2021. 58-1-7723 AB 02/24/21