HB3216 HFLR Page 1 BOLD FACE denotes Committee Amendments. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 HOUSE OF REPRESENTATIVES - FLOOR VERSION STATE OF OKLAHOMA 2nd Session of the 59th Legislature (2024) HOUSE BILL 3216 By: West (Kevin) of the House and Bullard of the Senate AS INTRODUCED An Act relating to abortion; creating the Oklahoma Life is a Human Right Act; defining terms; prohibiting the prescription or selli ng of medication with the intent to cause an abortion; civil liability; providing for a certain procedure ; providing for informed consent from pare nts or guardians for refusal of treatment; requiring physician to record certain information; directing the State Department of Health to create forms; providing exception for accidental in jury or death; providing for the use of contraceptive s as long as the purpose is not abortion; prohibiting emergency contraception; defining certain conduct as unprofessional; requiring revocation of license or certificate; allowing certain civil action; authorizing Attorney General to bring enforcement actions; providing for the right to intervene; providing for severability; providing for codification; and providing an effecti ve date. BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA: HB3216 HFLR Page 2 BOLD FACE denotes Committee Amendments. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 SECTION 1. NEW LAW A new sect ion of law to be codified in the Oklahoma Statutes as Section 1-758.1 of Title 63, unless there is created a duplication in numb ering, reads as follows: This act shall be known and may be cited as the "Oklahoma Life is a Human Right Act ". SECTION 2. NEW LAW A new section of law to be codified in the Oklahoma Statutes as Section 1-758.2 of Title 63, unless there is created a duplication in numbering, reads as follows: As used in this section: 1. "Abortion" means the act of using or prescribing any instrument, medicine, dr ug, or any other substance , device, or means with the intent to terminate the clinically diagnosable pregnancy of a woman with knowledge that the termination by those means will, with reasonable likelihood, cause the death of the unborn child. Such use, prescription, or means is not an abortion if done with the intent to: a. save the life or preserve the health of the unborn human being, b. remove a dead unborn human being caused by miscarriage, c. remove an ectopic pregnancy, or d. perform a pre-viability separation procedure when such procedure is necessary to preserve the life of the pregnant woman; HB3216 HFLR Page 3 BOLD FACE denotes Committee Amendments. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 2. "Born alive" means the complete expulsion or extraction from the pregnant woman of a human infant, at any stage of development, who, after such expulsion or extraction, breathes, ha s a beating heart, or has definite movement of voluntar y muscles, regardless of whether the umbilical cord has been cut and regardless of whether the expulsion or extraction occurs as a result of natural or induced labor, Cesarean section, pre-viability separation procedure, or other method; 3. "Conception" means t he fusion of a human spermatozoon with a human ovum; 4. "Department" means the State Department of Health; 5. "Ectopic pregnan cy" means the state of carrying an unborn human being outside of the uterine cavity; 6. "Health care provider" means any indivi dual who may be asked to participate in any way in a health care service or proce dure, including, but not limited to, the following: a physician, physician's assistant , nurse, nurse's aide, medical assistant, hospital employee, medical facility employee, or medical clinic employee; 7. "Gestational age" or "probable gestation age" means the ag e of an unborn human being as calculated from the first day of the last menstrual period of the pregnant woman; 8. "Miscarriage" means a spontaneous loss of embry o or fetal life; HB3216 HFLR Page 4 BOLD FACE denotes Committee Amendments. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 9. "Necessary to preserve the life of a pregnant woman" means that, at any point in pregnancy, a pregnant woman's p hysician has determined to a reaso nable degree of medical certainty or probability that the continuation of the pregnan cy will endanger the woman's life due to the pregnancy i tself or due to a medical condition that the woman is either currently suffering or likely to suffer during the pregnancy. In making this determinatio n, absolute certainty is not required; however, a mere po ssibility or speculation shall be insufficient; 10. "Pregnant" means the human female reproductive condition of having a living unborn human being within he r body throughout every stage of the unborn hu man being's life and development, from fertilization to full gestation and childbirth ; 11. "Unborn child" or "unborn human being" means an individual living member of the species Homo sapien from conceptio n to full gestation and childbirth; 12. "Pre-viability" means before that stage of fetal development when, in the reasonable medical judgment of the physician based on t he particular facts of the case before him or her and in light of the most advanced medical technology and information available to him or her, there is a reasonable likelihood of sustained survival of the unborn human being outside the body of his or her mother, with or without artificial support; HB3216 HFLR Page 5 BOLD FACE denotes Committee Amendments. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 13. "Physician" means a person licensed to practice medicine in Oklahoma; 14. "Separation procedure" means a medical procedure performed by a physician to remove an unborn human being from his or her mother's uterus. The term doe s not include an abortion as defined by this act; 15. "Woman" means any person whose biological sex is female based upon the person's genetics and reproductive anatomy. SECTION 3. NEW LAW A new sec tion of law to be codified in the Oklahoma Statutes as Section 1-758.3 of Title 63, unless there is created a dupl ication in numbering, reads as follows: A. No person may knowingly administer to, prescr ibe for, or sell to any pregnant woman any medici ne, drug, or other substance with the specific int ent of causing or abetting an abortion. B. No person may knowingly use or employ any instrument, device, means, or procedure upon a pregnant woman with the specific intent of causing or abetting an abor tion. SECTION 4. NEW LAW A new section of law to be codified in the Oklahoma Statutes as Section 1-758.4 of Title 63, unless there is created a duplication in numbering, reads as follows : A. When performing a pre-viability separation procedure as permitted under this act, the physician shall make re asonable medical efforts under the circumstances to preserve both the life of HB3216 HFLR Page 6 BOLD FACE denotes Committee Amendments. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 the pregnant woman and the life of her unborn child in a manner consistent with reasonable medical practi ce. B. If the child is born alive following a pre-viability separation procedure, an y health care provider present shall exercise the same degree of profe ssional skill, care, and diligence to preserve the life and health of the child as a reasonably diligent and conscientious health care provider would render to any other child born alive at the same gestational age. C. The requirements of this section shall not be construed to prevent a child's parents or guardia n from refusing to give consent to medical treatment or surgical care which is no t medically necessary or reasonable, including care or treatment which: 1. Is not necessary to save the life of the child; 2. Has a potential risk to the child's life or health that outweighs the potential benefit to the child with the treatment or care; or 3. Will do no more than temporarily prolong the act of dying when death is imminent. SECTION 5. NEW LAW A new secti on of law to be codified in the Oklahoma Statutes as Section 1-758.5 of Title 63, unless there is created a duplication in numbering, reads as follows: A. In every case in whic h a physician performs a pre-viability separation procedure as permitted under this act, the physician shall, within fifteen (15) days, cause to be filed with the State HB3216 HFLR Page 7 BOLD FACE denotes Committee Amendments. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 Department of Health, on a form supplied by the Depart ment, a report containing the following information: 1. A unique patient identifier pro vided by the Department that would, if legally required, allow the Department to identify the woman upon whom the pre-viability separation procedure was performed; 2. Date the pre-viability separation procedure was perfor med; 3. The probable gestational age of the unborn human being and the method used to calculate gestational age; 4. A statement declaring that the pre-viability separation procedure was necessary to p reserve the life of the pregnant woman; and 5. Specific medical indications supporting the determination that pre-viability separation procedure was necessary to preserve the life of the pregnant woman. B. The physician shall sign the form as his or her attestation under oath that the information stated the reon is true and correct to the best of his or her knowledge. SECTION 6. NEW LAW A new section of law to be codified in the Oklahoma Statutes as Section 1-758.6 of Title 63, unless there is created a duplication in numbering, reads as follows: A. The State Department of Health shall create the forms required by this act within thirty (30) days after the effective date of this act. No provision of this act requiring the reporting HB3216 HFLR Page 8 BOLD FACE denotes Committee Amendments. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 of information on forms pub lished by the Department s hall be applicable until ten (10) days after the requisite forms have been made available or the effective date of th is act, whichever is later. B. The Department shall establish a confidential system of creating and distributing unique patient identifier s to be used for the reporting requirements of thi s act. It shall create this system within thirty (30) days after the effective date of this act. C. Unless required by a court order, t he Department shall not release personally identifiable patient or physician information obtained under this act. SECTION 7. NEW LAW A new section of law to be cod ified in the Oklahoma Statutes as Section 1-758.7 of Title 63, unless there is created a duplication in numberin g, reads as follows: A. Medical treatment provided to the pregnant woman by a physician which results in the accidental or unintentional injury to or the death of her unborn child is not a violation of Section 3 of this act. B. Nothing in this act may be construed to prohibit the use, sale, prescription, or admi nistration of a contraceptive measure, drug, chemical, or device if the contraceptive measure, drug, chemical, or device is used, sold, prescribed, or administered in accordance with manufacturer i nstructions and is not use d, sold, prescribed, or administered with the spec ific intent to cause or HB3216 HFLR Page 9 BOLD FACE denotes Committee Amendments. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 induce an abortion or to prevent the implantation of a fertilized egg. SECTION 8. NEW LAW A new section of law to be codified in the Oklahoma Statutes as S ection 1-758.8 of Title 63, unless there is created a duplication in numbering, reads as fol lows: A. A physician who intentionally or knowingly violates the prohibition in Section 3 of this act commits an act of unprofessional conduct and his or her licen se to practice medicine in Oklahoma shall be suspended or revoked for a minimum of one (1) year pursuant to Title 435 of the Oklahoma Administrative Code. B. In addition to whatever rem edies are available under the common or statutory law of this state, f ailure to comply with the requirements of this act shall provide a basis for a civil malpractice action for actual and punitive damages. C. No civil penalty may be assessed against a pregnant woman. SECTION 9. NEW LAW A new section of law to be codified in the Oklahoma Statutes as Section 1-758.9 of Title 63, unless there is created a duplication in numbering, reads as follows: The Oklahoma Attorney General shall have author ity to bring an action in law or equity to enforce the provisions of this act on behalf of the State Commissioner of Health. SECTION 10. NEW LAW A new section of law to be codified in the Oklahoma Statutes a s Section 1-758.10 of Title 63, unless there is created a duplication in numbering, read s as follows: HB3216 HFLR Page 10 BOLD FACE denotes Committee Amendments. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 The Speaker of the Oklahoma House of Representatives may appoint one or more of its members to intervene as a matter of right in any case in which the con stitutionality or enforceabi lity of this act is challenged pursuant to Section 2024 of Title 12 of the Oklahoma Statutes. SECTION 11. NEW LAW A new sectio n of law to be codified in the Oklahoma Statutes as Section 1-758.11 of Title 63, unless there is created a duplication in numbering, r eads as follows: It is the intent of the Oklahoma Legislature that ever y provision of this act shall operate with equal f orce and shall be severable one from the other and that, in the event that any provision of this act shall be held invalid or unenforceable by a court of competent jurisdiction, said provision shall be deem ed severable and the remaining provisions of this act deemed fully enforceable. SECTION 12. This act shall become effective November 1, 2024. COMMITTEE REPORT BY: COMMITTEE ON PUBLIC HEALTH, dated 02/ 15/2024 - DO PASS, As Coauthored.