HB3955 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 Legislatur e (2024) HOUSE BILL 3955 By: Blancett and Roe AS INTRODUCED An Act relating to childbirth and mental health; amending 63 O.S. 2021, Section 1 -740.16, which relates to definitions used in the Choo sing Childbirth Act; modifying definition ; amending 63 O.S. 2021, Section 1 -740.17, which relates to grants to private organizations for services ; modifying grantmaking authority of the State Department of Health; describing methods of making grants and approving grant amounts; stipulating a dditional reimbursable services; extending time period of certain services; including the State Department of Mental Health and Substance Abuse S ervices; amending 63 O.S. 2021, Section 1-740.18, which relates to grant compliance and monitoring; conforming language; providing an effective date ; and declaring an emergency. BE IT ENACTED BY THE PE OPLE OF THE STATE OF OKLAHOMA: SECTION 1. AMENDATORY 63 O.S. 2021, Section 1 -740.16, is amended to read as follows: Section 1-740.16 As used in the Choosing Childbirth Act: 1. "Abortion" means the use or prescription of any instrument, medicine, drug or any other substance or device to intenti onally: HB3955 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 a. kill the unborn child of a woman known to be pregnant, or b. terminate the pregnancy of a woman known to be pregnant, with an intention other than: (1) after viability of the unborn child, to produce a live birth and preserve the life and health of the child born alive , or (2) to remove a dead unborn child; 2. "Unborn child" means an individual organism of the species Homo sapiens from fertilization until birth; and 3. "Grant-supervising entity" means a private entity which approves all grants made under the Choosing Childbirth Act that are not directly made to private organizations by the State Department of Health for reimbursement of services provided under the Choosing Childbirth Act and which: a. is organized as a not-for-profit corporation in Oklahoma this state and as a 501(c)3 entity under the federal Internal Revenue Code, and b. does not encourage or counsel any woman to have an abortion not necessary to prevent her death, to provide her such an abortion or to r efer her for such an abortion, and does not accept funds or services knowingly from any entity which performs abortions or receives money for abortions. HB3955 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 SECTION 2. AMENDATORY 63 O.S. 2021, Section 1 -740.17, is amended to read as follo ws: Section 1-740.17 A. The State Department of Health and the Oklahoma Department of Mental Health and Substance Abuse Services shall make grants, as directed in subsection B of this section, from funds appropriated by the Legislature specifically for this purpose, to a grant-supervising entity for the purpose of reimbursing for the Choosing Childbirth Act. B. The purpose of the grants shall be to reimburse private organizations in Oklahoma this state for the reasonable expenses of programs providing the following services listed in subsection C of this section. The Depar tments shall make grants either: 1. Directly to the private organizations; 2. To one or more grant -supervising entities, who shall reimburse the private organizations; or 3. Both directly to the private organizations and to one or more grant-supervising entities, who shall reimburse the private organizations. C. Reimbursable services provided under the Choosing Childbirth Act shall include: 1. Providing information on, referral to and assistance in securing the services of relevant existing programs or agencies that assist women in Oklahoma this state to carry their children to term, and/or providing services that assist women to carry their children HB3955 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 to term including, but not limited to, agencies and pr ograms that will provide: a. medical attention for the pregnant woman for the duration of her pregnancy including, but not limited to, obstetric ultrasounds, b. mental health and substance abuse services, c. nutritional support services, d. housing assistance, e. transportation assistance, f. adoption services, g. education and employment assistance , and h. parenting education and support services; 2. Providing women in Oklahoma this state, in person and through community outreach, informa tion and/or services that encourage and assist them to carry their children to term; and 3. Providing services including, but not limited to, healthcar e services to mothers and infants up to three (3) years postpartum for the purpose of reducing the rates of maternal mort ality and infant mortality in this state by three percent (3%) within five (5) years of the effective date of this act not later than July 1, 2026; provided, however, no funds shall be provided to an organization that provides, or whose affiliates provide, abortion services. B. D. To be eligible for a service grant, an organization shall: HB3955 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 1. Be registered with the Oklahoma Secretary of State as a not- for-profit corporation located in Oklahoma or be a certified treatment provider by the Oklahoma Department of Mental Health and Substance Abuse Services.; 2. Have the grant amount approved by a: a. the grant-supervising entity, if the grant was provided to the private organization by a grant - supervising entity, or b. if the grant was provided directly, by the State Department of Health or the Oklahoma Depart ment of Mental Health and Substance Abuse Services ; 3. For services described in p aragraphs 1 and 2 of subsection A C of this section, provide each pregnant woman counseled with accurate information on the developmental characteristics of unborn children including offering the printed information described in Section 1-738.3 of Title 63 of the Oklahoma Statutes; 4. Assure that the grant 's sole purposes are to assist and encourage women to carry their child ren to term and to maximize their potentials there after as provided in paragraphs 1 and 2 of subsection C of this section or to reduce the rates of maternal mortality and infant mortality in this state as provided in paragraph 3 of subsection A C of this section; and 5. Assure that none of the funds prov ided pursuant to the Choosing Childbirth Act, nor any other funds or services provi ded by HB3955 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 organization, are used to encourage or counsel a woman to have an abortion not necessary to prevent her death, t o provide her such an abortion or to refer her for such an abortion. SECTION 3. AMENDATORY 63 O.S. 2021, Section 1 -740.18, is amended to read as follows: Section 1-740.18 The State Department of Health shall make grants to a grant-supervising entity under the Choosing Childbirth Act from funds appropriated by the Legislature specifically for this purpose. The State Department of He alth shall annually monitor and review the any grant-supervising entity participating in the Choosing Childbirth act and any private organization dire ctly receiving a service grant from the Department to assure ensure that the grant-supervising entity or private organization carefully adheres to the purposes and requirements of the Cho osing Childbirth Act, and it. The Department shall cease funding a g rant-supervising entity or private organization that fails to do so adhere to such purposes and requirements if the Department proves specific findings of noncompliance, subject to judicia l review. SECTION 4. This act shall become effectiv e July 1, 2024. SECTION 5. It being immediately necessary for the preservation of the public peace, health or safety, an emergency is hereby declared to exist, by reason whereof thi s act shall take effect and HB3955 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 be in full force from and aft er its passage and approval. COMMITTEE REPORT BY: COMMITTEE ON PUBLIC HEALTH, dated 02/15/2024 - DO PASS, As Coauthored.