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Oklahoma Senate Bill SB834

Oklahoma 2024 Regular Session

Oklahoma Senate Bill SB834 Compare Versions

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28+STATE OF OKLAHOMA
29+
30+1st Session of the 59th Legislature (2023)
3231
3332 COMMITTEE SUBSTITUTE
3433 FOR
35-SENATE BILL NO. 834 By: Daniels
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34+SENATE BILL 834 By: Daniels
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40+COMMITTEE SUBSTITUTE
4041
4142 An Act relating to abortion; amending 21 O.S. 2021,
4243 Section 861, which relates to crimes and punishments;
4344 adding and modifying circumstances under which
4445 certain acts are not criminal offenses; listing
4546 additional acts that are not cri minal offenses;
4647 requiring certain reporting of abortion; defining
4748 terms; amending 59 O.S. 2021, Section s 509 and 637,
4849 which relate to unprofessional conduct by physicians ;
4950 modifying and adding certain exceptions; requiring
5051 certain reporting of abortion; defining terms;
5152 amending 63 O.S. 2021, Section 1 -731.3, which relates
5253 to abortion; modifying and adding certain exceptions;
5354 requiring certain reporting of abortion; defining
5455 terms; amending Section 1, Chapter 11, O.S.L. 2022
5556 (63 O.S. Supp. 2022, Section 1-731.4), which relates
5657 to abortion; adding and modifying definitions;
5758 clarifying applicability of certain provisi on; adding
5859 and modifying exceptions to certain prohibition;
5960 removing duplicative language; requiring certain
6061 reporting of abortion; amending 63 O.S. 2021, Section
6162 1-732, which relates to abortion; modifying and
6263 adding certain exceptions; removing duplicative
6364 language; modifying applicability of certain
6465 provisions; making language gender neutral; requiring
6566 certain reporting of abortion; defining terms;
6667 amending 63 O.S. 2021, Section 1 -745.2, which relates
6768 to definitions used in the Pain-Capable Unborn Child
6869 Protection Act; modifying definitions; amending 63
6970 O.S. 2021, Section 1 -745.4, which relates to a bortion
7071 requirements; modifying applicability of certain
7172 provision; modifying and adding certain exceptions;
7273 requiring certain reporting of abortion; amending 63
7374 O.S. 2021, Section 1-745.5, which relates to
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74101 abortion; modifying applicability of certain
75102 provision; amending Section 2, Chapter 190, O.S.L.
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103103 2022 (63 O.S. Supp. 2022, Section 1-745.32), which
104104 relates to definitions used in the Oklahoma Heartbeat
105105 Act; updating statutory reference; defining terms;
106106 amending Section 3, Chapter 190, O.S.L. 2022 (63 O .S.
107107 Supp. 2022, Section 1-745.33), which relates to
108108 determining presence of fetal heartbeat; clarifying
109109 applicability of certain provisi on; adding and
110110 updating statutory refer ences; amending Section 4,
111111 Chapter 190, O.S.L. 202 2 (63 O.S. Supp. 2022, Section
112112 1-745.34), which relates to abortion prohibition if
113113 heartbeat detected; clarifying applicability of
114114 certain provision; adding and updating statutory
115115 references; amending Section 5, Chapter 190, O.S.L.
116116 2022 (63 O.S. Supp. 2022, Section 1-745.35), which
117117 relates to medical emergency; modifying exception;
118118 updating statutory references; adding certain
119119 exception; requiring certain reporting of abortion;
120120 amending Section 1, Chapter 321, O.S.L. 2022 (63 O.S.
121121 Supp. 2022, Section 1-745.51), which relates to
122122 definitions; adding and modifying definitions;
123123 amending Section 2, Chapter 3 21, O.S.L. 2022 (63 O.S.
124124 Supp. 2022, Section 1-745.52), which relates to
125125 abortion prohibition; clarifying applicability of
126126 certain provision; modifying exceptions; updating
127127 statutory references; requiring certain reporting of
128128 abortion; requiring abortion performed under certain
129129 exceptions to be reported to State Department of
130130 Health on certain form; restricting type of
131131 information requested; requiring abortion provider to
132132 state proper exception and include other required
133133 information; requiring Department to compile reported
134134 information into annual statistical report ; directing
135135 certain publication and submission of report;
136136 requiring promulgati on of certain rules; repealing 63
137137 O.S. 2021, Sections 1-733 and 1-745.6, which relate
138138 to abortion; updating statutory language; providing
139139 for codification; and declaring an emergency.
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142142
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145143 BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:
146144 SECTION 1. AMENDATORY 21 O.S. 2021, Section 861, is
147145 amended to read as follows:
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175172 Section 861. A. Every person who administers to any woman, or
176173 who prescribes for any woman, or advises or procures an y woman to
177174 take any medicine, drug or substance, or uses or employs any
178175 instrument, or other means wh atever, with intent thereby to procure
179176 the miscarriage of such woman an abortion, unless the same:
180177 1. The abortion is necessary to preserve her life due to a
181178 medical emergency as defined in subsection D of this section; or
182179 2. The pregnancy is the result of:
183180 a. rape or sexual assault that has been reported to law
184181 enforcement, or
185182 b. incest of a minor that has been reported to law
186183 enforcement,
187184 shall be guilty of a fe lony punishable by impriso nment in the State
188185 Penitentiary for not less than two (2) years nor more than five (5)
189186 years.
190187 B. 1. The use, prescription, administration, procuring, or
191188 selling of any type of contraception shall not be a violation of
192189 subsection A of this section if the contraception is administered
193190 before the time when a pregnancy coul d be determined through
194191 conventional medical testing .
195192 2. An act related to in vitro fertilization or otherwise
196193 related to the diagnosis or treatment of infertility or the
197194 preservation of fertility by a licensed healthcare provider acting
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225221 lawfully and within the scope of his or her practice shall not be a
226222 violation of subsection A of this section.
227223 3. An act is not a violation of subsection A of this section if
228224 performed with the purpose to:
229225 a. save the life or preserve the health of the unborn
230226 child,
231227 b. remove a dead unborn child whose death was caused by
232228 miscarriage or spontaneous abortion, or
233229 c. remove an ectopic pregnancy.
234230 C. Any abortion performed or induced under an exception
235231 provided by subsection A of this section or performed or induced to
236232 remove an ectopic pregnancy shall be reported by the abortion
237233 provider to the State Department of Health in accordance with
238234 Section 18 of this act.
239235 D. As used in this section:
240236 1. “Medical emergency” means a condition that, in reasonable
241237 medical judgment:
242238 a. cannot be remedied by delivery of the child , and
243239 b. so complicates the medical c ondition of the preg nant
244240 woman as to necessitate the immediate abortion of her
245241 pregnancy to avert her death or for which a delay will
246242 create serious risk of substantial and irrever sible
247243 physical impairment of a major b odily function, not
248244 including psychological or emotional c onditions. A
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276271 condition is not a medical e mergency if it is based o n
277272 a claim, diagnosis, or determination that the woman
278273 may engage in conduct which she intends to result in
279274 her death or in the subs tantial and irreversible
280275 physical impairment of a major bo dily function; and
281276 2. “Reasonable medical judgment ” means a medical judgment that
282277 would be made by a reasonably prud ent physician who is knowledgeable
283278 about the case and the treatment possibilities with respect to the
284279 medical conditions involved .
285280 SECTION 2. AMENDATORY 59 O.S. 2021, Section 509, is
286281 amended to read as follows:
287282 Section 509. The words “unprofessional conduct” as used in
288283 Sections 481 through 518.1 of this title are hereby declared to
289284 include, but shall not be limited to, the following:
290285 1. Procuring, aiding or abetting a criminal operation;
291286 2. The obtaining of any fee or offering to accept any fee,
292287 present or other form of remuneration whatsoever, on the assurance
293288 or promise that a manifestly incurable disease can or will be cured;
294289 3. Willfully betraying a professional secret to the detriment
295290 of the patient;
296291 4. Habitual intemperance or the habitual use of habit-forming
297292 drugs;
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325319 5. Conviction or confession of, or plea of guilty, nolo
326320 contendere, no contest or Alford plea to a felony or any offense
327321 involving moral turpitude;
328322 6. All advertising of medical business in which statements are
329323 made which are grossly untrue or impro bable and calculated to
330324 mislead the public;
331325 7. Conviction or confession of, or plea of guilty, nolo
332326 contendere, no contest or Alford plea to a crime involving v iolation
333327 of:
334328 a. the antinarcotic or prohibition laws and regul ations
335329 of the federal government,
336330 b. the laws of this state,
337331 c. State Commissioner of Health rules, or
338332 d. a determination by a judge or jury;
339333 8. Dishonorable or immoral conduct which is likely to deceive,
340334 defraud, or harm the public;
341335 9. The commission of any act which is a violation of the
342336 criminal laws of any state when such act is connected with the
343337 physician’s practice of medicine. A complaint, indictment or
344338 confession of a criminal violati on shall not be necessary for the
345339 enforcement of this provisio n. Proof of the commission of th e act
346340 while in the practice of medicine or under the guise of the practice
347341 of medicine shall be unprofessional conduct;
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375368 10. Failure to keep complete and accurat e records of purchase
376369 and disposal of controlled drugs or of n arcotic drugs;
377370 11. The writing of false or fictitious prescriptions for any
378371 drugs or narcotics declared by the laws of this state to be
379372 controlled or narcotic drugs;
380373 12. Prescribing or adminis tering a drug or treatment without
381374 sufficient examination and the establishment of a valid phys ician-
382375 patient relationship and not prescribing in a safe, medically
383376 accepted manner;
384377 13. The violation, or attempted violation, direct or indirect,
385378 of any of the provisions of the Oklahoma Allopathic Medical and
386379 Surgical Licensure and Supervision Act, eit her as a principal,
387380 accessory or accomplice;
388381 14. Aiding or abetting, directly or indirectly, the practice of
389382 medicine by any person not duly authorized under th e laws of this
390383 state;
391384 15. The inability to practice medicine with reasonable skill
392385 and safety to patients by reason of age, illness, drunkenness,
393386 excessive use of drugs, narcotics, chemicals, or any other type of
394387 material or as a result of any mental or p hysical condition. In
395388 enforcing this section the State Board of Medical Licensure and
396389 Supervision may, upon probable cause, request a physician to submit
397390 to a mental or physical examination by physicians designated by it.
398391 If the physician refuses to subm it to the examination, the Board
399392
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426418 shall issue an order requirin g the physician to show cause why the
427419 physician will not submit to the examination and shall schedule a
428420 hearing on the order within thirty (30) days after notice is served
429421 on the physician, excl usive of the day of service. The physician
430422 shall be notified by either personal service or by certified mail
431423 with return receipt requested. At the hearing, the physician and
432424 the physician’s attorney are entitled to present any testimony and
433425 other evidence to show why the physician should not be required to
434426 submit to the examination. After a compl ete hearing, the Board
435427 shall issue an order either requiring the physician to submit to the
436428 examination or withdrawing the request for examination. The medical
437429 license of a physician ordered to submit for examination may b e
438430 suspended until the results of the examination are received and
439431 reviewed by the Board;
440432 16. a. Prescribing, dispensing or administering of controlled
441433 substances or narcotic drugs in excess of t he amount
442434 considered good medical practice,
443435 b. Prescribing, dispensing or administering control led
444436 substances or narcotic drugs without medical need in
445437 accordance with pertinent licensing board standards,
446438 or
447439 c. Prescribing, dispensing or administering opio id drugs
448440 in excess of the maximum limits authorized in Section
449441 2-309I of Title 63 of the Oklaho ma Statutes;
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477468 17. Engaging in physical conduct with a patient which is sexual
478469 in nature, or in any verbal behavior which is seductive or sexually
479470 demeaning to a patient;
480471 18. Failure to maintain an office record for each pa tient which
481472 accurately reflects t he evaluation, treatment, and medical necessity
482473 of treatment of the patient;
483474 19. Failure to provide necessary ongoing medical treatment when
484475 a doctor-patient relationship has been established, which
485476 relationship can be sev ered by either party providing a reasonable
486477 period of time is granted;
487478 20. a. Performance of an abortion as defined by Section 1 -730
488479 of Title 63 of the Oklahoma Statutes, except for an
489480 abortion necessary to prevent the death of the mother
490481 or to prevent substantial or irreversible physi cal
491482 impairment of the mother that substantially increases
492483 the risk of death. The performance of an abortion on
493484 the basis of the mental or emotional health of the
494485 mother shall be a violation of this paragraph,
495486 notwithstanding a claim or diagnosis that the woman
496487 may engage in conduct which she intends to result in
497488 her death, unless:
498489 (1) the abortion is necessary due to a medical
499490 emergency as defined in subparagraph d of this
500491 paragraph, or
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528518 (2) the pregnancy is the result of:
529519 (a) rape or sexual assault that ha s been
530520 reported to law enforcement, or
531521 (b) incest of a minor that has been reported to
532522 law enforcement.
533523 b. The Board shall impose a penalty as provided in
534524 Section 509.1 of this title on a licensee who violates
535525 this paragraph. The penalty shall include, bu t not be
536526 limited to, suspension of the license for a period of
537527 not less than one (1) year .
538528 c. Any abortion performed or induced under an exception
539529 provided by subparagraph a of this paragraph or
540530 performed or induced to remove an ectopic pregnancy
541531 shall be reported by the physician to the State
542532 Department of Health in accordance with Section 18 of
543533 this act.
544534 d. As used in this paragraph:
545535 (1) “abortion” means the act of using, prescribing,
546536 administering, procuring, or selling of any
547537 instrument, medicine, drug, or any other
548538 substance, device, or means with the purpose to
549539 terminate the pregnancy of a wom an, with
550540 knowledge that the termination by any of those
551541 means will with reasonable likelihood cause the
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579568 death of an unborn child. It does not include
580569 the use, prescription, administration, procuring,
581570 or selling of any type of contraception if the
582571 contraception is administered before the time
583572 when a pregnancy could be determined through
584573 conventional medical testing . It does not
585574 include any act related to in vitro fertilization
586575 or otherwise related to the diagnosis or
587576 treatment of infertility or the preservation of
588577 fertility by a licensed healthcare provider
589578 acting lawfully and within the scope of his or
590579 her practice. An act is not an abortion if the
591580 act is performed with the purpose to:
592581 (a) save the life or preserve the h ealth of the
593582 unborn child,
594583 (b) remove a dead unborn child whose death was
595584 caused by miscarriage or spontaneous
596585 abortion, or
597586 (c) remove an ectopic pregnancy,
598587 (2) “medical emergency” means a condition that, in
599588 reasonable medical judgment :
600589 (a) cannot be remedied by delivery of the child ,
601590 and
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629617 (b) so complicates the medical c ondition of the
630618 pregnant woman as to neces sitate the
631619 immediate abortion of her pregnancy to avert
632620 her death or for which a delay wi ll create
633621 serious risk of substantial and irreversible
634622 physical impairment of a major b odily
635623 function, not including psycholo gical or
636624 emotional conditions. A conditio n is not a
637625 medical emergency if it is based on a claim,
638626 diagnosis, or determination that the woman
639627 may engage in conduct which she intends to
640628 result in her death or in the subs tantial
641629 and irreversible physical impa irment of a
642630 major bodily function, and
643631 (3) “reasonable medical judgment ” means a medical
644632 judgment that would be made by a reasonably
645633 prudent physician who is knowledgeable about the
646634 case and the treatment possibilities with respect
647635 to the medical conditions involved ; or
648636 21. Failure to provide a p roper and safe medical facility
649637 setting and qualified assis tive personnel for a recognized medical
650638 act, including but not limited to an initial in -person patient
651639 examination, office surgery, diagnostic service or any other medical
652640 procedure or treatment. Adequate medical records to support
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680667 diagnosis, procedure, t reatment or prescribed medications must be
681668 produced and maintained.
682669 SECTION 3. AMENDATORY 59 O.S. 2021, Section 637, is
683670 amended to read as follows:
684671 Section 637. A. The State Board of Osteopathic Examiners may
685672 refuse to admit a person to an examination or may refuse to issue or
686673 reinstate or may suspend or revoke any license issued or reinstated
687674 by the Board upon proof that the applicant or holder of such a
688675 license:
689676 1. Has obtained a license, license renewal or authorization to
690677 sit for an examination, as the c ase may be, through fraud,
691678 deception, misrepresentation or bribery; or has been granted a
692679 license, license renewal or authorization to sit for an examination
693680 based upon a material mistake of fact;
694681 2. Has engaged in the use or employment of dishonesty, fra ud,
695682 misrepresentation, fals e promise, false pretense, unethical conduct
696683 or unprofessional conduct, as may be determined by the Board, in the
697684 performance of the functio ns or duties of an osteopathic physician,
698685 including but not limited to the following:
699686 a. obtaining or attempting to obtain any fee, charge,
700687 tuition or other compensation by fraud, deception or
701688 misrepresentation; willfully and continually
702689 overcharging or overtreating patients; or charging for
703690
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730716 visits to the physicia n’s office which did not occur
731717 or for services which were not rendered,
732718 b. using intimidation, coercion or deception to obtain or
733719 retain a patient or discourage the use of a second
734720 opinion or consultation,
735721 c. willfully performing inappropriate or unnecessa ry
736722 treatment, diagnostic tests or osteopathic medical or
737723 surgical services,
738724 d. delegating professional responsibilities to a person
739725 who is not qualified by training, skill, competency,
740726 age, experience or licensure to perform them, noting
741727 that delegation may only occur within an appropr iate
742728 doctor-patient relationship, wherein a proper patient
743729 record is maintained including, but not limited to, at
744730 the minimum, a current history and physical,
745731 e. misrepresenting that any disease, ailment, or
746732 infirmity can be cured by a method, procedure,
747733 treatment, medicine or devic e,
748734 f. acting in a manner which results in final disciplinary
749735 action by any professional society or association or
750736 hospital or medical staff of such hospital in this or
751737 any other state, whether agreed to voluntarily or not,
752738 if the action was in any way rela ted to professional
753739 conduct, professional competence, malpractice or any
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781766 other violation of the Oklahoma Osteopathic Medicine
782767 Act,
783768 g. signing a blank prescription form; or dispensing,
784769 prescribing, administering or otherwise distr ibuting
785770 any drug, controlled substance or other treatment
786771 without sufficient examination or the establishment of
787772 a physician-patient relationship, or for other than
788773 medically accepted therapeutic or experimental or
789774 investigational purpose duly authorized b y a state or
790775 federal agency, or not in good faith to relieve pain
791776 and suffering, or not to treat an ailment, physical
792777 infirmity or disease, or violating any state or
793778 federal law on controlled dangerous substances
794779 including, but not limited to, prescribing, dispensing
795780 or administering opioid drugs in excess of the maximum
796781 limits authorized in Section 2 -309I of Title 63 of the
797782 Oklahoma Statutes,
798783 h. engaging in any sexual activity within a physician -
799784 patient relationship,
800785 i. terminating the care of a patient wi thout adequate
801786 notice or without making other arrangements for the
802787 continued care of the patient,
803788 j. failing to furnish a copy of a patient ’s medical
804789 records upon a proper request from the patient or
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832816 legal agent of the patient or another physician; or
833817 failing to comply with any othe r law relating to
834818 medical records,
835819 k. failing to comply with any subpoena issued by the
836820 Board,
837821 l. violating a probation agreement or order w ith this
838822 Board or any other agency, and
839823 m. failing to keep complete and accurate records of
840824 purchase and disposal of controlled drugs or narcotic
841825 drugs;
842826 3. Has engaged in gross negligence, gross malpractice or gross
843827 incompetence;
844828 4. Has engaged in repeat ed acts of negligence, malpractice or
845829 incompetence;
846830 5. Has been finally adjudicated and found guilty, or entered a
847831 plea of guilty or nolo contendere in a criminal prosecution, for any
848832 offense reasonably related to the qualifications, functions or
849833 duties of an osteopathic physician, whether or not sentence is
850834 imposed, and regardless of the pen dency of an appeal;
851835 6. Has had the authority to engage in the activities regulated
852836 by the Board revoked, suspended, restricted, modified or limited, or
853837 has been reprimanded, warned or censured, probated or otherwise
854838 disciplined by any other state or feder al agency whether or not
855839 voluntarily agreed to by the physician including, but not limited
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883866 to, the denial of licensure, surrender of the license, permit or
884867 authority, allowing the license, permit or authority to expire or
885868 lapse, or discontinuing or limitin g the practice of osteopath ic
886869 medicine pending disposition of a complaint or completion of an
887870 investigation;
888871 7. Has violated or failed to comply with provisions of an y act
889872 or regulation administered by the Board;
890873 8. Is incapable, for medical or psychiatr ic or any other good
891874 cause, of discharging the functions of an osteopathic physician in a
892875 manner consistent with the public ’s health, safety and welfare;
893876 9. Has been guilty of advertising by means of knowingly false
894877 or deceptive statements;
895878 10. Has been guilty of advertising, prac ticing, or attempting
896879 to practice under a name other than one ’s own;
897880 11. Has violated or refused to comply with a lawful order of
898881 the Board;
899882 12. Has been guilty of habitual drunkenness, or habitual
900883 addiction to the use of morphine, cocaine or other habit -forming
901884 drugs;
902885 13. Has been guilty of personal offensive behavior, which would
903886 include, but not be limited to, obscenity, lewdness, and
904887 molestation;
905888 14. a. Has performed an abortion as defined by Section 1-730
906889 of Title 63 of the Oklahoma Statutes, except for an
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934916 abortion necessary to prevent the death of the mother
935917 or to prevent substantial or irreversible physical
936918 impairment of the mother th at substantially increases
937919 the risk of death. The performa nce of an abortion on
938920 the basis of the mental or emotional health of the
939921 mother shall be a violation of this paragraph,
940922 notwithstanding a claim or diagnosis that the woman
941923 may engage in conduct whi ch she intends to result in
942924 her death, unless:
943925 (1) the abortion is necessary due to a medical
944926 emergency as defined in subparagraph d of this
945927 paragraph, or
946928 (2) the pregnancy is the result of:
947929 (a) rape or sexual assault that has been
948930 reported to law enforcem ent, or
949931 (b) incest of a minor that has been reported to
950932 law enforcement.
951933 b. The Board shall impose a penalty as provided in this
952934 section and in Section 6 37.1 of this title on a
953935 licensee who violates this paragraph. The penalty
954936 shall include, but not be li mited to, suspension of
955937 the license for a period of not less than one (1)
956938 year.
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984965 c. Any abortion performed or induced under an exception
985966 provided by subparagraph a of this paragraph or
986967 performed or induced to remove an ectopic pregnancy
987968 shall be reported by the physician to the State
988969 Department of Health in accorda nce with Section 18 of
989970 this act.
990971 d. As used in this paragraph:
991972 (1) “abortion” means the act of using, prescribing,
992973 administering, procuring, or selling of any
993974 instrument, medicine, drug, or any other
994975 substance, device, or means with the purpose to
995976 terminate the pregnancy of a woman, with
996977 knowledge that the termination by any of those
997978 means will with reasonable likelihood cause the
998979 death of an unborn child. It does not include
999980 the use, prescription, administration, procuring,
1000981 or selling of any type of contraception if the
1001982 contraception is administered before the time
1002983 when a pregnancy could be determined through
1003984 conventional medical testing . It does not
1004985 include any act related to in vitro fertilization
1005986 or otherwise related to the diagnosis or
1006987 treatment of infertility or the preservation of
1007988 fertility by a licensed healthcare provider
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10351015 acting lawfully and within the scope of his or
10361016 her practice. An act is not an abortion if the
10371017 act is performed with the purpose to:
10381018 (a) save the life or preserve the h ealth of the
10391019 unborn child,
10401020 (b) remove a dead unborn child whose death was
10411021 caused by miscarriage or spontaneous
10421022 abortion, or
10431023 (c) remove an ectopic pregnancy,
10441024 (2) “medical emergency” means a condition that, in
10451025 reasonable medical judgment :
10461026 (a) cannot be remedied by delivery of the child,
10471027 and
10481028 (b) so complicates the medical c ondition of the
10491029 pregnant woman as to necessitate the
10501030 immediate abortion of her pregnancy to avert
10511031 her death or for which a delay will create
10521032 serious risk of substantial and irreversible
10531033 physical impairment of a major bodily
10541034 function, not including psycholo gical or
10551035 emotional conditions. A condition is not a
10561036 medical emergency if it is based on a claim,
10571037 diagnosis, or determination that the woman
10581038 may engage in conduct which she intends to
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10861065 result in her death or in the substantial
10871066 and irreversible physical impa irment of a
10881067 major bodily function, and
10891068 (3) “reasonable medical judgment ” means a medical
10901069 judgment that would be made by a reasonably
10911070 prudent physician who is knowledgeable about the
10921071 case and the treatment possibilities with respect
10931072 to the medical conditions involved ; or
10941073 15. Has been adjudicated to be insane, or incompetent, or
10951074 admitted to an institution for the treatment of psychiatric
10961075 disorders.
10971076 B. The State Board of Osteopathic Examiners shall neith er
10981077 refuse to renew, nor suspend, nor revoke any license, however, for
10991078 any of these causes, unless the person accused has been given at
11001079 least twenty (20) days’ notice in writing of the charge agains t him
11011080 or her and a public hearing by the Board; provided, t hree-fourths
11021081 (3/4) of a quorum present at a meeting may vote to suspend a license
11031082 in an emergency situation if the licensee affected is prov ided a
11041083 public hearing within thirty (30) days of the emer gency suspension.
11051084 C. The State Board of Osteopathic Examin ers shall have the
11061085 power to order or subpoena the attendance of witnesses, the
11071086 inspection of records and premises and the production of rele vant
11081087 books and papers for the investigation of matters th at may come
11091088 before them. The presiding officer of the Boar d shall have the
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11371115 authority to compel the giving of testimony as is conferred on
11381116 courts of justice.
11391117 D. Any osteopathic physician in the State of Oklahoma this
11401118 state whose license to practice osteop athic medicine is revoked or
11411119 suspended under this section s hall have the right to seek judicial
11421120 review of a ruling of the Board pursuant to the Administrative
11431121 Procedures Act.
11441122 E. The Board may enact rules and r egulations pursuant to the
11451123 Administrative Procedures Act setting out additional acts of
11461124 unprofessional conduct, which acts shall be grounds for refusal to
11471125 issue or reinstate, or for action to condition, suspend or revoke a
11481126 license.
11491127 SECTION 4. AMENDATORY 63 O.S. 2021, Section 1-731.3, is
11501128 amended to read as follows:
11511129 Section 1-731.3. A. No person shall perform or induce an
11521130 abortion upon a pregnant woman without first detecting whether or
11531131 not her unborn child has a heartbeat. No person shall perform or
11541132 induce an abortion upon a pregnant woman after such time as her
11551133 unborn child has been determined to have a detectable heartbeat
11561134 except if, in reasonable medical judgment, she has a condition that
11571135 so complicates her medical condition that it necessitates the
11581136 abortion of her pregna ncy to avert her death or to avert s erious
11591137 risk of substantial and irreversible physical impairment of a major
11601138 bodily function, not including psychological or emotional
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11881165 conditions. No such condition may be determined to exist if it is
11891166 based on a claim or diagnosis that the woman will engage in conduct
11901167 which she intends to result in her death or in substantial and
11911168 irreversible physical impairment of a major bodily function .
11921169 B. A “detectable heartbeat ” shall mean Subsection A of this
11931170 section shall not apply :
11941171 1. If the abortion is necessary due to a medical emerge ncy as
11951172 defined in subsection D of this section; or
11961173 2. If the pregnancy is the result of :
11971174 a. rape or sexual assault that has been reported to law
11981175 enforcement, or
11991176 b. incest of a minor that has been reported to law
12001177 enforcement.
12011178 C. Any abortion performed or induced under an exception
12021179 provided by subsection B of this section , performed or induced to
12031180 remove an ectopic pregnancy, or performed or induced in compliance
12041181 with subsection A of this section shall be reported by the abortion
12051182 provider to the State Department of Health in accordance with
12061183 Section 18 of this act.
12071184 D. As used in this section:
12081185 1. “Abortion” means the act of using, prescribing,
12091186 administering, procuring, or selling of any i nstrument, medicine,
12101187 drug, or any other substance, device, or means with the purpose to
12111188 terminate the pregnancy of a wom an, with knowledge that the
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12391215 termination by any of those means will with reasonable likelihood
12401216 cause the death of an unborn child. It does not include the use,
12411217 prescription, administration, procuring, or selling of any type of
12421218 contraception if the contraception is administered before the time
12431219 when a pregnancy could be determined through conventional medical
12441220 testing. It does not include any act related to in vitro
12451221 fertilization or otherwise related to the diagnosis or treatment of
12461222 infertility or the preservation of fertility by a licensed
12471223 healthcare provider acting lawfully and within the scope of his or
12481224 her practice. An act is not an abortion if the act is performed
12491225 with the purpose to:
12501226 a. save the life or preserve the health of the unborn
12511227 child,
12521228 b. remove a dead unborn child whose death was caused by
12531229 miscarriage or spontaneous abortion , or
12541230 c. remove an ectopic pregnancy;
12551231 2. “Detectable heartbeat ” means embryonic or fetal cardiac
12561232 activity or the steady or repetitive rhythmic contract contractions
12571233 of the heart within the gestational sac .;
12581234 3. “Medical emergency” means a condition that, in reasonable
12591235 medical judgment:
12601236 a. cannot be remedied by delivery of the child, and
12611237 b. so complicates the medical cond ition of the pregnant
12621238 woman as to necessitate the immediate abortion of her
12631239
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12901265 pregnancy to avert her d eath or for which a delay will
12911266 create serious risk of substantial and irreversible
12921267 physical impairment of a major bodily function, not
12931268 including psychologic al or emotional conditions. A
12941269 condition is not a medical e mergency if it is based on
12951270 a claim, diagnosis, or determination that the woman
12961271 may engage in conduct which she intends to result in
12971272 her death or in the substantial and irreversible
12981273 physical impairment of a major bodily function; and
12991274 C. 4. “Reasonable medical judgment ” means a medical judgment
13001275 that would be made by a reasonably prudent physician , who is
13011276 knowledgeable about the case and the treatment po ssibilities with
13021277 respect to the medical conditio ns involved.
13031278 D. E. Any person violating subsection A of this section shall
13041279 be guilty of homicide.
13051280 SECTION 5. AMENDATORY Section 1, Chapter 11, O.S.L. 2022
13061281 (63 O.S. Supp. 2022, Section 1-731.4), is amended to read as
13071282 follows:
13081283 Section 1-731.4. A. As used in this section:
13091284 1. The terms “abortion” and “unborn child” shall have the same
13101285 meaning as provided by Section 1-730 of Title 63 of the Oklahoma
13111286 Statutes “Abortion” means the act of using, prescribing,
13121287 administering, procuring, or selling of any instrument, medicine,
13131288 drug, or any other substance, device, or means with the purpose to
13141289
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13411315 terminate the pregnancy of a wom an, with knowledge that the
13421316 termination by any of those means will with reasonable likelihood
13431317 cause the death of an unborn child. It does not include the use,
13441318 prescription, administration, procuring, or selling of any type of
13451319 contraception if the contraception is administered before the time
13461320 when a pregnancy could be determined through conventional medical
13471321 testing. It does not include any act related to in vitro
13481322 fertilization or otherwise related to the diagnosis or treatment of
13491323 infertility or the preservation of fertility by a licensed
13501324 healthcare provider acting lawfully and within the scope of his or
13511325 her practice. An act is not an abortion if the act is performed
13521326 with the purpose to:
13531327 a. save the life or preserve the h ealth of the unborn
13541328 child,
13551329 b. remove a dead unborn child whose death was caused by
13561330 miscarriage or spontaneous abortion, or
13571331 c. remove an ectopic pregnancy; and
13581332 2. “Medical emergency” means a condition which that, in
13591333 reasonable medical judgment :
13601334 a. cannot be remedied by delivery of the child in which
13611335 an abortion is necessary to preserve the life of a
13621336 pregnant woman whose life is endangered by a physical
13631337 disorder, physical illness or physical injury
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13911364 including a life-endangering physical condition caused
13921365 by or arising from the pregnancy itself, and
13931366 b. so complicates the me dical condition of the pregnant
13941367 woman as to necessitate the immediate abortion of her
13951368 pregnancy to avert her death or for which a delay will
13961369 create serious risk of substantial and irreversible
13971370 physical impairment of a major bodily function, not
13981371 including psychological or emotional conditions . A
13991372 condition is not a medical e mergency if it is based on
14001373 a claim, diagnosis, or determination that the woman
14011374 may engage in conduct which she intends to result in
14021375 her death or in the substantial and irreversible
14031376 physical impairment of a major bodily func tion;
14041377 3. “Reasonable medical judgment ” means a medical judgment that
14051378 would be made by a re asonably prudent physi cian who is knowledgeable
14061379 about the case and the treatment possibilities with respect to the
14071380 medical conditions involved ; and
14081381 4. “Unborn child” means a human fetus or embryo in any stage of
14091382 gestation from fertilization until birth .
14101383 B. 1. Notwithstanding any other provision of law, a person
14111384 shall not purposely perform, induce, or attempt to perform or induce
14121385 an abortion except to save the life of a pregnant woman in:
14131386 1. If the abortion is necessary due to a medical emergency as
14141387 defined in subsection A of this section ; or
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14421414 2. If the pregnancy is the res ult of:
14431415 a. rape or sexual assault that has been reported to law
14441416 enforcement, or
14451417 b. incest of a minor that has been reported to law
14461418 enforcement.
14471419 2. C. 1. A person convicted of performing or attempting to
14481420 perform an abortion shall be guilty of a felony punishable by a fine
14491421 not to exceed One Hundred Thousand Dollars ($100,000.00), or by
14501422 confinement in the custody of the Department of Correcti ons for a
14511423 term not to exceed ten (10) years, or by such fine and imprisonment.
14521424 3. 2. This section does not:
14531425 a. authorize the charging or conviction of a woman with
14541426 any criminal offense in the death of her own unborn
14551427 child, or
14561428 b. prohibit the sale, use, pr escription or administration
14571429 of a contraceptive measure, drug or chemical if the
14581430 contraceptive measure, drug or chemical is
14591431 administered before the time when a pregnancy could be
14601432 determined through conventi onal medical testing and if
14611433 the contraceptive measure, drug or chemical is sold,
14621434 used, prescribed or administered in accordance with
14631435 manufacturer instructions.
14641436 4. 3. It is an affirmative defense to prosecution under this
14651437 section if a licensed physician provi des medical treatment to a
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14931464 pregnant woman which results in the accidental or unintentional
14941465 injury or death to the unbo rn child.
14951466 D. Any abortion performed or induced under an exception
14961467 provided by subsection B of this section or performed or induced to
14971468 remove an ectopic pregnancy shall be reported by the abortion
14981469 provider to the State Department of Health in accordance with
14991470 Section 18 of this act.
15001471 SECTION 6. AMENDATORY 63 O.S. 2021, Section 1 -732, is
15011472 amended to read as f ollows:
15021473 Section 1-732. A. No person shall perform or induce an
15031474 abortion upon a pregnant woman after suc h time as her unborn child
15041475 has become viable unless such:
15051476 1. The abortion is necessary to prevent the death of the
15061477 pregnant woman or to prevent impairment to her heal th due to a
15071478 medical emergency as defined in subsection I of this section; or
15081479 2. The pregnancy is the result of:
15091480 a. rape or sexual assault that has been reported to law
15101481 enforcement, or
15111482 b. incest of a minor that has been reported to law
15121483 enforcement.
15131484 B. An unborn child shall be presumed to be viable if more than
15141485 twenty-four (24) weeks have elap sed since the probable beginning of
15151486 the last menstrual period of the pregnant woman, based upon either
15161487 information provided by her or by an examination by h er attending
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15441514 physician. If it is the judgment of the attending physician th at a
15451515 particular unborn child is not viable where the presumption of
15461516 viability exists as to that particular unborn child, then he or she
15471517 shall certify in writing the precise medical criter ia upon which he
15481518 has determined that the particular unborn child is n ot viable before
15491519 an abortion may be performed or induced.
15501520 C. No abortion of a viable unborn child shall be performed or
15511521 induced except after written certification by the attending
15521522 physician that in his best medical judgment the abortion is
15531523 necessary to prevent the death of the pregnant woman or to prevent
15541524 an impairment to her health . The physician shall further certify in
15551525 writing the medical indications for such abortion and the probable
15561526 health consequences if the abortion is not performed or induced .
15571527 D. C. The physician who sh all perform or induce an abortion
15581528 upon a pregnant woman after such time as her unborn child has become
15591529 viable shall utilize the available method or technique of abort ion
15601530 most likely to preserve the life and health of the unborn chil d,
15611531 unless he or she shall first certify in writing that in his or her
15621532 best medical judgment such method or technique shall present a
15631533 significantly greater danger t o the life or health of the pregna nt
15641534 woman than another available method or technique.
15651535 E. D. An abortion of a viable unborn child performed solely
15661536 under the exception provided by paragraph 2 of subsection A of this
15671537 section shall be performed or induced only when there is in
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15951564 attendance a physician other than the physician performing or
15961565 inducing the abortion who shall tak e control of and provide
15971566 immediate medical care for the child.
15981567 E. During the performance or inducing of th e abortion, the
15991568 physician performing it, and subsequent to it, the physician
16001569 required by this section to be in attendance , if applicable under
16011570 subsections D and F of this section, shall take all reasonable steps
16021571 in keeping with good medical practice, consi stent with the procedure
16031572 used, to preserve the life and health of the child, in the same
16041573 manner as if the child had been born naturally or spontaneou sly.
16051574 F. The requirement of the attendance of a second physician may
16061575 be waived when in the best judgment of the attending physician a
16071576 shall not apply to an abortion performe d due to a medical emergency
16081577 exists and further delay would result in a serious thr eat to the
16091578 life or physical health of the pregnant woman under the exception
16101579 provided by paragraph 1 of sub section A of this section . Provided
16111580 that, under such emergen cy circumstances and waiver, the attending
16121581 physician shall have the duty to take all rea sonable steps to
16131582 preserve the life and health of the chil d before, during and after
16141583 the abortion procedure, unless such steps shall, in the best medical
16151584 judgment of the physician, present a significantly great er danger to
16161585 the life or health of the pregnant woman.
16171586 F. G. Any person violating subsection A of this section shall
16181587 be guilty of homicide.
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16461614 H. Any abortion performed or induced under an exception
16471615 provided by subsection A of this section, performed or induced to
16481616 remove an ectopic pregnancy, or performed or induced before the
16491617 unborn child has become viable shall be reported by the abortion
16501618 provider to the State Department of Health in accordance with
16511619 Section 18 of this act.
16521620 I. As used in this section:
16531621 1. “Abortion” means the act of using, prescribing,
16541622 administering, procuring, or selling of any i nstrument, medicine,
16551623 drug, or any other substance, device, or means with the purpose to
16561624 terminate the pregnancy of a woman , with knowledge that the
16571625 termination by any of t hose means will with reasonable likelihood
16581626 cause the death of an unborn child. It does not include the use,
16591627 prescription, administration, procuri ng, or selling of any type of
16601628 contraception if the contraception is administered before the time
16611629 when a pregnancy could be determined through convent ional medical
16621630 testing. It does not include any act related to in vitro
16631631 fertilization or otherwise related to the diagnosis or treatment of
16641632 infertility or the preservation of fertility by a licensed
16651633 healthcare provider acting lawfully and within the scope of his or
16661634 her practice. An act is not an abortion if the act is performed
16671635 with the purpose to:
16681636 a. save the life or preserve the healt h of the unborn
16691637 child,
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16971664 b. remove a dead unborn child whose death was caused by
16981665 miscarriage or spontaneous abortion, or
16991666 c. remove an ectopic pregnancy;
17001667 2. “Medical emergency” means a condition that, in reasonable
17011668 medical judgment:
17021669 a. cannot be remedied by delivery of the child , and
17031670 b. so complicates the medical condition of the pr egnant
17041671 woman as to necessitate the immediate abortion of her
17051672 pregnancy to avert her death or for which a delay will
17061673 create serious risk of substantial an d irreversible
17071674 physical impairment of a major b odily function, not
17081675 including psychological or emotional conditions. A
17091676 condition is not a medical e mergency if it is based on
17101677 a claim, diagnosis, or determina tion that the woman
17111678 may engage in conduct which sh e intends to result in
17121679 her death or in the subs tantial and irreversible
17131680 physical impairment of a major bodily function; and
17141681 3. “Reasonable medical judgment” means a medical judgment that
17151682 would be made by a reasonably prudent physician who is knowledgeable
17161683 about the case and the treatment possibilities with respect to th e
17171684 medical conditions involved .
17181685 SECTION 7. AMENDATORY 63 O.S. 2021, Section 1-745.2, is
17191686 amended to read as follows:
17201687
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17471713 Section 1-745.2. As used in the Pain-Capable Unborn Child
17481714 Protection Act only:
17491715 1. “Abortion” means the use or prescription act of using,
17501716 prescribing, administering, procuring, or selling of any instrument,
17511717 medicine, drug, or any other substance or, device, or means with the
17521718 purpose to terminate the pregnancy of a woman known to be pregnant
17531719 with an intention other tha n to increase the probability of a live
17541720 birth, to preserve, with knowledge that the termination by any of
17551721 those means will with reasonable likelihood cause the death of an
17561722 unborn child. It does not include the use, prescription,
17571723 administration, procuring, or selling of any type of contraception
17581724 if the contraception is administered befor e the time when a
17591725 pregnancy could be determined through conventional medical test ing.
17601726 It does not include any act related to in vitro fertilization or
17611727 otherwise related to the diagnosis or treatment of infertility or
17621728 the preservation of fertility by a licensed healthcare provider
17631729 acting lawfully and within the scope of his or her practice. An act
17641730 is not an abortion if the act is performed with the purpose to:
17651731 a. save the life or preserve the health of the unborn
17661732 child after live birth, or to,
17671733 b. remove a dead unborn child who died as the result of
17681734 natural causes in utero, accidental t rauma, or a
17691735 criminal assault on the pregnant woman or her u nborn
17701736 child, and which causes the premature termination of
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17981763 the pregnancy whose death was caused by miscarriage or
17991764 spontaneous abortion, or
18001765 c. remove an ectopic pregnancy;
18011766 2. “Attempt to perform or induce an abortion” means an act, or
18021767 an omission of a statutorily required act, that, under the
18031768 circumstances as the actor believes them to be, consti tutes a
18041769 substantial step in a course of conduct planned to culminate in the
18051770 performance or induction of a n abortion in this state in violation
18061771 of the Pain-Capable Unborn Child Protection Act;
18071772 3. “Postfertilization age” means the age of the unborn child as
18081773 calculated from the fertilization of the human ovum;
18091774 4. “Fertilization” means the fusion of a human spe rmatozoon
18101775 with a human ovum;
18111776 5. “Medical emergency” means a condition that, in reasonable
18121777 medical judgment,:
18131778 a. cannot be remedied by delivery of the child, and
18141779 b. so complicates the medical condition of the pre gnant
18151780 woman that it necessitates as to necessitate the
18161781 immediate abortion of her pregnancy without first
18171782 determining postfertilization a ge to avert her death
18181783 or for which the delay necessary to d etermine
18191784 postfertilization age a delay will create serious risk
18201785 of substantial and irre versible physical impairment of
18211786 a major bodily function, not including psychological
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18491813 or emotional conditions. No condition shall be deemed
18501814 A condition is not a medical emergency if it is based
18511815 on a claim or, diagnosis, or determination that the
18521816 woman will may engage in conduct which she intends to
18531817 result in her death or in substantial and irreversible
18541818 physical impairment of a major bodily function;
18551819 6. “Reasonable medical judgment” means a medical judgment that
18561820 would be made by a reasonably prudent physician , who is
18571821 knowledgeable about the case and the treatme nt possibilities with
18581822 respect to the medical conditions involved;
18591823 7. “Physician” means any person licensed to pra ctice medicine
18601824 and surgery or osteopathic medic ine and surgery in this state;
18611825 8. “Probable postfertilization age of the unborn child ” means
18621826 what, in reasonable medical judgment, will with reasonab le
18631827 probability be the postfertilization age of the unborn c hild at the
18641828 time the abortion is planned to be performed or induced;
18651829 9. “Unborn child” or “fetus” each means an individual organism
18661830 of the species homo sapiens from fertilization until live birth; and
18671831 10. “Woman” means a female human being whether or not she has
18681832 reached the age of majority.
18691833 SECTION 8. AMENDATORY 63 O.S. 2021, Section 1 -745.4, is
18701834 amended to read as follows:
18711835 Section 1-745.4. A. Except in the case of a med ical emergency
18721836 as provided by subsection C of this section , no abortion shall be
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19001863 performed or induced or be attempted to be performed or induced
19011864 unless the physician performing or inducing it has first made a
19021865 determination of the probable postfertilization age of the unborn
19031866 child or relied upon such a determinatio n made by another phys ician.
19041867 In making such a determination, the physician shall make such
19051868 inquiries of the woman and perform or cause to be perfo rmed such
19061869 medical examinations and tests as a reas onably prudent physician,
19071870 knowledgeable about the case and the medical conditions involved,
19081871 would consider necessary to perform in making an accurate diagnosis
19091872 with respect to postfertilization age.
19101873 B. Knowing or reckless failure by any physician to confo rm to
19111874 any requirement of this section constitutes “unprofessional
19121875 conduct”.
19131876 C. Subsection A of this section shall not apply :
19141877 1. If the abortion is necessary due to a medical emerge ncy as
19151878 defined in subsection D of this section; or
19161879 2. If the pregnancy is the result of:
19171880 a. rape or sexual assault that has been reported to law
19181881 enforcement, or
19191882 b. incest of a minor that has been reported to law
19201883 enforcement.
19211884 D. Any abortion performed or induced under an exception
19221885 provided by subsection C of this section, performed or induced to
19231886 remove an ectopic pregnancy, or performed or induced in compliance
19241887
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19511913 with subsection A of this section shall be reported by the abortion
19521914 provider to the State Department of Health in accordance with
19531915 Section 18 of this act.
19541916 SECTION 9. AMENDATORY 63 O.S. 2021, Section 1 -745.5, is
19551917 amended to read as follows:
19561918 Section 1-745.5. A. No Except as provided by subsection C of
19571919 Section 1-745.4 of this title, no person shall perform or induce or
19581920 attempt to perform or induce an abortion upon a woman when it has
19591921 been determined, by the physician performing or inducing or
19601922 attempting to perform or i nduce the abortion or by another physician
19611923 upon whose determination that physician relies, that the probable
19621924 postfertilization age of t he woman’s unborn child is twenty (20 ) or
19631925 more weeks, unless, in reasonable medical judgment, she has a
19641926 condition which so complicates her medical condition as to
19651927 necessitate the abortion of her pregnancy to avert her death or to
19661928 avert serious risk of subs tantial and irreversible physical
19671929 impairment of a major bod ily function, not including psychological
19681930 or emotional conditi ons. No such condition shall be deemed to exist
19691931 if it is based on a claim or diagnosis that the woman will engage in
19701932 conduct which she intends to result in her death or in substantial
19711933 and irreversible physical impairment of a major bodily function .
19721934 B. When an abortion upon a woman whose unborn child has been
19731935 determined to have a probable postfertilization age of twenty (20)
19741936 or more weeks is not prohibited by this section, the physician shall
19751937
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20021963 terminate the pregnancy in the manner which, in reasonable medic al
20031964 judgment, provides the best opportunity for the unborn child to
20041965 survive, unless, in reasonable medical judgment, termination of the
20051966 pregnancy in that manner would pose a greater risk either o f the
20061967 death of the pregnant woman or of the substantial and ir reversible
20071968 physical impairment of a major bodily function, not including
20081969 psychological or emotional conditions, of the woman than would other
20091970 available methods. No such gr eater risk shall be de emed to exist if
20101971 it is based on a claim or diagnosis that the woman will engage in
20111972 conduct which she intends to result in her death or in substantial
20121973 and irreversible physical impairment of a major bodily function.
20131974 SECTION 10. AMENDATORY Section 2, Chapter 190, O.S.L.
20141975 2022 (63 O.S. Supp. 2022, Section 1-745.32), is amended to read as
20151976 follows:
20161977 Section 1-745.32. As used in this act the Oklahoma Heartbeat
20171978 Act:
20181979 1. “Abortion” means the act of using, prescribing,
20191980 administering, procuring, or selling of any instrument, medicine,
20201981 drug, or any other substance, device, or means with the purpose to
20211982 terminate the pregnancy of a woman, with knowledge that the
20221983 termination by any of t hose means will with reasonable likelihood
20231984 cause the death of an unborn child. It does not include the use,
20241985 prescription, administration, procuring, or selling of any type of
20251986 contraception if the contraception is administered before the time
20261987
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20532013 when a pregnancy could be determined through conventional medical
20542014 testing. It does not include any act related to in vitro
20552015 fertilization or otherwise related to the diagnosis or treatment of
20562016 infertility or the preservation of fertility by a licensed
20572017 healthcare provider acting lawfully and within the scope of his or
20582018 her practice. An act is not an abortion if the act is performed
20592019 with the purpose to:
20602020 a. save the life or preserve the healt h of the unborn
20612021 child,
20622022 b. remove a dead unborn child whose death was caused by
20632023 miscarriage or spontaneous abortion , or
20642024 c. remove an ectopic pregnancy;
20652025 2. “Fetal heartbeat” means cardiac activity or the steady and
20662026 repetitive rhythmic contraction of the fetal heart within the
20672027 gestational sac;
20682028 2. 3. “Gestational age” means the amount of time that has
20692029 elapsed from the first day of a woman’s last menstrual period;
20702030 3. 4. “Gestational sac” means the structure comprising the
20712031 extraembryonic membranes that envelop the unborn child and that is
20722032 typically visible by ultrasound after the fourth week of pregnancy;
20732033 4. 5. “Medical emergency” means a condition that, in reasonable
20742034 medical judgment:
20752035 a. cannot be remedied by delivery of the child , and
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21032062 b. so complicates the medical condition of the pr egnant
21042063 woman as to necessitate the immediate abortion of her
21052064 pregnancy to avert her death or for which a delay will
21062065 create serious risk of substantial and irre versible
21072066 physical impairment of a major b odily function, not
21082067 including psychological or emotional conditions. A
21092068 condition is not a medical e mergency if it is based on
21102069 a claim, diagnosis, or determination that the woman
21112070 may engage in conduct which she inte nds to result in
21122071 her death or in the subs tantial and irreversible
21132072 physical impairment of a major bodily function;
21142073 6. “Physician” means an individual licensed to practice
21152074 medicine in this state including a medical doctor and a doctor of
21162075 osteopathic medicine;
21172076 5. 7. “Pregnancy” means the human female reproductive condition
21182077 that:
21192078 a. begins with fertiliz ation,
21202079 b. occurs when the woman is carrying the deve loping human
21212080 offspring, and
21222081 c. is calculated from the first day of the woman’s last
21232082 menstrual period;
21242083 6. 8. “Reasonable medical judgment” means a medical judgment
21252084 that would be made by a reasonably prudent physician who is
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21532111 knowledgeable about the case and the treatm ent possibilities with
21542112 respect to the medical conditions involved;
21552113 9. “Standard medical practice” means the degree of skill, care,
21562114 and diligence that an obstetricia n of ordinary judgment, learning,
21572115 and skill would employ in like circumstances;
21582116 7. 10. “Unborn child” means a human fetus or embryo in any
21592117 stage of gestation from fertili zation until birth; and
21602118 8. 11. “Woman” and “women” include any person whose biologica l
21612119 sex is female including any person with XX chromosomes and any
21622120 person with a uterus, regardless of any gender identit y that the
21632121 person attempts to assert or claim.
21642122 SECTION 11. AMENDATORY Section 3, Chapter 190, O.S.L.
21652123 2022 (63 O.S. Supp. 2022, Section 1 -745.33), is amended to read as
21662124 follows:
21672125 Section 1-745.33. A. For the purposes of determining the
21682126 presence of a fetal heartbeat under this section, “standard medical
21692127 practice” includes employing the appropriate means of detecting the
21702128 heartbeat based on the estimated gestational age of the unborn child
21712129 and the condition of the woman and her pregnancy.
21722130 B. Except as provided by Sections 5 and 6 of this act Sections
21732131 1-745.35 and 1-745.36 of this title or Section 14 of this act, an
21742132 abortion may not be performed or, induced, or attempted to be
21752133 performed or induced on a pregnant woman unless a physician has
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22032160 determined, in accordance with this section, whether the woman’s
22042161 unborn child has a detectable fetal heartbeat.
22052162 C. In making a determination under subsection B of this
22062163 section, the physician must use a test that is:
22072164 1. Consistent with the physician’s good faith and reasonable
22082165 understanding of standard medical practice; and
22092166 2. Appropriate for the estimated gestational age of the unbo rn
22102167 child and the condition of the pregnant woman and her pregnancy.
22112168 D. A physician making a determination under subsection B of
22122169 this section shall record in the pregnant woman’s medical record:
22132170 1. The estimated gestational age of the unborn child;
22142171 2. The method used to estimate the gestational age; and
22152172 3. The test used for detecting a fetal heartbeat including the
22162173 date, time, and results of the test.
22172174 SECTION 12. AMENDATORY Section 4, Chapter 190, O.S.L.
22182175 2022 (63 O.S. Supp. 2022, Section 1 -745.34), is amended to read as
22192176 follows:
22202177 Section 1-745.34. A. Except as provided by Sections 5 and 6 of
22212178 this act Sections 1-745.35 and 1-745.36 of this title or Section 14
22222179 of this act, a physician shall not knowingly perform or, induce, or
22232180 attempt to perform or induce an abortion on a pregnant woman if the
22242181 physician detected a fetal heartbeat for the unborn child as
22252182 required by Section 3 of this act Section 1-745.33 of this title or
22262183 failed to perform a test to detect a fetal heartbeat.
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22542210 B. A physician shall not be in violation of this section if the
22552211 physician performed a test for a fetal heartbeat as required by
22562212 Section 3 of this act Section 1-745.33 of this title and did not
22572213 detect a fetal heartbeat.
22582214 C. This section shall not affect any provision of state law
22592215 that regulates or prohibits abortion including but not lim ited to
22602216 any provision that restricts or regulates an ab ortion by a
22612217 particular method or during a particular stage of pregnancy.
22622218 SECTION 13. AMENDATORY Section 5, Chapter 190, O.S.L.
22632219 2022 (63 O.S. Supp. 2022, Section 1 -745.35), is amended to read as
22642220 follows:
22652221 Section 1-745.35. A. Sections 3 and 4 of this act Sections 1-
22662222 745.33 and 1-745.34 of this title shall not apply if a physician
22672223 believes an abortion is necessary due to a medical emergency exists
22682224 that prevents complian ce with this act as defined in Section 1-
22692225 745.32 of this title.
22702226 B. A physician who performs or induces an abortion under
22712227 circumstances described by subsection A of this section shall make
22722228 written notations in the pr egnant woman’s medical record of:
22732229 1. The physician’s belief that a medical emergency necessitated
22742230 the abortion; and
22752231 2. The medical condition of the pregnant woman that prevented
22762232 compliance with this act the Oklahoma Heartbeat Act .
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23042259 C. A physician performing or inducing an abortion under this
23052260 section shall maintain in the physician’s practice records a copy of
23062261 the notations made under subsection B of this section.
23072262 SECTION 14. NEW LAW A new section of law to be codified
23082263 in the Oklahoma Statutes as Section 1-745.35a of Title 63, unless
23092264 there is created a duplication in numbering, reads as fo llows:
23102265 Sections 1-745.33 and 1-745.34 of Title 63 of the Oklahoma
23112266 Statutes shall not apply if the pregnancy is the result of:
23122267 1. Rape or sexual assault that has been reported to law
23132268 enforcement; or
23142269 2. Incest of a minor that has been reported to law enforceme nt.
23152270 SECTION 15. NEW LAW A new section of law to be codified
23162271 in the Oklahoma Statutes as Section 1-745.36a of Title 63, unless
23172272 there is created a du plication in numbering, reads as follows:
23182273 Any abortion performed or induced under an exception provided by
23192274 Section 1-745.35 or 1-745.36 of this title or Section 14 of this
23202275 act, performed or induced to remove an ectopic pregnancy, or
23212276 performed or induced in complian ce with Sections 1-745.33 and 1-
23222277 745.34 of Title 63 of the Oklahoma Statutes shall be reported by the
23232278 abortion provider to the State Department of Health in accordance
23242279 with Section 18 of this act.
23252280 SECTION 16. AMENDATORY Section 1, Chapter 321, O.S.L.
23262281 2022 (63 O.S. Supp. 2022, Section 1-745.51), is amended to read as
23272282 follows:
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23552309 Section 1-745.51. As used in this act Section 1-745.51 et seq.
23562310 of this title:
23572311 1. “Abortion” means the act of using, prescribing,
23582312 administering, procuring, or selling of any inst rument, medicine,
23592313 drug, or any other substance, device, or means with the purpose to
23602314 terminate the pregnancy of a woman, with knowledge that the
23612315 termination by any of those means will with reasonable likelihood
23622316 cause the death of an unborn child. It does not include the use,
23632317 prescription, administration, proc uring, or selling of Plan B,
23642318 morning-after pills, or any other type of contraception or emergency
23652319 contraception if the contraception is administered before the time
23662320 when a pregnancy could be determined through convent ional medical
23672321 testing. It does not include any act related to in vitro
23682322 fertilization or otherwise related to the diagnosis or treatment of
23692323 infertility or the preservation of fertility by a licensed
23702324 healthcare provider acting lawfully and within the scope of his or
23712325 her practice. An act is not an abortion if the act is performed
23722326 with the purpose to:
23732327 a. save the life or preserve the health of the unborn
23742328 child,
23752329 b. remove a dead unborn child whose death was caused by
23762330 miscarriage or spontaneous abortion , or
23772331 c. remove an ectopic pregnancy;
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24052358 2. “Fertilization” means the fusion of a human spermatozoon
24062359 with a human ovum;
24072360 3. “Medical emergency” means a condition in which an abortion
24082361 is necessary to preserve the life of a pregnant woman whose life is
24092362 endangered by a physical disorder, physical illness, or physical
24102363 injury, including a life-endangering physical condition caused by or
24112364 arising from the pregnancy itself that, in reasonable medi cal
24122365 judgment:
24132366 a. cannot be remedied by delivery of the child , and
24142367 b. so complicates the medical condition of the pregnant
24152368 woman as to necessitate the immediate abortion of her
24162369 pregnancy to avert her death or for which a delay will
24172370 create serious risk of su bstantial and irreversible
24182371 physical impairment of a major bodily function, not
24192372 including psychological or emotional conditions. A
24202373 condition is not a medical e mergency if it is based on
24212374 a claim, diagnosis, or det ermination that the woman
24222375 may engage in conduct which she intends to result in
24232376 her death or in the substantial and irreversi ble
24242377 physical impairment of a major bodily function ;
24252378 4. “Reasonable medical judgment ” means a medical judgment that
24262379 would be made by a reasonably prudent physician who is knowl edgeable
24272380 about the case and the treatment possibilities with respect to the
24282381 medical conditions involved;
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24562408 4. 5. “Unborn child” means a human fetus or embryo in any stage
24572409 of gestation from fertilizatio n until birth; and
24582410 5. 6. “Woman” and “women” include any person whose biological
24592411 sex is female, including any person with XX chromosomes and any
24602412 person with a uterus, regardless of any gender identity that the
24612413 person attempts to assert or claim.
24622414 SECTION 17. AMENDATORY Section 2, Chapter 321, O.S.L.
24632415 2022 (63 O.S. Supp. 2022, Section 1-745.52), is amended to read as
24642416 follows:
24652417 Section 1-745.52. A. Except as provided by Section 3 of this
24662418 act Section 1-745.53 of this title, a person shall not knowingly
24672419 perform or, induce, or attempt to perform or induce an abortion
24682420 unless:
24692421 1. The abortion is necessary to save the life of a pregnant
24702422 woman in due to a medical emergency as defined in Section 1-745.51
24712423 of this title; or
24722424 2. The pregnancy is the result of:
24732425 a. rape, or sexual assault that has been reported to law
24742426 enforcement, or
24752427 b. incest of a minor that has been reported to law
24762428 enforcement.
24772429 B. Any abortion performed or induced under an exception
24782430 provided by subsection A of this section or Section 1-745.53 of this
24792431 title or performed or induced to remove an ectopic pregnancy shall
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25072458 be reported by the abortion provider to the St ate Department of
25082459 Health in accordance with Section 18 of this act.
25092460 SECTION 18. NEW LAW A new section of law to be codified
25102461 in the Oklahoma Statutes as Section 1-738r of Title 63, unless there
25112462 is created a duplicati on in numbering, reads as follows:
25122463 A. Any abortion performed or induced under an exception
25132464 provided by Section 861 of Title 21 of the Oklahoma St atutes,
25142465 Section 509 or 637 of Title 59 of the Ok lahoma Statutes, Section 1-
25152466 731.3, 1-731.4, or Section 1-732 of Title 63 of the Oklahoma
25162467 Statutes, Section 1-745.1 et seq. of Title 63 of th e Oklahoma
25172468 Statutes, Section 1-745.31 et seq. of Title 63 of the Oklahoma
25182469 Statutes, or Section 1-745.51 of Title 63 of the Oklahoma Statutes
25192470 shall be reported by the abortion provider to the State Department
25202471 of Health on a form prescribed by the State Commissioner of Health.
25212472 The form shall not request the name of the woman who obtained the
25222473 abortion or any other potentia lly identifying information that could
25232474 lead to the identification of the woman.
25242475 B. The abortion provider shall state on the form the specific
25252476 exception under which the abortion was performed and shall provide a
25262477 detailed explanation of the justification for performing such
25272478 abortion including any relevant supporting documentation. The
25282479 completed form shall include all other infor mation as may be
25292480 required by the Commissioner.
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25572507 C. The Department shall compile the informatio n received under
25582508 this section into an annual statistical report which shall be
25592509 published on the Department’s Internet website and submitted to the
25602510 President Pro Tempore of th e Senate and the Speaker of the House of
25612511 Representatives each year.
25622512 D. The Commissioner shall promulgate rules to implement this
25632513 section. Such rules shall include, but not be limited to:
25642514 1. The manner of reporting;
25652515 2. Information to be reported ; and
25662516 3. Patient privacy protections that ensure the anonymity of
25672517 women who obtain an abortion under an exception provided by Section
25682518 861 of Title 21 of the Oklahoma Statutes, Section 731.4 of Title 63
25692519 of the Oklahoma Statutes, Section 1-745.31 et seq. of Title 63 of
25702520 the Oklahoma Statutes, or Section 1-745.51 of Title 63 of the
25712521 Oklahoma Statutes.
25722522 SECTION 19. REPEALER 63 O.S. 2021, Sections 1-733 and 1-
25732523 745.6, are hereby repealed.
25742524 SECTION 20. It being immediately necessary for the preservation
25752525 of the public peace, health or safety, an emergency is hereby
25762526 declared to exist, by reason whereo f this act shall take effect and
25772527 be in full force from and after its passage and approval.
2578-COMMITTEE REPORT BY: COMMITTEE ON HEA LTH AND HUMAN SERVICES
2579-February 9, 2023 - DO PASS AS AMENDED BY CS
2528+
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