1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 83rd OREGON LEGISLATIVE ASSEMBLY--2025 Regular Session House Bill 2372 Sponsored by Representative LEVY B; Representatives MANNIX, RESCHKE, WRIGHT, Senators NASH, WEBER (Presession filed.) SUMMARY The following summary is not prepared by the sponsors of the measure and is not a part of the body thereof subject to consideration by the Legislative Assembly. It is an editor’s brief statement of the essential features of the measure as introduced.The statement includes a measure digest written in compliance with applicable readability standards. Digest: The Act requires that a doctor provide the same standard of care to any child born alive that requires life-saving treatment. (Flesch Readability Score: 62.6). Requires a health care practitioner to exercise the proper degree of care to preserve the health and life of a child born alive, regardless of whether the birth was the result of an induced abortion. Allows specified persons to bring an action against a health care practitioner for violations. Allows the court to order that the identity or personally identifiable information of specified persons is protected from disclosure. A BILL FOR AN ACT Relating to infants born alive; creating new provisions; and amending ORS 677.190. Be It Enacted by the People of the State of Oregon: SECTION 1. Sections 2 to 8 of this 2025 Act shall be known and may be cited as the Born-Alive Infants Protection Act. SECTION 2.As used in sections 2 to 8 of this 2025 Act: (1) “Abortion” means the use or prescription of a drug, medicine, instrument or other substance or device in order to: (a) Intentionally kill the unborn child of a pregnant person; or (b) Terminate a person’s pregnancy with a purpose other than: (A) After viability, to produce a live birth and preserve the life and health of the child; or (B) To remove a dead unborn child. (2) “Born alive” means the complete expulsion or extraction of a child from a person at any stage of the child’s development and after the expulsion or extraction, the child is breathing or has a beating heart, pulsation of the umbilical cord or definite movement of voluntary muscles, whether the umbilical cord has been severed or not. Expulsion or ex- traction may occur by natural or induced labor, cesarean section or induced abortion. (3) “Health care practitioner” means a person who is authorized by a health professional regulatory agency in this state to engage in the practice of a health care discipline. SECTION 3. In determining the meaning of any statute, rule, regulation or interpretation thereof by an agency of this state, “person,” “human being,” “child” and “individual,” in ad- dition to any other definition, means an infant member of the species homo sapiens who is born alive at any stage of the member’s development. SECTION 4. (1) When a child is born alive and requires lifesaving treatment to survive, regardless of whether the child’s birth occurred by natural or induced labor, cesarean section or induced abortion, any health care practitioner who is present at the time the child is born NOTE:Matter in boldfaced type in an amended section is new; matter [italic and bracketed] is existing law to be omitted. New sections are in boldfaced type. LC 629 HB2372 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 aliveshall: (a) Exercise the same degree of professional skill, care and diligence to preserve the life and health of the child that a reasonably diligent and conscientious health care practitioner would render to any other child born alive at the same gestational age; and (b) Following the exercise of skill, care and diligence required under paragraph (a) of this subsection, if the child was not born alive in a hospital, ensure that the child born alive is immediately transported and admitted to a hospital. If the child was born alive at a hospital, the health care practitioner shall continue to exercise the skill, care and diligence required under paragraph (a) of this subsection. (2) A health care practitioner, or an employee of a health care clinic where a pregnancy results in a child born alive, who has knowledge of a violation of subsection (1) of this section shall immediately report the violation to a state law enforcement agency. SECTION 5. Nothing in sections 2 to 8 of this 2025 Act shall be construed to affirm, deny, expand or limit any legal status or legal right of a member of the species homo sapiens at any point prior to being born alive. SECTION 6.Intentional or reckless failure by a health care practitioner to meet the re- quirements of section 4 of this 2025 Act: (1) Constitutes unprofessional conduct for purposes of ORS 677.190. (2) May be the basis for disciplinary action under ORS 678.111. SECTION 7. (1)(a) Except as provided in paragraph (b) of this subsection, a person whose pregnancy resulted in a child born alive who required lifesaving treatment to survive but who was not provided with the standard of care required under section 4 of this 2025 Act, or the person responsible for the fertilization that resulted in the pregnancy, may maintain an action against the health care practitioner who failed to provide the standard of care re- quired by section 4 of this 2025 Act for actual and punitive damages. (b) Damages may not be awarded under this subsection if the pregnancy described in paragraph (a) of this subsection was the result of criminal conduct by the person responsible for fertilization that resulted in the pregnancy described in this subsection. (2) A cause of action for injunctive relief against a health care practitioner who inten- tionally or recklessly violates section 4 of this 2025 Act may be brought against the health care practitioner by: (a) A person whose pregnancy resulted in the child born alive; (b) The representative of a person whose pregnancy resulted in the child born alive if the person is deceased; (c) The person responsible for the fertilization that resulted in the pregnancy; (d) A prosecuting attorney with competent jurisdiction; or (e) The Attorney General. (3) Injunctive relief may not be granted to the person responsible for fertilization that resulted in the pregnancy if the pregnancy is the result of criminal conduct by the person described in this subsection. (4) If the plaintiff prevails in the action described in this section, the court shall also award reasonable attorney fees to the plaintiff. (5) If the defendant prevails in the action described in this section, and the court finds that the action was frivolous and brought in bad faith, the court shall award attorney fees to the defendant. [2] HB2372 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 SECTION 8. (1) In any action or proceeding brought under section 7 of this 2025 Act, the court shall determine whether the anonymity of a person whose pregnancy resulted in the child born alive must be exempt from public disclosure under ORS 192.311 to 192.478 if the person does not consent to disclosure. (2) If the court determines that the person’s anonymity must be preserved, the court shall issue orders to the parties, witnesses and counsel, direct the sealing of the record and order exclusion from the courtroom or hearing room of all persons who are not parties, witnesses or counsel. The orders described in this subsection must be accompanied by writ- ten findings that explain why the person’s anonymity must be preserved, why the order is essential to that end, how the order is narrowly tailored to serve that interest and why no reasonable less-restrictive alternative exists. (3) If the person described in subsection (1) of this section does not consent to disclose the person’s identity, any person other than a public official who brings an action under section 7 of this 2025 Act that is related to the person’s pregnancy shall bring the action under a pseudonym. (4) This section may not be construed to conceal the identity of the plaintiff or witnesses from the defendant or defendant’s counsel. SECTION 9. ORS 677.190 is amended to read: 677.190. The Oregon Medical Board may refuse to grant, or may suspend or revoke, a license to practice for any of the following reasons: (1)(a) Unprofessional or dishonorable conduct. (b) For purposes of this subsection, the use of an alternative medical treatment shall not by it- self constitute unprofessional conduct. For purposes of this paragraph: (A) “Alternative medical treatment” means: (i) A treatment that the treating physician, based on the physician’s professional experience, has an objective basis to believe has a reasonable probability for effectiveness in its intended use even if the treatment is outside recognized scientific guidelines, is unproven, is no longer used as a gen- erally recognized or standard treatment or lacks the approval of the United States Food and Drug Administration; (ii) A treatment that is supported for specific usages or outcomes by at least one other physician licensed by the Oregon Medical Board; and (iii) A treatment that poses no greater risk to a patient than the generally recognized or standardtreatment. (B) “Alternative medical treatment” does not include use by a physician of controlled substances in the treatment of a person for chemical dependency resulting from the use of controlled sub- stances. (2) Employing any person to solicit patients for the licensee. However, a managed care organ- ization, independent practice association, preferred provider organization or other medical service provider organization may contract for patients on behalf of physicians. (3) Representing to a patient that a manifestly incurable condition of sickness, disease or injury can be cured. (4) Obtaining any fee by fraud or misrepresentation. (5) Willfully or negligently divulging a professional secret without the written consent of the patient. (6)(a) Except as provided in paragraph (b) of this subsection, conviction of any offense [3] HB2372 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 punishable by incarceration in a Department of Corrections institution or in a federal prison, subject to ORS 670.280. A copy of the record of conviction, certified to by the clerk of the court entering the conviction, shall be conclusive evidence of the conviction. (b) The board may not suspend or revoke a person’s license, or refuse to grant a license to a person, because of a conviction resulting solely from the person’s provision of a reproductive or gender-affirming health care service that is otherwise lawful in this state but unlawful in the juris- diction in which the person provided the service, so long as the service provided was performed in accordance with the standard of care applicable to the service. (7) Impairment as defined in ORS 676.303. (8) Fraud or misrepresentation in applying for or procuring a license to practice in this state, or in connection with applying for or procuring registration. (9) Making statements that the licensee knows, or with the exercise of reasonable care should know, are false or misleading, regarding skill or the efficacy or value of the medicine, treatment or remedy prescribed or administered by the licensee or at the direction of the licensee in the treat- ment of any disease or other condition of the human body or mind. (10) Impersonating another licensee licensed under this chapter or permitting or allowing any person to use the license. (11) Aiding or abetting the practice of medicine or podiatry by a person not licensed by the board, when the licensee knows, or with the exercise of reasonable care should know, that the per- son is not licensed. (12) Using the name of the licensee under the designation “doctor,” “Dr.,” “D.O.” or “M.D.,” “D.P.M.,” “Acupuncturist,” “P.A.” or any similar designation in any form of advertising that is untruthful or is intended to deceive or mislead the public. (13) Gross negligence or repeated negligence in the practice of medicine or podiatry. (14) Incapacity to practice medicine or podiatry. If the board has evidence indicating incapacity, the board may order a licensee to submit to a standardized competency examination. The licensee shall have access to the result of the examination and to the criteria used for grading and evaluat- ing the examination. If the examination is given orally, the licensee shall have the right to have the examination recorded. (15)(a) Except as provided in paragraph (b) of this subsection, disciplinary action by another state of a license to practice, based upon acts by the licensee similar to acts described in this sec- tion. A certified copy of the record of the disciplinary action of the state is conclusive evidence thereof. (b) The board may not suspend or revoke a person’s license, or refuse to grant a license to a person, because of a disciplinary action by another state resulting solely from the person’s provision of a reproductive or gender-affirming health care service that is otherwise lawful in this state but unlawful in the jurisdiction in which the person provided the service, so long as the service provided was performed in accordance with the standard of care applicable to the service. (16) Failing to designate the degree appearing on the license under circumstances described in ORS 677.184 (3). (17) Willfully violating any provision of this chapter or any rule adopted by the board, board order, or failing to comply with a board request pursuant to ORS 677.320. (18) Failing to report the change of the location of practice of the licensee as required by ORS 677.172. (19) Imprisonment as provided in ORS 677.225. [4] HB2372 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 (20) Making a fraudulent claim. (21)(a) Performing psychosurgery. (b) For purposes of this subsection and ORS 426.385, “psychosurgery” means any operation de- signed to produce an irreversible lesion or destroy brain tissue for the primary purpose of altering the thoughts, emotions or behavior of a human being. “Psychosurgery” does not include procedures which may produce an irreversible lesion or destroy brain tissues when undertaken to cure well- defined disease states such as brain tumor, epileptic foci and certain chronic pain syndromes. (22) Refusing an invitation for an informal interview with the board requested under ORS 677.415. (23) Violation of the federal Controlled Substances Act. (24) Prescribing controlled substances without a legitimate medical purpose, or prescribing controlled substances without following accepted procedures for examination of patients, or pre- scribing controlled substances without following accepted procedures for record keeping. (25) Providing written documentation for purposes of ORS 475C.783 without having legitimately diagnosed a debilitating medical condition, as defined in ORS 475C.777, or without having followed accepted procedures for the examination of patients or for keeping records. (26) Failure by the licensee to report to the board any adverse action taken against the licensee by another licensing jurisdiction or any peer review body, health care institution, professional or medical society or association, governmental agency, law enforcement agency or court for acts or conduct similar to acts or conduct that would constitute grounds for disciplinary action as described in this section. (27) Failure by the licensee to notify the board of the licensee’s voluntary resignation from the staff of a health care institution or voluntary limitation of a licensee’s staff privileges at the insti- tution if that action occurs while the licensee is under investigation by the institution or a com- mittee thereof for any reason related to medical incompetence, unprofessional conduct, physical incapacity or impairment. (28) Violation of section 4 of this 2025 Act. [5]