4 | 3 | | |
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5 | 4 | | SENATE BILL 1010 |
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6 | 5 | | By Oliver |
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7 | 6 | | |
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8 | 7 | | |
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9 | 8 | | SB1010 |
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10 | 9 | | 001762 |
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11 | 10 | | - 1 - |
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12 | 11 | | |
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13 | 12 | | AN ACT to amend Tennessee Code Annotated, Title 4; |
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14 | 13 | | Title 8; Title 53; Title 56; Title 63; Title 68 and Title |
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15 | 14 | | 71, relative to contraceptives. |
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16 | 15 | | |
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17 | 16 | | WHEREAS, the legislature declares that freedom to access, use, or refuse a |
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18 | 17 | | contraceptive method of choice is a fundamental right, central to a person's liberty, privacy, |
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19 | 18 | | health, well-being, dignity, equality, and ability to participate in the social and economic life of |
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20 | 19 | | this State; and |
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21 | 20 | | WHEREAS, the legislature finds that contraception is safe and essential health care, and |
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22 | 21 | | access to contraceptive products and services is necessary for the prevention of unintended |
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23 | 22 | | pregnancy and sexually transmitted diseases, as well as for a person's ability to participate |
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24 | 23 | | equally in economic and social life, and make decisions about their families and their lives; and |
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25 | 24 | | WHEREAS, the legislature finds that the right to make personal decisions about |
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26 | 25 | | contraceptive use is important for all people, and is especially critical for historically |
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27 | 26 | | marginalized groups, including African-American, indigenous, and other people of color; |
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28 | 27 | | immigrants; lesbian, gay, bisexual, transgender, and queer people; people with disabilities; |
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29 | 28 | | people with low incomes; and people living in rural and underserved areas; and |
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30 | 29 | | WHEREAS, the legislature finds that broad access to contraceptives is internationally |
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31 | 30 | | recognized by the World Health Organization as advancing other human rights, such as the |
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32 | 31 | | right to life, liberty, expression, health, work, and education; and |
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33 | 32 | | WHEREAS, the legislature determines that readily and practically available |
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34 | 33 | | contraceptive procedures, supplies, and information regardless of sex, race, age, gender, |
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35 | 34 | | income, number of children, marital status, citizenship, or motive is in the best interest of the |
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36 | 35 | | people of this State; now, therefore, |
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37 | 36 | | |
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38 | 37 | | |
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39 | 38 | | - 2 - 001762 |
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40 | 39 | | |
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41 | 40 | | BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF TENNESSEE: |
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42 | 41 | | SECTION 1. Tennessee Code Annotated, Title 68, Chapter 1, is amended by adding |
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43 | 42 | | the following as a new part: |
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44 | 43 | | 68-1-2501. Short title. |
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45 | 44 | | This part is known and may be cited as the "Tennessee Contraceptive Freedom |
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46 | 45 | | Act." |
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47 | 46 | | 68-1-2502. Definitions. |
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48 | 47 | | As used in this part: |
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49 | 48 | | (1) ''Contraception'': |
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50 | 49 | | (A) Means an action taken to prevent pregnancy, including the |
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51 | 50 | | use of contraceptives, emergency contraceptives, fertility awareness- |
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52 | 51 | | based methods, and sterilization procedures; and |
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53 | 52 | | (B) Does not mean, and is distinct from, abortion; |
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54 | 53 | | (2) ''Contraceptive'' means a device, medication, biological product, or |
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55 | 54 | | procedure that is intended for use in the prevention of pregnancy, whether |
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56 | 55 | | specifically intended to prevent pregnancy or for other health needs, legally |
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57 | 56 | | marketed under the Federal Food, Drug, and Cosmetic Act, compiled in 21 |
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58 | 57 | | U.S.C. § 301 et seq.; |
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59 | 58 | | (3) ''Family planning'' includes all forms of contraception; |
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60 | 59 | | (4) ''Healthcare provider'' means: |
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61 | 60 | | (A) A healthcare practitioner, individual, or facility licensed, |
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62 | 61 | | authorized, certified, registered, or regulated under title 33, title 63, or this |
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63 | 62 | | title, federal law or order, or an executive order of the governor; |
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64 | 63 | | (B) Employees, agents, or contractors of practitioners, individuals, |
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65 | 64 | | or facilities described in subdivision (4)(A); and |
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66 | 65 | | |
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67 | 66 | | |
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68 | 67 | | - 3 - 001762 |
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69 | 68 | | |
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70 | 69 | | (C) The department of health and any agency, board, council, or |
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71 | 70 | | committee attached to the department of health; |
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72 | 71 | | (5) ''Health insurance carrier'' means an entity subject to the insurance |
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73 | 72 | | laws of this state, or subject to the jurisdiction of the commissioner of the |
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74 | 73 | | department of commerce and insurance, that contracts or offers to contract to |
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75 | 74 | | provide, deliver, arrange for, pay for, or reimburse the costs of healthcare |
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76 | 75 | | services, including an insurance company, a health maintenance organization, a |
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77 | 76 | | health service corporation, a nonprofit hospital, or another entity providing a plan |
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78 | 77 | | of health insurance, health benefits, or health services; |
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79 | 78 | | (6) ''Political subdivision'' means a local governmental entity, including a |
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80 | 79 | | city, town, municipality, metropolitan government, county, utility district, school |
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81 | 80 | | district, public building authority, housing authority, emergency communications |
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82 | 81 | | district, county board of health, and development district created and existing |
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83 | 82 | | pursuant to the laws of this state, or an instrumentality of government created by |
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84 | 83 | | one (1) or more local governmental entities; and |
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85 | 84 | | (7) ''Public health agency'': |
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86 | 85 | | (A) Means any public provider of local health services under |
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87 | 86 | | chapter 2 of this title; and |
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88 | 87 | | (B) Includes the department of health, a county health |
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89 | 88 | | department, and a district health department. |
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90 | 89 | | 68-1-2503. Permitted services. |
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91 | 90 | | (a) Every individual has a fundamental right to make decisions about the |
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92 | 91 | | individual's reproductive health care, including the fundamental right to use or refuse |
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93 | 92 | | contraceptives or contraceptive supplies as defined in § 68-34-102. |
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94 | 93 | | (b) A healthcare provider shall: |
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95 | 94 | | |
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96 | 95 | | |
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97 | 96 | | - 4 - 001762 |
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98 | 97 | | |
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99 | 98 | | (1) Provide contraceptives, contraception, and information related to |
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100 | 99 | | contraception and family planning to consenting patients; or |
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101 | 100 | | (2) Refer consenting patients to a healthcare provider that can provide |
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102 | 101 | | contraceptives, contraception, and information related to contraception and |
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103 | 102 | | family planning. |
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104 | 103 | | (c) The rights set forth in subsection (a) must not be limited or otherwise |
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105 | 104 | | infringed through a limitation or requirement that: |
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106 | 105 | | (1) Expressly, effectively, implicitly, or as implemented singles out the |
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107 | 106 | | provision of contraceptives, contraception, or contraception-related information; |
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108 | 107 | | healthcare providers who provide contraceptives, contraception, or |
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109 | 108 | | contraception-related information; or facilities in which contraceptives, |
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110 | 109 | | contraception, or contraception-related information is provided; or |
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111 | 110 | | (2) Impedes access to contraceptives, contraception, or contraception- |
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112 | 111 | | related information. |
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113 | 112 | | (d) To defend against a claim that a limitation or requirement infringes on a |
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114 | 113 | | healthcare provider's or patient's rights in violation of subsection (c), a party must |
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115 | 114 | | establish, by clear and convincing evidence, that: |
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116 | 115 | | (1) The limitation or requirement significantly advances the safety of |
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117 | 116 | | contraceptives, contraception, and contraception-related information; and |
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118 | 117 | | (2) The safety of contraceptives, contraception, and contraception- |
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119 | 118 | | related information or the health of patients cannot be advanced by a less |
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120 | 119 | | restrictive alternative. |
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121 | 120 | | 68-1-2504. Access. |
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122 | 121 | | |
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123 | 122 | | |
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124 | 123 | | - 5 - 001762 |
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125 | 124 | | |
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126 | 125 | | (a) On or after July 1, 2025, health insurance carriers and public health agencies |
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127 | 126 | | shall ensure affordable access to a wide range of contraceptive methods for all |
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128 | 127 | | consenting individuals. |
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129 | 128 | | (b) Affordable access must include: |
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130 | 129 | | (1) For a health insurance carrier that issues or renews a health |
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131 | 130 | | insurance policy, plan, or contract of accident or health insurance providing |
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132 | 131 | | benefits for medical or hospital expenses, providing full coverage for the |
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133 | 132 | | expenses of the contraceptive method of choice for an individual covered by the |
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134 | 133 | | health insurance carrier; and |
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135 | 134 | | (2) For a public health agency that serves the people of a municipality, |
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136 | 135 | | providing full coverage for the expenses of the contraceptive method of choice |
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137 | 136 | | for an uninsured individual residing in this state. |
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138 | 137 | | (c) Access to contraceptives shall not be limited by an individual's sex, race, |
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139 | 138 | | age, gender, income, ability to pay, number of children, marital status, citizenship, or |
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140 | 139 | | motive. |
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141 | 140 | | 68-1-2505. Applicability. |
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142 | 141 | | (a) This state, and any political subdivision of this state, shall not administer, |
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143 | 142 | | implement, or enforce any law, rule, or other provision having the force and effect of law |
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144 | 143 | | that: |
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145 | 144 | | (1) Prohibits or restricts the sale, provision, or use of any contraceptives |
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146 | 145 | | that have been approved by the federal food and drug administration for |
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147 | 146 | | contraceptive purposes; |
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148 | 147 | | (2) Prohibits or restricts an individual from aiding another individual in |
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149 | 148 | | obtaining any contraceptives approved by the federal food and drug |
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150 | 149 | | administration or other contraceptive methods; or |
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151 | 150 | | |
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152 | 151 | | |
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153 | 152 | | - 6 - 001762 |
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154 | 153 | | |
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155 | 154 | | (3) Exempts any contraceptives approved by the federal food and drug |
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156 | 155 | | administration from any other generally applicable law in a way that would make |
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157 | 156 | | it more difficult to sell, provide, obtain, or use those contraceptives or |
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158 | 157 | | contraceptive methods. |
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159 | 158 | | (b) An individual or entity that is subject to a limitation or requirement that |
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160 | 159 | | violates this section may raise this section as a defense to any cause of action against |
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161 | 160 | | the individual or entity. |
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162 | 161 | | 68-1-2506. Construction. |
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163 | 162 | | (a) This part must be liberally construed to effectuate its purposes. |
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164 | 163 | | (b) This part does not: |
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165 | 164 | | (1) Authorize a government or political subdivision to interfere with a |
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166 | 165 | | healthcare provider's ability to provide contraceptives or contraception-related |
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167 | 166 | | information or an individual's freedom to obtain contraceptives or to engage in |
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168 | 167 | | contraception; |
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169 | 168 | | (2) Authorize a healthcare provider, women's resource center, or |
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170 | 169 | | pregnancy care center to interfere with an individual's freedom to obtain |
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171 | 170 | | contraceptives, to engage in contraception, or to obtain medically supported |
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172 | 171 | | information related to contraception and family planning to consenting patients; |
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173 | 172 | | (3) Permit or sanction the conduct of any sterilization procedure or |
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174 | 173 | | contraception use without the patient's voluntary and informed consent; or |
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175 | 174 | | (4) Violate title 39, chapter 15, part 2. |
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176 | 175 | | SECTION 2. The headings in this act are for reference purposes only and do not |
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177 | 176 | | constitute a part of the law enacted by this act. However, the Tennessee Code Commission is |
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178 | 177 | | requested to include the headings in any compilation or publication containing this act. |
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179 | 178 | | SECTION 3. This act takes effect upon becoming a law, the public welfare requiring it. |
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