Texas 2011 82nd Regular

Texas House Bill HB2659 Introduced / Bill

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                    82R8894 YDB-D
 By: Lavender H.B. No. 2659


 A BILL TO BE ENTITLED
 AN ACT
 relating to prohibiting abortion except when medically necessary or
 when the pregnancy is the result of rape or incest.
 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
 SECTION 1.  The heading to Chapter 170, Health and Safety
 Code, is amended to read as follows:
 CHAPTER 170.  ABORTION PROHIBITED [ACTS REGARDING ABORTION]
 SECTION 2.  Section 170.002, Health and Safety Code, is
 amended to read as follows:
 Sec. 170.002.  ABORTION PROHIBITED [ACTS]; EXEMPTION. (a)
 Except as provided by Subsection (b), a person may not
 intentionally or knowingly perform an abortion on a woman who is
 pregnant [with a viable unborn child during the third trimester of
 the pregnancy].
 (b)  Subsection (a) does not prohibit a person from
 performing an abortion if at the time of the abortion the person is
 a physician and concludes in good faith [according to the
 physician's best medical judgment] that:
 (1)  the pregnancy is the result of rape or incest based
 on a police report or other evidence the physician reasonably
 determines is reliable; or [fetus is not a viable fetus and the
 pregnancy is not in the third trimester;]
 (2)  the abortion, according to the physician's best
 medical judgment, is necessary to prevent the death or a
 substantial risk of serious impairment to the physical [or mental]
 health of the woman[; or
 [(3)     the fetus has a severe and irreversible
 abnormality, identified by reliable diagnostic procedures].
 (c)  A physician who performs an abortion [that, according to
 the physician's best medical judgment at the time of the abortion,
 is to abort a viable unborn child during the third trimester of the
 pregnancy] shall certify in writing to the department, on a form
 prescribed by the department, the facts or medical indications
 supporting the physician's judgment that the abortion was
 authorized by Subsection (b) [(b)(2) or (3)]. The certification
 must be made not later than the 30th day after the date the abortion
 was performed.
 SECTION 3.  Chapter 33, Family Code, is amended by adding
 Section 33.0011 to read as follows:
 Sec. 33.0011.  PROHIBITED ABORTION NOT AUTHORIZED. This
 chapter may not be construed to authorize the performance of an
 abortion prohibited under Chapter 170, Health and Safety Code.
 SECTION 4.  Sections 33.002(a) and (d), Family Code, are
 amended to read as follows:
 (a)  A physician may not perform an abortion on a pregnant
 unemancipated minor unless the abortion is authorized under Section
 170.002(b), Health and Safety Code, and:
 (1)  the physician performing the abortion gives at
 least 48 hours actual notice, in person or by telephone, of the
 physician's intent to perform the abortion to and, in accordance
 with Section 164.052, Occupations Code, obtains written consent
 from:
 (A)  a parent of the minor, if the minor has no
 managing conservator or guardian; or
 (B)  a court-appointed managing conservator or
 guardian;
 (2)  for a pregnancy the physician has reasonably
 determined is the result of incest, the judge of a court having
 probate jurisdiction, the judge of a county court at law, the judge
 of a district court, including a family district court, or a court
 of appellate jurisdiction issues an order authorizing the minor to
 consent to the abortion as provided by Section 33.003 or 33.004;
 (3)  for a pregnancy the physician has reasonably
 determined is the result of incest, a probate court, county court at
 law, district court, including a family district court, or court of
 appeals, by its inaction, constructively authorizes the minor to
 consent to the abortion as provided by Section 33.003 or 33.004; or
 (4)  the physician performing the abortion:
 (A)  concludes that on the basis of the
 physician's good faith clinical judgment, a condition exists that
 complicates the medical condition of the pregnant minor and
 necessitates the immediate abortion of her pregnancy to avert her
 death or to avoid a serious risk of substantial and irreversible
 impairment of a major bodily function and that there is
 insufficient time to provide the notice and obtain the consent of
 the minor's parent, managing conservator, or guardian; and
 (B)  certifies in writing to the [Texas]
 Department of State Health Services and in the patient's medical
 record the medical indications supporting the physician's judgment
 that the circumstances described by Paragraph (A) exist.
 (d)  A physician may execute for inclusion in the minor's
 medical record an affidavit stating that, according to the best
 information and belief of the physician, notice [or constructive
 notice] has been provided as required by this section. Execution of
 an affidavit under this subsection creates a presumption that the
 notice requirements of this section have been satisfied.
 SECTION 5.  Sections 33.003(a) and (c), Family Code, are
 amended to read as follows:
 (a)  A pregnant minor whose pregnancy is the result of incest
 and who wishes to have an abortion without notification to one of
 her parents, her managing conservator, or her guardian may file an
 application for a court order authorizing the minor to consent to
 the performance of an abortion without notification to either of
 her parents or a managing conservator or guardian.
 (c)  The application must be made under oath and include:
 (1)  a statement that the minor is pregnant;
 (2)  a statement that the minor is unmarried, is under
 18 years of age, and has not had her disabilities removed under
 Chapter 31;
 (3)  a statement that the pregnancy is the result of
 incest and the minor wishes to have an abortion without the
 notification of either of her parents or a managing conservator or
 guardian; and
 (4)  a statement as to whether the minor has retained an
 attorney and, if she has retained an attorney, the name, address,
 and telephone number of her attorney.
 SECTION 6.  Section 33.008(b), Family Code, is amended to
 read as follows:
 (b)  The Department of Family and Protective [and
 Regulatory] Services shall investigate suspected abuse reported
 under this section and, if appropriate, shall assist the minor in
 making an application with a court under Section 33.003.
 SECTION 7.  Section 419.908(c), Government Code, as added by
 Chapter 994 (H.B. 3866), Acts of the 81st Legislature, Regular
 Session, 2009, is amended to read as follows:
 (c)  This section does not apply to state agency personnel
 who conduct a life safety code survey of a building or facility in
 connection with determining whether to issue or renew a license
 under Chapter 142, 241, 242, 243, 244, [245,] 247, 248, 251, 252,
 464, 466, or 577, Health and Safety Code, or Chapter 103, Human
 Resources Code.
 SECTION 8.  Section 248.003, Health and Safety Code, is
 amended to read as follows:
 Sec. 248.003.  EXEMPTIONS. This chapter does not apply to:
 (1)  a home and community support services agency
 required to be licensed under Chapter 142;
 (2)  a person required to be licensed under Chapter 241
 (Texas Hospital Licensing Law);
 (3)  an institution required to be licensed under
 Chapter 242;
 (4)  an ambulatory surgical center required to be
 licensed under Chapter 243 (Texas Ambulatory Surgical Center
 Licensing Act);
 (5)  a birthing center required to be licensed under
 Chapter 244 (Texas Birthing Center Licensing Act);
 (6)  [a facility required to be licensed under Chapter
 245 (Texas Abortion Facility Reporting and Licensing Act);
 [(7)]  a child care institution, foster group home,
 foster family home, and child-placing agency, for children in
 foster care or other residential care who are under the
 conservatorship of the Department of Family and Protective [and
 Regulatory] Services; or
 (7) [(8)]  a person providing medical or nursing care
 or services under a license or permit issued under other state law.
 SECTION 9.  Section 164.052(a), Occupations Code, is amended
 to read as follows:
 (a)  A physician or an applicant for a license to practice
 medicine commits a prohibited practice if that person:
 (1)  submits to the board a false or misleading
 statement, document, or certificate in an application for a
 license;
 (2)  presents to the board a license, certificate, or
 diploma that was illegally or fraudulently obtained;
 (3)  commits fraud or deception in taking or passing an
 examination;
 (4)  uses alcohol or drugs in an intemperate manner
 that, in the board's opinion, could endanger a patient's life;
 (5)  commits unprofessional or dishonorable conduct
 that is likely to deceive or defraud the public, as provided by
 Section 164.053, or injure the public;
 (6)  uses an advertising statement that is false,
 misleading, or deceptive;
 (7)  advertises professional superiority or the
 performance of professional service in a superior manner if that
 advertising is not readily subject to verification;
 (8)  purchases, sells, barters, or uses, or offers to
 purchase, sell, barter, or use, a medical degree, license,
 certificate, or diploma, or a transcript of a license, certificate,
 or diploma in or incident to an application to the board for a
 license to practice medicine;
 (9)  alters, with fraudulent intent, a medical license,
 certificate, or diploma, or a transcript of a medical license,
 certificate, or diploma;
 (10)  uses a medical license, certificate, or diploma,
 or a transcript of a medical license, certificate, or diploma that
 has been:
 (A)  fraudulently purchased or issued;
 (B)  counterfeited; or
 (C)  materially altered;
 (11)  impersonates or acts as proxy for another person
 in an examination required by this subtitle for a medical license;
 (12)  engages in conduct that subverts or attempts to
 subvert an examination process required by this subtitle for a
 medical license;
 (13)  impersonates a physician or permits another to
 use the person's license or certificate to practice medicine in
 this state;
 (14)  directly or indirectly employs a person whose
 license to practice medicine has been suspended, canceled, or
 revoked;
 (15)  associates in the practice of medicine with a
 person:
 (A)  whose license to practice medicine has been
 suspended, canceled, or revoked; or
 (B)  who has been convicted of the unlawful
 practice of medicine in this state or elsewhere;
 (16)  performs or procures a criminal abortion, aids or
 abets in the procuring of a criminal abortion, attempts to perform
 or procure a criminal abortion, or attempts to aid or abet the
 performance or procurement of a criminal abortion;
 (17)  directly or indirectly aids or abets the practice
 of medicine by a person, partnership, association, or corporation
 that is not licensed to practice medicine by the board;
 (18)  performs an abortion on a woman who is pregnant,
 [with a viable unborn child during the third trimester of the
 pregnancy] unless[:
 [(A)]  the abortion is authorized under Section
 170.002(b), Health and Safety Code [necessary to prevent the death
 of the woman;
 [(B)     the viable unborn child has a severe,
 irreversible brain impairment; or
 [(C)     the woman is diagnosed with a significant
 likelihood of suffering imminent severe, irreversible brain damage
 or imminent severe, irreversible paralysis]; or
 (19)  performs an abortion on an unemancipated minor
 without the written consent of the child's parent, managing
 conservator, or legal guardian [or without a court order, as
 provided by Section 33.003 or 33.004, Family Code, authorizing the
 minor to consent to the abortion], unless the abortion is
 authorized under Section 170.002(b), Health and Safety Code, and
 performed in accordance with Chapter 33, Family Code [physician
 concludes that on the basis of the physician's good faith clinical
 judgment, a condition exists that complicates the medical condition
 of the pregnant minor and necessitates the immediate abortion of
 her pregnancy to avert her death or to avoid a serious risk of
 substantial impairment of a major bodily function and that there is
 insufficient time to obtain the consent of the child's parent,
 managing conservator, or legal guardian].
 SECTION 10.  The following provisions are repealed:
 (1)  Section 33.002(b), Family Code;
 (2)  Section 170.001(3), Health and Safety Code;
 (3)  Chapter 171, Health and Safety Code; and
 (4)  Chapter 245, Health and Safety Code.
 SECTION 11.  If any provision of this Act or its application
 to any person or circumstance is held invalid, the entire Act is
 invalid, and to this end the provisions of this Act are declared to
 be nonseverable.
 SECTION 12.  The changes in law made by this Act apply only
 to an offense committed or conduct that occurs on or after the
 effective date of this Act. An offense committed or conduct that
 occurs before the effective date of this Act is governed by the law
 in effect when the offense was committed or the conduct occurred,
 and the former law is continued in effect for that purpose. For
 purposes of this section, an offense is committed or conduct occurs
 before the effective date of this Act if any element of the offense
 or conduct occurs before the effective date.
 SECTION 13.  This Act takes effect immediately if it
 receives a vote of two-thirds of all the members elected to each
 house, as provided by Section 39, Article III, Texas Constitution.
 If this Act does not receive the vote necessary for immediate
 effect, this Act takes effect September 1, 2011.