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.