Texas 2013 83rd Regular

Texas House Bill HB3302 Introduced / Bill

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                    83R6088 AJZ-F
 By: Krause H.B. No. 3302


 A BILL TO BE ENTITLED
 AN ACT
 relating to the regulation of abortion procedures; providing
 penalties.
 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
 SECTION 1.  Section 33.001, Family Code, is amended by
 amending Subdivisions (1) and (2) and adding Subdivisions (3-a),
 (3-b), (4-a), (4-b), (4-c), and (4-d) to read as follows:
 (1)  "Abortion" has the meaning assigned by Section
 171.002, Health and Safety Code [means the use of any means to
 terminate the pregnancy of a female known by the attending
 physician to be pregnant, with the intention that the termination
 of the pregnancy by those means will with reasonable likelihood
 cause the death of the fetus. This definition, as applied in this
 chapter, applies only to an unemancipated minor known by the
 attending physician to be pregnant and may not be construed to limit
 a minor's access to contraceptives].
 (2)  "Attempt to perform an abortion" means an act or an
 omission of a statutorily required act that, under the
 circumstances as the actor believes them to be, constitutes a
 substantial step in a course of conduct planned to culminate in the
 performance of an abortion in this state. ["Fetus"   means an
 individual human organism from fertilization until birth.]
 (3-a)  "Medical emergency" means a life-threatening
 physical condition aggravated by, caused by, or arising from a
 pregnancy that, in reasonable medical judgment, places the pregnant
 woman in danger of death or at serious risk of substantial
 impairment of a major bodily function unless the abortion is
 performed immediately. No condition shall be deemed a medical
 emergency if based on a claim or diagnosis that the woman will
 engage in conduct which she intends to result in her death or in
 substantial and irreversible physical impairment of a major bodily
 function.
 (3-b)  "Perform" with respect to an abortion includes
 to induce the abortion.
 (4-a)  "Positive proof of age" means a
 government-issued document, including a birth certificate or
 driver's license or similar state-issued or federal
 government-issued identification card, that indicates a person's
 age.
 (4-b)  "Positive proof of identification" means a
 government-issued photo identification card, including a driver's
 license or similar state-issued or federal government-issued
 identification card, that a reasonable person would believe is the
 identification card of the person presenting the card.
 (4-c)  "Reasonable medical judgment" means a medical
 judgment that would be made by a reasonably prudent physician who is
 knowledgeable about a patient's case and the treatment
 possibilities for the patient related to the medical conditions
 related to the case.
 (4-d)  "Unborn child" means an individual human
 organism from fertilization until live birth.
 SECTION 2.  Chapter 33, Family Code, is amended by adding
 Section 33.0011 to read as follows:
 Sec. 33.0011.  POSITIVE PROOF OF AGE. (a) Except in the case
 of a medical emergency or as provided by this chapter, a physician
 may not perform or attempt to perform an abortion on any pregnant
 woman unless the physician has obtained:
 (1)  positive proof of age demonstrating that the
 pregnant woman is not a minor; or
 (2)  a certified copy of the court order proving that
 the pregnant woman is an emancipated minor.
 (b)  A copy of the positive proof of age submitted under
 Subsection (a) must be kept in the woman's medical record until the
 later of:
 (1)  the woman's 25th birthday; or
 (2)  the seventh anniversary of the date of the
 certification.
 SECTION 3.  Section 33.002, Family Code, is amended by
 amending Subsections (a), (d), (e), and (g) and adding Subsections
 (a-1), (a-2), (a-3), (a-4), and (g-1) to read as follows:
 (a)  Subject to Sections 33.003 and 33.004, a [A] physician
 may not perform an abortion or attempt to perform an abortion on a
 pregnant unemancipated minor unless written consent of the minor's
 parent, managing conservator, or legal guardian is obtained under
 Section 164.052(a)(19), Occupations Code, and:
 (1)  a parent of the minor or the managing conservator
 or guardian of the minor provides, in person, positive proof of
 identification and the certified statement described by Section
 33.0021(a) to the physician who is to perform the abortion;
 (2)  48 hours have elapsed since the time written
 notice of the pending abortion was personally delivered by the
 physician who is to perform or attempt to perform the abortion, or
 an agent of the physician, to the usual place of residence of a
 parent of the minor or the managing conservator or guardian of the
 minor and the parent, managing conservator, or guardian provided
 positive proof of identification to the delivering physician or
 agent;
 (3)  48 hours have elapsed since the attending
 physician who is to perform the abortion sent a written notice of
 the physician's intent to perform an abortion on a pregnant
 unemancipated minor to the last known address of the minor's
 parent, managing conservator, or guardian by certified mail,
 restricted delivery, return receipt requested [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:
 [(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)     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)     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 who is to perform [performing] the
 abortion:
 (A)  concludes that a medical emergency exists as
 described by Section 33.001(3-a) [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]
 (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 a medical emergency exists as required by Subsection (e) and
 Section 33.0022(c); and
 (C)  provides the notice required under Section
 33.0022 [the circumstances described by Paragraph (A) exist].
 (a-1)  A physician, an agent of the physician, the facility,
 or any agent of or person at the facility may not accept any form of
 payment, deposit, or exchange during a minor's initial visit to the
 physician's office or facility to provide the positive proof of
 identification and certified statement required under Subsection
 (a)(1).
 (a-2)  The physician who performs the abortion on the minor
 must certify in writing that the notice required by Subsection
 (a)(2) was delivered to the parent of the minor or the managing
 conservator or guardian of the minor. The written certification
 must be kept in the minor's medical record for the period specified
 by Subsection (a-4).
 (a-3)  A physician may rely on the last known address
 information described by Subsection (a)(3) if a reasonable and
 prudent person, under similar circumstances, would rely on the
 information as sufficient evidence that the parent, managing
 conservator, or guardian resides at that address. The physician
 must keep for the period specified by Subsection (a-4) in the
 minor's medical record:
 (1)  the return receipt from the written notice; or
 (2)  if the notice was returned as undeliverable, the
 notice.
 (a-4)  The documentation required under Subsections (a-2)
 and (a-3) must be kept in the minor's medical record until the later
 of:
 (1)  the minor's 25th birthday; or
 (2)  the seventh anniversary of the date of the
 certification.
 (d)  A physician shall [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 requirements of this section have been
 satisfied.]
 (e)  The [Texas] Department of State Health Services shall
 prepare a form to be used for making the certification required by
 Subsection (a)(4)(B) [(a)(4)]. The form must include:
 (1)  the following statement: "Under penalty of perjury
 as defined by Section 37.02, Penal Code, I, (insert name of
 physician performing abortion due to medical emergency), swear that
 a medical emergency as defined by Section 33.001(3-a), Family Code,
 existed at the time the unemancipated minor presented for an
 abortion.";
 (2)  a section for an explanation of the specific
 life-threatening physical condition of the minor that necessitated
 the immediate abortion; and
 (3)  a section for the physician who is to perform the
 abortion to indicate whether the medical emergency that
 necessitated the abortion placed the pregnant minor:
 (A)  in danger of imminent death; or
 (B)  at serious risk of substantial impairment of
 a major bodily function.
 (g)  A physician who with criminal negligence
 [intentionally] performs or attempts to perform an abortion on a
 pregnant unemancipated minor in violation of this section commits
 an offense. An offense under this subsection is punishable by a
 fine not to exceed $10,000. In this subsection, "criminal
 negligence" ["intentionally"] has the meaning assigned by Section
 6.03(d) [6.03(a)], Penal Code.
 (g-1)  A physician performing an abortion and a pregnant
 unemancipated minor seeking an abortion under this section are
 subject to the requirements established under Chapter 171, Health
 and Safety Code.  The physician is also subject to the requirements
 under Section 164.052(a)(19), Occupations Code.
 SECTION 4.  Chapter 33, Family Code, is amended by adding
 Sections 33.0021 and 33.0022 to read as follows:
 Sec. 33.0021.  CERTIFIED STATEMENT; REQUIRED RECORDS. (a)
 The certified statement required under Section 33.002(a) must be
 signed and dated and be substantially similar to the following: "I
 certify that I, (insert name), am the parent, managing conservator,
 or guardian of (insert name of pregnant minor) and have been
 notified that (insert name of physician) intends to perform an
 abortion on (insert name of pregnant minor). I understand that any
 person who with criminal negligence makes a fraudulent statement in
 this regard commits a felony."
 (b)  The physician who receives the certified statement of
 the parent, managing conservator, or guardian required under
 Section 33.002(a) shall execute an affidavit for inclusion in the
 medical record of the minor stating: "I, (insert name of
 physician), certify that according to my best information and
 belief, a reasonable person under similar circumstances would rely
 on the positive proof of identification presented by both the minor
 and her parent, managing conservator, or guardian as belonging to
 the person represented on the identification and as sufficient
 evidence of the person's identity."
 (c)  A physician shall keep in the medical record of the
 minor a copy of the positive proof of identification of the parent,
 managing conservator, or guardian required under Section
 33.002(a), the certified statement required under Section
 33.002(a), and the affidavit required under Subsection (b) until
 the later of:
 (1)  the minor's 25th birthday; or
 (2)  the seventh anniversary of the date of the
 certified statement.
 (d)  A person commits an offense if the person with criminal
 negligence makes a fraudulent statement in a certified statement
 under Subsection (a). An offense under this section is a state jail
 felony. If conduct constituting an offense under this subsection is
 also an offense under Section 37.10, Penal Code, the actor may be
 prosecuted under either provision or both provisions.
 Sec. 33.0022.  MEDICAL EMERGENCY NOTIFICATION. (a) If the
 attending physician concludes under Section 33.002(a)(4) that a
 medical emergency exists and that there is insufficient time to
 provide the notice required by Section 33.002, the physician shall
 verbally inform the parent, managing conservator, or guardian of
 the unemancipated minor within two hours after the time a medical
 emergency abortion is performed on the minor of:
 (1)  the performance of the abortion; and
 (2)  the basis for the physician's determination that a
 medical emergency existed, as defined by Section 33.001(3-a), that
 required the performance of a medical emergency abortion without
 fulfilling the requirements of Section 33.002.
 (b)  The attending physician shall send a written notice of
 the medical emergency abortion to the last known address of the
 parent, managing conservator, or guardian by certified mail,
 restricted delivery, return receipt requested. The physician may
 rely on last known address information if a reasonable and prudent
 person, under similar circumstances, would rely on the information
 as sufficient evidence that the parent, managing conservator, or
 guardian resides at that address. The physician must keep for the
 period specified by Section 33.0021(c) in the minor's medical
 record:
 (1)  the return receipt from the written notice; or
 (2)  if the notice was returned as undeliverable, the
 notice.
 (c)  The physician who performs the abortion on the minor
 shall execute for inclusion in the medical record of the minor an
 affidavit that:
 (1)  includes the following statement: "I, (insert name
 of physician), certify that a life-threatening physical condition
 aggravated by, caused by, or arising from the minor's pregnancy
 placed the minor in danger of death or at serious risk of
 substantial impairment of a major bodily function unless the
 abortion was performed.";
 (2)  explains the specific life-threatening condition
 of the minor that necessitated the immediate abortion; and
 (3)  indicates whether the medical emergency that
 necessitated the abortion placed the pregnant minor:
 (A)  in danger of imminent death; or
 (B)  at serious risk of substantial impairment of
 a major bodily function.
 SECTION 5.  Sections 33.003(a), (b), (c), (e), (f), (h),
 (i), and (j), Family Code, are amended to read as follows:
 (a)  A pregnant minor [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 the
 consent of or notification to either of her parents or a managing
 conservator or guardian.
 (b)  If the minor resides in a county with a population of
 less than 50,000, the [The] application must [may] be filed in a
 [any] county court at law, court having probate jurisdiction, or
 district court, including a family district court, in the county in
 which the minor resides or an adjacent county [this state]. If the
 minor resides in a county with a population of 50,000 or more, the
 application must be filed in a county court at law, court having
 probate jurisdiction, or district court, including a family
 district court, in the county in which the minor resides.
 (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 minor wishes to have an
 abortion without the notification or consent 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; and
 (5)  a statement about the minor's current residence,
 including the minor's physical address, mailing address, and
 telephone number.
 (e)  The court shall appoint a guardian ad litem for the
 minor. If the minor has not retained an attorney, the court shall
 appoint an attorney to represent the minor. The [If the] guardian
 ad litem may not also [is an attorney admitted to the practice of
 law in this state, the court may appoint the guardian ad litem to]
 serve as the minor's attorney ad litem.
 (f)  The court may appoint to serve as guardian ad litem:
 (1)  a person who may consent to treatment for the minor
 under Sections 32.001(a)(1)-(3); or
 (2)  [a psychiatrist or an individual licensed or
 certified as a psychologist under Chapter 501, Occupations Code;
 [(3)]  an appropriate employee of the Department of
 Family and Protective Services[;
 [(4)  a member of the clergy; or
 [(5)     another appropriate person selected by the
 court].
 (h)  The court shall rule on an application submitted under
 this section and shall issue written findings of fact and
 conclusions of law not later than 5 p.m. on the second business day
 after the date the application is filed with the court. On request
 by the minor, the court shall grant an extension of the period
 specified by this subsection. If a request for an extension is
 made, the court shall rule on an application and shall issue written
 findings of fact and conclusions of law not later than 5 p.m. on the
 second business day after the date the minor states she is ready to
 proceed to hearing. [If the court fails to rule on the application
 and issue written findings of fact and conclusions of law within the
 period specified by this subsection, the application is deemed to
 be granted and the physician may perform the abortion as if the
 court had issued an order authorizing the minor to consent to the
 performance of the abortion without notification under Section
 33.002.] Proceedings under this section shall be given precedence
 over other pending matters to the extent necessary to assure that
 the court reaches a decision promptly.
 (i)  The court shall determine by clear and convincing [a
 preponderance of the] evidence whether the minor is mature and
 sufficiently well informed to make the decision to have an abortion
 performed without the consent of or notification to either of her
 parents or a managing conservator or guardian or [,] whether
 consent or notification would not be in the best interest of the
 minor. The court shall determine by a preponderance of the
 evidence[, or] whether consent or notification may lead to physical
 or [,] sexual[, or emotional] abuse of the minor. If the court
 finds that the minor is mature and sufficiently well informed, that
 consent or notification would not be in the minor's best interest,
 or that consent or notification may lead to physical or [,] sexual[,
 or emotional] abuse of the minor, the court shall enter an order
 authorizing the minor to consent to the performance of the abortion
 without the consent of or notification to either of her parents or a
 managing conservator or guardian and shall execute the required
 forms.
 (j)  If the court finds that the minor does not meet the
 requirements of Subsection (i), the court may not authorize the
 minor to consent to an abortion without the consent required under
 Section 164.052(a)(19), Occupations Code, or notification
 authorized under Section 33.002(a)(1).
 SECTION 6.  Sections 33.004(b) and (f), Family Code, are
 amended to read as follows:
 (b)  The court of appeals shall rule on an appeal under this
 section not later than 5 p.m. on the second business day after the
 date the notice of appeal is filed with the court that denied the
 application. On request by the minor, the court shall grant an
 extension of the period specified by this subsection. If a request
 for an extension is made, the court shall rule on the appeal not
 later than 5 p.m. on the second business day after the date the
 minor states she is ready to proceed. [If the court of appeals
 fails to rule on the appeal within the period specified by this
 subsection, the appeal is deemed to be granted and the physician may
 perform the abortion as if the court had issued an order authorizing
 the minor to consent to the performance of the abortion without
 notification under Section 33.002.] Proceedings under this section
 shall be given precedence over other pending matters to the extent
 necessary to assure that the court reaches a decision promptly.
 (f)  An expedited confidential appeal shall be available to
 any pregnant minor to whom a court of appeals denies an order
 authorizing the minor to consent to the performance of an abortion
 without the consent of or notification to either of her parents or a
 managing conservator or guardian.
 SECTION 7.  Section 33.007, Family Code, is amended to read
 as follows:
 Sec. 33.007.  COSTS NOT PAID BY STATE. [(a)] A court acting
 under Section 33.003 or 33.004 may not issue an order requiring the
 state to pay:
 (1)  the cost of any attorney ad litem and any guardian
 ad litem appointed for the minor;
 (2)  notwithstanding Sections 33.003(n) and 33.004(e),
 the costs of court associated with the application or appeal; or
 [and]
 (3)  any court reporter's fees incurred.
 [(b)     An order issued under Subsection (a) must be directed
 to the comptroller, who shall pay the amount ordered from funds
 appropriated to the Texas Department of Health.]
 SECTION 8.  Section 33.008, Family Code, is amended to read
 as follows:
 Sec. 33.008.  PHYSICIAN'S DUTY TO REPORT ABUSE OF A MINOR;
 INVESTIGATION AND ASSISTANCE. (a)  If a minor claims to have been
 [A physician who has reason to believe that a minor has been or may
 be] physically or sexually abused by a parent or the managing
 conservator or guardian of the minor, the physician or physician's
 agent [person responsible for the minor's care, custody, or
 welfare, as that term is defined by Section 261.001,] shall
 immediately report the suspected abuse and the name of the abuser to
 the Department of Family and Protective Services and to a local law
 enforcement agency and shall refer the minor to the department for
 services or intervention that may be in the best interest of the
 minor. The local law enforcement agency has a duty to respond and
 shall write a report within 12 hours of being notified of the
 alleged abuse.  A report shall be made regardless of whether the
 responder knows or suspects that a report about the abuse may have
 previously been made.
 (b)  The appropriate local law enforcement agency and the
 Department of Family and Protective Services shall investigate
 suspected abuse reported under this section and, if warranted
 [appropriate], shall refer the case to the appropriate prosecuting
 authority [assist the minor in making an application with a court
 under Section 33.003].
 (c)  When the local law enforcement agency responds to the
 report of physical or sexual abuse as required under Subsection
 (b), a law enforcement officer or appropriate agent from the
 Department of Family and Protective Services may take emergency
 possession of the minor without a court order to protect the health
 and safety of the minor as described in Chapter 262.
 SECTION 9.  Section 33.010, Family Code, is amended to read
 as follows:
 Sec. 33.010.  CONFIDENTIALITY. Notwithstanding any other
 law, information obtained by the Department of Family and
 Protective Services or another entity under Section 33.008 [or
 33.009] is confidential except to the extent necessary to prove a
 violation of Section 21.02, 22.011, 22.021, or 25.02, Penal Code.
 SECTION 10.  Chapter 33, Family Code, is amended by adding
 Sections 33.012 and 33.013 to read as follows:
 Sec. 33.012.  INJUNCTION; CIVIL LIABILITY.  (a)  A cause of
 action for injunctive relief may be brought against a person who
 intentionally, knowingly, recklessly, or negligently violates
 Section 33.0011, 33.002, or 33.008 to prevent the violation from
 continuing or occurring.  The action may be maintained by:
 (1)  the minor on whom an abortion was performed or on
 whom the performance of an abortion was attempted;
 (2)  a parent or the managing conservator or guardian
 of the minor;
 (3)  a district attorney with appropriate
 jurisdiction; or
 (4)  the attorney general.
 (b)  A physician or abortion provider who intentionally,
 knowingly, recklessly, or negligently violates this chapter is
 liable for damages in a civil action brought under this section.  A
 minor on whom an abortion has been performed or on whom the
 performance of an abortion has been attempted in violation of this
 chapter, or a parent or the managing conservator or guardian of an
 unemancipated minor, may seek actual and exemplary damages from the
 physician or abortion provider for any intentional, knowing,
 reckless, or negligent violation of this chapter.
 (c)  A person who intentionally, knowingly, recklessly, or
 negligently violates the terms of an injunction issued in
 accordance with this section is liable to this state for a civil
 penalty of:
 (1)  $10,000 for the first violation;
 (2)  $50,000 for the second violation;
 (3)  $100,000 for the third violation; and
 (4)  an amount greater than $100,000 that is sufficient
 to deter future violations for each succeeding violation.
 (d)  Each performance or attempted performance of an
 abortion in violation of the terms of an injunction is a separate
 violation.
 (e)  A civil penalty may not be assessed against a minor on
 whom an abortion is performed or attempted.
 (f)  A physician who is found guilty of a violation of this
 chapter by a court or who loses the physician's license to practice
 medicine for unprofessional conduct described by Section
 164.052(a)(19) or (20), Occupations Code, is liable for the legal
 fees of the minor or the person suing on the minor's behalf.
 (g)  It is not a defense to a claim brought under this section
 that the minor gave informed and voluntary consent.
 Sec. 33.013.  CAPACITY TO CONSENT. An unemancipated minor
 does not have the capacity to consent to any action that violates
 this chapter.
 SECTION 11.  Subchapter A, Chapter 22, Government Code, is
 amended by adding Section 22.018 to read as follows:
 Sec. 22.018.  PUBLIC INFORMATION REGARDING CERTAIN
 PETITIONS AND MOTIONS. (a) The supreme court shall adopt rules
 governing the collection of statistical information relating to
 applications and appeals granted under Sections 33.003(h) and
 33.004(b), Family Code. The information collected by the supreme
 court must include:
 (1)  the number of judicial bypass cases;
 (2)  the number of judicial bypass cases in which the
 court appointed a guardian ad litem;
 (3)  the number of judicial bypass cases in which the
 court appointed an attorney;
 (4)  the number of judicial bypass cases in which the
 judge issued an order authorizing an abortion without consent or
 notification; and
 (5)  the number of judicial bypass cases in which the
 judge denied an order, the number of appeals filed as a result of a
 denial, the number of denials that were affirmed, and the number of
 denials that were reversed.
 (b)  The information collected under this section must be
 available to the public in aggregate form by county.
 (c)  Identifying information about a minor collected under
 this section is confidential and is not subject to disclosure under
 Chapter 552.
 SECTION 12.  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 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; or
 (20)  otherwise performs an abortion on an
 unemancipated minor in violation of Chapter 33, Family Code [,
 authorizing the minor to consent to the abortion, unless the
 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 13.  Section 164.055(b), Occupations Code, is
 amended to read as follows:
 (b)  The sanctions provided by Subsection (a) are in addition
 to any other grounds for refusal to admit persons to examination
 under this subtitle or to issue a license or renew a license to
 practice medicine under this subtitle. [The criminal penalties
 provided by Section 165.152 do not apply to a violation of Section
 170.002, Health and Safety Code.]
 SECTION 14.  The following provisions of the Family Code are
 repealed:
 (1)  Sections 33.002(b), (c), (f), (h), and (i);
 (2)  Section 33.003(k);
 (3)  Section 33.004(c); and
 (4)  Section 33.009.
 SECTION 15.  If any court enjoins, suspends, or delays the
 implementation of the changes in law made by this Act to Chapter 33,
 Family Code, and Section 164.052, Occupations Code, the former law,
 as the law existed immediately before the effective date of this
 Act, becomes or remains in effect and continues in effect. At the
 time a temporary or permanent restraining order or injunction
 described by this section is stayed or dissolved, or otherwise
 ceases to have effect, the changes in law made by this Act become
 immediately effective.
 SECTION 16.  If any provision of this Act or its application
 to any person or circumstance is finally held to be
 unconstitutional, the entire Act is invalid, and to this end the
 provisions of this Act are declared to be nonseverable.
 SECTION 17.  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 18.  Information obtained before the effective date
 of this Act by the Department of Family and Protective Services or
 another entity under Section 33.009, Family Code, as it existed
 before the effective date of this Act, remains confidential to the
 extent provided by Section 33.010, Family Code, as it existed
 before the effective date of this Act.
 SECTION 19.  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, 2013.