84R10174 JSC-F
By: White of Bell H.B. No. 1648
A BILL TO BE ENTITLED
AN ACT
relating to voluntary and informed consent to an abortion and
prevention of coerced abortions; providing penalties; creating an
offense.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1. Chapter 6, Code of Criminal Procedure, is
amended by adding Article 6.11 to read as follows:
Art. 6.11. REPORTS OF COERCION OF ABORTION. (a) A peace
officer who receives a report of or other information indicating
the commission or attempted commission of an alleged offense under
Section 25.12, Penal Code, shall file a police report as necessary
to ensure that law enforcement may investigate the alleged offense.
(b) A peace officer receiving a report or other information
indicating that a person has coerced or forced or attempted to
coerce or force a pregnant minor to have or seek an abortion shall
notify the Department of Family and Protective Services.
SECTION 2. Section 33.002, Family Code, is amended by
adding Subsection (a-1) to read as follows:
(a-1) A physician giving notice under Subsection (a)(1)
shall inform the parent, managing conservator, or guardian that it
is considered to be child abuse under Texas law for the parent,
managing conservator, or guardian to coerce or force the minor to
have or seek an abortion.
SECTION 3. Section 261.001(1), Family Code, is amended to
read as follows:
(1) "Abuse" includes the following acts or omissions
by a person:
(A) mental or emotional injury to a child that
results in an observable and material impairment in the child's
growth, development, or psychological functioning;
(B) causing or permitting the child to be in a
situation in which the child sustains a mental or emotional injury
that results in an observable and material impairment in the
child's growth, development, or psychological functioning;
(C) physical injury that results in substantial
harm to the child, or the genuine threat of substantial harm from
physical injury to the child, including an injury that is at
variance with the history or explanation given and excluding an
accident or reasonable discipline by a parent, guardian, or
managing or possessory conservator that does not expose the child
to a substantial risk of harm;
(D) failure to make a reasonable effort to
prevent an action by another person that results in physical injury
that results in substantial harm to the child;
(E) sexual conduct harmful to a child's mental,
emotional, or physical welfare, including conduct that constitutes
the offense of continuous sexual abuse of young child or children
under Section 21.02, Penal Code, indecency with a child under
Section 21.11, Penal Code, sexual assault under Section 22.011,
Penal Code, or aggravated sexual assault under Section 22.021,
Penal Code;
(F) failure to make a reasonable effort to
prevent sexual conduct harmful to a child;
(G) compelling or encouraging the child to engage
in sexual conduct as defined by Section 43.01, Penal Code,
including conduct that constitutes an offense of trafficking of
persons under Section 20A.02(a)(7) or (8), Penal Code, prostitution
under Section 43.02(a)(2), Penal Code, or compelling prostitution
under Section 43.05(a)(2), Penal Code;
(H) causing, permitting, encouraging, engaging
in, or allowing the photographing, filming, or depicting of the
child if the person knew or should have known that the resulting
photograph, film, or depiction of the child is obscene as defined by
Section 43.21, Penal Code, or pornographic;
(I) the current use by a person of a controlled
substance as defined by Chapter 481, Health and Safety Code, in a
manner or to the extent that the use results in physical, mental, or
emotional injury to a child;
(J) causing, expressly permitting, or
encouraging a child to use a controlled substance as defined by
Chapter 481, Health and Safety Code;
(K) causing, permitting, encouraging, engaging
in, or allowing a sexual performance by a child as defined by
Section 43.25, Penal Code; [or]
(L) knowingly causing, permitting, encouraging,
engaging in, or allowing a child to be trafficked in a manner
punishable as an offense under Section 20A.02(a)(5), (6), (7), or
(8), Penal Code, or the failure to make a reasonable effort to
prevent a child from being trafficked in a manner punishable as an
offense under any of those sections; or
(M) coercing or forcing a child to have or seek an
abortion.
SECTION 4. The heading to Subchapter B, Chapter 171, Health
and Safety Code, is amended to read as follows:
SUBCHAPTER B. VOLUNTARY AND INFORMED CONSENT
SECTION 5. Section 171.015, Health and Safety Code, is
amended to read as follows:
Sec. 171.015. INFORMATION RELATING TO PUBLIC AND PRIVATE
AGENCIES. The informational materials must include:
(1) geographically indexed materials designed to
inform the pregnant woman of public and private agencies and
services that:
(A) are available to assist a woman through
pregnancy, childbirth, and the child's dependency, including:
(i) a comprehensive list of adoption
agencies;
(ii) a description of the services the
adoption agencies offer;
(iii) a description of the manner,
including telephone numbers, in which an adoption agency may be
contacted; [and]
(iv) a comprehensive list of agencies and
organizations that offer sonogram services at no cost to the
pregnant woman;
(v) pregnancy resource centers and
maternity homes;
(vi) a comprehensive list of assistance
programs for victims of domestic violence;
(vii) a list of persons licensed to
practice in this state as social workers, licensed professional
counselors, licensed marriage and family therapists, and
psychologists who have volunteered to assist women being coerced or
forced to have or seek an abortion; and
(viii) nonprofit organizations that
provide free legal aid to women being coerced or forced to have or
seek an abortion;
(B) do not provide abortions or abortion-related
services or make referrals to abortion providers; and
(C) are not affiliated with organizations that
provide abortions or abortion-related services or make referrals to
abortion providers; and
(2) a toll-free, 24-hour telephone number that may be
called to obtain an oral list and description of agencies described
by Subdivision (1) that are located near the caller and of the
services the agencies offer.
SECTION 6. Subchapter B, Chapter 171, Health and Safety
Code, is amended by adding Sections 171.019, 171.020, 171.021,
171.022, and 171.023 to read as follows:
Sec. 171.019. PREVENTION OF COERCED ABORTIONS. (a) Before
any anesthesia or sedative is given to a woman prior to the
performance of an abortion, a physician shall:
(1) verbally inform the woman on whom the abortion is
to be performed that a person cannot coerce or force her to have or
seek an abortion and that the physician cannot perform the abortion
unless the woman provides her voluntary and informed consent; and
(2) provide the woman on whom the abortion is to be
performed with the coerced abortion form described by Section
171.021:
(A) in both English and Spanish; and
(B) in a language other than English or Spanish,
if applicable, under Section 171.021(c).
(b) A physician may not perform an abortion on a woman
unless, before the abortion, the woman certifies on the coerced
abortion form described by Section 171.021 that she received from
the physician the information and materials required by Subsection
(a).
(c) If the woman indicates on the coerced abortion form or
on a form consenting to the procedure or at any time before the
abortion communicates verbally to the physician or the physician's
agent that she is being coerced or forced to have or seek an
abortion or the physician is otherwise made aware that the woman has
indicated that she is being coerced or forced to have or seek an
abortion, the physician:
(1) shall report an offense under Section 25.12, Penal
Code, to local law enforcement and, if the woman is a minor, make a
report to the Department of Family and Protective Services;
(2) shall provide the information described by Section
171.015;
(3) shall provide the woman with access to a telephone
in a private room; and
(4) may not perform the abortion until:
(A) 72 hours have elapsed:
(i) since the woman last communicated to
the physician, through the form or otherwise, that the woman was
being coerced or forced to have or seek an abortion; or
(ii) to the best of the physician's
knowledge, since the woman last communicated to an agent of the
physician or law enforcement that the woman was being coerced or
forced to have or seek an abortion;
(B) the woman provides her voluntary and informed
consent that the woman states is not a result of coercion; and
(C) local law enforcement has completed the
investigation and report required under Section 171.020 and Article
6.11, Code of Criminal Procedure, and, as applicable, the
Department of Family and Protective Services has completed an
investigation under Subchapter D, Chapter 261, Family Code.
(d) A person who is a volunteer for or an employee of a
physician or an office or facility at which abortions are performed
shall immediately notify the physician who is to perform an
abortion on a woman if the woman communicates to the person that the
woman is being coerced or forced to have or seek an abortion.
(e) The woman on whom the abortion is to be performed may
withdraw consent to the abortion at any time before the performance
of the abortion.
Sec. 171.020. PHYSICIAN'S DUTY TO REPORT COERCION;
INVESTIGATION AND ASSISTANCE. (a) If a woman claims to have been
coerced or forced to have or seek an abortion, the physician or
physician's agent shall immediately report the suspected coercion
and the name of the individual suspected of coercing the woman to
the appropriate local law enforcement agency and, if the woman is a
minor, to the Department of Family and Protective Services.
(b) The local law enforcement agency has a duty to respond
and shall write a report within 12 hours of being notified of the
alleged coercion under this section. A report must be made in
response to every notification by a physician or physician's agent
under this section, regardless of whether the law enforcement
agency knows that a report about the coercion was previously made.
(c) Notwithstanding Sections 261.301 and 261.3015, Family
Code, the Department of Family and Protective Services shall
respond within 12 hours of being notified of the alleged coercion of
a minor under this section.
(d) The appropriate local law enforcement agency and the
Department of Family and Protective Services shall investigate
suspected coercion reported under this section and, if warranted,
shall refer the case to the appropriate prosecuting authority.
(e) If the investigation shows that a parent, managing
conservator, or guardian is coercing or forcing or attempting to
coerce or force a minor to have or seek an abortion, the Department
of Family and Protective Services shall take any appropriate action
under Title 5, Family Code.
(f) The fact that a woman has signed a form under Section
171.021 does not affect:
(1) the duty of a physician or physician's agent under
this section; or
(2) the culpability of a person coercing or forcing a
woman to have or seek an abortion.
Sec. 171.021. CONTENTS OF FORM. (a) The department shall
develop a coerced abortion form to be completed by each woman on
whom an abortion is performed in this state. The form must include:
(1) the following title centered on the page in
boldfaced capital letters in 26-point font or larger: "NOTICE";
(2) the following statement printed in 16-point font
or larger: "It is against the law for a person, regardless of that
person's relationship to you (for example, your husband, parent,
boyfriend, or teacher), to coerce or force you to have or seek an
abortion. You have the right to a telephone in a private room to
contact any local or state law enforcement agency to receive
protection from any actual or threatened physical abuse or
violence. Coercing or forcing a woman to have or seek an abortion
is child abuse if the woman is a minor and may be punishable by up to
a year in jail and up to a $4,000 fine. By law, a physician cannot
perform an abortion, including inducing, prescribing for, or
otherwise providing the means for an abortion, unless you give your
voluntary and informed consent without coercion or force. It is
against the law for a physician to perform an abortion against your
will.";
(3) the following statements printed in 14-point font
or larger followed by spaces for the woman and, if the woman is a
minor, the woman's parent or guardian, if present, to initial:
(A) "I understand that I have the right to access
a telephone in a private room to contact a local or state law
enforcement agency to receive protection from any actual or
threatened physical abuse or violence.";
(B) "I have been informed in person that no one
can coerce or force me to have or seek an abortion and that an
abortion cannot be provided to me unless I provide my freely given,
voluntary, and informed consent.";
(C) "I have read the above notice and understand
that I have legal protection against being coerced or forced to have
or seek an abortion.";
(D) "I freely give my voluntary consent to this
abortion without being coerced or forced."; and
(E) "I am aware that it is child abuse for a
parent, managing conservator, or guardian to coerce or force his or
her daughter or a child under his or her care to have or seek an
abortion.";
(4) spaces for the signature of the woman on whom an
abortion is to be performed and, if the woman is a minor, the
woman's parent or guardian, if present, and the date the form was
completed;
(5) spaces for the license number, area of specialty,
and signature of the physician who performed the abortion; and
(6) the telephone number for the National Domestic
Violence Hotline.
(b) The department shall provide the form required by
Subsection (a) in both English and Spanish.
(c) If the department determines that a substantial number
of residents in this state speak a primary language other than
English or Spanish, the department shall provide the form required
by Subsection (a) in that language. The department shall instruct a
facility that provides abortions to provide the coerced abortion
form in a language other than English or Spanish if the department
determines that a substantial number of residents in the area speak
a primary language other than English or Spanish.
Sec. 171.022. PROVISION AND RETENTION OF COERCED ABORTION
FORM. (a) The department shall provide a copy of this section and
Sections 171.019-171.021 and the coerced abortion form required by
Section 171.021 to:
(1) a physician who becomes newly licensed to practice
in this state, not later than the 30th day after the date the
physician receives the license; and
(2) all physicians licensed to practice in this state,
not later than December 1 of each year.
(b) A copy of the coerced abortion form certified by the
woman shall be placed in the woman's medical file and kept until at
least the seventh anniversary of the date on which the form was
signed or, if the woman is a minor, at least until the date the woman
reaches 20 years of age, whichever is later.
(c) The woman on whom an abortion is performed shall be
given a copy of the completed coerced abortion form in person before
the woman leaves the facility where the abortion is performed.
Sec. 171.023. SIGN POSTING. (a) An office or facility at
which abortions are performed shall post the following sign:
"NOTICE: It is against the law for a person, regardless of that
person's relationship to you (for example, your husband, parent,
boyfriend, or teacher), to coerce or force you to have or seek an
abortion. You have the right to a telephone in a private room to
contact any local or state law enforcement agency to receive
protection from any actual or threatened physical abuse or
violence. Coercing or forcing a woman to have or seek an abortion
is child abuse if the woman is a minor and may be punishable by up to
a year in jail and up to a $4,000 fine. By law, a physician cannot
perform an abortion, including inducing, prescribing for, or
otherwise providing the means for an abortion, unless you give your
voluntary and informed consent without coercion or force. It is
against the law for a physician to perform an abortion against your
will.".
(b) The sign described by Subsection (a) must:
(1) be printed with lettering that is legible and in at
least two-inch boldfaced type;
(2) be printed and posted in both English and Spanish,
as well as any language other than English or Spanish if it is
likely that a substantial number of the residents in the area speak
a language other than English or Spanish as their familiar
language; and
(3) include the telephone number for the National
Domestic Violence Hotline.
(c) An office or facility at which abortions are performed
shall conspicuously post the sign described by Subsection (a) in
each patient waiting room, each patient consultation room regularly
used by patients seeking abortions, and the room in which abortions
are performed or induced.
(d) If requested by a patient, the office or facility shall
provide the patient:
(1) a paper copy of the sign described by Subsection
(a) in the language preferred by the patient; and
(2) access to a telephone in a private room.
SECTION 7. Chapter 25, Penal Code, is amended by adding
Section 25.12 to read as follows:
Sec. 25.12. COERCION OF ABORTION. (a) A person commits an
offense if the person uses coercion to cause a pregnant woman to
have or seek an abortion, unless:
(1) the pregnant woman is younger than 18 years of age;
and
(2) the actor is the parent, guardian, or conservator
of the pregnant woman.
(b) An offense under this section is a Class A misdemeanor.
(c) A person who in good faith reports to law enforcement
authorities a suspected offense under Subsection (a) is immune from
civil liability in an action brought against the person for
reporting the suspected offense.
SECTION 8. (a) As soon as practicable after the effective
date of this Act, the Department of State Health Services shall:
(1) develop and make available:
(A) the form required by Subchapter B, Chapter
171, Health and Safety Code, as amended by this Act, along with
instructions for completing the form; and
(B) the sign required by Section 171.023, Health
and Safety Code, as added by this Act; and
(2) revise the informational materials under Section
171.015, Health and Safety Code, as amended by this Act.
(b) The executive commissioner of the Health and Human
Services Commission may identify rules required by the passage of
this Act that must be adopted on an emergency basis and may use the
procedures established under Section 2001.034, Government Code,
for adopting those rules. The executive commissioner of the Health
and Human Services Commission is not required to make the finding
described by Section 2001.034(a), Government Code, to adopt
emergency rules under this subsection.
(c) A physician or other person subject to the requirements
of Sections 171.019, 171.020, 171.021, 171.022, and 171.023, Health
and Safety Code, as added by this Act, is not required to provide,
use, or retain the coerced abortion form under Section 171.019,
171.021, or 171.022, Health and Safety Code, as added by this Act,
or post the sign required under Section 171.023, Health and Safety
Code, as added by this Act, before the Department of State Health
Services develops and makes available the form and the sign.
(d) A physician is not criminally liable under Section
171.018, Health and Safety Code, for failing to provide updated
informational materials under Section 171.015, Health and Safety
Code, as amended by this Act, failing to provide, use, or retain the
coerced abortion form under Section 171.019, 171.021, or 171.022,
Health and Safety Code, as added by this Act, or failing to post the
sign required under Section 171.023, Health and Safety Code, as
added by this Act, before the Department of State Health Services
develops and makes available the revised informational materials,
the form, or the sign.
SECTION 9. The changes in law made by this Act apply only to
an offense under Section 33.002, Family Code, as amended by this
Act, Section 171.018, Health and Safety Code, or Section 25.12,
Penal Code, as added by this Act, committed on or after September 1,
2015. An offense committed before September 1, 2015, is governed by
the law in effect on the date the offense was committed, and the
former law is continued in effect for that purpose. For purposes of
this section, an offense was committed before September 1, 2015, if
any element of the offense occurred before that date.
SECTION 10. 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, 2015.