Texas 2015 84th Regular

Texas House Bill HB3994 Enrolled / Bill

Filed 06/01/2015

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                    H.B. No. 3994


 AN ACT
 relating to notice of and consent to an abortion for a minor and
 associated requirements; amending provisions subject to a criminal
 penalty.
 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
 SECTION 1.  The heading to Chapter 33, Family Code, is
 amended to read as follows:
 CHAPTER 33. NOTICE OF AND CONSENT TO ABORTION
 SECTION 2.  Section 33.001, Family Code, is amended by
 adding Subdivision (3-a) to read as follows:
 (3-a)  "Medical emergency" has the meaning assigned by
 Section 171.002, Health and Safety Code.
 SECTION 3.  Section 33.002, Family Code, is amended by
 amending Subsections (a), (e), (f), (h), and (i) and adding
 Subsections (j), (k), and (l) to read as follows:
 (a)  A physician may not perform an abortion on a pregnant
 unemancipated minor unless:
 (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:
 (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 physician who is to perform the abortion
 receives an order issued by a court under Section 33.003 or 33.004
 [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; or
 (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 [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; and
 (C)  provides the notice required by Section
 33.0022 [the circumstances described by Paragraph (A) exist].
 (e)  The [Texas] Department of State Health Services shall
 prepare a form to be used for making the certification required by
 Subsection (a)(3)(B) [(a)(4)].
 (f)  A certification required by Subsection (a)(3)(B)
 [(a)(4)] is confidential and privileged and is not subject to
 disclosure under Chapter 552, Government Code, or to discovery,
 subpoena, or other legal process. Personal or identifying
 information about the minor, including her name, address, or social
 security number, may not be included in a certification under
 Subsection (a)(3)(B) [(a)(4)]. The physician must keep the medical
 records on the minor in compliance with the rules adopted by the
 Texas [State Board of] Medical Board [Examiners] under Section
 153.003, Occupations Code.
 (h)  It is a defense to prosecution under this section that
 the minor falsely represented her age or identity to the physician
 to be at least 18 years of age by displaying an apparently valid
 proof of identity and age described by Subsection (k) [governmental
 record of identification] such that a reasonable person under
 similar circumstances would have relied on the representation. The
 defense does not apply if the physician is shown to have had
 independent knowledge of the minor's actual age or identity or
 failed to use due diligence in determining the minor's age or
 identity. In this subsection, "defense" has the meaning and
 application assigned by Section 2.03, Penal Code.
 (i)  In relation to the trial of an offense under this
 section in which the conduct charged involves a conclusion made by
 the physician under Subsection (a)(3)(A) [(a)(4)], the defendant
 may seek a hearing before the Texas [State Board of] Medical Board
 [Examiners] on whether the physician's conduct was necessary
 because of a medical emergency [to avert the death of the minor or
 to avoid a serious risk of substantial and irreversible impairment
 of a major bodily function]. The findings of the Texas [State Board
 of] Medical Board [Examiners] under this subsection are admissible
 on that issue in the trial of the defendant. Notwithstanding any
 other reason for a continuance provided under the Code of Criminal
 Procedure or other law, on motion of the defendant, the court shall
 delay the beginning of the trial for not more than 30 days to permit
 a hearing under this subsection to take place.
 (j)  A physician shall use due diligence to determine that
 any woman on which the physician performs an abortion who claims to
 have reached the age of majority or to have had the disabilities of
 minority removed has, in fact, reached the age of majority or has
 had the disabilities of minority removed.
 (k)  For the purposes of this section, "due diligence"
 includes requesting proof of identity and age described by Section
 2.005(b) or a copy of the court order removing disabilities of
 minority.
 (l)  If proof of identity and age cannot be provided, the
 physician shall provide information on how to obtain proof of
 identity and age. If the woman is subsequently unable to obtain
 proof of identity and age and the physician chooses to perform the
 abortion, the physician shall document that proof of identity and
 age was not obtained and report to the Department of State Health
 Services that proof of identity and age was not obtained for the
 woman on whom the abortion was performed. The department shall
 report annually to the legislature regarding the number of
 abortions performed without proof of identity and age.
 SECTION 4.  Chapter 33, Family Code, is amended by adding
 Sections 33.0021 and 33.0022 to read as follows:
 Sec. 33.0021.  CONSENT REQUIRED. A physician may not
 perform an abortion in violation of Section 164.052(a)(19),
 Occupations Code.
 Sec. 33.0022.  MEDICAL EMERGENCY NOTIFICATION; AFFIDAVIT
 FOR MEDICAL RECORD. (a) If the physician who is to perform the
 abortion concludes under Section 33.002(a)(3)(A) that a medical
 emergency exists and that there is insufficient time to provide the
 notice required by Section 33.002 or obtain the consent required by
 Section 33.0021, the physician shall make a reasonable effort to
 inform, in person or by telephone, the parent, managing
 conservator, or guardian of the unemancipated minor within 24 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 that required the performance of a
 medical emergency abortion without fulfilling the requirements of
 Section 33.002 or 33.0021.
 (b)  A physician who performs an abortion as described by
 Subsection (a), not later than 48 hours after the abortion is
 performed, shall send a written notice that a medical emergency
 occurred and the ability of the parent, managing conservator, or
 guardian to contact the physician for more information and medical
 records, 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 shall keep 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)  A physician who performs an abortion on an unemancipated
 minor during a medical emergency as described by Subsection (a)
 shall execute for inclusion in the medical record of the minor an
 affidavit that explains the specific medical emergency that
 necessitated the immediate abortion.
 SECTION 5.  Section 33.003, Family Code, is amended by
 amending Subsections (a), (b), (c), (e), (g), (h), (i), (j), (k),
 and (l) and adding Subsections (g-1), (i-1), (i-2), (i-3), (l-1),
 (l-2), (o), (p), (q), and (r) 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
 notification to and consent [either] of [her parents or] a parent,
 managing conservator, or guardian.
 (b)  The application must [may] be filed in:
 (1)  a [any] county court at law, court having probate
 jurisdiction, or district court, including a family district court,
 in the minor's county of residence;
 (2)  if the minor's parent, managing conservator, or
 guardian is a presiding judge of a court described by Subdivision
 (1):
 (A)  a county court at law, court having probate
 jurisdiction, or district court, including a family district court,
 in a contiguous county; or
 (B)  a county court at law, court having probate
 jurisdiction, or district court, including a family district court,
 in the county where the minor intends to obtain the abortion;
 (3)  if the minor's county of residence has a population
 of less than 10,000:
 (A)  a court described by Subdivision (1);
 (B)  a county court at law, court having probate
 jurisdiction, or district court, including a family district court,
 in a contiguous county; or
 (C)  a county court at law, court having probate
 jurisdiction, or district court, including a family district court,
 in the county in which the facility at which the minor intends to
 obtain the abortion is located; or
 (4)  a county court at law, court having probate
 jurisdiction, or district court, including a family district court,
 in the county in which the facility at which the minor intends to
 obtain the abortion is located, if the minor is not a resident of
 this state.
 (c)  The application must:
 (1)  be made under oath;
 (2)  [and] include:
 (A) [(1)]  a statement that the minor is pregnant;
 (B) [(2)]  a statement that the minor is
 unmarried, is under 18 years of age, and has not had her
 disabilities removed under Chapter 31;
 (C) [(3)]  a statement that the minor wishes to
 have an abortion without the notification to and consent of [either
 of her parents or] a parent, managing conservator, or guardian;
 [and]
 (D) [(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
 (E)  a statement about the minor's current
 residence, including the minor's physical address, mailing
 address, and telephone number; and
 (3)  be accompanied by the sworn statement of the
 minor's attorney under Subsection (r), if the minor has retained an
 attorney to assist the minor with filing the application under this
 section.
 (e)  The court shall appoint a guardian ad litem for the
 minor who shall represent the best interest of 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.
 (g)  The court shall fix a time for a hearing on an
 application filed under Subsection (a) and shall keep a record of
 all testimony and other oral proceedings in the action[. The court
 shall enter judgment on the application immediately after the
 hearing is concluded].
 (g-1)  The pregnant minor must appear before the court in
 person and may not appear using videoconferencing, telephone
 conferencing, or other remote electronic means.
 (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 fifth [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 fifth [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,
 regardless of whether the minor is granted an extension under this
 subsection.
 (i)  The court shall determine by clear and convincing [a
 preponderance of the] evidence, as described by Section 101.007,
 whether:
 (1)  the minor is mature and sufficiently well informed
 to make the decision to have an abortion performed without
 notification to or consent of a parent, [either of her parents or a]
 managing conservator, or guardian; or
 (2)  the [, whether] notification and attempt to obtain
 consent would not be in the best interest of the minor[, or whether
 notification may lead to physical, sexual, or emotional abuse of
 the minor].
 (i-1)  In determining whether the minor meets the
 requirements of Subsection (i)(1), the court shall consider the
 experience, perspective, and judgment of the minor. The court may:
 (1)  consider all relevant factors, including:
 (A)  the minor's age;
 (B)  the minor's life experiences, such as
 working, traveling independently, or managing her own financial
 affairs; and
 (C)  steps taken by the minor to explore her
 options and the consequences of those options;
 (2)  inquire as to the minor's reasons for seeking an
 abortion;
 (3)  consider the degree to which the minor is informed
 about the state-published informational materials described by
 Chapter 171, Health and Safety Code; and
 (4)  require the minor to be evaluated by a licensed
 mental health counselor, who shall return the evaluation to the
 court for review within three business days.
 (i-2)  In determining whether the notification and the
 attempt to obtain consent would not be in the best interest of the
 minor, the court may inquire as to:
 (1)  the minor's reasons for not wanting to notify and
 obtain consent from a parent, managing conservator, or guardian;
 (2)  whether notification or the attempt to obtain
 consent may lead to physical or sexual abuse;
 (3)  whether the pregnancy was the result of sexual
 abuse by a parent, managing conservator, or guardian; and
 (4)  any history of physical or sexual abuse from a
 parent, managing conservator, or guardian.
 (i-3)  The [If the court finds that the minor is mature and
 sufficiently well informed, that notification would not be in the
 minor's best interest, or that notification may lead to physical,
 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 notification to and consent [either] of [her
 parents or] a parent, managing conservator, or guardian and shall
 execute the required forms if the court finds by clear and
 convincing evidence, as defined by Section 101.007, that:
 (1)  the minor is mature and sufficiently well informed
 to make the decision to have an abortion performed without
 notification to or consent of a parent, managing conservator, or
 guardian; or
 (2)  the notification and attempt to obtain consent
 would not be in the best interest of the minor.
 (j)  If the court finds that the minor does not meet the
 requirements of Subsection (i-3) [(i)], the court may not authorize
 the minor to consent to an abortion without the notification
 authorized under Section 33.002(a)(1) and consent under Section
 33.0021.
 (k)  The court may not notify a parent, managing conservator,
 or guardian that the minor is pregnant or that the minor wants to
 have an abortion. The court proceedings shall be conducted in a
 manner that protects the confidentiality of the identity
 [anonymity] of the minor. The application and all other court
 documents pertaining to the proceedings are confidential and
 privileged and are not subject to disclosure under Chapter 552,
 Government Code, or to discovery, subpoena, or other legal process.
 Confidential records pertaining to a minor under this subsection
 may be disclosed to the minor  [The minor may file the application
 using a pseudonym or using only her initials].
 (l)  An order of the court issued under this section is
 confidential and privileged and is not subject to disclosure under
 Chapter 552, Government Code, or discovery, subpoena, or other
 legal process. The order may not be released to any person but the
 pregnant minor, the pregnant minor's guardian ad litem, the
 pregnant minor's attorney, the physician who is to perform the
 abortion, another person designated to receive the order by the
 minor, or a governmental agency or attorney in a criminal or
 administrative action seeking to assert or protect the interest of
 the minor. The supreme court may adopt rules to permit confidential
 docketing of an application under this section.
 (l-1)  The clerk of the court, at intervals prescribed by the
 Office of Court Administration of the Texas Judicial System, shall
 submit a report to the office that includes, for each case filed
 under this section:
 (1)  the case number and style;
 (2)  the applicant's county of residence;
 (3)  the court of appeals district in which the
 proceeding occurred;
 (4)  the date of filing;
 (5)  the date of disposition; and
 (6)  the disposition of the case.
 (l-2)  The Office of Court Administration of the Texas
 Judicial System shall annually compile and publish a report
 aggregating the data received under Subsections (l-1)(3) and (6).
 A report submitted under Subsection (l-1) is confidential and
 privileged and is not subject to disclosure under Chapter 552,
 Government Code, or to discovery, subpoena, or other legal process.
 A report under this subsection must protect the confidentiality of:
 (1)  the identity of all minors and judges who are the
 subject of the report; and
 (2)  the information described by Subsection (l-1)(1).
 (o)  A minor who has filed an application under this section
 may not withdraw or otherwise non-suit her application without the
 permission of the court.
 (p)  Except as otherwise provided by Subsection (q), a minor
 who has filed an application and has obtained a determination by the
 court as described by Subsection (i) may not initiate a new
 application proceeding and the prior proceeding is res judicata of
 the issue relating to the determination of whether the minor may or
 may not be authorized to consent to the performance of an abortion
 without notification to and consent of a parent, managing
 conservator, or guardian.
 (q)  A minor whose application is denied may subsequently
 submit an application to the court that denied the application if
 the minor shows that there has been a material change in
 circumstances since the time the court denied the application.
 (r)  An attorney retained by the minor to assist her in
 filing an application under this section shall fully inform himself
 or herself of the minor's prior application history, including the
 representations made by the minor in the application regarding her
 address, proper venue in the county in which the application is
 filed, and whether a prior application has been filed and
 initiated. If an attorney assists the minor in the application
 process in any way, with or without payment, the attorney
 representing the minor must attest to the truth of the minor's
 claims regarding the venue and prior applications in a sworn
 statement.
 SECTION 6.  Section 33.004, Family Code, is amended by
 amending Subsections (b) and (f) and adding Subsection (c-1) 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 fifth [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 fifth [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, regardless of whether the minor is granted an
 extension under this subsection.
 (c-1)  Notwithstanding Subsection (c), the court of appeals
 may publish an opinion relating to a ruling under this section if
 the opinion is written in a way to preserve the confidentiality of
 the identity of the pregnant minor.
 (f)  An expedited confidential appeal shall be available to
 any pregnant minor to whom a court of appeals denies an application
 to authorize [order authorizing] the minor to consent to the
 performance of an abortion without notification to or consent of
 [either of her parents or] a parent, managing conservator, or
 guardian.
 SECTION 7.  Chapter 33, Family Code, is amended by adding
 Section 33.0065 to read as follows:
 Sec. 33.0065.  RECORDS. The clerk of the court shall retain
 the records for each case before the court under this chapter in
 accordance with rules for civil cases and grant access to the
 records to the minor who is the subject of the proceeding.
 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
 physically or sexually abused or a [A] physician or physician's
 agent [who] has reason to believe that a minor has been [or may be]
 physically or sexually abused [by a person responsible for the
 minor's care, custody, or welfare, as that term is defined by
 Section 261.001], the physician or physician's agent 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 shall respond and shall
 write a report within 24 hours of being notified of the alleged
 abuse. A report shall be made regardless of whether the local law
 enforcement agency 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 by Subsection (a), 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 by Chapter 262.
 SECTION 9.  Chapter 33, Family Code, is amended by adding
 Section 33.0085 to read as follows:
 Sec. 33.0085.  DUTY OF JUDGE OR JUSTICE TO REPORT ABUSE OF
 MINOR. (a) Notwithstanding any other law, a judge or justice who,
 as a result of court proceedings conducted under Section 33.003 or
 33.004, has reason to believe that a minor has been or may be
 physically or sexually abused shall:
 (1)  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
 (2)  refer the minor to the department for services or
 intervention that may be in the best interest of the minor.
 (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,
 shall refer the case to the appropriate prosecuting authority.
 SECTION 10.  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,
 33.0085, 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 11.  Chapter 33, Family Code, is amended by adding
 Sections 33.012, 33.013, and 33.014 to read as follows:
 Sec. 33.012.  CIVIL PENALTY. (a) A person who is found to
 have intentionally, knowingly, recklessly, or with gross
 negligence violated this chapter is liable to this state for a civil
 penalty of not less than $2,500 and not more than $10,000.
 (b)  Each performance or attempted performance of an
 abortion in violation of this chapter is a separate violation.
 (c)  A civil penalty may not be assessed against:
 (1)  a minor on whom an abortion is performed or
 attempted; or
 (2)  a judge or justice hearing a court proceeding
 conducted under Section 33.003 or 33.004.
 (d)  It is not a defense to an action brought under this
 section that the minor gave informed and voluntary consent.
 (e)  The attorney general shall bring an action to collect a
 penalty under this section.
 Sec. 33.013.  CAPACITY TO CONSENT. An unemancipated minor
 does not have the capacity to consent to any action that violates
 this chapter.
 Sec. 33.014.  ATTORNEY GENERAL TO ENFORCE.  The attorney
 general shall enforce this chapter.
 SECTION 12.
 Section 245.006(a), Health and Safety Code, is
 amended to read as follows:
 (a)  The department shall inspect an abortion facility at
 random, unannounced, and reasonable times as necessary to ensure
 compliance with this chapter, [and] Subchapter B, Chapter 171, and
 Chapter 33, Family Code.
 SECTION 13.  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;
 (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, unless the
 abortion is necessary due to a medical emergency, as defined by
 Section 171.002, Health and Safety Code;
 (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]; or
 (21) [(20)]  performs or induces or attempts to perform
 or induce an abortion in violation of Subchapter C, Chapter 171,
 Health and Safety Code.
 SECTION 14.  (a)  Section 33.002, Family Code, as amended by
 this Act, applies only to an offense committed on or after the
 effective date of this Act.  An offense committed before the
 effective date of this Act 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 the effective date of this Act if any element
 of the offense occurred before that date.
 (b)  Sections 33.003 and 33.004, Family Code, as amended by
 this Act, apply only to an application filed on or after the
 effective date of this Act. An application filed before the
 effective date of this Act is governed by the law in effect on the
 date the application was filed, and the former law is continued in
 effect for that purpose.
 (c)  The Office of Court Administration of the Texas Judicial
 System is not required to publish the initial report under Section
 33.003(l-2), Family Code, as added by this Act, before January 1,
 2017.
 SECTION 15.  Section 33.012, Family Code, as added by this
 Act, applies only to a cause of action that accrues on or after the
 effective date of this Act. A cause of action that accrues before
 the effective date of this Act is governed by the law in effect
 immediately before that date, and that law is continued in effect
 for that purpose.
 SECTION 16.  Every provision in this Act and every
 application of the provisions in this Act are severable from each
 other. If any application of any provision in this Act to any
 person or group of persons or circumstances is found by a court to
 be invalid, the remainder of this Act and the application of the
 Act's provisions to all other persons and circumstances may not be
 affected. All constitutionally valid applications of this Act
 shall be severed from any applications that a court finds to be
 invalid, leaving the valid applications in force, because it is the
 legislature's intent and priority that the valid applications be
 allowed to stand alone. Even if a reviewing court finds a provision
 of this Act invalid in a large or substantial fraction of relevant
 cases, the remaining valid applications shall be severed and
 allowed to remain in force.
 SECTION 17.  This Act takes effect January 1, 2016.
 ______________________________ ______________________________
 President of the Senate Speaker of the House
 I certify that H.B. No. 3994 was passed by the House on May
 14, 2015, by the following vote:  Yeas 93, Nays 46, 2 present, not
 voting; and that the House concurred in Senate amendments to H.B.
 No. 3994 on May 29, 2015, by the following vote:  Yeas 102, Nays 43,
 2 present, not voting.
 ______________________________
 Chief Clerk of the House
 I certify that H.B. No. 3994 was passed by the Senate, with
 amendments, on May 26, 2015, by the following vote:  Yeas 21, Nays
 10.
 ______________________________
 Secretary of the Senate
 APPROVED: __________________
 Date
 __________________
 Governor