Texas 2019 - 86th Regular

Texas House Bill HB249 Compare Versions

Only one version of the bill is available at this time.
OldNewDifferences
11 86R1865 LED-F
22 By: Farrar H.B. No. 249
33
44
55 A BILL TO BE ENTITLED
66 AN ACT
77 relating to the waiting period before a physician may perform an
88 abortion.
99 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
1010 SECTION 1. Sections 171.012(a) and (b), Health and Safety
1111 Code, are amended to read as follows:
1212 (a) Consent to an abortion is voluntary and informed only
1313 if:
1414 (1) the physician who is to perform the abortion
1515 informs the pregnant woman on whom the abortion is to be performed
1616 of:
1717 (A) the physician's name;
1818 (B) the particular medical risks associated with
1919 the particular abortion procedure to be employed, including, when
2020 medically accurate:
2121 (i) the risks of infection and hemorrhage;
2222 (ii) the potential danger to a subsequent
2323 pregnancy and of infertility; and
2424 (iii) the possibility of increased risk of
2525 breast cancer following an induced abortion and the natural
2626 protective effect of a completed pregnancy in avoiding breast
2727 cancer;
2828 (C) the probable gestational age of the unborn
2929 child at the time the abortion is to be performed; and
3030 (D) the medical risks associated with carrying
3131 the child to term;
3232 (2) the physician who is to perform the abortion or the
3333 physician's agent informs the pregnant woman that:
3434 (A) medical assistance benefits may be available
3535 for prenatal care, childbirth, and neonatal care;
3636 (B) the father is liable for assistance in the
3737 support of the child without regard to whether the father has
3838 offered to pay for the abortion; and
3939 (C) public and private agencies provide
4040 pregnancy prevention counseling and medical referrals for
4141 obtaining pregnancy prevention medications or devices, including
4242 emergency contraception for victims of rape or incest;
4343 (3) the physician who is to perform the abortion or the
4444 physician's agent:
4545 (A) provides the pregnant woman with the
4646 printed materials described by Section 171.014; and
4747 (B) informs the pregnant woman that those
4848 materials:
4949 (i) have been provided by the Department of
5050 State Health Services;
5151 (ii) are accessible on an Internet website
5252 sponsored by the department;
5353 (iii) describe the unborn child and list
5454 agencies that offer alternatives to abortion; and
5555 (iv) include a list of agencies that offer
5656 sonogram services at no cost to the pregnant woman;
5757 (4) before any sedative or anesthesia is administered
5858 to the pregnant woman and [at least 24 hours] before the abortion is
5959 performed [or at least two hours before the abortion if the pregnant
6060 woman waives this requirement by certifying that she currently
6161 lives 100 miles or more from the nearest abortion provider that is a
6262 facility licensed under Chapter 245 or a facility that performs
6363 more than 50 abortions in any 12-month period]:
6464 (A) the physician who is to perform the abortion
6565 or an agent of the physician who is also a sonographer certified by
6666 a national registry of medical sonographers performs a sonogram on
6767 the pregnant woman on whom the abortion is to be performed;
6868 (B) the physician who is to perform the abortion
6969 displays the sonogram images in a quality consistent with current
7070 medical practice in a manner that the pregnant woman may view them;
7171 (C) the physician who is to perform the abortion
7272 provides, in a manner understandable to a layperson, a verbal
7373 explanation of the results of the sonogram images, including a
7474 medical description of the dimensions of the embryo or fetus, the
7575 presence of cardiac activity, and the presence of external members
7676 and internal organs; and
7777 (D) the physician who is to perform the abortion
7878 or an agent of the physician who is also a sonographer certified by
7979 a national registry of medical sonographers makes audible the heart
8080 auscultation for the pregnant woman to hear, if present, in a
8181 quality consistent with current medical practice and provides, in a
8282 manner understandable to a layperson, a simultaneous verbal
8383 explanation of the heart auscultation;
8484 (5) before receiving a sonogram under Subdivision
8585 (4)(A) and before the abortion is performed and before any sedative
8686 or anesthesia is administered, the pregnant woman completes and
8787 certifies with her signature an election form that states as
8888 follows:
8989 "ABORTION AND SONOGRAM ELECTION
9090 (1) THE INFORMATION AND PRINTED MATERIALS
9191 DESCRIBED BY SECTIONS 171.012(a)(1)-(3), TEXAS HEALTH
9292 AND SAFETY CODE, HAVE BEEN PROVIDED AND EXPLAINED TO
9393 ME.
9494 (2) I UNDERSTAND THE NATURE AND CONSEQUENCES OF
9595 AN ABORTION.
9696 (3) TEXAS LAW REQUIRES THAT I RECEIVE A SONOGRAM
9797 PRIOR TO RECEIVING AN ABORTION.
9898 (4) I UNDERSTAND THAT I HAVE THE OPTION TO VIEW
9999 THE SONOGRAM IMAGES.
100100 (5) I UNDERSTAND THAT I HAVE THE OPTION TO HEAR
101101 THE HEARTBEAT.
102102 (6) I UNDERSTAND THAT I AM REQUIRED BY LAW TO
103103 HEAR AN EXPLANATION OF THE SONOGRAM IMAGES UNLESS I
104104 CERTIFY IN WRITING TO ONE OF THE FOLLOWING:
105105 ___ I AM PREGNANT AS A RESULT OF A SEXUAL ASSAULT,
106106 INCEST, OR OTHER VIOLATION OF THE TEXAS PENAL CODE THAT
107107 HAS BEEN REPORTED TO LAW ENFORCEMENT AUTHORITIES OR
108108 THAT HAS NOT BEEN REPORTED BECAUSE I REASONABLY
109109 BELIEVE THAT DOING SO WOULD PUT ME AT RISK OF
110110 RETALIATION RESULTING IN SERIOUS BODILY INJURY.
111111 ___ I AM A MINOR AND OBTAINING AN ABORTION IN
112112 ACCORDANCE WITH JUDICIAL BYPASS PROCEDURES UNDER
113113 CHAPTER 33, TEXAS FAMILY CODE.
114114 ___ MY FETUS HAS AN IRREVERSIBLE MEDICAL
115115 CONDITION OR ABNORMALITY, AS IDENTIFIED BY RELIABLE
116116 DIAGNOSTIC PROCEDURES AND DOCUMENTED IN MY MEDICAL
117117 FILE.
118118 (7) I AM MAKING THIS ELECTION OF MY OWN FREE WILL
119119 AND WITHOUT COERCION.
120120 [(8) FOR A WOMAN WHO LIVES 100 MILES OR MORE FROM
121121 THE NEAREST ABORTION PROVIDER THAT IS A FACILITY
122122 LICENSED UNDER CHAPTER 245 OR A FACILITY THAT PERFORMS
123123 MORE THAN 50 ABORTIONS IN ANY 12-MONTH PERIOD ONLY:
124124 [I CERTIFY THAT, BECAUSE I CURRENTLY LIVE 100
125125 MILES OR MORE FROM THE NEAREST ABORTION PROVIDER THAT
126126 IS A FACILITY LICENSED UNDER CHAPTER 245 OR A FACILITY
127127 THAT PERFORMS MORE THAN 50 ABORTIONS IN ANY 12-MONTH
128128 PERIOD, I WAIVE THE REQUIREMENT TO WAIT 24 HOURS AFTER
129129 THE SONOGRAM IS PERFORMED BEFORE RECEIVING THE
130130 ABORTION PROCEDURE. MY PLACE OF RESIDENCE
131131 IS:__________.]
132132 ____________________ ____________________
133133 SIGNATURE DATE";
134134 (6) before the abortion is performed, the physician
135135 who is to perform the abortion receives a copy of the signed,
136136 written certification required by Subdivision (5); and
137137 (7) the pregnant woman is provided the name of each
138138 person who provides or explains the information required under this
139139 subsection.
140140 (b) The information required to be provided under
141141 Subsections (a)(1) and (2) may not be provided by audio or video
142142 recording and must be provided, [at least 24 hours] before the
143143 abortion is to be performed,[:
144144 [(1)] orally and in person in a private and
145145 confidential setting [if the pregnant woman currently lives less
146146 than 100 miles from the nearest abortion provider that is a facility
147147 licensed under Chapter 245 or a facility that performs more than 50
148148 abortions in any 12-month period; or
149149 [(2) orally by telephone or in person in a private and
150150 confidential setting if the pregnant woman certifies that the woman
151151 currently lives 100 miles or more from the nearest abortion
152152 provider that is a facility licensed under Chapter 245 or a facility
153153 that performs more than 50 abortions in any 12-month period].
154154 SECTION 2. Section 171.013(a), Health and Safety Code, is
155155 amended to read as follows:
156156 (a) The physician or the physician's agent shall furnish
157157 copies of the materials described by Section 171.014 to the
158158 pregnant woman [at least 24 hours] before the abortion is [to be]
159159 performed and shall direct the pregnant woman to the Internet
160160 website required to be published under Section 171.014(e). The
161161 physician or the physician's agent may furnish the materials to the
162162 pregnant woman by mail if the materials are mailed, restricted
163163 delivery to addressee, at least 72 hours before the abortion is to
164164 be performed.
165165 SECTION 3. Section 171.017, Health and Safety Code, is
166166 repealed.
167167 SECTION 4. The change in law made by this Act applies only
168168 to an abortion performed on or after the effective date of this Act.
169169 An abortion performed before the effective date of this Act is
170170 governed by the law in effect on the date the abortion is performed,
171171 and that law continues in effect for that purpose.
172172 SECTION 5. This Act takes effect immediately if it receives
173173 a vote of two-thirds of all the members elected to each house, as
174174 provided by Section 39, Article III, Texas Constitution. If this
175175 Act does not receive the vote necessary for immediate effect, this
176176 Act takes effect September 1, 2019.