Texas 2019 - 86th Regular

Texas Senate Bill SB2145 Compare Versions

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11 2019S0391-1 03/07/19
22 By: Hall S.B. No. 2145
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44
55 A BILL TO BE ENTITLED
66 AN ACT
77 relating to sonogram requirements for a pregnant woman seeking an
88 abortion.
99 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
1010 SECTION 1. Section 171.012(a), Health and Safety Code, is
1111 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 or
5959 at least two hours before the abortion if the pregnant woman waives
6060 this requirement by certifying that she currently lives 100 miles
6161 or more from the nearest abortion provider that is a facility
6262 licensed under Chapter 245 or a facility that performs more than 50
6363 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
9595 CONSEQUENCES OF AN ABORTION.
9696 (3) TEXAS LAW REQUIRES THAT I RECEIVE A
9797 SONOGRAM PRIOR TO RECEIVING AN ABORTION.
9898 (4) I UNDERSTAND THAT I HAVE THE OPTION TO
9999 VIEW THE SONOGRAM IMAGES.
100100 (5) I UNDERSTAND THAT I HAVE THE OPTION TO
101101 HEAR THE HEARTBEAT.
102102 (6) I UNDERSTAND THAT I AM REQUIRED BY LAW
103103 TO HEAR AN EXPLANATION OF THE SONOGRAM IMAGES UNLESS I
104104 CERTIFY IN WRITING THAT [TO ONE OF THE FOLLOWING]:
105105 ___ I AM PREGNANT AS A RESULT OF A SEXUAL
106106 ASSAULT, INCEST, OR OTHER VIOLATION OF THE TEXAS PENAL
107107 CODE THAT HAS BEEN REPORTED TO LAW ENFORCEMENT
108108 AUTHORITIES [OR THAT HAS NOT BEEN REPORTED BECAUSE I
109109 REASONABLY BELIEVE THAT DOING SO WOULD PUT ME AT RISK
110110 OF RETALIATION RESULTING IN SERIOUS BODILY INJURY.
111111 [___ I AM A MINOR AND OBTAINING AN ABORTION
112112 IN 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
119119 FREE WILL AND WITHOUT COERCION.
120120 [(8) FOR A WOMAN WHO LIVES 100 MILES OR
121121 MORE FROM THE NEAREST ABORTION PROVIDER THAT IS A
122122 FACILITY LICENSED UNDER CHAPTER 245 OR A FACILITY THAT
123123 PERFORMS MORE THAN 50 ABORTIONS IN ANY 12-MONTH PERIOD
124124 ONLY:
125125 [I CERTIFY THAT, BECAUSE I CURRENTLY LIVE
126126 100 MILES OR MORE FROM THE NEAREST ABORTION PROVIDER
127127 THAT IS A FACILITY LICENSED UNDER CHAPTER 245 OR A
128128 FACILITY THAT PERFORMS MORE THAN 50 ABORTIONS IN ANY
129129 12-MONTH PERIOD, I WAIVE THE REQUIREMENT TO WAIT 24
130130 HOURS AFTER THE SONOGRAM IS PERFORMED BEFORE RECEIVING
131131 THE ABORTION PROCEDURE. MY PLACE OF RESIDENCE
132132 IS:__________.]
133133 ________________________________________
134134 SIGNATURE DATE";
135135 (6) before the abortion is performed, the physician
136136 who is to perform the abortion receives a copy of the signed,
137137 written certification required by Subdivision (5); and
138138 (7) the pregnant woman is provided the name of each
139139 person who provides or explains the information required under this
140140 subsection.
141141 SECTION 2. Section 171.0122(d), Health and Safety Code, is
142142 amended to read as follows:
143143 (d) A pregnant woman may choose not to receive the verbal
144144 explanation of the results of the sonogram images under Section
145145 171.012(a)(4)(C) if[:
146146 [(1)] the woman's pregnancy is a result of a sexual
147147 assault, incest, or other violation of the Penal Code that has been
148148 reported to law enforcement authorities [or that has not been
149149 reported because she has a reason that she declines to reveal
150150 because she reasonably believes that to do so would put her at risk
151151 of retaliation resulting in serious bodily injury;
152152 [(2) the woman is a minor and obtaining an abortion in
153153 accordance with judicial bypass procedures under Chapter 33, Family
154154 Code; or
155155 [(3) the fetus has an irreversible medical condition
156156 or abnormality, as previously identified by reliable diagnostic
157157 procedures and documented in the woman's medical file].
158158 SECTION 3. The change in law made by this Act applies only
159159 to an abortion performed on or after the effective date of this Act.
160160 An abortion performed before the effective date of this Act is
161161 governed by the law in effect on the date the abortion was
162162 performed, and that law continues in effect for that purpose.
163163 SECTION 4. This Act takes effect September 1, 2019.