87R3357 SCL-F By: Leman H.B. No. 1229 A BILL TO BE ENTITLED AN ACT relating to abortion safety; authorizing an administrative penalty. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Section 171.006(b), Health and Safety Code, as added by Chapter 4 (H.B. 13), Acts of the 85th Legislature, 1st Called Session, 2017, is amended to read as follows: (b) The reporting requirements of this section apply only to: (1) a physician who: (A) performs at an abortion facility an abortion that results in an abortion complication diagnosed or treated by that physician; or (B) diagnoses or treats [at an abortion facility] an abortion complication that is the result of an abortion performed by another physician [at the facility]; or (2) a health care facility that is a hospital, abortion facility, freestanding emergency medical care facility, or health care facility that provides emergency medical care, as defined by Section 773.003. SECTION 2. Subchapter A, Chapter 171, Health and Safety Code, is amended by adding Section 171.008 to read as follows: Sec. 171.008. REQUIRED FOLLOW-UP APPOINTMENT. (a) A physician who performs an abortion or gives, sells, dispenses, administers, provides, or prescribes an abortion-inducing drug, as defined by Section 171.061, or the physician's agent, must schedule a follow-up appointment for the woman on a date not more than 14 days after the date the abortion is performed or the drug is administered or used. At the appointment, the physician must: (1) confirm the woman's pregnancy is completely terminated; and (2) assess any continued blood loss. (b) The Texas Medical Board may take disciplinary action under Chapter 164, Occupations Code, or assess an administrative penalty under Subchapter A, Chapter 165, Occupations Code, against a physician who violates Subsection (a). (c) A penalty may not be assessed against a pregnant woman who receives an abortion. SECTION 3. Subdivision (3), Section 171.061, Health and Safety Code, is redesignated as Subdivision (8-a), Section 171.061, Health and Safety Code, and amended to read as follows: (8-a) "Printed [(3) "Final printed] label" [or "FPL"] means the informational document approved by the United States Food and Drug Administration for an abortion-inducing drug that: (A) outlines the protocol authorized by that agency and agreed to by the drug company applying for authorization of the drug by that agency; and (B) delineates how a drug is to be used according to approval by that agency. SECTION 4. Sections 171.063(a), (d), and (f), Health and Safety Code, are amended to read as follows: (a) A person may not knowingly give, sell, dispense, administer, provide, or prescribe an abortion-inducing drug to a pregnant woman for the purpose of inducing an abortion in the pregnant woman or enabling another person to induce an abortion in the pregnant woman unless: (1) the person who gives, sells, dispenses, administers, provides, or prescribes the abortion-inducing drug is a physician; and (2) except as otherwise provided by Subsection (b), the provision, prescription, or administration of the abortion-inducing drug satisfies the protocol tested and authorized by the United States Food and Drug Administration as outlined in the [final] printed label of the abortion-inducing drug as of January 1, 2021. (d) The physician who gives, sells, dispenses, administers, provides, or prescribes an abortion-inducing drug shall provide the pregnant woman with: (1) a copy of the [final] printed label of that abortion-inducing drug as of January 1, 2021; and (2) a telephone number by which the pregnant woman may reach the physician, or other health care personnel employed by the physician or by the facility at which the abortion was performed with access to the woman's relevant medical records, 24 hours a day to request assistance for any complications that arise from the administration or use of the drug or ask health-related questions regarding the administration or use of the drug. (f) The physician who gives, sells, dispenses, administers, provides, or prescribes the abortion-inducing drug, or the physician's agent, shall make a reasonable effort to ensure that the woman returns for the scheduled follow-up appointment [visit] under Section 171.008 [Subsection (e)]. The physician or the physician's agent shall document a brief description of any effort made to comply with this subsection, including the date, time, and name of the person making the effort, in the woman's medical record. SECTION 5. Section 171.063(e), Health and Safety Code, is repealed. SECTION 6. The changes in law made by this Act apply only to an abortion performed or induced on or after the effective date of this Act. An abortion performed or induced before the effective date of this Act is governed by the law in effect immediately before the effective date of this Act, and that law is continued in effect for that purpose. SECTION 7. This Act takes effect September 1, 2021.