Texas 2021 - 87th Regular

Texas House Bill HB3760 Compare Versions

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1-87R19390 SCL-D
2- By: Oliverson, Klick, Price, Schaefer, H.B. No. 3760
3- et al.
4- Substitute the following for H.B. No. 3760:
5- By: Klick C.S.H.B. No. 3760
1+87R14596 TYPED
2+ By: Oliverson H.B. No. 3760
63
74
85 A BILL TO BE ENTITLED
96 AN ACT
107 relating to information regarding perinatal palliative care,
118 regulation of abortion, and the availability of certain defenses to
12- prosecution for homicide and assault offenses; creating a criminal
13- offense.
9+ prosecution for homicide and assault offenses; providing an
10+ administrative penalty; creating criminal offenses.
1411 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
1512 ARTICLE 1. LEGISLATIVE FINDINGS
1613 SECTION 1.01. The legislature finds that:
1714 (1) Texas has a compelling state interest in
1815 protecting all Texans from discrimination based on sex, race, and
19- disability;
16+ disability; and
2017 (2) Texas enforces prohibitions against
2118 discrimination based on sex, race, and disability in various areas,
2219 including housing, employment, education, insurance, and health
23- program and service provision; and
24- (3) Texas never repealed, either expressly or by
25- implication, the state statutes enacted before the ruling in Roe v.
26- Wade, 410 U.S. 113 (1973), that prohibit and criminalize abortion
27- unless the mother's life is in danger.
28- ARTICLE 2. DISCRIMINATORY ABORTIONS PROHIBITED
20+ program and service provision.
21+ ARTICLE 2. PROVISIONS EFFECTIVE SEPTEMBER 1, 2021
2922 SECTION 2.01. Chapter 161, Health and Safety Code, is
3023 amended by adding Subchapter X to read as follows:
3124 SUBCHAPTER X. PERINATAL PALLIATIVE CARE
3225 Sec. 161.701. PURPOSE OF SUBCHAPTER. The purpose of this
3326 subchapter is to ensure that a pregnant woman who receives a
3427 diagnosis of a life-threatening disability of the woman's preborn
3528 child is informed of the availability of perinatal palliative care.
3629 Sec. 161.702. DEFINITION. In this subchapter, "perinatal
3730 palliative care" means the provision of comprehensive, supportive
3831 care to reduce the suffering of a pregnant woman, her preborn child,
3932 and her family, from diagnosis of the preborn child's
4033 life-threatening disability through the delivery and possible
4134 death of the child as a result of the life-threatening disability.
4235 The term includes medical, social, and mental health care,
4336 including counseling and health care provided by maternal-fetal
4437 medical specialists, obstetricians, neonatologists, anesthesia
4538 specialists, specialty nurses, clergy, social workers, and other
4639 individuals focused on alleviating fear and pain and ensuring the
4740 pregnant woman, her preborn child, and her family experience a
4841 supportive environment.
4942 Sec. 161.703. PERINATAL PALLIATIVE CARE INFORMATIONAL
5043 MATERIALS. (a) The commission shall develop perinatal palliative
5144 care informational materials and post the materials on the
5245 commission's Internet website. The materials must include:
5346 (1) a description of the health care and other
5447 services available through perinatal palliative care; and
5548 (2) information about medical assistance benefits
5649 that may be available for prenatal care, childbirth, and perinatal
5750 palliative care.
5851 (b) The commission shall develop, regularly update, and
5952 publish a geographically indexed list of all perinatal palliative
6053 care providers and programs in this state. The commission may
6154 include perinatal palliative care providers and programs in other
6255 states that provide care to residents of this state but may not
6356 include an abortion provider, as defined by Section 171.002, or an
6457 affiliate, as defined by Section 2272.001, Government Code, as
6558 added by Chapter 501 (S.B. 22), Acts of the 86th Legislature,
6659 Regular Session, 2019, of an abortion provider. The commission
6760 shall post the list of perinatal palliative care providers and
6861 programs, including contact information, on the commission's
6962 Internet website and note the providers and programs that provide
7063 services free of charge.
7164 Sec. 161.704. PERINATAL PALLIATIVE CARE CERTIFICATION
7265 FORM. The commission shall develop a form on which a pregnant woman
7366 certifies that she has received the perinatal palliative care
7467 informational materials and list of the perinatal palliative care
7568 providers and programs described by Section 161.703.
7669 Sec. 161.705. HEALTH CARE PROVIDER DUTIES ON DIAGNOSIS OF
7770 PREBORN CHILD'S LIFE-THREATENING DISABILITY. A health care
7871 provider who diagnoses a pregnant woman's preborn child as having a
7972 life-threatening disability shall, at the time of the diagnosis:
8073 (1) provide the pregnant woman with a written copy of:
8174 (A) the perinatal palliative care informational
8275 materials and list of the perinatal palliative care providers and
8376 programs described by Section 161.703; and
8477 (B) the perinatal palliative care certification
8578 form described by Section 161.704; and
8679 (2) obtain from the pregnant woman the signed
8780 perinatal palliative care certification form and place the form in
8881 the pregnant woman's medical records.
8982 Sec. 161.706. EXCEPTION. A health care provider is not
9083 required to provide the perinatal palliative care informational
9184 materials or perinatal palliative care certification form under
9285 this subchapter if the health care provider verifies the pregnant
9386 woman's medical record contains a signed perinatal palliative care
9487 certification form for that pregnancy as required under Section
9588 161.705(2).
9689 SECTION 2.02. Chapter 170, Health and Safety Code, is
9790 amended by designating Sections 170.001 and 170.002 as Subchapter A
9891 and adding a subchapter heading to read as follows:
9992 SUBCHAPTER A. GENERAL PROVISIONS; POST-VIABILITY ABORTION
10093 PROHIBITED
10194 SECTION 2.03. Section 170.001, Health and Safety Code, is
10295 amended by adding Subdivision (2-a) to read as follows:
10396 (2-a) "Preborn child" means an unborn child as defined
10497 by Section 171.061.
10598 SECTION 2.04. Section 170.002, Health and Safety Code, is
10699 amended to read as follows:
107100 Sec. 170.002. PROHIBITED ACTS; EXEMPTION. (a) Except as
108101 provided by Subsection (b), a person may not intentionally or
109102 knowingly perform or induce an abortion on a woman who is pregnant
110103 with a preborn [viable unborn] child during the third trimester of
111104 the pregnancy.
112105 (b) Subsection (a) does not prohibit a person from
113106 performing or inducing an abortion if at the time of the abortion
114107 the person is a physician and concludes in good faith according to
115108 the physician's best medical judgment that[:
116109 [(1) the fetus is not a viable fetus and the pregnancy
117110 is not in the third trimester;
118111 [(2)] the abortion is necessary due to a medical
119112 emergency, as defined by Section 171.002 [to prevent the death or a
120113 substantial risk of serious impairment to the physical or mental
121114 health of the woman; or
122115 [(3) the fetus has a severe and irreversible
123116 abnormality, identified by reliable diagnostic procedures].
124117 (c) A physician who performs or induces an abortion that,
125118 according to the physician's best medical judgment at the time of
126119 the abortion, is to abort a preborn [viable unborn] child during the
127120 third trimester of the pregnancy shall certify in writing to the
128121 commission, on a form prescribed by the commission, the medical
129122 indications supporting the physician's judgment that the abortion
130123 was authorized by Subsection (b) [(b)(2) or (3). If the physician
131124 certifies the abortion was authorized by Subsection (b)(3), the
132125 physician shall certify in writing on the form the fetal
133126 abnormality identified by the physician]. The certification must
134127 be made not later than the 30th day after the date the abortion was
135128 performed or induced.
136129 SECTION 2.05. Chapter 170, Health and Safety Code, is
137130 amended by adding Subchapter B to read as follows:
138131 SUBCHAPTER B. PREBORN NONDISCRIMINATION ACT
139132 Sec. 170.051. DEFINITION. In this subchapter, "disability"
140133 means:
141134 (1) a physical or mental impairment that would
142135 substantially limit one or more of an individual's major life
143136 activities;
144137 (2) an assessment referencing an individual's
145138 impairment described by Subdivision (1); or
146139 (3) a physical disfigurement, scoliosis, dwarfism,
147140 Down syndrome, albinism, amelia, or any other type of physical,
148141 mental, or intellectual abnormality or disease.
149142 Sec. 170.052. DISCRIMINATORY ABORTION PROHIBITED. A person
150143 may not:
151144 (1) knowingly perform or induce or attempt to perform
152145 or induce on a pregnant woman an abortion based on the race,
153146 ethnicity, sex, or disability of the woman's preborn child,
154147 including a probability of diagnosis that the child has a
155148 disability; or
156149 (2) use force or the threat of force to intentionally
157150 injure or intimidate a person to coerce the performance or
158151 inducement or attempted performance or inducement of an abortion
159152 based on the race, ethnicity, sex, or disability of the woman's
160153 preborn child, including a probability of diagnosis that the child
161154 has a disability.
162155 Sec. 170.053. CRIMINAL PENALTY. (a) A person who violates
163156 Section 170.052 commits an offense. An offense under this
164157 subsection is a Class A misdemeanor.
165158 (b) A woman on whom an abortion is performed or induced or
166159 attempted to be performed or induced in violation of Section
167160 170.052 may not be prosecuted for a violation of that section or for
168161 conspiracy to commit a violation of that section.
169162 Sec. 170.054. LICENSE SUSPENSION OR REVOCATION. A
170163 physician who violates Section 170.052 engages in unprofessional
171164 conduct for which the physician's license may be suspended or
172165 revoked under Chapter 164, Occupations Code.
173166 Sec. 170.055. CIVIL REMEDIES. (a) A civil action may be
174167 brought against a person who violates Section 170.052 by:
175168 (1) the woman on whom an abortion was performed or
176169 induced or attempted to be performed or induced in violation of
177170 Section 170.052;
178171 (2) the father of the preborn child for an abortion
179172 performed or induced or attempted to be performed or induced on a
180173 pregnant woman in violation of Section 170.052, unless the woman's
181174 pregnancy resulted from the father's criminal conduct; or
182175 (3) a maternal grandparent of the preborn child for an
183176 abortion performed or induced or attempted to be performed or
184177 induced in violation of Section 170.052 on a pregnant woman who was
185178 less than 18 years of age at the time of the violation, unless the
186179 woman's pregnancy resulted from the maternal grandparent's criminal
187180 conduct.
188181 (b) A person who brings an action under this section may
189182 obtain:
190183 (1) injunctive relief;
191184 (2) damages incurred by the person, including:
192185 (A) actual damages for all psychological,
193186 emotional, and physical injuries resulting from the violation of
194187 Section 170.052;
195188 (B) court costs; and
196189 (C) reasonable attorney's fees; or
197190 (3) both injunctive relief and damages.
198191 (c) An action for damages or injunctive relief under this
199192 section must be filed:
200193 (1) in a district court in the county in which the
201194 woman on whom an abortion was performed or induced or attempted to
202195 be performed or induced in violation of Section 170.052 resides;
203196 and
204197 (2) not later than the sixth anniversary of the date
205198 the abortion was performed or induced or attempted to be performed
206199 or induced in violation of Section 170.052.
207200 (d) The damages and injunctive relief authorized by this
208201 section are in addition to any other remedy available by law.
209202 (e) A civil action under this section may not be brought
210203 against a woman on whom an abortion is performed or induced or
211204 attempted to be performed or induced in violation of Section
212205 170.052.
213206 SECTION 2.06. Section 171.002, Health and Safety Code, is
214207 amended by adding Subdivision (3-a) to read as follows:
215208 (3-a) "Preborn child" means an unborn child as defined
216209 by Section 171.061.
217210 SECTION 2.07. Subchapter A, Chapter 171, Health and Safety
218- Code, is amended by adding Sections 171.0055 and 171.008 to read as
219- follows:
220- Sec. 171.0055. REPORT BY ATTORNEY GENERAL. (a) The
221- attorney general shall certify and submit a written report to the
222- governor and the legislature not later than the 31st day after the
223- date any of the following occurs:
224- (1) the issuance of a United States Supreme Court
225- judgment in a decision overruling, wholly or partly, Roe v. Wade,
226- 410 U.S. 113 (1973), as modified by Planned Parenthood v. Casey, 505
227- U.S. 833 (1992), thereby allowing the states to prohibit abortion;
228- (2) the issuance of any other United States Supreme
229- Court judgment in a decision that recognizes, wholly or partly, the
230- authority of states to prohibit abortion; or
231- (3) the adoption of an amendment to the United States
232- Constitution that, wholly or partly, restores to the states the
233- authority to prohibit abortion.
234- (b) The attorney general shall make available a copy of the
235- report required by Subsection (a) on the attorney general's
236- Internet website not later than the 31st day after the date the
237- attorney general submits the report.
211+ Code, is amended by adding Section 171.008 to read as follows:
238212 Sec. 171.008. REQUIRED DOCUMENTATION. (a) If an abortion
239213 is performed or induced on a pregnant woman because of a medical
240214 emergency, the physician who performs or induces the abortion shall
241215 execute a written document that certifies the abortion is necessary
242216 due to a medical emergency and specifies the woman's medical
243217 condition requiring the abortion.
244218 (b) A physician shall:
245219 (1) place the document described by Subsection (a) in
246220 the pregnant woman's medical record; and
247221 (2) maintain a copy of the document described by
248222 Subsection (a) in the physician's practice records.
249223 (c) A physician who performs or induces an abortion on a
250224 pregnant woman shall:
251225 (1) if the abortion is performed or induced to
252226 preserve the health of the pregnant woman, execute a written
253227 document that:
254228 (A) specifies the medical condition the abortion
255229 is asserted to address; and
256230 (B) provides the medical rationale for the
257231 physician's conclusion that the abortion is necessary to address
258232 the medical condition; or
259233 (2) for an abortion other than an abortion described
260234 by Subdivision (1), specify in a written document that maternal
261235 health is not a purpose of the abortion.
262236 (d) The physician shall maintain a copy of a document
263237 described by Subsection (c) in the physician's practice records.
264238 SECTION 2.08. Section 171.012, Health and Safety Code, is
265239 amended by amending Subsection (a) and adding Subsections (g) and
266240 (h) to read as follows:
267241 (a) Consent to an abortion is voluntary and informed only
268242 if:
269243 (1) the physician who is to perform or induce the
270244 abortion informs the pregnant woman on whom the abortion is to be
271245 performed or induced of:
272246 (A) the physician's name;
273247 (B) the particular medical risks associated with
274248 the particular abortion procedure to be employed, including, when
275249 medically accurate:
276250 (i) the risks of infection and hemorrhage;
277251 (ii) the potential danger to a subsequent
278252 pregnancy and of infertility; and
279253 (iii) the possibility of increased risk of
280254 breast cancer following an induced abortion and the natural
281255 protective effect of a completed pregnancy in avoiding breast
282256 cancer;
283257 (C) the probable gestational age of the preborn
284258 [unborn] child at the time the abortion is to be performed or
285259 induced; [and]
286260 (D) the medical risks associated with carrying
287261 the preborn child to term; and
288262 (E) the state law prohibiting abortion of a
289263 preborn child solely based on the preborn child's race, ethnicity,
290- sex, or disability as defined by Section 170.051, including a
264+ sex, or disability, as defined by Section 170.051, including a
291265 probability of diagnosis that the child has a disability;
292266 (2) the physician who is to perform or induce the
293267 abortion or the physician's agent informs the pregnant woman that:
294268 (A) medical assistance benefits may be available
295269 for prenatal care, childbirth, and neonatal care;
296270 (B) the father is liable for assistance in the
297271 support of the child without regard to whether the father has
298272 offered to pay for the abortion; and
299273 (C) public and private agencies provide
300274 pregnancy prevention counseling and medical referrals for
301275 obtaining pregnancy prevention medications or devices, including
302276 emergency contraception for victims of rape or incest;
303277 (3) the physician who is to perform or induce the
304278 abortion or the physician's agent:
305279 (A) provides the pregnant woman with the printed
306280 materials described by Section 171.014; and
307281 (B) informs the pregnant woman that those
308282 materials:
309283 (i) have been provided by the commission
310284 [Department of State Health Services];
311285 (ii) are accessible on an Internet website
312286 sponsored by the commission [department];
313287 (iii) describe the preborn [unborn] child
314288 and list agencies that offer alternatives to abortion; and
315289 (iv) include a list of agencies that offer
316290 sonogram services at no cost to the pregnant woman;
317291 (4) before any sedative or anesthesia is administered
318292 to the pregnant woman and at least 24 hours before the abortion or
319293 at least two hours before the abortion if the pregnant woman waives
320294 this requirement by certifying that she currently lives 100 miles
321295 or more from the nearest abortion provider that is a facility
322296 licensed under Chapter 245 or a facility that performs or induces
323297 more than 50 abortions in any 12-month period:
324298 (A) the physician who is to perform or induce the
325299 abortion or an agent of the physician who is also a sonographer
326300 certified by a national registry of medical sonographers performs a
327301 sonogram on the pregnant woman on whom the abortion is to be
328302 performed or induced;
329303 (B) the physician who is to perform or induce the
330304 abortion displays the sonogram images in a quality consistent with
331305 current medical practice in a manner that the pregnant woman may
332306 view them;
333307 (C) the physician who is to perform or induce the
334308 abortion provides, in a manner understandable to a layperson, a
335309 verbal explanation of the results of the sonogram images, including
336310 a medical description of the dimensions of the embryo or fetus, the
337311 presence of cardiac activity, and the presence of external members
338312 and internal organs; and
339313 (D) the physician who is to perform or induce the
340314 abortion or an agent of the physician who is also a sonographer
341315 certified by a national registry of medical sonographers makes
342316 audible the heart auscultation for the pregnant woman to hear, if
343317 present, in a quality consistent with current medical practice and
344318 provides, in a manner understandable to a layperson, a simultaneous
345319 verbal explanation of the heart auscultation;
346320 (5) before receiving a sonogram under Subdivision
347321 (4)(A) and before the abortion is performed or induced and before
348322 any sedative or anesthesia is administered, the pregnant woman
349323 completes and certifies with her signature an election form that
350324 states as follows:
351325 "ABORTION AND SONOGRAM ELECTION
352326 (1) THE INFORMATION AND PRINTED MATERIALS
353327 DESCRIBED BY SECTIONS 171.012(a)(1)-(3), TEXAS HEALTH
354328 AND SAFETY CODE, HAVE BEEN PROVIDED AND EXPLAINED TO
355329 ME.
356- (2) I UNDERSTAND THE NATURE AND CONSEQUENCES OF
357- AN ABORTION.
358- (3) TEXAS LAW REQUIRES THAT I RECEIVE A SONOGRAM
359- PRIOR TO RECEIVING AN ABORTION.
360- (4) I UNDERSTAND THAT I HAVE THE OPTION TO VIEW
361- THE SONOGRAM IMAGES.
362- (5) I UNDERSTAND THAT I HAVE THE OPTION TO HEAR
363- THE HEARTBEAT.
364- (6) I UNDERSTAND THAT I AM REQUIRED BY LAW TO
365- HEAR AN EXPLANATION OF THE SONOGRAM IMAGES UNLESS I
330+ (2) I UNDERSTAND THE NATURE AND
331+ CONSEQUENCES OF AN ABORTION.
332+ (3) TEXAS LAW REQUIRES THAT I RECEIVE A
333+ SONOGRAM PRIOR TO RECEIVING AN ABORTION.
334+ (4) I UNDERSTAND THAT I HAVE THE OPTION TO
335+ VIEW THE SONOGRAM IMAGES.
336+ (5) I UNDERSTAND THAT I HAVE THE OPTION TO
337+ HEAR THE HEARTBEAT.
338+ (6) I UNDERSTAND THAT I AM REQUIRED BY LAW
339+ TO HEAR AN EXPLANATION OF THE SONOGRAM IMAGES UNLESS I
366340 CERTIFY IN WRITING TO ONE OF THE FOLLOWING:
367341 ___ I AM PREGNANT AS A RESULT OF A SEXUAL
368342 ASSAULT, INCEST, OR OTHER VIOLATION OF THE TEXAS PENAL
369343 CODE THAT HAS BEEN REPORTED TO LAW ENFORCEMENT
370344 AUTHORITIES OR THAT HAS NOT BEEN REPORTED BECAUSE I
371345 REASONABLY BELIEVE THAT DOING SO WOULD PUT ME AT RISK
372346 OF RETALIATION RESULTING IN SERIOUS BODILY INJURY.
373- ___ I AM A MINOR AND OBTAINING AN ABORTION IN
374- ACCORDANCE WITH JUDICIAL BYPASS PROCEDURES UNDER
347+ ___ I AM A MINOR AND OBTAINING AN ABORTION
348+ IN ACCORDANCE WITH JUDICIAL BYPASS PROCEDURES UNDER
375349 CHAPTER 33, TEXAS FAMILY CODE.
376- ___ MY PREBORN CHILD [FETUS] HAS AN IRREVERSIBLE
377- MEDICAL CONDITION OR ABNORMALITY, AS IDENTIFIED BY
378- RELIABLE DIAGNOSTIC PROCEDURES AND DOCUMENTED IN MY
379- MEDICAL FILE.
380- (7) I AM MAKING THIS ELECTION OF MY OWN FREE WILL
381- AND WITHOUT COERCION.
382- (8) FOR A WOMAN WHO LIVES 100 MILES OR MORE FROM
383- THE NEAREST ABORTION PROVIDER THAT IS A FACILITY
350+ ___ MY PREBORN CHILD [FETUS] HAS AN
351+ IRREVERSIBLE MEDICAL CONDITION OR ABNORMALITY, AS
352+ IDENTIFIED BY RELIABLE DIAGNOSTIC PROCEDURES AND
353+ DOCUMENTED IN MY MEDICAL FILE.
354+ (7) I AM MAKING THIS ELECTION OF MY OWN
355+ FREE WILL AND WITHOUT COERCION.
356+ (8) FOR A WOMAN WHO LIVES 100 MILES OR MORE
357+ FROM THE NEAREST ABORTION PROVIDER THAT IS A FACILITY
384358 LICENSED UNDER CHAPTER 245, TEXAS HEALTH AND SAFETY
385359 CODE, OR A FACILITY THAT PERFORMS OR INDUCES MORE THAN
386360 50 ABORTIONS IN ANY 12-MONTH PERIOD ONLY:
387361 I CERTIFY THAT, BECAUSE I CURRENTLY LIVE 100
388362 MILES OR MORE FROM THE NEAREST ABORTION PROVIDER THAT
389363 IS A FACILITY LICENSED UNDER CHAPTER 245, TEXAS HEALTH
390364 AND SAFETY CODE, OR A FACILITY THAT PERFORMS OR INDUCES
391365 MORE THAN 50 ABORTIONS IN ANY 12-MONTH PERIOD, I WAIVE
392366 THE REQUIREMENT TO WAIT 24 HOURS AFTER THE SONOGRAM IS
393367 PERFORMED BEFORE RECEIVING THE ABORTION PROCEDURE. MY
394368 PLACE OF RESIDENCE IS:__________.
395- ________________________________________
369+ __________________ _____________________
396370 SIGNATURE DATE";
397371 (6) before the abortion is performed or induced, the
398372 physician who is to perform or induce the abortion receives a copy
399373 of the signed, written certification required by Subdivision (5);
400374 and
401375 (7) the pregnant woman is provided the name of each
402376 person who provides or explains the information required under this
403377 subsection.
404378 (g) If the pregnant woman's preborn child has been diagnosed
405379 with a life-threatening disability, the physician who is to perform
406- the abortion shall, at least 24 hours before the abortion or at
407- least two hours before the abortion if the pregnant woman waives
408- this requirement by certifying that she currently lives 100 miles
409- or more from the nearest abortion provider that is a facility
410- licensed under Chapter 245 or a facility in which more than 50
411- abortions are performed in any 12-month period:
380+ or induce the abortion shall, at least 24 hours before the abortion:
412381 (1) orally and in person, inform the pregnant woman of
413382 the availability of perinatal palliative care, as that term is
414383 defined by Section 161.702; and
415384 (2) provide the pregnant woman with a written copy of:
416385 (A) the perinatal palliative care informational
417386 materials and list of the perinatal palliative care providers and
418387 programs described by Section 161.703; and
419388 (B) the perinatal palliative care certification
420389 form described by Section 161.704.
421390 (h) If a pregnant woman described by Subsection (g), after
422391 receiving from the physician who is to perform or induce the
423392 abortion the perinatal palliative care informational materials and
424393 certification form described by that subsection in the manner
425394 required by that subsection, chooses to have an abortion instead of
426395 continuing the pregnancy in perinatal palliative care, the
427396 physician may perform or induce the abortion only after:
428397 (1) the pregnant woman signs the certification form;
429398 and
430399 (2) the physician places the signed certification form
431400 in the pregnant woman's medical records.
432401 SECTION 2.09. Section 171.0121, Health and Safety Code, is
433402 amended to read as follows:
434403 Sec. 171.0121. MEDICAL RECORD. (a) Before the abortion
435404 begins, a copy of the signed, written certification received by the
436405 physician under Section 171.012(a)(6) and, if applicable, under
437406 Section 161.704 must be placed in the pregnant woman's medical
438407 records.
439408 (b) A copy of the signed, written certification required
440409 under Sections 171.012(a)(5) and (6) and of any signed, written
441410 certification required under Section 161.704 shall be retained by
442411 the facility where the abortion is performed or induced until:
443412 (1) the seventh anniversary of the date the
444413 certification [it] is signed; or
445414 (2) if the pregnant woman is a minor, the later of:
446415 (A) the seventh anniversary of the date the
447416 certification [it] is signed; or
448417 (B) the woman's 21st birthday.
449418 SECTION 2.10. Section 171.014(a), Health and Safety Code,
450419 is amended to read as follows:
451420 (a) The department shall publish informational materials
452421 that include:
453422 (1) the information required to be provided under
454423 Sections 171.012(a)(1)(B), [and] (D), and (E) and (a)(2)(A), (B),
455424 and (C); and
456425 (2) the materials required by Sections 161.703,
457426 171.015, and 171.016.
458427 SECTION 2.11. The heading to Subchapter C, Chapter 171,
459428 Health and Safety Code, is amended to read as follows:
460429 SUBCHAPTER C. ABORTION PROHIBITED AT OR AFTER 20 WEEKS PROBABLE
461430 GESTATIONAL AGE [POST-FERTILIZATION]
462431 SECTION 2.12. Section 171.042, Health and Safety Code, is
463432 amended by adding Subdivision (1-a) to read as follows:
464433 (1-a) "Probable gestational age" means the duration of
465434 a pregnancy measured by the number of weeks and days that have
466435 elapsed from the first day of the pregnant woman's last menstrual
467436 period out of an expected 40-week gestation.
468437 SECTION 2.13. Sections 171.043, 171.044, and 171.045,
469438 Health and Safety Code, are amended to read as follows:
470439 Sec. 171.043. DETERMINATION OF PROBABLE GESTATIONAL
471440 [POST-FERTILIZATION] AGE REQUIRED. Except as otherwise provided by
472441 Section 171.046, a physician may not perform or induce or attempt to
473442 perform or induce an abortion without, prior to the procedure:
474443 (1) making a determination of the probable gestational
475444 [post-fertilization] age of the preborn [unborn] child; or
476445 (2) possessing and relying on a determination of the
477446 probable gestational [post-fertilization] age of the preborn
478447 [unborn] child made by another physician.
479448 Sec. 171.044. ABORTION OF PREBORN [UNBORN] CHILD OF 20 OR
480449 MORE WEEKS PROBABLE GESTATIONAL [POST-FERTILIZATION] AGE
481450 PROHIBITED. Except as otherwise provided by Section 171.046, a
482451 person may not perform or induce or attempt to perform or induce an
483452 abortion on a woman if it has been determined, by the physician
484453 performing, inducing, or attempting to perform or induce the
485454 abortion or by another physician on whose determination that
486455 physician relies, that the probable gestational
487456 [post-fertilization] age of the preborn [unborn] child is 20 or
488457 more weeks.
489458 Sec. 171.045. METHOD OF ABORTION. (a) This section applies
490459 only to an abortion authorized under Section 171.046(a)(1) or (2)
491460 in which:
492461 (1) the probable gestational [post-fertilization] age
493462 of the preborn [unborn] child is 20 or more weeks; or
494463 (2) the probable gestational [post-fertilization] age
495464 of the preborn [unborn] child has not been determined but could
496465 reasonably be 20 or more weeks.
497466 (b) Except as otherwise provided by Section 171.046(a)(3),
498467 a physician performing or inducing an abortion under Subsection (a)
499468 shall terminate the pregnancy in the manner that, in the
500469 physician's reasonable medical judgment, provides the best
501470 opportunity for the preborn [unborn] child to survive.
502471 SECTION 2.14. Section 171.046(a), Health and Safety Code,
503472 is amended to read as follows:
504473 (a) The prohibitions and requirements under Sections
505474 171.043, 171.044, and 171.045(b) do not apply to an abortion
506475 performed or induced if there exists a condition that, in the
507476 physician's reasonable medical judgment, so complicates the
508477 medical condition of the woman that, to avert the woman's death or a
509478 serious risk of substantial and irreversible physical impairment of
510479 a major bodily function, other than a psychological condition, it
511480 necessitates, as applicable:
512481 (1) the immediate abortion of her pregnancy without
513482 the delay necessary to determine the probable gestational
514483 [post-fertilization] age of the preborn [unborn] child;
515484 (2) the abortion of her pregnancy even though the
516485 probable gestational [post-fertilization] age of the preborn
517486 [unborn] child is 20 or more weeks; or
518487 (3) the use of a method of abortion other than a method
519488 described by Section 171.045(b).
520489 SECTION 2.15. Section 285.202(a), Health and Safety Code,
521490 is amended to read as follows:
522491 (a) In this section, "medical emergency" means[:
523492 [(1)] a condition exists that, in a physician's good
524493 faith clinical judgment, complicates the medical condition of the
525494 pregnant woman and necessitates the immediate abortion of her
526495 pregnancy to avert her death or to avoid a serious risk of
527496 substantial impairment of a major bodily function[; or
528497 [(2) the fetus has a severe fetal abnormality].
529498 SECTION 2.16. Section 164.052(a), Occupations Code, is
530499 amended to read as follows:
531500 (a) A physician or an applicant for a license to practice
532501 medicine commits a prohibited practice if that person:
533502 (1) submits to the board a false or misleading
534503 statement, document, or certificate in an application for a
535504 license;
536505 (2) presents to the board a license, certificate, or
537506 diploma that was illegally or fraudulently obtained;
538507 (3) commits fraud or deception in taking or passing an
539508 examination;
540509 (4) uses alcohol or drugs in an intemperate manner
541510 that, in the board's opinion, could endanger a patient's life;
542511 (5) commits unprofessional or dishonorable conduct
543512 that is likely to deceive or defraud the public, as provided by
544513 Section 164.053, or injure the public;
545514 (6) uses an advertising statement that is false,
546515 misleading, or deceptive;
547516 (7) advertises professional superiority or the
548517 performance of professional service in a superior manner if that
549518 advertising is not readily subject to verification;
550519 (8) purchases, sells, barters, or uses, or offers to
551520 purchase, sell, barter, or use, a medical degree, license,
552521 certificate, or diploma, or a transcript of a license, certificate,
553522 or diploma in or incident to an application to the board for a
554523 license to practice medicine;
555524 (9) alters, with fraudulent intent, a medical license,
556525 certificate, or diploma, or a transcript of a medical license,
557526 certificate, or diploma;
558527 (10) uses a medical license, certificate, or diploma,
559528 or a transcript of a medical license, certificate, or diploma that
560529 has been:
561530 (A) fraudulently purchased or issued;
562531 (B) counterfeited; or
563532 (C) materially altered;
564533 (11) impersonates or acts as proxy for another person
565534 in an examination required by this subtitle for a medical license;
566535 (12) engages in conduct that subverts or attempts to
567536 subvert an examination process required by this subtitle for a
568537 medical license;
569538 (13) impersonates a physician or permits another to
570539 use the person's license or certificate to practice medicine in
571540 this state;
572541 (14) directly or indirectly employs a person whose
573542 license to practice medicine has been suspended, canceled, or
574543 revoked;
575544 (15) associates in the practice of medicine with a
576545 person:
577546 (A) whose license to practice medicine has been
578547 suspended, canceled, or revoked; or
579548 (B) who has been convicted of the unlawful
580549 practice of medicine in this state or elsewhere;
581550 (16) performs or procures a criminal abortion, aids or
582551 abets in the procuring of a criminal abortion, attempts to perform
583552 or procure a criminal abortion, or attempts to aid or abet the
584553 performance or procurement of a criminal abortion;
585554 (17) directly or indirectly aids or abets the practice
586555 of medicine by a person, partnership, association, or corporation
587556 that is not licensed to practice medicine by the board;
588557 (18) performs or induces or attempts to perform or
589558 induce an abortion on a woman who is pregnant with a preborn [viable
590559 unborn] child during the third trimester of the pregnancy unless[:
591560 [(A)] the abortion is necessary due to a medical
592561 emergency, as defined by Section 171.002, Health and Safety Code
593562 [to prevent the death of the woman;
594563 [(B) the viable unborn child has a severe,
595564 irreversible brain impairment; or
596565 [(C) the woman is diagnosed with a significant
597566 likelihood of suffering imminent severe, irreversible brain damage
598567 or imminent severe, irreversible paralysis];
599568 (19) performs or induces or attempts to perform or
600569 induce an abortion on an unemancipated minor without the written
601570 consent of the child's parent, managing conservator, or legal
602571 guardian or without a court order, as provided by Section 33.003 or
603572 33.004, Family Code, unless the abortion is necessary due to a
604573 medical emergency, as defined by Section 171.002, Health and Safety
605574 Code;
606575 (20) otherwise performs or induces or attempts to
607576 perform or induce an abortion on an unemancipated minor in
608577 violation of Chapter 33, Family Code;
609578 (21) performs or induces or attempts to perform or
610579 induce an abortion in violation of Subchapter C, F, or G, Chapter
611580 171, Health and Safety Code; [or]
612581 (22) in complying with the procedures outlined in
613582 Sections 166.045 and 166.046, Health and Safety Code, wilfully
614583 fails to make a reasonable effort to transfer a patient to a
615584 physician who is willing to comply with a directive; or
616585 (23) performs or induces or attempts to perform or
617586 induce an abortion or engages in other conduct in violation of
618587 Section 170.052, Health and Safety Code.
619588 SECTION 2.17. Section 164.055(b), Occupations Code, is
620589 amended to read as follows:
621590 (b) The sanctions provided by Subsection (a) are in addition
622591 to any other grounds for refusal to admit persons to examination
623592 under this subtitle or to issue a license or renew a license to
624593 practice medicine under this subtitle. The criminal penalties
625594 provided by Section 165.152 do not apply to a violation of Section
626595 170.002 or 170.052, Health and Safety Code, or Subchapter C, F, or
627596 G, Chapter 171, Health and Safety Code.
628597 SECTION 2.18. The following provisions of the Health and
629598 Safety Code are repealed:
630599 (1) Section 170.001(3);
631600 (2) Sections 171.042(1) and (2);
632601 (3) Section 171.046(c); and
633602 (4) Sections 285.202(a-1) and (a-2).
634- ARTICLE 3. ABORTION PROHIBITED AFTER DETECTION OF FETAL HEARTBEAT
603+ ARTICLE 3. PROVISIONS EFFECTIVE SEPTEMBER 1, 2023, OR EARLIER
635604 SECTION 3.01. Chapter 171, Health and Safety Code, is
636605 amended by adding Subchapter H to read as follows:
637606 SUBCHAPTER H. DETECTION OF FETAL HEARTBEAT
638607 Sec. 171.201. DEFINITIONS. In this subchapter:
639608 (1) "Fetal heartbeat" means cardiac activity or the
640609 steady and repetitive rhythmic contraction of the fetal heart
641610 within the gestational sac.
642611 (2) "Gestational age" means the amount of time that
643612 has elapsed from the first day of a woman's last menstrual period.
644613 (3) "Gestational sac" means the structure comprising
645- the extraembryonic membranes that envelop the unborn child and that
646- is typically visible by ultrasound after the fourth week of
614+ the extraembryonic membranes that envelop the preborn child and
615+ that is typically visible by ultrasound after the fourth week of
647616 pregnancy.
648617 (4) "Physician" means an individual licensed to
649618 practice medicine in this state, including a medical doctor and a
650619 doctor of osteopathic medicine.
651- (5) "Pregnancy" means the human female reproductive
620+ (5) "Preborn child" means a human fetus or embryo in
621+ any stage of gestation from fertilization until birth.
622+ (6) "Pregnancy" means the human female reproductive
652623 condition that:
653624 (A) begins with fertilization;
654625 (B) occurs when the woman is carrying the
655626 developing human offspring; and
656627 (C) is calculated from the first day of the
657628 woman's last menstrual period.
658- (6) "Standard medical practice" means the degree of
629+ (7) "Standard medical practice" means the degree of
659630 skill, care, and diligence that an obstetrician of ordinary
660631 judgment, learning, and skill would employ in like circumstances.
661- (7) "Unborn child" means a human fetus or embryo in any
662- stage of gestation from fertilization until birth.
663632 Sec. 171.202. LEGISLATIVE FINDINGS. The legislature finds,
664633 according to contemporary medical research, that:
665634 (1) fetal heartbeat has become a key medical predictor
666- that an unborn child will reach live birth;
635+ that a preborn child will reach live birth;
667636 (2) cardiac activity begins at a biologically
668637 identifiable moment in time, normally when the fetal heart is
669638 formed in the gestational sac;
670639 (3) Texas has compelling interests from the outset of
671640 a woman's pregnancy in protecting the health of the woman and the
672- life of the unborn child; and
641+ life of the preborn child; and
673642 (4) to make an informed choice about whether to
674643 continue her pregnancy, the pregnant woman has a compelling
675- interest in knowing the likelihood of her unborn child surviving to
676- full-term birth based on the presence of cardiac activity.
644+ interest in knowing the likelihood of her preborn child surviving
645+ to full-term birth based on the presence of cardiac activity.
677646 Sec. 171.203. DETERMINATION OF PRESENCE OF FETAL HEARTBEAT
678647 REQUIRED; RECORD. (a) For the purposes of determining the presence
679648 of a fetal heartbeat under this section, "standard medical
680649 practice" includes employing the appropriate means of detecting the
681- heartbeat based on the estimated gestational age of the unborn
650+ heartbeat based on the estimated gestational age of the preborn
682651 child and the condition of the woman and her pregnancy.
683652 (b) Except as provided by Section 171.205, a physician may
684653 not knowingly perform or induce an abortion on a pregnant woman
685654 unless the physician has determined, in accordance with this
686- section, whether the woman's unborn child has a detectable fetal
655+ section, whether the woman's preborn child has a detectable fetal
687656 heartbeat.
688657 (c) In making a determination under Subsection (b), the
689658 physician must use a test that is:
690659 (1) consistent with the physician's good faith and
691- reasonable understanding of standard medical practice; and
692- (2) appropriate for the estimated gestational age of
693- the unborn child and the condition of the pregnant woman and her
660+ reasonable understanding of standard medical practice;
661+ (2) consistent with rules adopted under this
662+ subchapter; and
663+ (3) appropriate for the estimated gestational age of
664+ the preborn child and the condition of the pregnant woman and her
694665 pregnancy.
695666 (d) A physician making a determination under Subsection (b)
696667 shall record in the pregnant woman's medical record:
697- (1) the estimated gestational age of the unborn child;
668+ (1) the estimated gestational age of the preborn
669+ child;
698670 (2) the method used to estimate the gestational age;
699671 and
700672 (3) the test used for detecting a fetal heartbeat,
701673 including the date, time, and results of the test.
702- Sec. 171.204. PROHIBITED ABORTION OF UNBORN CHILD WITH
674+ (e) The executive commissioner may adopt rules specifying
675+ the appropriate tests to be used in determining the presence of a
676+ fetal heartbeat based on standard medical practice, subject to
677+ Section 171.208.
678+ Sec. 171.204. PROHIBITED ABORTION OF PREBORN CHILD WITH
703679 DETECTABLE FETAL HEARTBEAT; EFFECT. (a) Except as provided by
704680 Section 171.205, a physician may not knowingly perform or induce an
705681 abortion on a pregnant woman if the physician detected a fetal
706- heartbeat for the unborn child as required by Section 171.203 or
682+ heartbeat for the preborn child as required by Section 171.203 or
707683 failed to perform a test to detect a fetal heartbeat.
708684 (b) A physician does not violate this section if the
709685 physician performed a test for a fetal heartbeat as required by
710686 Section 171.203 and did not detect a fetal heartbeat.
711687 (c) This section does not affect:
712688 (1) the provisions of this chapter that restrict or
713689 regulate an abortion by a particular method or during a particular
714690 stage of pregnancy; or
715691 (2) any other provision of state law that regulates or
716692 prohibits abortion.
717693 Sec. 171.205. EXCEPTION FOR MEDICAL EMERGENCY; RECORDS.
718- (a) Sections 171.203 and 171.204 do not apply if a physician
719- believes a medical emergency exists that prevents compliance with
720- this subchapter.
694+ (a) This subchapter does not apply if a physician believes a
695+ medical emergency exists that prevents compliance with this
696+ subchapter.
721697 (b) A physician who performs or induces an abortion under
722698 circumstances described by Subsection (a) shall make written
723699 notations in the pregnant woman's medical record of:
724700 (1) the physician's belief that a medical emergency
725701 necessitated the abortion; and
726702 (2) the medical condition of the pregnant woman that
727703 prevented compliance with this subchapter.
728704 (c) A physician performing or inducing an abortion under
729705 this section shall maintain in the physician's practice records a
730706 copy of the notations made under Subsection (b).
731707 Sec. 171.206. CONSTRUCTION OF SUBCHAPTER. (a) This
732708 subchapter does not create or recognize a right to abortion before a
733709 fetal heartbeat is detected.
734710 (b) This subchapter may not be construed to:
735711 (1) authorize the initiation of a cause of action
736712 against or the prosecution of a woman on whom an abortion is
737713 performed or induced or attempted to be performed or induced in
738714 violation of this subchapter;
739715 (2) wholly or partly repeal, either expressly or by
740716 implication, any other statute that regulates or prohibits
741717 abortion, including Chapter 6-1/2, Title 71, Revised Statutes; or
742718 (3) restrict a political subdivision from regulating
743719 or prohibiting abortion in a manner that is at least as stringent as
744720 the laws of this state.
745- Sec. 171.207. LIMITATIONS ON PUBLIC ENFORCEMENT. (a)
746- Notwithstanding Section 171.005 or any other law, the requirements
747- of this subchapter shall be enforced exclusively through the
748- private civil actions described in Section 171.208. No enforcement
749- of this subchapter, and no enforcement of Chapters 19 and 22, Penal
750- Code, in response to violations of this subchapter, may be taken or
751- threatened by this state, a political subdivision, a district or
752- county attorney, or an executive or administrative officer or
753- employee of this state or a political subdivision against any
754- person, except as provided in Section 171.208.
755- (b) Subsection (a) may not be construed to:
721+ Sec. 171.207. ADMINISTRATIVE PENALTY. Except as provided
722+ by Section 171.208, the Texas Medical Board shall take disciplinary
723+ action under Chapter 164, Occupations Code, and shall assess an
724+ administrative penalty under Subchapter A, Chapter 165,
725+ Occupations Code, against any physician who violates this
726+ subchapter.
727+ Sec. 171.208. LIMITATIONS ON PUBLIC ENFORCEMENT. (a) This
728+ subchapter may not be construed to:
756729 (1) legalize the conduct prohibited by this subchapter
757730 or by Chapter 6-1/2, Title 71, Revised Statutes;
758731 (2) limit in any way or affect the availability of a
759- remedy established by Section 171.208; or
732+ remedy established by Section 171.209; or
760733 (3) limit the enforceability of any other laws that
761734 regulate or prohibit abortion.
762- Sec. 171.208. CIVIL LIABILITY FOR VIOLATION OR AIDING OR
735+ Sec. 171.209. CIVIL LIABILITY FOR VIOLATION OR AIDING OR
763736 ABETTING VIOLATION. (a) Any person, other than an officer or
764737 employee of a state or local governmental entity in this state, may
765- bring a civil action against any person who:
766- (1) performs or induces an abortion in violation of
767- this chapter;
768- (2) knowingly engages in conduct that aids or abets
769- the performance or inducement of an abortion, including paying for
770- or reimbursing the costs of an abortion through insurance or
771- otherwise, if the abortion is performed or induced in violation of
772- this chapter, regardless of whether the person knew or should have
773- known that the abortion would be performed or induced in violation
774- of this chapter; or
775- (3) intends to engage in the conduct described by
776- Subdivision (1) or (2).
738+ bring a civil action against a person who violates this subchapter
739+ or commits an offense under Section 171.204.
777740 (b) If a claimant prevails in an action brought under this
778741 section, the court shall award:
779- (1) injunctive relief sufficient to prevent the
780- defendant from violating this chapter or engaging in acts that aid
781- or abet violations of this chapter;
742+ (1) injunctive relief;
782743 (2) statutory damages in an amount of not less than
783- $10,000 for each abortion that the defendant performed or induced
784- in violation of this chapter, and for each abortion performed or
785- induced in violation of this chapter that the defendant aided or
786- abetted; and
744+ $10,000 for each violation or offense; and
787745 (3) costs and attorney's fees.
788746 (c) Notwithstanding Subsection (b), a court may not award
789- relief under this section in response to a violation of Subsection
790- (a)(1) or (2) if the defendant demonstrates that the defendant
791- previously paid the full amount of statutory damages under
792- Subsections (b)(2) and (3) in a previous action for that particular
793- abortion performed or induced in violation of this chapter, or for
794- the particular conduct that aided or abetted an abortion performed
795- or induced in violation of this chapter.
747+ relief under this section in response to a violation of this
748+ subchapter or an offense under Section 171.204 if the defendant
749+ demonstrates that the defendant previously paid statutory damages
750+ in a previous action for that particular violation or offense.
796751 (d) Notwithstanding Chapter 16, Civil Practice and Remedies
797- Code, or any other law, a person may bring an action under this
798- section not later than the sixth anniversary of the date the cause
799- of action accrues.
800- (e) Notwithstanding any other law, the following are not a
801- defense to an action brought under this section:
752+ Code, a person may bring an action under this section not later than
753+ the sixth anniversary of the date the cause of action accrues.
754+ (e) The following are not a defense to an action brought
755+ under this section:
802756 (1) ignorance or mistake of law;
803757 (2) a defendant's belief that the requirements of this
804- chapter are unconstitutional or were unconstitutional;
758+ subchapter are unconstitutional or were unconstitutional;
805759 (3) a defendant's reliance on any court decision that
806- has been overruled on appeal or by a subsequent court, even if that
807- court decision had not been overruled when the defendant engaged in
808- conduct that violates this chapter;
809- (4) a defendant's reliance on any state or federal
810- court decision that is not binding on the court in which the action
811- has been brought;
812- (5) non-mutual issue preclusion or non-mutual claim
813- preclusion;
814- (6) the consent of the unborn child's mother to the
815- abortion; or
816- (7) any claim that the enforcement of this chapter or
817- the imposition of civil liability against the defendant will
818- violate the constitutional rights of third parties, except as
819- provided by Section 171.209.
820- (f) It is an affirmative defense if:
821- (1) a person sued under Subsection (a)(2) reasonably
822- believed, after conducting a reasonable investigation, that the
823- physician performing or inducing the abortion had complied or would
824- comply with this chapter; or
825- (2) a person sued under Subsection (a)(3) reasonably
826- believed, after conducting a reasonable investigation, that the
827- physician performing or inducing the abortion will comply with this
828- chapter.
829- (f-1) The defendant has the burden of proving an affirmative
830- defense under Subsection (f)(1) or (2) by a preponderance of the
831- evidence.
832- (g) This section may not be construed to impose liability on
833- any speech or conduct protected by the First Amendment of the United
834- States Constitution, as made applicable to the states through the
835- United States Supreme Court's interpretation of the Fourteenth
836- Amendment of the United States Constitution, or by Section 8,
837- Article I, Texas Constitution.
838- (h) Notwithstanding any other law, this state, a state
760+ has been overruled by the applicable final appellate court, even if
761+ that court decision had not been overruled when the defendant
762+ engaged in conduct that violates this subchapter or constitutes an
763+ offense under Section 171.204 or
764+ (4) the consent of the preborn child's mother to the
765+ abortion.
766+ (f) Notwithstanding any other law, this state, a state
839767 official, or a district or county attorney may not intervene in an
840768 action brought under this section. This subsection does not
841769 prohibit a person described by this subsection from filing an
842770 amicus curiae brief in the action.
843- (i) Notwithstanding any other law, a court may not award
771+ (g) Notwithstanding any other law, a court may not award
844772 costs or attorney's fees under the Texas Rules of Civil Procedure or
845773 any other rule adopted by the supreme court under Section 22.004,
846774 Government Code, to a defendant in an action brought under this
847775 section.
848- Sec. 171.209. CIVIL LIABILITY: UNDUE BURDEN DEFENSE
776+ Sec. 171.210. CIVIL LIABILITY: UNDUE BURDEN DEFENSE
849777 LIMITATIONS. (a) A defendant against whom an action is brought
850- under Section 171.208 does not have standing to assert the rights
851- of women seeking an abortion as a defense to liability under that
852- section unless:
853- (1) the United States Supreme Court holds that the
778+ under Section 171.209 does not have standing to assert the rights of
779+ women seeking an abortion as a defense to liability under that
780+ section unless the United States Supreme Court holds that the
854781 courts of this state must confer standing on that defendant to
855782 assert the third-party rights of women seeking an abortion in state
856- court as a matter of federal constitutional law; or
857- (2) the defendant has standing to assert the rights of
858- women seeking an abortion under the tests for third-party standing
859- established by the United States Supreme Court.
860- (b) A defendant in an action brought under Section 171.208
861- may assert an affirmative defense to liability under this section
862- if:
783+ court as a matter of federal constitutional law.
784+ (b) A defendant in an action brought under Section 171.209
785+ may assert an affirmative defense to liability only if:
863786 (1) the defendant has standing to assert the
864- third-party rights of a woman or a group of women seeking an
865- abortion in accordance with Subsection (a); and
787+ third-party rights of women seeking an abortion in accordance with
788+ Subsection (a); and
866789 (2) the defendant demonstrates that the relief sought
867- by the claimant will impose an undue burden on that woman or a group
868- of women seeking an abortion.
790+ by the claimant will impose an undue burden on women seeking an
791+ abortion.
869792 (c) A court may not find an undue burden under Subsection
870793 (b) unless the defendant introduces evidence proving that:
871- (1) an award of relief will prevent a woman or a group
872- of women from obtaining an abortion; or
794+ (1) an award of relief will prevent an identifiable
795+ woman or an identifiable group of women from obtaining an abortion;
796+ or
873797 (2) an award of relief will place a substantial
874- obstacle in the path of a woman or a group of women who are seeking
875- an abortion.
798+ obstacle in the path of an identifiable woman or an identifiable
799+ group of women who are seeking an abortion.
876800 (d) A defendant may not establish an undue burden under this
877801 section by:
878802 (1) merely demonstrating that an award of relief will
879803 prevent women from obtaining support or assistance, financial or
880804 otherwise, from others in their effort to obtain an abortion; or
881805 (2) arguing or attempting to demonstrate that an award
882806 of relief against other defendants or other potential defendants
883807 will impose an undue burden on women seeking an abortion.
884808 (e) The affirmative defense under Subsection (b) is not
885809 available if the United States Supreme Court overrules Roe v. Wade,
886810 410 U.S. 113 (1973) or Planned Parenthood v. Casey, 505 U.S. 833
887811 (1992), regardless of whether the conduct on which the cause of
888- action is based under Section 171.208 occurred before the Supreme
812+ action is based under Section 171.209 occurred before the Supreme
889813 Court overruled either of those decisions.
890- (f) Nothing in this section shall in any way limit or
891- preclude a defendant from asserting the defendant's personal
892- constitutional rights as a defense to liability under Section
893- 171.208, and a court may not award relief under Section 171.208 if
894- the conduct for which the defendant has been sued was an exercise of
895- state or federal constitutional rights that personally belong to
896- the defendant.
897- Sec. 171.210. CIVIL LIABILITY: VENUE. (a) Notwithstanding
898- any other law, including Section 15.002, Civil Practice and
899- Remedies Code, a civil action brought under Section 171.208 shall
900- be brought in:
814+ Sec. 171.211. CIVIL LIABILITY: VENUE. Notwithstanding any
815+ other law, including Section 15.002, Civil Practice and Remedies
816+ Code, a civil action brought under Section 171.209 shall be brought
817+ in:
901818 (1) the county in which all or a substantial part of
902819 the events or omissions giving rise to the claim occurred;
903820 (2) the county of residence for any one of the natural
904821 person defendants at the time the cause of action accrued;
905822 (3) the county of the principal office in this state of
906823 any one of the defendants that is not a natural person; or
907824 (4) the county of residence for the claimant if the
908825 claimant is a natural person residing in this state.
909- (b) If a civil action is brought under Section 171.208 in
910- any one of the venues described by Subsection (a), the action may
911- not be transferred to a different venue without the written consent
912- of all parties.
913- Sec. 171.211. SOVEREIGN, GOVERNMENTAL, AND OFFICIAL
826+ Sec. 171.212. SOVEREIGN, GOVERNMENTAL, AND OFFICIAL
914827 IMMUNITY PRESERVED. (a) This section prevails over any
915828 conflicting law, including:
916829 (1) the Uniform Declaratory Judgments Act; and
917830 (2) Chapter 37, Civil Practice and Remedies Code.
918831 (b) This state has sovereign immunity, a political
919832 subdivision has governmental immunity, and each officer and
920833 employee of this state or a political subdivision has official
921834 immunity in any action, claim, or counterclaim or any type of legal
922835 or equitable action that challenges the validity of any provision
923- or application of this chapter, on constitutional grounds or
836+ or application of this subchapter, on constitutional grounds or
924837 otherwise.
925838 (c) A provision of state law may not be construed to waive or
926839 abrogate an immunity described by Subsection (b) unless it
927840 expressly waives immunity under this section.
928- Sec. 171.212. SEVERABILITY. (a) Mindful of Leavitt v. Jane
929- L.
841+ Sec. 171.213. SEVERABILITY. (a) Mindful of Leavitt v. Jane
842+ L., 518 U.S. 137 (1996), in which in the context of determining the , 518 U.S. 137 (1996), in which in the context of determining the
930843 severability of a state statute regulating abortion the United
931844 States Supreme Court held that an explicit statement of legislative
932845 intent is controlling, it is the intent of the legislature that
933846 every provision, section, subsection, sentence, clause, phrase, or
934- word in this chapter, and every application of the provisions in
935- this chapter, are severable from each other.
936- (b) If any application of any provision in this chapter to
937- any person, group of persons, or circumstances is found by a court
938- to be invalid or unconstitutional, the remaining applications of
939- that provision to all other persons and circumstances shall be
847+ word in this subchapter, and every application of the provisions in
848+ this subchapter, are severable from each other.
849+ (b) If any application of any provision in this subchapter
850+ to any person, group of persons, or circumstances is found by a
851+ court to be invalid or unconstitutional, the remaining applications
852+ of that provision to all other persons and circumstances shall be
940853 severed and may not be affected. All constitutionally valid
941- applications of this chapter shall be severed from any applications
942- that a court finds to be invalid, leaving the valid applications in
943- force, because it is the legislature's intent and priority that the
944- valid applications be allowed to stand alone. Even if a reviewing
945- court finds a provision of this chapter to impose an undue burden in
946- a large or substantial fraction of relevant cases, the applications
947- that do not present an undue burden shall be severed from the
948- remaining applications and shall remain in force, and shall be
949- treated as if the legislature had enacted a statute limited to the
950- persons, group of persons, or circumstances for which the statute's
951- application does not present an undue burden.
952- (b-1) If any court declares or finds a provision of this
953- chapter facially unconstitutional, when discrete applications of
954- that provision can be enforced against a person, group of persons,
955- or circumstances without violating the United States Constitution
956- and Texas Constitution, those applications shall be severed from
957- all remaining applications of the provision, and the provision
958- shall be interpreted as if the legislature had enacted a provision
959- limited to the persons, group of persons, or circumstances for
960- which the provision's application will not violate the United
961- States Constitution and Texas Constitution.
854+ applications of this subchapter shall be severed from any
855+ applications that a court finds to be invalid, leaving the valid
856+ applications in force, because it is the legislature's intent and
857+ priority that the valid applications be allowed to stand alone.
858+ Even if a reviewing court finds a provision of this subchapter to
859+ impose an undue burden in a large or substantial fraction of
860+ relevant cases, the applications that do not present an undue
861+ burden shall be severed from the remaining provisions and shall
862+ remain in force, and shall be treated as if the legislature had
863+ enacted a statute limited to the persons, group of persons, or
864+ circumstances for which the statute's application does not present
865+ an undue burden.
962866 (c) The legislature further declares that it would have
963- enacted this chapter, and each provision, section, subsection,
867+ enacted this subchapter, and each provision, section, subsection,
964868 sentence, clause, phrase, or word, and all constitutional
965- applications of this chapter, irrespective of the fact that any
869+ applications of this subchapter, irrespective of the fact that any
966870 provision, section, subsection, sentence, clause, phrase, or word,
967- or applications of this chapter, were to be declared
871+ or applications of this subchapter, were to be declared
968872 unconstitutional or to represent an undue burden.
969- (d) If any provision of this chapter is found by any court to
970- be unconstitutionally vague, then the applications of that
873+ (d) If any provision of this subchapter is found by any
874+ court to be unconstitutionally vague, then the applications of that
971875 provision that do not present constitutional vagueness problems
972876 shall be severed and remain in force.
973877 (e) No court may decline to enforce the severability
974- requirements of Subsections (a), (b), (b-1), (c), and (d) on the
975- ground that severance would rewrite the statute or involve the
976- court in legislative or lawmaking activity. A court that declines
977- to enforce or enjoins a state official from enforcing a statutory
878+ requirements of Subsections (a), (b), (c), and (d) on the ground
879+ that severance would rewrite the statute or involve the court in
880+ legislative or lawmaking activity. A court that declines to
881+ enforce or enjoins a state official from enforcing a statutory
978882 provision does not rewrite a statute, as the statute continues to
979883 contain the same words as before the court's decision. A judicial
980884 injunction or declaration of unconstitutionality:
981885 (1) is nothing more than an edict prohibiting
982886 enforcement that may subsequently be vacated by a later court if
983887 that court has a different understanding of the requirements of the
984888 Texas Constitution or United States Constitution;
985889 (2) is not a formal amendment of the language in a
986890 statute; and
987891 (3) no more rewrites a statute than a decision by the
988892 executive not to enforce a duly enacted statute in a limited and
989893 defined set of circumstances.
894+ (f) If any federal or state court declares unconstitutional
895+ or enjoins the enforcement of a provision in this subchapter and
896+ fails to enforce the severability requirements of Subsections (a),
897+ (b), (c), (d), and (e), the executive commissioner shall:
898+ (1) adopt rules that enforce the requirements
899+ described by this subchapter to the maximum possible extent while
900+ avoiding the constitutional problems or other problems identified
901+ by the federal or state court; and
902+ (2) issue notice of those rules, not later than the
903+ 30th day after the date of the court ruling.
904+ (g) If the executive commissioner fails to adopt the rules
905+ and issue notice under Subsection (f), a person may petition for a
906+ writ of mandamus requiring the executive commissioner to adopt the
907+ rules and issue notice.
990908 SECTION 3.02. Chapter 30, Civil Practice and Remedies Code,
991909 is amended by adding Section 30.022 to read as follows:
992910 Sec. 30.022. AWARD OF ATTORNEY'S FEES IN ACTIONS
993911 CHALLENGING ABORTION LAWS. (a) Notwithstanding any other law, any
994912 person, including an entity, attorney, or law firm, who seeks
995913 declaratory or injunctive relief to prevent this state, a political
996914 subdivision, or any governmental entity or public official in this
997915 state from enforcing any statute, ordinance, rule, regulation, or
998916 any other type of law that regulates or restricts abortion or that
999917 limits taxpayer funding for individuals or entities that perform or
1000918 promote abortions, in any state or federal court, or that
1001919 represents any litigant seeking such relief in any state or federal
1002920 court, is jointly and severally liable to pay the costs and
1003921 attorney's fees of the prevailing party.
1004922 (b) For purposes of this section, a party is considered a
1005923 prevailing party if a state or federal court:
1006924 (1) dismisses any claim or cause of action brought
1007925 against the party that seeks the declaratory or injunctive relief
1008926 described by Subsection (a), regardless of the reason for the
1009927 dismissal; or
1010928 (2) enters judgment in the party's favor on any such
1011929 claim or cause of action.
1012930 (c) Regardless of whether a prevailing party sought to
1013931 recover costs or attorney's fees in the underlying action, a
1014932 prevailing party under this section may bring a civil action to
1015933 recover costs and attorney's fees against a person, including an
1016934 entity, attorney, or law firm, that sought declaratory or
1017935 injunctive relief described by Subsection (a) not later than the
1018936 third anniversary of the date on which, as applicable:
1019937 (1) the dismissal or judgment described by Subsection
1020938 (b) becomes final on the conclusion of appellate review; or
1021939 (2) the time for seeking appellate review expires.
1022940 (d) It is not a defense to an action brought under
1023941 Subsection (c) that:
1024942 (1) a prevailing party under this section failed to
1025943 seek recovery of costs or attorney's fees in the underlying action;
944+ and
1026945 (2) the court in the underlying action declined to
1027- recognize or enforce the requirements of this section; or
1028- (3) the court in the underlying action held that any
1029- provisions of this section are invalid, unconstitutional, or
1030- preempted by federal law, notwithstanding the doctrines of issue or
1031- claim preclusion.
1032- SECTION 3.03. Subchapter C, Chapter 311, Government Code,
946+ recognize or enforce the requirements of this section.
947+ SECTION 3.03. Article 12.01, Code of Criminal Procedure, is
948+ amended to read as follows:
949+ Art. 12.01. FELONIES. Except as provided in Article 12.03,
950+ felony indictments may be presented within these limits, and not
951+ afterward:
952+ (1) no limitation:
953+ (A) murder and manslaughter;
954+ (B) sexual assault under Section 22.011(a)(2),
955+ Penal Code, or aggravated sexual assault under Section
956+ 22.021(a)(1)(B), Penal Code;
957+ (C) sexual assault, if:
958+ (i) during the investigation of the offense
959+ biological matter is collected and the matter:
960+ (a) has not yet been subjected to
961+ forensic DNA testing; or
962+ (b) has been subjected to forensic DNA
963+ testing and the testing results show that the matter does not match
964+ the victim or any other person whose identity is readily
965+ ascertained; or
966+ (ii) probable cause exists to believe that
967+ the defendant has committed the same or a similar sex offense
968+ against five or more victims;
969+ (D) continuous sexual abuse of young child or
970+ children under Section 21.02, Penal Code;
971+ (E) indecency with a child under Section 21.11,
972+ Penal Code;
973+ (F) an offense involving leaving the scene of an
974+ accident under Section 550.021, Transportation Code, if the
975+ accident resulted in the death of a person;
976+ (G) trafficking of persons under Section
977+ 20A.02(a)(7) or (8), Penal Code;
978+ (H) continuous trafficking of persons under
979+ Section 20A.03, Penal Code; or
980+ (I) compelling prostitution under Section
981+ 43.05(a)(2), Penal Code;
982+ (2) ten years from the date of the commission of the
983+ offense:
984+ (A) theft of any estate, real, personal or mixed,
985+ by an executor, administrator, guardian or trustee, with intent to
986+ defraud any creditor, heir, legatee, ward, distributee,
987+ beneficiary or settlor of a trust interested in such estate;
988+ (B) theft by a public servant of government
989+ property over which the public servant exercises control in the
990+ public servant's official capacity;
991+ (C) forgery or the uttering, using or passing of
992+ forged instruments;
993+ (D) injury to an elderly or disabled individual
994+ punishable as a felony of the first degree under Section 22.04,
995+ Penal Code;
996+ (E) sexual assault, except as provided by
997+ Subdivision (1) or (7);
998+ (F) arson;
999+ (G) trafficking of persons under Section
1000+ 20A.02(a)(1), (2), (3), or (4), Penal Code; or
1001+ (H) compelling prostitution under Section
1002+ 43.05(a)(1), Penal Code;
1003+ (3) seven years from the date of the commission of the
1004+ offense:
1005+ (A) misapplication of fiduciary property or
1006+ property of a financial institution;
1007+ (B) securing execution of document by deception;
1008+ (C) a felony violation under Chapter 162, Tax
1009+ Code;
1010+ (D) false statement to obtain property or credit
1011+ under Section 32.32, Penal Code;
1012+ (E) money laundering;
1013+ (F) credit card or debit card abuse under Section
1014+ 32.31, Penal Code;
1015+ (G) fraudulent use or possession of identifying
1016+ information under Section 32.51, Penal Code;
1017+ (H) exploitation of a child, elderly individual,
1018+ or disabled individual under Section 32.53, Penal Code;
1019+ (I) health care fraud under Section 35A.02, Penal
1020+ Code; or
1021+ (J) bigamy under Section 25.01, Penal Code,
1022+ except as provided by Subdivision (6);
1023+ (4) five years from the date of the commission of the
1024+ offense:
1025+ (A) theft or robbery;
1026+ (B) except as provided by Subdivision (5),
1027+ kidnapping or burglary;
1028+ (C) injury to an elderly or disabled individual
1029+ that is not punishable as a felony of the first degree under Section
1030+ 22.04, Penal Code;
1031+ (D) abandoning or endangering a child; [or]
1032+ (E) insurance fraud; or
1033+ (F) offenses related to the performance or
1034+ inducement of an abortion under Section 171.204, Health and Safety
1035+ Code;
1036+ (5) if the investigation of the offense shows that the
1037+ victim is younger than 17 years of age at the time the offense is
1038+ committed, 20 years from the 18th birthday of the victim of one of
1039+ the following offenses:
1040+ (A) sexual performance by a child under Section
1041+ 43.25, Penal Code;
1042+ (B) aggravated kidnapping under Section
1043+ 20.04(a)(4), Penal Code, if the defendant committed the offense
1044+ with the intent to violate or abuse the victim sexually; or
1045+ (C) burglary under Section 30.02, Penal Code, if
1046+ the offense is punishable under Subsection (d) of that section and
1047+ the defendant committed the offense with the intent to commit an
1048+ offense described by Subdivision (1)(B) or (D) of this article or
1049+ Paragraph (B) of this subdivision;
1050+ (6) ten years from the 18th birthday of the victim of
1051+ the offense:
1052+ (A) trafficking of persons under Section
1053+ 20A.02(a)(5) or (6), Penal Code;
1054+ (B) injury to a child under Section 22.04, Penal
1055+ Code; or
1056+ (C) bigamy under Section 25.01, Penal Code, if
1057+ the investigation of the offense shows that the person, other than
1058+ the legal spouse of the defendant, whom the defendant marries or
1059+ purports to marry or with whom the defendant lives under the
1060+ appearance of being married is younger than 18 years of age at the
1061+ time the offense is committed;
1062+ (7) two years from the date the offense was
1063+ discovered: sexual assault punishable as a state jail felony under
1064+ Section 22.011(f)(2), Penal Code; or
1065+ (8) three years from the date of the commission of the
1066+ offense: all other felonies.
1067+ SECTION 3.04. Subchapter C, Chapter 311, Government Code,
10331068 is amended by adding Section 311.036 to read as follows:
10341069 Sec. 311.036. CONSTRUCTION OF ABORTION STATUTES. (a) A
10351070 statute that regulates or prohibits abortion may not be construed
10361071 to repeal any other statute that regulates or prohibits abortion,
10371072 either wholly or partly, unless the repealing statute explicitly
10381073 states that it is repealing the other statute.
1039- (b) A statute may not be construed to restrict a political
1040- subdivision from regulating or prohibiting abortion in a manner
1041- that is at least as stringent as the laws of this state unless the
1042- statute explicitly states that political subdivisions are
1043- prohibited from regulating or prohibiting abortion in the manner
1044- described by the statute.
1074+ (b) A statute that regulates or prohibits abortion may not
1075+ be construed to restrict a political subdivision from regulating or
1076+ prohibiting abortion in a manner that is at least as stringent as
1077+ the laws of this state unless the statute explicitly states that
1078+ political subdivisions are prohibited from regulating or
1079+ prohibiting abortion in the manner described by the statute.
10451080 (c) Every statute that regulates or prohibits abortion is
10461081 severable in each of its applications to every person and
10471082 circumstance. If any statute that regulates or prohibits abortion
10481083 is found by any court to be unconstitutional, either on its face or
10491084 as applied, then all applications of that statute that do not
1050- violate the United States Constitution and Texas Constitution shall
1085+ violate the constitutional rights of women seeking abortions shall
10511086 be severed from the unconstitutional applications and shall remain
1052- enforceable, notwithstanding any other law, and the statute shall
1053- be interpreted as if containing language limiting the statute's
1054- application to the persons, group of persons, or circumstances for
1055- which the statute's application will not violate the United States
1056- Constitution and Texas Constitution.
1057- SECTION 3.04. Section 171.005, Health and Safety Code, is
1058- amended to read as follows:
1059- Sec. 171.005. COMMISSION [DEPARTMENT] TO ENFORCE;
1060- EXCEPTION. The commission [department] shall enforce this chapter
1061- except for Subchapter H, which shall be enforced exclusively
1062- through the private civil enforcement actions described by Section
1063- 171.208 and may not be enforced by the commission.
1064- SECTION 3.05. Section 245.011(c), Health and Safety Code,
1087+ enforceable, notwithstanding any other law.
1088+ SECTION 3.05. Section 171.012, Health and Safety Code, is
1089+ amended by amending Subsection (a) and adding Subsection (i) to
1090+ read as follows:
1091+ (a) Consent to an abortion is voluntary and informed only
1092+ if:
1093+ (1) the physician who is to perform or induce the
1094+ abortion informs the pregnant woman on whom the abortion is to be
1095+ performed or induced of:
1096+ (A) the physician's name;
1097+ (B) the particular medical risks associated with
1098+ the particular abortion procedure to be employed, including, when
1099+ medically accurate:
1100+ (i) the risks of infection and hemorrhage;
1101+ (ii) the potential danger to a subsequent
1102+ pregnancy and of infertility; and
1103+ (iii) the possibility of increased risk of
1104+ breast cancer following an induced abortion and the natural
1105+ protective effect of a completed pregnancy in avoiding breast
1106+ cancer;
1107+ (C) the probable gestational age of the preborn
1108+ [unborn] child at the time the abortion is to be performed or
1109+ induced; [and]
1110+ (D) the medical risks associated with carrying
1111+ the preborn child to term; and
1112+ (E) the state law prohibiting abortion of a
1113+ preborn child solely based on the preborn child's race, ethnicity,
1114+ sex, or disability, as defined by Section 170.051, including a
1115+ probability of diagnosis that the child has a disability;
1116+ (2) the physician who is to perform or induce the
1117+ abortion or the physician's agent informs the pregnant woman that:
1118+ (A) medical assistance benefits may be available
1119+ for prenatal care, childbirth, and neonatal care;
1120+ (B) the father is liable for assistance in the
1121+ support of the child without regard to whether the father has
1122+ offered to pay for the abortion; and
1123+ (C) public and private agencies provide
1124+ pregnancy prevention counseling and medical referrals for
1125+ obtaining pregnancy prevention medications or devices, including
1126+ emergency contraception for victims of rape or incest;
1127+ (3) the physician who is to perform or induce the
1128+ abortion or the physician's agent:
1129+ (A) provides the pregnant woman with the printed
1130+ materials described by Section 171.014; and
1131+ (B) informs the pregnant woman that those
1132+ materials:
1133+ (i) have been provided by the commission
1134+ [Department of State Health Services];
1135+ (ii) are accessible on an Internet website
1136+ sponsored by the commission [department];
1137+ (iii) describe the preborn [unborn] child
1138+ and list agencies that offer alternatives to abortion; and
1139+ (iv) include a list of agencies that offer
1140+ sonogram services at no cost to the pregnant woman;
1141+ (4) before any sedative or anesthesia is administered
1142+ to the pregnant woman and at least 24 hours before the abortion or
1143+ at least two hours before the abortion if the pregnant woman waives
1144+ this requirement by certifying that she currently lives 100 miles
1145+ or more from the nearest abortion provider that is a facility
1146+ licensed under Chapter 245 or a facility that performs or induces
1147+ more than 50 abortions in any 12-month period:
1148+ (A) the physician who is to perform or induce the
1149+ abortion or an agent of the physician who is also a sonographer
1150+ certified by a national registry of medical sonographers performs a
1151+ sonogram on the pregnant woman on whom the abortion is to be
1152+ performed or induced;
1153+ (B) the physician who is to perform or induce the
1154+ abortion displays the sonogram images in a quality consistent with
1155+ current medical practice in a manner that the pregnant woman may
1156+ view them;
1157+ (C) the physician who is to perform or induce the
1158+ abortion provides, in a manner understandable to a layperson, a
1159+ verbal explanation of the results of the sonogram images, including
1160+ a medical description of the dimensions of the embryo or fetus, the
1161+ presence of cardiac activity, and the presence of external members
1162+ and internal organs; [and]
1163+ (D) the physician who is to perform or induce the
1164+ abortion or an agent of the physician who is also a sonographer
1165+ certified by a national registry of medical sonographers makes
1166+ audible the heart auscultation for the pregnant woman to hear, if
1167+ present, in a quality consistent with current medical practice and
1168+ provides, in a manner understandable to a layperson, a simultaneous
1169+ verbal explanation of the heart auscultation; and
1170+ (E) if a fetal heartbeat is detected under
1171+ Section 171.203, the physician who is to perform or induce the
1172+ abortion informs the woman in writing of the statistical
1173+ probability of bringing the preborn child to term:
1174+ (i) to the best of the physician's
1175+ knowledge, based on the gestational age of the preborn child; or
1176+ (ii) as provided by commission rule;
1177+ (5) before receiving a sonogram under Subdivision
1178+ (4)(A) and before the abortion is performed or induced and before
1179+ any sedative or anesthesia is administered, the pregnant woman
1180+ completes and certifies with her signature an election form that
1181+ states as follows:
1182+ "ABORTION AND SONOGRAM ELECTION
1183+ (1) THE INFORMATION AND PRINTED MATERIALS DESCRIBED BY
1184+ SECTIONS 171.012(a)(1)-(3), TEXAS HEALTH AND SAFETY CODE, HAVE BEEN
1185+ PROVIDED AND EXPLAINED TO ME.
1186+ (2) I UNDERSTAND THE NATURE AND CONSEQUENCES OF AN
1187+ ABORTION.
1188+ (3) TEXAS LAW REQUIRES THAT I RECEIVE A SONOGRAM PRIOR
1189+ TO RECEIVING AN ABORTION.
1190+ (4) I UNDERSTAND THAT I HAVE THE OPTION TO VIEW THE
1191+ SONOGRAM IMAGES.
1192+ (5) I UNDERSTAND THAT I HAVE THE OPTION TO HEAR THE
1193+ HEARTBEAT.
1194+ (6) I UNDERSTAND THAT I AM REQUIRED BY LAW TO HEAR AN
1195+ EXPLANATION OF THE SONOGRAM IMAGES UNLESS I CERTIFY IN WRITING TO
1196+ ONE OF THE FOLLOWING:
1197+ ___ I AM PREGNANT AS A RESULT OF A SEXUAL ASSAULT,
1198+ INCEST, OR OTHER VIOLATION OF THE TEXAS PENAL CODE THAT HAS BEEN
1199+ REPORTED TO LAW ENFORCEMENT AUTHORITIES OR THAT HAS NOT BEEN
1200+ REPORTED BECAUSE I REASONABLY BELIEVE THAT DOING SO WOULD PUT ME AT
1201+ RISK OF RETALIATION RESULTING IN SERIOUS BODILY INJURY.
1202+ ___ I AM A MINOR AND OBTAINING AN ABORTION IN ACCORDANCE
1203+ WITH JUDICIAL BYPASS PROCEDURES UNDER CHAPTER 33, TEXAS FAMILY
1204+ CODE.
1205+ ___ MY PREBORN CHILD [FETUS] HAS AN IRREVERSIBLE
1206+ MEDICAL CONDITION OR ABNORMALITY, AS IDENTIFIED BY RELIABLE
1207+ DIAGNOSTIC PROCEDURES AND DOCUMENTED IN MY MEDICAL FILE.
1208+ (7) I AM MAKING THIS ELECTION OF MY OWN FREE WILL AND
1209+ WITHOUT COERCION.
1210+ (8) FOR A WOMAN WHO LIVES 100 MILES OR MORE FROM THE
1211+ NEAREST ABORTION PROVIDER THAT IS A FACILITY LICENSED UNDER CHAPTER
1212+ 245, TEXAS HEALTH AND SAFETY CODE, OR A FACILITY THAT PERFORMS OR
1213+ INDUCES MORE THAN 50 ABORTIONS IN ANY 12-MONTH PERIOD ONLY:
1214+ I CERTIFY THAT, BECAUSE I CURRENTLY LIVE 100 MILES OR
1215+ MORE FROM THE NEAREST ABORTION PROVIDER THAT IS A FACILITY LICENSED
1216+ UNDER CHAPTER 245, TEXAS HEALTH AND SAFETY CODE, OR A FACILITY THAT
1217+ PERFORMS OR INDUCES MORE THAN 50 ABORTIONS IN ANY 12-MONTH PERIOD, I
1218+ WAIVE THE REQUIREMENT TO WAIT 24 HOURS AFTER THE SONOGRAM IS
1219+ PERFORMED BEFORE RECEIVING THE ABORTION PROCEDURE. MY PLACE OF
1220+ RESIDENCE IS:__________.
1221+ ________________________________________
1222+ SIGNATURE DATE";
1223+ (6) before the abortion is performed or induced, the
1224+ physician who is to perform or induce the abortion receives a copy
1225+ of the signed, written certification required by Subdivision (5);
1226+ and
1227+ (7) the pregnant woman is provided the name of each
1228+ person who provides or explains the information required under this
1229+ subsection.
1230+ (i) The executive commissioner may adopt rules that specify
1231+ the information required under Subsection (a)(4)(E) regarding the
1232+ statistical probability of bringing a preborn child to term based
1233+ on the gestational age of the child. The information in the rules
1234+ must be based on available medical evidence.
1235+ SECTION 3.06. Section 245.011(c), Health and Safety Code,
10651236 is amended to read as follows:
10661237 (c) The report must include:
10671238 (1) whether the abortion facility at which the
1068- abortion is performed is licensed under this chapter;
1239+ abortion is performed or induced is licensed under this chapter;
10691240 (2) the patient's year of birth, race, marital status,
10701241 and state and county of residence;
10711242 (3) the type of abortion procedure;
1072- (4) the date the abortion was performed;
1243+ (4) the date the abortion was performed or induced;
10731244 (5) whether the patient survived the abortion, and if
10741245 the patient did not survive, the cause of death;
1075- (6) the probable post-fertilization age of the unborn
1076- child based on the best medical judgment of the attending physician
1077- at the time of the procedure;
1246+ (6) the probable post-fertilization age of the preborn
1247+ [unborn] child based on the best medical judgment of the attending
1248+ physician at the time of the procedure;
10781249 (7) the date, if known, of the patient's last menstrual
10791250 cycle;
10801251 (8) the number of previous live births of the patient;
10811252 [and]
10821253 (9) the number of previous induced abortions of the
10831254 patient;
10841255 (10) whether the abortion was performed or induced
10851256 because of a medical emergency and any medical condition of the
1086- pregnant woman that required the abortion; and
1087- (11) the information required under Sections
1088- 171.008(a) and (c).
1089- ARTICLE 4. PROHIBITION OF ABORTION
1257+ pregnant woman that required the abortion;
1258+ (11) whether the physician made a determination of the
1259+ presence of a fetal heartbeat in accordance with Section 171.203;
1260+ and
1261+ (12) whether the physician performed or induced the
1262+ abortion under circumstances described by Section 171.205.
1263+ ARTICLE 4. PROVISIONS EFFECTIVE SEPTEMBER 1, 2025, OR EARLIER
10901264 SECTION 4.01. Chapter 170, Health and Safety Code, is
10911265 amended by adding Subchapter C to read as follows:
10921266 SUBCHAPTER C. PROHIBITION OF ABORTION
10931267 Sec. 170.101. ABORTION PROHIBITED. Notwithstanding any
10941268 other law, a person may not perform, induce, or attempt to perform
10951269 or induce an abortion unless the abortion is performed, induced, or
10961270 attempted to be performed or induced by a physician because of a
10971271 medical emergency as defined by Section 171.002.
10981272 Sec. 170.102. CIVIL REMEDY. (a) A civil action may be
10991273 brought against a person who violated Section 170.101 by:
11001274 (1) the woman on whom an abortion was performed,
11011275 induced, or attempted in violation of Section 170.101;
11021276 (2) the father of the preborn child for an abortion
11031277 performed, induced, or attempted on a pregnant woman in violation
11041278 of Section 170.101, unless the woman's pregnancy resulted from the
11051279 father's criminal conduct; or
11061280 (3) a maternal grandparent of the preborn child for an
11071281 abortion performed, induced, or attempted in violation of Section
11081282 170.101 on a pregnant woman who was less than 18 years of age at the
11091283 time of the violation, unless the woman's pregnancy resulted from
11101284 the maternal grandparent's criminal conduct.
11111285 (b) A person who brings an action under this section may
11121286 obtain:
11131287 (1) injunctive relief;
11141288 (2) damages incurred by the person, including:
11151289 (A) actual damages for all psychological,
11161290 emotional, and physical injuries resulting from the violation of
11171291 Section 170.101;
11181292 (B) court costs; and
11191293 (C) reasonable attorney's fees; or
11201294 (3) both injunctive relief and damages.
11211295 (c) An action for damages or injunctive relief under this
11221296 section must be filed:
11231297 (1) in a district court in the county in which the
11241298 woman on whom an abortion was performed, induced, or attempted in
11251299 violation of Section 170.101 resides; and
11261300 (2) not later than the sixth anniversary of the date
11271301 the abortion was performed, induced, or attempted in violation of
11281302 Section 170.101.
11291303 (d) The damages and injunctive relief authorized by this
11301304 section are in addition to any other remedy available by law.
11311305 (e) A civil action under this section may not be brought
11321306 against a woman on whom an abortion is performed, induced, or
11331307 attempted in violation of Section 170.101.
11341308 Sec. 170.103. REVOCATION OR SUSPENSION OF LICENSE. A
11351309 physician who violates Section 170.101 engages in unprofessional
11361310 conduct for which the physician's license may be suspended or
11371311 revoked under Chapter 164, Occupations Code.
11381312 SECTION 4.02. Section 19.06, Penal Code, is amended to read
11391313 as follows:
11401314 Sec. 19.06. APPLICABILITY TO CERTAIN CONDUCT.
11411315 Notwithstanding any other law, this [This] chapter applies [does
11421316 not apply] to the death of a preborn [an unborn] child unless [if]
11431317 the conduct charged is:
11441318 (1) conduct committed by the mother of the preborn
11451319 [unborn] child; or
11461320 (2) an abortion performed, induced, or attempted to be
11471321 performed or induced by a physician because of a medical emergency
11481322 as defined by Section 171.002, Health and Safety Code [a lawful
11491323 medical procedure performed by a physician or other licensed health
11501324 care provider with the requisite consent, if the death of the unborn
11511325 child was the intended result of the procedure;
11521326 [(3) a lawful medical procedure performed by a
11531327 physician or other licensed health care provider with the requisite
11541328 consent as part of an assisted reproduction as defined by Section
11551329 160.102, Family Code; or
11561330 [(4) the dispensation of a drug in accordance with law
11571331 or administration of a drug prescribed in accordance with law].
11581332 SECTION 4.03. Section 22.12, Penal Code, is amended to read
11591333 as follows:
11601334 Sec. 22.12. APPLICABILITY TO CERTAIN CONDUCT.
11611335 Notwithstanding any other law, this [This] chapter applies [does
11621336 not apply] to conduct charged as having been committed against an
11631337 individual who is a preborn [an unborn] child unless [if] the
11641338 conduct is:
11651339 (1) committed by the mother of the preborn [unborn]
11661340 child; or
11671341 (2) an abortion performed, induced, or attempted to be
11681342 performed or induced by a physician because of a medical emergency
11691343 as defined by Section 171.002, Health and Safety Code [a lawful
11701344 medical procedure performed by a physician or other health care
11711345 provider with the requisite consent;
11721346 [(3) a lawful medical procedure performed by a
11731347 physician or other licensed health care provider with the requisite
11741348 consent as part of an assisted reproduction as defined by Section
11751349 160.102, Family Code; or
11761350 [(4) the dispensation of a drug in accordance with law
11771351 or administration of a drug prescribed in accordance with law].
11781352 SECTION 4.04. The following provisions are repealed:
11791353 (1) Section 33.002(b), Family Code; and
11801354 (2) Section 171.063(b), Health and Safety Code.
11811355 SECTION 4.05. (a) Subchapter C, Chapter 170, Health and
11821356 Safety Code, as added by this article, and Sections 19.06 and 22.12,
11831357 Penal Code, as amended by this article, shall be construed, as a
11841358 matter of state law, to be enforceable to the maximum possible
11851359 extent consistent with but not further than federal constitutional
11861360 requirements, even if that construction is not readily apparent, as
11871361 such constructions are authorized only to the extent necessary to
11881362 save the subchapter from judicial invalidation. Judicial
11891363 reformation of statutory language is explicitly authorized only to
11901364 the extent necessary to save the statutory provision from
11911365 invalidity.
11921366 (b) If any court determines that a provision described by
11931367 Subsection (a) of this section is unconstitutionally vague, the
11941368 court shall interpret the provision, as a matter of state law, to
11951369 avoid the vagueness problem and shall enforce the provision to the
11961370 maximum possible extent. If a federal court finds any provision
11971371 described by Subsection (a) of this section or its application to
11981372 any person, group of persons, or circumstances to be
11991373 unconstitutionally vague and declines to impose the saving
12001374 construction described by this section, the Texas Supreme Court
12011375 shall provide an authoritative construction of the objectionable
12021376 statutory provisions that avoids the constitutional problems while
12031377 enforcing the statute's restrictions to the maximum possible extent
12041378 and shall agree to answer any question certified from a federal
12051379 appellate court regarding the statute.
12061380 (c) An executive or administrative state official may not
12071381 decline to enforce a provision described by Subsection (a) of this
12081382 section, or adopt a construction of that provision or this section
12091383 in a way that narrows its applicability, based on the official's own
12101384 beliefs concerning the requirements of the state or federal
12111385 constitution, unless the official is enjoined by a state or federal
12121386 court from enforcing that provision.
12131387 (d) Sections 19.06 and 22.12, Penal Code, as amended by this
12141388 article, may not be construed to authorize the prosecution of or a
12151389 cause of action to be brought against a woman on whom an abortion is
12161390 performed, induced, or attempted to be performed or induced in
12171391 violation of Section 170.101, Health and Safety Code, as added by
12181392 this article.
12191393 ARTICLE 5. TRANSITIONS, SEVERABILITY, PREEMPTION,
12201394 CONSTITUTIONALITY, AND EFFECTIVE DATE
12211395 SECTION 5.01. Not later than December 1, 2021:
12221396 (1) the Health and Human Services Commission shall:
12231397 (A) develop the perinatal palliative care
12241398 informational materials, list of perinatal palliative care
12251399 providers and programs, and perinatal palliative care
12261400 certification form required by Subchapter X, Chapter 161, Health
12271401 and Safety Code, as added by this Act; and
12281402 (B) update any forms and informational materials
12291403 under Subchapter B, Chapter 171, Health and Safety Code, as amended
12301404 by this Act; and
12311405 (2) the executive commissioner of the Health and Human
12321406 Services Commission shall adopt any rules necessary to implement
12331407 Subchapter X, Chapter 161, Health and Safety Code, as added by this
12341408 Act, and Subchapter B, Chapter 171, Health and Safety Code, as
12351409 amended by this Act.
12361410 SECTION 5.02. (a) Subchapter X, Chapter 161, Health and
12371411 Safety Code, as added by this Act, applies only to a diagnosis of a
12381412 life-threatening disability of a pregnant woman's preborn child
12391413 made on or after January 1, 2022.
1240- (b) Subchapter B, Chapter 170, Health and Safety Code, as
1241- added by this Act, Subchapters B and C, Chapter 171, Health and
1242- Safety Code, as amended by this Act, and Chapter 164, Occupations
1243- Code, as amended by this Act, apply only to an abortion performed,
1244- induced, or attempted to be performed or induced or other conduct
1245- that occurred on or after January 1, 2022. An abortion performed,
1246- induced, or attempted to be performed or induced or other conduct
1247- that occurred before that date is governed by the law in effect
1248- immediately before the effective date of this Act, and that law is
1249- continued in effect for that purpose.
1414+ (b) Chapter 170, Health and Safety Code, as added by this
1415+ Act, Subchapters B and C, Chapter 171, Health and Safety Code, as
1416+ amended by this Act, and Chapter 164, Occupations Code, as amended
1417+ by this Act, apply only to an abortion performed, induced, or
1418+ attempted to be performed or induced or other conduct that occurred
1419+ on or after January 1, 2022. An abortion performed, induced, or
1420+ attempted to be performed or induced or other conduct that occurred
1421+ before that date is governed by the law in effect immediately before
1422+ the effective date of this Act, and that law is continued in effect
1423+ for that purpose.
12501424 (c) Subchapter C, Chapter 170, Health and Safety Code, as
12511425 added by this Act, applies only to an abortion that is performed,
12521426 induced, or attempted to be performed or induced on or after the
12531427 effective date of Article 4 of this Act.
1254- (d) Subchapter H, Chapter 171, Health and Safety Code, as
1255- added by this Act, applies only to an abortion performed, induced,
1256- or attempted to be performed or induced on or after January 1, 2022.
1257- (e) Sections 19.06 and 22.12, Penal Code, as amended by this
1428+ (d) Sections 19.06 and 22.12, Penal Code, as amended by this
12581429 Act, apply only to conduct that occurs on or after the effective
12591430 date of Article 4 of this Act. Conduct that occurs before that date
12601431 is governed by the law in effect on the date the conduct occurred,
12611432 and that law is continued in effect for that purpose.
1262- (f) Sections 19.06 and 22.12, Penal Code, as amended by this
1433+ (e) Sections 19.06 and 22.12, Penal Code, as amended by this
12631434 Act, apply only to an offense committed on or after the effective
1264- date of Article 4 of this Act. An offense committed before that
1265- date is governed by the law in effect when the offense was
1266- committed, and the former law is continued in effect for that
1267- purpose. For purposes of this subsection, an offense is committed
1268- before the effective date of Article 4 of this Act if any element of
1269- the offense occurs before that date.
1435+ date of Article 4 of this Act. An offense committed before that date
1436+ is governed by the law in effect when the offense was committed, and
1437+ the former law is continued in effect for that purpose. For purposes
1438+ of this subsection, an offense is committed before the effective
1439+ date of Article 4 of this Act if any element of the offense occurs
1440+ before that date.
12701441 SECTION 5.03. (a) It is the intent of the legislature that
12711442 if a court suspends enforcement of any provision of this Act, the
12721443 suspension is not to be regarded as repealing that provision.
12731444 (b) If any provision of this Act is held invalid or if the
12741445 application of any provision to any person or circumstance is held
12751446 invalid, the invalidity of that provision or application does not
12761447 affect any other provision or application of this Act that can be
12771448 given effect without the invalid provision or application, and to
12781449 this end, the provisions of this Act are severable. It is the
12791450 intent of the legislature that any invalidity or potential
12801451 invalidity of a provision of this Act does not impair the immediate
12811452 and continuing enforceability of the remaining provisions. It is
12821453 furthermore the intent of the legislature that the provisions of
12831454 this Act do not have the effect of repealing or limiting any other
12841455 laws of this state.
12851456 (c) The legislature intends that each provision of this Act
12861457 as applicable to each individual woman is severable from each other
12871458 provision of this Act. In the unexpected event that a court finds
12881459 the application of any provision of this Act to impose an
12891460 impermissible undue burden on any pregnant woman or group of
12901461 pregnant women, the application of the provision to those women is
12911462 severed from the application of the remaining provisions of this
12921463 Act that do not impose an undue burden, and those remaining
12931464 applications remain in force and unaffected, consistent with
12941465 Section 5.02 of this article.
12951466 SECTION 5.04. (a) After the issuance of a decision by the
12961467 United States Supreme Court overruling any prior ruling that
12971468 prohibits states from wholly or partly prohibiting abortion, the
12981469 issuance of any court order or judgment restoring, expanding, or
12991470 clarifying the authority of states to wholly or partly prohibit or
13001471 regulate abortion, or the effective date of an amendment to the
13011472 United States Constitution restoring, expanding, or clarifying the
13021473 authority of states to wholly or partly prohibit or regulate
13031474 abortion, the attorney general may apply to the appropriate state
13041475 or federal court for:
13051476 (1) a declaration that any one or more provisions of
13061477 this Act are constitutional; or
13071478 (2) a judgment or order lifting an injunction against
13081479 the enforcement of any one or more provisions of this Act.
13091480 (b) If the attorney general fails to apply for the relief
13101481 described by Subsection (a) of this section not later than the 30th
13111482 day after the date an event described by that subsection occurs, any
13121483 district attorney may apply to the appropriate state or federal
13131484 court for the relief described by that subsection.
1314- SECTION 5.05. The Health and Human Services Commission is
1315- required to implement a provision of this Act only if the
1316- legislature appropriates money to the commission specifically for
1317- that purpose. If the legislature does not appropriate money
1318- specifically for that purpose, the commission may, but is not
1319- required to, implement a provision of this Act using other
1320- appropriations that are available for that purpose.
1321- SECTION 5.06. (a) Except as otherwise provided by this
1485+ SECTION 5.05. (a) Except as otherwise provided by this
13221486 section, this Act takes effect September 1, 2021.
1323- (b) Article 4 of this Act takes effect the earlier of:
1324- (1) to the extent permitted, on the 30th day after:
1325- (A) the issuance of a United States Supreme Court
1326- judgment in a decision overruling, wholly or partly, Roe v. Wade,
1327- 410 U.S. 113 (1973), as modified by Planned Parenthood v. Casey, 505
1328- U.S. 833 (1992), thereby allowing the states of the United States to
1329- prohibit abortion;
1330- (B) the issuance of any other United States
1331- Supreme Court judgment in a decision that recognizes, wholly or
1332- partly, the authority of the states to prohibit abortion; or
1333- (C) adoption of an amendment to the United States
1334- Constitution that, wholly or partly, restores to the states the
1335- authority to prohibit abortion;
1336- (2) the 91st day after the date the attorney general
1337- submits a report required by Section 171.0055, Health and Safety
1338- Code, as added by this Act, that certifies that a court of competent
1339- jurisdiction has held provisions substantially similar to the
1340- provisions in Article 4 of this Act to be constitutional; or
1341- (3) September 1, 2025.
1487+ (b) Article 3 of this Act takes effect the earlier of:
1488+ (1) the 91st day after the date the attorney general
1489+ submits a report required by Section 402.003, Government Code, that
1490+ states a court of competent jurisdiction has held the provisions in
1491+ Article 3 of this Act to be constitutional; or
1492+ (2) September 1, 2023.
1493+ (c) Article 4 of this Act takes effect the earlier of:
1494+ (1) the 91st day after the date the attorney general
1495+ submits a report required by Section 402.003, Government Code, that
1496+ states a court of competent jurisdiction has held the provisions in
1497+ Article 4 of this Act to be constitutional; or
1498+ (2) September 1, 2025.