Old | New | Differences | |
---|---|---|---|
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 | |
6 | 3 | ||
7 | 4 | ||
8 | 5 | A BILL TO BE ENTITLED | |
9 | 6 | AN ACT | |
10 | 7 | relating to information regarding perinatal palliative care, | |
11 | 8 | regulation of abortion, and the availability of certain defenses to | |
12 | - | prosecution for homicide and assault offenses; | |
13 | - | | |
9 | + | prosecution for homicide and assault offenses; providing an | |
10 | + | administrative penalty; creating criminal offenses. | |
14 | 11 | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | |
15 | 12 | ARTICLE 1. LEGISLATIVE FINDINGS | |
16 | 13 | SECTION 1.01. The legislature finds that: | |
17 | 14 | (1) Texas has a compelling state interest in | |
18 | 15 | protecting all Texans from discrimination based on sex, race, and | |
19 | - | disability; | |
16 | + | disability; and | |
20 | 17 | (2) Texas enforces prohibitions against | |
21 | 18 | discrimination based on sex, race, and disability in various areas, | |
22 | 19 | 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24 | - | (3) Texas never repealed, either expressly or by | |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 | |
29 | 22 | SECTION 2.01. Chapter 161, Health and Safety Code, is | |
30 | 23 | amended by adding Subchapter X to read as follows: | |
31 | 24 | SUBCHAPTER X. PERINATAL PALLIATIVE CARE | |
32 | 25 | Sec. 161.701. PURPOSE OF SUBCHAPTER. The purpose of this | |
33 | 26 | subchapter is to ensure that a pregnant woman who receives a | |
34 | 27 | diagnosis of a life-threatening disability of the woman's preborn | |
35 | 28 | child is informed of the availability of perinatal palliative care. | |
36 | 29 | Sec. 161.702. DEFINITION. In this subchapter, "perinatal | |
37 | 30 | palliative care" means the provision of comprehensive, supportive | |
38 | 31 | care to reduce the suffering of a pregnant woman, her preborn child, | |
39 | 32 | and her family, from diagnosis of the preborn child's | |
40 | 33 | life-threatening disability through the delivery and possible | |
41 | 34 | death of the child as a result of the life-threatening disability. | |
42 | 35 | The term includes medical, social, and mental health care, | |
43 | 36 | including counseling and health care provided by maternal-fetal | |
44 | 37 | medical specialists, obstetricians, neonatologists, anesthesia | |
45 | 38 | specialists, specialty nurses, clergy, social workers, and other | |
46 | 39 | individuals focused on alleviating fear and pain and ensuring the | |
47 | 40 | pregnant woman, her preborn child, and her family experience a | |
48 | 41 | supportive environment. | |
49 | 42 | Sec. 161.703. PERINATAL PALLIATIVE CARE INFORMATIONAL | |
50 | 43 | MATERIALS. (a) The commission shall develop perinatal palliative | |
51 | 44 | care informational materials and post the materials on the | |
52 | 45 | commission's Internet website. The materials must include: | |
53 | 46 | (1) a description of the health care and other | |
54 | 47 | services available through perinatal palliative care; and | |
55 | 48 | (2) information about medical assistance benefits | |
56 | 49 | that may be available for prenatal care, childbirth, and perinatal | |
57 | 50 | palliative care. | |
58 | 51 | (b) The commission shall develop, regularly update, and | |
59 | 52 | publish a geographically indexed list of all perinatal palliative | |
60 | 53 | care providers and programs in this state. The commission may | |
61 | 54 | include perinatal palliative care providers and programs in other | |
62 | 55 | states that provide care to residents of this state but may not | |
63 | 56 | include an abortion provider, as defined by Section 171.002, or an | |
64 | 57 | affiliate, as defined by Section 2272.001, Government Code, as | |
65 | 58 | added by Chapter 501 (S.B. 22), Acts of the 86th Legislature, | |
66 | 59 | Regular Session, 2019, of an abortion provider. The commission | |
67 | 60 | shall post the list of perinatal palliative care providers and | |
68 | 61 | programs, including contact information, on the commission's | |
69 | 62 | Internet website and note the providers and programs that provide | |
70 | 63 | services free of charge. | |
71 | 64 | Sec. 161.704. PERINATAL PALLIATIVE CARE CERTIFICATION | |
72 | 65 | FORM. The commission shall develop a form on which a pregnant woman | |
73 | 66 | certifies that she has received the perinatal palliative care | |
74 | 67 | informational materials and list of the perinatal palliative care | |
75 | 68 | providers and programs described by Section 161.703. | |
76 | 69 | Sec. 161.705. HEALTH CARE PROVIDER DUTIES ON DIAGNOSIS OF | |
77 | 70 | PREBORN CHILD'S LIFE-THREATENING DISABILITY. A health care | |
78 | 71 | provider who diagnoses a pregnant woman's preborn child as having a | |
79 | 72 | life-threatening disability shall, at the time of the diagnosis: | |
80 | 73 | (1) provide the pregnant woman with a written copy of: | |
81 | 74 | (A) the perinatal palliative care informational | |
82 | 75 | materials and list of the perinatal palliative care providers and | |
83 | 76 | programs described by Section 161.703; and | |
84 | 77 | (B) the perinatal palliative care certification | |
85 | 78 | form described by Section 161.704; and | |
86 | 79 | (2) obtain from the pregnant woman the signed | |
87 | 80 | perinatal palliative care certification form and place the form in | |
88 | 81 | the pregnant woman's medical records. | |
89 | 82 | Sec. 161.706. EXCEPTION. A health care provider is not | |
90 | 83 | required to provide the perinatal palliative care informational | |
91 | 84 | materials or perinatal palliative care certification form under | |
92 | 85 | this subchapter if the health care provider verifies the pregnant | |
93 | 86 | woman's medical record contains a signed perinatal palliative care | |
94 | 87 | certification form for that pregnancy as required under Section | |
95 | 88 | 161.705(2). | |
96 | 89 | SECTION 2.02. Chapter 170, Health and Safety Code, is | |
97 | 90 | amended by designating Sections 170.001 and 170.002 as Subchapter A | |
98 | 91 | and adding a subchapter heading to read as follows: | |
99 | 92 | SUBCHAPTER A. GENERAL PROVISIONS; POST-VIABILITY ABORTION | |
100 | 93 | PROHIBITED | |
101 | 94 | SECTION 2.03. Section 170.001, Health and Safety Code, is | |
102 | 95 | amended by adding Subdivision (2-a) to read as follows: | |
103 | 96 | (2-a) "Preborn child" means an unborn child as defined | |
104 | 97 | by Section 171.061. | |
105 | 98 | SECTION 2.04. Section 170.002, Health and Safety Code, is | |
106 | 99 | amended to read as follows: | |
107 | 100 | Sec. 170.002. PROHIBITED ACTS; EXEMPTION. (a) Except as | |
108 | 101 | provided by Subsection (b), a person may not intentionally or | |
109 | 102 | knowingly perform or induce an abortion on a woman who is pregnant | |
110 | 103 | with a preborn [viable unborn] child during the third trimester of | |
111 | 104 | the pregnancy. | |
112 | 105 | (b) Subsection (a) does not prohibit a person from | |
113 | 106 | performing or inducing an abortion if at the time of the abortion | |
114 | 107 | the person is a physician and concludes in good faith according to | |
115 | 108 | the physician's best medical judgment that[: | |
116 | 109 | [(1) the fetus is not a viable fetus and the pregnancy | |
117 | 110 | is not in the third trimester; | |
118 | 111 | [(2)] the abortion is necessary due to a medical | |
119 | 112 | emergency, as defined by Section 171.002 [to prevent the death or a | |
120 | 113 | substantial risk of serious impairment to the physical or mental | |
121 | 114 | health of the woman; or | |
122 | 115 | [(3) the fetus has a severe and irreversible | |
123 | 116 | abnormality, identified by reliable diagnostic procedures]. | |
124 | 117 | (c) A physician who performs or induces an abortion that, | |
125 | 118 | according to the physician's best medical judgment at the time of | |
126 | 119 | the abortion, is to abort a preborn [viable unborn] child during the | |
127 | 120 | third trimester of the pregnancy shall certify in writing to the | |
128 | 121 | commission, on a form prescribed by the commission, the medical | |
129 | 122 | indications supporting the physician's judgment that the abortion | |
130 | 123 | was authorized by Subsection (b) [(b)(2) or (3). If the physician | |
131 | 124 | certifies the abortion was authorized by Subsection (b)(3), the | |
132 | 125 | physician shall certify in writing on the form the fetal | |
133 | 126 | abnormality identified by the physician]. The certification must | |
134 | 127 | be made not later than the 30th day after the date the abortion was | |
135 | 128 | performed or induced. | |
136 | 129 | SECTION 2.05. Chapter 170, Health and Safety Code, is | |
137 | 130 | amended by adding Subchapter B to read as follows: | |
138 | 131 | SUBCHAPTER B. PREBORN NONDISCRIMINATION ACT | |
139 | 132 | Sec. 170.051. DEFINITION. In this subchapter, "disability" | |
140 | 133 | means: | |
141 | 134 | (1) a physical or mental impairment that would | |
142 | 135 | substantially limit one or more of an individual's major life | |
143 | 136 | activities; | |
144 | 137 | (2) an assessment referencing an individual's | |
145 | 138 | impairment described by Subdivision (1); or | |
146 | 139 | (3) a physical disfigurement, scoliosis, dwarfism, | |
147 | 140 | Down syndrome, albinism, amelia, or any other type of physical, | |
148 | 141 | mental, or intellectual abnormality or disease. | |
149 | 142 | Sec. 170.052. DISCRIMINATORY ABORTION PROHIBITED. A person | |
150 | 143 | may not: | |
151 | 144 | (1) knowingly perform or induce or attempt to perform | |
152 | 145 | or induce on a pregnant woman an abortion based on the race, | |
153 | 146 | ethnicity, sex, or disability of the woman's preborn child, | |
154 | 147 | including a probability of diagnosis that the child has a | |
155 | 148 | disability; or | |
156 | 149 | (2) use force or the threat of force to intentionally | |
157 | 150 | injure or intimidate a person to coerce the performance or | |
158 | 151 | inducement or attempted performance or inducement of an abortion | |
159 | 152 | based on the race, ethnicity, sex, or disability of the woman's | |
160 | 153 | preborn child, including a probability of diagnosis that the child | |
161 | 154 | has a disability. | |
162 | 155 | Sec. 170.053. CRIMINAL PENALTY. (a) A person who violates | |
163 | 156 | Section 170.052 commits an offense. An offense under this | |
164 | 157 | subsection is a Class A misdemeanor. | |
165 | 158 | (b) A woman on whom an abortion is performed or induced or | |
166 | 159 | attempted to be performed or induced in violation of Section | |
167 | 160 | 170.052 may not be prosecuted for a violation of that section or for | |
168 | 161 | conspiracy to commit a violation of that section. | |
169 | 162 | Sec. 170.054. LICENSE SUSPENSION OR REVOCATION. A | |
170 | 163 | physician who violates Section 170.052 engages in unprofessional | |
171 | 164 | conduct for which the physician's license may be suspended or | |
172 | 165 | revoked under Chapter 164, Occupations Code. | |
173 | 166 | Sec. 170.055. CIVIL REMEDIES. (a) A civil action may be | |
174 | 167 | brought against a person who violates Section 170.052 by: | |
175 | 168 | (1) the woman on whom an abortion was performed or | |
176 | 169 | induced or attempted to be performed or induced in violation of | |
177 | 170 | Section 170.052; | |
178 | 171 | (2) the father of the preborn child for an abortion | |
179 | 172 | performed or induced or attempted to be performed or induced on a | |
180 | 173 | pregnant woman in violation of Section 170.052, unless the woman's | |
181 | 174 | pregnancy resulted from the father's criminal conduct; or | |
182 | 175 | (3) a maternal grandparent of the preborn child for an | |
183 | 176 | abortion performed or induced or attempted to be performed or | |
184 | 177 | induced in violation of Section 170.052 on a pregnant woman who was | |
185 | 178 | less than 18 years of age at the time of the violation, unless the | |
186 | 179 | woman's pregnancy resulted from the maternal grandparent's criminal | |
187 | 180 | conduct. | |
188 | 181 | (b) A person who brings an action under this section may | |
189 | 182 | obtain: | |
190 | 183 | (1) injunctive relief; | |
191 | 184 | (2) damages incurred by the person, including: | |
192 | 185 | (A) actual damages for all psychological, | |
193 | 186 | emotional, and physical injuries resulting from the violation of | |
194 | 187 | Section 170.052; | |
195 | 188 | (B) court costs; and | |
196 | 189 | (C) reasonable attorney's fees; or | |
197 | 190 | (3) both injunctive relief and damages. | |
198 | 191 | (c) An action for damages or injunctive relief under this | |
199 | 192 | section must be filed: | |
200 | 193 | (1) in a district court in the county in which the | |
201 | 194 | woman on whom an abortion was performed or induced or attempted to | |
202 | 195 | be performed or induced in violation of Section 170.052 resides; | |
203 | 196 | and | |
204 | 197 | (2) not later than the sixth anniversary of the date | |
205 | 198 | the abortion was performed or induced or attempted to be performed | |
206 | 199 | or induced in violation of Section 170.052. | |
207 | 200 | (d) The damages and injunctive relief authorized by this | |
208 | 201 | section are in addition to any other remedy available by law. | |
209 | 202 | (e) A civil action under this section may not be brought | |
210 | 203 | against a woman on whom an abortion is performed or induced or | |
211 | 204 | attempted to be performed or induced in violation of Section | |
212 | 205 | 170.052. | |
213 | 206 | SECTION 2.06. Section 171.002, Health and Safety Code, is | |
214 | 207 | amended by adding Subdivision (3-a) to read as follows: | |
215 | 208 | (3-a) "Preborn child" means an unborn child as defined | |
216 | 209 | by Section 171.061. | |
217 | 210 | 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: | |
238 | 212 | Sec. 171.008. REQUIRED DOCUMENTATION. (a) If an abortion | |
239 | 213 | is performed or induced on a pregnant woman because of a medical | |
240 | 214 | emergency, the physician who performs or induces the abortion shall | |
241 | 215 | execute a written document that certifies the abortion is necessary | |
242 | 216 | due to a medical emergency and specifies the woman's medical | |
243 | 217 | condition requiring the abortion. | |
244 | 218 | (b) A physician shall: | |
245 | 219 | (1) place the document described by Subsection (a) in | |
246 | 220 | the pregnant woman's medical record; and | |
247 | 221 | (2) maintain a copy of the document described by | |
248 | 222 | Subsection (a) in the physician's practice records. | |
249 | 223 | (c) A physician who performs or induces an abortion on a | |
250 | 224 | pregnant woman shall: | |
251 | 225 | (1) if the abortion is performed or induced to | |
252 | 226 | preserve the health of the pregnant woman, execute a written | |
253 | 227 | document that: | |
254 | 228 | (A) specifies the medical condition the abortion | |
255 | 229 | is asserted to address; and | |
256 | 230 | (B) provides the medical rationale for the | |
257 | 231 | physician's conclusion that the abortion is necessary to address | |
258 | 232 | the medical condition; or | |
259 | 233 | (2) for an abortion other than an abortion described | |
260 | 234 | by Subdivision (1), specify in a written document that maternal | |
261 | 235 | health is not a purpose of the abortion. | |
262 | 236 | (d) The physician shall maintain a copy of a document | |
263 | 237 | described by Subsection (c) in the physician's practice records. | |
264 | 238 | SECTION 2.08. Section 171.012, Health and Safety Code, is | |
265 | 239 | amended by amending Subsection (a) and adding Subsections (g) and | |
266 | 240 | (h) to read as follows: | |
267 | 241 | (a) Consent to an abortion is voluntary and informed only | |
268 | 242 | if: | |
269 | 243 | (1) the physician who is to perform or induce the | |
270 | 244 | abortion informs the pregnant woman on whom the abortion is to be | |
271 | 245 | performed or induced of: | |
272 | 246 | (A) the physician's name; | |
273 | 247 | (B) the particular medical risks associated with | |
274 | 248 | the particular abortion procedure to be employed, including, when | |
275 | 249 | medically accurate: | |
276 | 250 | (i) the risks of infection and hemorrhage; | |
277 | 251 | (ii) the potential danger to a subsequent | |
278 | 252 | pregnancy and of infertility; and | |
279 | 253 | (iii) the possibility of increased risk of | |
280 | 254 | breast cancer following an induced abortion and the natural | |
281 | 255 | protective effect of a completed pregnancy in avoiding breast | |
282 | 256 | cancer; | |
283 | 257 | (C) the probable gestational age of the preborn | |
284 | 258 | [unborn] child at the time the abortion is to be performed or | |
285 | 259 | induced; [and] | |
286 | 260 | (D) the medical risks associated with carrying | |
287 | 261 | the preborn child to term; and | |
288 | 262 | (E) the state law prohibiting abortion of a | |
289 | 263 | 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 | |
291 | 265 | probability of diagnosis that the child has a disability; | |
292 | 266 | (2) the physician who is to perform or induce the | |
293 | 267 | abortion or the physician's agent informs the pregnant woman that: | |
294 | 268 | (A) medical assistance benefits may be available | |
295 | 269 | for prenatal care, childbirth, and neonatal care; | |
296 | 270 | (B) the father is liable for assistance in the | |
297 | 271 | support of the child without regard to whether the father has | |
298 | 272 | offered to pay for the abortion; and | |
299 | 273 | (C) public and private agencies provide | |
300 | 274 | pregnancy prevention counseling and medical referrals for | |
301 | 275 | obtaining pregnancy prevention medications or devices, including | |
302 | 276 | emergency contraception for victims of rape or incest; | |
303 | 277 | (3) the physician who is to perform or induce the | |
304 | 278 | abortion or the physician's agent: | |
305 | 279 | (A) provides the pregnant woman with the printed | |
306 | 280 | materials described by Section 171.014; and | |
307 | 281 | (B) informs the pregnant woman that those | |
308 | 282 | materials: | |
309 | 283 | (i) have been provided by the commission | |
310 | 284 | [Department of State Health Services]; | |
311 | 285 | (ii) are accessible on an Internet website | |
312 | 286 | sponsored by the commission [department]; | |
313 | 287 | (iii) describe the preborn [unborn] child | |
314 | 288 | and list agencies that offer alternatives to abortion; and | |
315 | 289 | (iv) include a list of agencies that offer | |
316 | 290 | sonogram services at no cost to the pregnant woman; | |
317 | 291 | (4) before any sedative or anesthesia is administered | |
318 | 292 | to the pregnant woman and at least 24 hours before the abortion or | |
319 | 293 | at least two hours before the abortion if the pregnant woman waives | |
320 | 294 | this requirement by certifying that she currently lives 100 miles | |
321 | 295 | or more from the nearest abortion provider that is a facility | |
322 | 296 | licensed under Chapter 245 or a facility that performs or induces | |
323 | 297 | more than 50 abortions in any 12-month period: | |
324 | 298 | (A) the physician who is to perform or induce the | |
325 | 299 | abortion or an agent of the physician who is also a sonographer | |
326 | 300 | certified by a national registry of medical sonographers performs a | |
327 | 301 | sonogram on the pregnant woman on whom the abortion is to be | |
328 | 302 | performed or induced; | |
329 | 303 | (B) the physician who is to perform or induce the | |
330 | 304 | abortion displays the sonogram images in a quality consistent with | |
331 | 305 | current medical practice in a manner that the pregnant woman may | |
332 | 306 | view them; | |
333 | 307 | (C) the physician who is to perform or induce the | |
334 | 308 | abortion provides, in a manner understandable to a layperson, a | |
335 | 309 | verbal explanation of the results of the sonogram images, including | |
336 | 310 | a medical description of the dimensions of the embryo or fetus, the | |
337 | 311 | presence of cardiac activity, and the presence of external members | |
338 | 312 | and internal organs; and | |
339 | 313 | (D) the physician who is to perform or induce the | |
340 | 314 | abortion or an agent of the physician who is also a sonographer | |
341 | 315 | certified by a national registry of medical sonographers makes | |
342 | 316 | audible the heart auscultation for the pregnant woman to hear, if | |
343 | 317 | present, in a quality consistent with current medical practice and | |
344 | 318 | provides, in a manner understandable to a layperson, a simultaneous | |
345 | 319 | verbal explanation of the heart auscultation; | |
346 | 320 | (5) before receiving a sonogram under Subdivision | |
347 | 321 | (4)(A) and before the abortion is performed or induced and before | |
348 | 322 | any sedative or anesthesia is administered, the pregnant woman | |
349 | 323 | completes and certifies with her signature an election form that | |
350 | 324 | states as follows: | |
351 | 325 | "ABORTION AND SONOGRAM ELECTION | |
352 | 326 | (1) THE INFORMATION AND PRINTED MATERIALS | |
353 | 327 | DESCRIBED BY SECTIONS 171.012(a)(1)-(3), TEXAS HEALTH | |
354 | 328 | AND SAFETY CODE, HAVE BEEN PROVIDED AND EXPLAINED TO | |
355 | 329 | ME. | |
356 | - | (2) I UNDERSTAND THE NATURE AND | |
357 | - | AN ABORTION. | |
358 | - | (3) TEXAS LAW REQUIRES THAT I RECEIVE A | |
359 | - | PRIOR TO RECEIVING AN ABORTION. | |
360 | - | (4) I UNDERSTAND THAT I HAVE THE OPTION TO | |
361 | - | THE SONOGRAM IMAGES. | |
362 | - | (5) I UNDERSTAND THAT I HAVE THE OPTION TO | |
363 | - | THE HEARTBEAT. | |
364 | - | (6) I UNDERSTAND THAT I AM REQUIRED BY LAW | |
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 | |
366 | 340 | CERTIFY IN WRITING TO ONE OF THE FOLLOWING: | |
367 | 341 | ___ I AM PREGNANT AS A RESULT OF A SEXUAL | |
368 | 342 | ASSAULT, INCEST, OR OTHER VIOLATION OF THE TEXAS PENAL | |
369 | 343 | CODE THAT HAS BEEN REPORTED TO LAW ENFORCEMENT | |
370 | 344 | AUTHORITIES OR THAT HAS NOT BEEN REPORTED BECAUSE I | |
371 | 345 | REASONABLY BELIEVE THAT DOING SO WOULD PUT ME AT RISK | |
372 | 346 | OF RETALIATION RESULTING IN SERIOUS BODILY INJURY. | |
373 | - | ___ I AM A MINOR AND OBTAINING AN ABORTION | |
374 | - | ACCORDANCE WITH JUDICIAL BYPASS PROCEDURES UNDER | |
347 | + | ___ I AM A MINOR AND OBTAINING AN ABORTION | |
348 | + | IN ACCORDANCE WITH JUDICIAL BYPASS PROCEDURES UNDER | |
375 | 349 | CHAPTER 33, TEXAS FAMILY CODE. | |
376 | - | ___ MY PREBORN CHILD [FETUS] HAS AN | |
377 | - | MEDICAL CONDITION OR ABNORMALITY, AS | |
378 | - | RELIABLE DIAGNOSTIC PROCEDURES AND | |
379 | - | MEDICAL FILE. | |
380 | - | (7) I AM MAKING THIS ELECTION OF MY OWN | |
381 | - | AND WITHOUT COERCION. | |
382 | - | (8) FOR A WOMAN WHO LIVES 100 MILES OR MORE | |
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 | |
384 | 358 | LICENSED UNDER CHAPTER 245, TEXAS HEALTH AND SAFETY | |
385 | 359 | CODE, OR A FACILITY THAT PERFORMS OR INDUCES MORE THAN | |
386 | 360 | 50 ABORTIONS IN ANY 12-MONTH PERIOD ONLY: | |
387 | 361 | I CERTIFY THAT, BECAUSE I CURRENTLY LIVE 100 | |
388 | 362 | MILES OR MORE FROM THE NEAREST ABORTION PROVIDER THAT | |
389 | 363 | IS A FACILITY LICENSED UNDER CHAPTER 245, TEXAS HEALTH | |
390 | 364 | AND SAFETY CODE, OR A FACILITY THAT PERFORMS OR INDUCES | |
391 | 365 | MORE THAN 50 ABORTIONS IN ANY 12-MONTH PERIOD, I WAIVE | |
392 | 366 | THE REQUIREMENT TO WAIT 24 HOURS AFTER THE SONOGRAM IS | |
393 | 367 | PERFORMED BEFORE RECEIVING THE ABORTION PROCEDURE. MY | |
394 | 368 | PLACE OF RESIDENCE IS:__________. | |
395 | - | _____________________ | |
369 | + | __________________ _____________________ | |
396 | 370 | SIGNATURE DATE"; | |
397 | 371 | (6) before the abortion is performed or induced, the | |
398 | 372 | physician who is to perform or induce the abortion receives a copy | |
399 | 373 | of the signed, written certification required by Subdivision (5); | |
400 | 374 | and | |
401 | 375 | (7) the pregnant woman is provided the name of each | |
402 | 376 | person who provides or explains the information required under this | |
403 | 377 | subsection. | |
404 | 378 | (g) If the pregnant woman's preborn child has been diagnosed | |
405 | 379 | 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: | |
412 | 381 | (1) orally and in person, inform the pregnant woman of | |
413 | 382 | the availability of perinatal palliative care, as that term is | |
414 | 383 | defined by Section 161.702; and | |
415 | 384 | (2) provide the pregnant woman with a written copy of: | |
416 | 385 | (A) the perinatal palliative care informational | |
417 | 386 | materials and list of the perinatal palliative care providers and | |
418 | 387 | programs described by Section 161.703; and | |
419 | 388 | (B) the perinatal palliative care certification | |
420 | 389 | form described by Section 161.704. | |
421 | 390 | (h) If a pregnant woman described by Subsection (g), after | |
422 | 391 | receiving from the physician who is to perform or induce the | |
423 | 392 | abortion the perinatal palliative care informational materials and | |
424 | 393 | certification form described by that subsection in the manner | |
425 | 394 | required by that subsection, chooses to have an abortion instead of | |
426 | 395 | continuing the pregnancy in perinatal palliative care, the | |
427 | 396 | physician may perform or induce the abortion only after: | |
428 | 397 | (1) the pregnant woman signs the certification form; | |
429 | 398 | and | |
430 | 399 | (2) the physician places the signed certification form | |
431 | 400 | in the pregnant woman's medical records. | |
432 | 401 | SECTION 2.09. Section 171.0121, Health and Safety Code, is | |
433 | 402 | amended to read as follows: | |
434 | 403 | Sec. 171.0121. MEDICAL RECORD. (a) Before the abortion | |
435 | 404 | begins, a copy of the signed, written certification received by the | |
436 | 405 | physician under Section 171.012(a)(6) and, if applicable, under | |
437 | 406 | Section 161.704 must be placed in the pregnant woman's medical | |
438 | 407 | records. | |
439 | 408 | (b) A copy of the signed, written certification required | |
440 | 409 | under Sections 171.012(a)(5) and (6) and of any signed, written | |
441 | 410 | certification required under Section 161.704 shall be retained by | |
442 | 411 | the facility where the abortion is performed or induced until: | |
443 | 412 | (1) the seventh anniversary of the date the | |
444 | 413 | certification [it] is signed; or | |
445 | 414 | (2) if the pregnant woman is a minor, the later of: | |
446 | 415 | (A) the seventh anniversary of the date the | |
447 | 416 | certification [it] is signed; or | |
448 | 417 | (B) the woman's 21st birthday. | |
449 | 418 | SECTION 2.10. Section 171.014(a), Health and Safety Code, | |
450 | 419 | is amended to read as follows: | |
451 | 420 | (a) The department shall publish informational materials | |
452 | 421 | that include: | |
453 | 422 | (1) the information required to be provided under | |
454 | 423 | Sections 171.012(a)(1)(B), [and] (D), and (E) and (a)(2)(A), (B), | |
455 | 424 | and (C); and | |
456 | 425 | (2) the materials required by Sections 161.703, | |
457 | 426 | 171.015, and 171.016. | |
458 | 427 | SECTION 2.11. The heading to Subchapter C, Chapter 171, | |
459 | 428 | Health and Safety Code, is amended to read as follows: | |
460 | 429 | SUBCHAPTER C. ABORTION PROHIBITED AT OR AFTER 20 WEEKS PROBABLE | |
461 | 430 | GESTATIONAL AGE [POST-FERTILIZATION] | |
462 | 431 | SECTION 2.12. Section 171.042, Health and Safety Code, is | |
463 | 432 | amended by adding Subdivision (1-a) to read as follows: | |
464 | 433 | (1-a) "Probable gestational age" means the duration of | |
465 | 434 | a pregnancy measured by the number of weeks and days that have | |
466 | 435 | elapsed from the first day of the pregnant woman's last menstrual | |
467 | 436 | period out of an expected 40-week gestation. | |
468 | 437 | SECTION 2.13. Sections 171.043, 171.044, and 171.045, | |
469 | 438 | Health and Safety Code, are amended to read as follows: | |
470 | 439 | Sec. 171.043. DETERMINATION OF PROBABLE GESTATIONAL | |
471 | 440 | [POST-FERTILIZATION] AGE REQUIRED. Except as otherwise provided by | |
472 | 441 | Section 171.046, a physician may not perform or induce or attempt to | |
473 | 442 | perform or induce an abortion without, prior to the procedure: | |
474 | 443 | (1) making a determination of the probable gestational | |
475 | 444 | [post-fertilization] age of the preborn [unborn] child; or | |
476 | 445 | (2) possessing and relying on a determination of the | |
477 | 446 | probable gestational [post-fertilization] age of the preborn | |
478 | 447 | [unborn] child made by another physician. | |
479 | 448 | Sec. 171.044. ABORTION OF PREBORN [UNBORN] CHILD OF 20 OR | |
480 | 449 | MORE WEEKS PROBABLE GESTATIONAL [POST-FERTILIZATION] AGE | |
481 | 450 | PROHIBITED. Except as otherwise provided by Section 171.046, a | |
482 | 451 | person may not perform or induce or attempt to perform or induce an | |
483 | 452 | abortion on a woman if it has been determined, by the physician | |
484 | 453 | performing, inducing, or attempting to perform or induce the | |
485 | 454 | abortion or by another physician on whose determination that | |
486 | 455 | physician relies, that the probable gestational | |
487 | 456 | [post-fertilization] age of the preborn [unborn] child is 20 or | |
488 | 457 | more weeks. | |
489 | 458 | Sec. 171.045. METHOD OF ABORTION. (a) This section applies | |
490 | 459 | only to an abortion authorized under Section 171.046(a)(1) or (2) | |
491 | 460 | in which: | |
492 | 461 | (1) the probable gestational [post-fertilization] age | |
493 | 462 | of the preborn [unborn] child is 20 or more weeks; or | |
494 | 463 | (2) the probable gestational [post-fertilization] age | |
495 | 464 | of the preborn [unborn] child has not been determined but could | |
496 | 465 | reasonably be 20 or more weeks. | |
497 | 466 | (b) Except as otherwise provided by Section 171.046(a)(3), | |
498 | 467 | a physician performing or inducing an abortion under Subsection (a) | |
499 | 468 | shall terminate the pregnancy in the manner that, in the | |
500 | 469 | physician's reasonable medical judgment, provides the best | |
501 | 470 | opportunity for the preborn [unborn] child to survive. | |
502 | 471 | SECTION 2.14. Section 171.046(a), Health and Safety Code, | |
503 | 472 | is amended to read as follows: | |
504 | 473 | (a) The prohibitions and requirements under Sections | |
505 | 474 | 171.043, 171.044, and 171.045(b) do not apply to an abortion | |
506 | 475 | performed or induced if there exists a condition that, in the | |
507 | 476 | physician's reasonable medical judgment, so complicates the | |
508 | 477 | medical condition of the woman that, to avert the woman's death or a | |
509 | 478 | serious risk of substantial and irreversible physical impairment of | |
510 | 479 | a major bodily function, other than a psychological condition, it | |
511 | 480 | necessitates, as applicable: | |
512 | 481 | (1) the immediate abortion of her pregnancy without | |
513 | 482 | the delay necessary to determine the probable gestational | |
514 | 483 | [post-fertilization] age of the preborn [unborn] child; | |
515 | 484 | (2) the abortion of her pregnancy even though the | |
516 | 485 | probable gestational [post-fertilization] age of the preborn | |
517 | 486 | [unborn] child is 20 or more weeks; or | |
518 | 487 | (3) the use of a method of abortion other than a method | |
519 | 488 | described by Section 171.045(b). | |
520 | 489 | SECTION 2.15. Section 285.202(a), Health and Safety Code, | |
521 | 490 | is amended to read as follows: | |
522 | 491 | (a) In this section, "medical emergency" means[: | |
523 | 492 | [(1)] a condition exists that, in a physician's good | |
524 | 493 | faith clinical judgment, complicates the medical condition of the | |
525 | 494 | pregnant woman and necessitates the immediate abortion of her | |
526 | 495 | pregnancy to avert her death or to avoid a serious risk of | |
527 | 496 | substantial impairment of a major bodily function[; or | |
528 | 497 | [(2) the fetus has a severe fetal abnormality]. | |
529 | 498 | SECTION 2.16. Section 164.052(a), Occupations Code, is | |
530 | 499 | amended to read as follows: | |
531 | 500 | (a) A physician or an applicant for a license to practice | |
532 | 501 | medicine commits a prohibited practice if that person: | |
533 | 502 | (1) submits to the board a false or misleading | |
534 | 503 | statement, document, or certificate in an application for a | |
535 | 504 | license; | |
536 | 505 | (2) presents to the board a license, certificate, or | |
537 | 506 | diploma that was illegally or fraudulently obtained; | |
538 | 507 | (3) commits fraud or deception in taking or passing an | |
539 | 508 | examination; | |
540 | 509 | (4) uses alcohol or drugs in an intemperate manner | |
541 | 510 | that, in the board's opinion, could endanger a patient's life; | |
542 | 511 | (5) commits unprofessional or dishonorable conduct | |
543 | 512 | that is likely to deceive or defraud the public, as provided by | |
544 | 513 | Section 164.053, or injure the public; | |
545 | 514 | (6) uses an advertising statement that is false, | |
546 | 515 | misleading, or deceptive; | |
547 | 516 | (7) advertises professional superiority or the | |
548 | 517 | performance of professional service in a superior manner if that | |
549 | 518 | advertising is not readily subject to verification; | |
550 | 519 | (8) purchases, sells, barters, or uses, or offers to | |
551 | 520 | purchase, sell, barter, or use, a medical degree, license, | |
552 | 521 | certificate, or diploma, or a transcript of a license, certificate, | |
553 | 522 | or diploma in or incident to an application to the board for a | |
554 | 523 | license to practice medicine; | |
555 | 524 | (9) alters, with fraudulent intent, a medical license, | |
556 | 525 | certificate, or diploma, or a transcript of a medical license, | |
557 | 526 | certificate, or diploma; | |
558 | 527 | (10) uses a medical license, certificate, or diploma, | |
559 | 528 | or a transcript of a medical license, certificate, or diploma that | |
560 | 529 | has been: | |
561 | 530 | (A) fraudulently purchased or issued; | |
562 | 531 | (B) counterfeited; or | |
563 | 532 | (C) materially altered; | |
564 | 533 | (11) impersonates or acts as proxy for another person | |
565 | 534 | in an examination required by this subtitle for a medical license; | |
566 | 535 | (12) engages in conduct that subverts or attempts to | |
567 | 536 | subvert an examination process required by this subtitle for a | |
568 | 537 | medical license; | |
569 | 538 | (13) impersonates a physician or permits another to | |
570 | 539 | use the person's license or certificate to practice medicine in | |
571 | 540 | this state; | |
572 | 541 | (14) directly or indirectly employs a person whose | |
573 | 542 | license to practice medicine has been suspended, canceled, or | |
574 | 543 | revoked; | |
575 | 544 | (15) associates in the practice of medicine with a | |
576 | 545 | person: | |
577 | 546 | (A) whose license to practice medicine has been | |
578 | 547 | suspended, canceled, or revoked; or | |
579 | 548 | (B) who has been convicted of the unlawful | |
580 | 549 | practice of medicine in this state or elsewhere; | |
581 | 550 | (16) performs or procures a criminal abortion, aids or | |
582 | 551 | abets in the procuring of a criminal abortion, attempts to perform | |
583 | 552 | or procure a criminal abortion, or attempts to aid or abet the | |
584 | 553 | performance or procurement of a criminal abortion; | |
585 | 554 | (17) directly or indirectly aids or abets the practice | |
586 | 555 | of medicine by a person, partnership, association, or corporation | |
587 | 556 | that is not licensed to practice medicine by the board; | |
588 | 557 | (18) performs or induces or attempts to perform or | |
589 | 558 | induce an abortion on a woman who is pregnant with a preborn [viable | |
590 | 559 | unborn] child during the third trimester of the pregnancy unless[: | |
591 | 560 | [(A)] the abortion is necessary due to a medical | |
592 | 561 | emergency, as defined by Section 171.002, Health and Safety Code | |
593 | 562 | [to prevent the death of the woman; | |
594 | 563 | [(B) the viable unborn child has a severe, | |
595 | 564 | irreversible brain impairment; or | |
596 | 565 | [(C) the woman is diagnosed with a significant | |
597 | 566 | likelihood of suffering imminent severe, irreversible brain damage | |
598 | 567 | or imminent severe, irreversible paralysis]; | |
599 | 568 | (19) performs or induces or attempts to perform or | |
600 | 569 | induce an abortion on an unemancipated minor without the written | |
601 | 570 | consent of the child's parent, managing conservator, or legal | |
602 | 571 | guardian or without a court order, as provided by Section 33.003 or | |
603 | 572 | 33.004, Family Code, unless the abortion is necessary due to a | |
604 | 573 | medical emergency, as defined by Section 171.002, Health and Safety | |
605 | 574 | Code; | |
606 | 575 | (20) otherwise performs or induces or attempts to | |
607 | 576 | perform or induce an abortion on an unemancipated minor in | |
608 | 577 | violation of Chapter 33, Family Code; | |
609 | 578 | (21) performs or induces or attempts to perform or | |
610 | 579 | induce an abortion in violation of Subchapter C, F, or G, Chapter | |
611 | 580 | 171, Health and Safety Code; [or] | |
612 | 581 | (22) in complying with the procedures outlined in | |
613 | 582 | Sections 166.045 and 166.046, Health and Safety Code, wilfully | |
614 | 583 | fails to make a reasonable effort to transfer a patient to a | |
615 | 584 | physician who is willing to comply with a directive; or | |
616 | 585 | (23) performs or induces or attempts to perform or | |
617 | 586 | induce an abortion or engages in other conduct in violation of | |
618 | 587 | Section 170.052, Health and Safety Code. | |
619 | 588 | SECTION 2.17. Section 164.055(b), Occupations Code, is | |
620 | 589 | amended to read as follows: | |
621 | 590 | (b) The sanctions provided by Subsection (a) are in addition | |
622 | 591 | to any other grounds for refusal to admit persons to examination | |
623 | 592 | under this subtitle or to issue a license or renew a license to | |
624 | 593 | practice medicine under this subtitle. The criminal penalties | |
625 | 594 | provided by Section 165.152 do not apply to a violation of Section | |
626 | 595 | 170.002 or 170.052, Health and Safety Code, or Subchapter C, F, or | |
627 | 596 | G, Chapter 171, Health and Safety Code. | |
628 | 597 | SECTION 2.18. The following provisions of the Health and | |
629 | 598 | Safety Code are repealed: | |
630 | 599 | (1) Section 170.001(3); | |
631 | 600 | (2) Sections 171.042(1) and (2); | |
632 | 601 | (3) Section 171.046(c); and | |
633 | 602 | (4) Sections 285.202(a-1) and (a-2). | |
634 | - | ARTICLE 3. | |
603 | + | ARTICLE 3. PROVISIONS EFFECTIVE SEPTEMBER 1, 2023, OR EARLIER | |
635 | 604 | SECTION 3.01. Chapter 171, Health and Safety Code, is | |
636 | 605 | amended by adding Subchapter H to read as follows: | |
637 | 606 | SUBCHAPTER H. DETECTION OF FETAL HEARTBEAT | |
638 | 607 | Sec. 171.201. DEFINITIONS. In this subchapter: | |
639 | 608 | (1) "Fetal heartbeat" means cardiac activity or the | |
640 | 609 | steady and repetitive rhythmic contraction of the fetal heart | |
641 | 610 | within the gestational sac. | |
642 | 611 | (2) "Gestational age" means the amount of time that | |
643 | 612 | has elapsed from the first day of a woman's last menstrual period. | |
644 | 613 | (3) "Gestational sac" means the structure comprising | |
645 | - | the extraembryonic membranes that envelop the | |
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 | |
647 | 616 | pregnancy. | |
648 | 617 | (4) "Physician" means an individual licensed to | |
649 | 618 | practice medicine in this state, including a medical doctor and a | |
650 | 619 | 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 | |
652 | 623 | condition that: | |
653 | 624 | (A) begins with fertilization; | |
654 | 625 | (B) occurs when the woman is carrying the | |
655 | 626 | developing human offspring; and | |
656 | 627 | (C) is calculated from the first day of the | |
657 | 628 | woman's last menstrual period. | |
658 | - | ( | |
629 | + | (7) "Standard medical practice" means the degree of | |
659 | 630 | skill, care, and diligence that an obstetrician of ordinary | |
660 | 631 | 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. | |
663 | 632 | Sec. 171.202. LEGISLATIVE FINDINGS. The legislature finds, | |
664 | 633 | according to contemporary medical research, that: | |
665 | 634 | (1) fetal heartbeat has become a key medical predictor | |
666 | - | that | |
635 | + | that a preborn child will reach live birth; | |
667 | 636 | (2) cardiac activity begins at a biologically | |
668 | 637 | identifiable moment in time, normally when the fetal heart is | |
669 | 638 | formed in the gestational sac; | |
670 | 639 | (3) Texas has compelling interests from the outset of | |
671 | 640 | a woman's pregnancy in protecting the health of the woman and the | |
672 | - | life of the | |
641 | + | life of the preborn child; and | |
673 | 642 | (4) to make an informed choice about whether to | |
674 | 643 | continue her pregnancy, the pregnant woman has a compelling | |
675 | - | interest in knowing the likelihood of her | |
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. | |
677 | 646 | Sec. 171.203. DETERMINATION OF PRESENCE OF FETAL HEARTBEAT | |
678 | 647 | REQUIRED; RECORD. (a) For the purposes of determining the presence | |
679 | 648 | of a fetal heartbeat under this section, "standard medical | |
680 | 649 | practice" includes employing the appropriate means of detecting the | |
681 | - | heartbeat based on the estimated gestational age of the | |
650 | + | heartbeat based on the estimated gestational age of the preborn | |
682 | 651 | child and the condition of the woman and her pregnancy. | |
683 | 652 | (b) Except as provided by Section 171.205, a physician may | |
684 | 653 | not knowingly perform or induce an abortion on a pregnant woman | |
685 | 654 | unless the physician has determined, in accordance with this | |
686 | - | section, whether the woman's | |
655 | + | section, whether the woman's preborn child has a detectable fetal | |
687 | 656 | heartbeat. | |
688 | 657 | (c) In making a determination under Subsection (b), the | |
689 | 658 | physician must use a test that is: | |
690 | 659 | (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 | |
694 | 665 | pregnancy. | |
695 | 666 | (d) A physician making a determination under Subsection (b) | |
696 | 667 | 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; | |
698 | 670 | (2) the method used to estimate the gestational age; | |
699 | 671 | and | |
700 | 672 | (3) the test used for detecting a fetal heartbeat, | |
701 | 673 | 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 | |
703 | 679 | DETECTABLE FETAL HEARTBEAT; EFFECT. (a) Except as provided by | |
704 | 680 | Section 171.205, a physician may not knowingly perform or induce an | |
705 | 681 | abortion on a pregnant woman if the physician detected a fetal | |
706 | - | heartbeat for the | |
682 | + | heartbeat for the preborn child as required by Section 171.203 or | |
707 | 683 | failed to perform a test to detect a fetal heartbeat. | |
708 | 684 | (b) A physician does not violate this section if the | |
709 | 685 | physician performed a test for a fetal heartbeat as required by | |
710 | 686 | Section 171.203 and did not detect a fetal heartbeat. | |
711 | 687 | (c) This section does not affect: | |
712 | 688 | (1) the provisions of this chapter that restrict or | |
713 | 689 | regulate an abortion by a particular method or during a particular | |
714 | 690 | stage of pregnancy; or | |
715 | 691 | (2) any other provision of state law that regulates or | |
716 | 692 | prohibits abortion. | |
717 | 693 | Sec. 171.205. EXCEPTION FOR MEDICAL EMERGENCY; RECORDS. | |
718 | - | (a) | |
719 | - | ||
720 | - | ||
694 | + | (a) This subchapter does not apply if a physician believes a | |
695 | + | medical emergency exists that prevents compliance with this | |
696 | + | subchapter. | |
721 | 697 | (b) A physician who performs or induces an abortion under | |
722 | 698 | circumstances described by Subsection (a) shall make written | |
723 | 699 | notations in the pregnant woman's medical record of: | |
724 | 700 | (1) the physician's belief that a medical emergency | |
725 | 701 | necessitated the abortion; and | |
726 | 702 | (2) the medical condition of the pregnant woman that | |
727 | 703 | prevented compliance with this subchapter. | |
728 | 704 | (c) A physician performing or inducing an abortion under | |
729 | 705 | this section shall maintain in the physician's practice records a | |
730 | 706 | copy of the notations made under Subsection (b). | |
731 | 707 | Sec. 171.206. CONSTRUCTION OF SUBCHAPTER. (a) This | |
732 | 708 | subchapter does not create or recognize a right to abortion before a | |
733 | 709 | fetal heartbeat is detected. | |
734 | 710 | (b) This subchapter may not be construed to: | |
735 | 711 | (1) authorize the initiation of a cause of action | |
736 | 712 | against or the prosecution of a woman on whom an abortion is | |
737 | 713 | performed or induced or attempted to be performed or induced in | |
738 | 714 | violation of this subchapter; | |
739 | 715 | (2) wholly or partly repeal, either expressly or by | |
740 | 716 | implication, any other statute that regulates or prohibits | |
741 | 717 | abortion, including Chapter 6-1/2, Title 71, Revised Statutes; or | |
742 | 718 | (3) restrict a political subdivision from regulating | |
743 | 719 | or prohibiting abortion in a manner that is at least as stringent as | |
744 | 720 | 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: | |
756 | 729 | (1) legalize the conduct prohibited by this subchapter | |
757 | 730 | or by Chapter 6-1/2, Title 71, Revised Statutes; | |
758 | 731 | (2) limit in any way or affect the availability of a | |
759 | - | remedy established by Section 171. | |
732 | + | remedy established by Section 171.209; or | |
760 | 733 | (3) limit the enforceability of any other laws that | |
761 | 734 | regulate or prohibit abortion. | |
762 | - | Sec. 171. | |
735 | + | Sec. 171.209. CIVIL LIABILITY FOR VIOLATION OR AIDING OR | |
763 | 736 | ABETTING VIOLATION. (a) Any person, other than an officer or | |
764 | 737 | 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. | |
777 | 740 | (b) If a claimant prevails in an action brought under this | |
778 | 741 | 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; | |
782 | 743 | (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 | |
787 | 745 | (3) costs and attorney's fees. | |
788 | 746 | (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. | |
796 | 751 | (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: | |
802 | 756 | (1) ignorance or mistake of law; | |
803 | 757 | (2) a defendant's belief that the requirements of this | |
804 | - | | |
758 | + | subchapter are unconstitutional or were unconstitutional; | |
805 | 759 | (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 | |
839 | 767 | official, or a district or county attorney may not intervene in an | |
840 | 768 | action brought under this section. This subsection does not | |
841 | 769 | prohibit a person described by this subsection from filing an | |
842 | 770 | amicus curiae brief in the action. | |
843 | - | ( | |
771 | + | (g) Notwithstanding any other law, a court may not award | |
844 | 772 | costs or attorney's fees under the Texas Rules of Civil Procedure or | |
845 | 773 | any other rule adopted by the supreme court under Section 22.004, | |
846 | 774 | Government Code, to a defendant in an action brought under this | |
847 | 775 | section. | |
848 | - | Sec. 171. | |
776 | + | Sec. 171.210. CIVIL LIABILITY: UNDUE BURDEN DEFENSE | |
849 | 777 | 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 | |
854 | 781 | courts of this state must confer standing on that defendant to | |
855 | 782 | 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: | |
863 | 786 | (1) the defendant has standing to assert the | |
864 | - | third-party rights of | |
865 | - | ||
787 | + | third-party rights of women seeking an abortion in accordance with | |
788 | + | Subsection (a); and | |
866 | 789 | (2) the defendant demonstrates that the relief sought | |
867 | - | by the claimant will impose an undue burden on | |
868 | - | ||
790 | + | by the claimant will impose an undue burden on women seeking an | |
791 | + | abortion. | |
869 | 792 | (c) A court may not find an undue burden under Subsection | |
870 | 793 | (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 | |
873 | 797 | (2) an award of relief will place a substantial | |
874 | - | obstacle in the path of | |
875 | - | an abortion. | |
798 | + | obstacle in the path of an identifiable woman or an identifiable | |
799 | + | group of women who are seeking an abortion. | |
876 | 800 | (d) A defendant may not establish an undue burden under this | |
877 | 801 | section by: | |
878 | 802 | (1) merely demonstrating that an award of relief will | |
879 | 803 | prevent women from obtaining support or assistance, financial or | |
880 | 804 | otherwise, from others in their effort to obtain an abortion; or | |
881 | 805 | (2) arguing or attempting to demonstrate that an award | |
882 | 806 | of relief against other defendants or other potential defendants | |
883 | 807 | will impose an undue burden on women seeking an abortion. | |
884 | 808 | (e) The affirmative defense under Subsection (b) is not | |
885 | 809 | available if the United States Supreme Court overrules Roe v. Wade, | |
886 | 810 | 410 U.S. 113 (1973) or Planned Parenthood v. Casey, 505 U.S. 833 | |
887 | 811 | (1992), regardless of whether the conduct on which the cause of | |
888 | - | action is based under Section 171. | |
812 | + | action is based under Section 171.209 occurred before the Supreme | |
889 | 813 | 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: | |
901 | 818 | (1) the county in which all or a substantial part of | |
902 | 819 | the events or omissions giving rise to the claim occurred; | |
903 | 820 | (2) the county of residence for any one of the natural | |
904 | 821 | person defendants at the time the cause of action accrued; | |
905 | 822 | (3) the county of the principal office in this state of | |
906 | 823 | any one of the defendants that is not a natural person; or | |
907 | 824 | (4) the county of residence for the claimant if the | |
908 | 825 | 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 | |
914 | 827 | IMMUNITY PRESERVED. (a) This section prevails over any | |
915 | 828 | conflicting law, including: | |
916 | 829 | (1) the Uniform Declaratory Judgments Act; and | |
917 | 830 | (2) Chapter 37, Civil Practice and Remedies Code. | |
918 | 831 | (b) This state has sovereign immunity, a political | |
919 | 832 | subdivision has governmental immunity, and each officer and | |
920 | 833 | employee of this state or a political subdivision has official | |
921 | 834 | immunity in any action, claim, or counterclaim or any type of legal | |
922 | 835 | or equitable action that challenges the validity of any provision | |
923 | - | or application of this | |
836 | + | or application of this subchapter, on constitutional grounds or | |
924 | 837 | otherwise. | |
925 | 838 | (c) A provision of state law may not be construed to waive or | |
926 | 839 | abrogate an immunity described by Subsection (b) unless it | |
927 | 840 | expressly waives immunity under this section. | |
928 | - | Sec. 171. | |
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 | |
930 | 843 | severability of a state statute regulating abortion the United | |
931 | 844 | States Supreme Court held that an explicit statement of legislative | |
932 | 845 | intent is controlling, it is the intent of the legislature that | |
933 | 846 | every provision, section, subsection, sentence, clause, phrase, or | |
934 | - | word in this | |
935 | - | this | |
936 | - | (b) If any application of any provision in this | |
937 | - | any person, group of persons, or circumstances is found by a | |
938 | - | to be invalid or unconstitutional, the remaining applications | |
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 | |
940 | 853 | 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. | |
962 | 866 | (c) The legislature further declares that it would have | |
963 | - | enacted this | |
867 | + | enacted this subchapter, and each provision, section, subsection, | |
964 | 868 | sentence, clause, phrase, or word, and all constitutional | |
965 | - | applications of this | |
869 | + | applications of this subchapter, irrespective of the fact that any | |
966 | 870 | provision, section, subsection, sentence, clause, phrase, or word, | |
967 | - | or applications of this | |
871 | + | or applications of this subchapter, were to be declared | |
968 | 872 | unconstitutional or to represent an undue burden. | |
969 | - | (d) If any provision of this | |
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 | |
971 | 875 | provision that do not present constitutional vagueness problems | |
972 | 876 | shall be severed and remain in force. | |
973 | 877 | (e) No court may decline to enforce the severability | |
974 | - | requirements of Subsections (a), (b), ( | |
975 | - | ||
976 | - | ||
977 | - | ||
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 | |
978 | 882 | provision does not rewrite a statute, as the statute continues to | |
979 | 883 | contain the same words as before the court's decision. A judicial | |
980 | 884 | injunction or declaration of unconstitutionality: | |
981 | 885 | (1) is nothing more than an edict prohibiting | |
982 | 886 | enforcement that may subsequently be vacated by a later court if | |
983 | 887 | that court has a different understanding of the requirements of the | |
984 | 888 | Texas Constitution or United States Constitution; | |
985 | 889 | (2) is not a formal amendment of the language in a | |
986 | 890 | statute; and | |
987 | 891 | (3) no more rewrites a statute than a decision by the | |
988 | 892 | executive not to enforce a duly enacted statute in a limited and | |
989 | 893 | 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. | |
990 | 908 | SECTION 3.02. Chapter 30, Civil Practice and Remedies Code, | |
991 | 909 | is amended by adding Section 30.022 to read as follows: | |
992 | 910 | Sec. 30.022. AWARD OF ATTORNEY'S FEES IN ACTIONS | |
993 | 911 | CHALLENGING ABORTION LAWS. (a) Notwithstanding any other law, any | |
994 | 912 | person, including an entity, attorney, or law firm, who seeks | |
995 | 913 | declaratory or injunctive relief to prevent this state, a political | |
996 | 914 | subdivision, or any governmental entity or public official in this | |
997 | 915 | state from enforcing any statute, ordinance, rule, regulation, or | |
998 | 916 | any other type of law that regulates or restricts abortion or that | |
999 | 917 | limits taxpayer funding for individuals or entities that perform or | |
1000 | 918 | promote abortions, in any state or federal court, or that | |
1001 | 919 | represents any litigant seeking such relief in any state or federal | |
1002 | 920 | court, is jointly and severally liable to pay the costs and | |
1003 | 921 | attorney's fees of the prevailing party. | |
1004 | 922 | (b) For purposes of this section, a party is considered a | |
1005 | 923 | prevailing party if a state or federal court: | |
1006 | 924 | (1) dismisses any claim or cause of action brought | |
1007 | 925 | against the party that seeks the declaratory or injunctive relief | |
1008 | 926 | described by Subsection (a), regardless of the reason for the | |
1009 | 927 | dismissal; or | |
1010 | 928 | (2) enters judgment in the party's favor on any such | |
1011 | 929 | claim or cause of action. | |
1012 | 930 | (c) Regardless of whether a prevailing party sought to | |
1013 | 931 | recover costs or attorney's fees in the underlying action, a | |
1014 | 932 | prevailing party under this section may bring a civil action to | |
1015 | 933 | recover costs and attorney's fees against a person, including an | |
1016 | 934 | entity, attorney, or law firm, that sought declaratory or | |
1017 | 935 | injunctive relief described by Subsection (a) not later than the | |
1018 | 936 | third anniversary of the date on which, as applicable: | |
1019 | 937 | (1) the dismissal or judgment described by Subsection | |
1020 | 938 | (b) becomes final on the conclusion of appellate review; or | |
1021 | 939 | (2) the time for seeking appellate review expires. | |
1022 | 940 | (d) It is not a defense to an action brought under | |
1023 | 941 | Subsection (c) that: | |
1024 | 942 | (1) a prevailing party under this section failed to | |
1025 | 943 | seek recovery of costs or attorney's fees in the underlying action; | |
944 | + | and | |
1026 | 945 | (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, | |
1033 | 1068 | is amended by adding Section 311.036 to read as follows: | |
1034 | 1069 | Sec. 311.036. CONSTRUCTION OF ABORTION STATUTES. (a) A | |
1035 | 1070 | statute that regulates or prohibits abortion may not be construed | |
1036 | 1071 | to repeal any other statute that regulates or prohibits abortion, | |
1037 | 1072 | either wholly or partly, unless the repealing statute explicitly | |
1038 | 1073 | states that it is repealing the other statute. | |
1039 | - | (b) A statute may not | |
1040 | - | subdivision from regulating or | |
1041 | - | that is at least as stringent as | |
1042 | - | statute explicitly states that | |
1043 | - | prohibited from regulating or | |
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. | |
1045 | 1080 | (c) Every statute that regulates or prohibits abortion is | |
1046 | 1081 | severable in each of its applications to every person and | |
1047 | 1082 | circumstance. If any statute that regulates or prohibits abortion | |
1048 | 1083 | is found by any court to be unconstitutional, either on its face or | |
1049 | 1084 | as applied, then all applications of that statute that do not | |
1050 | - | violate the | |
1085 | + | violate the constitutional rights of women seeking abortions shall | |
1051 | 1086 | 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, | |
1065 | 1236 | is amended to read as follows: | |
1066 | 1237 | (c) The report must include: | |
1067 | 1238 | (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; | |
1069 | 1240 | (2) the patient's year of birth, race, marital status, | |
1070 | 1241 | and state and county of residence; | |
1071 | 1242 | (3) the type of abortion procedure; | |
1072 | - | (4) the date the abortion was performed; | |
1243 | + | (4) the date the abortion was performed or induced; | |
1073 | 1244 | (5) whether the patient survived the abortion, and if | |
1074 | 1245 | the patient did not survive, the cause of death; | |
1075 | - | (6) the probable post-fertilization age of the | |
1076 | - | child based on the best medical judgment of the attending | |
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; | |
1078 | 1249 | (7) the date, if known, of the patient's last menstrual | |
1079 | 1250 | cycle; | |
1080 | 1251 | (8) the number of previous live births of the patient; | |
1081 | 1252 | [and] | |
1082 | 1253 | (9) the number of previous induced abortions of the | |
1083 | 1254 | patient; | |
1084 | 1255 | (10) whether the abortion was performed or induced | |
1085 | 1256 | 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 | |
1090 | 1264 | SECTION 4.01. Chapter 170, Health and Safety Code, is | |
1091 | 1265 | amended by adding Subchapter C to read as follows: | |
1092 | 1266 | SUBCHAPTER C. PROHIBITION OF ABORTION | |
1093 | 1267 | Sec. 170.101. ABORTION PROHIBITED. Notwithstanding any | |
1094 | 1268 | other law, a person may not perform, induce, or attempt to perform | |
1095 | 1269 | or induce an abortion unless the abortion is performed, induced, or | |
1096 | 1270 | attempted to be performed or induced by a physician because of a | |
1097 | 1271 | medical emergency as defined by Section 171.002. | |
1098 | 1272 | Sec. 170.102. CIVIL REMEDY. (a) A civil action may be | |
1099 | 1273 | brought against a person who violated Section 170.101 by: | |
1100 | 1274 | (1) the woman on whom an abortion was performed, | |
1101 | 1275 | induced, or attempted in violation of Section 170.101; | |
1102 | 1276 | (2) the father of the preborn child for an abortion | |
1103 | 1277 | performed, induced, or attempted on a pregnant woman in violation | |
1104 | 1278 | of Section 170.101, unless the woman's pregnancy resulted from the | |
1105 | 1279 | father's criminal conduct; or | |
1106 | 1280 | (3) a maternal grandparent of the preborn child for an | |
1107 | 1281 | abortion performed, induced, or attempted in violation of Section | |
1108 | 1282 | 170.101 on a pregnant woman who was less than 18 years of age at the | |
1109 | 1283 | time of the violation, unless the woman's pregnancy resulted from | |
1110 | 1284 | the maternal grandparent's criminal conduct. | |
1111 | 1285 | (b) A person who brings an action under this section may | |
1112 | 1286 | obtain: | |
1113 | 1287 | (1) injunctive relief; | |
1114 | 1288 | (2) damages incurred by the person, including: | |
1115 | 1289 | (A) actual damages for all psychological, | |
1116 | 1290 | emotional, and physical injuries resulting from the violation of | |
1117 | 1291 | Section 170.101; | |
1118 | 1292 | (B) court costs; and | |
1119 | 1293 | (C) reasonable attorney's fees; or | |
1120 | 1294 | (3) both injunctive relief and damages. | |
1121 | 1295 | (c) An action for damages or injunctive relief under this | |
1122 | 1296 | section must be filed: | |
1123 | 1297 | (1) in a district court in the county in which the | |
1124 | 1298 | woman on whom an abortion was performed, induced, or attempted in | |
1125 | 1299 | violation of Section 170.101 resides; and | |
1126 | 1300 | (2) not later than the sixth anniversary of the date | |
1127 | 1301 | the abortion was performed, induced, or attempted in violation of | |
1128 | 1302 | Section 170.101. | |
1129 | 1303 | (d) The damages and injunctive relief authorized by this | |
1130 | 1304 | section are in addition to any other remedy available by law. | |
1131 | 1305 | (e) A civil action under this section may not be brought | |
1132 | 1306 | against a woman on whom an abortion is performed, induced, or | |
1133 | 1307 | attempted in violation of Section 170.101. | |
1134 | 1308 | Sec. 170.103. REVOCATION OR SUSPENSION OF LICENSE. A | |
1135 | 1309 | physician who violates Section 170.101 engages in unprofessional | |
1136 | 1310 | conduct for which the physician's license may be suspended or | |
1137 | 1311 | revoked under Chapter 164, Occupations Code. | |
1138 | 1312 | SECTION 4.02. Section 19.06, Penal Code, is amended to read | |
1139 | 1313 | as follows: | |
1140 | 1314 | Sec. 19.06. APPLICABILITY TO CERTAIN CONDUCT. | |
1141 | 1315 | Notwithstanding any other law, this [This] chapter applies [does | |
1142 | 1316 | not apply] to the death of a preborn [an unborn] child unless [if] | |
1143 | 1317 | the conduct charged is: | |
1144 | 1318 | (1) conduct committed by the mother of the preborn | |
1145 | 1319 | [unborn] child; or | |
1146 | 1320 | (2) an abortion performed, induced, or attempted to be | |
1147 | 1321 | performed or induced by a physician because of a medical emergency | |
1148 | 1322 | as defined by Section 171.002, Health and Safety Code [a lawful | |
1149 | 1323 | medical procedure performed by a physician or other licensed health | |
1150 | 1324 | care provider with the requisite consent, if the death of the unborn | |
1151 | 1325 | child was the intended result of the procedure; | |
1152 | 1326 | [(3) a lawful medical procedure performed by a | |
1153 | 1327 | physician or other licensed health care provider with the requisite | |
1154 | 1328 | consent as part of an assisted reproduction as defined by Section | |
1155 | 1329 | 160.102, Family Code; or | |
1156 | 1330 | [(4) the dispensation of a drug in accordance with law | |
1157 | 1331 | or administration of a drug prescribed in accordance with law]. | |
1158 | 1332 | SECTION 4.03. Section 22.12, Penal Code, is amended to read | |
1159 | 1333 | as follows: | |
1160 | 1334 | Sec. 22.12. APPLICABILITY TO CERTAIN CONDUCT. | |
1161 | 1335 | Notwithstanding any other law, this [This] chapter applies [does | |
1162 | 1336 | not apply] to conduct charged as having been committed against an | |
1163 | 1337 | individual who is a preborn [an unborn] child unless [if] the | |
1164 | 1338 | conduct is: | |
1165 | 1339 | (1) committed by the mother of the preborn [unborn] | |
1166 | 1340 | child; or | |
1167 | 1341 | (2) an abortion performed, induced, or attempted to be | |
1168 | 1342 | performed or induced by a physician because of a medical emergency | |
1169 | 1343 | as defined by Section 171.002, Health and Safety Code [a lawful | |
1170 | 1344 | medical procedure performed by a physician or other health care | |
1171 | 1345 | provider with the requisite consent; | |
1172 | 1346 | [(3) a lawful medical procedure performed by a | |
1173 | 1347 | physician or other licensed health care provider with the requisite | |
1174 | 1348 | consent as part of an assisted reproduction as defined by Section | |
1175 | 1349 | 160.102, Family Code; or | |
1176 | 1350 | [(4) the dispensation of a drug in accordance with law | |
1177 | 1351 | or administration of a drug prescribed in accordance with law]. | |
1178 | 1352 | SECTION 4.04. The following provisions are repealed: | |
1179 | 1353 | (1) Section 33.002(b), Family Code; and | |
1180 | 1354 | (2) Section 171.063(b), Health and Safety Code. | |
1181 | 1355 | SECTION 4.05. (a) Subchapter C, Chapter 170, Health and | |
1182 | 1356 | Safety Code, as added by this article, and Sections 19.06 and 22.12, | |
1183 | 1357 | Penal Code, as amended by this article, shall be construed, as a | |
1184 | 1358 | matter of state law, to be enforceable to the maximum possible | |
1185 | 1359 | extent consistent with but not further than federal constitutional | |
1186 | 1360 | requirements, even if that construction is not readily apparent, as | |
1187 | 1361 | such constructions are authorized only to the extent necessary to | |
1188 | 1362 | save the subchapter from judicial invalidation. Judicial | |
1189 | 1363 | reformation of statutory language is explicitly authorized only to | |
1190 | 1364 | the extent necessary to save the statutory provision from | |
1191 | 1365 | invalidity. | |
1192 | 1366 | (b) If any court determines that a provision described by | |
1193 | 1367 | Subsection (a) of this section is unconstitutionally vague, the | |
1194 | 1368 | court shall interpret the provision, as a matter of state law, to | |
1195 | 1369 | avoid the vagueness problem and shall enforce the provision to the | |
1196 | 1370 | maximum possible extent. If a federal court finds any provision | |
1197 | 1371 | described by Subsection (a) of this section or its application to | |
1198 | 1372 | any person, group of persons, or circumstances to be | |
1199 | 1373 | unconstitutionally vague and declines to impose the saving | |
1200 | 1374 | construction described by this section, the Texas Supreme Court | |
1201 | 1375 | shall provide an authoritative construction of the objectionable | |
1202 | 1376 | statutory provisions that avoids the constitutional problems while | |
1203 | 1377 | enforcing the statute's restrictions to the maximum possible extent | |
1204 | 1378 | and shall agree to answer any question certified from a federal | |
1205 | 1379 | appellate court regarding the statute. | |
1206 | 1380 | (c) An executive or administrative state official may not | |
1207 | 1381 | decline to enforce a provision described by Subsection (a) of this | |
1208 | 1382 | section, or adopt a construction of that provision or this section | |
1209 | 1383 | in a way that narrows its applicability, based on the official's own | |
1210 | 1384 | beliefs concerning the requirements of the state or federal | |
1211 | 1385 | constitution, unless the official is enjoined by a state or federal | |
1212 | 1386 | court from enforcing that provision. | |
1213 | 1387 | (d) Sections 19.06 and 22.12, Penal Code, as amended by this | |
1214 | 1388 | article, may not be construed to authorize the prosecution of or a | |
1215 | 1389 | cause of action to be brought against a woman on whom an abortion is | |
1216 | 1390 | performed, induced, or attempted to be performed or induced in | |
1217 | 1391 | violation of Section 170.101, Health and Safety Code, as added by | |
1218 | 1392 | this article. | |
1219 | 1393 | ARTICLE 5. TRANSITIONS, SEVERABILITY, PREEMPTION, | |
1220 | 1394 | CONSTITUTIONALITY, AND EFFECTIVE DATE | |
1221 | 1395 | SECTION 5.01. Not later than December 1, 2021: | |
1222 | 1396 | (1) the Health and Human Services Commission shall: | |
1223 | 1397 | (A) develop the perinatal palliative care | |
1224 | 1398 | informational materials, list of perinatal palliative care | |
1225 | 1399 | providers and programs, and perinatal palliative care | |
1226 | 1400 | certification form required by Subchapter X, Chapter 161, Health | |
1227 | 1401 | and Safety Code, as added by this Act; and | |
1228 | 1402 | (B) update any forms and informational materials | |
1229 | 1403 | under Subchapter B, Chapter 171, Health and Safety Code, as amended | |
1230 | 1404 | by this Act; and | |
1231 | 1405 | (2) the executive commissioner of the Health and Human | |
1232 | 1406 | Services Commission shall adopt any rules necessary to implement | |
1233 | 1407 | Subchapter X, Chapter 161, Health and Safety Code, as added by this | |
1234 | 1408 | Act, and Subchapter B, Chapter 171, Health and Safety Code, as | |
1235 | 1409 | amended by this Act. | |
1236 | 1410 | SECTION 5.02. (a) Subchapter X, Chapter 161, Health and | |
1237 | 1411 | Safety Code, as added by this Act, applies only to a diagnosis of a | |
1238 | 1412 | life-threatening disability of a pregnant woman's preborn child | |
1239 | 1413 | made on or after January 1, 2022. | |
1240 | - | (b) | |
1241 | - | ||
1242 | - | ||
1243 | - | ||
1244 | - | ||
1245 | - | ||
1246 | - | ||
1247 | - | ||
1248 | - | ||
1249 | - | ||
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. | |
1250 | 1424 | (c) Subchapter C, Chapter 170, Health and Safety Code, as | |
1251 | 1425 | added by this Act, applies only to an abortion that is performed, | |
1252 | 1426 | induced, or attempted to be performed or induced on or after the | |
1253 | 1427 | 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 | |
1258 | 1429 | Act, apply only to conduct that occurs on or after the effective | |
1259 | 1430 | date of Article 4 of this Act. Conduct that occurs before that date | |
1260 | 1431 | is governed by the law in effect on the date the conduct occurred, | |
1261 | 1432 | and that law is continued in effect for that purpose. | |
1262 | - | ( | |
1433 | + | (e) Sections 19.06 and 22.12, Penal Code, as amended by this | |
1263 | 1434 | Act, apply only to an offense committed on or after the effective | |
1264 | - | date of Article 4 of this Act. | |
1265 | - | ||
1266 | - | ||
1267 | - | ||
1268 | - | ||
1269 | - | ||
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. | |
1270 | 1441 | SECTION 5.03. (a) It is the intent of the legislature that | |
1271 | 1442 | if a court suspends enforcement of any provision of this Act, the | |
1272 | 1443 | suspension is not to be regarded as repealing that provision. | |
1273 | 1444 | (b) If any provision of this Act is held invalid or if the | |
1274 | 1445 | application of any provision to any person or circumstance is held | |
1275 | 1446 | invalid, the invalidity of that provision or application does not | |
1276 | 1447 | affect any other provision or application of this Act that can be | |
1277 | 1448 | given effect without the invalid provision or application, and to | |
1278 | 1449 | this end, the provisions of this Act are severable. It is the | |
1279 | 1450 | intent of the legislature that any invalidity or potential | |
1280 | 1451 | invalidity of a provision of this Act does not impair the immediate | |
1281 | 1452 | and continuing enforceability of the remaining provisions. It is | |
1282 | 1453 | furthermore the intent of the legislature that the provisions of | |
1283 | 1454 | this Act do not have the effect of repealing or limiting any other | |
1284 | 1455 | laws of this state. | |
1285 | 1456 | (c) The legislature intends that each provision of this Act | |
1286 | 1457 | as applicable to each individual woman is severable from each other | |
1287 | 1458 | provision of this Act. In the unexpected event that a court finds | |
1288 | 1459 | the application of any provision of this Act to impose an | |
1289 | 1460 | impermissible undue burden on any pregnant woman or group of | |
1290 | 1461 | pregnant women, the application of the provision to those women is | |
1291 | 1462 | severed from the application of the remaining provisions of this | |
1292 | 1463 | Act that do not impose an undue burden, and those remaining | |
1293 | 1464 | applications remain in force and unaffected, consistent with | |
1294 | 1465 | Section 5.02 of this article. | |
1295 | 1466 | SECTION 5.04. (a) After the issuance of a decision by the | |
1296 | 1467 | United States Supreme Court overruling any prior ruling that | |
1297 | 1468 | prohibits states from wholly or partly prohibiting abortion, the | |
1298 | 1469 | issuance of any court order or judgment restoring, expanding, or | |
1299 | 1470 | clarifying the authority of states to wholly or partly prohibit or | |
1300 | 1471 | regulate abortion, or the effective date of an amendment to the | |
1301 | 1472 | United States Constitution restoring, expanding, or clarifying the | |
1302 | 1473 | authority of states to wholly or partly prohibit or regulate | |
1303 | 1474 | abortion, the attorney general may apply to the appropriate state | |
1304 | 1475 | or federal court for: | |
1305 | 1476 | (1) a declaration that any one or more provisions of | |
1306 | 1477 | this Act are constitutional; or | |
1307 | 1478 | (2) a judgment or order lifting an injunction against | |
1308 | 1479 | the enforcement of any one or more provisions of this Act. | |
1309 | 1480 | (b) If the attorney general fails to apply for the relief | |
1310 | 1481 | described by Subsection (a) of this section not later than the 30th | |
1311 | 1482 | day after the date an event described by that subsection occurs, any | |
1312 | 1483 | district attorney may apply to the appropriate state or federal | |
1313 | 1484 | 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 | |
1322 | 1486 | 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. |