Texas 2025 - 89th Regular

Texas House Bill HB1986 Compare Versions

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11 By: Bowers H.B. No. 1986
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66 A BILL TO BE ENTITLED
77 AN ACT
88 relating to the regulation of abortion, including abortion
99 complication reporting and the repeal of certain laws prohibiting
1010 abortion.
1111 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
1212 SECTION 1. Sections 171.006(a) and (b), Health and Safety
1313 Code, as added by Chapter 4 (H.B. 13), Acts of the 85th Legislature,
1414 1st Called Session, 2017, are amended to read as follows:
1515 (a) In this section, "abortion complication" means any
1616 harmful event or adverse outcome with respect to a patient related
1717 to an abortion that is performed on the patient and that is
1818 diagnosed or treated by a health care practitioner or at a health
1919 care facility and includes:
2020 (1) shock;
2121 (2) uterine perforation;
2222 (3) cervical laceration;
2323 (4) hemorrhage;
2424 (5) aspiration or allergic response;
2525 (6) infection;
2626 (7) sepsis;
2727 (8) death of the patient;
2828 (9) incomplete abortion;
2929 (10) damage to the uterus; or
3030 (11) an infant born alive after the abortion
3131 (b) The reporting requirements of this section apply only
3232 to:
3333 (1) a physician who:
3434 (A) performs at an abortion facility an abortion
3535 that results in an abortion complication diagnosed or treated by
3636 that physician; or
3737 (B) diagnoses or treats at an abortion facility
3838 an abortion complication that is the result of an abortion
3939 performed by another physician at the facility; or
4040 (2) a health care facility that is a hospital,
4141 abortion facility, freestanding emergency medical care facility,
4242 or health care facility that provides emergency medical care, as
4343 defined by Section 773.003.
4444 SECTION 2. Section 171.061, Health and Safety Code, is
4545 amended by adding Subdivision (3) and amending Subdivision (8-a) to
4646 read as follows:
4747 (3) "Final printed label" means the informational
4848 document approved by the United States Food and Drug Administration
4949 for an abortion-inducing drug that:
5050 (A) outlines the protocol authorized by that
5151 agency and agreed to by the drug company applying for authorization
5252 of the drug by that agency; and
5353 (B) delineates the manner in which a drug is to be
5454 used according to approval by that agency.
5555 (8-a) "Provide" means, as used with regard to
5656 abortion-inducing drugs, any act of giving, selling, dispensing,
5757 administering, or otherwise providing or prescribing an
5858 abortion-inducing drug.
5959 SECTION 3. Section 171.063, Health and Safety Code, is
6060 amended by amending Subsections (a), (c), and (e) and adding
6161 Subsection (b) to read as follows:
6262 (a) A person may not knowingly provide an abortion-inducing
6363 drug to a pregnant woman for the purpose of inducing an abortion in
6464 the pregnant woman or enabling another person to induce an abortion
6565 in the pregnant woman unless:
6666 (1) the person who provides the abortion-inducing drug
6767 is a physician; and
6868 (2) except as otherwise provided by Subsection (b),
6969 the provision of the abortion-inducing drug satisfies the protocol
7070 tested and authorized by the United States Food and Drug
7171 Administration as outlined in the final printed label of the
7272 abortion-inducing drug.
7373 (b) A person may provide the abortion-inducing drug in the
7474 dosage amount prescribed by the clinical management guidelines
7575 defined by the American College of Obstetricians and Gynecologists
7676 Practice Bulletin as those guidelines existed on January 1, 2013.
7777 (c) Before the physician provides an abortion-inducing
7878 drug, the physician must:
7979 (1) examine the pregnant woman; and
8080 (2) document, in the woman's medical record, the
8181 gestational age and intrauterine location of the pregnancy
8282 (d) A physician who provides the abortion-inducing drug, or
8383 the physician's agent, must schedule a follow-up visit for the
8484 woman to occur not later than the 14th day after the administration
8585 or use of the abortion-inducing drug. At the follow-up visit, the
8686 physician must:
8787 (1) confirm that the woman's pregnancy is completely
8888 terminated; and
8989 (2) assess any continued blood loss.
9090 SECTION 4. Section 171.206(b), Health and Safety Code, is
9191 amended to read as follows:
9292 (a) This subchapter may not be construed to:
9393 (1) authorize the initiation of a cause of action
9494 against or the prosecution of a woman on whom an abortion is
9595 performed or induced or attempted to be performed or induced in
9696 violation of this subchapter;
9797 (2) wholly or partly repeal, either expressly or by
9898 implication, any other statute that regulates or prohibits
9999 abortion; or
100100 (3) restrict a political subdivision from regulating
101101 or prohibiting abortion in a manner that is at least as stringent as
102102 the laws of this state.
103103 SECTION 5. Section 171.207(b), Health and Safety Code, is
104104 amended to read as follows:
105105 (a) Subsection (a) may not be construed to:
106106 (1) legalize the conduct prohibited by this
107107 subchapter;
108108 (2) limit in any way or affect the availability of a
109109 remedy established by Section 171.208; or
110110 (3) limit the enforceability of any other laws that
111111 regulate or prohibit abortion.
112112 SECTION 6. The following provisions are repealed:
113113 (1) Chapter 170A, Health and Safety Code;
114114 (2) Section 171.061(2-a), Health and Safety Code;
115115 (3) Section 171.063(b-1), Health and Safety Code;
116116 (4) Section 171.0631, Health and Safety Code;
117117 (5) Section 171.0632, Health and Safety Code;
118118 (6) Section 171.065, Health and Safety Code;
119119 (7) Section 171.066, Health and Safety Code; and
120120 (8) Chapter 6-1/2, Title 71, Revised Statutes.
121121 SECTION 7. This Act takes effect September 1, 2025.