1 | 1 | | By: Bowers H.B. No. 1986 |
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2 | 2 | | |
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3 | 3 | | |
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4 | 4 | | |
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5 | 5 | | |
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6 | 6 | | A BILL TO BE ENTITLED |
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7 | 7 | | AN ACT |
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8 | 8 | | relating to the regulation of abortion, including abortion |
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9 | 9 | | complication reporting and the repeal of certain laws prohibiting |
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10 | 10 | | abortion. |
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11 | 11 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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12 | 12 | | SECTION 1. Sections 171.006(a) and (b), Health and Safety |
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13 | 13 | | Code, as added by Chapter 4 (H.B. 13), Acts of the 85th Legislature, |
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14 | 14 | | 1st Called Session, 2017, are amended to read as follows: |
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15 | 15 | | (a) In this section, "abortion complication" means any |
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16 | 16 | | harmful event or adverse outcome with respect to a patient related |
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17 | 17 | | to an abortion that is performed on the patient and that is |
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18 | 18 | | diagnosed or treated by a health care practitioner or at a health |
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19 | 19 | | care facility and includes: |
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20 | 20 | | (1) shock; |
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21 | 21 | | (2) uterine perforation; |
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22 | 22 | | (3) cervical laceration; |
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23 | 23 | | (4) hemorrhage; |
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24 | 24 | | (5) aspiration or allergic response; |
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25 | 25 | | (6) infection; |
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26 | 26 | | (7) sepsis; |
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27 | 27 | | (8) death of the patient; |
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28 | 28 | | (9) incomplete abortion; |
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29 | 29 | | (10) damage to the uterus; or |
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30 | 30 | | (11) an infant born alive after the abortion |
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31 | 31 | | (b) The reporting requirements of this section apply only |
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32 | 32 | | to: |
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33 | 33 | | (1) a physician who: |
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34 | 34 | | (A) performs at an abortion facility an abortion |
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35 | 35 | | that results in an abortion complication diagnosed or treated by |
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36 | 36 | | that physician; or |
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37 | 37 | | (B) diagnoses or treats at an abortion facility |
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38 | 38 | | an abortion complication that is the result of an abortion |
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39 | 39 | | performed by another physician at the facility; or |
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40 | 40 | | (2) a health care facility that is a hospital, |
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41 | 41 | | abortion facility, freestanding emergency medical care facility, |
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42 | 42 | | or health care facility that provides emergency medical care, as |
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43 | 43 | | defined by Section 773.003. |
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44 | 44 | | SECTION 2. Section 171.061, Health and Safety Code, is |
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45 | 45 | | amended by adding Subdivision (3) and amending Subdivision (8-a) to |
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46 | 46 | | read as follows: |
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47 | 47 | | (3) "Final printed label" means the informational |
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48 | 48 | | document approved by the United States Food and Drug Administration |
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49 | 49 | | for an abortion-inducing drug that: |
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50 | 50 | | (A) outlines the protocol authorized by that |
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51 | 51 | | agency and agreed to by the drug company applying for authorization |
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52 | 52 | | of the drug by that agency; and |
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53 | 53 | | (B) delineates the manner in which a drug is to be |
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54 | 54 | | used according to approval by that agency. |
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55 | 55 | | (8-a) "Provide" means, as used with regard to |
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56 | 56 | | abortion-inducing drugs, any act of giving, selling, dispensing, |
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57 | 57 | | administering, or otherwise providing or prescribing an |
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58 | 58 | | abortion-inducing drug. |
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59 | 59 | | SECTION 3. Section 171.063, Health and Safety Code, is |
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60 | 60 | | amended by amending Subsections (a), (c), and (e) and adding |
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61 | 61 | | Subsection (b) to read as follows: |
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62 | 62 | | (a) A person may not knowingly provide an abortion-inducing |
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63 | 63 | | drug to a pregnant woman for the purpose of inducing an abortion in |
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64 | 64 | | the pregnant woman or enabling another person to induce an abortion |
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65 | 65 | | in the pregnant woman unless: |
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66 | 66 | | (1) the person who provides the abortion-inducing drug |
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67 | 67 | | is a physician; and |
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68 | 68 | | (2) except as otherwise provided by Subsection (b), |
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69 | 69 | | the provision of the abortion-inducing drug satisfies the protocol |
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70 | 70 | | tested and authorized by the United States Food and Drug |
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71 | 71 | | Administration as outlined in the final printed label of the |
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72 | 72 | | abortion-inducing drug. |
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73 | 73 | | (b) A person may provide the abortion-inducing drug in the |
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74 | 74 | | dosage amount prescribed by the clinical management guidelines |
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75 | 75 | | defined by the American College of Obstetricians and Gynecologists |
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76 | 76 | | Practice Bulletin as those guidelines existed on January 1, 2013. |
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77 | 77 | | (c) Before the physician provides an abortion-inducing |
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78 | 78 | | drug, the physician must: |
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79 | 79 | | (1) examine the pregnant woman; and |
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80 | 80 | | (2) document, in the woman's medical record, the |
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81 | 81 | | gestational age and intrauterine location of the pregnancy |
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82 | 82 | | (d) A physician who provides the abortion-inducing drug, or |
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83 | 83 | | the physician's agent, must schedule a follow-up visit for the |
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84 | 84 | | woman to occur not later than the 14th day after the administration |
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85 | 85 | | or use of the abortion-inducing drug. At the follow-up visit, the |
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86 | 86 | | physician must: |
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87 | 87 | | (1) confirm that the woman's pregnancy is completely |
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88 | 88 | | terminated; and |
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89 | 89 | | (2) assess any continued blood loss. |
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90 | 90 | | SECTION 4. Section 171.206(b), Health and Safety Code, is |
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91 | 91 | | amended to read as follows: |
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92 | 92 | | (a) This subchapter may not be construed to: |
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93 | 93 | | (1) authorize the initiation of a cause of action |
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94 | 94 | | against or the prosecution of a woman on whom an abortion is |
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95 | 95 | | performed or induced or attempted to be performed or induced in |
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96 | 96 | | violation of this subchapter; |
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97 | 97 | | (2) wholly or partly repeal, either expressly or by |
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98 | 98 | | implication, any other statute that regulates or prohibits |
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99 | 99 | | abortion; or |
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100 | 100 | | (3) restrict a political subdivision from regulating |
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101 | 101 | | or prohibiting abortion in a manner that is at least as stringent as |
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102 | 102 | | the laws of this state. |
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103 | 103 | | SECTION 5. Section 171.207(b), Health and Safety Code, is |
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104 | 104 | | amended to read as follows: |
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105 | 105 | | (a) Subsection (a) may not be construed to: |
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106 | 106 | | (1) legalize the conduct prohibited by this |
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107 | 107 | | subchapter; |
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108 | 108 | | (2) limit in any way or affect the availability of a |
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109 | 109 | | remedy established by Section 171.208; or |
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110 | 110 | | (3) limit the enforceability of any other laws that |
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111 | 111 | | regulate or prohibit abortion. |
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112 | 112 | | SECTION 6. The following provisions are repealed: |
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113 | 113 | | (1) Chapter 170A, Health and Safety Code; |
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114 | 114 | | (2) Section 171.061(2-a), Health and Safety Code; |
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115 | 115 | | (3) Section 171.063(b-1), Health and Safety Code; |
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116 | 116 | | (4) Section 171.0631, Health and Safety Code; |
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117 | 117 | | (5) Section 171.0632, Health and Safety Code; |
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118 | 118 | | (6) Section 171.065, Health and Safety Code; |
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119 | 119 | | (7) Section 171.066, Health and Safety Code; and |
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120 | 120 | | (8) Chapter 6-1/2, Title 71, Revised Statutes. |
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121 | 121 | | SECTION 7. This Act takes effect September 1, 2025. |
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