ORIGINAL HOUSE ENGROSSED BILL NO. HB0042 ENROLLED ACT NO. 26, HOUSE OF REPRESENTATIVES SIXTY-EIGHTH LEGISLATURE OF THE STATE OF WYOMING 2025 GENERAL SESSION 1 AN ACT relating to public health and safety; requiring the licensure of surgical abortion facilities as specified; providing criminal penalties for violations; specifying civil liability for damages resulting from abortions; providing definitions; making conforming amendments; specifying applicability; requiring rulemaking; and providing for an effective date. Be It Enacted by the Legislature of the State of Wyoming: Section 1. W.S. 35-6-201 through 35-6-204 are created to read: ARTICLE 2 REGULATION OF SURGICAL ABORTIONS 35-6-201. Definitions. (a) As used in this article: (i) "Abortion" means the act of using or prescribing any instrument, medicine, drug or any other substance, device or means with the intent to terminate the clinically diagnosable pregnancy of a woman, including the elimination of one (1) or more unborn babies in a multifetal pregnancy, with knowledge that the termination by those means will, with reasonable likelihood, cause the death of the unborn baby. "Abortion" shall not include any use, prescription or means specified in this paragraph if the use, prescription or means are done with the intent to: (A) Save the life or preserve the health of the unborn baby; ORIGINAL HOUSE ENGROSSED BILL NO. HB0042 ENROLLED ACT NO. 26, HOUSE OF REPRESENTATIVES SIXTY-EIGHTH LEGISLATURE OF THE STATE OF WYOMING 2025 GENERAL SESSION 2 (B) Remove a dead unborn baby caused by spontaneous abortion or intrauterine fetal demise; (C) Treat a woman for an ectopic pregnancy; or (D) Treat a woman for cancer or another disease that requires medical treatment which treatment may be fatal or harmful to the unborn baby. (ii) "Ectopic pregnancy" means the state of carrying an unborn child outside of the uterine cavity; (iii) "Hospital" means those institutions licensed by the Wyoming department of health as hospitals; (iv) "Intrauterine fetal demise" means the death of an unborn child inside the uterine cavity after twenty (20) weeks of pregnancy; (v) "Miscarriage" means the spontaneous loss of the unborn child; (vi) "Physician" means any person licensed to practice medicine in this state; (vii) "Pregnancy" or "pregnant" means the human female reproductive condition of having a living unborn baby or human being within a human female's body throughout the entire embryonic and fetal stages of the unborn human being from fertilization to full gestation and childbirth; (viii) "Reasonable medical judgment" means a medical judgment that would be made or a medical action that would be undertaken by a reasonably prudent, qualified ORIGINAL HOUSE ENGROSSED BILL NO. HB0042 ENROLLED ACT NO. 26, HOUSE OF REPRESENTATIVES SIXTY-EIGHTH LEGISLATURE OF THE STATE OF WYOMING 2025 GENERAL SESSION 3 physician who is knowledgeable about the case and the treatment possibilities with respect to the medical conditions involved; (ix) "Surgical abortion" means an induced abortion performed or attempted through use of a machine, medical device, surgical instrument or surgical tool, or any combination thereof, to terminate the clinically diagnosable pregnancy of a woman with knowledge and the intent that the termination by those means will cause, with reasonable likelihood, the death of the unborn child; (x) "Surgical abortion facility" means any facility that provides a surgical abortion to a woman. 35-6-202. Surgical abortion facilities; licensure requirement; prohibitions; penalties. (a) Each surgical abortion facility other than a hospital in Wyoming shall be licensed as an ambulatory surgical center in accordance with W.S. 35-2-901 through 35-2-914 and the rules of the department of health. Each surgical abortion facility performing surgical abortions shall have a separate license. (b) No surgical abortion facility shall provide surgical abortions to any pregnant woman without first being licensed as an ambulatory surgical center. (c) Each surgical abortion facility shall comply with all rules of the department of health concerning the operation and regulation of ambulatory surgical centers. No license issued to a surgical abortion facility shall be transferable or assignable to any other person or facility. ORIGINAL HOUSE ENGROSSED BILL NO. HB0042 ENROLLED ACT NO. 26, HOUSE OF REPRESENTATIVES SIXTY-EIGHTH LEGISLATURE OF THE STATE OF WYOMING 2025 GENERAL SESSION 4(d) Each licensed physician performing at least one (1) surgical abortion at a surgical abortion facility shall: (i) Report each surgical abortion to the department of health and attest in the report that the physician is licensed and in good standing with the state board of medicine; (ii) Submit documentation in a form and frequency required by the department of health that demonstrates that the licensed physician has admitting privileges at a hospital located not more than ten (10) miles from the abortion facility where the licensed physician is performing or will perform surgical abortions. (e) Any person who violates this section shall be guilty of a misdemeanor punishable by a fine not to exceed one thousand dollars ($1,000.00). Each calendar day in which a violation of this section occurs or continues is a separate offense. 35-6-203. Abortion facilities; surgical abortions; requirements; rulemaking. (a) Any surgical abortion performed at a surgical abortion facility in the state shall only be performed by a physician licensed in the state of Wyoming. (b) Any person who performs a surgical abortion in the state in violation of subsection (a) of this section is guilty of a felony punishable by imprisonment for not less than one (1) year nor more than fourteen (14) years. ORIGINAL HOUSE ENGROSSED BILL NO. HB0042 ENROLLED ACT NO. 26, HOUSE OF REPRESENTATIVES SIXTY-EIGHTH LEGISLATURE OF THE STATE OF WYOMING 2025 GENERAL SESSION 5(c) No person shall perform a surgical abortion at a surgical abortion facility in Wyoming who is not a licensed physician with admitting privileges at a hospital located not more than ten (10) miles from the abortion facility where the surgical abortion is performed. (d) Any person who violates subsection (c) of this section shall be guilty of a misdemeanor punishable by a fine of one thousand dollars ($1,000.00). For purposes of this subsection, each surgical abortion shall constitute a separate offense of subsection (c) of this section. (e) The department of health shall promulgate rules necessary to regulate surgical abortion facilities as ambulatory surgical centers under W.S. 35-2-901 through 35-2-914. Rules promulgated under this subsection shall: (i) Not be less stringent than those rules applicable to ambulatory surgical centers; (ii) Provide for the physical inspection of surgical abortion facilities by the department of health every three (3) years. 35-6-204. Applicability; effect. If any provision of this article conflicts with the Life is a Human Right Act or W.S. 35-6-139, the provisions of the Life is a Human Right Act and W.S. 35-6-139 shall control over this article to the extent that the Life is a Human Right Act and W.S. 35-6-139 are in effect. Section 2. W.S. 35-2-901(a)(ii) is amended to read: 35-2-901. Definitions; applicability of provisions. ORIGINAL HOUSE ENGROSSED BILL NO. HB0042 ENROLLED ACT NO. 26, HOUSE OF REPRESENTATIVES SIXTY-EIGHTH LEGISLATURE OF THE STATE OF WYOMING 2025 GENERAL SESSION 6 (a) As used in this act: (ii) "Ambulatory surgical center" means a facility which provides surgical treatment to patients not requiring hospitalization and is not part of a hospital or offices of private physicians, dentists or podiatrists "Ambulatory surgical center" shall include any surgical abortion facility as defined by W.S. 35-6-201(a)(x); Section 3. (a) Nothing in this act shall be construed as creating an individual right to abortion. (b) It is the intent of the legislature that this act shall not: (i) Be construed as holding abortion as lawful in the state; (ii) Recognize or define abortion as a health care decision under article 1, section 38 of the Wyoming Constitution. Section 4. The department of health shall promulgate all rules necessary to implement this act. ORIGINAL HOUSE ENGROSSED BILL NO. HB0042 ENROLLED ACT NO. 26, HOUSE OF REPRESENTATIVES SIXTY-EIGHTH LEGISLATURE OF THE STATE OF WYOMING 2025 GENERAL SESSION 7Section 5. This act is effective immediately upon completion of all acts necessary for a bill to become law as provided by Article 4, Section 8 of the Wyoming Constitution. (END) Speaker of the HousePresident of the SenateGovernorTIME APPROVED: _________DATE APPROVED: _________ I hereby certify that this act originated in the House. Chief Clerk