Bill Text: FL S0290 | 2012 | Regular Session | Introduced


Bill Title: Abortions

Spectrum: Partisan Bill (Republican 4-0)

Status: (Failed) 2012-03-09 - Died in Criminal Justice [S0290 Detail]

Download: Florida-2012-S0290-Introduced.html
       Florida Senate - 2012                                     SB 290
       
       
       
       By Senator Flores
       
       
       
       
       38-00165D-12                                           2012290__
    1                        A bill to be entitled                      
    2         An act relating to abortions; amending s. 390.011,
    3         F.S.; providing definitions; amending s. 390.0111,
    4         F.S.; conforming terminology to changes made by the
    5         act; restricting the circumstances in which an
    6         abortion may be performed in the third trimester or
    7         after viability; providing certain physician and
    8         location requirements with regard to performing
    9         abortions; requiring a physician who offers to perform
   10         or who performs abortions to complete continuing
   11         education related to ethics; prohibiting an abortion
   12         from being performed in the third trimester in a
   13         location other than a hospital; prohibiting any
   14         abortion from being performed in a location other than
   15         a hospital, abortion clinic, or physician’s office;
   16         requiring that certain requirements be completed 24
   17         hours before an abortion is performed in order for
   18         consent to an abortion to be considered voluntary and
   19         informed; conforming terminology; providing that
   20         substantial compliance or reasonable belief that
   21         noncompliance with the requirements regarding consent
   22         is necessary to prevent the death of the pregnant
   23         woman or a substantial and irreversible impairment of
   24         a major bodily function of the pregnant woman is a
   25         defense to a disciplinary action under s. 458.331 or
   26         s. 459.015, F.S.; deleting the definition of the term
   27         “viability”; providing that the prevention of the
   28         death or a substantial and irreversible impairment of
   29         a major bodily function of the pregnant woman
   30         constitutes an overriding and superior consideration
   31         to the concern for the life and health of the fetus
   32         under certain circumstances; prohibiting a physician
   33         from knowingly performing a partial-birth abortion and
   34         thereby killing a human fetus; providing exceptions
   35         for when a partial-birth abortion is necessary;
   36         increasing the penalty imposed for failing to properly
   37         dispose of fetal remains; requiring the Department of
   38         Health to permanently revoke the license of any health
   39         care practitioner who is convicted or found guilty of,
   40         or enters a plea of guilty or nolo contendere to,
   41         regardless of adjudication, certain felony criminal
   42         acts; providing that an infant born alive subsequent
   43         to an attempted abortion is entitled to the same
   44         rights, powers, and privileges as are granted by the
   45         laws of this state; requiring a health care
   46         practitioner to exercise the same degree of
   47         professional skill, care, and diligence to preserve
   48         the life and health of an infant as a reasonably
   49         diligent and conscientious health care practitioner
   50         would render to any infant born alive if the infant is
   51         born alive subsequent to an attempted abortion;
   52         requiring that another physician be present in order
   53         to take control of any infant born alive; requiring
   54         the physician who performs the abortion to take all
   55         reasonable steps consistent with the abortion
   56         procedure to preserve the life and health of the
   57         unborn child; requiring a health care practitioner who
   58         has knowledge of any violations to report the
   59         violations to the department; providing that it is a
   60         first-degree misdemeanor to unlawfully advertise how
   61         to obtain an abortion; requiring an abortion clinic to
   62         place a conspicuous notice on its premises and on any
   63         form or medium of advertisement of the abortion clinic
   64         which states that the abortion clinic is prohibited
   65         from performing abortions in the third trimester or
   66         after viability; providing a penalty; requiring the
   67         Agency for Health Care Administration to submit to the
   68         Governor and Legislature an annual report of aggregate
   69         statistical data relating to abortions and provide
   70         such data on its website; amending s. 390.01114, F.S.;
   71         conforming terminology to changes made by the act;
   72         deleting the definition of the term “medical
   73         emergency”; amending s. 390.0112, F.S.; requiring the
   74         director of a hospital, abortion clinic, or
   75         physician’s office to submit a monthly report to the
   76         agency on a form developed by the agency which is
   77         consistent with the U.S. Standard Report of Induced
   78         Termination of Pregnancy from the Centers for Disease
   79         Control and Prevention; requiring that the submitted
   80         report not contain any personal identifying
   81         information; requiring the agency to submit reported
   82         data to the Division of Reproductive Health within the
   83         Centers for Disease Control and Prevention; requiring
   84         the physician performing the abortion procedure to
   85         report such data if the abortion was performed in a
   86         hospital, abortion clinic, or physician’s office;
   87         requiring the agency to adopt rules; amending s.
   88         390.012, F.S.; conforming a cross-reference; requiring
   89         the agency to adopt rules that prescribe standards for
   90         placing conspicuous notice to be provided on the
   91         premises and on any advertisement of an abortion
   92         clinic which states that the abortion clinic is
   93         prohibited from performing abortions in the third
   94         trimester or after viability; conforming terminology
   95         to changes made by the act; amending s. 390.014, F.S.;
   96         prohibiting a person from establishing, conducting,
   97         managing, or operating a clinic in this state without
   98         a valid and current license issued by the agency;
   99         requiring an abortion clinic to be owned and operated
  100         by a physician who has received training during
  101         residency in performing a dilation-and-curettage
  102         procedure or a dilation-and-evacuation procedure or by
  103         a corporation or limited liability company composed of
  104         one or more such physicians; providing an exception;
  105         providing a penalty; amending s. 390.018, F.S.;
  106         revising the amount of the fine that the agency may
  107         impose for a violation of ch. 390, F.S., relating to
  108         abortion, or part II of ch. 408, F.S., relating to
  109         licensure; amending s. 456.013, F.S.; requiring that
  110         each applicable board require a physician who offers
  111         to perform or performs abortions to annually complete
  112         a course relating to ethics as part of the licensure
  113         and renewal process; providing that the course counts
  114         toward the total number of continuing education hours
  115         required for the profession; requiring the applicable
  116         board to approve the course; amending s. 765.113,
  117         F.S.; conforming a cross-reference; repealing ss.
  118         782.30, 782.32, 782.34, and 782.36, F.S., relating to
  119         the Partial-Birth Abortion Act; repealing s. 797.02,
  120         F.S., relating to the advertising of drugs for
  121         abortions; repealing s. 797.03, F.S., relating to
  122         prohibited acts related to abortions and their
  123         penalties; providing for severability; providing an
  124         effective date.
  125  
  126  Be It Enacted by the Legislature of the State of Florida:
  127  
  128         Section 1. Section 390.011, Florida Statutes, is amended to
  129  read:
  130         390.011 Definitions.—As used in this chapter, the term:
  131         (1) “Abortion” means the termination of human pregnancy
  132  with an intention other than to produce a live birth or to
  133  remove a dead fetus.
  134         (2) “Abortion clinic” or “clinic” means any facility in
  135  which abortions are performed. The term does not include:
  136         (a) A hospital; or
  137         (b) A physician’s office, provided that the office is not
  138  used primarily for the performance of abortions.
  139         (3) “Agency” means the Agency for Health Care
  140  Administration.
  141         (4) “Born alive” means the complete expulsion or extraction
  142  from the mother of a human infant, at any stage of development,
  143  who, after such expulsion or extraction, breathes or has a
  144  beating heart, pulsation of the umbilical cord, or definite and
  145  voluntary movement of muscles, regardless of whether the
  146  umbilical cord has been cut and regardless of whether the
  147  expulsion or extraction occurs as a result of natural or induced
  148  labor, cesarean section, induced abortion, or other method.
  149         (5)(4) “Department” means the Department of Health.
  150         (6)Health care practitioner” means any person licensed
  151  under chapter 457; chapter 458; chapter 459; chapter 460;
  152  chapter 461; chapter 462; chapter 463; chapter 464; chapter 465;
  153  chapter 466; chapter 467; part I, part II, part III, part V,
  154  part X, part XIII, or part XIV of chapter 468; chapter 478;
  155  chapter 480; part III or part IV of chapter 483; chapter 484;
  156  chapter 486; chapter 490; or chapter 491.
  157         (7)(5) “Hospital” means a facility as defined in s.
  158  395.002(12) and licensed under chapter 395 and part II of
  159  chapter 408.
  160         (8)“Medical emergency” means a condition that, on the
  161  basis of a physician’s good faith clinical judgment, so
  162  complicates the medical condition of a pregnant woman as to
  163  necessitate the immediate termination of her pregnancy to avert
  164  her death, or for which a delay in the termination of her
  165  pregnancy will create serious risk of substantial and
  166  irreversible impairment of a major bodily function.
  167         (9)(6) “Partial-birth abortion” means an abortion a
  168  termination of pregnancy in which the physician performing the
  169  abortion: termination of pregnancy partially vaginally delivers
  170  a living fetus before killing the fetus and completing the
  171  delivery.
  172         (a)Deliberately and intentionally vaginally delivers a
  173  living fetus until, in the case of a head-first presentation,
  174  the entire fetal head is outside the body of the mother, or, in
  175  the case of breech presentation, any part of the fetal trunk
  176  past the navel is outside the body of the mother, for the
  177  purpose of performing an overt act that the person knows will
  178  kill the partially delivered living fetus; and
  179         (b)Performs the overt act, other than completion of
  180  delivery, which kills the partially delivered living fetus.
  181         (10)(7) “Physician” means a physician licensed under
  182  chapter 458 or chapter 459 or a physician practicing medicine or
  183  osteopathic medicine in the employment of the United States.
  184         (11)(8) “Third trimester” means the weeks of pregnancy
  185  after the 24th week of pregnancy.
  186         (12) “Viability” means that stage of fetal development when
  187  the life of the unborn child may, with a reasonable degree of
  188  medical probability, be continued indefinitely outside the womb.
  189         Section 2. Section 390.0111, Florida Statutes, is amended
  190  to read:
  191         390.0111 Abortions Termination of pregnancies.—
  192         (1) ABORTION TERMINATION IN THIRD TRIMESTER OR AFTER
  193  VIABILITY; WHEN ALLOWED.—An abortion may not No termination of
  194  pregnancy shall be performed on any human being in the third
  195  trimester or after the period at which, in the best medical
  196  judgment of the physician, the fetus has attained viability of
  197  pregnancy unless:
  198         (a) Two physicians certify in writing to the fact that, to
  199  a reasonable degree of medical probability, the abortion
  200  termination of pregnancy is necessary to prevent the death of
  201  the pregnant woman or the substantial and irreversible
  202  impairment of a major bodily function save the life or preserve
  203  the health of the pregnant woman; or
  204         (b) The physician certifies in writing to the existence of
  205  a medical emergency medical necessity for legitimate emergency
  206  medical procedures for termination of pregnancy in the third
  207  trimester, and another physician is not available for
  208  consultation.
  209         (2) PHYSICIAN AND LOCATION REQUIREMENTS PERFORMANCE BY
  210  PHYSICIAN REQUIRED.—
  211         (a) An abortion may not No termination of pregnancy shall
  212  be performed at any time except by a physician as defined in s.
  213  390.011.
  214         (b) A physician who offers to perform or who performs
  215  abortions in an abortion clinic must annually complete a minimum
  216  of 3 hours of continuing education related to ethics.
  217         (c) Except in the case of a medical emergency, an abortion
  218  may not be performed:
  219         1. In the third trimester, or after the fetus has attained
  220  viability, in a location other than in a hospital.
  221         2. In cases in which subparagraph 1. does not apply, in a
  222  location other than a hospital, a validly licensed abortion
  223  clinic, or a physician’s office.
  224         (3) CONSENTS REQUIRED.—An abortion A termination of
  225  pregnancy may not be performed or induced except with the
  226  voluntary and informed written consent of the pregnant woman or,
  227  in the case of a mental incompetent, the voluntary and informed
  228  written consent of her court-appointed guardian.
  229         (a) Except in the case of a medical emergency, consent to
  230  an abortion a termination of pregnancy is voluntary and informed
  231  only if the following requirements are completed at least 24
  232  hours before the abortion is performed:
  233         1. The physician who is to perform the procedure, or the
  234  referring physician, has, at a minimum, orally, in person,
  235  informed the woman of:
  236         a. The nature and risks of undergoing or not undergoing the
  237  proposed procedure which that a reasonable patient would
  238  consider material to making a knowing and willful decision of
  239  whether to obtain an abortion terminate a pregnancy.
  240         b. The probable gestational age of the fetus, verified by
  241  an ultrasound, at the time the abortion termination of pregnancy
  242  is to be performed.
  243         (I) The ultrasound must be performed by the physician who
  244  is to perform the abortion or by a person having documented
  245  evidence that he or she has completed a course in the operation
  246  of ultrasound equipment as prescribed by rule and who is working
  247  in conjunction with the physician.
  248         (II) The person performing the ultrasound must offer the
  249  woman the opportunity to view the live ultrasound images and
  250  hear an explanation of them. If the woman accepts the
  251  opportunity to view the images and hear the explanation, a
  252  physician or a registered nurse, licensed practical nurse,
  253  advanced registered nurse practitioner, or physician assistant
  254  working in conjunction with the physician must contemporaneously
  255  review and explain the images to the woman before the woman
  256  gives informed consent to having an abortion procedure
  257  performed.
  258         (III) The woman has a right to decline to view and hear the
  259  explanation of the live ultrasound images after she is informed
  260  of her right and offered an opportunity to view the images and
  261  hear the explanation. If the woman declines, the woman shall
  262  complete a form acknowledging that she was offered an
  263  opportunity to view and hear the explanation of the images but
  264  that she declined that opportunity. The form must also indicate
  265  that the woman’s decision was not based on any undue influence
  266  from any person to discourage her from viewing the images or
  267  hearing the explanation and that she declined of her own free
  268  will.
  269         (IV) Unless requested by the woman, the person performing
  270  the ultrasound may not offer the opportunity to view the images
  271  and hear the explanation and the explanation may not be given
  272  if, at the time the woman schedules or arrives for her
  273  appointment to obtain an abortion, a copy of a restraining
  274  order, police report, medical record, or other court order or
  275  documentation is presented which provides evidence that the
  276  woman is obtaining the abortion because the woman is a victim of
  277  rape, incest, domestic violence, or human trafficking or that
  278  the woman has been diagnosed as having a condition that, on the
  279  basis of a physician’s good faith clinical judgment, would
  280  create a serious risk of substantial and irreversible impairment
  281  of a major bodily function if the woman delayed terminating her
  282  pregnancy.
  283         c. The medical risks to the woman and fetus of carrying the
  284  pregnancy to term.
  285         2. Printed materials prepared and provided by the
  286  department have been provided to the pregnant woman, if she
  287  chooses to view these materials, including:
  288         a. A description of the fetus, including a description of
  289  the various stages of development.
  290         b. A list of entities that offer alternatives to abortion
  291  terminating the pregnancy.
  292         c. Detailed information on the availability of medical
  293  assistance benefits for prenatal care, childbirth, and neonatal
  294  care.
  295         3. The woman acknowledges in writing, before the
  296  termination of pregnancy, that the information required to be
  297  provided under this subsection has been provided.
  298  
  299  Nothing in This paragraph does not is intended to prohibit a
  300  physician from providing any additional information that which
  301  the physician deems material to the woman’s informed decision to
  302  obtain an abortion terminate her pregnancy.
  303         (b) If a medical emergency exists and a physician cannot
  304  comply with the requirements for informed consent, a physician
  305  may perform an abortion terminate a pregnancy if he or she has
  306  obtained at least one corroborative medical opinion attesting to
  307  the medical necessity for emergency medical procedures and to
  308  the fact that to a reasonable degree of medical certainty the
  309  continuation of the pregnancy would threaten the life of the
  310  pregnant woman. If a second physician is not available for a
  311  corroborating opinion, the physician may proceed but shall
  312  document reasons for the medical necessity in the patient’s
  313  medical records.
  314         (c) Violation of this subsection by a physician constitutes
  315  grounds for disciplinary action under s. 458.331 or s. 459.015.
  316  Substantial compliance or reasonable belief that noncompliance
  317  complying with the requirements of this subsection is necessary
  318  to prevent the death of the pregnant woman or a substantial and
  319  irreversible impairment of a major bodily function of the
  320  pregnant woman informed consent would threaten the life or
  321  health of the patient is a defense to any action brought under
  322  this paragraph.
  323         (4) STANDARD OF MEDICAL CARE TO BE USED DURING VIABILITY.
  324  If an abortion a termination of pregnancy is performed during
  325  viability, a no person who performs or induces the abortion
  326  termination of pregnancy shall fail to use that degree of
  327  professional skill, care, and diligence to preserve the life and
  328  health of the fetus which such person would be required to
  329  exercise in order to preserve the life and health of any fetus
  330  intended to be born and not aborted. “Viability” means that
  331  stage of fetal development when the life of the unborn child may
  332  with a reasonable degree of medical probability be continued
  333  indefinitely outside the womb. Notwithstanding the provisions of
  334  this subsection, the prevention of the death of the pregnant
  335  woman or a substantial and irreversible impairment of a major
  336  bodily function of the pregnant woman constitutes the woman’s
  337  life and health shall constitute an overriding and superior
  338  consideration to the concern for the life and health of the
  339  fetus when such concerns are in conflict.
  340         (5) PARTIAL-BIRTH ABORTION PROHIBITED; EXCEPTION.—
  341         (a) A No physician may not shall knowingly perform a
  342  partial-birth abortion and thereby kill a human fetus.
  343         (b) A woman upon whom a partial-birth abortion is performed
  344  may not be prosecuted under this section for a conspiracy to
  345  violate the provisions of this section.
  346         (c) This subsection does shall not apply to a partial-birth
  347  abortion that is necessary to save the life of a mother whose
  348  life is endangered by a physical disorder, physical illness, or
  349  physical injury, including a life-endangering physical condition
  350  cause by or arising from the pregnancy itself, if provided that
  351  no other medical procedure would suffice for that purpose.
  352         (6) EXPERIMENTATION ON FETUS PROHIBITED; EXCEPTION.—A No
  353  person may not shall use any live fetus or live, premature
  354  infant for any type of scientific, research, laboratory, or
  355  other kind of experimentation before either prior to or
  356  subsequent to any abortion termination of pregnancy procedure
  357  except as necessary to protect or preserve the life and health
  358  of such fetus or premature infant.
  359         (7) FETAL REMAINS.—Fetal remains shall be disposed of in a
  360  sanitary and appropriate manner and in accordance with standard
  361  health practices, as provided by rule of the department of
  362  Health. Failure to dispose of fetal remains in accordance with
  363  department rules is a misdemeanor of the first second degree,
  364  punishable as provided in s. 775.082 or s. 775.083.
  365         (8) REFUSAL TO PARTICIPATE IN ABORTION TERMINATION
  366  PROCEDURE.—Nothing in This section does not shall require any
  367  hospital or any person to participate in an abortion the
  368  termination of a pregnancy, and a nor shall any hospital or any
  369  person is not be liable for such refusal. A No person who is a
  370  member of, or associated with, the staff of a hospital, or nor
  371  any employee of a hospital or physician in which or by whom the
  372  abortion termination of a pregnancy has been authorized or
  373  performed, who states shall state an objection to such procedure
  374  on moral or religious grounds is not shall be required to
  375  participate in the procedure that which will result in the
  376  abortion termination of pregnancy. The refusal of any such
  377  person or employee to participate does shall not form the basis
  378  for any disciplinary or other recriminatory action against such
  379  person.
  380         (9) EXCEPTION.—The provisions of this section do shall not
  381  apply to the performance of a procedure that which terminates a
  382  pregnancy in order to deliver a live child.
  383         (10) PENALTIES FOR VIOLATION.— Except as provided in
  384  subsections (3) and (7):
  385         (a) Any person who willfully performs, or actively
  386  participates in, an abortion a termination of pregnancy
  387  procedure in violation of the requirements of this section
  388  commits a felony of the third degree, punishable as provided in
  389  s. 775.082, s. 775.083, or s. 775.084.
  390         (b) Any person who performs, or actively participates in,
  391  an abortion a termination of pregnancy procedure in violation of
  392  the provisions of this section which results in the death of the
  393  woman commits a felony of the second degree, punishable as
  394  provided in s. 775.082, s. 775.083, or s. 775.084.
  395         (c) The department shall permanently revoke the license of
  396  any licensed health care practitioner who has been convicted or
  397  found guilty of, or entered a plea of guilty or nolo contendere
  398  to, regardless of adjudication, a felony as provided in this
  399  subsection.
  400         (11) CIVIL ACTION PURSUANT TO PARTIAL-BIRTH ABORTION;
  401  RELIEF.—
  402         (a) The father, if married to the mother at the time she
  403  receives a partial-birth abortion, and, if the mother has not
  404  attained the age of 18 years at the time she receives a partial
  405  birth abortion, the maternal grandparents of the fetus may, in a
  406  civil action, obtain appropriate relief, unless the pregnancy
  407  resulted from the plaintiff’s criminal conduct or the plaintiff
  408  consented to the abortion.
  409         (b) In a civil action under this section, appropriate
  410  relief includes:
  411         1. Monetary damages for all injuries, psychological and
  412  physical, occasioned by the violation of subsection (5).
  413         2. Damages equal to three times the cost of the partial
  414  birth abortion.
  415         (12)INFANTS BORN ALIVE.—
  416         (a)An infant born alive subsequent to an attempted
  417  abortion is entitled to the same rights, powers, and privileges
  418  as are granted by the laws of this state to any other child born
  419  alive in the course of birth that is not subsequent to an
  420  attempted abortion.
  421         (b) If an infant is born alive subsequent to an attempted
  422  abortion, any health care practitioner present at the time shall
  423  humanely exercise the same degree of professional skill, care,
  424  and diligence to preserve the life and health of the infant as a
  425  reasonably diligent and conscientious health care practitioner
  426  would render to an infant born alive in the course of birth that
  427  is not subsequent to an attempted abortion.
  428         (c)An abortion may not be attempted pursuant to paragraph
  429  (1)(a) unless a physician other than the physician performing
  430  the abortion is in attendance to take control of any infant born
  431  alive, to provide immediate medical care to the infant, and to
  432  discharge the obligations imposed by paragraph (b). The
  433  physician who performs the abortion shall take all reasonable
  434  steps consistent with the abortion procedure to preserve the
  435  life and health of the unborn child.
  436         (d) A health care practitioner who has knowledge of a
  437  violation of this subsection shall report the violation to the
  438  department.
  439         (13)PUBLIC NOTICES AND ADVERTISEMENTS.—
  440         (a)A person may not knowingly advertise, print, publish,
  441  distribute, or circulate, or knowingly cause to be advertised,
  442  printed, published, distributed, or circulated, any pamphlet,
  443  printed paper, book, newspaper notice, advertisement, or
  444  reference containing words or language giving or conveying any
  445  notice, hint, or reference to any person, or the name of any
  446  person, real or fictitious, from whom, or to any place, house,
  447  shop, or office where any poison, drug, mixture, preparation,
  448  medicine, or noxious thing, or any instrument or means whatever,
  449  or any advice, direction, information, or knowledge that may be
  450  obtained for the purpose of performing an abortion in violation
  451  of this chapter.
  452         (b)An abortion clinic must provide conspicuous written
  453  notice on its premises and on any advertisement that the
  454  abortion clinic is prohibited, except in a medical emergency,
  455  from performing abortions in the third trimester or after the
  456  fetus has attained viability.
  457         (c)Any person who violates this subsection commits a
  458  misdemeanor of the first degree, punishable as provided in s.
  459  775.082 or s. 775.083.
  460         (14)RESPONSIBILITIES OF THE AGENCY.—Before each regular
  461  legislative session, the agency shall report aggregate
  462  statistical data relating to abortions, which has been reported
  463  to the Division of Reproductive Health within the Centers for
  464  Disease Control and Prevention, on its website and provide an
  465  annual report to the Governor, the President of the Senate, and
  466  the Speaker of the House of Representatives regarding such data.
  467  Any information required to be reported under this subsection
  468  must not include any personal identifying information.
  469         (15)(12) FAILURE TO COMPLY.—Failure to comply with the
  470  requirements of this section constitutes grounds for
  471  disciplinary action under each respective practice act and under
  472  s. 456.072.
  473         (16)(13) RULES.—The applicable boards, or the department if
  474  there is no board, shall adopt rules necessary to implement the
  475  provisions of this section.
  476         Section 3. Section 390.01114, Florida Statutes, is amended
  477  to read:
  478         390.01114 Parental Notice of Abortion Act.—
  479         (1) SHORT TITLE.—This section may be cited as the “Parental
  480  Notice of Abortion Act.”
  481         (2) DEFINITIONS.—As used in this section, the term:
  482         (a) “Actual notice” means notice that is given directly, in
  483  person or by telephone, to a parent or legal guardian of a
  484  minor, by a physician, at least 48 hours before the inducement
  485  or performance of an abortion a termination of pregnancy, and
  486  documented in the minor’s files.
  487         (b) “Child abuse” means abandonment, abuse, harm, mental
  488  injury, neglect, physical injury, or sexual abuse of a child as
  489  those terms are defined in ss. 39.01, 827.04, and 984.03.
  490         (c) “Constructive notice” means notice that is given in
  491  writing, signed by the physician, and mailed at least 72 hours
  492  before the inducement or performance of the abortion termination
  493  of pregnancy, to the last known address of the parent or legal
  494  guardian of the minor, by first-class mail and by certified
  495  mail, return receipt requested, and delivery restricted to the
  496  parent or legal guardian. After the 72 hours have passed,
  497  delivery is deemed to have occurred.
  498         (d) “Medical emergency” means a condition that, on the
  499  basis of a physician’s good faith clinical judgment, so
  500  complicates the medical condition of a pregnant woman as to
  501  necessitate the immediate termination of her pregnancy to avert
  502  her death, or for which a delay in the termination of her
  503  pregnancy will create serious risk of substantial and
  504  irreversible impairment of a major bodily function.
  505         (d)(e) “Sexual abuse” has the meaning ascribed in s. 39.01.
  506         (e)(f) “Minor” means a person under the age of 18 years.
  507         (3) NOTIFICATION REQUIRED.—
  508         (a) Actual notice shall be provided by the physician
  509  performing or inducing an abortion with respect to the
  510  termination of pregnancy before the performance or inducement of
  511  the termination of the pregnancy of a minor. The notice may be
  512  given by a referring physician. The physician who performs or
  513  induces the abortion termination of pregnancy must receive the
  514  written statement of the referring physician certifying that the
  515  referring physician has given notice. If actual notice is not
  516  possible after a reasonable effort has been made, the physician
  517  performing or inducing the abortion termination of pregnancy or
  518  the referring physician must give constructive notice. Notice
  519  given under this subsection by the physician performing or
  520  inducing the abortion termination of pregnancy must include the
  521  name and address of the facility providing the abortion
  522  termination of pregnancy and the name of the physician providing
  523  notice. Notice given under this subsection by a referring
  524  physician must include the name and address of the facility
  525  where he or she is referring the minor and the name of the
  526  physician providing notice. If actual notice is provided by
  527  telephone, the physician must actually speak with the parent or
  528  guardian, and must record in the minor’s medical file the name
  529  of the parent or guardian provided notice, the phone number
  530  dialed, and the date and time of the call. If constructive
  531  notice is given, the physician must document that notice by
  532  placing copies of any document related to the constructive
  533  notice, including, but not limited to, a copy of the letter and
  534  the return receipt, in the minor’s medical file. Actual notice
  535  given by telephone shall be confirmed in writing, signed by the
  536  physician, and mailed to the last known address of the parent or
  537  legal guardian of the minor, by first-class mail and by
  538  certified mail, return receipt requested, with delivery
  539  restricted to the parent or legal guardian.
  540         (b) Notice is not required if:
  541         1. In the physician’s good faith clinical judgment, a
  542  medical emergency exists and there is insufficient time for the
  543  attending physician to comply with the notification
  544  requirements. If a medical emergency exists, the physician shall
  545  make reasonable attempts, whenever possible, without endangering
  546  the minor, to contact the parent or legal guardian, and may
  547  proceed, but must document reasons for the medical necessity in
  548  the patient’s medical records. The physician shall provide
  549  notice directly, in person or by telephone, to the parent or
  550  legal guardian, including details of the medical emergency and
  551  any additional risks to the minor. If the parent or legal
  552  guardian has not been notified within 24 hours after the
  553  abortion termination of the pregnancy, the physician shall
  554  provide notice in writing, including details of the medical
  555  emergency and any additional risks to the minor, signed by the
  556  physician, to the last known address of the parent or legal
  557  guardian of the minor, by first-class mail and by certified
  558  mail, return receipt requested, with delivery restricted to the
  559  parent or legal guardian;
  560         2. Notice is waived in writing by the person who is
  561  entitled to notice and such waiver is notarized, dated not more
  562  than 30 days before the abortion termination of pregnancy, and
  563  contains a specific waiver of the right of the parent or legal
  564  guardian to notice of the minor’s abortion termination of
  565  pregnancy;
  566         3. Notice is waived by the minor who is or has been married
  567  or has had the disability of nonage removed under s. 743.015 or
  568  a similar statute of another state;
  569         4. Notice is waived by the patient because the patient has
  570  a minor child dependent on her; or
  571         5. Notice is waived under subsection (4).
  572         (c) Violation of this subsection by a physician constitutes
  573  grounds for disciplinary action under s. 458.331 or s. 459.015.
  574         (4) PROCEDURE FOR JUDICIAL WAIVER OF NOTICE.—
  575         (a) A minor may petition any circuit court in which the
  576  minor resides for a waiver of the notice requirements of
  577  subsection (3) and may participate in proceedings on her own
  578  behalf. The petition may be filed under a pseudonym or through
  579  the use of initials, as provided by court rule. The petition
  580  must include a statement that the petitioner is pregnant and
  581  notice has not been waived. The court shall advise the minor
  582  that she has a right to court-appointed counsel and shall
  583  provide her with counsel upon her request at no cost to the
  584  minor.
  585         (b)1. Court proceedings under this subsection must be given
  586  precedence over other pending matters to the extent necessary to
  587  ensure that the court reaches a decision promptly. The court
  588  shall rule, and issue written findings of fact and conclusions
  589  of law, within 3 business days after the petition is filed,
  590  except that the 3-business-day limitation may be extended at the
  591  request of the minor. If the court fails to rule within the 3
  592  business-day period and an extension has not been requested, the
  593  minor may immediately petition for a hearing upon the expiration
  594  of the 3-business-day period to the chief judge of the circuit,
  595  who must ensure a hearing is held within 48 hours after receipt
  596  of the minor’s petition and an order is entered within 24 hours
  597  after the hearing.
  598         2. If the circuit court does not grant judicial waiver of
  599  notice, the minor has the right to appeal. An appellate court
  600  must rule within 7 days after receipt of appeal, but a ruling
  601  may be remanded with further instruction for a ruling within 3
  602  business days after the remand. The reason for overturning a
  603  ruling on appeal must be based on abuse of discretion by the
  604  court and may not be based on the weight of the evidence
  605  presented to the circuit court since the proceeding is a
  606  nonadversarial proceeding.
  607         (c) If the court finds, by clear and convincing evidence,
  608  that the minor is sufficiently mature to decide whether to
  609  obtain an abortion terminate her pregnancy, the court shall
  610  issue an order authorizing the minor to consent to the
  611  performance or inducement of an abortion a termination of
  612  pregnancy without the notification of a parent or guardian. If
  613  the court does not make the finding specified in this paragraph
  614  or paragraph (d), it must dismiss the petition. Factors the
  615  court shall consider include:
  616         1. The minor’s:
  617         a. Age.
  618         b. Overall intelligence.
  619         c. Emotional development and stability.
  620         d. Credibility and demeanor as a witness.
  621         e. Ability to accept responsibility.
  622         f. Ability to assess both the immediate and long-range
  623  consequences of the minor’s choices.
  624         g. Ability to understand and explain the medical risks of
  625  an abortion terminating her pregnancy and to apply that
  626  understanding to her decision.
  627         2. Whether there may be any undue influence by another on
  628  the minor’s decision to have an abortion.
  629         (d) If the court finds, by a preponderance of the evidence,
  630  that the petitioner is the victim of child abuse or sexual abuse
  631  inflicted by one or both of her parents or her guardian, or by
  632  clear and convincing evidence that the notification of a parent
  633  or guardian is not in the best interest of the petitioner, the
  634  court shall issue an order authorizing the minor to consent to
  635  the performance or inducement of an abortion a termination of
  636  pregnancy without the notification of a parent or guardian. The
  637  best-interest standard does not include financial best interest
  638  or financial considerations or the potential financial impact on
  639  the minor or the minor’s family if the minor does not obtain the
  640  abortion terminate the pregnancy. If the court finds evidence of
  641  child abuse or sexual abuse of the minor petitioner by any
  642  person, the court shall report the evidence of child abuse or
  643  sexual abuse of the petitioner, as provided in s. 39.201. If the
  644  court does not make the finding specified in this paragraph or
  645  paragraph (c), it must dismiss the petition.
  646         (e) A court that conducts proceedings under this section
  647  shall:
  648         1. Provide for a written transcript of all testimony and
  649  proceedings;
  650         2. Issue a final written order containing factual findings
  651  and legal conclusions supporting its decision, including factual
  652  findings and legal conclusions relating to the maturity of the
  653  minor as provided under paragraph (c); and
  654         3. Order that a confidential record be maintained, as
  655  required under s. 390.01116.
  656         (f) All hearings under this section, including appeals,
  657  shall remain confidential and closed to the public, as provided
  658  by court rule.
  659         (g) An expedited appeal shall be made available, as the
  660  Supreme Court provides by rule, to any minor to whom the circuit
  661  court denies a waiver of notice. An order authorizing an
  662  abortion a termination of pregnancy without notice is not
  663  subject to appeal.
  664         (h) Filing fees or court costs may not be required of any
  665  pregnant minor who petitions a court for a waiver of parental
  666  notification under this subsection at either the trial or the
  667  appellate level.
  668         (i) A county is not obligated to pay the salaries, costs,
  669  or expenses of any counsel appointed by the court under this
  670  subsection.
  671         (5) PROCEEDINGS.—The Supreme Court is requested to adopt
  672  rules and forms for petitions to ensure that proceedings under
  673  subsection (4) are handled expeditiously and in a manner
  674  consistent with this act. The Supreme Court is also requested to
  675  adopt rules to ensure that the hearings protect the minor’s
  676  confidentiality and the confidentiality of the proceedings.
  677         (6) REPORT.—The Supreme Court, through the Office of the
  678  State Courts Administrator, shall report by February 1 of each
  679  year to the Governor, the President of the Senate, and the
  680  Speaker of the House of Representatives on the number of
  681  petitions filed under subsection (4) for the preceding year, and
  682  the timing and manner of disposal of such petitions by each
  683  circuit court. For each petition resulting in a waiver of
  684  notice, the reason for the waiver shall be included in the
  685  report.
  686         Section 4. Section 390.0112, Florida Statutes, is amended
  687  to read:
  688         390.0112 Abortions Termination of pregnancies; reporting.—
  689         (1) The director of any hospital, validly licensed abortion
  690  clinic, or physician’s office medical facility in which an
  691  abortion is performed any pregnancy is terminated shall submit a
  692  monthly report each month to the agency on a form developed by
  693  the agency which is consistent with the U.S. Standard Report of
  694  Induced Termination of Pregnancy from the Centers for Disease
  695  Control and Prevention. The report must not contain any personal
  696  identifying information which contains the number of procedures
  697  performed, the reason for same, and the period of gestation at
  698  the time such procedures were performed to the agency. The
  699  agency shall be responsible for keeping such reports in a
  700  central place from which statistical data and analysis can be
  701  made. The agency shall submit reported data to the Division of
  702  Reproductive Health within the Centers for Disease Control and
  703  Prevention.
  704         (2) If the abortion termination of pregnancy is not
  705  performed in a hospital, validly licensed abortion clinic, or
  706  physician’s office medical facility, the physician performing
  707  the procedure shall report be responsible for reporting such
  708  information as required in subsection (1).
  709         (3) Reports submitted pursuant to this section shall be
  710  confidential and exempt from the provisions of s. 119.07(1) and
  711  shall not be revealed except upon the order of a court of
  712  competent jurisdiction in a civil or criminal proceeding or as
  713  required in subsection (1).
  714         (4) Any person required under this section to file a report
  715  or keep any records who willfully fails to file such report or
  716  keep such records may be subject to a $200 fine for each
  717  violation. The agency shall be required to impose such fines
  718  when reports or records required under this section have not
  719  been timely received. For purposes of this section, timely
  720  received is defined as 30 days following the preceding month.
  721         (5)The agency may adopt rules necessary to administer this
  722  section.
  723         Section 5. Paragraphs (b) and (c) of subsection (1),
  724  paragraph (a) of subsection (3), and subsection (6) of section
  725  390.012, Florida Statutes, are amended to read:
  726         390.012 Powers of agency; rules; disposal of fetal
  727  remains.—
  728         (1) The agency may develop and enforce rules pursuant to
  729  ss. 390.011-390.018 and part II of chapter 408 for the health,
  730  care, and treatment of persons in abortion clinics and for the
  731  safe operation of such clinics.
  732         (b) The rules shall be in accordance with s. 390.0111(2) s.
  733  797.03 and may not impose an unconstitutional burden on a
  734  woman’s freedom to decide whether to obtain an abortion
  735  terminate her pregnancy.
  736         (c) The rules shall provide for:
  737         1. The performance of abortion pregnancy termination
  738  procedures only by a licensed physician.
  739         2. The making, protection, and preservation of patient
  740  records, which shall be treated as medical records under chapter
  741  458.
  742         (3) For clinics that perform or claim to perform abortions
  743  after the first trimester of pregnancy, the agency shall adopt
  744  rules pursuant to ss. 120.536(1) and 120.54 to implement the
  745  provisions of this chapter, including the following:
  746         (a) Rules for an abortion clinic’s physical facilities. At
  747  a minimum, these rules shall prescribe standards for:
  748         1. Adequate private space that is specifically designated
  749  for interviewing, counseling, and medical evaluations.
  750         2. Dressing rooms for staff and patients.
  751         3. Appropriate lavatory areas.
  752         4. Areas for preprocedure hand washing.
  753         5. Private procedure rooms.
  754         6. Adequate lighting and ventilation for abortion
  755  procedures.
  756         7. Surgical or gynecological examination tables and other
  757  fixed equipment.
  758         8. Postprocedure recovery rooms that are equipped to meet
  759  the patients’ needs.
  760         9. Emergency exits to accommodate a stretcher or gurney.
  761         10. Areas for cleaning and sterilizing instruments.
  762         11. Adequate areas for the secure storage of medical
  763  records and necessary equipment and supplies.
  764         12. The display in the abortion clinic, in a place that is
  765  conspicuous to all patients, of the clinic’s current license
  766  issued by the agency.
  767         13. Conspicuous written notice to be provided on the
  768  premises and on any advertisement of the abortion clinic, which
  769  must state that the abortion clinic is prohibited, except in a
  770  medical emergency, from performing abortions in the third
  771  trimester or after the fetus has attained viability.
  772         (6) The agency may adopt and enforce rules, in the interest
  773  of protecting the public health, to ensure the prompt and proper
  774  disposal of fetal remains and tissue resulting from an abortion
  775  pregnancy termination.
  776         Section 6. Subsection (1) of section 390.014, Florida
  777  Statutes, is amended, and subsections (5), (6), and (7) are
  778  added to that section to read:
  779         390.014 Licenses; fees.—
  780         (1) The requirements of part II of chapter 408 shall apply
  781  to the provision of services that require licensure pursuant to
  782  ss. 390.011-390.018 and part II of chapter 408 and to entities
  783  licensed by or applying for such licensure from the agency for
  784  Health Care Administration pursuant to ss. 390.011-390.018. A
  785  license issued by the agency is required in order to operate a
  786  clinic in this state.
  787         (5)A person may not establish, conduct, manage, or operate
  788  a clinic in this state without a valid and current license
  789  issued by the agency.
  790         (6)A clinic must be wholly owned and operated by one or
  791  more physicians who received residency training in performing
  792  dilation-and-curettage and dilation-and-evacuation procedures or
  793  by a professional corporation or limited liability company
  794  composed solely of one or more such physicians. This subsection
  795  does not apply to clinics licensed before July 1, 2012, or to
  796  the renewal of licenses held by such clinics.
  797         (7)A person who willfully violates subsection (5) or
  798  subsection (6) commits a misdemeanor of the first degree,
  799  punishable as provided in s. 775.082 or s. 775.083.
  800         Section 7. Section 390.018, Florida Statutes, is amended to
  801  read:
  802         390.018 Administrative fine.—In addition to the
  803  requirements of part II of chapter 408, the agency may impose a
  804  fine upon the clinic in an amount not to exceed $5,000 $1,000
  805  for each violation of any provision of this chapter, part II of
  806  chapter 408, or applicable rules.
  807         Section 8. Subsection (7) of section 456.013, Florida
  808  Statutes, is amended to read:
  809         456.013 Department; general licensing provisions.—
  810         (7)(a) The boards, or the department when there is no
  811  board, shall require the completion of a 2-hour course relating
  812  to prevention of medical errors as part of the licensure and
  813  renewal process. The 2-hour course shall count towards the total
  814  number of continuing education hours required for the
  815  profession. The course shall be approved by the board or
  816  department, as appropriate, and shall include a study of root
  817  cause analysis, error reduction and prevention, and patient
  818  safety. In addition, the course approved by the Board of
  819  Medicine and the Board of Osteopathic Medicine shall include
  820  information relating to the five most misdiagnosed conditions
  821  during the previous biennium, as determined by the board. If the
  822  course is being offered by a facility licensed pursuant to
  823  chapter 395 for its employees, the board may approve up to 1
  824  hour of the 2-hour course to be specifically related to error
  825  reduction and prevention methods used in that facility.
  826         (b) In accordance with s. 390.0111, the board, or the
  827  department if there is no board, shall require a physician who
  828  offers to perform or performs abortions in an abortion clinic to
  829  annually complete a 3-hour course related to ethics as part of
  830  the licensure and renewal process. The 3-hour course shall count
  831  toward the total number of continuing education hours required
  832  for the profession. The applicable board, or the department if
  833  there is no board, shall approve the course, as appropriate.
  834         Section 9. Section 765.113, Florida Statutes, is amended to
  835  read:
  836         765.113 Restrictions on providing consent.—Unless the
  837  principal expressly delegates such authority to the surrogate in
  838  writing, or a surrogate or proxy has sought and received court
  839  approval pursuant to rule 5.900 of the Florida Probate Rules, a
  840  surrogate or proxy may not provide consent for:
  841         (1) Abortion, sterilization, electroshock therapy,
  842  psychosurgery, experimental treatments that have not been
  843  approved by a federally approved institutional review board in
  844  accordance with 45 C.F.R. part 46 or 21 C.F.R. part 56, or
  845  voluntary admission to a mental health facility.
  846         (2) Withholding or withdrawing life-prolonging procedures
  847  from a pregnant patient prior to viability as defined in s.
  848  390.011 s. 390.0111(4).
  849         Section 10. Section 782.30, Florida Statutes, is repealed.
  850         Section 11. Section 782.32, Florida Statutes, is repealed.
  851         Section 12. Section 782.34, Florida Statutes, is repealed.
  852         Section 13. Section 782.36, Florida Statutes, is repealed.
  853         Section 14. Section 797.02, Florida Statutes, is repealed.
  854         Section 15. Section 797.03, Florida Statutes, is repealed.
  855         Section 16. If any provision of this act or its application
  856  to any person or circumstance is held invalid, the invalidity
  857  does not affect other provisions or applications of the act
  858  which can be given effect without the invalid provision or
  859  application, and to this end the provisions of this act are
  860  severable.
  861         Section 17. This act shall take effect July 1, 2012.

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