Bill Text: FL S1602 | 2014 | Regular Session | Introduced
Bill Title: Abortion
Spectrum: Partisan Bill (Republican 1-0)
Status: (Failed) 2014-05-02 - Died in Health Policy [S1602 Detail]
Download: Florida-2014-S1602-Introduced.html
Florida Senate - 2014 SB 1602 By Senator Evers 2-01506-14 20141602__ 1 A bill to be entitled 2 An act relating to abortion; creating the “Unborn 3 Viability Act”; creating s. 390.0001, F.S.; providing 4 legislative findings regarding abortion; creating s. 5 390.01117, F.S.; providing definitions; creating s. 6 390.01118, F.S.; prohibiting termination of a 7 pregnancy after a fetus has been determined to be 8 viable; providing exceptions; requiring a 9 determination of viability for women in a certain week 10 of pregnancy or later before termination may be 11 performed; requiring an ultrasound and recordkeeping; 12 providing that determination of viability and a 13 required ultrasound may not be performed by a 14 physician providing reproductive health services at an 15 abortion clinic; requiring that a termination of 16 pregnancy involving a viable fetus, when not 17 prohibited, be performed in a hospital or other 18 medical establishment; providing a standard of care 19 for a termination of pregnancy performed while a fetus 20 is viable; providing that the woman’s life is a 21 superior consideration to the concern for the life of 22 the fetus and the woman’s health is a superior 23 consideration to the concern for the health of the 24 fetus when such life or health concerns are in 25 conflict; prohibiting a physician’s misrepresentation 26 of the gestational age or developmental stage of a 27 viable fetus in any medical record and failure to use 28 the prescribed standard of care on a viable fetus; 29 providing criminal penalties; providing that only a 30 physician may perform a termination of pregnancy; 31 requiring voluntary and informed consent for a 32 termination of pregnancy; providing an exception for 33 medical emergencies; providing for documentation of a 34 medical emergency; providing that violations may 35 subject physicians to discipline; prohibiting 36 experimentation on a fetus; providing an exception; 37 providing that violations may subject physicians to 38 discipline; requiring that fetal remains be disposed 39 of according to specified standards; providing 40 criminal penalties; providing that a person or 41 facility is not required to participate in the 42 termination of a pregnancy or be liable for such 43 refusal; excluding specified procedures from 44 applicability of section; prohibiting a termination of 45 pregnancy procedure in violation of specified 46 requirements; providing criminal penalties; 47 prohibiting inflicting serious bodily injury on a 48 person in the course of performing a termination of 49 pregnancy; providing criminal penalties; providing 50 enhanced criminal penalties if the serious bodily 51 injury results in death; requiring physicians and 52 personnel at a medical facility to provide certain 53 patients with information regarding adoption and a 54 statewide list of attorneys available to provide 55 volunteer legal services for adoption; providing 56 rulemaking authority to the Agency for Health Care 57 Administration and the Department of Health; providing 58 that rulemaking authority is supplemental to s. 59 390.012, F.S.; amending s. 39.001, F.S.; providing 60 legislative intent concerning adoption services for 61 women and minors with unwanted pregnancies; requiring 62 the Office of Adoption and Child Protection to create 63 and manage a statewide list of attorneys providing 64 volunteer adoption services for women and minors with 65 unwanted pregnancies who would have selected abortion, 66 if lawful, rather than adoption; providing that the 67 full amount of all federal moneys received by the 68 state as a result of efforts made by the office to 69 provide legal services for adoption are deposited, 70 directed, and budgeted for use by the office; 71 repealing ss. 390.011, 390.0111, 390.01114, 390.01116, 72 390.0112, 390.012, 390.014, 390.015, 390.018, and 73 390.025, F.S., relating to provisions regulating the 74 termination of pregnancies and definitions applying 75 thereto, the Parental Notice of Abortion Act, public 76 records exemptions for identifying information 77 regarding minors seeking a waiver of notice 78 requirements under such act, reporting requirements 79 for terminated pregnancies, the licensure and 80 operation of abortion clinics, the disposal of fetal 81 remains, the imposition of administrative fines for 82 violations by abortion clinics, and provisions 83 regulating abortion referral or counseling agencies 84 and prescribing penalties for violations by such 85 agencies; repealing ss. 782.30, 782.32, 782.34, and 86 782.36, F.S., relating to the Partial-Birth Abortion 87 Act; amending s. 27.511, F.S.; conforming language 88 relating to court-appointed counsel for minors under 89 the Parental Notice of Abortion Act to the repeal of 90 s. 390.01114, F.S.; amending ss. 627.64995, 627.6699, 91 627.66996, and 641.31099, F.S.; providing restrictions 92 on use of state and federal funds for state exchanges 93 that provide coverage for induced abortions and 94 terminations of pregnancies under certain conditions; 95 amending ss. 743.065 and 765.113, F.S.; conforming 96 cross-references; providing an effective date. 97 98 Be It Enacted by the Legislature of the State of Florida: 99 100 Section 1. This act may be cited as the “Unborn Viability 101 Act.” 102 Section 2. Section 390.0001, Florida Statutes, is created 103 to read: 104 390.0001 Legislative findings regarding abortion.— 105 (1) The Legislature acknowledges that all persons are 106 endowed by their Creator with certain unalienable rights, and 107 that first among these is their right to life. 108 (2) The Legislature finds that all human life comes from 109 the Creator, has an inherent value that cannot be quantified by 110 man, and begins at the earliest biological development of a 111 fertilized human egg. 112 (3) The Legislature finds that the United States 113 Constitution expresses no qualification for, or limitation on, 114 the protection of human life by laws passed by state 115 legislatures which regard human life as the most fundamental 116 gift from God and deserving of paramount importance among all 117 other unalienable rights expressed or implied in the United 118 States Constitution. 119 (4) The Legislature finds that personal liberty is not a 120 license to kill or otherwise destroy any form of human life 121 under any provision of the United States Constitution. 122 (5) The Legislature finds that once human life begins, 123 there is a compelling state interest in protecting its 124 development from that moment through birth. Any act of a person 125 detrimental to unborn human life, when not necessary in defense 126 of the life of a mother bearing such unborn human life, which 127 unnaturally terminates that unborn human life, is a deprivation 128 of that unborn human’s unalienable right to life. 129 (6) The Legislature finds that the establishment of 130 viability as the point at which the state may restrict 131 abortions, as well as the “undue burden” standard of Planned 132 Parenthood of Southern Pennsylvania v. Casey, 505 U.S. 833 133 (1992) is arbitrary and provides inadequate guidance for this 134 state to enact meaningful protections for unborn human life. 135 (7) The Legislature finds that the health exception 136 required of post-viability abortion regulations inadequately 137 protects the health of women and minors seeking post-viability 138 abortions and impedes the state’s protection of viable unborn 139 human life. 140 (8) The Legislature finds that the people of Florida seek 141 to protect all human life and prohibit unnecessary abortion 142 through the exercise of their right to self-government. 143 (9) The Legislature urges the United States Supreme Court 144 to overturn Roe v. Wade, 410 U.S. 113 (1973), and Planned 145 Parenthood of Southern Pennsylvania v. Casey, 505 U.S. 833 146 (1992). 147 Section 3. Section 390.01117, Florida Statutes, is created 148 to read: 149 390.01117 Definitions.—As used in this chapter, the term: 150 (1) “Abortion” means the termination of a human pregnancy 151 with an intention other than to produce a live birth or to 152 remove a fetus that has died of natural causes. 153 (2) “Abortion clinic” or “clinic” means any facility, 154 location, or structure in which abortions are performed. The 155 term does not include a hospital or other medical establishment 156 as defined in subsection (6). 157 (3) “Agency” means the Agency for Health Care 158 Administration. 159 (4) “Born alive” means the complete expulsion or extraction 160 from the mother of a human infant, at any stage of development, 161 who, after such expulsion or extraction, breathes or has a 162 beating heart or definite and voluntary movement of muscles, 163 regardless of whether the umbilical cord has been cut and 164 regardless of whether the expulsion or extraction occurs as a 165 result of natural or induced labor, caesarean section, induced 166 abortion, or another method. 167 (5) “Department” means the Department of Health. 168 (6) “Hospital” means a medical establishment as defined in 169 s. 395.002(12) and licensed under chapter 395 and part II of 170 chapter 408. 171 (7) “Human life” means a human person and is the biological 172 development of the species homo sapiens that begins when a human 173 egg is fertilized by a human sperm and continues to develop as a 174 living organism. For the purposes of this chapter, the terms 175 “human life” and “human person” may be used interchangeably. 176 (8) “Induced abortion” means a medically initiated 177 termination of a human pregnancy with the intent to kill a 178 living human organism, zygote, embryo, or fetus. For purposes of 179 this subsection, the term “medically initiated” refers to the 180 ingestion or administration of pharmaceutical abortifacients by 181 any means, surgical procedures, or use of any device or 182 instrument and any combination thereof. 183 (9) “Medical emergency” means a condition that, on the 184 basis of a physician’s good faith clinical judgment, so 185 complicates the medical condition of a patient as to necessitate 186 the immediate termination of her pregnancy to avert her death, 187 or for which a delay in the termination of her pregnancy will 188 create serious risk of substantial and irreversible impairment 189 of a major bodily function or unreasonably reduce the likelihood 190 of successful treatment of a life-threatening disease. 191 (10) “Patient” means the woman or minor upon whom an 192 abortion or termination of pregnancy is performed or induced. 193 (11) “Physician” means a physician licensed under chapter 194 458 or chapter 459 or a physician practicing medicine or 195 osteopathic medicine in the employment of the United States who 196 is attending to the patient. 197 (12) “Pregnancy” means the process by which one or more 198 human persons develop in a woman’s body. 199 (13) “Termination of pregnancy” means the termination of a 200 human pregnancy under circumstances not prohibited by this 201 section. 202 (14) “Viability” means that stage of fetal development 203 when, in the judgment of the physician, based on the particular 204 facts of the case before him or her and in light of the most 205 advanced medical technology and information available, there is 206 a reasonable probability of sustained survival of the unborn 207 human person outside his or her mother’s womb with or without 208 artificial support. 209 Section 4. Section 390.01118, Florida Statutes, is created 210 to read: 211 390.01118 Abortion unlawful beginning with 20th week of 212 pregnancy; termination of pregnancies.— 213 (1) TERMINATION AFTER VIABILITY PROHIBITED; EXCEPTION.—A 214 termination of pregnancy may not be performed on any human being 215 when it is determined, in accordance with a determination of 216 viability pursuant to subsection (2), that the fetus is viable 217 unless: 218 (a) Two physicians certify in writing to the fact that, to 219 a reasonable degree of medical certainty, the termination of 220 pregnancy is necessary to prevent the death of the patient; 221 (b) Two physicians certify in writing to the fact that, to 222 a reasonable degree of medical certainty, the termination of 223 pregnancy is necessary because to continue the pregnancy would 224 unreasonably reduce the likelihood of successful treatment of an 225 already life-threatening disease of the patient; or 226 (c) The attending physician certifies in writing that a 227 medical emergency existed as described in paragraph (a) or 228 paragraph (b) and another physician was not available for 229 consultation before the time necessary to perform the 230 termination of pregnancy. The physician’s written certification 231 must clearly describe the details of the medical emergency in 232 the patient’s medical records. 233 (2) DETERMINATION OF VIABILITY.—A termination of pregnancy 234 may not be induced or performed on any patient who is in the 235 20th week of pregnancy or later without first obtaining an 236 ultrasound from a physician to determine the stage of fetal 237 development. The physician shall estimate as accurately as 238 possible the stage of fetal development and shall indicate on 239 the patient’s medical records the gestational age, length, and 240 weight, and lung maturity of the fetus. The physician shall also 241 indicate on the patient’s medical records whether, within a 242 reasonable degree of medical probability, the fetus is viable. 243 Due to the potential of an inherent conflict of interest, the 244 performance of the ultrasound and the determination of viability 245 required under this subsection may not be performed by a 246 physician or other person who provides reproductive health 247 services at an abortion clinic. 248 (3) STANDARD OF MEDICAL CARE TO BE USED DURING VIABILITY.— 249 (a) A termination of pregnancy involving a viable fetus, 250 when not prohibited under subsection (1), must be performed in a 251 hospital or other medical establishment that is capable of 252 providing all necessary lifesaving or life-sustaining medical 253 services to the viable fetus. 254 (b) If a termination of pregnancy is performed while the 255 patient’s fetus is viable, the person who performs or induces 256 the termination of pregnancy may not fail to use that degree of 257 professional skill, care, and diligence to preserve the life and 258 health of the fetus which such person would be required to 259 exercise in order to preserve the life and health of any fetus 260 intended to be born alive. Notwithstanding this subsection, the 261 patient’s life is an overriding and superior consideration to 262 the concern for the life of the fetus, and the patient’s health 263 is an overriding and superior consideration to the concern for 264 the health of the fetus when such life or health concerns are in 265 conflict. For purposes of this subsection, health considerations 266 refer to medical judgment exercised in light of factors 267 exclusively described in subsection (1). Violation of this 268 subsection by a physician constitutes grounds for disciplinary 269 action under s. 458.331 or s. 459.015. 270 (c) Any physician who, once the matter of the viability or 271 nonviability of the fetus is determined within a reasonable 272 degree of medical probability, knowingly and willfully 273 misrepresents the gestational age or stage of fetal development 274 of a viable fetus in an entry into any medical record and who 275 fails to use the standard of care required under paragraph (b) 276 on any fetus determined to be viable commits a felony of the 277 first degree, punishable as provided in s. 775.082, s. 775.083, 278 or s. 775.084. 279 (4) PERFORMANCE BY PHYSICIAN REQUIRED.—A termination of 280 pregnancy may not, at any time, be performed by a person who is 281 not a physician. 282 (5) CONSENTS REQUIRED.—A termination of pregnancy may not 283 be performed or induced except with the voluntary and informed 284 written consent of the patient or, in the case of a mentally 285 incompetent patient, the voluntary and informed written consent 286 of her court-appointed guardian or, in the case of a minor 287 patient, notwithstanding s. 743.065, the voluntary and informed 288 consent of the minor’s parent or legal guardian. 289 (a) Except in the case of a medical emergency, consent to a 290 termination of pregnancy is voluntary and informed only if: 291 1. The physician who is to perform the procedure or the 292 referring physician has personally informed the patient, or the 293 court-appointed guardian if the patient is mentally incompetent 294 or a parent or legal guardian in the case of a minor patient, 295 of: 296 a. The nature and risks of undergoing or not undergoing the 297 proposed procedure that a reasonable patient similarly situated 298 may consider relevant to making an informed decision of whether 299 to terminate a pregnancy. 300 b. The probable gestational age of the fetus at the time 301 the termination of pregnancy is to be performed. 302 c. The medical risks to the patient and fetus of carrying 303 the pregnancy to term. 304 d. All other factors, including physical, emotional, 305 psychological, and familial factors relevant to the short-term 306 and long-term well-being of the patient, including the emotional 307 and psychological impact relating to the loss of human life 308 through voluntary termination of the pregnancy. 309 2. Printed materials prepared and provided by the 310 department have been provided to the patient, or the court 311 appointed guardian if the patient is mentally incompetent or a 312 parent or legal guardian in the case of a minor patient, 313 including: 314 a. An accurate estimate of the stage of biological 315 development, gestational age, length, weight, and viability of 316 the unborn human person. 317 b. A list of agencies that offer alternatives to 318 terminating the pregnancy. 319 c. Detailed information on the availability of medical 320 assistance benefits for prenatal care, childbirth, and neonatal 321 care. 322 3. The patient, or the court-appointed guardian if the 323 patient is mentally incompetent or a parent or legal guardian in 324 the case of a minor patient, has been given, in writing, the 325 address and telephone number of the Office of Adoption and Child 326 Protection within the Executive Office of the Governor and 327 informed of the existence of a statewide list of attorneys 328 available to provide volunteer legal services for adoption. 329 4. The person required to give consent under this 330 subsection acknowledges in writing, before the termination of 331 the pregnancy, that the information required to be provided 332 under this paragraph has been provided. 333 (b) In the event a medical emergency exists and a physician 334 cannot comply with the requirements for informed consent, the 335 attending physician may terminate a pregnancy if he or she has 336 obtained at least one corroborative physician’s written opinion 337 attesting to the medical necessity for emergency medical 338 procedures and to the fact that, to a reasonable degree of 339 medical certainty, the continuation of the pregnancy would 340 threaten the physical life of the patient. In the event that a 341 second physician is not available for a corroborating written 342 opinion before the time necessary to perform the termination of 343 pregnancy, the physician may proceed but must document all 344 reasons for the medical emergency and must clearly describe the 345 details of the medical emergency in the patient’s medical 346 records as described in paragraph (1)(c). 347 (c) Violation of this subsection by a physician constitutes 348 grounds for disciplinary action under s. 458.331 or s. 459.015. 349 Substantial compliance or reasonable belief that complying with 350 the requirements of informed consent would threaten the life of 351 the patient as described in paragraph (1)(a) or would 352 unreasonably reduce the successful treatment of an already life 353 threatening disease of the patient as described in paragraph 354 (1)(b) may be raised as a defense to any action brought under 355 this subsection. 356 (6) EXPERIMENTATION ON FETUS PROHIBITED; EXCEPTION.—A 357 person may not use any live fetus or live, premature infant for 358 any type of scientific, research, laboratory, or other kind of 359 experimentation before or after any termination of pregnancy 360 procedure except as necessary to protect or preserve the life 361 and health of such fetus or premature infant. Violation of this 362 subsection by a physician constitutes grounds for disciplinary 363 action under s. 458.331 or s. 459.015. 364 (7) FETAL REMAINS.—Fetal remains shall be disposed of in a 365 sanitary and appropriate manner and in accordance with standard 366 health practices as provided by rule of the department. A person 367 who fails to dispose of fetal remains in accordance with 368 department rules commits a felony of the third degree, 369 punishable as provided in s. 775.082, s. 775.083, or s. 775.084. 370 (8) REFUSAL TO PARTICIPATE IN TERMINATION PROCEDURE.—This 371 section does not require any hospital or other medical 372 establishment or person to participate in the termination of a 373 pregnancy and any hospital or other medical establishment or 374 person is not liable for such refusal. A person who is a member 375 of or associated with the staff of a hospital or other medical 376 establishment, or any employee of a hospital or other medical 377 establishment or physician in which or by whom the termination 378 of a pregnancy is authorized or performed, who states an 379 objection to such procedure may not be required to participate 380 in the procedure which will result in the termination of 381 pregnancy. The refusal of any such person or employee to 382 participate does not form the basis for any disciplinary or 383 other recriminatory action against such person. 384 (9) EXCLUSION FROM APPLICABILITY.—This section does not 385 apply to the performance of a procedure that terminates a 386 pregnancy in order to deliver a live child or to remove a dead 387 fetus, whose demise was not the product of a termination of 388 pregnancy or an abortion, from the patient’s body. 389 (10) PENALTIES FOR VIOLATION.— 390 (a) Any person who willfully induces, performs, or assists 391 in a termination of pregnancy procedure on another person in 392 violation of the requirements of subsection (2), paragraph 393 (3)(a), or subsection (4) commits a felony of the second degree, 394 punishable as provided in s. 775.082, s. 775.083, or s. 775.084. 395 (b) Any person who willfully induces, performs, or assists 396 in a termination of pregnancy procedure on another person in 397 violation of subsection (1) commits a felony of the first 398 degree, punishable as provided in s. 775.082, s. 775.083, or s. 399 775.084. 400 (c) Any person who willfully induces, performs, or assists 401 in a termination of pregnancy procedure on another person in 402 violation of subsection (1) which results in serious bodily 403 injury to the person commits a felony of the first degree, 404 punishable by imprisonment for a term of years not exceeding 405 life as provided in s. 775.082, s. 775.083, or s. 775.084. 406 (d) Any person who induces, performs, or assists in a 407 termination of pregnancy procedure on another person in 408 violation of this section which results in the death of the 409 person commits a life felony, punishable as provided in s. 410 775.082, s. 775.083, or s. 775.084. 411 (11) ADOPTION ALTERNATIVE INFORMATION.—Any physician or 412 authorized personnel of a medical facility who learns that a 413 patient wishes to obtain an induced abortion, or that a patient 414 has had a termination of pregnancy where the fetus survived, 415 shall provide that patient with information concerning the 416 availability of adoption for her unwanted child. Compliance with 417 this subsection may be accomplished by providing the patient or, 418 in the case of a mentally incompetent patient, her court 419 appointed guardian or, in the case of a minor patient, the 420 minor’s parent or legal guardian with the address and telephone 421 number of the Office of Adoption and Child Protection within the 422 Executive Office of the Governor and inform the patient or, in 423 the case of a mentally incompetent patient, her court-appointed 424 guardian or, in the case of a minor patient, the minor’s parent 425 or legal guardian of the existence of a statewide list of 426 attorneys available to provide volunteer legal services for 427 adoption. 428 (12) RULEMAKING AUTHORITY.— 429 (a) Except for subsection (7), the agency may adopt rules 430 pursuant to ss. 120.536(1) and 120.54 to implement this section. 431 These rules shall be for the purpose of protecting the health 432 and safety of pregnant women and minors and unborn human 433 persons. These rules are also for the purpose of securing 434 compliance with the requirements of this section and to 435 facilitate the enforcement of sanctions for those violations to 436 which administrative penalties apply. 437 (b) The department may adopt rules pursuant to ss. 438 120.536(1) and 120.54 to implement subsection (7). 439 (c) The rulemaking authority granted in this subsection is 440 supplemental to the rulemaking authority provided in s. 390.012. 441 Section 5. Subsection (7) of section 39.001, Florida 442 Statutes, is amended, and paragraph (d) is added to subsection 443 (8) of that section, to read: 444 39.001 Purposes and intent; personnel standards and 445 screening.— 446 (7) LEGISLATIVE INTENT FOR THE PREVENTION OF ABUSE, 447 ABANDONMENT, AND NEGLECT OF CHILDREN; ADOPTION SERVICES FOR 448 WOMEN AND MINORS WITH UNWANTED PREGNANCIES.—The incidence of 449 known child abuse, abandonment, and neglect has increased 450 rapidly in recentover the past 5years. The impact that abuse, 451 abandonment, or neglect has on the victimized child, siblings, 452 family structure, and inevitably on all citizens of the state 453 has caused the Legislature to determine that the prevention of 454 child abuse, abandonment, and neglect shall be a priority of 455 this state. In addition, to provide assistance for women and 456 minors with unwanted pregnancies who would have selected 457 abortion, if lawful in this state, rather than adoption as an 458 alternative for their unborn children, the Legislature has 459 determined to offer such women and minors information regarding 460 volunteer legal services to accomplish an appropriate adoptive 461 placement for their newborn children.To further this end,It is 462 the intent of the Legislature that theanOffice of Adoption and 463 Child Protection be maintained to accomplish these purposes 464established. 465 (8) OFFICE OF ADOPTION AND CHILD PROTECTION.— 466 (d) In connection with the provision of volunteer legal 467 services for women and minors with unwanted pregnancies who 468 would have selected abortion, if lawful in this state, rather 469 than adoption, the office shall: 470 1. Create and manage a statewide list of attorneys that 471 provide volunteer adoption services for such women and minors. 472 2. Have deposited, directed, and budgeted in the full 473 amount for its use, in addition to funds that would have or are 474 otherwise budgeted for it, all moneys received by or otherwise 475 awarded to the state from the Federal Government, the United 476 States Treasury, or any other federal agency as a result of 477 efforts made by the office to provide legal services for 478 adoption. 479 Section 6. Sections 390.011, 390.0111, 390.01114, 480 390.01116, 390.0112, 390.012, 390.014, 390.015, 390.018, 481 390.025, 782.30, 782.32, 782.34, and 782.36, Florida Statutes, 482 are repealed. 483 Section 7. Paragraph (a) of subsection (6) of section 484 27.511, Florida Statutes, is amended to read: 485 27.511 Offices of criminal conflict and civil regional 486 counsel; legislative intent; qualifications; appointment; 487 duties.— 488 (6)(a) The office of criminal conflict and civil regional 489 counsel has primary responsibility for representing persons 490 entitled to court-appointed counsel under the Federal or State 491 Constitution or as authorized by general law in civil 492 proceedings, including, but not limited to, proceedings under s. 493 393.12 and chapters 39, 392, 397, 415, 743, 744, and 984 and 494 proceedings to terminate parental rights under chapter 63. 495Private court-appointed counsel eligible under s. 27.40 have496primary responsibility for representing minors who request497counsel under s. 390.01114, the Parental Notice of Abortion Act;498however, the office of criminal conflict and civil regional499counsel may represent a minor under that section if the court500finds that no private court-appointed attorney is available.501 Section 8. Subsection (1) of section 627.64995, Florida 502 Statutes, is amended to read: 503 627.64995 Restrictions on use of state and federal funds 504 for state exchanges.— 505 (1) A health insurance policy under which coverage is 506 purchased in whole or in part with any state or federal funds 507 through an exchange created pursuant to the federal Patient 508 Protection and Affordable Care Act, Pub. L. No. 111-148, may not 509 provide coverage for an induced abortion as defined in s. 510 390.01117 and prohibited under s. 390.01118 or for a termination 511 of pregnancy in violation of s. 390.01118(3)s. 390.011(1),512except if the pregnancy is the result of an act of rape or513incest, or in the case where a woman suffers from a physical514disorder, physical injury, or physical illness, including a515life-endangering physical condition caused by or arising from516the pregnancy itself, which would, as certified by a physician,517place the woman in danger of death unless an abortion is518performed. Coverage is deemed to be purchased with state or 519 federal funds if any tax credit or cost-sharing credit is 520 applied toward the health insurance policy. 521 Section 9. Paragraph (a) of subsection (17) of section 522 627.6699, Florida Statutes, is amended to read: 523 627.6699 Employee Health Care Access Act.— 524 (17) RESTRICTIONS ON COVERAGE.— 525 (a) A plan under which coverage is purchased in whole or in 526 part with any state or federal funds through an exchange created 527 pursuant to the federal Patient Protection and Affordable Care 528 Act, Pub. L. No. 111-148, may not provide coverage for an 529 induced abortion,as defined in s. 390.01117 and prohibited 530 under s. 390.01118 or for a termination of pregnancy in 531 violation of s. 390.01118(3)s. 390.011(1), except if the532pregnancy is the result of an act of rape or incest, or in the533case where a woman suffers from a physical disorder, physical534injury, or physical illness, including a life-endangering535physical condition caused by or arising from the pregnancy536itself, which would, as certified by a physician, place the537woman in danger of death unless an abortion is performed. 538 Coverage is deemed to be purchased with state or federal funds 539 if any tax credit or cost-sharing credit is applied toward the 540 plan. 541 Section 10. Subsection (1) of section 627.66996, Florida 542 Statutes, is amended to read: 543 627.66996 Restrictions on use of state and federal funds 544 for state exchanges.— 545 (1) A group, franchise, or blanket health insurance policy 546 under which coverage is purchased in whole or in part with any 547 state or federal funds through an exchange created pursuant to 548 the federal Patient Protection and Affordable Care Act, Pub. L. 549 No. 111-148, may not provide coverage for an induced abortion as 550 defined in s. 390.01117 and prohibited under s. 390.01118 or for 551 a termination of pregnancy in violation of s. 390.01118(3)s.552390.011(1), except if the pregnancy is the result of an act of553rape or incest, or in the case where a woman suffers from a554physical disorder, physical injury, or physical illness,555including a life-endangering physical condition caused by or556arising from the pregnancy itself, which would, as certified by557a physician, place the woman in danger of death unless an558abortion is performed. Coverage is deemed to be purchased with 559 state or federal funds if any tax credit or cost-sharing credit 560 is applied toward the group, franchise, or blanket health 561 insurance policy. 562 Section 11. Subsection (1) of section 641.31099, Florida 563 Statutes, is amended to read: 564 641.31099 Restrictions on use of state and federal funds 565 for state exchanges.— 566 (1) A health maintenance contract under which coverage is 567 purchased in whole or in part with any state or federal funds 568 through an exchange created pursuant to the federal Patient 569 Protection and Affordable Care Act, Pub. L. No. 111-148, may not 570 provide coverage for an induced abortion as defined in s. 571 390.01117 and prohibited under s. 390.01118 or for a termination 572 of pregnancy in violation of s. 390.01118(3)s. 390.011(1),573except if the pregnancy is the result of an act of rape or574incest, or in the case where a woman suffers from a physical575disorder, physical injury, or physical illness, including a576life-endangering physical condition caused by or arising from577the pregnancy itself, which would, as certified by a physician,578place the woman in danger of death unless an abortion is579performed. Coverage is deemed to be purchased with state or 580 federal funds if any tax credit or cost-sharing credit is 581 applied toward the health maintenance contract. 582 Section 12. Subsection (3) of section 743.065, Florida 583 Statutes, is amended to read: 584 743.065 Unwed pregnant minor or minor mother; consent to 585 medical services for minor or minor’s child valid.— 586(3) Nothing in this act shall affect the provisions of s.587390.0111.588 Section 13. Subsection (2) of section 765.113, Florida 589 Statutes, is amended to read: 590 765.113 Restrictions on providing consent.—Unless the 591 principal expressly delegates such authority to the surrogate in 592 writing, or a surrogate or proxy has sought and received court 593 approval pursuant to rule 5.900 of the Florida Probate Rules, a 594 surrogate or proxy may not provide consent for: 595 (2) Withholding or withdrawing life-prolonging procedures 596 from a pregnant patient beforeprior toviability as defined in 597 s. 390.01117s. 390.0111(4). 598 Section 14. This act shall take effect July 1, 2014.