Bill Text: NY A08077 | 2019-2020 | General Assembly | Introduced


Bill Title: Enacts the "life appropriation act" prohibiting state funding for abortions and related costs; regulates abortions and prohibits dismemberment abortions.

Spectrum: Partisan Bill (Republican 1-0)

Status: (Introduced - Dead) 2020-07-13 - held for consideration in health [A08077 Detail]

Download: New_York-2019-A08077-Introduced.html



                STATE OF NEW YORK
        ________________________________________________________________________

                                          8077

                               2019-2020 Regular Sessions

                   IN ASSEMBLY

                                      May 31, 2019
                                       ___________

        Introduced by M. of A. DiPIETRO -- read once and referred to the Commit-
          tee on Health

        AN ACT to amend the state finance law, in relation to enacting the "life
          appropriation act"; to amend the public health law, in relation to the
          regulation  of  abortions and prohibiting dismemberment abortions; and
          to repeal certain provisions of the public health law relating thereto

          The People of the State of New York, represented in Senate and  Assem-
        bly, do enact as follows:

     1    Section  1.  This  act  shall  be  known and may be cited as the "life
     2  appropriation act".
     3    § 2. The Legislature finds that:
     4    1. The state of New York facilitates the disbursement  of  both  state
     5  and  federal  funds  to  qualifying  entities for purposes of conducting
     6  certain activities.
     7    2. Public dollars awarded to qualifying  entities  may  facilitate  or
     8  subsidize  directly  or  indirectly  expenses or activities not directly
     9  related to those for which the funds were  intended,  including  without
    10  limitation  shared  administrative  costs,  overhead, employee salaries,
    11  rent, utilities and various other expenses.
    12    3. It is possible that public dollars made available by or through the
    13  state of New York may be awarded to an entity that performs  convenience
    14  abortions or subsidizes or otherwise facilitates the entity's ability to
    15  perform  convenience  abortions  although  the  funds were not disbursed
    16  specifically for the purpose of performing convenience abortions.
    17    4. As elected representatives of the people of New York,  the  members
    18  of  the  legislature  are  entrusted  with  ensuring that all activities
    19  conducted with the aid of public funds are in accordance with the wishes
    20  of the people of New York and the intent of the laws of this state.
    21    5. It is within the purview of the legislature to  establish  criteria
    22  as  the  basis  on which public funds are disbursed unless prohibited by
    23  the United States Constitution.

         EXPLANATION--Matter in italics (underscored) is new; matter in brackets
                              [ ] is old law to be omitted.
                                                                   LBD09942-02-9

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     1    6. The United States is a constitutional republic that  the  state  of
     2  New York is part of.
     3    7.  The  United  States  Constitution preempts state action, when they
     4  conflict under the doctrine of preemption.
     5    8. The Establishment Clause of  the  First  Amendment  of  the  United
     6  States  Constitution  states,  "Congress shall make no law respecting an
     7  establishment of religion".
     8    9. The Establishment Clause of  the  First  Amendment  of  the  United
     9  States  Constitution  applies to the state of New York through the Four-
    10  teenth Amendment of the United States Constitution.
    11    10. As elected representatives, the members of the legislature have  a
    12  duty under Article IV of the United States Constitution to not appropri-
    13  ate  funds  in  a  manner  that violates the Establishment Clause of the
    14  United States Constitution.
    15    11. The United States Supreme Court has recognized that Secular Human-
    16  ism is a religion for purposes of the Establishment Clause in Torcaso v.
    17  Watkins, 367 U.S. 488 (1961),  Edwards  v.    Aguillard,  482  U.S.  578
    18  (1987), and elsewhere.
    19    12. The naked assertions that "abortion is not murder," "that abortion
    20  is not immoral" and that "life does not begin at conception" are unprov-
    21  en faith-based assumptions that are implicitly religious and are unprov-
    22  en  truth  claims that are inseparably linked to the religion of Secular
    23  Humanism.
    24    13. Whereas, many taxpayers, who are non-observers to the religion  of
    25  Secular  Humanism,  object  to  their  tax dollars being spent to enable
    26  convenience abortions because such appropriations coercively cause  them
    27  to  violate  their conscience by forcing them to indirectly endorse non-
    28  secular acts that they consider to be immoral and offensive.
    29    14. Whereas, some taxpayers in New York consider convenience abortions
    30  to be modern day child sacrifice conducted on the altar of  convenience,
    31  which is a practice that is non-secular and controversial.
    32    15.  Whereas, the Establishment Clause prohibits the state of New York
    33  from enforcing, respecting, recognizing, favoring or endorsing  policies
    34  that fund abortion facilities with tax dollars because the practices are
    35  non-secular  and  such  appropriations  have  the  effect of excessively
    36  entangling the government with the religion of Secular Humanism, putting
    37  religion over non-religion.
    38    16. The direct or indirect subsidization or facilitation  of  abortion
    39  with  funds  distributed by the state of New York constitutes paying for
    40  an abortion and, therefore, conflicts with the  First  Amendment  Estab-
    41  lishment Clause of the United States Constitution.
    42    17.  The  state of New York may not favor or endorse one religion over
    43  another, nor may the state of New York favor or endorse the religion  of
    44  Secular Humanism generally over non-religion.
    45    18. It is the policy of the state of New York to:
    46    a.  favor  childbirth and family planning services that do not include
    47  convenience abortions or the promotion of convenience  abortions  within
    48  the continuum of care or services; and
    49    b.  avoid  the  direct  or  indirect  use of state funds to promote or
    50  support convenience abortions.
    51    19. The state of New York has a compelling interest to uphold communi-
    52  ty standards of decency.
    53    20. Abortion facilities that provide  convenience  abortions  tend  to
    54  erode community standards of decency.
    55    §  3.  The  state finance law is amended by adding a new article 17 to
    56  read as follows:

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     1                                 ARTICLE 17
     2                           LIFE APPROPRIATION ACT
     3  Section 250. Definitions.
     4          251. Prohibition  on  appropriations  for the direct or indirect
     5                 costs of abortion.
     6          252. Hospital and Medicaid funding.
     7          253. Effect of article.
     8    § 250. Definitions. As used in this article the following terms  shall
     9  have the following meanings:
    10    1.  "Convenience  abortion" is an elective abortion that means the act
    11  of using or prescribing an instrument, medicine, drug, device or another
    12  substance or means with the intent to terminate the clinically diagnosa-
    13  ble pregnancy of a woman with knowledge that the  termination  by  those
    14  means  will  with  reasonable  likelihood  cause the death of the unborn
    15  child. An act is not a convenience abortion if the act is performed with
    16  the intent to:
    17    a. save the life of the mother,
    18    b. save the life or preserve the health of the unborn child,
    19    c. remove a dead unborn child caused by spontaneous abortion,
    20    d. remove an ectopic pregnancy, or
    21    e. abort and remove an unborn child that is  the  result  of  rape  or
    22  incest.
    23    2.  "Abortion referral" means the act of recommending a pregnant woman
    24  to a doctor, clinic or other person or entity for the purpose of obtain-
    25  ing or learning about obtaining a convenience abortion.
    26    3. "Affiliate" means an individual or entity that, directly  or  indi-
    27  rectly,  owns, controls, is controlled by or is under the common control
    28  of another person or entity, in whole  or  in  part,  or  a  subsidiary,
    29  parent or sibling entity.
    30    4.  "Pregnancy"  means  the female reproductive condition of having an
    31  unborn child in the woman's uterus.
    32    5. "Unborn child" means the offspring of human beings from  fertiliza-
    33  tion until birth.
    34    §  251. Prohibition on appropriations for the direct or indirect costs
    35  of abortion. 1. In view of the First Amendment Establishment  Clause  of
    36  the  United  States  Constitution,  an  agency or instrumentality of the
    37  state shall not award a grant to pay the direct  or  indirect  costs  of
    38  performing,  inducing,  referring  or  counseling in favor of abortions,
    39  including without limitation:
    40    a. administrative costs and expenses;
    41    b. overhead costs;
    42    c. employee salaries;
    43    d. rent and mortgage payments; and
    44    e. telephone and other utility payments.
    45    2. In view of the First Amendment Establishment Clause of  the  United
    46  States Constitution, an agency or instrumentality of the state shall not
    47  grant,  appropriate  or  distribute  a  grant to an individual or entity
    48  that:
    49    a. performs  convenience  abortions,  induces  convenience  abortions,
    50  provides  convenience abortion referrals or counsels in favor of conven-
    51  ience abortions; or
    52    b. is an affiliate of a person  or  entity  that  performs  abortions,
    53  induces  abortions,  provides abortion referrals or counsels in favor of
    54  convenience abortions.
    55    § 252. Hospital and Medicaid funding. 1. This article does not  affect
    56  the funding of a hospital, medical school or university.

        A. 8077                             4

     1    2.  The restrictions under this article do not apply to funding avail-
     2  able through the state's plan for  medical  assistance  as  required  by
     3  title XIX of the federal Social Security Act.
     4    §  253.  Effect  of article. 1. This article does not create or recog-
     5  nize:
     6    a. a right to an abortion; or
     7    b. a right to public funds, a contract or a grant.
     8    2. This article recognizes:
     9    a. The members of the legislature have  a  duty  to  comply  with  the
    10  Establishment Clause of the First Amendment of the United States Consti-
    11  tution pursuant to Article VI;
    12    b.  That convenience abortions are, by their nature, non-secular prac-
    13  tices that are implicitly religious and inseparably linked to the  reli-
    14  gion of Secular Humanism;
    15    c.  That the state of New York is prohibited under the First Amendment
    16  Establishment Clause from funding  or  promoting  convenience  abortions
    17  directly   or  indirectly  because  such  appropriations  constitute  an
    18  endorsement of the religion of Secular Humanism and have the  effect  of
    19  excessively  entangling  the  government  with  the  religion of Secular
    20  Humanism;
    21    d. That the United States Supreme  Court  and  this  legislature  have
    22  recognized  that  Secular Humanism is a religion for the purposes of the
    23  Establishment Clause and convenience abortions are non-secular practices
    24  that are inseparably linked to the religion of Secular Humanism;
    25    e. That it is the policy of the state of New York to favor  childbirth
    26  and  family  planning services that do not include convenience abortions
    27  or the promotion of convenience abortions within the continuum  of  care
    28  or  services  and  to avoid the direct or indirect use of state funds to
    29  promote or support convenience abortions;
    30    f. That the state of New York has  a  compelling  interest  to  uphold
    31  community standards of decency; and
    32    g.  That  facilities  that provide convenience abortions tend to erode
    33  community standards of decency by encouraging promiscuity and  normaliz-
    34  ing false permission-giving beliefs about sex.
    35    §  4. Title 5-A of article 41 of the public health law is REPEALED and
    36  a new title 5-A is added to read as follows:
    37                                   TITLE V-A
    38                           REGULATION OF ABORTIONS
    39  Section 4164. Regulation of abortions.
    40          4164-a. Medical consultation and judgment.
    41          4164-b. Dismemberment abortion ban.
    42    § 4164. Regulation of abortions. 1.  Except in the case of  a  medical
    43  emergency  which,  in  the  reasonable medical judgment of the physician
    44  performing the abortion, prevents compliance with a particular  require-
    45  ment  of  this section, no abortion shall be performed upon a woman when
    46  the gestational age of the unborn child is twenty or more  weeks  unless
    47  each of the following conditions is met:
    48    (a)  The  physician performing the abortion certifies in writing that,
    49  based upon his medical examination of the pregnant woman and his medical
    50  judgment, the abortion is necessary to prevent either the death  of  the
    51  pregnant woman or the substantial and irreversible impairment of a major
    52  bodily function of the woman.
    53    (b)  Such  physician's  judgment with respect to the necessity for the
    54  abortion has been concurred in  by  one  other  licensed  physician  who
    55  certifies  in  writing  that,  based  upon  his or her separate personal
    56  medical examination of the pregnant woman and his or her  medical  judg-

        A. 8077                             5

     1  ment, the abortion is necessary to prevent either the death of the preg-
     2  nant  woman  or  the  substantial and irreversible impairment of a major
     3  bodily function of the woman.
     4    (c) The abortion is performed in a hospital.
     5    (d)  The physician terminates the pregnancy in a manner which provides
     6  the best opportunity for the unborn child to survive, unless the  physi-
     7  cian  determines, in his or her good faith medical judgment, that termi-
     8  nation of the pregnancy in that manner  poses  a  significantly  greater
     9  risk  either  of  the death of the pregnant woman or the substantial and
    10  irreversible impairment of a major bodily function  of  the  woman  than
    11  would other available methods.
    12    (e) The physician performing the abortion arranges for the attendance,
    13  in  the  same room in which the abortion is to be completed, of a second
    14  physician who shall take control of the child immediately after complete
    15  extraction from the mother and shall provide immediate medical care  for
    16  the child, taking all reasonable steps necessary to preserve the child's
    17  life and health.
    18    2.  It  shall  not  be  a violation of this section if the abortion is
    19  performed by a physician and that physician reasonably  believes,  after
    20  making  a  determination of the gestational age of the unborn child that
    21  the unborn child is less than twenty weeks gestational age.
    22    § 4164-a. Medical consultation and judgment. Except in a medical emer-
    23  gency where there is insufficient time before the abortion is performed,
    24  the woman upon whom the  abortion  is  to  be  performed  shall  have  a
    25  private, in-person medical consultation either with the physician who is
    26  to  perform  the abortion or with the referring physician. The consulta-
    27  tion will be in a place, at a time and of a duration  reasonably  suffi-
    28  cient  to enable the physician to determine whether, based on his or her
    29  best clinical judgment, the abortion is necessary.
    30    § 4164-b. Dismemberment abortion  ban.    1.  An  individual  may  not
    31  perform  or  attempt  to  perform  a dismemberment abortion upon another
    32  individual when the gestational age of the unborn  child  is  twenty  or
    33  more weeks unless all of the following apply:
    34    (a)  The individual performing or attempting to perform the dismember-
    35  ment abortion is a physician and certifies in writing that,  based  upon
    36  the physician's medical examination of the pregnant woman and the physi-
    37  cian's medical judgment, the abortion is necessary to prevent either the
    38  death  of the pregnant woman or the substantial and irreversible impair-
    39  ment of a major bodily function of the woman.
    40    (b) Such physician's judgment with respect to the  necessity  for  the
    41  abortion  has  been  concurred  in  by  one other licensed physician who
    42  certifies in writing that, based  upon  his  or  her  separate  personal
    43  medical  examination  of the pregnant woman and his or her medical judg-
    44  ment, the abortion is necessary to prevent either the death of the preg-
    45  nant woman or the substantial and irreversible  impairment  of  a  major
    46  bodily function of the woman.
    47    (c) The abortion is performed in a hospital.
    48    (d)  The physician terminates the pregnancy in a manner which provides
    49  the best opportunity for the unborn child to survive, unless the  physi-
    50  cian  determines, in his or her good faith medical judgment, that termi-
    51  nation of the pregnancy in that manner  poses  a  significantly  greater
    52  risk  either  of  the death of the pregnant woman or the substantial and
    53  irreversible impairment of a major bodily function  of  the  woman  than
    54  would other available methods.
    55    (e) The physician performing the abortion arranges for the attendance,
    56  in  the  same room in which the abortion is to be completed, of a second

        A. 8077                             6

     1  physician who shall take control of the child immediately after complete
     2  extraction from the mother and shall provide immediate medical care  for
     3  the child, taking all reasonable steps necessary to preserve the child's
     4  life and health.
     5    2.  Prohibition before twenty weeks of gestational age.  An individual
     6  may not perform or attempt to  perform  a  dismemberment  abortion  upon
     7  another  individual when the gestational age of the unborn child is less
     8  than twenty weeks unless both of the following apply:
     9    (a) The individual performing or attempting to perform the  dismember-
    10  ment  abortion  is a physician and certifies in writing that, based upon
    11  the physician's medical examination of the pregnant woman and the physi-
    12  cian's medical judgment, the abortion is necessary to prevent either the
    13  death of the pregnant woman or the substantial and irreversible  impair-
    14  ment of a major bodily function of the woman.
    15    (b)  The  physician's  judgment  with respect to the necessity for the
    16  abortion has been concurred in  by  one  other  licensed  physician  who
    17  certifies  in  writing  that,  based  upon  his or her separate personal
    18  medical examination of the pregnant woman and his or her  medical  judg-
    19  ment, the abortion is necessary to prevent either the death of the preg-
    20  nant  woman  or  the  substantial and irreversible impairment of a major
    21  bodily function of the woman.
    22    3. Definition.  Dismemberment abortion shall mean the act of knowingly
    23  and purposefully causing the death  of  an  unborn  child  by  means  of
    24  dismembering  the unborn child and extracting the unborn child one piece
    25  at a time from the uterus through the use of clamps,  grasping  forceps,
    26  tongs,  scissors  or  similar  instruments. The term does not include an
    27  abortion which is exclusively performed through suction curettage.
    28    4. Liability. The  following  individuals  shall  not  be  liable  for
    29  performing or attempting to perform a dismemberment abortion:
    30    (a)  The  female  patient  upon  whom  the  dismemberment  abortion is
    31  performed or attempted to be performed.
    32    (b) A nurse, technician, secretary or receptionist who is not a physi-
    33  cian but is acting at the direction of a physician.
    34    (c) A pharmacist or other  individual  who  fills  a  prescription  or
    35  provides  instruments  or  materials used in a dismemberment abortion at
    36  the direction of or to a physician.
    37    5. Penalty. Any individual who violates this section is  guilty  of  a
    38  class D felony.
    39    §  5.  The public health law is amended by adding a new section 4160-b
    40  to read as follows:
    41    § 4160-b. Abortion reporting. For the purpose of promotion of maternal
    42  health and life by adding to the sum of medical and public health  know-
    43  ledge  through  the  compilation  of  relevant  data, and to promote the
    44  state's interest in protection of the unborn child,  a  report  of  each
    45  abortion  performed  shall be made to the department on forms prescribed
    46  by it. The report forms shall not identify  the  individual  patient  by
    47  name and shall include the following information:
    48    1.  identification  of  the  physician who performed the abortion, the
    49  concurring physician,  the  second  physician  as  required  by  section
    50  forty-one  hundred sixty-four of this article and the facility where the
    51  abortion was  performed  and  of  the  referring  physician,  agency  or
    52  service, if any;
    53    2. the county and state in which the woman resides;
    54    3. the woman's age;
    55    4. the number of prior pregnancies and prior abortions of the woman;

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     1    5.  the  gestational  age  of  the  unborn  child  at  the time of the
     2  abortion;
     3    6.  the  type of procedure performed or prescribed and the date of the
     4  abortion;
     5    7. pre-existing medical conditions of the woman which would complicate
     6  pregnancy, if  any,  and,  if  known,  any  medical  complication  which
     7  resulted from the abortion itself;
     8    8.  the  basis for the medical judgment of the physician who performed
     9  the abortion that the abortion was necessary to prevent either the death
    10  of the pregnant woman or the substantial and irreversible impairment  of
    11  a major bodily function of the woman;
    12    9. the weight of the aborted child; and
    13    10.  the  basis  for  any  medical  judgment  that a medical emergency
    14  existed which excused the physician from compliance with  any  provision
    15  of this section.
    16    §  6. This act shall take effect on the first of January next succeed-
    17  ing the date on which it shall have become a law.
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