S T A T E O F N E W Y O R K ________________________________________________________________________ 178 2015-2016 Regular Sessions I N S E N A T E (PREFILED) January 7, 2015 ___________ Introduced by Sen. DIAZ -- read twice and ordered printed, and when printed to be committed to the Committee on Health AN ACT to amend the public health law, in relation to enacting the woman's right to know act; to repeal title 3 of article 25 of such law relating to the control of midwifery; and providing for the repeal of certain provisions upon expiration thereof THE PEOPLE OF THE STATE OF NEW YORK, REPRESENTED IN SENATE AND ASSEM- BLY, DO ENACT AS FOLLOWS: 1 Section 1. Title III of article 25 of the public health law is 2 REPEALED and a new title III is added to read as follows: 3 TITLE III 4 WOMAN'S RIGHT TO KNOW ACT 5 SECTION 2560. SHORT TITLE. 6 2560-A. LEGISLATIVE FINDINGS AND PURPOSES. 7 2560-B. DEFINITIONS. 8 2560-C. INFORMED CONSENT REQUIREMENT. 9 2560-D. PUBLICATION OF MATERIALS. 10 2560-E. ULTRASOUND. 11 2560-F. INTERNET WEBSITE. 12 2560-G. ABORTION PROVIDER WEBSITE. 13 2560-H. EMERGENCY. 14 2560-I. REPORTING REQUIREMENTS. 15 2560-J. CRIMINAL PENALTIES. 16 2560-K. CIVIL PENALTIES. 17 2560-L. LIMITATION ON CIVIL LIABILITY. 18 2560-M. SEVERABILITY. 19 2560-N. CONSTRUCTION. 20 S 2560. SHORT TITLE. THIS TITLE SHALL BE KNOWN AND MAY BE CITED AS THE 21 "WOMAN'S RIGHT TO KNOW ACT". EXPLANATION--Matter in ITALICS (underscored) is new; matter in brackets [ ] is old law to be omitted. LBD01696-01-5 S. 178 2 1 S 2560-A. LEGISLATIVE FINDINGS AND PURPOSES. 1. THE LEGISLATURE FINDS 2 THAT: 3 (A) IT IS ESSENTIAL TO THE PSYCHOLOGICAL AND PHYSICAL WELL-BEING OF A 4 WOMAN CONSIDERING AN ABORTION THAT SHE RECEIVE COMPLETE AND ACCURATE 5 INFORMATION ON HER ALTERNATIVES. 6 (B) THE KNOWLEDGEABLE EXERCISE OF A WOMAN'S DECISION TO HAVE AN 7 ABORTION DEPENDS ON THE EXTENT TO WHICH THE WOMAN RECEIVES SUFFICIENT 8 INFORMATION TO MAKE AN INFORMED CHOICE BETWEEN TWO ALTERNATIVES: GIVING 9 BIRTH OR HAVING AN ABORTION. 10 (C) OVER EIGHTY PERCENT OF ALL ABORTIONS ARE PERFORMED IN CLINICS 11 DEVOTED SOLELY TO PROVIDING ABORTIONS AND FAMILY PLANNING SERVICES. MOST 12 WOMEN WHO SEEK ABORTIONS AT THESE FACILITIES DO NOT HAVE ANY RELATION- 13 SHIP WITH THE PHYSICIAN WHO PERFORMS THE ABORTION, BEFORE OR AFTER THE 14 PROCEDURE. THEY DO NOT RETURN TO THE FACILITY FOR POST-SURGICAL CARE. IN 15 MOST INSTANCES, THE WOMAN'S ONLY ACTUAL CONTACT WITH THE PHYSICIAN 16 OCCURS SIMULTANEOUSLY WITH THE ABORTION PROCEDURE, WITH LITTLE OPPORTU- 17 NITY TO RECEIVE COUNSELING CONCERNING HER DECISION. 18 (D) THE DECISION TO ABORT IS AN IMPORTANT AND OFTEN A STRESSFUL ONE, 19 AND IT IS DESIRABLE AND IMPERATIVE THAT IT BE MADE WITH FULL KNOWLEDGE 20 OF ITS NATURE AND CONSEQUENCES. 21 (E) THE MEDICAL, EMOTIONAL AND PSYCHOLOGICAL CONSEQUENCES OF AN 22 ABORTION ARE SERIOUS AND CAN BE LASTING. 23 (F) ABORTION FACILITIES OR PROVIDERS OFFER ONLY LIMITED AND/OR IMPER- 24 SONAL COUNSELING OPPORTUNITIES. 25 (G) MANY ABORTION FACILITIES OR PROVIDERS HIRE UNTRAINED AND UNPROFES- 26 SIONAL "COUNSELORS" WHOSE PRIMARY GOAL IS TO SELL ABORTION SERVICES. 27 2. BASED ON THE FINDINGS IN SUBDIVISION ONE OF THIS SECTION, IT IS THE 28 PURPOSE OF THIS TITLE TO: 29 (A) ENSURE THAT EVERY WOMAN CONSIDERING AN ABORTION RECEIVE COMPLETE 30 INFORMATION ON HER ALTERNATIVES AND THAT EVERY WOMAN SUBMITTING TO AN 31 ABORTION DO SO ONLY AFTER GIVING HER VOLUNTARY AND INFORMED CONSENT TO 32 THE ABORTION PROCEDURE. 33 (B) PROTECT UNBORN CHILDREN FROM A WOMAN'S UNINFORMED DECISION TO HAVE 34 AN ABORTION. 35 (C) REDUCE THE RISK THAT A WOMAN MAY ELECT AN ABORTION, ONLY TO 36 DISCOVER LATER, WITH DEVASTATING PSYCHOLOGICAL CONSEQUENCES, THAT HER 37 DECISION WAS NOT FULLY INFORMED. 38 S 2560-B. DEFINITIONS. AS USED IN THIS TITLE: 39 1. "ABORTION" MEANS THE USE OR PRESCRIPTION OF ANY INSTRUMENT, MEDI- 40 CINE, DRUG OR ANY OTHER SUBSTANCE OR DEVICE WITH THE INTENT TO TERMINATE 41 THE PREGNANCY OF A WOMAN KNOWN BY THE PERSON SO USING OR PRESCRIBING TO 42 BE PREGNANT. SUCH USE OR PRESCRIPTION IS NOT AN ABORTION IF DONE WITH 43 THE INTENT TO (A) SAVE THE LIFE OR PRESERVE THE HEALTH OF AN UNBORN 44 CHILD, (B) REMOVE A DEAD UNBORN CHILD, OR (C) DELIVER AN UNBORN CHILD 45 PREMATURELY IN ORDER TO PRESERVE THE HEALTH OF BOTH THE PREGNANT WOMAN 46 AND HER UNBORN CHILD. 47 2. "CONCEPTION" MEANS THE FUSION OF A HUMAN SPERMATOZOON WITH A HUMAN 48 OVUM. 49 3. "GESTATIONAL AGE" MEANS THE TIME THAT HAS ELAPSED SINCE THE FIRST 50 DAY OF THE WOMAN'S LAST MENSTRUAL PERIOD. 51 4. "MEDICAL EMERGENCY" MEANS THAT CONDITION WHICH, ON THE BASIS OF THE 52 PHYSICIAN'S GOOD FAITH CLINICAL JUDGMENT, SO COMPLICATES THE MEDICAL 53 CONDITION OF A PREGNANT WOMAN AS TO NECESSITATE THE IMMEDIATE ABORTION 54 OF HER PREGNANCY TO AVERT HER DEATH OR FOR WHICH A DELAY WILL CREATE 55 SERIOUS RISK OF SUBSTANTIAL AND IRREVERSIBLE IMPAIRMENT OF A MAJOR BODI- 56 LY FUNCTION. S. 178 3 1 5. "PHYSICIAN" MEANS ANY PERSON LICENSED TO PRACTICE MEDICINE IN THIS 2 STATE. 3 6. "PREGNANT" OR "PREGNANCY" MEANS THAT FEMALE REPRODUCTIVE CONDITION 4 OF HAVING AN UNBORN CHILD IN THE WOMAN'S BODY. 5 7. "QUALIFIED PERSON" MEANS AN AGENT OF THE PHYSICIAN WHO IS A 6 PSYCHOLOGIST, LICENSED SOCIAL WORKER, LICENSED PROFESSIONAL COUNSELOR, 7 REGISTERED PROFESSIONAL NURSE OR PHYSICIAN. 8 8. "UNBORN CHILD" MEANS THE OFFSPRING OF HUMAN BEINGS FROM CONCEPTION 9 UNTIL BIRTH. 10 9. "VIABILITY" AND "VIABLE" MEANS THAT STAGE OF FETAL DEVELOPMENT 11 WHEN THE LIFE OF THE UNBORN CHILD MAY BE CONTINUED INDEFINITELY OUTSIDE 12 THE WOMB BY NATURAL OR ARTIFICIAL LIFE-SUPPORTIVE SYSTEMS. 13 10. "WOMAN" MEANS ANY FEMALE PERSON. 14 S 2560-C. INFORMED CONSENT REQUIREMENT. NO ABORTION SHALL BE PERFORMED 15 OR INDUCED WITHOUT THE VOLUNTARY AND INFORMED CONSENT OF THE WOMAN UPON 16 WHOM THE ABORTION IS TO BE PERFORMED OR INDUCED. EXCEPT IN THE CASE OF 17 A MEDICAL EMERGENCY, CONSENT TO AN ABORTION IS VOLUNTARY AND INFORMED IF 18 AND ONLY IF: 19 1. AT LEAST TWENTY-FOUR HOURS BEFORE THE ABORTION, THE PHYSICIAN WHO 20 IS TO PERFORM THE ABORTION OR THE REFERRING PHYSICIAN HAS INFORMED THE 21 WOMAN, ORALLY AND IN PERSON, OF: 22 (A) THE NAME OF THE PHYSICIAN WHO WILL PERFORM THE ABORTION; 23 (B) THE NATURE OF THE PROPOSED ABORTION METHOD AND OF THOSE RISKS AND 24 ALTERNATIVES TO THE METHOD THAT A REASONABLE PATIENT WOULD CONSIDER 25 MATERIAL TO THE DECISION OF WHETHER OR NOT TO UNDERGO THE ABORTION; 26 (C) THE PROBABLE GESTATIONAL AGE OF THE UNBORN CHILD AT THE TIME THE 27 ABORTION IS TO BE PERFORMED. AND IF THE UNBORN CHILD IS VIABLE OR HAS 28 REACHED THE GESTATIONAL AGE OF TWENTY-TWO WEEKS, THAT (I) THE UNBORN 29 CHILD MAY BE ABLE TO SURVIVE OUTSIDE THE WOMB; (II) THE WOMAN HAS THE 30 RIGHT TO REQUEST THE PHYSICIAN TO USE THE FORM OF TREATMENT THAT IS MOST 31 LIKELY TO PRESERVE THE LIFE OF THE UNBORN CHILD; AND (III) IF THE UNBORN 32 CHILD IS BORN ALIVE, THE ATTENDING PHYSICIAN HAS THE LEGAL OBLIGATION TO 33 TAKE ALL REASONABLE STEPS NECESSARY TO MAINTAIN THE LIFE AND HEALTH OF 34 THE CHILD; 35 (D) THE PROBABLE ANATOMICAL AND PHYSIOLOGICAL CHARACTERISTICS OF THE 36 UNBORN CHILD AT THE TIME THE ABORTION IS TO BE PERFORMED; 37 (E) THE MEDICAL RISKS ASSOCIATED WITH CARRYING HER CHILD TO TERM; 38 (F) THE MEDICAL AND PSYCHOLOGICAL RISKS ASSOCIATED WITH ABORTION, 39 INCLUDING, BUT NOT LIMITED TO, THE MEDICAL EVIDENCE REGARDING THE 40 INCREASED RISK OF BREAST CANCER ASSOCIATED WITH THE PROPOSED ABORTION; 41 AND 42 (G) ANY NEED FOR ANTI-RH IMMUNE GLOBULIN THERAPY, IF SHE IS RH NEGA- 43 TIVE, THE LIKELY CONSEQUENCES OF REFUSING SUCH THERAPY AND THE COST OF 44 THE THERAPY. 45 2. AT LEAST TWENTY-FOUR HOURS BEFORE THE ABORTION, THE PHYSICIAN WHO 46 IS TO PERFORM THE ABORTION, THE REFERRING PHYSICIAN OR A QUALIFIED 47 PERSON HAS INFORMED THE WOMAN, ORALLY AND IN PERSON, THAT: 48 (A) THE PRINTED MATERIALS IN SECTION TWENTY-FIVE HUNDRED SIXTY-D OF 49 THIS TITLE DESCRIBE THE UNBORN CHILD AND LIST AGENCIES WHICH OFFER 50 ALTERNATIVES TO ABORTION; 51 (B) THE FATHER OF THE UNBORN CHILD IS OBLIGATED TO ASSIST IN THE 52 SUPPORT OF HER CHILD, EVEN IN INSTANCES WHERE HE HAS OFFERED TO PAY FOR 53 THE ABORTION. IN THE CASE OF RAPE, THIS INFORMATION MAY BE OMITTED; 54 (C) THE STATE ENCOURAGES HER TO VIEW THE ULTRASOUND IMAGE OF HER 55 UNBORN CHILD, AS DESCRIBED IN SECTION TWENTY-FIVE HUNDRED SIXTY-E OF 56 THIS TITLE, BEFORE SHE DECIDES TO HAVE AN ABORTION. IF THE WOMAN DOES S. 178 4 1 NOT HAVE PRIVATE HEALTH INSURANCE COVERAGE FOR THE ULTRASOUND SERVICE, 2 SHE SHALL BE PRESUMPTIVELY ELIGIBLE FOR MEDICAL ASSISTANCE COVERAGE FOR 3 THE ULTRASOUND SERVICE; AND 4 (D) SHE IS FREE TO WITHHOLD OR WITHDRAW HER CONSENT TO THE ABORTION AT 5 ANY TIME BEFORE OR DURING THE ABORTION WITHOUT AFFECTING HER RIGHT TO 6 FUTURE CARE OR TREATMENT, AND WITHOUT THE LOSS OF ANY STATE OR FEDERAL- 7 LY-FUNDED BENEFITS TO WHICH SHE MIGHT OTHERWISE BE ENTITLED. 8 3. THE INFORMATION IN SUBDIVISIONS ONE AND TWO OF THIS SECTION IS 9 PROVIDED TO THE WOMAN INDIVIDUALLY AND IN A PRIVATE ROOM TO PROTECT HER 10 PRIVACY AND MAINTAIN THE CONFIDENTIALITY OF HER DECISION, TO ENSURE THAT 11 THE INFORMATION FOCUSES ON HER INDIVIDUAL CIRCUMSTANCES AND THAT SHE HAS 12 AN ADEQUATE OPPORTUNITY TO ASK A QUESTION. 13 4. AT LEAST TWENTY-FOUR HOURS BEFORE THE ABORTION, THE WOMAN IS GIVEN 14 A COPY OF THE PRINTED MATERIALS DESCRIBED IN SECTION TWENTY-FIVE HUNDRED 15 SIXTY-D OF THIS TITLE. IF THE WOMAN IS UNABLE TO READ THE MATERIALS, 16 THEY SHALL BE READ TO HER. IF THE WOMAN ASKS QUESTIONS CONCERNING ANY OF 17 THE INFORMATION OR MATERIALS, ANSWERS SHALL BE PROVIDED TO HER IN HER 18 OWN LANGUAGE. 19 5. THE WOMAN CERTIFIES IN WRITING, PRIOR TO THE ABORTION, THAT THE 20 INFORMATION REQUIRED TO BE PROVIDED UNDER SUBDIVISIONS ONE, TWO AND FOUR 21 OF THIS SECTION HAS BEEN PROVIDED. 22 6. PRIOR TO THE PERFORMANCE OF THE ABORTION, THE PHYSICIAN WHO IS TO 23 PERFORM THE ABORTION OR HIS OR HER AGENT RECEIVES A COPY OF THE WRITTEN 24 CERTIFICATION PRESCRIBED BY SUBDIVISION FIVE OF THIS SECTION. 25 7. THE WOMAN IS NOT REQUIRED TO PAY ANY AMOUNT FOR THE ABORTION PROCE- 26 DURE UNTIL THE TWENTY-FOUR HOUR WAITING PERIOD HAS EXPIRED. 27 S 2560-D. PUBLICATION OF MATERIALS. 1. THE DEPARTMENT SHALL CAUSE TO 28 BE PUBLISHED IN ENGLISH AND SPANISH, AND SHALL UPDATE ON AN ANNUAL 29 BASIS, THE FOLLOWING EASILY COMPREHENSIBLE PRINTED MATERIALS: 30 (A) GEOGRAPHICALLY INDEXED MATERIALS DESIGNED TO INFORM THE WOMAN OF 31 PUBLIC AND PRIVATE AGENCIES AND SERVICES AVAILABLE TO ASSIST A WOMAN 32 THROUGH PREGNANCY, UPON CHILDBIRTH AND WHILE HER CHILD IS DEPENDENT, 33 INCLUDING BUT NOT LIMITED TO, ADOPTION AGENCIES. THE MATERIALS SHALL 34 INCLUDE A COMPREHENSIVE LIST OF THE AGENCIES, A DESCRIPTION OF THE 35 SERVICES THEY OFFER, AND THE TELEPHONE NUMBERS AND ADDRESSES OF THE 36 AGENCIES; AND INFORM THE WOMAN ABOUT AVAILABLE MEDICAL ASSISTANCE BENE- 37 FITS FOR PRENATAL CARE, CHILDBIRTH AND NEONATAL CARE, AND ABOUT THE 38 SUPPORT OBLIGATIONS OF THE FATHER OF A CHILD WHO IS BORN ALIVE. THE 39 DEPARTMENT SHALL ENSURE THAT THE MATERIALS DESCRIBED IN THIS SECTION ARE 40 COMPREHENSIVE AND DO NOT DIRECTLY OR INDIRECTLY PROMOTE, EXCLUDE OR 41 DISCOURAGE THE USE OF ANY AGENCY OR SERVICE DESCRIBED IN THIS SECTION. 42 THE MATERIALS SHALL ALSO CONTAIN A TOLL-FREE, TWENTY-FOUR HOUR A DAY 43 TELEPHONE NUMBER WHICH MAY BE CALLED TO OBTAIN, ORALLY, SUCH A LIST AND 44 DESCRIPTION OF AGENCIES IN THE LOCALITY OF THE CALLER AND OF THE 45 SERVICES THEY OFFER. THE MATERIALS SHALL STATE THAT IT IS UNLAWFUL FOR 46 ANY INDIVIDUAL TO COERCE A WOMAN TO UNDERGO AN ABORTION, THAT ANY PHYSI- 47 CIAN WHO PERFORMS AN ABORTION UPON A WOMAN WITHOUT HER INFORMED CONSENT 48 MAY BE LIABLE TO HER FOR DAMAGES IN A CIVIL ACTION AT LAW AND THAT THE 49 LAW PERMITS ADOPTIVE PARENTS TO PAY COSTS OF PRENATAL CARE, CHILDBIRTH 50 AND NEONATAL CARE. THE MATERIALS SHALL INCLUDE THE FOLLOWING STATEMENT: 51 "THERE ARE MANY PUBLIC AND PRIVATE AGENCIES WILLING AND ABLE TO HELP 52 YOU TO CARRY YOUR CHILD TO TERM, AND TO ASSIST YOU AND YOUR CHILD AFTER 53 YOUR CHILD IS BORN, WHETHER YOU CHOOSE TO KEEP YOUR CHILD OR TO PLACE 54 HER OR HIM FOR ADOPTION. THE STATE OF NEW YORK STRONGLY URGES YOU TO 55 CONTACT THEM BEFORE MAKING A FINAL DECISION ABOUT ABORTION. THE LAW S. 178 5 1 REQUIRES THAT YOUR PHYSICIAN OR HIS OR HER AGENT GIVE YOU THE OPPORTU- 2 NITY TO CALL AGENCIES LIKE THESE BEFORE YOU UNDERGO AN ABORTION." 3 (B) MATERIALS THAT INFORM THE PREGNANT WOMAN OF THE PROBABLE ANATOM- 4 ICAL AND PHYSIOLOGICAL CHARACTERISTICS OF THE UNBORN CHILD AT TWO-WEEK 5 GESTATIONAL INCREMENTS FROM FERTILIZATION TO FULL TERM, INCLUDING 6 PICTURES OR DRAWINGS REPRESENTING THE DEVELOPMENT OF UNBORN CHILDREN AT 7 TWO-WEEK GESTATIONAL INCREMENTS, AND ANY RELEVANT INFORMATION ON THE 8 POSSIBILITY OF THE UNBORN CHILD'S SURVIVAL; PROVIDED THAT ANY SUCH 9 PICTURES OR DRAWINGS SHALL CONTAIN THE DIMENSIONS OF THE UNBORN CHILD 10 AND MUST BE REALISTIC. THE MATERIALS SHALL BE OBJECTIVE, NONJUDGMENTAL 11 AND DESIGNED TO CONVEY ONLY ACCURATE SCIENTIFIC INFORMATION ABOUT THE 12 UNBORN CHILD AT THE VARIOUS GESTATIONAL AGES. THE MATERIAL SHALL ALSO 13 CONTAIN OBJECTIVE INFORMATION DESCRIBING THE METHODS OF ABORTION PROCE- 14 DURES COMMONLY EMPLOYED, THE MEDICAL RISKS COMMONLY ASSOCIATED WITH EACH 15 SUCH PROCEDURE AND THE MEDICAL RISKS ASSOCIATED WITH CARRYING A CHILD TO 16 TERM. 17 2. THE MATERIALS SHALL BE PRINTED IN A TYPEFACE LARGE ENOUGH TO BE 18 CLEARLY LEGIBLE. 19 3. THE MATERIALS REQUIRED UNDER THIS SECTION SHALL BE AVAILABLE AT NO 20 COST FROM THE DEPARTMENT UPON REQUEST AND IN APPROPRIATE NUMBER TO ANY 21 PERSON, FACILITY OR HOSPITAL. 22 S 2560-E. ULTRASOUND. 1. PRIOR TO A WOMAN GIVING INFORMED CONSENT TO 23 HAVING ANY PART OF AN ABORTION PERFORMED OR INDUCED, AND PRIOR TO THE 24 ADMINISTRATION OF ANY ANESTHESIA OR MEDICATION IN PREPARATION FOR THE 25 ABORTION ON THE WOMAN THE PHYSICIAN WHO IS TO PERFORM THE ABORTION OR A 26 QUALIFIED TECHNICIAN SHALL: 27 (A) PERFORM AN OBSTETRIC ULTRASOUND ON THE PREGNANT WOMAN, USING 28 WHICHEVER METHOD THE PHYSICIAN AND PATIENT AGREE IS BEST UNDER THE 29 CIRCUMSTANCE; 30 (B) PROVIDE A SIMULTANEOUS VERBAL EXPLANATION OF WHAT THE ULTRASOUND 31 IS DEPICTING, WHICH SHALL INCLUDE THE PRESENCE AND LOCATION OF THE 32 UNBORN CHILD WITHIN THE UTERUS AND THE NUMBER OF UNBORN CHILDREN 33 DEPICTED. IF THE ULTRASOUND IMAGE INDICATES THAT FETAL DEMISE HAS 34 OCCURRED, A WOMAN SHALL BE INFORMED OF THAT FACT; 35 (C) DISPLAY THE ULTRASOUND IMAGES SO THAT THE PREGNANT WOMAN MAY VIEW 36 THEM; 37 (D) PROVIDE A MEDICAL DESCRIPTION OF THE ULTRASOUND IMAGES, WHICH 38 SHALL INCLUDE THE DIMENSIONS OF THE EMBRYO OR FETUS AND THE PRESENCE OF 39 EXTERNAL MEMBERS AND INTERNAL ORGANS, IF PRESENT AND VIEWABLE; 40 (E) OBTAIN A WRITTEN CERTIFICATION FROM THE WOMAN, PRIOR TO THE 41 ABORTION, THAT THE REQUIREMENTS OF SUBDIVISION TWO OF THIS SECTION HAVE 42 BEEN COMPLIED WITH; AND 43 (F) RETAIN A COPY OF THE WRITTEN CERTIFICATION PRESCRIBED BY PARAGRAPH 44 (E) OF THIS SUBDIVISION. THE CERTIFICATION SHALL BE PLACED IN THE 45 MEDICAL FILE OF THE WOMAN AND SHALL BE KEPT BY THE ABORTION PROVIDER FOR 46 A PERIOD OF NOT LESS THAN SEVEN YEARS. IF THE WOMAN IS A MINOR, THEN THE 47 CERTIFICATION SHALL BE PLACED IN THE MEDICAL FILE OF THE MINOR AND KEPT 48 FOR AT LEAST SEVEN YEARS OR FOR FIVE YEARS AFTER THE MINOR REACHES THE 49 AGE OF MAJORITY, WHICHEVER IS GREATER. 50 2. NOTHING IN THIS SECTION SHALL BE CONSTRUED TO PREVENT A PREGNANT 51 WOMAN FROM AVERTING HER EYES FROM THE ULTRASOUND IMAGES REQUIRED TO BE 52 PROVIDED TO AND REVIEWED WITH HER. NEITHER THE PHYSICIAN NOR THE PREG- 53 NANT WOMAN SHALL BE SUBJECT TO ANY PENALTY IF SHE REFUSES TO LOOK AT THE 54 PRESENTED ULTRASOUND IMAGES. 55 3. PRIOR TO A WOMAN GIVING INFORMED CONSENT TO HAVING ANY PART OF AN 56 ABORTION PERFORMED OR INDUCED, IF THE PREGNANCY IS AT LEAST EIGHT WEEKS S. 178 6 1 AFTER FERTILIZATION (TEN WEEKS FROM THE FIRST DAY OF THE LAST MENSTRUAL 2 PERIOD), THE ABORTION PROVIDER WHO IS TO PERFORM OR INDUCE THE ABORTION, 3 A CERTIFIED TECHNICIAN, OR ANOTHER AGENT OF THE ABORTION PROVIDER SHALL, 4 USING A HAND-HELD DOPPLER FETAL MONITOR, MAKE THE EMBRYONIC OR FETAL 5 HEARTBEAT OF THE UNBORN CHILD AUDIBLE FOR THE PREGNANT WOMAN TO HEAR. 6 4. A PHYSICIAN, A CERTIFIED TECHNICIAN, OR ANOTHER AGENT OF THE PHYSI- 7 CIAN SHALL NOT BE IN VIOLATION OF SUBDIVISION THREE OF THIS SECTION IF: 8 (A) THE PHYSICIAN, CERTIFIED TECHNICIAN, OR AGENT HAS ATTEMPTED, 9 CONSISTENT WITH STANDARD MEDICAL PRACTICE, TO MAKE THE EMBRYONIC OR 10 FETAL HEARTBEAT OF THE UNBORN CHILD AUDIBLE FOR THE PREGNANT WOMAN TO 11 HEAR USING A HAND-HELD DOPPLER FETAL MONITOR; 12 (B) THAT ATTEMPT DOES NOT RESULT IN THE HEARTBEAT BEING MADE AUDIBLE; 13 AND 14 (C) THE PHYSICIAN HAS OFFERED TO ATTEMPT TO MAKE THE HEARTBEAT AUDIBLE 15 AT A SUBSEQUENT DATE. 16 5. NOTHING IN THIS SECTION SHALL BE CONSTRUED TO PREVENT THE PREGNANT 17 WOMAN FROM NOT LISTENING TO THE SOUNDS DETECTED BY THE HAND-HELD DOPPLER 18 FETAL MONITOR, PURSUANT TO SUBDIVISION THREE OF THIS SECTION. 19 S 2560-F. INTERNET WEBSITE. 1. THE DEPARTMENT SHALL DEVELOP AND MAIN- 20 TAIN A STABLE INTERNET WEBSITE TO PROVIDE THE INFORMATION DESCRIBED 21 UNDER SECTION TWENTY-FIVE HUNDRED SIXTY-D OF THIS TITLE. NO INFORMATION 22 REGARDING WHO USES THE WEBSITE SHALL BE COLLECTED OR MAINTAINED. THE 23 DEPARTMENT SHALL MONITOR THE WEBSITE ON A DAILY BASIS TO PREVENT AND 24 CORRECT TAMPERING AND SHALL IMMEDIATELY NOTIFY ABORTION PROVIDERS OF ANY 25 CHANGE IN THE LOCATION OF THE MATERIAL ON ITS WEBSITE. 26 2. THE WEBSITE SHALL: 27 (A) USE ENHANCED, USER-FRIENDLY SEARCH CAPABILITIES TO ENSURE THAT THE 28 INFORMATION DESCRIBED IN SECTION TWENTY-FIVE HUNDRED SIXTY-D OF THIS 29 TITLE IS EASILY ACCESSIBLE, AND MUST USE SEARCHABLE KEYWORDS AND PHRAS- 30 ES, SPECIFICALLY TO ENSURE THAT ENTERING THE TERM "ABORTION" YIELDS THE 31 MATERIALS FROM SECTION TWENTY-FIVE HUNDRED SIXTY-D OF THIS TITLE, 32 REGARDLESS OF HOW SUCH MATERIALS ARE LABELED; 33 (B) ENSURE THAT THE MATERIAL FROM SECTION TWENTY-FIVE HUNDRED SIXTY-D 34 OF THIS TITLE IS PRINTABLE; 35 (C) GIVE CLEAR PROMINENT INSTRUCTIONS ON HOW TO RECEIVE THE INFORMA- 36 TION IN PRINTED FORM; AND 37 (D) BE ACCESSIBLE TO THE PUBLIC WITHOUT REQUIRING REGISTRATION OR USE 38 OF A USER NAME, A PASSWORD, OR ANOTHER USER IDENTIFICATION. 39 S 2560-G. ABORTION PROVIDER WEBSITE. IF AN ABORTION PROVIDER HAS A 40 WEBSITE, THE ABORTION PROVIDER'S INTERNET WEBSITE HOME PAGE, BY USE OF 41 AT LEAST TWO DIRECT LINKS, ONE OF WHICH IS POSTED PROMINENTLY, SHALL 42 LINK TO THE DEPARTMENT'S INFORMED CONSENT MATERIALS. 43 S 2560-H. EMERGENCY. WHERE A MEDICAL EMERGENCY COMPELS THE PERFORMANCE 44 OF AN ABORTION, THE PHYSICIAN SHALL INFORM THE WOMAN, BEFORE THE 45 ABORTION IF POSSIBLE, OF THE MEDICAL INDICATIONS SUPPORTING HIS OR HER 46 JUDGMENT THAT AN ABORTION IS NECESSARY TO AVERT HER DEATH OR TO AVERT 47 SUBSTANTIAL AND IRREVERSIBLE IMPAIRMENT OF A MAJOR BODILY FUNCTION. 48 S 2560-I. REPORTING REQUIREMENTS. 1. WITHIN NINETY DAYS AFTER THIS 49 ACT IS ENACTED, THE DEPARTMENT SHALL PREPARE A REPORTING FORM FOR PHYSI- 50 CIANS CONTAINING A REPRINT OF THIS ACT AND LISTING: 51 (A) THE NUMBER OF WOMEN TO WHOM THE PHYSICIAN PROVIDED THE INFORMATION 52 DESCRIBED IN SECTION TWENTY-FIVE HUNDRED SIXTY-C OF THIS TITLE; OF THAT 53 NUMBER, THE NUMBER PROVIDED BY TELEPHONE AND THE NUMBER PROVIDED IN 54 PERSON; AND OF EACH OF THOSE NUMBERS, THE NUMBER PROVIDED IN THE CAPACI- 55 TY OF A REFERRING PHYSICIAN AND THE NUMBER PROVIDED IN THE CAPACITY OF A 56 PHYSICIAN WHO IS TO PERFORM THE ABORTION; S. 178 7 1 (B) THE NUMBER OF WOMEN TO WHOM THE PHYSICIAN OR AN AGENT OF THE 2 PHYSICIAN PROVIDED THE INFORMATION DESCRIBED IN SECTION TWENTY-FIVE 3 HUNDRED SIXTY-C OF THIS TITLE; OF THAT NUMBER, THE NUMBER PROVIDED BY 4 TELEPHONE AND THE NUMBER PROVIDED IN PERSON; OF EACH OF THOSE NUMBERS, 5 THE NUMBER PROVIDED IN THE CAPACITY OF A REFERRING PHYSICIAN AND THE 6 NUMBER PROVIDED IN THE CAPACITY OF A PHYSICIAN WHO IS TO PERFORM THE 7 ABORTION; AND OF EACH OF THOSE NUMBERS, THE NUMBER PROVIDED BY THE 8 PHYSICIAN AND THE NUMBER PROVIDED BY AN AGENT OF THE PHYSICIAN; 9 (C) THE NUMBER OF WOMEN WHO AVAILED THEMSELVES OF THE OPPORTUNITY TO 10 OBTAIN A COPY OF THE PRINTED INFORMATION DESCRIBED IN SECTION 11 TWENTY-FIVE HUNDRED SIXTY-D OF THIS TITLE OTHER THAN ON THE WEBSITE, AND 12 THE NUMBER WHO DID NOT; AND OF EACH OF THOSE NUMBERS, THE NUMBER WHO, TO 13 THE BEST OF THE REPORTING PHYSICIAN'S INFORMATION AND BELIEF, WENT ON TO 14 OBTAIN THE ABORTION; AND 15 (D) THE NUMBER OF ABORTIONS PERFORMED BY THE PHYSICIAN IN WHICH INFOR- 16 MATION OTHERWISE REQUIRED TO BE PROVIDED AT LEAST TWENTY-FOUR HOURS 17 BEFORE THE ABORTION WAS NOT SO PROVIDED BECAUSE AN IMMEDIATE ABORTION 18 WAS NECESSARY TO AVERT THE WOMAN'S DEATH, AND THE NUMBER OF ABORTIONS IN 19 WHICH SUCH INFORMATION WAS NOT SO PROVIDED BECAUSE A DELAY WOULD CREATE 20 SERIOUS RISK OF SUBSTANTIAL AND IRREVERSIBLE IMPAIRMENT OF A MAJOR BODI- 21 LY FUNCTION. 22 2. THE DEPARTMENT SHALL ENSURE THAT COPIES OF THE REPORTING FORMS 23 DESCRIBED IN SUBDIVISION (A) OF THIS SECTION ARE PROVIDED: 24 (A) WITHIN ONE HUNDRED TWO DAYS AFTER THE EFFECTIVE DATE OF THE CHAP- 25 TER OF THE LAWS OF TWO THOUSAND FIFTEEN WHICH ENACTED THIS TITLE, TO ALL 26 PHYSICIANS LICENSED TO PRACTICE IN THIS STATE; 27 (B) TO EACH PHYSICIAN WHO SUBSEQUENTLY BECOMES NEWLY LICENSED TO PRAC- 28 TICE IN THIS STATE, AT THE SAME TIME AS OFFICIAL NOTIFICATION TO THAT 29 PHYSICIAN THAT THE PHYSICIAN IS SO LICENSED; AND 30 (C) BY DECEMBER FIRST OF EACH YEAR, OTHER THAN THE CALENDAR YEAR IN 31 WHICH FORMS ARE DISTRIBUTED IN ACCORDANCE WITH PARAGRAPH (A) OF THIS 32 SUBDIVISION, TO ALL PHYSICIANS LICENSED TO PRACTICE IN THIS STATE. 33 3. BY FEBRUARY TWENTY-EIGHTH OF EACH YEAR FOLLOWING A CALENDAR YEAR IN 34 ANY PART OF WHICH THIS ACT WAS IN EFFECT, EACH PHYSICIAN WHO PROVIDED, 35 OR WHOSE AGENT PROVIDED, INFORMATION TO ONE OR MORE WOMEN IN ACCORDANCE 36 WITH SECTION TWENTY-FIVE HUNDRED SIXTY-C OF THIS TITLE DURING THE PREVI- 37 OUS CALENDAR YEAR SHALL SUBMIT TO THE DEPARTMENT A COPY OF THE FORM 38 DESCRIBED IN SUBDIVISION ONE OF THIS SECTION, WITH THE REQUESTED DATA 39 ENTERED ACCURATELY AND COMPLETELY. 40 4. REPORTS THAT ARE NOT SUBMITTED BY THE END OF A GRACE PERIOD OF 41 THIRTY DAYS FOLLOWING THE DUE DATE SHALL BE SUBJECT TO A LATE FEE OF 42 FIVE HUNDRED DOLLARS FOR EACH ADDITIONAL THIRTY DAY PERIOD OR PORTION OF 43 A THIRTY DAY PERIOD THEY ARE OVERDUE. ANY PHYSICIAN REQUIRED TO REPORT 44 IN ACCORDANCE WITH THIS SECTION WHO HAS NOT SUBMITTED A REPORT, OR HAS 45 SUBMITTED ONLY AN INCOMPLETE REPORT, MORE THAN ONE YEAR FOLLOWING THE 46 DUE DATE, MAY, IN AN ACTION BROUGHT BY THE DEPARTMENT, BE DIRECTED BY A 47 COURT OF COMPETENT JURISDICTION TO SUBMIT A COMPLETE REPORT WITHIN A 48 PERIOD STATED BY COURT ORDER OR BE SUBJECT TO SANCTIONS FOR CIVIL 49 CONTEMPT. 50 5. BY JUNE THIRTIETH OF EACH YEAR THE DEPARTMENT SHALL ISSUE A PUBLIC 51 REPORT PROVIDING STATISTICS FOR THE PREVIOUS CALENDAR YEAR COMPILED FROM 52 ALL OF THE REPORTS COVERING THAT YEAR SUBMITTED IN ACCORDANCE WITH THIS 53 SECTION FOR EACH OF THE ITEMS LISTED IN SUBDIVISION ONE OF THIS SECTION. 54 EACH SUCH REPORT SHALL ALSO PROVIDE THE STATISTICS FOR ALL PREVIOUS 55 CALENDAR YEARS, ADJUSTED TO REFLECT ANY ADDITIONAL INFORMATION FROM LATE 56 OR CORRECTED REPORTS. THE DEPARTMENT SHALL TAKE CARE TO ENSURE THAT NONE S. 178 8 1 OF THE INFORMATION INCLUDED IN THE PUBLIC REPORTS COULD REASONABLY LEAD 2 TO THE IDENTIFICATION OF ANY INDIVIDUAL PROVIDED INFORMATION IN ACCORD- 3 ANCE WITH SUBDIVISION ONE OF THIS SECTION. 4 6. THE DEPARTMENT MAY BY REGULATION ALTER THE DATES ESTABLISHED BY 5 THIS SECTION OR CONSOLIDATE THE FORMS OR REPORTS DESCRIBED IN THIS 6 SECTION WITH OTHER FORMS OR REPORTS TO ACHIEVE ADMINISTRATIVE CONVEN- 7 IENCE OR FISCAL SAVINGS OR TO REDUCE THE BURDEN OF REPORTING REQUIRE- 8 MENTS, SO LONG AS REPORTING FORMS ARE SENT TO ALL LICENSED PHYSICIANS IN 9 THE STATE AT LEAST ONCE EVERY YEAR AND THE REPORT DESCRIBED IN SUBDIVI- 10 SION FIVE OF THIS SECTION, IS ISSUED AT LEAST ONCE EVERY YEAR. 11 S 2560-J. CRIMINAL PENALTIES. ANY PERSON WHO INTENTIONALLY, KNOWINGLY 12 OR RECKLESSLY VIOLATES THE PROVISIONS OF THIS TITLE SHALL BE GUILTY OF A 13 FELONY. ANY PHYSICIAN WHO KNOWINGLY OR RECKLESSLY SUBMITS A FALSE REPORT 14 UNDER SECTION TWENTY-FIVE HUNDRED SIXTY-I OF THIS TITLE SHALL BE GUILTY 15 OF A MISDEMEANOR. NO PENALTY MAY BE ASSESSED AGAINST THE WOMAN UPON WHOM 16 THE ABORTION IS PERFORMED OR ATTEMPTED TO BE PERFORMED. NO PENALTY OR 17 CIVIL LIABILITY MAY BE ASSESSED FOR FAILURE TO COMPLY WITH SECTION TWEN- 18 TY-FIVE HUNDRED SIXTY-C OF THIS TITLE OR THAT PORTION OF SECTION TWEN- 19 TY-FIVE HUNDRED SIXTY-C OF THIS TITLE REQUIRING A WRITTEN CERTIFICATION 20 THAT THE WOMAN HAS BEEN INFORMED OF HER OPPORTUNITY TO REVIEW THE INFOR- 21 MATION REFERRED TO IN SUCH SECTION MAY BE ASSESSED UNLESS THE DEPARTMENT 22 HAS MADE THE PRINTED MATERIALS AVAILABLE AT THE TIME THE PHYSICIAN OR 23 THE PHYSICIAN'S AGENT IS REQUIRED TO INFORM THE WOMAN OF HER RIGHT TO 24 VIEW THEM. 25 S 2560-K. CIVIL PENALTIES. IN ADDITION TO ANY REMEDIES AVAILABLE UNDER 26 THE COMMON OR STATUTORY LAW OF THIS STATE, FAILURE TO COMPLY WITH THE 27 REQUIREMENTS OF THIS TITLE SHALL: 28 1. PROVIDE A BASIS FOR A CIVIL MALPRACTICE ACTION. ANY INTENTIONAL 29 VIOLATION OF THIS TITLE SHALL BE ADMISSIBLE IN A CIVIL SUIT AS PRIMA 30 FACIE EVIDENCE OF A FAILURE TO OBTAIN AN INFORMED CONSENT. 31 2. PROVIDE A BASIS FOR PROFESSIONAL DISCIPLINARY ACTION PURSUANT TO 32 TITLE TWO-A OF ARTICLE TWO OF THIS CHAPTER. 33 3. PROVIDE A BASIS FOR RECOVERY BY THE WOMAN IN A WRONGFUL DEATH 34 ACTION, WHETHER OR NOT THE UNBORN CHILD WAS VIABLE AT THE TIME THE 35 ABORTION WAS PERFORMED OR WAS BORN ALIVE. 36 S 2560-L. LIMITATION ON CIVIL LIABILITY. ANY PHYSICIAN WHO COMPLIES 37 WITH THE PROVISIONS OF THIS TITLE SHALL NOT BE HELD CIVILLY LIABLE TO 38 HIS OR HER PATIENT FOR FAILURE TO OBTAIN INFORMED CONSENT TO THE 39 ABORTION. 40 S 2560-M. SEVERABILITY. THE PROVISIONS OF THIS TITLE ARE DECLARED TO 41 BE SEVERABLE, AND IF ANY PROVISION, WORD, PHRASE OR CLAUSE OF THIS TITLE 42 OR THE APPLICATION THEREOF TO ANY PERSON SHALL BE HELD INVALID, SUCH 43 INVALIDITY SHALL NOT AFFECT THE VALIDITY OF THE REMAINING PORTIONS OF 44 THIS TITLE. 45 S 2560-N. CONSTRUCTION. 1. NOTHING IN THIS TITLE SHALL BE CONSTRUED AS 46 CREATING OR RECOGNIZING A RIGHT TO ABORTION. 47 2. IT IS NOT THE INTENTION OF THIS TITLE TO MAKE LAWFUL AN ABORTION 48 THAT IS CURRENTLY UNLAWFUL. 49 S 2. 1. The department of health shall cause to be published in 50 English and Spanish within 102 days after the effective date of this 51 act, and shall update on an annual basis, the following easily compre- 52 hensible printed materials: 53 (a) Geographically indexed materials designed to inform the woman of 54 public and private agencies and services available to assist a woman 55 through pregnancy, upon childbirth and while her child is dependent, 56 including but not limited to, adoption agencies. The materials shall S. 178 9 1 include a comprehensive list of the agencies, a description of the 2 services they offer, and the telephone numbers and addresses of the 3 agencies; and inform the woman about available medical assistance bene- 4 fits for prenatal care, childbirth, and neonatal care and about the 5 support obligations of the father of a child who is born alive. The 6 department of health shall ensure that the materials described in this 7 section are comprehensive and do not directly or indirectly promote, 8 exclude, or discourage the use of any agency or service described in 9 this section. The materials shall also contain a toll-free twenty-four- 10 hour a day telephone number which may be called to obtain, orally, such 11 a list and description of agencies in the locality of the caller and of 12 the services they offer. The materials shall state that it is unlawful 13 for any individual to coerce a woman to undergo an abortion, that any 14 physician who performs an abortion upon a woman without her informed 15 consent may be liable to her for damages in a civil action at law and 16 that the law permits adoptive parents to pay costs of prenatal care, 17 childbirth and neonatal care. The materials shall include the following 18 statement: 19 "There are many public and private agencies willing and able to help 20 you to carry your child to term, and to assist you and your child after 21 your child is born, whether you choose to keep your child or to place 22 her or him for adoption. The state of New York strongly urges you to 23 contact them before making a final decision about abortion. The law 24 requires that your physician or his or her agent give you the opportu- 25 nity to call agencies like these before you undergo an abortion." 26 (b) Materials that inform the pregnant woman of the probable anatom- 27 ical and physiological characteristics of the unborn child at two-week 28 gestational increments from fertilization to full term, including 29 pictures or drawings representing the development of unborn children at 30 two-week gestational increments, and any relevant information on the 31 possibility of the unborn child's survival; provided that any such 32 pictures or drawings must contain the dimensions of the unborn child and 33 must be realistic. The materials shall be objective, nonjudgmental and 34 designed to convey only accurate scientific information about the unborn 35 child at the various gestational ages. The material shall also contain 36 objective information describing the methods of abortion procedures 37 commonly employed, the medical risks commonly associated with each such 38 procedure, and the medical risks associated with carrying a child to 39 term. 40 2. The materials shall be printed in a typeface large enough to be 41 clearly legible. 42 3. The materials required under this section shall be available at no 43 cost from the department of health upon request and in appropriate 44 numbers to any person, facility or hospital. 45 S 3. This act shall take effect immediately, provided that section one 46 of this act shall take effect on the one hundred second day after this 47 act shall have become a law, when upon such date section two of this act 48 shall expire and be deemed repealed.