Bill Text: TX SB8 | 2021-2022 | 87th Legislature | Enrolled
Bill Title: Relating to abortion, including abortions after detection of an unborn child's heartbeat; authorizing a private civil right of action.
Spectrum: Partisan Bill (Republican 90-1)
Status: (Passed) 2021-05-19 - Effective on 9/1/21 [SB8 Detail]
Download: Texas-2021-SB8-Enrolled.html
| S.B. No. 8 | ||
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| relating to abortion, including abortions after detection of an | ||
| unborn child's heartbeat; authorizing a private civil right of | ||
| action. | ||
| BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | ||
| SECTION 1. This Act shall be known as the Texas Heartbeat | ||
| Act. | ||
| SECTION 2. The legislature finds that the State of Texas | ||
| never repealed, either expressly or by implication, the state | ||
| statutes enacted before the ruling in Roe v. Wade, 410 U.S. 113 | ||
| (1973), that prohibit and criminalize abortion unless the mother's | ||
| life is in danger. | ||
| SECTION 3. Chapter 171, Health and Safety Code, is amended | ||
| by adding Subchapter H to read as follows: | ||
| SUBCHAPTER H. DETECTION OF FETAL HEARTBEAT | ||
| Sec. 171.201. DEFINITIONS. In this subchapter: | ||
| (1) "Fetal heartbeat" means cardiac activity or the | ||
| steady and repetitive rhythmic contraction of the fetal heart | ||
| within the gestational sac. | ||
| (2) "Gestational age" means the amount of time that | ||
| has elapsed from the first day of a woman's last menstrual period. | ||
| (3) "Gestational sac" means the structure comprising | ||
| the extraembryonic membranes that envelop the unborn child and that | ||
| is typically visible by ultrasound after the fourth week of | ||
| pregnancy. | ||
| (4) "Physician" means an individual licensed to | ||
| practice medicine in this state, including a medical doctor and a | ||
| doctor of osteopathic medicine. | ||
| (5) "Pregnancy" means the human female reproductive | ||
| condition that: | ||
| (A) begins with fertilization; | ||
| (B) occurs when the woman is carrying the | ||
| developing human offspring; and | ||
| (C) is calculated from the first day of the | ||
| woman's last menstrual period. | ||
| (6) "Standard medical practice" means the degree of | ||
| skill, care, and diligence that an obstetrician of ordinary | ||
| judgment, learning, and skill would employ in like circumstances. | ||
| (7) "Unborn child" means a human fetus or embryo in any | ||
| stage of gestation from fertilization until birth. | ||
| Sec. 171.202. LEGISLATIVE FINDINGS. The legislature finds, | ||
| according to contemporary medical research, that: | ||
| (1) fetal heartbeat has become a key medical predictor | ||
| that an unborn child will reach live birth; | ||
| (2) cardiac activity begins at a biologically | ||
| identifiable moment in time, normally when the fetal heart is | ||
| formed in the gestational sac; | ||
| (3) Texas has compelling interests from the outset of | ||
| a woman's pregnancy in protecting the health of the woman and the | ||
| life of the unborn child; and | ||
| (4) to make an informed choice about whether to | ||
| continue her pregnancy, the pregnant woman has a compelling | ||
| interest in knowing the likelihood of her unborn child surviving to | ||
| full-term birth based on the presence of cardiac activity. | ||
| Sec. 171.203. DETERMINATION OF PRESENCE OF FETAL HEARTBEAT | ||
| REQUIRED; RECORD. (a) For the purposes of determining the | ||
| presence of a fetal heartbeat under this section, "standard medical | ||
| practice" includes employing the appropriate means of detecting the | ||
| heartbeat based on the estimated gestational age of the unborn | ||
| child and the condition of the woman and her pregnancy. | ||
| (b) Except as provided by Section 171.205, a physician may | ||
| not knowingly perform or induce an abortion on a pregnant woman | ||
| unless the physician has determined, in accordance with this | ||
| section, whether the woman's unborn child has a detectable fetal | ||
| heartbeat. | ||
| (c) In making a determination under Subsection (b), the | ||
| physician must use a test that is: | ||
| (1) consistent with the physician's good faith and | ||
| reasonable understanding of standard medical practice; and | ||
| (2) appropriate for the estimated gestational age of | ||
| the unborn child and the condition of the pregnant woman and her | ||
| pregnancy. | ||
| (d) A physician making a determination under Subsection (b) | ||
| shall record in the pregnant woman's medical record: | ||
| (1) the estimated gestational age of the unborn child; | ||
| (2) the method used to estimate the gestational age; | ||
| and | ||
| (3) the test used for detecting a fetal heartbeat, | ||
| including the date, time, and results of the test. | ||
| Sec. 171.204. PROHIBITED ABORTION OF UNBORN CHILD WITH | ||
| DETECTABLE FETAL HEARTBEAT; EFFECT. (a) Except as provided by | ||
| Section 171.205, a physician may not knowingly perform or induce an | ||
| abortion on a pregnant woman if the physician detected a fetal | ||
| heartbeat for the unborn child as required by Section 171.203 or | ||
| failed to perform a test to detect a fetal heartbeat. | ||
| (b) A physician does not violate this section if the | ||
| physician performed a test for a fetal heartbeat as required by | ||
| Section 171.203 and did not detect a fetal heartbeat. | ||
| (c) This section does not affect: | ||
| (1) the provisions of this chapter that restrict or | ||
| regulate an abortion by a particular method or during a particular | ||
| stage of pregnancy; or | ||
| (2) any other provision of state law that regulates or | ||
| prohibits abortion. | ||
| Sec. 171.205. EXCEPTION FOR MEDICAL EMERGENCY; RECORDS. | ||
| (a) Sections 171.203 and 171.204 do not apply if a physician | ||
| believes a medical emergency exists that prevents compliance with | ||
| this subchapter. | ||
| (b) A physician who performs or induces an abortion under | ||
| circumstances described by Subsection (a) shall make written | ||
| notations in the pregnant woman's medical record of: | ||
| (1) the physician's belief that a medical emergency | ||
| necessitated the abortion; and | ||
| (2) the medical condition of the pregnant woman that | ||
| prevented compliance with this subchapter. | ||
| (c) A physician performing or inducing an abortion under | ||
| this section shall maintain in the physician's practice records a | ||
| copy of the notations made under Subsection (b). | ||
| Sec. 171.206. CONSTRUCTION OF SUBCHAPTER. (a) This | ||
| subchapter does not create or recognize a right to abortion before a | ||
| fetal heartbeat is detected. | ||
| (b) This subchapter may not be construed to: | ||
| (1) authorize the initiation of a cause of action | ||
| against or the prosecution of a woman on whom an abortion is | ||
| performed or induced or attempted to be performed or induced in | ||
| violation of this subchapter; | ||
| (2) wholly or partly repeal, either expressly or by | ||
| implication, any other statute that regulates or prohibits | ||
| abortion, including Chapter 6-1/2, Title 71, Revised Statutes; or | ||
| (3) restrict a political subdivision from regulating | ||
| or prohibiting abortion in a manner that is at least as stringent as | ||
| the laws of this state. | ||
| Sec. 171.207. LIMITATIONS ON PUBLIC ENFORCEMENT. | ||
| (a) Notwithstanding Section 171.005 or any other law, the | ||
| requirements of this subchapter shall be enforced exclusively | ||
| through the private civil actions described in Section 171.208. No | ||
| enforcement of this subchapter, and no enforcement of Chapters 19 | ||
| and 22, Penal Code, in response to violations of this subchapter, | ||
| may be taken or threatened by this state, a political subdivision, a | ||
| district or county attorney, or an executive or administrative | ||
| officer or employee of this state or a political subdivision | ||
| against any person, except as provided in Section 171.208. | ||
| (b) Subsection (a) may not be construed to: | ||
| (1) legalize the conduct prohibited by this subchapter | ||
| or by Chapter 6-1/2, Title 71, Revised Statutes; | ||
| (2) limit in any way or affect the availability of a | ||
| remedy established by Section 171.208; or | ||
| (3) limit the enforceability of any other laws that | ||
| regulate or prohibit abortion. | ||
| Sec. 171.208. CIVIL LIABILITY FOR VIOLATION OR AIDING OR | ||
| ABETTING VIOLATION. (a) Any person, other than an officer or | ||
| employee of a state or local governmental entity in this state, may | ||
| bring a civil action against any person who: | ||
| (1) performs or induces an abortion in violation of | ||
| this subchapter; | ||
| (2) knowingly engages in conduct that aids or abets | ||
| the performance or inducement of an abortion, including paying for | ||
| or reimbursing the costs of an abortion through insurance or | ||
| otherwise, if the abortion is performed or induced in violation of | ||
| this subchapter, regardless of whether the person knew or should | ||
| have known that the abortion would be performed or induced in | ||
| violation of this subchapter; or | ||
| (3) intends to engage in the conduct described by | ||
| Subdivision (1) or (2). | ||
| (b) If a claimant prevails in an action brought under this | ||
| section, the court shall award: | ||
| (1) injunctive relief sufficient to prevent the | ||
| defendant from violating this subchapter or engaging in acts that | ||
| aid or abet violations of this subchapter; | ||
| (2) statutory damages in an amount of not less than | ||
| $10,000 for each abortion that the defendant performed or induced | ||
| in violation of this subchapter, and for each abortion performed or | ||
| induced in violation of this subchapter that the defendant aided or | ||
| abetted; and | ||
| (3) costs and attorney's fees. | ||
| (c) Notwithstanding Subsection (b), a court may not award | ||
| relief under this section in response to a violation of Subsection | ||
| (a)(1) or (2) if the defendant demonstrates that the defendant | ||
| previously paid the full amount of statutory damages under | ||
| Subsection (b)(2) in a previous action for that particular abortion | ||
| performed or induced in violation of this subchapter, or for the | ||
| particular conduct that aided or abetted an abortion performed or | ||
| induced in violation of this subchapter. | ||
| (d) Notwithstanding Chapter 16, Civil Practice and Remedies | ||
| Code, or any other law, a person may bring an action under this | ||
| section not later than the fourth anniversary of the date the cause | ||
| of action accrues. | ||
| (e) Notwithstanding any other law, the following are not a | ||
| defense to an action brought under this section: | ||
| (1) ignorance or mistake of law; | ||
| (2) a defendant's belief that the requirements of this | ||
| subchapter are unconstitutional or were unconstitutional; | ||
| (3) a defendant's reliance on any court decision that | ||
| has been overruled on appeal or by a subsequent court, even if that | ||
| court decision had not been overruled when the defendant engaged in | ||
| conduct that violates this subchapter; | ||
| (4) a defendant's reliance on any state or federal | ||
| court decision that is not binding on the court in which the action | ||
| has been brought; | ||
| (5) non-mutual issue preclusion or non-mutual claim | ||
| preclusion; | ||
| (6) the consent of the unborn child's mother to the | ||
| abortion; or | ||
| (7) any claim that the enforcement of this subchapter | ||
| or the imposition of civil liability against the defendant will | ||
| violate the constitutional rights of third parties, except as | ||
| provided by Section 171.209. | ||
| (f) It is an affirmative defense if: | ||
| (1) a person sued under Subsection (a)(2) reasonably | ||
| believed, after conducting a reasonable investigation, that the | ||
| physician performing or inducing the abortion had complied or would | ||
| comply with this subchapter; or | ||
| (2) a person sued under Subsection (a)(3) reasonably | ||
| believed, after conducting a reasonable investigation, that the | ||
| physician performing or inducing the abortion will comply with this | ||
| subchapter. | ||
| (f-1) The defendant has the burden of proving an affirmative | ||
| defense under Subsection (f)(1) or (2) by a preponderance of the | ||
| evidence. | ||
| (g) This section may not be construed to impose liability on | ||
| any speech or conduct protected by the First Amendment of the United | ||
| States Constitution, as made applicable to the states through the | ||
| United States Supreme Court's interpretation of the Fourteenth | ||
| Amendment of the United States Constitution, or by Section 8, | ||
| Article I, Texas Constitution. | ||
| (h) Notwithstanding any other law, this state, a state | ||
| official, or a district or county attorney may not intervene in an | ||
| action brought under this section. This subsection does not | ||
| prohibit a person described by this subsection from filing an | ||
| amicus curiae brief in the action. | ||
| (i) Notwithstanding any other law, a court may not award | ||
| costs or attorney's fees under the Texas Rules of Civil Procedure or | ||
| any other rule adopted by the supreme court under Section 22.004, | ||
| Government Code, to a defendant in an action brought under this | ||
| section. | ||
| (j) Notwithstanding any other law, a civil action under this | ||
| section may not be brought by a person who impregnated the abortion | ||
| patient through an act of rape, sexual assault, incest, or any other | ||
| act prohibited by Sections 22.011, 22.021, or 25.02, Penal Code. | ||
| Sec. 171.209. CIVIL LIABILITY: UNDUE BURDEN DEFENSE | ||
| LIMITATIONS. (a) A defendant against whom an action is brought | ||
| under Section 171.208 does not have standing to assert the rights of | ||
| women seeking an abortion as a defense to liability under that | ||
| section unless: | ||
| (1) the United States Supreme Court holds that the | ||
| courts of this state must confer standing on that defendant to | ||
| assert the third-party rights of women seeking an abortion in state | ||
| court as a matter of federal constitutional law; or | ||
| (2) the defendant has standing to assert the rights of | ||
| women seeking an abortion under the tests for third-party standing | ||
| established by the United States Supreme Court. | ||
| (b) A defendant in an action brought under Section 171.208 | ||
| may assert an affirmative defense to liability under this section | ||
| if: | ||
| (1) the defendant has standing to assert the | ||
| third-party rights of a woman or group of women seeking an abortion | ||
| in accordance with Subsection (a); and | ||
| (2) the defendant demonstrates that the relief sought | ||
| by the claimant will impose an undue burden on that woman or that | ||
| group of women seeking an abortion. | ||
| (c) A court may not find an undue burden under Subsection | ||
| (b) unless the defendant introduces evidence proving that: | ||
| (1) an award of relief will prevent a woman or a group | ||
| of women from obtaining an abortion; or | ||
| (2) an award of relief will place a substantial | ||
| obstacle in the path of a woman or a group of women who are seeking | ||
| an abortion. | ||
| (d) A defendant may not establish an undue burden under this | ||
| section by: | ||
| (1) merely demonstrating that an award of relief will | ||
| prevent women from obtaining support or assistance, financial or | ||
| otherwise, from others in their effort to obtain an abortion; or | ||
| (2) arguing or attempting to demonstrate that an award | ||
| of relief against other defendants or other potential defendants | ||
| will impose an undue burden on women seeking an abortion. | ||
| (e) The affirmative defense under Subsection (b) is not | ||
| available if the United States Supreme Court overrules Roe v. Wade, | ||
| 410 U.S. 113 (1973) or Planned Parenthood v. Casey, 505 U.S. 833 | ||
| (1992), regardless of whether the conduct on which the cause of | ||
| action is based under Section 171.208 occurred before the Supreme | ||
| Court overruled either of those decisions. | ||
| (f) Nothing in this section shall in any way limit or | ||
| preclude a defendant from asserting the defendant's personal | ||
| constitutional rights as a defense to liability under Section | ||
| 171.208, and a court may not award relief under Section 171.208 if | ||
| the conduct for which the defendant has been sued was an exercise of | ||
| state or federal constitutional rights that personally belong to | ||
| the defendant. | ||
| Sec. 171.210. CIVIL LIABILITY: VENUE. | ||
| (a) Notwithstanding any other law, including Section 15.002, | ||
| Civil Practice and Remedies Code, a civil action brought under | ||
| Section 171.208 shall be brought in: | ||
| (1) the county in which all or a substantial part of | ||
| the events or omissions giving rise to the claim occurred; | ||
| (2) the county of residence for any one of the natural | ||
| person defendants at the time the cause of action accrued; | ||
| (3) the county of the principal office in this state of | ||
| any one of the defendants that is not a natural person; or | ||
| (4) the county of residence for the claimant if the | ||
| claimant is a natural person residing in this state. | ||
| (b) If a civil action is brought under Section 171.208 in | ||
| any one of the venues described by Subsection (a), the action may | ||
| not be transferred to a different venue without the written consent | ||
| of all parties. | ||
| Sec. 171.211. SOVEREIGN, GOVERNMENTAL, AND OFFICIAL | ||
| IMMUNITY PRESERVED. (a) This section prevails over any | ||
| conflicting law, including: | ||
| (1) the Uniform Declaratory Judgments Act; and | ||
| (2) Chapter 37, Civil Practice and Remedies Code. | ||
| (b) This state has sovereign immunity, a political | ||
| subdivision has governmental immunity, and each officer and | ||
| employee of this state or a political subdivision has official | ||
| immunity in any action, claim, or counterclaim or any type of legal | ||
| or equitable action that challenges the validity of any provision | ||
| or application of this chapter, on constitutional grounds or | ||
| otherwise. | ||
| (c) A provision of state law may not be construed to waive or | ||
| abrogate an immunity described by Subsection (b) unless it | ||
| expressly waives immunity under this section. | ||
| Sec. 171.212. SEVERABILITY. (a) Mindful of Leavitt v. | ||
| Jane L. | ||
| the severability of a state statute regulating abortion the United | ||
| States Supreme Court held that an explicit statement of legislative | ||
| intent is controlling, it is the intent of the legislature that | ||
| every provision, section, subsection, sentence, clause, phrase, or | ||
| word in this chapter, and every application of the provisions in | ||
| this chapter, are severable from each other. | ||
| (b) If any application of any provision in this chapter to | ||
| any person, group of persons, or circumstances is found by a court | ||
| to be invalid or unconstitutional, the remaining applications of | ||
| that provision to all other persons and circumstances shall be | ||
| severed and may not be affected. All constitutionally valid | ||
| applications of this chapter shall be severed from any applications | ||
| that a court finds to be invalid, leaving the valid applications in | ||
| force, because it is the legislature's intent and priority that the | ||
| valid applications be allowed to stand alone. Even if a reviewing | ||
| court finds a provision of this chapter to impose an undue burden in | ||
| a large or substantial fraction of relevant cases, the applications | ||
| that do not present an undue burden shall be severed from the | ||
| remaining applications and shall remain in force, and shall be | ||
| treated as if the legislature had enacted a statute limited to the | ||
| persons, group of persons, or circumstances for which the statute's | ||
| application does not present an undue burden. | ||
| (b-1) If any court declares or finds a provision of this | ||
| chapter facially unconstitutional, when discrete applications of | ||
| that provision can be enforced against a person, group of persons, | ||
| or circumstances without violating the United States Constitution | ||
| and Texas Constitution, those applications shall be severed from | ||
| all remaining applications of the provision, and the provision | ||
| shall be interpreted as if the legislature had enacted a provision | ||
| limited to the persons, group of persons, or circumstances for | ||
| which the provision's application will not violate the United | ||
| States Constitution and Texas Constitution. | ||
| (c) The legislature further declares that it would have | ||
| enacted this chapter, and each provision, section, subsection, | ||
| sentence, clause, phrase, or word, and all constitutional | ||
| applications of this chapter, irrespective of the fact that any | ||
| provision, section, subsection, sentence, clause, phrase, or word, | ||
| or applications of this chapter, were to be declared | ||
| unconstitutional or to represent an undue burden. | ||
| (d) If any provision of this chapter is found by any court to | ||
| be unconstitutionally vague, then the applications of that | ||
| provision that do not present constitutional vagueness problems | ||
| shall be severed and remain in force. | ||
| (e) No court may decline to enforce the severability | ||
| requirements of Subsections (a), (b), (b-1), (c), and (d) on the | ||
| ground that severance would rewrite the statute or involve the | ||
| court in legislative or lawmaking activity. A court that declines | ||
| to enforce or enjoins a state official from enforcing a statutory | ||
| provision does not rewrite a statute, as the statute continues to | ||
| contain the same words as before the court's decision. A judicial | ||
| injunction or declaration of unconstitutionality: | ||
| (1) is nothing more than an edict prohibiting | ||
| enforcement that may subsequently be vacated by a later court if | ||
| that court has a different understanding of the requirements of the | ||
| Texas Constitution or United States Constitution; | ||
| (2) is not a formal amendment of the language in a | ||
| statute; and | ||
| (3) no more rewrites a statute than a decision by the | ||
| executive not to enforce a duly enacted statute in a limited and | ||
| defined set of circumstances. | ||
| SECTION 4. Chapter 30, Civil Practice and Remedies Code, is | ||
| amended by adding Section 30.022 to read as follows: | ||
| Sec. 30.022. AWARD OF ATTORNEY'S FEES IN ACTIONS | ||
| CHALLENGING ABORTION LAWS. (a) Notwithstanding any other law, any | ||
| person, including an entity, attorney, or law firm, who seeks | ||
| declaratory or injunctive relief to prevent this state, a political | ||
| subdivision, any governmental entity or public official in this | ||
| state, or any person in this state from enforcing any statute, | ||
| ordinance, rule, regulation, or any other type of law that | ||
| regulates or restricts abortion or that limits taxpayer funding for | ||
| individuals or entities that perform or promote abortions, in any | ||
| state or federal court, or that represents any litigant seeking | ||
| such relief in any state or federal court, is jointly and severally | ||
| liable to pay the costs and attorney's fees of the prevailing party. | ||
| (b) For purposes of this section, a party is considered a | ||
| prevailing party if a state or federal court: | ||
| (1) dismisses any claim or cause of action brought | ||
| against the party that seeks the declaratory or injunctive relief | ||
| described by Subsection (a), regardless of the reason for the | ||
| dismissal; or | ||
| (2) enters judgment in the party's favor on any such | ||
| claim or cause of action. | ||
| (c) Regardless of whether a prevailing party sought to | ||
| recover costs or attorney's fees in the underlying action, a | ||
| prevailing party under this section may bring a civil action to | ||
| recover costs and attorney's fees against a person, including an | ||
| entity, attorney, or law firm, that sought declaratory or | ||
| injunctive relief described by Subsection (a) not later than the | ||
| third anniversary of the date on which, as applicable: | ||
| (1) the dismissal or judgment described by Subsection | ||
| (b) becomes final on the conclusion of appellate review; or | ||
| (2) the time for seeking appellate review expires. | ||
| (d) It is not a defense to an action brought under | ||
| Subsection (c) that: | ||
| (1) a prevailing party under this section failed to | ||
| seek recovery of costs or attorney's fees in the underlying action; | ||
| (2) the court in the underlying action declined to | ||
| recognize or enforce the requirements of this section; or | ||
| (3) the court in the underlying action held that any | ||
| provisions of this section are invalid, unconstitutional, or | ||
| preempted by federal law, notwithstanding the doctrines of issue or | ||
| claim preclusion. | ||
| SECTION 5. Subchapter C, Chapter 311, Government Code, is | ||
| amended by adding Section 311.036 to read as follows: | ||
| Sec. 311.036. CONSTRUCTION OF ABORTION STATUTES. (a) A | ||
| statute that regulates or prohibits abortion may not be construed | ||
| to repeal any other statute that regulates or prohibits abortion, | ||
| either wholly or partly, unless the repealing statute explicitly | ||
| states that it is repealing the other statute. | ||
| (b) A statute may not be construed to restrict a political | ||
| subdivision from regulating or prohibiting abortion in a manner | ||
| that is at least as stringent as the laws of this state unless the | ||
| statute explicitly states that political subdivisions are | ||
| prohibited from regulating or prohibiting abortion in the manner | ||
| described by the statute. | ||
| (c) Every statute that regulates or prohibits abortion is | ||
| severable in each of its applications to every person and | ||
| circumstance. If any statute that regulates or prohibits abortion | ||
| is found by any court to be unconstitutional, either on its face or | ||
| as applied, then all applications of that statute that do not | ||
| violate the United States Constitution and Texas Constitution shall | ||
| be severed from the unconstitutional applications and shall remain | ||
| enforceable, notwithstanding any other law, and the statute shall | ||
| be interpreted as if containing language limiting the statute's | ||
| application to the persons, group of persons, or circumstances for | ||
| which the statute's application will not violate the United States | ||
| Constitution and Texas Constitution. | ||
| SECTION 6. Section 171.005, Health and Safety Code, is | ||
| amended to read as follows: | ||
| Sec. 171.005. COMMISSION [ |
||
| EXCEPTION. The commission [ |
||
| except for Subchapter H, which shall be enforced exclusively | ||
| through the private civil enforcement actions described by Section | ||
| 171.208 and may not be enforced by the commission. | ||
| SECTION 7. Subchapter A, Chapter 171, Health and Safety | ||
| Code, is amended by adding Section 171.008 to read as follows: | ||
| Sec. 171.008. REQUIRED DOCUMENTATION. (a) If an abortion | ||
| is performed or induced on a pregnant woman because of a medical | ||
| emergency, the physician who performs or induces the abortion shall | ||
| execute a written document that certifies the abortion is necessary | ||
| due to a medical emergency and specifies the woman's medical | ||
| condition requiring the abortion. | ||
| (b) A physician shall: | ||
| (1) place the document described by Subsection (a) in | ||
| the pregnant woman's medical record; and | ||
| (2) maintain a copy of the document described by | ||
| Subsection (a) in the physician's practice records. | ||
| (c) A physician who performs or induces an abortion on a | ||
| pregnant woman shall: | ||
| (1) if the abortion is performed or induced to | ||
| preserve the health of the pregnant woman, execute a written | ||
| document that: | ||
| (A) specifies the medical condition the abortion | ||
| is asserted to address; and | ||
| (B) provides the medical rationale for the | ||
| physician's conclusion that the abortion is necessary to address | ||
| the medical condition; or | ||
| (2) for an abortion other than an abortion described | ||
| by Subdivision (1), specify in a written document that maternal | ||
| health is not a purpose of the abortion. | ||
| (d) The physician shall maintain a copy of a document | ||
| described by Subsection (c) in the physician's practice records. | ||
| SECTION 8. Section 171.012(a), Health and Safety Code, is | ||
| amended to read as follows: | ||
| (a) Consent to an abortion is voluntary and informed only | ||
| if: | ||
| (1) the physician who is to perform or induce the | ||
| abortion informs the pregnant woman on whom the abortion is to be | ||
| performed or induced of: | ||
| (A) the physician's name; | ||
| (B) the particular medical risks associated with | ||
| the particular abortion procedure to be employed, including, when | ||
| medically accurate: | ||
| (i) the risks of infection and hemorrhage; | ||
| (ii) the potential danger to a subsequent | ||
| pregnancy and of infertility; and | ||
| (iii) the possibility of increased risk of | ||
| breast cancer following an induced abortion and the natural | ||
| protective effect of a completed pregnancy in avoiding breast | ||
| cancer; | ||
| (C) the probable gestational age of the unborn | ||
| child at the time the abortion is to be performed or induced; and | ||
| (D) the medical risks associated with carrying | ||
| the child to term; | ||
| (2) the physician who is to perform or induce the | ||
| abortion or the physician's agent informs the pregnant woman that: | ||
| (A) medical assistance benefits may be available | ||
| for prenatal care, childbirth, and neonatal care; | ||
| (B) the father is liable for assistance in the | ||
| support of the child without regard to whether the father has | ||
| offered to pay for the abortion; and | ||
| (C) public and private agencies provide | ||
| pregnancy prevention counseling and medical referrals for | ||
| obtaining pregnancy prevention medications or devices, including | ||
| emergency contraception for victims of rape or incest; | ||
| (3) the physician who is to perform or induce the | ||
| abortion or the physician's agent: | ||
| (A) provides the pregnant woman with the printed | ||
| materials described by Section 171.014; and | ||
| (B) informs the pregnant woman that those | ||
| materials: | ||
| (i) have been provided by the commission | ||
| [ |
||
| (ii) are accessible on an Internet website | ||
| sponsored by the commission [ |
||
| (iii) describe the unborn child and list | ||
| agencies that offer alternatives to abortion; and | ||
| (iv) include a list of agencies that offer | ||
| sonogram services at no cost to the pregnant woman; | ||
| (4) before any sedative or anesthesia is administered | ||
| to the pregnant woman and at least 24 hours before the abortion or | ||
| at least two hours before the abortion if the pregnant woman waives | ||
| this requirement by certifying that she currently lives 100 miles | ||
| or more from the nearest abortion provider that is a facility | ||
| licensed under Chapter 245 or a facility that performs more than 50 | ||
| abortions in any 12-month period: | ||
| (A) the physician who is to perform or induce the | ||
| abortion or an agent of the physician who is also a sonographer | ||
| certified by a national registry of medical sonographers performs a | ||
| sonogram on the pregnant woman on whom the abortion is to be | ||
| performed or induced; | ||
| (B) the physician who is to perform or induce the | ||
| abortion displays the sonogram images in a quality consistent with | ||
| current medical practice in a manner that the pregnant woman may | ||
| view them; | ||
| (C) the physician who is to perform or induce the | ||
| abortion provides, in a manner understandable to a layperson, a | ||
| verbal explanation of the results of the sonogram images, including | ||
| a medical description of the dimensions of the embryo or fetus, the | ||
| presence of cardiac activity, and the presence of external members | ||
| and internal organs; and | ||
| (D) the physician who is to perform or induce the | ||
| abortion or an agent of the physician who is also a sonographer | ||
| certified by a national registry of medical sonographers makes | ||
| audible the heart auscultation for the pregnant woman to hear, if | ||
| present, in a quality consistent with current medical practice and | ||
| provides, in a manner understandable to a layperson, a simultaneous | ||
| verbal explanation of the heart auscultation; | ||
| (5) before receiving a sonogram under Subdivision | ||
| (4)(A) and before the abortion is performed or induced and before | ||
| any sedative or anesthesia is administered, the pregnant woman | ||
| completes and certifies with her signature an election form that | ||
| states as follows: | ||
| "ABORTION AND SONOGRAM ELECTION | ||
| (1) THE INFORMATION AND PRINTED MATERIALS DESCRIBED BY | ||
| SECTIONS 171.012(a)(1)-(3), TEXAS HEALTH AND SAFETY CODE, HAVE BEEN | ||
| PROVIDED AND EXPLAINED TO ME. | ||
| (2) I UNDERSTAND THE NATURE AND CONSEQUENCES OF AN | ||
| ABORTION. | ||
| (3) TEXAS LAW REQUIRES THAT I RECEIVE A SONOGRAM PRIOR | ||
| TO RECEIVING AN ABORTION. | ||
| (4) I UNDERSTAND THAT I HAVE THE OPTION TO VIEW THE | ||
| SONOGRAM IMAGES. | ||
| (5) I UNDERSTAND THAT I HAVE THE OPTION TO HEAR THE | ||
| HEARTBEAT. | ||
| (6) I UNDERSTAND THAT I AM REQUIRED BY LAW TO HEAR AN | ||
| EXPLANATION OF THE SONOGRAM IMAGES UNLESS I CERTIFY IN WRITING TO | ||
| ONE OF THE FOLLOWING: | ||
| ___ I AM PREGNANT AS A RESULT OF A SEXUAL ASSAULT, | ||
| INCEST, OR OTHER VIOLATION OF THE TEXAS PENAL CODE THAT HAS BEEN | ||
| REPORTED TO LAW ENFORCEMENT AUTHORITIES OR THAT HAS NOT BEEN | ||
| REPORTED BECAUSE I REASONABLY BELIEVE THAT DOING SO WOULD PUT ME AT | ||
| RISK OF RETALIATION RESULTING IN SERIOUS BODILY INJURY. | ||
| ___ I AM A MINOR AND OBTAINING AN ABORTION IN ACCORDANCE | ||
| WITH JUDICIAL BYPASS PROCEDURES UNDER CHAPTER 33, TEXAS FAMILY | ||
| CODE. | ||
| ___ MY UNBORN CHILD [ |
||
| CONDITION OR ABNORMALITY, AS IDENTIFIED BY RELIABLE DIAGNOSTIC | ||
| PROCEDURES AND DOCUMENTED IN MY MEDICAL FILE. | ||
| (7) I AM MAKING THIS ELECTION OF MY OWN FREE WILL AND | ||
| WITHOUT COERCION. | ||
| (8) FOR A WOMAN WHO LIVES 100 MILES OR MORE FROM THE | ||
| NEAREST ABORTION PROVIDER THAT IS A FACILITY LICENSED UNDER CHAPTER | ||
| 245, TEXAS HEALTH AND SAFETY CODE, OR A FACILITY THAT PERFORMS MORE | ||
| THAN 50 ABORTIONS IN ANY 12-MONTH PERIOD ONLY: | ||
| I CERTIFY THAT, BECAUSE I CURRENTLY LIVE 100 MILES OR | ||
| MORE FROM THE NEAREST ABORTION PROVIDER THAT IS A FACILITY LICENSED | ||
| UNDER CHAPTER 245 OR A FACILITY THAT PERFORMS MORE THAN 50 ABORTIONS | ||
| IN ANY 12-MONTH PERIOD, I WAIVE THE REQUIREMENT TO WAIT 24 HOURS | ||
| AFTER THE SONOGRAM IS PERFORMED BEFORE RECEIVING THE ABORTION | ||
| PROCEDURE. MY PLACE OF RESIDENCE IS:__________. | ||
| ________________________________________ | ||
| SIGNATURE DATE"; | ||
| (6) before the abortion is performed or induced, the | ||
| physician who is to perform or induce the abortion receives a copy | ||
| of the signed, written certification required by Subdivision (5); | ||
| and | ||
| (7) the pregnant woman is provided the name of each | ||
| person who provides or explains the information required under this | ||
| subsection. | ||
| SECTION 9. Section 245.011(c), Health and Safety Code, is | ||
| amended to read as follows: | ||
| (c) The report must include: | ||
| (1) whether the abortion facility at which the | ||
| abortion is performed is licensed under this chapter; | ||
| (2) the patient's year of birth, race, marital status, | ||
| and state and county of residence; | ||
| (3) the type of abortion procedure; | ||
| (4) the date the abortion was performed; | ||
| (5) whether the patient survived the abortion, and if | ||
| the patient did not survive, the cause of death; | ||
| (6) the probable post-fertilization age of the unborn | ||
| child based on the best medical judgment of the attending physician | ||
| at the time of the procedure; | ||
| (7) the date, if known, of the patient's last menstrual | ||
| cycle; | ||
| (8) the number of previous live births of the patient; | ||
| [ |
||
| (9) the number of previous induced abortions of the | ||
| patient; | ||
| (10) whether the abortion was performed or induced | ||
| because of a medical emergency and any medical condition of the | ||
| pregnant woman that required the abortion; and | ||
| (11) the information required under Sections | ||
| 171.008(a) and (c). | ||
| SECTION 10. Every provision in this Act and every | ||
| application of the provision in this Act are severable from each | ||
| other. If any provision or application of any provision in this Act | ||
| to any person, group of persons, or circumstance is held by a court | ||
| to be invalid, the invalidity does not affect the other provisions | ||
| or applications of this Act. | ||
| SECTION 11. The change in law made by this Act applies only | ||
| to an abortion performed or induced on or after the effective date | ||
| of this Act. | ||
| SECTION 12. This Act takes effect September 1, 2021. | ||
| ______________________________ | ______________________________ | |
| President of the Senate | Speaker of the House | |
| I hereby certify that S.B. No. 8 passed the Senate on | ||
| March 30, 2021, by the following vote: Yeas 19, Nays 12; and that | ||
| the Senate concurred in House amendments on May 13, 2021, by the | ||
| following vote: Yeas 18, Nays 12. | ||
| ______________________________ | ||
| Secretary of the Senate | ||
| I hereby certify that S.B. No. 8 passed the House, with | ||
| amendments, on May 6, 2021, by the following vote: Yeas 83, | ||
| Nays 64, one present not voting. | ||
| ______________________________ | ||
| Chief Clerk of the House | ||
| Approved: | ||
| ______________________________ | ||
| Date | ||
| ______________________________ | ||
| Governor | ||
