68th OREGON LEGISLATIVE ASSEMBLY--1995 Regular Session NOTE: Matter within { + braces and plus signs + } in an amended section is new. Matter within { - braces and minus signs - } is existing law to be omitted. New sections are within { + braces and plus signs + } . LC 2585 House Bill 2894 Sponsored by Representatives MILNE, QUTUB, Senator KINTIGH; Representatives BAUM, FISHER, LEWIS, LUNDQUIST, MANNIX, MINNIS, OAKLEY, STARR, TIERNAN, WELLS, WELSH, Senator SHANNON SUMMARY The following summary is not prepared by the sponsors of the measure and is not a part of the body thereof subject to consideration by the Legislative Assembly. It is an editor's brief statement of the essential features of the measure as introduced. Requires certified informed consent of pregnant woman 24 hours prior to abortion. Specifies information necessary for consent. Requires that other information printed in Spanish and English be provided by Department of Human Resources. Requires medical assistance to pay for ultrasound imaging if woman does not have private health insurance coverage. Specifies remedies available for failure to comply with Act. A BILL FOR AN ACT Relating to certain medical information. Be It Enacted by the People of the State of Oregon: SECTION 1. { + As used in this Act: (1) 'Abortion' means the use or prescription of any instrument, medicine, drug or any other substance or device with the intent to terminate the pregnancy of a woman known by the physician to be pregnant. Such use or prescription is not an abortion if done with the intent to: (a) Save the life or preserve the health of an unborn child; (b) Remove a dead unborn child; or (c) Deliver an unborn child prematurely in order to preserve the health of both the mother and the unborn child. (2) 'Conception' means the fusion of a human spermatozoon with a human ovum. (3) 'Gestational age' means the time that has elapsed since the first day of the pregnant woman's last menstrual period. (4) 'Medical emergency' means a condition that, on the basis of the physician's good faith clinical judgment, so complicates the medical condition of a pregnant woman as to necessitate the immediate termination of the pregnancy to avert the death of the pregnant woman or for which a delay creates serious risk of substantial and irreversible impairment of a major bodily function. (5) 'Physician' means any person licensed to practice medicine or surgery under ORS chapter 677. (6) 'Pregnant' or 'pregnancy' means the female reproductive condition of having an unborn child in a woman's body. (7) 'Qualified person' means an agent of the physician who is a psychologist, licensed clinical social worker, licensed professional counselor, registered nurse or physician. (8) 'Unborn child' means the offspring of human beings from conception until birth. (9) 'Viable' means that stage of fetal development when the life of the unborn child may be continued indefinitely outside the womb by natural or artificial life support systems. (10) 'Woman' means a female human being. + } SECTION 2. { + No abortion shall be performed without the voluntary and informed consent of the pregnant woman upon whom the abortion is to be performed. Except in the case of a medical emergency, consent to an abortion is voluntary and informed only if at least 24 hours before the abortion, the physician who is to perform the abortion or the referring physician has informed the pregnant woman, orally by telephone or in person, of: (1) The name of the physician who will perform the abortion. (2) The nature of the proposed procedure and of the risks and alternatives to the procedure that a reasonable pregnant woman would consider material to the decision of whether or not to undergo the abortion. (3) The probable gestational age of the unborn child at the time the abortion is to be performed and, if the unborn child is viable or has reached the gestational age of 22 weeks, that: (a) The unborn child may be able to survive outside the womb; (b) The pregnant woman has the right to request that the physician use the method of abortion that is most likely to preserve the life of the unborn child; and (c) If the unborn child is born alive, the attending physician has the legal obligation to take all steps necessary to maintain the life and health of the child. (4) The probable anatomical and physiological characteristics of the unborn child at the time the abortion is to be performed. (5) The medical risks associated with carrying the unborn child to term. (6) If the pregnant woman is Rh negative, any need for anti-Rh immune globulin therapy, the likely consequences of refusing such therapy and the cost of the therapy. + } SECTION 3. { + At least 24 hours before the abortion, the physician who is to perform the abortion, the referring physician or a qualified person shall inform the woman, orally by telephone or in person, that: (1) Medical assistance benefits may be available for prenatal care, childbirth and neonatal care and that more detailed information on the availability of such assistance is contained in the printed materials given to the pregnant woman and described in section 7 of this Act. (2) The printed materials in section 7 of this Act describe the unborn child and list agencies that offer alternatives to abortion. (3) The father of the unborn child is liable to assist in the support of the child, even in the instances where the father has offered to pay for the abortion. In the case of rape or incest, this information may be omitted. (4) The state encourages the pregnant woman to view an ultrasound image of the unborn child before the woman decides to have an abortion. If the woman chooses to view an ultrasound image of the unborn child, the physician who is to perform the abortion or the referring physician shall issue a medical order for the ultrasound imaging service at any medical facility that provides ultrasound imaging services. If the woman does not have private health insurance coverage for the ultrasound imaging service, the woman shall be presumptively eligible for medical assistance coverage for the ultrasound imaging service. (5) The pregnant woman is free to withhold or withdraw consent to the abortion at any time before or during the abortion without affecting the right to future care or treatment and without the loss of any state or federally funded benefits to which the woman might otherwise be entitled. + } SECTION 4. { + (1) The information described in this section and sections 2 and 3 of this Act must be provided to the pregnant woman individually and in a private room: (a) To protect privacy and maintain the confidentiality of the woman's decision; (b) To ensure that the information focuses on the woman's individual circumstances; and (c) To ensure that the woman has an adequate opportunity to ask questions. (2) At least 24 hours before the abortion, the pregnant woman must be given a copy of the printed materials described in section 7 of this Act. If the woman is unable to read the materials, the materials shall be read to the woman. If the woman asks questions concerning any of the information or materials, answers shall be provided in a manner that is understandable and appropriate to the woman. + } SECTION 5. { + Prior to the abortion: (1) The pregnant woman must certify in writing that the information required to be provided under sections 2, 3 and 4 of this Act has been provided. (2) The physician who is to perform the abortion or an agent thereof must receive a copy of the written certification required by subsection (1) of this section. + } SECTION 6. { + The pregnant woman is not required to pay any amount for the abortion procedure until the 24-hour waiting period has expired. + } SECTION 7. { + (1) The Department of Human Resources shall cause to be published in English and Spanish and shall update on an annual basis the following easily comprehensible printed materials: (a) Geographically indexed materials designed to inform a pregnant woman of public and private agencies including but not limited to adoption agencies and services available to assist a woman through pregnancy and childbirth and while the child is dependent. The materials shall include a comprehensive list of the agencies, a description of the services the agencies offer and the telephone numbers and addresses of the agencies and services and shall inform the woman about available medical assistance benefits for prenatal care, childbirth and neonatal care and about the support obligations of the father of a child who is born alive. The department shall ensure that the materials described in this subsection are comprehensive and do not directly or indirectly promote, exclude or discourage the use of any agency or service described in this section. The materials shall also contain a toll-free, 24-hour telephone number that may be called to obtain, orally, such a list and description of agencies in the locality of the caller and of the services they offer. The materials shall state that it is unlawful for any individual to coerce a pregnant woman to undergo an abortion, that any physician who performs an abortion upon a woman without informed consent may be liable for damages in a civil action at law and that the law permits adoptive parents to pay costs of prenatal care, childbirth and neonatal care. The materials shall include the following statement: + } _________________________________________________________________ { + There are many public and private agencies willing and able to help you to carry your child to term and to assist you and your child after your child is born, whether you choose to keep your child or place your child for adoption. The State of Oregon strongly urges you to contact these agencies before making a final decision about abortion. The law requires that your physician or the physician's agent give you the opportunity to call agencies like these before you undergo an abortion. + } ____________________________________________________________ END OF POSSIBLE IRREGULAR TABULAR TEXT ____________________________________________________________ _________________________________________________________________ { + (b) Materials that inform the pregnant woman of the probable anatomical and physiological characteristics of the unborn child at two-week gestational increments from conception to full term, including pictures or drawings representing the development of unborn children at two-week gestational increments and any relevant information on the possibility of the unborn child's survival. However, any pictures or drawings must contain the dimensions of the unborn child and must be realistic. The materials shall be objective, nonjudgmental and designed to convey only accurate scientific information about the unborn child at the various gestational ages. The materials shall also contain objective information describing the methods of abortion procedures commonly employed, the medical risks commonly associated with each such procedure, the possible detrimental psychological effects of abortion and the medical risks associated with carrying a child to term. (2) The materials shall be printed in a typeface large enough to be clearly legible. (3) The materials required under this section shall be available at no cost from the Department of Human Resources upon request and in an appropriate number of copies to any person, facility or hospital. + } SECTION 8. { + Where a medical emergency compels termination of the pregnancy, the physician shall inform the pregnant woman before the termination, if possible, of the medical indications supporting the judgment of the woman's physician that a termination is necessary to avert the death of the woman or to avert substantial and irreversible impairment of a major bodily function. + } { + + } { + SECTION 9. + } { + In addition to remedies available under the common or statutory law of this state, failure to comply with the requirements of this Act shall: (1) Provide a basis for a civil malpractice action. Any intentional violation of this Act shall be admissible in a civil suit as prima facie evidence of a failure to obtain an informed consent. (2) Provide a basis for professional disciplinary action under ORS chapter 677. (3) Provide a basis for recovery for the woman under ORS 30.010 to 30.100, whether or not the unborn child was viable at the time the abortion was performed or was born alive. + } SECTION 10. { + Any physician who complies with this Act shall not be held civilly liable to the pregnant woman for failure to obtain informed consent to the abortion. + } SECTION 11. { + Nothing in this Act is intended to: (1) Create or recognize a right to abortion. (2) Make lawful an abortion that is otherwise unlawful. + } SECTION 12. { + Any member of the Legislative Assembly who sponsors or cosponsors this Act may intervene as a matter of right in an official capacity in any action, suit or court proceeding to defend this Act on behalf of the Legislative Assembly and shall have all of the rights and privileges of a party to the action, suit or court proceeding. + } SECTION 13. { + This Act may be known and cited as the 'Women's Right to Know Act.' + } SECTION 14. { + The Department of Human Resources shall prepare initially the printed materials described in section 7 of this Act within 90 days after the effective date of this Act. + } ----------