Text: SSB03185                          Text: SSB03187
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Senate Study Bill 3186

Bill Text

PAG LIN
  1  1    Section 1.  Section 144.29A, subsection 1, Code 1999, is
  1  2 amended to read as follows:
  1  3    1.  A health care provider who initially identifies and
  1  4 diagnoses a spontaneous termination of pregnancy or who
  1  5 induces a termination of pregnancy shall file with the
  1  6 department a report for each termination within thirty days of
  1  7 the occurrence.  The health care provider shall make a good
  1  8 faith effort to obtain all of the following information that
  1  9 is available with respect to each termination:
  1 10    a.  The confidential health care provider code as assigned
  1 11 by the department.
  1 12    b.  The report tracking confidential patient identification
  1 13 number.
  1 14    c.  The name of the facility at which the termination of
  1 15 pregnancy took place.
  1 16    d.  The name of the city or location at which the
  1 17 termination of pregnancy took place.
  1 18    e.  The name of the attending physician.
  1 19    f.  The name of the person completing the report.
  1 20    c. g.  The maternal health services region of the Iowa
  1 21 department of public health, as designated as of July 1, 1997,
  1 22 in which the patient resides city, county, state, and zip code
  1 23 of the patient's residence.
  1 24    d. h.  The race of the patient.
  1 25    i.  Whether the patient is of Hispanic or non-Hispanic
  1 26 origin.
  1 27    j.  The ancestry of the patient.
  1 28    e. k.  The age of the patient.
  1 29    f. l.  The marital status of the patient.
  1 30    g. m.  The educational level of the patient.
  1 31    h. n.  The number of previous pregnancies, live births,
  1 32 both living and deceased, and spontaneous or induced
  1 33 terminations of pregnancies.
  1 34    i. o.  The month and year in which the termination
  1 35 occurred.
  2  1    p.  The type of termination procedure used.
  2  2    j. q.  The number of weeks since month, day, and year on
  2  3 which the patient's last menstrual period began and a clinical
  2  4 estimate of gestation.
  2  5    Sec. 2.  Section 144.29A, subsection 2, is amended to read
  2  6 as follows:
  2  7    2.  It is the intent of the general assembly that the
  2  8 information shall be collected, reproduced, released, and
  2  9 disclosed in a manner specified by rule of the department,
  2 10 adopted pursuant to chapter 17A, which ensures the anonymity
  2 11 of the patient who experiences a termination of pregnancy, the
  2 12 health care provider who identifies and diagnoses or induces a
  2 13 termination of pregnancy, and the hospital, clinic, or other
  2 14 health facility in which a termination of pregnancy is
  2 15 identified and diagnosed or induced.  The department may share
  2 16 information with federal public health officials for the
  2 17 purposes of securing federal funding or conducting public
  2 18 health research.  However, in sharing the information, the
  2 19 department shall not relinquish control of the information,
  2 20 and any agreement entered into by the department with federal
  2 21 public health officials to share information shall prohibit
  2 22 the use, reproduction, release, or disclosure of the
  2 23 information by federal public health officials in a manner
  2 24 which violates this section.  The department shall publish,
  2 25 annually a demographic summary of the information obtained
  2 26 pursuant to this section, except that the department shall not
  2 27 reproduce, release, or disclose any information obtained
  2 28 pursuant to this section which reveals the identity of any
  2 29 patient, health care provider, hospital, clinic, or other
  2 30 health facility, and shall ensure anonymity in the following
  2 31 ways:
  2 32    a.  The department may use information concerning the
  2 33 report tracking confidential patient identification number or
  2 34 concerning the identity of a reporting health care provider,
  2 35 hospital, clinic, or other health facility only for purposes
  3  1 of information collection.  The department shall not only
  3  2 reproduce, release, or disclose this information for any
  3  3 purpose other than for use in annually publishing the in
  3  4 demographic summary form under this section.
  3  5    b.  The department shall enter the information, from any
  3  6 report of termination submitted, within thirty days of receipt
  3  7 of the report, and.  The department shall immediately destroy
  3  8 the report following entry of the information and within a
  3  9 time period specified by rules adopted by the department
  3 10 pursuant to chapter 17A.  However, entry of the information
  3 11 from a report shall not include any health care provider,
  3 12 hospital, clinic, or other health facility identification
  3 13 information including, but not limited to, the confidential
  3 14 health care provider code, as assigned by the department.
  3 15    c.  To protect confidentiality, the department shall limit
  3 16 release of information to release in an aggregate form which
  3 17 prevents identification of any individual patient, health care
  3 18 provider, hospital, clinic, or other health facility.  For the
  3 19 purposes of this paragraph, "aggregate form" means a
  3 20 compilation of the information received by the department on
  3 21 termination of pregnancies for each information item listed,
  3 22 with the exceptions of the report tracking confidential
  3 23 patient identification number, the health care provider code,
  3 24 and any set of information for which the amount is so small
  3 25 that the confidentiality of any person to whom the information
  3 26 relates may be compromised.  The department shall establish a
  3 27 methodology to provide a statistically verifiable basis for
  3 28 any determination of the correct amount at which information
  3 29 may be released so that the confidentiality of any person is
  3 30 not compromised.
  3 31    Sec. 3.  Section 144.29A, subsection 5, Code 1999, is
  3 32 amended to read as follows:
  3 33    5.  A health care provider shall assign a report tracking
  3 34 confidential patient identification number which enables the
  3 35 health care provider to access the patient's medical
  4  1 information without identifying the patient.
  4  2    Sec. 4.  Section 144.29A, subsection 9, Code 1999, is
  4  3 amended by striking the subsection.  
  4  4                           EXPLANATION
  4  5    This bill amends Code section 144.29A to provide for the
  4  6 collection of additional information through the termination
  4  7 of pregnancy reporting process.  Additional information to be
  4  8 collected under the bill includes:  the name of the facility
  4  9 at which the termination of pregnancy took place; the name of
  4 10 the city or location at which the termination of pregnancy
  4 11 took place; the name of the attending physician; the name of
  4 12 the person completing the report; the confidential
  4 13 identification number of the patient; the city, county, state,
  4 14 and zip code of the area in which the patient resides; whether
  4 15 the patient is of Hispanic or non-Hispanic origin; the
  4 16 ancestry of the patient; if previous live births have
  4 17 occurred, whether the children are living or deceased at the
  4 18 time of the reporting; the type of termination procedure used,
  4 19 if the termination is induced; and the month, day, and year on
  4 20 which the patient's last menstrual period began.  The bill
  4 21 also makes conforming changes relating to the use of a
  4 22 confidential patient identification number, and makes changes
  4 23 relating to the dissemination of information.  The bill also
  4 24 deletes the subsection which defines "spontaneous termination
  4 25 of pregnancy" as the bill eliminates collection of information
  4 26 relating to spontaneous terminations with the exception of
  4 27 prior spontaneous terminations.  
  4 28 LSB 6653XC 78
  4 29 pf/as/5.1
     

Text: SSB03185                          Text: SSB03187
Text: SSB03100 - SSB03199               Text: SSB Index
Bills and Amendments: General Index     Bill History: General Index

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