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House Journal: Page 1536: Wednesday, April 21, 1999

23   telemedicine and other technologies to reduce the

24   frequency of visits to the hospital required by
25   indigent patients.  The university of Iowa hospitals
26   and clinics shall submit a report to the general
27   assembly and the legislative fiscal bureau by January
28   15, 2000, describing its use of these technologies to
29   accomplish this purpose.
30     The university of Iowa hospitals and clinics shall
31   submit quarterly a report regarding the portion of the
32   appropriation in this lettered paragraph expended on
33   medical education.  The report shall be submitted in a
34   format jointly developed by the university of Iowa
35   hospitals and clinics, the legislative fiscal bureau,
36   and the department of management, and shall delineate
37   the expenditures and purposes of the funds.
38     Funds appropriated in this lettered paragraph shall
39   not be used to perform abortions except medically
40   necessary abortions, and shall not be used to operate
41   the early termination of pregnancy clinic except for
42   the performance of medically necessary abortions.  For
43   the purpose of this lettered paragraph, an abortion is
44   the purposeful interruption of pregnancy with the
45   intention other than to produce a live-born infant or
46   to remove a dead fetus, and a medically necessary
47   abortion is one performed under one of the following
48   conditions:
49     (1)  The attending physician certifies that
50   continuing the pregnancy would endanger the life of
Page 14
 1   the pregnant woman.
 2     (2)  The attending physician certifies that the
 3   fetus is physically deformed, mentally deficient, or
 4   afflicted with a congenital illness.
 5     (3)  The pregnancy is the result of a rape which is
 6   reported within 45 days of the incident to a law
 7   enforcement agency or public or private health agency
 8   which may include a family physician.
 9     (4)  The pregnancy is the result of incest which is
10   reported within 150 days of the incident to a law
11   enforcement agency or public or private health agency
12   which may include a family physician.
13     (5)  The abortion is a spontaneous abortion,
14   commonly known as a miscarriage, wherein not all of
15   the products of conception are expelled.
16     The total quota allocated to the counties for
17   indigent patients for the fiscal year beginning July
18   1, 1999, shall not be lower than the total quota
19   allocated to the counties for the fiscal year
20   commencing July 1, 1998.  The total quota shall be
21   allocated among the counties on the basis of the 1990

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