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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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