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House Journal: Page 1904: Wednesday, April 26, 2000

Page 16

1 telemedicine and other technologies to reduce the
2 frequency of visits to the hospital required by
3 indigent patients. The university of Iowa hospitals
4 and clinics shall submit a report to the general
5 assembly and the legislative fiscal bureau by January
6 15, 2001, describing its use of these technologies to
7 accomplish this purpose.
8 The university of Iowa hospitals and clinics shall
9 submit quarterly a report regarding the portion of the
10 appropriation in this lettered paragraph expended on
11 medical education. The report shall be submitted in a
12 format jointly developed by the university of Iowa
13 hospitals and clinics, the legislative fiscal bureau,
14 and the department of management, and shall delineate
15 the expenditures and purposes of the funds.
16 Funds appropriated in this lettered paragraph shall
17 not be used to perform abortions except medically
18 necessary abortions, and shall not be used to operate
19 the early termination of pregnancy clinic except for
20 the performance of medically necessary abortions. For
21 the purpose of this lettered paragraph, an abortion is
22 the purposeful interruption of pregnancy with the
23 intention other than to produce a live-born infant or
24 to remove a dead fetus, and a medically necessary
25 abortion is one performed under one of the following
26 conditions:
27 (1) The attending physician certifies that
28 continuing the pregnancy would endanger the life of
29 the pregnant woman.
30 (2) The attending physician certifies that the
31 fetus is physically deformed, mentally deficient, or
32 afflicted with a congenital illness.
33 (3) The pregnancy is the result of a rape which is
34 reported within 45 days of the incident to a law
35 enforcement agency or public or private health agency
36 which may include a family physician.
37 (4) The pregnancy is the result of incest which is
38 reported within 150 days of the incident to a law
39 enforcement agency or public or private health agency
40 which may include a family physician.
41 (5) The abortion is a spontaneous abortion,
42 commonly known as a miscarriage, wherein not all of
43 the products of conception are expelled.
44 The total quota allocated to the counties for
45 indigent patients for the fiscal year beginning July
46 1, 2000, shall not be lower than the total quota
47 allocated to the counties for the fiscal year
48 commencing July 1, 1998. The total quota shall be
49 allocated among the counties on the basis of the 1990
50 census pursuant to section 255.16.


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