Text: H01178 Text: H01180 Text: H01100 - H01199 Text: H Index Bills and Amendments: General Index Bill History: General Index
PAG LIN 1 1 Amend House File 116, as follows: 1 2 #1. Page 1, by striking lines 1 through 14, and 1 3 inserting the following: 1 4 "Section 1. Section 144.29A, Code 2001, is amended 1 5 to read as follows: 1 6 144.29ATERMINATION OF PREGNANCYSURGICAL 1 7 PROCEDURE REPORTING. 1 8 1. A health care provider who initially identifies 1 9 and diagnoses a spontaneous termination of pregnancy, 1 10 or who induces a termination of pregnancy, performs 1 11 vasectomies, vasectomy reversals, penile implants, or 1 12 cosmetic surgery shall file with the department a 1 13 report for each termination, vasectomy, vasectomy 1 14 reversal, penile implant, or cosmetic surgery 1 15 procedure within thirty days of the occurrence. The 1 16 health care provider shall make a good faith effort to 1 17 obtain all of the following information that is 1 18 available with respect to eachterminationspecified 1 19 procedure performed as applicable to the procedure: 1 20 a. The confidential health care provider code as 1 21 assigned by the department. 1 22 b. The report tracking number. 1 23 c. The maternal health services region of the Iowa 1 24 department of public health, as designated as of July 1 25 1, 1997, in which the patient resides. 1 26 d. The race of the patient. 1 27 e. The age of the patient. 1 28 f. The marital status of the patient. 1 29 g. The educational level of the patient. 1 30 h. The number of previous pregnancies, live 1 31 births, and spontaneous or induced terminations of 1 32 pregnancies, vasectomies, penile implants, or cosmetic 1 33 surgeries. 1 34 i. The month and year in which thetermination1 35 procedure occurred. 1 36 j. The number of weeks since the patient's last 1 37 menstrual period and a clinical estimate of gestation, 1 38 if applicable. 1 39 k. The results of any tests performed for sexually 1 40 transmitted infections prior to the performance of a 1 41 vasectomy or vasectomy reversal. 1 42 2. It is the intent of the general assembly that 1 43 the information shall be collected, reproduced, 1 44 released, and disclosed in a manner specified by rule 1 45 of the department, adopted pursuant to chapter 17A, 1 46 which ensures the anonymity of the patient who 1 47 experiences a termination of pregnancy, vasectomy, 1 48 vasectomy reversal, penile implant, or cosmetic 1 49 surgery procedures the health care provider who 1 50 identifies and diagnoses or induces a termination of 2 1 pregnancy, or performs the vasectomy, vasectomy 2 2 reversal, penile implant, or cosmetic surgery 2 3 procedure and the hospital, clinic, or other health 2 4 facility in which a termination of pregnancy is 2 5 identified and diagnosed or induced or in which a 2 6 vasectomy, vasectomy reversal, penile implant, or 2 7 cosmetic surgery procedure is performed. The 2 8 department may share information with federal public 2 9 health officials for the purposes of securing federal 2 10 funding or conducting public health research. 2 11 However, in sharing the information, the department 2 12 shall not relinquish control of the information, and 2 13 any agreement entered into by the department with 2 14 federal public health officials to share information 2 15 shall prohibit the use, reproduction, release, or 2 16 disclosure of the information by federal public health 2 17 officials in a manner which violates this section. 2 18 The department shall publish, annually, a demographic 2 19 summary of the information obtained pursuant to this 2 20 section, except that the department shall not 2 21 reproduce, release, or disclose any information 2 22 obtained pursuant to this section which reveals the 2 23 identity of any patient, health care provider, 2 24 hospital, clinic, or other health facility, and shall 2 25 ensure anonymity in the following ways: 2 26 a. The department may use information concerning 2 27 the report tracking number or concerning the identity 2 28 of a reporting health care provider, hospital, clinic, 2 29 or other health facility only for purposes of 2 30 information collection. The department shall not 2 31 reproduce, release, or disclose this information for 2 32 any purpose other than for use in annually publishing 2 33 the demographic summary under this section. 2 34 b. The department shall enter the information, 2 35 from any report of termination, vasectomy, vasectomy 2 36 reversal, penile implant, or cosmetic surgery 2 37 procedure submitted, within thirty days of receipt of 2 38 the report, and shall immediately destroy the report 2 39 following entry of the information. However, entry of 2 40 the information from a report shall not include any 2 41 health care provider, hospital, clinic, or other 2 42 health facility identification information including, 2 43 but not limited to, the confidential health care 2 44 provider code, as assigned by the department. 2 45 c. To protect confidentiality, the department 2 46 shall limit release of information to release in an 2 47 aggregate form which prevents identification of any 2 48 individual patient, health care provider, hospital, 2 49 clinic, or other health facility. For the purposes of 2 50 this paragraph, "aggregate form" means a compilation 3 1 of the information received by the department on 3 2 termination of pregnancies, vasectomies, vasectomy 3 3 reversals, penile implants, and cosmetic surgery 3 4 procedures for each information item listed, with the 3 5 exceptions of the report tracking number, the health 3 6 care provider code, and any set of information for 3 7 which the amount is so small that the confidentiality 3 8 of any person to whom the information relates may be 3 9 compromised. The department shall establish a 3 10 methodology to provide a statistically verifiable 3 11 basis for any determination of the correct amount at 3 12 which information may be released so that the 3 13 confidentiality of any person is not compromised. 3 14 3. Except as specified in subsection 2, reports, 3 15 information, and records submitted and maintained 3 16 pursuant to this section are strictly confidential and 3 17 shall not be released or made public upon subpoena, 3 18 search warrant, discovery proceedings, or by any other 3 19 means. 3 20 4. The department shall assign a code to any 3 21 health care provider who may be required to report a 3 22 termination, vasectomy, vasectomy reversal, penile 3 23 implant, or cosmetic surgery procedure under this 3 24 section. An application procedure shall not be 3 25 required for assignment of a code to a health care 3 26 provider. 3 27 5. A health care provider shall assign a report 3 28 tracking number which enables the health care provider 3 29 to access the patient's medical information without 3 30 identifying the patient. 3 31 6. To ensure proper performance of the reporting 3 32 requirements under this section, it is preferred that 3 33 a health care provider who practices within a 3 34 hospital, clinic, or other health facility authorize 3 35 one staff person to fulfill the reporting 3 36 requirements. 3 37 7. For the purposes of this section, "health care 3 38 provider" means an individual licensed under chapter 3 39 148, 148C, 148D, 150, 150A, or 152, or any individual 3 40 who provides medical services under the authorization 3 41 of the licensee. 3 42 8. For the purposes of this section, "inducing a 3 43 termination of pregnancy" means the use of any means 3 44 to terminate the pregnancy of a woman known to be 3 45 pregnant with the intent other than to produce a live 3 46 birth or to remove a dead fetus. 3 47 9. For the purposes of this section, "spontaneous 3 48 termination of pregnancy" means the occurrence of an 3 49 unintended termination of pregnancy at any time during 3 50 the period from conception to twenty weeks gestation 4 1 and which is not a spontaneous termination of 4 2 pregnancy at any time during the period from twenty 4 3 weeks or greater which is reported to the department 4 4 as a fetal death under this chapter." 4 5 #2. Title page, lines 1 and 2, by striking the 4 6 words "termination of pregnancy" and inserting the 4 7 following: "surgical procedures". 4 8 4 9 4 10 4 11 MASCHER of Johnson 4 12 HF 116.505 79 4 13 pf/pj
Text: H01178 Text: H01180 Text: H01100 - H01199 Text: H Index Bills and Amendments: General Index Bill History: General Index
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