Text: H01392 Text: H01394 Text: H01300 - H01399 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 PREGNANCYHEALTH-RELATED 1 7 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 or who 1 11 initially identifies or diagnoses an incidence of 1 12 respiratory or lung disease shall file with the 1 13 department a report for eachterminationincidence 1 14 within thirty days of the occurrence. The health care 1 15 provider shall make a good faith effort to obtain all 1 16 of the following information that is available with 1 17 respect to eachterminationincidence, as applicable: 1 18 a. The confidential health care provider code as 1 19 assigned by the department. 1 20 b. The report tracking number. 1 21 c. The maternal health services region of the Iowa 1 22 department of public health, as designated as of July 1 23 1, 1997, in which the patient resides. 1 24 d. The race of the patient. 1 25 e. The age of the patient. 1 26 f. The marital status of the patient. 1 27 g. The educational level of the patient. 1 28 h. The number of previous pregnancies, live 1 29 births, and spontaneous or induced terminations of 1 30 pregnancies or the number of previous incidences of 1 31 respiratory or lung disease identified or diagnosed. 1 32 i. The month and year in which the termination 1 33 occurred or in which the respiratory or lung disease 1 34 was identified or diagnosed. 1 35 j. The number of weeks since the patient's last 1 36 menstrual period and a clinical estimate of gestation. 1 37 2. It is the intent of the general assembly that 1 38 the information shall be collected, reproduced, 1 39 released, and disclosed in a manner specified by rule 1 40 of the department, adopted pursuant to chapter 17A, 1 41 which ensures the anonymity of the patientwho1 42experiences a termination of pregnancy, the health 1 43 care provider who identifies and diagnoses or induces 1 44 a termination of pregnancy or who identifies or 1 45 diagnoses an incidence of respiratory or lung disease, 1 46 and the hospital, clinic, or other health facility in 1 47 which a termination of pregnancy is identified and 1 48 diagnosed or induced or in which the incidence of 1 49 respiratory or lung disease was identified or 1 50 diagnosed. The department may share information with 2 1 federal public health officials for the purposes of 2 2 securing federal funding or conducting public health 2 3 research. However, in sharing the information, the 2 4 department shall not relinquish control of the 2 5 information, and any agreement entered into by the 2 6 department with federal public health officials to 2 7 share information shall prohibit the use, 2 8 reproduction, release, or disclosure of the 2 9 information by federal public health officials in a 2 10 manner which violates this section. The department 2 11 shall publish, annually, a demographic summary of the 2 12 information obtained pursuant to this section, except 2 13 that the department shall not reproduce, release, or 2 14 disclose any information obtained pursuant to this 2 15 section which reveals the identity of any patient, 2 16 health care provider, hospital, clinic, or other 2 17 health facility, and shall ensure anonymity in the 2 18 following ways: 2 19 a. The department may use information concerning 2 20 the report tracking number or concerning the identity 2 21 of a reporting health care provider, hospital, clinic, 2 22 or other health facility only for purposes of 2 23 information collection. The department shall not 2 24 reproduce, release, or disclose this information for 2 25 any purpose other than for use in annually publishing 2 26 the demographic summary under this section. 2 27 b. The department shall enter the information, 2 28 from any reportof terminationsubmitted, within 2 29 thirty days of receipt of the report, and shall 2 30 immediately destroy the report following entry of the 2 31 information. However, entry of the information from a 2 32 report shall not include any health care provider, 2 33 hospital, clinic, or other health facility 2 34 identification information including, but not limited 2 35 to, the confidential health care provider code, as 2 36 assigned by the department. 2 37 c. To protect confidentiality, the department 2 38 shall limit release of information to release in an 2 39 aggregate form which prevents identification of any 2 40 individual patient, health care provider, hospital, 2 41 clinic, or other health facility. For the purposes of 2 42 this paragraph, "aggregate form" means a compilation 2 43 of the information received by the departmenton2 44termination of pregnanciesfor each information item 2 45 listed, with the exceptions of the report tracking 2 46 number, the health care provider code, and any set of 2 47 information for which the amount is so small that the 2 48 confidentiality of any person to whom the information 2 49 relates may be compromised. The department shall 2 50 establish a methodology to provide a statistically 3 1 verifiable basis for any determination of the correct 3 2 amount at which information may be released so that 3 3 the confidentiality of any person is not compromised. 3 4 3. Except as specified in subsection 2, reports, 3 5 information, and records submitted and maintained 3 6 pursuant to this section are strictly confidential and 3 7 shall not be released or made public upon subpoena, 3 8 search warrant, discovery proceedings, or by any other 3 9 means. 3 10 4. The department shall assign a code to any 3 11 health care provider who may be required to reporta3 12terminationunder this section. An application 3 13 procedure shall not be required for assignment of a 3 14 code to a health care provider. 3 15 5. A health care provider shall assign a report 3 16 tracking number which enables the health care provider 3 17 to access the patient's medical information without 3 18 identifying the patient. 3 19 6. To ensure proper performance of the reporting 3 20 requirements under this section, it is preferred that 3 21 a health care provider who practices within a 3 22 hospital, clinic, or other health facility authorize 3 23 one staff person to fulfill the reporting 3 24 requirements. 3 25 7. For the purposes of this section, "health care 3 26 provider" means an individual licensed under chapter 3 27 148, 148C, 148D, 150, 150A, or 152, or any individual 3 28 who provides medical services under the authorization 3 29 of the licensee. 3 30 8. For the purposes of this section, "inducing a 3 31 termination of pregnancy" means the use of any means 3 32 to terminate the pregnancy of a woman known to be 3 33 pregnant with the intent other than to produce a live 3 34 birth or to remove a dead fetus. 3 35 9. For the purposes of this section, "spontaneous 3 36 termination of pregnancy" means the occurrence of an 3 37 unintended termination of pregnancy at any time during 3 38 the period from conception to twenty weeks gestation 3 39 and which is not a spontaneous termination of 3 40 pregnancy at any time during the period from twenty 3 41 weeks or greater which is reported to the department 3 42 as a fetal death under this chapter." 3 43 #2. Title page, line 1, by inserting after the 3 44 word "in" the following: "health-related reporting 3 45 including". 3 46 3 47 3 48 3 49 PETERSEN of Polk 3 50 HF 116.207 79 4 1 pf/gg
Text: H01392 Text: H01394 Text: H01300 - H01399 Text: H Index Bills and Amendments: General Index Bill History: General Index
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