Text: H01393 Text: H01395 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 cancer shall file 1 12 with the department a report for eachtermination1 13 incidence within thirty days of the occurrence. The 1 14 health care provider shall make a good faith effort to 1 15 obtain all of the following information that is 1 16 available with respect to eachterminationincidence, 1 17 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 diagnoses of 1 31 cancer. 1 32 i. The month and year in which the termination 1 33 occurred or the cancer was identified or diagnosed. 1 34 j. The number of weeks since the patient's last 1 35 menstrual period and a clinical estimate of gestation. 1 36 2. It is the intent of the general assembly that 1 37 the information shall be collected, reproduced, 1 38 released, and disclosed in a manner specified by rule 1 39 of the department, adopted pursuant to chapter 17A, 1 40 which ensures the anonymity of the patientwho1 41experiences a termination of pregnancy, the health 1 42 care provider who identifies and diagnoses or induces 1 43 a termination of pregnancy or who identifies or 1 44 diagnoses the patient's cancer, and the hospital, 1 45 clinic, or other health facility in which a 1 46 termination of pregnancy is identified and diagnosed 1 47 or induced or in which the patient's cancer is 1 48 identified or diagnosed. The department may share 1 49 information with federal public health officials for 1 50 the purposes of securing federal funding or conducting 2 1 public health research. However, in sharing the 2 2 information, the department shall not relinquish 2 3 control of the information, and any agreement entered 2 4 into by the department with federal public health 2 5 officials to share information shall prohibit the use, 2 6 reproduction, release, or disclosure of the 2 7 information by federal public health officials in a 2 8 manner which violates this section. The department 2 9 shall publish, annually, a demographic summary of the 2 10 information obtained pursuant to this section, except 2 11 that the department shall not reproduce, release, or 2 12 disclose any information obtained pursuant to this 2 13 section which reveals the identity of any patient, 2 14 health care provider, hospital, clinic, or other 2 15 health facility, and shall ensure anonymity in the 2 16 following ways: 2 17 a. The department may use information concerning 2 18 the report tracking number or concerning the identity 2 19 of a reporting health care provider, hospital, clinic, 2 20 or other health facility only for purposes of 2 21 information collection. The department shall not 2 22 reproduce, release, or disclose this information for 2 23 any purpose other than for use in annually publishing 2 24 the demographic summary under this section. 2 25 b. The department shall enter the information, 2 26 from any reportof terminationsubmitted, within 2 27 thirty days of receipt of the report, and shall 2 28 immediately destroy the report following entry of the 2 29 information. However, entry of the information from a 2 30 report shall not include any health care provider, 2 31 hospital, clinic, or other health facility 2 32 identification information including, but not limited 2 33 to, the confidential health care provider code, as 2 34 assigned by the department. 2 35 c. To protect confidentiality, the department 2 36 shall limit release of information to release in an 2 37 aggregate form which prevents identification of any 2 38 individual patient, health care provider, hospital, 2 39 clinic, or other health facility. For the purposes of 2 40 this paragraph, "aggregate form" means a compilation 2 41 of the information received by the departmenton2 42termination of pregnanciesfor each information item 2 43 listed, with the exceptions of the report tracking 2 44 number, the health care provider code, and any set of 2 45 information for which the amount is so small that the 2 46 confidentiality of any person to whom the information 2 47 relates may be compromised. The department shall 2 48 establish a methodology to provide a statistically 2 49 verifiable basis for any determination of the correct 2 50 amount at which information may be released so that 3 1 the confidentiality of any person is not compromised. 3 2 3. Except as specified in subsection 2, reports, 3 3 information, and records submitted and maintained 3 4 pursuant to this section are strictly confidential and 3 5 shall not be released or made public upon subpoena, 3 6 search warrant, discovery proceedings, or by any other 3 7 means. 3 8 4. The department shall assign a code to any 3 9 health care provider who may be required to reporta3 10terminationunder this section. An application 3 11 procedure shall not be required for assignment of a 3 12 code to a health care provider. 3 13 5. A health care provider shall assign a report 3 14 tracking number which enables the health care provider 3 15 to access the patient's medical information without 3 16 identifying the patient. 3 17 6. To ensure proper performance of the reporting 3 18 requirements under this section, it is preferred that 3 19 a health care provider who practices within a 3 20 hospital, clinic, or other health facility authorize 3 21 one staff person to fulfill the reporting 3 22 requirements. 3 23 7. For the purposes of this section, "health care 3 24 provider" means an individual licensed under chapter 3 25 148, 148C, 148D, 150, 150A, or 152, or any individual 3 26 who provides medical services under the authorization 3 27 of the licensee. 3 28 8. For the purposes of this section, "inducing a 3 29 termination of pregnancy" means the use of any means 3 30 to terminate the pregnancy of a woman known to be 3 31 pregnant with the intent other than to produce a live 3 32 birth or to remove a dead fetus. 3 33 9. For the purposes of this section, "spontaneous 3 34 termination of pregnancy" means the occurrence of an 3 35 unintended termination of pregnancy at any time during 3 36 the period from conception to twenty weeks gestation 3 37 and which is not a spontaneous termination of 3 38 pregnancy at any time during the period from twenty 3 39 weeks or greater which is reported to the department 3 40 as a fetal death under this chapter." 3 41 #2. Title page, line 1, by inserting after the 3 42 word "in" the following: "health-related reporting 3 43 including". 3 44 3 45 3 46 3 47 WINCKLER of Scott 3 48 HF 116.306 79 3 49 pf/cf
Text: H01393 Text: H01395 Text: H01300 - H01399 Text: H Index Bills and Amendments: General Index Bill History: General Index
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