Text: H01413 Text: H01415 Text: H01400 - H01499 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 a 1 12 sports-related injury sustained during kindergarten 1 13 through grade twelve curricular or extracurricular 1 14 athletic activities shall file with the department a 1 15 report for eachterminationincidence within thirty 1 16 days of the occurrence. The health care provider 1 17 shall make a good faith effort to obtain all of the 1 18 following information that is available with respect 1 19 to eachterminationincidence, as applicable: 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 or the number of previous incidences of 1 33 sports-related injuries sustained during kindergarten 1 34 through grade twelve curricular or extracurricular 1 35 athletic activities identified or diagnosed. 1 36 i. The month and year in which the termination 1 37 occurred or in which the incidence of sports-related 1 38 injuries sustained during kindergarten through grade 1 39 twelve curricular or extracurricular athletic 1 40 activities was identified or diagnosed. 1 41 j. The number of weeks since the patient's last 1 42 menstrual period and a clinical estimate of gestation. 1 43 2. It is the intent of the general assembly that 1 44 the information shall be collected, reproduced, 1 45 released, and disclosed in a manner specified by rule 1 46 of the department, adopted pursuant to chapter 17A, 1 47 which ensures the anonymity of the patientwho1 48experiences a termination of pregnancy, the health 1 49 care provider who identifies and diagnoses or induces 1 50 a termination of pregnancy or who identifies or 2 1 diagnoses an incidence of sports-related injury 2 2 sustained during kindergarten through grade twelve 2 3 curricular or extracurricular athletic activities, and 2 4 the hospital, clinic, or other health facility in 2 5 which a termination of pregnancy is identified and 2 6 diagnosed or induced or in which the incidence of 2 7 sports-related injury sustained during kindergarten 2 8 through grade twelve curricular or extracurricular 2 9 athletic activities was identified or diagnosed. The 2 10 department may share information with federal public 2 11 health officials for the purposes of securing federal 2 12 funding or conducting public health research. 2 13 However, in sharing the information, the department 2 14 shall not relinquish control of the information, and 2 15 any agreement entered into by the department with 2 16 federal public health officials to share information 2 17 shall prohibit the use, reproduction, release, or 2 18 disclosure of the information by federal public health 2 19 officials in a manner which violates this section. 2 20 The department shall publish, annually, a demographic 2 21 summary of the information obtained pursuant to this 2 22 section, except that the department shall not 2 23 reproduce, release, or disclose any information 2 24 obtained pursuant to this section which reveals the 2 25 identity of any patient, health care provider, 2 26 hospital, clinic, or other health facility, and shall 2 27 ensure anonymity in the following ways: 2 28 a. The department may use information concerning 2 29 the report tracking number or concerning the identity 2 30 of a reporting health care provider, hospital, clinic, 2 31 or other health facility only for purposes of 2 32 information collection. The department shall not 2 33 reproduce, release, or disclose this information for 2 34 any purpose other than for use in annually publishing 2 35 the demographic summary under this section. 2 36 b. The department shall enter the information, 2 37 from any reportof terminationsubmitted, within 2 38 thirty days of receipt of the report, and shall 2 39 immediately destroy the report following entry of the 2 40 information. However, entry of the information from a 2 41 report shall not include any health care provider, 2 42 hospital, clinic, or other health facility 2 43 identification information including, but not limited 2 44 to, the confidential health care provider code, as 2 45 assigned by the department. 2 46 c. To protect confidentiality, the department 2 47 shall limit release of information to release in an 2 48 aggregate form which prevents identification of any 2 49 individual patient, health care provider, hospital, 2 50 clinic, or other health facility. For the purposes of 3 1 this paragraph, "aggregate form" means a compilation 3 2 of the information received by the departmenton3 3termination of pregnanciesfor each information item 3 4 listed, with the exceptions of the report tracking 3 5 number, the health care provider code, and any set of 3 6 information for which the amount is so small that the 3 7 confidentiality of any person to whom the information 3 8 relates may be compromised. The department shall 3 9 establish a methodology to provide a statistically 3 10 verifiable basis for any determination of the correct 3 11 amount at which information may be released so that 3 12 the confidentiality of any person is not compromised. 3 13 3. Except as specified in subsection 2, reports, 3 14 information, and records submitted and maintained 3 15 pursuant to this section are strictly confidential and 3 16 shall not be released or made public upon subpoena, 3 17 search warrant, discovery proceedings, or by any other 3 18 means. 3 19 4. The department shall assign a code to any 3 20 health care provider who may be required to reporta3 21terminationunder this section. An application 3 22 procedure shall not be required for assignment of a 3 23 code to a health care provider. 3 24 5. A health care provider shall assign a report 3 25 tracking number which enables the health care provider 3 26 to access the patient's medical information without 3 27 identifying the patient. 3 28 6. To ensure proper performance of the reporting 3 29 requirements under this section, it is preferred that 3 30 a health care provider who practices within a 3 31 hospital, clinic, or other health facility authorize 3 32 one staff person to fulfill the reporting 3 33 requirements. 3 34 7. For the purposes of this section, "health care 3 35 provider" means an individual licensed under chapter 3 36 148, 148C, 148D, 150, 150A, or 152, or any individual 3 37 who provides medical services under the authorization 3 38 of the licensee. 3 39 8. For the purposes of this section, "inducing a 3 40 termination of pregnancy" means the use of any means 3 41 to terminate the pregnancy of a woman known to be 3 42 pregnant with the intent other than to produce a live 3 43 birth or to remove a dead fetus. 3 44 9. For the purposes of this section, "spontaneous 3 45 termination of pregnancy" means the occurrence of an 3 46 unintended termination of pregnancy at any time during 3 47 the period from conception to twenty weeks gestation 3 48 and which is not a spontaneous termination of 3 49 pregnancy at any time during the period from twenty 3 50 weeks or greater which is reported to the department 4 1 as a fetal death under this chapter." 4 2 #2. Title page, line 1, by inserting after the 4 3 word "in" the following: "health-related reporting 4 4 including". 4 5 4 6 4 7 4 8 ATTEBERRY of Delaware 4 9 HF 116.714 79 4 10 pf/cls
Text: H01413 Text: H01415 Text: H01400 - H01499 Text: H Index Bills and Amendments: General Index Bill History: General Index
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