Amend House File 656 as follows:
   1.  Page 1, after line 11 by inserting: 
   <Sec. ___.  NEW SECTION.  146A.1  Medical abortions —— restrictions —— protocol —— penalties.
   1.  A person shall not knowingly give, sell, dispense, administer, otherwise provide, or prescribe any medication to another person for the purpose of inducing a medical abortion in the person or enabling the other person to induce a medical abortion in another person, unless the person who gives, sells, dispenses, administers, or otherwise provides or prescribes the medication meets all of the following requirements:
   a.  Is a licensed physician.
   b.  The physician satisfies all the criteria established by federal law that a physician must satisfy in order to provide such medication for inducing medical abortions.
   c.  The physician provides the medication to the other person for the purpose of inducing a medical abortion in accordance with all provisions of federal law that govern the use of such medication for inducing medical abortions.
   2.  A person who gives, sells, dispenses, administers, otherwise provides, or prescribes medication to another person as described in subsection 1 shall not be prosecuted based on a violation of the criteria contained in this section unless the person knows that the person is not a licensed physician, that the person did not satisfy all the specified criteria established by federal law, or that the person did not provide the medication in accordance with the specified provisions of federal law, whichever is applicable.
   3.  A physician who provides medication to another for the purpose of inducing a medical abortion as authorized under subsection 1 shall not knowingly fail to comply with the applicable requirements of any federal law that pertain to follow-up examinations or care for persons to whom or for whom such medication is provided for the purpose of inducing a medical abortion.
   4.
  a.  If a physician provides medication to another person for the purpose of inducing a medical abortion as authorized under subsection 1, and the physician knows that the person who uses the medication for the purpose of inducing a medical abortion experiences during or after the use an incomplete abortion, severe bleeding, or an adverse reaction to the medication, or is hospitalized, receives a transfusion, or experiences any other serious event, the physician shall provide a written report of the incomplete abortion, severe bleeding, adverse reaction, hospitalization, transfusion, or serious event to the department. The department shall compile and retain all reports the department receives under this section. Except as otherwise provided in this section, all reports the department receives under this section are public records. However, the department shall not release to any person the name or any other personal identifying information regarding a person who uses medication for the purpose of inducing a medical abortion and who is the subject of a report the department receives under this section.
   b.  A physician who provides medication to another for the purpose of inducing a medical abortion as authorized under subsection 1 shall not knowingly fail to file a report required under paragraph “a”.
   5.  A physician shall only diagnose and prescribe a medical abortion in person, and shall not utilize other means, such as an internet web camera, to do so. 
   6.  A physician shall not give, sell, dispense, administer, otherwise provide, or prescribe a medication for the purpose of inducing a medical abortion for a minor without first complying with chapter 135L.
   7.  If a physician prescribes medication to induce a medical abortion after the gestational limit of forty-nine days recommended by the United States food and drug administration, the physician shall ensure that the woman has access to emergency care that is available twenty-four hours per day, seven days per week, and shall report any emergency care provided from complications arising from such prescription to the department.
   8.
  a.  A person who violates this section is guilty of a class “D” felony.
   b.  If a person who violates this section is professionally licensed in this state, in addition to any other sanction imposed by law for the offense, the person is subject to sanctioning as provided by law by the regulatory or licensing board or agency that has the administrative authority to suspend or revoke the person’s professional license.
   9.  As used in this section, unless the context otherwise requires:
   a.  “Department” means the department of public health.
   b.  “Federal law” means any law, rule, or regulation of the United States or any drug approval letter of the food and drug administration of the United States that governs or regulates the use of mifepristone for the purpose of inducing abortions.
   c.  “Medical abortion” means the use of a medication including but not limited to mifepristone or ulipristal acetate to terminate a pregnancy.
   d.  “Minor” means a person under eighteen years of age who has not been and is not married.>
   2.  Title page, line 1, after<to> by inserting <abortions including medical abortions and the>
   3.  Title page, line 2, after<minors> by inserting <, and providing penalties>
   4.  By renumbering as necessary.

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SHAW of Pocahontas