House File 2473 H-8292 Amend House File 2473 as follows: 1 1. Page 15, after line 12 by inserting: 2 < DIVISION ___ 3 DEFINITION OF PERSON 4 Sec. ___. Section 135.1, unnumbered paragraph 1, 5 Code 2014, is amended to read as follows: 6 For the purposes of chapter 155 and Title IV, 7 subtitle 2 , excluding chapter 146 , unless otherwise 8 defined: 9 Sec. ___. Section 135.11, subsections 10 and 12, 10 Code 2014, are amended to read as follows: 11 10. Enforce the law relative to chapter 146 and 12 “Health-related Professions”, Title IV, subtitle 3 , 13 excluding chapter 155 . 14 12. Establish, publish, and enforce rules 15 not inconsistent with law for the enforcement of 16 the provisions of chapters 125 and 155 , and Title 17 IV, subtitle 2 , excluding chapter 146 and for the 18 enforcement of the various laws, the administration and 19 supervision of which are imposed upon the department. 20 Sec. ___. Section 144.29A, subsections 1 and 2, 21 Code 2014, are amended to read as follows: 22 1. A health care provider who initially identifies 23 and diagnoses a spontaneous termination of pregnancy 24 or who induces a termination of pregnancy shall file 25 with the department a report for each termination 26 within thirty days of the occurrence. The health care 27 provider shall make a good faith effort to obtain all 28 of the following information that is available with 29 respect to each termination: 30 a. The confidential health care provider code as 31 assigned by the department. 32 b. The report tracking number. 33 c. The maternal health services region of the Iowa 34 department of public health, as designated as of July 35 1, 1997, in which the patient resides. 36 d. The race of the patient. 37 e. The age of the patient. 38 f. The marital status of the patient. 39 g. The educational level of the patient. 40 h. The number of previous pregnancies, live births, 41 and spontaneous or induced terminations of pregnancies. 42 i. The month and year in which the termination 43 occurred. 44 j. The number of weeks since the patient’s last 45 menstrual period and a clinical estimate of gestation. 46 k. The method used for an induced termination, 47 including whether mifepristone was used. 48 2. It is the intent of the general assembly that 49 the information shall be collected, reproduced, 50 -1- HF2473.4106 (1) 85 tm/jp 1/ 5 #1.

released, and disclosed in a manner specified by 1 rule of the department, adopted pursuant to chapter 2 17A , which ensures the anonymity of the patient who 3 experiences a termination of pregnancy, the health 4 care provider who identifies and diagnoses or induces 5 a termination of pregnancy, and the hospital, clinic, 6 or other health facility in which a termination of 7 pregnancy is identified and diagnosed or induced . 8 The department may share information with federal 9 public health officials for the purposes of securing 10 federal funding or conducting public health research. 11 However, in sharing the information, the department 12 shall not relinquish control of the information, and 13 any agreement entered into by the department with 14 federal public health officials to share information 15 shall prohibit the use, reproduction, release, or 16 disclosure of the information by federal public health 17 officials in a manner which violates this section . 18 The department shall publish, annually, a demographic 19 summary of the information obtained pursuant to 20 this section , except that the department shall not 21 reproduce, release, or disclose any information 22 obtained pursuant to this section which reveals 23 the identity of any patient, health care provider, 24 hospital, clinic, or other health facility, and shall 25 ensure anonymity in the following ways: 26 a. The department may use information concerning 27 the report tracking number or concerning the identity 28 of a reporting health care provider, hospital, 29 clinic, or other health facility only for purposes 30 of information collection. The department shall not 31 reproduce, release, or disclose this information for 32 any purpose other than for use in annually publishing 33 the demographic summary under this section . 34 b. The department shall enter the information, from 35 any report of termination submitted, within thirty 36 days of receipt of the report, and shall immediately 37 destroy the report following entry of the information. 38 However, entry of the information from a report shall 39 not include any health care provider, hospital, clinic, 40 or other health facility identification information 41 including, but not limited to, the confidential health 42 care provider code, as assigned by the department. 43 c. To protect confidentiality, the department 44 shall limit release of information to release in an 45 aggregate form which prevents identification of any 46 individual patient, health care provider, hospital, 47 clinic, or other health facility. For the purposes of 48 this paragraph, “aggregate form” means a compilation 49 of the information received by the department on 50 -2- HF2473.4106 (1) 85 tm/jp 2/ 5

termination of pregnancies for each information item 1 listed, with the exceptions of the report tracking 2 number, the health care provider code, and any set of 3 information for which the amount is so small that the 4 confidentiality of any person to whom the information 5 relates may be compromised. The department shall 6 establish a methodology to provide a statistically 7 verifiable basis for any determination of the correct 8 amount at which information may be released so that the 9 confidentiality of any person is not compromised. 10 Sec. ___. Section 144.29A, subsection 8, Code 2014, 11 is amended by striking the subsection. 12 Sec. ___. Section 216.6, subsection 2, paragraph c, 13 Code 2014, is amended by striking the paragraph. 14 Sec. ___. Section 216.13, Code 2014, is amended to 15 read as follows: 16 216.13 Exceptions for retirement plans, abortion 17 coverage, life, disability, and health benefits. 18 The provisions of this chapter relating to 19 discrimination because of age do not apply to a 20 retirement plan or benefit system of an employer unless 21 the plan or system is a mere subterfuge adopted for the 22 purpose of evading this chapter . 23 1. However, a retirement plan or benefit system 24 shall not require the involuntary retirement of 25 a person under the age of seventy because of that 26 person’s age. This paragraph does not prohibit the 27 following: 28 a. The involuntary retirement of a person who has 29 attained the age of sixty-five and has for the two 30 prior years been employed in a bona fide executive 31 or high policymaking position and who is entitled 32 to an immediate, nonforfeitable annual retirement 33 benefit from a pension, profit-sharing, savings, or 34 deferred compensation plan of the employer which equals 35 twenty-seven thousand dollars. This retirement benefit 36 test may be adjusted according to the regulations 37 prescribed by the United States secretary of labor 38 pursuant to Pub. L. No. 95-256, section 3. 39 b. The involuntary retirement of a person covered 40 by a collective bargaining agreement which was entered 41 into by a labor organization and was in effect on 42 September 1, 1977. This exemption does not apply after 43 the termination of that agreement or January 1, 1980, 44 whichever first occurs. 45 2. A health insurance program provided by an 46 employer may exclude coverage of abortion, except where 47 the life of the mother would be endangered if the fetus 48 were carried to term or where medical complications 49 have arisen from an abortion. 50 -3- HF2473.4106 (1) 85 tm/jp 3/ 5

3. 2. An employee welfare plan may provide life, 1 disability or health insurance benefits which vary by 2 age based on actuarial differences if the employer 3 contributes equally for all the participating employees 4 or may provide for employer contributions differing by 5 age if the benefits for all the participating employees 6 do not vary by age. 7 Sec. ___. Section 602.8102, subsection 31, Code 8 2014, is amended by striking the subsection. 9 Sec. ___. Section 707.1, Code 2014, is amended to 10 read as follows: 11 707.1 Murder defined. 12 1. A person who kills another person with malice 13 aforethought either express or implied commits murder. 14 2. “Person” , when referring to the victim of a 15 murder, means an individual human being, without regard 16 to age of development, from the moment of conception, 17 when a zygote is formed, until natural death. 18 3. Murder includes killing another person through 19 any means that terminates the life of the other 20 person including but not limited to the use of 21 abortion-inducing drugs. For the purposes of this 22 section, “abortion-inducing drug” means a medicine, 23 drug, or any other substance prescribed or dispensed 24 with the intent of terminating the clinically 25 diagnosable pregnancy of a woman, with knowledge that 26 the drug will with reasonable likelihood cause the 27 termination of the pregnancy. “Abortion-inducing drug” 28 includes the off-label use of drugs known to have 29 abortion-inducing properties, which are prescribed 30 specifically with the intent of causing an abortion, 31 but does not include drugs that may be known to cause 32 an abortion, but which are prescribed for other medical 33 indications. 34 4. Murder does not include a fetal death as defined 35 in section 144.1 or the spontaneous termination of 36 pregnancy as defined in section 144.29A. 37 Sec. ___. REPEAL. Sections 232.5, 702.20, 707.7, 38 707.8, 707.8A, 707.9, and 707.10, Code 2014, are 39 repealed. 40 Sec. ___. REPEAL. Chapters 135L and 146, Code 41 2014, are repealed. 42 Sec. ___. SEVERABILITY. If any provision of 43 this division of this Act or the application of this 44 division of this Act to any person or circumstances is 45 held invalid, the invalidity shall not affect other 46 provisions or applications of the division which can 47 be given effect without the invalid provisions or 48 application and, to this end, the provisions of this 49 division of this Act are severable. 50 -4- HF2473.4106 (1) 85 tm/jp 4/ 5