Amend Senate File 446 as follows:
   1.  Page 31, by striking lines 29 and 30 and inserting <expressly authorized by law:>
   2.  Page 31, by striking lines 32 through 34 and inserting: 
   <1.  Iowans support reducing the number of abortions performed in our state. Funds appropriated in this section shall not be used for abortions. For the purposes of this section, “abortion” does not include any of the following:
   a.  The treatment of a woman for a physical disorder, physical injury, or physical illness, including a life-endangering physical condition caused by or arising from the pregnancy itself, that would, as certified by a physician, place the woman in danger of death.
   b.  The treatment of a woman for a spontaneous abortion, commonly known as a miscarriage, when not all of the products of conception are expelled.
   1A.  For an abortion covered under the program, except in the case of a medical emergency, as defined in section 135L.1, for any woman, the physician shall certify both of the following:
   a.  That the woman has been given the opportunity to view an ultrasound image of the fetus as part of the standard of care before an abortion is performed.
   b.  That the woman has been provided information regarding the options relative to a pregnancy, including continuing the pregnancy to term and retaining parental rights following the child’s birth, continuing the pregnancy to term and placing the child for adoption, and terminating the pregnancy.>
   3.  Page 70, by striking lines 33 through 35 and inserting: 
   <a.
  (1)  Iowans support reducing the number of abortions in our state. Funds appropriated in this subsection shall not be used for abortions. For the purposes of this section, “abortion” does not include any of the following:
   (a)  The treatment of a woman for a physical disorder, physical injury, or physical illness, including a life-endangering physical condition caused by or arising from the pregnancy itself, that would, as certified by a physician, place the woman in danger of death.
   (b)  The treatment of a woman for a spontaneous abortion, commonly known as a miscarriage, when not all of the products of conception are expelled.
   (2)  For an abortion covered under this subsection, except in the case of a medical emergency, as defined in section 135L.1, for any woman, the physician shall certify both of the following:
   (a)  That the woman has been given the opportunity to view an ultrasound image of the fetus as part of the standard of care before an abortion is performed.
   (b)  That the woman has been provided information regarding the options relative to a pregnancy, including continuing the pregnancy to term and retaining parental rights following the child’s birth, continuing the pregnancy to term and placing the child for adoption, and terminating the pregnancy.>
   4.  Page 115, after line 11 by inserting: 

<DIVISION ___

DISTRIBUTION OF FAMILY PLANNING FUNDS
   Sec. ___.  DISTRIBUTION OF FAMILY PLANNING FUNDS.
   1.  As used in this section, unless the context otherwise requires:
   a.  “Department” means department as defined in section 7E.4.
   b.  “Federally qualified health center” means a health care provider that is eligible for federal funding under 42 U.S.C. § 1396d(l)(2)(B).
   2.  Notwithstanding any other law to the contrary, any expenditure, award, or other distribution of state or federal family planning funds shall be made to eligible applicants in the following order of priority:
   a.  Public entities that provide family planning services including state, county, or local community health clinics and federally qualified health centers.
   b.  Nonpublic entities that, in addition to family planning services, provide required primary health services as described in 42 U.S.C. § 254b(b)(1)(A).
   c.  Nonpublic entities that provide family planning services but do not provide required primary health services as described in 42 U.S.C. § 254b(b)(1)(A).
   3.  A department shall ensure distribution of federal family planning funds in a manner that does not severely limit or eliminate access to family planning services in any region of the state.
   4.  A department shall not distribute state or federal family planning funds under this section to any entity that performs abortions or that maintains or operates a facility where abortions are performed. For the purposes of this section, “abortion” does not include any of the following:
   a.  The treatment of a woman for a physical disorder, physical injury, or physical illness, including a life-endangering physical condition caused by or arising from the pregnancy itself, that would, as certified by a physician, place the woman in danger of death.
   b.  The treatment of a woman for a spontaneous abortion, commonly known as a miscarriage, when not all of the products of conception are expelled.
   5.  State or federal family planning funds distributed in accordance with this section shall not be used for direct or indirect costs, including but not limited to administrative costs or expenses, overhead, employee salaries, rent, and telephone and other utilities, related to providing abortions as specified in subsection 4.
   6.  Any department that distributes state or federal family planning funds shall submit a report to the governor and the general assembly, annually by December 31, listing any entities receiving family planning funds as described in subsection 2, paragraph “c”, and the amount and type of funds received by such entities during the preceding calendar year. The report shall provide a detailed explanation of how the department determined that distribution of family planning funds to such an entity, instead of to an entity described in subsection 2 paragraph “a” or “b”, was necessary to prevent severe limitation or elimination of access to family planning services in the region of the state in which the entity is located.>
   5.  By renumbering as necessary.

______________________________
AMY SINCLAIR

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JONI ERNST

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JACK WHITVER

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SANDRA H. GREINER

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DAVID JOHNSON

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JERRY BEHN

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MARK SEGEBART

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NANCY J. BOETTGER

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DAN ZUMBACH

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TIM L. KAPUCIAN

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MICHAEL BREITBACH

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MARK CHELGREN

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BILL ANDERSON

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KENT SORENSON

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DENNIS GUTH

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CHARLES SCHNEIDER

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KEN ROZENBOOM

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RANDY FEENSTRA

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ROBY SMITH

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JAKE CHAPMAN

 ______________________________ 
 DR. JOE M. SENG