House
File
2480
-
Introduced
HOUSE
FILE
2480
BY
COMMITTEE
ON
HUMAN
RESOURCES
(SUCCESSOR
TO
HSB
672)
A
BILL
FOR
An
Act
relating
to
informed
consent
for
medication
abortions,
1
and
providing
penalties.
2
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
3
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6320HV
(1)
88
pf/rh
H.F.
2480
Section
1.
NEW
SECTION
.
146E.1
Definitions.
1
As
used
in
this
section,
unless
the
context
otherwise
2
requires:
3
1.
“Abortion”
means
the
termination
of
a
human
pregnancy
4
with
the
intent
other
than
to
produce
a
live
birth
or
to
remove
5
a
dead
fetus.
6
2.
“Abortion-inducing
drug”
means
a
drug,
medicine,
mixture,
7
or
preparation,
when
prescribed
or
administered
with
the
intent
8
to
terminate
the
pregnancy
of
a
woman
known
to
be
pregnant.
9
“Abortion-inducing
drug”
includes
mifepristone
and
misoprostol.
10
3.
“Department”
means
the
department
of
public
health.
11
4.
“Medical
emergency”
means
the
same
as
defined
in
section
12
146B.1.
13
5.
“Medication
abortion”
means
an
abortion
induced
by
an
14
abortion-inducing
drug.
15
6.
“Outpatient
surgical
facility”
means
the
same
as
defined
16
in
section
135.61.
17
Sec.
2.
NEW
SECTION
.
146E.2
Facility
where
medication
18
abortions
performed
——
posting
of
signs.
19
1.
A
private
office,
freestanding
outpatient
surgical
20
facility,
hospital,
or
other
facility
in
which
medication
21
abortions
are
performed
shall
conspicuously
post
a
sign
in
22
a
location
specified
in
this
section,
clearly
visible
to
23
patients,
which
reads
as
follows:
24
Recent
developing
research
has
indicated
that
a
medication
25
abortion
utilizing
an
abortion-inducing
drug
is
not
always
26
effective
in
ending
a
pregnancy.
It
may
be
possible
to
avoid,
27
cease,
or
even
to
reverse
the
intended
effects
of
a
medication
28
abortion
that
utilizes
an
abortion-inducing
drug.
Please
29
consult
with
a
health
care
professional
immediately.
30
2.
The
sign
required
pursuant
to
subsection
1
shall
be
31
printed
with
lettering
that
is
legible
and
shall
be
at
least
32
three-quarters
of
an
inch
in
boldface
type.
33
3.
A
facility
in
which
medication
abortions
are
performed
34
that
is
a
private
office
or
a
freestanding
outpatient
surgical
35
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facility
shall
post
the
required
sign
in
each
patient
waiting
1
room
and
patient
consultation
room
used
by
patients
on
whom
2
medication
abortions
are
performed.
A
hospital
or
any
other
3
facility
in
which
medication
abortions
are
performed
that
4
is
not
a
private
office
or
freestanding
outpatient
surgical
5
facility
shall
post
the
required
sign
in
each
patient
admission
6
area
used
by
patients
on
whom
medication
abortions
are
7
performed.
8
Sec.
3.
NEW
SECTION
.
146E.3
Medication
abortion
——
informed
9
consent.
10
1.
Except
in
the
case
of
a
medical
emergency,
in
addition
to
11
compliance
with
the
prerequisites
of
chapter
146A,
a
physician
12
shall
not
perform
or
attempt
to
perform
a
medication
abortion
13
unless
the
physician
who
will
perform
the
medication
abortion,
14
the
referring
physician,
or
an
agent
of
either
physician
15
obtains
written
certification
from
the
pregnant
woman
that
the
16
woman
has
been
informed,
by
telephone
or
in
person,
prior
to
17
the
medication
abortion
of
all
of
the
following:
18
a.
All
of
the
risks
commonly
associated
with
a
medication
19
abortion.
20
b.
That
it
may
be
possible
to
reverse
the
intended
effects
21
of
a
medication
abortion
if
the
woman
changes
her
mind
but
that
22
time
is
of
the
essence.
23
c.
That
information
on
and
assistance
with
reversing
24
the
effects
of
a
medication
abortion
is
available
on
the
25
department’s
internet
site.
26
2.
Following
the
dispensing
of
an
abortion-inducing
drug,
27
the
attending
physician
or
an
agent
of
the
attending
physician
28
shall
provide
written
medical
discharge
instructions
to
the
29
woman
which
must
include
the
following
statement:
30
Recent
developing
research
has
indicated
that
a
medication
31
abortion
utilizing
an
abortion-inducing
drug
is
not
always
32
effective
in
ending
a
pregnancy.
It
may
be
possible
to
avoid,
33
cease,
or
even
to
reverse
the
intended
effects
of
a
medication
34
abortion
that
utilizes
an
abortion-inducing
drug.
Please
35
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consult
with
a
health
care
professional
immediately.
1
3.
The
attending
physician
or
an
agent
of
the
attending
2
physician
shall
maintain
documentation
verifying
compliance
3
with
this
section
in
the
woman’s
medical
record.
4
Sec.
4.
NEW
SECTION
.
146E.4
Informational
materials.
5
The
department
shall
publish
and
shall
make
available
6
on
the
department’s
internet
site,
materials
designed
to
7
inform
a
woman
of
the
possibility
of
reversing
the
effects
8
of
a
medication
abortion
if
the
woman
changes
her
mind,
and
9
information
on
and
assistance
with
resources
that
may
be
10
available
to
help
reverse
the
effects
of
a
medication
abortion.
11
Sec.
5.
NEW
SECTION
.
146E.5
Licensee
discipline.
12
Failure
of
a
physician
to
comply
with
this
chapter
is
grounds
13
for
licensee
discipline
under
chapter
148.
14
EXPLANATION
15
The
inclusion
of
this
explanation
does
not
constitute
agreement
with
16
the
explanation’s
substance
by
the
members
of
the
general
assembly.
17
This
bill
relates
to
informed
consent
for
medication
18
abortions.
19
A
medication
abortion
is
defined
in
the
bill
as
an
abortion
20
induced
by
an
abortion-inducing
drug,
defined
as
a
drug,
21
medicine,
mixture,
or
preparation,
when
it
is
prescribed
or
22
administered
with
the
intent
to
terminate
the
pregnancy
of
a
23
woman
known
to
be
pregnant.
An
abortion-inducing
drug
includes
24
mifepristone
and
misoprostol.
25
The
bill
requires
a
private
office,
freestanding
outpatient
26
surgical
facility,
hospital,
or
other
facility
in
which
27
medication
abortions
are
performed
to
conspicuously
post
a
28
sign
in
a
location
as
described
in
the
bill
relating
to
the
29
effectiveness
and
possibility
of
avoiding,
ceasing,
or
even
30
reversing
the
effects
of
a
medication
abortion.
31
The
bill
requires
that,
except
in
the
case
of
a
medical
32
emergency,
in
addition
to
compliance
with
the
abortion
33
prerequisites
of
Code
chapter
146A,
a
physician
shall
not
34
perform
or
attempt
to
perform
a
medication
abortion
unless
35
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2480
the
physician
who
will
perform
the
medication
abortion,
1
the
referring
physician,
or
an
agent
of
either
physician
2
obtains
written
certification
from
the
pregnant
woman.
The
3
written
certification
shall
provide
that
the
woman
has
been
4
informed,
by
telephone
or
in
person,
prior
to
the
medication
5
abortion,
of
all
of
the
risks
commonly
associated
with
a
6
medication
abortion,
that
it
may
be
possible
to
reverse
7
the
intended
effects
of
a
medication
abortion
if
the
woman
8
changes
her
mind
but
that
time
is
of
the
essence,
and
that
9
information
on
and
assistance
with
reversing
the
effects
of
a
10
medication
abortion
is
available
on
the
department
of
public
11
health’s
(DPH)
internet
site.
Following
the
dispensing
of
an
12
abortion-inducing
drug,
the
attending
physician
or
an
agent
of
13
the
attending
physician
shall
provide
written
medical
discharge
14
instructions
to
the
woman
which
must
include
the
statement
15
specified
in
the
bill.
16
The
bill
requires
DPH
to
publish
and
to
make
available
17
on
DPH’s
internet
site,
materials
designed
to
inform
a
woman
18
of
the
possibility
of
reversing
the
effects
of
a
medication
19
abortion
if
the
woman
changes
her
mind,
and
information
on
and
20
assistance
with
the
resources
that
may
be
available
to
help
21
reverse
the
effects
of
a
medication
abortion.
22
Failure
of
a
physician
to
comply
with
the
bill
is
grounds
for
23
licensee
discipline
under
Code
chapter
148.
24
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