By Harris                                             S.B. No. 1033
       74R7368 DLF-D
                                 A BILL TO BE ENTITLED
    1-1                                AN ACT
    1-2  relating to the protection of the rights and health of women;
    1-3  providing penalties.
    1-4        BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
    1-5        SECTION 1.  Sections 243.002, 243.004, and 243.006, Health
    1-6  and Safety Code, are amended to read as follows:
    1-7        Sec. 243.002.  DEFINITIONS.  In this chapter:
    1-8              (1)  "Abortion" has the meaning assigned by Section
    1-9  4.011(a), Medical Practice Act (Article 4495b, Vernon's Texas Civil
   1-10  Statutes).
   1-11              (2)  "Ambulatory surgical center" means a facility that
   1-12  operates primarily to provide surgical services, including abortion
   1-13  services, to patients who do not require overnight hospital care.
   1-14              (3) <(2)>  "Board" means the Texas Board of Health.
   1-15              (4) <(3)>  "Department" means the Texas Department of
   1-16  Health.
   1-17              (5) <(4)>  "Person" means an individual, firm,
   1-18  partnership, corporation, or association.
   1-19        Sec. 243.004.  EXEMPTIONS FROM LICENSING REQUIREMENT.  The
   1-20  following facilities need not be licensed under this chapter:
   1-21              (1)  an office or clinic of a licensed physician,
   1-22  dentist, or podiatrist, other than an office or clinic where
   1-23  abortion services are performed;
   1-24              (2)  a licensed nursing home; or
    2-1              (3)  a licensed hospital.
    2-2        Sec. 243.006.  INSPECTIONS.  (a)  The department may inspect
    2-3  an ambulatory surgical center at reasonable times as necessary to
    2-4  assure compliance with this chapter.
    2-5        (b)  An ambulatory surgical center licensed by the department
    2-6  and certified under Title XVIII of the Social Security Act (42
    2-7  U.S.C. Section 1395 et seq.) is not subject to additional licensing
    2-8  inspections under this chapter while the center maintains the
    2-9  certification.
   2-10        (c)  At least once each year, the department shall inspect an
   2-11  ambulatory surgical center that is not certified under Title XVIII
   2-12  of the Social Security Act (42 U.S.C. Section 1395 et seq.).
   2-13        SECTION 2.  Chapter 243, Health and Safety Code, is amended
   2-14  by adding Sections 243.0105 and 243.0106 to read as follows:
   2-15        Sec. 243.0105.  REPORTING REQUIREMENTS; CRIMINAL PENALTY.
   2-16  (a)  Each ambulatory surgical center that performs an abortion must
   2-17  submit an annual report to the department on each abortion that is
   2-18  performed at the ambulatory surgical center.  The report must be
   2-19  submitted on a form provided by the department.
   2-20        (b)  The report may not identify by any means the physician
   2-21  performing the abortion or the patient.
   2-22        (c)  The report must include:
   2-23              (1)  the patient's year of birth, race, marital status,
   2-24  and state and county of residence;
   2-25              (2)  the type of abortion procedure;
   2-26              (3)  the date the abortion was performed;
   2-27              (4)  whether the patient survived the abortion, and if
    3-1  the patient did not survive, the cause of death;
    3-2              (5)  the period of gestation based on the best medical
    3-3  judgment of the attending physician at the time of the procedure;
    3-4              (6)  the date, if known, of the patient's last
    3-5  menstrual cycle;
    3-6              (7)  the number of previous live births of the patient;
    3-7  and
    3-8              (8)  the number of previous induced abortions of the
    3-9  patient.
   3-10        (d)  All information and records held by the department under
   3-11  this chapter are confidential and are not open records for the
   3-12  purposes of Chapter 552, Government Code.  That information may not
   3-13  be released or made public on subpoena or otherwise, except that
   3-14  release may be made:
   3-15              (1)  for statistical purposes, but only if a person,
   3-16  patient, or ambulatory surgical center is not identified;
   3-17              (2)  with the consent of each person, patient, and
   3-18  ambulatory surgical center identified in the information released;
   3-19  or
   3-20              (3)  to medical personnel, appropriate state agencies,
   3-21  or county and district courts to enforce this chapter.
   3-22        (e)  A person commits an offense if the person violates this
   3-23  section.  An offense under this subsection is a Class A
   3-24  misdemeanor.
   3-25        Sec. 243.0106.  ABORTION IN UNLICENSED FACILITY TO PREVENT
   3-26  DEATH OR SERIOUS IMPAIRMENT.  This chapter does not remove the
   3-27  responsibility or limit the ability of a physician to perform an
    4-1  abortion in an unlicensed facility if, at the commencement of the
    4-2  abortion, the physician reasonably believes that the abortion is
    4-3  necessary to prevent the death of the patient or to prevent serious
    4-4  impairment of the patient's physical or mental condition.
    4-5        SECTION 3.  Section 243.013, Health and Safety Code, is
    4-6  amended by adding Subsection (d) to read as follows:
    4-7        (d)  It is a defense to prosecution for an offense under this
    4-8  section that the violation of Section 243.003(a) was the result of
    4-9  an abortion performed under Section 243.0106.
   4-10        SECTION 4.  Chapter 245, Health and Safety Code, is repealed.
   4-11        SECTION 5.  (a) Except as provided by Subsection (b) of this
   4-12  section, this Act takes effect September 1, 1995.
   4-13        (b)  Section 4 of this Act takes effect January 1, 1996.
   4-14        SECTION 6.  (a)  The change in law made by this Act to
   4-15  Chapter 243, Health and Safety Code, applies only to the operation
   4-16  of an ambulatory surgical center that provides abortion services on
   4-17  or after January 1, 1996.
   4-18        (b)  Notwithstanding the change in law made by this Act to
   4-19  Chapter 243, Health and Safety Code, a facility licensed as an
   4-20  abortion facility under Chapter 245, Health and Safety Code, before
   4-21  the effective date of this Act may continue to operate as an
   4-22  abortion facility until January 1, 1996.  The operation of an
   4-23  abortion facility before January 1, 1996, is governed by Chapter
   4-24  245, Health and Safety Code.
   4-25        SECTION 7.  (a)  The change in law made by the repeal of
   4-26  Sections 245.011 and 245.014, Health and Safety Code, by this Act
   4-27  applies only to the punishment for an offense committed on or after
    5-1  January 1, 1996.  For purposes of this section, an offense is
    5-2  committed before January 1, 1996, if any element of the offense
    5-3  occurs before that date.
    5-4        (b)  An offense committed before January 1, 1996, is covered
    5-5  by the law in effect when the offense was committed, and the former
    5-6  law is continued in effect for that purpose.
    5-7        SECTION 8.  The importance of this legislation and the
    5-8  crowded condition of the calendars in both houses create an
    5-9  emergency and an imperative public necessity that the
   5-10  constitutional rule requiring bills to be read on three several
   5-11  days in each house be suspended, and this rule is hereby suspended.