By Uher H.B. No. 1073 76R4510 DLF-F A BILL TO BE ENTITLED 1-1 AN ACT 1-2 relating to parental notification and consent before an abortion 1-3 may be performed on certain minors. 1-4 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: 1-5 SECTION 1. Subtitle A, Title 2, Family Code, is amended by 1-6 adding Chapter 33 to read as follows: 1-7 CHAPTER 33. NOTICE AND CONSENT FOR ABORTION 1-8 Sec. 33.001. DEFINITIONS. In this chapter: 1-9 (1) "Abortion" means the use of any means to terminate 1-10 the pregnancy of a woman known by the attending physician to be 1-11 pregnant, with the intention that the termination of the pregnancy 1-12 by those means will with reasonable likelihood cause the death of 1-13 the fetus. 1-14 (2) "Guardian" means a court-appointed guardian of the 1-15 person of the minor. 1-16 (3) "Medical emergency" means a condition that, on the 1-17 basis of a physician's good faith clinical judgment, complicates 1-18 the medical condition of a pregnant woman and necessitates the 1-19 immediate abortion of her pregnancy to avert her death or to avoid 1-20 a serious risk of substantial and irreversible impairment of a 1-21 major bodily function. 1-22 (4) "Physician" means an individual licensed to 1-23 practice medicine in this state. 1-24 Sec. 33.002. PARENTAL NOTICE AND CONSENT. (a) A physician 2-1 may not perform an abortion on a pregnant unemancipated minor 2-2 unless: 2-3 (1) the physician performing the abortion gives notice 2-4 that complies with Subsection (b) of the minor's pregnancy and 2-5 desire to have an abortion to: 2-6 (A) each parent of the minor, if a managing 2-7 conservator or guardian has not been appointed for the minor; or 2-8 (B) the court-appointed managing conservator or 2-9 guardian of the minor; and 2-10 (2) the physician obtains oral or written consent to 2-11 perform the abortion from: 2-12 (A) a parent of the minor, if a managing 2-13 conservator or guardian has not been appointed for the minor; or 2-14 (B) the managing conservator or guardian of the 2-15 minor. 2-16 (b) The notice required by Subsection (a) may be made by 2-17 mail, in person, or by telephone and, unless the minor requests 2-18 that the notice be provided at a later time or not be provided, 2-19 must be provided by the physician not later than the later of: 2-20 (1) the 24th hour after the time of the initial office 2-21 visit of the minor at which the abortion is requested; or 2-22 (2) noon of the next business day after the day of the 2-23 initial office visit of the minor at which the abortion is 2-24 requested, if the day after the day of the initial office visit is 2-25 Saturday, Sunday, or a holiday. 2-26 (c) If notice under Subsection (a) is made by mail, the 2-27 notice is considered made at the time the notice is deposited in 3-1 the United States mail, postage prepaid, addressed to the last 3-2 known address of the parent, managing conservator, or guardian. 3-3 Sec. 33.003. EXCEPTION: MEDICAL EMERGENCY. (a) A physician 3-4 may perform an abortion without notice to or consent of a parent, 3-5 guardian, or managing conservator of the minor if the physician: 3-6 (1) concludes that a medical emergency exists and 3-7 there is insufficient time to obtain the required consent; and 3-8 (2) certifies in writing to the Texas Department of 3-9 Health and in the patient's medical record the medical indications 3-10 supporting the physician's judgment under Subdivision (1). 3-11 (b) The Texas Department of Health shall prepare a form to 3-12 be used for making the certification required by this section. 3-13 Sec. 33.004. EXCEPTION: ORDER OF COURT. A physician may 3-14 perform an abortion without notice to or consent of a parent, 3-15 guardian, or managing conservator of the minor if the judge of a 3-16 county court at law, district court, or appellate court issues an 3-17 order authorizing the performance of the abortion without notice to 3-18 and consent of a parent, guardian, or managing conservator under 3-19 Section 33.005 or 33.006. 3-20 Sec. 33.005. JUDICIAL APPROVAL. (a) A pregnant minor who 3-21 wishes to have an abortion without notice to or consent of her 3-22 parents, her managing conservator, or her guardian may file an 3-23 application for a court order authorizing the minor to consent to 3-24 the performance of an abortion without notice to or consent of a 3-25 parent or a managing conservator or guardian. 3-26 (b) The application may be filed in the county court at law 3-27 or a district court having jurisdiction for: 4-1 (1) the county in which the minor resides; 4-2 (2) a county that borders the county in which the 4-3 minor resides; or 4-4 (3) the county in which the hospital, clinic, or 4-5 facility in which the abortion would be performed is located. 4-6 (c) The application must be made under oath and include: 4-7 (1) statements that the minor: 4-8 (A) is pregnant; 4-9 (B) is unmarried, is under 18 years of age, and 4-10 has not had her disabilities removed for general purposes under 4-11 Chapter 31; and 4-12 (C) wishes to have an abortion without notice to 4-13 or consent of either of her parents or a managing conservator or 4-14 guardian; and 4-15 (2) a statement as to whether the minor has retained 4-16 an attorney and, if she has retained an attorney, the name, 4-17 address, and telephone number of her attorney. 4-18 (d) The court shall appoint a guardian ad litem for the 4-19 minor. If the minor has not retained an attorney, the court shall 4-20 appoint an attorney to represent the minor. If the guardian ad 4-21 litem is an attorney admitted to the practice of law in this state, 4-22 the court may appoint the guardian ad litem to serve as the minor's 4-23 attorney. 4-24 (e) The court shall set a time for a hearing on an 4-25 application filed under this section and shall keep a record of all 4-26 testimony and other oral proceedings in the action. The court 4-27 shall enter judgment on the application immediately after the 5-1 hearing is concluded. 5-2 (f) The court shall rule on an application filed under this 5-3 section and shall issue written findings of fact and conclusions of 5-4 law not later than 5 p.m. of the 10th business day after the date 5-5 the application is filed with the court. The minor may request an 5-6 extension of the period specified by this subsection. If the court 5-7 fails to rule on the application and issue written findings of fact 5-8 and conclusions of law within the period specified by this 5-9 subsection and an extension is not requested, the application is 5-10 considered to be denied and the physician may not perform the 5-11 abortion without the notice and consent required under Section 5-12 33.002. Proceedings under this section shall be given precedence 5-13 over other pending matters to the extent necessary to ensure that 5-14 the court reaches a decision promptly. 5-15 (g) The court shall enter an order authorizing the 5-16 performance of an abortion without notice to and consent of a 5-17 parent or a managing conservator or guardian and shall execute the 5-18 required forms if the court finds that the minor has established by 5-19 a preponderance of the evidence that: 5-20 (1) the minor is mature and sufficiently well informed 5-21 to make the decision to have an abortion performed without notice 5-22 to either of her parents or a managing conservator or guardian; 5-23 (2) performance of the abortion is in the best 5-24 interest of the minor; or 5-25 (3) denial of the application would otherwise 5-26 substantially adversely affect the physical or mental health of the 5-27 minor. 6-1 (h) If the court does not find in the affirmative on at 6-2 least one of the issues provided by Subsection (g), the court may 6-3 not authorize the performance of an abortion without the notice and 6-4 consent required under Section 33.002. 6-5 (i) The court proceedings shall be conducted in a manner 6-6 that protects the anonymity of the minor, and the application and 6-7 all other court documents pertaining to the proceedings, including 6-8 an order issued in accordance with Subsection (j), are confidential 6-9 and may not be made available to the public. The minor may file the 6-10 application using a pseudonym or using only her initials. 6-11 (j) An order of a court granting or denying an application 6-12 under this section may be in substantially the following form: 6-13 Misc. Docket No.___ 6-14 In Re: Application of ________, In the (name of court) 6-15 a pregnant minor, under In and For _____, County, Texas 6-16 Chapter 33, Family Code. 6-17 Judicial Finding of Fact and Conclusion of Law 6-18 On the (number) day of (month), (year), in the 6-19 above entitled and numbered cause, this court reviewed 6-20 an application filed by (name, pseudonym, or initials 6-21 of minor) under Section 33.005, Family Code, for an 6-22 order authorizing the performance of an abortion 6-23 without notice to and consent of a parent or a managing 6-24 conservator or guardian of (name, pseudonym, or 6-25 initials of minor) and the documentation attached to 6-26 the application. In accordance with Section 33.005, 6-27 Family Code, a guardian ad litem was appointed for the 7-1 minor. The minor was represented by an attorney that 7-2 (was or was not) appointed by the court. The court 7-3 (did or did not) hear testimony with respect to the 7-4 application. 7-5 The court finds as follows (only an item checked and 7-6 initialed is a valid court ruling): 7-7 ____The minor is mature and sufficiently well 7-8 informed to make the decision to have an abortion 7-9 performed without notice to either of her parents or a 7-10 managing conservator or guardian or the consent of a 7-11 parent, managing conservator, or guardian and the 7-12 application is granted. 7-13 ____Performance of the abortion is in the best 7-14 interest of the minor and the application is granted. 7-15 ____Denial of the application would substantially 7-16 adversely affect the physical or mental health of the 7-17 minor and the application is granted. 7-18 ____The minor is not mature and sufficiently well 7-19 informed to make the decision to have an abortion 7-20 performed without notice to or consent of either of her 7-21 parents or a managing conservator or guardian, the 7-22 performance of the abortion is not in the best interest 7-23 of the minor, and denial of the application would not 7-24 substantially adversely affect the physical or mental 7-25 health of the minor, and the application is denied. 7-26 SIGNED ON THIS THE ______DAY OF _________ 7-27 (name of judge) 8-1 (name of court) 8-2 __________, COUNTY, TEXAS 8-3 (k) The clerk of the supreme court shall prescribe the 8-4 application form to be used by a minor filing an application under 8-5 this section. 8-6 (l) A filing fee is not required of and court costs may not 8-7 be assessed against a minor filing an application under this 8-8 section. 8-9 Sec. 33.006. EXPEDITED CONFIDENTIAL APPEAL. The supreme 8-10 court shall adopt rules providing for an expedited confidential 8-11 appeal from a denial of an application filed under Section 33.005, 8-12 including a constructive denial of an application under Section 8-13 33.005(f). The rules must provide for a determination with respect 8-14 to the appeal not later than the 10th day after the date the notice 8-15 of appeal is filed by the minor. 8-16 Sec. 33.007. CIVIL LIABILITY. A physician who knowingly 8-17 violates this chapter is liable for damages incurred by a minor or 8-18 a parent, managing conservator, or guardian of the minor as a 8-19 result of violation. 8-20 SECTION 2. The Texas State Board of Medical Examiners shall 8-21 adopt the forms to be used under Section 33.003, Family Code, as 8-22 added by this Act, not later than December 15, 1999. 8-23 SECTION 3. The clerk of the Texas Supreme Court shall 8-24 prescribe the application form to be used under Section 33.005, 8-25 Family Code, as added by this Act, not later than December 15, 8-26 1999. 8-27 SECTION 4. The Texas Supreme Court shall promptly adopt 9-1 rules governing the expedited confidential appeal required by 9-2 Section 33.006, Family Code, as added by this Act. 9-3 SECTION 5. Chapter 33, Family Code, as added by this Act, 9-4 applies only to an abortion performed on or after January 1, 2000. 9-5 An abortion performed before January 1, 2000, is governed by the 9-6 law as it existed immediately before the effective date of this 9-7 Act, and that law is continued in effect for that purpose. 9-8 SECTION 6. This Act takes effect September 1, 1999. 9-9 SECTION 7. The importance of this legislation and the 9-10 crowded condition of the calendars in both houses create an 9-11 emergency and an imperative public necessity that the 9-12 constitutional rule requiring bills to be read on three several 9-13 days in each house be suspended, and this rule is hereby suspended.