89R5238 JG-D
 
  By: Howard H.B. No. 257
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to exceptions to and the repeal of certain laws
  prohibiting abortion.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Section 170A.001(3), Health and Safety Code, is
  amended to read as follows:
               (3)  "Pregnant" means the [female] human reproductive
  condition of having an embryo or fetus develop [a living unborn
  child] within the human [female's] body [during the entire
  embryonic and fetal stages of the unborn child's development from
  fertilization until birth].
         SECTION 2.  Section 170A.002, Health and Safety Code, is
  amended by amending Subsections (b) and (d) and adding Subsection
  (e) to read as follows:
         (b)  It is an exception to the application of [The
  prohibition under] Subsection (a) that [does not apply if]:
               (1)  the person performing, inducing, or attempting the
  abortion is a licensed physician; and
               (2)  in the physician's best [exercise of reasonable]
  medical judgment, the [pregnant female on whom the] abortion is:
                     (A)  medically indicated;
                     (B)  necessary to preserve the pregnant patient's
  life;
                     (C)  necessary to preserve the pregnant patient's
  physical or mental health, including preservation of the patient's
  fertility;
                     (D)  requested because of a lethal fetal anomaly
  or diagnosis; or
                     (E)  requested because of a life-limiting
  diagnosis that indicates the existence of the fetus outside the
  womb is incompatible with life without extraordinary medical
  interventions [performed, induced, or attempted has a
  life-threatening physical condition aggravated by, caused by, or
  arising from a pregnancy that places the female at risk of death or
  poses a serious risk of substantial impairment of a major bodily
  function unless the abortion is performed or induced; and
               [(3)  the person performs, induces, or attempts the
  abortion in a manner that, in the exercise of reasonable medical
  judgment, provides the best opportunity for the unborn child to
  survive unless, in the reasonable medical judgment, that manner
  would create:
                     [(A)  a greater risk of the pregnant female's
  death; or
                     [(B)  a serious risk of substantial impairment of
  a major bodily function of the pregnant female].
         (d)  Medical treatment provided to the pregnant patient
  [female] by a licensed health care provider [physician] that
  results in the accidental or unintentional injury or death of the
  embryo or fetus [unborn child] does not constitute a violation of
  this section.
         (e)  Each abortion permitted under an exception provided by
  this section must be considered independently by the treating
  physician and the pregnant patient or the patient's health care
  proxy. A medical review process may not override a determination by
  a physician and a pregnant patient or the patient's health care
  proxy to perform, induce, or attempt an abortion permitted under an
  exception provided by this section.
         SECTION 3.  Section 170A.003, Health and Safety Code, is
  amended to read as follows:
         Sec. 170A.003.  CONSTRUCTION OF CHAPTER. This chapter may
  not be construed to authorize the imposition of criminal, civil, or
  administrative liability or penalties on a pregnant patient
  [female] on whom an abortion is performed, induced, or attempted.
         SECTION 4.  The heading to Section 171.205, Health and
  Safety Code, is amended to read as follows:
         Sec. 171.205.  EXCEPTIONS [EXCEPTION FOR MEDICAL
  EMERGENCY]; RECORDS.
         SECTION 5.  Section 171.205, Health and Safety Code, is
  amended by adding Subsection (a-1) to read as follows:
         (a-1)  Sections 171.203 and 171.204 do not apply to an
  abortion performed or induced by a person in accordance with an
  exception provided by Section 170A.002.
         SECTION 6.  Section 171.206(b), Health and Safety Code, is
  amended to read as follows:
         (b)  This subchapter may not be construed to:
               (1)  authorize the initiation of a cause of action
  against or the prosecution of a pregnant patient [woman] on whom an
  abortion is performed or induced or attempted to be performed or
  induced in violation of this subchapter;
               (2)  wholly or partly repeal, either expressly or by
  implication, any other statute that regulates or prohibits
  abortion[, including Chapter 6-1/2, Title 71, Revised Statutes]; or
               (3)  restrict a political subdivision from regulating
  or prohibiting abortion in a manner that is at least as stringent as
  the laws of this state.
         SECTION 7.  Section 171.207(b), Health and Safety Code, is
  amended to read as follows:
         (b)  Subsection (a) may not be construed to:
               (1)  legalize the conduct prohibited by this subchapter
  [or by Chapter 6-1/2, Title 71, Revised Statutes];
               (2)  limit in any way or affect the availability of a
  remedy established by Section 171.208; or
               (3)  limit the enforceability of any other laws that
  regulate or prohibit abortion.
         SECTION 8.  The following provisions are repealed:
               (1)  Sections 170A.001(2) and 170A.002(c), Health and
  Safety Code; and
               (2)  Chapter 6-1/2, Title 71, Revised Statutes.
         SECTION 9.  This Act takes effect immediately if it receives
  a vote of two-thirds of all the members elected to each house, as
  provided by Section 39, Article III, Texas Constitution.  If this
  Act does not receive the vote necessary for immediate effect, this
  Act takes effect September 1, 2025.