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SB23.html
03 SB23/FSFA/2
Senate Bill
23 By: Senators Cheeks of the 23rd, Seabaugh of the
28th, Shafer of the 48th and Starr of the 44th
AS PASSED SENATE
A BILL TO BE
ENTITLED AN ACT
To amend Chapter 9 of Title 31 of the Official Code of
Georgia Annotated, relating to consent for surgical or medical treatment, so as
to provide for a short title; to provide for definitions; to require that a
female give her informed consent prior to an abortion; to require that certain
information be provided to or made available to a female prior to an abortion;
to require a written acknowledgment of receipt of such information; to provide
for the preparation and availability of certain information; to provide for
procedures in a medical emergency; to provide that a physician who complies with
this article shall not be civilly liable for failure to obtain informed consent;
to provide for circumstances under which a physician shall be guilty of
unprofessional conduct; to provide for anonymity of certain persons in civil
actions; to provide for severability; to make conforming amendments to existing
law; to provide for related matters; to provide for an effective date; to repeal
conflicting laws; and for other purposes.
BE IT ENACTED BY THE GENERAL ASSEMBLY OF
GEORGIA:
SECTION 1.
Chapter 9 of Title 31 of the Official Code of Georgia
Annotated, relating to consent for surgical or medical treatment, is amended by
designating the existing text of the chapter as Article 1 and by adding
thereafter a new Article 2 to read as follows:
"ARTICLE
2
31-9-20. This article shall be
known and may be cited as the 'Woman´s Right to Know
Act.'
31-9-21. As used in
this article, the term: (1) 'Abortion' means the use
or prescription of any instrument, medicine, drug, or any other substance or
device intentionally to terminate the pregnancy of a female known to be pregnant
with an intention other than to increase the probability of a live birth, to
preserve the life or health of the child after live birth, or to remove a dead
fetus. (2) 'Attempt to perform an abortion' means an
act, or an omission of a statutorily required act, that, under the circumstances
as the actor believes them to be, constitutes a substantial step in a course of
conduct planned to culminate in the performance of an abortion in Georgia in
violation of this article. (3) 'Medical emergency'
means any condition which, on the basis of the physician´s good faith
clinical judgment, so complicates the medical condition of a pregnant female as
to necessitate the immediate abortion of her pregnancy to avert her death or for
which a delay will create serious risk of substantial and irreversible
impairment of a major bodily function. (4) 'Physician'
means a person licensed to practice medicine and surgery under Article 2 of
Chapter 34 of Title 43. (5) 'Probable gestational age
of the unborn child' means what, in the judgment of the physician, will with
reasonable probability be the gestational age of the unborn child at the time
the abortion is planned to be performed. (6)
'Qualified agent' means the agent of the physician who is a licensed
psychologist, licensed social worker, licensed professional counselor, licensed
physician´s assistant, registered nurse, or
physician.
31-9-22. No
abortion shall be performed in this state except with the voluntary and informed
consent of the female upon whom the abortion is to be performed. Except in the
case of a medical emergency, consent to an abortion is voluntary and informed if
and only if: (1) The female is told the following, by
telephone or in person, by the physician who is to perform the abortion, at
least 24 hours before the abortion: (A) The name of
the physician who will perform the abortion; (B) The
particular medical risks associated with the particular abortion procedure to be
employed, including, when medically accurate, the risks of infection,
hemorrhage, breast cancer, danger to subsequent pregnancies, and
infertility; (C) The probable gestational age of the
unborn child at the time the abortion is to be performed;
and (D) The medical risks associated with carrying her
child to term. The information required by this
paragraph may be provided by telephone without conducting a physical examination
or tests of the patient, in which case the information required to be provided
may be based on facts supplied the physician by the female and whatever other
relevant information is reasonably available to the physician. Such information
may not be provided by a tape recording but must be provided during a
consultation in which the physician is able to ask questions of the female and
the female is able to ask questions of the physician. If a physical
examination, tests, or the availability of other information to the physician
subsequently indicates, in the medical judgment of the physician, a revision of
the information previously supplied to the patient, that revised information may
be communicated to the patient at any time prior to the performance of the
abortion. Nothing in this Code section may be construed to preclude provision
of required information in a language understood by the patient through a
translator; (2) The female is informed, by telephone
or in person, by the physician who is to perform the abortion or by a qualified
agent of the physician at least 24 hours before the
abortion: (A) That medical assistance benefits may be
available for prenatal care, childbirth, and neonatal
care; (B) That the father is liable to assist in the
support of her child, even in instances in which the father has offered to pay
for the abortion; and (C) That she has the right to
review the printed materials described in Code Section 31-9-23, that these
materials are available on a state sponsored website, and what the website
address is. The physician or the physician´s agent shall orally inform the
female that materials have been provided by the State of Georgia and that they
describe the unborn child and list agencies which offer alternatives to
abortion. If the female chooses to view the materials other than on the
website, they shall either be given to her at least 24 hours before the abortion
or mailed to her at least 72 hours before the abortion by certified mail,
restricted delivery to addressee, which means the postal employee can only
deliver the mail to the addressee. The information
required by this paragraph may be provided by a tape recording if provision is
made to record or otherwise register specifically whether the female does or
does not choose to review the printed materials other than on the
website; (3) The female certifies in writing prior to
the abortion that the information described in paragraphs (1) and (2) of this
Code section has been furnished to her and that she has been informed of her
opportunity to review the information referred to in subparagraph (C) of
paragraph (2) of this Code section; and (4) Prior to
the performance of the abortion, the physician who is to perform the abortion or
the physician´s agent receives a copy of the written certification
prescribed by paragraph (3) of this Code
section. 31-9-23. (a) Within
90 days after this article first becomes effective, the Department of Human
Resources shall cause to be published in English and in each language which is
the primary language of 2 percent or more of the state´s population and
shall cause to be available on the state website provided for in subsection (d)
of this Code section the following printed materials in such a way as to ensure
that the information is easily comprehensible: (1)
Geographically indexed materials designed to inform the female of public and
private agencies and services available to assist a female through pregnancy,
upon childbirth, and while the child is dependent, including adoption agencies,
which shall include a comprehensive list of the agencies available, a
description of the services they offer, and a description of the manner,
including telephone numbers, in which they might be contacted or, at the option
of such department, printed materials including a toll-free, 24 hour a day
telephone number which may be called to obtain, orally, such a list and
description of agencies in the locality of the caller and of the services they
offer; and (2) Materials designed to inform the female
of the probable anatomical and physiological characteristics of the unborn child
at two-week gestational increments from the time when a female can be known to
be pregnant to full term, including any relevant information on the possibility
of the unborn child´s survival and pictures or drawings representing the
development of unborn children at two-week gestational increments, provided that
any such pictures or drawings must contain the dimensions of the fetus and must
be realistic and appropriate for the stage of pregnancy depicted. The materials
shall be objective, nonjudgmental, and designed to convey only accurate
scientific information about the unborn child at the various gestational ages.
The material shall also contain objective information describing the methods of
abortion procedures commonly employed, the medical risks commonly associated
with each such procedure, the possible detrimental psychological effects of
abortion and the medical risks commonly associated with each such procedure and
the medical risks commonly associated with carrying a child to
term. (b) The materials referred to in subsection (a)
of this Code section shall be printed in a typeface large enough to be clearly
legible. The website provided for in subsection (d) of this Code section shall
be maintained at a minimum resolution of 72 pixels per
inch. (c) The materials required under this Code
section shall be available at no cost from the Department of Human Resources
upon request and in appropriate number to any person, facility, or
hospital. (d) The Department of Human Resources shall
develop and maintain a secure Internet website to provide the information
described in this Code
section.
31-9-24. When a
medical emergency compels the performance of an abortion, the physician shall
inform the female, prior to the abortion if possible, of the medical indications
supporting the physician´s judgment that an abortion is necessary to avert
her death or that a 24 hour delay will create serious risk of substantial and
irreversible impairment of a major bodily
function.
31-9-25. Any
physician who complies with the provisions of this article shall not be held
civilly liable to a patient for failure to obtain informed consent to
abortion.
31-9-26. Any
physician who intentionally, knowingly, or recklessly fails to obtain informed
consent pursuant to this article shall be guilty of unprofessional conduct
pursuant to paragraph (7) of subsection (a) of Code Section 43-34-37. No
penalty may be assessed against the female upon whom the abortion is performed
or attempted to be performed. No penalty or civil liability may be assessed for
failure to comply with subparagraph (C) of paragraph (2) of Code Section 31-9-22
or that portion of paragraph (3) of Code Section 31-9-22 requiring a written
certification that the female has been informed of her opportunity to review the
information referred to in subparagraph (C) of paragraph (2) of Code Section
31-9-22 unless the Department of Human Resources has made the printed materials
available at the time the physician or the physician´s agent is required to
inform the female of her right to review
them.
31-9-27. In every
civil proceeding or action brought under this article, the court shall rule
whether the anonymity of any female upon whom an abortion has been performed or
attempted shall be preserved from public disclosure if she does not give her
consent to such disclosure. The court, upon motion or sua sponte, shall make
such a ruling and, upon determining that her anonymity should be preserved,
shall issue orders to the parties, witnesses, and counsel and shall direct the
sealing of the record and exclusion of individuals from courtrooms or hearing
rooms to the extent necessary to safeguard her identity from public disclosure.
Each such order shall be accompanied by specific written findings explaining why
the anonymity of the female should be preserved from public disclosure, why the
order is essential to that end, how the order is narrowly tailored to serve that
interest, and why no reasonable less restrictive alternative exists. This Code
section may not be construed to conceal the identity of the plaintiff or of
witnesses from the defendant.
31-9-28. (a) Nothing in
this article shall be construed as creating or recognizing a right to
abortion. (b) This article is not intended to make
lawful an abortion which would otherwise be
unlawful.
31-9-29. If any
one or more provisions, Code sections, subsections, sentences, clauses, phrases,
or words of this article or the application thereof to any person or
circumstance is found to be unconstitutional, the same is declared to be
severable, and the balance of this article shall remain effective
notwithstanding such unconstitutionality. The General Assembly declares that it
would have enacted this article and each Code section, subsection, sentence,
clause, phrase, or word thereof irrespective of the fact that any one or more
provisions, Code sections, subsections, sentences, clauses, phrases, or words
would be declared unconstitutional.
SECTION 2.
Said chapter is further amended by striking Code Section
31-9-1, which provides a short title, and inserting in its place a new Code
section to read as
follows: "31-9-1. This
chapter article shall be known and may be cited as the
'Georgia Medical Consent
Law.'"
SECTION 3.
Said chapter is further amended by striking Code Section
31-9-4, relating to applicability of the informed consent law to certain
patients, and inserting in its place a new Code section to read as
follows: "31-9-4. This
chapter article shall be applicable to the care and
treatment of patients in facilities for the mentally ill as defined in paragraph
(7) of Code Section
37-3-1."
SECTION 4.
Said chapter is further amended by striking Code Section
31-9-5, relating to applicability of the informed consent law to abortion and
sterilization procedures, and inserting in its place a new Code section to read
as
follows: "31-9-5. This
chapter article shall not apply in any manner whatsoever
to abortion and sterilization procedures, which procedures shall
continue to be governed by existing law
independently of the terms and provisions of this chapter
article."
SECTION 5.
Said chapter is further amended by striking subsections (a)
and (d) of Code Section 31-9-6, relating to construction of the informed consent
law, and inserting in their respective places new subsections to read as
follows: "(a)
This chapter article shall be liberally construed, and
all relationships set forth in this chapter shall include the adoptive, foster,
and step relations as well as blood relations and the relationship by common-law
marriage as well as ceremonial
marriage." "(d)
A consent to surgical or medical treatment which discloses in general terms the
treatment or course of treatment in connection with which it is given and which
is duly evidenced in writing and signed by the patient or other person or
persons authorized to consent pursuant to the terms of this
chapter article shall be conclusively presumed to be a
valid consent in the absence of fraudulent misrepresentations of material facts
in obtaining the
same."
SECTION 6.
Said chapter is further amended in Code Section 31-9-6.1,
relating to disclosures for certain procedures, by striking paragraph (2) of
subsection (b), paragraph (3) of subsection (e), and subsection (g) and
inserting in their respective places new provisions to read as
follows: "(2)
If a consent to a diagnostic or surgical procedure is required to be obtained
under this Code section and such consent discloses in general terms the
information required in subsection (a) of this Code section, is duly evidenced
in writing, and is signed by the patient or other person or persons authorized
to consent pursuant to the terms of this chapter
article, then such consent shall be rebuttably presumed to be a valid
consent." "(3)
If a A patient or other person or persons authorized to
give consent pursuant to this chapter article make a
request in writing that the information provided for in this Code section not be
disclosed;" "(g)
The Composite State Board of Medical Examiners shall be required to adopt and
have the authority to promulgate rules and regulations governing and
establishing the standards necessary to implement this chapter
article specifically including but not limited to the disciplining of a
physician who fails to comply with this Code
section."
SECTION 7.
Said chapter is further amended by striking Code Section
31-9-7, relating to right to refuse consent at age 18, and inserting in its
place a new Code section to read as
follows: "31-9-7. Nothing
contained in this chapter article shall be construed to
abridge any right of a person 18 years of age or over to refuse to consent to
medical and surgical treatment as to his or her own
person."
SECTION 8.
This Act shall become effective January 1, 2004, and shall
apply with respect to abortions performed on or after that date, except that:
(1) the provisions of this Act relating to publication and distribution of
materials by the Department of Human Resources shall become effective for
administrative purposes on approval of this Act by the Governor or upon this
Act´s becoming law without such approval; and (2) such provisions relating
to publication and distribution by the department shall become effective for all
purposes on October 1, 2003.
SECTION 9.
All laws and parts of laws in conflict with this Act are
repealed.
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