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HF 3194

as introduced - 90th Legislature (2017 - 2018) Posted on 05/03/2018 10:52am

KEY: stricken = removed, old language.
underscored = added, new language.
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A bill for an act
relating to health; requiring physicians to allow viewing of ultrasound imaging
prior to an abortion; amending Minnesota Statutes 2016, section 145.4242.


Section 1.

Minnesota Statutes 2016, section 145.4242, is amended to read:


(a) 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 or if the fetus has an anomaly incompatible with life, and the female
has declined perinatal hospice care, consent to an abortion is voluntary and informed only

(1) the female is told the following, by telephone or in person, by the physician who is
to perform the abortion or by a referring physician, at least 24 hours before the abortion:

(i) 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;

(ii) the probable gestational age of the unborn child at the time the abortion is to be

(iii) the medical risks associated with carrying her child to term; and

(iv) for abortions after 20 weeks gestational, whether or not an anesthetic or analgesic
would eliminate or alleviate organic pain to the unborn child caused by the particular method
of abortion to be employed and the particular medical benefits and risks associated with the
particular anesthetic or analgesic.

The information required by this clause 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 to the physician by the female and whatever other
relevant information is reasonably available to the physician. It 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 indicate, 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 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, by a referring physician, or by an agent of either physician at least 24 hours
before the abortion:

(i) that medical assistance benefits may be available for prenatal care, childbirth, and
neonatal care;

(ii) that the father is liable to assist in the support of her child, even in instances when
the father has offered to pay for the abortion; and

(iii) that she has the right to review the printed materials described in section 145.4243,
that these materials are available on a state-sponsored Web site, and what the Web site
address is. The physician or the physician's agent shall orally inform the female that the
materials have been provided by the state of Minnesota and that they describe the unborn
child, list agencies that offer alternatives to abortion, and contain information on fetal pain.
If the female chooses to view the materials other than on the Web site, 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 clause 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 have the printed materials given or mailed to her;

(3) the female certifies in writing, prior to the abortion, that the information described
in clauses (1) and (2) has been furnished to her and that she has been informed of her
opportunity to review the information referred to in clause (2), item (iii); and

(4) prior to the performance of the abortion, the physician who is to perform the abortion
or the physician's agent obtains a copy of the written certification prescribed by clause (3)
and retains it on file with the female's medical record for at least three years following the
date of receipt.

(b) Prior to administering the anesthetic or analgesic as described in paragraph (a), clause
(1), item (iv), the physician must disclose to the woman any additional cost of the procedure
for the administration of the anesthetic or analgesic. If the woman consents to the
administration of the anesthetic or analgesic, the physician shall administer the anesthetic
or analgesic or arrange to have the anesthetic or analgesic administered.

(c) A female seeking an abortion of her unborn child diagnosed with fetal anomaly
incompatible with life must be informed of available perinatal hospice services and offered
this care as an alternative to abortion. If perinatal hospice services are declined, voluntary
and informed consent by the female seeking an abortion is given if the female receives the
information required in paragraphs (a), clause (1), and (b). The female must comply with
the requirements in paragraph (a), clauses (3) and (4).

new text begin (d) If, at any time prior to the performance of an abortion, a female undergoes an
ultrasound examination, or a physician determines that ultrasound imaging will be used
during the course of a patient's abortion, the physician or the physician's agent shall orally
inform the patient of the opportunity to view or decline to view an active ultrasound image
of the unborn child.
new text end