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<bill bill-stage="Introduced-in-House" bill-type="olc" dms-id="H3FDE969E32794F0A92A45C1AC86099F6" public-private="public">
	<form>
		<distribution-code display="yes">I</distribution-code>
		<congress>112th CONGRESS</congress>
		<session>1st Session</session>
		<legis-num>H. R. 3130</legis-num>
		<current-chamber>IN THE HOUSE OF REPRESENTATIVES</current-chamber>
		<action>
			<action-date date="20111006">October 6, 2011</action-date>
			<action-desc><sponsor name-id="B001256">Mrs. Bachmann</sponsor> (for
			 herself, <cosponsor name-id="G000563">Mr. Gibbs</cosponsor>,
			 <cosponsor name-id="F000448">Mr. Franks of Arizona</cosponsor>,
			 <cosponsor name-id="G000552">Mr. Gohmert</cosponsor>,
			 <cosponsor name-id="J000255">Mr. Jones</cosponsor>,
			 <cosponsor name-id="H001058">Mr. Huizenga of Michigan</cosponsor>,
			 <cosponsor name-id="S000522">Mr. Smith of New Jersey</cosponsor>,
			 <cosponsor name-id="J000292">Mr. Johnson of Ohio</cosponsor>,
			 <cosponsor name-id="S001164">Mrs. Schmidt</cosponsor>,
			 <cosponsor name-id="B001149">Mr. Burton of Indiana</cosponsor>,
			 <cosponsor name-id="A000365">Mr. Austria</cosponsor>,
			 <cosponsor name-id="K000362">Mr. King of Iowa</cosponsor>,
			 <cosponsor name-id="M001180">Mr. McKinley</cosponsor>,
			 <cosponsor name-id="B001275">Mr. Bucshon</cosponsor>,
			 <cosponsor name-id="L000564">Mr. Lamborn</cosponsor>,
			 <cosponsor name-id="S001176">Mr. Scalise</cosponsor>,
			 <cosponsor name-id="K000376">Mr. Kelly</cosponsor>,
			 <cosponsor name-id="W000796">Mr. Westmoreland</cosponsor>,
			 <cosponsor name-id="B001257">Mr. Bilirakis</cosponsor>,
			 <cosponsor name-id="L000566">Mr. Latta</cosponsor>,
			 <cosponsor name-id="E000291">Mrs. Ellmers</cosponsor>,
			 <cosponsor name-id="M001147">Mr. McCotter</cosponsor>,
			 <cosponsor name-id="H001052">Mr. Harris</cosponsor>,
			 <cosponsor name-id="B000755">Mr. Brady of Texas</cosponsor>,
			 <cosponsor name-id="L000576">Mr. Long</cosponsor>, <cosponsor name-id="C001086">Mr. Cravaack</cosponsor>, <cosponsor name-id="B001255">Mr.
			 Boustany</cosponsor>, <cosponsor name-id="M001144">Mr. Miller of
			 Florida</cosponsor>, <cosponsor name-id="P000601">Mr. Palazzo</cosponsor>, and
			 <cosponsor name-id="F000456">Mr. Fleming</cosponsor>) introduced the following
			 bill; which was referred to the <committee-name committee-id="HIF00">Committee
			 on Energy and Commerce</committee-name></action-desc>
		</action>
		<legis-type>A BILL</legis-type>
		<official-title>To ensure that women seeking an abortion receive an
		  ultrasound and an opportunity to review the ultrasound before giving informed
		  consent to receive an abortion.</official-title>
	</form>
	<legis-body id="H4AEDCE770C1648CD89B10E3DA2151368" style="OLC">
		<section id="H04078E966DB74927A1CC7CAD2042446E" section-type="section-one"><enum>1.</enum><header>Short title</header><text display-inline="no-display-inline">This Act may be cited as the
			 <quote><short-title>Heartbeat Informed Consent
			 Act</short-title></quote>.</text>
		</section><section id="H336DF25938D94E20B7CDAFDF9FB6932D"><enum>2.</enum><header>Findings</header><text display-inline="no-display-inline">The Congress finds as follows:</text>
			<paragraph id="H891F8720A3E14DFFBD191A21260D4AA4"><enum>(1)</enum><text>The presence of a
			 heartbeat in a woman’s unborn child will be a material consideration to many
			 women contemplating abortion.</text>
			</paragraph><paragraph id="H673E0521097F4CF9BB1A69D6F96A45A6"><enum>(2)</enum><text>The presence of a
			 heartbeat in a woman’s unborn child is a developmental fact that illustrates to
			 the woman that her baby is already alive.</text>
			</paragraph><paragraph id="H23217EBD030646A8B4FA01E87E422188"><enum>(3)</enum><text>On about the 21st
			 or 22nd day after fertilization (which is about 5 weeks from the first day of
			 the last menstrual period) the heart of an unborn child begins to beat.</text>
			</paragraph><paragraph id="H78F0F4ABEF7B47A4A7583F1DDEE68D47"><enum>(4)</enum><text>The heartbeat of
			 an unborn child can be visually detected at an early stage of pregnancy using
			 an ultrasound machine, typically, at 4 to 4.5 weeks after fertilization (6 to
			 6.5 weeks from the first day of the last menstrual period) on transvaginal
			 ultrasound, and at 5.5 to 6 weeks after fertilization (7.5 to 8 weeks from the
			 first day of the last menstrual period) on transabdominal ultrasound.</text>
			</paragraph><paragraph commented="no" id="HFFFC9A84D147458C94AB084559B542D2"><enum>(5)</enum><text>The heartbeat of
			 an unborn child can be made audible at later stages, including by using a
			 handheld Doppler fetal monitor.</text>
			</paragraph><paragraph id="H9E85A16C5391464687E8A6169226472C"><enum>(6)</enum><text>Less than five
			 percent of all natural pregnancies end in spontaneous miscarriage after
			 detection of cardiac activity. A fetal heartbeat is therefore a key medical
			 indicator that an unborn child is likely to achieve the capacity for live
			 birth.</text>
			</paragraph><paragraph id="H292CABDAC1B741429D0679F2878EC76C"><enum>(7)</enum><text>The observation of
			 a heartbeat in a woman’s unborn child, when a heartbeat has been detected, is
			 an important component of full informed consent.</text>
			</paragraph><paragraph id="H8125C6E57D304BB3A5C03A41BDB33B4E"><enum>(8)</enum><text>Ensuring full
			 informed consent for an abortion is imperative, because of the profound
			 physical and psychological risks of an abortion. As the Supreme Court has
			 observed, <quote>[t]he medical, emotional, and psychological consequences of an
			 abortion are serious and can be lasting.</quote> H.L. v. Matheson, 450 U.S.
			 398, 411 (1981). The woman’s decision whether to abort <quote>is an important,
			 and often a stressful one, and it is desirable and imperative that it be made
			 with full knowledge of its nature and consequences.</quote> Planned Parenthood
			 v. Danforth, 428 U.S. 52, 67 (1976). <quote>Whether to have an abortion
			 requires a difficult and painful moral decision,</quote> in which <quote>some
			 women come to regret their choice to abort the infant life they once created
			 and sustained,</quote> and <quote>[s]evere depression and loss of esteem can
			 follow … The State has an interest in ensuring so grave a choice is well
			 informed. It is self-evident that a mother who comes to regret her choice to
			 abort must struggle with grief more anguished and sorrow more profound when she
			 learns, only after the event, what she once did not know …</quote> Gonzales v.
			 Carhart, 550 U.S. 124, 159–160 (2007).</text>
			</paragraph><paragraph id="HC365D229836247BA814D561592A370D4"><enum>(9)</enum><text>Requiring
			 providers to give a woman an opportunity to observe her unborn child’s
			 heartbeat is constitutionally permissible, and the ultrasound image of an
			 unborn child is truthful, nonmisleading information. <quote>In attempting to
			 ensure that a woman apprehend the full consequences of her decision, the State
			 furthers the legitimate purpose of reducing the risk that a woman may elect an
			 abortion, only to discover later, with devastating psychological consequences,
			 that her decision was not fully informed. If the information the State requires
			 to be made available to the woman is truthful and not misleading, the
			 requirement may be permissible.</quote> (Opinion of O’Connor, Kennedy, and
			 Souter, Planned Parenthood v. Casey, 505 U.S. 833, 882 (1992)).</text>
			</paragraph><paragraph id="HB2885A853BF2407C8D98589D01D391F0"><enum>(10)</enum><text display-inline="yes-display-inline">Further, recent research, taking into
			 account 22 studies with control groups and more than 877,000 women over a
			 14-year period, finds that women who have had an abortion have an 81 percent
			 increased risk for mental health problems and 10 percent of the mental health
			 problems of women who have had an abortion are directly attributed to
			 abortion.</text>
			</paragraph></section><section id="HE09BA15212CE4966BD0F7E6D22D6AA17"><enum>3.</enum><header>Amendment to the
			 public health service act</header><text display-inline="no-display-inline">The
			 Public Health Service Act (42 U.S.C. 201 et seq.) is amended by adding at the
			 end the following:</text>
			<quoted-block display-inline="no-display-inline" id="H7EFF7CF93EEE4FB0AB71A62CD3A6DC05" style="OLC">
				<title id="HE8EC159EE56B40789335F0710A3AA6EA"><enum>XXXIV</enum><header>INFORMED
				CONSENT</header>
					<section id="HDDBBE589DDBC40238332B01367932E31"><enum>3401.</enum><header>Definitions</header><text display-inline="no-display-inline">In this title:</text>
						<paragraph id="H24BB388025BD47BAA108DB288CF71028"><enum>(1)</enum><header>Abortion</header><text>The
				term <term>abortion</term> means the intentional use or prescription of any
				instrument, medicine, drug, or any other substance, device, or method to
				terminate the life of an unborn child, or to terminate the pregnancy of a woman
				known to be pregnant, with an intention other than—</text>
							<subparagraph id="H39517AAC1E364DCE94ED80CF9F9D1A44"><enum>(A)</enum><text>to produce a live
				birth and preserve the life and health of the child after live birth; or</text>
							</subparagraph><subparagraph id="HED7FBD5250EC480483E993BA66A94B21"><enum>(B)</enum><text>to remove an
				ectopic pregnancy, or to remove a dead unborn child who died as the result of a
				spontaneous abortion, accidental trauma, or a criminal assault on the pregnant
				female or her unborn child.</text>
							</subparagraph></paragraph><paragraph id="HDC1DACEE3B624E3E8AA80B4782979DA2"><enum>(2)</enum><header>Abortion
				provider</header><text>The term <term>abortion provider</term> means any person
				legally qualified to perform an abortion under applicable Federal and State
				laws.</text>
						</paragraph><paragraph id="H0D00E31142CC42CEB0C6FA20CD9A67AF"><enum>(3)</enum><header>Certified
				technician</header><text>The term <term>certified technician</term>
				means—</text>
							<subparagraph id="H912499C669C043A49B0E32415BD0B761"><enum>(A)</enum><text>a registered
				diagnostic medical sonographer who is certified in obstetrics and gynecology by
				the American Registry for Diagnostic Medical Sonography (ARDMS); or</text>
							</subparagraph><subparagraph id="HCABB5F8AAC3248898AA97842E62AFC35"><enum>(B)</enum><text>a nurse midwife,
				or an advanced practice nurse practitioner in obstetrics, with certification in
				obstetrical ultrasonography.</text>
							</subparagraph></paragraph><paragraph id="H9D14822E44114DC7BAE56C722DE6BE0A"><enum>(4)</enum><header>Embryonic or
				fetal heartbeat</header><text>The term <term>embryonic or fetal
				heartbeat</term> means embryonic or fetal cardiac activity or the steady and
				repetitive rhythmic contraction of the embryonic or fetal heart.</text>
						</paragraph><paragraph id="H90B9664B125A437BB9F6ECD4A647C6AE"><enum>(5)</enum><header>Unborn
				child</header><text>The term <term>unborn child</term> means a member of the
				species homo sapiens, at any stage of development prior to birth.</text>
						</paragraph><paragraph id="H42831BF0B3EF4DC0A5064B120A821546"><enum>(6)</enum><header>Unemancipated
				minor</header><text>The term <term>unemancipated minor</term> means a minor who
				is subject to the control, authority, and supervision of his or her parents or
				guardians, as determined under the law of the State in which the minor
				resides.</text>
						</paragraph><paragraph id="H35F7FDAB57E849C58FB0021EC844A871"><enum>(7)</enum><header>Woman</header><text>The
				term <term>woman</term> means a female human being whether or not she has
				reached the age of majority.</text>
						</paragraph></section><section id="H50C830FDF3B041B2839C734DC43DA16A"><enum>3402.</enum><header>Requirement of
				informed consent</header>
						<subsection id="H997BEC3E96794E22A16CF46826437401"><enum>(a)</enum><header>Requirement of
				Compliance by Providers</header><text>Any abortion provider in or affecting
				interstate or foreign commerce, who knowingly performs any abortion, shall
				comply with the requirements of this title.</text>
						</subsection><subsection id="HD1CA358B03B64C67896F24CB3202CD12"><enum>(b)</enum><header>Performance and
				Review of Ultrasound</header>
							<paragraph id="HE3240E79C89E41C68047F1CA0163E8E6"><enum>(1)</enum><header>Requirement</header><text>Prior
				to a woman giving informed consent to having any part of an abortion performed,
				the abortion provider who is to perform the abortion, a certified technician,
				or another agent of the abortion provider who is competent in ultrasonography
				shall—</text>
								<subparagraph id="H11B5628190A441D7AEF5E6233607D4BD"><enum>(A)</enum><text>perform an
				obstetric ultrasound on the pregnant woman;</text>
								</subparagraph><subparagraph id="H0E58218A32C64006A8EA0AFCA15CEA8E"><enum>(B)</enum><text>during the
				performance of the ultrasound, display the ultrasound images (as described in
				paragraph (2)) so that the pregnant woman may view the images; and</text>
								</subparagraph><subparagraph id="HEEE835D0B7C04425A736E20021707E5C"><enum>(C)</enum><text>provide a medical
				description of the ultrasound images of the unborn child’s cardiac activity, if
				present and viewable.</text>
								</subparagraph></paragraph><paragraph id="HF40C6C48C5314D9FB9AE7A3AE75CAB41"><enum>(2)</enum><header>Quality of
				ultrasound images</header><text>To be displayed in accordance with paragraph
				(1)(B), ultrasound images shall—</text>
								<subparagraph id="HDDB51A55F3874D2882F928270E7E4BC8"><enum>(A)</enum><text>be of a quality
				consistent with standard medical practice;</text>
								</subparagraph><subparagraph id="H5D025C173E774E5CB8E892D31AE5A0F9"><enum>(B)</enum><text>contain the
				dimensions of the unborn child; and</text>
								</subparagraph><subparagraph id="H3F5984EF2F2D461DBFAAAC05DEA05501"><enum>(C)</enum><text>accurately portray
				the presence of external members and internal organs, if present.</text>
								</subparagraph></paragraph><paragraph id="H877335CD1294436A98E2CDB11B41D560"><enum>(3)</enum><header>Ability To avert
				eyes</header><text>Nothing in this section shall be construed to prevent a
				pregnant woman from closing or averting her eyes from the ultrasound images
				required to be displayed, or not listening to the description of the images
				required to be given, by the provider or the provider’s agent pursuant to
				paragraph (1).</text>
							</paragraph></subsection><subsection id="HFF93376923164116AF2F854ADB8B91E2"><enum>(c)</enum><header>Audible
				embryonic or fetal heartbeat</header>
							<paragraph id="HB4294F0DEDCB45DAB08AAC4F591B2BB4"><enum>(1)</enum><header>Requirement</header><text>Prior
				to a woman giving informed consent to having any part of an abortion performed,
				if the pregnancy is at least 8 weeks after fertilization (10 weeks from the
				first day of the last menstrual period), the abortion provider who is to
				perform the abortion, a certified technician, or another agent of the abortion
				provider shall, using a hand-held Doppler fetal monitor, make the embryonic or
				fetal heartbeat of the unborn child audible for the pregnant woman to
				hear.</text>
							</paragraph><paragraph commented="no" id="HA7F51235F39A496BBDD47266E16A144C"><enum>(2)</enum><header>Unsuccessful
				attempts at detecting heartbeat</header><text>An abortion provider, a certified
				technician, or another agent of the abortion provider shall not be in violation
				of paragraph (1) if—</text>
								<subparagraph id="HC87F64BD327D4BB385322225A047F432"><enum>(A)</enum><text>the provider,
				certified technician, or agent has attempted, consistent with standard medical
				practice, to make the embryonic or fetal heartbeat of the unborn child audible
				for the pregnant woman to hear using a hand-held Doppler fetal monitor;</text>
								</subparagraph><subparagraph id="H978C7DA8F2B341089781A4F893068310"><enum>(B)</enum><text>that attempt does
				not result in the heartbeat being made audible; and</text>
								</subparagraph><subparagraph id="HDE8B5F88B9D547509BBE230AA63860BE"><enum>(C)</enum><text>the provider has
				offered to attempt to make the heartbeat audible at a subsequent date.</text>
								</subparagraph></paragraph><paragraph id="HB4CF0F09A2BD477B8D778176EEBDB03B"><enum>(3)</enum><header>Ability To Not
				Listen</header><text display-inline="yes-display-inline">Nothing in this
				section shall be construed to prevent the pregnant woman from not listening to
				the sounds detected by the hand-held Doppler fetal monitor, pursuant to
				paragraph (1).</text>
							</paragraph></subsection></section><section id="HF16E841BBF6F4736BA72365FCE0815D8"><enum>3403.</enum><header>Exception for
				medical emergencies</header>
						<subsection id="HDE5CBC359C6B4C8C814F85F91CDBFD6C"><enum>(a)</enum><header>Exception</header><text>The
				provisions of section 3402 shall not apply to an abortion provider in the case
				that the abortion is necessary to save the life of a mother whose life is
				endangered by a physical disorder, physical illness, or physical injury,
				including a life-endangering physical condition caused by or arising from the
				pregnancy itself.</text>
						</subsection><subsection id="HCB61A2B7DBE34B728D37426F9D2A1E8B"><enum>(b)</enum><header>Certification</header>
							<paragraph id="H70F8DCB1C035440D8002ECCD96722B81"><enum>(1)</enum><header>In
				general</header><text>Upon a determination by an abortion provider under
				subsection (a) that an abortion is necessary to save the life of a mother, such
				provider shall certify the specific medical conditions that support such
				determination and include such certification in the medical file of the
				pregnant woman.</text>
							</paragraph><paragraph id="HD2CE7D607291415586C0457DD9DDDDF4"><enum>(2)</enum><header>False
				statements</header><text>An abortion provider who knowingly or recklessly
				falsifies a certification under paragraph (1) is deemed to have knowingly or
				recklessly failed to comply with this title for purposes of section
				3404.</text>
							</paragraph></subsection></section><section id="H13BE8C75DB5341F3B72F71EC606FBC77"><enum>3404.</enum><header>Penalties</header>
						<subsection id="H98D27A1501854E9EAB3E0599277A6C03"><enum>(a)</enum><header>In
				General</header><text>An abortion provider who knowingly or recklessly fails to
				comply with any provision of this title shall be subject to civil penalties in
				accordance with this section in an appropriate Federal court.</text>
						</subsection><subsection id="HD9896489965D4876861ED171C20D387C"><enum>(b)</enum><header>Commencement of
				Action</header><text>The Attorney General may commence a civil action under
				this section.</text>
						</subsection><subsection id="H92D056B0729E469BA555DDE069A2B2EF"><enum>(c)</enum><header>First
				offense</header><text>Upon a finding by a court that a respondent in an action
				commenced under this section has knowingly or recklessly violated a provision
				of this title, the court shall notify the appropriate State medical licensing
				authority and shall assess a civil penalty against the respondent in an amount
				not to exceed $100,000 for each such violation.</text>
						</subsection><subsection id="HE5E133F084F643DEA273F01F93E29DF2"><enum>(d)</enum><header>Second and
				subsequent offenses</header><text display-inline="yes-display-inline">Upon a
				finding by a court that the respondent in an action commenced under this
				section has knowingly or recklessly violated a provision of this title, the
				court shall notify the appropriate State medical licensing authority and shall
				assess a civil penalty against the respondent in an amount not to exceed
				$250,000 for each such violation if the respondent has been found in a prior
				civil action to have knowingly or recklessly committed another violation of a
				provision of this title.</text>
						</subsection><subsection id="HD39DBBF20F854CB8831056D90D699197"><enum>(e)</enum><header>Private Right of
				Action</header><text>A woman upon whom an abortion has been performed in
				violation of this title, or the parent or legal guardian of such a woman if she
				is an unemancipated minor, may commence a civil action against the abortion
				provider for any knowing or reckless violation of this title for actual and
				punitive
				damages.</text>
						</subsection></section></title><after-quoted-block>.</after-quoted-block></quoted-block>
		</section><section id="HA443473E93CF41F6BD3EE902C38C5BD5"><enum>4.</enum><header>Preemption</header><text display-inline="no-display-inline">Nothing in this Act or the amendments made
			 by this Act shall be construed to preempt any provision of State law to the
			 extent that such State law establishes, implements, or continues in effect
			 greater disclosure requirements regarding abortion than those provided under
			 this Act and the amendments made by this Act.</text>
		</section><section id="HA2319975ED7745FABF6D117257C17E08"><enum>5.</enum><header>Severability</header><text display-inline="no-display-inline">If any provision of this Act, an amendment
			 by this Act, or the application of such provision or amendment to any person or
			 circumstance is held to be unconstitutional, the remainder of this Act and the
			 amendments made by this Act, and the application of the provisions of such
			 remainder to any person or circumstance, shall not be affected thereby.</text>
		</section></legis-body>
</bill>
