,i #aac? ,,congress #b;d ,session ,h4 ,r4 #eeea ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,septemb] #ah1 #bjad ,mrs4 ,ba*mann 7= h]self1 ,mr4 ,huelskamp1 ,mr4 ,h>ris1 ,mr4 ,pe>ce1 ,mr4 ,brady ( ,texas1 ,mr4 ,pitts1 ,mr4 ,long1 ,mr4 ,gibbs1 ,mr4 ,huiz5ga ( ,mi*igan1 ,mr4 ,latta1 & ,mr4 ,johnson ( ,ohio7 introduc$ ! foll[+ bill2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce ,a ,,bill ,to ensure t wom5 seek+ an abortion receive an ultras\nd & an opportunity to review ! ultras\nd be=e giv+ in=m$ cons5t to receive an abortion4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,he>tbeat ,in=m$ ,cons5t ,act4 #b4 ,f9d+s ,! ,congress f9ds z foll[s3 7#a7 ,! pres5ce ( a he>tbeat 9 a woman's unborn *ild w be a mat]ial consid]ation to _m wom5 contemplat+ abortion4 7#b7 ,! pres5ce ( a he>tbeat 9 a woman's unborn *ild is a developm5tal fact t illu/rates to ! woman t h] baby is already alive4 7#c7 ,on ab\t ! #ba/ or #bbnd day aft] f]tilization 7:i* is ab\t #e weeks f ! fir/ day ( ! la/ m5/rual p]iod7 ! he>t ( an unborn *ild beg9s to beat4 7#d7 ,! he>tbeat ( an unborn *ild c be visually detect$ at an e>ly /age ( pregnancy us+ an ultras\nd ma*9e1 typically1 at #d to #d4e weeks aft] f]tilization 7#f to #f4e weeks f ! fir/ day ( ! la/ m5/rual p]iod7 on transvag9al ultras\nd1 & at #e4e to #f weeks aft] f]tilization 7#g4e to #h weeks f ! fir/ day ( ! la/ m5/rual p]iod7 on transabdom9al ultras\nd4 7#e7 ,! he>tbeat ( an unborn *ild c be made audible at lat] /ages1 includ+ by us+ a h&held ,doppl] fetal monitor4 7#f7 ,less ?an five p]c5t ( all natural pregnancies end 9 spontane\s misc>riage aft] detection ( c>diac activity4 ,a fetal he>tbeat is !re=e a key m$ical indicator t an unborn *ild is likely to a*ieve ! capacity = live bir?4 7#g7 ,! obs]vation ( a he>tbeat 9 a woman's unborn *ild1 :5 a he>tbeat has be5 detect$1 is an important compon5t ( full in=m$ cons5t4 7#h7 ,ensur+ full in=m$ cons5t = an abortion is imp]ative1 because ( ! pr(\nd physical & psy*ological risks ( an abortion4 ,z ! ,supreme ,c\rt has obs]v$1 the m$ical1 emotional1 & psy*ological consequ5ces ( an abortion are s]i\s & c be la/+4 ,h4,l4 v4 ,ma!son1 #dej ,u4,s4 #cih1 #daa 7#aiha74 ,! woman's decision :e!r to abort is an important1 & (t5 a /ressful "o1 & x is desirable & imp]ative t x be made ) full k ( its nature & consequ5ces4 ,plann$ ,p>5?ood v4 ,dan=?1 #dbh ,u4,s4 #eb1 #fg 7#aigf74 ,:e!r to h an abortion requires a difficult & pa9ful moral decision1 9 :i* "s wom5 come to regret _! *oice to abort ! infant life !y once creat$ & su/a9$1 & sev]e depression & loss ( e/eem c foll[ ''' ,! ,/ate has an int]e/ 9 ensur+ s grave a *oice is well in=m$4 ,x is self-evid5t t a "m :o comes to regret h] *oice to abort mu/ /ruggle ) grief m angui%$ & sorr[ m pr(\nd :5 %e le>ns1 only aft] ! ev5t1 :at %e once did n "k ''' ,gonzales v4 ,c>h>t1 #eej ,u4,s4 #abd1 #aei-afj 7#bjjg74 7#i7 ,requir+ provid]s to give a woman an opportunity to obs]ve h] unborn *ild's he>tbeat is con/itutionally p]missible1 & ! ultras\nd image ( an unborn *ild is tru?ful1 nonmislead+ in=mation4 ,9 attempt+ to ensure t a woman appreh5d ! full consequ5ces ( h] decision1 ! ,/ate fur!rs ! legitimate purpose ( r$uc+ ! risk t a woman may elect an abortion1 only to discov] lat]1 ) deva/at+ psy*ological consequ5ces1 t h] decision 0 n fully in=m$4 ,if ! in=mation ! ,/ate requires to be made available to ! woman is tru?ful & n mislead+1 ! requirem5t may be p]missible4 7,op9ion ( ,o',connor1 ,k5n$y1 & ,s\t]1 ,plann$ ,p>5?ood v4 ,casey1 #eje ,u4,s4 #hcc1 #hhb 7#aiib774 7#aj7 ,fur!r1 rec5t rese>*1 tak+ into acc\nt #bb /udies ) control gr\ps & m ?an #hgg1jjj wom5 ov] a #ad-ye> p]iod1 f9ds t wom5 :o h _h an abortion h an #ha p]c5t increas$ risk = m5tal heal? problems & #aj p]c5t ( ! m5tal heal? problems ( wom5 :o h _h an abortion are directly attribut$ to abortion4 #c4 ,am5dm5t to ! public heal? s]vice act ,! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bja et seq47 is am5d$ by add+ at ! end ! foll[+3 ,,xxxiv ,,in=m$ ,,cons5t #cdja4 ,def9itions ,9 ?is title3 7#a7 ,abortion ,! t]m abortion means ! int5tional use or prescription ( any in/rum5t1 m$ic9e1 drug1 or any o!r sub/ance1 device1 or me?od to t]m9ate ! life ( an unborn *ild1 or to t]m9ate ! pregnancy ( a woman kn[n to be pregnant1 ) an int5tion o!r ?an-- 7,a7 to produce a live bir? & pres]ve ! life & heal? ( ! *ild aft] live bir?2 or 7,b7 to remove an ectopic pregnancy1 or to remove a dead unborn *ild :o di$ z ! result ( a spontane\s abortion1 accid5tal trauma1 or a crim9al assault on ! pregnant female or h] unborn *ild4 7#b7 ,abortion provid] ,! t]m abortion provid] means any p]son legally qualifi$ to p]=m an abortion "u applicable ,f$]al & ,/ate laws4 7#c7 ,embryonic or fetal he>tbeat ,! t]m embryonic or fetal he>tbeat means embryonic or fetal c>diac activity or ! /eady & repetitive rhy?mic contraction ( ! embryonic or fetal he>t4 7#d7 ,qualifi$ ag5t ,! t]m qualifi$ ag5t means-- 7,a7 a regi/]$ diagno/ic m$ical sonograph] :o is c]tifi$ 9 ob/etrics & gynecology by ! ,am]ican ,regi/ry = ,diagno/ic ,m$ical ,sonography 7,,ardms72 7,b7 a nurse midwife1 or an advanc$ practice nurse practition] 9 ob/etrics1 ) c]tification 9 ob/etrical ultrasonography2 or 7,c7 any o!r ag5t ( an abortion provid] :o has receiv$ tra9+ 9 ob/etrical ultrasonography4 7#e7 ,unborn *ild ,! t]m unborn *ild means a memb] ( ! species homo sapi5s1 at any /age ( developm5t prior to bir?4 7#f7 ,unemancipat$ m9or ,! t]m unemancipat$ m9or means a m9or :o is subject to ! control1 au?ority1 & sup]vision ( 8 or h] p>5ts or gu>dians1 z det]m9$ "u ! law ( ! ,/ate 9 :i* ! m9or resides4 7#g7 ,woman ,! t]m woman means a female human be+ :e!r or n %e has rea*$ ! age ( majority4 #cdjb4 ,requirem5t ( in=m$ cons5t 7a7 ,requirem5t ( ,compliance by ,provid]s ,any abortion provid] 9 or affect+ int]/ate or =eign comm]ce1 :o kn[+ly p]=ms any abortion1 %all comply ) ! requirem5ts ( ?is title4 7b7 ,p]=mance & ,review ( ,ultras\nd 7#a7 ,requirem5t ,if an ultras\nd is p]=m$ on a woman by an abortion provid] 7or ! provid]'s ag5t7 prior to hav+ any "p ( an abortion p]=m$1 ! abortion provid] 7act+ directly or ?r\gh ! provid]'s ag5t7 %all-- 7,a7 ensure t any ag5t ( ! provid] p]=m+ ! ultras\nd is a qualifi$ ag5t2 7,b7 dur+ ! p]=mance ( ! ultras\nd1 display ! ultras\nd images 7z describ$ 9 p>agraph 7#b77 s t ! pregnant woman may view ! images2 & 7,c7 provide a m$ical description ( ! ultras\nd images ( ! unborn *ild's c>diac activity1 if pres5t & viewable4 7#b7 ,quality ( ultras\nd images ,to be display$ 9 accordance ) p>agraph 7#a77;,b71 ultras\nd images %all-- 7,a7 be ( a quality consi/5t ) /&>d m$ical practice2 7,b7 conta9 ! dim5sions ( ! unborn *ild2 & 7,c7 accurately portray ! pres5ce ( ext]nal memb]s & int]nal organs1 if pres5t4 7#c7 ,view+ images & li/5+ to description ,?is section may n be con/ru$ to be a requirem5t t ! pregnant woman view ! ultras\nd images requir$ to be display$1 or li/5 to ! description ( ! images requir$ to be giv51 by ! provid] or ! provid]'s ag5t pursuant to p>agraph 7#a74 7c7 ,audible embryonic or fetal he>tbeat 7#a7 ,requirem5t ,prior to a woman giv+ in=m$ cons5t to hav+ any "p ( an abortion p]=m$1 if ! pregnancy is at lea/ #h weeks aft] f]tilization 7#aj weeks f ! fir/ day ( ! la/ m5/rual p]iod71 ! abortion provid] 7act+ directly or ?r\gh ! provid]'s employee7 %all1 us+ a h&-held ,doppl] fetal monitor1 make ! embryonic or fetal he>tbeat ( ! unborn *ild audible = ! pregnant woman to he>4 7#b7 ,unsuccessful attempts at detect+ he>tbeat ,an abortion provid] 7or ! provid]'s employee7 %all n be 9 violation ( p>agraph 7#a7 if-- 7,a7 ! provid] 7act+ directly or ?r\gh ! provid]'s employee7 has attempt$1 consi/5t ) /&>d m$ical practice1 to make ! embryonic or fetal he>tbeat ( ! unborn *ild audible = ! pregnant woman to he> us+ a h&-held ,doppl] fetal monitor2 7,b7 t attempt does n result 9 ! he>tbeat be+ made audible2 & 7,c7 ! provid] has (f]$ to attempt to make ! he>tbeat audible at a subsequ5t date4 7#c7 ,ability ,to ,n ,li/5 ,no?+ 9 ?is section %all be con/ru$ to prev5t ! pregnant woman f n li/5+ to ! s\nds detect$ by ! h&-held ,doppl] fetal monitor1 pursuant to p>agraph 7#a74 #cdjc4 ,exception = m$ical em]g5cies 7a7 ,exception ,! provisions ( section #cdjb %all n apply to an abortion provid] 9 ! case t ! abortion is necess>y to save ! life ( a "m ^: life is endang]$ by a physical disord]1 physical illness1 or physical injury1 includ+ a life-endang]+ physical condition caus$ by or aris+ f ! pregnancy itself4 7b7 ,c]tification 7#a7 ,9 g5]al ,^u a det]m9ation by an abortion provid] "u subsection 7a7 t an abortion is necess>y to save ! life ( a "m1 su* provid] %all c]tify ! specific m$ical conditions t support su* det]m9ation & include su* c]tification 9 ! m$ical file ( ! pregnant woman4 ,! c]tification %all be kept by ! abortion provid] = a p]iod ( n less ?an #e ye>s4 ,if ! female is a m9or1 !n ! c]tification %all be plac$ 9 ! m$ical file ( ! m9or & kept = at lea/ #e ye>s aft] ! m9or rea*es ! age ( majority4 7#b7 ,false /atem5ts ,an abortion provid] :o kn[+ly or recklessly falsifies a c]tification "u p>agraph 7#a7 is deem$ to h kn[+ly or recklessly fail$ to comply ) ?is title = purposes ( section #cdjd4 #cdjd4 ,p5alties 7a7 ,9 ,g5]al ,an abortion provid] :o kn[+ly or recklessly fails to comply ) any provision ( ?is title %all be subject to civil p5alties 9 accordance ) ?is section 9 an appropriate ,f$]al c\rt4 7b7 ,comm5cem5t ( ,action ,! ,attorney ,g5]al may comm5ce a civil action "u ?is section4 7c7 ,fir/ (f5se ,^u a f9d+ by a c\rt t a respond5t 9 an action comm5c$ "u ?is section has kn[+ly or recklessly violat$ a provision ( ?is title1 ! c\rt %all notify ! appropriate ,/ate m$ical lic5s+ au?ority & %all assess a civil p5alty aga9/ ! respond5t 9 an am\nt n to exce$ #ajj1jjj = ea* su* violation4 7d7 ,second & subsequ5t (f5ses ,^u a f9d+ by a c\rt t ! respond5t 9 an action comm5c$ "u ?is section has kn[+ly or recklessly violat$ a provision ( ?is title1 ! c\rt %all notify ! appropriate ,/ate m$ical lic5s+ au?ority & %all assess a civil p5alty aga9/ ! respond5t 9 an am\nt n to exce$ #bej1jjj = ea* su* violation if ! respond5t has be5 f\nd 9 a prior civil action to h kn[+ly or recklessly committ$ ano!r violation ( a provision ( ?is title4 7e7 ,private ,"r ( ,action ,a woman ^u :om an abortion has be5 p]=m$ 9 violation ( ?is title1 or ! p>5t or legal gu>dian ( su* a woman if %e is an unemancipat$ m9or1 may comm5ce a civil action aga9/ ! abortion provid] = any kn[+ or reckless violation ( ?is title = actual & punitive damages4 4 #d4 ,preemption ,no?+ 9 ?is ,act or ! am5dm5ts made by ?is ,act %all be con/ru$ to preempt any provision ( ,/ate law to ! ext5t t su* ,/ate law e/abli%es1 implem5ts1 or cont9ues 9 effect great] disclosure requirem5ts reg>d+ abortion ?an ^? provid$ "u ?is ,act & ! am5dm5ts made by ?is ,act4 #e4 ,sev]ability ,if any provision ( ?is ,act1 an am5dm5t by ?is ,act1 or ! application ( su* provision or am5dm5t to any p]son or circum/ance is held to be uncon/itutional1 ! rema9d] ( ?is ,act & ! am5dm5ts made by ?is ,act1 & ! application ( ! provisions ( su* rema9d] to any p]son or circum/ance1 %all n be affect$ !reby4