1 | Representative(s) Precourt offered the following: |
2 |
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3 | Amendment (with title amendment) |
4 | Between lines 134 and 135 insert: |
5 | Section 3. Paragraph (d) of subsection (3) of section |
6 | 390.012, Florida Statutes, is amended to read: |
7 | 390.012 Powers of agency; rules; disposal of fetal |
8 | remains.-- |
9 | (3) For clinics that perform or claim to perform abortions |
10 | after the first trimester of pregnancy, the agency shall adopt |
11 | rules pursuant to ss. 120.536(1) and 120.54 to implement the |
12 | provisions of this chapter, including the following: |
13 | (d) Rules relating to the medical screening and evaluation |
14 | of each abortion clinic patient. At a minimum, these rules shall |
15 | require: |
16 | 1. A medical history including reported allergies to |
17 | medications, antiseptic solutions, or latex; past surgeries; and |
18 | an obstetric and gynecological history. |
19 | 2. A physical examination, including a bimanual |
20 | examination estimating uterine size and palpation of the adnexa. |
21 | 3. The appropriate laboratory tests, including: |
22 | a. For an abortion in which an ultrasound examination is |
23 | not performed before the abortion procedure, Urine or blood |
24 | tests for pregnancy performed before the abortion procedure. |
25 | b. A test for anemia. |
26 | c. Rh typing, unless reliable written documentation of |
27 | blood type is available. |
28 | d. Other tests as indicated from the physical examination. |
29 | 4. An ultrasound evaluation for all patients who elect to |
30 | have an abortion after the first trimester. The rules shall |
31 | require that if a person who is not a physician performs an |
32 | ultrasound examination, that person shall have documented |
33 | evidence that he or she has completed a course in the operation |
34 | of ultrasound equipment as prescribed in rule. The physician, |
35 | registered nurse, licensed practical nurse, advanced registered |
36 | nurse practitioner, or physician assistant shall review and |
37 | explain, at the request of the patient, the live ultrasound |
38 | images evaluation results, including an estimate of the probable |
39 | gestational age of the fetus, with the patient before the |
40 | abortion procedure is performed, unless the patient declines |
41 | pursuant to s. 390.0111. |
42 | 5. That the physician is responsible for estimating the |
43 | gestational age of the fetus based on the ultrasound examination |
44 | and obstetric standards in keeping with established standards of |
45 | care regarding the estimation of fetal age as defined in rule |
46 | and shall write the estimate in the patient's medical history. |
47 | The physician shall keep original prints of each ultrasound |
48 | examination of a patient in the patient's medical history file. |
49 |
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50 | ======= T I T L E A M E N D M E N T ======= |
51 | Remove line 13 and insert: |
52 | relating to confidentiality of hearings; amending s. |
53 | 390.012, F.S.; requiring that live ultrasound images |
54 | be reviewed and explained to the patient; providing |
55 | that the patient may decline to review ultrasound |
56 | images; providing for |