CS/HB 1449

1
A bill to be entitled
2An act relating to parental notice of abortion; amending
3s. 390.01114, F.S.; revising the definition of the term
4"constructive notice"; revising notice requirements
5relating to the termination of a pregnancy of a minor;
6providing exceptions to the notice requirements; revising
7procedure for judicial waiver of notice; providing for the
8minor to petition for a hearing within a specified time;
9providing that in a hearing relating to waiving the
10requirement for parental notice the court consider certain
11additional factors, including whether the minor's decision
12to terminate her pregnancy was due to undue influence;
13providing procedure for appeal if judicial waiver of
14notice is not granted; requiring Supreme Court reports to
15the Governor and Legislature to include additional
16information; requiring mandatory reporting of child abuse;
17providing for severability; providing an effective date.
18
19Be It Enacted by the Legislature of the State of Florida:
20
21     Section 1.  Section 390.01114, Florida Statutes, is amended
22to read:
23     390.01114  Parental Notice of Abortion Act.-
24     (1)  SHORT TITLE.-This section may be cited as the
25"Parental Notice of Abortion Act."
26     (2)  DEFINITIONS.-As used in this section, the term:
27     (a)  "Actual notice" means notice that is given directly,
28in person or by telephone, to a parent or legal guardian of a
29minor, by a physician, at least 48 hours before the inducement
30or performance of a termination of pregnancy, and documented in
31the minor's files.
32     (b)  "Child abuse" has the same meaning as s. 39.0015(3).
33     (c)  "Constructive notice" means notice that is given in
34writing, signed by the physician, and mailed at least 72 hours
35before the inducement or performance of the termination of
36pregnancy, to the last known address of the parent or legal
37guardian of the minor, by first class mail and by certified
38mail, return receipt requested, and delivery restricted to the
39parent or legal guardian. After the 72 hours have passed,
40delivery is deemed to have occurred.
41     (d)  "Medical emergency" means a condition that, on the
42basis of a physician's good faith clinical judgment, so
43complicates the medical condition of a pregnant woman as to
44necessitate the immediate termination of her pregnancy to avert
45her death, or for which a delay in the termination of her
46pregnancy will create serious risk of substantial and
47irreversible impairment of a major bodily function.
48     (e)  "Sexual abuse" has the meaning ascribed in s. 39.01.
49     (f)  "Minor" means a person under the age of 18 years.
50     (3)  NOTIFICATION REQUIRED.-
51     (a)  Actual notice shall be provided by the physician
52performing or inducing the termination of pregnancy before the
53performance or inducement of the termination of the pregnancy of
54a minor. The notice may be given by a referring physician. The
55physician who performs or induces the termination of pregnancy
56must receive the written statement of the referring physician
57certifying that the referring physician has given notice. If
58actual notice is not possible after a reasonable effort has been
59made, the physician performing or inducing the termination of
60pregnancy or the referring physician must give constructive
61notice. Notice given under this subsection by the physician
62performing or inducing the termination of pregnancy must include
63the name and address of the facility providing the termination
64of pregnancy and the name of the physician providing notice.
65Notice given under this subsection by a referring physician must
66include the name and address of the facility where he or she is
67referring the minor and the name of the physician providing
68notice. If actual notice is provided by telephone, the physician
69must actually speak with the parent or guardian, and must record
70in the minor's medical file the name of the parent or guardian
71provided notice, the phone number dialed, and the date and time
72of the call. If constructive notice is given, the physician must
73document that notice by placing copies of any document related
74to the constructive notice, including, but not limited to, a
75copy of the letter and the return receipt, in the minor's
76medical file. Actual notice given by telephone shall be
77confirmed in writing, signed by the physician, and mailed to the
78last known address of the parent or legal guardian of the minor,
79by first class mail and by certified mail, return receipt
80requested, with delivery restricted to the parent or legal
81guardian.
82     (b)  Notice is not required if:
83     1.  In the physician's good faith clinical judgment, a
84medical emergency exists and there is insufficient time for the
85attending physician to comply with the notification
86requirements. If a medical emergency exists, the physician
87should make reasonable attempts, whenever possible without
88endangering the minor, to contact the parent or legal guardian.
89The physician may proceed but must document reasons for the
90medical necessity in the patient's medical records and must
91provide notice directly, in person or by telephone, to the
92parent or legal guardian, including details of the medical
93emergency and any additional risks to the minor. If the parent
94or legal guardian has not been notified within 24 hours after
95the termination of the pregnancy, the physician must provide
96notice in writing, including details of the medical emergency
97and any additional risks to the minor, signed by the physician,
98to the last known address of the parent or legal guardian of the
99minor, by first class mail and by certified mail, return receipt
100requested, with delivery restricted to the parent or legal
101guardian;
102     2.  Notice is waived in writing by the person who is
103entitled to notice and such waiver is notarized, dated not more
104than 30 days before the termination of pregnancy, and contains a
105specific waiver of the right of the parent or legal guardian to
106notice of the minor's termination of pregnancy;
107     3.  Notice is waived by the minor who is or has been
108married or has had the disability of nonage removed under s.
109743.015 or a similar statute of another state;
110     4.  Notice is waived by the patient because the patient has
111a minor child dependent on her; or
112     5.  Notice is waived under subsection (4).
113     (c)  Violation of this subsection by a physician
114constitutes grounds for disciplinary action under s. 458.331 or
115s. 459.015.
116     (4)  PROCEDURE FOR JUDICIAL WAIVER OF NOTICE.-
117     (a)  A minor may petition any circuit court in the a
118judicial circuit within the jurisdiction of the District Court
119of Appeal in which the minor she resides for a waiver of the
120notice requirements of subsection (3) and may participate in
121proceedings on her own behalf. The petition may be filed under a
122pseudonym or through the use of initials, as provided by court
123rule. The petition must include a statement that the petitioner
124is pregnant and notice has not been waived. The court shall
125advise the minor that she has a right to court-appointed counsel
126and shall provide her with counsel upon her request at no cost
127to the minor.
128     (b)1.  Court proceedings under this section subsection must
129be given precedence over other pending matters to the extent
130necessary to ensure that the court reaches a decision promptly.
131The court shall rule, and issue written findings of fact and
132conclusions of law, within 3 business days 48 hours after the
133petition is filed, except that the 3-business-day 48-hour
134limitation may be extended at the request of the minor. If the
135court fails to rule within the 3-business-day 48-hour period and
136an extension has not been requested, the minor may then
137immediately petition for a hearing upon the expiration of the 3-
138business-day period to the chief judge of the circuit, who must
139ensure a hearing is held within 48 hours after receipt of the
140minor's petition and an order is entered within 24 hours after
141the hearing the petition is granted, and the notice requirement
142is waived.
143     2.  If the circuit court does not grant judicial waiver of
144notice, the minor has the right to appeal. An appellate court
145must rule within 7 days after receipt of appeal, but a ruling
146may be remanded with further instruction for a ruling within 3
147business days after the remand. The reason for overturning a
148ruling on appeal must be based on abuse of discretion by the
149court and may not be based on the weight of the evidence
150presented to the circuit court since the proceeding is a
151nonadversarial proceeding.
152     (c)  If the court finds, by clear and convincing evidence,
153that the minor is sufficiently mature to decide whether to
154terminate her pregnancy, the court shall issue an order
155authorizing the minor to consent to the performance or
156inducement of a termination of pregnancy without the
157notification of a parent or guardian. If the court does not make
158the finding specified in this paragraph or paragraph (d), it
159must dismiss the petition. Factors the court shall consider
160include:
161     1.  The minor's:
162     a.  Age.
163     b.  Overall intelligence.
164     c.  Emotional development and stability.
165     d.  Credibility and demeanor as a witness.
166     e.  Ability to accept responsibility.
167     f.  Ability to assess both the immediate and long-range
168consequences of the minor's choices.
169     g.  Ability to understand and explain the medical risks of
170terminating her pregnancy and to apply that understanding to her
171decision.
172     2.  Whether there may be any undue influence by another on
173the minor's decision to have an abortion.
174     3.  Whether the minor is aware that:
175     a.  Payment of medical expenses associated with carrying
176the child to term is available for eligible pregnant minors
177under Medicaid, the Florida Healthy Kids program, many private
178insurance plans, and numerous faith-based and philanthropic
179resources; and
180     b.  There is a shortage of newborn babies available for
181adoption, and that the demand is very high from qualified
182families.
183     (d)  If the court finds, by a preponderance of the
184evidence, that the petitioner is the victim there is evidence of
185child abuse or sexual abuse inflicted of the petitioner by one
186or both of her parents or her guardian, or by clear and
187convincing evidence that the notification of a parent or
188guardian is not in the best interest of the petitioner, the
189court shall issue an order authorizing the minor to consent to
190the performance or inducement of a termination of pregnancy
191without the notification of a parent or guardian. The best-
192interest standard may not include financial best interest or
193financial considerations or the potential financial impact on
194the minor or the minor's family if the minor does not terminate
195the pregnancy. If the court finds evidence of child abuse or
196sexual abuse of the minor petitioner by any person, the court
197shall report the evidence of child abuse or sexual abuse of the
198petitioner, as provided in s. 39.201. If the court does not make
199the finding specified in this paragraph or paragraph (c), it
200must dismiss the petition.
201     (e)  A court that conducts proceedings under this section
202shall:
203     1.  Provide for a written transcript of all testimony and
204proceedings; and
205     2.  Issue a final written order containing and specific
206factual findings and legal conclusions supporting its decision,
207including factual findings and legal conclusions relating to the
208maturity of the minor as provided under paragraph (c); and shall
209     3.  Order that a confidential record be maintained, as
210required under s. 390.01116. At the hearing, the court shall
211hear evidence relating to the emotional development, maturity,
212intellect, and understanding of the minor, and all other
213relevant evidence.
214     (f)  All hearings under this section, including appeals,
215shall remain confidential and closed to the public, as provided
216by court rule.
217     (g)(f)  An expedited appeal shall be made available, as the
218Supreme Court provides by rule, to any minor to whom the circuit
219court denies a waiver of notice. An order authorizing a
220termination of pregnancy without notice is not subject to
221appeal.
222     (h)(g)  No Filing fees or court costs may not shall be
223required of any pregnant minor who petitions a court for a
224waiver of parental notification under this subsection at either
225the trial or the appellate level.
226     (i)(h)  A No county is not shall be obligated to pay the
227salaries, costs, or expenses of any counsel appointed by the
228court under this subsection.
229     (5)  PROCEEDINGS.-The Supreme Court is requested to adopt
230rules and forms for petitions to ensure that proceedings under
231subsection (4) are handled expeditiously and in a manner
232consistent with this act. The Supreme Court is also requested to
233adopt rules to ensure that the hearings protect the minor's
234confidentiality and the confidentiality of the proceedings.
235     (6)  REPORT.-The Supreme Court, through the Office of the
236State Courts Administrator, shall report by February 1 of each
237year to the Governor, the President of the Senate, and the
238Speaker of the House of Representatives on the number of
239petitions filed under subsection (4) for the preceding year, and
240the timing and manner of disposal of such petitions by each
241circuit court. For each petition resulting in a waiver of
242notice, the reason the waiver was granted shall be included in
243the report according to whether the court found the minor to be
244either sufficiently mature, a victim of sexual abuse, or a
245victim of child abuse or found that notification of a parent or
246guardian was not in the best interest of the minor. The report
247shall also indicate the number of petitions filed by minors
248whose primary residence was outside this state at the time their
249petition was filed.
250     (7)  MANDATORY CHILD ABUSE REPORTING.-The requirements of
251s. 39.201, relating to mandatory reports of child abuse, apply
252to this section.
253     Section 2.  If any provision of this act or its application
254to any individual or circumstance is held invalid, the
255invalidity does not affect other provisions or applications of
256this act which can be given effect without the invalid provision
257or application, and to this end the provisions of this act are
258severable.
259     Section 3.  This act shall take effect upon becoming a law.


CODING: Words stricken are deletions; words underlined are additions.