TO AMEND CHAPTER 41, TITLE 44 OF THE 1976 CODE, RELATING TO ABORTION, BY ADDING ARTICLE 8, TO PROVIDE THAT ABORTIONS ARE ILLEGAL IN SOUTH CAROLINA, TO PROVIDE THAT PHYSICIANS WHO PERFORM A MEDICAL PROCEDURE OR MEDICAL TREATMENT DESIGNED TO SAVE THE LIFE OF THE MOTHER THAT ACCIDENTALLY OR UNINTENTIONALLY RESULTS IN THE DEATH OF THE UNBORN CHILD MUST DOCUMENT THE CIRCUMSTANCES SURROUNDING THE MEDICAL TREATMENT OR MEDICAL PROCEDURE AND TO PROVIDE WHAT DOCUMENTATION MUST BE MAINTAINED; TO PROVIDE THAT IT IS UNLAWFUL TO AID, ABET, OR CONSPIRE WITH SOMEONE TO PROCURE AN ABORTION; TO PROVIDE THAT IT IS UNLAWFUL TO MANUFACTURE, POSSESS FOR SALE OR DISTRIBUTION, DISTRIBUTE, OFFER FOR SALE, SELL, OR ADVERTISE THE SALE OR DISTRIBUTION OF AN ABORTIFACIENT; TO PROVIDE THAT IT IS UNLAWFUL TO KNOWINGLY OR INTENTIONALLY TO RECRUIT, HARBOR, OR TRANSPORT A PREGNANT MINOR WHO RESIDES IN THIS STATE TO ANOTHER STATE TO PROCURE AN ABORTION OR TO OBTAIN AN ABORTIFACIENT; TO PROVIDE THAT IT IS UNLAWFUL TO COERCE A PREGNANT WOMAN TO HAVE AN ABORTION; TO PROVIDE THAT NOTHING IN THE ARTICLE MAY BE CONSTRUED TO SUBJECT A PREGNANT WOMAN TO A CRIMINAL PENALTY OR CIVIL LIABILITY FOR ANY VIOLATION OF THIS ARTICLE; TO PROVIDE THAT THE ATTORNEY GENERAL HAS THE CONCURRENT AUTHORITY TO PROSECUTE A PERSON FOR A CRIMINAL VIOLATION OF THIS ARTICLE WITH THE SEVERAL SOLICITORS OF THE STATE, WITHIN THEIR RESPECTIVE CIRCUITS; TO PROVIDE THAT THE BOARD OF MEDICAL EXAMINERS MUST REVOKE THE LICENSE OF A PHYSICIAN WHO PERFORMS AN ABORTION IN VIOLATION OF THIS ARTICLE; TO PROVIDE FOR CIVIL ACTIONS, INCLUDING WRONGFUL DEATH CLAIMS, ARISING FROM VIOLATIONS OF THIS ARTICLE; AND TO PROVIDE FOR CRIMINAL ENTERPRISE LIABILITY.
Whereas, the General Assembly acknowledges that all human beings are created equal, and endowed by their Creator with certain unalienable rights, the foremost of which is the right to life; and
Whereas, Article I, Section 3 of the Constitution of the State of South Carolina, 1895, guarantees that no person may be deprived of life, liberty, or property without due process of law or be denied the equal protection of the laws; and
Whereas, the General Assembly, in the exercise of its constitutional duties and powers, has a compelling interest to establish justice and provide equal protection of life for all babies, both born and unborn. Now, therefore,
Be it enacted by the General Assembly of the State of South Carolina:
SECTION 1. This act may be referred to and cited as the "Equal Protection at Conception - No Exceptions - Act."
SECTION 2. Chapter 41, Title 44 of the 1976 Code is amended by adding:
Section 44-41-810. The provisions contained in this article supersede the provisions contained in Articles 1, 3, 5, and 6 of this Chapter.
Section 44-41-820. For the purposes of this article:
(1) 'Abortifacient' means mifepristone, misoprostol, or any other chemical or drug dispensed with the intent of causing an abortion.
(2) 'Abortion' means the use or prescription of any instrument or device, or of an abortifacient, to:
(a) intentionally kill, or attempt to kill, the unborn child of a woman known or suspected to be pregnant; or
(b) intentionally terminate, or attempt to terminate, the pregnancy of a woman known or suspected to be pregnant, with an intention other than to:
(i) produce a live birth and to preserve the life and health of the child if born alive; or
(ii) remove a dead unborn child or ectopic pregnancy.
(3) 'Fertilization' means the time when a male human sperm penetrates a zona pellucida.
(4) 'Physician' means a person licensed to practice medicine in this State.
(5) 'Pregnant' or 'pregnancy' means the female reproductive condition of having a living, unborn child in her uterus.
(6) 'Pregnant minor' means a pregnant female who has not yet attained the age of eighteen years.
(7) 'Reasonable medical judgment' means a medical judgment that would be made by a reasonably prudent physician who is knowledgeable about the case and the treatment possibilities with respect to the medical conditions involved.
(8) 'Unborn child' means an individual human being from fertilization until live birth.
Section 44-41-830. (A) It is unlawful to knowingly or intentionally perform or induce an abortion. A person who violates this section is guilty of a felony and, upon conviction, must be imprisoned for not more than twenty-five years if the unborn child dies as a result of the violation. A person who violates this section is guilty of a felony and, upon conviction, must be imprisoned for not more than twenty years if the unborn child is born alive despite the violation.
(B) Medical treatment provided to a pregnant woman by a physician that results in the accidental death of or unintentional injury to or death of the unborn child does not constitute a violation of this section.
Section 44-41-840. (A)(1) Nothing in this article shall be construed to prohibit a licensed physician from performing a medical procedure or providing medical treatment designed or intended to prevent the death of a pregnant woman. However, a physician shall make reasonable medical efforts under the circumstances to preserve both the life of the mother and the life of the unborn child in a manner consistent with accepted medical standards. Under such circumstances, the accidental or unintentional injury to or death of the unborn child is not a violation of this article. A physician's understanding of a risk of death for a pregnant woman must not be based on a diagnosis or claim of a mental or emotional condition of the pregnant woman or a diagnosis or claim that the pregnant woman will purposefully engage in conduct that she intends to result in her death. The provisions of this section must not be construed to authorize the intentional killing of an unborn child.
(2) In the case of a non-emergency premature delivery after nineteen weeks of pregnancy:
(a) the delivery must be performed in a hospital or other health care facility that has appropriate neonatal services for premature infants; and
(b) the physician performing the delivery must arrange for the attendance, in the same room in which the delivery is performed, another physician who it to take control of, provide immediate medical care for, and take all steps reasonably necessary to preserve the life and health of the unborn child immediately upon the child's delivery.
(3) Prior to performing a medical procedure or medical treatment pursuant to this subsection, the physician must obtain in-person, non-coerced, informed consent from the pregnant woman or, if the pregnant woman is a minor, the in-person, non-coerced informed consent of the pregnant woman's parent or legal guardian.
(B) Nothing in this article shall be construed to prohibit contraception. As used in this subsection, 'contraception' is defined as the prevention of fertilization.
(C) Nothing in this article shall be construed to prohibit in vitro fertilization or assisted reproductive technology. The authority to regulate in vitro fertilization and assisted reproductive technology procedures is reserved by the Legislature.
(D) A physician charged with a violation of Section 44-41-830 may assert compliance with this section as an affirmative defense.
(E) A physician who performs a medical procedure or provides medical treatment permitted by subsection (A) on a pregnant minor that results in the accidental or unintentional death of the unborn child shall notify at least one of the minor's parents or the minor's legal guardian within twenty-four hours of the procedure or treatment and shall certify in writing that notice has been given in the minor's medical record. A physician who fails to provide notice or to include the proper certification as provided in this subsection is guilty of a misdemeanor and, upon conviction, shall be imprisoned for up to thirty days or fined not more than one thousand dollars, or both. Failure to provide notice and failure to include the proper certification are separate offenses for which the penalty in this subsection shall apply.
(F) A physician who performs a medical procedure or provides medical treatment permitted by subsection (A) that results in the accidental or unintentional death of the unborn child shall certify in writing in the pregnant woman's medical record the basis upon which the physician made the required determinations. A physician who fails to make the certifications required pursuant to this subsection is guilty of a misdemeanor and, upon conviction, shall be imprisoned for up to thirty days or fined not more than one thousand dollars, or both.
Section 44-41-850. (A) When a physician performs a medical procedure or provides medical treatment permitted by 44-41-840 (A) that results in the accidental or unintentional death of the unborn child, then he shall report to the Department of Health and Environmental Control on a form provided by the department. The report shall include:
(1) the full name and address of the physician;
(2) the date and location where the medical procedure or medical treatment took place, including the name of the facility;
(3) the pregnant woman's:
(a) county and state of residence;
(b) marital status;
(c) age; and
(d) obstetrical history, including the dates of any abortions;
(4) a certification that the physician obtained the in-person, non-coerced, informed consent from the pregnant woman for the physician to perform the medical procedure or medical treatment or if the pregnant woman is a minor, the in-person, non-coerced, informed consent of one of the minor's parents or the minor's legal guardian;
(5) concerning the unborn child:
(a) the post-fertilization age of the unborn child and the method used for the determination;
(b) the gender of the unborn child, if detectable;
(c) the medical indication by diagnosis code for the pregnant woman and the unborn child;
(d) the medical procedure or medical procedure provided;
(e) the results of pathological examinations if performed;
(f) whether the unborn child was delivered alive, and if so, how long the unborn child lived after delivery; and
(g) whether the pregnant woman survived the medical procedure or medical treatment, and if so, for how long;
(6) a recitation and certification of facts supporting the medical procedure or medical treatment.
(B) The physician shall complete the form prescribed in subsection (A) and transmit the completed form within thirty days of performing the medical procedure or medical treatment. However, if the pregnant woman was a minor, then the physician must complete and transmit the form to the Department of Health and Environmental Control and the Department of Social Services within three days.
(C) Dates required on the form may not be redacted.
(D) A physician who fails to timely complete or transmit a completed report as required in this section is guilty of a misdemeanor and, upon conviction, must be imprisoned for not more than thirty days or fined one thousand dollars, or both. Each instance where a doctor fails to timely complete or transmit a completed report as required by this section constitutes a separate offense.
(E)(1) Annually on or before January first, the Department of Health and Environmental Control shall compile a public report providing:
(a) statistics for the previous calendar year from the information submitted by physicians pursuant to this section;
(b) statistics for prior calendar years, with updated information for the calendar year that was submitted after the compilation of statistics for that year.
(2) The Department of Health and Environmental Control shall summarize aggregate data from all data submitted pursuant to this section and submit the data to the United States Centers for Disease Control and Prevention for inclusion in the annual Vital Statistics Report.
(3) The Department of Health and Environmental Control shall ensure that no identifying information for any pregnant women are contained in the report.
Section 44-41-860. (A) It is unlawful to knowingly or intentionally aid, abet, or conspire with another person to violate the provisions contained in Section 44-41-830. A person who violates this section is guilty of a felony and is subject to the same penalties as provided in Section 44-41-830.
(B) The prohibition against aiding and abetting a violation of Section 44-41-830 includes, but is not limited to knowingly and intentionally:
(1) providing information to a pregnant woman, or someone seeking information on behalf of a pregnant woman, by telephone, internet, or any other mode of communication regarding self-administered abortions or the means to obtain an abortion, knowing that the information will be used, or is reasonably likely to be used, for an abortion;
(2) hosting or maintaining an internet website, providing access to an internet website, or providing an internet service purposefully directed to a pregnant woman who is a resident of this State that provides information on how to obtain an abortion, knowing that the information will be used, or is reasonably likely to be used for an abortion;
(3) offering or providing abortion doula services, knowing that the services will be used, or are reasonably likely to be used for an abortion;
(4) providing a referral to an abortion provider, knowing that the referral will result, or is reasonably likely to result, in an abortion; and
(5) providing a referral to an abortion provider and receiving monetary remuneration, or other compensation, from an abortion provider for the referral.
Section 44-41-870. (A)(1) It is unlawful to knowingly and intentionally manufacture an abortifacient.
(2) It is unlawful to knowingly possess for sale or distribution, distribute, offer for sale, sell, or advertise the sale or distribution of an abortifacient when the person in possession, distributing, offering for sale, selling, or advertising the sale of the abortifacient knows, or has reason to know, that the person to which he is selling, distributing, or advertising the sale of the abortifacient intends to use the abortifacient to induce an abortion.
(3) A person who violations the provisions contained in this subsection is guilty of a felony and, upon conviction, must be imprisoned for not more than twenty years.
(B) The provisions in subsection (A) do not apply to a pharmacist or a manufacturer or distributor of drugs or medical supplies who manufactures, possesses, offers, sells, or distributes any drug, medicine, instrument, or thing intended for any lawful medical purpose in his normal course of business.
Section 44-41-880. It is unlawful to knowingly or intentionally to recruit, harbor, or transport a pregnant minor who resides in this State to another state to procure an abortion or to obtain an abortifacient. A person who violates this section is guilty of a felony and, upon conviction, must be imprisoned for not more than twenty years.
Section 44-41-890. A person who knowingly or intentionally coerces a pregnant woman to have an abortion is guilty of a felony and, upon conviction, shall be imprisoned for five years.
Section 44-41-900. Nothing in the article may be construed to subject a pregnant woman to a criminal penalty or civil liability for any violation of this article.
Section 44-41-910. The Attorney General has the concurrent authority to prosecute a person for a criminal violation of this article with the several solicitors of the State, with