101ST GENERAL ASSEMBLY
State of Illinois
2019 and 2020
HB2384

 

Introduced , by Rep. Patrick Windhorst

 

SYNOPSIS AS INTRODUCED:
 
See Index

    Amends the Illinois Abortion Law of 1975. Provides that except in the case of a medical emergency, a physician or person may not knowingly perform, induce, or attempt to perform an abortion upon a pregnant woman when the probable gestational age of her unborn child has been determined to be viable. Provides that the woman, the father of the unborn child if married to the mother at the time she receives an abortion in violation of the Act, or, if the mother has not attained the age of 18 years at the time of the abortion, or both, the maternal grandparents of the unborn child, may in a civil action obtain appropriate relief, unless the pregnancy resulted from the plaintiff's criminal conduct or, if brought by the maternal grandparents, the maternal grandparents consented to the abortion. Provides that a medical facility licensed under the Ambulatory Surgical Treatment Center Act or the Hospital Licensing Act in which an abortion is performed or induced in violation of the Act shall be subject to immediate revocation of its license by the Department of Public Health. Provides that a medical facility licensed under the Ambulatory Surgical Treatment Center Act or the Hospital Licensing Act in which an abortion is performed or induced in violation of the Act shall lose all State funding for 2 years and shall reimburse the State for moneys or grants received from the State by the medical facility for the fiscal year in which the abortion in violation of the Act was performed.


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CORRECTIONAL BUDGET AND IMPACT NOTE ACT MAY APPLY
FISCAL NOTE ACT MAY APPLY

 

 

A BILL FOR

 

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1    AN ACT concerning criminal law.
 
2    Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
 
4    Section 5. The Illinois Abortion Law of 1975 is amended by
5changing Sections 2, 5, 10, and 14 and by adding Sections 1.1,
61.2, 11.2, 11.3, 11.4, and 11.5 as follows:
 
7    (720 ILCS 510/1.1 new)
8    Sec. 1.1. Legislative findings and purposes.
9    (1) The General Assembly of the State of Illinois does
10solemnly declare and find that:
11        (a) Abortion can cause serious physical and
12    psychological (both short-term and long-term)
13    complications for women, including but not limited to:
14    uterine perforation, uterine scarring, cervical
15    perforation or other injury, infection, bleeding,
16    hemorrhage, blood clots, failure to actually terminate the
17    pregnancy, incomplete abortion (retained tissue), pelvic
18    inflammatory disease, endometritis, missed ectopic
19    pregnancy, cardiac arrest, respiratory arrest, renal
20    failure, metabolic disorder, shock, embolism, coma,
21    placenta previa in subsequent pregnancies, preterm birth
22    in subsequent pregnancies, free fluid in the abdomen, organ
23    damage, adverse reactions to anesthesia and other drugs,

 

 

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1    psychological or emotional complications including
2    depression, anxiety, sleeping disorders, an increased risk
3    of breast cancer, and death.
4        (b) Abortion has a higher medical risk when the
5    procedure is performed later in pregnancy. Compared to an
6    abortion at 8 weeks gestation or earlier, the relative risk
7    increases exponentially at higher gestations (L. Bartlett
8    et al., Risk factors for legal induced abortion-related
9    mortality in the United States, OBSTETRICS & GYNECOLOGY
10    103(4):729 (2004)).
11        (c) In fact, the incidence of major complications is
12    highest after 20 weeks of gestation (J. Pregler & A.
13    DeCherney, WOMEN'S HEALTH: PRINCIPLES AND CLINICAL
14    PRACTICE 232 (2002)).
15        (d) According to the Alan Guttmacher Institute, the
16    risk of death associated with abortion increases with the
17    length of pregnancy, from one death for every one million
18    abortions at or before eight weeks gestation to one per
19    29,000 abortions at 16 to 20 weeks gestation and one per
20    11,000 abortions at 21 or more weeks gestation (citing L.
21    Bartlett et al., Risk factors for legal induced
22    abortion-related mortality in the United States,
23    OBSTETRICS & GYNECOLOGY 103(4):729–737 (2004)).
24        (e) After the first trimester, the risk of hemorrhage
25    from an abortion, in particular, is greater, and the
26    resultant complications may require a hysterectomy, other

 

 

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1    reparative surgery, or a blood transfusion.
2        (f) The State of Illinois has a legitimate concern for
3    the public's health and safety (Williamson v. Lee Optical,
4    348 U.S. 483, 486 (1955)).
5        (g) The State of Illinois "has legitimate interests
6    from the outset of pregnancy in protecting the health of
7    women" (Planned Parenthood of Southeastern Pennsylvania v.
8    Casey, 505 U.S. 833, 847 (1992)). More specifically, the
9    State of Illinois "has a legitimate concern with the health
10    of women who undergo abortions" (Akron v. Akron Ctr. for
11    Reproductive Health, Inc., 462 U.S. 416, 428-29 (1983)).
12        (h) In addition, there is substantial and
13    well-documented medical evidence that an unborn child by at
14    least 20 weeks gestation has the capacity to feel pain
15    during an abortion (K. Anand, Pain and its effects in the
16    human neonate and fetus, N.E.J.M. 317:1321 (1987)).
17        (i) Pain receptors (nociceptors) are present
18    throughout the unborn child's entire body no later than 18
19    weeks gestation.
20        (j) By 10 weeks gestation, the unborn child reacts to
21    touch.
22        (k) In the unborn child, application of such painful
23    stimuli is associated with significant increases in stress
24    hormones known as the stress response.
25        (l) Subjection to such painful stimuli is associated
26    with long-term harmful neurodevelopmental effects, such as

 

 

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1    altered pain sensitivity and, possibly, emotional,
2    behavioral, and learning disabilities later in life.
3        (m) For the purposes of surgery on unborn children,
4    fetal anesthesia is routinely administered and is
5    associated with a decrease in stress hormones compared to
6    their level when painful stimuli are applied without the
7    anesthesia.
8        (n) The position, asserted by some medical experts,
9    that the unborn child is incapable of experiencing pain
10    until a point later in pregnancy than 20 weeks gestation
11    predominantly rests on the assumption that the ability to
12    experience pain depends on the cerebral cortex and requires
13    nerve connections between the thalamus and the cortex.
14    However, recent medical research and analysis, especially
15    since 2007, provides strong evidence for the conclusion
16    that a functioning cortex is not necessary to experience
17    pain.
18        (o) Substantial evidence indicates that children born
19    missing the bulk of the cerebral cortex, those with
20    hydranencephaly, nevertheless experience pain.
21        (p) In adults, stimulation or ablation of the cerebral
22    cortex does not alter pain perception, while stimulation or
23    ablation of the thalamus does.
24        (q) Substantial evidence indicates that structures
25    used for pain processing in early development differ from
26    those of adults, using different neural elements available

 

 

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1    at specific times during development, such as the
2    subcortical plate, to fulfill the role of pain processing.
3        (r) The position, asserted by some medical experts,
4    that the unborn child remains in a coma-like sleep state
5    that precludes the unborn child experiencing pain is
6    inconsistent with the documented reaction of unborn
7    children to painful stimuli and with the experience of
8    fetal surgeons who have found it necessary to sedate the
9    unborn child with anesthesia to prevent the unborn child
10    from thrashing about in reaction to invasive surgery.
11        (s) A fetus is viable at or about 24 weeks of
12    gestation.
13    (2) Based on the findings in subsection (1), the General
14Assembly's purposes in enacting this amendatory Act of the
15101st General Assembly are to:
16        (a) Based on the documented risks to women's health,
17    prohibit abortions at or after fetal viability, except in
18    cases of a medical emergency.
19        (b) Prohibit abortions at or after fetal viability, in
20    part, because of the pain felt by an unborn child.
21        (c) Define "medical emergency" to encompass
22    "significant health risks", namely only those
23    circumstances in which a pregnant woman's life or a major
24    bodily function is threatened (Gonzales v. Carhart, 550
25    U.S. 124, 161 (2007)).
 

 

 

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1    (720 ILCS 510/1.2 new)
2    Sec. 1.2. Construction.
3    (a) Nothing in this Act shall be construed as creating or
4recognizing a right to an abortion.
5    (b) It is not the intention of this Act to make lawful an
6abortion that is currently unlawful.
 
7    (720 ILCS 510/2)  (from Ch. 38, par. 81-22)
8    Sec. 2. Unless the language or context clearly indicates a
9different meaning is intended, the following words or phrases
10for the purpose of this Law shall be given the meaning ascribed
11to them:
12    (1) "Viable" or "viability" "Viability" means that stage of
13fetal development when, in the medical judgment of the
14attending physician based on the particular facts of the case
15before him, there is a reasonable likelihood of sustained
16survival of the fetus outside the womb, with or without
17artificial support.
18    (2) "Physician" means any person licensed to practice
19medicine in all its branches under the Illinois Medical
20Practice Act of 1987, as amended, including a doctor of
21osteopathy.
22    (3) "Department" means the Department of Public Health,
23State of Illinois.
24    (4) "Abortion" means the use of any instrument, medicine,
25drug or any other substance or device to terminate the

 

 

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1pregnancy of a woman known to be pregnant with an intention
2other than to increase the probability of a live birth, to
3preserve the life or health of the child after live birth, or
4to remove a dead fetus.
5    (5) "Fertilization" and "conception" each mean the
6fertilization of a human ovum by a human sperm, which shall be
7deemed to have occurred at the time when it is known a
8spermatozoon has penetrated the cell membrane of the ovum.
9    (6) "Fetus" and "unborn child" each mean an individual
10organism of the species homo sapiens from fertilization until
11live birth.
12    (7) "Abortifacient" means any instrument, medicine, drug,
13or any other substance or device which is known to cause fetal
14death when employed in the usual and customary use for which it
15is manufactured, whether or not the fetus is known to exist
16when such substance or device is employed.
17    (8) "Born alive", "live born", and "live birth", when
18applied to an individual organism of the species homo sapiens,
19each mean he or she was completely expelled or extracted from
20his or her mother and after such separation breathed or showed
21evidence of any of the following: beating of the heart,
22pulsation of the umbilical cord, or definite movement of
23voluntary muscles, irrespective of the duration of pregnancy
24and whether or not the umbilical cord has been cut or the
25placenta is attached.
26    (9) "Attempt to perform" means an act or omission of a

 

 

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1statutorily required act that, under the circumstances as the
2actor believes them to be, constitutes a substantial step in a
3course of conduct planned to culminate in the performance or
4induction of an abortion.
5    (10) "Conception" means the fusion of a human spermatozoon
6with a human ovum.
7    (11) "Gestational age" means the time that has elapsed
8since the first day of the woman's last menstrual period.
9    (12) "Major bodily function" includes, but is not limited
10to, functions of the immune system, normal cell growth, and
11digestive, bowel, bladder, neurological, brain, respiratory,
12circulatory, endocrine, and reproductive functions.
13    (13) "Medical facility" means any public or private
14hospital, clinic, center, medical school, medical training
15institution, healthcare facility, physician's office,
16infirmary, or dispensary.
17    (14) "Pregnant" or "pregnancy" means that female
18reproductive condition of having an unborn child in the woman's
19uterus.
20    (15) "Probable gestational age" means what, in reasonable
21medical judgment, will with reasonable probability be the
22gestational age of the unborn child at the time the abortion is
23considered, performed, or attempted.
24    (16) "Reasonable medical judgment" means that medical
25judgment that would be made by a reasonably prudent physician,
26knowledgeable about the case and the treatment possibilities

 

 

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1with respect to the medical condition or conditions involved.
2(Source: P.A. 85-1209.)
 
3    (720 ILCS 510/5)  (from Ch. 38, par. 81-25)
4    Sec. 5.     (1) (Blank). When the fetus is viable no
5abortion shall be performed unless in the medical judgment of
6the attending or referring physician, based on the particular
7facts of the case before him, it is necessary to preserve the
8life or health of the mother. Intentional, knowing, or reckless
9failure to conform to the requirements of subsection (1) of
10Section 5 is a Class 2 felony.
11    (2) (Blank). When the fetus is viable the physician shall
12certify in writing, on a form prescribed by the Department
13under Section 10 of this Law, the medical indications which, in
14his medical judgment based on the particular facts of the case
15before him, warrant performance of the abortion to preserve the
16life or health of the mother.
17    (3) Except in the case of a medical emergency as
18specifically defined in subsection (5), no abortion shall be
19performed, induced, or attempted unless the attending or
20referring physician has first made a determination of the
21viability of the unborn child. In making the determination, the
22attending or referring physician shall make the inquiries of
23the pregnant woman and perform or cause to be performed all the
24medical examinations, imaging studies, and tests as a
25reasonably prudent physician, knowledgeable about the medical

 

 

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1facts and conditions of both the woman and the unborn child
2involved, would consider necessary to perform and consider in
3making an accurate diagnosis with respect to viability.
4    (4) Except in the case of a medical emergency as
5specifically defined in subsection (5), a physician or person
6may not knowingly perform, induce, or attempt to perform an
7abortion upon a pregnant woman when her unborn child has been
8determined to be viable. Intentional, knowing, or reckless
9failure to conform to the requirements of this subsection (4)
10is a Class 2 felony.
11    (5) In this Act only, "medical emergency" means a condition
12in which an abortion is necessary to preserve the life of the
13pregnant woman whose life is endangered by a physical disorder,
14physical illness, or physical injury, including a
15life-endangering physical condition caused by or arising from
16the pregnancy itself, or when continuation of the pregnancy
17will create a serious risk of substantial and irreversible
18impairment of a major bodily function (as specifically defined
19in subsection (12) of Section 2) of the pregnant woman.
20    (6) Any physician who performs an abortion under subsection
21(5) shall certify in writing, on a form prescribed by the
22Department under Section 10 of this Law, the reason or reasons
23for the determination that a medical emergency existed. The
24physician and the medical facility shall retain a copy of the
25written reports required under this Section for not less than 5
26years.

 

 

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1    Failure to report under this Section does not subject the
2physician to criminal or civil penalties under Sections 11 and
311.3. Subsection (5) does not preclude sanctions, disciplinary
4action, or any other appropriate action by the Illinois State
5Medical Disciplinary Board.
6(Source: P.A. 83-1128.)
 
7    (720 ILCS 510/10)  (from Ch. 38, par. 81-30)
8    Sec. 10. A report of each abortion performed shall be made
9to the Department on forms prescribed by it. Such report forms
10shall not identify the patient by name, but by an individual
11number to be noted in the patient's permanent record in the
12possession of the physician, and shall include information
13concerning:
14        (1) Identification of the physician who performed the
15    abortion and the facility where the abortion was performed
16    and a patient identification number;
17        (2) State in which the patient resides;
18        (3) Patient's date of birth, race and marital status;
19        (4) Number of prior pregnancies;
20        (5) Date of last menstrual period;
21        (6) Type of abortion procedure performed;
22        (7) Complications and whether the abortion resulted in
23    a live birth;
24        (8) The date the abortion was performed;
25        (9) Medical indications for any abortion performed

 

 

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1    when the fetus was viable;
2        (10) The information required by Sections 6(1)(b) and
3    6(4)(b) of this Act, if applicable;
4        (11) Basis for any medical judgment that a medical
5    emergency existed when required under Sections 5(6),
6    6(2)(a) and 6(6) and when required to be reported in
7    accordance with this Section by any provision of this Law;
8    and
9        (12) The pathologist's test results pursuant to
10    Section 12 of this Act.
11    Such form shall be completed by the hospital or other
12licensed facility, signed by the physician who performed the
13abortion or pregnancy termination, and transmitted to the
14Department not later than 10 days following the end of the
15month in which the abortion was performed.
16    In the event that a complication of an abortion occurs or
17becomes known after submission of such form, a correction using
18the same patient identification number shall be submitted to
19the Department within 10 days of its becoming known.
20    The Department may prescribe rules and regulations
21regarding the administration of this Law and shall prescribe
22regulations to secure the confidentiality of the woman's
23identity in the information to be provided under the "Vital
24Records Act". All reports received by the Department shall be
25treated as confidential and the Department shall secure the
26woman's anonymity. Such reports shall be used only for

 

 

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1statistical purposes.
2    Upon 30 days public notice, the Department is empowered to
3require reporting of any additional information which, in the
4sound discretion of the Department, is necessary to develop
5statistical data relating to the protection of maternal or
6fetal life or health, or is necessary to enforce the provisions
7of this Law, or is necessary to develop useful criteria for
8medical decisions. The Department shall annually report to the
9General Assembly all statistical data gathered under this Law
10and its recommendations to further the purpose of this Law.
11    The requirement for reporting to the General Assembly shall
12be satisfied by filing copies of the report as required by
13Section 3.1 of the General Assembly Organization Act, and
14filing such additional copies with the State Government Report
15Distribution Center for the General Assembly as is required
16under paragraph (t) of Section 7 of the State Library Act.
17(Source: P.A. 100-1148, eff. 12-10-18.)
 
18    (720 ILCS 510/11.2 new)
19    Sec. 11.2. Prosecutorial exclusion. A woman upon whom an
20abortion in violation of this Act is performed or induced may
21not be prosecuted under this Act for a conspiracy to violate
22subsection (4) of Section 5.
 
23    (720 ILCS 510/11.3 new)
24    Sec. 11.3. Civil remedies.

 

 

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1    (1) The woman, the father of the unborn child if married to
2the mother at the time she receives an abortion in violation of
3this Act, or, if the mother has not attained the age of 18
4years at the time of the abortion, or both, the maternal
5grandparents of the unborn child, may in a civil action obtain
6appropriate relief, unless the pregnancy resulted from the
7plaintiff's criminal conduct or, if brought by the maternal
8grandparents, the maternal grandparents consented to the
9abortion.
10    (2) The relief shall include:
11        (a) money damages for all psychological and physical
12    injuries occasioned by the violation of this Act; and
13        (b) statutory damages equal to 3 times the cost of the
14    abortion performed in violation of this Act.
 
15    (720 ILCS 510/11.4 new)
16    Sec. 11.4. Review by Medical Board.
17    (1) A physician defendant accused of violating this Act may
18seek a hearing before the Illinois State Medical Disciplinary
19Board as to whether the physician's conduct was necessary to
20save the life of the mother whose life was endangered by a
21physical disorder, physical illness, or physical injury,
22including a life-endangering physical condition caused by or
23arising from the pregnancy itself; or as to whether the
24continuation of the pregnancy would have created a serious risk
25of substantial and irreversible impairment of a major bodily

 

 

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1function (as specifically defined in subsection (12) of Section
22) of the pregnant woman, or both.
3    (2) The findings on this issue are admissible at the
4criminal and civil trials of the physician defendant. Upon a
5motion of the physician defendant, the court shall delay the
6beginning of the trial or trials for not more than 30 days to
7permit the hearing to take place.
 
8    (720 ILCS 510/11.5 new)
9    Sec. 11.5. Penalties for medical facilities.
10    (1) A medical facility licensed under the Ambulatory
11Surgical Treatment Center Act or the Hospital Licensing Act in
12which an abortion is performed or induced in violation of this
13Act shall be subject to immediate revocation of its license by
14the Department.
15    (2) A medical facility licensed under the Ambulatory
16Surgical Treatment Center Act or the Hospital Licensing Act in
17which an abortion is performed or induced in violation of this
18Act shall lose all State funding for 2 years and shall
19reimburse the State for moneys or grants received by the
20medical facility from the State for the fiscal year in which
21the abortion in violation of this Act was performed.
 
22    (720 ILCS 510/14)  (from Ch. 38, par. 81-34)
23    Sec. 14. (1) If any provision, word, phrase or clause of
24this Act or the application thereof to any person or

 

 

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1circumstance shall be held invalid, such invalidity shall not
2affect the provisions, words, phrases, clauses or application
3of this Act which can be given effect without the invalid
4provision, word, phrase, clause, or application, and to this
5end the provisions, words, phrases, and clauses of this Act are
6declared to be severable.
7    (2) Within 60 days from the time this Section becomes law,
8the Department shall issue regulations pursuant to Section 10.
9Insofar as Section 10 requires registration under the "Vital
10Records Act", it shall not take effect until such regulations
11are issued. The Department shall make available the forms
12required under Section 10 within 30 days of the time this
13Section becomes law. No requirement that any person report
14information to the Department shall become effective until the
15Department has made available the forms required under Section
1610. All other provisions of this amended Law shall take effect
17immediately upon enactment.
18    (3) The General Assembly, by joint resolution, may appoint
19one or more of its members, who sponsored or cosponsored this
20Act in his or her official capacity, to intervene as a matter
21of right in any case in which the constitutionality of this
22amendatory Act of the 101st General Assembly is challenged.
23(Source: P.A. 83-1128.)

 

 

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1 INDEX
2 Statutes amended in order of appearance
3    720 ILCS 510/1.1 new
4    720 ILCS 510/1.2 new
5    720 ILCS 510/2from Ch. 38, par. 81-22
6    720 ILCS 510/5from Ch. 38, par. 81-25
7    720 ILCS 510/10from Ch. 38, par. 81-30
8    720 ILCS 510/11.2 new
9    720 ILCS 510/11.3 new
10    720 ILCS 510/11.4 new
11    720 ILCS 510/11.5 new
12    720 ILCS 510/14from Ch. 38, par. 81-34