Florida for Life Act 2014 (HB 545)
This law was last updated on Apr 25, 2016
HB 545 is an omnibus bill that contains multiple restrictions including medication abortion ban; “termination of pregnancy” ban (defined below); informed consent requirements; standard of care requirements; insurance coverage ban and related provisions.
HB 545 would ban “induced abortion” (i.e., medication abortion). The bill also would prohibit operating abortion clinics and services for the purposes of providing induced abortion services.
In addition, HB 545 would ban “termination of pregnancy” (defined as “the termination of a human pregnancy under circumstances not prohibited by this chapter”) unless certain requirements were met, including:
- Two physicians certify in writing that, to a reasonable degree of medical certainty, the termination of a pregnancy is necessary to prevent the death of the patient;
- Two physicians certify in writing to the fact that, to a reasonable degree of medical certainty, the termination of a pregnancy is necessary because to continue the pregnancy would unreasonably reduce the likelihood of successful treatment of a life-threatening disease of the patient; or
- The attending physician certifies in writing that a medical emergency existed and another doctor was not available for consultation prior to termination of the pregnancy. The medical condition must be “clearly described.”
The bill would prohibit anyone not a physician from performing an abortion.
A violation of the above provisions of this bill would be a felony, and the maximum penalty would be life in prison.
Standard of Care to be Used During Viability
The bill would require that abortions on viable fetuses be performed in a hospital or other medical establishment that is capable of providing all necessary lifesaving and life-sustaining medical services to the viable fetus. The bill would make it a first-degree felony for a physician to knowingly misrepresent the gestational age or stage of development of the fetus in any entry into a medical record or to fail to use the requisite standard of care to preserve the life and health of the fetus.
The bill states that a physician may not perform an abortion without the voluntary and written informed consent of the patient, court-appointed guardian of a mentally-incompetent patient, or a minor’s parent or legal guardian. The physician must personally inform the patient or the patient’s guardian of the following:
- The nature and risks of undergoing or not undergoing the proposed procedure;
- The probable gestational age of the fetus;
- The medical risks to the patient and fetus of carrying the pregnancy to term;
- All other factors, including physical, emotional,psychological, and familial factors, relevant to the short-term and long-term well-being of the patient, including the emotional and psychological impact relating to the loss of human life through voluntary termination of the pregnancy.
If a medical emergency exists and the physician cannot comply with the informed consent requirements, the bill states that the attending physician may terminate the pregnancy if she or he has obtained a corroborating physician’s written opinion attesting to the medical necessity for the abortion. If a second physician is not available, the abortion may proceed, but the physician would be required to document all reasons for the medical emergency and clearly describe the details in the woman’s medical chart.
In addition, a physician performing an abortion would be required to provide to patients or their guardians printed materials prepared by the Florida Department of Health which include:
- An accurate estimate of the stage of biological development, gestational age, length, weight, and viability of the unborn human person;
- A list of agencies that offer alternatives to terminating the pregnancy; and
- Detailed information on the availability of medical assistance benefits for prenatal care, childbirth, and neonatal care.
The bill would also require physicians performing an abortion to provide patients or their guardians with information regarding adoption and a statewide list of attorneys available to provide volunteer legal services for adoption.
The bill would prohibit using any live fetus or live, premature infant for any type of scientific, research, laboratory, or other kind of experimentation before or after any termination of pregnancy procedure except as necessary to protect or preserve the life and health of such fetus or premature infant.
The bill states that fetal remains shall be disposed of in a sanitary and appropriate manner and in accordance with standard health practices, as provided by rule of the Department of Health.
Adoption Alternative Information
The bill would require any physician or authorized personnel of a medical facility who learns that a patient wishes to obtain an induced abortion, or that a patient has had a termination of pregnancy where the fetus survived, to provide the patient with information concerning the availability of adoption for her unwanted child. The bill would establish an Office of Adoption and Child Protection to offer women who would otherwise choose abortion volunteer legal services to assist with adoption placement.
Insurance Coverage Ban
The bill would amend Florida’s restriction on use of state and federal funds to purchase insurance coverage for abortion (Fla. Stat. § 627.64995) to remove the exception for rape, incest, and health of the mother.
If passed, Florida law would prohibit without exception a health insurance policy under which coverage is purchased with state or federal funds through an exchange created under the Affordable Care Act from providing coverage for an induced (i.e., medication) abortion or for termination of a pregnancy.
Companion bill to SB 1510.
HB 545 is similar to the Unborn Viability Act (HB 551), which also failed to pass.
Sen. Charles Van Zant has introduced The Florida for Life Act in successive legislative sessions dating back at least to 2010. These bills have never passed and are unconstitutional.