Overview

Title

To ensure that women seeking an abortion receive an ultrasound and the opportunity to review the ultrasound before giving informed consent to receive an abortion.

ELI5 AI

In this bill, doctors have to show and explain a special picture called an ultrasound to women who want to have an abortion, so they can see and understand about the baby inside them before making a decision. If doctors don't follow the rules, they can get into big trouble with fines, and people can even take them to court.

Summary AI

H.R. 7031, titled the "Ultrasound Informed Consent Act," is a bill introduced in the 118th Congress to ensure that women seeking an abortion receive an ultrasound and have the opportunity to review it before giving informed consent. The bill requires abortion providers to perform and explain ultrasounds to pregnant women, providing details on embryo or fetus development, including dimensions and any visible activity or organs. Exceptions are made for medical emergencies, and failure to comply can result in civil penalties and private lawsuits. The act does not override state laws that impose stricter disclosure requirements and includes a clause allowing unaffected provisions to remain if part of the act is found unconstitutional.

Published

2024-01-18
Congress: 118
Session: 2
Chamber: HOUSE
Status: Introduced in House
Date: 2024-01-18
Package ID: BILLS-118hr7031ih

Bill Statistics

Size

Sections:
8
Words:
1,202
Pages:
6
Sentences:
40

Language

Nouns: 348
Verbs: 96
Adjectives: 85
Adverbs: 11
Numbers: 29
Entities: 48

Complexity

Average Token Length:
4.27
Average Sentence Length:
30.05
Token Entropy:
5.13
Readability (ARI):
17.22

AnalysisAI

Summary of the Bill

The "Ultrasound Informed Consent Act," as introduced in the House of Representatives, mandates that any woman seeking an abortion must first receive an ultrasound. This procedure, performed by the abortion provider or a qualified agent, must include an explanation of the ultrasound images, allowing the woman the opportunity to view them and receive a detailed medical description. The law requires this step as a part of the informed consent process before an abortion can be carried out, except in cases where a medical emergency threatens the mother’s life. The bill also outlines penalties for providers who fail to comply and grants women the right to sue for damages if the law is violated. It further clarifies that it does not override state laws with more stringent requirements.

Significant Issues

One primary issue with the proposed legislation is the perceived invasiveness of the ultrasound requirement. Critics may see this as not only burdensome but also ethically intrusive, potentially infringing on a woman's privacy and causing emotional distress. Additionally, the bill outlines significant financial penalties for non-compliance, which could be seen as excessively punitive and potentially discouraging to healthcare providers.

The ability for women to take civil action against non-compliant providers introduces the potential for increased litigation. This could place a strain on the legal system and might deter abortion services in areas where legal risks outweigh the benefits of offering services. Furthermore, the role of the Attorney General in initiating civil suits raises concerns of politicization, suggesting the enforcement of this bill could be skewed by political influence.

Moreover, the language defining key terms such as "abortion" and "unborn child" may lead to legal ambiguity, especially as these definitions can differ across legal and medical contexts. There are also concerns related to inclusivity, as the legislation may not reflect modern understandings of gender identity.

Broader Public Impact

The bill has the potential to significantly influence public access to abortion services. By mandating ultrasounds and detailed explanations prior to the procedure, the bill could result in delays and discourage certain providers from offering abortion services altogether due to the associated financial risks and legal liabilities. These requirements may lead to a chilling effect in the availability of abortion services, particularly in regions where such services are already limited.

Impact on Stakeholders

For abortion providers, compliance with the ultrasound and informed consent requirements represents a major operational change. The threat of substantial financial penalties and potential civil litigation may deter some providers from continuing to offer abortion services, potentially reducing access for women in need.

For women seeking abortions, this legislation could introduce additional emotional and logistical hurdles. The requirement to undergo and potentially engage with an ultrasound procedure adds layers to the decision-making process and could amplify emotional distress in certain cases. However, supporters might argue that these measures ensure women are fully informed, supporting the integrity of the consent process.

State governments, particularly those with existing legislation around abortion disclosures, might face legal challenges in reconciling federal and state requirements if the federal law is perceived as conflicting with or preempting state laws. This tension could lead to variability in enforcement and confusion over legal standards.

Overall, the "Ultrasound Informed Consent Act" addresses critical aspects of informed consent but raises significant ethical, legal, and operational questions that need thorough consideration and debate.

Financial Assessment

The "Ultrasound Informed Consent Act," also designated as H.R. 7031, introduces several financial mechanisms related to the enforcement of abortion-related procedures. The primary focus here is on the financial penalties imposed on abortion providers, which are significant and bear critical implications.

Civil Penalties

The bill stipulates that the Attorney General can initiate a civil lawsuit against any abortion provider who violates the terms outlined in the legislation. The financial penalties for noncompliance are substantial, with a maximum fine of $100,000 for each violation in the first offense and $250,000 for each violation in any subsequent offenses. These hefty fines underscore the bill's seriousness in enforcing compliance among abortion providers. However, such severe financial repercussions could deter providers from offering their services, thereby potentially limiting access to abortion services. This aligns with one of the identified issues that the penalties could be seen as excessively punitive, rendering the environment for healthcare jobs less favorable due to significant financial risks.

Private Right of Action

Furthermore, the bill grants a private right of action, allowing women upon whom a violation has been committed to sue the abortion provider for actual and punitive damages. Here, actual damages refer to objectively verifiable monetary damages for all injuries suffered. This provision could indeed act as a safeguard for women's rights but also poses the risk of encouraging litigation. This ability to pursue lawsuits might overwhelm the legal system with numerous cases, especially given the complex and often subjective nature of the “injuries” defined under actual damages. This aspect ties into concerns about the potential for a high volume of litigation to discourage providers from offering abortion services due to the risk of financial liability.

Role of the Attorney General

Significantly, the bill assigns the Attorney General the role of notifying state medical licensing authorities upon the assessment of a penalty. This function might lead to a intertwining of state and federal efforts to enforce compliance. It's worth noting the potential for the politicization of law enforcement in healthcare settings through this process, as political leanings could influence how rigorously these penalties are pursued across different states.

Economic Implications

The consequential economic pressure exerted by these financial penalties aligns with the critical observation that these could inhibit abortion providers due to the high financial stakes involved. Providers might weigh the risk of operating under these stringent regulations against potential financial ruin from lawsuits and penalties, potentially leading to reduced availability of services, particularly in underserved regions.

In summary, the financial elements of H.R. 7031 are central to its enforcement strategy, with significant penalties and litigation rights designed to ensure compliance. However, these financial measures could result in broader economic and access implications for abortion services, aligning with issues raised about the bill's potential to create deterrents in the healthcare industry.

Issues

  • The requirement for an ultrasound and provision of specific information before an abortion in Section 3402 may be seen as burdensome or invasive, raising ethical and privacy concerns, while potentially imposing emotional distress on the patients.

  • The penalties in Section 3404, particularly the significant financial penalties for violations, could be viewed as excessively punitive, making it financially risky and discouraging for providers to offer such services.

  • The right for women to take civil action against providers in Section 3404 could encourage litigation, which might overwhelm the legal system or deter healthcare services in certain areas.

  • The role of the Attorney General in initiating civil actions as outlined in Section 3404 suggests potential for politicization of medical practices, possibly leading to biased enforcement based on political agendas.

  • The definitions of key terms in Section 3401 such as 'abortion' and 'unborn child' might vary from other legal or medical standards, leading to possible legal challenges or ambiguity in interpretation.

  • The language used throughout the bill, including in Sections 2 and 3401, may not align with modern understandings of gender identity, potentially leading to concerns about inclusivity and respect for gender diversity.

  • The potential preemption of state laws by federal law as discussed in Section 3 might cause legal conflicts, especially in states with more comprehensive or varied disclosure requirements.

  • The lack of clear enforcement mechanisms for non-compliance as noted in Section 3402 could create legal ambiguity about the repercussions for abortion providers.

  • The requirement for 'truthful and accurate certification' in medical emergencies as specified in Section 3403 could lead to disputes due to its vague nature, potentially placing additional burden on providers.

Sections

Sections are presented as they are annotated in the original legislative text. Any missing headers, numbers, or non-consecutive order is due to the original text.

1. Short title Read Opens in new tab

Summary AI

The section establishes that the official name of the legislation is the "Ultrasound Informed Consent Act."

2. Amendment to the Public Health Service Act Read Opens in new tab

Summary AI

The amendment to the Public Health Service Act introduces a new title, "Informed Consent," which requires abortion providers to perform and explain an ultrasound before any abortion procedure, except in medical emergencies that endanger the mother's life. It also outlines penalties for providers who fail to comply, including civil fines and the possibility for affected women to sue for damages.

Money References

  • — “(1) IN GENERAL.—The Attorney General may commence a civil action in Federal court under this section against any abortion provider who knowingly commits an act constituting a violation of this title for a penalty in an amount not to exceed— “(A) $100,000 for each such violation that is adjudicated in the first proceeding against such provider under this title; and “(B) $250,000 for each violation of this title that is adjudicated in a subsequent proceeding against such provider under this title. “(2) NOTIFICATION.—Upon the assessment of a civil penalty under paragraph (1), the Attorney General shall notify the appropriate State medical licensing authority.

3401. Definitions Read Opens in new tab

Summary AI

In this section of the bill, several definitions related to abortion are provided. It defines terms such as "abortion," "abortion provider," "unborn child," "unemancipated minor," and "woman" to clarify their meanings in the context of the law.

3402. Requirement of informed consent Read Opens in new tab

Summary AI

Any abortion provider must follow specific rules, which include performing and explaining an ultrasound, having the images available for the woman to view, and describing the images in detail before obtaining her informed consent. The woman has the right to choose not to look at the images without any penalties.

3403. Exception for medical emergencies Read Opens in new tab

Summary AI

The section provides an exception for abortion providers, allowing them to perform an abortion if it is necessary to save a mother's life due to life-threatening health issues. In such cases, the provider must document the specific medical circumstances in the woman's medical file.

3404. Penalties for failure to comply Read Opens in new tab

Summary AI

In Section 3404, it states that the Attorney General can sue abortion providers in federal court who break the law, with penalties up to $100,000 for the first violation and up to $250,000 for later ones. Additionally, a woman who has had an abortion in violation of the law can sue the provider for actual and punitive damages.

Money References

  • — (1) IN GENERAL.—The Attorney General may commence a civil action in Federal court under this section against any abortion provider who knowingly commits an act constituting a violation of this title for a penalty in an amount not to exceed— (A) $100,000 for each such violation that is adjudicated in the first proceeding against such provider under this title; and (B) $250,000 for each violation of this title that is adjudicated in a subsequent proceeding against such provider under this title.

3. Preemption Read Opens in new tab

Summary AI

The section on preemption in this Act states that it does not override state laws that have stricter disclosure requirements or penalties related to abortion compared to the federal amendment.

4. Severability Read Opens in new tab

Summary AI

If any part of this law is found to be unconstitutional, the rest of the law will still remain valid and enforceable.