Bill Text: FL S1510 | 2014 | Regular Session | Introduced
Bill Title: Abortion
Spectrum: Partisan Bill (Republican 1-0)
Status: (Failed) 2014-05-02 - Died in Health Policy [S1510 Detail]
Download: Florida-2014-S1510-Introduced.html
Florida Senate - 2014 SB 1510 By Senator Evers 2-01126-14 20141510__ 1 A bill to be entitled 2 An act relating to abortion; creating the “Florida for 3 Life Act”; creating s. 390.0001, F.S.; providing 4 legislative findings regarding abortion; creating s. 5 390.01112, F.S.; providing definitions; creating s. 6 390.01113, F.S.; prohibiting inducing an abortion or 7 performing, attempting to perform, or assisting in an 8 induced abortion; providing criminal penalties; 9 prohibiting inflicting serious bodily injury on a 10 person in the course of performing an abortion; 11 providing criminal penalties; providing enhanced 12 criminal penalties if the serious bodily injury 13 results in death; prohibiting operation of any 14 facility, business, or service for the purpose of 15 providing induced abortion services; providing 16 criminal penalties; prohibiting termination of a 17 pregnancy unless specified conditions are met; 18 requiring that a termination of pregnancy be performed 19 only by a physician; requiring voluntary, informed 20 consent for a termination of pregnancy; providing an 21 exception for medical emergencies; providing for 22 documentation of a medical emergency; providing that 23 violations may subject physicians to discipline under 24 specified provisions; providing a standard of medical 25 care to be used during a termination of pregnancy 26 performed while the patient’s fetus is viable; 27 providing that the patient’s life is a superior 28 consideration to the concern for the life of the fetus 29 and the patient’s health is a superior consideration 30 to the concern for the health of the fetus when such 31 life or health concerns are in conflict; prohibiting a 32 physician’s misrepresentation of the gestational age 33 or developmental stage of a viable fetus in any 34 medical record and failing to use the prescribed 35 standard of care on a viable fetus; providing criminal 36 penalties; prohibiting fetal experimentation; 37 providing an exception; requiring that fetal remains 38 be disposed of according to specified standards; 39 providing criminal penalties; excluding specified 40 procedures from applicability of section; requiring 41 physicians and personnel at a medical facility to 42 provide certain women and minors who have been treated 43 by the facility with information regarding adoption 44 and access to a statewide list of attorneys available 45 to provide volunteer legal services for adoption; 46 authorizing the Agency for Health Care Administration 47 and the Department of Health to adopt rules; amending 48 s. 39.001, F.S.; providing legislative intent 49 concerning adoption services for women and minors with 50 unwanted pregnancies; requiring the Office of Adoption 51 and Child Protection to create and manage a statewide 52 list of attorneys providing volunteer adoption 53 services for women and minors with unwanted 54 pregnancies who would have selected abortion, if 55 lawful, rather than adoption; providing that the full 56 amount of all federal moneys received by the state as 57 a result of efforts made by the office to provide 58 legal services for adoption are deposited, directed, 59 and budgeted for use by the office; repealing ss. 60 390.011, 390.0111, 390.01114, 390.01116, 390.0112, 61 390.012, 390.014, 390.015, 390.018, and 390.025, F.S., 62 relating to provisions regulating the termination of 63 pregnancies and definitions applying thereto, the 64 Parental Notice of Abortion Act, public records 65 exemptions for identifying information regarding 66 minors seeking a waiver of notice requirements under 67 such act, reporting requirements for terminated 68 pregnancies, the licensure and operation of abortion 69 clinics, the disposal of fetal remains, the imposition 70 of administrative fines for violations by abortion 71 clinics, and provisions regulating abortion referral 72 or counseling agencies and prescribing penalties for 73 violations by such agencies; repealing ss. 782.30, 74 782.32, 782.34, and 782.36, F.S., relating to the 75 Partial-Birth Abortion Act and the short title, 76 definitions, criminal penalties for the intentional 77 killing of a living fetus while that fetus is 78 partially born, and exceptions to such act; amending 79 s. 27.511, F.S.; conforming language relating to 80 court-appointed counsel for minors under the Parental 81 Notice of Abortion Act to the repeal of s. 390.01114, 82 F.S.; amending ss. 627.64995, 627.6699, 627.66996, and 83 641.31099, F.S.; providing restrictions on use of 84 state and federal funds for state exchanges that 85 provide coverage for induced abortions and 86 terminations of pregnancies under certain conditions; 87 amending ss. 743.065 and 765.113, F.S.; conforming 88 cross-references; providing an effective date. 89 90 Be It Enacted by the Legislature of the State of Florida: 91 92 Section 1. This act may be cited as the “Florida for Life 93 Act.” 94 Section 2. Section 390.0001, Florida Statutes, is created 95 to read: 96 390.0001 Legislative findings regarding abortion.— 97 (1) The Legislature acknowledges that all persons are 98 endowed by their Creator with certain unalienable rights, and 99 that first among these is their right to life. 100 (2) The Legislature finds that all human life comes from 101 the Creator, has an inherent value that cannot be quantified by 102 man, and begins at the earliest biological development of a 103 fertilized human egg. 104 (3) The Legislature finds that the United States 105 Constitution expresses no qualification for, or limitation on, 106 the protection of human life by laws passed by state 107 legislatures which regard human life as the most fundamental 108 gift from God and deserving of paramount importance among all 109 other unalienable rights expressed or implied in the United 110 States Constitution. 111 (4) The Legislature finds that personal liberty is not a 112 license to kill or otherwise destroy any form of human life 113 under any provision of the United States Constitution. 114 (5) The Legislature finds that once human life begins, 115 there is a compelling state interest in protecting its 116 development from that moment through birth. Any act of a person 117 detrimental to unborn human life, when not necessary in defense 118 of the life of a mother bearing such unborn human life, which 119 unnaturally terminates that unborn human life, is a deprivation 120 of that unborn human’s unalienable right to life. 121 (6) The Legislature finds that the establishment of 122 viability as the point at which the state may restrict 123 abortions, as well as the “undue burden” standard of Planned 124 Parenthood of Southern Pennsylvania v. Casey, 505 U.S. 833 125 (1992), is arbitrary and provides inadequate guidance for this 126 state to enact meaningful protections for unborn human life. 127 (7) The Legislature finds that the health exception 128 required of post-viability abortion regulations inadequately 129 protects the health of women and minors seeking post-viability 130 abortions and impedes the state’s protection of viable unborn 131 human life. 132 (8) The Legislature finds that the people of Florida seek 133 to protect all human life and prohibit unnecessary abortion 134 through the exercise of their right to self-government. 135 (9) The Legislature urges the United States Supreme Court 136 to overturn Roe v. Wade, 410 U.S. 113 (1973), and Planned 137 Parenthood of Southern Pennsylvania v. Casey, 505 U.S. 833 138 (1992). 139 Section 3. Section 390.01112, Florida Statutes, is created 140 to read: 141 390.01112 Definitions.—As used in this chapter, the term: 142 (1) “Abortion” means the termination of a human pregnancy 143 with an intention other than to produce a live birth or to 144 remove a fetus that has died of natural causes. 145 (2) “Abortion clinic” or “clinic” means any facility, 146 location, or structure in which abortions are performed. The 147 term does not include a hospital or other medical establishment 148 as defined in subsection (6). 149 (3) “Agency” means the Agency for Health Care 150 Administration. 151 (4) “Born alive” means the complete expulsion or extraction 152 from the mother of a human infant, at any stage of development, 153 who, after such expulsion or extraction, breathes or has a 154 beating heart, or definite and voluntary movement of muscles, 155 regardless of whether the umbilical cord has been cut and 156 regardless of whether the expulsion or extraction occurs as a 157 result of natural or induced labor, caesarean section, induced 158 abortion, or another method. 159 (5) “Department” means the Department of Health. 160 (6) “Hospital” means a medical establishment as defined in 161 s. 395.002(12) and licensed under chapter 395 and part II of 162 chapter 408. 163 (7) “Human life” means a human person and is the biological 164 development of the species homo sapiens that begins when a human 165 egg is fertilized by a human sperm and continues to develop as a 166 living organism. For the purposes of this chapter, the terms 167 “human life” and “human person” may be used interchangeably. 168 (8) “Induced abortion” means a medically initiated 169 termination of a human pregnancy with the intent to kill a 170 living human organism, zygote, embryo, or fetus. For purposes of 171 this subsection, the term “medically initiated” means the 172 ingestion or administration of pharmaceutical abortifacients by 173 any means, surgical procedures, or use of any device or 174 instrument and any combination thereof. 175 (9) “Medical emergency” means a condition that, on the 176 basis of a physician’s good faith clinical judgment, so 177 complicates the medical condition of a patient as to necessitate 178 the immediate termination of her pregnancy to avert her death, 179 or for which a delay in the termination of her pregnancy will 180 create serious risk of substantial and irreversible impairment 181 of a major bodily function or unreasonably reduce the likelihood 182 of successful treatment of a life-threatening disease. 183 (10) “Patient” means the woman or minor upon whom an 184 abortion or termination of pregnancy is performed or induced. 185 (11) “Physician” means a physician licensed under chapter 186 458 or chapter 459 or a physician practicing medicine or 187 osteopathic medicine in the employment of the United States who 188 is attending to the patient. 189 (12) “Pregnancy” means the process by which one or more 190 human persons develop in a woman’s body. 191 (13) “Termination of pregnancy” means the termination of a 192 human pregnancy under circumstances not prohibited by this 193 section. 194 (14) “Viability” means that stage of fetal development 195 when, in the judgment of the physician, based on the particular 196 facts of the case before him or her and in light of the most 197 advanced medical technology and information available, there is 198 a reasonable probability of sustained survival of the unborn 199 human person outside his or her mother’s womb with or without 200 artificial support. 201 Section 4. Section 390.01113, Florida Statutes, is created 202 to read: 203 390.01113 Abortion unlawful; termination of pregnancies; 204 circumstances authorized.— 205 (1) INDUCED ABORTION PROHIBITED.— 206 (a) Induced abortion for any purpose is unlawful. Any 207 person who induces an abortion or performs, attempts to perform, 208 or assists another in the performance of an induced abortion on 209 another person commits a felony of the first degree, punishable 210 as provided in s. 775.082, s. 775.083, or s. 775.084. 211 (b) Any person who during the course of performing an 212 induced abortion on another person inflicts serious bodily 213 injury on the person commits a felony of the first degree, 214 punishable by imprisonment for a term of years not exceeding 215 life, as provided in s. 775.082, s. 775.083, or s. 775.084. 216 (c) Any person who during the course of performing an 217 induced abortion on another person inflicts serious bodily 218 injury on the person which results in the death of the person 219 commits a life felony, punishable as provided in s. 775.082, s. 220 775.083, or s. 775.084. 221 (2) OPERATING ABORTION CLINICS AND SERVICES PROHIBITED.—A 222 person or persons who operate any facility, business, or service 223 from any location within this state for the purpose of providing 224 induced abortion services commits a felony of the first degree, 225 punishable by imprisonment for a term of years not exceeding 226 life, as provided in s. 775.082, s. 775.083, or s. 775.084. 227 (3) TERMINATION OF PREGNANCY.—A termination of pregnancy 228 may not be performed unless: 229 (a) Two physicians certify in writing to the fact that, to 230 a reasonable degree of medical certainty, the termination of 231 pregnancy is necessary to prevent the death of the patient; 232 (b) Two physicians certify in writing to the fact that, to 233 a reasonable degree of medical certainty, the termination of 234 pregnancy is necessary because to continue the pregnancy would 235 unreasonably reduce the likelihood of successful treatment of an 236 already life-threatening disease of the patient; or 237 (c) The attending physician certifies in writing that a 238 medical emergency existed as described in paragraph (a) or 239 paragraph (b) and that another physician was not available for 240 consultation before the time necessary to perform the 241 termination of pregnancy. The physician’s written certification 242 must clearly describe the details of the medical emergency in 243 the patient’s medical records. 244 (d) Violation of this subsection by a physician constitutes 245 grounds for disciplinary action under s. 458.331 or s. 459.015. 246 (4) PERFORMANCE BY PHYSICIAN REQUIRED.—A termination of 247 pregnancy may not, at any time, be performed by a person who is 248 not a physician. 249 (5) CONSENTS REQUIRED.—A termination of pregnancy may not 250 be performed or induced except with the voluntary and informed 251 written consent of the patient or, in the case of a mentally 252 incompetent patient, the voluntary and informed written consent 253 of her court-appointed guardian or, in the case of a minor 254 patient, notwithstanding s. 743.065, the voluntary informed 255 written consent of the minor’s parent or legal guardian. 256 (a) Except in the case of a medical emergency, consent to a 257 termination of pregnancy is voluntary and informed only if: 258 1. The physician who is to perform the procedure or the 259 referring physician has personally informed the patient, or the 260 court-appointed guardian if the patient is mentally incompetent, 261 or a parent or legal guardian in the case of a minor patient, 262 of: 263 a. The nature and risks of undergoing or not undergoing the 264 proposed procedure that a reasonable patient similarly situated 265 may consider relevant to making an informed decision of whether 266 to terminate a pregnancy. 267 b. The probable gestational age of the fetus at the time 268 the termination of pregnancy is to be performed. 269 c. The medical risks to the patient and fetus of carrying 270 the pregnancy to term. 271 d. All other factors, including physical, emotional, 272 psychological, and familial factors, relevant to the short-term 273 and long-term well-being of the patient, including the emotional 274 and psychological impact relating to the loss of human life 275 through voluntary termination of the pregnancy. 276 2. Printed materials prepared and provided by the 277 department have been provided to the patient, or the court 278 appointed guardian if the patient is mentally incompetent, or a 279 parent or legal guardian in the case of a minor patient, 280 including: 281 a. An accurate estimate of the stage of biological 282 development, gestational age, length, weight, and viability of 283 the unborn human person. 284 b. A list of agencies that offer alternatives to 285 terminating the pregnancy. 286 c. Detailed information on the availability of medical 287 assistance benefits for prenatal care, childbirth, and neonatal 288 care. 289 3. The patient, or the court-appointed guardian if the 290 patient is mentally incompetent, or a parent or legal guardian 291 in the case of a minor patient, has been given, in writing, the 292 address and telephone number of the Office of Adoption and Child 293 Protection within the Executive Office of the Governor and has 294 been informed of the existence of a statewide list of attorneys 295 available to provide volunteer legal services for adoption. 296 4. The person required to give consent under this 297 subsection acknowledges in writing, before the termination of 298 pregnancy, that the information required to be provided under 299 this paragraph has been provided. 300 (b) In the event that a medical emergency exists and a 301 physician cannot comply with the requirements for informed 302 consent, the attending physician may terminate a pregnancy if he 303 or she has obtained at least one corroborative physician’s 304 written opinion attesting to the medical necessity for emergency 305 medical procedures and to the fact that, to a reasonable degree 306 of medical certainty, the continuation of the pregnancy would 307 threaten the physical life of the patient. If a second physician 308 is not available for a corroborating written opinion before the 309 time necessary to perform the termination of pregnancy, the 310 physician may proceed but must document all reasons for the 311 medical emergency and must clearly describe the details of the 312 medical emergency in the patient’s medical records as described 313 in paragraph (3)(c). 314 (c) Violation of this subsection by a physician constitutes 315 grounds for disciplinary action under s. 458.331 or s. 459.015. 316 Substantial compliance or reasonable belief that complying with 317 the requirements of informed consent would threaten the life of 318 the patient as described in paragraph (3)(a) or would 319 unreasonably reduce the successful treatment of an already life 320 threatening disease of the patient as described in paragraph 321 (3)(b) may be raised as a defense to any action brought under 322 this subsection. 323 (6) STANDARD OF MEDICAL CARE TO BE USED DURING VIABILITY.— 324 (a) A termination of pregnancy involving a viable fetus, 325 when not prohibited under subsection (3), must be performed in a 326 hospital or other medical establishment as defined in s. 327 390.01112(6) that is capable of providing all necessary 328 lifesaving and life-sustaining medical services to the viable 329 fetus. 330 (b) If a termination of pregnancy is performed while the 331 patient’s fetus is viable, the person who performs or induces 332 the termination of pregnancy may not fail to use that degree of 333 professional skill, care, and diligence to preserve the life and 334 health of the fetus that such person would be required to 335 exercise in order to preserve the life and health of a fetus 336 intended to be born alive. Notwithstanding this subsection, the 337 patient’s life is an overriding and superior consideration to 338 the concern for the life of the fetus, and the patient’s health 339 is an overriding and superior consideration to the concern for 340 the health of the fetus when such life or health concerns are in 341 conflict. For purposes of this subsection, health considerations 342 refer to medical judgment exercised in light of factors 343 exclusively described in subsection (3). Violation of this 344 subsection by a physician constitutes grounds for disciplinary 345 action under s. 458.331 or s. 459.015. 346 (c) Any physician who, once the matter of the viability or 347 nonviability of the fetus is determined within a reasonable 348 degree of medical probability, knowingly and willfully 349 misrepresents the gestational age or stage of fetal development 350 of a viable fetus in an entry into any medical record and who 351 fails to use the standard of care required under paragraph (b) 352 on any fetus determined to be viable commits a felony of the 353 first degree, punishable as provided in s. 775.082, s. 775.083, 354 or s. 775.084. 355 (7) EXPERIMENTATION ON FETUS PROHIBITED; EXCEPTION.—A 356 person may not use any live fetus or live, premature infant for 357 any type of scientific, research, laboratory, or other kind of 358 experimentation before or after any termination of pregnancy 359 procedure except as necessary to protect or preserve the life 360 and health of such fetus or premature infant. Violation of this 361 subsection by a physician constitutes grounds for disciplinary 362 action under s. 458.331 or s. 459.015. 363 (8) FETAL REMAINS.—Fetal remains shall be disposed of in a 364 sanitary and appropriate manner and in accordance with standard 365 health practices, as provided by rule of the department. A 366 person who fails to dispose of fetal remains in accordance with 367 department rules commits a felony of the third degree, 368 punishable as provided in s. 775.082, s. 775.083, or s. 775.084. 369 (9) EXCLUSION FROM APPLICABILITY.—This section does not 370 apply to the performance of a procedure that terminates a 371 pregnancy in order to deliver a live child or to remove a dead 372 child whose demise was not the result of a termination of 373 pregnancy or an induced abortion from the patient’s body. 374 (10) ADOPTION ALTERNATIVE INFORMATION.—Any physician or 375 authorized personnel of a medical facility who learns that a 376 patient wishes to obtain an induced abortion, or that a patient 377 has had a termination of pregnancy where the fetus survived, 378 shall provide the patient with information concerning the 379 availability of adoption for her unwanted child. Compliance with 380 this subsection may be accomplished by providing the patient or, 381 in the case of a mentally incompetent patient, her court 382 appointed guardian or, in the case of a minor patient, the 383 minor’s parent or legal guardian with the address and telephone 384 number of the Office of Adoption and Child Protection within the 385 Executive Office of the Governor and informing the patient or, 386 in the case of a mentally incompetent patient, her court 387 appointed guardian or, in the case of a minor patient, the 388 minor’s parent or legal guardian of the existence of the 389 statewide list of attorneys available to provide volunteer legal 390 services for adoption. 391 (11) RULEMAKING AUTHORITY.— 392 (a) Except for subsection (8), the agency may adopt rules 393 pursuant to ss. 120.536(1) and 120.54 to administer this 394 section. These rules must be for the purpose of protecting the 395 health and safety of pregnant women and minors and unborn human 396 persons. These rules are also for the purpose of securing 397 compliance with the requirements of this section and to 398 facilitate the enforcement of sanctions for those violations to 399 which administrative penalties apply. 400 (b) The department may adopt rules pursuant to ss. 401 120.536(1) and 120.54 to administer subsection (8). 402 Section 5. Subsection (7) of section 39.001, Florida 403 Statutes, is amended, and paragraph (d) is added to subsection 404 (8) of that section, to read: 405 39.001 Purposes and intent; personnel standards and 406 screening.— 407 (7) LEGISLATIVE INTENT FOR THE PREVENTION OF ABUSE, 408 ABANDONMENT, AND NEGLECT OF CHILDREN; ADOPTION SERVICES FOR 409 WOMEN AND MINORS WITH UNWANTED PREGNANCIES.—The incidence of 410 known child abuse, abandonment, and neglect has increased 411 rapidly in recentover the past 5years. The impact that abuse, 412 abandonment, or neglect has on the victimized child, siblings, 413 family structure, and inevitably on all citizens of the state 414 has caused the Legislature to determine that the prevention of 415 child abuse, abandonment, and neglect shall be a priority of 416 this state. In addition, to provide assistance for women and 417 minors with unwanted pregnancies who would have selected 418 abortion, if lawful in this state, rather than adoption as an 419 alternative for their unborn children, the Legislature has 420 determined to offer such women and minors information regarding 421 volunteer legal services to accomplish an appropriate adoptive 422 placement for their newborn children.To further this end,It is 423 the intent of the Legislature that theanOffice of Adoption and 424 Child Protection be maintained to accomplish these purposes 425established. 426 (8) OFFICE OF ADOPTION AND CHILD PROTECTION.— 427 (d) In connection with the provision of volunteer legal 428 services for women and minors with unwanted pregnancies who 429 would have selected abortion, if lawful in this state, rather 430 than adoption, the office shall: 431 1. Create and manage a statewide list of attorneys that 432 provide volunteer adoption services for such women and minors. 433 2. Have deposited, directed, and budgeted in the full 434 amount for use by the office, in addition to funds that would 435 have been or are otherwise budgeted for the office, all moneys 436 received by or otherwise awarded to the state from the Federal 437 Government, the United States Treasury, or any other federal 438 agency as a result of efforts made by the office to provide 439 legal services for adoption. 440 Section 6. Sections 390.011, 390.0111, 390.01114, 441 390.01116, 390.0112, 390.012, 390.014, 390.015, 390.018, 442 390.025, 782.30, 782.32, 782.34, and 782.36, Florida Statutes, 443 are repealed. 444 Section 7. Paragraph (a) of subsection (6) of section 445 27.511, Florida Statutes, is amended to read: 446 27.511 Offices of criminal conflict and civil regional 447 counsel; legislative intent; qualifications; appointment; 448 duties.— 449 (6)(a) The office of criminal conflict and civil regional 450 counsel has primary responsibility for representing persons 451 entitled to court-appointed counsel under the Federal or State 452 Constitution or as authorized by general law in civil 453 proceedings, including, but not limited to, proceedings under s. 454 393.12 and chapters 39, 392, 397, 415, 743, 744, and 984 and 455 proceedings to terminate parental rights under chapter 63. 456Private court-appointed counsel eligible under s. 27.40 have457primary responsibility for representing minors who request458counsel under s. 390.01114, the Parental Notice of Abortion Act;459however, the office of criminal conflict and civil regional460counsel may represent a minor under that section if the court461finds that no private court-appointed attorney is available.462 Section 8. Subsection (1) of section 627.64995, Florida 463 Statutes, is amended to read: 464 627.64995 Restrictions on use of state and federal funds 465 for state exchanges.— 466 (1) A health insurance policy under which coverage is 467 purchased in whole or in part with any state or federal funds 468 through an exchange created pursuant to the federal Patient 469 Protection and Affordable Care Act, Pub. L. No. 111-148, may not 470 provide coverage for an induced abortion as defined in and 471 prohibited under s. 390.01113 or for a termination of pregnancy 472 in violation of s. 390.01113(3)s. 390.011(1), except if the473pregnancy is the result of an act of rape or incest, or in the474case where a woman suffers from a physical disorder, physical475injury, or physical illness, including a life-endangering476physical condition caused by or arising from the pregnancy477itself, which would, as certified by a physician, place the478woman in danger of death unless an abortion is performed. 479 Coverage is deemed to be purchased with state or federal funds 480 if any tax credit or cost-sharing credit is applied toward the 481 health insurance policy. 482 Section 9. Paragraph (a) of subsection (17) of section 483 627.6699, Florida Statutes, is amended to read: 484 627.6699 Employee Health Care Access Act.— 485 (17) RESTRICTIONS ON COVERAGE.— 486 (a) A plan under which coverage is purchased in whole or in 487 part with any state or federal funds through an exchange created 488 pursuant to the federal Patient Protection and Affordable Care 489 Act, Pub. L. No. 111-148, may not provide coverage for an 490 induced abortion,as defined in and prohibited under s. 491 390.01113 or for a termination of pregnancy in violation of s. 492 390.01113(3)s. 390.011(1), except if the pregnancy is the493result of an act of rape or incest, or in the case where a woman494suffers from a physical disorder, physical injury, or physical495illness, including a life-endangering physical condition caused496by or arising from the pregnancy itself, which would, as497certified by a physician, place the woman in danger of death498unless an abortion is performed. Coverage is deemed to be 499 purchased with state or federal funds if any tax credit or cost 500 sharing credit is applied toward the plan. 501 Section 10. Subsection (1) of section 627.66996, Florida 502 Statutes, is amended to read: 503 627.66996 Restrictions on use of state and federal funds 504 for state exchanges.— 505 (1) A group, franchise, or blanket health insurance policy 506 under which coverage is purchased in whole or in part with any 507 state or federal funds through an exchange created pursuant to 508 the federal Patient Protection and Affordable Care Act, Pub. L. 509 No. 111-148, may not provide coverage for an induced abortion as 510 defined in and prohibited under s. 390.01113 or for a 511 termination of pregnancy in violation of s. 390.01113(3)s.512390.011(1), except if the pregnancy is the result of an act of513rape or incest, or in the case where a woman suffers from a514physical disorder, physical injury, or physical illness,515including a life-endangering physical condition caused by or516arising from the pregnancy itself, which would, as certified by517a physician, place the woman in danger of death unless an518abortion is performed. Coverage is deemed to be purchased with 519 state or federal funds if any tax credit or cost-sharing credit 520 is applied toward the group, franchise, or blanket health 521 insurance policy. 522 Section 11. Subsection (1) of section 641.31099, Florida 523 Statutes, is amended to read: 524 641.31099 Restrictions on use of state and federal funds 525 for state exchanges.— 526 (1) A health maintenance contract under which coverage is 527 purchased in whole or in part with any state or federal funds 528 through an exchange created pursuant to the federal Patient 529 Protection and Affordable Care Act, Pub. L. No. 111-148, may not 530 provide coverage for an induced abortion as defined in and 531 prohibited under s. 390.01113 or for a termination of pregnancy 532 in violation of s. 390.01113(3)s. 390.011(1), except if the533pregnancy is the result of an act of rape or incest, or in the534case where a woman suffers from a physical disorder, physical535injury, or physical illness, including a life-endangering536physical condition caused by or arising from the pregnancy537itself, which would, as certified by a physician, place the538woman in danger of death unless an abortion is performed. 539 Coverage is deemed to be purchased with state or federal funds 540 if any tax credit or cost-sharing credit is applied toward the 541 health maintenance contract. 542 Section 12. Subsection (3) of section 743.065, Florida 543 Statutes, is amended to read: 544 743.065 Unwed pregnant minor or minor mother; consent to 545 medical services for minor or minor’s child valid.— 546 (3) Nothing in this act shall affect the provisions of s. 547 390.01113s. 390.0111. 548 Section 13. Subsection (2) of section 765.113, Florida 549 Statutes, is amended to read: 550 765.113 Restrictions on providing consent.—Unless the 551 principal expressly delegates such authority to the surrogate in 552 writing, or a surrogate or proxy has sought and received court 553 approval pursuant to rule 5.900 of the Florida Probate Rules, a 554 surrogate or proxy may not provide consent for: 555 (2) Withholding or withdrawing life-prolonging procedures 556 from a pregnant patient beforeprior toviability as defined in 557 s. 390.01113390.0111(4). 558 Section 14. This act shall take effect July 1, 2014.