THE GENERAL ASSEMBLY OF PENNSYLVANIA

SENATE BILL

INTRODUCED BY VANCE, SCARNATI, PILEGGI, BAKER, ERICKSON, FONTANA, KASUNIC, MENSCH, WARD, ALLOWAY, BROWNE, BREWSTER, BRUBAKER, SMUCKER, STACK, TOMLINSON, WASHINGTON, D. WHITE, WOZNIAK, YUDICHAK, DINNIMAN, EARLL, EICHELBERGER, FOLMER, GORDNER, ORIE, PIPPY, RAFFERTY AND ROBBINS, MARCH 2, 2011

SENATOR VANCE, PUBLIC HEALTH AND WELFARE, AS AMENDED, MAY 4, 2011   

AN ACT

Regulating certain facilities which perform abortions; imposing

powers and duties on the Department of Health and the

Legislative Reference Bureau; and imposing penalties.

The General Assembly of the Commonwealth of Pennsylvania

hereby enacts as follows:

Section 1.  Short title.

This act shall be known and may be cited as the Department of

Health Abortion Facility Oversight Act.

Section 1.1.  Legislative findings and declaration of policy.

<--

(a)  Legislative findings.--It is hereby determined and

declared as a matter of legislative finding that:

(1)  The citizens of this Commonwealth have a substantial

interest in regulating abortion facilities operating in this

Commonwealth.

(2)  Regulation of abortion facilities reasonably serves

the Commonwealth's substantial interests in protecting the

citizens of this Commonwealth from bodily injury and death.

(3)  Warrantless administrative inspections of abortion

facilities operating in this Commonwealth are a necessary

part of this comprehensive regulatory scheme. 

(b)  Declaration of policy.--It is hereby declared to be the

intention of the General Assembly to protect the safety and

general welfare of the citizens of this Commonwealth by closely

regulating abortion facilities operating in this Commonwealth.

Section 2.  Definitions.

The following words and phrases when used in this act shall

have the meanings given to them in this section unless the

context clearly indicates otherwise: 

"Abortion."  As defined in 18 Pa.C.S. § 3203 (relating to

definitions).

"Abortion facility."  A facility:

(1)  which is not subject to licensure under act of July

19, 1979 (P.L.130, No.48), known as the Health Care

Facilities Act; and 

(2) in which abortions are performed on an elective

basis.

"Certificate."  A certificate of compliance under section

<--

3(c).

"Certificate holder."  An abortion facility which holds a

certificate.

"Complainant."  An individual who contacts the department for

the purpose of making a complaint.

"Complaint."  A communication received by the department,

which describes conduct in violation of this act or any other

statute or regulations pertaining to abortions or abortion

<--

facilities.

"Department."  The Department of Health of the Commonwealth.

"Inspection."  An examination by the department, including

interviews with the office staff, clients and individuals

providing abortions or assisting in providing abortions, and a

review of documents pertinent to initial and continued

compliance for the purpose of operating an abortion facility.

"Serious event."  As defined in section 302 of the act of

March 20, 2002 (P.L.154, No.13), known as the Medical Care

Availability and Reduction of Error (Mcare) Act.

Section 3.  Approval and certificate Licensure.

<--

(a)  Approval License required.--An abortion facility must be

<--

approved licensed by the department.

<--

(b)  Procedure.--

(1)  An abortion facility must submit an application for

approval licensure to the department on a form prescribed by

<--

the department.

(2)  Upon receipt of an application under paragraph (1),

the department shall inspect the abortion facility to

determine the ability to comply with this act.

(c)  Certificate License.--

<--

(1)  If the department determines that the abortion

facility is able to comply with this act, the department

shall register the abortion facility and issue a certificate 

<--

issue a license indicating all of the following:

<--

(i)  Name.

(ii)  Compliance with statutory and regulatory

requirements.

(iii)  Term. The term shall be for a period of not

more than one year.

(iv)  Name and signature of the inspector and the The 

<--

date the inspection took place.

(2)  A certificate of compliance license is

<--

nontransferable.

(3)  The abortion facility shall prominently display the

certificate license where it is visible to patients.

<--

(d)  Recertification Renewal.--Before expiration of the term

<--

under subsection (c)(1)(iii), an abortion facility must apply

for recertification renewal in accordance with subsection (c).

<--

Section 4.  Inspections.

(a)  Authority.--

(1)  An inspector of the department may, with

identification, enter and inspect an abortion facility which:

(i)  holds a certificate license; or

<--

(ii)  is seeking approval, registration and

<--

certification licensure.

<--

(2)  In an inspection, the department shall have free and

full access to all of the following:

(i)  Premises and records of the abortion facility.

(ii)  Individuals employed by or under contract with

the abortion facility. This subparagraph includes the

opportunity to interview the individuals.

(b)  Timing.--

(1)  An initial inspection shall be conducted under

section 3(b)(2).

(2)  A renewal An inspection shall be conducted for

<--

recertification license renewal under section 3(d).

<--

(3)  The department shall annually conduct at least one

<--

unannounced inspection of each abortion facility holding a

certificate may conduct random inspections at each abortion

<--

facility.

(4)  Within 72 hours of a report of a serious event, the

<--

department shall conduct an inspection.

(5) (4)  The department may conduct other inspections,

<--

announced or unannounced, for the purpose of:

(i)  ensuring compliance; or

(ii)  investigating a complaint.

(c)  Reports.--Inspection reports and plans of correction

under section 5(c)(3) shall be posted on the department's

publicly accessible Internet website and shall be easily 

<--

searchable by the public.

Section 5.  Violations. 

(a)  Illegal actions.--The following are violations of this

act:

(1)  Violation of a regulation promulgated under this act 

or any other statute or regulation pertaining to abortions or

<--

abortion facilities.

(2)  Transferring a certificate license.

<--

(3)  Obtaining or attempting to obtain a certificate 

<--

license in violation of this act. This paragraph includes

<--

fraud or deceit in the application process.

(4)  Gross incompetence, negligence or misconduct in

operation of the abortion facility.

(5)  Mistreating or abusing patients cared for in the

abortion facility.

(6)  Failure to permit inspectors to enter the facility

<--

or to provide access to requested records.

(b)  Notice.--If the department observes discovers a

<--

violation under subsection (a), the department shall give

written notice to the abortion facility specifying the

<--

violation.

(c)  Effect.--

(1)  The department may deny certification licensure or

<--

recertification renewal until correction of the violation

<--

under subsection (a).

(2)  If the department determines that a violation under

subsection (a) places patients in immediate danger 

<--

immediately compromises the health and safety of the patient,

<--

the department shall immediately revoke certification the

<--

license.

(3)  Except as set forth in paragraph (1) or (2), within

ten days of notice under subsection (a) (b), the abortion

<--

facility shall prepare a plan of correction.

(4)  The department may assess an administrative penalty

against a certificate license holder. This paragraph is

<--

subject to 2 Pa.C.S. Chs. 5. Subch. A (relating to practice

and procedure of Commonwealth agencies) and 7 Subch. A

(relating to judicial review of Commonwealth agency action).

Section 6.  Operation without certificate a license.

<--

(a)  Prohibition.--A person may not operate an abortion

<--

facility without a certificate An abortion facility may not

<--

operate without a license. Each day of operation constitutes a

separate offense.

(b)  Penalty.--A person that violates subsection (a) commits

a summary offense and shall, upon conviction, be sentenced to

pay a fine of $250.

Section 7.  Complaints.

(a)  Procedure.--The department shall promulgate regulations

for a formal complaint process for a person to report a

violation of this act or a regulation promulgated under this act 

<--

or any other statute or regulation pertaining to abortions or

<--

abortion facilities. The process shall include:

(1)  A toll-free telephone number for lodging verbal

complaints.

(2)  A form, easily accessible on the department's

Internet website, to allow for electronic submission of

written complaints.

(3)  An intake system and protocols for dealing with

individuals making complaints directly to department

employees or through the postal system.

(4)  A complaint tracking system.

(b)  Treatment.--A complainant shall receive all of the

following:

(1)  Notification of the option to remain anonymous.

(2)  Written acknowledgment regarding the receipt of the

complaint.

(3)  Written notification of the final outcome of

investigation of the complaint.

Section 8.  Reports.

(a)  Serious event reports.--

<--

(1)  Notwithstanding any other provision to the contrary,

all abortion facilities as defined in this act shall report

the occurrence of a serious event to the department and the

Patient Safety Authority within 24 hours of the abortion

facility's confirmation of the serious event.

(2)  Within 72 hours of a report of a serious event, the

department shall initiate an inspection.

(3)  Failure to report a serious event may be the basis

for the revocation of licensure under this act. In addition

to any penalty which may be imposed under 18 Pa.C.S. Ch. 32

(relating to abortion), an abortion facility which fails to

report a serious event in accordance with this act may be

subject to an administrative penalty of $1,000 per day

imposed by the department.

(4)  Reporting under paragraph (1) shall be in accordance

with section 313 of the act of March 20, 2002 (P.L.154,

No.13), known as the Medical Care Availability and Reduction

of Error (Mcare) Act.

The (b)  Communication with Department of State.--The 

<--

department shall establish regular and formal mechanisms for

making reports about the administration of this act to the

<--

Department of State. Complaints pertaining to any licensed

professional under the jurisdiction of the Bureau of

Professional and Occupational Appeals Affairs shall be reported

<--

as soon as possible to the appropriate licensing board but no

less than 24 72 hours after receipt.

<--

Section 9.  Confidentiality.

Information regarding complainant and patient identity

received by the department shall be kept confidential and shall

not be subject to the act of February 14, 2008 (P.L.6, No.3),

known as the Right-to-Know Law. 

Section 10.  Regulations.

The department shall promulgate regulations to administer 

<--

implement this act. Existing regulations of the department

<--

applicable to abortion facilities not clearly inconsistent with

the provisions of this act shall remain in effect until amended

by the department under this section.

Section 11.  Existing abortion facilities.

The department shall begin a process to ensure all of the

following:

(1)  Abortion facilities in existence on the effective

date of this section are able to receive a certificate 

<--

license if warranted. When a certification licensure process

<--

is in effect, the department shall transmit notice of this

fact to the Legislative Reference Bureau for publication in

the Pennsylvania Bulletin.

(2)  Abortion facilities are in compliance with other

statutes administered by the department pertaining to

abortion facilities.

Section 12.  Construction.

Nothing in this act shall be construed to limit the

provisions of 18 Pa.C.S. Ch. 32 (relating to abortion) or limit

any regulation promulgated under 18 Pa.C.S. Ch. 32.

Section 30.  Effective date.

This act shall take effect as follows:

(1)  The following provisions shall take effect

immediately:

(i)  Section 2.

(ii)  Section 10.

(iii)  Section 11.

(iv)  This section.

(2)  Section 6 shall take effect 60 days after

publication of the notice under section 11(1).

(3)  The remainder of this act shall take effect in 60

days.