14-02.1 Abortion Control Act
Loading PDF...
Dakota to protect every human life whether unborn or aged, healthy or sick.14-02.1-02. Definitions. As used in this chapter:1."Abortion" means the termination of human pregnancy with an intention other than to
produce a live birth or to remove a dead embryo or fetus.2."Abortion facility" means a clinic, ambulatory surgical center, physician's office, or
any other place or facility in which abortions are performed, other than a hospital.3."Hospital" means an institution licensed by the state department of health under
chapter 23-16 and any hospital operated by the United States or this state.4."Human being" means an individual living member of the species of homo sapiens,
including the unborn human being during the entire embryonic and fetal ages from
fertilization to full gestation.5."Infant born alive" or "live born child" means a born child which exhibits either
heartbeat, spontaneous respiratory activity, spontaneous movement of voluntary
muscles or pulsation of the umbilical cord if still attached to the child.6."Informed consent" means voluntary consent to abortion by the woman upon whom
the abortion is to be performed provided that:a.The woman is told the following by the physician who is to perform the abortion,
by the referring physician, or by the physician's agent, at least twenty-four
hours before the abortion:(1)The name of the physician who will perform the abortion;(2)The abortion will terminate the life of a whole, separate, unique, living
human being;(3)The particular medical risks associated with the particular abortion
procedure to be employed including, when medically accurate, the risks
of infection, hemorrhage, danger to subsequent pregnancies, and
infertility;(4)The probable gestational age of the unborn child at the time the abortion
is to be performed; and(5)The medical risks associated with carrying her child to term.b.The woman is informed, by the physician or the physician's agent, at least
twenty-four hours before the abortion:(1)That medical assistance benefits may be available for prenatal care,
childbirth, and neonatal care;(2)That the father is liable to assist in the support of her child, even in
instances in which the father has offered to pay for the abortion; andPage No. 1(3)That she has the right to review the printed materials described in section
14-02.1-02.1. The physician or the physician's agent shall orally inform
the woman the materials have been provided by the state of North
Dakota and that they describe the unborn child and list agencies that
offer alternatives to abortion.If the woman chooses to view thematerials, copies of them must be furnished to her. The physician and
the physician's agent may disassociate themselves from the materials
and may comment or refrain from comment on them, as they choose.c.The woman certifies in writing, prior to the abortion, that the information
described in subdivisions a and b has been furnished to her and that she has
been informed of her opportunity to review the information referred to in
paragraph 3 of subdivision b.d.Prior to the performance of the abortion, the physician who is to perform or
induce the abortion or the physician's agent receives a copy of the written
certification prescribed by subdivision c.7."Licensed physician" means a person who is licensed to practice medicine or
osteopathy under chapter 43-17 or a physician practicing in the armed services of
the United States or in the employ of the United States.8."Medical emergency" means that condition which, on the basis of the physician's
best clinical judgment, so complicates a pregnancy as to necessitate an immediate
abortion to avert the death of the mother or for which a twenty-four-hour delay will
create grave peril of immediate and irreversible loss of major bodily function.9."Probable gestational age of the unborn child" means what, in the judgment of the
attending physician, will with reasonable probability be the gestational age of the
unborn child at the time the abortion is planned to be performed.10."Viable" means the ability of a fetus to live outside the mother's womb, albeit with
artificial aid.14-02.1-02.1. Printed information - Referral service.1.The state department of health shall publish in English, and in every other language
that the department determines is the primary language of a significant number of
state residents, the following easily comprehensible printed materials:a.Geographically indexed materials designed to inform the woman of public and
private agencies and services available to assist a woman through pregnancy,
upon childbirth, and while the child is dependent, including adoption agencies.
The materials must include a comprehensive list of the agencies available, a
description of the services they offer and a description of the manner, including
telephone numbers, in which they might be contacted, or, at the option of the
department, printed materials, including a toll-free, twenty-four-hour-a-day
telephone number that may be called to obtain, orally, such a list and
description of agencies in the locality of the caller and of the services they offer.b.Materials, published in a booklet format, designed to inform the woman of the
probable anatomical and physiological characteristics of the fetus at two-week
gestational increments from the time when a woman can be known to be
pregnant to full term, including any relevant information on the possibility of the
survival of the fetus and pictures representing the development of a fetus at
two-week gestational increments. The majority of the pictures included in the
booklet must be full color photograph-style images and the pictures must
contain the dimensions of the fetus and must be realistic and appropriate for
the stage of pregnancy depicted.The materials must be objective,Page No. 2nonjudgmental, and designed to convey only accurate scientific information
about the fetus at the various gestational ages. The materials required under
this subsection must be reviewed, updated, and reprinted as needed.2.The materials required under subsection 1 must be available at no cost from the
state department of health upon request and in appropriate number to any person,
facility, or hospital, and, except for copyrighted material, must be available on the
department's internet website. The department may make the copyrighted material
available on its internet website if the department pays the copyright royalties.14-02.1-03. Consent to abortion - Notification requirements.1.No physician shall perform an abortion unless prior to such performance the
physician certified in writing that the woman gave her informed consent as defined
and provided in section 14-02.1-02 and shall certify in writing the pregnant woman's
marital status and age based upon proof of age offered by her. Prior to the period of
pregnancy when the fetus may reasonably be expected to have reached viability, no
abortion shall be performed upon an unemancipated minor unless the attending
physician certifies in writing that each of the parents of the minor requesting the
abortion has been provided by the physician in person with the information provided
for in section 14-02.1-02 at least twenty-four hours prior to the minor's consent to the
performance of abortion or unless the attending physician certifies in writing that the
physician has caused materials of section 14-02.1-02 to be posted by certified mail
to each of the parents of the minor separately to the last-known addresses at least
forty-eight hours prior to the minor's consent to the performance of abortion. When
a parent of the minor has died or rights and interests of such parent have been
legally terminated, this subsection shall apply to the sole remaining parent. When
both parents have died or the rights and interests of both parents have been legally
terminated, this subsection shall apply to the guardian or other person standing
in loco parentis. Notification by the attending physician is not required if the minor
elects not to allow the notification of one or both parents or her guardian and the
abortion is authorized by the juvenile court in accordance with section 14-02.1-03.1.
None of the requirements of this subsection apply in the case of a medical
emergency, except that when a medical emergency compels the performance of an
abortion, the physician shall inform the woman, prior to the abortion if possible, of
the medical indications supporting the physician's judgment that an abortion is
necessary to avert her death or for which a twenty-four-hour delay will create grave
peril of immediate and irreversible loss of major bodily function, and shall certify
those indications in writing.2.Subsequent to the period of pregnancy when the fetus may reasonably be expected
to have reached viability, no abortion, other than an abortion necessary to preserve
her life, or because the continuation of her pregnancy will impose on her a
substantial risk of grave impairment of her physical or mental health, may be
performed upon any woman in the absence of:a.The written consent of her husband unless her husband is voluntarily separated
from her; orb.The written consent of a parent, if living, or the custodian or legal guardian of
the woman, if the woman is unmarried and under eighteen years of age.3.No executive officer, administrative agency, or public employee of the state of North
Dakota or any local governmental body has power to issue any order requiring an
abortion, nor shall any such officer or entity coerce any woman to have an abortion,
nor shall any other person coerce any woman to have an abortion.14-02.1-03.1. Parental consent or judicial authorization for abortion of unmarriedminor - Statement of intent.The legislative assembly intends to encourage unmarriedPage No. 3pregnant minors to seek the advice and counsel of their parents when faced with the difficult
decision of whether or not to bear a child, to foster parental involvement in the making of that
decision when parental involvement is in the best interests of the minor and to do so in a manner
that does not unduly burden the right to seek an abortion.1.No person may knowingly perform an abortion upon a pregnant woman under the
age of eighteen years unless:a.The attending physician has secured the written consent of the minor woman
and both parents, if living, or the surviving parent if one parent is deceased, or
the custodial parent if the parents are separated or divorced, or the legal
guardian or guardians if the minor is subject to guardianship;b.The minor woman is married and the attending physician has secured her
informed written consent; orc.The abortion has been authorized by the juvenile court in accordance with the
provisions of this section.2.Any pregnant woman under the age of eighteen or next friend is entitled to apply to
the juvenile court for authorization to obtain an abortion without parental consent.
Proceedings on such application must be conducted in the juvenile court of the
county of the minor's residence before a juvenile judge or referee, if authorized by
the juvenile court judge in accordance with the provisions of chapter 27-05, except
that the parental notification requirements of chapter 27-20 are not applicable to
proceedings under this section. All applications in accordance with this section must
be heard by a juvenile judge or referee within forty-eight hours, excluding Saturdays
and Sundays, of receipt of the application. The purpose of the hearing before the
juvenile judge or referee must be to determine:a.Whether or not the minor is sufficiently mature and well informed with regard to
the nature, effects, and possible consequences of both having an abortion and
bearing her child to be able to choose intelligently among the alternatives.b.If the minor is not sufficiently mature and well informed to choose intelligently
among the alternatives without the advice and counsel of her parents or
guardian, whether or not it would be in the best interests of the minor to notify
her parents or guardian of the proceedings and call in the parents or guardian
to advise and counsel the minor and aid the court in making its determination
and to assist the minor in making her decision.c.If the minor is not sufficiently mature and well informed to choose intelligently
among the alternatives and it is found not to be in the best interests of the
minor to notify and call in her parents or guardian for advice and counsel,
whether an abortion or some other alternative would be in the best interests of
the minor.3.All proceedings in connection with this section must be kept confidential and the
identity of the minor must be protected in accordance with provisions relating to all
juvenile court proceedings.4.The court shall keep a stenographic or mechanically recorded record of the
proceedings which must be maintained on record for forty-eight hours following the
proceedings.If no appeal is taken from an order of the court pursuant to theproceedings, the record of the proceedings must be sealed as soon as practicable
following such forty-eight-hour period.5.Following the hearing and the court's inquiry of the minor, the court shall issue one
of the following orders:Page No. 4a.If the minor is sufficiently mature and well informed concerning the alternatives
and without the need for further information, advice, or counseling, the court
shall issue an order authorizing a competent physician to perform the abortion
procedure on the minor.b.If the minor is not sufficiently mature and well informed, the court may:(1)Issue an order to provide the minor with any necessary information to
assist her in her decision if the minor is mature enough to make the
decision but not well informed enough to do so.(2)Issue an order to notify the minor's parents or guardian of the pendency
of the proceedings and calling for their attendance at a reconvening of
the hearing in order to advise and counsel the minor and assist the court
in making its determination if the court finds that to do so would be in the
best interests of the minor.(3)Issue an order authorizing an abortion by a competent physician if the
court has determined that it would not be in the best interests of the
minor to call in her parents or guardian but has found that it would be in
the minor's best interests to authorize the abortion.6.The minor or next friend may appeal the determination of the juvenile court directly
to the state supreme court. In the event of such an appeal, any and all orders of the
juvenile court must be automatically stayed pending determination of the issues on
appeal. Any appeal taken pursuant to this section by anyone other than the minor or
next friend must be taken within forty-eight hours of the determination of the juvenile
court by the filing of written notice with the juvenile court and a written application in
the supreme court. Failure to file notice and application within the prescribed time
results in a forfeiture of the right to appeal and render the juvenile court order or
orders effective for all intents and purposes.7.Upon receipt of written notice of appeal, the juvenile court shall immediately cause to
be transmitted to the supreme court the record of proceedings had in the juvenile
court.8.An application for appeal pursuant to this section must be treated as an expedited
appeal by the supreme court and must be set down for hearing within four days of
receipt of the application, excluding Saturdays and Sundays.9.The hearing, inquiry, and determination of the supreme court must be limited to a
determination of the sufficiency of the inquiry and information considered by the
juvenile court and whether or not the order or orders of the juvenile court accord with
the information considered with respect to the maturity and information available to
the minor and the best interests of the minor as determined by the juvenile court.
The determination of the juvenile court may not be overturned unless found to be
clearly erroneous.10.After hearing the matter the supreme court shall issue its decision within twenty-four
hours.11.Within forty-eight hours of the hearing by the supreme court, the record of the
juvenile court must be returned to the juvenile court and the juvenile court shall seal
it at the earliest practicable time.12.Nothing in this section may be construed to prevent the immediate performance of
an abortion on an unmarried minor woman in an emergency where such action is
necessary to preserve her life and no physician may be prevented from acting in
good faith in such circumstances or made to suffer any sanction thereby other thanPage No. 5those applicable in the normal course of events to the general review of emergency
and nonemergency medical procedures.13.Nothing in this section may be construed to alter the effects of any other section of
this chapter or to expand the rights of any minor to obtain an abortion beyond the
limits to such rights recognized under the Constitution of the United States or under
other provisions of this code.14-02.1-03.2.Civil damages for performance of abortions without informedconsent. Any person upon whom an abortion has been performed without informed consent as
required by sections 14-02.1-02, 14-02.1-02.1, subsection 1 of section 14-02.1-03, 14-02.1-03.2,
and 14-02.1-03.3 may maintain an action against the person who performed the abortion for ten
thousand dollars in punitive damages and treble whatever actual damages the plaintiff may have
sustained.Any person upon whom an abortion has been attempted without complying withsections 14-02.1-02, 14-02.1-02.1, subsection 1 of section 14-02.1-03, 14-02.1-03.2, and
14-02.1-03.3 may maintain an action against the person who attempted to perform the abortion
for five thousand dollars in punitive damages and treble whatever actual damages the plaintiff
may have sustained.14-02.1-03.3. Privacy of woman upon whom an abortion is performed or attempted.In every proceeding or action brought under section 14-02.1-03.2, the court shall rule whether the
anonymity of any woman upon whom an abortion is performed or attempted should be preserved
from public disclosure if she does not give her consent to such disclosure. The court, upon
motion or sua sponte, shall make such a ruling and, upon determining that her anonymity should
be preserved, shall issue orders to the parties, witnesses, and counsel, and shall direct the
sealing of the record and exclusion of individuals from courtrooms or hearing rooms, to the extent
necessary to safeguard her identity from public disclosure.Each such order must beaccompanied by specific written findings explaining why the anonymity of the woman should be
preserved from public disclosure, why the order is essential to that end, how the order is narrowly
tailored to serve that interest, and why no reasonable less restrictive alternative exists. This
section may not be construed to conceal the identity of the plaintiff or of witnesses from the
defendant.14-02.1-03.4. Required notice at abortion facility.1.Any abortion facility that performs abortions shall display signs that contain
exclusively the following words:"NOTICE:No one can force you to have anabortion. It is against the law for a spouse, a boyfriend, a parent, a friend, a medical
care provider, or any other person to in any way force you to have an abortion."2.The signs must be located so that the signs can be read easily and in areas that
ensure maximum visibility to women at the time a woman gives consent to an
abortion.3.The display of signs pursuant to this section does not discharge any other legal duty
of an abortion facility or physician.4.The state department of health shall make the signs required by this section
available for download in a printable format on its internet website.14-02.1-04. Limitations on the performance of abortions - Penalty.1.No abortion may be done by any person other than a licensed physician using
medical standards applicable to all other surgical procedures.2.After the first twelve weeks of pregnancy but prior to the time at which the fetus may
reasonably be expected to have reached viability, no abortion may be performed in
any facility other than a licensed hospital.Page No. 63.After the point in pregnancy when the fetus may reasonably be expected to have
reached viability, no abortion may be performed except in a hospital, and then only if
in the medical judgment of the physician the abortion is necessary to preserve the
life of the woman or if in the physician's medical judgment the continuation of her
pregnancy will impose on her a substantial risk of grave impairment of her physical
or mental health.Anabortionunderthissubsectionmayonlybeperformediftheabove-mentioned medical judgment of the physician who is to perform the abortion
is first certified by the physician in writing, setting forth in detail the facts upon which
the physician relies in making this judgment and if this judgment has been concurred
in by two other licensed physicians who have examined the patient. The foregoing
certification and concurrence is not required in the case of an emergency when the
abortion is necessary to preserve the life of the patient.4.An abortion facility may not perform an abortion on a woman without first offering the
woman an opportunity to receive and view at the abortion facility or another facility
an active ultrasound of her fetus. The offer and opportunity to receive and view an
ultrasound must occur at least twenty-four hours before the abortion is scheduled to
be performed. The active ultrasound image must be of a quality consistent with
standard medical practice in the community, contain the dimensions of the fetus,
and accurately portray the presence of external members and internal organs,
including the heartbeat, if present or viewable, of the fetus. The auscultation of the
fetal heart tone must be of a quality consistent with standard medical practice in the
community. The abortion facility shall document the woman's response to the offer,
including the date and time of the offer and the woman's signature attesting to her
informed decision.5.Any licensed physician who performs an abortion without complying with the
provisions of this section is guilty of a class A misdemeanor.6.It is a class B felony for any person, other than a physician licensed under chapter
43-17, to perform an abortion in this state.14-02.1-05. Preserving life of a viable child - Penalty. An abortion of a viable childmay be performed only when there is in attendance a physician other than the physician
performing the abortion who shall take control and provide immediate medical care for the viable
child born as a result of the abortion.The physician performing it, and subsequent to theabortion, the physician required by this section to be in attendance, shall take all reasonable
steps in keeping with good medical practice, consistent with the procedure used, to preserve the
life and health of the unborn child. Failure to do so is a class C felony.14-02.1-06. Soliciting abortions. Repealed by S.L. 1999, ch. 50,