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H. B. No. 333 As IntroducedAs Introduced
| 128th General Assembly | | Regular Session | | 2009-2010 |
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Cosponsors:
Representatives Celeste, Koziura, Harris, Foley, Yuko, Letson, Garland, Hagan, Chandler, Slesnick, Weddington, Boyd
A BILL
To enact sections 3727.60, 3727.601, and
3727.602 of
the Revised Code to establish the
Compassionate
Assistance for Rape Emergencies Act
regarding
emergency services provided to victims
of sexual
assault.
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF OHIO:
Section 1. That sections 3727.60, 3727.601, and
3727.602 of
the Revised Code be enacted to read as follows:
Sec. 3727.60. As used in this section and sections 3727.601
and 3727.602
of the Revised Code:
(A) "Drug" has the same meaning as in the "Federal Food,
Drug, and Cosmetic Act," 52 Stat. 1040, 1041 (1938), 21 U.S.C.
321(g)(1), as amended.
(B) "Device" has the same meaning as in the "Federal Food,
Drug, and Cosmetic Act," 52 Stat. 1040, 1041 (1938), 21 U.S.C.
321(h), as amended.
(C) "Emergency contraception" means any drug or device
intended to prevent pregnancy after unprotected sexual intercourse
or contraceptive failure.
(D) "Sexual assault" means a violation of sections 2907.02 to
2907.06 of the Revised Code.
Sec. 3727.601. (A) It shall be the standard of care in this
state for hospitals that offer organized emergency services to
provide the services specified in division (B) of this section to
victims of sexual assault or
individuals believed to be victims
of sexual assault. The services shall be provided without
regard
to the victim's ability to pay for the services.
(B)(1) The hospital shall provide the victim or individual
believed to be a victim with information about emergency
contraception. The information shall be medically and
factually
accurate and unbiased. It shall be provided in clear and concise
language in both written and
oral formats. The information shall
explain the
following:
(a) That emergency contraception has been approved by the
United States food and drug administration for use by women of all
ages with a prescription and as an over-the-counter medication for
women eighteen years of age or older as a safe and effective means
to prevent pregnancy after unprotected sexual intercourse or
contraceptive failure if taken in a timely manner;
(b) That emergency contraception is more effective the sooner
it is taken following unprotected sexual intercourse or
contraceptive failure;
(c) That emergency contraception does not cause an abortion
and studies have shown that it does not interrupt an established
pregnancy.
(2) The hospital shall promptly offer emergency
contraception to the victim or individual believed to be a victim
and provide the emergency contraception if the
victim or
individual accepts the offer.
(3) The hospital shall promptly provide the victim or
individual believed to be a victim with an
assessment of the
victim's or individual's risk of contracting sexually
transmitted
diseases, including gonorrhea, chlamydia, syphillis, and hepatitis.
The assessment shall be conducted by a physician, physician
assistant, clinical nurse specialist, certified nurse
practitioner, or a certified nurse-midwife. The assessment shall
be based on the
following:
(a) The available information regarding the sexual assault.
(b) The established standards of risk assessment, including
consideration of any recommendations established by the United
States centers for disease control and prevention, peer-reviewed
clinical studies, and appropriate research using invitro and
nonhuman primate models of infection.
(4) After conducting the assessment, the hospital shall
provide the victim or individual believed to be a victim with
counseling concerning the significantly prevalent sexually
transmitted diseases
for which effective post-exposure treatment
exists and for which
deferral of treatment would either
significantly reduce treatment
efficacy or pose substantial risk
to the victim's health,
including the diseases for which
prophylactic
treatment is recommended based on guidelines from
the centers for
disease control and prevention. The counseling
shall be provided by a physician, physician assistant, clinical
nurse specialist, certified nurse practitioner, or certified
nurse-midwife. The counseling shall be provided in clear and
concise language.
(5) After providing the counseling, the hospital shall offer
treatment for sexually transmitted diseases to the victim or
individual believed to be a victim. The hospital shall provide the
treatment if the victim or individual accepts the offer.
(6) Before the victim or individual believed to be a victim
leaves the hospital, the hospital shall provide the victim or
individual with counseling on
the physical and mental health
benefits of seeking
follow-up care from the victim's or
individual's primary care physician or from
another medical care
provider capable of providing follow-up care
to victims of sexual
assault. The counseling shall include information on local
organizations and relevant health providers capable
of providing
either follow-up medical care or other health
services to victims
of sexual assault. The counseling shall be provided by a
physician, physician assistant, clinical nurse specialist,
certified nurse practitioner, or certified nurse-midwife. The
counseling shall be provided in clear and concise language.
(C) In the case of minors, the services specified in this
section shall be provided
at the discretion of the treating
physician and in accordance with the guidelines of the centers for
disease control and prevention.
Notwithstanding any other provision of law, a minor may
consent to the services specified in this section. The consent is
not
subject to disaffirmance because of minority, and consent of
the
parent, parents, or guardian of the minor is not required for
the services to be provided. The parent,
parents, or
guardian
of
a minor giving consent under this section
are not liable for
payment for any services provided under this
section without
their
consent.
(D) Nothing in this section shall be construed to mean the
following:
(1) That a hospital is required to provide treatment to
a
victim of sexual assault if the treatment goes against
recommendations established by the United States centers for
disease control and prevention;
(2) That a victim is required to submit to any testing
or
treatment;
(3) That a hospital is prohibited from seeking reimbursement
for the costs of services provided under this section from the
victim's health insurance or medicaid, if applicable, and to the
extent permitted by section 2907.28 of the Revised Code.
Sec. 3727.602. In addition to other remedies under common
law, an individual may file a complaint with the department of
health if the individual believes a hospital has failed to comply
with the requirements of section 3727.601 of the Revised Code. The
department shall investigate the complaint in a timely manner.
If the department determines that a hospital has failed to
provide the care or services
required in section 3727.601 of the
Revised Code to a sexual
assault victim, the department shall,
pursuant to an adjudication under Chapter 119. of the Revised
Code, impose a civil penalty of not less than ten
thousand
dollars for each violation.
If the hospital has previously violated section 3727.601
of
the Revised Code, the department may ask the attorney general
to
bring an action for injunctive relief in any court of competent
jurisdiction. On the filing of an appropriate petition in the
court, the court shall conduct a hearing on the petition. If it is
demonstrated in the proceedings that the hospital has failed to
provide the care or services, the court shall grant a temporary or
permanent injunction enjoining the hospital's operation.
Section 2. This act shall be known as the "Compassionate
Assistance for Rape Emergencies Act."
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