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House
File
807
-
Reprinted
HOUSE
FILE
807
BY
COMMITTEE
ON
HEALTH
AND
HUMAN
SERVICES
(SUCCESSOR
TO
HF
589)
(As
Amended
and
Passed
by
the
House
March
24,
2025
)
A
BILL
FOR
An
Act
creating
the
compassion
and
care
for
medically
1
challenging
pregnancies
Act.
2
BE
IT
ENACTED
BY
THE
GENERAL
ASSEMBLY
OF
THE
STATE
OF
IOWA:
3
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807
Section
1.
NEW
SECTION
.
135S.1
Title.
1
This
chapter
shall
be
known
as
the
“Compassion
and
Care
for
2
Medically
Challenging
Pregnancies
Act”
.
3
Sec.
2.
NEW
SECTION
.
135S.2
Definitions.
4
For
the
purposes
of
this
chapter,
unless
the
context
5
otherwise
requires:
6
1.
“Department”
means
the
department
of
health
and
human
7
services.
8
2.
“Health
care
practitioner”
means
a
physician
licensed
9
pursuant
to
chapter
148,
a
physician
assistant
licensed
10
pursuant
to
chapter
148C,
an
advanced
registered
nurse
11
practitioner
licensed
pursuant
to
chapter
152,
or
an
advanced
12
practice
registered
nurse
under
chapter
152E.
13
3.
“Lethal
fetal
anomaly”
means
a
fetal
condition
diagnosed
14
before
birth
that
will,
with
reasonable
certainty,
result
in
15
the
death
of
the
child
three
months
after
birth.
16
4.
“Perinatal
hospice
service”
means
comprehensive
17
support
to
a
pregnant
woman
and
her
family
that
includes
18
support
from
the
time
of
diagnosis
of
a
lethal
fetal
anomaly,
19
through
the
time
of
birth
and
the
death
of
the
infant,
and
20
through
the
postpartum
period.
“Perinatal
hospice
services”
21
may
include
but
are
not
limited
to
counseling
and
medical
22
care
by
maternal-fetal
medical
specialists,
obstetricians,
23
neonatologists,
anesthesia
specialists,
clergy,
social
workers,
24
and
specialty
nurses
focused
on
alleviating
fear
and
ensuring
25
that
the
pregnant
woman
and
her
family
experience
the
life
and
26
death
of
the
child
in
a
comfortable
and
supportive
environment.
27
Sec.
3.
NEW
SECTION
.
135S.3
Perinatal
hospice
services
——
28
health
care
practitioner
role
——
list
and
information.
29
1.
A
health
care
practitioner
who
diagnoses
a
lethal
fetal
30
anomaly
may
do
any
of
the
following:
31
a.
Inform
the
pregnant
woman,
orally
and
in
person,
that
32
perinatal
hospice
services
are
available
and
offer
to
refer
the
33
pregnant
woman
for
such
services.
34
b.
Provide
the
pregnant
woman
with
the
list
and
information
35
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H.F.
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sheet
regarding
available
perinatal
hospice
services
compiled
1
and
provided
by
the
department
pursuant
to
subsection
2.
2
2.
a.
The
department
shall
compile
a
geographically
3
organized
list
of,
and
an
information
sheet
regarding,
4
perinatal
hospice
services
available
in
Iowa
and
nationally.
5
b.
The
department
shall
post
the
list
and
information
sheet
6
compiled
under
this
subsection,
available
in
both
English
and
7
Spanish,
on
the
department’s
internet
site.
8
c.
The
internet
site
and
information
sheet
shall
include
all
9
of
the
following:
10
(1)
A
statement
indicating
that
perinatal
hospice
services
11
are
an
innovative
and
compassionate
model
of
support
for
a
12
pregnant
woman
who
is
informed
that
her
baby
has
a
lethal
fetal
13
anomaly
and
chooses
to
continue
her
pregnancy.
14
(2)
A
general
description
of
the
perinatal
hospice
services
15
available.
16
(3)
At
the
request
of
a
perinatal
hospice
service
included
17
on
the
list,
the
perinatal
hospice
service’s
informational
18
materials
and
contact
information,
including
whether
19
twenty-four-hour
perinatal
hospice
services
are
available.
20
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