Summary of Georgia’s Laws Related to Abortion Legal Definition of Abortion: 'Abortion' means the use or prescription of any instrument, medicine, drug, or any other substance or device with the intent to terminate the pregnancy of a female known to be pregnant. The term 'abortion' shall not include the use or prescription of any instrument, medicine, drug, or any other substance or device employed solely to increase the probability of a live birth, to preserve the life or health of the child after live birth, or to remove a dead unborn child who died as a result of a spontaneous abortion. The term 'abortion' also shall not include the prescription or use of contraceptives. GA Code 15-11-111. General Rules and Regulations of the Law: Only a physician licensed by the State of Georgia to practice medicine and surgery may perform an abortion. GA Code 16-12-141. After the first trimester: No abortion can be performed after the first trimester unless the abortion is performed in a licensed hospital or in a health facility licensed as an abortion facility by the Department of Human Resources. GA. Code 16-12-141. After the second trimester: No abortion can be performed after the second trimester unless the physician and two consulting physicians certify that the abortion is necessary in their best clinical judgment to preserve the life or health of the mother. GA Code 16-12-141. Born-alive protection: If the baby is born alive (capable of meaningful or sustained life), medical aid must be rendered. GA Code 16-12-141. Reporting of abortions: The performing physician must file a Certificate of Abortion to the Commissioner of the Department of Human Resources within ten days after an abortion procedure is performed. The statistical data of the woman required on the certificate includes her age, race, education, county of residence, marital status, duration of pregnancy, previous pregnancy history including previous abortions, method of abortion, fetal defects if fetus survives, and history of use of drugs and/or alcohol. The privacy of the woman must be preserved. Records must be available to the district attorney of the judicial circuit where the hospital or health facility is located. Parental Notification for a Minor Seeking An Abortion: GA Code 15-11-111 through 118. Definition of unemancipated minor: Any person under the age of 18 who is not or has not been married or who is under the care, custody, and control of her parent, guardian, or the juvenile court. 1 Georgia Right to Life www.grtl.org No physician or other person can perform an abortion on an unemancipated minor unless they meet one of the three requirements: (1) The minor furnishes a statement signed by a parent or guardian stating that they are the lawful parent or guardian and that they have been notified that an abortion is to be performed on the minor. (2) Or the physician or an agent gives at least 24 hours notice in person or by telephone to the parent or guardian. The physician must provide the name and address of the place where the abortion is to be performed. (3) Or the physician or an agent gives written notice of the pending abortion and the address of the place where the abortion is to be performed, sent by regular mail, addressed to a parent or guardian of the minor. The notice is deemed delivered 48 hours after mailing. If the parent or guardian cannot be located, the girl can petition the juvenile court for a waiver of the requirement for parental notification. The court can also grant a waiver if the girl is "mature enough and well informed to make the abortion decision in consultation with her physician." The court will offer the girl a court appointed counsel. Parental Consent: Georgia does not require a parent to consent before their minor daughter undergoes an abortion. Partial-Birth Abortion Ban: President Bush signed the Ban on Partial Birth Abortion on November 3, 2003, but three federal courts promptly issued temporary restraining orders preventing enforcement of the Act. Therefore, babies continue to be aborted by the heinous partial-birth abortion procedure. The three federal courts include: 1. Nebraska - Carhart v. Ashcroft, 287 F. Supp. 2d 1015 (D. Neb. 2003); 2. New York - National Federation of America v. Ashcroft, 287 F. Supp. 525 (S.D.N.Y. 2003); 3. California - Planned Parenthood Federation of America v. Ashcroft, No. C 03-4872 PJH (ND.Cal Nov. 7, 2003). The parties challenging the federal law argue the ban is unconstitutional because the language is overbroad and lacks an exception to protect women’s health. Georgia’s law banning partial birth abortion includes the health exception that is a catchall that permits a partial birth abortion for any type of physical, emotional or mental stress on the mother. The law is also limited by a court’s consent order to limit enforcement to “intact and dilation and extraction” procedures performed to abort a viable fetus except when necessary to preserve the woman’s life or health. Midtown Hospital v. Miller, No. 1:97-CV-1786-JOF (N.D. Ga. Sept. 3, 2 Georgia Right to Life www.grtl.org 1998) The U.S. Supreme Court held that a ban on partial-birth abortion that lacks an exception to protect a woman’s health and that bans more than one procedure is unconstitutional. Stenberg v. Carhart, 530 U.S. 914 (2000). Conscience Exceptions: Certain medical personnel and health facilities may refuse to participate in abortion on the basis of conscience or religious conviction. GA Code 16-12-142 Public Funding: Georgia does not pay for abortions for Medicaid clients except in cases of rape or incest, or when the mother’s life is endangered. Licensing of Abortion Providers: In order to perform first-trimester abortions, a provider must be licensed as a hospital or an “abortion facility,” which is an ambulatory surgical center. GA. Comp. Rules and Regulations 290-5-32-01 (g). Georgia restricts providers in abortion facilities to performing only Dilation & Extraction (D & E) abortions. Abortions after 13 weeks other than D & E must be performed in a hospital. Abortion facilities must be available at all reasonable and/or scheduled operating hours for observation and examination by state officials. Ga. Comp. Rules and Regulations R. 290-5-33-08 (1). Informed Consent for Abortion: No abortion shall be performed in Georgia except with the voluntary and informed consent of the female upon whom the abortion is to be performed. Notwithstanding any provision of law to the contrary, except in the case of a medical emergency, consent to an abortion is voluntary and informed if and only if: (1) The female is told the following, by telephone or in person, by the physician who is to perform the abortion, by a qualified agent of the physician who is to perform the abortion, by a qualified agent of a referring physician, or by a referring physician, at least 24 hours before the abortion: (A) The particular medical risks to the individual patient associated with the particular abortion procedure to be employed, when medically accurate; (B) The probable gestational age of the unborn child at the time the abortion would be performed; and (C) The medical risks associated with carrying the unborn child to term. This information may be provided by telephone without conducting a physical examination or tests of the patient, in which case the information required to be provided may be based on facts supplied to the physician by the female and whatever other relevant information is reasonably available to the physician. This information may not be provided by a tape recording but must be provided during a consultation in which the physician or a qualified agent of the physician is able to ask questions of the female and the female is able 3 Georgia Right to Life www.grtl.org to ask questions of the physician or the physician’s qualified agent. If in the medical judgment of the physician any physical examination, tests, or other information subsequently provided to the physician requires a revision of the information previously supplied to the patient, that revised information shall be communicated to the patient prior to the performance of the abortion. (2) The female is informed, by telephone or in person, by the physician who is to perform the abortion, by a referring physician, or by a qualified agent of either physician at least 24 hours before the abortion: (A) That medical assistance benefits may be available for prenatal care, childbirth, and neonatal care; (B) That the father will be liable pursuant to subsection (a) of Code Section 19-7-49 to assist in the support of her child; and (C) That she has the right to review the printed materials to be published by the Department of Human Resources by August 10, 2005, and that these materials will be available on a state sponsored website by August 10, 2005. The physician or the physician’s qualified agent shall orally inform the female that materials have been provided by the State of Georgia and that they describe the unborn child, list agencies that offer alternatives to abortion, and contain information on fetal pain. If the female chooses to view the materials other than on the website, they must either be given to her at least 24 hours before the abortion or mailed to her at least 72 hours before the abortion by certified mail, restricted delivery to addressee. This information required may be provided by a tape recording if provision is made to record or otherwise register specifically whether the female does or does not choose to review the printed materials other than on the website; (3) The female certifies in writing, prior to the abortion, that the required information has been furnished her and that she has been informed of her opportunity to review the information. (4) Prior to the performance of the abortion, the physician who is to perform the abortion or the physician’s qualified agent receives a copy of the written certification and retains it on file with the female’s medical record for at least three years following the date of receipt. By August 10, 2005, the Department of Human Resources is required to publish in English and in each language which is the primary language of 2 percent or more of the state’s population and ensure that the information is available on the state website the following information: (1) Geographically indexed materials designed to inform the female of public and private agencies and services available to assist a female through 4 Georgia Right to Life www.grtl.org pregnancy, upon childbirth, and while the child is dependent, including adoption agencies, including a comprehensive list of the agencies available, a description of the services they offer, and a description of the manner, including telephone numbers and website addresses, in which they might be contacted or, at the option of such department, printed materials including a toll-free, 24 hour telephone number which may be called to obtain, orally or by a tape recorded message tailored to the ZIP Code entered by the caller, such a list and description of agencies in the locality of the caller and of the services they offer; (2) Materials designed to inform the female of the probable anatomical and physiological characteristics of the unborn child at two-week gestational increments from the time when a female can be known to be pregnant to full term, including any relevant information on the possibility of the unborn child’s survival and pictures representing the development of unborn children at two-week gestational increments, provided that any such pictures must contain the dimensions of the fetus and must be factually accurate for the stage of pregnancy depicted. The materials will be objective, nonjudgmental, and designed to convey only factually accurate scientific information about the unborn child at the various gestational ages. The material will also contain objective information describing the methods of abortion procedures commonly employed, the medical risks commonly associated with each such procedure, the possible detrimental psychological effects of abortion, and the medical risks commonly associated with carrying a child to term; and (3) Materials with the following statement concerning unborn children of 20 week’s or more gestational age: 'By 20 weeks gestation, the unborn child has the physical structures necessary to experience pain. There is evidence that by 20 weeks gestation unborn children seek to evade certain stimuli in a manner, which in an infant or an adult would be interpreted to be a response to pain. Anesthesia is routinely administered to unborn children who are 20 weeks gestational age or older who undergo prenatal surgery.' 5 Georgia Right to Life www.grtl.org