Bolivia enacts new abortion law with limited conscience clause

Sean Murphy*

A new abortion law has been enacted in Bolivia as part of the revision of the country’s Penal Code.  Section 153 of the Penal Code now permits abortion of any girl under the age of 20 for any reason and at any point in gestation, when pregnancy results from rape, incest or involuntary artificial reproduction.  Abortion is also allowed at any point in gestation in the case of present or future risk to the life or “overall health” of a woman, and (when pregnancy is under 8 weeks gestation) the woman is a student or has the care of a disabled relative.

The protection of conscience provision prohibits “the national health system” from asserting conscientious objection and insists that conscientious objection is limited to individual medical personnel “directly involved in the accomplishment” of the procedure, and must be stated in advance.  “The national health system” is not defined in the law.  It would appear from this that private or denominational health facilities (if they exist and are legally part of the national health system) cannot establish policies prohibiting abortion.

The fact that abortion is permitted as an exception to a general prohibition should mean that medical personnel or institutions of the opinion that a women does not qualify for an abortion under one of the legal criterion (such as risk to “overall health”) cannot be compelled to participate.  This would not constitute conscientious objection and could not be stated in advance.

Arizona Strengthens Conscience Protections for Health Care Providers

New law aims to ensure doctors and nurses aren’t fired for their beliefs if assisted suicide is ever legalized in the state.

National Catholic Register

PHOENIX — Health care providers and institutions opposed to assisted suicide gained more legal protections under a new Arizona law that aims to help ensure doctors and nurses aren’t fired for their beliefs if the practice is ever legalized.

Senate Bill 1439 was “an important rights-of-conscience bill,” according to the bishops of the Arizona Catholic Conference.

“S.B. 1439 will help protect health care providers not wanting to participate in services causing the death of their patients,” the state’s four bishops said March 24, adding they were grateful that it has become law. . . [Full text]

 

Virginia enacts protection of conscience provision for genetic counsellors

 Governor’s attempt to force referral overridden by Senate

A bill concerning the regulation of genetic counselling in Virginia has been enacted with the original protection of conscience provision intact.  Identical versions of the bill had been passed unanimously by the Virginia House and Senate, but Governor Terry McAuliffe, apparently in response to lobbying from the American Civil Liberties Union (ACLU) and Planned Parenthood, attempted to insert a mandatory referral provision into the bill.  This was rejected by the Senate.  The law now requires an objecting counsellor to offer “to direct the patient to the online directory of licensed genetic counselors maintained by the Board.” [Family Foundation]

Protection of conscience provision in new Tasmanian abortion law

The Reproductive Health (Access to Terminations) Bill 2013 passed the Tasmanian  Legislative Council 9-5 on 21 November [ The Examiner] and received Royal Assent today.  Abortions after 16 weeks will require the approval of two physicians.  The new Act includes a protection of conscience provision that exempts those who object to the procedure from participating in it, except when necessary to save the life of a woman or prevent serious physical injury.  There is no requirement for referral, but an objecting physician must provide a woman “seeking a termination or advice regarding the full range of pregnancy options” a “list of prescribed health services” from which she may seek advice.  Since, subject to the content of the list, this does not seem to be the equivalent of referral for abortion, the requirement may not be problematic for those concerned about indirect moral complicity.

What is not clear is whether or not the Act actually prohibits an objecting physician from providing information or advice about pregnancy options beyond the “prescribed” list.  Section 7(4) states that an objecting physician may continue to “provide treatment, advice or counselling, in respect of matters other than a termination or advice regarding the full range of pregnancy options” (emphasis added) which could be taken to imply that an objecting physician is not permitted to offer a woman anything other than the prescribed list.

 

Protection of conscience bill to be proposed in Alabama

Representative Becky Nordgren of Alabama, is proposing a Health Care Right of Conscience Act in the state legislature.  The bill is intended to protect all health care providers from being compelled to participate, directly or indirectly, in abortion, human cloning, human embryonic stem cell research, and sterilization if they object to the procedures for reasons of conscience.  A health care provider must give an employer no less than 24 hours written notice of an objection.  An exception is made in the case of a procedure necessary to save the life of a patient.  Patricia Todd, a Representative apparently hostile to freedom of conscience for health care workers, asked “[W]hy are you in the health care profession if you don’t want to provide health care?” adding that there had been no attempts to regulate male impotence drugs or prostate exams. [Anniston Star]