PURPOSE: This amendment modifies the title of this rule, the incorporated ITOP Report, and language within, to align with the new abortion requirement following enactment of section 188.017, RSMo, subsequent to Roe v. Wade being overturned. The Abortion Report will now require the physician's certification that a medical emergency of the pregnant woman existed, necessitating the abortion.
(1) The abortion report will include the following items: name of abortion facility or hospital; the city, town, or location of the abortion facility or hospital; county where the abortion facility or hospital is located; patient identification number; age of patient; marital status of patient; date of abortion; residence of patient (state, county, city or town, inside city limits (yes or no), and zip code); patient's race; patient's ethnicity; patient's education; previous pregnancy history; number of live births now living; number of live births now dead; number of spontaneous terminations and number of induced terminations; procedure used to complete abortion; type of termination procedure used (check only one (1)); date last normal menses began; clinical estimate of gestation; method of estimating gestational age; biparietal diameter measurement (if gestation age greater than or equal to eighteen (18) weeks by date of last normal menses or clinical estimate); name and signature of attending physician; physician's Missouri license number; name of person completing report; fetus viable (yes or no); certifications of the physician who performed or induced the abortion: physician certification they have no knowledge that the woman sought the abortion solely because of a prenatal diagnosis, test, or screening indicating Down Syndrome or of the potential of Down Syndrome in the unborn child (yes or no); physician certification they have no knowledge that the woman sought the abortion solely because of the sex or race of the unborn child (yes or no); physician certification that the abortion was due to a "medical emergency," a condition which, based on reasonable medical judgment, so complicates the medical condition of the pregnant woman as to necessitate the immediate abortion of her pregnancy to avert the death of the pregnant woman or for which a delay will create serious risk of substantial and irreversible physical impairment of a major bodily function of the pregnant woman (yes or no); 1) Has the patient ever served on active duty in the Armed Forces of the United States and separated from such service under conditions other than dishonorable (yes or no); and2) If the patient has answered question (1) in the affirmative, would the patient like to receive information and assistance regarding the agency's veteran services (yes or no). The information shall be reported on the Abortion Report, which is incorporated by reference in this rule as published October 2022 and may be obtained at www.health.mo.gov or by calling (573) 751-6387. Within 45 days from the date of abortion, submit this form to: Department of Health and Senior Services, Attention: Bureau of Vital Records, PO Box 570, Jefferson City, MO 65102. This rule does not incorporate any subsequent amendments or additions.(2) The abortion report shall be signed by the attending physician and submitted to the Department of Health and Senior Services, Bureau of Vital Records, PO Box 570, Jefferson City, MO 65102-0570, within forty-five (45) days of the abortion. AUTHORITY: sections 188.052, 188.055, 191.420 and 192.020, RSMo 1986. This rule was previously filed as 13 CSR 50-151.010 and 19 CSR 30-15.010. Original rule filed Sept. 30, 1980, effective Jan. 12, 1981. Changed to 19 CSR 10-15.010 July 30, 1998.Amended by Missouri Register March 15, 2018/Volume 43, Number 6, effective 4/30/2018Amended by Missouri Register March 1, 2023/Volume 48, Number 5, effective 4/30/2023