Legislature(2001 - 2002)

04/27/2001 01:10 PM House JUD

Audio Topic
* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
HB 160 - REPORTING OF ABORTIONS                                                                                               
                                                                                                                                
Number 2180                                                                                                                     
                                                                                                                                
CHAIR ROKEBERG  announced that the  next order of  business would                                                               
be  HOUSE  BILL NO.  160,  "An  Act  requiring the  reporting  of                                                               
induced terminations of pregnancies."   [Before the committee was                                                               
CSHB 160(HES).]                                                                                                                 
                                                                                                                                
Number 2193                                                                                                                     
                                                                                                                                
REPRESENTATIVE COGHILL, as the sponsor  of HB 160, explained that                                                               
HB 160 would put in place  a reporting system for the termination                                                               
of pregnancies.  The Vital  Statistics section of the Division of                                                               
Public Health (DPH)  will be responsible for  providing an annual                                                               
report  regarding how  many abortions  are performed.   He  noted                                                               
that the reporting will be  done according to national standards,                                                               
and that the  information will remain secure.   He mentioned that                                                               
he  has  no objections  to  a  forthcoming amendment  that  would                                                               
ensure that  confidentiality be  maintained.   He added  that the                                                               
Alaska Civil Liberties Union (AkCLU) supports HB 160.                                                                           
                                                                                                                                
REPRESENTATIVE   BERKOWITZ  asked   whether  any   other  medical                                                               
procedures are reported.                                                                                                        
                                                                                                                                
Number 2271                                                                                                                     
                                                                                                                                
DANIELLE  SERINO, Staff  to Representative  John Coghill,  Alaska                                                               
State  Legislature, sponsor  of  HB 160,  explained that  births,                                                               
deaths, fetal deaths, marriages, and  divorces are reported.  She                                                               
added  that sexually  transmitted diseases  (STDs), any  forms of                                                               
cancer,  tuberculosis,  and  a number  other  diseases  are  also                                                               
reported by doctors.                                                                                                            
                                                                                                                                
REPRESENTATIVE COGHILL  noted that  the concept of  recording and                                                               
reporting abortions is not "precedent setting."                                                                                 
                                                                                                                                
CHAIR ROKEBERG closed the public hearing on HB 160.                                                                             
                                                                                                                                
Number 2349                                                                                                                     
                                                                                                                                
CHAIR ROKEBERG made a motion to adopt Amendment 1, which read:                                                                  
                                                                                                                                
     Page 2, line 11, following "section":                                                                                      
          Insert ", except that the statistical report may                                                                      
     not identify  or give information  that can be  used to                                                                    
     identify  the name  of any  physician who  performed an                                                                    
     induced  termination  of  pregnancy, the  name  of  any                                                                    
     facility in  which an induced termination  of pregnancy                                                                    
     occurred, or the name of  the municipality or community                                                                    
     in   which  the   induced   termination  of   pregnancy                                                                    
     occurred."                                                                                                                 
                                                                                                                                
     Page 2, following line 21:                                                                                                 
          Insert a new bill section to read:                                                                                    
        "*Sec. 2.  AS 18.50.310(a) is amended to read:                                                                        
          (a)  To protect the integrity of vital statistics                                                                     
     records, to ensure their proper  use, and to ensure the                                                                    
     efficient  and  proper   administration  of  the  vital                                                                    
     statistics  system,  it is  unlawful  for  a person  to                                                                    
     permit  inspection of  [,] or  to disclose  information                                                                    
     contained in  vital statistics records,  or to  copy or                                                                    
     issue a  copy of  all or  part of  a record,  except as                                                                    
     provided   by  this   section  or   as  authorized   by                                                                    
     regulations  issued under  this  chapter.   Regulations                                                                
     issued   under   this   chapter   may   not   authorize                                                                
     inspection, disclosure,  or copying  of all or  part of                                                                
     any  report  or  record  received  under  AS 18.50.245,                                                                
     except  that  the  statistical  report  prepared  under                                                                
     AS 18.50.245(d) may  be copied and distributed."                                                                       
                                                                                                                                
     Renumber the following bill sections accordingly.                                                                          
                                                                                                                                
CHAIR ROKEBERG explained that he  is offering Amendment 1 because                                                               
he has  concerns about  the potential  for misuse  of information                                                               
related to  doctors, health clinics,  and hospitals;  Amendment 1                                                               
is intended to  strictly prohibit any information  other than the                                                               
final report from becoming a matter of public record.                                                                           
                                                                                                                                
Number 2382                                                                                                                     
                                                                                                                                
AL ZANGRI, Chief, Vital Statistics, Division of Public Health                                                                   
(DPH), Department of Health & Social Services (DHSS), noted that                                                                
he has not yet reviewed Amendment 1.                                                                                            
                                                                                                                                
REPRESENTATIVE BERKOWITZ  asked whether the reporting  of medical                                                               
procedures  is  done  through  Vital  Statistics  or  some  other                                                               
entity.                                                                                                                         
                                                                                                                                
MR.  ZANGRI  explained  that Vital  Statistics  receives  medical                                                               
reports  on  births,  deaths,   marriages,  divorces,  and  fetal                                                               
deaths.  Other kinds of  medical procedures or medical conditions                                                               
such as  HIV (human immunodeficiency virus)  and tuberculosis are                                                               
reported to the DPH's Epidemiology Section.                                                                                     
                                                                                                                                
REPRESENTATIVE  BERKOWITZ  asked  Representative Coghill  why  he                                                               
opted not  to go through  the latter  route of reporting  with HB
160.                                                                                                                            
                                                                                                                                
REPRESENTATIVE  COGHILL  said  that   because  fetal  deaths  are                                                               
reported   through   Vital    Statistics,   he   and   department                                                               
representatives  agreed that  it would  be appropriate  to handle                                                               
abortion reporting in the same manner.                                                                                          
                                                                                                                                
REPRESENTATIVE  BERKOWITZ noted  that the  [Epidemiology Section]                                                               
is   already   accustomed   to  handling   confidential   medical                                                               
information.                                                                                                                    
                                                                                                                                
MR.  ZANGRI   countered  that   Vital  Statistics   also  handles                                                               
confidential medical information.   He added that  there are only                                                               
four  other  states  that  do not  have  mandatory  reporting  of                                                               
induced terminations  of pregnancy,  and in  all of  those states                                                               
that  do report  them, with  the exception  of one  or two,  that                                                               
information is reported through Vital Statistics.                                                                               
                                                                                                                                
TAPE 01-76, SIDE B                                                                                                              
Number 2466                                                                                                                     
                                                                                                                                
REPRESENTATIVE  COGHILL asked  Mr. Zangri  to comment  on whether                                                               
Amendment 1 is actually needed.                                                                                                 
                                                                                                                                
MR.  ZANGRI said  that vital  statistics  records are  prohibited                                                               
from inspection for a specific period  of time, by record.  There                                                               
is   nothing  in   current  statute   that  defines   an  induced                                                               
termination  of pregnancy  as a  vital statistic  record; in  the                                                               
absence of such a definition, he  said, Amendment 1 is needed and                                                               
will be very helpful.                                                                                                           
                                                                                                                                
REPRESENTATIVE  COGHILL reiterated  that he  has no  objection to                                                               
Amendment 1.                                                                                                                    
                                                                                                                                
CHAIR ROKEBERG  asked whether Amendment  1 would have  any impact                                                               
on  other [confidential]  information, or  create any  unintended                                                               
consequences for Vital Statistics.                                                                                              
                                                                                                                                
MR. ZANGRI said it might create  some problems; other areas in AS                                                               
18.50 permit  disclosure of  birth records  after 100  years, and                                                               
death, marriage,  and divorce records  after 50 years.   He noted                                                               
that Vital  Statistics permits inspection of  other vital records                                                               
for various purposes as well.                                                                                                   
                                                                                                                                
REPRESENTATIVE COGHILL  surmised that if any  regulations have to                                                               
be created  in order to comply  with the requirements of  HB 160,                                                               
the intent  of Amendment 1  is to protect  information pertaining                                                               
to induced termination of pregnancies.                                                                                          
                                                                                                                                
Number 2350                                                                                                                     
                                                                                                                                
CHAIR  ROKEBERG  asked  whether  there  were  any  objections  to                                                               
Amendment 1.  There being no objection, Amendment 1 was adopted.                                                                
                                                                                                                                
REPRESENTATIVE BERKOWITZ  stated that he is  incredibly concerned                                                               
about  privacy  and  the  safety  of  people;  it  is  absolutely                                                               
imperative  that  this  information receive  the  most  stringent                                                               
protection possible.   He noted  that he has  received complaints                                                               
that  Vital  Statistics  has  released  information  to  agencies                                                               
without authorization.  Should  information pertaining to induced                                                               
termination of pregnancies  be released in a  similar fashion, he                                                               
said he  would view  it as  the most egregious  type of  abuse of                                                               
personal privacy.   If he ever  hears of any instance  of such an                                                               
abuse,  he warned,  he would  expect the  legislature to  revisit                                                               
this  issue.   The  more  "sideboards"  put  around HB  160,  the                                                               
better, he added.                                                                                                               
                                                                                                                                
REPRESENTATIVE COGHILL said he did  not want to elevate this type                                                               
of information  above other types  of sensitive information.   He                                                               
noted that he has not heard of any breaks in confidentiality.                                                                   
                                                                                                                                
Number 2240                                                                                                                     
                                                                                                                                
REPRESENTATIVE JAMES  moved to report CSHB  160(HES), as amended,                                                               
out  of   committee  with  individual  recommendations   and  the                                                               
accompanying  fiscal  note.    There  being  no  objection,  CSHB
160(JUD)  was   reported  from   the  House   Judiciary  Standing                                                               
Committee.                                                                                                                      
                                                                                                                                

Document Name Date/Time Subjects