BILL REQ. #:  H-0443.1 

Read first time 01/19/11.   Referred to Committee on Health Care & Wellness.

     AN ACT Relating to limited service pregnancy centers; adding a new chapter to Title 70 RCW; and prescribing penalties.

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF WASHINGTON:

NEW SECTION.  Sec. 1   This chapter may be known and cited as the limited service pregnancy center accountability act.

NEW SECTION.  Sec. 2   (1) The legislature finds that:
     (a) Seeking or obtaining health care is fundamental to public health and safety;
     (b) Health care information is personal and sensitive information that if improperly used, released, or withheld from a patient may do significant harm to a patient's interests in privacy, health care, or other interests; and
     (c) Some limited service pregnancy centers have misled people about the nature of their services, and have withheld health care records, including the results of pregnancy tests, from individuals seeking services.
     (2) It is the intent of the legislature that limited service pregnancy centers operating in Washington state provide truthful information about the services they offer, and maintain the privacy of and respect a person's right to his or her health care information.

NEW SECTION.  Sec. 3   The definitions in this section apply throughout this chapter unless the context clearly requires otherwise.
     (1) "Comprehensive birth control services" means the medical evaluation and care related to the prescription or provision of contraceptive drugs or devices, and includes the provision of nondirective counseling on methods and efficacy of contraception, and the prescription or provision of contraceptive drugs or devices.
     (2) "Health care information" has the same meaning as in RCW 70.02.010.
     (3) "Limited service pregnancy center" means an organization that advertises, offers, or provides pregnancy tests or ultrasounds, and information about adoption or abortion, whether for a fee or as a free service, but does not provide any of the following: Prenatal medical care, comprehensive birth control services, and abortion or referrals for abortion. "Limited service pregnancy center" does not include health care entities licensed under Title 18 RCW, hospitals and entities licensed under Title 70 RCW, or health care providers licensed under Title 18 RCW. A limited service pregnancy center remains subject to the provisions of this chapter notwithstanding the presence of a licensed health care provider in the governance of, on the staff of, or acting as a volunteer with the limited service pregnancy center.
     (4) "Primary languages" means the most frequently spoken languages in the county in which the limited service pregnancy center is located, and includes at a minimum English, Spanish, Vietnamese, Cambodian, Laotian, and Chinese.

NEW SECTION.  Sec. 4   (1) A limited service pregnancy center shall make the following disclosures to a person seeking services:
     (a) That the center does not provide abortion or comprehensive birth control services;
     (b) That the center does not provide referrals to individuals or organizations that provide abortion or comprehensive birth control services; and
     (c) That the center does not provide medical care for pregnant women.
     (2) The disclosure required by subsection (1) of this section must be provided as follows:
     (a) Verbally, in such a manner as to be reasonably understandable to the person seeking services, upon first communication or first contact with a person seeking services, whether by telephone, electronic communication, or in person; and
     (b) In writing, as follows:
     (i) In all primary languages, in thirty-point font size or larger, on eight and one-half inch by eleven inch paper or larger, posted (A) on the main entry door of the organization and (B) inside the building housing the organization in such a manner as to be clearly visible from the area at which the organization conducts intakes; and
     (ii) In all primary languages, clearly visible on the home page of the organization's web site, in the primary font size used on the web site; and
     (iii) In all primary languages, in any advertisement or notice promoting the center's services.
     (3) A limited service pregnancy center shall, before providing a pregnancy test that uses an over-the-counter product to perform the pregnancy test, inform the person seeking to be tested, in such a manner as to be reasonably understandable to the person seeking services, that the pregnancy test is an over-the-counter product and shall offer the person seeking to be tested the opportunity to self-administer.

NEW SECTION.  Sec. 5   (1) A limited service pregnancy center that collects health care information from a person seeking or receiving its services may not disclose health care information about that person to any other person, entity, or organization without the service recipient's written authorization. A disclosure made under a service recipient's written authorization must conform to the authorization.
     (2) To be valid, a service recipient's authorization must conform to the requirements of RCW 70.02.030(3).
     (3) A limited service pregnancy center that provides or assists in the provision of pregnancy testing, whether for a fee or without charge, whether those tests are over-the-counter or laboratory tests, shall provide the person tested with a free written statement of the results of the pregnancy test, in English and in the person's primary language, immediately after the test is completed. For the purpose of this subsection, "primary language" means the language primarily spoken by the tested person.
     (4) Upon receipt of a written request from a service recipient to examine or copy all or part of the recipient's recorded health care information, a limited service pregnancy center, as promptly as required under the circumstances, but no later than fifteen working days after receiving the request shall:
     (a) Make the information available for examination during regular business hours and provide a free copy to the service recipient, if requested;
     (b) Inform the service recipient if the information does not exist or cannot be found; and
     (c) If the limited service pregnancy center does not maintain a record of the information, inform the service recipient and provide the name and address, if known, of the entity that maintains the record.

NEW SECTION.  Sec. 6   (1) Any person who is aggrieved by a violation of this chapter may bring a civil action against a limited service pregnancy center in superior court to enjoin further violations, to recover the actual damages sustained by him or her, or both, together with the costs of the suit, including reasonable attorneys' fees. The court may, in its discretion, increase the award of damages to an amount not to exceed three times the actual damages sustained. A party seeking civil damages under this section may recover upon proof of a violation by a preponderance of the evidence. For the purpose of this section, "person" includes counties or other municipalities.
     (2) If damages are awarded under this section, the court may, in addition to damages, impose on a liable party a civil fine of not more than one thousand dollars to be paid to the plaintiff.
     (3) The remedy provided by this section is in addition to any common law remedy or other remedy that may be available to a person aggrieved by a violation of this chapter.

NEW SECTION.  Sec. 7   If any provision of this act or its application to any person or circumstance is held invalid, the remainder of the act or the application of the provision to other persons or circumstances is not affected.

NEW SECTION.  Sec. 8   Sections 1 through 7 of this act constitute a new chapter in Title 70 RCW.