►
Description
House Health Subcommittee - March 15, 2022 - House Hearing Room 2
A
A
A
We
have
several
bills
that
went
off
notice
item
one
house
bill
2119
by
leader,
lamberth
has
been
taken
off
notice.
Item
seven
house
bill
2624
by
representative
chairman
baum
has
been
taken
off
item
eight
house
bill
2081
by
bomb
has
been
taken
off
notice.
Item
11
house
bill
2298
by
chairman
host
claw
has
been
taken
off
notice.
Item
13
house
bill
2080
by
chairman,
sexton
has
been
taken
off
notice.
A
Let's
go
ahead,
if
no
objections
we'll
put
the
amendment
on
the
bill,
all
those
in
favor
of
the
amendment
say:
aye
any
opposition
part
of
we
didn't
get
emotional.
Second
one.
Let's
go
back
just
a
moment.
We
didn't
get
a
motion
in
a
second
on
the
amendment
stand
for
have
a
motion.
We
have
a
second
on.
The
amendment
have
a
proper
second
we'll
be
voting
to
put
the
amendment
on
the
bill,
all
those
in
favor
say:
aye
any
opposition,
so
we're
back
on
the
bill
as
amended.
D
You
have
supported
me
for
the
whole.
For
seven
previous
years,
we
have
fought
the
good
fight
to
get
increased
dollars
for
our
dids
workers
this
year,
the
governor's
taking
care
of
that
in
his
budget.
But
there
are
other
folks
out
there
who
do
care
their
contract
employees
that
the
state
contracts
with
both
through
10
care
and
through
various
departments
who
are
we're
not
probably
reimbursing
properly
we're,
making
it
very
difficult.
D
And
if
we
don't
correct
this
issue,
we're
going
to
be
having
tennesseans,
who
are
not
going
to
be
able
to
receive
the
services
that
we've
promised
them.
So
this
bill
simply
sets
up
a
task
force
made
up
of
all
the
interested
parties,
various
departments
that
would
look
holistically
at
the
this
reimbursement
issue
and
develop
a
plan
and
a
strategy
for
us
to
move
forward
so
that
we
can
continue
to
take
care
of
the
people
in
tennessee
that
need
these
kinds
of
services.
And
with
that,
mr
chairman,
I
would
stand
ready
for
any
questions.
A
A
A
A
A
A
B
Sir
chairman
members,
this
bill
would
allow
erlanger
hospital
to
hire
its
own
private
security
guards
because
of
the
shortage
in
law
enforcement
in
the
chattanooga
area.
Even
in
my
district,
there
has
been
an
incident
where
law
enforcement
is
needed
currently
or
because
of
this
shortage.
Erlanger
is
not
able
to
get
the
security
from
law
enforcement.
They
need
this
bill
would
allow
them
to
do
that
in
the
chattanooga
area.
B
F
B
Can
hire
security
guards,
but
with
this
bill
would
allow
them
to
to
to
be
able
to
have
limited
power,
as
it
relates
to
an
arrest
or
detaining
someone.
Currently,
they
can
have
security
as
it
relates
to
monitor
the
doorways,
but
they
don't
have
the
ability
to
detain
anyone.
This
would
give
them
the
ability
to
do
such.
A
A
B
A
A
G
Thank
you,
mr
chairman
house,
bill
2207
was
brought
to
me
by
the
tennessee
psychological
association.
Once
a
prospective
psychologist
has
finished
their
four
years
of
phd
class
work.
They
must
complete
a
one-year
post-doctoral
training
under
the
supervision
of
a
licensed
psychologist
and
are
granted
a
one-year
provisional
license
while
engaged
in
such
it's
an
indiv.
If
an
individual
does
not
take
and
pass
the
national
exam
or
just
prudence
exam
during
this
postdoctoral
year,
then
they
can
obtain
a
temporary
supervised
license
for
a
maximum
of
one
year
after
they
finish
their
post-doctoral
requirements.
G
G
A
H
A
G
G
H
A
We
do
we
need
further
discussion
that
we
have
expert
witness
if
anybody
requires
it,
if
none
will
further
questions
or
comments
on
the
bill
as
amended,
if
none
questions
been
called
forward,
no
objections
we'll
be
voting
to
send
this
bill
to
full
committee.
All
those
in
favor
say
aye
aye,
any
opposition
so
approved.
Thank
you
chairman.
Thank
you
committee.
Thank
you,
sir.
A
B
A
B
I
B
Thank
you,
mr
chairman,
what
what
house
bill
2335
purports
to
do,
or
what
we're
proposing
with
it
is
a
few
years
back,
we
brought
forth
an
obot
buprenorphine
bill,
which
allowed
nurse
practitioners
advanced
practice
registered
nurses
to
participate
in
the
issuance
of
prescriptions
for
buprenorphine.
What
this
bill
does
at
that
point
in
time,
we
wanted
to
see
how
it
went.
B
B
It
also
regulates
the
use
of
telemedicine
for
mats,
utilizing
buprenorphine,
I'm
trying
to
say
that
as
many
times
as
possible,
I
might
get
it
right.
One
time
to
ensure
patients
are
receiving
the
necessary
wrap
around
behavioral
health
systems
and
curb
diversion
by
requiring
that
providers
must
have
a
physical
clinical
setting
in
order
to
prescribe
buprenorphine
in
tennessee,
and
I
think
that's
a
very
critical
aspect
of
it.
B
I
talked
to
my
colleague,
representative
hicks,
who
was
here
before
me,
and
he
had
expressed
some
interest
with
regards
to
that,
because
that
we,
we
are
a
little
bit
concerned
about
telemeds
in
buprenorphine,
prescription
citizens,
and
this
takes
care
of
it
within
the
obots,
and
so
with
that
I'll
be
happy
to
answer
any
questions.
Okay,
do
we
have.
C
Thank
you,
and
I
just
want
to
commend
the
sponsor
of
the
bill
a
few
years
ago,
when
you
brought
the
original
legislation
working
with
the
committee
and
getting
it
right,
and
I
think
we
were
probably
ahead
of
the
curve
and
and
as
tennessee
often
is,
and
now
you've
brought
back
something
that
helps
in
this
situation.
So
again,
I
just
want
to
commend
you
for
your
work
on
this.
Thank
you.
A
A
We
have
a
proper
motion.
Do
we
have
a
second
second
on
the
bill?
We
have
an
amendment
that
makes
the
bill.
Do
we
have
a
motion
and
second
on
the
amendment
have
proper
motion
and
second,
on
the
amendment
we'll
be
voting
to
put
the
amendment
on
the
bill,
all
those
in
favor
say:
aye
any
op.
Oh
pardon
me
yeah.
Let's
would
you
repeat
the
drafting
code
for
us
chair,
lady.
A
B
E
B
Is
receiving
more
dollars
through
the
opioid
abatement
funds
and
other
grants,
it
is
important
that
we,
as
a
general
assembly,
know
how
these
dollars
are
being
spent
on
medication,
assisted
treatment.
We
want
to
make
sure
that
we
know
how
the
dollars
are
being
used,
what
wrap
around
services
these
patients
are
receiving
and
make
sure
that
we
are
spending
dollars
towards
the
most
effective
means
of
treating
opioid
addiction,
not
spending
dollars
on
anything
that
is
making
the
problem
worse.
A
A
A
F
Members,
this
bill
again
amends
as
amended,
directs
the
tennessee
board
of
pharmacy
to
promulgate
rules
that
will
ensure
an
individual
who's
visually
impaired
will
have
appropriate
access
to
prescription
labels
and
related
related
materials
appropriate
to
their
needs.
An
example
of
what
an
accessible
label
can
do.
F
It
can
inadvertently
prevent
someone
from
taking
the
wrong
medication,
taking
the
wrong
amount
of
medication,
administering
medication
at
the
wrong
times,
accidentally
taking
outdated
medications,
taking
medication
out
in
accordance
to
printed
instructions
and
being
unable
to
detect
pharmacy
errors.
So
with
that,
I'm
happy
to
answer
any
questions.
Mr
chairman,
do.
A
A
A
B
Yes,
sir
I'll
be
very
brief,
mr
chairman.
The
bill
requires
the
department
of
health
to
continue
to
utilize
remote
use
of
the
special
supplemental
food
program
for
women,
infants
and
children
wic
program
at
a
similar
level
that
has
been
available
during
the
years.
2020
and
2021
and
2022
requires
doh
to
conduct
a
review
of
remote
use
of
wic
program
and
report
findings
to
the
chairs
of
the
general
assembly
health
committees
no
later
than
december
15
2022.
B
F
B
F
A
C
I
think
you
know
just
to
clarify
that
it
says,
as
allowed
be
a
federal
waiver,
they
may
utilize,
and
so
that's
in
section
one,
and
I
just
want
to
commend
you.
You
came
to
me
early
on
this
session
and
been
working
on
this
and
just
want
to
thank
you
for
your
patience
and
your
work
on
this,
and
I
think
that
when
they
do
this
review
they're
going
to
see
that
it
was
beneficial
and
hopefully
they
will
listen.
Thank
you,
representative.
Hakeem
thank.
A
A
A
H
This
bill
provides
the
a
short-term
license
through
practice
in
the
united
states
for
visiting
foreign
medical
graduates
who
are
here
for
specialized
training.
The
duration
of
the
license
is
90
days.
There
is
required
proof
that
the
person
is
a
graduate
of
a
recognized
medical
school.
They
have
written
acceptance
to
a
clinical
professional
development
program
in
the
united
states.
They
have
lawfully
entered
the
united
states
and
their
credentials
have
been
verified
this
and
they
work
under
supervision.
H
C
C
A
I
A
A
C
Thank
you,
chairman
committee.
This
bill
is
amended.
We'll
modify
the
existing
guidelines
for
drop-in
child
care
centers
to
meet
the
needs
of
working
parents
under
current
law.
A
child
may
be
placed
in
a
drop-in
child
care
center
for
maximum
of
seven
hours
per
day,
14
hours
during
regular
weekday
business
hours
and
then
a
total
of
20
hours
maximum
per
week.
A
A
A
J
Thank
you,
mr
chairman
and
mr
chairman.
This
was
a
bill
that
was
brought
to
me
by
a
constituent,
and
I
was-
and
she
was
here
two
weeks
ago,
but
could
not
be
here
today
and
I
just
like
to
read
a
statement
from
her
real
quick.
Her
name
is
nancy
harvey
and
she'd
like
to
address
the
committee.
I
have
a
serious
allergic
to
peanuts.
My
entire
life,
my
doctor,
has
advised
me
to
keep
dual
epipens
with
me
at
all
times
because
of
my
severity
of
the
allergy.
J
J
If
it
hasn't
worked
in
15
minutes,
I
am
instructed
to
use
the
second
pin
due
to
my
severity
of
my
reaction
in
the
instance
where
this
happens
over
a
weekend.
If
I'm
out
of
refills
I'm
unable
to
get
more
epipens,
I
have
solely,
I
have
to
solely
rely
on
ambulances
or
getting
to
an
er
to
treat
my
reaction.
J
If
the
bill
passes,
I
would
be
able
to
go
to
the
pharmacy
and
get
an
epipen
to
protect
me
until
my
doctor's
office
is
open
and
I'm
able
to
write
a
prescription
if
narcan
can
be
free
and
available
to
everyone
who
asks
then
someone
should
who
needs
an
epipen
should
also
be
able
to
get
one.
What
this,
what
this
bill
does?
J
Is
it
authorizes
a
chief
medical
officer
to
implement
a
statewide
collaborative
pharmacy
practice,
agreement
specific
to
dispensing
of
epipens,
auto
injectors
with
a
licensed
practicing
pharmacist
if
there
is
already
a
prescription
for
an
epipen
on
file,
so
they're,
not
it's
not
a
new
prescription,
and
with
that
explanation
I
stand
prepared
to
answer
questions.
Mr
chairman,.
A
C
J
A
I
A
A
A
E
A
A
We
I
thought
we
had
a
motion.
Second,
on
the
bill.
I
hope
this
chair
will
stand
for
a
motion
and
second
on
the
bill,
have
a
proper
motion.
Do
we
have
a
second
have
a
proper
second
on
the
bill?
We
have
proper
motion
and
second
on
the
amendment
have
motion
and
second
on
the
amendment
we'll
be
voting
to
put
the
amendment
on
the
bill.
All
those
in
favor
say
aye.
Any
opposition
so
approved
representative
you're
recognized
on
your
bill
as
amended.
Thank.
E
You
this
bill
is
amended,
ensures
the
right
to
the
end
of
life
visitation
during
a
disaster
emergency
or
public
health
emergency
such
as
coven
19..
The
amendment
removes
the
specific
requirements
to
provide
a
negative
test
for
the
visit.
Nursing
homes
must
always
allow
indoor
visitation,
as
it
is
a
resident's
right.
The
federal
government
closed
the
facilities
to
indoor
visitation
for
more
than
a
year
during
the
pandemic,
but
still
allowed
end-of-life
presentation
prior
to
covid
nursing
home
visitation
was
always
open.
E
E
Visits
must
adhere
to
the
cms
infection
control
protocols
like
hand
washing
face
coverings
in
common
areas,
as
well
as
other
required
safety
protocols.
Visitation
is
also
subject
to
the
resident's
choice
as
to
who
can
visit
the
timing
for
that
visit.
Visitation
must
also
be
safe
for
the
resident,
roommates
and
other
residents
in
the
building,
and
that
is
the
bill.
A
F
F
E
E
K
K
E
A
I
A
K
You
chairman,
and-
and
I
I
too
appreciate
what
you're
doing
I've
got
family
members
in
assisted
living
facilities,
and
it
was
absolutely
heartbreaking
to
go
visit
them
and
have
to
wave
through
the
window
with
my
kids
and
but
but
also
fully
appreciated
the
facility
keeping
people
out
to
ensure
that
my
loved
one
was
kept
safe
and
having
no
definition
of
end
of
life
seems
that
it
could
be
really
taken
advantage
of.
Is
this
something
you'd
be
willing
to
to
roll
and
work
on
that
definition?
Representative,
alexander.
A
C
I
just
I
don't
know
if
I
can
speak
on
on
the
motion.
I
would,
I
would
argue,
against
the
motion.
I
would
be
more
in
favor
if
she
was
going
to
amend
it.
We've
done
this
with
actually
the
bill
that
I'm
carrying
that's
in
full
committee
and
we
we
changed
the
term
from
terminal
to
critical,
and
then
I
defined
that
that's
an
amendment
that
we
will
see
in
full
committee
tomorrow
and
I
think
that
that
could
easily
be
be
amended.
So.
C
A
A
A
A
A
A
E
This
is
a
hospital
visitation
bill
and
I'd
like
to
tell
you
about
what
happened
in
my
area.
I
get
down
here
for
session
right
before
session.
I
get
a
text
message
about
three
days
before
from
a
woman
who
pleaded
with
me
to
help
her.
Her
father
was
in
our
hospital
one
of
our
hospitals
in
johnson
city.
E
He
asked
the
hospital
if
she
asked
the
hospital
if
her
mother
could
be
with
her
father
while
he
was
having
these
panic
attacks,
the
hospital
said
that
she
could
only
be
in
there
for
two
hours
instead
of
eight,
which
is
what
they
requested
and
when
I
so
she
reached
out
to
me
and
said,
can
you
help
me?
My
father
is
having
panic
attacks.
He
needs
my
mother
with
him,
so
I
reached
out
to
the
hospital
the
hospital
said.
E
Well,
our
policy
is
only
for
two
hours
and
I
said:
can
you
tell
me
why
a
person
can
only
be
in
there?
Two
hours
when,
if
you're
worried
about
spreading
covet
exposure
in
two
hours
would
be
just
as
much
exposure
as
if
they
were
in
there
eight
hours.
So
why
not?
Let
them
stay
eight
hours,
they
said.
Well,
that's
just
our
policy
and
we
can't
do
for
one
patient.
E
So
our
hospital
has
since
changed
the
policy
because
of
what
happened
to
this
man
and
I'm
asking
that
we
change
the
policy
for
all
hospitals
that
we
allow
people
in
to
visit
their
patients
they're.
That
of
every
every
patient,
has
a
right
to
have
one
advocate
with
them
at
all
times,
and
that
advocate
could
be
a
family
member.
E
E
D
D
D
F
D
Yes,
sir,
that
is
in
the
legislation.
Our
opposition
really
stems
from.
This
would
be
the
first
time
that
anything
beyond
pandemic
related
is
put
into
state
code
around
visitation,
and
it
could
actually
have
some
type
of
potentially
negative
impacts
in
the
future
by
hospitals
restricting
visitation
policies,
potentially
if
something
is
in
state
code.
So
we
like
to
I
mean
obviously
like
to
keep
that
ability
open
if
necessary
and
out
of
code,
if
possible,.
F
D
Representative
marsh,
that's
a
really
good
point.
I
believe
that
you
would
still
be
able
to
use
any
type
of
safety
protocols
that
you
have
in
place.
So
if
you
had
a
patient's
visitor
was
being
combative,
I
believe
you
would
still
security
would
still
be
able
to
remove
them.
If
that
answers
your
question.
C
C
A
time
limit
at
like
10
o'clock
at
night
or
nine
o'clock
at
night,
because
you
have
some
members
or
some
patients
that
may
have
alzheimer's
or
something
where
they
can
get
confused
with
people
walking
by
the
door.
Something
like
that.
Would
that
be
a
safety
protocol
that
they
could
establish
to
where
they
could
put
a
time
limit.
Absolutely.
I
In
regards
to
the
previous
question,
the
text,
the
bill
states
that
the
patient
representative
has
to
agree
to
follow
all
safety
protocols
established
by
the
hospital
which
shall
be
clearly
specified
in
writing
and
be
no
more
restrictive
than
the
protocol
is
applicable
to
the
staff
of
the
hospital.
So
in
regards
to
visitation
hours,
those
protocols
would
also
have
to
apply
to
the
staff
of
the
hospital.
A
C
K
I
A
H
Thank
you.
Thank
you,
mr
chairman.
Thank
you
for
bringing
this
it's
an
important
matter,
and
certainly
there
are
times
their
families
are
a
great
deal
of
support,
especially
with
the
nursing
shortage
and
so
on.
One
question
was
that
you
know:
would
it
be
get
over
read
in
the
sense
that
there
are
times
where
patient
is
having
a
bedside
procedure
in
the
room
and
so
forth?
Is
there
an
exception
for
that?
We
can
ask
the
family
to
step
out.
E
H
G
Thank
you,
mr
speaker,
and
I
just
wanted
to
say
I
appreciate
you
bringing
this
course.
I
just
had
some
experience
being
in
the
hospital
with
covid
and
and
really
never
knew
what
panic
attack
was
until
after
I
received
covid
and
and
believe
me,
it
means
a
big
difference
when
you
can
have
a
family
member
with
you,
because
that
can
definitely
mean
the
difference
between
life
and
death.
I
think.
E
A
Representative,
thank
you,
sir
representative.
Did
you
want
to
comment?
Do
we
have
further
comments
or
questions
from
the
sponsor?
If
none,
we
will
be
voting
to
send
this
bill
as
amended
to
full
committee,
all
those
in
favor
say
aye.
Any
opposition
so
approved
you're
up
for
number
26
house
bill
2779.
A
A
E
This
bill
is
modeled
directly
after
the
legislation
passed
in
texas
last
year.
Abortions,
since
that
bill
has
been
passed,
has
dropped
60
percent
in
texas,
since
that
bill
was
passed
while
the
texas
law
prohibits
abortion,
once
medical
professionals
can
detect
cardiac
activity,
usually
around
six
weeks,
the
tennessee
language
proposes
to
prohibit
all
abortion.
Courts
have
blocked
other
states
from
imposing
similar
restrictions,
but
this
law
differs
significantly
because
it
leaves
enforcement
up
to
private
citizens
through
civil
lawsuits
instead
of
criminal
prosecutors.
E
A
K
K
K
Any
sense,
so
you
could
have
a
rapist
one
in
five.
Maybe
one
in
six
women
in
tennessee
are
victims
of
rape
and
you
could
have
a
rapist
and
that
rapist
could
impregnate
a
young
lady,
a
minor
and
the
rapist
mother
father
could
bring
suit
against
that
minor
if
they
decided
to
get
an
abortion.
If
this
passes
representative.
E
K
A
A
L
Thank
you,
mr
chairman.
Thank
you
representatives.
Thank
you,
representative
for
hearing
us
today.
My
name
is
aaron
campbell,
I'm
a
physician
from
knoxville.
I
grew
up
in
knoxville
tennessee
went
to
fairground
high
school
university
of
tennessee,
where
I
majored
in
biochemistry
and
minored
in
philosophy.
I
attended
east
tennessee
state
university,
quillen
college
of
medicine
and
completed
my
residency
training
in
obstetrics
and
gynecology
at
mcgee
women's
hospital
in
pittsburgh
pennsylvania.
L
I
came
today
to
voice
my
opposition
to
this
bill
and
to
encourage
you
all
to
critically
consider
the
outcomes
and
potential
and
anticipated
consequences
of
this
bill.
This
bill
will
significantly
impact
my
ability
and
the
ability
of
all
of
my
ob
gyn
colleagues
throughout
tennessee,
to
make
informed
safe
and
private
health
care
decisions
with
and
for
our
patients
to
achieve
the
best
and
desired
health
outcomes
possible.
L
It's
important
to
note
that
abortions
will
occur
whether
or
not
they
are
legally
accessible.
What
is
important
for
the
legislature
is
to
recognize
that
worldwide,
the
highest
rates
of
unsafe
abortions
are
completed
in
areas
with
the
most
restrictive
abortion
laws
and
lack
of
access
and
with
unsafe
abortion
comes
significantly
higher.
Morbidity
and
mortality
in
the
setting
of
abortion,
one
in
four
women
in
the
united
states
will
have
an
abortion
in
their
reproductive
lives,
and
it
is
vital
that
this
part
of
healthcare
remain
legal,
safe
and
accessible.
L
This
bill,
in
particular
creates
an
environment
that
does
not
allow
appropriate
support
for
our
patients
and
our
mothers,
sisters,
daughters
or
friends.
The
threat
of
civil
lawsuit
not
only
for
physicians,
but
also
for
anyone
else
involved
and
helping
someone
through
the
decision
for
their
abortion
is
in
the
best
interest
of
the
public
to
have
access
to
safe
abortion
services,
with
skilled
providers
with
support
and
without
stigma
outside
of
the
context
of
access
to
abortion.
L
L
As
a
physician
that
takes
care
of
women
throughout
their
reproductive
life
and
throughout
pregnancies,
patient
safety
is
paramount
and
patient
safety
will
be
affected
by
this
bill.
I
can
promise
you
that
this
bill
will
affect
how
physicians
and
other
providers
manage
things
like
inevitable.
Miscarriage
wearing
a
pregnancy
may
still
have
cardiac
activity,
but
the
miscarriage
process
is
underway
and
unstoppable.
L
What
happens
when
a
woman's
water
breaks
at
18
weeks,
which
is
not
a
viable
scenario
for
a
fetus
that
may
still
have
cardiac
activity,
while
the
woman
is
at
risk
for
intrauterine
infection,
which
can
develop
quickly
and
progress
to
sepsis
and
death,
what
happens
when
a
fetus
has
a
genetic
or
structural
anomaly
that
is
incompatible
with
life?
These
are
not
straightforward
issues
and
a
blanket
bill
like
this
bill
undermines
the
complexity
of
health
care
issues
that
may
be
experienced
by
pregnant
women
and
their
physicians.
Thank
you,
mr
chairman.
A
A
C
Yeah,
I
just
wanted
to
get
clarification
because
from
on
the
previous
question,
I
just
want
to
make
sure
it
says.
Notwithstanding
another
law,
a
civil
action
under
the
section
may
not
be
brought
against
the
woman
upon
whom
an
abortion
was
performed.
I
just
want
legal
so
that
the
woman
could
not
get.
A
K
K
K
E
K
K
A
F
E
E
C
C
E
C
Thank
you,
I'm
trying
to
get
clarification
on,
so
a
civil
liability
could
only
be
brought
a
civil
action
on
against
a
person
or
entity
that
performs
or
induces
an
abortion
in
violation
of
39-15-221
and
then
the
way
that's
defined
the
way
I
was
reading
it
if
there.
If
the
physician
is
doing
something
at
the
termination
because
of
the
greater
risk
of
death
of
the
woman
or
major
bodily
function,
then
they
would
not
be
in
violation
by
doing
that
procedure.
K
Thank
you,
chairman,
the
the
question
that
my
colleague
next
to
me
asked
a
second
ago
about
the
the
the
fetus
and
the
the
viability,
and
the
comment
was
made
that
if,
if
it
was
not
that
that
this
would
allow
for
it
and
that's
not
the
way
I
read
it
does
does,
does
it
call
out
specifically
death
or
what's
the
term
it
uses
here,
potential
death
or
of
the
of
the
mother
versus
the
fetus?
Is
it
does
it?
Does
it
call
that
out.
I
I
The
exceptions
under
221,
b2
and
b3
require
that
there
be
a
that
the
abortion
was
either
necessary
to
prevent
the
death
of
the
pregnant
woman
or
to
prevent
a
serious
risk
of
substantial
and
irreversible
impairment
of
a
major
bodily
function
of
the
pregnant
woman.
So
those
circumstances
are
not
there.
Then
the
physician
is
not
able
to
use
those
exceptions.
As
defense
representative.
A
I
A
A
A
A
F
Thank
you
very
much,
mr
chairman,
members
of
the
committee.
What
house
bill
2314
as
amended
seeks
to
do
is
currently
under
tennessee
law.
If
someone
commits
abuse
against
a
child,
it
only
applies
to
a
child
that
is
actually
living
has
been
born.
It
doesn't
apply
to
babies
inside
a
mother's
womb
and
as
an
assistant
d.a-
and
this
is
actually
this
bill
was
brought
to
me
by
an
assistant
d.a.
F
The
problem
is,
we
have
women
who
are
addicted
to
drugs
and
they're,
harming
their
babies
and
it's
causing
nas
neonatal
abstinence
syndrome,
and
they
end
up
going
through
withdrawals
in
the
hospital
and
the
taxpayers
are
paying
for
this
and
there's
nothing.
A
prosecutor
or
law
enforcer
can
do
about
it
until
after
the
baby's
born
and
if
the
baby's
born
and
they
took
the
baby
home
and
they
were
using
methamphetamines
or
opioids
around
a
baby
and
it
got
into
babies,
blood
system,
they
could
be
prosecuted,
but
you
can't
do
anything
right
now.
F
The
amendment
does
make
an
exception
for
any
valid
medical
procedure
in
vitro
fertilization,
any
other
authorized
medical
procedure,
so
it
would
exclude
those.
I
did
want
to
add
an
amendment
and
I
didn't
get
it
and
I
don't.
If
we
go
to
full
committee,
maybe
the
committee
might
want
to
do
it.
That
would
also
make
an
exception
for
that.
If
a
mother
comes
to
tries
to
get
rehabilitation
services,
they
would
not.
They
could
not
be
charged
under
this.
So
that's
essentially
what
the
the
bills
amendment
trying
to
do.
C
Thank
you
and-
and
that
was
we
we
used
to
have,
I
believe,
like
a
fetal
assault,
build
at
sunset.
I
think
in
2016
and
the
issue
I
think
that
we
had
with
that
was
that
it
decreased
women
getting
prenatal
care
because
of
that
or
increased
the
risk
of
abortion,
and
so
the
of
course
you
don't
have
a
timely
filed
amendment
and
that's
the
that
that
might
address
the
the
concern.
I
just
don't
know
on
that.
Just
your
comments
on
that.
Well,.
F
H
F
Do
it
and
get
it
in
full?
I
wouldn't
proceed
without
that
amendment
on
it,
because
I
think
it's
important.
We
don't
want
to
discourage
people
from
trying
to
get
rehabilitation
services,
but
at
the
same
time
you
know
we
don't
want
to
allow
mothers
to
keep
harming
their
babies
and
them
ending
up
in
the
nicu
for
weeks
going
through
withdrawals
and
we
need
to
try
to
do.
We've
got
carrot
and
a
stick
approach.
I
guess
to
this
problem
so
anyway,.