(A) Except in the case of a medical emergency and in addition to any other consent required by the laws of this State, no abortion may be performed or induced unless the following conditions have been satisfied:
(1)(a) The woman must be informed by the physician who is to perform the abortion or by an allied health professional working in conjunction with the physician of the procedure to be involved and by the physician who is to perform the abortion of the probable gestational age of the embryo or fetus at the time the abortion is to be performed. If an ultrasound is performed, an abortion may not be performed sooner than sixty minutes following completion of the ultrasound. The physician who is to perform the abortion or an allied health professional working in conjunction with the physician must inform the woman before the ultrasound procedure of her right to view the ultrasound image at her request during or after the ultrasound procedure.
(b) If the physician who intends to perform or induce an abortion on a pregnant woman has determined pursuant to Section 44-41-630 that the human fetus the pregnant woman is carrying has a detectable fetal heartbeat, then that physician shall inform the pregnant woman in writing that the human fetus the pregnant woman is carrying has a fetal heartbeat. The physician shall further inform the pregnant woman, to the best of the physician's knowledge, of the statistical probability, absent an induced abortion, of bringing the human fetus possessing a detectable fetal heartbeat to term based on the gestational age of the human fetus or, if the director of the department has specified statistical probability information, shall provide to the pregnant woman that information. The department may promulgate regulations that specify information regarding the statistical probability of bringing an unborn child possessing a detectable fetal heartbeat to term based on the gestational age of the unborn child. Any regulations must be based on available medical evidence.
(2) The woman must be presented by the physician who is to perform the abortion or by an allied health professional working in conjunction with the physician a written form containing the following statement: "You have the right to review printed materials prepared by the State of South Carolina which describe fetal development, list agencies which offer alternatives to abortion, and describe medical assistance benefits which may be available for prenatal care, childbirth, and neonatal care. You have the right to view your ultrasound image." This form must be signed and dated by both the physician who is to perform the procedure and the pregnant woman upon whom the procedure is to be performed.
(3) The woman must certify in writing, before the abortion, that the information described in item (1) of this subsection has been furnished her, and that she has been informed of her opportunity to review the information referred to in item (2) of this subsection.
(4) Before performing the abortion, the physician who is to perform or induce the abortion must determine that the written certification prescribed by item (3) of this subsection or the certification required by subsection (D) has been signed. This subsection does not apply in the case where an abortion is performed pursuant to a court order.
(B) Nothing herein limits the information provided by the physician who is to perform the abortion or allied health professional to the person upon whom the abortion procedure is to be performed.
(C) No abortion may be performed sooner than twenty-four hours after the woman receives the written materials and certifies this fact to the physician or the physician's agent.
(D) If the clinic or other facility where the abortion is to be performed or induced mails the printed materials described in Section 44-41-340 to the woman upon whom the abortion is to be performed or induced or if the woman obtains the information at the county health department and if the woman verifies in writing, before the abortion, that the printed materials were received by her more than twenty-four hours before the abortion is scheduled to be performed or induced, that the information described in item (A)(1) has been provided to her, and that she has been informed of her opportunity to review the information referred to in item (A)(2), then the waiting period required pursuant to subsection (C) does not apply.
(E) In the event the person upon whom the abortion is to be performed or induced is an unemancipated minor, as defined in Section 44-41-10, the information described in Section 44-41-330(A)(1) and (2) must be furnished and offered respectively to a parent of the minor, a legal guardian of the minor, a grandparent of the minor, or any person who has been standing in loco parentis to the minor for a period of not less than sixty days. The parent, legal guardian, grandparent, or person who has been standing in loco parentis, as appropriate, must make the certification required by Section 44-41-330(A)(3). In the event the person upon whom the abortion is to be performed is under adjudication of mental incompetency by a court of competent jurisdiction, the information must be furnished and offered respectively to her spouse or a legal guardian if she is married; if she is not married, from one parent or a legal guardian. The spouse, legal guardian, or parent, as appropriate, must make the certification required by Section 44-41-330(A)(3). This subsection does not apply in the case of an abortion performed pursuant to a court order.
(F) A clinic or other facility must maintain, for three years after the abortion is performed or induced, the woman's written verification that the information was so provided and the printed materials were so offered. In the case of an unemancipated minor or mentally incompetent person, the clinic or other facility is required to maintain a copy of the court order or the medical records and written consent for three years after the procedure is performed.
(G) This section does not apply if a clinic or other facility where abortions are performed or induced does not have, through no fault of the clinic or facility and if the clinic or facility can demonstrate through written evidence the unavailability of the materials described in Section 44-41-340.
HISTORY: 1995 Act No. 1, Section 8; 2008 Act No. 222, Section 1, eff May 14, 2008; 2010 Act No. 268, Section 1, eff June 24, 2010; 2021 Act No. 1 (S.1), Section 5, eff February 18, 2021.
Editor's Note
2021 Act No. 1, Sections 1, 2, provide as follows:
"SECTION 1. This act shall be known and may be cited as the 'South Carolina Fetal Heartbeat and Protection from Abortion Act'.
"SECTION 2. The General Assembly hereby finds, according to contemporary medical research, all of the following:
"(1) as many as thirty percent of natural pregnancies end in spontaneous miscarriage;
"(2) fewer than five percent of all natural pregnancies end in spontaneous miscarriage after the detection of a fetal heartbeat;
"(3) over ninety percent of in vitro pregnancies survive the first trimester if a fetal heartbeat is detected;
"(4) nearly ninety percent of in vitro pregnancies do not survive the first trimester if a fetal heartbeat is not detected;
"(5) a fetal heartbeat is a key medical predictor that an unborn human individual will reach live birth;
"(6) a fetal heartbeat begins at a biologically identifiable moment in time, normally when the fetal heart is formed in the gestational sac;
"(7) the State of South Carolina has legitimate interests from the outset of a pregnancy in protecting the health of the pregnant woman and the life of the unborn child who may be born; and
"(8) in order to make an informed choice about whether to continue a pregnancy, a pregnant woman has a legitimate interest in knowing the likelihood of the human fetus surviving to full-term birth based upon the presence of a fetal heartbeat."
Effect of Amendment
2021 Act No. 1, Section 5, in (A)(1), inserted the (a) designator, and added (b).
Structure South Carolina Code of Laws
Section 44-41-10. Definitions.
Section 44-41-20. Legal Abortions.
Section 44-41-30. Persons from whom consent is required.
Section 44-41-33. Court order granting or denying minor right to obtain abortion.
Section 44-41-35. Failure to obtain required consent.
Section 44-41-40. Certain hospitals or clinics may refuse to perform abortions.
Section 44-41-60. Abortions must be reported.
Section 44-41-75. Licensing of certain abortion facilities; regulations.
Section 44-41-80. Performing or soliciting unlawful abortion; testimony of woman may be compelled.
Section 44-41-310. Short title.
Section 44-41-320. Definitions.
Section 44-41-340. Publication of materials regarding available assistance.
Section 44-41-350. Penalties for noncompliance with this article.
Section 44-41-360. Preservation of anonymity of woman having abortion.
Section 44-41-370. Applicability of article.
Section 44-41-380. Severability of provisions of article.
Section 44-41-410. Short title.
Section 44-41-420. Legislative findings.
Section 44-41-430. Definitions.
Section 44-41-440. Determination of probable post-fertilization age of unborn child.
Section 44-41-470. Penalties for noncompliance with Sections 44-41-440 and 44-41-450.
Section 44-41-480. Construction against implicit repeal of existing law.
Section 44-41-610. Definitions.
Section 44-41-620. Effect of court judgment or order; enforcement.
Section 44-41-640. Abortion provider shall make fetal heartbeat audible for pregnant woman to hear.
Section 44-41-650. Determination of detectable fetal heartbeat prior to abortion; penalties.
Section 44-41-660. Exception for medical emergency; written notations in medical records.
Section 44-41-670. No violation of Section 44-41-650 if no fetal heartbeat detected.
Section 44-41-700. No violation of Section 44-41-680 if no fetal heartbeat detected.
Section 44-41-710. Construction and application of article.
Section 44-41-720. Contraceptives not affected by this article.