NEBRASKA.  Laws of Nebraska.  
 
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Chapter 28. Nebraska Criminal Code.
 
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28-325
Abortion; declaration of purpose.
 

                  The Legislature hereby finds and declares:

          (1) That the following provisions were motivated by the

legislative  intrusion  of  the  United  States  Supreme Court by

virtue of its  decision  removing  the  protection  afforded  the

unborn.   Sections 28-325 to 28-345 are in no way to be construed

as legislatively encouraging abortions at  any  stage  of  unborn

human  development,  but  are rather an expression of the will of

the people of the State  of  Nebraska  and  the  members  of  the

Legislature  to  provide  protection  for  the life of the unborn

child whenever possible;

          (2) That  the  members  of  the  Legislature  expressly

deplore  the  destruction of the unborn human lives which has and

will occur in Nebraska as a  consequence  of  the  United  States

Supreme Court's decision on abortion of January 22, 1973;

          (3)  That  it  is  in the interest of the people of the

State of Nebraska that every precaution be taken  to  insure  the

protection  of every viable unborn child being aborted, and every

precaution be taken  to  provide  life-supportive  procedures  to

insure the unborn child its continued life after its abortion;

          (4)   That  currently  this  state  is  prevented  from

providing adequate legal remedies to protect  the  life,  health,

and welfare of pregnant women and unborn human life; and

          (5)  That  it  is  in the interest of the people of the

State of Nebraska to maintain accurate statistical data to aid in

providing proper maternal health regulations and education.

 

28-326
Terms, defined.
 
                     For  purposes  of sections 28-325 to 28-345,
unless the context otherwise requires:
          (1) Abortion means  the  use  or  prescription  of  any
instrument,   medicine,   drug,  or  other  substance  or  device
intentionally to terminate the pregnancy of a woman known  to  be
pregnant with an intention other than to increase the probability
of  a  live  birth,  to  preserve the life or health of the child
after live birth, or to remove a dead  unborn  child,  and  which
causes the premature termination of the pregnancy;
          (2)  Hospital  means those institutions licensed by the
Department of Health and Human Services Regulation and  Licensure
pursuant to the Health Care Facility Licensure Act;
          (3)  Physician  means  any  person licensed to practice
medicine in this state as provided in sections 71-102 to 71-110;
          (4) Pregnant means that condition of a  woman  who  has
unborn human life within her as the result of conception;
          (5) Conception means the fecundation of the ovum by the
spermatozoa;
          (6)  Viability  means  that  stage of human development
when the unborn child is  potentially  able  to  live  more  than
merely  momentarily  outside the womb of the mother by natural or
artificial means;
          (7) Emergency situation means that condition which,  on
the  basis  of  the  physician's good faith clinical judgment, so
complicates the medical condition  of  a  pregnant  woman  as  to
necessitate  the immediate abortion of her pregnancy to avert her
death  or  for  which  a  delay  will  create  serious  risk   of
substantial impairment of a major bodily function;
          (8)  Probable gestational age of the unborn child means
what will with reasonable probability, in  the  judgment  of  the
physician, be the gestational age of the unborn child at the time
the abortion is planned to be performed; and
          (9)  Partial-birth abortion means an abortion procedure
in which the person performing the  abortion  partially  delivers
vaginally  a  living unborn child before killing the unborn child
and completing the delivery.  For purposes of  this  subdivision,
the  term  partially  delivers  vaginally  a  living unborn child
before  killing  the  unborn   child   means   deliberately   and
intentionally  delivering  into the vagina a living unborn child,
or a substantial portion thereof, for the purpose of performing a
procedure that the person performing such  procedure  knows  will
kill the unborn child and does kill the unborn child. [This provision has been held to be unconstitutional and unenforceable.]

 

28-327
Abortion; voluntary and informed consent required; exception.
 
                   No abortion shall be performed except with the
voluntary  and  informed  consent  of  the  woman  upon  whom the
abortion is to be performed.  Except in the case of an  emergency
situation,  consent to an abortion is voluntary and informed only
if:
          (1) The woman is told the following  by  the  physician
who is to perform the abortion, by the referring physician, or by
a  licensed  physician  assistant  or  registered nurse who is an
agent of either, at least twenty-four hours before the abortion:
          (a) The particular medical risks  associated  with  the
particular  abortion  procedure  to  be  employed including, when
medically accurate,  the  risks  of  infection,  hemorrhage,  and
danger to subsequent pregnancies and infertility;
          (b) The probable gestational age of the unborn child at
the time the abortion is to be performed; and
          (c)  The  medical  risks  associated  with carrying her
child to term.
          The person providing the information specified in  this
subdivision  to  the  person  upon  whom  the  abortion  is to be
performed shall be deemed qualified to so advise and provide such
information only if, at a minimum, he or she has had training  in
each  of the following subjects:  Sexual and reproductive health;
abortion   technology;   contraceptive   technology;   short-term
counseling skills; community resources and referral; and informed
consent.  The physician or the physician's agent may provide this
information   by   telephone   without   conducting   a  physical
examination  or  tests  of  the  patient,  in  which   case   the
information  required  to  be  supplied  may  be  based  on facts
supplied by the patient and whatever other  relevant  information
is  reasonably  available  to  the  physician  or the physician's
agent;
          (2) The woman is informed by telephone or in person, by
the physician who is to perform the abortion,  by  the  referring
physician,  or  by an agent of either, at least twenty-four hours
before the abortion:
          (a) The name of the  physician  who  will  perform  the
abortion;
          (b)  That  medical assistance benefits may be available
for prenatal care, childbirth, and neonatal care;
          (c) That the father is liable to assist in the  support
of  her  child, even in instances in which the father has offered
to pay for the abortion; and
          (d) That she  has  the  right  to  review  the  printed
materials  described  in section 28-327.01.  The physician or his
or her agent shall orally inform the  woman  that  the  materials
have been provided by the Department of Health and Human Services
and  that  they describe the unborn child and list agencies which
offer alternatives to abortion.  If the woman chooses  to  review
be  given  to  her at least
twenty-four hours before the abortion or mailed to her  at  least
seventy-two   hours   before  the  abortion  by  certified  mail,
restricted delivery to addressee, which means the postal employee
can only deliver the mail to the addressee.   The  physician  and
his  or  her agent may disassociate themselves from the materials
and  may  comment  or  refrain  from  commenting  on them as they
choose;
          (3) The  woman  certifies  in  writing,  prior  to  the
abortion,  that the information described in subdivisions (1) and
(2)(a), (b), and (c) of this section has been furnished  her  and
that she has been informed of her right to review the information
referred to in subdivision (2)(d) of this section; and
          (4)  Prior  to  the  performance  of  the abortion, the
physician who is to perform the abortion  or  his  or  her  agent
receives  a  copy  of  the  written  certification  prescribed by
subdivision (3) of this section.

 

28-327.01
Department  of  Health  and  Human  Services;  printed materials;
duties; availability.
 
                       (1) The Department  of  Health  and  Human
Services  shall  cause  to  be published, within sixty days after
September 9, 1993, the following  easily  comprehensible  printed
materials:
          (a) Geographically indexed materials designed to inform
the  woman  of public and private agencies and services available
to assist a woman through pregnancy, upon childbirth,  and  while
the  child is dependent, including adoption agencies and agencies
and services for  prevention  of  unintended  pregnancies,  which
materials  shall  include  a  comprehensive  list of the agencies
available, a description  of  the  services  they  offer,  and  a
description  of  the  manner,  including  telephone  numbers  and
addresses in which such agencies  may  be  contacted  or  printed
materials including a toll-free, twenty-four-hour-a-day telephone
number  which  may  be  called  to  orally obtain such a list and
description of agencies in the locality of the caller and of  the
services they offer; and
          (b)  Materials  designed  to  inform  the  woman of the
probable anatomical  and  physiological  characteristics  of  the
unborn  child  at  two-week  gestational increments from the time
when a woman can be known to be pregnant to full term,  including
pictures  or  drawings  representing  the  development  of unborn
children at the two-week gestational increments, and any relevant
information on the possibility of the  unborn  child's  survival.
Any such pictures or drawings shall contain the dimensions of the
unborn child and shall be realistic and appropriate for the stage
of  pregnancy  depicted.    The  materials  shall  be  objective,
nonjudgmental, and designed to convey  only  accurate  scientific
information  about  the  unborn  child at the various gestational
ages.   The materials shall also  contain  objective  information
describing  the methods of abortion procedures commonly employed,
the medical risks commonly associated with each  such  procedure,
the  possible  detrimental psychological effects of abortion, the
medical risks commonly associated with abortion, and the  medical
risks commonly associated with carrying a child to term.
          (2)  The materials shall be printed in a typeface large
enough to be clearly legible.
          (3) The materials required under this section shall  be
available  from  the  department  upon the request by any person,
facility, or hospital for an amount equal to the cost incurred by
the department to publish the materials.

 

28-327.02
Abortion; emergency situation; physician; duties.
 
                        When  an  emergency situation compels the
performance of an abortion, the physician shall inform the woman,
prior to the abortion if possible,  of  the  medical  indications
supporting  his  or her judgment that an abortion is necessary to
avert her death or to avert substantial  impairment  of  a  major
bodily function.

 

28-327.03
Civil liability; limitation.
 
                        No  civil liability for failure to comply
with subdivision (2)(d) of section  28-327  or  that  portion  of
subdivision (3) of such section requiring a written certification
that  the  woman  has  been  informed  of her right to review the
information referred to in subdivision (2)(d) of such section may
be imposed unless the Department of Health and Human Services has
published and made available the printed materials  at  the  time
the physician or his or her agent is required to inform the woman
of her right to review them.

 

28-327.04
Civil  cause  of  action;  authorized;  evidence  of professional
negligence; attorney's fee.
 
                      Any person upon whom an abortion  has  been
performed  or  attempted  in  violation  of section 28-327 or the
parent or guardian of a minor upon  whom  an  abortion  has  been
performed  or attempted in violation of such section shall have a
right to maintain a civil cause of action against the person  who
performed  the  abortion or attempted to perform the abortion.  A
violation of such  section  shall  be  prima  facie  evidence  of
professional negligence.  The written certification prescribed by
subdivision  (3) of section 28-327 signed by the person upon whom
an abortion has been performed or attempted shall constitute  and
create  a  rebuttable  presumption  of  full  compliance with all
provisions of section  28-327  in  favor  of  the  physician  who
performed  or  attempted  to  perform the abortion, the referring
physician, or the agent of either.    The  written  certification
shall  be  admissible  as  evidence  in  the  cause of action for
professional negligence or in any criminal action. If judgment is
rendered in favor of the plaintiff in any such action, the  court
shall  also  render  judgment  for a reasonable attorney's fee in
favor of the plaintiff against the defendant.

 

28-327.05
Civil action; anonymity of woman; procedures.
 
                        In every civil action brought pursuant to
section 28-327.04, the court shall rule whether the anonymity  of
any  woman  upon whom an abortion is performed or attempted shall
be preserved from public disclosure if  she  does  not  give  her
consent to such disclosure.  The court, upon motion by a party or
on its own motion, shall make such a ruling and, upon determining
that her anonymity should be preserved, shall issue orders to the
parties,  witnesses,  and counsel and shall direct the sealing of
the record  and  exclusion  of  individuals  from  courtrooms  or
hearing  rooms  to the extent necessary to safeguard her identity
from public disclosure.  Each such order shall be accompanied  by
specific  written  findings  explaining  why the anonymity of the
woman should be preserved from public disclosure, why  the  order
is  essential  to that end, how the order is narrowly tailored to
serve that interest,  and  why  no  reasonable  less  restrictive
alternative  exists.    In  the absence of written consent of the
woman upon whom an abortion  has  been  performed  or  attempted,
anyone  given standing under section 28-327.04 who brings a civil
action under such section shall do so under a  pseudonym.    This
section  may  not  be  construed  to  conceal the identity of the
plaintiff or of witnesses from the defendant.

 

28-328
Partial-birth abortion; prohibition; violation; penalties. [These provisions have been held to be unconstitutional and unenforceable.]
 
                      (1)  No  partial-birth  abortion  shall  be
performed in this state, unless such procedure  is  necessary  to
save  the  life  of  the  mother  whose  life  is endangered by a
physical  disorder,  physical  illness,   or   physical   injury,
including  a  life-endangering  physical  condition  caused by or
arising from the pregnancy itself.
          (2) The  intentional  and  knowing  performance  of  an
unlawful partial-birth abortion in violation of subsection (1) of
this section is a Class III felony.
          (3)  No  woman  upon  whom  an  unlawful  partial-birth
abortion is performed shall be prosecuted under this  section  or
for conspiracy to violate this section.
          (4)  The  intentional  and  knowing  performance  of an
unlawful partial-birth abortion shall  result  in  the  automatic
suspension  and revocation of an attending physician's license to
practice medicine in Nebraska by the Director of  Regulation  and
Licensure pursuant to sections 71-147 to 71-161.20.
          (5)  Upon  the  filing  of  criminal charges under this
section by  the  Attorney  General  or  a  county  attorney,  the
Attorney General shall also file a petition to suspend and revoke
the  attending  physician's license to practice medicine pursuant
to section 71-150.   A hearing on  such  administrative  petition
shall be set in accordance with section 71-153.  At such hearing,
the  attending  physician  shall  have the opportunity to present
evidence that the physician's conduct was necessary to  save  the
life  of  a  mother  whose  life  was  endangered  by  a physical
disorder, physical  illness,  or  physical  injury,  including  a
life-endangering physical condition caused by or arising from the
pregnancy  itself.  A defendant against whom criminal charges are
brought under this section  may  bring  a  motion  to  delay  the
beginning  of  the trial until after the entry of an order by the
Director of Regulation and Licensure pursuant to section  71-155.
The  findings  of  the Director of Regulation and Licensure as to
whether the attending physician's conduct was necessary  to  save
the  life  of  a  mother  whose life was endangered by a physical
disorder, physical  illness,  or  physical  injury,  including  a
life-endangering physical condition caused by or arising from the
pregnancy itself, shall be admissible in the criminal proceedings
brought pursuant to this section.

 

28-329
Abortion; when not to be performed.
 
                    No abortion shall be performed after the time
at  which,  in  the  sound  medical  judgment  of  the  attending
physician,  the  unborn  child  clearly  appears  to have reached
viability, except when necessary to preserve the life  or  health
of the mother.

 

28-330
Abortion procedure; protection of viable, unborn child.
 
                    In any abortion performed pursuant to section
28-329, all reasonable precautions,  in  accord  with  the  sound
medical  judgment  of the attending physician and compatible with
preserving the life or health of the mother, shall  be  taken  to
insure the protection of the viable, unborn child.

 

28-331
Care and treatment of child aborted.
 
                    When as the result of an abortion a child is,
in the sound medical judgment of the  attending  physician,  born
alive,  then  all  reasonable steps, in accordance with the sound
medical judgment of the attending physician, shall be employed to
preserve the life of the child.   For purposes of  this  section,
born alive shall mean the complete expulsion or extraction of the
child  from  the  mother  irrespective  of  the  duration  of the
pregnancy and after  such  expulsion  or  extraction  such  child
breathes  or  shows any other evidence of life such as beating of
the heart, pulsation of the umbilical cord, or definite  movement
of  voluntary  muscles whether or not the umbilical cord has been
cut or the placenta is attached.

 

28-332
Violation; penalty.
 
                     The  intentional  and  knowing  violation of
section 28-329, 28-330, or 28-331 is a Class IV felony.

 

28-333
Repealed.  Laws 1984, LB 695, s. 9.
 
28-334
Repealed.  Laws 1984, LB 695, s. 9.
 
28-335
Abortion by other than licensed physician; penalty.
 
                     The  performing of an abortion by any person
other than a licensed physician is a Class IV felony.

 

28-336
Abortion by other than accepted medical procedures; penalty.
 
                     The  performing  of  an  abortion  by  using
anything other than accepted medical procedures  is  a  Class  IV
felony.

 

28-337
Hospital,  clinic, institution; not required to admit patient for
abortion.
 
                    No hospital, clinic,  institution,  or  other
facility in this state shall be required to admit any patient for
the  purpose  of performing an abortion nor required to allow the
performance of an abortion therein,  but  the  hospital,  clinic,
institution,  or  other  facility shall inform the patient of its
policy not to participate in abortion procedures.   No  cause  of
action  shall arise against any hospital, clinic, institution, or
other facility for refusing to perform or allow an abortion.

 

28-338
No  person  required  to  perform  an  abortion; no liability for
refusal.
 
                    No person shall be  required  to  perform  or
participate  in  any  abortion,  and the refusal of any person to
participate in an  abortion  shall  not  be  a  basis  for  civil
liability  to  any person.   No hospital, governing board, or any
other person, firm, association, or  group  shall  terminate  the
employment  or  alter  the  position  of,  prevent  or impair the
practice or occupation  of,  or  impose  any  other  sanction  or
otherwise   discriminate   against  any  person  who  refuses  to
participate in an abortion.

 

28-339
Discrimination  against  person  refusing  to  participate  in an
abortion; violation; penalty.
 
                   Any violation of section 28-338 is a Class  II
misdemeanor.

 

28-340
Discrimination  against  person  refusing  to  participate  in an
abortion; damages.
 
                   Any person whose employment  or  position  has
been  in any way altered, impaired, or terminated in violation of
sections 28-325 to 28-345 may sue in the district court  for  all
consequential  damages,  lost  wages,  reasonable attorney's fees
incurred, and the cost of litigation.

 

28-341
Discrimination  against  person  refusing  to  participate  in an
abortion; injunctive relief.
 
                   Any person whose employment or position has in
any way been altered, impaired,  or  terminated  because  of  his
refusal  to  participate  in  an abortion shall have the right to
injunctive relief, including temporary relief, pending trial upon
showing of an emergency, in the  district  court,  in  accordance
with  the  statutes,  28-342
Aborted  child; sell, transfer, distribute, give away; violation;
penalty.
 
                    The knowing, willful,  or  intentional  sale,
transfer,  distribution,  or  giving  away  of any live or viable
aborted child for any form of  experimentation  is  a  Class  III
felony.    The  knowing,  willful,  or intentional consenting to,
aiding, or abetting of any such sale, transfer, distribution,  or
other  unlawful  disposition  of  an aborted child is a Class III
felony.  This section shall not prohibit or  regulate  diagnostic
or  remedial  procedures  the purpose of which is to preserve the
life or health of the aborted child or the mother.

 

28-343
Department  of  Health  and  Human  Services Finance and Support;
abortion reporting form; items included; confidential.
 
                   The Department of Health  and  Human  Services
Finance  and  Support  shall prescribe an abortion reporting form
which shall be used for the reporting of every abortion performed
in this state.  Such form shall include the following items:
          (1) The age of the pregnant woman;
          (2) The location of the facility where the abortion was
performed;
          (3) The type of procedure performed;
          (4) Complications, if any;
          (5) The name of the attending physician;
          (6) The pregnant woman's obstetrical history  regarding
previous pregnancies, abortions, and live births;
          (7) The stated reason or reasons for which the abortion
was requested;
          (8) The state of the pregnant woman's legal residence;
          (9)  The  length  and weight of the aborted child, when
measurable;
          (10)  Whether  an  emergency   situation   caused   the
physician to waive any of the requirements of section 28-327; and
          (11)  Such  other  information  as may be prescribed in
accordance with section 71-602.
          The completed form shall be  signed  by  the  attending
physician  and  sent  to the department within fifteen days after
each reporting month.  The completed form shall be  an  original,
typed  or written legibly in durable ink, and shall not be deemed
complete unless the omission of any item of information  required
shall  have  been  disclosed  or  satisfactorily  accounted  for.
Carbon copies shall not be acceptable.   The  abortion  reporting
form  shall  not  include  the  name  of the person upon whom the
abortion was performed.   The abortion reporting  form  shall  be
confidential and shall not be revealed except upon the order of a
court   of   competent   jurisdiction  in  a  civil  or  criminal
proceeding.

 

28-344
Reporting form; violation; penalty.
 
                     Violation  of  section  28-343 is a Class II
misdemeanor.

 

28-345
Department  of  Health  and  Human  Services Finance and Support;
permanent file; rules and regulations.
 
                   The Department of Health  and  Human  Services
Finance  and  Support  shall  prepare  and keep on permanent file
compilations  of  the  information  submitted  on  the   abortion
reporting  forms  pursuant  to  such  rules  and  regulations  as
established by  the  Department  of  Health  and  Human  Services
Finance  and  Support,  which  compilations  shall be a matter of
public record.  Under no circumstances shall the compilations  of
information  include  the  name  of  any  attending  physician or
identify in any respect facilities where abortions are performed.
The Department of Health and Human Services Finance and  Support,
in  order  to  maintain and keep such compilations current, shall
file with such reports any new or amended information.

 

28-346
Aborted infant; experimentation; prohibited; exception; penalty.
 
                     No person shall knowingly, intentionally, or
willfully use any premature infant aborted alive for any type  of
scientific,    research,    laboratory,    or   other   kind   of
experimentation except as necessary to protect  or  preserve  the
life or health of such premature infant aborted alive.  Violation
of this section is a Class IV felony.

 

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Chapter 44.  Insurance.

 

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44-1615.01
Public employees; abortion coverage; limitations.
 
                         No  group  insurance  contract or health
maintenance   agreement   providing   hospitalization,   medical,
surgical,  accident,  sickness, or other health coverage paid for
in whole or in part with public funds shall include coverage  for
abortion,  as  defined in section 28-326.  This section shall not
apply to coverage for an abortion which is verified in writing by
the attending physician as necessary to prevent the death of  the
woman  or  to  coverage for medical complications arising from an
abortion.   This section shall  not  prohibit  the  insurer  from
offering  individual  employees  special coverage for abortion if
the costs for such coverage are borne solely by the employee.
 
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Chapter 48.  Labor.
 
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48-1111
Different standards of compensation, conditions, or privileges of
employment;  lawful employment practices; effect of pregnancy and
related medical conditions.
 
                     (1) Except  as  otherwise  provided  in  the
Nebraska  Fair  Employment  Practice  Act,  it  shall  not  be an
unlawful employment practice for an employer to  apply  different
standards  of  compensation,  or  different terms, conditions, or
privileges of employment pursuant to a  bona  fide  seniority  or
merit  system  or a system which measures earnings by quantity or
quality of production or  to  employees  who  work  in  different
locations, if such differences are not the result of an intention
to   discriminate   because   of   race,  color,  religion,  sex,
disability, marital status, or national origin, nor shall  it  be
an  unlawful  employment  practice for an employer to give and to
act upon the results of any professionally developed ability test
if such test, its administration, or action upon the  results  is
not  designed, intended, or used to discriminate because of race,
color, religion, sex, disability,  marital  status,  or  national
origin.
          It  shall  not be an unlawful employment practice for a
covered entity to deny privileges of employment to an  individual
with  a  disability  when  the qualification standards, tests, or
selection criteria that screen out  or  tend  to  screen  out  or
otherwise  deny  a  job  or  benefit  to  an  individual  with  a
disability:
          (a) Have been shown to be  job-related  and  consistent
with   business   necessity   and   such  performance  cannot  be
accomplished by reasonable  accommodation,  as  required  by  the
Nebraska  Fair  Employment Practice Act and the federal Americans
with Disabilities Act of 1990; or
          (b) Include a requirement that an individual shall  not
pose  a direct threat, involving a significant risk to the health
or safety of other individuals in the workplace, that  cannot  be
eliminated by reasonable accommodation.
          It  shall  not  be  an  unlawful employment practice to
refuse employment based on a policy of not employing both husband
and wife if such policy is equally applied to both sexes.
          (2) Women affected by pregnancy, childbirth, or related
medical  conditions  shall  be   treated   the   same   for   all
employment-related   purposes,   including  receipt  of  employee
benefits, as other persons not so affected but similar  in  their
ability  or  inability to work, and nothing in this section shall
be interpreted to provide otherwise.
          This section shall not require an employer  to  provide
employee  benefits for abortion except when medical complications
have arisen from an abortion.
          Nothing in this section shall preclude an employer from
providing employee benefits for  abortion  under  fringe  benefit
programs  or  otherwise affect bargaining agreements in regard to
abortion.
 
* * *
 
Chapter 68.  Paupers and Public Assistance
 
* * *
 
68-1722
Legislative  findings;  case  management practices and supportive
services; department; powers and duties;  extension  of  two-year
limit on cash assistance; when.
 
                      The  Legislature  finds  that the state has
responsibilities   to   help   ensure   the   success   of    the
self-sufficiency  contract for each recipient.  The Department of
Health and Human Services shall employ case management  practices
and  supportive  services  to  the extent necessary to facilitate
movement toward self-sufficiency within  the  two-year  limit  on
participation as provided in section 68-1724.
          The  department  may purchase case management services.
It is the intent of the  Legislature  that  any  case  management
utilized   by   the  department  shall  include  standards  which
emphasize   communication   skills;   appropriate    interviewing
techniques;   and   methods   for   positive  feedback,  support,
encouragement, and counseling.    The  case  management  provided
shall also include a recognition of family dynamics and emphasize
working  with  all family members; shall respect diversity; shall
empower individuals; and shall include recognizing, capitalizing,
and  building  on  a  family's  strengths  and  existing  support
network.    It  is the intent of the Legislature that generally a
case manager would have a family caseload of no more than seventy
cases.
          Supportive services shall include, but not  be  limited
to,  assistance  with  transportation expenses, participation and
work expenses, parenting education, family  planning,  budgeting,
and  relocation  to  provide  for  specific needs critical to the
recipient's or the recipient family's self-sufficiency  contract.
For  purposes  of this section, family planning shall not include
abortion  counseling,  referral  for  abortion,  or  funding  for
abortion.    If the state fails to meet the specific terms of the
self-sufficiency contract, the two-year limit on cash  assistance
under  section 68-1724 shall be extended for an additional period
of not more than two years.
 
* * *
 
Chapter 71.  Public Health.
 
* * *
 
71-148
License,  certificate,  or registration to practice a profession;
revocation or suspension; unprofessional conduct, defined.
 
                   For purposes of section 71-147, unprofessional
conduct means any departure from or failure  to  conform  to  the
standards  of  acceptable and prevailing practice of a profession
or occupation or the ethics  of  the  profession  or  occupation,
regardless of whether a person, patient, or entity is injured, or
conduct  that  is  likely  to deceive or defraud the public or is
detrimental to the public interest, including,  but  not  limited
to:
          (1) Solicitation of professional patronage by agents or
persons,  popularly known as cappers or steerers, or profiting by
the acts of those representing themselves to  be  agents  of  the
licensee, certificate holder, or registrant;
          (2)  Receipt of fees on the assurance that a manifestly
incurable disease can be permanently cured;
          (3) Division of fees, or agreeing to  split  or  divide
the  fees, received for professional services with any person for
bringing or referring a patient;
          (4) Obtaining any  fee  for  professional  services  by
fraud,  deceit,  or misrepresentation, including, but not limited
to, falsification of third-party claim documents;
          (5) Cheating on or attempting to subvert the  licensing
or certification examination;
          (6)  Assisting  in  the  care or treatment of a patient
without  the  consent  of  such  patient  or  his  or  her  legal
representative;
          (7)  Use  of  any letters, words, or terms, either as a
prefix, affix, or suffix, on stationery,  in  advertisements,  or
otherwise,  indicating that such person is entitled to practice a
system or mode of healing for which he or she  is  not  licensed,
certified, or registered;
          (8)  Performing,  procuring,  or aiding and abetting in
the performance or procurement of a criminal abortion;
          (9) Willful betrayal of a professional secret except as
otherwise provided by law;
          (10) Making use of  any  advertising  statements  of  a
character tending to deceive or mislead the public;
          (11)   Advertising   professional  superiority  or  the
performance of professional services in a superior manner;
          (12) Advertising to guarantee any professional  service
or to perform any operations painlessly;
          (13)  Performance  by  a  physician  of  an abortion as
defined in subdivision (1) of section 28-326 under  circumstances
when  he  or  she  will not be available for a period of at least
forty-eight   hours   for   postoperative   care   unless    such
postoperative  care  is  delegated  to  and  accepted  by another
physician;
          (14) Performing an abortion upon a minor without having
satisfied the notice requirements of sections 71-6901 to 71-6908;
          (15) The  intentional  and  knowing  performance  of  a
partial-birth  abortion  as defined in subdivision (9) of section
28-326, unless such procedure is necessary to save  the  life  of
the  mother  whose  life  is  endangered  by a physical disorder,
physical    illness,    or    physical    injury,   including   a
life-endangering physical condition caused by or arising from the
pregnancy itself; [This provision has been held to be unconstitutional and unenforceable.]
          (16) The providing by a  massage  therapist  of  sexual
stimulation as part of massage therapy;
          (17)  Violating an assurance of compliance entered into
under section 71-171.02;
          (18) Commission of any act of sexual abuse, misconduct,
or exploitation related to the  practice  of  the  profession  or
occupation  of  the  applicant,  licensee, certificate holder, or
registrant;
          (19) Failure to keep and maintain adequate  records  of
treatment or service;
          (20)    Prescribing,    administering,    distributing,
dispensing, giving, or selling any controlled substance or  other
drug  recognized  as  addictive  or  dangerous  for  other than a
medically accepted therapeutic purpose;
          (21) Prescribing any controlled  substance  to  oneself
or, except in the case of a medical emergency, to one's spouse or
child; and
          (22)  Such  other  acts  as may be defined in rules and
regulations adopted and promulgated by the board of examiners  in
the profession of the applicant, licensee, certificate holder, or
registrant with the approval of the department.
          Nothing  in  this section shall be construed to exclude
adjudication in individual contested cases.
 
* * *
 
71-155
Credential;   disciplinary   action;  proceedings;  hearing;  how
conducted; Director of Regulation and Licensure;  powers;  order;
effect.  [The provisions relating to subdivision (15) of section 71-148 have been held to be unconstitutional and unenforceable.]
 
                    (1) The proceeding under section 71-150 shall
be summary in its nature and triable  as  an  equity  action  and
shall  be heard by the Director of Regulation and Licensure or by
a hearing officer designated by  the  director  under  rules  and
regulations  of  the  department.   Affidavits may be received in
evidence in the discretion of the director  or  hearing  officer.
The  department  shall  have  the  power  to administer oaths, to
subpoena witnesses and compel  their  attendance,  and  to  issue
subpoenas  duces  tecum  and  require  the  production  of books,
accounts, and documents in the same manner and to the same extent
as the district courts of the state.  Depositions may be used  by
either party.  Upon the completion of any hearing held under this
section,  the  director  shall,  if  the petition is brought with
respect to subdivision (15) of section 71-148, make  findings  as
to  whether the licensee's conduct was necessary to save the life
of a mother whose life was endangered  by  a  physical  disorder,
physical    illness,    or    physical    injury,   including   a
life-endangering physical condition caused by or arising from the
pregnancy itself, and shall have the authority through  entry  of
an  order  to exercise in his or her discretion any or all of the
following powers, irrespective of the petition:
          (a) Issue a censure against the credentialed person;
          (b) Place the credentialed person on probation;
          (c) Place a limitation or limitations on the credential
and upon the right of the credentialed  person  to  practice  the
profession  to  such extent, scope, or type of practice, for such
time, and under  such  conditions  as  are  found  necessary  and
proper;
          (d)  Impose  a  civil  penalty  not  to  exceed  twenty
thousand dollars.  The amount of the penalty shall  be  based  on
the severity of the violation;
          (e) Enter an order of suspension of the credential;
          (f) Enter an order of revocation of the credential; and
          (g) Dismiss the action.
          (2)  If  the  director  determines  that guilt has been
established, the director may, at his or her discretion,  consult
with   the   professional   board  for  the  profession  involved
concerning sanctions to be imposed or terms and conditions of the
sanctions.  When the director consults with a professional board,
the credentialed person shall be provided  with  a  copy  of  the
director's  request,  the  recommendation  of  the  board, and an
opportunity to respond in such manner as the director determines.
          (3) The credentialed person shall  not  engage  in  the
practice  of  a  profession  after  a credential to practice such
profession is  revoked  or  during  the  time  for  which  it  is
suspended.  If a credential is suspended, the suspension shall be
for  a  definite  period  of time to be set by the director.  The
director may provide that the credential shall  be  automatically
reinstated  upon  expiration  of  such  period, reinstated if the
terms and conditions as set by the  director  are  satisfied,  or
reinstated subject to probation or limitations or conditions upon
the  practice  of the credentialed person.  If such credential is
revoked,  such  revocation shall be for all times, except that at
any time after the expiration of two years,  application  may  be
made for reinstatement pursuant to section 71-161.04.
 
* * *
 
71-416
Health clinic, defined.
 
                     (1)  Health  clinic  means  a facility where
advice,  counseling,  diagnosis,  treatment,  surgery,  care,  or
services  relating  to  the preservation or maintenance of health
are provided on an outpatient basis for a  period  of  less  than
twenty-four consecutive hours to persons not residing or confined
at such facility.  Health clinic includes, but is not limited to,
an ambulatory surgical center or a public health clinic.
          (2)  Health  clinic  does not include (a) a health care
practitioner facility (i) unless such facility is  an  ambulatory
surgical center, (ii) unless ten or more abortions, as defined in
subdivision  (1)  of section 28-326, are performed during any one
calendar week at such facility, or (iii) unless  hemodialysis  or
labor and delivery services are provided at such facility, or (b)
a  facility which provides only routine health screenings, health
education, or immunizations.
          (3) For purposes of this section:
          (a) Public health  clinic  means  the  department,  any
county,  city-county,  or  multicounty  health department, or any
private not-for-profit  family  planning  clinic  licensed  as  a
health clinic;
          (b)  Routine  health screenings means the collection of
health data  through  the  administration  of  a  screening  tool
designed for a specific health problem, evaluation and comparison
of  results  to  referral  criteria,  and referral to appropriate
sources of care, if indicated; and
          (c) Screening tool means a simple interview or  testing
procedure to collect basic information on health status.
 
* * *
 
71-602
Department  of  Health  and  Human  Services Finance and Support;
standard forms; release of information; confidentiality.
 
                     (1)  The  Department  of  Health  and  Human
Services Finance and Support shall adopt and promulgate rules and
regulations  prescribing  all standard forms for registering with
or reporting to the  department  and  for  certification  to  the
public  of  any birth, abortion, marriage, annulment, dissolution
of marriage, or death registered in Nebraska.   Such forms  shall
(a) provide for the registration of vital events as accurately as
possible, (b) secure information about the economic, educational,
occupational,  and  sociological  backgrounds  of the individuals
involved in the registered events and their parents  as  a  basis
for  statistical  research  in  order  to  reduce  morbidity  and
mortality and improve the quality of life,  (c)  accomplish  such
duties in a manner which will be uniform with forms for reporting
similar  events  which have been established by the United States
Public Health Service to the extent  such  forms  are  consistent
with  state  law, and (d) permit other deviations from such forms
as will reduce  the  costs  of  gathering  information,  increase
efficiency,  or  protect  the  health and safety of the people of
Nebraska without jeopardizing such uniformity.
          (2) All information designated by the department on all
certificates as being for health data  and  statistical  research
shall  be  confidential  and  may  be released only to the United
States Public Health Service or its successor, government  health
agencies,  or  a  researcher  as  approved  by  the department in
accordance with its rules and regulations.   The  department  may
publish  analyses  of  any  information received on the forms for
scientific and public health purposes in  such  a  manner  as  to
assure that the identity of any individual cannot be ascertained.
The  release  of  such information pursuant to this section shall
not make
otherwise confidential information a public record.
 e='font-size:12.0pt;font-family:"Times New Roman"'> 
71-705
Women's Health Initiative Fund; created; use; investment.
 
                   The Women's Health Initiative Fund is created.
The  fund  shall  consist of money received as gifts or grants or
collected as fees or charges from any federal, state, public,  or
private source.  Money in the fund shall be used to reimburse the
expenses  of  the  Women's  Health  Initiative  of  Nebraska  and
expenses of members of the  Women's  Health  Initiative  Advisory
Council.    Nothing  in  sections  71-701  to 71-707 requires the
Women's Health Initiative  of  Nebraska  to  accept  any  private
donations  that  are not in keeping with the goals and objectives
set forth by the initiative and  the  Department  of  Health  and
Human  Services.  No funds expended or received by or through the
initiative shall pay for abortion referral or abortion  services.
Any  money in the fund available for investment shall be invested
by the state investment officer pursuant to the Nebraska  Capital
Expansion Act and the Nebraska State Funds Investment Act.
 
* * *
 
71-6901
Terms, defined.
 
                    For purposes of sections 71-6901 to 71-6908:
          (1)  Abortion  shall mean an act, procedure, device, or
prescription administered to a  woman  known  by  the  person  so
administering to be pregnant and administered with the intent and
result   of   producing  the  premature  expulsion,  removal,  or
termination of the human life within the  womb  of  the  pregnant
woman, except that in cases in which the unborn child's viability
is  threatened  by  continuation of the pregnancy, early delivery
after viability shall not be construed as an abortion;
          (2) Facsimile copy shall mean a  copy  generated  by  a
system  that  encodes  a  document  or photograph into electrical
signals, transmits those signals over  telecommunications  lines,
and then reconstructs the signals to create an exact duplicate of
the original document at the receiving end;
          (3)  Parent  shall  mean  one parent or guardian of the
pregnant woman selected by the pregnant  woman.    The  attending
physician  shall  certify  in  writing  in  the  pregnant woman's
medical record the parent or guardian selected by the woman;
          (4) Physician or attending  physician  shall  mean  the
physician intending to perform the abortion; and
          (5)  Pregnant  woman  shall mean an unemancipated woman
under eighteen years of age who is pregnant or a  pregnant  woman
for  whom  a  guardian  has  been  appointed pursuant to sections
30-2620  to  30-2629  because  of  a   finding   of   incapacity,
disability, or incompetency.

 

71-6902
Performance of abortion; notice required.
 
                      (1)  No  abortion shall be performed upon a
pregnant woman until at least  forty-eight  hours  after  written
notice  of  the pending abortion has been delivered in the manner
specified in subsection (2) or (3) of this section.
          (2) The notice shall be addressed to the parent at  his
or her usual place of residence and shall be delivered personally
to the parent by the physician or an agent.
          (3)  In lieu of the delivery required by subsection (2)
of this section, notice shall be made by registered or  certified
mail  addressed  to  the  parent  at  his  or  her usual place of
residence with return receipt requested and  restricted  delivery
to  the  addressee,  which  means  the  postal  employee can only
deliver mail to the authorized addressee.  Time of delivery shall
be deemed to occur at twelve o'clock noon  on  the  next  day  on
which  regular  mail  delivery  takes  place  subsequent  to  the
mailing.

 

71-6903
Abortion; authorized by court; when; procedures; confidentiality;
guardian ad litem.
 
                     (1) If a pregnant woman elects not to notify
her parent, a judge of a district court, separate juvenile court,
or county court sitting as a juvenile court shall, upon  petition
or motion and after an appropriate hearing, authorize a physician
to perform the abortion if the court determines that the pregnant
woman  is  mature  and  capable of giving informed consent to the
proposed abortion.   If the court determines  that  the  pregnant
woman is not mature or if the pregnant woman does not claim to be
mature,  the  court shall determine whether the performance of an
abortion upon her without notification of her parent would be  in
her best interests and shall authorize a physician to perform the
abortion  without  such  notification if the court concludes that
the best interests of the pregnant woman would be served thereby.
          (2) A facsimile copy of the petition or motion  may  be
transmitted  directly  to  the court for filing.   If a facsimile
copy is filed in lieu of the original document, the party  filing
the  facsimile  copy  shall  retain  the  original  document  for
production to the court if requested to do so.
          (3) A court shall not be required to have  a  facsimile
machine  nor  shall  the  court be required to transmit orders or
other  material   to   attorneys   or   parties   via   facsimile
transmission.
          (4)  An  action  for  waiver  of  notification shall be
commenced by the filing of a petition or  motion  personally,  by
mail,  or  by  facsimile  on  a  form provided by the State Court
Administrator.  The State Court Administrator shall  develop  the
petition  form and accompanying instructions on the procedure for
petitioning the court for a waiver of notification, including the
name, address, telephone number, and  facsimile  number  of  each
court  in  the state.   A sufficient number of petition forms and
instructions shall be made available in each courthouse  in  such
place  that  members  of the general public may obtain a form and
instructions without requesting such form and  instructions  from
the  clerk  of  the court or other court personnel.  The clerk of
the court shall, upon request, assist in  completing  and  filing
the petition for waiver of notification.
          (5) Proceedings in court pursuant to this section shall
be  confidential.  Proceedings shall be held in camera.  Only the
pregnant woman, the  pregnant  woman's  guardian  ad  litem,  the
pregnant  woman's  attorney,  and  a  person  whose  presence  is
specifically  requested  by  the  pregnant  woman,  the  pregnant
woman's  guardian  ad litem, or the pregnant woman's attorney may
attend  the  hearing  on  the  petition.    All  testimony,   all
documents,  all  other  evidence  presented  to  the  court,  the
petition and any order entered, and all records of any nature and
kind relating to the matter shall be sealed by the clerk  of  the
court  and  shall  not be open to any person except upon order of
the court for good cause  shown.    A  separate  docket  for  the
purposes  of this section shall be maintained by the clerk of the
court and shall likewise be sealed and not opened  to  inspection
by  any  person  except  upon  order  of the court for good cause
shown.
          (6) A pregnant woman who is subject to this section may
participate  in  the court proceedings on her own behalf, and the
court may appoint a guardian ad litem for her.   The court  shall
advise the pregnant woman that she has a right to court-appointed
counsel  and  shall,  upon  her  request,  provide  her with such
counsel.  Such counsel shall receive a fee to  be  fixed  by  the
court  and  to be paid out of the treasury of the county in which
the proceeding was held.
          (7) Proceedings in court pursuant to this section shall
court  may  reach  a decision promptly and without delay to serve
the best interests of the pregnant woman.  In no case  shall  the
court  fail  to rule within seven calendar days from the time the
petition is filed.   If  the  court  fails  to  rule  within  the
required  time period, the pregnant woman may file an application
for a writ of mandamus with the Supreme Court.   If cause  for  a
writ  of mandamus exists, the writ shall issue within three days.
If the judge issues a ruling adverse to the pregnant  woman,  the
judge  shall  issue  written  findings of fact and conclusions of
law.
          (8) The court shall issue a written order  which  shall
be  provided  immediately  to  the  pregnant  woman, the pregnant
woman's guardian ad litem, the pregnant woman's attorney, or  any
other  person  designated  by  the  pregnant woman to receive the
order.

 

71-6904
Appeal; procedure; confidentiality.
 
                      (1) An appeal to the Supreme Court shall be
available to any pregnant woman for whom a court denies an  order
authorizing   an   abortion  without  notification.     An  order
authorizing an abortion without notification shall not be subject
to appeal.
          (2) An adverse ruling by the court may be  appealed  to
the Supreme Court.
          (3) A pregnant woman may file a notice of appeal of any
final  order to the Supreme Court.  The State Court Administrator
shall develop the form for  notice  of  appeal  and  accompanying
instructions on the procedure for an appeal.  A sufficient number
of  forms  for  notice  of  appeal and instructions shall be made
available in each courthouse in such place that  members  of  the
general  public  can  obtain  a  form  and  instructions  without
requesting such form and instructions from the clerk of the court
or other court personnel.
          (4) The clerk  of  the  court  shall  cause  the  court
transcript  and  bill  of exceptions to be filed with the Supreme
Court within four business days, but in no event later than seven
calendar days, from the date of  the  filing  of  the  notice  of
appeal.
          (5)  In  all  appeals  under  this section the pregnant
woman shall have the right of a confidential and expedited appeal
and the right to counsel at the appellate level  if  not  already
represented.    Such  counsel shall be appointed by the court and
shall receive a fee to be fixed by the court and to be  paid  out
of  the  treasury of the county in which the proceeding was held.
The pregnant woman shall not be required to appear.
          (6) The Supreme Court shall hear the appeal de novo  on
the  record  and issue a written decision which shall be provided
immediately to the pregnant woman, the pregnant woman's  guardian
ad  litem,  the  pregnant  woman's  attorney, or any other person
designated by the pregnant woman to receive the order.
          (7) The Supreme Court shall rule within seven  calendar
days  from the time of the docketing of the appeal in the Supreme
Court.
          (8) The Supreme Court shall adopt and promulgate  rules
to  ensure  that  proceedings under this section are handled in a
confidential and expeditious manner.

 

71-6905
Court proceedings; no fees or costs required.
 
                     No filing fees or costs shall be required of
any pregnant woman at either the trial or appellate level for any
proceedings pursuant to sections 71-6901 to 71-6908.

 

71-6906
Performance of abortion; notice not required; when.
 
                      Notification shall not be required pursuant
to sections 71-6901 to 71-6908 if any of the following conditions
exist:
          (1) The attending physician certifies in writing in the
pregnant  woman's  medical  record  that  continuation   of   the
pregnancy provides an immediate threat and grave risk to the life
or health of the pregnant woman and there is insufficient time to
provide the required notification;
          (2) The abortion is authorized in writing by the person
who is entitled to notification; or
          (3) The pregnant woman declares that she is a victim of
abuse  as  defined  in section 28-351, sexual abuse as defined in
section 28-367, or abuse or neglect as defined in section 28-710.
Notice of  such  a  declaration  shall  be  made  to  the  proper
authorities as provided in sections 28-372 and 28-711.  If such a
declaration  is made, the attending physician or his or her agent
shall inform the pregnant woman of his or her duty to notify  the
proper authorities as provided in sections 28-372 and 28-711.

 

71-6907
Violation by physician; penalty; civil action; immunity.
 
                     (1) Any physician or attending physician who
knowingly and intentionally performs an abortion in violation  of
sections  71-6901  to  71-6906  shall  be  guilty  of a Class III
misdemeanor.
          (2) Performance of an abortion  in  violation  of  such
sections  shall  be  grounds  for  a  civil  action  by  a person
wrongfully denied notification.
          (3) A person shall be immune from liability under  such
sections (a) if he or she establishes by written evidence that he
or  she relied upon evidence sufficient to convince a careful and
prudent person that the representations  of  the  pregnant  woman
regarding  information necessary to comply with such sections are
bona fide  and  true,  (b)  if  the  person  has  attempted  with
reasonable  diligence  to  deliver  notification  as  required by
section 71-6902 but has been unable to  do  so,  or  (c)  if  the
person  has  performed  an  abortion  authorized by a court order
issued pursuant to section 71-6903 or 71-6904.

 

71-6908
Family  or  foster  family  abuse,  neglect,  or  sexual assault;
legislative findings and declarations; prosecution encouraged.
 
                      The  Legislature  recognizes   and   hereby
declares  that  some teenage pregnancies are a direct or indirect
result of family or  foster  family  abuse,  neglect,  or  sexual
assault.   The Legislature further recognizes that the actions of
abuse, neglect,  or  sexual  assault  are  crimes  regardless  of
whether they are committed by strangers, acquaintances, or family
members.    The  Legislature  further  recognizes  the need for a
parent or guardian notification  bypass  system  as  set  out  in
section   71-6903   due   to   the  number  of  unhealthy  family
environments  in  which  some  pregnant  women   reside.      The
Legislature  encourages  county  attorneys  to  prosecute persons
accused of committing acts of abuse, incest, neglect,  or  sexual
assault  pursuant  to sections 28-319, 28-320, 28-320.01, 28-703,
and 28-707 even if the alleged crime is committed by a biological
or adoptive parent, foster parent, or other biological, adoptive,
or foster family member.

 

* * *
 
71-7606
Purpose of act; restrictions on use of funds; report.
 
                      (1) The purpose of the Nebraska Health Care
Funding Act is to provide for the use of  dedicated  revenue  for
health-care-related expenditures.
          (2) Any funds appropriated or distributed under the act
shall  not  be  considered ongoing entitlements or obligations on
the part of the State of  Nebraska  and  shall  not  be  used  to
replace existing funding for existing programs.
          (3)  No funds appropriated or distributed under the act
shall be used for abortion,  abortion  counseling,  referral  for
abortion, school-based health clinics, or research or activity of
any  kind  involving  the  use  of human fetal tissue obtained in
connection  with  the  performance  of  an  induced  abortion  or
involving  the  use  of  human  embryonic  stem  cells or for the
purpose of obtaining other funding for such use.
          (4) The Department of Health and Human Services and the
Department of Health and Human Services Finance and Support shall
report annually to the Legislature and the Governor regarding the
use of funds appropriated under the act and the outcomes achieved
from such use.
 
* * *
 
--------------------------------------
 
[Nebraska prohibits public funding for abortion for women eligible for state medical assistance for general health care unless the physician obtains prior authorization and the procedure is necessary to preserve the woman's life or the pregnancy is the result of rape or incest. Memorandum from Gerry A. Oligmueller, Acting Director, Neb. Dep't of Soc. Servs., to Robert J. Seiffert, Administrator, Med. Servs. Div. (July 28, 1995.).  This information is taken from the NARAL Pro-Choice America website.]