Relating to exceptions to otherwise prohibited abortions based on a physician's reasonable medical judgment.

Contracts

• Physician Employment Agreements: Update "Conditions of Employment" and "Maintenance of Licensure" clauses. Failure to complete the specific SB31 CME results in license non-renewal; contracts must reflect that this specific lapse is grounds for suspension or termination.
• Hospital Bylaws: Amend bylaws to align with SB31’s definitions of "Medical Emergency" and "Ectopic Pregnancy." Remove any internal policy requiring "imminent" death before intervention, as the statute explicitly removes the imminence requirement.
• Legal Retainers: Review engagement letters with outside counsel. The law creates a safe harbor for attorney-client consultations regarding medical exceptions; ensure your retainer scope explicitly covers these real-time consultations.

Hiring/Training

• Credentialing Hard Stop: Credentialing departments must add a verification step for all obstetric providers renewing after Jan 1, 2026. The physician *must* present proof of the 1-hour TMB-approved course.
• New Hires: Any physician applying for initial licensure after Jan 1, 2026, who intends to provide obstetric care must complete this course *prior* to licensure.

Reporting & Record-Keeping

• Abortion-Inducing Drugs (Mifepristone/Misoprostol): EMR templates must be hard-coded to require the following data points *before* prescription/administration:
• 1. Confirmation of in-person physical examination.
• 2. Specific gestational age.
• 3. Intrauterine location (mandatory to rule out ectopic pregnancy).
• 4. Rh negativity status and offer of Rh immunoglobulin.
• Emergency Documentation: Providers must document the specific medical rationale that a condition was "life-threatening" or posed a "serious risk of substantial impairment."

Fees & Costs

• CME Costs: $0.00. The law mandates the TMB offer this course at no cost.
• Operational Costs: Budget for administrative hours to update EMR workflows and credentialing checklists.