1.1.................... moves to amend H.F. No. 1 as follows:
1.2Page 2, after line 4, insert:

1.3    "Sec. 2. [145.4161] LICENSURE OF ABORTION FACILITIES.
1.4    Subdivision 1. Definitions. (a) For purposes of this section, the following definitions
1.6(b) "Abortion facility" means a clinic, health center, or other facility in which the
1.7pregnancies of ten or more women known to be pregnant are willfully terminated or aborted
1.8each month. A facility licensed as a hospital or as an outpatient surgical center pursuant to
1.9sections 144.50 to 144.56 shall not be considered an abortion facility.
1.10(c) "Accrediting or membership organization" means a national organization that
1.11establishes evidence-based clinical standards for abortion care and accredits abortion facilities
1.12or accepts as members abortion facilities following an application and inspection process.
1.13(d) "Commissioner" means the commissioner of health.
1.14    Subd. 2. License required. (a) Beginning July 1, 2024, no abortion facility shall be
1.15established, operated, or maintained in the state without first obtaining a license from the
1.16commissioner according to this section.
1.17(b) A license issued under this section is not transferable or assignable and is subject to
1.18suspension or revocation at any time for failure to comply with this section.
1.19(c) If a single entity maintains abortion facilities on different premises, each facility
1.20must obtain a separate license.
1.21(d) To be eligible for licensure under this section, an abortion facility must be accredited
1.22or a member of an accrediting or membership organization or must obtain accreditation or
1.23membership within six months of the date of the application for licensure. If the abortion
2.1facility loses its accreditation or membership, the abortion facility must immediately notify
2.2the commissioner.
2.3(e) The commissioner, the attorney general, an appropriate county attorney, or a woman
2.4upon whom an abortion has been performed or attempted to be performed at an unlicensed
2.5facility may seek an injunction in district court against the continued operation of the facility.
2.6Proceedings for securing an injunction may be brought by the attorney general or by the
2.7appropriate county attorney.
2.8(f) Sanctions provided in this subdivision do not restrict other available sanctions.
2.9    Subd. 3. Temporary license. For new abortion facilities planning to begin operations
2.10on or after July 1, 2024, the commissioner may issue a temporary license to the abortion
2.11facility that is valid for a period of six months from the date of issuance. The abortion facility
2.12must submit to the commissioner an application and applicable fee for licensure as required
2.13under subdivisions 4 and 7. The application must include the information required under
2.14subdivision 4, clauses (1), (2), (3), (5), and (6), and provide documentation that the abortion
2.15facility has submitted the application for accreditation or membership from an accrediting
2.16or membership organization. Upon receipt of accreditation or membership verification, the
2.17abortion facility must submit to the commissioner the information required in subdivision
2.184, clause (4), and the applicable fee under subdivision 7. The commissioner shall then issue
2.19a new license.
2.20    Subd. 4. Application. An application for a license to operate an abortion facility and
2.21the applicable fee under subdivision 7 must be submitted to the commissioner on a form
2.22provided by the commissioner and must contain:
2.23(1) the name of the applicant;
2.24(2) the site location of the abortion facility;
2.25(3) the name of the person in charge of the abortion facility;
2.26(4) documentation that the abortion facility is accredited or a member of an accrediting
2.27or membership organization, including the effective date and the expiration date of the
2.28accreditation or membership, and the date of the last site visit by the accrediting or
2.29membership organization;
2.30(5) the names and license numbers, if applicable, of the health care professionals on
2.31staff at the abortion facility; and
2.32(6) any other information the commissioner deems necessary.
3.1    Subd. 5. Inspections. Prior to initial licensure and at least once every two years thereafter,
3.2the commissioner shall perform a routine and comprehensive inspection of each abortion
3.3facility. Facilities shall be open at all reasonable times to an inspection authorized in writing
3.4by the commissioner. No notice need be given to any person prior to an inspection authorized
3.5by the commissioner.
3.6    Subd. 6. Suspension, revocation, and refusal to renew. The commissioner may refuse
3.7to grant or renew, or may suspend or revoke, a license on any of the grounds described
3.8under section 144.55, subdivision 6, paragraph (a), clause (2), (3), or (4), or upon the loss
3.9of accreditation or membership described in subdivision 4, clause (4). The applicant or
3.10licensee is entitled to a notice and a hearing as described under section 144.55, subdivision
3.117, and a new license may be issued after proper inspection of an abortion facility has been
3.13    Subd. 7. Fees. (a) The biennial license fee for abortion facilities is $365.
3.14(b) The temporary license fee is $365.
3.15(c) Fees shall be collected and deposited according to section 144.122.
3.16    Subd. 8. Renewal. (a) A license issued under this section expires two years from the
3.17date of issuance.
3.18(b) A temporary license issued under this section expires six months from the date of
3.19issuance and may be renewed for one additional six-month period.
3.20    Subd. 9. Records. All health records maintained on each client by an abortion facility
3.21are subject to sections 144.292 to 144.298.
3.22    Subd. 10. Severability. If any one or more provision, section, subdivision, sentence,
3.23clause, phrase, or word of this section or the application of it to any person or circumstance
3.24is found to be unconstitutional, it is declared to be severable and the balance of this section
3.25shall remain effective notwithstanding such unconstitutionality. The legislature intends that
3.26it would have passed this section, and each provision, section, subdivision, sentence, clause,
3.27phrase, or word, regardless of the fact that any one provision, section, subdivision, sentence,
3.28clause, phrase, or word is declared unconstitutional.

3.29    Sec. 3. APPROPRIATION.
3.30$55,000 in fiscal year 2024 and $8,000 in fiscal year 2025 are appropriated from the
3.31state government special revenue fund to the commissioner of health for licensing activities
4.1under Minnesota Statutes, section 145.4161. The base for this program is $42,000 in fiscal
4.2year 2026 and $8,000 in fiscal year 2027."
4.3Renumber the sections in sequence and correct the internal references
4.4Amend the title accordingly