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  89R8558 AB-F     By: Cook S.B. No. 2256       A BILL TO BE ENTITLED   AN ACT   relating to the definition of ectopic pregnancy.          BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:          SECTION 1.  Section 245.002(4-a), Health and Safety Code, is   amended to read as follows:                (4-a) "Ectopic pregnancy" means the implantation of a   fertilized egg or embryo in any location except the healthy   endometrial lining of the main uterine cavity, including:                       (A)   outside of the uterus ;                       (B)     in an intrauterine location at which the   fertilized egg or embryo becomes nonviable, such as a cervical,   cornual, heterotopic, or intramyometrial implantation site; or                       (C)  in a scarred portion of the uterus .          SECTION 2.  Section 171.063(c), Health and Safety Code, is   amended to read as follows:          (c)  Before the physician provides an abortion-inducing   drug, the physician must:                (1)  examine the pregnant woman in person;                (2)  independently verify that a pregnancy exists;                (3)  document, in the woman's medical record, the   gestational age and [ intrauterine ] location of the pregnancy to   determine whether an ectopic pregnancy exists;                (4)  determine the pregnant woman's blood type, and for   a woman who is Rh negative, offer to administer Rh immunoglobulin   (RhoGAM) at the time the abortion-inducing drug is administered or   used or the abortion is performed or induced to prevent Rh   incompatibility, complications, or miscarriage in future   pregnancies;                (5)  document whether the pregnant woman received   treatment for Rh negativity, as diagnosed by the most accurate   standard of medical care; and                (6)  ensure the physician does not provide an   abortion-inducing drug for a pregnant woman whose pregnancy is more   than 49 days of gestational age.          SECTION 3.  This Act takes effect immediately if it receives   a vote of two-thirds of all the members elected to each house, as   provided by Section 39, Article III, Texas Constitution.  If this   Act does not receive the vote necessary for immediate effect, this   Act takes effect September 1, 2025.