Text of VT H 89 (2023)
An act relating to civil and criminal procedures concerning legally protected health care activity
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As introduced
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BILL AS INTRODUCED
H.89
2023
Page 1 of 24
VT LEG #366166 v.1
H.89
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Introduced by Representatives Donnally of Hyde Park, LaLonde of South
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Burlington, Small of Winooski, Andrews of Westford,
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Andriano of Orwell, Anthony of Barre City, Arrison of
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Weathersfield, Arsenault of Williston, Austin of Colchester,
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Bartholomew of Hartland, Berbeco of Winooski, Birong of
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Vergennes, Black of Essex, Bluemle of Burlington, Bongartz of
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Manchester, Bos-Lun of Westminster, Brady of Williston,
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Brown of Richmond, Brumsted of Shelburne, Burke of
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Brattleboro, Burrows of West Windsor, Buss of Woodstock,
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Campbell of St. Johnsbury, Casey of Montpelier, Chapin of
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East Montpelier, Chase of Chester, Chase of Colchester,
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Chesnut-Tangerman of Middletown Springs, Christie of
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Hartford, Cina of Burlington, Coffey of Guilford, Cole of
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Hartford, Conlon of Cornwall, Corcoran of Bennington, Cordes
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of Lincoln, Demrow of Corinth, Dodge of Essex, Dolan of
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Essex Junction, Dolan of Waitsfield, Durfee of Shaftsbury,
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Elder of Starksboro, Emmons of Springfield, Farlice-Rubio of
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Barnet, Garofano of Essex, Goldman of Rockingham, Graning
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of Jericho, Headrick of Burlington, Holcombe of Norwich,
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Hooper of Burlington, Houghton of Essex Junction, Howard of
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Rutland City, Hyman of South Burlington, James of
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Manchester, Jerome of Brandon, Kornheiser of Brattleboro,
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Krasnow of South Burlington, Lalley of Shelburne, LaMont of
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Morristown, Lanpher of Vergennes, Leavitt of Grand Isle,
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Logan of Burlington, Long of Newfane, Masland of Thetford,
5
McCann of Montpelier, McCarthy of St. Albans City, McGill of
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Bridport, Mihaly of Calais, Minier of South Burlington,
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Mrowicki of Putney, Mulvaney-Stanak of Burlington, Nicoll of
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Ludlow, Notte of Rutland City, Noyes of Wolcott, Nugent of
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South Burlington, Ode of Burlington, Pajala of Londonderry,
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Patt of Worcester, Pouech of Hinesburg, Priestley of Bradford,
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Rachelson of Burlington, Rice of Dorset, Roberts of Halifax,
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Satcowitz of Randolph, Scheu of Middlebury, Sheldon of
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Middlebury, Sibilia of Dover, Sims of Craftsbury, Squirrell of
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Underhill, Stebbins of Burlington, Stevens of Waterbury, Stone
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of Burlington, Surprenant of Barnard, Taylor of Colchester,
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Templeman of Brownington, Toleno of Brattleboro, Torre of
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Moretown, Troiano of Stannard, Waters Evans of Charlotte,
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White of Bethel, Williams of Barre City, and Wood of
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Waterbury
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VT LEG #366166 v.1
Referred to Committee on
1
Date:
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Subject: Civil and criminal procedure; legally protected health care
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Statement of purpose of bill as introduced: This bill proposes to define legally
4
protected health care activity to include reproductive health care services and
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gender-affirming health care; exempt cases involving tortious interference with
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legally protected health care activity from the SLAPP statute; prohibit civil
7
arrest of a person for purposes of abusive litigation concerning legally
8
protected health care activity; establish a new cause of action regarding
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tortious interference with legally protected health care activity; prohibit a court
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from ordering a person to give testimony or a statement or produce documents
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or other things for use in connection with abusive litigation involving legally
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protected health care activity; prohibit a public agency from cooperating in an
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interstate investigation or proceeding seeking to impose civil or criminal
14
liability upon a person or entity for obtaining or providing legally protected
15
health care; establish a misdemeanor crime for using force or threat of force or
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physical obstruction to interfere with someone obtaining or providing legally
17
protected health care; prohibit the extradition of a nonfugitive person in
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connection with abusive litigation in another jurisdiction; prohibit a court from
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issuing a summons when a prosecution is pending in another state concerning
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legally protected health care activity or where a grand jury investigation
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concerning legally protected health care activity has commenced or is about to
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commence for a criminal violation of a law of the other state unless the acts
2
forming the basis of the prosecution or investigation would also constitute an
3
offense if occurring entirely in Vermont; and expand eligibility to the Address
4
Confidentiality Program to a person providing, assisting another person in
5
obtaining, or obtaining for themselves reproductive health care services or
6
gender-affirming health care services.
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An act relating to civil and criminal procedures concerning legally protected
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health care activity
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It is hereby enacted by the General Assembly of the State of Vermont:
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* * * Definitions * * *
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Sec. 1. 1 V.S.A. § 150 is added to read:
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§ 150. LEGALLY PROTECTED HEALTH CARE ACTIVITY
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(a) “Gender-affirming health care services” means all supplies, care, and
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services of a medical, behavioral health, mental health, surgical, psychiatric,
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therapeutic, diagnostic, preventative, rehabilitative, or supportive nature
16
relating to the treatment of gender dysphoria. Gender-affirming health care
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services does not include conversion therapy as defined by 18 V.S.A. § 8351.
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(b)(1) “Legally protected health care activity” means:
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(A) the exercise and enjoyment, or attempted exercise and
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enjoyment, by any person of rights to reproductive health care services or
2
gender-affirming health care services secured by this State or the provision of
3
insurance coverage for such services; or
4
(B) any act or omission undertaken to aid or encourage, or attempt to
5
aid or encourage, any person in the exercise and enjoyment, or attempted
6
exercise and enjoyment, of rights to reproductive health care services or
7
gender-affirming health care services secured by this State or to provide
8
insurance coverage for such services, provided that the provision of such a
9
health care service by a person duly licensed under the laws of this State and
10
physically present in this State and the provision of insurance coverage for
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such services shall be legally protected if the service is permitted under the
12
laws of this State, regardless of the patient’s location.
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(2) “Legally protected health care activity” does not include any service
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rendered below an applicable professional standard of care or that would
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violate antidiscrimination laws of this State.
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(c) “Reproductive health care services” means all supplies, care, and
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services of a medical, behavioral health, mental health, surgical, psychiatric,
18
therapeutic, diagnostic, preventative, rehabilitative, or supportive nature
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relating to pregnancy, contraception, assisted reproduction, pregnancy loss
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management, or the termination of a pregnancy.
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* * * Legally Protected Health Care Exemption from SLAPP Suits * * *
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Sec. 2. 12 V.S.A. § 1041 is amended to read:
2
§ 1041. EXERCISE OF RIGHTS TO FREE SPEECH AND TO PETITION
3
GOVERNMENT FOR REDRESS OF GRIEVANCES; SPECIAL
4
MOTION TO STRIKE
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* * *
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(h) This section shall not apply to:
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(1) any enforcement action or criminal proceeding brought by the State
8
of Vermont or any political subdivision thereof; or
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(2) a case involving tortious interference with legally protected health
10
care as provided in section 7302 of this title.
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* * *
12
* * * Privilege from Civil Arrest in Cases Involving Abusive Litigation
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Concerning Legally Protected Health Care Activity * * *
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Sec. 3. 12 V.S.A. § 3577 is amended to read:
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§ 3577. PRIVILEGE FROM ARREST
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* * *
17
(c)(1) Prohibition. A person shall not be subject to civil arrest while
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traveling to, entering, remaining at, or returning from a court proceeding.
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* * *
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(4) Definition. As used in this subsection, “civil arrest” means an arrest
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for purposes of obtaining a person’s presence or attendance at a civil
2
proceeding, including an immigration proceeding.
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(d) No person shall be subject to civil arrest for purposes of abusive
4
litigation concerning legally protected health care activity as defined in chapter
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221 of this title.
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* * * Abusive Litigation Concerning Legally Protected Health
7
Care Activity * * *
8
Sec. 4. 12 V.S.A. chapter 221 is added to read:
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CHAPTER 221. LEGALLY PROTECTED HEALTH CARE ACTIVITY
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§ 7301. DEFINITION
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As used in this chapter:
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(1)(A) “Abusive litigation” means litigation or other legal action to
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deter, prevent, sanction, or punish any person engaging in legally protected
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health care activity by:
15
(i) filing or prosecuting any action in any other state where
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liability, in whole or part, directly or indirectly, is based on legally protected
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health care activity that occurred in this State, including any action in which
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liability is based on any theory of vicarious, joint, or several liability derived
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therefrom; or
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(ii) attempting to enforce any order or judgment issued in
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connection with any such action by any party to the action or any person acting
2
on behalf of a party to the action.
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(B) A lawsuit shall be considered to be based on conduct that
4
occurred in this State if any part of any act or omission involved in the course
5
of conduct that forms the basis for liability in the lawsuit occurs or is initiated
6
in this State, whether or not such act or omission is alleged or included in any
7
pleading or other filing in the lawsuit.
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(2) “Gender-affirming health care services” has the same meaning as
9
provided in 1 V.S.A. § 150.
10
(3) “Legally protected health care activity” has the same meaning as in 1
11
V.S.A. § 150.
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(4) “Public agency” has the same meaning as in 1 V.S.A. § 317(a).
13
(5) “Reproductive health care services” has the same meaning as
14
provided in 1 V.S.A. § 150.
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§ 7302. TORTIOUS INTERFERENCE WITH LEGALLY PROTECTED
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HEALTH CARE ACTIVITY
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(a) Access to reproductive health care services and gender-affirming health
18
care services is a legal right in this State. Interference with legally protected
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health care activity, whether or not under the color of law, is against the public
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policy of this State.
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(b) Any public act or record of a foreign jurisdiction that prohibits,
1
criminalizes, sanctions, or authorizes a person to bring a civil action against or
2
otherwise interferes with a person, provider, carrier, or other entity in this State
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that seeks, receives, causes, aids in access to, aids or abets, or provides, or
4
attempts or intends to seek, receive, cause, aid in access to, aid or abet, or
5
provide, legally protected health care services shall be an interference with the
6
exercise and enjoyment of the rights secured by this State and shall be a
7
violation of the public policy of this State.
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(c) If a person, including any plaintiff, prosecutor, attorney, or law firm,
9
whether or not acting under color of law, engages or attempts to engage in
10
abusive litigation that infringes on or interferes with, or attempts to infringe on
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or interfere with, legally protected health care activity, any aggrieved person,
12
provider, carrier, or other entity, including any defendant in such abusive
13
litigation, may initiate a civil action for injunctive, monetary, or other
14
appropriate relief within three years after the cause of action accrues.
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(d) Any aggrieved person, provider, carrier, or other entity, including any
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defendant in such abusive litigation, may move to modify or quash any
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subpoena issued in connection with such abusive litigation on the grounds that
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the subpoena is unreasonable, oppressive, or inconsistent with the public
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policy of this State.
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(e) If the court finds for the petitioner in an action authorized by this
1
section, recovery shall be in the amount of actual damages, which shall include
2
damages for the amount of any judgment issued in connection with any
3
abusive litigation, and any and all other expenses, costs, or reasonable
4
attorney’s fees incurred in connection with the abusive litigation.
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(f) A court may exercise jurisdiction over a person in an action authorized
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by this section if:
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(1) personal jurisdiction is found;
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(2) the person has commenced any action in any court in this State and,
9
during the pendency of that action or any appeal therefrom, a summons and
10
complaint is served on the person or the attorney appearing on the person’s
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behalf in that action or as otherwise permitted by law; or
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(3) the exercise of jurisdiction is permitted under the Constitution of the
13
United States.
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(g) This section shall not apply to a lawsuit or judgment entered in another
15
state that is based on conduct for which a cause of action exists under the laws
16
of this State if the course of conduct that forms the basis for liability had
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occurred entirely in this State, including any contract, tort, common law, or
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statutory claims.
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§ 7303. FOREIGN JUDGMENTS
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In any action filed to enforce a foreign judgment issued in connection with
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any litigation concerning legally protected health care activity, the court shall
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not give any force or effect to any judgment issued without jurisdiction or to
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any judgment that is penal in nature.
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§ 7304. TESTIMONY AND DOCUMENTS
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Notwithstanding any other provision in this title to the contrary, except as
7
required by federal law, a court shall not order a person who is domiciled or
8
found within this State to give testimony or a statement or produce documents
9
or other things for use in connection with any proceeding in a tribunal outside
10
this State concerning abusive litigation involving legally protected health care
11
activity.
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§ 7305. CHOICE OF LAW
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Notwithstanding any general or special law or common law conflict of law
14
rule to the contrary, the laws of this State shall govern in any case or
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controversy heard in this State related to legally protected health care activity,
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except as may be required by federal law.
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§ 7306. NONCOOPERATION
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(a) No public agency or employee, appointee, officer or official, or any
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other person acting on behalf of a public agency may provide any information
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or expend or use time, money, facilities, property, equipment, personnel, or
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other resources in furtherance of any interstate investigation or proceeding
1
seeking to impose civil or criminal liability upon a person or entity for:
2
(1) the provision, seeking or receipt of, or inquiring about legally
3
protected health care activity that is legal in this State; or
4
(2) assisting any person or entity providing, seeking, receiving, or
5
responding to an inquiry about legally protected health care activity that is
6
legal in this State.
7
(b) This section shall not apply to any investigation or proceeding where
8
the conduct subject to potential liability under the investigation or proceeding
9
would be subject to liability under the laws of this State if committed in this
10
State.
11
Sec. 5. 13 V.S.A. § 1033 is added to read:
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§ 1033. INTERFERENCE WITH ACCESS TO HEALTH CARE FACILITY
13
(a) The General Assembly finds that:
14
(1) all persons must be able to access health care facilities for the
15
purpose of obtaining or providing legally protected health care activity;
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(2) the exercise of a person’s right to protest or counsel against certain
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medical procedures must be balanced against another person’s right to obtain
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or provide legally protected health care activity in an unobstructed manner;
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(3) preventing the willful obstruction of a person’s access to legally
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protected health care activity at a health care facility is a matter of public
2
concern; and
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(4) it is necessary and appropriate to prohibit individuals from
4
knowingly obstructing another person’s entry to or exit from a health care
5
facility that provides legally protected health care activity.
6
(b) As used in this section:
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(1) “Health care facility” means a hospital, ambulatory surgical center,
8
health center, clinic, health care provider’s office, or other facility that
9
provides reproductive health care services or gender-affirming health care
10
services, and includes the building or structure in which the facility is located.
11
(2) “Health care provider” has the same meaning as provided in 18
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V.S.A. § 9402.
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(3) “Legally protected health care activity” has the same meaning as
14
provided in 1 V.S.A. § 150.
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(4) “Physical obstruction” means rendering impassable ingress to or
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egress from a facility that provides legally protected health care activity or
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rendering passage to or from such a facility unreasonably difficult or
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hazardous.
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(c) No person shall:
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(1) by force or threat of force or by physical obstruction knowingly
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injure, intimidate, harass, or interfere with, or attempt to injure, intimidate,
2
harass, or interfere with, another person because such other person was or is
3
obtaining or providing legally protected health care activity; or
4
(2) knowingly damage the property of a health care facility, or attempt
5
to do so, because such facility provides legally protected health care activity.
6
(d) A person who violates this section shall be imprisoned not more than
7
one year or fined not more than $1,000.00, or both.
8
* * * Prohibition Against Extradition of Person Charged with Engaging
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in Legally Protected Health Care Activity * * *
10
Sec. 6. 13 V.S.A. § 4970 is added to read:
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§ 4970. LEGALLY PROTECTED HEALTH CARE ACTIVITY
12
EXCEPTION
13
Notwithstanding any other provision in this chapter to the contrary, except
14
as required by federal law, no person may be arrested and the Governor shall
15
not surrender a person charged in another state as a result of engaging in
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legally protected health care activity as defined in 1 V.S.A. § 150 unless the
17
executive authority of the demanding state alleges in writing that the accused
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was physically present in the demanding state at the time of the commission of
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the alleged offense and that thereafter the accused fled from the demanding
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state.
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* * * Prohibition of Issuance of a Summons Concerning a Person Charged
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with Engaging in Legally Protected Health Care Activity * * *
2
Sec. 7. 13 V.S.A. § 6650 is added to read:
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§ 6650. LEGALLY PROTECTED HEALTH CARE ACTIVITY
4
EXCEPTION
5
Notwithstanding any other provision in this chapter to the contrary, except
6
as required by federal law, a court shall not issue a summons where a
7
prosecution is pending in another state concerning legally protected health care
8
activity as defined in 1 V.S.A. § 150 or where a grand jury investigation
9
concerning legally protected health care activity has commenced or is about to
10
commence for a criminal violation of a law of such other state unless the acts
11
forming the basis of the prosecution or investigation would also constitute an
12
offense if occurring entirely in this State.
13
* * * Address Confidentiality for Persons Engaging in
14
Legally Protected Health Care Activity * * *
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Sec. 8. 15 V.S.A. chapter 21, subchapter 3 is amended to read:
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Subchapter 3. Address Confidentiality for Victims of Domestic Violence,
17
Sexual Assault, or Stalking
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§ 1150. FINDINGS AND INTENT
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(a) The General Assembly finds that:
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(1) persons attempting to escape from actual or threatened domestic
1
violence, sexual assault, and stalking, and human trafficking frequently
2
establish new addresses in order to prevent their assailants or probable
3
assailants from finding them; and
4
(2) persons who provide reproductive health care services or gender-
5
affirming health care services, persons who assist others in obtaining
6
reproductive health care services or gender-affirming health care services, and
7
persons who exercise their legal right to obtain reproductive health care
8
services or gender-affirming health care services in this State may be harassed,
9
intimidated, or threatened because of their legally protected health care
10
activity.
11
(b) It is the purpose of this subchapter to:
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(1) enable state and local agencies to respond to requests for public
13
records without disclosing the location of a victim of domestic violence, sexual
14
assault, or stalking persons identified in subsection (a) of this section;
15
(2) promote interagency cooperation with the Secretary of State in
16
providing address confidentiality for victims of domestic violence, sexual
17
assault, and stalking persons identified in subsection (a) of this section; and
18
(3) enable State and local agencies and local agencies school districts to
19
accept a Program participant’s use of an address, and local agencies to accept
20
an address, designated by the Secretary of State as a substitute mailing address.
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§ 1151. DEFINITIONS
1
Unless the context clearly requires otherwise, the definitions in this section
2
apply throughout the subchapter.
3
(1) “Actual address” means the physical location where the applicant
4
resides and may include a school address or work address of an individual, as
5
specified on the individual’s application to be a Program participant under this
6
chapter.
7
(2) “Agency” means any subdivision of the State of Vermont, a
8
municipality, or a subdivision of a municipality.
9
(3) “Domestic violence” means an act of abuse as defined in subdivision
10
1101(1) of this title and includes a threat of such acts committed against an
11
individual in a domestic situation, regardless of whether these acts or threats
12
have been reported to law enforcement officers.
13
(4) “Gender-affirming health care services” has the same meaning as
14
provided in 1 V.S.A. § 150.
15
(5) “Human trafficking” means conduct prohibited by 13 V.S.A. § 2652
16
or 2653, and includes a threat of such, regardless of whether the conduct or
17
threat of conduct has been reported to law enforcement officers.
18
(5)(6) “Law enforcement agency” means the Department of Public
19
Safety, a municipal police department, a sheriff’s department, the Attorney
20
General’s Office, a State’s Attorney’s Office, or certified law enforcement
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officers of the Department of Motor Vehicles, Agency of Natural Resources, or
1
Department of Liquor and Lottery. “Law enforcement agency” shall also
2
mean means the Department for Children and Families when engaged in:
3
(A) the investigation of child abuse and neglect;
4
(B) the delivery of services to families and children with whom the
5
Department is working pursuant to the provisions of 33 V.S.A. chapters 51, 52,
6
and 53; or
7
(C) the performance of the Department’s responsibilities pursuant to
8
an interstate compact to which the State is a party.
9
(6)(7) “Law enforcement purpose” means all matters relating to:
10
(A) the prevention, investigation, prosecution, or adjudication of
11
criminal offenses, civil matters, or juvenile matters;
12
(B) the investigation, prosecution, adjudication, detention,
13
supervision, or correction of persons suspected, charged, or convicted of
14
criminal offenses or juvenile delinquencies;
15
(C) the protection of the general health, welfare, and safety of the
16
public or the State of Vermont;
17
(D) the execution and enforcement of court orders;
18
(E) service of criminal or civil process or court orders;
19
(F) screening for criminal justice employment;
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(G) other actions taken in performance of official duties, as set forth
1
by statutes, rules, policies, judicial case law, and the U.S. and Vermont
2
Constitutions; and
3
(H) criminal identification activities, including the collection,
4
storage, and dissemination of criminal history records, as defined in 20 V.S.A.
5
§ 2056a(a)(1), sex offender registry information, and DNA material and
6
information.
7
(7)(8) “Program participant” means a person certified as a Program
8
participant under this chapter.
9
(8)(9) “Public record” means a public record as defined in 1 V.S.A.
10
§ 317.
11
(10) “Reproductive health care services” has the same meaning as
12
provided in 1 V.S.A. § 150.
13
(9)(11) “Secretary” means the Vermont Secretary of State.
14
(10)(12) “Sexual assault” means an act of assault as defined in 13
15
V.S.A. § 3252(a) or (b) (sexual assault) or 3253(a) (aggravated sexual assault),
16
and includes a threat of such acts, regardless of whether these acts or threats
17
have been reported to law enforcement officers.
18
(11)(13) “Stalking” means conduct as defined in 13 V.S.A. § 1061
19
(stalking) or 1063 (aggravated stalking), and includes a threat of such acts,
20
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regardless of whether these acts or threats have been reported to law
1
enforcement officers.
2
(12)(14) “Substitute address” means the Secretary’s designated address
3
for the Address Confidentiality Program.
4
§ 1152. ADDRESS CONFIDENTIALITY PROGRAM; APPLICATION;
5
CERTIFICATION
6
(a) An adult person, a parent, or a legal guardian acting on behalf of a
7
minor, or a legal guardian acting on behalf of an incapacitated person may
8
apply to the Secretary of State to have an address designated by the Secretary
9
serve as the person’s address or the address of the minor or incapacitated
10
person. The Secretary of State shall approve an application if it is filed in the
11
manner and on the form prescribed by the Secretary of State, and if it contains:
12
(1) a statement made under oath by the applicant that:
13
(A) the applicant, or the minor or incapacitated person on whose
14
behalf the application is made,:
15
(i) is a victim of domestic violence, sexual assault, stalking, or
16
human trafficking; or
17
(ii) is a person providing, assisting another person in obtaining, or
18
obtaining for themselves reproductive health care services or gender-affirming
19
health care services in this State;
20
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(B) the applicant fears for his or her the applicant’s safety or his or
1
her the applicant’s children’s safety, or the safety of the minor or incapacitated
2
person on whose behalf the application is made;
3
(C) the parent or legal guardian applying on behalf of a minor or
4
incapacitated person has legal authority to act on the person’s behalf;
5
(D) if the applicant is under the supervision of the Department of
6
Corrections, the applicant has notified the Department of the actual address
7
and the applicant authorizes the release of the actual address to the
8
Department; and
9
(E) if the applicant is required to report the actual address for the Sex
10
Offender Registry under 13 V.S.A. chapter 167, subchapter 3, the applicant
11
authorizes the release of the actual address to the Registry;
12
(2) a designation of the Secretary as agent for purposes of service of
13
process and for the purpose of receipt of mail;
14
(3) the mailing address and e-mail address where the applicant can be
15
contacted by the Secretary and the telephone number or numbers where the
16
applicant can be called by the Secretary;
17
(4) the new address or addresses within Vermont that the applicant
18
requests not be disclosed for the reason that disclosure will increase the risk of
19
domestic violence, sexual assault, stalking, or human trafficking, harassment,
20
intimidation, or threats; and
21
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(5) the signature of the applicant and the name of any individual or
1
representative of any office who assisted in the preparation of the application
2
and the date on which the applicant signed the application.
3
(b) Applications shall be filed directly with the Office of the Secretary or
4
through a certified applicant assistant.
5
(c) Upon receipt of a properly completed application, the Secretary shall
6
certify the applicant as a Program participant. Applicants shall be certified for
7
four years following the date of filing, unless the certification is withdrawn or
8
cancelled before that date. The Secretary shall by rule establish a renewal
9
procedure.
10
(d) A person who knowingly provides false or incorrect information to the
11
Secretary as required by this chapter may be prosecuted under 13 V.S.A.
12
§ 2904.
13
(e) A Program participant shall notify the Secretary of State of a change of
14
actual address within seven days of following the change of address.
15
(f) The Civil or Family Division of Washington County Superior Court
16
shall have jurisdiction over petitions for protective orders filed by Program
17
participants pursuant to 12 V.S.A. §§ 5133 and 5134, to sections 1103 and
18
1104 of this title, and to 33 V.S.A. § 6935. A Program participant may file a
19
petition for a protective order in the county in which he or she the participant
20
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resides or in Washington County to protect the confidentiality of his or her the
1
participant’s address.
2
* * *
3
§ 1157. ASSISTANCE FOR PROGRAM APPLICANTS
4
The Secretary of State shall make available a list of State and local agencies
5
and nonprofit agencies that provide counseling and shelter services to victims
6
of domestic violence, sexual assault, stalking, and human trafficking to assist
7
persons applying to be program Program participants pursuant to subdivision
8
1152(a)(1)(A)(i) of this title. Such information provided by the Office of the
9
Secretary or designees to applicants shall in no way be construed as legal
10
advice.
11
* * *
12
§ 1160. ADOPTION OF RULES
13
(a) The Secretary of State shall adopt rules necessary to perform his or her
14
the Secretary’s duties under this subchapter relating to:
15
(1) program application and certification;
16
(2) certification cancellation;
17
(3) agency use of designated addresses and exceptions;
18
(4) voting by Program participants; and
19
(5) recording of vital statistics for Program participants.
20
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(b) All such rules shall conform with the findings and intent of the General
1
Assembly, as described in section 1150 of this title, and shall be designed with
2
an understanding of the needs and circumstances of victims of domestic
3
violence, sexual assault, stalking, and human trafficking Program participants.
4
* * * Effective Dates * * *
5
Sec. 9. EFFECTIVE DATES
6
(a) This section and Secs. 1–7 shall take effect on passage.
7
(b) Sec. 8 shall take effect on September 1, 2023.
8
As enrolled or final
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No. 14. An act relating to civil and criminal procedures concerning legally
protected health care activity.
(H.89)
It is hereby enacted by the General Assembly of the State of Vermont:
* * * Definitions * * *
Sec. 1. 1 V.S.A. § 150 is added to read:
§ 150. LEGALLY PROTECTED HEALTH CARE ACTIVITY
(a) “Gender-affirming health care services” means all supplies, care, and
services of a medical, behavioral health, mental health, surgical, psychiatric,
therapeutic, diagnostic, preventative, rehabilitative, or supportive nature,
including medication, relating to the treatment of gender dysphoria and gender
incongruence. “Gender-affirming health care services” does not include
conversion therapy as defined by 18 V.S.A. § 8351.
(b)(1) “Legally protected health care activity” means:
(A) the exercise and enjoyment, or attempted exercise and
enjoyment, by any person of rights to reproductive health care services or
gender-affirming health care services secured by this State;
(B) any act or omission undertaken to aid or encourage, or attempt to
aid or encourage, any person in the exercise and enjoyment, or attempted
exercise and enjoyment, of rights to reproductive health care services or
gender-affirming health care services secured by this State, provided that the
provision of such a health care service by a person duly licensed under the
laws of this State and physically present in this State shall be legally protected
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if the service is permitted under the laws of this State, regardless of the
patient’s location; or
(C) the provision, issuance, or use of, or enrollment in, insurance or
other health coverage for reproductive health care services or gender-affirming
health care services that are legal in this State, or any act to aid or encourage,
or attempt to aid or encourage, any person in the provision, issuance, or use of,
or enrollment in, insurance or other health coverage for those services,
regardless of the location of the insured or individual seeking insurance or
health coverage, if the insurance or health coverage is permitted under the laws
of this State.
(2) Except as provided in subdivision (3) of this subsection, the
protections applicable to “legally protected health care activity” shall not apply
to a lawsuit; judgment; or civil, criminal, or administrative action that is based
on conduct for which an action would exist under the laws of this State if the
course of conduct that forms the basis for liability had occurred entirely in this
State.
(3) Notwithstanding subdivision (2) of this subsection, the provision of a
health care service by a person duly licensed under the laws of this State and
physically present in this State shall be legally protected if the service is
permitted under the laws of this State, regardless of the patient’s location or
whether the health care provider is licensed in the state where the patient is
located at the time the service is rendered.
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(c)(1) “Reproductive health care services” means all supplies, care, and
services of a medical, behavioral health, mental health, surgical, psychiatric,
therapeutic, diagnostic, preventative, rehabilitative, or supportive nature,
including medication, relating to pregnancy, contraception, assisted
reproduction, pregnancy loss management, or the termination of a pregnancy.
(2) “Reproductive health care services” includes medication that was
approved by the U.S. Food and Drug Administration (FDA) for termination of
a pregnancy as of January 1, 2023, regardless of the medication’s current FDA
approval status:
(A) when such medication is procured, ordered, stored, distributed,
prescribed, dispensed, or administered, or a combination thereof, by a person
duly licensed under the laws of this State, as long as the licensee’s actions
conform to the essential standards of acceptable and prevailing practice for the
licensee’s profession; or
(B) when such medication is used by an individual.
* * * Legally Protected Health Care Exemption from SLAPP Suits * * *
Sec. 2. 12 V.S.A. § 1041 is amended to read:
§ 1041. EXERCISE OF RIGHTS TO FREE SPEECH AND TO PETITION
GOVERNMENT FOR REDRESS OF GRIEVANCES; SPECIAL
MOTION TO STRIKE
* * *
(h) This section shall not apply to:
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(1) any enforcement action or criminal proceeding brought by the State
of Vermont or any political subdivision thereof; or
(2) a case involving tortious interference with legally protected health
care as provided in section 7302 of this title.
* * *
* * * Abusive Litigation Concerning Legally Protected Health
Care Activity * * *
Sec. 3. 12 V.S.A. chapter 221 is added to read:
CHAPTER 221. LEGALLY PROTECTED HEALTH CARE ACTIVITY
§ 7301. DEFINITION
As used in this chapter:
(1)(A) “Abusive litigation” means litigation or other legal action to
deter, prevent, sanction, or punish any person engaging in legally protected
health care activity by:
(i) filing or prosecuting any action in any other state where
liability, in whole or part, directly or indirectly, is based on legally protected
health care activity that occurred in this State, including any action in which
liability is based on any theory of vicarious, joint, or several liability derived
therefrom; or
(ii) attempting to enforce any order or judgment issued in
connection with any such action by any party to the action, or any person
acting on behalf of a party to the action.
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(B) A lawsuit shall be considered to be based on conduct that
occurred in this State if any part of any act or omission involved in the course
of conduct that forms the basis for liability in the lawsuit occurs or is initiated
in this State, whether or not such act or omission is alleged or included in any
pleading or other filing in the lawsuit.
(2) “Gender-affirming health care services” has the same meaning as
provided in 1 V.S.A. § 150.
(3) “Legally protected health care activity” has the same meaning as in
1 V.S.A. § 150.
(4) “Public agency” has the same meaning as in 1 V.S.A. § 317(a).
(5) “Reproductive health care services” has the same meaning as
provided in 1 V.S.A. § 150.
§ 7302. TORTIOUS INTERFERENCE WITH LEGALLY PROTECTED
HEALTH CARE ACTIVITY
(a) Access to reproductive health care services and gender-affirming health
care services is a legal right in this State. Interference with legally protected
health care activity, whether or not under the color of law, is against the public
policy of this State.
(b) Any public act or record of a foreign jurisdiction that prohibits,
criminalizes, sanctions, or authorizes a person to bring a civil action against or
otherwise interferes with a person, provider, payer, or other entity in this State
that seeks, receives, causes, aids in access to, aids or abets, or provides, or
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attempts or intends to seek, receive, cause, aid in access to, aid or abet, or
provide, legally protected health care services shall be an interference with the
exercise and enjoyment of the rights secured by this State and shall be a
violation of the public policy of this State.
(c) If a person, whether or not acting under color of law, engages or
attempts to engage in abusive litigation that infringes on or interferes with, or
attempts to infringe on or interfere with, legally protected health care activity,
any aggrieved person, provider, payer, or other entity, including any defendant
in such abusive litigation, may initiate a civil action for injunctive, monetary,
or other appropriate relief within six years after the cause of action accrues.
(d) If the court finds for the petitioner in an action authorized by this
section, recovery may include damages for the amount of any judgment issued
in connection with any abusive litigation, and any and all other expenses, costs,
or reasonable attorney’s fees incurred in connection with the abusive litigation
and with the tortious interference action.
(e) A court may exercise jurisdiction over a person in an action authorized
by this section if:
(1) personal jurisdiction is found;
(2) the person has commenced any action in any court in this State and,
during the pendency of that action or any appeal therefrom, a summons and
complaint is served on the person or the attorney appearing on the person’s
behalf in that action or as otherwise permitted by law; or
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(3) the exercise of jurisdiction is permitted under the Constitution of the
United States.
(f) Abusive litigation does not include a lawsuit or judgment entered in
another state that is based on conduct for which a cause of action would exist
under the laws of this State if the course of conduct that forms the basis for
liability had occurred entirely in this State, including any contract, tort,
common law, or statutory claims.
(g) An attorney shall not be liable under this section, if acting on behalf of
another and within the scope of the attorney’s license. A lawyer acting pro se,
or a public prosecutor having the personal discretion to decide whether to bring
abusive litigation, shall not be immune under this subsection.
§ 7303. FOREIGN JUDGMENTS
(a) In any action filed to enforce a foreign judgment issued in connection
with abusive litigation concerning legally protected health care activity, the
court shall not give any force or effect to any judgment issued without
jurisdiction or due process or to any judgment that is penal in nature.
(b) Foreign judgments issued in connection with abusive litigation
concerning legally protected health care activity shall be brought by filing a
new and independent action on the judgment within five years after the
rendition of the judgment, and not after.
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§ 7304. TESTIMONY AND DOCUMENTS
(a) Notwithstanding any other provision in this title or court rule to the
contrary, except as required by federal law, a court shall not order a person
who is domiciled or found within this State to give testimony or a statement or
produce documents or other things with any proceeding in a tribunal outside
this State concerning abusive litigation involving legally protected health care
activity.
(b) Any aggrieved person, provider, payer, or other entity, including any
defendant in abusive litigation, may move to modify or quash any subpoena
issued in connection with such abusive litigation on any grounds provided by
court rule, statute, or on the grounds that the subpoena is inconsistent with the
public policy of this State.
§ 7305. CHOICE OF LAW
Notwithstanding any general or special law or common law conflict of law
rule to the contrary, the laws of this State shall govern in any case or
controversy heard in this State related to legally protected health care activity,
except as may be required by federal law.
§ 7306. NONCOOPERATION
(a) No public agency or employee, appointee, officer or official, or any
other person acting on behalf of a public agency may knowingly provide any
information or expend or use time, money, facilities, property, equipment,
personnel, or other resources in furtherance of any interstate investigation or
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proceeding seeking to impose civil or criminal liability upon a person or entity
for:
(1) the provision, seeking or receipt of, or inquiring about legally
protected health care activity that is legal in this State; or
(2) assisting any person or entity providing, seeking, receiving, or
responding to an inquiry about legally protected health care activity that is
legal in this State.
(b) This section shall not apply to:
(1) any investigation or proceeding where the conduct subject to
potential liability under the investigation or proceeding would be subject to
liability under the laws of this State if committed in this State;
(2) any action taken by the judicial branch in judicial proceedings; or
(3) a public agency or employee, appointee, officer or official who, in
the course of normal business, is responding to a warrant or extradition
demand on the good faith belief that the warrant or demand is valid in this
State.
* * * Freedom of Access to Clinics * * *
Sec. 4. 13 V.S.A. § 1033 is added to read:
§ 1033. INTERFERENCE WITH ACCESS TO HEALTH CARE FACILITY
(a) The General Assembly finds that:
(1) all persons must be able to access health care facilities for the
purpose of obtaining or providing legally protected health care activity;
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(2) the exercise of a person’s right to protest or counsel against certain
medical procedures must be balanced against another person’s right to obtain
or provide legally protected health care activity in an unobstructed manner;
(3) preventing the willful obstruction of a person’s access to legally
protected health care activity at a health care facility is a matter of public
concern; and
(4) it is necessary and appropriate to prohibit individuals from
knowingly obstructing another person’s entry to or exit from a health care
facility that provides legally protected health care activity.
(b) As used in this section:
(1) “Health care facility” means a hospital, ambulatory surgical center,
health center, clinic, health care provider’s office, or other facility that
provides reproductive health care services or gender-affirming health care
services, and includes the building or structure in which the facility is located.
(2) “Health care provider” has the same meaning as provided in 18
V.S.A. § 9402.
(3) “Legally protected health care activity” has the same meaning as
provided in 1 V.S.A. § 150.
(4) “Physical obstruction” means rendering impassable ingress to or
egress from a facility that provides legally protected health care activity or
rendering passage to or from such a facility unreasonably difficult or
hazardous.
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(c) No person shall:
(1) by force or threat of force or by physical obstruction knowingly
injure, intimidate, or interfere with, or attempt to injure, intimidate, or interfere
with, another person because such other person was or is obtaining or
providing legally protected health care activity; or
(2) knowingly damage the property of a health care facility, or attempt
to do so, because such facility provides legally protected health care activity.
(d) A person who violates this section shall be assessed a civil penalty of
not more than $300.00.
(e) Nothing in this section shall be construed to prohibit any
constitutionally protected activity.
Sec. 5. 4 V.S.A. § 1102 is amended to read:
§ 1102. JUDICIAL BUREAU; JURISDICTION
(a) The Judicial Bureau is created within the Judicial Branch under the
supervision of the Supreme Court.
(b) The Judicial Bureau shall have jurisdiction of the following matters:
* * *
(31) Violations of 13 V.S.A. § 1033 relating to interference with access
to health care facility.
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* * * Prohibition Against Extradition of Person Charged with Engaging
in Legally Protected Health Care Activity * * *
Sec. 6. 13 V.S.A. § 4970 is added to read:
§ 4970. LEGALLY PROTECTED HEALTH CARE ACTIVITY
EXCEPTION
Notwithstanding any other provision in this chapter to the contrary, except
as required by federal law, the Governor shall not surrender a person charged
in another state as a result of engaging in legally protected health care activity
as defined in 1 V.S.A. § 150 unless the executive authority of the demanding
state alleges in writing that the accused was physically present in the
demanding state at the time of the commission of the alleged offense and that
thereafter the accused fled from the demanding state.
* * * Prohibition of Issuance of a Summons Concerning a Person Charged
with Engaging in Legally Protected Health Care Activity * * *
Sec. 7. 13 V.S.A. § 6650 is added to read:
§ 6650. LEGALLY PROTECTED HEALTH CARE ACTIVITY
EXCEPTION
(a) Access to reproductive health care services and gender-affirming health
care services is a legal right in this State. Interference with legally protected
health care activity, whether or not under the color of law, is against the public
policy of this State.
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(b) Notwithstanding any other provision in this chapter to the contrary,
except as required by federal law, a court shall not issue a summons where a
prosecution is pending in another state concerning legally protected health care
activity as defined in 1 V.S.A. § 150 or where a grand jury investigation
concerning legally protected health care activity has commenced or is about to
commence for a criminal violation of a law of such other state unless the acts
forming the basis of the prosecution or investigation would also constitute an
offense if occurring entirely in this State.
* * * Address Confidentiality for Persons Engaging in
Legally Protected Health Care Activity * * *
Sec. 8. 15 V.S.A. chapter 21, subchapter 3 is amended to read:
Subchapter 3. Address Confidentiality for Victims of Domestic Violence,
Sexual Assault, or Stalking
§ 1150. FINDINGS AND INTENT
(a) The General Assembly finds that:
(1) persons attempting to escape from actual or threatened domestic
violence, sexual assault, and stalking, and human trafficking frequently
establish new addresses in order to prevent their assailants or probable
assailants from finding them; and
(2) persons who provide reproductive health care services or gender-
affirming health care services, persons who assist others in obtaining
reproductive health care services or gender-affirming health care services, and
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persons who exercise their legal right to obtain reproductive health care
services or gender-affirming health care services in this State may be harassed,
intimidated, or threatened because of their legally protected health care
activity.
(b) It is the purpose of this subchapter to:
(1) enable state State and local agencies to respond to requests for public
records without disclosing the location of a victim of domestic violence, sexual
assault, or stalking persons identified in subsection (a) of this section;
(2) promote interagency cooperation with the Secretary of State in
providing address confidentiality for victims of domestic violence, sexual
assault, and stalking persons identified in subsection (a) of this section; and
(3) enable State and local agencies and local agencies school districts to
accept a Program participant’s use of an address, and local agencies to accept
an address, designated by the Secretary of State as a substitute mailing address.
§ 1151. DEFINITIONS
Unless the context clearly requires otherwise, the definitions in this section
apply throughout the subchapter.
(1) “Actual address” means the physical location where the applicant
resides and may include a school address or work address of an individual, as
specified on the individual’s application to be a Program participant under this
chapter.
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(2) “Agency” means any subdivision of the State of Vermont, a
municipality, or a subdivision of a municipality.
(3) “Domestic violence” means an act of abuse as defined in subdivision
1101(1) of this title and includes a threat of such acts committed against an
individual in a domestic situation, regardless of whether these acts or threats
have been reported to law enforcement officers.
(4) “Gender-affirming health care services” has the same meaning as
provided in 1 V.S.A. § 150.
(5) “Human trafficking” means conduct prohibited by 13 V.S.A. § 2652
or 2653, and includes a threat of such, regardless of whether the conduct or
threat of conduct has been reported to law enforcement officers.
(5)(6) “Law enforcement agency” means the Department of Public
Safety, a municipal police department, a sheriff’s department, the Attorney
General’s Office, a State’s Attorney’s Office, or certified law enforcement
officers of the Department of Motor Vehicles, Agency of Natural Resources, or
Department of Liquor and Lottery. “Law enforcement agency” shall also
mean means the Department for Children and Families when engaged in:
(A) the investigation of child abuse and neglect;
(B) the delivery of services to families and children with whom the
Department is working pursuant to the provisions of 33 V.S.A. chapters 51, 52,
and 53; or
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(C) the performance of the Department’s responsibilities pursuant to
an interstate compact to which the State is a party.
(6)(7) “Law enforcement purpose” means all matters relating to:
(A) the prevention, investigation, prosecution, or adjudication of
criminal offenses, civil matters, or juvenile matters;
(B) the investigation, prosecution, adjudication, detention,
supervision, or correction of persons suspected, charged, or convicted of
criminal offenses or juvenile delinquencies;
(C) the protection of the general health, welfare, and safety of the
public or the State of Vermont;
(D) the execution and enforcement of court orders;
(E) service of criminal or civil process or court orders;
(F) screening for criminal justice employment;
(G) other actions taken in performance of official duties, as set forth
by statutes, rules, policies, judicial case law, and the U.S. and Vermont
Constitutions; and
(H) criminal identification activities, including the collection,
storage, and dissemination of criminal history records, as defined in 20 V.S.A.
§ 2056a(a)(1), sex offender registry information, and DNA material and
information.
(7)(8) “Program participant” means a person certified as a Program
participant under this chapter.
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(8)(9) “Public record” means a public record as defined in 1 V.S.A.
§ 317.
(10) “Reproductive health care services” has the same meaning as
provided in 1 V.S.A. § 150.
(9)(11) “Secretary” means the Vermont Secretary of State.
(10)(12) “Sexual assault” means an act of assault as defined in 13
V.S.A. § 3252(a) or (b) (sexual assault) or 3253(a) (aggravated sexual assault),
and includes a threat of such acts, regardless of whether these acts or threats
have been reported to law enforcement officers.
(11)(13) “Stalking” means conduct as defined in 13 V.S.A. § 1061
(stalking) or 1063 (aggravated stalking), and includes a threat of such acts,
regardless of whether these acts or threats have been reported to law
enforcement officers.
(12)(14) “Substitute address” means the Secretary’s designated address
for the Address Confidentiality Program.
§ 1152. ADDRESS CONFIDENTIALITY PROGRAM; APPLICATION;
CERTIFICATION
(a) An adult person, a parent, or a legal guardian acting on behalf of a
minor, or a legal guardian acting on behalf of an incapacitated person may
apply to the Secretary of State to have an address designated by the Secretary
serve as the person’s address or the address of the minor or incapacitated
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person. The Secretary of State shall approve an application if it is filed in the
manner and on the form prescribed by the Secretary of State, and if it contains:
(1) a statement made under oath by the applicant that:
(A) the applicant, or the minor or incapacitated person on whose
behalf the application is made,:
(i) is a victim of domestic violence, sexual assault, stalking, or
human trafficking; or
(ii) is a person providing, assisting another person in obtaining, or
obtaining for themselves reproductive health care services or gender-affirming
health care services in this State;
(B) the applicant fears for his or her the applicant’s safety or his or
her the applicant’s children’s safety, or the safety of the minor or incapacitated
person on whose behalf the application is made;
(C) the parent or legal guardian applying on behalf of a minor or
incapacitated person has legal authority to act on the person’s behalf;
(D) if the applicant is under the supervision of the Department of
Corrections, the applicant has notified the Department of the actual address
and the applicant authorizes the release of the actual address to the
Department; and
(E) if the applicant is required to report the actual address for the Sex
Offender Registry under 13 V.S.A. chapter 167, subchapter 3, the applicant
authorizes the release of the actual address to the Registry;
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(2) a designation of the Secretary as agent for purposes of service of
process and for the purpose of receipt of mail;
(3) the mailing address and e-mail address where the applicant can be
contacted by the Secretary and the telephone number or numbers where the
applicant can be called by the Secretary;
(4) the new address or addresses within Vermont that the applicant
requests not be disclosed for the reason that disclosure will increase the risk of
domestic violence, sexual assault, stalking, or human trafficking, harassment,
intimidation, or threats; and
(5) the signature of the applicant and the name of any individual or
representative of any office who assisted in the preparation of the application
and the date on which the applicant signed the application.
(b) Applications shall be filed directly with the Office of the Secretary or
through a certified applicant assistant.
(c) Upon receipt of a properly completed application, the Secretary shall
certify the applicant as a Program participant. Applicants shall be certified for
four years following the date of filing, unless the certification is withdrawn or
cancelled before that date. The Secretary shall by rule establish a renewal
procedure.
(d) A person who knowingly provides false or incorrect information to the
Secretary as required by this chapter may be prosecuted under 13 V.S.A.
§ 2904.
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(e) A Program participant shall notify the Secretary of State of a change of
actual address within seven days of following the change of address.
(f) The Civil or Family Division of Washington County Superior Court
shall have jurisdiction over petitions for protective orders filed by Program
participants pursuant to 12 V.S.A. §§ 5133 and 5134, to sections 1103 and
1104 of this title, and to 33 V.S.A. § 6935. A Program participant may file a
petition for a protective order in the county in which he or she the participant
resides or in Washington County to protect the confidentiality of his or her the
participant’s address.
* * *
§ 1157. ASSISTANCE FOR PROGRAM APPLICANTS
The Secretary of State shall make available a list of State and local agencies
and nonprofit agencies that provide counseling and shelter services to victims
of domestic violence, sexual assault, stalking, and human trafficking to assist
persons applying to be program Program participants pursuant to subdivision
1152(a)(1)(A)(i) of this title. Such information provided by the Office of the
Secretary or designees to applicants shall in no way be construed as legal
advice.
* * *
§ 1160. ADOPTION OF RULES
(a) The Secretary of State shall adopt rules necessary to perform his or her
the Secretary’s duties under this subchapter relating to:
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(1) program application and certification;
(2) certification cancellation;
(3) agency use of designated addresses and exceptions;
(4) voting by Program participants; and
(5) recording of vital statistics for Program participants.
(b) All such rules shall conform with the findings and intent of the General
Assembly, as described in section 1150 of this title, and shall be designed with
an understanding of the needs and circumstances of victims of domestic
violence, sexual assault, stalking, and human trafficking Program participants.
* * * Effective Date * * *
Sec. 9. EFFECTIVE DATE
This act shall take effect on passage.
Date Governor signed bill: May 10, 2023