Choice on Termination of Pregnancy Amendment Act

1. Section 1 of the Choice on Termination of Pregnancy Act, 1996 (hereinafter referred to as the principal Act), is hereby amended- 5 ( a ) by the insertion after the definition of “gestation period” of the following definition: “‘Head of Department’ means the head of a provincial health department;”; ( b ) by the insertion after the definition of “medical practitioner” of the 10 following definition: “‘Member of the Executive Council’ means the member of the Executive Council of a province who is responsible for health in that province;”; (c) by the substitution for the definition of “registered midwife” of the 15 following definition: “‘registered midwife’ means a person registered as such under the Nursing Act, 1978 (Act No. 50 of 1978), and who has in addition undergone prescribed training in terms of this Act;” and (d) by the insertion after the definition of “registered midwife” of the following 20 definition: “‘registered nurse’ means a person registered as such under the Nursing Act, 1978 (Act No. 50 of 1978), and who has in addition undergone prescribed training in terms of this Act;”. 4 No. 21261 Act No. 38,2004 GOVERNMENT GAZETTE. 11 FEBRUARY 2005 CHOICE ON TERMINATION OF PREGNANCY AMENDMENT ACT, 2004 Substitution of section 3 of Act 92 of 1996

2. The following section is hereby substituted for section 3 of the principal Act: “Place where termination of pregnancy may take place 3. (1) Termination of a pregnancy may take place only at a facility which- ( a ) gives access to medical and nursing staff; ( b ) gives access to an operating theatre; ( c ) has appropriate surgical equipment; (d) supplies drugs for intravenous and intramuscular injection; ( e ) has emergency resuscitation equipment and access to an emergency referral centre or facility; (f) gives access to appropriate transport should the need arise for emergency transfer; ( 8 ) has facilities and equipment for clinical observation and access to in-patient facilities; gives access to safe waste disposal infrastructure; ( h ) has appropriate infection control measures; (i) (J) has telephonic means of communication; and ( k ) has been approved by the Member of the Executive Council by notice in the Gazette. (2) The Member of the Executive Council may withdraw any approval granted in terms of subsection (l)(k). (3) (a) Any health facility that has a 24-hour maternity service, and which complies with the requirements referred to in subsection (l)(a) to ( j ) , may terminate pregnancies of up to and including 12 weeks without having to obtain the approval of the Member of the Executive Council. ( b ) The person in charge of a health facility contemplated in paragraph (a) must notify the relevant Member of the Executive Council that the health facility has a 24-hour maternity service which complies with the requirements referred to in subsection (l)(a) to ( j ) . (4) The Member of the Executive Council shall once a year submit statistics of any approved facilities for that year to the Minister. ( 5 ) Notwithstanding anything to the contrary in this Act, the Minister may perform any of the functions that the Member of the Executive Council may or must perform, if it is necessary to perform such function in order to achieve any of the objects of this Act.”. Amendment of section 7 of Act 92 of 1996

3. Section 7 of the principal Act is hereby amended- (a) by the substitution in subsection (3) for the words preceding the proviso of the following words: “The person in charge of a facility referred to in section 3 shall, within one month of the termination of a pregnancy at such facility, collate the prescribed information and forward it by registered post confidentially to the [Director-General] relevant Head of Department”; and ( b ) by the substitution for subsection (4) of the following subsection: “(4) The [Director-General] Head of Department shall- - (a) keep record of the prescribed information which he or she receives in terms of subsection (3)- ( b ) submit to the Director-General the information contemplated in paragraph (a) every six months.”. 5 10 1s 20 25 30 35 40 45 50 6 No. 27267 Act Nu. 38.2004 GOVERNMENT GAZETTE. I 1 FEBRUARY 2005 CHOICE ON TERMINATION OF PREGNANCY AMENDMENT ACT. 2003 Substitution of section 8 of Act 92 of 1996

4. The following section is hereby substituted for section 8 of the principal Act: “Delegation 8. ( I ) The [Minister] Member of the Executive Council may, on such conditions as he or she may determine, in writing delegate to the 5 [Director-General] Head of Department or any other officer in the service of the State, any power conferred upon the [Minister] Member of the Executive Council by or under this Act. except the power referred to in section 9. (2) The [Director-General] Head of Department may, on such condi- tions as he or she may determine, in writing delegate to an officer in the service of the State, any power conferred upon the [Director-General] Head of Department by or under this Act [or delegated to him or her under subsection (l)]. I O ( 3 ) The [Minister or Director-General] Member of the Executive 15 Council or Head of Department shall not be divested of any power delegated by him or her, and may amend or set aside any decision taken by a person in the exercise of any such power delegated to [him or her] that person.”. Substitution of section 9 of Act 92 of 1996 20

5. The following section is hereby substituted for section 9 of the principal Act: “Regulations

9. The [Minister] Member of the Executive Council may, in consultation with the Minister, make regulations relating to any matter which [he or she may consider] & necessary or expedient to prescribe for [achieving the 25 objects] the proper implementation or administration of this Act.”. Amendment of section 10 of Act 92 of 1996

6. Section 10 of the principal Act is hereby amended by the substitution for subsection (1) of the following subsection: “( 1) Any person who- (a) is not a medical practitioner, or a registered midwife or registered nurse who has completed the prescribed training course, and who performs the termination of a pregnancy referred to in section 2( l)(a); (b) is not a medical practitioner and who performs the termination of a pregnancy referred to in section 2( l)(b) or (c); [or] (c) prevents the lawful termination of a pregnancy or obstructs access to a facility for the termination of a p r e g n a n c y s 30 35 (d) terminates a pregnancy or allows the termination of a pregnancy at a facility not approved in terms of section 3( 1) or not contemplated in section 3(3)(a), shall be guilty of an offence and liable on conviction to a fine or to imprisonment 40 for a period not exceeding IO years.”. Substitution of certain expression in Act 92 of 1996

7. The principal Act is hereby amended by the substitution for the expression “registered midwife”, wherever it appears, of the expression “registered midwife or registered nurse”. 45 8 No. 21261 Act No. 38,2004 GOVERNMENT GAZETTE. I 1 FEBRUARY 2005 CHOICE ON TERMINATION OF PREGNANCY AMENDMENT ACT. 2004 Transitional provision

8. Any facility designated in terms of section 3( 1) of the principal Act prior to the commencement of this Act must be regarded as having been approved by the Member of the Executive Council in terms of section 3( l)(k) of the principal Act as amended by this Act. 5 Short title

9. This Act is called the Choice on Termination of Pregnancy Amendment Act, 2004.