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HB490 Alabama 2014 Session

Updated Feb 24, 2026

Summary

Session
Regular Session 2014
Title
Fetal Heartbeat Act, prohibits physician from performing abortion without first determining fetal heartbeat, physician who does not make determination or who performs abortion when heartbeat detected is guilty of Class C felony
Summary

HB490 would ban abortions after a fetal heartbeat is detected, require doctors to check for a heartbeat before abortion, and document the results, with penalties for violations.

What This Bill Does

The bill defines abortion and lists exceptions (ectopic pregnancy, lethal anomalies, and actions to protect the mother's life or health or deliver to preserve health). It would require a physician to determine if a detectable fetal heartbeat exists before performing an abortion and to document the test results. Abortion would be prohibited after a heartbeat is detected, with medical exceptions allowed to save the mother’s life or prevent substantial harm; it also requires physicians to declare in writing the necessity when abortion is performed after heartbeat. Violations could lead to Class C felony penalties for the physician, license suspension or revocation, and required record-keeping for at least seven years, while pregnant women are not prosecuted.

Who It Affects
  • Physicians and other medical providers who perform abortions: must check for a detectable heartbeat before abortion, document results, and could face felony charges or disciplinary action if they fail to do so or if they perform an abortion after a heartbeat is detected.
  • Pregnant women seeking abortion: could be denied abortion after a heartbeat is detected unless an exception applies; not prosecuted under this act; records of heartbeat testing and decisions may be maintained and accessed by regulators.
Key Provisions
  • Defines abortion and lists exceptions, including ectopic pregnancy and a lethal anomaly, and situations to preserve the health or life of the mother or to deliver to preserve health.
  • Requires a physician to determine the presence of a detectable heartbeat before performing an abortion, using the applicable medical standard of care.
  • Prohibits performing an abortion after a heartbeat has been detected, with exceptions only for medical necessity to prevent death or substantial, irreversible impairment of a major bodily function.
  • Requires written documentation of the heartbeat determination, including the procedure used, date, and results, and preserves these records for at least seven years with access to the patient and state regulators.
  • If an abortion is performed after a heartbeat is detected, the physician must write a declaration of necessity and provide the medical rationale, including the patient’s condition and why the abortion was necessary to prevent death or major impairment.
  • Penalties include a Class C felony for failing to perform heartbeat testing or for performing an abortion after heartbeat detection; physicians face license revocation and other disciplinary actions; pregnant women are not prosecuted.
  • Contraceptive measures are not restricted by this act; the bill notes local-fund expenditure considerations but is structured to avoid triggering local-fund approval requirements; the law becomes effective 30 days after the governor signs it.
AI-generated summary using openai/gpt-5-nano on Feb 24, 2026. May contain errors — refer to the official bill text for accuracy.
Subjects
Abortion

Bill Actions

S

Pending third reading on day 29 Favorable from Health

S

Read for the second time and placed on the calendar

S

Read for the first time and referred to the Senate committee on Health

H

Engrossed

H

Motion to Read a Third Time and Pass adopted Roll Call 505

H

Hammon motion to Previous Question adopted Roll Call 504

H

McClurkin motion to Table adopted Roll Call 503

H

Melton Amendment Offered

H

Motion to Adopt adopted Roll Call 502

H

McClurkin Amendment Offered

H

McClurkin motion to Table adopted Roll Call 501

H

Health Amendment Offered

H

Third Reading Passed

H

Read for the second time and placed on the calendar 1 amendment

H

Read for the first time and referred to the House of Representatives committee on Health

Bill Text

Votes

McClurkin motion to Table

March 4, 2014 House Passed
Yes 73
No 9
Abstained 4
Absent 18

Motion to Adopt

March 4, 2014 House Passed
Yes 70
No 22
Abstained 2
Absent 10

Motion to Read a Third Time and Pass

March 4, 2014 House Passed
Yes 73
No 29
Absent 2

Hammon motion to Previous Question

March 4, 2014 House Passed
Yes 66
No 34
Absent 4

McClurkin motion to Table

March 4, 2014 House Passed
Yes 67
No 30
Abstained 1
Absent 6

Documents

Source: Alabama Legislature