1. (a) The state department shall develop a form on which a pregnant woman certifies, at the time of receiving a diagnosis that the pregnant woman's unborn child has a lethal fetal anomaly, that the pregnant woman has received the following:

   1. (1) A copy of the perinatal hospice brochure developed under this chapter.
   2. (2) A list of the perinatal hospice providers and programs developed under section 5 of this chapter.

2. (b) The provider diagnosing the pregnant woman's unborn child with the lethal fetal anomaly shall, at the time of diagnosis:

   1. (1) provide the pregnant woman with a written copy of:

      1. (A) the perinatal brochure developed under this chapter; and
      2. (B) the certification form developed by the state department under subsection (a); and
   2. (2) have the pregnant woman complete the certification form.

As added by P.L.213-2016, SEC.12.