West Virginia Code § 16-2M-1

Legislative findings
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The Legislature makes the following findings:
(1) Pain receptors (unborn child's entire body nociceptors) are present no later than sixteen
weeks after fertilization and nerves link these receptors to the brain's thalamus and
subcortical plate by no later than twenty weeks.
(2) By eight weeks after fertilization, the unborn child reacts to stimuli that would be
recognized as painful if applied to an adult human, for example, by recoiling.
(3) In the unborn child, application of painful stimuli is associated with significant increases
in stress hormones known as the stress response.
(4) Subjection to painful stimuli is associated with longa- term harmful neuro developmental
effects, such as altered pain sensitivity and, possibly, emotional, behavioral and learning
disabilities later in life. l
(5) For the purposes of surgery on unborn children, fetal anesthesia is routinely
administered and is associated with a decrease in stress hormones compared to their level
when painful stimuli is applied without the anesthesia.
(6) The position, asserted by some medical experts, that the unborn child is incapable of
experiencing pain until a point later in pregnancy than twenty weeks after fertilization,
which point in the pregnancy is generally consistent with twenty-two weeks following the
woman's last menstrual cycle, predominately rests on the assumption that the ability to
experience pain depends on the cerebral cortex and requires nerve connections between the
thalamus and the cor tex. However, recent medical research and analysis, especially since
2007, provideVs strong evidence for the conclusion that a functioning cortex is not necessary
to experience pain.
(7) Substantial evidence indicates that children born missing the bulk of the cerebral cortex,
those with hydranencephaly, nevertheless experience pain.
(8) In adults, stimulation or ablation of the cerebral cortex does not alter pain perception
while stimulation or ablation of the thalamus does.
(9) Substantial evidence indicates that structures used for pain processing in early
development differ from those of adults, using different neural elements available at specific
times during development, such as the subcortical plate, to fulfill the role of pain processing.
(10) Consequently, there is substantial medical evidence that an unborn child is capable of
experiencing pain by pain capable gestational age as defined in subsection (7), section two,
article two-m of this chapter.
(11) It is the purpose of the state to assert a compelling state interest in protecting the lives
of unborn children from the stage at which substantial medical evidence indicates that they
are capable of feeling pain.

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