Abortion - As introduced, defines the terms "serious risk of substantial and irreversible impairment of a major bodily function" and "lethal fetal anomaly"; specifies that a physician does not commit the offense of criminal abortion if, under certain circumstances, the physician performs or attempts to perform an abortion to address a lethal fetal anomaly or a premature delivery of an unborn child with a lethal fetal anomaly. - Amends TCA Title 4; Title 29; Title 33; Title 37; Title 39; Title 40; Title 53; Title 56; Title 62; Title 63; Title 68 and Title 71.

HB 1241 defines two medical scenarios where a physician performing an abortion is not considered to commit criminal abortion: (1) when preventing maternal death or a "serious risk of substantial and irreversible impairment of a major bodily function" (e.g., preeclampsia, but excluding mental health conditions), and (2) when addressing a "lethal fetal anomaly" (a condition diagnosed before 24 weeks that is incompatible with life outside the womb). For lethal fetal anomalies, the bill requires two physician concurrences in writing, documentation of perinatal care options offered to the patient, and specifies that abortions or premature deliveries must be performed to avoid fetal demise or maternal health risks. The law applies to licensed physicians in licensed facilities and amends multiple Tennessee Code sections related to women’s health.