Us Congress 2023-2024 Regular Session

Us Congress House Bill HB1126 Compare Versions

Only one version of the bill is available at this time.

Old	New	Differences
1	1	I
2	2	118THCONGRESS
3	3	1
4	4	STSESSION H. R. 1126
5	5	To make improvements in prenatal and maternal care, and for other purposes.
6	6	IN THE HOUSE OF REPRESENTATIVES
7	7	FEBRUARY21, 2023
8	8	Mrs. F
9	9	ISCHBACHintroduced the following bill; which was referred to the
10	10	Committee on Energy and Commerce
11	11	A BILL
12	12	To make improvements in prenatal and maternal care, and
13	13	for other purposes.
14	14	Be it enacted by the Senate and House of Representa-1
15	15	tives of the United States of America in Congress assembled, 2
16	16	SECTION 1. SHORT TITLE. 3
17	17	This Act may be cited as the ‘‘Health, Opportunity, 4
18	18	Protecting life, Education Act’’ or the ‘‘HOPE Act’’. 5
19	19	SEC. 2. TABLE OF CONTENTS. 6
20	20	The table of contents for this Act is as follows: 7
21	21	Sec. 1. Short title.
22	22	Sec. 2. Table of contents.
23	23	TITLE I—ALTERNATIVES TO ABORTION
24	24	Sec. 101. Improving access to prenatal telehealth care.
25	25	Sec. 102. Positive alternatives for women.
26	26	Sec. 103. Educated decisions on maternal health.
27	27	Sec. 104. Life.Gov: awareness for expecting mothers.
28	28	VerDate Sep 11 2014 23:42 Mar 14, 2023 Jkt 039200 PO 00000 Frm 00001 Fmt 6652 Sfmt 6211 E:\BILLS\H1126.IH H1126
29	29	pbinns on DSKJLVW7X2PROD with $$_JOB 2
30	30	•HR 1126 IH
31	31	Sec. 105. Parental notification.
32	32	Sec. 106. Moratorium on Federal funding to Planned Parenthood Federation of
33	33	America, Inc.
34	34	Sec. 107. Funding.
35	35	TITLE II—GENERAL PROVISIONS
36	36	Sec. 201. Rule of construction.
37	37	TITLE I—ALTERNATIVES TO 1
38	38	ABORTION 2
39	39	SEC. 101. IMPROVING ACCESS TO PRENATAL TELEHEALTH 3
40	40	CARE. 4
41	41	(a) I
42	42	NGENERAL.—The Secretary of Health and 5
43	43	Human Services shall award grants or cooperative agree-6
44	44	ments to eligible entities to purchase equipment necessary 7
45	45	for carrying out at-home telehealth visits for screening, 8
46	46	monitoring, and management of prenatal and postnatal 9
47	47	care for the purpose of improving maternal and infant 10
48	48	health outcomes, and reducing maternal mortality, by im-11
49	49	proving access to care in rural areas, frontier counties, 12
50	50	medically underserved areas, or jurisdictions of Indian 13
51	51	Tribes and Tribal organizations. 14
52	52	(b) U
53	53	SE OFFUNDS.—A recipient of a grant under 15
54	54	this section shall use the grant as described in subsection 16
55	55	(a), which may include purchasing or providing equipment 17
56	56	necessary for carrying out at-home telehealth visits (such 18
57	57	as remote physiologic devices and related services, includ-19
58	58	ing pulse oximeters, blood pressure cuffs, scales, and blood 20
59	59	glucose monitors) to screen, monitor, and manage prenatal 21
60	60	VerDate Sep 11 2014 23:42 Mar 14, 2023 Jkt 039200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\H1126.IH H1126
61	61	pbinns on DSKJLVW7X2PROD with $$_JOB 3
62	62	•HR 1126 IH
63	63	and postnatal care at home by means of telehealth visits 1
64	64	and services for the purpose described in subsection (a). 2
65	65	(c) R
66	66	EPORT TOCONGRESS.—Not later than Sep-3
67	67	tember 30, 2028, the Secretary shall submit to the Con-4
68	68	gress a report on activities supported through grants 5
69	69	under this section, including— 6
70	70	(1) a description of the activities conducted 7
71	71	pursuant to such grants; and 8
72	72	(2) an analysis of the effects of such grants on 9
73	73	improving prenatal and postnatal care in areas and 10
74	74	jurisdictions described in subsection (a). 11
75	75	(d) D
76	76	EFINITIONS.—In this section: 12
77	77	(1) The term ‘‘eligible entity’’ means an entity 13
78	78	providing prenatal care, labor care, birthing, and 14
79	79	postpartum care services in a rural area, a frontier 15
80	80	county, a medically underserved area, or the juris-16
81	81	diction of an Indian Tribe or Tribal organization. 17
82	82	(2) The term ‘‘frontier county’’ has the mean-18
83	83	ing given such term in section 19
84	84	1886(d)(3)(E)(iii)(III) of the Social Security Act 20
85	85	(42 U.S.C. 1395ww(d)(3)(E)(iii)(III)). 21
86	86	(3) The terms ‘‘Indian Tribe’’ and ‘‘Tribal or-22
87	87	ganization’’ have the meanings given to such terms 23
88	88	in section 4 of the Indian Self-Determination and 24
89	89	Education Assistance Act (25 U.S.C. 5304). 25
90	90	VerDate Sep 11 2014 23:42 Mar 14, 2023 Jkt 039200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6201 E:\BILLS\H1126.IH H1126
91	91	pbinns on DSKJLVW7X2PROD with $$_JOB 4
92	92	•HR 1126 IH
93	93	(4) The term ‘‘medically underserved area’’ 1
94	94	means a health professional shortage area des-2
95	95	ignated under section 332 of the Public Health Serv-3
96	96	ice Act (42 U.S.C. 254e). 4
97	97	(5) The term ‘‘rural area’’ has the meaning 5
98	98	given to such term in section 330J(e) of the Public 6
99	99	Health Service Act (42 U.S.C. 254c–15(e)). 7
100	100	(6) The term ‘‘Secretary’’ means the Secretary 8
101	101	of Health and Human Services. 9
102	102	(e) A
103	103	UTHORIZATION OFAPPROPRIATIONS.—To carry 10
104	104	out this section, there are authorized to be appropriated 11
105	105	such sums as may be necessary for fiscal years 2024 12
106	106	through 2029. 13
107	107	SEC. 102. POSITIVE ALTERNATIVES FOR WOMEN. 14
108	108	(a) P
109	109	ROGRAMAUTHORITY.— 15
110	110	(1) P
111	111	URPOSE.—The purpose of grants under 16
112	112	this section shall be to support, encourage, and as-17
113	113	sist women— 18
114	114	(A) to carry their pregnancies to term; and 19
115	115	(B) to care for their babies after birth. 20
116	116	(2) G
117	117	RANTS.—For the purpose described in 21
118	118	paragraph (1), the Secretary shall award grants to 22
119	119	eligible entities described in subsection (b) to provide 23
120	120	information on, referral to, and direct services as de-24
121	121	scribed in subsection (c). 25
122	122	VerDate Sep 11 2014 23:42 Mar 14, 2023 Jkt 039200 PO 00000 Frm 00004 Fmt 6652 Sfmt 6201 E:\BILLS\H1126.IH H1126
123	123	pbinns on DSKJLVW7X2PROD with $$_JOB 5
124	124	•HR 1126 IH
125	125	(b) ELIGIBILITY.— 1
126	126	(1) E
127	127	LIGIBLE ENTITIES.—To be eligible for a 2
128	128	grant under this section, an entity shall— 3
129	129	(A) be a nonprofit organization; 4
130	130	(B) support, encourage, and assist women 5
131	131	as described in subsection (a)(1); 6
132	132	(C) agree to be subject to such monitoring 7
133	133	and review as the Secretary may require under 8
134	134	subsection (g); 9
135	135	(D) agree to not charge women for services 10
136	136	provided through the grant; 11
137	137	(E) provide each pregnant woman coun-12
138	138	seled through the grant with accurate informa-13
139	139	tion on the developmental characteristics of ba-14
140	140	bies and of unborn children, including offering 15
141	141	printed information; and 16
142	142	(F) have a privacy policy and procedures 17
143	143	in place to ensure that— 18
144	144	(i) the name, address, telephone num-19
145	145	ber, or any other information that might 20
146	146	identify any woman seeking services sup-21
147	147	ported through the grant is not made pub-22
148	148	lic or shared with any other entity without 23
149	149	the written consent of the woman; and 24
150	150	VerDate Sep 11 2014 23:42 Mar 14, 2023 Jkt 039200 PO 00000 Frm 00005 Fmt 6652 Sfmt 6201 E:\BILLS\H1126.IH H1126
151	151	pbinns on DSKJLVW7X2PROD with $$_JOB 6
152	152	•HR 1126 IH
153	153	(ii) the grantee adheres to require-1
154	154	ments comparable to those applicable 2
155	155	under the HIPAA privacy regulation (as 3
156	156	defined in section 1180(b)(3) of the Social 4
157	157	Security Act (42 U.S.C. 1320d–9)) to cov-5
158	158	ered entities (as defined for purposes of 6
159	159	such regulation). 7
160	160	(2) I
161	161	NELIGIBLE ENTITIES.—An entity shall be 8
162	162	ineligible to receive a grant under this section if the 9
163	163	entity or any affiliate, subsidiary, successor, or clinic 10
164	164	thereof— 11
165	165	(A) performs, induces, refers for, or coun-12
166	166	sels in favor of abortions; or 13
167	167	(B) provides financial support to any other 14
168	168	entity that conducts any activity described in 15
169	169	subparagraph (A). 16
170	170	(3) F
171	171	INANCIAL RECORDS.—As a condition on 17
172	172	receipt of a grant under this section, an eligible enti-18
173	173	ty shall agree to maintain and make available to the 19
174	174	Secretary records, including financial records, that 20
175	175	demonstrate that the entity satisfies the require-21
176	176	ments of paragraph (1) and is not ineligible by oper-22
177	177	ation of paragraph (2). 23
178	178	(c) C
179	179	OVEREDSERVICES.— 24
180	180	VerDate Sep 11 2014 23:42 Mar 14, 2023 Jkt 039200 PO 00000 Frm 00006 Fmt 6652 Sfmt 6201 E:\BILLS\H1126.IH H1126
181	181	pbinns on DSKJLVW7X2PROD with $$_JOB 7
182	182	•HR 1126 IH
183	183	(1) REQUIRED INFORMATION AND REFER -1
184	184	RAL.—For the purpose described in subsection 2
185	185	(a)(1), an eligible entity receiving a grant under this 3
186	186	section shall use the grant to provide information 4
187	187	on, and referral to, each of the following services: 5
188	188	(A) Medical care. 6
189	189	(B) Nutritional services. 7
190	190	(C) Housing assistance. 8
191	191	(D) Adoption services. 9
192	192	(E) Education and employment assistance, 10
193	193	including services that support the continuation 11
194	194	and completion of high school. 12
195	195	(F) Child care assistance. 13
196	196	(G) Parenting education and support serv-14
197	197	ices. 15
198	198	(H) Voluntary substance abuse counseling 16
199	199	and treatment. 17
200	200	(2) P
201	201	ERMISSIBLE DIRECT PROVISION OF SERV -18
202	202	ICES.—For the purpose described in subsection 19
203	203	(a)(1), in addition to using a grant under this sec-20
204	204	tion as described in paragraph (1), an eligible entity 21
205	205	receiving a grant under this section may use the 22
206	206	grant for the direct provision of one or more services 23
207	207	listed in paragraph (1). 24
208	208	VerDate Sep 11 2014 23:42 Mar 14, 2023 Jkt 039200 PO 00000 Frm 00007 Fmt 6652 Sfmt 6201 E:\BILLS\H1126.IH H1126
209	209	pbinns on DSKJLVW7X2PROD with $$_JOB 8
210	210	•HR 1126 IH
211	211	(d) PROHIBITEDUSES OFFUNDS.—None of the 1
212	212	funds made available under this section shall be used— 2
213	213	(1) for health benefits coverage that includes 3
214	214	coverage of abortion; 4
215	215	(2) for providing or assisting a woman to obtain 5
216	216	adoption services from a provider of adoption serv-6
217	217	ices that is not licensed; and 7
218	218	(3) for any of the activities described in sub-8
219	219	section (b)(2). 9
220	220	(e) A
221	221	PPROVAL OFINFORMATION ASMEDICALLYAC-10
222	222	CURATE.—As a condition on the receipt of a grant under 11
223	223	this section, an eligible entity shall refrain from providing 12
224	224	any information pursuant to the grant on the health risks 13
225	225	associated with abortions other than information that has 14
226	226	been approved by the Secretary as medically accurate. 15
227	227	(f) C
228	228	ONSIDERATION.—In selecting the recipients of 16
229	229	grants under this section, the Secretary shall consider 17
230	230	each applicant’s demonstrated capacity in providing serv-18
231	231	ices to assist a pregnant woman in carrying her pregnancy 19
232	232	to term. 20
233	233	(g) M
234	234	ONITORING AND REVIEW.—The Secretary 21
235	235	shall— 22
236	236	(1) monitor and review each program funded 23
237	237	through a grant under this section to ensure that 24
238	238	the grantee carefully adheres to— 25
239	239	VerDate Sep 11 2014 23:42 Mar 14, 2023 Jkt 039200 PO 00000 Frm 00008 Fmt 6652 Sfmt 6201 E:\BILLS\H1126.IH H1126
240	240	pbinns on DSKJLVW7X2PROD with $$_JOB 9
241	241	•HR 1126 IH
242	242	(A) the purpose described in subsection 1
243	243	(a)(1); and 2
244	244	(B) the requirements of this section; and 3
245	245	(2) cease to fund a program under this section 4
246	246	if the grantee fails to adhere to such purpose and re-5
247	247	quirements. 6
248	248	(h) D
249	249	EFINITIONS.—In this section: 7
250	250	(1) A
251	251	BORTION.—The term ‘‘abortion’’ means 8
252	252	the use or prescription of any instrument, medicine, 9
253	253	drug, or any other substance or device to inten-10
254	254	tionally— 11
255	255	(A) kill the unborn child of a woman 12
256	256	known to be pregnant; or 13
257	257	(B) terminate the pregnancy of a woman 14
258	258	known to be pregnant, with an intention other 15
259	259	than— 16
260	260	(i) after viability, to produce a live 17
261	261	birth and preserve the life and health of 18
262	262	the child born alive; 19
263	263	(ii) to remove a dead unborn child; or 20
264	264	(iii) to treat an ectopic pregnancy. 21
265	265	(2) S
266	266	ECRETARY.—The term ‘‘Secretary’’ means 22
267	267	the Secretary of Health and Human Services. 23
268	268	(i) A
269	269	UTHORIZATION OFAPPROPRIATIONS.—To carry 24
270	270	out this section, there are authorized to be appropriated 25
271	271	VerDate Sep 11 2014 23:42 Mar 14, 2023 Jkt 039200 PO 00000 Frm 00009 Fmt 6652 Sfmt 6201 E:\BILLS\H1126.IH H1126
272	272	pbinns on DSKJLVW7X2PROD with $$_JOB 10
273	273	•HR 1126 IH
274	274	such sums as may be necessary for fiscal years 2024 1
275	275	through 2029. 2
276	276	SEC. 103. EDUCATED DECISIONS ON MATERNAL HEALTH. 3
277	277	(a) I
278	278	NGENERAL.— 4
279	279	(1) R
280	280	EQUIREMENT OF COMPLIANCE BY PRO -5
281	281	VIDERS.—Any abortion provider, acting in or affect-6
282	282	ing interstate or foreign commerce, who knowingly 7
283	283	performs, or attempts to perform, any abortion shall 8
284	284	comply with the requirements of this section. 9
285	285	(2) R
286	286	EVIEW OF MEDICAL RISKS AND UNBORN 10
287	287	HEALTH STATUS.—An abortion provider who intends 11
288	288	to perform, or attempt to perform, an abortion may 12
289	289	not perform any part of the abortion procedure with-13
290	290	out first obtaining a signed Informed Consent Au-14
291	291	thorization form in accordance with this subsection. 15
292	292	(3) I
293	293	NFORMED CONSENT AUTHORIZATION 16
294	294	FORM.— 17
295	295	(A) I
296	296	N GENERAL.—The Informed Consent 18
297	297	Authorization form required under this sub-19
298	298	section shall— 20
299	299	(i) be presented in person by the abor-21
300	300	tion provider 24 hours prior to performing, 22
301	301	or attempting to perform, the abortion to 23
302	302	the woman seeking the abortion; and 24
303	303	(ii) consist of— 25
304	304	VerDate Sep 11 2014 23:42 Mar 14, 2023 Jkt 039200 PO 00000 Frm 00010 Fmt 6652 Sfmt 6201 E:\BILLS\H1126.IH H1126
305	305	pbinns on DSKJLVW7X2PROD with $$_JOB 11
306	306	•HR 1126 IH
307	307	(I) a statement, in easily under-1
308	308	standable common language, by the 2
309	309	abortion provider indicating— 3
310	310	(aa) the probable gestational 4
311	311	age, in completed days, of the 5
312	312	child; 6
313	313	(bb) all medical risks associ-7
314	314	ated with the specific abortion 8
315	315	procedure; and 9
316	316	(cc) the major developmental 10
317	317	characteristics of unborn children 11
318	318	at such gestational age, including 12
319	319	the presence of a heartbeat, the 13
320	320	ability to react to painful stimuli, 14
321	321	and the development of organs, 15
322	322	fingers, and facial features; 16
323	323	(II) a statement, in easily under-17
324	324	standable common language, that the 18
325	325	requirements of this subsection are 19
326	326	binding upon the abortion provider 20
327	327	and all other medical personnel, that 21
328	328	such abortion providers and medical 22
329	329	personnel are subject to criminal and 23
330	330	civil penalties for violations of these 24
331	331	requirements, and that a woman on 25
332	332	VerDate Sep 11 2014 23:42 Mar 14, 2023 Jkt 039200 PO 00000 Frm 00011 Fmt 6652 Sfmt 6201 E:\BILLS\H1126.IH H1126
333	333	pbinns on DSKJLVW7X2PROD with $$_JOB 12
334	334	•HR 1126 IH
335	335	whom an abortion has been performed 1
336	336	may take civil action if these require-2
337	337	ments are not followed; and 3
338	338	(III) an affirmation that each in-4
339	339	dividual signing the Informed Consent 5
340	340	Authorization form has filled out the 6
341	341	form to the best of his or her knowl-7
342	342	edge and understands the information 8
343	343	contained in the form. 9
344	344	(B) S
345	345	IGNATORIES REQUIRED .—The In-10
346	346	formed Consent Authorization form required 11
347	347	under this subsection shall be signed in person 12
348	348	by the woman seeking the abortion, the abor-13
349	349	tion provider performing or attempting to per-14
350	350	form the abortion, and a witness. 15
351	351	(C) R
352	352	ETENTION OF CONSENT FORM .—The 16
353	353	abortion provider performing or attempting to 17
354	354	perform an abortion shall retain the signed In-18
355	355	formed Consent Authorization form required 19
356	356	under this subsection in the patient’s medical 20
357	357	file. 21
358	358	(D) R
359	359	EQUIREMENT FOR DATA RETEN -22
360	360	TION.—Paragraph (j)(2) of section 164.530 of 23
361	361	title 45, Code of Federal Regulations, shall 24
362	362	apply to the Informed Consent Authorization 25
363	363	VerDate Sep 11 2014 23:42 Mar 14, 2023 Jkt 039200 PO 00000 Frm 00012 Fmt 6652 Sfmt 6201 E:\BILLS\H1126.IH H1126
364	364	pbinns on DSKJLVW7X2PROD with $$_JOB 13
365	365	•HR 1126 IH
366	366	form required to be placed in a patient’s med-1
367	367	ical file pursuant to subparagraph (C) in the 2
368	368	same manner and to the same extent as such 3
369	369	paragraph applies to documentation required by 4
370	370	paragraph (j)(1) of such section. 5
371	371	(E) C
372	372	OPY OF FORM.—A copy of the signed 6
373	373	Informed Consent Authorization required under 7
374	374	this subsection shall be provided to the woman 8
375	375	seeking an abortion. 9
376	376	(4) E
377	377	XCEPTIONS.—The requirements of this 10
378	378	subsection shall not apply if, in reasonable medical 11
379	379	judgment, compliance with paragraph (2) would pose 12
380	380	a greater risk of— 13
381	381	(A) the death of the pregnant woman; or 14
382	382	(B) the substantial and irreversible phys-15
383	383	ical impairment of a major bodily function, not 16
384	384	including psychological or emotional conditions, 17
385	385	of the pregnant woman. 18
386	386	(b) P
387	387	ENALTY FORFAILURETOCOMPLY.— 19
388	388	(1) C
389	389	IVIL PENALTY.— 20
390	390	(A) E
391	391	NFORCEMENT BY ATTORNEY GEN -21
392	392	ERAL.—The Attorney General shall commence 22
393	393	a civil action in an appropriate district court of 23
394	394	the United States under this subsection against 24
395	395	VerDate Sep 11 2014 23:42 Mar 14, 2023 Jkt 039200 PO 00000 Frm 00013 Fmt 6652 Sfmt 6201 E:\BILLS\H1126.IH H1126
396	396	pbinns on DSKJLVW7X2PROD with $$_JOB 14
397	397	•HR 1126 IH
398	398	any abortion provider who knowingly commits a 1
399	399	violation of subsection (a). 2
400	400	(B) P
401	401	ENALTY.—In a civil action under 3
402	402	subparagraph (A), the court may, to vindicate 4
403	403	the public interest, assess a civil penalty against 5
404	404	the abortion provider in an amount— 6
405	405	(i) not less than $100,000 and not 7
406	406	more than $150,000, for each such viola-8
407	407	tion that is adjudicated in the first pro-9
408	408	ceeding against such abortion provider 10
409	409	under this subsection; or 11
410	410	(ii) not less than $150,001 and not 12
411	411	more than $250,000, for each such viola-13
412	412	tion that is adjudicated in a subsequent 14
413	413	proceeding against such abortion provider 15
414	414	under this subsection. 16
415	415	(C) N
416	416	OTIFICATION.—Upon the assessment 17
417	417	of a civil penalty under subparagraph (B), the 18
418	418	Attorney General shall notify the appropriate 19
419	419	State medical licensing authority. 20
420	420	(D) N
421	421	O PENALTIES FOR PREGNANT 21
422	422	WOMEN.—A pregnant woman shall not be sub-22
423	423	ject to any penalty under this section. 23
424	424	(2) P
425	425	RIVATE RIGHT OF ACTION.— 24
426	426	VerDate Sep 11 2014 23:42 Mar 14, 2023 Jkt 039200 PO 00000 Frm 00014 Fmt 6652 Sfmt 6201 E:\BILLS\H1126.IH H1126
427	427	pbinns on DSKJLVW7X2PROD with $$_JOB 15
428	428	•HR 1126 IH
429	429	(A) IN GENERAL.—A woman or a parent 1
430	430	of a minor upon whom an abortion has been 2
431	431	performed in violation of subsection (a) may 3
432	432	commence a civil action against the abortion 4
433	433	provider for appropriate relief. 5
434	434	(B) A
435	435	PPROPRIATE RELIEF .—Appropriate 6
436	436	relief in a civil action under this paragraph in-7
437	437	cludes— 8
438	438	(i) objectively verifiable money dam-9
439	439	ages for all injuries, psychological and 10
440	440	physical, occasioned by the violation; 11
441	441	(ii) statutory damages equal to 3 12
442	442	times the cost of the abortion; and 13
443	443	(iii) punitive damages. 14
444	444	(C) A
445	445	TTORNEY’S FEES FOR PLAINTIFF .— 15
446	446	The court shall award a reasonable attorney’s 16
447	447	fee as part of the costs to a prevailing plaintiff 17
448	448	in a civil action under this paragraph. 18
449	449	(D) A
450	450	TTORNEY’S FEES FOR DEFEND -19
451	451	ANT.—If a defendant in a civil action under 20
452	452	this paragraph prevails and the court finds that 21
453	453	the plaintiff’s suit was frivolous, the court shall 22
454	454	award a reasonable attorney’s fee in favor of 23
455	455	the defendant against the plaintiff. 24
456	456	VerDate Sep 11 2014 23:42 Mar 14, 2023 Jkt 039200 PO 00000 Frm 00015 Fmt 6652 Sfmt 6201 E:\BILLS\H1126.IH H1126
457	457	pbinns on DSKJLVW7X2PROD with $$_JOB 16
458	458	•HR 1126 IH
459	459	(E) AWARDS AGAINST WOMAN .—In any 1
460	460	civil action under this paragraph, no damages 2
461	461	or other monetary relief, and no attorney’s fees 3
462	462	except as provided under subparagraph (D), 4
463	463	may be assessed against the woman upon whom 5
464	464	the abortion was performed or attempted. 6
465	465	(c) P
466	466	REEMPTION.—Nothing in this title or the 7
467	467	amendments made by this title shall be construed to pre-8
468	468	empt any provision of State law to the extent that such 9
469	469	State law establishes, implements, or continues in effect 10
470	470	disclosure requirements regarding abortion or penalties 11
471	471	for failure to comply with such requirements that are more 12
472	472	extensive than those provided under the amendment made 13
473	473	by this title. 14
474	474	(d) R
475	475	ULE OFCONSTRUCTION.—Nothing in this title 15
476	476	shall be construed to prohibit an abortion provider from 16
477	477	presenting the information required under subsection (a) 17
478	478	to a pregnant woman at the same time as acquiring in-18
479	479	formed consent for an abortion from such woman in ac-19
480	480	cordance with State law, provided that the presentation 20
481	481	of such information occurs at least 24 hours before the 21
482	482	abortion. 22
483	483	(e) D
484	484	EFINITIONS.—In this section: 23
485	485	(1) A
486	486	BORTION.—The term ‘‘abortion’’ means 24
487	487	the use or prescription of any instrument, medicine, 25
488	488	VerDate Sep 11 2014 23:42 Mar 14, 2023 Jkt 039200 PO 00000 Frm 00016 Fmt 6652 Sfmt 6201 E:\BILLS\H1126.IH H1126
489	489	pbinns on DSKJLVW7X2PROD with $$_JOB 17
490	490	•HR 1126 IH
491	491	drug, or any other substance or device to inten-1
492	492	tionally— 2
493	493	(A) kill the unborn child of a woman 3
494	494	known to be pregnant; or 4
495	495	(B) terminate the pregnancy of a woman 5
496	496	known to be pregnant, with an intention other 6
497	497	than— 7
498	498	(i) after viability, to produce a live 8
499	499	birth and preserve the life and health of 9
500	500	the child born alive; 10
501	501	(ii) to remove a dead unborn child; or 11
502	502	(iii) to treat an ectopic pregnancy. 12
503	503	(2) A
504	504	BORTION PROVIDER.—The term ‘‘abortion 13
505	505	provider’’ means a person— 14
506	506	(A) licensed to practice medicine and sur-15
507	507	gery or osteopathic medicine and surgery; or 16
508	508	(B) otherwise legally authorized to perform 17
509	509	an abortion. 18
510	510	(3) A
511	511	TTEMPT.—The term ‘‘attempt’’, with re-19
512	512	spect to an abortion, means conduct that, under the 20
513	513	circumstances as the actor believes them to be, con-21
514	514	stitutes a substantial step in a course of conduct 22
515	515	planned to culminate in performing an abortion. 23
516	516	(4) M
517	517	INOR.—The term ‘‘minor’’ means an indi-24
518	518	vidual who has not attained the age of 18 years. 25
519	519	VerDate Sep 11 2014 23:42 Mar 14, 2023 Jkt 039200 PO 00000 Frm 00017 Fmt 6652 Sfmt 6201 E:\BILLS\H1126.IH H1126
520	520	pbinns on DSKJLVW7X2PROD with $$_JOB 18
521	521	•HR 1126 IH
522	522	(5) PERFORM.—The term ‘‘perform’’, with re-1
523	523	spect to an abortion, includes inducing an abortion 2
524	524	through a medical or chemical intervention including 3
525	525	writing a prescription for a drug or device intended 4
526	526	to result in an abortion. 5
527	527	(6) R
528	528	EASONABLE MEDICAL JUDGMENT .—The 6
529	529	term ‘‘reasonable medical judgment’’ means a med-7
530	530	ical judgment that would be made by a reasonably 8
531	531	prudent abortion provider, knowledgeable about the 9
532	532	case and the treatment possibilities with respect to 10
533	533	the medical conditions involved. 11
534	534	(7) U
535	535	NBORN CHILD.—The term ‘‘unborn child’’ 12
536	536	means an individual organism of the species homo 13
537	537	sapiens, beginning at fertilization, until the point of 14
538	538	being born alive as defined in section 8(b) of title 1, 15
539	539	United States Code. 16
540	540	(8) W
541	541	OMAN.—The term ‘‘woman’’ means a fe-17
542	542	male human being whether or not she has reached 18
543	543	the age of majority. 19
544	544	SEC. 104. LIFE.GOV: AWARENESS FOR EXPECTING MOTH-20
545	545	ERS. 21
546	546	The Public Health Service Act (42 U.S.C. 201 et 22
547	547	seq.) is amended by adding at the end the following: 23
548	548	VerDate Sep 11 2014 23:42 Mar 14, 2023 Jkt 039200 PO 00000 Frm 00018 Fmt 6652 Sfmt 6201 E:\BILLS\H1126.IH H1126
549	549	pbinns on DSKJLVW7X2PROD with $$_JOB 19
550	550	•HR 1126 IH
551	551	‘‘TITLE XXXIV—AWARENESS FOR 1
552	552	EXPECTING MOTHERS 2
553	553	‘‘SEC. 3401. WEBSITE AND PORTAL. 3
554	554	‘‘(a) W
555	555	EBSITE.—Not later than 1 year after the date 4
556	556	of enactment of this section, the Secretary shall publish 5
557	557	a user-friendly public website, life.gov, to provide a com-6
558	558	prehensive list of Federal, State, local governmental, and 7
559	559	private resources available to pregnant women including— 8
560	560	‘‘(1) resources to mental health counseling, 9
561	561	pregnancy counseling, and other prepartum and 10
562	562	postpartum services; 11
563	563	‘‘(2) comprehensive information on alternatives 12
564	564	to abortion; 13
565	565	‘‘(3) information about abortion risks, including 14
566	566	complications and failures; and 15
567	567	‘‘(4) links to information on child development 16
568	568	from moment of conception. 17
569	569	‘‘(b) P
570	570	ORTAL.—Not later than 1 year after the date 18
571	571	of enactment of this section, the Secretary shall publish 19
572	572	a portal on the public website of the Department of Health 20
573	573	and Human Services that— 21
574	574	‘‘(1) through a series of questions, will furnish 22
575	575	specific tailored information to the user on what 23
576	576	pregnancy-related information they are looking for, 24
577	577	such as— 25
578	578	VerDate Sep 11 2014 23:42 Mar 14, 2023 Jkt 039200 PO 00000 Frm 00019 Fmt 6652 Sfmt 6201 E:\BILLS\H1126.IH H1126
579	579	pbinns on DSKJLVW7X2PROD with $$_JOB 20
580	580	•HR 1126 IH
581	581	‘‘(A) Federal, State, local governmental, 1
582	582	and private resources that may be available to 2
583	583	the woman within her ZIP Code, including the 3
584	584	resources specified in subsection (c); and 4
585	585	‘‘(B) risks related to abortion at all stages 5
586	586	of fetal gestation; and 6
587	587	‘‘(2) provides for the submission of feedback on 7
588	588	how user-friendly and helpful the portal was in pro-8
589	589	viding the tailored information the user was seeking. 9
590	590	‘‘(c) R
591	591	ESOURCES.—The Federal, State, local govern-10
592	592	mental, and private resources specified in this subsection 11
593	593	are the following: 12
594	594	‘‘(1) Mentorship opportunities, including preg-13
595	595	nancy help and case management resources. 14
596	596	‘‘(2) Health and well-being services, including 15
597	597	women’s medical services such as obstetrical and 16
598	598	gynecological support services for women, abortion 17
599	599	pill reversal, breastfeeding, general health services, 18
600	600	primary care, and dental care. 19
601	601	‘‘(3) Financial assistance, work opportunities, 20
602	602	nutrition assistance, childcare, and education oppor-21
603	603	tunities. 22
604	604	‘‘(4) Material or legal support, including trans-23
605	605	portation, food, nutrition, clothing, household goods, 24
606	606	baby supplies, housing, shelters, maternity homes, 25
607	607	VerDate Sep 11 2014 23:42 Mar 14, 2023 Jkt 039200 PO 00000 Frm 00020 Fmt 6652 Sfmt 6201 E:\BILLS\H1126.IH H1126
608	608	pbinns on DSKJLVW7X2PROD with $$_JOB 21
609	609	•HR 1126 IH
610	610	tax preparation, legal support for child support, 1
611	611	family leave, breastfeeding protections, and custody 2
612	612	issues. 3
613	613	‘‘(5) Recovery and mental health services, in-4
614	614	cluding services with respect to addiction or suicide 5
615	615	intervention, intimate partner violence, sexual as-6
616	616	sault, rape, sex trafficking, and counseling for 7
617	617	women and families surrounding unexpected loss of 8
618	618	a child. 9
619	619	‘‘(6) Prenatal diagnostic services, including dis-10
620	620	ability support organizations, medical interventions 11
621	621	for a baby, perinatal hospice resources, pregnancy 12
622	622	and infant loss support, and literature on pregnancy 13
623	623	wellness. 14
624	624	‘‘(7) Healing and support services for abortion 15
625	625	survivors and their families. 16
626	626	‘‘(8) Services providing care for children, in-17
627	627	cluding family planning education, adoption, foster 18
628	628	care, and short-term care resources. 19
629	629	‘‘(d) A
630	630	DMINISTRATION.—The Secretary may not del-20
631	631	egate implementation or administration of the portal es-21
632	632	tablished under subsection (b) below the level of the Office 22
633	633	of the Secretary. 23
634	634	‘‘(e) F
635	635	OLLOW-UP.—The Secretary shall develop a 24
636	636	plan under which— 25
637	637	VerDate Sep 11 2014 23:42 Mar 14, 2023 Jkt 039200 PO 00000 Frm 00021 Fmt 6652 Sfmt 6201 E:\BILLS\H1126.IH H1126
638	638	pbinns on DSKJLVW7X2PROD with $$_JOB 22
639	639	•HR 1126 IH
640	640	‘‘(1) the Secretary includes in the portal estab-1
641	641	lished under subsection (b), a mechanism for users 2
642	642	of the portal to take an assessment through the por-3
643	643	tal and provide consent to use the user’s contact in-4
644	644	formation; 5
645	645	‘‘(2) the Secretary conducts outreach via phone 6
646	646	or email to follow up with users of the portal estab-7
647	647	lished under subsection (b) on additional resources 8
648	648	that would be helpful for the users to review; and 9
649	649	‘‘(3) upon the request of a user of the portal for 10
650	650	specific information, after learning of the additional 11
651	651	resources through the portal, agents of the Depart-12
652	652	ment of Health and Human Services make every ef-13
653	653	fort to furnish specific information to such user in 14
654	654	coordination with Federal, State, local governmental, 15
655	655	and private health care providers and resources. 16
656	656	‘‘(f) R
657	657	ESOURCELISTAGGREGATION.— 17
658	658	‘‘(1) I
659	659	N GENERAL.—Pursuant to criteria devel-18
660	660	oped in subsection (e)(2), each State shall provide 19
661	661	recommendations of State, local governmental, and 20
662	662	private resources under subsection (b)(1)(A) to in-21
663	663	clude in the portal. 22
664	664	‘‘(2) C
665	665	RITERIA FOR MAKING RECOMMENDA -23
666	666	TIONS.—The Secretary shall develop, and make pub-24
667	667	lic, criteria to provide to the States to determine 25
668	668	VerDate Sep 11 2014 23:42 Mar 14, 2023 Jkt 039200 PO 00000 Frm 00022 Fmt 6652 Sfmt 6201 E:\BILLS\H1126.IH H1126
669	669	pbinns on DSKJLVW7X2PROD with $$_JOB 23
670	670	•HR 1126 IH
671	671	whether resources recommended as described in 1
672	672	paragraph (1) for inclusion in the portal can appear 2
673	673	in the portal. Such criteria shall include the require-3
674	674	ment that the resource provider is not a prohibited 4
675	675	entity and the requirement that the resource pro-5
676	676	vider has been engaged in providing services for a 6
677	677	minimum of 3 consecutive years. The Secretary shall 7
678	678	establish a process for a resource provider to appeal 8
679	679	a decision on inclusion. 9
680	680	‘‘(3) G
681	681	RANT PROGRAM.— 10
682	682	‘‘(A) I
683	683	N GENERAL.—The Secretary may 11
684	684	provide grants to States to establish or support 12
685	685	a system that aggregates the resources de-13
686	686	scribed in subsection (b)(1)(A), in accordance 14
687	687	with the criteria developed under paragraph 15
688	688	(2), and that may be coordinated, to the extent 16
689	689	determined appropriate by the State, by a 17
690	690	statewide, regionally based, or community-based 18
691	691	public entity or private nonprofit. 19
692	692	‘‘(B) A
693	693	PPLICATIONS.—To be eligible to re-20
694	694	ceive a grant under subparagraph (A), a State 21
695	695	shall submit an application to the Secretary at 22
696	696	such time, in such manner, and containing such 23
697	697	information as the Secretary may require, in-24
698	698	cluding a plan for outreach and awareness ac-25
699	699	VerDate Sep 11 2014 23:42 Mar 14, 2023 Jkt 039200 PO 00000 Frm 00023 Fmt 6652 Sfmt 6201 E:\BILLS\H1126.IH H1126
700	700	pbinns on DSKJLVW7X2PROD with $$_JOB 24
701	701	•HR 1126 IH
702	702	tivities, and a list of service providers that 1
703	703	would be included in the State system sup-2
704	704	ported by the grant. 3
705	705	‘‘(g) M
706	706	ATERNALMENTALHEALTHHOTLINE.—The 4
707	707	Secretary shall ensure that the Maternal Mental Health 5
708	708	Hotline of the Health Resources and Services Administra-6
709	709	tion— 7
710	710	‘‘(1) disseminates information regarding, and 8
711	711	linkages to, the life.gov website and portal described 9
712	712	in subsections (a) and (b); 10
713	713	‘‘(2) has the capacity to help families in every 11
714	714	State and community in the Nation; and 12
715	715	‘‘(3) includes live chat features, 24 hours a day, 13
716	716	to connect individuals to the information the portal 14
717	717	hosts. 15
718	718	‘‘(h) P
719	719	ROHIBITIONREGARDINGCERTAINENTI-16
720	720	TIES.—The resources listed on the life.gov website, and 17
721	721	made available through the portal and hotline established 18
722	722	under this section may not include any resource offered 19
723	723	by a prohibited entity. 20
724	724	‘‘(i) S
725	725	ERVICES INDIFFERENTLANGUAGES.—The 21
726	726	life.gov website and hotline shall ensure the widest possible 22
727	727	access to services for families who speak languages other 23
728	728	than English. 24
729	729	‘‘(j) P
730	730	RIVACYPROTECTION.— 25
731	731	VerDate Sep 11 2014 23:42 Mar 14, 2023 Jkt 039200 PO 00000 Frm 00024 Fmt 6652 Sfmt 6201 E:\BILLS\H1126.IH H1126
732	732	pbinns on DSKJLVW7X2PROD with $$_JOB 25
733	733	•HR 1126 IH
734	734	‘‘(1) Any entity providing resources under this 1
735	735	title must have a privacy policy and procedures in 2
736	736	place to ensure that the name, address, telephone 3
737	737	number, or any other information that might iden-4
738	738	tify any woman seeking the services of the program 5
739	739	is not made public or shared with any other agency 6
740	740	or organization without the written consent of the 7
741	741	woman. All communications between the resource 8
742	742	and the woman must remain confidential and any 9
743	743	entity providing resources shall adhere to require-10
744	744	ments comparable to those applicable under the 11
745	745	HIPAA privacy regulation (as defined in section 12
746	746	1180(b)(3) of the Social Security Act) to covered en-13
747	747	tities (as defined for purposes of such regulation). 14
748	748	‘‘(2) Notwithstanding paragraph (1), the Sec-15
749	749	retary has access to any information necessary to 16
750	750	monitor and review a grantee’s program as required 17
751	751	under subsection (k). 18
752	752	‘‘(k) R
753	753	EPORTINGREQUIREMENTS.— 19
754	754	‘‘(1) I
755	755	N GENERAL.—Not later than 180 days 20
756	756	after the date on which the life.gov website and por-21
757	757	tal are established under subsection (a), the Sec-22
758	758	retary shall submit to Congress a report on— 23
759	759	‘‘(A) the traffic of the website and the 24
760	760	interactive portal; 25
761	761	VerDate Sep 11 2014 23:42 Mar 14, 2023 Jkt 039200 PO 00000 Frm 00025 Fmt 6652 Sfmt 6201 E:\BILLS\H1126.IH H1126
762	762	pbinns on DSKJLVW7X2PROD with $$_JOB 26
763	763	•HR 1126 IH
764	764	‘‘(B) user feedback on the accessibility and 1
765	765	helpfulness of the website and interactive portal 2
766	766	in tailoring to the user’s needs; 3
767	767	‘‘(C) insights on gaps in Federal, State, 4
768	768	local governmental, and private programming 5
769	769	with respect to services for pregnant and 6
770	770	postpartum women; and 7
771	771	‘‘(D) suggestions on how to improve user 8
772	772	experience and accessibility based on user feed-9
773	773	back and missing resources that would be help-10
774	774	ful to include in future updates. 11
775	775	‘‘(2) C
776	776	ONFIDENTIALITY.—The report under 12
777	777	paragraph (1) shall not include any personal identi-13
778	778	fying information regarding individuals who have 14
779	779	used the website or portal. 15
780	780	‘‘(l) D
781	781	EFINITIONS.—In this section: 16
782	782	‘‘(1) A
783	783	BORTION.—The term ‘abortion’ means 17
784	784	the use or prescription of any instrument, medicine, 18
785	785	drug, or any other substance or device to inten-19
786	786	tionally— 20
787	787	‘‘(A) kill the unborn child of a woman 21
788	788	known to be pregnant; or 22
789	789	‘‘(B) terminate the pregnancy of a woman 23
790	790	known to be pregnant, with an intention other 24
791	791	than— 25
792	792	VerDate Sep 11 2014 23:42 Mar 14, 2023 Jkt 039200 PO 00000 Frm 00026 Fmt 6652 Sfmt 6201 E:\BILLS\H1126.IH H1126
793	793	pbinns on DSKJLVW7X2PROD with $$_JOB 27
794	794	•HR 1126 IH
795	795	‘‘(i) after viability, to produce a live 1
796	796	birth and preserve the life and health of 2
797	797	the child born alive; 3
798	798	‘‘(ii) to remove a dead unborn child; 4
799	799	or 5
800	800	‘‘(iii) to treat an ectopic pregnancy. 6
801	801	‘‘(2) B
802	802	ORN ALIVE.—The term ‘born alive’ has 7
803	803	the meaning given such term in section 8(b) of title 8
804	804	1, United States Code. 9
805	805	‘‘(3) P
806	806	ROHIBITED ENTITY.—The term ‘prohib-10
807	807	ited entity’ means an entity, including its affiliates, 11
808	808	subsidiaries, successors, and clinics that performs, 12
809	809	induces, refers for, or counsels in favor of abortions, 13
810	810	or provides financial support to any other organiza-14
811	811	tion that conducts such activities. 15
812	812	‘‘(4) U
813	813	NBORN CHILD.—The term ‘unborn child’ 16
814	814	means an individual organism of the species homo 17
815	815	sapiens, beginning at fertilization, until the point of 18
816	816	being born alive.’’. 19
817	817	SEC. 105. PARENTAL NOTIFICATION. 20
818	818	(a) R
819	819	EQUIREMENT.—Any physician who, in or affect-21
820	820	ing interstate or foreign commerce, performs or induces 22
821	821	an abortion on a minor shall provide, or cause his or her 23
822	822	agent to provide— 24
823	823	VerDate Sep 11 2014 23:42 Mar 14, 2023 Jkt 039200 PO 00000 Frm 00027 Fmt 6652 Sfmt 6201 E:\BILLS\H1126.IH H1126
824	824	pbinns on DSKJLVW7X2PROD with $$_JOB 28
825	825	•HR 1126 IH
826	826	(1) at least 24 hours of actual notice to a par-1
827	827	ent of the minor before performing or inducing the 2
828	828	abortion; or 3
829	829	(2) at least 48 hours of constructive notice to 4
830	830	a parent of the minor before performing or inducing 5
831	831	the abortion. 6
832	832	(b) E
833	833	XCEPTIONS.—The notification requirement of 7
834	834	subsection (a) does not apply if— 8
835	835	(1) the abortion is performed or induced in a 9
836	836	State that has, in force, a law requiring parental in-10
837	837	volvement in a minor’s abortion decision and the 11
838	838	physician complies with the requirements of that 12
839	839	law; 13
840	840	(2) the physician is presented with documenta-14
841	841	tion showing with a reasonable degree of certainty 15
842	842	that a court in the minor’s State of residence has 16
843	843	waived any parental notification required by the laws 17
844	844	of that State, or has otherwise authorized that the 18
845	845	minor be allowed to procure an abortion; 19
846	846	(3) the minor declares in a signed written state-20
847	847	ment that she is the victim of sexual abuse, neglect, 21
848	848	or physical abuse by a parent, and, before an abor-22
849	849	tion is performed on the minor, the physician noti-23
850	850	fies the authorities specified to receive reports of 24
851	851	child abuse or neglect by the law of the State in 25
852	852	VerDate Sep 11 2014 23:42 Mar 14, 2023 Jkt 039200 PO 00000 Frm 00028 Fmt 6652 Sfmt 6201 E:\BILLS\H1126.IH H1126
853	853	pbinns on DSKJLVW7X2PROD with $$_JOB 29
854	854	•HR 1126 IH
855	855	which the minor resides of the known or suspected 1
856	856	abuse or neglect; 2
857	857	(4) the abortion is necessary to save the life of 3
858	858	the minor because her life was endangered by a 4
859	859	physical disorder, physical injury, or physical illness, 5
860	860	including a life endangering physical condition 6
861	861	caused by or arising from the pregnancy itself, but 7
862	862	an exception under this paragraph does not apply 8
863	863	unless the attending physician or an agent of such 9
864	864	physician, within 24 hours after completion of the 10
865	865	abortion, notifies a parent in writing that an abor-11
866	866	tion was performed on the minor and of the cir-12
867	867	cumstances that warranted invocation of this para-13
868	868	graph; or 14
869	869	(5) the minor is physically accompanied by a 15
870	870	person who presents the physician or his agent with 16
871	871	documentation showing with a reasonable degree of 17
872	872	certainty that he or she is in fact the parent of that 18
873	873	minor. 19
874	874	(c) P
875	875	ENALTY FORFAILURETOCOMPLY.— 20
876	876	(1) C
877	877	IVIL PENALTY.— 21
878	878	(A) E
879	879	NFORCEMENT BY ATTORNEY GEN -22
880	880	ERAL.—The Attorney General shall commence 23
881	881	a civil action in an appropriate district court of 24
882	882	the United States under this subsection against 25
883	883	VerDate Sep 11 2014 23:42 Mar 14, 2023 Jkt 039200 PO 00000 Frm 00029 Fmt 6652 Sfmt 6201 E:\BILLS\H1126.IH H1126
884	884	pbinns on DSKJLVW7X2PROD with $$_JOB 30
885	885	•HR 1126 IH
886	886	any physician who commits a violation of sub-1
887	887	section (a). 2
888	888	(B) P
889	889	ENALTY.—In a civil action under 3
890	890	subparagraph (A), the court may, to vindicate 4
891	891	the public interest, assess a civil penalty against 5
892	892	the physician in an amount— 6
893	893	(i) not less than $100,000 and not 7
894	894	more than $150,000, for each such viola-8
895	895	tion that is adjudicated in the first pro-9
896	896	ceeding against such physician under this 10
897	897	subsection; or 11
898	898	(ii) not less than $150,001 and not 12
899	899	more than $250,000, for each such viola-13
900	900	tion that is adjudicated in a subsequent 14
901	901	proceeding against such physician under 15
902	902	this subsection. 16
903	903	(C) N
904	904	OTIFICATION.—Upon the assessment 17
905	905	of a civil penalty under subparagraph (B), the 18
906	906	Attorney General shall notify the appropriate 19
907	907	State medical licensing authority. 20
908	908	(D) N
909	909	O PENALTIES FOR PREGNANT 21
910	910	WOMEN.—A pregnant woman shall not be sub-22
911	911	ject to any penalty under this section. 23
912	912	(2) P
913	913	RIVATE RIGHT OF ACTION.— 24
914	914	VerDate Sep 11 2014 23:42 Mar 14, 2023 Jkt 039200 PO 00000 Frm 00030 Fmt 6652 Sfmt 6201 E:\BILLS\H1126.IH H1126
915	915	pbinns on DSKJLVW7X2PROD with $$_JOB 31
916	916	•HR 1126 IH
917	917	(A) IN GENERAL.—A parent of a minor 1
918	918	upon whom an abortion has been performed or 2
919	919	induced in violation of subsection (a) (other 3
920	920	than a parent described in subsection (b)(3)) 4
921	921	may commence a civil action against the physi-5
922	922	cian for appropriate relief. 6
923	923	(B) A
924	924	PPROPRIATE RELIEF .—Appropriate 7
925	925	relief in a civil action under this paragraph in-8
926	926	cludes— 9
927	927	(i) objectively verifiable money dam-10
928	928	ages for all injuries, psychological and 11
929	929	physical, occasioned by the violation; 12
930	930	(ii) statutory damages equal to 3 13
931	931	times the cost of the abortion; and 14
932	932	(iii) punitive damages. 15
933	933	(C) A
934	934	TTORNEY’S FEES FOR PLAINTIFF .— 16
935	935	The court shall award a reasonable attorney’s 17
936	936	fee as part of the costs to a prevailing party in 18
937	937	a civil action under this paragraph. 19
938	938	(d) D
939	939	EFINITIONS.—For the purposes of this sec-20
940	940	tion— 21
941	941	(1) the term ‘‘abortion’’ means the use or pre-22
942	942	scription of any instrument, medicine, drug, or any 23
943	943	other substance or device to intentionally— 24
944	944	VerDate Sep 11 2014 23:42 Mar 14, 2023 Jkt 039200 PO 00000 Frm 00031 Fmt 6652 Sfmt 6201 E:\BILLS\H1126.IH H1126
945	945	pbinns on DSKJLVW7X2PROD with $$_JOB 32
946	946	•HR 1126 IH
947	947	(A) kill the unborn child of a woman 1
948	948	known to be pregnant; or 2
949	949	(B) terminate the pregnancy of a woman 3
950	950	known to be pregnant, with an intention other 4
951	951	than— 5
952	952	(i) after viability, to produce a live 6
953	953	birth and preserve the life and health of 7
954	954	the child born alive; 8
955	955	(ii) to remove a dead unborn child; or 9
956	956	(iii) to treat an ectopic pregnancy; 10
957	957	(2) the term ‘‘actual notice’’ means the giving 11
958	958	of written notice directly, in person, by the physician 12
959	959	or any agent of the physician; 13
960	960	(3) the term ‘‘constructive notice’’ means notice 14
961	961	that is given by certified mail, return receipt re-15
962	962	quested, restricted delivery to the last known ad-16
963	963	dress of the person being notified, with delivery 17
964	964	deemed to have occurred 48 hours following noon on 18
965	965	the next day subsequent to mailing on which regular 19
966	966	mail delivery takes place, days on which mail is not 20
967	967	delivered excluded; 21
968	968	(4) the term ‘‘law requiring parental involve-22
969	969	ment in a minor’s abortion decision’’ means a law— 23
970	970	(A) requiring, before an abortion is per-24
971	971	formed on a minor, either— 25
972	972	VerDate Sep 11 2014 23:42 Mar 14, 2023 Jkt 039200 PO 00000 Frm 00032 Fmt 6652 Sfmt 6201 E:\BILLS\H1126.IH H1126
973	973	pbinns on DSKJLVW7X2PROD with $$_JOB 33
974	974	•HR 1126 IH
975	975	(i) the notification to a parent of that 1
976	976	minor; or 2
977	977	(ii) proceedings in a State court; and 3
978	978	(B) that does not provide as an alternative 4
979	979	to the requirements described in subparagraph 5
980	980	(A) notification to any person or entity who is 6
981	981	not described in that subparagraph; 7
982	982	(5) the term ‘‘minor’’ means an individual who 8
983	983	has not attained the age of 18 years and who is not 9
984	984	emancipated under the law of the State in which the 10
985	985	minor resides; 11
986	986	(6) the term ‘‘parent’’ means— 12
987	987	(A) a parent or guardian; 13
988	988	(B) a legal custodian; or 14
989	989	(C) a person standing in loco parentis who 15
990	990	has care and control of the minor, and with 16
991	991	whom the minor regularly resides, as deter-17
992	992	mined by State law; 18
993	993	(7) the term ‘‘physician’’ means a doctor of 19
994	994	medicine legally authorized to practice medicine by 20
995	995	the State in which such doctor practices medicine, or 21
996	996	any other person legally empowered under State law 22
997	997	to perform an abortion; and 23
998	998	(8) the term ‘‘State’’ includes the District of 24
999	999	Columbia and any commonwealth, possession, or 25
1000	1000	VerDate Sep 11 2014 23:42 Mar 14, 2023 Jkt 039200 PO 00000 Frm 00033 Fmt 6652 Sfmt 6201 E:\BILLS\H1126.IH H1126
1001	1001	pbinns on DSKJLVW7X2PROD with $$_JOB 34
1002	1002	•HR 1126 IH
1003	1003	other territory of the United States, and any Indian 1
1004	1004	Tribe or reservation. 2
1005	1005	SEC. 106. MORATORIUM ON FEDERAL FUNDING TO 3
1006	1006	PLANNED PARENTHOOD FEDERATION OF 4
1007	1007	AMERICA, INC. 5
1008	1008	(a) I
1009	1009	NGENERAL.—For the one-year period beginning 6
1010	1010	on the date of the enactment of this Act, subject to sub-7
1011	1011	section (b), no funds authorized or appropriated by Fed-8
1012	1012	eral law may be made available for any purpose to Planned 9
1013	1013	Parenthood Federation of America, Inc., or any affiliate 10
1014	1014	or clinic of Planned Parenthood Federation of America, 11
1015	1015	Inc., unless such entities certify that Planned Parenthood 12
1016	1016	Federation of America affiliates and clinics will not per-13
1017	1017	form, and will not provide any funds to any other entity 14
1018	1018	that performs, an abortion during such period. 15
1019	1019	(b) E
1020	1020	XCEPTION.—Subsection (a) shall not apply to 16
1021	1021	an abortion— 17
1022	1022	(1) if the pregnancy is the result of an act of 18
1023	1023	rape or incest; or 19
1024	1024	(2) in the case where a woman suffers from a 20
1025	1025	physical disorder, physical injury, or physical illness 21
1026	1026	that would, as certified by a physician, place the 22
1027	1027	woman in danger of death unless an abortion is per-23
1028	1028	formed, including a life-endangering physical condi-24
1029	1029	tion caused by or arising from the pregnancy itself. 25
1030	1030	VerDate Sep 11 2014 23:42 Mar 14, 2023 Jkt 039200 PO 00000 Frm 00034 Fmt 6652 Sfmt 6201 E:\BILLS\H1126.IH H1126
1031	1031	pbinns on DSKJLVW7X2PROD with $$_JOB 35
1032	1032	•HR 1126 IH
1033	1033	(c) REPAYMENT.—The Secretary of Health and 1
1034	1034	Human Services and the Secretary of Agriculture shall 2
1035	1035	seek repayment of any Federal assistance received by 3
1036	1036	Planned Parenthood Federation of America, Inc., or any 4
1037	1037	affiliate or clinic of Planned Parenthood Federation of 5
1038	1038	America, Inc., if it violates the terms of the certification 6
1039	1039	required by subsection (a) during the period specified in 7
1040	1040	subsection (a). 8
1041	1041	SEC. 107. FUNDING. 9
1042	1042	There is authorized to be appropriated, and appro-10
1043	1043	priated, $235,000,000 to carry out sections 101, 102, and 11
1044	1044	103 of this Act, and section 3401 of the Public Health 12
1045	1045	Service Act, as added by section 104. 13
1046	1046	TITLE II—GENERAL PROVISIONS 14
1047	1047	SEC. 201. RULE OF CONSTRUCTION. 15
1048	1048	Nothing in this Act shall be construed to reduce over-16
1049	1049	all Federal funding available in support of women’s health. 17
1050	1050	Æ
1051	1051	VerDate Sep 11 2014 23:42 Mar 14, 2023 Jkt 039200 PO 00000 Frm 00035 Fmt 6652 Sfmt 6301 E:\BILLS\H1126.IH H1126
1052	1052	pbinns on DSKJLVW7X2PROD with $$_JOB