1 | 1 | | I |
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2 | 2 | | 118THCONGRESS |
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3 | 3 | | 1 |
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4 | 4 | | STSESSION H. R. 282 |
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5 | 5 | | To amend title XVIII of the Social Security Act to require hospitals reim- |
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6 | 6 | | bursed under the Medicare system to establish and implement security |
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7 | 7 | | procedures to reduce the likelihood of infant patient abduction and baby |
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8 | 8 | | switching, including procedures for identifying all infant patients in the |
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9 | 9 | | hospital in a manner that ensures that it will be evident if infants |
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10 | 10 | | are missing from the hospital. |
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11 | 11 | | IN THE HOUSE OF REPRESENTATIVES |
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12 | 12 | | JANUARY11, 2023 |
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13 | 13 | | Ms. J |
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14 | 14 | | ACKSONLEEintroduced the following bill; which was referred to the |
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15 | 15 | | Committee on Ways and Means, and in addition to the Committees on |
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16 | 16 | | the Judiciary, and Energy and Commerce, for a period to be subsequently |
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17 | 17 | | determined by the Speaker, in each case for consideration of such provi- |
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18 | 18 | | sions as fall within the jurisdiction of the committee concerned |
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19 | 19 | | A BILL |
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20 | 20 | | To amend title XVIII of the Social Security Act to require |
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21 | 21 | | hospitals reimbursed under the Medicare system to estab- |
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22 | 22 | | lish and implement security procedures to reduce the |
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23 | 23 | | likelihood of infant patient abduction and baby switching, |
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24 | 24 | | including procedures for identifying all infant patients |
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25 | 25 | | in the hospital in a manner that ensures that it will |
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26 | 26 | | be evident if infants are missing from the hospital. |
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27 | 27 | | Be it enacted by the Senate and House of Representa-1 |
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28 | 28 | | tives of the United States of America in Congress assembled, 2 |
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31 | 31 | | •HR 282 IH |
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32 | 32 | | SECTION 1. SHORT TITLE. 1 |
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33 | 33 | | This Act may be cited as the ‘‘Infant Protection and 2 |
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34 | 34 | | Baby Switching Prevention Act of 2023’’. 3 |
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35 | 35 | | SEC. 2. MEDICARE PAYMENTS TO HOSPITALS CONTINGENT 4 |
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36 | 36 | | ON IMPLEMENTATION OF SECURITY PROCE-5 |
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37 | 37 | | DURES REGARDING INFANT PATIENT PRO-6 |
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38 | 38 | | TECTION AND BABY SWITCHING. 7 |
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39 | 39 | | (a) A |
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40 | 40 | | GREEMENTS WITHHOSPITALS.—Section 8 |
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41 | 41 | | 1866(a)(1) of the Social Security Act (42 U.S.C. 9 |
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42 | 42 | | 1395cc(a)(1)) is amended— 10 |
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43 | 43 | | (1) in subparagraphs (W) and (X), by moving 11 |
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44 | 44 | | the margin of each subparagraph 2 ems to the left; 12 |
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45 | 45 | | (2) in subparagraph (X), by striking ‘‘and’’ at 13 |
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46 | 46 | | the end; 14 |
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47 | 47 | | (3) in subparagraph (Y), by striking the period 15 |
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48 | 48 | | at the end and inserting ‘‘, and’’; and 16 |
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49 | 49 | | (4) by inserting after subparagraph (Y) the fol-17 |
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50 | 50 | | lowing new subparagraph: 18 |
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51 | 51 | | ‘‘(Z) in the case of hospitals and critical access 19 |
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52 | 52 | | hospitals that provide neonatal or infant care, to 20 |
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53 | 53 | | have in effect security procedures that meet stand-21 |
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54 | 54 | | ards established by the Secretary (in consultation 22 |
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55 | 55 | | with appropriate organizations) to reduce the likeli-23 |
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56 | 56 | | hood of infant patient abduction and baby switching, 24 |
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57 | 57 | | including standards for identifying all infant pa-25 |
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58 | 58 | | tients in the hospital in a manner that ensures that 26 |
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61 | 61 | | •HR 282 IH |
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62 | 62 | | it will be evident if infants are missing from the hos-1 |
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63 | 63 | | pital.’’. 2 |
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64 | 64 | | (b) R |
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65 | 65 | | EGULATIONS.— 3 |
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66 | 66 | | (1) I |
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67 | 67 | | N GENERAL.—In promulgating regulations 4 |
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68 | 68 | | under subparagraph (Z) of section 1866(a)(1) of the 5 |
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69 | 69 | | Social Security Act (42 U.S.C. 1395cc(a)(1)), as 6 |
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70 | 70 | | added by subsection (a), the Secretary of Health and 7 |
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71 | 71 | | Human Services shall— 8 |
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72 | 72 | | (A) consult with various organizations rep-9 |
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73 | 73 | | resenting consumers, appropriate State and 10 |
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74 | 74 | | local regulatory agencies, hospitals, and critical 11 |
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75 | 75 | | access hospitals; 12 |
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76 | 76 | | (B) take into account variations in size 13 |
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77 | 77 | | and location of hospitals and critical access hos-14 |
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78 | 78 | | pitals, and the percentage of overall services 15 |
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79 | 79 | | furnished by such hospitals and critical access 16 |
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80 | 80 | | hospitals that neonatal care and infant care 17 |
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81 | 81 | | represent; and 18 |
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82 | 82 | | (C) promulgate specific regulations that 19 |
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83 | 83 | | address each size and type of hospital covered. 20 |
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84 | 84 | | (2) D |
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85 | 85 | | EADLINE FOR PUBLICATION .—Not later 21 |
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86 | 86 | | than 12 months after the date of the enactment of 22 |
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87 | 87 | | this Act, the Secretary shall publish the regulations 23 |
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88 | 88 | | required under paragraph (1). In order to carry out 24 |
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89 | 89 | | this requirement in a timely manner, the Secretary 25 |
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92 | 92 | | •HR 282 IH |
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93 | 93 | | may promulgate regulations that take effect on an 1 |
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94 | 94 | | interim basis, after notice and pending opportunity 2 |
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95 | 95 | | for public comment. 3 |
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96 | 96 | | (c) P |
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97 | 97 | | ENALTIES.— 4 |
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98 | 98 | | (1) A |
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99 | 99 | | MOUNT OF PENALTY .—A hospital that 5 |
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100 | 100 | | participates in the Medicare program under title 6 |
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101 | 101 | | XVIII of the Social Security Act under an agree-7 |
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102 | 102 | | ment pursuant to section 1866 of such Act (42 8 |
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103 | 103 | | U.S.C. 1395cc) that commits a violation described in 9 |
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104 | 104 | | paragraph (2) is subject to a civil money penalty of 10 |
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105 | 105 | | not more than $50,000 (or not more than $25,000 11 |
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106 | 106 | | in the case of a hospital with fewer than 100 beds) 12 |
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107 | 107 | | for each such violation. 13 |
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108 | 108 | | (2) V |
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109 | 109 | | IOLATION DESCRIBED .—A hospital de-14 |
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110 | 110 | | scribed in paragraph (1) commits a violation for 15 |
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111 | 111 | | purposes of this subsection if the hospital fails to 16 |
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112 | 112 | | have in effect security procedures that meet stand-17 |
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113 | 113 | | ards established by the Secretary of Health and 18 |
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114 | 114 | | Human Services under section 1866(a)(1)(Z) of 19 |
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115 | 115 | | such Act, as added by subsection (a), to reduce the 20 |
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116 | 116 | | likelihood of infant patient abduction and baby 21 |
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117 | 117 | | switching, including standards for identifying all in-22 |
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118 | 118 | | fant patients in the hospital in a manner that en-23 |
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119 | 119 | | sures that it will be evident if infants are missing 24 |
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120 | 120 | | from the hospital. 25 |
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123 | 123 | | •HR 282 IH |
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124 | 124 | | (3) ADMINISTRATIVE PROVISIONS .—The provi-1 |
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125 | 125 | | sions of section 1128A of such Act (42 U.S.C. 2 |
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126 | 126 | | 1320a–7a), other than subsections (a) and (b), shall 3 |
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127 | 127 | | apply to a civil money penalty under this subsection 4 |
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128 | 128 | | in the same manner as such provisions apply with 5 |
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129 | 129 | | respect to a penalty or proceeding under section 6 |
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130 | 130 | | 1128A(a) of such Act. 7 |
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131 | 131 | | (d) E |
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132 | 132 | | FFECTIVEDATE.—This section, and the amend-8 |
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133 | 133 | | ments made by this section, shall take effect on the date 9 |
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134 | 134 | | that is 18 months after the date of the enactment of this 10 |
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135 | 135 | | Act, and shall apply to contracts entered into or renewed 11 |
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136 | 136 | | under section 1866 of the Social Security Act (42 U.S.C. 12 |
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137 | 137 | | 1395cc) on or after such date. 13 |
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138 | 138 | | SEC. 3. BABY SWITCHING PROHIBITED. 14 |
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139 | 139 | | (a) I |
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140 | 140 | | NGENERAL.—Chapter 55 of title 18, United 15 |
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141 | 141 | | States Code, is amended by adding at the end the fol-16 |
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142 | 142 | | lowing: 17 |
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143 | 143 | | ‘‘SEC. 1205. BABY SWITCHING. 18 |
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144 | 144 | | ‘‘(a) Whoever being in interstate commerce knowingly 19 |
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145 | 145 | | alters or destroys an identification record of a newborn 20 |
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146 | 146 | | patient with the intention that the newborn patient be 21 |
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147 | 147 | | misidentified by any person shall be fined not more than 22 |
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148 | 148 | | $250,000 in the case of an individual and not more than 23 |
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149 | 149 | | $500,000 in the case of an organization, or imprisoned 24 |
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150 | 150 | | not more than ten years, or both. 25 |
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153 | 153 | | •HR 282 IH |
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154 | 154 | | ‘‘(b) As used in this section, the term ‘identification 1 |
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155 | 155 | | record’ means a record maintained by a hospital to aid 2 |
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156 | 156 | | in the identification of newborn patients of the hospital, 3 |
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157 | 157 | | including any of the following: 4 |
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158 | 158 | | ‘‘(1) The footprint, fingerprint, or photograph 5 |
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159 | 159 | | of the newborn patient. 6 |
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160 | 160 | | ‘‘(2) A written description of the infant. 7 |
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161 | 161 | | ‘‘(3) An identification bracelet or anklet put on 8 |
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162 | 162 | | the newborn patient, or the mother of the newborn 9 |
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163 | 163 | | patient, by a staff member of the hospital.’’. 10 |
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164 | 164 | | (b) C |
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165 | 165 | | LERICALAMENDMENT.—The table of sections 11 |
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166 | 166 | | at the beginning of chapter 55 of title 18, United States 12 |
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167 | 167 | | Code, is amended by adding at the end the following new 13 |
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168 | 168 | | item: 14 |
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169 | 169 | | ‘‘1205. Baby switching.’’. |
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170 | 170 | | Æ |
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