I 119THCONGRESS 1 STSESSION H. R. 21 To amend title 18, United States Code, to prohibit a health care practitioner from failing to exercise the proper degree of care in the case of a child who survives an abortion or attempted abortion. IN THE HOUSE OF REPRESENTATIVES JANUARY3, 2025 Mrs. W AGNER(for herself, Mr. SCALISE, and Mrs. CAMMACK) introduced the following bill; which was referred to the Committee on the Judiciary A BILL To amend title 18, United States Code, to prohibit a health care practitioner from failing to exercise the proper de- gree of care in the case of a child who survives an abortion or attempted abortion. Be it enacted by the Senate and House of Representa-1 tives of the United States of America in Congress assembled, 2 SECTION 1. SHORT TITLE. 3 This Act may be cited as the ‘‘Born-Alive Abortion 4 Survivors Protection Act’’. 5 SEC. 2. FINDINGS; CONSTITUTIONAL AUTHORITY. 6 (a) F INDINGS.—Congress finds as follows: 7 VerDate Sep 11 2014 00:52 Jan 23, 2025 Jkt 059200 PO 00000 Frm 00001 Fmt 6652 Sfmt 6201 E:\BILLS\H21.IH H21 kjohnson on DSK7ZCZBW3PROD with $$_JOB 2 •HR 21 IH (1) If an abortion results in the live birth of an 1 infant, the infant is a legal person for all purposes 2 under the laws of the United States, and entitled to 3 all the protections of such laws. 4 (2) Any infant born alive after an abortion or 5 within a hospital, clinic, or other facility has the 6 same claim to the protection of the law that would 7 arise for any newborn, or for any person who comes 8 to a hospital, clinic, or other facility for screening 9 and treatment or otherwise becomes a patient within 10 its care. 11 (b) C ONSTITUTIONAL AUTHORITY.—In accordance 12 with the above findings, Congress enacts the following 13 pursuant to Congress’ power under— 14 (1) section 5 of the 14th Amendment, including 15 the power to enforce the prohibition on government 16 action denying equal protection of the laws; and 17 (2) section 8 of article I to make all laws nec-18 essary and proper for carrying into execution the 19 powers vested by the Constitution of the United 20 States, including the power to regulate commerce 21 under clause 3 of such section. 22 SEC. 3. BORN-ALIVE INFANTS PROTECTION. 23 (a) R EQUIREMENTS PERTAINING TO BORN-ALIVE 24 A BORTIONSURVIVORS.—Chapter 74 of title 18, United 25 VerDate Sep 11 2014 00:52 Jan 23, 2025 Jkt 059200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\H21.IH H21 kjohnson on DSK7ZCZBW3PROD with $$_JOB 3 •HR 21 IH States Code, is amended by inserting after section 1531 1 the following: 2 ‘‘§ 1532. Requirements pertaining to born-alive abor-3 tion survivors 4 ‘‘(a) R EQUIREMENTS FOR HEALTHCAREPRACTI-5 TIONERS.—In the case of an abortion or attempted abor-6 tion that results in a child born alive (as defined in section 7 8 of title 1, United States Code (commonly known as the 8 ‘Born-Alive Infants Protection Act’)): 9 ‘‘(1) D EGREE OF CARE REQUIRED ; IMMEDIATE 10 ADMISSION TO A HOSPITAL.—Any health care practi-11 tioner present at the time the child is born alive 12 shall— 13 ‘‘(A) exercise the same degree of profes-14 sional skill, care, and diligence to preserve the 15 life and health of the child as a reasonably dili-16 gent and conscientious health care practitioner 17 would render to any other child born alive at 18 the same gestational age; and 19 ‘‘(B) following the exercise of skill, care, 20 and diligence required under subparagraph (A), 21 ensure that the child born alive is immediately 22 transported and admitted to a hospital. 23 ‘‘(2) M ANDATORY REPORTING OF VIOLA -24 TIONS.—A health care practitioner or any employee 25 VerDate Sep 11 2014 00:52 Jan 23, 2025 Jkt 059200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6201 E:\BILLS\H21.IH H21 kjohnson on DSK7ZCZBW3PROD with $$_JOB 4 •HR 21 IH of a hospital, a physician’s office, or an abortion 1 clinic who has knowledge of a failure to comply with 2 the requirements of paragraph (1) shall immediately 3 report the failure to an appropriate State or Federal 4 law enforcement agency, or to both. 5 ‘‘(b) P ENALTIES.— 6 ‘‘(1) I N GENERAL.—Whoever violates subsection 7 (a) shall be fined under this title or imprisoned for 8 not more than 5 years, or both. 9 ‘‘(2) I NTENTIONAL KILLING OF CHILD BORN 10 ALIVE.—Whoever intentionally performs or attempts 11 to perform an overt act that kills a child born alive 12 described under subsection (a), shall be punished as 13 under section 1111 of this title for intentionally kill-14 ing or attempting to kill a human being. 15 ‘‘(c) B AR TOPROSECUTION.—The mother of a child 16 born alive described under subsection (a) may not be pros-17 ecuted under this section, for conspiracy to violate this 18 section, or for an offense under section 3 or 4 of this title 19 based on such a violation. 20 ‘‘(d) C IVILREMEDIES.— 21 ‘‘(1) C IVIL ACTION BY A WOMAN ON WHOM AN 22 ABORTION IS PERFORMED .—If a child is born alive 23 and there is a violation of subsection (a), the woman 24 upon whom the abortion was performed or at-25 VerDate Sep 11 2014 00:52 Jan 23, 2025 Jkt 059200 PO 00000 Frm 00004 Fmt 6652 Sfmt 6201 E:\BILLS\H21.IH H21 kjohnson on DSK7ZCZBW3PROD with $$_JOB 5 •HR 21 IH tempted may, in a civil action against any person 1 who committed the violation, obtain appropriate re-2 lief. 3 ‘‘(2) A PPROPRIATE RELIEF.—Appropriate relief 4 in a civil action under this subsection includes— 5 ‘‘(A) objectively verifiable money damage 6 for all injuries, psychological and physical, occa-7 sioned by the violation of subsection (a); 8 ‘‘(B) statutory damages equal to 3 times 9 the cost of the abortion or attempted abortion; 10 and 11 ‘‘(C) punitive damages. 12 ‘‘(3) A TTORNEY’S FEE FOR PLAINTIFF .—The 13 court shall award a reasonable attorney’s fee to a 14 prevailing plaintiff in a civil action under this sub-15 section. 16 ‘‘(4) A TTORNEY’S FEE FOR DEFENDANT .—If a 17 defendant in a civil action under this subsection pre-18 vails and the court finds that the plaintiff’s suit was 19 frivolous, the court shall award a reasonable attor-20 ney’s fee in favor of the defendant against the plain-21 tiff. 22 ‘‘(e) D EFINITIONS.—In this section the following 23 definitions apply: 24 VerDate Sep 11 2014 00:52 Jan 23, 2025 Jkt 059200 PO 00000 Frm 00005 Fmt 6652 Sfmt 6201 E:\BILLS\H21.IH H21 kjohnson on DSK7ZCZBW3PROD with $$_JOB 6 •HR 21 IH ‘‘(1) ABORTION.—The term ‘abortion’ means 1 the use or prescription of any instrument, medicine, 2 drug, or any other substance or device— 3 ‘‘(A) to intentionally kill the unborn child 4 of a woman known to be pregnant; or 5 ‘‘(B) to intentionally terminate the preg-6 nancy of a woman known to be pregnant, with 7 an intention other than— 8 ‘‘(i) after viability, to produce a live 9 birth and preserve the life and health of 10 the child born alive; or 11 ‘‘(ii) to remove a dead unborn child. 12 ‘‘(2) A TTEMPT.—The term ‘attempt’, with re-13 spect to an abortion, means conduct that, under the 14 circumstances as the actor believes them to be, con-15 stitutes a substantial step in a course of conduct 16 planned to culminate in performing an abortion.’’. 17 (b) C LERICALAMENDMENT.—The table of sections 18 for chapter 74 of title 18, United States Code, is amended 19 by inserting after the item pertaining to section 1531 the 20 following: 21 ‘‘1532. Requirements pertaining to born-alive abortion survivors.’’. (c) CHAPTERHEADINGAMENDMENTS.— 22 (1) C HAPTER HEADING IN CHAPTER .—The 23 chapter heading for chapter 74 of title 18, United 24 VerDate Sep 11 2014 00:52 Jan 23, 2025 Jkt 059200 PO 00000 Frm 00006 Fmt 6652 Sfmt 6201 E:\BILLS\H21.IH H21 kjohnson on DSK7ZCZBW3PROD with $$_JOB 7 •HR 21 IH States Code, is amended by striking ‘‘Partial- 1 Birth Abortions’’ and inserting ‘‘Abortions’’. 2 (2) T ABLE OF CHAPTERS FOR PART I .—The 3 item relating to chapter 74 in the table of chapters 4 at the beginning of part I of title 18, United States 5 Code, is amended by striking ‘‘Partial-Birth Abor-6 tions’’ and inserting ‘‘Abortions’’. 7 Æ VerDate Sep 11 2014 00:52 Jan 23, 2025 Jkt 059200 PO 00000 Frm 00007 Fmt 6652 Sfmt 6301 E:\BILLS\H21.IH H21 kjohnson on DSK7ZCZBW3PROD with $$_JOB