,,ii  #aacth ,,congress  #ast ,session  
,s4 #aci  ,,in ,,the ,,senate ,,of ,,the
 ,,united ,,states  ,january #bd        
7legislative day1 ,january #c71 #bjac   
,mr4 ,vitter introduced the following   
bill2 which was read twice and referred 
to the ,committee on ,health1           
,education1 ,labor1 and ,pensions  ,a   
,,bill  ,to impose admitting privilege  
requirements with respect to physicians 
who perform abortions4  #a4 ,short title
 ,this ,act may be cited as the         
,pregnant ,women ,health and ,safety    
,act4  #b4 ,requirement for physicians  
relating to the performance of abortions
 ,chapter #gd of title #ah1 ,united     
,states ,code1 is amended by adding at  
the end the following3  #aecb4          
,prohibition on certain procedures  7a7 
,in general ,a physician who1 in or     
affecting interstate or foreign         
commerce1 knowingly performs an abortion
 and1 in doing so1 fails to comply with 
subsection 7b71 shall be fined under    
this title or imprisoned not more than  

#b years1 or both4 ,this subsection     
shall not apply to an abortion that is  
necessary to save the life of a mother  
whose life is endangered by a physical  
disorder1 physical illness1 or physical 
injury1 including a life-endangering    
physical condition caused by or arising 
from the pregnancy itself4  7b7         
,requirements ,a physician who performs 
an abortion shall--  7#a7 have admitting
 privileges at a hospital to which the  
physician can travel in one hour or less
 7determined on the basis of starting at
 the principal medical office of the    
physician and traveling to the hospital7
 and under the average conditions of    
travel for the physician2 and  7#b7 at  
the time of the abortion1 notify the    
patient involved of the hospital        
location where the patient can receive  
follow-up care by the physician if      
complications resulting from the        
abortion arise4  7c7 ,definition ,as    
used in this section1 the term physician
 means a doctor of medicine or          

osteopathy legally authorized to        
practice medicine and surgery by the    
,state in which the doctor performs such
 activity1 or any other individual      
legally authorized by the ,state to     
perform abortions3 ,provided1 however1  
,that any individual who is not a       
physician or not otherwise legally      
authorized by the ,state to perform     
abortions1 but who nevertheless directly
 performs an abortion1 shall be subject 
to the provisions of this section4  7d7 
,limitation ,a woman upon whom a        
procedure described in subsection 7a7 is
 performed may not be prosecuted under  
this section1 for a conspiracy to       
violate this section1 or for an offense 
under section #b1 #c1 or #d of this     
title based on a violation of this      
section4  4  #c4 ,requirement of        
abortion clinics  7a7 ,in general ,each 
abortion clinic that receives any       
,federal funds or assistance shall--    
7#a7 be licensed by the ,state in which 
it is located2 and  7#b7 be in          

compliance with the requirements        
existing on the date of enactment of    
this ,act for ambulatory surgery centers
 under title ,,xviii of the ,social     
,security ,act 7#db ,u4,s4,c4 #aice et  
seq471 except for the requirement of a  
certificate of public need4  7b7 ,waiver
 ,for purposes of complying with        
subsection 7a77#b7 with respect to an   
abortion clinic1 a ,state board of      
health may waive the application of     
certain structural requirements 7as     
determined appropriate by the ,secretary
 of ,health and ,human ,services74  7c7 
,definition ,in this section1 the term  
abortion clinic means a facility other  
than a hospital or an ambulatory surgery
 center1 in which #be or more first     
trimester abortions are performed during
 any #ab-month period4