,,ii  #aac? ,,congress  #a/ ,session    
,s4 #cef  ,,9 ,,! ,,s5ate ,,( ,,!       
,,unit$ ,,/ates  ,febru>y #ad1 #bjac    
,mr4 ,johanns 7= himself1 ,mr4 ,inh(e1  
,mr4 ,grassley1 ,mrs4 ,fis*]1 ,mr4      
,boozman1 ,mr4 ,enzi1 ,mr4 ,?une1 ,mr4  
,ris*1 ,mr4 ,vitt]1 & ,mr4 ,co*ran7     
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,heal?1 ,education1 ,labor1 & ,p5sions  
,a ,,bill  ,to ensure t wom5 seek+ an   
abortion are fully in=m$ reg>d+ ! pa9   
exp]i5c$ by _! unborn *ild4  #a4 ,%ort  
title ,?is ,act may be cit$ z ! ,unborn 
,*ild ,pa9 ,aw>5ess ,act ( #bjac4  #b4  
,f9d+s ,congress makes ! foll[+ f9d+s3  
7#a7 ,at lea/ by #bj weeks aft]         
f]tilization1 an unborn *ild has !      
physical /ructures necess>y to exp]i5ce 
pa94  7#b7 ,!re is sub/antial evid5ce t 
by #bj weeks aft] f]tilization1 unborn  
*ildr5 draw away f c]ta9 /imuli 9 a     
mann] :i* 9 an infant or an adult w\ld  
be int]pret$ z a response to pa94  7#c7 
,ane/hesia is r\t9ely adm9i/]$ to unborn

 *ildr5 :o h develop$ #bj weeks or m    
aft] f]tilization :o und]go pr5atal     
surg]y4  7#d7 ,!re is sub/antial evid5ce
 t ! abortion me?ods mo/ commonly us$   
#bj weeks or m aft] f]tilization cause  
sub/antial pa9 to an unborn *ild1 :e!r  
by dismemb]m5t1 poison+1 p5etrat+ or    
cru%+ ! skull1 or o!r me?ods4 ,examples 
( abortion me?ods us$ #bj weeks or m    
aft] f]tilization include1 b are n      
limit$ to ! foll[+3  7,a7 ,! dilation & 
evacuation 7,d & ,e7 me?od ( abortion is
 commonly p]=m$ 9 ! second trime/] (    
pregnancy4 ,9 a dilation & evacuation   
abortion1 ! unborn *ild's body p>ts are 
grasp$ ) a long-too!d clamp4 ,! fetal   
body p>ts are !n torn f ! body & pull$  
out ( ! vag9al canal4 ,! rema9+ body    
p>ts are grasp$ & pull$ out until only !
 head rema9s4 ,! head is !n grasp$ &    
cru%$ 9 ord] to remove x f ! vag9al     
canal4  7,b7 ,p>tial-bir? abortion is an
 abortion 9 :i* ! abortion practition]  
deliv]s an unborn *ild's body until only
 ! head rema9s inside ! womb1 punctures 

! back ( ! *ild's skull ) a %>p         
in/rum5t1 & sucks ! *ild's bra9s out    
be=e complet+ ! deliv]y ( ! dead infant1
 & z fur!r def9$ 9 section #aeca ( title
 #ah1 ,unit$ ,/ates ,code4  7#e7 ,exp]t 
te/imony confirms t by #bj weeks aft]   
f]tilization an unborn *ild may exp]i5ce
 sub/antial pa9 ev5 if ! woman h]self   
has receiv$ local analgesic or g5]al    
ane/hesia4  7#f7 ,m$ical sci5ce is      
capable ( r$uc+ su* pa9 ?r\gh !         
adm9i/ration ( ane/hesia or o!r         
pa9-r$uc+ drugs directly to ! unborn    
*ild4  7#g7 ,!re is a valid ,f$]al      
,gov]nm5t int]e/ 9 prev5t+ or r$uc+ !   
infliction ( pa9 on s5ti5t creatures4   
,examples ( ?is are laws gov]n+ ! use ( 
laboratory animals & requir+ pa9-free   
me?ods ( slaught]+ live/ock1 :i*        
include1 b are n limit$ to ! foll[+3    
7,a7 ,section #b ( ! ,act commonly kn[n 
z ! ,humane ,slaught] ,act ( #aieh      
7,public ,law #he-gfe2 #g ,u4,s4,c4     
#aijb7 /ates1  ,no me?od ( slaught] or  
h&l+ 9 connection ) slaught]+ %all be   

deem$ to comply ) ! public policy ( !   
,unit$ ,/ates unless x is humane4 ,ei!r 
( ! foll[+ two me?ods ( slaught]+ & h&l+
 are h]eby f\nd to be humane-- 7i7 9 !  
case ( cattle1 calves1 horses1 mules1   
%eep1 sw9e1 & o!r live/ock1 all animals 
are r5d]$ ins5sible to pa9 by a s+le bl[
 or gun%ot or an electrical1 *emical or 
o!r means t is rapid & effective1 be=e  
be+ %ackl$1 hoi/$1 ?r[n1 ca/1 or cut2 or
  7ii7 by slaught]+ 9 accordance ) !    
ritual requirem5ts ( ! ,jewi% fai? or   
any o!r religi\s fai? t prescribes a    
me?od ( slaught] :]eby ! animal suff]s  
loss ( consci\sness by anemia ( ! bra9  
caus$ by ! simultane\s & in/antane\s    
sev]ance ( ! c>otid art]ies ) a %>p     
in/rum5t & h&l+ 9 connection ) su*      
slaught]+4  4  7,b7 ,section #ac7;a77#c7
 ( ! ,animal ,welf>e ,act 7#g ,u4,s4,c4 
#badc7;a77#c77 sets ! /&>ds &           
c]tification process = ! humane h&l+1   
c>e1 treatm5t1 & transportation (       
animals4 ,?is includes hav+ /&>ds )     
respect to animals 9 rese>* facilities t

 include requirem5ts--  7i7 = animal    
c>e1 treatm5t1 & practices 9 exp]im5tal 
proc$ures to ensure t animal pa9 &      
di/ress are m9imiz$1 includ+ adequate   
vet]9>y c>e ) ! appropriate use (       
ane/hetic1 analgesic1 tranquiliz+ drugs1
 or eu?anasia2  7ii7 t ! pr9cipal       
inve/igator consid]s alt]natives to any 
proc$ure likely to produce pa9 to or    
di/ress 9 an exp]im5tal animal2 &  7iii7
 9 any practice :i* c\ld cause pa9 to   
animals--  7,i7 t a doctor ( vet]9>y    
m$ic9e is consult$ 9 ! plann+ ( su*     
proc$ures2  7,,ii7 = ! use (            
tranquiliz]s1 analgesics1 & ane/hetics2 
7,,iii7 = pre-surgical & po/-surgical   
c>e by laboratory work]s1 9 accordance )
 e/abli%$ vet]9>y m$ical & nurs+        
proc$ures2  7,,iv7 aga9/ ! use (        
p>alytics )\t ane/hesia2 &  7,v7 t !    
)hold+ ( tranquiliz]s1 ane/hesia1       
analgesia1 or eu?anasia :5 sci5tifically
 necess>y %all cont9ue = only ! necess>y
 p]iod ( "t4  7,c7 ,section #die ( !    
,public ,heal? ,s]vice ,act 7#db        

,u4,s4,c4 #bhi;d7 directs ! ,secret>y ( 
,heal? & ,human ,s]vices1 act+ ?r\gh !  
,director ( ! ,national ,in/itutes (    
,heal?1 to e/abli% guidel9es = rese>*   
facilities z to ! prop] c>e & treatm5t (
 animals1 includ+ ! appropriate use (   
tranquiliz]s1 analgesics1 & o!r drugs1  
except t su* guidel9es may n prescribe  
me?ods ( rese>*4 ,entities t conduct    
biom$ical & behavioral rese>* )         
,national ,in/itutes ( ,heal? funds mu/ 
e/abli% animal c>e committees :i* mu/   
conduct reviews at lea/ semiannually &  
report to ! ,director ( su* ,in/itutes  
at lea/ annually4 ,if ! ,director       
det]m9es t an entity has n be5 foll[+ ! 
guidel9es1 ! ,director mu/ give ! entity
 an opportunity to take corrective      
action1 &1 if ! entity does n1 !        
,director mu/ susp5d or revoke ! grant  
or contract involv$4  7#h7 ,!re is a    
valid ,f$]al ,gov]nm5t int]e/ 9 prev5t+ 
h>m to develop+ human life at all /ages4
 ,examples ( ?is include regulations    
protect+ fetal human subjects f risks ( 

h>m or discom=t 9 f$]ally fund$         
biom$ical rese>*1 #de ,,cfr #ajb7;i7 &  
#de ,,cfr #df4bja et seq4  #c4 ,am5dm5t 
to ! ,public ,heal? ,s]vice ,act ,!     
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bja et seq47 is am5d$ by add+
 at ! end ! foll[+3  ,,xxxiv ,unborn    
*ild pa9 aw>5ess  #cdja4 ,def9itions ,9 
?is title3  7#a7 ,abortion ,! t]m       
abortion means ! int5tional use or      
prescription ( any in/rum5t1 m$ic9e1    
drug1 or any o!r sub/ance or device or  
me?od to t]m9ate ! life ( an unborn     
*ild1 or to t]m9ate ! pregnancy ( a     
woman kn[n to be pregnant ) an int5tion 
o!r ?an--  7,a7 to produce a live bir? &
 pres]ve ! life & heal? ( ! *ild aft]   
live bir?2 or  7,b7 to remove an ectopic
 pregnancy1 or to remove a dead unborn  
*ild :o di$ z ! result ( a spontane\s   
abortion1 accid5tal trauma or a crim9al 
assault on ! pregnant female or h]      
unborn *ild4  7#b7 ,abortion provid] ,! 
t]m abortion provid] means any p]son    
legally qualifi$ to p]=m an abortion "u 

applicable ,f$]al & ,/ate laws4  7#c7   
,pa9-capable unborn *ild  7,a7 ,9 g5]al 
,! t]m pa9-capable unborn *ild means an 
unborn *ild :o has rea*$ a probable /age
 ( developm5t ( #bj weeks or m aft]     
f]tilization4  7,b7 ,rule ( con/ruction 
,no?+ 9 subp>agraph 7,a7 %all be con/ru$
 z a det]m9ation or f9d+ by ,congress t 
pa9 may n 9 fact be exp]i5c$ by an      
unborn *ild at /ages ( developm5t prior 
to #bj weeks or m aft] f]tilization4    
7#d7 ,probable age ( developm5t ,! t]m  
probable age ( developm5t means !       
duration ( developm5t aft] f]tilization 
( ! unborn *ild at ! "t an abortion is  
p]=m$1 z det]m9$ 9 ! good fai? judgm5t (
 ! abortion provid] us+ g5]ally accept$ 
m$ical crit]ia & in=mation obta9$ by    
int]view+ ! pregnant woman4  7#e7       
,unborn *ild ,! t]m unborn *ild means a 
memb] ( ! species homo sapi5s1 at any   
/age ( developm5t1 :o is c>ri$ 9 ! womb4
  7#f7 ,woman ,! t]m woman means a      
female human be+ :e!r or n %e has rea*$ 
! age ( majority4  7#g7 ,unemancipat$   

m9or ,! t]m unemancipat$ m9or means an  
individual :o is n old] ?an #ah ye>s &  
:o is n emancipat$ "u ,/ate law4  #cdjb4
 ,requirem5t ( in=m$ cons5t  7a7        
,requirem5t ( ,compliance by ,provid]s  
,any abortion provid] 9 or affect+      
int]/ate or =eign comm]ce1 :o kn[+ly    
p]=ms any abortion ( a pa9-capable      
unborn *ild1 %all comply ) ! requirem5ts
 ( ?is title4  7b7 ,provision ( cons5t  
7#a7 ,9 g5]al ,be=e any "p ( an abortion
 involv+ a pa9-capable unborn *ild      
beg9s1 ! abortion provid] or 8 or h]    
ag5t %all provide ! pregnant woman      
involv$1 by telephone or 9 p]son1 ) !   
in=mation describ$ 9 p>agraph 7#b74 ,x  
may n be provid$ by a tape record+1 b   
mu/ be provid$ 9 a fa%ion t p]mits !    
woman to ask que/ions ( & receive answ]s
 f ! abortion provid] or 8 ag5t4 7,9 !  
case ( ! ,unborn ,*ild ,pa9 ,aw>5ess    
,bro*ure1 x may be provid$ pursuant to  
subsection 7c77#b7 or 7c77#c774  7#b7   
,requir$ in=mation  7,a7 ,9 g5]al ,an   
abortion provid] or ! provid]'s ag5t to 

:om p>agraph 7#a7 applies %all provide !
 foll[+ in=mation to ! pregnant woman   
7or 9 ! case ( a deaf or non-,engli%    
speak+ woman1 provide ! /atem5t 9 a     
mann] t %e c easily und]/&73  7i7 ,age (
 unborn baby ,! probable age (          
developm5t ( ! unborn baby bas$ on !    
numb] ( weeks s9ce f]tilization4  7ii7  
,unborn *ild pa9 aw>5ess bro*ure ,an    
abortion provid] to :om p>agraph 7#a7   
applies mu/ provide ! pregnant woman ) !
 ,unborn ,*ild ,pa9 ,aw>5ess ,bro*ure   
7ref]r$ to 9 ?is section z ! ,bro*ure7  
to be develop$ by ! ,dep>tm5t ( ,heal? &
 ,human ,s]vices "u subsection 7c7 or ) 
! in=mation describ$ 9 subsection       
7c77#b7 relat+ to access+ su* ,bro*ure4 
7iii7 ,use ( pa9-prev5t+ drugs ,drugs   
adm9i/]$ to ! "m may n prev5t ! unborn  
*ild f feel+ pa91 b 9 "s cases1         
ane/hesia or o!r pa9-r$uc+ drug or drugs
 c be adm9i/]$ directly to ! unborn     
*ild4  7iv7 ,description ( risks ,aft]  
provid+ ! in=mation requir$ "u clauses  
7i71 7ii71 & 7iii7 ! abortion provid]   

%all provide ! woman involv$ ) 8 or h]  
be/ m$ical judgm5t on ! risks1 if any1 (
 adm9i/]+ su* ane/hesia or analgesic1 & 
! co/s associat$ !re)4  7v7             
,adm9i/ration ( ane/hesia ,if ! abortion
 provid] is n qualifi$ or will+ to      
adm9i/] ! ane/hesia or o!r pa9-r$uc+    
drug to an unborn *ild 9 response to a  
reque/ f a pregnant wom51 ! provid]     
%all--  7,i7 arrange = a qualifi$       
speciali/ to adm9i/] su* ane/hesia or   
drug2 or  7,,ii7 advise ! pregnant      
woman--  7aa7 :]e %e may obta9 su*      
ane/hesia or o!r pa9 r$uc+ drugs = !    
unborn *ild 9 ! c\rse ( an abortion2 or 
7bb7 t ! abortion provid] is unable to  
p]=m ! abortion if ! woman requires t %e
 receive ane/hesia or o!r pa9-r$uc+ drug
 = h] unborn *ild4  7vi7 ,unborn *ild   
pa9 aw>5ess decision =m ,an abortion    
provid] to :i* p>agraph 7#a7 applies    
%all provide ! pregnant woman ) !       
,unborn ,*ild ,pa9 ,aw>5ess ,decision   
,=m 7provid$ = "u subsection 7d77 &     
obta9 ! appropriate signature ( ! woman 

on su* =m4  7vii7 ,rule ( con/ruction   
,no?+ 9 ?is section may be con/ru$ to   
imp$e an abortion provid] or ! abortion 
provid]'s ag5t f (f]+ _! own evaluation 
on ! capacity ( ! unborn *ild to        
exp]i5ce pa91 ! advisability ( adm9i/]+ 
pa9-r$uc+ drugs to ! unborn *ild1 or any
 o!r matt]1 z long z su* provid] or ag5t
 provides ! requir$ in=mation1 obta9s ! 
woman's signature on ! decision =m1 &   
o!rwise complies ) ! affirmative        
requirem5ts ( ! law4  7,b7 ,unborn *ild 
pa9 aw>5ess bro*ure ,an abortion provid]
 to :om p>agraph 7#a7 applies %all      
provide ! pregnant woman ) ! ,unborn    
,*ild ,pa9 ,aw>5ess ,bro*ure 7ref]r$ to 
9 ?is section z ! ,bro*ure7 to be       
develop$ by ! ,dep>tm5t ( ,heal? &      
,human ,s]vices "u subsection 7c7 or ) !
 in=mation describ$ 9 subsection 7c77#b7
 relat+ to access+ su* ,bro*ure4  7,c7  
,unborn *ild pa9 aw>5ess decision =m ,an
 abortion provid] to :i* p>agraph 7#a7  
applies %all provide ! pregnant woman ) 
! ,unborn ,*ild ,pa9 ,aw>5ess ,decision 

,=m 7provid$ = "u subsection 7d77 &     
obta9 ! appropriate signature ( ! woman 
on su* =m4  7c7 ,unborn *ild pa9 aw>5ess
 bro*ure  7#a7 ,developm5t ,n lat] ?an  
#ij days aft] ! date ( enactm5t ( ?is   
title1 ! ,secret>y %all develop an      
,unborn ,*ild ,pa9 ,aw>5ess ,bro*ure4   
,su* ,bro*ure %all--  7,a7 be writt5 9  
,engli% & ,spani%2  7,b7 conta9 ! foll[+
 text3 ,y\r doctor has det]m9$ t1 9 8 or
 h] be/ m$ial judgm5t1 y\r unborn *ild  
is at lea/ #bj weeks old4 ,!re is a     
significant body ( evid5ce t unborn     
*ildr5 at #bj weeks aft] f]tilization h 
! physical /ructures necess>y to        
exp]i5ce pa94 ,!re is sub/antial evid5ce
 t at lea/ by ?is po9t1 unborn *ildr5   
draw away f surgical in/rum5ts 9 a mann]
 :i* 9 an infant or an adult w\ld be    
int]pret$ z a response to pa94 ,!re is  
sub/antial evid5ce t ! process ( be+    
kill$ 9 an abortion w cause ! unborn    
*ild pa91 ev5 ?\gh y receive a pa9-r$uc+
 drug or drugs4 ,"u ! ,f$]al ,unborn    
,*ild ,pa9 ,aw>5ess ,act ( #bjac1 y h a 

"r to "k t !re is evid5ce t ! process ( 
be+ kill$ 9 an abortion w cause y\r     
unborn *ild pa94 ,y may reque/ t        
ane/hesia or o!r pa9-r$uc+ drug or drugs
 are adm9i/]$ directly to ! pa9-capable 
unborn *ild if y s desire4 ,! purpose ( 
adm9i/]+ su* drug or drugs w\ld be to   
r$uce or elim9ate ! capacity ( ! unborn 
*ild to exp]i5ce pa9 dur+ ! abortion    
proc$ure4 ,9 "s cases1 !re may be "s    
additional risk to y associat$ )        
adm9i/]+ su* a drug42  7,c7 conta9      
great] detail on h] option ( hav+ a     
pa9-r$uc+ drug or drugs adm9i/]$ to !   
unborn *ild to r$uce ! exp]i5ce ( pa9 by
 ! unborn *ild dur+ ! abortion2  7,d7 be
 writt5 9 an objective & nonjudgm5tal   
mann] & be pr9t$ 9 a typeface l>ge en\gh
 to be cle>ly legible2 &  7,e7 be made  
available by ! ,secret>y at no co/ to   
any abortion provid]4  7#b7 ,int]net    
in=mation ,! ,bro*ure "u ?is section    
%all be available on ! ,int]net website 
( ! ,dep>tm5t ( ,heal? & ,human ,s]vices
 at a m9imum resolution ( #gj ,,dpi     

7dots p] in*74 ,all pictures appe>+ on !
 website %all be a m9imum ( #bjjx#cjj   
pixels4 ,all lett]s on ! website %all be
 a m9imum ( #ab po9t font4 ,all su*     
in=mation & pictures %all be accessible 
) an indu/ry /&>d br[s]1 requir+ no     
additional plug-ins4  7#c7 ,pres5tation 
( bro*ure ,an abortion provid] or 8 or  
h] ag5t mu/ provide a pregnant woman ) !
 ,bro*ure1 develop$ "u p>agraph 7#a71   
be=e any "p ( an abortion ( a           
pa9-capable *ild beg9s4 ,! bro*ure may  
be provid$--  7,a7 ?r\gh an 9-p]son     
visit by ! pregnant woman2  7,b7 ?r\gh  
an e-mail atta*m5t1 f ! abortion provid]
 or 8 or h] ag5t2 or  7,c7 by c]tifi$   
mail1 mail$ to ! woman at lea/ #gb h\rs 
be=e any "p ( ! abortion beg9s4  7#d7   
,waiv] ,aft] ! abortion provid] or 8 or 
h] ag5t (f]s to provide a pregnant woman
 ! bro*ure1 a pregnant woman may waive  
receipt ( ! bro*ure "u ?is subsection by
 sign+ ! waiv] =m conta9$ 9 ! ,unborn   
,*ild ,pa9 ,aw>5ess ,decision ,=m4  7d7 
,unborn *ild pa9 aw>5ess decision =m ,n 

lat] ?an #cj days aft] ! date ( enactm5t
 ( ?is title1 ! ,secret>y %all develop  
an ,unborn ,*ild ,pa9 ,aw>5ess ,decision
 ,=m4 ,to be valid1 su* =m %all--  7#a7 
) respect to ! pregnant woman--  7,a7   
conta9 a /atem5t t affirms t ! woman has
 receiv$ or be5 (f]$ all ( ! in=mation  
requir$ 9 subsection 7b72  7,b7 affirm t
 ! woman has read ! foll[+ /atem5t3 ,y  
are consid]+ hav+ an abortion ( an      
unborn *ild :o w h develop$1 at ! "t ( !
 abortion1 approximately  weeks aft]    
f]tilization4 ,!re is a significant body
 ( evid5ce t unborn *ildr5 at #bj weeks 
aft] f]tilization h ! physical /ructures
 necess>y to exp]i5ce pa94 ,!re is      
sub/antial evid5ce t at lea/ by ?is     
po9t1 unborn *ildr5 draw away f surgical
 in/rum5ts 9 a mann] :i* 9 an infant or 
an adult w\ld be int]pret$ z a response 
to pa94 ,!re is sub/antial evid5ce t !  
process ( be+ kill$ 9 an abortion w     
cause ! unborn *ild pa91 ev5 ?\gh y     
receive a pa9-r$uc+ drug or drugs4 ,"u !
 ,f$]al ,unborn ,*ild ,pa9 ,aw>5ess ,act

 ( #bjac1 y h a "r to "k t !re is       
evid5ce t ! process ( be+ kill$ 9 an    
abortion w cause y\r unborn *ild pa94 ,y
 may reque/ t ane/hesia or o!r pa9-r$uc+
 drug or drugs are adm9i/]$ directly to 
! pa9-capable unborn *ild if y s desire4
 ,! purpose ( adm9i/]+ su* drug or drugs
 w\ld be to r$uce or elim9ate ! capacity
 ( ! unborn *ild to exp]i5ce pa9 dur+ ! 
abortion proc$ure4 ,9 "s cases1 !re may 
be "s additional risk to y associat$ )  
adm9i/]+ su* a drug42  7,c7 require !   
woman to explicitly ei!r reque/ or      
refuse ! adm9i/ration ( pa9-r$uc+ drugs 
to ! unborn *ild2 &  7,d7 be sign$ by a 
pregnant woman prior to ! p]=mance ( an 
abortion involv+ a pa9-capable unborn   
*ild2 &  7#b7 ) respect to ! abortion   
provid]--  7,a7 conta9 a /atem5t t !    
provid] has provid$ ! woman ) all ( !   
in=mation requir$ "u subsection 7b72    
7,b7 if applicable1 conta9 a            
c]tification by ! provid] t an exception
 describ$ 9 section #cdjc applies & !   
detail$ reasons = su* c]tification2 &   

7,c7 be sign$ by ! provid] prior to !   
p]=mance ( ! abortion proc$ure4  7e7    
,ma9t5ance ( records ,! ,secret>y %all  
promulgate regulations relat+ to ! p]iod
 ( "t dur+ :i* copies ( =ms "u          
subsection 7d7 %all be ma9ta9$ by       
abortion provid]s4  #cdjc4 ,exception to
 save ! life ( ! "m ,! provisions (     
section #cdjb %all n apply to an        
abortion provid] 9 ! case t ! abortion  
is necess>y to save ! life ( a "m ^:    
life is endang]$ by a physical disord]1 
physical illness1 or physical injury1   
includ+ a life-endang]+ physical        
condition caus$ by or aris+ f !         
pregnancy itself4  #cdjd4 ,p5alties =   
failure to comply  7a7 ,9 ,g5]al ,an    
abortion provid] :o willfully fails to  
comply ) ! provisions ( ?is title %all  
be subject to civil p5alties 9          
accordance ) ?is section 9 an           
appropriate ,f$]al c\rt4  7b7           
,comm5cem5t ( ,action ,! ,attorney      
,g5]al ( ! ,unit$ ,/ates may comm5ce a  
civil action "u ?is section4  7c7 ,fir/ 

(f5se ,^u a f9d+ by a c\rt t a respond5t
 9 an action comm5c$ "u ?is section has 
kn[+ly violat$ a provision ( ?is title1 
! c\rt %all notify ! appropriate ,/ate  
m$ical lic5s+ au?ority & %all assess a  
civil p5alty aga9/ ! respond5t 9 an     
am\nt n to exce$ #ajj1jjj4  7d7 ,second 
& subsequ5t (f5ses ,^u a f9d+ by a c\rt 
t ! respond5t 9 an action comm5c$ "u ?is
 section has kn[+ly violat$ a provision 
( ?is title & ! respond5t has be5 f\nd  
to h kn[+ly violat$ a provision ( ?is   
title on a prior occasion1 ! c\rt %all  
notify ! appropriate ,/ate m$ical lic5s+
 au?ority & %all assess a civil p5alty  
aga9/ ! respond5t 9 an am\nt n to exce$ 
#bej1jjj4  7e7 ,private "r ( action ,a  
pregnant woman ^u :om an abortion has   
be5 p]=m$ 9 violation ( ?is title1 or ! 
p>5t or legal gu>dian ( su* a woman if  
%e is an unemancipat$ m9or1 may comm5ce 
a civil action aga9/ ! abortion provid] 
= any kn[+ or reckless violation ( ?is  
title = actual & punitive damages4  4   
#d4 ,preemption ,no?+ 9 ?is ,act or !   

am5dm5ts made by ?is ,act %all be       
con/ru$ to preempt any provision ( ,/ate
 law to ! ext5t t su* ,/ate law         
e/abli%es1 implem5ts1 or cont9ues 9     
effect great] protections = unborn      
*ildr5 f pa9 ?an ! protections provid$  
"u ?is ,act & ! am5dm5ts made by ?is    
,act4  #e4 ,sev]ability ,! provisions ( 
?is ,act %all be sev]able4 ,if any      
provision ( ?is ,act1 or any application
 !re(1 is f\nd uncon/itutional1 t f9d+  
%all n affect any provision or          
application ( ! ,act n s adjudicat$4