#aad? ,,congress  #b;d ,session  ,9 !   
,h\se ( ,repres5tatives1 ,u4 ,s41  ,july
 #ac1 #bjaf  ,,am5dm5t3  ,t ! bill f !  
,s5ate 7,s4 #cjd7 entitl$ ,an ,act to   
improve motor vehicle safety by enc\rag+
 ! %>+ ( c]ta9 in=mation41 d pass ) !   
foll[+ ,/rike out all aft] ! enact+     
clause & ins]t3  #a4 ,%ort title ,?is   
,act may be cit$ z ! ,consci5ce         
,protection ,act ( #bjaf4  #b4 ,f9d+s   
,congress f9ds z foll[s3 7#a7 ,?omas    
,jeff]son /at$ a conviction common to   
our ,nation's f\nd]s :5 he decl>$ 9     
#ahji t no provision 9 our ,con/itution 
ought to be de>] to man ?an t :i*       
protects ! rights ( consci5ce aga9/ !   
ent]prises ( ! civil au?ority4  7#b7 ,9 
#aigc1 ! ,supreme ,c\rt conclud$ t !    
gov]nm5t mu/ leave ! abortion decision  
to ! m$ical judgm5t ( ! pregnant woman's
 att5d+ physician1 recogniz+ t a        
physician may *oose n to p>ticipate 9   
abortion4 ,roe v4 ,wade1 #daj ,u4,s4    
#aac1 #afd 7#aigc74 ,! ,c\rt cit$ )     
approval a policy t nei!r physician1    

hospital1 nor hospital p]sonnel %all be 
requir$ to p]=m any act violative (     
p]sonally-held moral pr9ciples1 #daj    
,u4,s4 at #adc n4 #ch1 & cit$ ,/ate laws
 uphold+ ?is pr9ciple4 ,doe v4 ,bolton1 
#daj ,u4,s4 #agi1 #aig-h 7#aigc74  7#c7 
,congress's enactm5ts to protect ?is "r 
( consci5ce 9 heal? c>e include ! ,*ur* 
am5dm5t ( #aigc 7#db ,u4,s4,c4          
#cjj;a-#g71 ! ,coats_/,sn[e am5dm5t (   
#aiif 7#db ,u4,s4,c4 #bchn71 & ! ,weldon
 am5dm5t approv$ by ,congresses &       
,presid5ts ( bo? p>ties e ye> s9ce      
#bjjd4  7#d7 ,none ( ^! laws explicitly 
provides a private "r ( action s victims
 ( discrim9ation c def5d _! consci5ce   
rights 9 c\rt1 & adm9i/rative en=cem5t  
by ! ,dep>tm5t ( ,heal? & ,human        
,s]vices ,(fice = ,civil ,rights has be5
 lax1 at times all[+ cases to langui% = 
ye>s )\t resolution4  7#e7 ,defy+ !     
,f$]al ,weldon am5dm5t1 ,cali=nia's     
,dep>tm5t ( ,manag$ ,heal? ,c>e has     
m&at$ cov]age = all elective abortions 9
 all heal? plans "u its jurisdiction4   

,o!r ,/ates su* z ,new ,york & ,wa%+ton 
h tak5 or consid]$ simil> action1 & "s  
,/ates may g f>!r to require all        
physicians & hospitals to provide or    
facilitate abortions4 ,on ,june #ba1    
#bjaf1 ! ,adm9i/ration conclud$ a ne>ly 
two-ye> inve/igation ( ?is matt] by     
det]m9+ t ,cali=nia's decision to       
require insurance plans "u ! ,cali=nia  
,dep>tm5t = ,manag$ ,heal? ,c>e au?ority
 to cov] all legal abortion s]vices did 
n violate ! ,weldon am5dm5t4 ,?is       
int]pretation means t individuals w h to
 *oose betwe5 ignor+ _! consci5ce or    
=go+ heal? c>e cov]age4  7#f7 ,! va/    
majority ( m$ical pr(essionals d n p]=m 
abortions1 ) #hf p]c5t ( ob_/gyns       
unwill+ to provide !m 9 a rec5t /udy    
7,ob/etrics  ,gynecology1 ,sept4 #bjaa7 
& ! great majority ( hospitals *oos+ to 
d s 9 r>e cases or n at all4  7#g7 ,a   
heal? c>e provid]'s decision n to       
p>ticipate 9 an abortion1 l ,congress's 
decision n to fund mo/ abortions1 erects
 no new b>ri] to ^? seek+ to p]=m or    

und]go abortions b leaves ea* p>ty free 
to act z he or %e wi%es4  7#h7 ,su*     
protection poses no conflict ) o!r      
,f$]al laws1 su* z ! law requir+ em]g5cy
 /abiliz+ treatm5t = a pregnant woman & 
h] unborn *ild :5 ei!r is 9 di/ress     
7,em]g5cy ,m$ical ,treatm5t & ,active   
,labor ,act74 ,z ! ,obama adm9i/ration  
has said1 ^! areas ( law h op]at$ side  
by side = _m ye>s & bo? %\ld be fully   
en=c$ 7#gf ,f$]al ,regi/] #iifh-gg      
7#bjaa7 at #iigc74  7#i7 ,reaffirm+     
long/&+ ,f$]al policy on consci5ce      
rights & provid+ a "r ( action 9 cases  
:]e x is violat$ all[s long/&+ & widely 
support$ ,f$]al laws to "w z int5d$4    
#c4 ,prohibit+ gov]nm5tal discrim9ation 
aga9/ provid]s ( heal? s]vices t are n  
involv$ 9 abortion ,title ,,ii ( !      
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bjb et seq47 is am5d$ by     
ins]t+ aft] section #bde ! foll[+3      
#bde;,a4 ,prohibit+ gov]nm5tal          
discrim9ation aga9/ provid]s ( heal?    
s]vices t are n involv$ 9 abortion  7a7 

,9 g5]al ,not)/&+ any o!r law1 ! ,f$]al 
,gov]nm5t1 & any ,/ate or local gov]nm5t
 t receives ,f$]al f9ancial assi/ance1  
may n p5alize1 retaliate aga9/1 or      
o!rwise discrim9ate aga9/ a heal? c>e   
provid] on ! basis t ! provid] does n-- 
7#a7 p]=m1 ref] =1 pay =1 or o!rwise    
p>ticipate 9 abortion2  7#b7 provide or 
sponsor abortion cov]age2 or  7#c7      
facilitate or make arrangem5ts = any ( !
 activities specifi$ 9 ?is subsection4  
7b7 ,rule ( con/ruction ,no?+ 9 ?is     
section %all be con/ru$--  7#a7 to      
prev5t any heal? c>e provid] f          
volunt>ily elect+ to p>ticipate 9       
abortions or abortion ref]rals2  7#b7 to
 prev5t any heal? c>e provid] f         
volunt>ily elect+ to provide or sponsor 
abortion cov]age or heal? b5efits       
cov]age t includes abortion2  7#c7 to   
prev5t an accr$it+ ag5cy1 ! ,f$]al      
gov]nm5t1 or a ,/ate or local gov]nm5t f
 e/abli%+ /&>ds ( m$ical compet5cy      
applicable only to ^? :o h kn[+ly1      
volunt>ily1 & specifically elect$ to    

p]=m abortions1 or f en=c+ contractual  
obligations applicable only to ^? :o1 z 
"p ( su* contract1 kn[+ly1 volunt>ily1 &
 specifically elect to provide          
abortions2  7#d7 to affect1 or be       
affect$ by1 section #ahfg ( ! ,social   
,security ,act 7#db ,u4,s4,c4 #acie;dd1 
commonly ref]r$ to z ! ,em]g5cy ,m$ical 
,treatm5t & ,active ,labor ,act72 or    
7#e7 to sup]s$e any law enact$ by any   
,/ate = ! purpose ( regulat+ insurance1 
except z specifi$ 9 subsection 7a74  7c7
 ,adm9i/ration ,! ,secret>y %all        
designate ! ,director ( ! ,(fice =      
,civil ,rights ( ! ,dep>tm5t ( ,heal? & 
,human ,s]vices--  7#a7 to receive      
compla9ts alleg+ a violation ( ?is      
section1 section #bde ( ?is ,act1 or any
 ( subsections 7b7 ?r\gh 7e7 ( section  
#dja ( ! ,heal? ,programs ,ext5sion ,act
 ( #aigc2 &  7#b7 to pursue !           
inve/igation ( su* compla9ts 9          
coord9ation ) ! ,attorney ,g5]al4  7d7  
,def9itions ,= purposes ( ?is section3  
7#a7 ,f$]al f9ancial assi/ance ,! t]m   

,f$]al f9ancial assi/ance means ,f$]al  
paym5ts to cov] ! co/ ( heal? c>e       
s]vices or b5efits1 or o!r ,f$]al       
paym5ts1 grants1 or loans to promote or 
o!rwise facilitate heal?-relat$         
activities4  7#b7 ,heal? c>e provid] ,! 
t]m heal? c>e provid] means-- 7,a7 an   
individual physician1 nurse1 or o!r     
heal? c>e pr(essional2  7,b7 a hospital1
 heal? sy/em1 or o!r heal? c>e facility 
or organization 7includ+ a p>ty to a    
propos$ m]g] or o!r collaborative       
arrangem5t relat+ to heal? s]vices1 & an
 entity result+ !refrom72  7,c7 a       
provid]-sponsor$ organization1 an       
acc\ntable c>e organization1 or a heal? 
ma9t5ance organization2  7,d7 a social  
s]vices provid] t provides or au?orizes 
ref]rals = heal? c>e s]vices2  7,e7 a   
program ( tra9+ 9 ! heal? pr(essions or 
an applicant to or p>ticipant 9 su* a   
program2  7,f7 an issu] ( heal?         
insurance cov]age2 or  7,g7 a gr\p heal?
 plan or /ud5t heal? plan1 or a sponsor 
or adm9i/rator !re(4  7#c7 ,/ate or     

local gov]nm5t t receives ,f$]al        
f9ancial assi/ance ,! t]m ,/ate or local
 gov]nm5t t receives ,f$]al f9ancial    
assi/ance includes e ag5cy & o!r        
gov]nm5tal unit & subdivision ( a ,/ate 
or local gov]nm5t1 if su* ,/ate or local
 gov]nm5t1 or any ag5cy or gov]nm5tal   
unit or subdivision !re(1 receives      
,f$]al f9ancial assi/ance4  #bde;,b4    
,civil action = c]ta9 violations  7a7 ,9
 g5]al ,a qualifi$ p>ty may1 9 a civil  
action1 obta9 appropriate relief ) reg>d
 to a designat$ violation4  7b7         
,def9itions ,= purposes ( ?is section3  
7#a7 ,qualifi$ p>ty ,! t]m qualifi$ p>ty
 means--  7,a7 ! ,attorney ,g5]al ( !   
,unit$ ,/ates2 or  7,b7 any p]son or    
entity adv]sely affect$ by ! designat$  
violation4  7#b7 ,designat$ violation ,!
 t]m designat$ violation means an actual
 or ?reat5$ violation (-- 7,a7 section  
#bde or #bde;,a ( ?is ,act2 or  7,b7 any
 ( subsections 7b7 ?r\gh 7e7 ( section  
#dja ( ! ,heal? ,programs ,ext5sion ,act
 ( #aigc reg>d+ an objection to         

abortion4  7c7 ,adm9i/rative rem$ies n  
requir$ ,an action "u ?is section may be
 comm5c$1 & relief may be grant$1 )\t   
reg>d to :e!r ! p>ty comm5c+ ! action   
has s\ght or exhau/$ available          
adm9i/rative rem$ies4  7d7 ,def5dants 9 
actions "u ?is section may include      
gov]nm5tal entities z well z o!rs  7#a7 
,9 g5]al ,an action "u ?is section may  
be ma9ta9$ aga9/1 among o!rs1 a p>ty t  
is a ,f$]al or ,/ate gov]nm5tal entity4 
,relief 9 an action "u ?is section may  
include money damages ev5 if ! def5dant 
is su* a gov]nm5tal entity4  7#b7       
,def9ition ,= ! purposes ( ?is          
subsection1 ! t]m ,/ate gov]nm5tal      
entity means a ,/ate1 a local gov]nm5t  
)9 a ,/ate1 & any ag5cy or o!r          
gov]nm5tal unit or subdivision ( a ,/ate
 or ( su* a local gov]nm5t4  7e7 ,nature
 ( relief ,9 an action "u ?is section1 !
 c\rt %all grant-- 7#a7 all necess>y    
equitable & legal relief1 includ+1 :]e  
appropriate1 decl>atory relief &        
comp5satory damages1 to prev5t !        

occurr5ce1 cont9uance1 or repetition ( !
 designat$ violation & to comp5sate =   
losses result+ f ! designat$ violation2 
&  7#b7 to a prevail+ pla9tiff1         
reasonable attorneys' fees & litigation 
exp5ses z "p ( ! co/s4  4  ,cl]k4