,i  #aaeth ,,congress  #ast ,session    
,h4 ,r4 #fef  ,,in ,,the ,,house ,,of   
,,representatives  ,january #bd1        
#bjag,mr4 ,duffy 7for himself1 ,mrs4    
,wagner1 ,mr4 ,mullin1 ,mr4 ,meadows1   
,mr4 ,stewart1 ,mr4 ,pittenger1 ,mr4    
,grothman1 ,mr4 ,weber of ,texas1 and   
,mr4 ,latta7 introduced the following   
bill2 which was referred to the         
,committee on ,energy and ,commerce  ,a 
,,bill  ,to amend title ,,xix of the    
,social ,security ,act to allow for     
greater ,state flexibility with respect 
to excluding providers who are involved 
in abortions4  #a4 ,short title ,this   
,act may be cited as the ,women's       
,public ,health and ,safety ,act4  #b4  
,increasing ,state flexibility in       
determining participation of providers  
who perform1 or participate in the      
performance of1 abortions ,section #aijb
 of the ,social ,security ,act 7#db     
,u4,s4,c4 #acif;a7 is amended--  7#a7 in
 subsection 7a77#bc71 by striking       
subsection 7g7 and inserting subsection 

7g71 subsection 7ll712 and  7#b7 by     
adding at the end the following new     
subsection3  7ll7 ,rules with respect to
 determination of participation of      
providers who perform1 or participate in
 the performance of1 abortions  7#a7 ,in
 general ,beginning ,october #a1 #bjag1 
subject to paragraph 7#b71 for purposes 
of this title1 a ,state1 at its option1 
may establish criteria with respect to  
the participation under the ,state plan 
7or under a waiver of the plan7 of an   
institution1 agency1 entity1 or person  
who performs1 or participates in the    
performance of1 abortions4  7#b7        
,exception ,paragraph 7#a7 shall not    
apply to an abortion-- 7,a7 if the      
pregnancy is the result of an act of    
rape or incest2 or  7,b7 in the case    
where a woman suffers from a physical   
disorder1 physical injury1 or physical  
illness that would1 as certified by a   
physician1 place the woman in danger of 
death unless an abortion is performed1  
including a life-endangering physical   

condition caused by or arising from the 
pregnancy itself4  7#c7 ,definitions    
,for purposes of this subsection1 the   
terms institution1 agency1 or entity    
mean the entire legal institution1      
agency1 or entity1 or any part thereof1 
including any institution1 agency1 or   
entity that controls1 is controlled by1 
or is under common control with such    
institution1 agency1 or entity4  4