,,ii  #aae? ,,congress  #b;d ,session   
,s4 #cfaf  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,novemb] #ad1 #bjah,mr4
 ,paul 7= himself & ,mrs4 ,gillibr&7    
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on !     
,judici>y  ,a ,,bill  ,to prohibit ! use
 ( re/ra9ts & re/rictive h\s+ on inmates
 dur+ ! p]iod ( pregnancy1 labor &      
po/p>tum recov]y1 to collect data on    
inc>c]at$ pregnant wom5 9 ! ,unit$      
,/ates & ! results ( su* pregnancies1 to
 address ! heal? ne$s ( inc>c]at$ wom5  
relat$ to pregnancy & *ildbir?1 & = o!r 
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,protect+ ! ,heal? &       
,wellness ( ,babies & ,pregnant ,wom5 9 
,cu/ody ,act or z ! ,pregnant ,wom5 9   
,cu/ody ,act 4  #b4 ,f9d+s ,congress    
f9ds ! foll[+3  7#a7 ,! numb] (         
inc>c]at$ wom5 9 ! ,unit$ ,/ates        
increas$ by #gjj p]c5t f #aihj to #bjad4
  7#b7 ,ju/ice-involv$ wom5 are less    
likely to be viol5t or attempt to       
escape4 ,! majority ( female (f5d]s 9   

,f$]al cu/ody are h\s$ 9 m9imum or l[   
security facilities4  7#c7 ,eighty p]c5t
 ( all inc>c]at$ wom5 h *ildr5 "u ! age 
( #ah4  7#d7 ,! numb] ( inc>c]at$       
pregnant wom5 is unkn[n1 b x is e/imat$ 
t #b1jjj wom5 give bir? 9 cu/ody ea*    
ye>4  7#e7 ,pr5atal c>e significantly   
improves outcomes = pregnant wom51      
adolesc5ts1 & _! babies4  7#f7          
,availability ( bir? coa* & d\la s]vices
 to inc>c]at$ pregnant wom5 has be5     
associat$ ) a drop 9 ! rate ( ,caes>ean 
section bir?s f #fc p]c5t to #c p]c5t4  
7#g7 ,bir? by ,caes>ean section on      
av]age c co/ #g1jjj to #aj1jjj m ?an a  
natural bir?4  7#h7 ,p>ticipation 9     
po/-deliv]y "m-infant resid5cy or nurs]y
 programs is associat$ ) l[] recidivism 
rates1 r$uc$ risk ( babies ent]+ fo/]   
c>e1 & improv$ odds t mo!rs & _! babies 
w rema9 toge!r aft] ! "m's p]iod (      
inc>c]ation4  7#i7 ,use ( re/rictive    
h\s+ & re/ra9ts on inc>c]at$ pregnant   
wom5 is extremely dang]\s to ! heal? (  
mo!rs1 fetuses1 & infants4 ,yet1 ^!     

practices rema9 legal & practic$ widely 
9 "s ,/ates4  7#aj7 ,use ( re/rictive   
h\s+ = pregnant wom5 creates a s]i\s    
risk ( m5tal & physical h>m & c result 9
 deprivation ( critical nutritional &   
m$ical c>e4  7#aa7 ,use ( re/ra9ts c    
cause injuries to mo!rs & _! babies     
includ+ physical trauma due to falls1   
increas$ pa9 dur+ labor f bone sep>ation
 & muscle te>s1 block$ circulation1 &   
misc>riage4  7#ab7 ,! ,u4,s4 ,dep>tm5t (
 ,ju/ice has /at$ its opposition to !   
use ( re/rictive h\s+ ) pregnant        
prison]s1 b no ,/ate or ,f$]al laws exi/
 t place limits on ! use ( re/rictive   
h\s+ ) pregnant prison]s4  7#ac7 ,"s    
,/ates provide /rong or compreh5sive    
protections 9 ,/ate prisons aga9/ ! use 
( re/ra9ts on inc>c]at$ wom5 dur+       
pregnancy1 labor1 *ildbir?1 & po/p>tum  
recov]y4  #c4 ,data collection  7a7 ,9  
g5]al ,beg9n+ n lat] ?an "o ye> aft] !  
date ( ! enactm5t ( ?is ,act1 pursuant  
to ! au?ority "u section #cjb ( !       
,omnibus ,crime ,control & ,safe ,/reets

 ,act ( #aifh 7#db ,u4,s4,c4 #cgcb71 !  
,director ( ! ,bureau ( ,ju/ice         
,/ati/ics %all include 9 ! ,national    
,prison] ,/ati/ics ,program & ,annual   
,survey ( ,jails /ati/ics relat+ to !   
heal? ne$s ( inc>c]at$ pregnant wom5 9 !
 crim9al ju/ice sy/em at ! ,f$]al1      
,/ate1 tribal1 & local levels1 includ+--
  7#a7 ! numb] ( wom5 kn[n to be        
pregnant :ile 9 cu/ody1 ! outcomes ( su*
 pregnancies1 & :e!r ! deliv]y 0 induc$ 
or by caes>ian section2  7#b7           
demographic & o!r in=mation ab\t        
inc>c]at$ wom5 :o are pregnant1 9 labor1
 or 9 po/p>tum recov]y1 includ+ ! race1 
e?nicity1 & age ( ! pregnant woman2     
7#c7 ! provision ( pregnancy c>e &      
s]vices provid$ = su* wom51 includ+--   
7,a7 :e!r pr5atal1 deliv]y & po/-deliv]y
 *eck-up visits 7 s*$ul$ & provid$2     
7,b7 :e!r a social work]1 psy*ologi/1   
d\la or o!r support p]son1 or pregnancy 
or p>5t+ program 0 (f]$ & provid$ dur+  
pregnancy & deliv]y2  7,c7 :e!r a nurs]y
 or resid5tial program to keep mo!rs &  

infants toge!r po/-deliv]y 0 (f]$ &     
provid$2  7,d7 ! numb] ( days ! "m /ay$ 
9 ! hospital po/-deliv]y2 &  7,e7 !     
numb] ( days ! infant rema9$ ) ! "m     
po/-deliv]y2  7#d7 ! location ( ! ne>e/ 
hospital ) a lic5s$                     
ob/etrician-gynecologi/ 9 proximity to  
:]e ! inmate is h\s$ & ! l5g? ( travel  
requir$ to transport ! inmate2  7#e7    
:e!r a writt5 policy or protocol is 9   
place to respond to unexpect$ *ildbir?  
deliv]ies ( pregnant inmates & = inmates
 exp]i5c+ labor or o!r m$ical           
complications relat$ to su* pregnancy :5
 !y are n locat$ at a hospital2 &  7#f7 
! numb] ( incid5ts 9 :i* an inc>c]at$   
woman :o is pregnant1 9 labor1 or 9     
po/p>tum recov]y 0 re/ra9$ or plac$ 9   
re/rictive h\s+1 ! reason = su*         
re/riction or placem5t1 ! type (        
re/ra9ts us$1 & ! circum/ances "u :i*   
ea* incid5t occurr$1 includ+ ! duration 
( "t 9 re/rictive h\s+1 dur+--  7,a7    
pregnancy2  7,b7 labor2  7,c7 deliv]y2 &
  7,d7 po/p>tum recov]y4  7b7 ,p]sonally

 id5tifiable in=mation ,data collect$ "u
 ?is p>agraph %all n conta9 any         
p]sonally id5tifiable in=mation ( any   
prison]4  #d4 ,c>e = f$]ally inc>c]at$  
wom5 relat$ to pregnancy & *ildbir?  7a7
 ,9 g5]al ,! head ( ea* ,bureau (       
,prisons wom5's facility %all ensure t  
appropriate s]vices & programs are      
provid$ to wom5 9 cu/ody at ! facility1 
includ+ pre-trial & contract facilities1
 to address ! heal? & safety ne$s (     
inmates relat$ to pregnancy & *ildbir?4 
7b7 ,s]vices & programs provid$ ,! head 
( ea* ,bureau ( ,prisons wom5's facility
 %all ensure t3 7#a7 ,e woman (         
reproductive age 9 cu/ody at ! facility 
has access to pregnancy te/+1           
contraception1 & te/+ = sexually        
transmitt$ diseases4  7#b7 ,^u le>n+ (  
an inmate's pregnancy1 ei!r by          
self-report or cl9ical diagno/ics &     
assessm5t1 m$ical /aff imm$iately notify
 an assign$ case manag] & social work]  
to ensure all appropriate protocols     
directly p]ta9+ to ! safety & well-be+ (

 ! pregnant inmate are provid$ & foll[$1
 includ+ ! assessm5t ( undue safety     
risks & necess>y *anges to accommodate  
:]e & :5 appropriate1 z x relates to--  
7,a7 /rip se>*es2  7,b7 h\s+ or l[] bunk
 = safety reasons2  7,c7 m$ically       
recomm5d$ b$d+ or clo?+2  7,d7          
additional food allotm5t or             
modifications to ensure adequate        
nutrition & heal?1 includ+ diet>y       
supplem5ts & additional calories2 &     
7,e7 modifi$ recreation & transport1 9  
accordance ) /&>ds )9 ! ob/etrical &    
gynecological c>e community1 to prev5t  
ov]ex]tion or prolong$ p]iods ( s$5t>y  
movem5t4  7#c7 ,ei!r at intake or n lat]
 ?an #dh h\rs aft] ! confirmation ( a   
prison]'s pregnancy by a heal? c>e      
pr(essional1 ! inmate is provid$ pr5atal
 education1 c\nsel+1 & bir? support     
s]vices provid$ by a lic5s$ or c]tifi$  
provid] tra9$ to provide su* s]vice1    
includ+ in=mation ab\t _! p>5tal rights 
& _! *ild's rights4  7#d7 ,e woman 9    
cu/ody at ! facility1 :o is pregnant or 

gave bir? )9 ! previ\s six mon?s1 is    
provid$--  7,a7 appropriate educational 
mat]ials1 res\rces1 & s]vices relat$ to 
pregnancy1 *ild bir?1 & p>5t+1 includ+  
nutrition1 heal? & safety risks1 brea/  
fe$+1 & po/p>tum depression2 &  7,b7    
pr5atal education1 c\nsel+1 & bir?      
support s]vices provid$ by a lic5s$ or  
c]tifi$ provid] tra9$ to provide su*    
s]vices4  7#e7 ,e woman 9 cu/ody at !   
facility1 :o is pregnant1 gave bir? or  
exp]i5c$ any o!r pregnancy outcome )9 ! 
previ\s #f mon?s is provid$--  7,a7     
evid5ce-bas$ scre5+1 assessm5t &        
treatm5t1 includ+ psy*osocial           
int]v5tions & m$ication1 = m5tal heal? &
 sub/ance use ne$s2 &  7,b7 evid5ce-bas$
 !rapeutic c>e = po/p>tum depression or 
depression relat$ to pregnancy or       
pregnancy loss4  7c7 ,exception ,9 c>ry+
 out subsection 7b77#a71 ! head ( !     
,bureau ( ,prisons wom5's facility may  
excuse individual (fic]s or employees1  
on a case-by-case basis1 f c>ry+ out su*
 actions on ! basis ( s9c]ely held      

religi\s objections to su* actions4  #e4
 ,use ( re/rictive h\s+ & re/ra9ts on   
inmates dur+ pregnancy1 labor & po/p>tum
 recov]y prohibit$  7a7 ,9 g5]al ,*apt] 
#cag ( title #ah1 ,unit$ ,/ates ,code1  
is am5d$ by ins]t+ aft] section #dcba ! 
foll[+3  #dcbb4 ,use ( re/ra9ts &       
re/rictive h\s+ on prison]s dur+ ! p]iod
 ( pregnancy1 labor1 & po/p>tum recov]y 
prohibit$ & to improve pregnancy c>e =  
wom5 9 ,f$]al prisons  7a7 ,prohibition 
,except z provid$ 9 subsection 7b71     
beg9n+ on ! date on :i* pregnancy is    
confirm$ by a heal?c>e pr(essional1 &   
end+ at ! conclusion ( po/p>tum recov]y1
 a prison] 9 ! cu/ody ( ! ,bureau (     
,prisons1 or 9 ! cu/ody ( ! ,unit$      
,/ates ,m>%als ,s]vice pursuant to      
section #djhf1 %all n be plac$ 9        
re/ra9ts or held 9 re/rictive h\s+4  7b7
 ,exceptions  7#a7 ,use ( re/ra9ts ,!   
prohibition "u subsection 7a7 relat$ to 
! use ( re/ra9ts %all n apply if-- 7,a7 
! s5ior ,bureau ( ,prisons or ! ,unit$  
,/ates ,m>%al ,s]vice (ficial ov]see+   

wom5's heal? & s]vices1 9 consultation )
 s5ior (ficials 9 heal? s]vices1 makes  
an individualiz$ det]m9ation t !        
prison]--  7i7 is an imm$iate & cr$ible 
flight risk t _c reasonably be prev5t$  
by o!r means2 or  7ii7 poses an imm$iate
 & s]i\s ?reat ( h>m to h]self or o!rs t
 _c reasonably be prev5t$ by o!r means2 
or  7,b7 a heal? c>e pr(essional        
responsible = ! heal? & safety ( !      
prison] det]m9es t ! use ( m$ical       
re/ra9ts is appropriate = ! m$ical      
safety ( ! prison]1 & su* pr(essional   
reviews su* det]m9ation n lat] ?an e #f 
h\rs aft] su* use is initially approv$  
until su* use is t]m9at$4  7#b7 ,lea/   
re/rictive re/ra9ts ,9 ! case t re/ra9ts
 are us$ pursuant to an exception "u    
p>agraph 7#a71 only ! lea/ re/rictive   
re/ra9ts necess>y to prev5t ! h>m or    
risk ( escape describ$ 9 p>agraph 7#a7  
may be us$4  7,a7 ,application ,!       
exceptions "u p>agraph 7#a7 may n be    
appli$-- 7i7 to place re/ra9ts ar\nd !  
ankles1 legs1 or wai/ ( a prison]2  7ii7

 to re/ra9 a prison]'s h&s beh9d h]     
back2  7iii7 to re/ra9 a prison] us+    
f\r-po9t re/ra9ts2 or  7iv7 to atta* a  
prison] to ano!r prison]4  7,b7 ,m$ical 
reque/ ,n)/&+ p>agraph 7#a71 ^u ! reque/
 ( a heal?c>e pr(essional :o is         
responsible = ! heal? & safety ( a      
prison]1 a corrections (fic] or ,unit$  
,/ates m>%al1 z applicable1 %all refra9 
f us+ re/ra9ts on ! prison] or remove   
re/ra9ts us$ on ! prison]4  7,c7        
,situational use ,! individualiz$       
det]m9ation describ$ "u p>agraph 7#a7   
%all only apply to a specific situation 
& mu/ be reaffirm$ ?r\gh ! same process1
 to use re/ra9ts aga9 9 any future      
situation involv+ ! same prison]4  7#c7 
,access to c>e ,imm$iately ^u !         
cessation ( ! use ( re/ra9ts or         
re/rictive h\s+ z outl9$ 9 ?is          
subsection1 ! ,bureau ( ,prisons or     
,unit$ ,/ates ,m>%al ,s]vice %all       
provide ! prison] ) imm$iate access to  
physical & m5tal heal? assessm5ts & all 
indicat$ treatm5t4  7#d7 ,use (         

re/rictive h\s+ ,! prohibition "u       
subsection 7a7 relat$ to re/rictive h\s+
 %all n apply if ! s5ior ,bureau (      
,prisons (ficial or ,unit$ ,/ates       
,m>%als ,s]vice (ficial ov]see+ wom5's  
heal? & s]vices1 9 consultation ) s5ior 
(ficials 9 heal? s]vices1 makes an      
individualiz$ det]m9ation t re/rictive  
h\s+ is requir$ z a tempor>y response to
 behavior t poses a s]i\s & imm$iate    
risk ( physical h>m & reviews & affirms 
t det]m9ation at lea/ e #bd h\rs4  7c7  
,reports  7#a7 ,report to ! director &  
heal?c>e pr(essional aft] ! use (       
re/ra9ts ,if an (ficial id5tifi$ 9      
subsection 7b77#a71 correctional (fic]1 
or ,unit$ ,/ates ,m>%al uses re/ra9ts on
 a prison] "u subsection 7b77#b71 t     
(ficial1 includ+ a designat$            
correctional (fic] or m>%al %all submit1
 n lat] ?an #cj days aft] plac+ !       
prison] 9 re/ra9ts1 to ! ,director ( !  
,bureau ( ,prisons or ! ,director ( !   
,unit$ ,/ates ,m>%als ,s]vice1 z        
applicable1 & to ! heal?c>e pr(essional 

responsible = ! heal? & safety ( !      
prison]1 a writt5 report :i* describes !
 facts & circum/ances surr\nd+ ! use (  
re/ra9ts1 & includes--  7,a7 ! reason+  
^u :i* ! det]m9ation to use re/ra9ts 0  
made2  7,b7 ! details ( ! use (         
re/ra9ts1 includ+ ! type ( re/ra9ts us$ 
& l5g? ( "t dur+ :i* re/ra9ts 7 us$2    
7,c7 any result+ physical effects on !  
inmate1 fetus1 or ! neonate obs]v$ by or
 report$ by ! qualifi$ heal? c>e        
pr(essional2 &  7,d7 a description ( all
 attempts to use alt]native int]v5tions 
& sanctions be=e ! re/ra9ts 7 us$4  7#b7
 ,report to ! director & heal?c>e       
pr(essional aft] placem5t 9 re/rictive  
h\s+ ,if an (ficial id5tifi$ 9          
subsection 7b77#c71 correctional (fic]1 
or ,unit$ ,/ates ,m>%al places a prison]
 9 re/rictive h\s+ "u subsection        
7b77#c71 t (ficial1 correctional (fic]1 
or ,unit$ ,/ates ,m>%al %all submit1 n  
lat] ?an #cj days aft] plac+ ! prison] 9
 re/rictive h\s+1 to ! ,director ( !    
,bureau ( ,prisons or ! ,director ( !   

,unit$ ,/ates ,m>%als ,s]vice1 z        
applicable1 & to ! heal?c>e pr(essional 
responsible = ! heal? & safety ( !      
prison]1 a writt5 report :i* describes !
 facts & circum/ances surr\nd+ !        
re/rictive h\s+ placem5t1 & includes--  
7,a7 ! reason+ ^u :i* ! det]m9ation = ! 
placem5t 0 made2  7,b7 ! details ( !    
placem5t1 includ+ l5g? ( "t ( placem5t &
 h[ frequ5tly & h[ _m times !           
det]m9ation 0 made subsequ5t to !       
initial det]m9ation to cont9ue !        
re/rictive h\s+ placem5t2 &  7,c7 any   
result+ physical effects on ! inmate1   
fetus1 or ! neonate obs]v$ by or report$
 by qualifi$ heal? c>e pr(essional4     
7#c7 ,supplem5tal report to ! director  
,^u receipt ( a report "u subsection    
7c71 ! heal?c>e pr(essional responsible 
= ! heal? & safety ( ! prison] %all     
submit to ! ,director su* in=mation z ! 
heal?c>e pr(essional det]m9es is        
relevant to ! use ( re/rictive h\s+ or  
re/ra9ts on ! prison]4  7#d7 ,report to 
judici>y committees  7,a7 ,9 g5]al ,n   

lat] ?an #a ye> aft] ! date ( enactm5t (
 ?is ,act1 & annually !reaft]1 !        
,director ( ! ,bureau ( ,prisons & !    
,director ( ! ,unit$ ,/ates ,m>%als     
,s]vice %all ea* submit to ! ,judici>y  
,committee ( ! ,s5ate & ( ! ,h\se (     
,repres5tatives a report t c]tifies     
compliance ) ?is section & includes !   
in=mation requir$ to be report$ "u      
p>agraphs 7#a7 & 7#b74  7,b7 ,p]sonally 
id5tifiable in=mation ,! report "u ?is  
p>agraph %all n conta9 any p]sonally    
id5tifiable in=mation ( any prison]4    
7d7 ,notice ,n lat] ?an #bd h\rs aft] ! 
confirmation ( a prison]'s pregnancy by 
a heal? c>e pr(essional1 t prison] %all 
be notifi$1 orally & 9 writ+1 by an     
appropriate heal? c>e pr(essional1      
corrections (ficial or (fic]1 or ,unit$ 
,/ates ,m>%al1 z applicable1 (--  7#a7 !
 re/rictions on ! use ( re/ra9ts &      
re/rictive h\s+ placem5ts "u ?is        
section2  7#b7 ! prison]'s "r to make a 
confid5tial report ( a violation (      
re/rictions on ! use ( re/ra9ts or      

re/rictive h\s+ placem5t2 &  7#c7 t !   
facility /aff h be5 advis$ ( all rights 
( ! prison] "u subsection 7a74  7e7     
,violation report+ process ,n lat] ?an  
#ahj days aft] ! date ( enactm5t ( ?is  
,act1 ! ,director ( ! ,bureau (         
,prisons1 & ! ,director ( ! ,unit$      
,/ates ,m>%als ,s]vice %all e/abli%     
processes ?r\gh :i* a prison] may report
 a violation ( ?is section4  7f7        
,notification ( rights ,! head ( !      
,bureau ( ,prisons facility :]e a       
pregnant woman is 9 cu/ody %all notify  
all facility /aff ( ! pregnancy & ( !   
pregnant prison]'s rights "u subsection 
7a74  7g7 ,retaliation ,x %all be       
unlawful = any ,bureau ( ,prisons or    
,unit$ ,/ates ,m>%al ,s]vice employee to
 retaliate aga9/ a prison] = report+ "u 
! provisions ( subsection 7d7 a         
violation ( subsection 7a74  7h7        
education  7#a7 ,9 g5]al ,n lat] ?an    
#ahj days aft] ! date ( enactm5t ( ?is  
,act1 ! ,director ( ! ,bureau ( ,prisons
 & ! ,director ( ! ,unit$ ,/ates ,m>%als

 ,s]vice %all ea* develop education     
guidel9es reg>d+ ! physical & m5tal     
heal? ne$s ( pregnant prison]s1 & ! use 
( re/rictive h\s+ placem5ts & ! use (   
re/ra9ts on female prison]s dur+ ! p]iod
 ( pregnancy1 labor1 & po/p>tum recov]y1
 & %all incorporate su* guidel9es into  
appropriate education programs4 ,su*    
education guidel9es %all include--  7,a7
 h[ to id5tify c]ta9 symptoms (         
pregnancy t require imm$iate ref]ral to 
a heal? c>e pr(essional2  7,b7 9 ! case 
t an exception "u subsection 7b77#a7    
applies1 h[ to apply re/ra9ts 9 a way t 
does n h>m ! prison]1 ! fetus1 or !     
neonate2  7,c7 circum/ances "u :i* !    
exceptions "u subsection 7b77#c7 w\ld   
apply2  7,d7 ! in=mation requir$ to be  
report$ "u subsection 7d72 &  7,e7 ! "r 
( a heal? c>e pr(essional to reque/ t   
re/ra9ts n be us$1 & ! requirem5t "u    
subsection 7b77#b77;,b7 to comply ) su* 
a reque/4  7#b7 ,developm5t ( guidel9es 
,9 develop+ ! guidel9es requir$ by      
p>agraph 7#a71 ! ,directors %all ea*    

consult ) heal? c>e pr(essionals1       
pr(essional associations1 & ,unit$      
,/ates ,dep>tm5t ( ,heal? & ,human      
,s]vices entities ) exp]tise 9 c>+ =    
wom5 dur+ ! p]iod ( pregnancy & po/p>tum
 recov]y4  4  7b7 ,cl]ical am5dm5t ,!   
table ( sections at ! beg9n+ ( *apt]    
#cag ( title #ah1 ,unit$ ,/ates ,code1  
is am5d$ by add+ aft] ! item relat+ to  
section #dcba ! foll[+3  #dcbb4 ,use (  
re/ra9ts & re/rictive h\s+ on prison]s  
dur+ ! p]iod ( pregnancy1 labor1 &      
po/p>tum recov]y prohibit$ & to improve 
pregnancy c>e = wom5 9 ,f$]al prisons4  
4  #f4 ,def9itions  7a7 ,9 cu/ody ,! t]m
 9 cu/ody means1 ) reg>d to an          
individual1 t ! individual is "u !      
sup]vision ( a ,f$]al1 ,/ate1 tribal or 
local correctional facility1 includ+    
pretrial & contract facilities1 &       
juv5ile or m$ical or m5tal heal?        
facilities4  7b7 ,o!r pregnancy outcome 
,! t]m o!r pregnancy outcome means a    
pregnancy t ends 9 /illbir?1 misc>riage1
 ectopic pregnancy1 or o!r non-live bir?

 outcome4  7c7 ,po/p>tum recov]y ,! t]m 
po/p>tum recov]y means ! eight-week     
p]iod1 or long] z det]m9$ by ! heal?c>e 
pr(essional responsible = ! heal? &     
safety ( ! prison]1 foll[+ deliv]y1 &   
%all include ! entire p]iod t ! prison] 
is 9 ! hospital or infirm>y4  7d7       
,prison] or inmate ,! t]m prison] or    
inmate means a p]son :o has be5 s5t5c$  
to a t]m ( imprisonm5t pursuant to a    
conviction = a ,f$]al crim9al (f5se1 or 
a p]son 9 ! cu/ody ( ! ,bureau (        
,prisons1 includ+ a p]son 9 a ,bureau ( 
,prisons pre-trial or contract$         
facility1 or a p]son 9 ! cu/ody ( !     
,unit$ ,/ates ,m>%al ,s]vice1 includ+ a 
p]son 9 ! ,unit$ ,/ates ,m>%al contract$
 facility4  7e7 ,re/ra9ts ,! t]m        
re/ra9ts means any physical or me*anical
 device us$ to control ! movem5t ( a    
prison]'s body1 limbs1 or bo?4  7f7     
,re/rictive h\s+ ,! t]m re/rictive h\s+ 
means any type ( det5tion t involves--  
7#a7 removal f ! g5]al inmate           
population1 :e!r volunt>y or involunt>y2

  7#b7 placem5t 9 a lock$ room or cell1 
:e!r alone or ) ano!r inmate2 &  7#c7   
inability to leave ! room or cell = !   
va/ majority ( ! day4  #g4 ,s5se (      
,congress ,x is ! s5se ( ,congress t    
,/ates %\ld enact compreh5sive laws to  
ensure t ! heal? ne$s ( inc>c]at$ wom51 
includ+ wom5 dur+ ! p]iod ( pregnancy & 
po/p>tum recov]y1 are met1 & t su* laws 
%\ld include a prohibition ( ! use (    
re/rictive h\s+ & re/ra9ts on inmates   
dur+ ! p]iod ( pregnancy & po/p>tum     
recov]y t is sub/antially simil> to !   
re/riction "u section #dcbb ( title #ah1
 ,unit$ ,/ates ,code4  #h4 ,education & 
te*nical assi/ance ,! ,director ( !     
,bureau ( ,ju/ice ,assi/ance1 9         
consultation ) ! ,secret>y ( ,heal? &   
,human ,s]vices1 %all provide education 
& te*nical assi/ance1 9 conjunction ) ! 
appropriate public ag5cies1 at ,/ate &  
local correctional facilities t h\se    
wom5 & facilities 9 :i* inc>c]at$ wom5  
labor & give bir?1 9 ord] to--  7#a7    
educate ! employees ( su* facilities1   

includ+ heal? p]sonnel1 on ! dang]s &   
pot5tial m5tal heal? consequ5ces        
associat$ ) ! use ( re/rictive h\s+ &   
re/ra9ts on inc>c]at$ wom5 dur+         
pregnancy1 labor1 & po/p>tum recov]y1 & 
on alt]natives to ! use ( re/ra9ts &    
re/rictive h\s+ placem5t2  7#b7 fo/] a  
culture ( safe1 high-quality c>e 9 ^!   
facilities t voids ! use ( re/rictive   
h\s+ & re/ra9ts on inc>c]at$ wom5 dur+  
pregnancy1 labor1 & po/p>tum recov]y2   
7#c7 ensure t 9 ,/ates :i* h 9 place a  
law or policy t re/ricts ! use (        
re/rictive h\s+ & re/ra9ts on inc>c]at$ 
wom5 dur+ pregnancy1 labor1 & po/p>tum  
recov]y--  7,a7 employees at su*        
facilities c comply ) ! re/rictions 9 an
 effective mann]2 &  7,b7 adm9i/rators  
at su* facilities--  7i7 und]/& _!      
responsibilities1 & en=ce !             
responsibilities ( _! employees 9 c>ry+ 
out ! re/rictions on ! use ( re/ra9ts & 
re/rictive h\s+2  7ii7 e/abli% an       
(ficial process by :i* an inc>c]at$     
woman protect$ by ! ,/ate's re/riction  

on ! use ( re/ra9ts & re/rictive h\s+ c 
report a violation ( _! rights "u su*   
law or policy2  7iii7 provide inc>c]at$ 
wom5 "u _! sup]vision ) cle> in=mation  
reg>d+ _! rights "u ! ,/ate's           
re/rictions1 includ+ in=mation on h[ to 
report violations ( ^? rights2 &  7iv7  
provide to heal?c>e pr(essionals :o c>e 
= inc>c]at$ wom5 in=mation relat+ to !  
rights ( su* wom5 "u ! laws ( ! ,/ate1  
includ+ ! rights ( su* heal? c>e        
pr(essionals1 if any1 to require t      
re/ra9ts be remov$ or ! use ( re/rictive
 h\s+ be susp5d$2 &  7#d7 ensure t heal?
 p]sonnel outside ( correctional        
facilities und]/& _! "r to in=m         
correctional (fic]s to remove re/ra9ts1 
if applicable4  #i4 ,priority fund+ =   
,/ates t provide programs & s]vices =   
inc>c]at$ wom5 relat$ to pregnancy &    
*ildbir? ,! ,attorney ,g5]al %all take  
into consid]ation :5 det]m9+ ! am\nt    
provid$ to a ,/ate or locality "u a     
cov]$ grant program 9 accordance )      
f$]ally au?oriz$ grant programs1 if !   

,/ate or locality has enact$ & implem5t$
 s]vices or pilot programs = inc>c]at$  
pregnant wom5 aim$ at enhanc+ ! safety &
 wellness ( pregnant wom5 9 cu/ody1     
includ+ provid+ s]vices = ob/etrical &  
gynecological c>e1 res\rces & support   
s]vices = nutrition & physical & m5tal  
heal?1 resid5tial sub/ance use treatm5t1
 & po/-deliv]y nurs]y c>e or resid5tial 
programs to keep ! infant ) ! "m & to   
promote & facilitate bond+ skills =     
pregnant inmates4  #aj4 ,gov]nm5t       
,acc\ntability ,(fice /udy ,! ,gov]nm5t 
,acc\ntability ,(fice 7,,gao7 %all      
conduct a /udy ( s]vices & protections  
provid$ = pregnant inc>c]at$ wom5 9     
local & ,/ate correctional sett+s1      
includ+ policies on ob/etrical &        
gynecological c>e1 education on         
nutrition1 heal? & safety risks         
associat$ ) pregnancy1 m5tal heal? &    
sub/ance use treatm5t1 access to pr5atal
 & po/-deliv]y support s]vices &        
programs1 ! use ( re/ra9ts & re/rictive 
h\s+ placem5t1 & ! ext5t to :i* ! int5t 

( su* policies are fulfill$4