,,ii #aaf? ,,congress #a/ ,session ,s4 #afde ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,may #bc 7legislative day1 ,may #bb71 #bjai,mr4 ,blum5?al 7= himself1 ,ms4 ,baldw91 ,mr4 ,m55dez1 ,mr4 ,br[n1 ,ms4 ,h>ris1 ,mr4 ,m]kley1 ,mr4 ,:iteh\se1 ,mr4 ,b5net1 ,mr4 ,m>key1 ,ms4 ,w>r51 ,mr4 ,c>d91 ,mr4 ,he9ri*1 ,ms4 ,/ab5[1 ,ms4 ,klobu*>1 ,mr4 ,te/]1 ,ms4 ,ros51 ,mr4 ,coons1 ,ms4 ,cortez ,ma/o1 ,mrs4 ,%ahe51 ,mr4 ,s&]s1 ,ms4 ,hirono1 ,ms4 ,hassan1 ,mr4 ,s*atz1 ,mr4 ,k+1 ,ms4 ,smi?1 ,mrs4 ,murray1 ,mr4 ,pet]s1 ,mr4 ,wyd51 ,mrs4 ,fe9/e91 ,mrs4 ,gillibr&1 ,mr4 ,murphy1 ,mr4 ,leahy1 ,ms4 ,duckwor?1 ,mr4 ,van ,holl51 ,mr4 ,c>p]1 ,ms4 ,cantwell1 ,mr4 ,book]1 ,mr4 ,w>n]1 ,mr4 ,udall1 ,mr4 ,s*um]1 ,mr4 ,ka9e1 ,mr4 ,durb91 & ,ms4 ,s9ema7 introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ! ,judici>y ,a ,,bill ,to protect a woman's ability to det]m9e :e!r & :5 to be> a *ild or end a pregnancy1 & to protect a heal? c>e provid]'s ability to provide reproductive heal? c>e s]vices1 includ+ abortion s]vices4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,wom5's ,heal? ,protection ,act ( #bjai4 #b4 ,f9d+s & purpose 7a7 ,f9d+s ,congress f9ds ! foll[+3 7#a7 ,access to safe1 legal abortion s]vices is ess5tial to wom5's heal? & c5tral to wom5's ability to p>ticipate equally 9 ! economic & social life ( ! ,unit$ ,/ates4 7#b7 ,s9ce #aigc1 ! ,supreme ,c\rt repeat$ly has recogniz$ ! con/itutional "r ( a woman to decide to t]m9ate h] pregnancy be=e fetal viability1 & to t]m9ate h] pregnancy aft] fetal viability :]e x is necess>y1 9 ! good-fai? m$ical judgm5t ( ! treat+ heal? c>e pr(essional1 = ! pres]vation ( h] life or heal?4 7#c7 ,none!less1 access to safe1 legal abortion s]vices has be5 h9d]$ across ! ,unit$ ,/ates 9 v>i\s ways1 includ+ blockades ( heal? c>e facilities & associat$ viol5ce1 prohibitions ( & re/rictions on insurance cov]age1 re/rictions :i* %ame & /igmatize wom5 seek+ abortion s]vices1 & m$ically unnecess>y regulations :i* nei!r conf] any heal? b5efit nor fur!r ! safety ( abortion s]vices1 b :i* h>m wom5 by delay+ access to1 & r$uc+ ! availability (1 s]vices4 ,s9ce #bjaj1 ,/ates & local gov]nm5ts h pass$ m ?an #djj su* re/rictions s+l+ out heal? c>e provid]s :o (f] abortion s]vices & int]f]+ ) heal? c>e provid]s' ability to provide reproductive heal? c>e s]vices & ! ability ( pati5ts to obta9 ^? s]vices4 7#d7 ,_m ,/ate & local gov]nm5ts h impos$ re/rictions on ! provision ( abortion t are nei!r evid5ce-bas$ nor g5]ally applicable to ! m$ical pr(ession or to o!r m$ically comp>able outpati5t gynecological proc$ures1 su* z endometrial ablations1 dilation & curettage = reasons o!r ?an abortion1 hy/]oscopies1 loop electrosurgical excision proc$ures1 or o!r analog\s non-gynecological proc$ures p]=m$ 9 simil> outpati5t sett+s includ+ vasectomy1 sigmoidoscopy1 & colonoscopy4 7#e7 ,legal abortion is "o ( ! safe/ m$ical proc$ures 9 ! ,unit$ ,/ates4 ,an indep5d5t review ( rese>* on ! safety & quality ( abortion s]vices 9 ! ,unit$ ,/ates1 publi%$ by ! ,national ,academies ( ,sci5ces1 ,eng9e]+1 & ,m$ic9e 9 #bjah1 f\nd t abortion 9 all =ms is safe & effective & t ! bigge/ ?reats to ! quality ( abortion s]vices 9 ! ,unit$ ,/ates are ,/ate regulations t create b>ri]s to c>e4 ,^! abortion-specific re/rictions conflict ) m$ical /&>ds & are n support$ by ! recomm5dations & guidel9es issu$ by lead+ reproductive heal? c>e pr(essional organizations includ+ ! ,am]ican ,college ( ,ob/etricians & ,gynecologi/s1 ! ,society ( ,family ,plann+1 ! ,national ,abortion ,f$]ation1 ! ,_w ,heal? ,organization1 & o!rs4 7#f7 ,_m abortion-specific re/rictions d n conf] any heal? or safety b5efits on ! pati5t4 ,in/ead1 ^! re/rictions h ! purpose & effect ( unduly burd5+ wom5's p]sonal & private m$ical decisions to end _! pregnancies by mak+ access to abortion s]vices m difficult1 invasive1 & co/ly1 =c+ wom5 to travel significant di/ances & make multiple unnecess>y visits to ! provid]1 & 9 "s cases1 =eclos+ ! option altoge!r4 ,= example1 a #bjah report f ! ,univ]sity ( ,cali=nia ,san ,francisco's ,advanc+ ,new ,/&>ds 9 ,reproductive ,heal? rese>* gr\p f\nd t 9 #bg cities across ! ,unit$ ,/ates1 p h to travel m ?an #ajj miles 9 any direction to rea* an abortion provid]4 7#g7 ,^! re/rictions additionally h>m wom5's heal? by r$uc+ access n only to abortion s]vices b also to ! o!r ess5tial heal? c>e s]vices (f]$ by ! provid]s t>get$ by ! re/rictions1 includ+-- 7,a7 contraceptive s]vices1 :i* advance wom5's heal? & provide a range ( b5efits1 includ+ prev5t+ un9t5d$ pregnancies & r$uc+ ! ne$ = abortion2 & 7,b7 scre5+s = c]vical canc] & sexually transmitt$ infections4 7#h7 ,! cumulative effect ( ^! num]\s re/rictions has be5 to sev]ely limit ! availability ( abortion s]vices 9 "s areas1 creat+ a pat*work sy/em :]e access to abortion s]vices is m available 9 "s ,/ates ?an 9 o!rs4 ,a #bjai report f ! ,gov]nm5t ,acc\ntability ,(fice exam9+ ,/ate ,m$icaid compliance ) abortion cov]age requirem5ts analyz$ #g key *all5ges 7id5tifi$ bo? by heal? c>e provid]s & rese>* lit]ature7 & _! effect on abortion access1 & f\nd t access to abortion s]vices v>i$ across ! ,/ates & ev5 )9 a ,/ate4 7#i7 ,! h>ms ( ^! abortion-specific re/rictions fall especially heavily on l[-income wom51 wom5 ( color1 immigrants1 "y p1 & wom5 liv+ 9 rural & o!r m$ically und]s]v$ areas4 7#aj7 ,abortion-specific re/rictions s+le out heal? s]vices us$ by wom51 & rely on & re9=ce /]eotypes ab\t wom5's roles1 wom5's decisionmak+1 & wom5's ne$ = protection4 ,^! re/rictions h>m ! basic autonomy1 dignity1 equality1 & ability ( wom5 to p>ticipate 9 ! social & economic life ( ! ,nation4 7#aa7 ,n all p :o become pregnant or ne$ abortion s]vices id5tify z wom54 ,access to abortion s]vices is critical to ! heal? ( e p]son reg>dless ( actual or p]ceiv$ race1 color1 national orig91 immigration /atus1 sex 7includ+ g5d] id5tity1 sex /]eotyp+1 or sexual ori5tation71 age1 or disability /atus4 ,?is ,act's protection is inclusive ( all pregnant p4 7#ab7 ,^! re/rictions affect ! co/ & availability ( abortion s]vices1 & ! sett+s 9 :i* abortion s]vices are deliv]$4 ,wom5 travel across ,/ate l9es & o!rwise engage 9 int]/ate comm]ce to access ?is important m$ical c>e1 & m w\ld be =c$ to d s abs5t ?is ,act4 ,likewise1 heal? c>e provid]s travel across ,/ate l9es & o!rwise engage 9 int]/ate comm]ce 9 ord] to provide reproductive heal? s]vices to pati5ts1 & m w\ld be =c$ to d s abs5t ?is ,act4 7#ac7 ,heal? c>e provid]s1 includ+ ^? :o provide abortion s]vices1 engage 9 a =m ( economic & comm]cial activity :5 !y provide abortion s]vices1 & !re is an int]/ate m>ket = abortion s]vices4 7#ad7 ,to provide abortion s]vices1 heal? c>e provid]s engage 9 int]/ate comm]ce to pur*ase m$ic9e1 m$ical equipm5t1 & o!r necess>y goods & s]vices4 ,to provide & assi/ o!rs 9 provid+ abortion s]vices1 heal? c>e provid]s engage 9 int]/ate comm]ce to obta9 & provide tra9+4 ,to provide abortion s]vices1 heal? c>e provid]s employ & obta9 comm]cial s]vices f doctors1 nurses1 & o!r p]sonnel :o engage 9 int]/ate comm]ce & travel across ,/ate l9es4 ,abortion re/rictions sub/antially affect int]/ate comm]ce 9 num]\s ways4 7#ae7 ,x is difficult & "t consum+ = cl9ics to *all5ge ,/ate laws t burd5 or imp$e abortion s]vices4 ,litigation t blocks "o abortion re/riction may n prev5t a ,/ate f adopt+ o!r abortion re/rictions or us+ diff]5t me?ods to burd5 or imp$e abortion s]vices4 ,!re is a hi/ory & patt]n ( ,/ates pass+ successive & diff]5t laws t imp$e & unduly burd5 abortion s]vices4 7#af7 ,:5 a heal? c>e provid] ceases provid+ abortion s]vices z a result ( burd5some & m$ically unnecess>y regulations1 x is (t5 difficult or impossible = t heal? c>e provid] to recomm5ce provid+ ^? abortion s]vices1 & difficult or impossible = o!r heal? c>e provid]s to provide abortion s]vices t re/ore or replace ! ceas$ abortion s]vices4 7#ag7 ,an ov]:elm+ majority ( abortions 9 ! ,unit$ ,/ates are provid$ 9 cl9ics1 n hospitals4 ,! l>ge majority ( ,unit$ ,/ates c\nties h no cl9ics t provide abortion4 7#ah7 ,congress has ! au?ority to enact ?is ,act to protect abortion s]vices pursuant to-- 7,a7 its p[]s "u ! comm]ce clause ( section #h ( article ,i ( ! ,con/itution ( ! ,unit$ ,/ates2 7,b7 its p[]s "u section #e ( ! ,f\rte5? ,am5dm5t to ! ,con/itution ( ! ,unit$ ,/ates to en=ce ! provisions ( section #a ( ! ,f\rte5? ,am5dm5t2 & 7,c7 its p[]s "u ! necess>y & prop] clause ( section #h ( article ,i ( ! ,con/itution ( ! ,unit$ ,/ates4 7#ai7 ,congress has us$ its au?ority 9 ! pa/ to protect wom5's ability to access abortion s]vices & heal? c>e provid]s' ability to provide abortion s]vices4 ,9 ! e>ly #aiijs1 prote/s & blockades at heal? c>e facilities :]e abortion s]vices 7 provid$1 & associat$ viol5ce1 increas$ dramatically & rea*$ crisis level1 requir+ congressional action4 ,congress pass$ ! ,fre$om ( ,access to ,cl9ic ,entrances ,act 7,public ,law #ajc-bei2 #ajh ,/at4 #fid7 to address t situation & protect physical access to abortion s]vices4 7#bj7 ,congressional action is necess>y to put an end to h>mful re/rictions1 to f$]ally protect access to abortion s]vices = all wom5 reg>dless ( :]e !y live1 & to protect ! ability ( reproductive heal? c>e provid]s to provide ^! s]vices 9 a safe & accessible mann]4 7b7 ,purpose ,x is ! purpose ( ?is ,act-- 7#a7 to p]mit heal? c>e provid]s to provide abortion s]vices )\t limitations or requirem5ts t s+le out ! provision ( abortion s]vices = re/rictions t are m burd5some ?an ^? re/rictions impos$ on m$ically comp>able proc$ures1 d n significantly advance wom5's heal? or ! safety ( abortion s]vices1 & make abortion s]vices m difficult to access2 7#b7 to promote wom5's heal? & wom5's ability to p>ticipate equally 9 ! economic & social life ( ! ,unit$ ,/ates2 & 7#c7 to invoke congressional au?ority1 includ+ ! p[]s ( ,congress "u ! comm]ce clause ( section #h ( article ,i ( ! ,con/itution ( ! ,unit$ ,/ates1 its p[]s "u section #e ( ! ,f\rte5? ,am5dm5t to ! ,con/itution ( ! ,unit$ ,/ates to en=ce ! provisions ( section #a ( ! ,f\rte5? ,am5dm5t1 & its p[]s "u ! necess>y & prop] clause ( section #h ( article ,i ( ! ,con/itution ( ! ,unit$ ,/ates4 #c4 ,def9itions ,9 ?is ,act3 7#a7 ,abortion s]vices ,! t]m abortion s]vices means an abortion & any m$ical or non-m$ical s]vices relat$ to & provid$ 9 conjunction ) an abortion 7:e!r or n provid$ at ! same "t or on ! same day z ! abortion74 7#b7 ,heal? c>e provid] ,! t]m heal? c>e provid] means any entity or individual 7includ+ any physician1 c]tifi$ nurse-midwife1 nurse practition]1 & physician assi/ant7 t is-- 7,a7 engag$ 9 ! deliv]y ( heal? c>e s]vices1 includ+ abortion s]vices2 & 7,b7 if requir$ by law or regulation to be lic5s$ or c]tifi$ to engage 9 ! deliv]y ( su* s]vices1 is s lic5s$ or c]tifi$4 7#c7 ,m$ically comp>able proc$ures ,! t]m m$ically comp>able proc$ures means m$ical proc$ures t are simil> 9 t]ms ( heal? & safety risks to ! pati5t1 complexity1 or ! cl9ical sett+ t is indicat$4 7#d7 ,pregnancy ,! t]m pregnancy ref]s to ! p]iod ( ! human reproductive process beg9n+ ) ! implantation ( a f]tiliz$ egg4 7#e7 ,viability ,! t]m viability means ! po9t 9 a pregnancy at :i*1 9 ! good-fai? m$ical judgm5t ( ! treat+ heal? c>e provid]1 bas$ on ! p>ticul> facts ( ! case be=e ! heal? c>e provid]1 !re is a reasonable likelihood ( su/a9$ fetal survival outside ! ut]us ) or )\t artificial support4 #d4 ,p]mitt$ s]vices 7a7 ,g5]al rule ,a heal? c>e provid] has a /atutory "r "u ?is ,act to provide abortion s]vices1 & may provide abortion s]vices1 & t provid]'s pati5t has a correspond+ "r to receive su* s]vices1 )\t any ( ! foll[+ limitations or requirem5ts3 7#a7 ,a requirem5t t a heal? c>e provid] p]=m specific te/s or m$ical proc$ures 9 connection ) ! provision ( abortion s]vices1 unless g5]ally requir$ = ! provision ( m$ically comp>able proc$ures4 7#b7 ,a requirem5t t ! same heal? c>e provid] :o provides abortion s]vices also p]=m specifi$ te/s1 s]vices1 or proc$ures prior to or subsequ5t to ! abortion4 7#c7 ,a requirem5t t a heal? c>e provid] (f] or provide ! pati5t seek+ abortion s]vices m$ically inaccurate in=mation 9 advance ( or dur+ abortion s]vices4 7#d7 ,a limitation on a heal? c>e provid]'s ability to prescribe or disp5se drugs bas$ on curr5t evid5ce-bas$ regim5s or ! provid]'s good-fai? m$ical judgm5t1 o!r ?an a limitation g5]ally applicable to ! m$ical pr(ession4 7#e7 ,a limitation on a heal? c>e provid]'s ability to provide abortion s]vices via telem$ic9e1 o!r ?an a limitation g5]ally applicable to ! provision ( m$ical s]vices via telem$ic9e4 7#f7 ,a requirem5t or limitation conc]n+ ! physical plant1 equipm5t1 /aff+1 or hospital transf] arrangem5ts ( facilities :]e abortion s]vices are provid$1 or ! cr$5tials or hospital privileges or /atus ( p]sonnel at su* facilities1 t is n impos$ on facilities or ! p]sonnel ( facilities :]e m$ically comp>able proc$ures are p]=m$4 7#g7 ,a requirem5t t1 prior to obta9+ an abortion1 a pati5t make "o or m m$ically unnecess>y 9-p]son visits to ! provid] ( abortion s]vices or to any individual or entity t does n provide abortion s]vices4 7#h7 ,a prohibition on abortion prior to fetal viability1 includ+ a prohibition or re/riction on a p>ticul> abortion proc$ure4 7#i7 ,a prohibition on abortion aft] fetal viability :51 9 ! good-fai? m$ical judgm5t ( ! treat+ heal? c>e provid]1 cont9uation ( ! pregnancy w\ld pose a risk to ! pregnant pati5t's life or heal?4 7#aj7 ,a limitation on a heal? c>e provid]'s ability to provide imm$iate abortion s]vices :5 t heal? c>e provid] believes1 bas$ on ! good-fai? m$ical judgm5t ( ! provid]1 t delay w\ld pose a risk to ! pati5t's heal?4 7#aa7 ,a requirem5t t a pati5t seek+ abortion s]vices prior to fetal viability /ate ! pati5t's reasons = seek+ abortion s]vices1 or a limitation on ! provision ( abortion s]vices prior to fetal viability bas$ on ! pati5t's reasons or p]ceiv$ reasons = obta9+ abortion s]vices4 7b7 ,o!r limitations or requirem5ts ,a heal? c>e provid] has a /atutory "r to provide abortion s]vices1 & may provide abortion s]vices1 & t provid]'s pati5t has a correspond+ "r to receive su* s]vices1 )\t a limitation or requirem5t t-- 7#a7 is ! same z or simil> to "o or m ( ! limitations or requirem5ts describ$ 9 subsection 7a72 or 7#b7 bo?-- 7,a7 s+les out ! provision ( abortion s]vices1 heal? c>e provid]s :o provide abortion s]vices1 or facilities 9 :i* abortion s]vices are provid$2 & 7,b7 imp$es access to abortion s]vices bas$ on "o or m ( ! factors describ$ 9 subsection 7c74 7c7 ,factors = consid]ation ,factors = a c\rt to consid] 9 det]m9+ :e!r a limitation or requirem5t imp$es access to abortion s]vices = purposes ( subsection 7b77#b77;,b7 include ! foll[+3 7#a7 ,:e!r ! limitation or requirem5t int]f]es ) a heal? c>e provid]'s ability to provide c>e & r5d] s]vices 9 accordance ) ! provid]'s good-fai? m$ical judgm5t4 7#b7 ,:e!r ! limitation or requirem5t is reasonably likely to delay "s pati5ts 9 access+ abortion s]vices4 7#c7 ,:e!r ! limitation or requirem5t is reasonably likely to directly or indirectly increase ! co/ ( provid+ abortion s]vices or ! co/ = obta9+ abortion s]vices 7includ+ co/s associat$ ) travel1 *ildc>e1 or "t (f "w74 7#d7 ,:e!r ! limitation or requirem5t is reasonably likely to h ! effect ( necessitat+ a trip to ! (fices ( a heal? c>e provid] t w\ld n o!rwise be requir$4 7#e7 ,:e!r ! limitation or requirem5t is reasonably likely to result 9 a decrease 9 ! availability ( abortion s]vices 9 a giv5 ,/ate or geographic region4 7#f7 ,:e!r ! limitation or requirem5t imposes p5alties t are n impos$ on o!r heal? c>e provid]s = comp>able conduct or failure to act1 or t are m sev]e ?an p5alties impos$ on o!r heal? c>e provid]s = comp>able conduct or failure to act4 7#g7 ,! cumulative impact ( ! limitation or requirem5t comb9$ ) o!r new or exi/+ limitations or requirem5ts4 7d7 ,exception ,to def5d aga9/ a claim t a limitation or requirem5t violates a heal? c>e provid]'s or pati5t's /atutory rights "u subsection 7b71 a p>ty mu/ e/abli%1 by cle> & conv9c+ evid5ce1 t-- 7#a7 ! limitation or requirem5t significantly advances ! safety ( abortion s]vices or ! heal? ( pati5ts2 & 7#b7 ! safety ( abortion s]vices or ! heal? ( pati5ts _c be advanc$ by a less re/rictive alt]native measure or action4 7e7 ,applicability 7#a7 ,g5]al relation%ip to ,f$]al law ,except z /at$ 9 p>agraph 7#b71 ?is ,act sup]s$es & applies to all ,f$]al law1 & ! implem5tation ( t law1 :e!r /atutory or o!rwise1 & :e!r adopt$ be=e or aft] ! date ( enactm5t ( ?is ,act1 not)/&+ any o!r provision ( ,f$]al law1 includ+ ! ,religi\s ,fre$om ,re/oration ,act ( #aiic 7#db ,u4,s4,c4 #bjjj;bb et seq474 7#b7 ,limitations ,! provisions ( ?is ,act %all n sup]s$e or apply to-- 7,a7 laws regulat+ physical access to cl9ic entrances2 7,b7 insurance or m$ical assi/ance cov]age ( abortion s]vices2 7,c7 ! proc$ure describ$ 9 section #aeca7;b77#a7 ( title #ah1 ,unit$ ,/ates ,code2 or 7,d7 g5]ally applicable ,/ate contract law4 #e4 ,relation%ip to ,/ate law & preemption ,no ,/ate1 t]ritory1 or possession ( ! ,unit$ ,/ates1 or ! ,di/rict ( ,columbia1 or ! ,commonweal? ( ,pu]to ,rico1 or subdivision1 bran*1 dep>tm5t1 ag5cy1 in/rum5tality1 or (ficial 7or o!r p]son act+ "u color ( law7 ( any ( ! =go+1 %all enact or en=ce any law1 rule1 regulation1 /&>d1 or o!r provision hav+ ! =ce & effect ( law t conflicts ) any provision ( ?is ,act4 #f4 ,effective date ,?is ,act %all take effect imm$iately ^u ! date ( enactm5t ( ?is ,act4 ,?is ,act %all apply to all re/rictions on ! provision (1 or access to1 abortion s]vices :e!r ! re/rictions are enact$ or impos$ prior to or aft] ! date ( enactm5t ( ?is ,act1 except z o!rwise provid$ 9 ?is ,act4 #g4 ,lib]al con/ruction 7a7 ,lib]al con/ruction ,9 int]pret+ ! provisions ( ?is ,act1 a c\rt %all lib]ally con/rue su* provisions to effectuate ! purposes ( ! ,act4 7b7 ,rule ( con/ruction ,no?+ 9 ?is ,act %all be con/ru$ to au?orize any gov]nm5t to int]f]e ) a woman's ability to t]m9ate h] pregnancy1 to dim9i% or 9 any way negatively affect a woman's con/itutional "r to t]m9ate h] pregnancy1 or to displace any o!r rem$y = violations ( ! con/itutional "r to t]m9ate a pregnancy4 #h4 ,en=cem5t 7a7 ,attorney g5]al ,! ,attorney ,g5]al may comm5ce a civil action = prospective injunctive relief on behalf ( ! ,unit$ ,/ates aga9/ any gov]nm5t (ficial t is *>g$ ) implem5t+ or en=c+ any limitation or requirem5t t is *all5g$ z a violation ( a /atutory "r "u ?is ,act4 ,! c\rt %all hold unlawful & set aside ! limitation or requirem5t if x is 9 violation ( ?is ,act4 7b7 ,private "r ( action 7#a7 ,9 g5]al ,any individual or entity1 includ+ any heal? c>e provid]1 aggriev$ by an alleg$ violation ( ?is ,act may comm5ce a civil action = prospective injunctive relief aga9/ ! gov]nm5t (ficial t is *>g$ ) implem5t+ or en=c+ ! limitation or requirem5t t is *all5g$ z a violation ( a /atutory "r "u ?is ,act4 ,! c\rt %all hold unlawful & set aside ! limitation or requirem5t if x is 9 violation ( ?is ,act4 7#b7 ,heal? c>e provid] ,a heal? c>e provid] may comm5ce an action = prospective injunctive relief on its own behalf &_/or on behalf ( ! provid]'s pati5ts :o are or may be adv]sely affect$ by an alleg$ violation ( ?is ,act4 7c7 ,equitable relief ,9 any action "u ?is section1 ! c\rt may aw>d appropriate equitable relief1 includ+ tempor>y1 prelim9>y1 or p]man5t injunctive relief4 7d7 ,co/s ,9 any action "u ?is section1 ! c\rt %all aw>d co/s ( litigation1 z well z reasonable attorney fees1 to any prevail+ pla9tiff4 ,a pla9tiff %all n be liable to a def5dant = co/s 9 any non-frivol\s action "u ?is section4 7e7 ,jurisdiction ,! di/rict c\rts ( ! ,unit$ ,/ates %all h jurisdiction ov] proce$+s "u ?is ,act & %all ex]cise ! same )\t reg>d to :e!r ! p>ty aggriev$ %all h exhau/$ any adm9i/rative or o!r rem$ies t may be provid$ = by law4 7f7 ,abrogation ( /ate immunity ,a ,/ate %all n be immune "u ! ,elev5? ,am5dm5t to ! ,con/itution ( ! ,unit$ ,/ates f an action 9 ,f$]al or ,/ate c\rt ( compet5t jurisdiction = a violation ( ?is ,act4 ,9 any action aga9/ a ,/ate = a violation ( ! requirem5ts ( ?is ,act1 rem$ies 7includ+ rem$ies bo? at law & 9 equity7 are available = su* a violation to ! same ext5t z su* rem$ies are available = su* a violation 9 an action aga9/ any public or private entity o!r ?an a ,/ate4 #i4 ,sev]ability ,if any provision ( ?is ,act1 or ! application ( su* provision to any p]son1 entity1 gov]nm5t1 or circum/ance1 is held to be uncon/itutional1 ! rema9d] ( ?is ,act1 or ! application ( su* provision to all o!r p]sons1 entities1 gov]nm5ts1 or circum/ances1 %all n be affect$ !reby4