,,ii  #aaf? ,,congress  #a/ ,session    
,s4 #aiic  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,june #bf1 #bjai ,mr4  
,cram] 7= himself1 ,mr4 ,da9es1 & ,mrs4 
,blackburn7 introduc$ ! foll[+ bill2 :i*
 0 read twice & ref]r$ to ! ,committee  
on ,heal?1 ,education1 ,labor1 &        
,p5sions  ,a ,,bill  ,to re/rict ,f$]al 
fund+ = heal? c>e entities t d n respect
 all human life & pati5t rights4  #a4   
,%ort title  ,?is ,act may be cit$ z !  
,pati5t ,rights ,act4  #b4 ,re/riction  
on ,f$]al fund+ = heal? c>e entities t d
 n respect all human life & pati5t      
rights  7a7 ,9 g5]al ,subject to section
 #d1 no funds appropriat$ by ,congress =
 ! purpose ( pay+ 7directly or          
indirectly1 9 :ole or 9 "p7 = !         
provision ( heal? c>e s]vices %all be   
paid to any entity1 unless ! entity     
c]tifies to ! ,secret>y ( ,heal? &      
,human ,s]vices 7ref]r$ to 9 ?is ,act z 
! ,secret>y7 t ! entity respects all    
human life & pati5t rights by ensur+ t  
any heal? c>e practition] employ$ by1 or

 utiliz+ ! facilities or res\rces (1 su*
 entity--  7#a7 ex]cises ! same degree (
 pr(essional skill1 c>e1 & dilig5ce to  
pres]ve ! life & heal? ( any pati5t z a 
reasonably dilig5t & consci5ti\s heal?  
c>e practition] w\ld r5d] to a pati5t 9 
a diff]5t /ate ( functionality1         
developm5t1 or degree ( dep5d5ce1       
includ+ a pati5t :o is--  7,a7 unborn2  
7,b7 newly born2  7,c7 born prematurely2
  7,d7 pregnant2  7,e7 eld]ly2  7,f7    
m5tally or physically disabl$2  7,g7    
t]m9ally ill2  7,h7 9 a p]si/5t         
vegetative /ate2  7,i7 unresponsive or  
comatose2 or  7,j7 o!rwise incapable (  
self-advocacy2  7#b7 does n int5tionally
 end ! life (1 or o!rwise h>m1 any      
pati5t1 includ+ any pati5t describ$ 9   
p>agraph 7#a71 by any means or = any    
reason1 includ+ by ! use or prescription
 ( any in/rum5t1 m$ic9e1 drug1 or any   
o!r sub/ance or device2 &  7#c7 does n  
in/itute a d-n-resuscitate ord] or a    
simil> ord] ) respect to any pati5t =   
any reason )\t obta9+ ! prior cons5t (  

an applicable individual describ$ 9     
section #d7a77;,a74  7b7 ,rule (        
con/ruction ,subsection 7a7 describes ! 
m9imum /&>d ( c>e requir$ ( entities    
describ$ 9 su* p>agraph4 ,no?+ 9 ?is    
subsection %all be con/ru$ z a reason = 
a practition] to n help a pati5t :o is 9
 a worse or diff]5t condition ?an !     
cases describ$ 9 p>agraph 7#a74  #c4    
,violations  7a7 ,review by ! secret>y  
,beg9n+ n lat] ?an #a ye> aft] ! date ( 
enactm5t ( ?is ,act1 ! ,secret>y1 n less
 frequ5tly ?an once e #e ye>s1 %all     
conduct a review ( ea* entity t receives
 funds describ$ 9 section #b to det]m9e 
:e!r su* entities are 9 compliance ) su*
 section4  7b7 ,suspect$ violation      
reports ,! ,secret>y %all e/abli% a     
process by :i*-- 7#a7 suspect$          
violations ( section #b may be          
confid5tially report$ to ! ,director ( !
 ,(fice = ,civil ,rights ( ! ,dep>tm5t (
 ,heal? & ,human ,s]vices2 &  7#b7 !    
,secret>y fully inve/igates ea* report  
receiv$ "u p>agraph 7#a74  7c7 ,public  

database ,! ,secret>y %all e/abli% &    
ma9ta9 a public1 onl9e1 se>*able        
database ( ! entities subject to ?is    
section1 indicat+ :e!r ea* su* entity is
 9 compliance ) ! requirem5ts ( section 
#b4  7d7 ,en=cem5t ,any entity f\nd to  
violate ! requirem5ts ( section #b %all 
be ineligible = fund+ describ$ 9 su*    
subsections = a p]iod ( at lea/ #a ye>4 
,aft] su* #a-ye> p]iod1 su* fund+ %all  
be re9/at$ ^u a review conduct$ by !    
,secret>y t confirms t ! entity is 9    
compliance ) su* requirem5ts4  7e7      
,civil action = c]ta9 violations  7#a7  
,9 g5]al ,! ,attorney ,g5]al or any     
p]son adv]sely affect$ by an actual or  
?reat5$ violation ( section #b1 includ+ 
! p>5ts1 *ildr51 sp\se1 or legal gu>dian
 ( a pati5t1 may1 9 a civil action1     
obta9 appropriate relief ) reg>d to su* 
violation4  7#b7 ,adm9i/rative rem$ies n
 requir$ ,an action "u ?is subsection   
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$ies4  7#c7 ,def5dants 9
 actions "u ?is section may include     
gov]nm5tal entities or o!rs ,an action  
"u ?is subsection may be ma9ta9$ aga9/1 
among o!rs1 a p>ty t is a ,f$]al1 ,/ate1
 or local gov]nm5tal entity4 ,relief 9  
an action "u ?is p>agraph may include   
money damages ev5 if ! def5dant is su* a
 gov]nm5tal entity4 ,an action "u ?is   
p>agraph may n be ma9ta9$ aga9/ a woman 
^u :om an abortion is p]=m$ or attempt$ 
to be p]=m$ 9 violation ( section #b4   
7#d7 ,nature ( relief ,9 an action "u   
?is subsection1 ! c\rt %all grant-- 7,a7
 all necess>y equitable & legal relief1 
includ+1 :]e appropriate1 decl>atory    
relief1 injunctive relief1 civil        
p5alties1 & comp5satory damages1 to     
prev5t ! occurr5ce1 cont9uance1 or      
repetition ( ! actual or ?reat5$        
violation ( section #b & to comp5sate = 
losses result+ f su* violation2 &  7,b7 
to a prevail+ pla9tiff1 reasonable      
attorneys' fees & litigation exp5ses z  
"p ( ! co/s4  #d4 ,con/ruction &        

treatm5t ( c]ta9 s]vices ,no?+ 9 ?is    
,act %all be con/ru$ to apply to or to  
affect any limitation relat+ to--  7#a7 
! )hold+ or )draw+ ( life-sav+ or       
life-su/a9+ m$ical treatm5t or m$ical   
c>e if--  7,a7 7i7 su* )hold+ or )draw+ 
is aft] in=m$ cons5t has be5 provid$    
by-- 7,i7 ! pati5t2  7,,ii7 9 ! case :]e
 ! pati5t is incapable ( decision mak+1 
an individual au?oriz$ to make heal? c>e
 decisions on behalf (1 & 9 ! be/       
int]e/s (1 ! pati5t2 or  7,,iii7 9 !    
case :]e ! pati5t is a m9or1 ! pati5t & 
! pati5t's p>5t or legal gu>dian1 or    
ano!r individual au?oriz$ to make heal? 
c>e decisions on behalf (1 & 9 ! be/    
int]e/s (1 ! pati5t2 or  7ii7 9 ! case  
:]e an individual describ$ 9 clause 7i7 
is n available to provide in=m$ cons5t1 
z describ$ 9 su* clause1 ! entity       
provides suffici5t opportunity = an     
individual describ$ 9 clause 7i77,,ii7  
to pres5t & provide in=m$ cons5t = su*  
)hold+ or )draw+2 &  7,b7 any individual
 provid+ in=m$ cons5t z describ$ 9      

subp>agraph 7,a7 is af=d$ suffici5t     
opportunity to arrange = ! pati5t's     
transf] to ano!r heal? c>e provid] will+
 to provide life-sav+ or life-su/a9+    
m$ical treatm5t or m$ical c>e t is n    
available 9 ! entity2  7#b7 ! )hold+ or 
)draw+ ( nutrition or hydration if--    
7,a7 su* )hold+ or )draw+ is n = !      
purpose ( caus+1 or ! purpose ( assi/+ 9
 caus+1 dea?1 = any reason2 &  7,b7 !   
conditions ( p>agraph 7#a7 are met2     
7#c7 ! use ( an item1 good1 b5efit1 or  
s]vice furni%$ = ! purpose ( alleviat+  
pa9 or discom=t1 ev5 if su* use may     
increase ! risk ( dea?1 s long z su*    
item1 good1 b5efit1 or s]vice is n also 
furni%$ = ! purpose ( caus+1 or !       
purpose ( assi/+ 9 caus+1 dea?1 = any   
reason2 or  7#d7 any m$ical proc$ure    
requir$ to prev5t ! dea? ( a pregnant   
woman or h] unborn *ild1 s long z e     
reasonable ef=t is made to pres]ve !    
life ( all pati5ts4  #e4 ,li/ ( programs
 to :i* re/rictions apply  7a7 ,f$]al   
heal? c>e fund+ programs ,section #b    

applies to funds appropriat$ "u or to   
c>ry out ! foll[+3 7#a7 ,! ,m$ic>e      
program "u title ,,xviii ( ! ,social    
,security ,act 7#db ,u4,s4,c4 #acie et  
seq474  7#b7 ,! ,m$icaid program "u     
title ,,xix ( ! ,social ,security ,act  
7#db ,u4,s4,c4 #acif et seq474  7#c7    
,title ,,xx ( ! ,social ,security ,act  
7#db ,u4,s4,c4 #acig et seq474  7#d7    
,title ,v ( ! ,social ,security ,act    
7#db ,u4,s4,c4 #gja et seq474  7#e7 ,!  
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bja et seq474  7#f7 ,!       
,indian ,heal? ,c>e ,improvem5t ,act    
7#be ,u4,s4,c4 #afja et seq474  7#g7 ,! 
,f$]al ,employees ,heal? ,b5efits       
program "u *apt] #hi ( title #e1 ,unit$ 
,/ates ,code4  7#h7 ,! ,milit>y heal?   
c>e sy/em 7includ+ ,,tric>e & ,,*ampus  
programs7 "u *apt] #ee ( title #aj1     
,unit$ ,/ates ,code4  7#i7 ,vet]ans     
m$ical c>e "u *apt] #ag ( title #ch1    
,unit$ ,/ates ,code4  7#aj7 ,heal?      
s]vices = ,peace ,corps volunte]s "u    
section #e7;e7 ( ! ,peace ,corps ,act   

7#bb ,u4,s4,c4 #bejd7;e774  7#aa7       
,m$ical s]vices = ,f$]al prison]s "u    
section #djje7;a7 ( title #ah1 ,unit$   
,/ates ,code4  7#ab7 ,! ,pati5t         
,protection & ,af=dable ,c>e ,act       
7,public ,law #aaa-adh74  7b7 ,f$]al    
facilities & p]sonnel ,! provisions (   
section #b apply to facilities &        
p]sonnel ( ! foll[+3 7#a7 ,! ,dep>tm5t (
 ,def5se op]at+ "u *apt] #ee ( title    
#aj1 ,unit$ ,/ates ,code4  7#b7 ,!      
,vet]ans ,heal? ,adm9i/ration ( !       
,dep>tm5t ( ,vet]ans ,affairs4  7#c7 ,! 
,public ,heal? ,s]vice4  7c7            
,nonexclusive li/ ,no?+ 9 ?is section   
%all be con/ru$ z limit+ ! application (
 section #b to ! programs specifi$ 9    
subsection 7a7 or ! facilities &        
p]sonnel specifi$ 9 subsection 7b74  #f4
 ,relation to o!r laws ,! provisions (  
?is ,act sup]s$e o!r ,f$]al laws        
7includ+ laws enact$ aft] ! date ( !    
enactm5t ( ?is ,act7 except to ! ext5t  
su* laws specifically sup]s$e !         
provisions ( ?is ,act4  #g4 ,effective  

date  7a7 ,9 g5]al ,! provisions ( ?is  
,act take effect on ! dates ( enactm5t (
 ?is ,act & apply to ,f$]al paym5ts made
 pursuant to obligations incurr$ aft] ! 
date ( ! enactm5t ( ?is ,act4  7b7      
,application to contracts ,su*          
provisions %all apply ) respect to      
contracts ent]$ into1 r5ew$1 or ext5d$  
aft] ! date ( ! enactm5t ( ?is ,act &   
%all also apply to a contract ent]$ into
 be=e su* date to ! ext5t p]mitt$ "u su*
 contract4