,,ii  #aafth ,,congress  #b;d ,session  
,s4 #dfeh  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,september #bc1
 #bjbj,mr4 ,lankford 7for himself1 ,mr4 
,braun1 ,mr4 ,cramer1 ,mrs4 ,loeffler1  
,mr4 ,inhofe1 ,mr4 ,rubio1 ,mr4 ,risch1 
,mr4 ,cornyn1 ,mr4 ,moran1 ,mr4 ,crapo1 
,mr4 ,scott of ,florida1 ,mr4 ,hawley1  
,mr4 ,kennedy1 ,mr4 ,thune1 ,mr4 ,lee1  
and ,mr4 ,rounds7 introduced the        
following bill2 which was read twice and
 referred to the ,committee on ,finance 
,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 subsections
 7g7 and 7tt712 and  7#b7 by adding at  
the end the following new subsection3   
7tt7 ,rules with respect to             
determination of participation of       
providers who perform1 or participate in
 the performance of1 abortions  7#a7 ,in
 general ,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 a waiver of such plan7  
of an institution1 an agency1 an entity1
 or a 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