,i  #aag? ,,congress  #a/ ,session  ,h4 
,r4 #eiie  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,novemb] #ag1         
#bjba,mr4 ,emm] 7= himself1 ,mr4        
,lamborn1 ,mr4 ,rice ( ,s\? ,c>ol9a1    
,mr4 ,web] ( ,texas1 ,mr4 ,bo/1 ,mr4    
,mc,kinley1 ,mrs4 ,kim ( ,cali=nia1 ,mr4
 ,luetkemey]1 ,mr4 ,jackson1 ,mr4       
,=t5b]ry1 ,mr4 ,kelly ( ,mississippi1   
,mr4 ,craw=d1 ,mr4 ,banks1 ,mr4 ,mull91 
,ms4 ,salaz>1 ,mr4 ,smuck]1 ,mrs4       
,mill]-,meeks1 ,mrs4 ,lesko1 ,mr4       
,h>ris1 & ,mr4 ,norman7 introduc$ !     
foll[+ bill2 :i* 0 ref]r$ to !          
,committee on ,en]gy & ,comm]ce  ,a     
,,bill  ,to provide rese>* on1 & s]vices
 =1 individuals ) cl9ical m5tal heal?   
complications foll[+ a pregnancy loss1 &
 = o!r purposes4  #a4 ,%ort title ,?is  
,act may be cit$ z ! ,pregnancy ,loss   
,m5tal ,heal? ,rese>* ,act ( #bjba4  ,i 
,rese>* on cl9ical m5tal heal?          
complications foll[+ a pregnancy loss   
#aja4 ,expansion & int5sification (     
activities ( ,national ,in/itute (      

,m5tal ,heal?  7a7 ,9 g5]al ,! ,secret>y
 ( ,heal? & ,human ,s]vices1 act+ ?r\gh 
! ,director ( ! ,national ,in/itutes (  
,heal? & ! ,director ( ! ,national      
,in/itute ( ,m5tal ,heal? 79 ?is section
 ref]r$ to z ! ,in/itute71 %all exp& &  
int5sify rese>* & relat$ activities ( ! 
,in/itute ) respect to cl9ical m5tal    
heal? complications1 includ+ p]si/5t    
complex b]eavem5t disord]1 foll[+ a     
pregnancy loss 7includ+ a misc>riage1   
/illbir?1 or abortion74  7b7            
,coord9ation ) o!r ,in/itutes ,!        
,director ( ! ,in/itute %all coord9ate !
 activities ( ! ,director "u subsection 
7a7 ) simil> activities conduct$ by !   
o!r national rese>* in/itutes & ag5cies 
( ! ,national ,in/itutes ( ,heal? to !  
ext5t t su* ,in/itutes & ag5cies h      
responsibilities t are relat$ to cl9ical
 m5tal heal? complications foll[+ a     
pregnancy loss 7includ+ a misc>riage1   
/illbir?1 or abortion74  7c7 ,programs =
 pregnancy loss conditions ,9 c>ry+ out 
subsection 7a71 ! ,director ( !         

,in/itute %all conduct or support rese>*
 to exp& ! und]/&+ ( ! causes (1 & to   
id5tify treatm5t =1 m5tal heal?         
conditions foll[+ a pregnancy loss1     
includ+ ! foll[+3 7#a7 ,basic rese>*    
conc]n+ ! etiology & causes ( !         
conditions4  7#b7 ,! developm5t (       
improv$ scre5+ & diagno/ic te*niques4   
7#c7 ,cl9ical rese>* = ! developm5t &   
evaluation ( new treatm5ts1 includ+ new 
biological ag5ts4  7#d7 ,in=mation &    
education programs = heal? c>e          
pr(essionals & ! public4  7d7           
,longitud9al /udy  7#a7 ,9 g5]al ,!     
,director ( ! ,in/itute %all conduct a  
national longitud9al /udy to det]m9e !  
preval5ce ( m5tal heal? complications   
foll[+ a pregnancy loss1 & ! symptoms1  
sev]ity1 & duration ( su* cases1 t[>d ! 
goal ( m fully id5tify+ ! *>act]i/ics ( 
su* cases & develop+ diagno/ic          
te*niques4  7#b7 ,report ,beg9n+ n lat] 
?an #c ye>s aft] ! date ( ! enactm5t (  
?is ,act1 & p]iodically !reaft] = !     
duration ( ! /udy "u p>agraph 7#a71 !   

,director ( ! ,in/itute %all prep>e &   
submit to ! ,congress a report on !     
f9d+s ( ! /udy1 any progress ) respect  
to ! /udy1 & me?odologies us$ to conduct
 ! /udy4  #ajb4 ,au?orization (         
appropriations  7a7 ,9 g5]al ,= !       
purpose ( c>ry+ out ?is title1 !re is   
au?oriz$ to be appropriat$ #d1ejj1jjj = 
ea* ( ! fiscal ye>s #bjbb ?r\gh #bjbc4  
7b7 ,limitation ,any am\nts appropriat$ 
"u ?is title are subject to !           
requirem5ts & limitations "u sections   
#ejf & #ejg ( division ,h ( !           
,consolidat$ ,appropriations ,act1 #bjba
 7,public ,law #aaf-bfj7 9 ! same mann] 
& to ! same ext5t z if su* am\nts = ea* 
ye> 7 appropriat$ "u su* division4  ,,ii
 ,deliv]y ( s]vices ) respect to m5tal  
heal? complications foll[+ a pregnancy  
loss  #bja4 ,grant program = cl9ical    
m5tal heal? conditions foll[+ a         
pregnancy loss  7a7 ,9 g5]al ,!         
,secret>y ( ,heal? & ,human ,s]vices 79 
?is title ref]r$ to z ! ,secret>y7 %all 
9 accordance ) ?is title make grants to 

provide = projects = ! e/abli%m5t1      
op]ation1 & coord9ation ( effective &   
co/-effici5t sy/ems = ! deliv]y ( m5tal 
heal? s]vices to individuals /ruggl+ )  
cl9ical m5tal heal? conditions foll[+ a 
pregnancy loss4  7b7 ,recipi5ts ( grants
 ,a grant "u subsection 7a7 may be made 
to an entity only if ! entity-- 7#a7 is 
a public or nonpr(it private entity1 :i*
 may include a ,/ate or local gov]nm5t2 
a public or nonpr(it private hospital1  
community-bas$ organization1 community  
heal? c5t]1 migrant heal? c5t]1 or      
homeless heal? c5t]2 or o!r appropriate 
public or nonpr(it private entity2 &    
7#b7 has exp]i5ce 9 provid+ ! s]vices   
describ$ 9 subsection 7a7 be=e ! date ( 
! enactm5t ( ?is ,act4  7c7 ,c]ta9      
activities ,to ! ext5t practicable &    
appropriate1 ! ,secret>y %all ensure t  
projects "u subsection 7a7 provide      
s]vices = ! scre5+1 diagnosis1 &        
managem5t ( m5tal heal? conditions1     
includ+ p]si/5t complex b]eavem5t       
disord]s1 foll[+ a pregnancy loss4 ,su* 

activities may include ! foll[+3 7#a7   
,deliv]+ or enhanc+ outpati5t &         
home-bas$ heal? & support s]vices       
7includ+ case managem5t1 scre5+ & m5tal 
heal? treatm5t s]vices7 = individuals )1
 or :o are at risk ( develop+1 m5tal    
heal? complications foll[+ a pregnancy  
loss1 & deliv]+ or enhanc+ support      
s]vices = ! families ( su* individuals4 
7#b7 ,deliv]+ or enhanc+ inpati5t c>e   
managem5t s]vices t ensure ! well be+ ( 
! "m & family1 & ! future developm5t ( !
 infant4  7#c7 ,improv+ ! quality1      
availability1 & organization ( heal? c>e
 & support s]vices 7includ+             
transportation s]vices1 att5dant c>e1   
homemak] s]vices1 day or respite c>e1 & 
provid+ c\nsel+ on f9ancial assi/ance & 
insurance7 = individuals ) m5tal heal?  
conditions foll[+ a pregnancy loss4  7d7
 ,integration ) o!r programs ,to ! ext5t
 practicable & appropriate1 ! ,secret>y 
%all integrate ! program "u ?is title ) 
o!r grant programs c>ri$ out by !       
,secret>y1 includ+ ! program "u section 

#ccj ( ! ,public ,heal? ,s]vice ,act    
7#db ,u4,s4,c4 #bed;b74  7e7 ,limitation
 on am\nt ( grants ,a grant "u          
subsection 7a7 may n = any fiscal ye> be
 made 9 an am\nt exce$+ #ajj1jjj4  #bjb4
 ,c]ta9 requirem5ts = grant program =   
cl9ical m5tal heal? conditions foll[+ a 
pregnancy loss ,a grant may be made "u  
section #bja only if ! applicant involv$
 makes ! foll[+ agreem5ts3 7#a7 ,n m ?an
 #e p]c5t ( ! grant w be us$ =          
adm9i/ration1 acc\nt+1 report+1 &       
program ov]sight functions4  7#b7 ,!    
grant w be us$ to supplem5t & n supplant
 funds f o!r s\rces relat$ to ! treatm5t
 ( cl9ical m5tal heal? conditions foll[+
 a pregnancy loss4  7#c7 ,! applicant w 
abide by any limitations deem$          
appropriate by ! ,secret>y on any *>ges 
to individuals receiv+ s]vices pursuant 
to ! grant4 ,z deem$ appropriate by !   
,secret>y1 su* limitations on *>ges may 
v>y bas$ on ! f9ancial circum/ances ( ! 
individual receiv+ s]vices4  7#d7 ,!    
grant w n be exp5d$ to make paym5t =    

s]vices au?oriz$ "u section #bja7;a7 to 
! ext5t t paym5t has be5 made1 or c     
reasonably be expect$ to be made1 )     
respect to su* s]vices-- 7,a7 "u any    
,/ate comp5sation program1 "u an        
insurance policy1 or "u any ,f$]al or   
,/ate heal? b5efits program2 or  7,b7 by
 an entity t provides heal? s]vices on a
 prepaid basis4  7#e7 ,! applicant w1 at
 ea* site at :i* ! applicant provides   
s]vices "u section #bja7;a71 po/ a      
conspicu\s notice in=m+ individuals :o  
receive ! s]vices ( any ,f$]al policies 
t apply to ! applicant ) respect to !   
imposition ( *>ges on su* individuals4  
#bjc4 ,te*nical assi/ance ,! ,secret>y  
may provide te*nical assi/ance to assi/ 
entities 9 comply+ ) ! requirem5ts ( ?is
 title 9 ord] to make su* entities      
eligible to receive grants "u section   
#bja4  #bjd4 ,no funds = c]ta9 abortion 
provid]s  7a7 ,9 g5]al ,not)/&+ any o!r 
provision ( law1 none ( ! funds made    
available by ?is ,act may be made       
available ei!r directly1 ?r\gh a ,/ate  

7includ+ ?r\gh manag$ c>e contracts ) a 
,/ate71 or ?r\gh any o!r means1 to a    
prohibit$ entity4  7b7 ,prohibit$ entity
 ,! t]m prohibit$ entity means an       
entity1 includ+ its affiliates1         
subsidi>ies1 successors1 & cl9ics t1 z (
 ! date ( enactm5t ( ?is ,act-- 7#a7 is 
an organization describ$ 9 section      
#eja7;c77#c7 ( ! ,int]nal ,rev5ue ,code 
( #aihf & exempt f taxation "u section  
#eja7;a7 ( su* ,code2  7#b7 is an       
ess5tial community provid] describ$ 9   
section #aef4bce ( title #de1 ,code (   
,f$]al ,regulations 7z 9 effect on !    
date ( enactm5t ( ?is ,act71 t is       
prim>ily engag$ 9 family plann+ s]vices1
 reproductive heal?1 & relat$ m$ical    
c>e2 &  7#c7 p]=ms1 or provides any     
funds to any o!r entity t p]=ms1        
abortions1 o!r ?an-- 7,a7 9 ! case ( a  
pregnancy t is ! result ( an act ( rape 
or ince/2 or  7,b7 9 ! case :]e a woman 
suff]s f a physical disord]1 physical   
injury1 or physical illness t w\ld1 z   
c]tifi$ by a physician1 place ! woman 9 

dang] ( dea? unless an abortion is      
p]=m$1 includ+ a life endang]+ physical 
condition caus$ by1 or aris+ f1 !       
pregnancy itself4  7c7 ,end (           
prohibition ,! def9ition 9 subsection   
7b7 %all cease to apply to an entity if 
su* entity c]tifies t x1 includ+ its    
affiliates1 subsidi>ies1 successors1 &  
cl9ics1 w n p]=m1 & w n provide any     
funds to any o!r entity t p]=ms1 an     
abortion describ$ 9 subsection 7b77#c74 
7d7 ,repaym5t by prohibit$ entity ,!    
,secret>y ( ,heal? & ,human ,s]vices    
%all seek repaym5t ( any ,f$]al         
assi/ance receiv$ by any entity t _h    
made a c]tification describ$ 9          
subsection 7c7 & subsequ5tly violat$ !  
t]ms ( su* c]tification4  #bje4         
,au?orization ( appropriations  7a7 ,9  
g5]al ,= ! purpose ( c>ry+ out ?is      
title1 !re is au?oriz$ to be appropriat$
 #d1ejj1jjj = ea* ( ! fiscal ye>s #bjbb 
?r\gh #bjbc4  7b7 ,limitation ,any      
am\nts appropriat$ "u ?is title are     
subject to ! requirem5ts & limitations  

"u sections #ejf & #ejg ( division ,h ( 
! ,consolidat$ ,appropriations ,act1    
#bjba 7,public ,law #aaf-bfj7 9 ! same  
mann] & to ! same ext5t z if su* am\nts 
= ea* ye> 7 appropriat$ "u su* division4