,,ii  #aag? ,,congress  #a/ ,session    
,s4 #bcij  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,july #bj1 #bjba,ms4   
,duckwor? 7= h]self1 ,mrs4 ,gillibr&1   
,mr4 ,blum5?al1 & ,ms4 ,baldw97         
introduc$ ! foll[+ bill2 :i* 0 read     
twice & ref]r$ to ! ,committee on       
,heal?1 ,education1 ,labor1 & ,p5sions  
,a ,,bill  ,to all[ ,am]icans to receive
 paid leave "t to process & address _!  
own heal? ne$s & ! heal? ne$s ( _!      
p>tn]s dur+ ! p]iod foll[+ a pregnancy  
loss1 an unsuccessful r\nd ( intraut]9e 
insem9ation or ( an assi/$ reproductive 
te*nology proc$ure1 a fail$ adoption    
arrangem5t1 a fail$ surrogacy           
arrangem5t1 or a diagnosis or ev5t t    
impacts pregnancy or f]tility1 to       
support relat$ rese>* & education1 & =  
o!r purposes4  #a4 ,%ort title ,?is ,act
 may be cit$ z ! ,support ,?r\gh ,loss  
,act4  #b4 ,purposes ,! purposes ( ?is  
,act are-- 7#a7 to all[ individuals 9 ! 
,unit$ ,/ates to receive supplem5t>y    
paid leave "t to process & address _!   

own heal? ne$s & ! heal? ne$s ( _!      
p>tn]s dur+ ! p]iod foll[+ a pregnancy  
loss1 an unsuccessful r\nd ( intraut]9e 
insem9ation or ( an assi/$ reproductive 
te*nology proc$ure1 a fail$ adoption    
arrangem5t1 a fail$ surrogacy           
arrangem5t1 or a diagnosis or ev5t t    
impacts pregnancy or f]tility2 &  7#b7  
to support relat$ rese>* or education4  
,i ,paid leave foll[+ a pregnancy loss  
#aja4 ,def9itions ,9 ?is title3 7#a7    
,assi/$ reproductive te*nology proc$ure 
,! t]m assi/$ reproductive te*nology    
proc$ure has ! mean+ giv5 ! t]m assi/$  
reproductive te*nology 9 section #h ( ! 
,f]tility ,cl9ic ,success ,rate &       
,c]tification ,act ( #aiib 7#db         
,u4,s4,c4 #bfc;a-#g74  7#b7 ,dome/ic    
p>tn] ,! t]m dome/ic p>tn]1 us$ )       
respect to an unm>ri$ employee1         
includes-- 7,a7 ! p]son recogniz$ z !   
dome/ic p>tn] ( ! employee "u any       
dome/ic p>tn]%ip or civil union law ( a 
,/ate or political subdivision ( a      
,/ate2 &  7,b7 an unm>ri$1 adult p]son  

:o is 9 a committ$1 p]sonal relation%ip 
) ! employee1 :o is n a dome/ic p>tn] z 
describ$ 9 subp>agraph 7,a7 to or 9 su* 
a relation%ip ) any o!r p]son1 & :o is  
designat$ to ! employee's employ] by su*
 employee z t employee's dome/ic p>tn]4 
7#c7 ,employee ,! t]m employee means an 
individual :o is-- 7,a7 7i7 an employee1
 z def9$ 9 section #c7;e7 ( ! ,fair     
,labor ,/&>ds ,act ( #aich 7#bi         
,u4,s4,c4 #bjc7;e771 :o is n cov]$ "u   
subp>agraph 7,e71 except t a ref]5ce 9  
su* section to an employ] %all be       
consid]$ to be a ref]5ce to an employ]  
describ$ 9 clauses 7i77,i7 & 7ii7 (     
p>agraph 7#d77;,a72 or  7ii7 an employee
 ( ! ,gov]nm5t ,acc\ntability ,(fice2   
7,b7 a ,/ate employee describ$ 9 section
 #cjd7;a7 ( ! ,gov]nm5t ,employee       
,rights ,act ( #aiia 7#db ,u4,s4,c4     
#bjjj;e-#af;c7a772  7,c7 a cov]$        
employee1 z def9$ 9 section #aja ( !    
,congressional ,acc\ntability ,act (    
#aiie 7#b ,u4,s4,c4 #acja71 o!r ?an an  
applicant = employm5t2  7,d7 a cov]$    

employee1 z def9$ 9 section #daa7;c7 (  
title #c1 ,unit$ ,/ates ,code1 o!r ?an  
an applicant = employm5t2 or  7,e7 a    
,f$]al (fic] or employee cov]$ "u       
sub*apt] ,v ( *apt] #fc ( title #e1     
,unit$ ,/ates ,code4  7#d7 ,employ]     
7,a7 ,9 g5]al ,! t]m employ] means a    
p]son :o is-- 7i7 7,i7 a cov]$ employ]1 
z def9$ 9 subp>agraph 7,b71 :o is n     
cov]$ "u subclause 7,v72  7,,ii7 an     
entity employ+ a ,/ate employee describ$
 9 section #cjd7;a7 ( ! ,gov]nm5t       
,employee ,rights ,act ( #aiia2  7,,iii7
 an employ+ (fice1 z def9$ 9 section    
#aja ( ! ,congressional ,acc\ntability  
,act ( #aiie2  7,,iv7 an employ+ (fice1 
z def9$ 9 section #daa7;c7 ( title #c1  
,unit$ ,/ates ,code2 or  7,v7 an employ+
 ag5cy cov]$ "u sub*apt] ,v ( *apt] #fc 
( title #e1 ,unit$ ,/ates ,code2 &  7ii7
 engag$ 9 comm]ce 7includ+ gov]nm5t71 or
 an indu/ry or activity affect+ comm]ce 
7includ+ gov]nm5t71 z def9$ 9           
subp>agraph 7,b77iii74  7,b7 ,cov]$     
employ]  7i7 ,9 g5]al ,9 subp>agraph    

7,a77i77,i71 ! t]m cov]$ employ]-- 7,i7 
means any p]son engag$ 9 comm]ce or 9   
any indu/ry or activity affect+ comm]ce 
:o employs #e or m employees = ea* work+
 day dur+ ea* ( #bj or m cal5d>         
workweeks 9 ! curr5t or prec$+ ye>2     
7,,ii7 includes-- 7aa7 any p]son :o     
acts1 directly or indirectly1 9 ! int]e/
 ( an employ] to any ( ! employees ( su*
 employ]2 &  7bb7 any successor 9 int]e/
 ( an employ]2  7,,iii7 includes any    
public ag5cy1 z def9$ 9 section #c7x7 ( 
! ,fair ,labor ,/&>ds ,act ( #aich 7#bi 
,u4,s4,c4 #bjc7x772 &  7,,iv7 includes !
 ,gov]nm5t ,acc\ntability ,(fice4  7ii7 
,public ag5cy ,= purposes ( clause      
7i77,,iii71 a public ag5cy %all be      
consid]$ to be a p]son engag$ 9 comm]ce 
or 9 an indu/ry or activity affect+     
comm]ce4  7iii7 ,def9itions ,= purposes 
( ?is subp>agraph3 7,i7 ,comm]ce ,! t]ms
 comm]ce & indu/ry or activity affect+  
comm]ce mean any activity1 bus9ess1 or  
indu/ry 9 comm]ce or 9 :i* a labor      
dispute w\ld h9d] or ob/ruct comm]ce or 

! free fl[ ( comm]ce1 & include comm]ce 
& any indu/ry affect+ comm]ce1 z def9$ 9
 p>agraphs 7#a7 & 7#c7 ( section #eja ( 
! ,labor ,managem5t ,relations ,act1    
#aidg 7#bi ,u4,s4,c4 #adb 7#a7 & 7#c774 
7,,ii7 ,employee ,! t]m employee has !  
same mean+ giv5 su* t]m 9 section #c7;e7
 ( ! ,fair ,labor ,/&>ds ,act ( #aich   
7#bi ,u4,s4,c4 #bjc7;e774  7,,iii7      
,p]son ,! t]m p]son has ! same mean+    
giv5 su* t]m 9 section #c7;a7 ( ! ,fair 
,labor ,/&>ds ,act ( #aich 7#bi         
,u4,s4,c4 #bjc7;a774  7,c7 ,pr$ecessors 
,any ref]5ce 9 ?is p>agraph to an       
employ] %all include a ref]5ce to any   
pr$ecessor ( su* employ]4  7#e7         
,employm5t b5efits ,! t]m employm5t     
b5efits means all b5efits provid$ or    
made available to employees by an       
employ]1 includ+ gr\p life insurance1   
heal? insurance1 disability insurance1  
sick leave1 annual leave1 educational   
b5efits1 & p5sions1 reg>dless ( :e!r su*
 b5efits are provid$ by a practice or   
writt5 policy ( an employ] or ?r\gh an  

employee b5efit plan1 z def9$ 9 section 
#c7c7 ( ! ,employee ,retirem5t ,income  
,security ,act ( #aigd 7#bi ,u4,s4,c4   
#ajjb7c774  7#f7 ,paid leave "t ,! t]m  
paid leave "t means an increm5t (       
comp5sat$ leave t c be grant$ to an     
employee = use dur+ an abs5ce f         
employm5t = any reason describ$ 9       
section #ajb7;b74  7#g7 ,secret>y ,! t]m
 ,secret>y means ! ,secret>y ( ,labor4  
7#h7 ,sp\se ,! t]m sp\se1 ) respect to  
an employee1 has ! mean+ giv5 su* t]m by
 ! m>riage laws ( ! ,/ate 9 :i* !       
m>riage 0 celebrat$4  7#i7 ,/ate ,! t]m 
,/ate has ! mean+ giv5 ! t]m 9 section  
#c ( ! ,fair ,labor ,/&>ds ,act ( #aich 
7#bi ,u4,s4,c4 #bjc74  7#aj7 ,unpaid    
leave "t ,! t]m unpaid leave "t means ! 
leave grant$ & us$ 9 ! same mann] & "u !
 same conditions z paid leave "t = !    
purposes ( ?is title1 except t no       
comp5sation %all be paid4  #ajb4 ,paid  
leave "t  7a7 ,grant+ leave "t  7#a7 ,9 
g5]al ,an employ] %all grant to ea*     
employee employ$ by ! employ]1 #bd h\rs 

( paid leave "t on ! employee's fir/    
workday ( ea* cal5d> ye>4 ,! employee   
%all use ! paid leave "t z ne$$ dur+ t  
cal5d> ye> = reasons describ$ 9         
subsection 7b74  7#b7 ,c>ryov] ,paid    
leave "t grant$ "u ?is section %all n   
c>ry ov] f #a ye> to ! next4  7#c7      
,employ]s ) exi/+ policies ,any employ] 
) a paid leave policy :o makes available
 an am\nt ( paid leave t is suffici5t to
 meet ! requirem5ts ( ?is section & t is
 made available = all /at$ reasons & "u 
all /at$ conditions t are ! same z !    
reasons & conditions outl9$ 9 subsection
 7b7 %all n be requir$ to grant an      
employee additional paid leave "t "u ?is
 section4  7#d7 ,con/ruction ,no?+ 9 ?is
 section %all be con/ru$ z requir+      
f9ancial or o!r reimbursem5t to an      
employee f an employ] ^u ! employee's   
t]m9ation1 resignation1 retirem5t1 or   
o!r sep>ation f employm5t = grant$ paid 
leave "t t has n be5 us$4  7#e7         
,prohibition ,an employ] may n require1 
z a condition ( provid+ paid leave "t "u

 ?is title1 t ! employee involv$ se>* = 
or f9d a replacem5t employee to cov] !  
h\rs dur+ :i* ! employee is us+ paid    
leave "t4  7b7 ,uses ,paid leave "t     
grant$ "u ?is section may be us$ by an  
employee = ei!r ( ! foll[+3 7#a7 ,an    
abs5ce result+ f-- 7,a7 a pregnancy     
loss2  7,b7 an unsuccessful r\nd (      
intraut]9e insem9ation or ( an assi/$   
reproductive te*nology proc$ure2  7,c7 a
 fail$ adoption mat* or an adoption t is
 n f9aliz$ because x is conte/$ by ano!r
 p>ty2  7,d7 a fail$ surrogacy          
arrangem5t2 or  7,e7 a diagnosis or ev5t
 t impacts pregnancy or f]tility4  7#b7 
,an abs5ce to c>e = a sp\se or dome/ic  
p>tn] :o exp]i5ces a circum/ance        
describ$ 9 p>agraph 7#a74  7c7          
,proc$ures ,paid leave "t %all be       
provid$ ^u ! oral or writt5 reque/ ( an 
employee4 ,su* reque/ %all-- 7#a7       
include ! expect$ duration ( ! p]iod (  
su* "t2 &  7#b7 be provid$ z soon z     
practicable aft] ! employee is aw>e ( ! 
ne$ = su* p]iod4  #ajc4 ,notice         

requirem5t  7a7 ,9 g5]al ,ea* employ]   
%all notify ea* employee & include 9 any
 employee h&book ! in=mation describ$ 9 
p>agraphs 7#a7 ?r\gh 7#c74 ,ea* employ] 
%all po/ & keep po/$ a notice1 to be    
prep>$ or approv$ 9 accordance )        
proc$ures specifi$ 9 regulations        
prescrib$ "u section #aaj1 sett+ =?     
exc]pts f1 or summ>ies (1 ! p]t95t      
provisions ( ?is title includ+-- 7#a7   
in=mation describ+ paid leave "t        
available to employees "u ?is title2    
7#b7 in=mation p]ta9+ to ! fil+ ( an    
action "u ?is title2 &  7#c7 in=mation t
 describes-- 7,a7 ! protections t an    
employee has 9 ex]cis+ rights "u ?is    
title2 &  7,b7 h[ ! employee c contact !
 ,secret>y 7or o!r appropriate au?ority 
z describ$ 9 section #aje7 if any ( !   
rights are violat$4  7b7 ,location ,!   
notice describ$ "u subsection 7a7 %all  
be po/$-- 7#a7 9 conspicu\s places on ! 
premises ( ! employ]1 :]e notices to    
employees 7includ+ applicants7 are      
cu/om>ily po/$2 or  7#b7 9 employee     

h&books4  7c7 ,violation2 p5alty ,any   
employ] :o willfully violates ! po/+    
requirem5ts ( ?is section %all be       
subject to a civil f9e 9 an am\nt n to  
exce$ #ajj = ea* sep>ate (f5se4  #ajd4  
,prohibit$ acts  7a7 ,int]f]5ce ) rights
  7#a7 ,ex]cise ( rights ,x %all be     
unlawful = any employ] to int]f]e )1    
re/ra91 or d5y ! ex]cise (1 or ! attempt
 to ex]cise1 any "r provid$ "u ?is      
title1 includ+-- 7,a7 dis*>g+ or        
discrim9at+ aga9/ 7includ+ retaliat+    
aga9/7 any individual1 includ+ a job    
applicant1 = ex]cis+1 or attempt+ to    
ex]cise1 any "r provid$ "u ?is title2   
7,b7 us+ ! tak+ ( paid leave "t or      
unpaid leave "t "u ?is title z a        
negative factor 9 an employm5t action1  
su* z hir+1 promotion1 r$uc+ h\rs or    
numb] ( %ifts1 or a discipl9>y action2  
or  7,c7 c\nt+ ! paid leave "t or unpaid
 leave "t "u a no-fault att5dance policy
 or any o!r abs5ce control policy4  7#b7
 ,discrim9ation ,x %all be unlawful =   
any employ] to dis*>ge or 9 any o!r     

mann] discrim9ate aga9/ 7includ+        
retaliat+ aga9/7 any individual1 includ+
 a job applicant1 = oppos+ any practice 
made unlawful by ?is title4  7b7        
,int]f]5ce ) proce$+s or inquiries ,x   
%all be unlawful = any p]son to dis*>ge 
or 9 any o!r mann] discrim9ate aga9/    
7includ+ retaliat+ aga9/7 any           
individual1 includ+ a job applicant1    
because su* individual-- 7#a7 has fil$  
an action1 or has in/itut$ or caus$ to  
be in/itut$ any proce$+1 "u or relat$ to
 ?is title2  7#b7 has giv51 or is ab\t  
to give1 any in=mation 9 connection )   
any inquiry or proce$+ relat+ to any "r 
provid$ "u ?is title2 or  7#c7 has      
te/ifi$1 or is ab\t to te/ify1 9 any    
inquiry or proce$+ relat+ to any "r     
provid$ "u ?is title4  7c7 ,con/ruction 
,no?+ 9 ?is section %all be con/ru$ to  
/ate or imply t ! scope ( ! activities  
prohibit$ by section #aje ( ! ,family & 
,m$ical ,leave ,act ( #aiic 7#bi        
,u4,s4,c4 #bfae7 or ! ,civil ,rights    
,act ( #aifd 7#db ,u4,s4,c4 #bjjj;a et  

seq47 is less ?an ! scope ( ! activities
 prohibit$ by ?is section or is o!rwise 
alt]$ by ! activities prohibit$ by ?is  
section4  #aje4 ,en=cem5t au?ority  7a7 
,9 g5]al  7#a7 ,def9ition ,9 ?is        
subsection-- 7,a7 ! t]m employee means  
an employee describ$ 9 subp>agraph 7,a7 
or 7,b7 ( section #aja7c72 &  7,b7 ! t]m
 employ] means an employ] describ$ 9    
subclause 7,i7 or 7,,ii7 ( section      
#aja7d77;,a77i74  7#b7 ,inve/igative    
au?ority  7,a7 ,9 g5]al ,to ensure      
compliance ) ! provisions ( ?is title1  
or any regulation or ord] issu$ "u ?is  
title1 ! ,secret>y %all h1 subject to   
subp>agraph 7,c71 ! inve/igative        
au?ority provid$ "u section #aa7;a7 ( ! 
,fair ,labor ,/&>ds ,act ( #aich 7#bi   
,u4,s4,c4 #baa7;a771 ) respect to       
employ]s1 employees1 & o!r individuals  
affect$4  7,b7 ,obligation to keep &    
pres]ve records ,an employ] %all make1  
keep1 & pres]ve records p]ta9+ to       
compliance ) ?is title 9 accordance )   
section #aa7;c7 ( ! ,fair ,labor ,/&>ds 

,act ( #aich 7#bi ,u4,s4,c4 #baa7;c77 & 
9 accordance ) regulations prescrib$ by 
! ,secret>y4  7,c7 ,requir$ submissions 
g5]ally limit$ to an annual basis ,!    
,secret>y %all n require1 "u ! au?ority 
( ?is p>agraph1 an employ] to submit to 
! ,secret>y any books or records m ?an  
once dur+ any #ab-mon? p]iod1 unless !  
,secret>y has reasonable cause to       
believe !re may exi/ a violation ( ?is  
title or any regulation or ord] issu$   
pursuant to ?is title1 or is inve/igat+ 
a *>ge pursuant to p>agraph 7#d74  7,d7 
,subpo5a au?ority ,= ! purposes ( any   
inve/igation provid$ = 9 ?is p>agraph1 !
 ,secret>y %all h ! subpo5a au?ority    
provid$ = "u section #i ( ! ,fair ,labor
 ,/&>ds ,act ( #aich 7#bi ,u4,s4,c4     
#bji74  7#c7 ,civil action by employees 
or individuals  7,a7 ,"r ( action ,an   
action to recov] ! damages or equitable 
relief prescrib$ 9 subp>agraph 7,b7 may 
be ma9ta9$ aga9/ any employ] 9 any      
,f$]al or ,/ate c\rt ( compet5t         
jurisdiction by "o or m employees or    

individuals or _! repres5tative = & on  
behalf (-- 7i7 ! employees or           
individuals2 or  7ii7 ! employees or    
individuals & o!rs simil>ly situat$4    
7,b7 ,liability ,any employ] :o violates
 section #ajd 7includ+ a violation      
relat+ to rights provid$ "u section     
#ajb7 %all be liable to any employee or 
individual affect$-- 7i7 = damages equal
 to-- 7,i7 ! am\nt (-- 7aa7 any wages1  
sal>y1 employm5t b5efits1 or o!r        
comp5sation d5i$ or lo/ by reason ( !   
violation2 or  7bb7 9 a case 9 :i*      
wages1 sal>y1 employm5t b5efits1 or o!r 
comp5sation h n be5 d5i$ or lo/1 any    
actual monet>y losses su/a9$ z a direct 
result ( ! violation up to a sum equal  
to #bd h\rs ( wages or sal>y = !        
employee or individual2  7,,ii7 ! int]e/
 on ! am\nt describ$ 9 subclause 7,i7   
calculat$ at ! prevail+ rate2 &  7,,iii7
 an additional am\nt z liquidat$        
damages2 &  7ii7 = su* equitable relief 
z may be appropriate1 includ+ employm5t1
 re9/atem5t1 & promotion4  7,c7 ,fees & 

co/s ,! c\rt 9 an action "u ?is p>agraph
 %all1 9 addition to any judgm5t aw>d$  
to ! pla9tiff1 all[ a reasonable        
attorney's fee1 reasonable exp]t witness
 fees1 & o!r co/s ( ! action to be paid 
by ! def5dant4  7#d7 ,action by !       
,secret>y  7,a7 ,adm9i/rative action ,! 
,secret>y %all receive1 inve/igate1 &   
attempt to resolve compla9ts (          
violations ( section #ajd 7includ+ a    
violation relat+ to rights provid$ "u   
section #ajb7 9 ! same mann] t !        
,secret>y receives1 inve/igates1 &      
attempts to resolve compla9ts (         
violations ( sections #f & #g ( ! ,fair 
,labor ,/&>ds ,act ( #aich 7#bi         
,u4,s4,c4 #bjf & #bjg74  7,b7 ,civil    
action ,! ,secret>y may br+ an action 9 
any c\rt ( compet5t jurisdiction to     
recov] ! damages describ$ 9 p>agraph    
7#c77;,b77i74  7,c7 ,sums recov]$ ,any  
sums recov]$ by ! ,secret>y pursuant to 
subp>agraph 7,b7 %all be held 9 a       
special deposit acc\nt & %all be paid1  
on ord] ( ! ,secret>y1 directly to ea*  

employee or individual affect$4 ,any su*
 sums n paid to an employee or          
individual affect$ because ( inability  
to d s )9 a p]iod ( #c ye>s %all be     
deposit$ into ! ,treasury ( ! ,unit$    
,/ates z miscellane\s receipts4  7#e7   
,limitation  7,a7 ,9 g5]al ,except z    
provid$ 9 subp>agraph 7,b71 an action   
may be br\ght "u p>agraph 7#c71 7#d71 or
 7#f7 n lat] ?an #b ye>s aft] ! date ( !
 la/ ev5t con/itut+ ! alleg$ violation =
 :i* ! action is br\ght4  7,b7 ,willful 
violation ,9 ! case ( an action br\ght =
 a willful violation ( section #ajd     
7includ+ a willful violation relat+ to  
rights provid$ "u section #ajb71 su*    
action may be br\ght )9 #c ye>s ( ! date
 ( ! la/ ev5t con/itut+ ! alleg$        
violation = :i* su* action is br\ght4   
7,c7 ,comm5cem5t ,9 det]m9+ :5 an action
 is comm5c$ "u p>agraph 7#c71 7#d71 or  
7#f7 = ! purposes ( ?is p>agraph1 x %all
 be consid]$ to be comm5c$ on ! date :5 
! compla9t is fil$4  7#f7 ,action =     
injunction by ,secret>y ,! di/rict c\rts

 ( ! ,unit$ ,/ates %all h jurisdiction1 
= cause %[n1 9 an action br\ght by !    
,secret>y-- 7,a7 to re/ra9 violations ( 
section #ajd 7includ+ a violation relat+
 to rights provid$ "u section #ajb71    
includ+ ! re/ra9t ( any )hold+ ( paym5t 
( wages1 sal>y1 employm5t b5efits1 or   
o!r comp5sation1 plus int]e/1 f\nd by ! 
c\rt to be due to employees or          
individuals eligible "u ?is title2 or   
7,b7 to aw>d su* o!r equitable relief z 
may be appropriate1 includ+ employm5t1  
re9/atem5t1 & promotion4  7#g7          
,solicitor ( ,labor ,! ,solicitor (     
,labor may appe> = & repres5t !         
,secret>y on any litigation br\ght "u   
p>agraph 7#d7 or 7#f74  7#h7 ,gov]nm5t  
,acc\ntability ,(fice ,not)/&+ any o!r  
provision ( ?is subsection1 9 ! case ( !
 ,gov]nm5t ,acc\ntability ,(fice1 !     
au?ority ( ! ,secret>y ( ,labor "u ?is  
subsection %all be ex]cis$ by !         
,comptroll] ,g5]al ( ! ,unit$ ,/ates4   
7b7 ,employees cov]$ by ,congressional  
,acc\ntability ,act ( #aiie ,! p[]s1    

rem$ies1 & proc$ures provid$ 9 !        
,congressional ,acc\ntability ,act (    
#aiie 7#b ,u4,s4,c4 #acja et seq47 to ! 
,bo>d 7z def9$ 9 section #aja ( t ,act  
7#b ,u4,s4,c4 #acja771 or any p]son1    
alleg+ a violation ( section            
#bjb7;a77#a7 ( t ,act 7#b ,u4,s4,c4     
#acab7;a77#a77 %all be ! p[]s1 rem$ies1 
& proc$ures ?is title provides to t     
,bo>d1 or any p]son1 alleg+ an unlawful 
employm5t practice 9 violation ( ?is    
title aga9/ an employee describ$ 9      
section #aja7c77;,c74  7c7 ,employees   
cov]$ by *apt] #e ( title #c1 ,unit$    
,/ates ,code ,! p[]s1 rem$ies1 &        
proc$ures provid$ 9 *apt] #e ( title #c1
 ,unit$ ,/ates ,code1 to ! ,presid5t1 ! 
,m]it ,sy/ems ,protection ,bo>d1 or any 
p]son1 alleg+ a violation ( section     
#dab7;a77#a7 ( t title1 %all be ! p[]s1 
rem$ies1 & proc$ures ?is title provides 
to ! ,presid5t1 t ,bo>d1 or any p]son1  
respectively1 alleg+ an unlawful        
employm5t practice 9 violation ( ?is    
title aga9/ an employee describ$ 9      

section #aja7c77;,d74  7d7 ,employees   
cov]$ by *apt] #fc ( title #e1 ,unit$   
,/ates ,code ,! p[]s1 rem$ies1 &        
proc$ures provid$ 9 title #e1 ,unit$    
,/ates ,code1 to an employ+ ag5cy1      
provid$ 9 *apt] #ab ( t title to ! ,m]it
 ,sy/ems ,protection ,bo>d1 or provid$ 9
 t title to any p]son1 alleg+ a         
violation ( *apt] #fc ( t title1 %all be
 ! p[]s1 rem$ies1 & proc$ures ?is title 
provides to t ag5cy1 t ,bo>d1 or any    
p]son1 respectively1 alleg+ an unlawful 
employm5t practice 9 violation ( ?is    
title aga9/ an employee describ$ 9      
section #aja7c77;,e74  7e7 ,rem$ies =   
,/ate employees  7#a7 ,waiv] ( sov]eign 
immunity ,a ,/ate's receipt or use (    
,f$]al f9ancial assi/ance = any program 
or activity ( a ,/ate %all con/itute a  
waiv] ( sov]eign immunity1 "u ! #aa?    
,am5dm5t to ! ,con/itution or o!rwise1  
to a suit br\ght by an employee ( t     
program or activity "u ?is title =      
equitable1 legal1 or o!r relief au?oriz$
 "u ?is title4  7#b7 ,(ficial capacity  

,an (ficial ( a ,/ate may be su$ 9 !    
(ficial capacity ( ! (ficial by any     
employee :o has compli$ ) ! proc$ures "u
 subsection 7a77#c71 = injunctive relief
 t is au?oriz$ "u ?is title4 ,9 su* a   
suit ! c\rt may aw>d to ! prevail+ p>ty 
^? co/s au?oriz$ by section #gbb ( !    
,revis$ ,/atutes 7#db ,u4,s4,c4 #aihh74 
7#c7 ,applicability ,) respect to a     
p>ticul> program or activity1 p>agraph  
7#a7 applies to conduct occurr+ on or   
aft] ! day1 aft] ! date ( enactm5t ( ?is
 title1 on :i* a ,/ate fir/ receives or 
uses ,f$]al f9ancial assi/ance = t      
program or activity4  7#d7 ,def9ition ( 
program or activity ,9 ?is subsection1 !
 t]m program or activity has ! mean+    
giv5 ! t]m 9 section #fjf ( ! ,civil    
,rights ,act ( #aifd 7#db ,u4,s4,c4     
#bjjj;d-#d;a74  #ajf4 ,au?orization (   
appropriations = education & outrea*    
,!re is au?oriz$ to be appropriat$ to ! 
,secret>y ( ,labor su* sums z may be    
necess>y 9 ord] t ! ,secret>y may       
conduct a public aw>5ess campaign to    

educate & in=m ! public ( ! requirem5ts 
= paid leave "t requir$ by ?is title4   
#ajg4 ,effect on o!r laws  7a7 ,f$]al & 
,/ate antidiscrim9ation laws ,no?+ 9 ?is
 title %all be con/ru$ to modify or     
affect any ,f$]al or ,/ate law prohibit+
 discrim9ation on ! basis ( race1       
religion1 color1 national orig91 sex1   
age1 or disability4  7b7 ,f$]al1 ,/ate1 
& local laws ,no?+ 9 ?is title %all be  
con/ru$ to sup]s$e 7includ+ preempt+7   
any provision ( any ,f$]al1 ,/ate1 or   
local law t provides great] paid or     
unpaid family or m$ical leave rights ?an
 ! rights e/abli%$ "u ?is title4  #ajh4 
,effect on exi/+ employm5t b5efits  7a7 
,m protective ,no?+ 9 ?is title %all be 
con/ru$ to dim9i% ! obligation ( an     
employ] to comply ) any contract1       
collective b>ga9+ agreem5t1 or any      
employm5t b5efit program or plan t      
provides great] paid leave or o!r leave 
rights to employees or individuals ?an !
 rights e/abli%$ "u ?is title4  7b7     
,less protective ,! rights e/abli%$ =   

employees "u ?is title %all n be dim9i%$
 by any contract1 collective b>ga9+     
agreem5t1 or any employm5t b5efit       
program or plan4  #aji4 ,enc\ragem5t ( m
 g5]\s leave policies ,no?+ 9 ?is title 
%all be con/ru$ to disc\rage employ]s f 
adopt+ or reta9+ leave policies m g5]\s 
?an policies t comply ) ! requirem5ts ( 
?is title4  #aaj4 ,regulations  7a7 ,9  
g5]al  7#a7 ,au?ority ,except z provid$ 
9 p>agraph 7#b71 n lat] ?an #ahj days   
aft] ! date ( enactm5t ( ?is title1 !   
,secret>y %all prescribe su* regulations
 z are necess>y to c>ry out ?is title ) 
respect to employees describ$ 9         
subp>agraph 7,a7 or 7,b7 ( section      
#aja7c7 & o!r individuals affect$ by    
employ]s describ$ 9 subclause 7,i7 or   
7,,ii7 ( section #aja7d77;,a77i74  7#b7 
,gov]nm5t ,acc\ntability ,(fice ,!      
,comptroll] ,g5]al ( ! ,unit$ ,/ates    
%all prescribe ! regulations ) respect  
to employees ( ! ,gov]nm5t              
,acc\ntability ,(fice & ! ,libr>y (     
,congress1 respectively1 & o!r          

individuals affect$ by ! ,comptroll]    
,g5]al ( ! ,unit$ ,/ates4  7b7          
,employees cov]$ by ,congressional      
,acc\ntability ,act ( #aiie  7#a7       
,au?ority ,n lat] ?an #ij days aft] !   
,secret>y prescribes regulations "u     
subsection 7a71 ! ,bo>d ( ,directors ( !
 ,(fice ( ,compliance %all prescribe 79 
accordance ) section #cjd ( !           
,congressional ,acc\ntability ,act (    
#aiie 7#b ,u4,s4,c4 #achd77 su*         
regulations z are necess>y to c>ry out  
?is title ) respect to employees        
describ$ 9 section #aja7c77;,c7 & o!r   
individuals affect$ by employ]s describ$
 9 section #aja7d77;,a77i77,,iii74  7#b7
 ,ag5cy regulations ,! regulations      
prescrib$ "u p>agraph 7#a7 %all be !    
same z sub/antive regulations promulgat$
 by ! ,secret>y to c>ry out ?is title   
except ins(> z ! ,bo>d may det]m9e1 =   
good cause %[n & /at$ toge!r ) !        
regulations prescrib$ "u p>agraph 7#a71 
t a modification ( su* regulations w\ld 
be m effective = ! implem5tation ( !    

rights & protections involv$ "u ?is     
section4  7c7 ,employees cov]$ by *apt] 
#e ( title #c1 ,unit$ ,/ates ,code  7#a7
 ,au?ority ,n lat] ?an #ij days aft] !  
,secret>y prescribes regulations "u     
subsection 7a71 ! ,presid5t 7or !       
designee ( ! ,presid5t7 %all prescribe  
su* regulations z are necess>y to c>ry  
out ?is title ) respect to employees    
describ$ 9 section #aja7c77;,d7 & o!r   
individuals affect$ by employ]s describ$
 9 section #aja7d77;,a77i77,,iv74  7#b7 
,ag5cy regulations ,! regulations       
prescrib$ "u p>agraph 7#a7 %all be !    
same z sub/antive regulations promulgat$
 by ! ,secret>y to c>ry out ?is title   
except ins(> z ! ,presid5t 7or designee7
 may det]m9e1 = good cause %[n & /at$   
toge!r ) ! regulations prescrib$ "u     
p>agraph 7#a71 t a modification ( su*   
regulations w\ld be m effective = !     
implem5tation ( ! rights & protections  
involv$ "u ?is section4  7d7 ,employees 
cov]$ by *apt] #fc ( title #e1 ,unit$   
,/ates ,code  7#a7 ,au?ority ,n lat] ?an

 #ij days aft] ! ,secret>y prescribes   
regulations "u subsection 7a71 !        
,director ( ! ,(fice ( ,p]sonnel        
,managem5t %all prescribe su*           
regulations z are necess>y to c>ry out  
?is title ) respect to employees        
describ$ 9 section #aja7c77;,e7 & o!r   
individuals affect$ by employ]s describ$
 9 section #aja7d77;,a77i77,v74  7#b7   
,ag5cy regulations ,! regulations       
prescrib$ "u p>agraph 7#a7 %all be !    
same z sub/antive regulations promulgat$
 by ! ,secret>y to c>ry out ?is title   
except ins(> z ! ,director may det]m9e1 
= good cause %[n & /at$ toge!r ) !      
regulations prescrib$ "u p>agraph 7#a71 
t a modification ( su* regulations w\ld 
be m effective = ! implem5tation ( !    
rights & protections involv$ "u ?is     
section4  #aaa4 ,effective dates  7a7   
,effective date ,?is title1 o!r ?an     
section #aaj1 %all take effect #f mon?s 
aft] ! date ( issuance ( regulations "u 
section #aaj7;a77#a74  7b7 ,collective  
b>ga9+ agreem5ts ,9 ! case ( a          

collective b>ga9+ agreem5t 9 effect on !
 effective date prescrib$ by subsection 
7a71 ?is title %all take effect on !    
e>li] (-- 7#a7 ! date ( ! t]m9ation (   
su* agreem5t2 or  7#b7 ! date t occurs  
#ah mon?s aft] ! date ( issuance (      
regulations "u section #aaj7;a77#a74    
,,ii ,rese>* & education  #bja4         
,pregnancy loss public education program
  7a7 ,9 g5]al ,! ,secret>y ( ,heal? &  
,human ,s]vices1 act+ ?r\gh ! ,director 
( ! ,c5t]s = ,disease ,control &        
,prev5tion1 %all develop & dissem9ate to
 ! public in=mation reg>d+ pregnancy    
loss1 includ+ in=mation on-- 7#a7       
aw>5ess ( pregnancy loss1 & ! incid5ce &
 preval5ce ( pregnancy loss among       
pregnant p2 &  7#b7 ! accessibility ( ! 
range ( evid5ce-bas$ treatm5t options1 z
 m$ically appropriate1 = pregnancy loss1
 includ+ misc>riage & recurr5t          
misc>riage1 includ+ compreh5sive m5tal  
heal? supports1 necess>y proc$ures &    
m$ications1 & culturally responsive     
supports includ+ pregnancy-loss d\la    

c>e4  7b7 ,dissem9ation ( in=mation ,9  
c>ry+ out subsection 7a71 ! ,secret>y   
may dissem9ate in=mation to ! public    
directly or ?r\gh arrangem5ts ) ag5cies 
c>ry+ out intra-ag5cy initiatives1      
nonpr(it organizations1 consum] gr\ps1  
community organizations1 in/itutions (  
high] education 7z def9$ 9 section #aja 
( ! ,high] ,education ,act ( #aife 7#bj 
,u4,s4,c4 #ajja771 or ,f$]al1 ,/ate1 or 
local public-private p>tn]%ips4  7c7    
,au?orization ( appropriations ,!re is  
au?oriz$ to be appropriat$ to c>ry out  
?is section su* sums z may be necess>y =
 ea* ( fiscal ye>s #bjbb ?r\gh #bjbe4   
#bjb4 ,rese>* ) respect to pregnancy    
loss  7a7 ,9 g5]al ,! ,director ( !     
,national ,in/itutes ( ,heal? 79 ?is    
section ref]r$ to z ! ,director ( ,,nih7
 %all exp& & coord9ate programs =       
conduct+ & support+ evid5ce-bas$ rese>* 
) respect to causes ( & curr5t & novel  
treatm5t options & proc$ures = pregnancy
 loss4  7b7 ,adm9i/ration & coord9ation 
,! ,director ( ,,nih1 act+ ?r\gh !      

,director ( ! ,(fice ( ,rese>* on       
,wom5's ,heal?1 %all c>ry out           
evid5ce-bas$ rese>* conduct$ pursuant to
 subsection 7a71 9 coord9ation ) !      
appropriate in/itutes1 (fices1 & c5t]s (
 ! ,national ,in/itutes ( ,heal?1       
includ+ ! ,national ,in/itute ( ,*ild   
,heal? & ,human ,developm5t1 ! ,national
 ,in/itute ( ,environm5tal ,heal?       
,sci5ces1 ! ,national ,in/itute ( ,m5tal
 ,heal?1 & ! ,(fice on ,wom5's ,heal? ( 
! ,dep>tm5t ( ,heal? & ,human ,s]vices4 
7c7 ,au?orization ( appropriations ,!re 
is au?oriz$ to be appropriat$ to c>ry   
out ?is section #de1jjj1jjj = ea* (     
fiscal ye>s #bjbb ?r\gh #bjbe4  #bjc4   
,education & dissem9ation ( in=mation to
 p]9atal heal? c>e work]s ) respect to  
pregnancy loss  7a7 ,9 g5]al ,!         
,secret>y ( ,heal? & ,human ,s]vices1   
act+ ?r\gh ! ,adm9i/rator ( ! ,heal?    
,res\rces & ,s]vices ,adm9i/ration & !  
,director ( ! ,ag5cy = ,heal?c>e ,rese>*
 & ,quality %all1 9 consultation ) & 9  
accordance ) guidel9es f relevant m$ical

 societies1 develop & dissem9ate to     
p]9atal heal? c>e work]s1 includ+       
midwives1 physician assi/ants1 nurse    
practition]s1 cl9ical nurse speciali/s1 
& non-cl9ical p]9atal heal? c>e work]s1 
in=mation on pregnancy loss = ! purpose 
( ensur+ t su* p]9atal heal? c>e work]s 
rema9 in=m$ ab\t curr5t in=mation 7z ( !
 date ( dissem9ation7 reg>d+ pregnancy  
loss1 includ+ misc>riage & recurr5t     
misc>riage1 & prioritiz+ bo? ! physical 
& m5tal heal? c>e ( ! pati5t4  7b7      
,p]9atal heal? c>e work] ,= purposes (  
?is section1 ! t]m p]9atal heal? c>e    
work] includes any d\la1 community heal?
 work]1 pe] support]1 brea/fe$+ &       
lactation educator or c\nselor1         
nutritioni/ or dietitian1 *ildbir?      
educator1 social work]1 home visitor1   
language int]pret]1 or navigator4  #bjd4
 ,data collection reg>d+ pregnancy loss 
,! ,secret>y ( ,heal? & ,human ,s]vices 
%all1 9 an mann] t protects p]sonal     
privacy1 collect & assess data reg>d+   
pregnancy loss1 includ+ in=mation       

7disaggregat$ by race1 e?nicity1 heal?  
insurance /atus1 disability1 income     
level1 & geography7 on ! preval5ce (1 ! 
incid5ce (1 & k ab\t pregnancy loss4