,i  #aah? ,,congress  #a/ ,session  ,h4 
,r4 #dei  ,,9 ,,! ,,h\se ,,(            
,,repres5tatives  ,janu>y #bd1 #bjbc    
,ms4 ,e%oo 7= h]self & ,ms4 ,jacobs7    
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,en]gy & ,comm]ce  ,a  
,,bill  ,to ensure ! privacy ( pregnancy
 t]m9ation or loss in=mation "u !       
,,hipaa privacy regulations & ! ,,hite* 
,act4  #a4 ,%ort title ,?is ,act may be 
cit$ z ! ,secure ,access ,= ,ess5tial   
,reproductive ,heal? ,act ( #bjbc or !  
,,saf] ,heal? ,act ( #bjbc4  #b4 ,ensur+
 ! privacy ( pregnancy t]m9ation or loss
 in=mation "u ! ,,hipaa privacy         
regulations & ! ,,hite* ,act  7a7 ,9    
g5]al  7#a7 ,prohibition on disclosure  
,subject to p>agraph 7#b7 & no?)/&+ any 
provision 9 regulations promulgat$      
pursuant to section #bfd7;c7 ( ! ,heal? 
,insurance ,portability & ,acc\ntability
 ,act ( #aiif 7,public ,law #ajd-aia71 a
 cov]$ entity or bus9ess associate ( su*
 entity may n disclose pregnancy        
t]m9ation or loss in=mation ( an        

individual 9 ,f$]al1 ,/ate1 local1 or   
tribal proce$+s1 includ+ civil1 crim9al1
 adm9i/rative1 legislative1 or o!r      
proce$+s1 )\t ! valid au?orization ( !  
individual made 9 accordance ) section  
#afd4ejh ( title #de1 ,code ( ,f$]al    
,regulations4  7#b7 ,exceptions         
,p>agraph 7#a7 %all n apply 9 ! case ( a
 disclosure ( pregnancy t]m9ation or    
loss in=mation ( an individual by a     
cov]$ entity or bus9ess associate ( a   
cov]$ entity if-- 7,a7 su* in=mation is 
necess>y = use 9 def5se ( a pr(essional 
liability action or proce$+ aga9/ !     
cov]$ entity or bus9ess associate & su* 
in=mation is disclos$ by--  7i7 ! cov]$ 
entity or bus9ess associate to su* cov]$
 entity's or bus9ess associate's        
attorney or pr(essional liability insur]
 or insur]'s ag5t2 or  7ii7 ! au?oriz$  
attorney ( su* cov]$ entity or bus9ess  
associate to a c\rt or body he>+ su*    
action or proce$+2 or  7,b7 su*         
in=mation is necess>y to-- 7i7          
inve/igate physical h>m to su*          

individual by ano!r p]son directly      
relat+ to ! loss or t]m9ation ( !       
pregnancy2 &  7ii7 su* individual is    
unable to provide cons5t due to dea? or 
incapacity4  7b7 ,,hite*  7#a7 ,privacy 
exception ,! ,secret>y ( ,heal? & ,human
 ,s]vices %all revise section #aga4bjb (
 title #de1 ,code ( ,f$]al ,regulations1
 to cl>ify t an entity's practice ( n   
fulfill+ a reque/ to access1 ex*ange1 or
 use electronic heal? in=mation 9 ord]  
to comply ) subsection 7a7 w n be       
consid]$ in=mation block+ 7z def9$ =    
purposes ( su* section7 if su* in=mation
 is pregnancy t]m9ation or loss         
in=mation4  7#b7 ,great] security ,!    
,secret>y ( ,heal? & ,human ,s]vices    
%all revise section #agj4dja ( title    
#de1 ,code ( ,f$]al ,regulations1 to    
require t z a condition ( c]tification  
7z describ$ 9 su* section71 a heal? ,,x 
develop] 7z s describ$7 %all implem5t   
practices t all[ = ! segregation ( data 
relat$ to pregnancy t]m9ation or loss   
in=mation to ensure compliance )        

subsection 7a74  7c7 ,modification (    
/ate preemption exceptions  7#a7 ,9     
g5]al ,! provisions ( ?is section %all  
preempt any ,/ate law to ! ext5t su* law
 conflicts ) or prev5ts application (   
?is section4 ,no?+ 9 ! prec$+ s5t5ce    
%all be con/ru$ to preempt a ,/ate law  
to ! ext5t t su* law provides great]    
privacy protections = pregnancy         
t]m9ation or loss in=mation ?an provid$ 
"u ?is section4  7#b7 ,modification ,!  
,secret>y ( ,heal? & ,human ,s]vices    
%all revise section #afj4bjc ( title    
#de1 ,code ( ,f$]al ,regulations 7or a  
successor regulation71 to ensure t no   
exception to ! g5]al preemption rule    
/at$ 9 su* section applies ) respect to 
pregnancy t]m9ation or loss in=mation   
o!r ?an ! exception "u ! second s5t5ce (
 p>agraph 7#a74  7d7 ,outrea* ,!        
,secret>y ( ,heal? & ,human ,s]vices    
%all conduct an outrea* campaign to     
cov]$ entities & bus9ess associates (   
su* entities to ensure t su* entities & 
associates are aw>e ( ! requirem5ts (   

?is section & any *anges to regulations 
made pursuant to ?is section4  7e7      
,proc$ure ,any revisions to regulations 
requir$ by application ( ?is section    
%all be made by notice 9 ! ,f$]al       
,regi/] publi%$ n lat] ?an #c mon?s aft]
 ! date ( ! enactm5t ( ?is section z an 
int]im f9al rule4 ,! ,secret>y ( ,heal? 
& ,human ,s]vices %all1 aft] provid+    
opportunity = public comm5t1 f9alize any
 su* int]im f9al rule n lat] ?an #i     
mon?s aft] su* int]im f9al rule is      
publi%$ ) su* modifications z !         
,secret>y det]m9es appropriate4  7f7    
,def9itions ,9 ?is section3  7#a7       
,,hipaa t]ms ,! t]ms bus9ess associate1 
cov]$ entity1 & protect$ heal? in=mation
 h ! mean+ giv5 su* t]ms = purposes ( ! 
regulations describ$ 9 subsection       
7a77#a74  7#b7 ,pregnancy t]m9ation or  
loss in=mation ,! t]m pregnancy         
t]m9ation or loss in=mation means       
protect$ heal? in=mation ( an individual
 t relates to in=mation t c\ld reveal   
hav+ or seek+ an abortion or c>e =      

pregnancy loss1 includ+ )\t limitation1 
any reque/ = or receipt ( items1        
s]vices1 education1 c\nsel+1 or ref]rals
 relat+ to ! t]m9ation or loss ( a      
pregnancy ( su* individual1 includ+     
abortion1 misc>riage1 /illbir?1 &       
ectopic pregnancy4