,i  #aah? ,,congress  #a/ ,session  ,h4 
,r4 #ihb  ,,9 ,,! ,,h\se ,,(            
,,repres5tatives  ,febru>y #aj1         
#bjbc,ms4 ,kamlag]-,dove 7= h]self &    
,mrs4 ,lesko7 introduc$ ! foll[+ bill2  
:i* 0 ref]r$ to ! ,committee on !       
,judici>y1 & 9 addition to ! ,committee 
on ! ,budget1 = a p]iod to be           
subsequ5tly det]m9$ by ! ,speak]1 9 ea* 
case = consid]ation ( su* provisions z  
fall )9 ! jurisdiction ( ! committee    
conc]n$  ,a ,,bill  ,to address ! heal? 
ne$s ( inc>c]at$ wom5 relat$ to         
pregnancy & *ildbir?1 & = o!r purposes4 
#a4 ,%ort title ,?is ,act may be cit$ z 
! ,pregnant ,wom5 9 ,cu/ody ,act4  #b4  
,def9itions ,9 ?is ,act3 7#a7 ,9 cu/ody 
,! t]m 9 cu/ody1 ) respect to an        
individual1 means t ! individual is "u !
 sup]vision ( a ,f$]al1 ,/ate1 ,tribal1 
or local correctional facility1 includ+ 
a pretrial1 juv5ile1 m$ical1 or m5tal   
heal? facility & a facility op]at$ "u a 
contract ) ! ,f$]al ,gov]nm5t or a      
,/ate1 ,tribal1 or local gov]nm5t4  7#b7

 ,o!r pregnancy outcome ,! t]m o!r      
pregnancy outcome means a pregnancy t   
ends 9 /illbir?1 misc>riage1 or ectopic 
pregnancy4  7#c7 ,po/p>tum recov]y ,!   
t]m po/p>tum recov]y has ! mean+ giv5 t 
t]m 9 section #djea7;c7 ( title #ah1    
,unit$ ,/ates ,code1 z add$ by ?is ,act4
  7#d7 ,re/ra9ts ,! t]m re/ra9ts means  
any physical or me*anical device us$ to 
control ! movem5t ( an inc>c]at$        
pregnant woman's body1 limbs1 or bo?4   
7#e7 ,re/rictive h\s+ ,! t]m re/rictive 
h\s+ has ! mean+ giv5 t t]m 9 section   
#dcbb ( title #ah1 ,unit$ ,/ates ,code1 
z add$ by ?is ,act4  #c4 ,data          
collection  7a7 ,9 g5]al ,beg9n+ n lat] 
?an #a ye> aft] ! date ( enactm5t ( ?is 
,act1 pursuant to ! au?ority "u section 
#cjb ( title ,i ( ! ,omnibus ,crime     
,control & ,safe ,/reets ,act ( #aifh   
7#cd ,u4,s4,c4 #ajacb71 ! ,director ( ! 
,bureau ( ,ju/ice ,/ati/ics %all include
 9 ! ,national ,prison] ,/ati/ics       
,program & ,annual ,survey ( ,jails     
/ati/ics relat+ to ! heal? ne$s (       

inc>c]at$ pregnant wom5 9 ! crim9al     
ju/ice sy/em at ! ,f$]al1 ,/ate1        
,tribal1 & local levels1 includ+-- 7#a7 
demographic & o!r in=mation ab\t        
inc>c]at$ wom5 :o are pregnant1 9 labor1
 or 9 po/p>tum recov]y1 includ+ ! race1 
e?nicity1 & age ( ! woman2  7#b7 !      
provision ( pregnancy c>e & s]vices     
provid$ = su* wom51 includ+-- 7,a7 :e!r 
pr5atal1 deliv]y1 & po/-deliv]y *eck-up 
visits 7 s*$ul$ & provid$2  7,b7 :e!r a 
social work]1 psy*ologi/1 d\la or o!r   
support p]son 0 (f]$ & provid$ dur+     
pregnancy & deliv]y & po/-deliv]y2  7,c7
 :e!r a pregnancy or p>5t+ program 0    
(f]$ & provid$ dur+ pregnancy2  7,d7    
:e!r a nurs]y or resid5tial program to  
keep mo!rs & infants toge!r po/-deliv]y 
0 (f]$ & :e!r su* a nurs]y or resid5tial
 program 0 provid$2  7,e7 ! numb] ( days
 ! "m /ay$ 9 ! hospital po/-deliv]y2    
7,f7 ! numb] ( days ! infant rema9$ ) ! 
"m po/-deliv]y2 &  7,g7 ! numb] ( days !
 infant rema9$ 9 ! hospital aft] ! "m 0 
dis*>g$2  7#c7 ! location ( ! ne>e/     

hospital ) a lic5s$                     
ob/etrician-gynecologi/ 9 proximity to  
:]e ! inc>c]at$ pregnant woman is h\s$ &
 ! l5g? ( travel requir$ to transport ! 
woman2  7#d7 :e!r a writt5 policy or    
protocol is 9 place-- 7,a7 to respond to
 unexpect$ *ildbir?1 labor1 deliv]ies1  
or m$ical complications relat$ to !     
pregnancies ( inc>c]at$ pregnant wom52 &
  7,b7 = inc>c]at$ pregnant wom5        
exp]i5c+ labor or m$ical complications  
relat$ to pregnancy outside ( a         
hospital2  7#e7 ! numb] ( inc>c]at$ wom5
 :o are det]m9$ by a heal? c>e          
pr(essional to h a high-risk pregnancy2 
7#f7 ! total numb] ( inc>c]at$ pregnant 
wom5 & ! numb] ( inc>c]at$ wom5 :o      
became pregnant :ile inc>c]at$2  7#g7 ! 
numb] ( incid5ts 9 :i* an inc>c]at$     
woman :o is pregnant1 9 labor1 or 9     
po/p>tum recov]y is plac$ 9 re/rictive  
h\s+1 ! reason = su* re/riction or      
placem5t1 & ! circum/ances "u :i* ea*   
incid5t occurr$1 includ+ ! duration ( "t
 9 re/rictive h\s+1 dur+-- 7,a7         

pregnancy2  7,b7 labor2  7,c7 deliv]y2  
7,d7 po/p>tum recov]y2 &  7,e7 ! #f-mon?
 p]iod aft] deliv]y2 &  7#h7 !          
disposition ( ! cu/ody ( ! infant       
po/-deliv]y4  7b7 ,p]sonally id5tifiable
 in=mation ,data collect$ "u ?is section
 may n conta9 any p]sonally id5tifiable 
in=mation ( any inc>c]at$ pregnant woman
 or woman 9 po/p>tum recov]y4  #d4 ,c>e 
= f$]ally inc>c]at$ wom5 relat$ to      
pregnancy & *ildbir?  7a7 ,9 g5]al ,!   
,director ( ! ,bureau ( ,prisons %all   
ensure t appropriate s]vices & programs1
 z describ$ 9 subsection 7b71 are       
provid$ to wom5 9 cu/ody1 to address !  
heal? & safety ne$s ( su* wom5 relat$ to
 pregnancy & *ildbir?4 ,! w>d5 ( ea*    
,bureau ( ,prisons facility t h\ses wom5
 %all ensure t ^! s]vices & programs are
 implem5t$ = wom5 9 cu/ody at t         
facility4  7b7 ,s]vices & programs      
provid$ ,! s]vices & programs describ$ 9
 ?is subsection are ! foll[+3 7#a7      
,access to complete appropriate heal?   
s]vices = ! life cycle ( wom5 ,!        

,director ( ! ,bureau ( ,prisons %all   
ensure t ea* woman ( reproductive age 9 
cu/ody at a ,bureau ( ,prisons          
facility-- 7,a7 has access to           
contraception & te/+ = pregnancy &      
sexually transmitt$ diseases1 ^u reque/ 
( any su* woman2 &  7,b7 is adm9i/]$ a  
pregnancy te/ on ! date on :i* ! woman  
ent]s ! facility1 :i* ! woman may       
decl9e4  7#b7 ,compliance ) protocols   
relat+ to heal? ( a pregnant woman ,on  
confirmation ( ! pregnancy ( a woman 9  
cu/ody by cl9ical diagno/ics &          
assessm5t1 ! *ief heal? c>e pr(essional 
( ! ,bureau ( ,prisons facility 9 :i* ! 
woman is h\s$ %all ensure t-- 7,a7 a    
summ>y ( all appropriate protocols      
directly p]ta9+ to ! safety & well-be+ (
 ! woman are provid$ to ! woman2  7,b7  
su* protocols are compli$ )2 &  7,c7 su*
 protocols include an assessm5t ( undue 
safety risks & necess>y *anges to       
accommodate ! woman :]e & :5            
appropriate1 z x relates to-- 7i7 h\s+  
or transf] to a l[] bunk = safety       

reasons2  7ii7 appropriate b$d+ or clo?+
 to respond to ! woman's *ang+ physical 
requirem5ts & ! temp]ature 9 h\s+ units2
  7iii7 regul> access to wat] &         
ba?rooms2  7iv7 a diet t-- 7,i7 complies
 ) ! nutritional /&>ds e/abli%$ by !    
,secret>y ( ,agriculture & ! ,secret>y (
 ,heal? & ,human ,s]vices 9 ! ,diet>y   
,guidel9es = ,am]icans report publi%$   
pursuant to section #cja7;a77#c7 ( !    
,national ,nutrition ,monitor+ & ,relat$
 ,rese>* ,act ( #aiij 7#g ,u4,s4,c4     
#ecda7;a77#c772 &  7,,ii7 includes--    
7aa7 any appropriate diet>y supplem5t1  
includ+ pr5atal vitam9s2  7bb7 timely & 
regul> nutriti\s meals2  7cc7 additional
 caloric cont5t 9 meals provid$2  7dd7 a
 prohibition on )hold+ food f ! woman or
 s]v+ any food t is us$ z a puni%m5t1   
includ+ nutraloaf or any food simil> to 
nutraloaf t is n consid]$ a nutriti\s   
meal2 &  7ee7 su* o!r modifications to !
 diet ( ! woman z ! ,director ( !       
,bureau ( ,prisons det]m9es to be       
necess>y aft] consultation ) ! ,secret>y

 ( ,heal? & ,human ,s]vices &           
consid]ation ( su* recomm5dations z !   
,secret>y may provide2  7v7 modifi$     
recreation & transportation1 9          
accordance ) /&>ds )9 ! ob/etrical &    
gynecological c>e community1 to prev5t  
ov]ex]tion or prolong$ p]iods (         
inactivity2 &  7vi7 su* o!r *anges to   
liv+ conditions z ! ,director ( !       
,bureau ( ,prisons may require aft]     
consultation ) ! ,secret>y ( ,heal? &   
,human ,s]vices & consid]ation ( su*    
recomm5dations z ! ,secret>y may        
provide4  7#c7 ,education & support     
s]vices  7,a7 ,pregnancy 9 cu/ody ,a    
woman :o is pregnant at intake or :o    
becomes pregnant :ile 9 cu/ody %all1 n  
lat] ?an #ad days aft] ! pregnant woman 
notifies a ,bureau ( ,prisons (ficial ( 
! pregnancy1 receive pr5atal education1 
c\nsel+1 & bir? support s]vices provid$ 
by a provid] tra9$ to provide su*       
s]vices1 includ+-- 7i7 in=mation ab\t ! 
p>5tal rights ( ! woman1 includ+ ! "r to
 place ! *ild 9 k9%ip c>e1 & notice ( ! 

rights ( ! *ild2  7ii7 in=mation ab\t   
family pres]vation support s]vices t are
 available to ! woman2  7iii7 in=mation 
ab\t ! nutritional /&>ds ref]r$ to 9    
p>agraph 7#b77;,c77iv72  7iv7 in=mation 
p]ta9+ to ! heal? & safety risks (      
pregnancy1 *ildbir?1 & p>5t+1 includ+   
po/p>tum depression2  7v7 in=mation on  
brea/-fe$+1 lactation1 & brea/ heal?2   
7vi7 appropriate educational mat]ials1  
res\rces1 & s]vices relat$ to pregnancy1
 *ildbir?1 & p>5t+2  7vii7 in=mation &  
notification s]vices = inc>c]at$ p>5ts  
reg>d+ ! risk ( debt repaym5t           
obligations associat$ ) _! *ild's       
p>ticipation 9 social welf>e programs1  
includ+ assi/ance "u any ,/ate program  
fund$ "u "p ,a ( title ,,iv ( ! ,social 
,security ,act 7#db ,u4,s4,c4 #fja et   
seq47 or b5efits "u ! supplem5tal       
nutrition assi/ance program1 z def9$ 9  
section #c ( ! ,food & ,nutrition ,act (
 #bjjh 7#g ,u4,s4,c4 #bjab71 or any     
,/ate program c>ri$ out "u t ,act2 &    
7viii7 in=mation f ! ,(fice ( ,*ild     

,support ,en=cem5t ( ! ,dep>tm5t (      
,heal? & ,human ,s]vices reg>d+ seek+ or
 modify+ *ild support :ile inc>c]at$1   
includ+ h[ to p>ticipate 9 ! ,bureau (  
,prison's ,inmate ,f9ancial             
,responsibility ,program "u subp>t ,b ( 
"p #ede ( title #bh1 ,code ( ,f$]al     
,regulations 7or any successor program74
  7,b7 ,bir? :ile 9 cu/ody or prior to  
cu/ody ,a woman :o1 :ile 9 cu/ody or    
dur+ ! #f-mon? p]iod imm$iately prec$+  
intake1 gave bir? or exp]i5c$ any o!r   
pregnancy outcome %all receive c\nsel+  
provid$ by a lic5s$ or c]tifi$ provid]  
tra9$ to provide su* s]vices1 includ+-- 
7i7 in=mation ab\t ! p>5tal rights ( !  
woman1 includ+ ! "r to place ! *ild 9   
k9%ip c>e1 & notice ( ! rights ( ! *ild2
  7ii7 in=mation ab\t family pres]vation
 support s]vices t are available to !   
woman2 &  7iii7 po/p>tum heal?          
conditions4  7#d7 ,evaluations  7,a7 ,9 
g5]al ,ea* woman 9 cu/ody :o is pregnant
 or ^: pregnancy results 9 a bir? or any
 o!r pregnancy outcome dur+ ! #f-mon?   

p]iod imm$iately prec$+ intake or any "t
 9 cu/ody !reaft] %all be evaluat$ z    
soon z practicable aft] intake or       
confirmation ( pregnancy ?r\gh          
evid5ce-bas$ scre5+ & assessm5t =       
sub/ance use disord]s or m5tal heal?    
conditions1 includ+ po/p>tum depression 
or depression relat$ to pregnancy1 bir?1
 or any o!r pregnancy outcome or e>ly   
*ild c>e4  7,b7 ,risk factors ,scre5+ "u
 subp>agraph 7,a7 %all include          
id5tification ( any ( ! foll[+ risk     
factors3 7i7 ,an exi/+ m5tal or physical
 heal? condition or sub/ance use        
disord]4  7ii7 ,be+ und]weight or       
ov]weight4  7iii7 ,multiple bir?s or a  
previ\s /ill bir?4  7iv7 ,a hi/ory (    
preeclampsia4  7v7 ,a previ\s ,caes>ean 
section4  7vi7 ,a previ\s misc>riage4   
7vii7 ,be+ old] ?an #ce or y\ng] ?an    
#ae4  7viii7 ,be+ diagnos$ ) ! human    
immunodefici5cy virus1 hepatitis1       
diabetes1 or hyp]t5sion4  7ix7 ,su* o!r 
risk factors z ! *ief heal? c>e         
pr(essional ( ! ,bureau ( ,prisons      

facility t h\se ! woman may det]m9e to  
be appropriate4  7#e7 ,unexpect$ bir?s  
rulemak+ ,! ,director ( ! ,bureau (     
,prisons %all provide s]vices to respond
 to unexpect$ *ildbir? deliv]ies1 labor 
complications1 & m$ical complications   
relat$ to pregnancy if a woman 9 cu/ody 
is unable to access a hospital 9 a      
timely mann] 9 accordance ) rules       
promulgat$ by ! ,attorney ,g5]al1 :i*   
%all be promulgat$ n lat] ?an #ahj days 
aft] ! date ( enactm5t ( ?is ,act4  7#f7
 ,treatm5t ,! ,director ( ! ,bureau (   
,prisons %all use be/ ef=ts to provide a
 woman 9 cu/ody :o is pregnant &        
diagnos$ ) hav+ a sub/ance use disord]  
or a m5tal heal? disord] ) appropriate  
evid5ce-bas$ treatm5t4  #e4 ,use (      
re/rictive h\s+ on inc>c]at$ pregnant   
wom5 dur+ pregnancy1 labor1 & po/p>tum  
recov]y prohibit$  7a7 ,9 g5]al ,section
 #dcbb ( title #ah1 ,unit$ ,/ates ,code1
 is am5d$ to read z foll[s3  #dcbb4 ,use
 ( re/rictive h\s+ on inc>c]at$ wom5    
dur+ ! p]iod ( pregnancy1 labor1 &      

po/p>tum recov]y prohibit$  7a7         
,prohibition ,except z provid$ 9        
subsection 7b71 dur+ ! p]iod beg9n+ on !
 date on :i* pregnancy is confirm$ by a 
heal? c>e pr(essional & end+ n e>li] ?an
 #ab weeks aft] deliv]y1 an inc>c]at$   
woman 9 ! cu/ody ( ! ,bureau ( ,prisons1
 or 9 ! cu/ody ( ! ,unit$ ,/ates ,m>%als
 ,s]vice pursuant to section #djhf1 %all
 n be held 9 re/rictive h\s+4  7b7      
,exceptions  7#a7 ,re/rictive h\s+      
,subject to p>agraph 7#d71 ! prohibition
 "u subsection 7a7 relat+ to re/rictive 
h\s+ %all n apply if ! ,director ( !    
,bureau ( ,prisons or a s5ior ,bureau ( 
,prisons (ficial ov]see+ wom5's heal? & 
s]vices1 9 consultation ) s5ior (ficials
 9 heal? s]vices1 makes an individualiz$
 det]m9ation t re/rictive h\s+ is       
requir$ z a tempor>y response to        
behavior t poses a s]i\s & imm$iate risk
 ( physical h>m4  7#b7 ,review ,!       
(ficial :o makes a det]m9ation "u       
subp>agraph 7,a7 %all review su*        
det]m9ation daily = ! purpose ( remov+  

an inc>c]at$ woman z quickly z feasible 
f re/rictive h\s+4  7#c7 ,re/rictive    
h\s+ plan ,! (ficial :o makes a         
det]m9ation "u subp>agraph 7,a7 %all    
develop an individualiz$ plan to move an
 inc>c]at$ woman to less re/rictive h\s+
 )9 a reasonable am\nt ( "t4  7#d7      
,prohibition on solit>y conf9em5t ,an   
inc>c]at$ woman :o is plac$ 9 re/rictive
 h\s+ "u ?is subsection may n be plac$ 9
 solit>y conf9em5t if ! inc>c]at$ woman 
is 9 h] ?ird trime/]4  7c7 ,reports     
7#a7 ,report to directors & heal? c>e   
pr(essional aft] placem5t 9 re/rictive  
h\s+ ,n lat] ?an #cj days aft] ! date on
 :i* an inc>c]at$ woman is plac$ 9      
re/rictive h\s+ "u subsection 7b71 !    
applicable (ficial id5tifi$ 9 subsection
 7b77#a71 correctional (fic]1 or ,unit$ 
,/ates ,m>%al %all submit to ! ,director
 ( ! ,bureau ( ,prisons or ! ,director (
 ! ,unit$ ,/ates ,m>%als ,s]vice1 z     
applicable1 & to ! heal? c>e pr(essional
 responsible = ! heal? & safety ( !     
woman1 a writt5 report :i* describes !  

facts & circum/ances surr\nd+ !         
re/rictive h\s+ placem5t1 & includes !  
foll[+3 7,a7 ,! reason+ ^u :i* !        
det]m9ation = ! placem5t 0 made4  7,b7  
,! details ( ! placem5t1 includ+ l5g? ( 
"t ( placem5t & h[ frequ5tly & h[ _m    
times ! det]m9ation 0 made subsequ5t to 
! initial det]m9ation to cont9ue !      
re/rictive h\s+ placem5t4  7,c7 ,a      
description ( all attempts to use       
alt]native int]v5tions & sanctions be=e 
! re/rictive h\s+ 0 us$4  7,d7 ,any     
result+ physical effects on ! woman     
obs]v$ by or report$ by ! heal? c>e     
pr(essional responsible = ! heal? &     
safety ( ! woman4  7,e7 ,/rategies !    
facility is putt+ 9 place to id5tify m  
appropriate alt]native int]v5tions %\ld 
a simil> situation arise aga94  7#b7    
,report to congress ,n lat] ?an #ahj    
days aft] ! date ( enactm5t ( !         
,pregnant ,wom5 9 ,cu/ody ,act1 & e #ahj
 days !reaft] = a p]iod ( #aj ye>s1 !   
,attorney ,g5]al %all submit to !       
,committee on ! ,judici>y ( ! ,s5ate & !

 ,committee on ! ,judici>y ( ! ,h\se (  
,repres5tatives a report on ! placem5t (
 inc>c]at$ wom5 9 re/rictive h\s+ "u    
subsection 7b71 :i* %all include !      
in=mation describ$ 9 p>agraph 7#a74  7d7
 ,notice ,n lat] ?an #bd h\rs aft] !    
confirmation ( ! pregnancy ( an         
inc>c]at$ woman by a heal? c>e          
pr(essional1 t woman %all be notifi$1   
orally & 9 writ+1 by an appropriate     
heal? c>e pr(essional1 correctional     
(fic]1 or ,unit$ ,/ates ,m>%al1 z       
applicable-- 7#a7 ( ! re/rictions on !  
use ( re/rictive h\s+ placem5ts "u ?is  
section2  7#b7 ( ! "r ( ! inc>c]at$     
woman to make a confid5tial report ( a  
violation ( re/rictions on ! use (      
re/rictive h\s+ placem5t2 &  7#c7 t !   
facility /aff h be5 advis$ ( all rights 
( ! inc>c]at$ woman "u subsection 7a74  
7e7 ,violation report+ process ,n lat]  
?an #ahj days aft] ! date ( enactm5t ( !
 ,pregnant ,wom5 9 ,cu/ody ,act1 !      
,director ( ! ,bureau ( ,prisons & !    
,director ( ! ,unit$ ,/ates ,m>%als     

,s]vice %all e/abli% processes ?r\gh :i*
 an inc>c]at$ p]son may report a        
violation ( ?is section4  7f7           
,notification ( rights ,! w>d5 ( !      
,bureau ( ,prisons facility :]e a       
pregnant woman is 9 cu/ody %all notify  
necess>y facility /aff ( ! pregnancy & (
 ! rights ( ! inc>c]at$ pregnant woman  
"u subsection 7a74  7g7 ,retaliation ,x 
%all be unlawful = any ,bureau (        
,prisons or ,unit$ ,/ates ,m>%als       
,s]vice employee to retaliate aga9/ an  
inc>c]at$ p]son = report+ "u ! processes
 e/abli%$ "u subsection 7e7 a violation 
( subsection 7a74  7h7 ,education ,n    
lat] ?an #ij days aft] ! date ( enactm5t
 ( ! ,pregnant ,wom5 9 ,cu/ody ,act1 !  
,director ( ! ,bureau ( ,prisons & !    
,director ( ! ,unit$ ,/ates ,m>%als     
,s]vice %all ea*-- 7#a7 develop         
education guidel9es reg>d+ ! physical & 
m5tal heal? ne$s ( inc>c]at$ pregnant   
wom51 & ! use ( re/rictive h\s+         
placem5ts on inc>c]at$ wom5 dur+ ! p]iod
 ( pregnancy1 labor1 & po/p>tum recov]y2

 &  7#b7 incorporate su* guidel9es into 
appropriate education programs4  7i7    
,def9ition ,9 ?is section1 ! t]m        
re/rictive h\s+ means any type (        
det5tion t involves-- 7#a7 removal f !  
g5]al inmate population1 :e!r volunt>y  
or involunt>y2  7#b7 placem5t 9 a lock$ 
room or cell1 :e!r alone or ) ano!r     
inmate2 &  7#c7 inability to leave !    
room or cell = ! va/ majority ( ! day4  
4  7b7 ,cl]ical am5dm5t ,! table (      
sections = *apt] #cag ( title #ah1      
,unit$ ,/ates ,code1 is am5d$ by /rik+ !
 item relat+ to section #dcbb & ins]t+ !
 foll[+3  #dcbb4 ,use ( re/rictive h\s+ 
on inc>c]at$ wom5 dur+ ! p]iod (        
pregnancy1 labor1 & po/p>tum recov]y    
prohibit$4  4  #f4 ,treatm5t ( wom5 )   
high-risk pregnancies  7a7 ,9 g5]al     
,*apt] #cjc ( title #ah1 ,unit$ ,/ates  
,code1 is am5d$ by add+ at ! end !      
foll[+3  #djeb4 ,treatm5t ( inc>c]at$   
pregnant wom5  7a7 ,high-,risk pregnancy
 heal? c>e ,! ,director ( ! ,bureau (   
,prisons %all ensure t ea* inc>c]at$    

pregnant woman receives an evaluation to
 det]m9e if ! pregnancy is high-risk &1 
if s1 receives heal?c>e appropriate = a 
high-risk pregnancy1 includ+ ob/etrical 
& gynecological c>e1 dur+ pregnancy &   
po/p>tum recov]y4  7b7 ,high-,risk      
pregnancies  7#a7 ,9 g5]al ,! ,director 
( ! ,bureau ( ,prisons %all transf] to a
 ,resid5tial ,re5try ,c5t] ) adequate   
heal? c>e dur+ h] pregnancy & po/p>tum  
recov]y any inc>c]at$ woman :o-- 7,a7 is
 det]m9$ by a heal? c>e pr(essional to h
 a high-risk pregnancy2 &  7,b7 agrees  
to be transf]r$4  7#b7 ,priority ,!     
,resid5tial ,re5try ,c5t] to :i* an     
inc>c]at$ pregnant woman is transf]r$ "u
 p>agraph 7#a7 %all1 to ! ext5t         
practicable1 be 9 a geographical        
location t is close to ! family memb]s (
 ! inc>c]at$ pregnant woman4  7#c7      
,transportation ,to transport an        
inc>c]at$ pregnant woman to a           
,resid5tial ,re5try ,c5t]1 ! ,director (
 ! ,bureau ( ,prisons %all provide to ! 
woman a mode ( transportation t a       

heal?c>e pr(essional has det]m9$ to be  
safe = transport+ ! pregnant woman4     
7#d7 ,s]vice ( s5t5ce ,any "t accru$ at 
a ,resid5tial ,re5try ,c5t] or          
alt]native h\s+ z a result ( a transf]  
made "u ?is section %all be cr$it$ t[>d 
s]vice ( ! inc>c]at$ pregnant woman's   
s5t5ce4  7c7 ,def9itions ,9 ?is section3
 7#a7 ,heal? c>e pr(essional ,! t]m     
heal? c>e pr(essional means-- 7,a7 a    
doctor ( m$ic9e or o/eopa?y :o is       
au?oriz$ to diagnose & treat physical or
 m5tal heal? conditions "u ! laws ( !   
,/ate 9 :i* ! doctor practices & :]e !  
facility is locat$2  7,b7 any           
physician's assi/ant or nurse           
practition] :o is sup]vis$ by a doctor (
 m$ic9e or o/eopa?y describ$ 9          
subp>agraph 7,a72 or  7,c7 any o!r p]son
 det]m9$ by ! ,director ( ! ,bureau (   
,prisons to be capable ( provid+ heal?  
c>e s]vices4  7#b7 ,high-risk pregnancy 
,! t]m high-risk pregnancy means1 )     
respect to an inc>c]at$ woman1 t !      
pregnancy ?reat5s ! heal? or life ( !   

woman or pregnancy1 z det]m9$ by a heal?
 c>e pr(essional4  7#c7 ,po/p>tum       
recov]y ,! t]m po/p>tum recov]y means ! 
#c-mon? p]iod beg9n+ on ! date on :i* an
 inc>c]at$ pregnant woman gives bir?1 or
 long] z det]m9$ by a heal? c>e         
pr(essional foll[+ deliv]y1 & %all      
include ! entire p]iod t ! inc>c]at$    
pregnant woman is 9 ! hospital or       
infirm>y4  7#d7 ,resid5tial re5try c5t] 
,! t]m ,resid5tial ,re5try ,c5t] means a
 ,bureau ( ,prisons contract$ resid5tial
 re5try c5t]4  4  7b7 ,con=m+ am5dm5t ,!
 table ( sections = *apt] #cjc ( title  
#ah1 ,unit$ ,/ates ,code1 is am5d$ by   
add+ at ! end ! foll[+3  #djeb4         
,treatm5t ( inc>c]at$ pregnant wom54  4 
#g4 ,report+ requirem5t reg>d+ claims   
fil$ by pregnant inmates ,! ,director ( 
! ,f$]al ,bureau ( ,prisons %all make   
publicly available on ! website ( !     
,f$]al ,bureau ( ,prisons on an annual  
basis ! foll[+ in=mation3 7#a7 ,! total 
numb] ( ,adm9i/rative ,rem$y appeals    
relat$ to pregnant inmates t 7 fil$ dur+

 ! previ\s ye>4  7#b7 ,! total numb] (  
in/itution-level ,reque/s =             
,adm9i/rative ,rem$y relat$ to pregnant 
inmates t 7 fil$ dur+ ! previ\s ye>4    
7#c7 ,! total numb] ( in=mal reque/s =  
adm9i/rative rem$y relat$ to pregnant   
inmates t 7 fil$ dur+ ! previ\s ye>4    
7#d7 ,! total numb] ( reque/s or appeals
 relat$ to pregnant inmates dur+ !      
previ\s ye> t 7 n resolv$ be=e ! inmate 
gave bir? or t 7 moot$ because !        
inmate's pregnancy end$4  7#e7 ,! av]age
 am\nt ( "t t ea* category ( reque/ or  
appeal took to resolve dur+ ! previ\s   
ye>4  7#f7 ,! %orte/ & longe/ am\nts (  
"t t a reque/ or appeal 9 ea* category t
 0 resolv$ 9 ! la/ ye> took to resolve4 
#h4 ,education & te*nical assi/ance ,!  
,director ( ! ,national ,in/itute (     
,corrections %all provide education &   
te*nical assi/ance1 9 conjunction ) !   
appropriate public ag5cies1 at ,/ate &  
local correctional facilities t h\se    
wom5 & facilities 9 :i* inc>c]at$ wom5 g
 into labor & give bir?1 9 ord] to      

educate ! employees ( su* facilities1   
includ+ heal? p]sonnel1 on ! dang]s &   
pot5tial m5tal heal? consequ5ces        
associat$ ) ! use ( re/rictive h\s+ &   
re/ra9ts on inc>c]at$ wom5 dur+         
pregnancy1 labor1 & po/p>tum recov]y1 & 
on alt]natives to ! use ( re/ra9ts &    
re/rictive h\s+ placem5t4  #i4 ,bureau (
 prisons /aff & unit$ /ates m>%als tra9+
  7a7 ,bureau ( prisons tra9+  7#a7 ,9  
g5]al  7,a7 ,initial tra9+ ,n lat] ?an  
#ahj days aft] ! date ( enactm5t ( ?is  
,act1 ! ,director ( ! ,bureau ( ,prisons
 %all provide tra9+ to c>ry out !       
requirem5ts ( ?is ,act & ! am5dm5ts made
 by ?is ,act to ea* correctional (fic]  
at any ,bureau ( ,prisons facility t    
h\ses wom5 :o is employ$ on ! date (    
enactm5t ( ?is ,act4  7,b7 ,subsequ5t   
tra9+ ,aft] ! initial tra9+ provid$ "u  
subp>agraph 7,a71 ! ,director ( !       
,bureau ( ,prisons %all provide tra9+ to
 c>ry out ! requirem5ts ( ?is ,act & !  
am5dm5ts made by ?is ,act twice ea* ye> 
to ea* correctional (fic] at any ,bureau

 ( ,prisons facility t h\ses wom54  7#b7
 ,new hires  7,a7 ,def9ition ,9 ?is     
p>agraph1 ! t]m cov]$ new correctional  
(fic] means an individual appo9t$ to a  
position z a correctional (fic] at a    
,bureau ( ,prisons facility t h\ses wom5
 on or aft] ! date t is #ahj days aft] !
 date ( enactm5t ( ?is ,act4  7,b7      
,tra9+ ,! ,director ( ! ,bureau (       
,prisons %all tra9 ea* cov]$ new        
correctional (fic] to c>ry out !        
requirem5ts ( ?is ,act & ! am5dm5ts made
 by ?is ,act n lat] ?an #cj days aft] ! 
date on :i* ! cov]$ new correctional    
(fic] is appo9t$4  7b7 ,unit$ /ates     
m>%als tra9+  7#a7 ,9 g5]al ,on & aft] !
 date t is #ahj days aft] ! date (      
enactm5t ( ?is ,act1 ! ,director ( !    
,unit$ ,/ates ,m>%als ,s]vice %all      
ensure t ea* ,deputy ,unit$ ,/ates      
,m>%al has receiv$ tra9$ pursuant to !  
guidel9es describ$ 9 subsection 7c74    
7#b7 ,new hires  7,a7 ,def9ition ,9 ?is 
p>agraph1 ! t]m new ,deputy ,unit$      
,/ates ,m>%al means an individual       

appo9t$ to a position z a ,deputy ,unit$
 ,/ates ,m>%al aft] ! date ( enactm5t ( 
?is ,act4  7,b7 ,tra9+ ,n lat] ?an #cj  
days aft] ! date on :i* a new ,deputy   
,unit$ ,/ates ,m>%al is appo9t$1 ! new  
,deputy ,unit$ ,/ates ,m>%al %all       
receive tra9+ pursuant to ! guidel9es   
describ$ 9 subsection 7c74  7c7         
,guidel9es  7#a7 ,9 g5]al ,! ,director (
 ! ,bureau ( ,prisons & ! ,unit$ ,/ates 
,m>%als ,s]vice %all ea* develop        
guidel9es on ! treatm5t ( inc>c]at$ wom5
 dur+ pregnancy1 labor1 & po/p>tum      
recov]y & incorporate su* guidel9es 9 ! 
tra9+ requir$ "u ?is section4  7#b7     
,cont5ts ,! guidel9es develop$ "u       
p>agraph 7#a7 %all include guidance on--
 7,a7 ! transportation ( inc>c]at$      
pregnant wom52  7,b7 h\s+ ( inc>c]at$   
pregnant wom52  7,c7 nutritional        
requirem5ts = inc>c]at$ pregnant wom52 &
  7,d7 ! "r ( a heal? c>e pr(essional to
 reque/ t re/ra9ts n be us$4  #aj4 ,,gao
 /udy on ,/ate & local correctional     
facilities ,! ,comptroll] ,g5]al ( !    

,unit$ ,/ates %all conduct a /udy (     
s]vices & protections provid$ = pregnant
 inc>c]at$ wom5 9 local & ,/ate         
correctional sett+s1 includ+-- 7#a7     
policies on-- 7,a7 ob/etrical &         
gynecological c>e2  7,b7 education on   
nutritional issues & heal? & safety     
risks associat$ ) pregnancy2  7,c7 m5tal
 heal? & sub/ance use treatm5t2  7,d7   
access to pr5atal & po/-deliv]y support 
s]vices & programs2 &  7,e7 ! use (     
re/ra9ts & re/rictive h\s+ placem5t2 &  
7#b7 ! ext5t to :i* ! int5t ( su*       
policies is fulfill$4  #aa4 ,det]m9ation
 ( budget>y effects ,! budget>y effects 
( ?is ,act1 = ! purpose ( comply+ ) !   
,/atutory ,pay-,z-,y-,g ,act ( #bjaj1   
%all be det]m9$ by ref]5ce to ! late/   
/atem5t titl$ ,budget>y ,effects (      
,,paygo ,legislation = ?is ,act1        
submitt$ = pr9t+ 9 ! ,congressional     
,record by ! ,*airman ( ! ,h\se ,budget 
,committee1 provid$ t su* /atem5t has   
be5 submitt$ prior to ! vote on passage4