,,ii  #aah? ,,congress  #a/ ,session    
,s4 #cbc  ,,9 ,,! ,,s5ate ,,( ,,!       
,,unit$ ,,/ates  ,febru>y #i1 #bjbc,ms4 
,hirono 7= h]self1 ,mr4 ,b5net1 ,mrs4   
,gillibr&1 ,ms4 ,w>r51 ,mr4 ,wyd51 ,mr4 
,br[n1 ,mrs4 ,fe9/e91 ,ms4 ,cortez      
,ma/o1 ,ms4 ,duckwor?1 ,mrs4 ,murray1 & 
,mr4 ,book]7 introduc$ ! foll[+ bill2   
:i* 0 read twice & ref]r$ to !          
,committee on ,heal?1 ,education1       
,labor1 & ,p5sions  ,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 & not)/&+ any regulations 
promulgat$ pursuant to section #bfd7;c7 
( ! ,heal? ,insurance ,portability &    

,acc\ntability ,act ( #aiif 7#db        
,u4,s4,c4 #acbj;d-#b note2 ,public ,law 
#ajd-aia71 a cov]$ entity or a bus9ess  
associate ( a cov]$ 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 ,regulations 7or a  
successor regulation74  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 a bus9ess associate ( a 
cov]$ entity if-- 7,a7 ! pregnancy      
t]m9ation or loss in=mation is necess>y 
= use 9 def5se ( a pr(essional liability
 action or proce$+ aga9/ ! cov]$ entity 
or bus9ess associate & ! pregnancy      
t]m9ation or loss in=mation is disclos$ 
by-- 7i7 ! cov]$ entity or bus9ess      
associate to ! cov]$ entity's or bus9ess

 associate's attorney or pr(essional    
liability insur] or insur]'s ag5t2 or   
7ii7 ! au?oriz$ attorney ( ! cov]$      
entity or bus9ess associate to a c\rt or
 body he>+ ! action or proce$+2 or  7,b7
 7i7 ! pregnancy t]m9ation or loss      
in=mation is necess>y to inve/igate     
physical h>m to ! individual by ano!r   
p]son directly relat+ to ! loss or      
t]m9ation ( ! pregnancy2 &  7ii7 !      
individual is unable to provide cons5t  
due to dea? or incapacity4  7b7 ,,hite* 
7#a7 ,privacy exception ,! ,secret>y    
%all revise section #aga4bjb ( title    
#de1 ,code ( ,f$]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 %all n be    
consid]$ in=mation block+ 7z def9$ 9    
section #aga4ajc ( title #de1 ,code (   
,f$]al ,regulations 7or a successor     
regulation77 if ! in=mation is pregnancy
 t]m9ation or loss in=mation4  7#b7     
,great] security ,! ,secret>y %all      

revise section #agj4dja ( title #de1    
,code ( ,f$]al ,regulations1 to require 
t z a condition ( c]tification 7z       
describ$ 9 t section71 a heal? ,,x      
develop] 7z s describ$7 %all implem5t   
practices t all[ = ! segregation ( data 
relat+ to pregnancy t]m9ation or loss   
in=mation to ensure compliance )        
subsection 7a74  7c7 ,preemption2       
modification ( ,/ate preemption         
exceptions  7#a7 ,preemption  7,a7 ,9   
g5]al ,?is section %all preempt any     
,/ate law to ! ext5t t ! ,/ate law      
conflicts ) or prev5ts application ( ?is
 section4  7,b7 ,effect ,no?+ 9         
subp>agraph 7,a7 %all be con/ru$ to     
preempt a ,/ate law to ! ext5t t ! ,/ate
 law provides great] privacy protections
 = pregnancy t]m9ation or loss in=mation
 ?an provid$ "u ?is section4  7#b7      
,modification ,! ,secret>y %all revise  
section #afj4bjc ( title #de1 ,code (   
,f$]al ,regulations1 to ensure t no     
exception to ! g5]al preemption rule    
/at$ 9 t section applies ) respect to   

pregnancy t]m9ation or loss in=mation   
o!r ?an ! exception describ$ 9 p>agraph 
7#a77;,b74  7d7 ,outrea* ,! ,secret>y   
%all conduct an outrea* campaign to     
ensure t cov]$ entities1 bus9ess        
associates ( cov]$ entities1 ! public1 &
 affect$ individuals are aw>e ( !       
requirem5ts ( ?is section & any         
revisions to regulations made pursuant  
to ?is section4  7e7 ,proc$ure  7#a7    
,int]im f9al rule ,n lat] ?an #ij days  
aft] ! date ( enactm5t ( ?is ,act1 !    
,secret>y %all revise ea* regulation z  
requir$ by ?is section ?r\gh publication
 ( an int]im f9al rule 9 ! ,f$]al       
,regi/]4  7#b7 ,f9al rule ,n lat] ?an   
#bgj days aft] ! date on :i* an int]im  
f9al rule is publi%$ "u p>agraph 7#a71 !
 ,secret>y1 aft] provid+ opportunity =  
public comm5t1 %all publi% 9 ! ,f$]al   
,regi/] a f9al rule ) su* modifications 
z ! ,secret>y det]m9es appropriate4  7f7
 ,def9itions ,9 ?is section3 7#a7       
,,hipaa t]ms ,! t]ms bus9ess associate1 
cov]$ entity1 & protect$ heal? in=mation

 h ! mean+s giv5 ^? t]ms 9 section      
#afj4ajc ( title #de1 ,code ( ,f$]al    
,regulations 7or a successor            
regulation74  7#b7 ,pregnancy t]m9ation 
or loss in=mation ,! t]m pregnancy      
t]m9ation or loss in=mation means       
protect$ 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+1 )\t limitation1
 any reque/ =1 or receipt (1 items1     
s]vices1 education1 c\nsel+1 or ref]rals
 relat+ to ! t]m9ation or loss ( a      
pregnancy ( ! individual1 includ+       
abortion1 misc>riage1 /illbir?1 &       
ectopic pregnancy4  7#c7 ,secret>y ,!   
t]m ,secret>y means ! ,secret>y ( ,heal?
 & ,human ,s]vices4