,,ii  #aah? ,,congress  #b;d ,session   
,s4 #debd  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,june #ab1 #bjbd ,mr4  
,lank=d 7= himself1 ,mr4 ,cram]1 ,mr4   
,da9es1 ,mr4 ,hoev51 ,mr4 ,rubio1 ,mr4  
,ris*1 ,mr4 ,moran1 ,mr4 ,crapo1 ,ms4   
,lummis1 ,mrs4 ,blackburn1 ,mr4 ,r\nds1 
,mr4 ,hawley1 ,mr4 ,?une1 ,mr4          
,ricketts1 ,mrs4 ,fis*]1 & ,mrs4        
,hyde-,smi?7 introduc$ ! foll[+ bill2   
:i* 0 read twice & ref]r$ to !          
,committee on ,heal?1 ,education1       
,labor1 & ,p5sions  ,a ,,bill  ,to am5d 
! ,public ,heal? ,s]vice ,act to        
prohibit discrim9ation aga9/ heal? c>e  
entities t d n p>ticipate 9 abortion1 & 
to /r5g!n implem5tation & en=cem5t (    
,f$]al consci5ce laws4  #a4 ,%ort title 
,?is ,act may be cit$ z ! ,consci5ce    
,protection ,act ( #bjbd4  #b4 ,f9d+s   
,congress f9ds z foll[s3  7#a7 ,?omas   
,jeff]son /at$ a conviction common to   
our ,nation's f\nd]s :5 he decl>$ 9     
#ahji t no provision 9 our ,con/itution 
ought to be de>] to man ?an t :i*       

protects ! rights ( consci5ce aga9/ !   
ent]prises ( ! civil au?ority4  7#b7 ,no
 heal? c>e entity %\ld h to *oose betwe5
 giv+ up _! religi\s1 moral1 e?ical1 or 
m$ical convictions & ab&on+ a vital     
m$ical mission4 ,congress enact$ m ?an  
two doz5 provisions 9 ,f$]al /atutes to 
protect su* rights 9 heal? c>e1 :i* also
 protect ,/ates' ability to op]ate 9    
accordance ) _! laws to protect simil>  
rights )\t fe> ( retaliation f ! ,f$]al 
,gov]nm5t4 ,su* provisions ( ,f$]al     
/atutes include--  7,a7 subsections 7b7 
?r\gh 7e7 ( section #dja ( ! ,heal?     
,programs ,ext5sion ,act ( #aigc 7#db   
,u4,s4,c4 #cjj;a-#g7 7commonly kn[n1 &  
ref]r$ to 9 ?is section1 z ! ,*ur*      
,am5dm5ts72  7,b7 section #bde ( !      
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bchn7 7commonly kn[n z !     
,coats-,sn[e ,am5dm5t72  7,c7 ! ,weldon 
,am5dm5t approv$ by ,congresses &       
,presid5ts ( bo? p>ties e ye> s9ce #bjjd
 7includ+ section #ejg7;d7 ( !          
,dep>tm5ts ( ,labor1 ,heal? & ,human    

,s]vices1 & ,education1 & ,relat$       
,ag5cies ,appropriations ,act1 #bjbc    
7division ,h ( ! ,consolidat$           
,appropriations ,act1 #bjbc 7,public    
,law #aag-cbh7772 &  7,d7 o!r consci5ce 
protections1 z outl9$ 9 ! f9al rule     
issu$ by ! ,secret>y ( ,heal? & ,human  
,s]vices entitl$ ,protect+ ,/atutory    
,consci5ce ,rights 9 ,heal? ,c>e2       
,delegations ( ,au?ority 7#hd ,f$4 ,reg4
 #bcagj2 ,may #ba1 #bjai71 "u ! ,pati5t 
,protection & ,af=dable ,c>e ,act1 "u ! 
,social ,security ,act1 & ) respect to  
global heal? programs & advanc$         
directives4  7#c7 ,c\rts h held t c]ta9 
consci5ce protection /atutes d n provide
 a private "r ( action = individuals or 
entities :o h be5 discrim9at$ aga9/1    
!reby leav+ victims ( discrim9ation     
unable to def5d _! own consci5ce rights 
9 c\rt4 ,at ! same "t1 adm9i/rative     
implem5tation & en=cem5t ( ^! laws by ! 
,(fice = ,civil ,rights ( ! ,dep>tm5t ( 
,heal? & ,human ,s]vices h be5          
inconsi/5t & at times cases are all[$ to

 langui% = ye>s or previ\sly enact$     
en=cem5t measures are ab&on$ or rev]s$4 
7#d7 ,defy+ ! ,weldon ,am5dm5t1 !       
,cali=nia ,dep>tm5t ( ,manag$ ,heal?    
,c>e has m&at$ cov]age = elective       
abortions 9 all heal? plans "u its      
jurisdiction4 ,o!r ,/ates1 su* z ,new   
,york1 ,ill9ois1 & ,wa%+ton1 h tak5 or  
consid]$ simil> action1 & "s ,/ates h   
requir$ hospitals to provide or         
facilitate abortions4 ,on ,june #ba1    
#bjaf1 ! ,(fice = ,civil ,rights ( !    
,dep>tm5t ( ,heal? & ,human ,s]vices1 "u
 ! ,obama ,adm9i/ration1 conclud$ a     
ne>ly #b-ye> inve/igation ( ?is matt] by
 det]m9+ t ! decision ( ,cali=nia to    
require insurance plans "u ! ,cali=nia  
,dep>tm5t = ,manag$ ,heal? ,c>e au?ority
 to cov] abortion s]vices did n violate 
! ,weldon ,am5dm5t4 ,at lea/ #bh1jjj    
individuals & families subsequ5tly lo/  
abortion-free heal? plans z a result (  
?is m&ate 9 violation ( _! consci5ces & 
rights "u ! ,weldon ,am5dm5t4  7#e7 ,on 
,janu>y #bd1 #bjbj1 ! ,(fice = ,civil   

,rights ( ! ,dep>tm5t ( ,heal? & ,human 
,s]vices disav[$ its prior f9d+s & issu$
 a notice ( violation ( ! ,weldon       
,am5dm5t to ,cali=nia4 ,aft] ! ,/ate's  
cont9u$ noncompliance ) ! ,weldon       
,am5dm5t1 ! ,c5t]s = ,m$ic>e  ,m$icaid  
,s]vices1 on ,decemb] #af1 #bjbj1       
ann\nc$ ! disall[ance ( #bjj1jjj1jjj p] 
qu>t] 9 ,f$]al funds to ,cali=nia beg9n+
 9 ! fir/ qu>t] ( #bjba4  7#f7 ,al?\gh  
,cali=nia _h tak5 no action to come into
 compliance ) ! ,weldon ,am5dm5t1 on    
,augu/ #ac1 #bjba1 ! ,(fice = ,civil    
,rights ( ! ,dep>tm5t ( ,heal? & ,human 
,s]vices "u ! ,bid5 ,adm9i/ration )drew 
! notice ( violation & clos$ ! compla9ts
 fil$ ) ! ,dep>tm5t4 ,z a result1       
individuals cont9ue to be co]c$ contr>y 
to law into *oos+ betwe5 violat+ _!     
consci5ces or =go+ heal? c>e cov]age =  
!mselves1 _! employees1 & _! families4  
7#g7  7,a7 ,on ,augu/ #bh1 #bjai1 !     
,(fice = ,civil ,rights ( ! ,dep>tm5t ( 
,heal? & ,human ,s]vices "u ! ,trump    
,adm9i/ration issu$ a notice ( violation

 aga9/ ! ,univ]sity ( ,v]mont ,m$ical   
,c5t] = violation ( ! ,*ur* ,am5dm5ts   
aft] x 0 f\nd to h s*$ul$ approximately 
#aj nurses :o _h regi/]$ consci5ce      
objections to abortion to assi/ )       
approximately #bj abortion proc$ures & =
 ma9ta9+ policies t explicitly requir$  
employees ) consci5ce objections to     
p>ticipate 9 proc$ures ) :i* !y disagre$
 to ensure t pati5t c>e is n negatively 
impact$4 ,su* practices 7 f\nd to be "p 
( an ongo+ patt]n1 practice1 & policy ( 
discrim9at+ aga9/ heal? c>e provid]s :o 
believe t ! p]=mance1 or ! assi/ance 9 !
 p]=mance1 ( abortions is contr>y to _! 
religi\s beliefs or moral convictions4  
7,b7 ,aft] ! ,univ]sity ( ,v]mont       
,m$ical ,c5t] refus$ to come into       
compliance ) ! law1 ! ,dep>tm5t (       
,ju/ice br\ght an en=cem5t action 9     
,f$]al c\rt aga9/ ! m$ical c5t] on      
,decemb] #af1 #bjbj4  7,c7 ,on ,july    
#cj1 #bjba1 ! ,dep>tm5t ( ,ju/ice "u !  
,bid5 ,adm9i/ration volunt>ily dismiss$ 
! case1 )\t any b9d+ settlem5t or       

requirem5t t ! ,univ]sity ( ,v]mont     
,m$ical ,c5t] rem$y its unlawful        
policies or make re/itution to !        
employees ^: rights x violat$4  7#h7 ,on
 ,may #ba1 #bjai1 ! ,secret>y ( ,heal? &
 ,human ,s]vices issu$ ! f9al rule      
entitl$ ,protect+ ,/atutory ,consci5ce  
,rights 9 ,heal? ,c>e2 ,delegations (   
,au?ority 7#hd ,f$4 ,reg4 #bcagj2 ,may  
#ba1 #bjai7 to implem5t #be ,f$]al      
consci5ce protection provisions gov]n+  
programs fund$ "u ! ,dep>tm5t ( ,heal? &
 ,human ,s]vices & provide me*anisms to 
en=ce consci5ce laws to ensure t !      
gov]nm5t & gov]nm5t-fund$ entities are n
 unlawfully discrim9at+ aga9/ heal? c>e 
entities4 ,despite ?is regulation       
provid+ = en=cem5t ( laws pass$ by      
,congress1 ! rule fac$ num]\s legal     
*all5ges & 0 vacat$4  7#i7 ,on ,janu>y  
#aa1 #bjbd1 ! ,dep>tm5t ( ,heal? &      
,human ,s]vices publi%$ a f9al rule t   
fails to equip ! ,dep>tm5t ) ! tools    
necess>y = effective en=cem5t ( ,f$]al  
/atutory protections ( rights (         

consci5ce4  7#aj7 ,congress has act$    
num]\s times to exp& access to heal? c>e
 & has also act$ num]\s times to provide
 unqualifi$ /atutorily protect$ rights (
 consci5ce to individuals & entities 9  
c]ta9 circum/ances4 ,a heal? c>e        
entity's decision n to p>ticipate 9 an  
abortion1 assi/$ suicide1 proc$ures t c 
result 9 /]ilization1 or o!r int]v5tions
 erects no b>ri] to ^? legally seek+ to 
p]=m or und]go su* int]v5tions else:]e4 
7#aa7 ,! va/ majority ( m$ical          
pr(essionals d n p]=m abortions4        
,n9ety-?ree p]c5t (                     
ob/etricians_/gynecologi/s 9 private    
practice report t !y did n provide      
abortions 7,national ,libr>y ( ,m$ic9e1 
,april #bjah7 & ! great majority (      
hospitals *oose to d s only 9 r>e cases 
or n at all4  7#ab7 ,9 ! l&m>k #bjbb    
decision1 ,dobbs v4 ,jackson ,wom5's    
,heal? ,organization1 ! ,supreme ,c\rt  
held t ! ,con/itution does n conf] a "r 
to abortion4  7#ac7 ,on ,july #ac1      
#bjbb1 ! ,dep>tm5t ( ,heal? & ,human    

,s]vices issu$ guidance to retail       
ph>macies 9 ! ,unit$ ,/ates4 ,su*       
guidance purport$ to address _!         
obligations "u ,f$]al nondiscrim9ation  
laws1 b 9 actuality ord]s ph>macies to  
/ock & disp5se abortion pills despite ! 
fact t ph>macies & ph>maci/s h a "r to n
 violate _! consci5ce by p>ticipat+ 9   
abortion "u exi/+ law4  7#ad7 ,consci5ce
 protections pose no conflict ) o!r     
,f$]al laws1 su* z ! law requir+        
/abiliz+ treatm5t = a pregnant woman '''
 or h] unborn *ild :5 ei!r ne$s em]g5cy 
c>e 7,em]g5cy ,m$ical ,treatm5t &       
,active ,labor ,act74 ,z previ\s        
,adm9i/rations h said1 ^! areas ( law h 
op]at$ side by side = _m ye>s & bo? %\ld
 be fully en=c$ 7#gf ,f$4 ,reg4 #iifh-gg
 7#bjaa7 at #iigc74  7#ae7 ,reaffirm+   
long/&+ ,f$]al policy on consci5ce      
rights & provid+ a private "r ( action 9
 cases :]e x is violat$ all[s long/&+ & 
widely support$ ,f$]al laws to "w z     
int5d$4  #c4 ,prohibit+ discrim9ation   
aga9/ heal? c>e entities t d n          

p>ticipate 9 abortion ,title ,,ii ( !   
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bjb et seq47 is am5d$ by     
ins]t+ aft] section #bde ! foll[+3      
#bde;,a4 ,prohibit+ discrim9ation aga9/ 
heal? c>e entities t d n p>ticipate 9   
abortion  7a7 ,9 g5]al ,not)/&+ any o!r 
law1 ! ,f$]al ,gov]nm5t1 & any          
individual or entity t receives ,f$]al  
f9ancial assi/ance1 includ+ any ,/ate or
 local gov]nm5t1 may n p5alize1         
retaliate aga9/1 or o!rwise discrim9ate 
aga9/ a heal? c>e entity on ! basis t   
su* heal? c>e entity does n or decl9es  
to-- 7#a7 provide1 p]=m1 ref] =1 pay =1 
or o!rwise p>ticipate 9 abortion2  7#b7 
provide or sponsor abortion cov]age2 or 
7#c7 facilitate or make arrangem5ts =   
any ( ! activities specifi$ 9 ?is       
subsection4  7b7 ,rule ( con/ruction    
,no?+ 9 ?is section %all be con/ru$--   
7#a7 to prev5t any heal? c>e entity f   
volunt>ily elect+ to p>ticipate 9       
abortions or abortion ref]rals :]e n    
prohibit$ by any o!r law2  7#b7 to      

prev5t any heal? c>e entity f volunt>ily
 elect+ to provide or sponsor abortion  
cov]age or heal? b5efits cov]age t      
includes abortion :]e n prohibit$ by any
 o!r law2  7#c7 to prev5t an accr$it+   
ag5cy1 ! ,f$]al ,gov]nm5t1 or a ,/ate or
 local gov]nm5t f e/abli%+ /&>ds (      
m$ical compet5cy applicable only to ^?  
:o h kn[+ly1 volunt>ily1 & specifically 
elect$ to p]=m abortions1 or f en=c+    
contractual obligations applicable only 
to ^? :o1 z "p ( su* contract1 kn[+ly1  
volunt>ily1 & specifically elect to     
provide abortions2  7#d7 to affect1 or  
be affect$ by1 any ,f$]al law t requires
 /abiliz+ treatm5t = a pregnant woman or
 h] unborn *ild :5 ei!r ne$s em]g5cy    
c>e2 or  7#e7 to sup]s$e any law enact$ 
by any ,/ate = ! purpose ( regulat+     
insurance1 except z specifi$ 9          
subsection 7a74  7c7 ,def9itions ,=     
purposes ( ?is section3 7#a7 ,f$]al     
f9ancial assi/ance ,! t]m ,f$]al        
f9ancial assi/ance means ,f$]al paym5ts 
to cov] ! co/ ( heal? c>e s]vices or    

b5efits1 or o!r ,f$]al paym5ts1 grants1 
or loans to promote or o!rwise          
facilitate heal?-relat$ activities4     
7#b7 ,heal? c>e entity ,! t]m heal? c>e 
entity includes-- 7,a7 an individual    
physician1 heal? c>e assi/ant1 nurse1   
ph>maci/1 heal? rese>*]1 or o!r heal?   
c>e p]sonnel2  7,b7 a hospital1         
laboratory1 ph>macy1 heal? sy/em1 or o!r
 heal? c>e or m$ical rese>* facility or 
organization 7includ+ a p>ty to a       
propos$ m]g] or o!r collaborative       
arrangem5t relat+ to heal? s]vices1 & an
 entity result+ !refrom72  7,c7 a       
provid]-sponsor$ organization1 an       
acc\ntable c>e organization1 or a heal? 
ma9t5ance organization2  7,d7 a social  
s]vices provid] t provides or au?orizes 
ref]rals = heal? c>e s]vices2  7,e7 a   
program ( tra9+ or education 9 ! heal?  
pr(essions or m$ical rese>*1 a          
p>ticipant 9 su* a program1 or any      
individual apply+ or o!rwise aspir+ to  
p>ticipate 9 su* a program2  7,f7 an    
issu] ( heal? insurance cov]age or ( a  

heal? plan2  7,g7 a heal? c>e %>+       
m9i/ry2  7,h7 a heal? insurance plan1   
includ+ gr\p1 individual1 or /ud5t heal?
 plans1 or a sponsor or adm9i/rator     
!re(2 or  7,i7 any o!r heal? c>e        
organization1 program1 facility1 or     
plan4  7#c7 ,/ate or local gov]nm5t ,!  
t]m ,/ate or local gov]nm5t includes e  
ag5cy & o!r gov]nm5tal unit &           
subdivision ( a ,/ate or local gov]nm5t1
 if su* ,/ate or local gov]nm5t1 or any 
ag5cy or gov]nm5tal unit or subdivision 
!re(1 receives ,f$]al f9ancial          
assi/ance4  4  #d4 ,/r5g!n+ en=cem5t (  
,f$]al consci5ce laws ,title ,,ii ( !   
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bjb et seq471 z am5d$ by     
section #c1 is fur!r am5d$ by ins]t+    
aft] section #bde;,a ! foll[+3  #bde;,b4
 ,adm9i/rative en=cem5t ( ,f$]al        
consci5ce laws  7a7 ,regulations  7#a7  
,9 g5]al ,"u ?is section1 ! ,secret>y   
may issue regulations "u any provision (
 law describ$ 9 p>agraph 7#b74  7#b7    
,provisions ( law ,! provisions ( law   

describ$ 9 ?is p>agraph are ea* ( !     
foll[+3  7,a7 ,sections #bde1 #bde;,a1  
#cii,m7d71 & #ebj;,e7f7 ( ?is ,act4     
7,b7 ,! ,religi\s ,fre$om ,re/oration   
,act ( #aiic1 ) respect to any program  
or activity fund$1 adm9i/]$1 or conduct$
 by ! ,dep>tm5t ( ,heal? & ,human       
,s]vices4  7,c7 ,any ( subsections 7b7  
?r\gh 7e7 ( section #dja ( ! ,heal?     
,programs ,ext5sion ,act ( #aigc        
7commonly kn[n z ! ,*ur* ,am5dm5ts71    
only ) respect to an objection bas$ on a
 religi\s belief or moral conviction4   
7,d7 ,section #ejg7;d7 ( ! ,dep>tm5ts ( 
,labor1 ,heal? & ,human ,s]vices1 &     
,education1 & ,relat$ ,ag5cies          
,appropriations ,act1 #bjbc 7division ,h
 ( ! ,consolidat$ ,appropriations ,act1 
#bjbc 7,public ,law #aag-cbh77 7commonly
 kn[n z ! ,weldon ,am5dm5t7 & any       
subsequ5t sub/antially simil> provision 
9 an appropriations ,act1 to ! ext5t    
adm9i/]$ by ! ,secret>y4  7,e7 ,section 
#bji ( ! ,dep>tm5ts ( ,labor1 ,heal? &  
,human ,s]vices1 & ,education1 & ,relat$

 ,ag5cies ,appropriations ,act1 #bjbc   
7division ,h ( ! ,consolidat$           
,appropriations ,act1 #bjbc 7,public    
,law #aag-cbh77 & any subsequ5t         
sub/antially simil> provision 9 an      
appropriations ,act1 to ! ext5t adm9i/]$
 by ! ,secret>y4  7,f7 ,clauses 7i7 &   
7ii7 ( p>agraph 7#a77;,a7 ( section     
#acjc7;b7 ( ! ,pati5t ,protection &     
,af=dable ,c>e ,act 7only ) respect to a
 det]m9ation n to provide cov]age (     
abortion71 & p>agraph 7#d7 ( su*        
section4  7,g7 ,section                 
#adaa7;b77#e77;,a7 ( ! ,pati5t          
,protection & ,af=dable ,c>e ,act 7o!r  
?an ) respect to an exemption z an      
,indian or a h>d%ip exemption7 & section
 #ejjj;,a7d77#b77;,a7 ( ! ,int]nal      
,rev5ue ,code ( #aihf4  7,h7 ,section   
#aeec ( ! ,pati5t ,protection &         
,af=dable ,c>e ,act4  7,i7 ,sections    
#aabb7;h71 #aafb1 #ahba1 #ahfa7;e71     
#ahfa7y77#a71 & #ahfa7ss7 ( ! ,social   
,security ,act1 & ! fir/ p>agraph ( !   
matt] foll[+ section #aijb7;a77#hg77;,d7

 ( su* ,act1 ea* ( su* provisions only )
 respect to protections = religi\s      
nonm$ical heal? c>e in/itutions4  7,j7  
,sections #aheb7;j77#c77;,b71           
#ahff7;f77#d71 #aijb7w77#c71            
#aijb7w77#e71 #aijg1                    
#aibh7;c77#b77;,b77ii7 7) respect to a  
religi\s or o!r exemption71             
#aicb7;b77#c77;,b71 & #bjab7;b7 ( su*   
,act4  7,k7 ,section #dbjf7;c7 ( !      
,omnibus ,budget ,reconciliation ,act ( 
#aiij4  7,l7 ,section #g ( ! ,assi/$    
,suicide ,fund+ ,re/riction ,act (      
#aiig4  7,m7 ,section #aac7;a7 ( ! ,*ild
 ,abuse ,prev5tion & ,treatm5t ,act4    
7,n7 ,section #cja7;d7 ( ! ,unit$ ,/ates
 ,lead]%ip ,aga9/ ,,hiv_/,,aids1        
,tub]culosis1 & ,mal>ia ,act ( #bjjc to 
! ext5t adm9i/]$ by ! ,secret>y4  7,o7  
,! ?ird s5t5ce ( section #bj7;a77#e7 ( !
 ,occupational ,safety & ,heal? ,act (  
#aigj4  7,p7 ,section #ajd7;f77#a7 ( !  
,=eign ,assi/ance ,act ( #aifa 7commonly
 kn[n z ! ,helms ,am5dm5t71 & any       
provision ( an appropriations ,act or   

o!r ,f$]al law t re/ates or incorporates
 by ref]5ce ! protections ( su* section1
 to ! ext5t adm9i/]$ by ! ,secret>y4    
7,q7 ,! n9? proviso "u ! head+ ,global  
,heal? ,programs "u ! head+ ,funds      
,appropriat$ to ! ,presid5t "u title    
,,iii ( ! ,dep>tm5t ( ,/ate1 ,=eign     
,op]ations1 & ,relat$ ,programs         
,appropriations ,act1 #bjbc 7division ,k
 ( ! ,consolidat$ ,appropriations ,act1 
#bjbc 7,public ,law #aag-cbh77 & any    
subsequ5t sub/antially simil> provision 
9 an appropriations ,act to ! ext5t     
adm9i/]$ by ! ,secret>y4  7,r7 ,any o!r 
provision ( law protect+ ! ex]cise (    
consci5ce or religi\s fre$om "u programs
 or activities fund$1 adm9i/]$1 or      
conduct$ by ! ,dep>tm5t ( ,heal? &      
,human ,s]vices4  7b7 ,(fice = ,civil   
,rights ,! ,secret>y %all designate !   
,director ( ! ,(fice = ,civil ,rights ( 
! ,dep>tm5t ( ,heal? & ,human ,s]vices--
 7#a7 to receive compla9ts alleg+ a     
violation ( any provision ( law describ$
 9 subsection 7a77#b72 &  7#b7 to       

promptly inve/igate su* compla9ts1 issue
 f9d+s1 & require corrective action 9   
cases ( su* a violation4  7c7 ,en=cem5t 
7#a7 ,9 g5]al ,! ,secret>y %all1 z      
p]mitt$ "u law 7includ+ ! ,con/itution (
 ! ,unit$ ,/ates71 induce compliance (  
an individual or entity1 includ+ a ,/ate
 or local gov]nm5t1 fail+ to comply )   
any provision ( law describ$ 9          
subsection 7a77#b71 by t]m9at+1 9 :ole  
or 9 "p1 any ,f$]al f9ancial assi/ance  
provid$ by ! ,secret>y to su* individual
 or entity4  7#b7 ,ref]rals ,! ,secret>y
 %all1 z ! ,secret>y det]m9es necess>y =
 induc+ compliance ) a provision        
describ$ 9 p>agraph 7#a71 ref] a        
violation ( su* a provision to !        
,attorney ,g5]al = a civil action 9     
accordance ) section #bde;,c4  #bde;,c4 
,civil action = violations ( ,f$]al     
consci5ce laws  7a7 ,9 g5]al ,a qualifi$
 p>ty may1 9 a civil action1 obta9      
relief describ$ 9 subsection 7e7 )      
respect to a designat$ violation4  7b7  
,def9itions ,= purposes ( ?is section3  

7#a7 ,designat$ violation ,! t]m        
designat$ violation means an actual or  
?reat5$ violation ( any provision ( law 
describ$ 9 section #bde;,b7a77#b74  7#b7
 ,qualifi$ p>ty ,! t]m qualifi$ p>ty    
means-- 7,a7 ! ,attorney ,g5]al2 or     
7,b7 any individual or entity adv]sely  
affect$ by ! designat$ violation )\t    
reg>d to :e!r su* individual or entity  
is a heal? c>e entity z def9$ 9 section 
#bde;,a7c74  7c7 ,adm9i/rative rem$ies n
 requir$ ,an action "u ?is section may  
be comm5c$1 & relief may be grant$1 )\t 
reg>d to :e!r ! p>ty comm5c+ ! action   
has s\ght or exhau/$ any available      
adm9i/rative rem$ies4  7d7 ,def5dants 9 
actions "u ?is section may include      
gov]nm5tal entities z well z o!rs  7#a7 
,9 g5]al ,an action "u ?is section may  
be ma9ta9$ aga9/ any individual or      
entity receiv+ ,f$]al f9ancial assi/ance
 7z def9$ 9 section #bde;,a7c771 includ+
 a ,/ate gov]nm5tal entity4 ,relief 9 an
 action "u ?is section may include money
 damages ev5 if ! def5dant is a         

gov]nm5tal entity4  7#b7 ,def9ition ,= !
 purposes ( ?is subsection1 ! t]m ,/ate 
gov]nm5tal entity means a ,/ate1 a local
 gov]nm5t )9 a ,/ate1 & any ag5cy or o!r
 gov]nm5tal unit or subdivision ( a     
,/ate1 or ( su* a local gov]nm5t4  7e7  
,nature ( relief ,9 an action "u ?is    
section1 ! c\rt %all grant-- 7#a7 all   
appropriate relief1 includ+ injunctive  
relief1 decl>atory relief1 & comp5satory
 damages to prev5t ! occurr5ce1         
cont9uance1 or repetition ( ! designat$ 
violation & to comp5sate = losses       
result+ f ! designat$ violation2 &  7#b7
 to a prevail+ pla9tiff1 reasonable     
attorneys' fees & litigation co/s4  4   
#e4 ,sev]ability ,if any provision ( ?is
 ,act or an am5dm5t made by ?is ,act1 or
 ! application ( su* a provision or     
am5dm5t to any individual1 entity1      
gov]nm5t1 or circum/ance1 is held to be 
uncon/itutional1 ! rema9d] ( ?is ,act & 
! am5dm5ts made by ?is ,act1 & !        
application ( su* provision or am5dm5t  
to any o!r individual1 entity1 gov]nm5t1

 or circum/ance1 %all n be affect$4