,i  #aaith ,,congress  #b;d ,session    
,h4 ,r4 #idba  ,,in ,,the ,,house ,,of  
,,representatives  ,june #bd1 #bjbf,mrs4
 ,biggs of ,south ,carolina 7for        
herself1 ,mr4 ,fry1 and ,mr4 ,norman7   
introduced the following bill2 which was
 referred to the ,committee on ,energy  
and ,commerce  ,a ,,bill  ,to prohibit a
 ,,rems-certified provider from         
prescribing mifepristone without an     
in-person visit and a medical license in
 the ,state in which the patient        
resides1 and for other purposes4  #a4   
,short title  ,this ,act may be cited as
 the ,ban ,abortion by ,mail ,act4  #b4 
,findings ,the ,congress finds the      
following3 7#a7 ,mifepristone can only  
be prescribed by a health care provider 
certified under the ,mifepristone ,risk 
,evaluation and ,mitigation ,strategies 
7,,rems7 ,program4  7#b7 ,medical       
experts have advised that patients      
should be closely observed for signs and
 symptoms of adverse effects4  7#c7 ,the
 purpose of ,risk ,evaluation and       

,mitigation ,strategies 7,,rems7 is to  
ensure the benefits of a drug outweigh  
its risks1 especially for drugs with    
serious safety concerns4  #c4 ,health   
care provider ,,rems-certified status   
7a7  ,in-,person visit required  ,any   
,,rems-certified provider that knowingly
 prescribes1 dispenses1 or administers  
mifepristone or any other abortion drug 
without an in-person visit with the     
patient for whom such drug is prescribed
 shall lose ,,rems-certified status1    
with respect to such drug1 for a period 
of not less than #b years4  7b7 ,license
 in patient's ,state required ,any      
,,rems-certified provider that knowingly
 prescribes1 dispenses1 or administers  
mifepristone or any other abortion drug 
to a patient residing in a ,state where 
the provider does not have a medical    
license shall lose ,,rems-certified     
status1 with respect to such drug1 for a
 period of not less than #b years4  7c7 
,reporting ,the ,secretary shall1 on an 
annual basis1 submit to ,congress a     

report listing each ,,rems-certified    
provider who has lost ,,rems-certified  
status due to--  7#a7 a violation of    
this section2 or  7#b7 improper or      
unsafe prescribing of mifepristone or   
any other abortion drug4  7d7           
,definitions ,in this section3 7#a7     
,abortion drug ,the term abortion drug  
means any drug1 substance1 or           
combination of drugs or substances that 
is intended for use or that is in fact  
used 7irrespective of how the product is
 labeled7 to intentionally kill the     
unborn child of a woman known to be     
pregnant1 or to intentionally terminate 
the pregnancy of a woman known to be    
pregnant1 with an intention other than--
  7,a7 to produce a live birth2  7,b7 to
 remove a dead unborn child2 or  7,c7 to
 treat an ectopic pregnancy4  7#b7      
,,rems-certified status ,the term       
,,rems-certified status means1 with     
respect to mifepristone or any other    
abortion drug1 the certification of a   
,,rems-certified provider by the        

,secretary to dispense such drug        
pursuant to a risk evaluation and       
mitigation strategy under section #eje-a
 of the ,federal ,food1 ,drug1 and      
,cosmetic ,act 7#ba ,u4,s4,c4 #cee-a74  
7#c7 ,,rems-certified provider ,the term
 ,,rems-certified provider means a      
health care professional who has        
successfully completed the ,,fda's ,risk
 ,evaluation and ,mitigation ,strategy  
7,,rems7 certification program for      
prescribing mifepristone4  7#d7         
,secretary ,the term ,secretary means   
the ,secretary of ,health and ,human    
,services1 acting through the           
,commissioner of ,food and ,drugs4