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<bill bill-stage="Introduced-in-House" dms-id="HB9E9D5E6AA2B4289BC7238F81F826F8C" public-private="public" bill-type="olc"> 
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<dublinCore>
<dc:title>109 HR 356 IH: Unborn Child Pain Awareness Act of 2005</dc:title>
<dc:publisher>U.S. House of Representatives</dc:publisher>
<dc:date>2005-01-25</dc:date>
<dc:format>text/xml</dc:format>
<dc:language>EN</dc:language>
<dc:rights>Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.</dc:rights>
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<form> 
<distribution-code display="yes">I</distribution-code> 
<congress>109th CONGRESS</congress> <session>1st Session</session> 
<legis-num>H. R. 356</legis-num> 
<current-chamber>IN THE HOUSE OF REPRESENTATIVES</current-chamber> 
<action> 
<action-date date="20050125">January 25, 2005</action-date> 
<action-desc><sponsor name-id="S000522">Mr. Smith of New Jersey</sponsor> (for himself, <cosponsor name-id="D000599">Mr. Davis of Tennessee</cosponsor>, <cosponsor name-id="D000597">Mrs. Jo Ann Davis of Virginia</cosponsor>, <cosponsor name-id="C001046">Mr. Cantor</cosponsor>, <cosponsor name-id="M000485">Mr. McIntyre</cosponsor>, <cosponsor name-id="H001022">Mr. Hyde</cosponsor>, <cosponsor name-id="S001045">Mr. Stupak</cosponsor>, <cosponsor name-id="W000437">Mr. Wicker</cosponsor>, <cosponsor name-id="M001152">Mrs. Musgrave</cosponsor>, <cosponsor name-id="B000575">Mr. Blunt</cosponsor>, <cosponsor name-id="C000794">Mr. Costello</cosponsor>, <cosponsor name-id="H001029">Mr. Hayes</cosponsor>, <cosponsor name-id="F000443">Mr. Ferguson</cosponsor>, <cosponsor name-id="S001143">Mr. Souder</cosponsor>, <cosponsor name-id="A000358">Mr. Akin</cosponsor>, <cosponsor name-id="P000373">Mr. Pitts</cosponsor>, <cosponsor name-id="M001157">Mr. McCaul of Texas</cosponsor>, <cosponsor name-id="B001240">Mr. Beauprez</cosponsor>, <cosponsor name-id="S000364">Mr. Shimkus</cosponsor>, <cosponsor name-id="E000187">Mr. English of Pennsylvania</cosponsor>, <cosponsor name-id="R000575">Mr. Rogers of Alabama</cosponsor>, <cosponsor name-id="C000994">Mr. Cunningham</cosponsor>, <cosponsor name-id="F000444">Mr. Flake</cosponsor>, <cosponsor name-id="B001248">Mr. Burgess</cosponsor>, <cosponsor name-id="F000452">Mr. Fortuño</cosponsor>, <cosponsor name-id="L000293">Mr. Lewis of Kentucky</cosponsor>, <cosponsor name-id="G000280">Mr. Goode</cosponsor>, <cosponsor name-id="G000545">Mr. Green of Wisconsin</cosponsor>, <cosponsor name-id="J000287">Mr. Jindal</cosponsor>, <cosponsor name-id="H000981">Mr. Hunter</cosponsor>, <cosponsor name-id="W000119">Mr. Wamp</cosponsor>, <cosponsor name-id="B001243">Mrs. Blackburn</cosponsor>, <cosponsor name-id="L000552">Mr. LaHood</cosponsor>, <cosponsor name-id="M001134">Mrs. Myrick</cosponsor>, <cosponsor name-id="B001149">Mr. Burton of Indiana</cosponsor>, <cosponsor name-id="K000362">Mr. King of Iowa</cosponsor>, <cosponsor name-id="G000548">Mr. Garrett of New Jersey</cosponsor>, <cosponsor name-id="A000362">Mr. Alexander</cosponsor>, <cosponsor name-id="K000220">Mr. Kingston</cosponsor>, <cosponsor name-id="R000566">Mr. Ryun of Kansas</cosponsor>, <cosponsor name-id="B000072">Mr. Baker</cosponsor>, <cosponsor name-id="C001051">Mr. Carter</cosponsor>, <cosponsor name-id="C000266">Mr. Chabot</cosponsor>, <cosponsor name-id="W000795">Mr. Wilson of South Carolina</cosponsor>, <cosponsor name-id="F000445">Mr. Forbes</cosponsor>, <cosponsor name-id="J000174">Mr. Sam Johnson of Texas</cosponsor>, <cosponsor name-id="S001154">Mr. Shuster</cosponsor>, <cosponsor name-id="M001156">Mr. McHenry</cosponsor>, <cosponsor name-id="H000067">Mr. Hall</cosponsor>, <cosponsor name-id="M001144">Mr. Miller of Florida</cosponsor>, <cosponsor name-id="P000586">Mr. Putnam</cosponsor>, <cosponsor name-id="K000358">Mr. Kennedy of Minnesota</cosponsor>, <cosponsor name-id="B001242">Mr. Bishop of Utah</cosponsor>, <cosponsor name-id="S000822">Mr. Stearns</cosponsor>, <cosponsor name-id="L000491">Mr. Lucas</cosponsor>, <cosponsor name-id="D000429">Mr. Doolittle</cosponsor>, <cosponsor name-id="S000250">Mr. Sessions</cosponsor>, <cosponsor name-id="B000013">Mr. Bachus</cosponsor>, <cosponsor name-id="C001052">Mr. Chocola</cosponsor>, <cosponsor name-id="R000574">Mr. Renzi</cosponsor>, <cosponsor name-id="P000323">Mr. Pickering</cosponsor>, <cosponsor name-id="D000603">Mr. Davis of Kentucky</cosponsor>, <cosponsor name-id="G000289">Mr. Goodlatte</cosponsor>, <cosponsor name-id="P000263">Mr. Peterson of Pennsylvania</cosponsor>, <cosponsor name-id="T000458">Mr. Tancredo</cosponsor>, <cosponsor name-id="F000447">Mr. Feeney</cosponsor>, <cosponsor name-id="C001062">Mr. Conaway</cosponsor>, <cosponsor name-id="D000605">Mrs. Drake</cosponsor>, <cosponsor name-id="N000143">Mrs. Northup</cosponsor>, <cosponsor name-id="W000796">Mr. Westmoreland</cosponsor>, <cosponsor name-id="B001236">Mr. Boozman</cosponsor>, <cosponsor name-id="M001147">Mr. McCotter</cosponsor>, <cosponsor name-id="P000419">Mr. Pombo</cosponsor>, <cosponsor name-id="N000182">Mr. Neugebauer</cosponsor>, <cosponsor name-id="R000435">Ms. Ros-Lehtinen</cosponsor>, and <cosponsor name-id="W000267">Mr. Weldon of Florida</cosponsor>) introduced the following bill; which was referred to the <committee-name committee-id="HIF00">Committee on Energy and Commerce</committee-name></action-desc> 
</action> 
<legis-type>A BILL</legis-type> 
<official-title>To ensure that women seeking an abortion are fully informed regarding the pain experienced by their unborn child.</official-title> 
</form> 
<legis-body id="HAF53A4C82A634B3D82906FB2ADA02504" style="OLC"> 
<section section-type="section-one" id="H2AA4E7C1898C4BE5AB3EF0F92C704182" display-inline="no-display-inline"><enum>1.</enum><header>Short title</header><text display-inline="no-display-inline">This Act may be cited as the <quote><short-title>Unborn Child Pain Awareness Act of 2005</short-title></quote>.</text></section> 
<section id="H9EED8F099CBE48C3A44857DFCE7D0200"><enum>2.</enum><header>Findings</header><text display-inline="no-display-inline">Congress makes the following findings:</text> 
<paragraph id="H0E54AA72260D4F7AB059B224E6FDE3A9"><enum>(1)</enum><text>At least 20 weeks after fertilization, an unborn child has the physical structures necessary to experience pain.</text></paragraph> 
<paragraph id="H512A009CCA2C41E18CF56793673D4694"><enum>(2)</enum><text>There is substantial evidence that by 20 weeks after fertilization, unborn children draw away from certain stimuli in a manner which in an infant or an adult would be interpreted as a response to pain.</text></paragraph> 
<paragraph id="H3B16EC7029484A46B5B4395FD3B6A611"><enum>(3)</enum><text>Anesthesia is routinely administered to unborn children who have developed 20 weeks or more past fertilization who undergo prenatal surgery.</text></paragraph> 
<paragraph id="H2A61371A1990418E0080D3663B9BC601"><enum>(4)</enum><text>There is substantial evidence that the abortion methods most commonly used 20 weeks after fertilization cause substantial pain to an unborn child, whether by dismemberment, poisoning, penetrating or crushing the skull, or other methods. Examples of abortion methods used 20 weeks after fertilization include, but are not limited to the following:</text> 
<subparagraph id="H7D2816791E4D4E7FB400C59EDD77F260"><enum>(A)</enum><text>The Dilation and Evacuation (DE) method of abortion is commonly performed in the second trimester of pregnancy. In a dilation and evacuation abortion, the unborn child’s body parts are grasped at random with a long-toothed clamp. The fetal body parts are then torn off of the body and pulled out of the vaginal canal. The remaining body parts are grasped and pulled out until only the head remains. The head is then grasped and crushed in order to remove it from the vaginal canal.</text></subparagraph> 
<subparagraph id="H2B4D743B89B54E2792B7D91F257ECFF"><enum>(B)</enum><text>Partial-Birth Abortion is an abortion in which the abortion practitioner delivers an unborn child’s body until only the head remains inside the womb, punctures the back of the child’s skull with a sharp instrument, and sucks the child’s brains out before completing the delivery of the dead infant.</text></subparagraph></paragraph> 
<paragraph id="H79C84427EAE146DE8FF5442E56B3D2B0"><enum>(5)</enum><text>Expert testimony confirms that by 20 weeks after fertilization an unborn child may experience substantial pain even if the woman herself has received local analgesic or general anesthesia.</text></paragraph> 
<paragraph id="H38678CFF91334EEFA26262113363C0F1"><enum>(6)</enum><text>Medical science is capable of reducing such pain through the administration of anesthesia or other pain-reducing drugs directly to the unborn child.</text></paragraph> 
<paragraph id="H11ABB84261744105AB8BA38C36DCA94"><enum>(7)</enum><text>There is a valid Federal Government interest in reducing the number of events in which great pain is inflicted on sentient creatures. Examples of this are laws governing the use of laboratory animals and requiring pain-free methods of slaughtering livestock, which include, but are not limited to the following:</text> 
<subparagraph id="HD4AB9C91F40649A1A146FE9882C758C"><enum>(A)</enum><text>Section 2 of the Act commonly known as the Humane Slaughter Act of 1958 (<external-xref legal-doc="public-law" parsable-cite="pl/85/765">Public Law 85–765</external-xref>; <external-xref legal-doc="usc" parsable-cite="usc/7/1902">7 U.S.C. 1902</external-xref>) states, “No method of slaughter or handling in connection with slaughtering shall be deemed to comply with the public policy of the United States unless it is humane. Either of the following two methods of slaughtering and handling are hereby found to be humane:</text> 
<quoted-block id="H3193B1AD9F5249D1BF7C64005D40839B"> 
<clause id="H1307FFC7360F4D099251ED096B9F48D4"><enum>(a)</enum><text>in the case of cattle, calves, horses, mules, sheep, swine, and other livestock, all animals are rendered insensible to pain by a single blow or gunshot or an electrical, chemical or other means that is rapid and effective, before being shackled, hoisted, thrown, cast, or cut; or</text></clause> 
<clause id="HEDF9C76726F34A12BA826B490705A82B"><enum>(b)</enum><text>by slaughtering in accordance with the ritual requirements of the Jewish faith or any other religious faith that prescribes a method of slaughter whereby the animal suffers loss of consciousness by anemia of the brain caused by the simultaneous and instantaneous severance of the carotid arteries with a sharp instrument and handling in connection with such slaughtering.</text></clause><after-quoted-block>.</after-quoted-block></quoted-block></subparagraph> 
<subparagraph id="H1DB4348DA7B74E2E9F1DA0CBB7F006F"><enum>(B)</enum><text>Section 13(a)(3) of the Animal Welfare Act (<external-xref legal-doc="usc" parsable-cite="usc/7/2143">7 U.S.C. 2143(a)(3)</external-xref>) sets the standards and certification process for the humane handling, care, treatment, and transportation of animals. This includes having standards with respect to animals in research facilities that include requirements—</text> 
<quoted-block id="HAA6631E5393D4A7DB94FC0F805DE0802"> 
<clause id="H00500D78001B42A1A3766BBDC1888228"><enum>(i)</enum><text>for animal care, treatment, and practices in experimental procedures to ensure that animal pain and distress are minimized, including adequate veterinary care with the appropriate use of anesthetic, analgesic, tranquilizing drugs, or euthanasia;</text></clause> 
<clause id="HE62BC830B7ED4BC4AB23A16C8FD2E7E7"><enum>(ii)</enum><text>that the principal investigator considers alternatives to any procedure likely to produce pain to or distress in an experimental animal;</text></clause> 
<clause id="HFB2AAC890A75430DA01E43D49C748FE"><enum>(iii)</enum><text>in any practice which could cause pain to animals—</text> 
<subclause id="HF83869FAB31E4D8C8102894F49097DCC"><enum>(I)</enum><text>that a doctor of veterinary medicine is consulted in the planning of such procedures;</text></subclause> 
<subclause id="H8FDE062648C147278C3EE700D1A2A905"><enum>(II)</enum><text>for the use of tranquilizers, analgesics, and anesthetics;</text></subclause> 
<subclause id="H44329B4BFDA445A5BE6297949EC5134D"><enum>(III)</enum><text>for pre-surgical and post-surgical care by laboratory workers, in accordance with established veterinary medical and nursing procedures;</text></subclause> 
<subclause id="HCCF60B61186B475A961063739D933100"><enum>(IV)</enum><text>against the use of paralytics without anesthesia; and</text></subclause> 
<subclause id="HF3C16DE976714A8BAC42F5609E00D85"><enum>(V)</enum><text>that the withholding of tranquilizers, anesthesia, analgesia, or euthanasia when scientifically necessary shall continue for only the necessary period of time;</text></subclause></clause><after-quoted-block>.</after-quoted-block></quoted-block></subparagraph> 
<subparagraph id="H5A534CC2D85C4A2DA178988004137F4B"><enum>(C)</enum><text>Section 495 of the <act-name parsable-cite="PHSA">Public Health Service Act</act-name> (<external-xref legal-doc="usc" parsable-cite="usc/42/289d">42 U.S.C. 289d</external-xref>) directs the Secretary of Health and Human Services, acting through the Director of the National Institutes of Health, to establish guidelines for research facilities as to the proper care and treatment of animals, including the appropriate use of tranquilizers, analgesics, and other drugs, except that such guidelines may not prescribe methods of research. Entities that conduct biomedical and behavioral research with National Institutes of Health funds must establish animal care committees which must conduct reviews at least semi-annually and report to the Director of such Institutes at least annually. If the Director determines that an entity has not been following the guidelines, the Director must give the entity an opportunity to take corrective action, and, if the entity does not, the Director must suspend or revoke the grant or contract involved.</text></subparagraph></paragraph></section> 
<section id="H67032B9C8D8B44A69C8047A96E1FCBC0"><enum>3.</enum><header>Amendment to the <act-name parsable-cite="PHSA">Public Health Service Act</act-name></header><text display-inline="no-display-inline">The <act-name parsable-cite="PHSA">Public Health Service Act</act-name> (<external-xref legal-doc="usc" parsable-cite="usc/42/201">42 U.S.C. 201 et seq.</external-xref>) is amended by adding at the end the following:</text> 
<quoted-block act-name="Public Health Service Act" id="H9224121635CD438D00B968C51105009D"> 
<title id="H37B0AD96E47047C7BB9B283F87BA863E"><enum>XXIX</enum><header>Unborn child pain awareness</header> 
<section id="H63F11AE043BC4409A29846AEB1E00036"><enum>2901.</enum><header>Definitions</header><text display-inline="no-display-inline">In this title:</text> 
<paragraph id="H793494EFDD544CB88BE40425DCBCBB4E"><enum>(1)</enum><header>Abortion</header><text>The term <term>abortion</term> means the intentional use or prescription of any instrument, medicine, drug, or any other substance or device to terminate the pregnancy of a woman known to be pregnant with an intention other than to increase the probability of a live birth, to preserve the life or health of the child after live birth, or to remove a dead fetus.</text></paragraph> 
<paragraph id="HDFF327F6B020422E00B53651CA8DF38B"><enum>(2)</enum><header>Abortion provider</header><text>The term <term>abortion provider</term> means any person legally qualified to perform an abortion under applicable Federal and State laws.</text></paragraph> 
<paragraph id="H67DC5E0975BA42F998604D9551932B19"><enum>(3)</enum><header>Pain-capable unborn child</header> 
<subparagraph id="H80E360FC1BAC4BBDBCDB44DBB1FDC538"><enum>(A)</enum><header>In general</header><text>The term <term>pain-capable unborn child</term> means an unborn child who has reached a probable stage of development of 20 weeks after fertilization.</text></subparagraph> 
<subparagraph id="HA116CB711F064E2EB683EABDC34FCB02"><enum>(B)</enum><header>Rule of construction</header><text>Nothing in subparagraph (A) shall be construed as a determination or finding by Congress that pain may not in fact be experienced by an unborn child at stages of development prior to 20 weeks after fertilization.</text></subparagraph></paragraph> 
<paragraph id="HECC90D36D29942C095BB7CEC462597A5"><enum>(4)</enum><header>Probable age of development</header><text>The term <term>probable age of development</term> means the duration of development after fertilization of the unborn child at the time an abortion is performed, as determined in the good faith judgment of the abortion provider on the basis of examination of the unborn child using ultrasound or other imaging technology, in addition to information obtained by interviewing the pregnant woman.</text></paragraph> 
<paragraph id="HADEE92DFD6614F99AD76556BA4302460"><enum>(5)</enum><header>Unborn child</header><text>The term <term>unborn child</term> means a member of the species homo sapiens, at any stage of development, who is carried in the womb.</text></paragraph> 
<paragraph id="HA072EF6D085A4134B695C8A723D8655F"><enum>(6)</enum><header>Woman</header><text>The term <term>woman</term> means a female human being who is capable of becoming pregnant, whether or not she has reached the age of majority.</text></paragraph></section> 
<section id="H8F609CDA83EA41BABF500505FD00A443"><enum>2902.</enum><header>Requirement of informed consent</header> 
<subsection id="H5A87FC2E85C942A9AE4295A0DC7D8265"><enum>(a)</enum><header>Requirement of compliance by providers</header><text>An abortion provider performing any abortion, of a pain-capable unborn child, that is in or affecting interstate commerce shall comply with the requirements of this title.</text></subsection> 
<subsection id="HC672867E911A483F96B1A8C7DA240057"><enum>(b)</enum><header>Provision of consent</header> 
<paragraph id="H6C4AB2E6C46F41EDB5F972F979FB2B55"><enum>(1)</enum><header>In general</header><text>Before any part of an abortion involving a pain-capable unborn child begins, the abortion provider or his or her agent shall provide the pregnant woman involved, by telephone or in person, with the information described in paragraph (2).</text></paragraph> 
<paragraph id="H7F5644E35FA04B168F58C0E548167EC0"><enum>(2)</enum><header>Required information</header> 
<subparagraph id="H08F22B742A55487EB5EAC924E1AEFC1"><enum>(A)</enum><header>Oral statement</header> 
<clause id="H4FDD9AC697B641C28BC025939B2E2C14"><enum>(i)</enum><header>In general</header><text>An abortion provider or the provider’s agent to whom paragraph (1) applies shall make the following oral statement to the pregnant woman (or in the case of a deaf or non-English speaking woman, provide the statement in a manner that she can easily understand):</text><continuation-text continuation-text-level="clause">You are considering having an abortion of an unborn child who will have developed, at the time of the abortion, approximately __ weeks after fertilization. The Congress of the United States has determined that at this stage of development, an unborn child has the physical structures necessary to experience pain. There is substantial evidence that by this point, unborn children draw away from surgical instruments in a manner which in an infant or an adult would be interpreted as a response to pain. Congress finds that there is substantial evidence that the process of being killed in an abortion will cause the unborn child pain, even though you receive a pain-reducing drug or drugs. Under the Federal Unborn Child Pain Awareness Act of 2004, you have the option of choosing to have anesthesia or other pain-reducing drug or drugs administered directly to the pain-capable unborn child if you so desire. The purpose of administering such drug or drugs would be to reduce or eliminate the capacity of the unborn child to experience pain during the abortion procedure. In some cases, there may be some additional risk to you associated with administering such a drug.</continuation-text></clause> 
<clause id="H40F8E5ED369F446197F25E72D302DC3D"><enum>(ii)</enum><header>Description of risks</header><text>After making the statement required under clause (i), the abortion provider may provide the woman involved with his or her best medical judgment on the risks of administering such anesthesia or analgesic, if any, and the costs associated therewith.</text></clause> 
<clause id="H9DD27D733D594E0A856D68FDA4F1B3CB"><enum>(iii)</enum><header>Administration of anesthesia</header><text>If the abortion provider is not qualified or willing to administer the anesthesia or other pain-reducing drug in response to the request of a pregnant women after making the statement required under clause (i), the provider shall—</text> 
<subclause id="H8CB04C56F4D14ABCB08EDF90BFB964B2"><enum>(I)</enum><text>arrange for a qualified specialist to administer such anesthesia or drug; or</text></subclause> 
<subclause id="H9060E46DCEE041DCBC362600C4E78295"><enum>(II)</enum><text>advise the pregnant woman—</text> 
<item id="H03A9B53ED2F84FA3A6C3FDD7883B10A9"><enum>(aa)</enum><text>where she may obtain such anesthesia or other pain reducing drugs for the unborn child in the course of an abortion; or</text></item> 
<item id="H9FC49643B2F1408089ABFC9F8F0079B9"><enum>(bb)</enum><text>that the abortion provider is unable to perform the abortion if the woman elects to receive anesthesia or other pain-reducing drug for her unborn child.</text></item></subclause></clause> 
<clause id="H53F602B4642E41228D8C30B285184BC2"><enum>(iv)</enum><header>Rule of construction</header><text>Nothing in this section may be construed to impede an abortion provider or the abortion provider’s agent from offering their own evaluation on the capacity of the unborn child to experience pain, the advisability of administering pain-reducing drugs to the unborn child, or any other matter, as long as such provider or agent provides the required information, obtains the woman’s signature on the decision form, and otherwise complies with the affirmative requirements of the law.</text></clause></subparagraph> 
<subparagraph id="H877B7544B1D148468D3DFD669017332B"><enum>(B)</enum><header>Unborn Child Pain Awareness Brochure</header><text>An abortion provider to whom paragraph (1) applies shall provide the pregnant woman with the Unborn Child Pain Awareness Brochure (referred to in this section as the <quote>Brochure</quote>) to be developed by the Department of Health and Human Services under subsection (c) or with the information described in subsection (c)(2) relating to accessing such Brochure.</text></subparagraph> 
<subparagraph id="H6580F006662F4BF39E88724FAEE3E68"><enum>(C)</enum><header>Unborn Child Pain Awareness Decision Form</header><text>An abortion provider to which paragraph (1) applies shall provide the pregnant woman with the Unborn Child Pain Awareness Decision Form (provided for under subsection (c)) and obtain the appropriate signature of the woman on such form.</text></subparagraph></paragraph></subsection> 
<subsection id="H6E45FAB7B1EF43CDBE1E9CD2C391551C"><enum>(c)</enum><header>Unborn Child Pain Awareness Brochure</header> 
<paragraph id="HFF18833E216748449928C9BE012D3FE"><enum>(1)</enum><header>Development</header><text>Not later than 90 days after the date of enactment of this title, the Secretary shall develop an Unborn Child Pain Awareness Brochure. Such Brochure shall be written in English and Spanish and shall contain the same information as required under the statement under subsection (b)(2)(A)(i), including greater detail on her option of having a pain-reducing drug or drugs administered to the unborn child to reduce the experience of pain by the unborn child during the abortion. Such information shall be written in an objective and nonjudgmental manner and be printed in a typeface large enough to be clearly legible. The Brochure shall be made available by the Secretary at no cost to any abortion provider.</text></paragraph> 
<paragraph id="HEC88340F0D304D7C964D4023A5823E3C"><enum>(2)</enum><header>Internet information</header><text>The Brochure under this section shall be available on the Internet website of the Department of Health and Human Services at a minimum resolution of 70 DPI (dots per inch). All pictures appearing on the website shall be a minimum of 200x300 pixels. All letters on the website shall be a minimum of 12 point font. All such information and pictures shall be accessible with an industry standard browser, requiring no additional plug-ins.</text></paragraph> 
<paragraph id="HB163BB29EC2B4CBF9598E75F169764CA"><enum>(3)</enum><header>Presentation of Brochure</header><text>An abortion provider or his or her agent must offer to provide a pregnant woman with the Brochure, developed under paragraph (1), before any part of an abortion of a pain-capable child begins—</text> 
<subparagraph id="HF56669355D644D84875C71815ED58D00"><enum>(A)</enum><text>through an in-person visit by the pregnant woman;</text></subparagraph> 
<subparagraph id="H2241FA08C3CA4180AE008430CA7B043D"><enum>(B)</enum><text>through an e-mail attachment, from the abortion provider or his or her agent; or</text></subparagraph> 
<subparagraph id="HB4BE0595B3824AE08C3CDDCA0054F4FF"><enum>(C)</enum><text>through a request to have such Brochure mailed, by certified mail, to the woman at least 72 hours before any part of the abortion begins.</text></subparagraph></paragraph> 
<paragraph id="H8AB1F160150644188BDFBDB61D03817B"><enum>(4)</enum><header>Waiver</header><text>After the abortion provider or his or her agent offers to provide a pregnant woman the Brochure, a pregnant woman may waive receipt of the Brochure under this subsection by signing the waiver form contained in the Unborn Child Pain Awareness Decision Form.</text></paragraph> 
<paragraph id="H6EF2784A8DD048ADB5BA05F1AB9848CF"><enum>(5)</enum><header>Unborn Child Pain Awareness Decision Form</header><text>Not later than 30 days after the date of enactment of this title, the Secretary shall develop an Unborn Child Pain Awareness Decision Form. To be valid, such Form shall—</text> 
<subparagraph id="HDC905C2374134C8E94431BA1959E2B36"><enum>(A)</enum><text>with respect to the pregnant woman—</text> 
<clause id="H25C6F336140A4879A400952282FC0053"><enum>(i)</enum><text>contain a statement that affirms that the woman has received or been offered all of the information required in subsection (b);</text></clause> 
<clause id="HB84A222BC5AD4F7F82D008CB13A901"><enum>(ii)</enum><text>require the woman to explicitly either request or refuse the administration of pain-reducing drugs to the unborn child;</text></clause> 
<clause id="H23478ED6B4154D3BB86BE3966C5D0035"><enum>(iii)</enum><text>be signed by a pregnant woman prior to the performance of an abortion involving a pain-capable unborn child; and</text></clause></subparagraph> 
<subparagraph id="H24C922180FC749A4B5A47023A7B46600"><enum>(B)</enum><text>with respect to the abortion provider—</text> 
<clause id="H1A4D292DF45C4F548DFB42300EE1C69"><enum>(i)</enum><text>contain a statement that the provider has provided the woman with all of the information required under subsection (b);</text></clause> 
<clause id="H1F93B2B112A143EAB4044F707CD24797"><enum>(ii)</enum><text>if applicable, contain a certification by the provider that an exception described in section 2903 applies and the detailed reasons for such certification; and</text></clause> 
<clause id="H7F6DEA0047FE4FAEA1DF3046AEACC618"><enum>(iii)</enum><text>be signed by the provider prior to the performance of the abortion procedure.</text></clause></subparagraph></paragraph> 
<paragraph id="HBA489B10646545C4AAF5EB6990FC4E01"><enum>(6)</enum><header>Maintenance of records</header><text>The Secretary shall promulgate regulations relating to the period of time during which copies of Forms under paragraph (5) shall be maintained by abortion providers.</text></paragraph></subsection></section> 
<section id="H1B9BB116CE28470A9D20F9CA78D90B2"><enum>2903.</enum><header>Exception for medical emergencies</header> 
<subsection id="HF8EAA5A42E5D4B9EA317D031306BE69D"><enum>(a)</enum><header>In general</header><text>The provisions of section 2902 shall not apply to an abortion provider in the case of a medical emergency.</text></subsection> 
<subsection id="H36BFD13981784E27AF67ED57AFCC001E"><enum>(b)</enum><header>Medical emergency defined</header> 
<paragraph id="HC323E46FAB164B83BA226F2F5DE8D400"><enum>(1)</enum><header>In general</header><text>In subsection (a), the term <term>medical emergency</term> means a condition which, in the reasonable medical judgment of the abortion provider, so complicates the medical condition of the pregnant woman that a delay in commencing an abortion procedure would impose a serious risk of causing grave and irreversible physical health damage entailing substantial impairment of a major bodily function.</text></paragraph> 
<paragraph id="H3D76E8EEFF7945C28042EDB7C51C7844"><enum>(2)</enum><header>Reasonable medical judgment</header><text>In paragraph (1), the term <term>reasonable medical judgment</term> means a medical judgment that would be made by a reasonably prudent physician, knowledgeable about the case and the treatment possibilities with respect to the medical conditions involved.</text></paragraph></subsection> 
<subsection id="H8252D25281E248D9BD5FF4E5C718998B"><enum>(c)</enum><header>Certification</header> 
<paragraph id="H271584324566478200B25F2554B5E8F0"><enum>(1)</enum><header>In general</header><text>Upon a determination by an abortion provider under subsection (a) that a medical emergency exists with respect to a pregnant woman, such provider shall certify the specific medical conditions that constitute the emergency.</text></paragraph> 
<paragraph id="H77640EB230544C47A9FF7EFC9C08B084"><enum>(2)</enum><header>False statements</header><text>An abortion provider who willfully falsifies a certification under paragraph (1) shall be subject to all the penalties provided for under section 2904 for failure to comply with this title.</text></paragraph></subsection></section> 
<section id="HA5FFFD614ED142B69833C2CFD47E2508"><enum>2904.</enum><header>Penalties for failure to comply</header> 
<subsection id="H963A9700F9814394AC2CC8403238A7A2"><enum>(a)</enum><header>In general</header><text>An abortion provider who willfully fails to comply with the provisions of this title shall be subject to civil penalties in accordance with this section in an appropriate Federal court.</text></subsection> 
<subsection id="H3E89EE63708C41408C4D7BB324BCAAF7"><enum>(b)</enum><header>Commencement of action</header><text>The Attorney General, the Deputy Attorney General, the Associate Attorney General, or any Assistant Attorney General or United States Attorney who has been specifically designated by the Attorney General may commence a civil action under this section.</text></subsection> 
<subsection id="H7BDAAF8F182F4018BDAD491509CC6BF"><enum>(c)</enum><header>Certification requirements</header><text>At the time of the commencement of an action under this section, the Attorney General, the Deputy Attorney General, the Associate Attorney General, or any Assistant Attorney General or United States Attorney who has been specifically designated by the Attorney General to commence a civil action under this section, shall certify to the court involved that, at least 30 calendar days prior to the filing of such action, the Attorney General, the Deputy Attorney General, the Associate Attorney General, or any Assistant Attorney General or United States Attorney involved—</text> 
<paragraph id="HAC58A3189F5145AD9CDDBF00D0C006EF"><enum>(1)</enum><text>has provided notice of the alleged violation of this section, in writing, to the Governor or Chief Executive Officer and Attorney General or Chief Legal Officer of the State or political subdivision involved, as well as to the State medical licensing board or other appropriate State agency; and</text></paragraph> 
<paragraph id="HDBD1F649720E4FD48E3265FE4C5DCBED"><enum>(2)</enum><text>believes that such an action by the United States is in the public interest and necessary to secure substantial justice.</text></paragraph></subsection> 
<subsection id="H7AF618AD59984DFAAFDE33DBD662D2EE"><enum>(d)</enum><header>First offense</header><text>Upon a finding by a court that a respondent in an action commenced under this section has knowingly violated a provision of this title, the court shall notify the appropriate State medical licensing authority in order to effect the suspension of the respondent’s medical license in accordance with the regulations and procedures promulgated under section 2905, or shall assess a civil penalty against the respondent in an amount not to exceed $100,000, or both.</text></subsection> 
<subsection id="H356F97723CAF4288A58BF07C892E3963"><enum>(e)</enum><header>Second offense</header><text>Upon a finding by a court that the respondent in an action commenced under this section has knowingly violated a provision of this title and the respondent has been found to have knowingly violated a provision of this title on a prior occasion, the court shall notify the appropriate State medical licensing authority in order to effect the revocation of the respondent’s medical license in accordance with the regulations and procedures promulgated under section 2905, or shall assess a civil penalty against the respondent in an amount not to exceed $250,000, or both.</text></subsection> 
<subsection id="H054F2C1E4AB54B69B51257BC94211EBD"><enum>(f)</enum><header>Hearing</header><text>With respect to an action under this section, the appropriate State medical licensing authority shall be given notification of and an opportunity to be heard at a hearing to determine the penalty to be imposed under this section.</text></subsection> 
<subsection id="H9A09B79D0F8943D900F7C6FE56D81D16"><enum>(g)</enum><header>Private right of action</header><text>A pregnant woman upon whom an abortion has been performed in violation of this title, or the parent or legal guardian of such a woman if she is an unemancipated minor, may commence a civil action against the abortion provider for any knowing or reckless violation of this title for actual and punitive damages.</text></subsection></section> 
<section id="HCA17BC9AD4864A1F8C8595592EF5D73"><enum>2905.</enum><header>Regulations</header><text display-inline="no-display-inline">A State, and the medical licensing authority of the State, shall promulgate regulations and procedures for the revocation or suspension of the medical license of an abortion provider upon a finding by a court under section 2904 that the provider has violated a provision of this title. A State that fails to implement such procedures shall be subject to loss of funding under title XIX of the <act-name parsable-cite="SSA">Social Security Act</act-name> (<external-xref legal-doc="usc" parsable-cite="usc/42/1396">42 U.S.C. 1396 et seq.</external-xref>).</text></section></title><after-quoted-block>.</after-quoted-block></quoted-block></section> 
<section id="H172742EFD6D64C3995E91591C43293D5"><enum>4.</enum><header>Preemption</header><text display-inline="no-display-inline">Nothing in this Act or the amendments made by this Act shall be construed to preempt any provision of State law to the extent that such State law establishes, implements, or continues in effect greater protections for unborn children from pain than the protections provided under this Act and the amendments made by this Act.</text></section> 
</legis-body> 
</bill> 


