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<bill bill-stage="Introduced-in-House" bill-type="olc" dms-id="H755AA73840434E65842CDEA6F7B4B84F" public-private="public">
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<dublinCore>
<dc:title>109 HR 6099 IH: Unborn Child Pain Awareness Act of
</dc:title>
<dc:publisher>U.S. House of Representatives</dc:publisher>
<dc:date>2006-09-19</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>
</dublinCore>
</metadata>
	<form>
		<distribution-code display="yes">I</distribution-code>
		<congress>109th CONGRESS</congress>
		<session>2d Session</session>
		<legis-num>H. R. 6099</legis-num>
		<current-chamber>IN THE HOUSE OF REPRESENTATIVES</current-chamber>
		<action>
			<action-date date="20060919">September 19, 2006</action-date>
			<action-desc><sponsor name-id="S000522">Mr. Smith of New
			 Jersey</sponsor> (for himself, <cosponsor name-id="A000055">Mr.
			 Aderholt</cosponsor>, <cosponsor name-id="A000358">Mr. Akin</cosponsor>,
			 <cosponsor name-id="B000013">Mr. Bachus</cosponsor>,
			 <cosponsor name-id="B000208">Mr. Bartlett of Maryland</cosponsor>,
			 <cosponsor name-id="B000575">Mr. Blunt</cosponsor>,
			 <cosponsor name-id="B000589">Mr. Boehner</cosponsor>,
			 <cosponsor name-id="B001236">Mr. Boozman</cosponsor>,
			 <cosponsor name-id="B001255">Mr. Boustany</cosponsor>,
			 <cosponsor name-id="B001248">Mr. Burgess</cosponsor>,
			 <cosponsor name-id="B001149">Mr. Burton of Indiana</cosponsor>,
			 <cosponsor name-id="C000116">Mr. Cannon</cosponsor>,
			 <cosponsor name-id="C001046">Mr. Cantor</cosponsor>,
			 <cosponsor name-id="C001051">Mr. Carter</cosponsor>,
			 <cosponsor name-id="C000266">Mr. Chabot</cosponsor>,
			 <cosponsor name-id="D000603">Mr. Davis of Kentucky</cosponsor>,
			 <cosponsor name-id="D000597">Mrs. Jo Ann Davis of Virginia</cosponsor>,
			 <cosponsor name-id="D000599">Mr. Davis of Tennessee</cosponsor>,
			 <cosponsor name-id="D000299">Mr. Lincoln Diaz-Balart of Florida</cosponsor>,
			 <cosponsor name-id="D000600">Mr. Mario Diaz-Balart of Florida</cosponsor>,
			 <cosponsor name-id="D000429">Mr. Doolittle</cosponsor>,
			 <cosponsor name-id="D000605">Mrs. Drake</cosponsor>,
			 <cosponsor name-id="E000092">Mr. Ehlers</cosponsor>,
			 <cosponsor name-id="E000172">Mrs. Emerson</cosponsor>,
			 <cosponsor name-id="F000443">Mr. Ferguson</cosponsor>,
			 <cosponsor name-id="F000449">Mr. Fortenberry</cosponsor>,
			 <cosponsor name-id="F000450">Ms. Foxx</cosponsor>, <cosponsor name-id="F000448">Mr. Franks of Arizona</cosponsor>,
			 <cosponsor name-id="G000548">Mr. Garrett of New Jersey</cosponsor>,
			 <cosponsor name-id="G000280">Mr. Goode</cosponsor>,
			 <cosponsor name-id="H001036">Mr. Hensarling</cosponsor>,
			 <cosponsor name-id="H000528">Mr. Herger</cosponsor>,
			 <cosponsor name-id="H000676">Mr. Hoekstra</cosponsor>,
			 <cosponsor name-id="H000981">Mr. Hunter</cosponsor>,
			 <cosponsor name-id="I000047">Mr. Istook</cosponsor>,
			 <cosponsor name-id="J000174">Mr. Sam Johnson of Texas</cosponsor>,
			 <cosponsor name-id="K000358">Mr. Kennedy of Minnesota</cosponsor>,
			 <cosponsor name-id="K000362">Mr. King of Iowa</cosponsor>,
			 <cosponsor name-id="L000552">Mr. LaHood</cosponsor>,
			 <cosponsor name-id="L000111">Mr. Latham</cosponsor>,
			 <cosponsor name-id="T000459">Mr. Terry</cosponsor>,
			 <cosponsor name-id="L000293">Mr. Lewis of Kentucky</cosponsor>,
			 <cosponsor name-id="M001138">Mr. Manzullo</cosponsor>,
			 <cosponsor name-id="M001157">Mr. McCaul of Texas</cosponsor>,
			 <cosponsor name-id="M001147">Mr. McCotter</cosponsor>,
			 <cosponsor name-id="M001156">Mr. McHenry</cosponsor>,
			 <cosponsor name-id="M001161">Mr. Melancon</cosponsor>,
			 <cosponsor name-id="M001144">Mr. Miller of Florida</cosponsor>,
			 <cosponsor name-id="M001152">Mrs. Musgrave</cosponsor>,
			 <cosponsor name-id="M001134">Mrs. Myrick</cosponsor>,
			 <cosponsor name-id="N000182">Mr. Neugebauer</cosponsor>,
			 <cosponsor name-id="P000587">Mr. Pence</cosponsor>,
			 <cosponsor name-id="P000323">Mr. Pickering</cosponsor>,
			 <cosponsor name-id="P000373">Mr. Pitts</cosponsor>,
			 <cosponsor name-id="R000004">Mr. Radanovich</cosponsor>,
			 <cosponsor name-id="R000011">Mr. Rahall</cosponsor>,
			 <cosponsor name-id="R000574">Mr. Renzi</cosponsor>,
			 <cosponsor name-id="R000572">Mr. Rogers of Michigan</cosponsor>,
			 <cosponsor name-id="R000435">Ms. Ros-Lehtinen</cosponsor>,
			 <cosponsor name-id="R000570">Mr. Ryan of Wisconsin</cosponsor>,
			 <cosponsor name-id="R000566">Mr. Ryun of Kansas</cosponsor>,
			 <cosponsor name-id="S000275">Mr. Shadegg</cosponsor>,
			 <cosponsor name-id="S001143">Mr. Souder</cosponsor>,
			 <cosponsor name-id="T000260">Mr. Tiahrt</cosponsor>,
			 <cosponsor name-id="W000796">Mr. Westmoreland</cosponsor>,
			 <cosponsor name-id="W000795">Mr. Wilson of South Carolina</cosponsor>, and
			 <cosponsor name-id="M001139">Mr. Gary G. Miller of California</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="H27CAC1BA276A456C87F8D2B609E6C73" style="OLC">
		<section id="H804E84D99A974884BC12F385CE8DD142" section-type="section-one"><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
			 2006</short-title></quote>.</text>
		</section><section id="H4C81FF79D3B14AF9ACA25FF107D2A9DF"><enum>2.</enum><header>Findings</header><text display-inline="no-display-inline">Congress makes the following
			 findings:</text>
			<paragraph id="HAB9DD6EE295C4146BE00B3843830BD60"><enum>(1)</enum><text>At least by 20
			 weeks after fertilization, an unborn child has the physical structures
			 necessary to experience pain.</text>
			</paragraph><paragraph id="HC70D6EA1A0924FF597EFD5AC23C23CEA"><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="H8253C303D64B4BEF8998908E39A78C77"><enum>(3)</enum><text>Anesthesia is
			 routinely administered to unborn children who have developed 20 weeks or more
			 after fertilization who undergo prenatal surgery.</text>
			</paragraph><paragraph id="HB4A4C92520DE45D3B31187009E4138CD"><enum>(4)</enum><text>There is
			 substantial evidence that the abortion methods most commonly used 20 weeks or
			 more 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 or more after fertilization include,
			 but are not limited to the following:</text>
				<subparagraph id="HEC09FCC21437485690FF3E93FABAC302"><enum>(A)</enum><text>The dilation and
			 evacuation (D and E) 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 with a long-toothed clamp. The fetal body parts
			 are then torn from 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="H4045872B03E64E66B523D4503D00954F"><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, and as further defined in 18
			 U.S.C. 1531.</text>
				</subparagraph></paragraph><paragraph id="H55A4718D7A484000B6B500922CADF72"><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="H34553728E0F345E488A00C2233EB400"><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="HF80532C2075A4C089BD5D79B191FE700"><enum>(7)</enum><text>There is a valid
			 Federal Government interest in preventing or reducing the infliction of pain 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="H75618D8602174273A4FDAA4795E2804B"><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>; 7
			 U.S.C. 1902) states,</text>
					<quoted-block display-inline="yes-display-inline" id="HD8968A74CB134A3D933803A4178CDBFC" style="OLC">
						<text>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><clause id="H526702715A0F401B968F4282D0BA12C7"><enum>(i)</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="H3E39DA87F8FD4BE29FAF50D87DEAD69"><enum>(ii)</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="H56B487C4D6814F6AAF848F367F6C9547"><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>
					<clause id="H01D0E122C18E491192380035DEBFC0BB"><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="H489734B3DB444A7EB019734578C8BD5"><enum>(ii)</enum><text>that
			 the principal investigator considers alternatives to any procedure likely to
			 produce pain to or distress in an experimental animal; and</text>
					</clause><clause id="H03870045F7AD4929915FBBCE1D424D65"><enum>(iii)</enum><text>in
			 any practice which could cause pain to animals—</text>
						<subclause id="H45D702ED0D2041E891C44CE92BD326AC"><enum>(I)</enum><text>that a doctor of
			 veterinary medicine is consulted in the planning of such procedures;</text>
						</subclause><subclause id="H8E8D0314543345278BBD0397F31412D5"><enum>(II)</enum><text>for the use of
			 tranquilizers, analgesics, and anesthetics;</text>
						</subclause><subclause id="H02C4D1C598CA4311B54E636C032470B7"><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="HAC34E45D6D494CF8001B242900755406"><enum>(IV)</enum><text>against the use
			 of paralytics without anesthesia; and</text>
						</subclause><subclause id="HE32081F157FC4FA69F2B6D7EB7A79D04"><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></subparagraph><subparagraph id="H814FA2B74E7A4532A048BC2CFA6DA392"><enum>(C)</enum><text>Section 495 of the
			 Public Health Service Act (<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 semiannually 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><paragraph id="H4EA845B41E244687944766B440AEC7F7"><enum>(8)</enum><text>There is a valid
			 Federal Government interest in preventing harm to developing human life at all
			 stages. Examples of this include regulations protecting fetal human subjects
			 from risks of <quote>harm or discomfort</quote> in federally funded biomedical
			 research, 45 C.F.R. 102(i) and 45 C.F.R. 46.201 et seq.</text>
			</paragraph></section><section id="HCDA3795FC1A344A696955680820360FF"><enum>3.</enum><header>Amendment to the
			 Public Health Service Act</header><text display-inline="no-display-inline">The
			 Public Health Service Act (<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 display-inline="no-display-inline" id="HC6BC65949B424B488933FAE5B5A52F3E" style="OLC">
				<title id="H51FF3CA65FC24F0780A22FA44EF020CE"><enum>XXIX</enum><header>Unborn child
				pain awareness</header>
					<section id="H0A077A20C39C488FB38BEC67FD807FFF"><enum>2901.</enum><header>Definitions</header><text display-inline="no-display-inline">In this title:</text>
						<paragraph id="HDC61AA522CAC48C98FC77DB43E007D5F"><enum>(1)</enum><header>Abortion</header><text>The
				term <quote>abortion</quote> means the intentional use or prescription of any
				instrument, medicine, drug, or any other substance or device or method to
				terminate the life of an unborn child, or to terminate the pregnancy of a woman
				known to be pregnant with an intention other than—</text>
							<subparagraph id="HE30BACA6F4CA49EE88DE02A2DAFE415B"><enum>(A)</enum><text>to produce a live
				birth and preserve the life and health of the child after live birth; or</text>
							</subparagraph><subparagraph id="H3324B1B23C344FE28BE84204B0609D3B"><enum>(B)</enum><text>to remove an
				ectopic pregnancy, or to remove a dead unborn child who died as the result of a
				spontaneous abortion, accidental trauma or a criminal assault on the pregnant
				female or her unborn child.</text>
							</subparagraph></paragraph><paragraph id="HE7975592267B42C3BD4F6F48F2D799E6"><enum>(2)</enum><header>Abortion
				provider</header><text>The term <quote>abortion provider</quote> means any
				person legally qualified to perform an abortion under applicable Federal and
				State laws.</text>
						</paragraph><paragraph id="HF1B0DB2DBE6A47BBA2792F15DAB747E9"><enum>(3)</enum><header>Pain-capable
				unborn child</header>
							<subparagraph id="HC9957EC47B454C30B541DDA45DFE595"><enum>(A)</enum><header>In
				general</header><text>The term <quote>pain-capable unborn child</quote> means
				an unborn child who has reached a probable stage of development of 20 weeks or
				more after fertilization.</text>
							</subparagraph><subparagraph id="H648DC708CEC143F7921F441415617FB7"><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 or more after
				fertilization.</text>
							</subparagraph></paragraph><paragraph id="H5948A9F86A7E40A5BBFF809CD81E0D3"><enum>(4)</enum><header>Probable age of
				development</header><text>The term <quote>probable age of development</quote>
				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 using generally accepted medical criteria and information
				obtained by interviewing the pregnant woman.</text>
						</paragraph><paragraph id="HDC1E8952AB38413D90001E28739E8640"><enum>(5)</enum><header>Unborn
				child</header><text>The term <quote>unborn child</quote> means a member of the
				species homo sapiens, at any stage of development.</text>
						</paragraph><paragraph id="H87E662DD801542628B36712E9FC845BA"><enum>(6)</enum><header>Woman</header><text>The
				term <quote>woman</quote> means a female human being whether or not she has
				reached the age of majority.</text>
						</paragraph><paragraph id="H57B5D4210F9C472BA822ADE54B86079E"><enum>(7)</enum><header>Unemancipated
				minor</header><text>The term <quote>unemancipated minor</quote> means an
				individual who is not older than 18 years and who is not emancipated under
				State law.</text>
						</paragraph></section><section id="HED8D05D0E05E4EF1B3B672002867F106"><enum>2902.</enum><header>Requirement of
				informed consent</header>
						<subsection id="HB63046F3D9944378A9D3DA90FD48FEE"><enum>(a)</enum><header>Requirement of
				Compliance by Providers</header><text>Any abortion provider in or affecting
				interstate or foreign commerce, who knowingly performs any abortion of a
				pain-capable unborn child, shall comply with the requirements of this
				title.</text>
						</subsection><subsection id="HAA4380C8AF50453288C0BA36EFB1D44"><enum>(b)</enum><header>Provision of
				consent</header>
							<paragraph id="H1FC135BC96464B68968C78129C792DF1"><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). It may not be provided by a tape recording, but
				must be provided in a fashion that permits the woman to ask questions of and
				receive answers from the abortion provider or his agent. (In the case of the
				Unborn Child Pain Awareness Brochure, it may be provided pursuant to subsection
				(c)(2) or (c)(3)).</text>
							</paragraph><paragraph id="H5091FCABD0DC472F8FE34FD248774532"><enum>(2)</enum><header>Required
				information</header>
								<subparagraph id="HE5FD9DDB1836414281C87B58E0FD4DD7"><enum>(A)</enum><header>In
				general</header><text>An abortion provider or the provider’s agent to whom
				paragraph (1) applies shall provide the following information 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>
									<clause id="HD7495634FDED42A2B4563F715BD2AE09"><enum>(i)</enum><header>Age of unborn
				baby</header><text>The probable age of development of the unborn baby based on
				the number of weeks since fertilization.</text>
									</clause><clause id="HC8797ACA44FF4E189CAECDA7E151CC44"><enum>(ii)</enum><header>Unborn child
				pain awareness brochure</header><text>An abortion provider to whom paragraph
				(1) applies must 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>
									</clause><clause id="HB061FD0A87804D6DBDCA24C647000029"><enum>(iii)</enum><header>Use of
				pain-preventing drugs</header><text>Drugs administered to the mother may not
				prevent the unborn child from feeling pain, but in some cases, anesthesia or
				other pain-reducing drug or drugs can be administered directly to the unborn
				child.</text>
									</clause><clause id="H4D616ED47140456DBD53075F4FB46DA8"><enum>(iv)</enum><header>Description of
				risks</header><text>After providing the information required under clauses (i),
				(ii), and (iii) the abortion provider shall provide the woman involved with his
				or her best medical judgment on the risks, if any, of administering such
				anesthesia or analgesic, and the costs associated therewith.</text>
									</clause><clause id="H41E42BD7B00445BCB84E32F1A268D1B"><enum>(v)</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 to an unborn child in
				response to a request from a pregnant women, the provider shall—</text>
										<subclause id="HEA169388FF474F67B3AF201CBCF5BAC8"><enum>(I)</enum><text>arrange for a
				qualified specialist to administer such anesthesia or drug; or</text>
										</subclause><subclause id="H2DAFD295C6AD449C8CBB1DB9A300631D"><enum>(II)</enum><text>advise the
				pregnant woman—</text>
											<item id="H5A50A5B6F5324A24857DAA4CE52C9082"><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="HEA201839D0FB40A5BA752DEED587ABE8"><enum>(bb)</enum><text>that the abortion
				provider is unable to perform the abortion if the woman requires that she
				receive anesthesia or other pain-reducing drug for her unborn child.</text>
											</item></subclause></clause><clause id="H654E9563B8AC49DD84507F3EE562E212"><enum>(vi)</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 (d)) and obtain the
				appropriate signature of the woman on such form.</text>
									</clause><clause id="H86440629DB9346269CB19DDCA626394"><enum>(vii)</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="H1919A192A1954155939B7BAE3B0560CB"><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="H15F47C3D95F04B29A8A5D441619C05AA"><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 (d)) and obtain the
				appropriate signature of the woman on such form.</text>
								</subparagraph></paragraph></subsection><subsection id="HEB356EBC20F14BF8B64E17B68EA21DA8"><enum>(c)</enum><header>Unborn child
				pain awareness brochure</header>
							<paragraph id="H5844739B77914DBDAD7858EB4CE1BB35"><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:</text>
								<subparagraph id="H121F694ED49A4AF2B82926005B191B01"><enum>(A)</enum><text>Be written in
				English and Spanish.</text>
								</subparagraph><subparagraph id="HE20B057176C647C29948E1454B929210"><enum>(B)</enum><text>Contain the
				following text: <quote>Your doctor has determined that, in his or her best
				medial judgment, your unborn child is at least 20 weeks old. There is a
				significant body of evidence that unborn children at 20 weeks after
				fertilization have the physical structures necessary to experience pain. There
				is substantial evidence that at least 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. 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 2006, you have a right to know that there is
				evidence that the process of being killed in an abortion will cause your unborn
				child pain. You may request that anesthesia or other pain-reducing drug or
				drugs are 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.</quote></text>
								</subparagraph><subparagraph id="H02BC324D7C0A4539BAB136BF00906BE9"><enum>(C)</enum><text>Contain 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.</text>
								</subparagraph><subparagraph id="HCFF152CF877743C5848C65D9DD7044ED"><enum>(D)</enum><text>Be written in an
				objective and nonjudgmental manner and be printed in a typeface large enough to
				be clearly legible.</text>
								</subparagraph><subparagraph id="H1BD75D5EA473434B9FE5E49F6E35009D"><enum>(E)</enum><text>Be made available
				by the Secretary at no cost to any abortion provider.</text>
								</subparagraph></paragraph><paragraph id="H4B37CEA2A84C4220B0DE7D3D3F5DF9F6"><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="HF654E3A4E934496596220040F4FC7E30"><enum>(3)</enum><header>Presentation of
				brochure</header><text display-inline="yes-display-inline">An abortion provider
				or his or her agent must provide a pregnant woman with the Brochure, developed
				under paragraph (1), before any part of an abortion of a pain-capable child
				begins. The brochure may be provided—</text>
								<subparagraph id="H6E994AFF6034429D9DEAEA00B4951C00"><enum>(A)</enum><text>through an
				in-person visit by the pregnant woman;</text>
								</subparagraph><subparagraph id="HDA5C97799A4E4787BC016E29B18600D5"><enum>(B)</enum><text>through an e-mail
				attachment, from the abortion provider or his or her agent; or</text>
								</subparagraph><subparagraph id="H00537C6C151D4F5C8493CF4D75F6080"><enum>(C)</enum><text>by certified mail,
				mailed to the woman at least 72 hours before any part of the abortion
				begins.</text>
								</subparagraph></paragraph><paragraph id="HAB9D5BAF97B343FB833C46B6AE594D04"><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></subsection><subsection id="H1775244E39954EB7A4EFFEAE400BED4"><enum>(d)</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>
							<paragraph id="H5D5A4441EC3F4AA7AE49CEEEACBACB3"><enum>(1)</enum><text>with respect to the
				pregnant woman—</text>
								<subparagraph id="HCBA7CA9A7B554233B9E94D4785E0FF20"><enum>(A)</enum><text>contain a
				statement that affirms that the woman has received or been offered all of the
				information required in subsection (b);</text>
								</subparagraph><subparagraph id="H959BDF8E432F4642B91E9F983D290596"><enum>(B)</enum><text>affirm that the
				woman has read the following statement: <quote>You are considering having an
				abortion of an unborn child who will have developed, at the time of the
				abortion, approximately __ weeks after fertilization. There is a significant
				body of evidence that unborn children at 20 weeks after fertilization have the
				physical structures necessary to experience pain. There is substantial evidence
				that at least 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. 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 2006, you have a right to know that there is evidence that the process
				of being killed in an abortion will cause your unborn child pain. You may
				request that anesthesia or other pain-reducing drug or drugs are 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.</quote>;</text>
								</subparagraph><subparagraph id="HCF2568A954B9429487CE5FFF4DE4FDBE"><enum>(C)</enum><text>require the woman
				to explicitly either request or refuse the administration of pain-reducing
				drugs to the unborn child; and</text>
								</subparagraph><subparagraph id="H55923954DD184EED9CCBBCB27F3FD00"><enum>(D)</enum><text>be signed by a
				pregnant woman prior to the performance of an abortion involving a pain-capable
				unborn child; and</text>
								</subparagraph></paragraph><paragraph id="H376A93FCF3B94BEE8BAACDC42FFFFA4C"><enum>(2)</enum><text>with respect to
				the abortion provider—</text>
								<subparagraph id="H10BD4A9281DD4741B9B7AB3EB9686100"><enum>(A)</enum><text>contain a
				statement that the provider has provided the woman with all of the information
				required under subsection (b);</text>
								</subparagraph><subparagraph id="HCD7DC3FFC9974733BDFC11D20B75472"><enum>(B)</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>
								</subparagraph><subparagraph id="HD4FD3119570746779C03D56772B7A8E1"><enum>(C)</enum><text>be signed by the
				provider prior to the performance of the abortion procedure.</text>
								</subparagraph></paragraph></subsection><subsection id="HF6BB0801A4E5420D95C64B4498C0C232"><enum>(e)</enum><header>Maintenance of
				records</header><text>The Secretary shall promulgate regulations relating to
				the period of time during which copies of forms under subsection (d) shall be
				maintained by abortion providers.</text>
						</subsection></section><section id="H3002C9CD10D94207A5E80095D9E41779"><enum>2903.</enum><header>Exception for
				medical emergencies</header>
						<subsection id="H68B6FBF9385B464CADA06F3B90AC84A4"><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="H5687D3151E8847BD9F3FE4DAF86E5EEE"><enum>(b)</enum><header>Medical
				Emergency Defined</header>
							<paragraph id="HBE429DC1F9FC4B5D8C00AB081D39798F"><enum>(1)</enum><header>In
				general</header><text display-inline="yes-display-inline">In subsection (a),
				the term <quote>medical emergency</quote> means a condition which, in the
				reasonable medical judgment of the abortion provider, so complicates the
				medical condition of the pregnant woman so as to necessitate the immediate
				termination of her pregnancy to avert her death, or for which a delay would
				create a serious risk of substantial and irreversible impairment of a major
				bodily function. The term <quote>medical emergency</quote> shall not include
				emotional, psychological or mental disorders or conditions.</text>
							</paragraph><paragraph id="H406C59309820481DADE0987C94DB0485"><enum>(2)</enum><header>Reasonable
				medical judgment</header><text>In paragraph (1), the term <quote>reasonable
				medical judgment</quote> 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="H44D69A0A452D404297000388E52725CD"><enum>(c)</enum><header>Certification</header><text></text>
							<paragraph id="H842F5975A6D64FC1B009ECEB0829334E"><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="HA72246D0B2A941D1AA2F63C48735EEB0"><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="H28BA18D9A4EE49ECB8CA931C61BB1918"><enum>2904.</enum><header>Penalties for
				failure to comply</header>
						<subsection id="H3FCF7EB3D1C2445F84A31BD3754DB181"><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="H9D2128DF8D3040EDB27815A875C061E0"><enum>(b)</enum><header>Commencement of
				Action</header><text>The Attorney General may commence a civil action under
				this section.</text>
						</subsection><subsection id="HF1CD429D612C4A95A90094CD6A7F64C"><enum>(c)</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 and
				shall assess a civil penalty against the respondent in an amount not to exceed
				$100,000.</text>
						</subsection><subsection id="HEF947C9B6E544CAF9DCEFAB0BB5BD5BC"><enum>(d)</enum><header>Second and
				subsequent offenses</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 and shall assess a civil penalty
				against the respondent in an amount not to exceed $250,000.</text>
						</subsection><subsection id="HEC97A5A63654411A8BE0FCFEF6D13CD"><enum>(e)</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></title><after-quoted-block>.</after-quoted-block></quoted-block>
		</section><section id="H5BD0BCFBFF804A83BBB2ABC0047C16F"><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><section id="H1CE0737CDDCE4AA1960668CEE820C73B"><enum>5.</enum><header>Severability</header><text display-inline="no-display-inline">The provisions of this Act shall be
			 severable. If any provision of this Act, or any application thereof, is found
			 unconstitutional, that finding shall not affect any provision or application of
			 the Act not so adjudicated.</text>
		</section></legis-body>
</bill>


