[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[S. 471 Introduced in Senate (IS)]

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118th CONGRESS
  1st Session
                                 S. 471

  To amend title XIX of the Social Security Act to allow for greater 
State flexibility with respect to excluding providers who are involved 
                             in abortions.


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

                           February 16, 2023

Mr. Lankford (for himself, Mr. Hawley, Mr. Cruz, Mr. Risch, Mr. Braun, 
   Mr. Daines, Mr. Scott of Florida, Mrs. Hyde-Smith, Mr. Thune, Mr. 
 Mullin, Mr. Marshall, and Mr. Tillis) introduced the following bill; 
     which was read twice and referred to the Committee on Finance

_______________________________________________________________________

                                 A BILL


 
  To amend title XIX of the Social Security Act to allow for greater 
State flexibility with respect to excluding providers who are involved 
                             in abortions.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Women's Public Health and Safety 
Act''.

SEC. 2. INCREASING STATE FLEXIBILITY IN DETERMINING PARTICIPATION OF 
              PROVIDERS WHO PERFORM, OR PARTICIPATE IN THE PERFORMANCE 
              OF, ABORTIONS.

    Section 1902 of the Social Security Act (42 U.S.C. 1396a), as 
amended by section 5131 of the Health Extenders, Improving Access to 
Medicare, Medicaid, and CHIP, and Strengthening Public Health Act of 
2022, is amended--
            (1) in subsection (a)(23), by striking ``subsection (g)'' 
        and inserting ``subsections (g) and (uu),''; and
            (2) by adding at the end the following new subsection:
    ``(uu) Rules With Respect to Determination of Participation of 
Providers Who Perform, or Participate in the Performance of, 
Abortions.--
            ``(1) In general.--Subject to paragraph (2), for purposes 
        of this title, a State, at its option, may establish criteria 
        with respect to the participation under the State plan (or a 
        waiver of such plan) of an institution, an agency, an entity, 
        or a person who performs, or participates in the performance 
        of, abortions.
            ``(2) Exception.--Paragraph (1) shall not apply to an 
        abortion--
                    ``(A) if the pregnancy is the result of an act of 
                rape or incest; or
                    ``(B) in the case where a woman suffers from a 
                physical disorder, physical injury, or physical illness 
                that would, as certified by a physician, place the 
                woman in danger of death unless an abortion is 
                performed, including a life-endangering physical 
                condition caused by or arising from the pregnancy 
                itself.
            ``(3) Definitions.--For purposes of this subsection, the 
        terms `institution', `agency', or `entity' mean the entire 
        legal institution, agency, or entity, or any part thereof, 
        including any institution, agency, or entity that controls, is 
        controlled by, or is under common control with such 
        institution, agency, or entity.''.
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