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Born-Alive Abortion Survivors Protection Act
Summary
This bill establishes federal requirements for health care practitioners when a child is born alive following an abortion or attempted abortion. Practitioners must exercise the same degree of professional care as would be provided to any other newborn at the same gestational age and ensure the child is immediately transported to and admitted to a hospital. Health care workers who know of failures to comply must report them to law enforcement. Violations are subject to criminal penalties of up to 5 years imprisonment and fines, with intentional killing prosecuted as murder. The bill also allows civil lawsuits by the woman upon whom the abortion was performed for damages, statutory damages of three times the abortion cost, and punitive damages. The mother cannot be prosecuted under this section.
AI-generated plain-language summary of the bill text — neutral, and may be imperfect. See the full text below for the exact wording.
Sponsor (1)
- Rep. Wagner, Ann [R-MO-2] (R-MO)
163 cosponsors
- Rep. Aderholt, Robert B. [R-AL-4] (R-AL)
- Rep. Allen, Rick W. [R-GA-12] (R-GA)
- Rep. Amodei, Mark E. [R-NV-2] (R-NV)
- Rep. Arrington, Jodey C. [R-TX-19] (R-TX)
- Rep. Babin, Brian [R-TX-36] (R-TX)
- Rep. Bacon, Don [R-NE-2] (R-NE)
- Rep. Balderson, Troy [R-OH-12] (R-OH)
- Rep. Barr, Andy [R-KY-6] (R-KY)
- Rep. Bean, Aaron [R-FL-4] (R-FL)
- Rep. Begich, Nicholas [R-AK-At Large] (R-AK)
- Rep. Bentz, Cliff [R-OR-2] (R-OR)
- Rep. Bergman, Jack [R-MI-1] (R-MI)
- Rep. Bice, Stephanie I. [R-OK-5] (R-OK)
- Rep. Biggs, Andy [R-AZ-5] (R-AZ)
- Rep. Biggs, Sheri [R-SC-3] (R-SC)
- Rep. Bilirakis, Gus M. [R-FL-12] (R-FL)
- Rep. Bost, Mike [R-IL-12] (R-IL)
- Rep. Brecheen, Josh [R-OK-2] (R-OK)
- Rep. Burchett, Tim [R-TN-2] (R-TN)
- Rep. Burlison, Eric [R-MO-7] (R-MO)
- Rep. Calvert, Ken [R-CA-41] (R-CA)
- Rep. Cammack, Kat [R-FL-3] (R-FL)
- Rep. Carey, Mike [R-OH-15] (R-OH)
- Rep. Carter, Earl L. "Buddy" [R-GA-1] (R-GA)
- Rep. Carter, John R. [R-TX-31] (R-TX)
- Rep. Ciscomani, Juan [R-AZ-6] (R-AZ)
- Rep. Cline, Ben [R-VA-6] (R-VA)
- Rep. Clyde, Andrew S. [R-GA-9] (R-GA)
- Rep. Cole, Tom [R-OK-4] (R-OK)
- Rep. Collins, Mike [R-GA-10] (R-GA)
- Rep. Comer, James [R-KY-1] (R-KY)
- Rep. Crank, Jeff [R-CO-5] (R-CO)
- Rep. Crawford, Eric A. "Rick" [R-AR-1] (R-AR)
- Rep. Crenshaw, Dan [R-TX-2] (R-TX)
- Rep. Davidson, Warren [R-OH-8] (R-OH)
- Rep. Diaz-Balart, Mario [R-FL-26] (R-FL)
- Rep. Downing, Troy [R-MT-2] (R-MT)
- Rep. Dunn, Neal P. [R-FL-2] (R-FL)
- Rep. Ellzey, Jake [R-TX-6] (R-TX)
- Rep. Emmer, Tom [R-MN-6] (R-MN)
- Rep. Estes, Ron [R-KS-4] (R-KS)
- Rep. Ezell, Mike [R-MS-4] (R-MS)
- Rep. Fallon, Pat [R-TX-4] (R-TX)
- Rep. Fedorchak, Julie [R-ND-At Large] (R-ND)
- Rep. Feenstra, Randy [R-IA-4] (R-IA)
- Rep. Finstad, Brad [R-MN-1] (R-MN)
- Rep. Fischbach, Michelle [R-MN-7] (R-MN)
- Rep. Fitzgerald, Scott [R-WI-5] (R-WI)
- Rep. Fleischmann, Charles J. "Chuck" [R-TN-3] (R-TN)
- Rep. Flood, Mike [R-NE-1] (R-NE)
- Rep. Fong, Vince [R-CA-20] (R-CA)
- Rep. Foxx, Virginia [R-NC-5] (R-NC)
- Rep. Franklin, Scott [R-FL-18] (R-FL)
- Rep. Fry, Russell [R-SC-7] (R-SC)
- Rep. Fulcher, Russ [R-ID-1] (R-ID)
- Rep. Garbarino, Andrew R. [R-NY-2] (R-NY)
- Rep. Gill, Brandon [R-TX-26] (R-TX)
- Rep. Gimenez, Carlos A. [R-FL-28] (R-FL)
- Rep. Goldman, Craig [R-TX-12] (R-TX)
- Rep. Gonzales, Tony [R-TX-23] (R-TX)
- Rep. Gooden, Lance [R-TX-5] (R-TX)
- Rep. Graves, Sam [R-MO-6] (R-MO)
- Rep. Greene, Marjorie Taylor [R-GA-14] (R-GA)
- Rep. Green, Mark E. [R-TN-7] (R-TN)
- Rep. Grothman, Glenn [R-WI-6] (R-WI)
- Rep. Guest, Michael [R-MS-3] (R-MS)
- Rep. Guthrie, Brett [R-KY-2] (R-KY)
- Rep. Hageman, Harriet M. [R-WY-At Large] (R-WY)
- Rep. Haridopolos, Mike [R-FL-8] (R-FL)
- Rep. Harris, Andy [R-MD-1] (R-MD)
- Rep. Harshbarger, Diana [R-TN-1] (R-TN)
- Rep. Hern, Kevin [R-OK-1] (R-OK)
- Rep. Higgins, Clay [R-LA-3] (R-LA)
- Rep. Hill, J. French [R-AR-2] (R-AR)
- Rep. Hinson, Ashley [R-IA-2] (R-IA)
- Rep. Houchin, Erin [R-IN-9] (R-IN)
- Rep. Hudson, Richard [R-NC-9] (R-NC)
- Rep. Huizenga, Bill [R-MI-4] (R-MI)
- Rep. Issa, Darrell [R-CA-48] (R-CA)
- Rep. Jackson, Ronny [R-TX-13] (R-TX)
- Rep. Johnson, Dusty [R-SD-At Large] (R-SD)
- Rep. Joyce, David P. [R-OH-14] (R-OH)
- Rep. Joyce, John [R-PA-13] (R-PA)
- Rep. Kelly, Mike [R-PA-16] (R-PA)
- Rep. Kelly, Trent [R-MS-1] (R-MS)
- Rep. Knott, Brad [R-NC-13] (R-NC)
- Rep. Kustoff, David [R-TN-8] (R-TN)
- Rep. LaHood, Darin [R-IL-16] (R-IL)
- Rep. LaMalfa, Doug [R-CA-1] (R-CA)
- Rep. Langworthy, Nicholas A. [R-NY-23] (R-NY)
- Rep. Latta, Robert E. [R-OH-5] (R-OH)
- Rep. Lee, Laurel M. [R-FL-15] (R-FL)
- Rep. Letlow, Julia [R-LA-5] (R-LA)
- Rep. Loudermilk, Barry [R-GA-11] (R-GA)
- Rep. Lucas, Frank D. [R-OK-3] (R-OK)
- Rep. Luna, Anna Paulina [R-FL-13] (R-FL)
- Rep. Luttrell, Morgan [R-TX-8] (R-TX)
- Rep. Mace, Nancy [R-SC-1] (R-SC)
- Rep. Malliotakis, Nicole [R-NY-11] (R-NY)
- Rep. Maloy, Celeste [R-UT-2] (R-UT)
- Rep. Mann, Tracey [R-KS-1] (R-KS)
- Rep. McClain, Lisa C. [R-MI-9] (R-MI)
- Rep. McClintock, Tom [R-CA-5] (R-CA)
- Rep. McCormick, Richard [R-GA-7] (R-GA)
- Rep. McDowell, Addison [R-NC-6] (R-NC)
- Rep. McGuire, John [R-VA-5] (R-VA)
- Rep. Messmer, Mark [R-IN-8] (R-IN)
- Rep. Meuser, Daniel [R-PA-9] (R-PA)
- Rep. Miller, Carol D. [R-WV-1] (R-WV)
- Rep. Miller, Mary E. [R-IL-15] (R-IL)
- Rep. Miller-Meeks, Mariannette [R-IA-1] (R-IA)
- Rep. Mills, Cory [R-FL-7] (R-FL)
- Rep. Moolenaar, John R. [R-MI-2] (R-MI)
- Rep. Moore, Barry [R-AL-1] (R-AL)
- Rep. Moore, Blake D. [R-UT-1] (R-UT)
- Rep. Moore, Riley [R-WV-2] (R-WV)
- Rep. Moore, Tim [R-NC-14] (R-NC)
- Rep. Moran, Nathaniel [R-TX-1] (R-TX)
- Rep. Murphy, Gregory F. [R-NC-3] (R-NC)
- Rep. Nehls, Troy E. [R-TX-22] (R-TX)
- Rep. Newhouse, Dan [R-WA-4] (R-WA)
- Rep. Ogles, Andrew [R-TN-5] (R-TN)
- Rep. Onder, Robert [R-MO-3] (R-MO)
- Rep. Owens, Burgess [R-UT-4] (R-UT)
- Rep. Palmer, Gary J. [R-AL-6] (R-AL)
- Rep. Pfluger, August [R-TX-11] (R-TX)
- Rep. Reschenthaler, Guy [R-PA-14] (R-PA)
- Rep. Rogers, Mike D. [R-AL-3] (R-AL)
- Rep. Rose, John W. [R-TN-6] (R-TN)
- Rep. Rouzer, David [R-NC-7] (R-NC)
- Rep. Roy, Chip [R-TX-21] (R-TX)
- Rep. Rutherford, John H. [R-FL-5] (R-FL)
- Rep. Salazar, Maria Elvira [R-FL-27] (R-FL)
- Rep. Scalise, Steve [R-LA-1] (R-LA)
- Rep. Scott, Austin [R-GA-8] (R-GA)
- Rep. Self, Keith [R-TX-3] (R-TX)
- Rep. Sessions, Pete [R-TX-17] (R-TX)
- Rep. Simpson, Michael K. [R-ID-2] (R-ID)
- Rep. Smith, Adrian [R-NE-3] (R-NE)
- Rep. Smith, Christopher H. [R-NJ-4] (R-NJ)
- Rep. Smith, Jason [R-MO-8] (R-MO)
- Rep. Smucker, Lloyd [R-PA-11] (R-PA)
- Rep. Stauber, Pete [R-MN-8] (R-MN)
- Rep. Steube, W. Gregory [R-FL-17] (R-FL)
- Rep. Strong, Dale W. [R-AL-5] (R-AL)
- Rep. Taylor, David [R-OH-2] (R-OH)
- Rep. Tenney, Claudia [R-NY-24] (R-NY)
- Rep. Thompson, Glenn [R-PA-15] (R-PA)
- Rep. Tiffany, Thomas P. [R-WI-7] (R-WI)
- Rep. Timmons, William R. [R-SC-4] (R-SC)
- Rep. Turner, Michael R. [R-OH-10] (R-OH)
- Rep. Van Drew, Jefferson [R-NJ-2] (R-NJ)
- Rep. Van Duyne, Beth [R-TX-24] (R-TX)
- Rep. Walberg, Tim [R-MI-5] (R-MI)
- Rep. Weber, Randy K. Sr. [R-TX-14] (R-TX)
- Rep. Webster, Daniel [R-FL-11] (R-FL)
- Rep. Westerman, Bruce [R-AR-4] (R-AR)
- Rep. Wied, Tony [R-WI-8] (R-WI)
- Rep. Williams, Roger [R-TX-25] (R-TX)
- Rep. Wilson, Joe [R-SC-2] (R-SC)
- Rep. Wittman, Robert J. [R-VA-1] (R-VA)
- Rep. Womack, Steve [R-AR-3] (R-AR)
- Rep. Yakym, Rudy [R-IN-2] (R-IN)
Actions (14)
- Jan 24, 2025 Received in the Senate and Read twice and referred to the Committee on the Judiciary. · senate
- Jan 23, 2025 Motion to reconsider laid on the table Agreed to without objection. · house
- Jan 23, 2025 On passage Passed by the Yeas and Nays: 217 - 204, 1 Present (Roll no. 27). (text: CR H335-336) · house
- Jan 23, 2025 Passed/agreed to in House: On passage Passed by the Yeas and Nays: 217 - 204, 1 Present (Roll no. 27). (text: CR H335-336)
- Jan 23, 2025 On motion to recommit Failed by the Yeas and Nays: 205 - 216 (Roll no. 26). · house
- Jan 23, 2025 Considered as unfinished business. (consideration: CR H347-348) · house
- Jan 23, 2025 POSTPONED PROCEEDINGS - At the conclusion of debate on H.R. 21, the Chair put the question on the motion to recommit and by voice vote, announced that the noes had prevailed. Ms. Chu demanded the yeas and nays and the Chair postponed further proceedings until a time to be announced. · house
- Jan 23, 2025 The previous question on the motion to recommit was ordered pursuant to clause 2(b) of rule XIX. · house
- Jan 23, 2025 Ms. Chu moved to recommit to the Committee on the Judiciary. (text: CR H344-345) · house
- Jan 23, 2025 The previous question was ordered pursuant to the rule. · house
- Jan 23, 2025 DEBATE - The House proceeded with one hour of debate on H.R. 21. · house
- Jan 23, 2025 Considered under the provisions of rule H. Res. 5. (consideration: CR H335-345) · house
- Jan 3, 2025 Referred to the House Committee on the Judiciary. · house
- Jan 3, 2025 Introduced in House
How your representatives voted
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Roll-call votes (2)
How the chamber voted on this bill — the outcome, the tally by party, and every member's recorded position. A factual record.
- On PassagePassed
217 Yea · 204 Nay · 1 Present · 11 Not voting
- Republicans36Yea0Nay1NV
- Democrats1Yea26Nay1Present
The party tally and member list below cover the 65 of 433 positions we've recorded so far; the outcome above is the official chamber result.
See how each member voted (65)
Yea(37)
- August Pfluger
- Beth Van Duyne
- Brandon Gill
- Brian Babin
- Brian K. Fitzpatrick
- Chip Roy
- Christopher H. Smith
- Craig A. Goldman
- Dan Crenshaw
- Daniel Meuser
- Glenn Thompson
- Guy Reschenthaler
- Henry Cuellar
- Jake Ellzey
- Jefferson Van Drew
- Jodey C. Arrington
- John Joyce
- John R. Carter
- Keith Self
- Lance Gooden
- Lloyd Smucker
- Michael Cloud
- Michael T. Mccaul
- Mike Kelly
- Monica De La Cruz
- Morgan Luttrell
- Nathaniel Moran
- Pat Fallon
- Pete Sessions
- Randy K. Sr. Weber
- Robert P. Bresnahan
- Ronny Jackson
- Ryan Mackenzie
- Scott Perry
- Thomas H. Kean
- Troy E. Nehls
- Wesley Hunt
Nay(26)
- Al Green
- Becca Balint
- Bonnie Watson Coleman
- Brendan F. Boyle
- Chrissy Houlahan
- Christopher R. Deluzio
- Donald Norcross
- Dwight Evans
- Frank Pallone
- Greg Casar
- Herbert C. Conaway
- Jasmine Crockett
- Joaquin Castro
- Josh Gottheimer
- Julie Johnson
- Lamonica Mciver
- Lizzie Fletcher
- Lloyd Doggett
- Madeleine Dean
- Marc A. Veasey
- Mary Gay Scanlon
- Nellie Pou
- Robert Menendez
- Summer L. Lee
- Sylvia R. Garcia
- Veronica Escobar
Present(1)
Not voting(1)
- On Motion to RecommitFailed
205 Yea · 216 Nay · 12 Not voting
- Republicans0Yea36Nay1NV
- Democrats28Yea0Nay
The party tally and member list below cover the 65 of 433 positions we've recorded so far; the outcome above is the official chamber result.
See how each member voted (65)
Yea(28)
- Al Green
- Becca Balint
- Bonnie Watson Coleman
- Brendan F. Boyle
- Chrissy Houlahan
- Christopher R. Deluzio
- Donald Norcross
- Dwight Evans
- Frank Pallone
- Greg Casar
- Henry Cuellar
- Herbert C. Conaway
- Jasmine Crockett
- Joaquin Castro
- Josh Gottheimer
- Julie Johnson
- Lamonica Mciver
- Lizzie Fletcher
- Lloyd Doggett
- Madeleine Dean
- Marc A. Veasey
- Mary Gay Scanlon
- Nellie Pou
- Robert Menendez
- Summer L. Lee
- Sylvia R. Garcia
- Veronica Escobar
- Vicente Gonzalez
Nay(36)
- August Pfluger
- Beth Van Duyne
- Brandon Gill
- Brian Babin
- Brian K. Fitzpatrick
- Chip Roy
- Christopher H. Smith
- Craig A. Goldman
- Dan Crenshaw
- Daniel Meuser
- Glenn Thompson
- Guy Reschenthaler
- Jake Ellzey
- Jefferson Van Drew
- Jodey C. Arrington
- John Joyce
- John R. Carter
- Keith Self
- Lance Gooden
- Lloyd Smucker
- Michael Cloud
- Michael T. Mccaul
- Mike Kelly
- Monica De La Cruz
- Morgan Luttrell
- Nathaniel Moran
- Pat Fallon
- Pete Sessions
- Randy K. Sr. Weber
- Robert P. Bresnahan
- Ronny Jackson
- Ryan Mackenzie
- Scott Perry
- Thomas H. Kean
- Troy E. Nehls
- Wesley Hunt
Not voting(1)
More bills on these subjects (8)
Other bills that carry the most legislative subjects in common with this one (topical discovery — distinct from the procedural related bills above).
Text versions (3)
Bills are re-published as they move (Introduced → Reported → Engrossed → Enrolled …). Each stage below is a separate text; pick two to see what changed. Data from Congress.gov.
Full text
AN ACT
To amend title 18, United States Code, to prohibit a health care practitioner from failing to exercise the proper degree of care in the case of a child who survives an abortion or attempted abortion.
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 “Born-Alive Abortion Survivors Protection Act”.
SEC. 2. FINDINGS; CONSTITUTIONAL AUTHORITY.
(a) Findings.—Congress finds as follows:
(1) If an abortion results in the live birth of an infant, the infant is a legal person for all purposes under the laws of the United States, and entitled to all the protections of such laws.
(2) Any infant born alive after an abortion or within a hospital, clinic, or other facility has the same claim to the protection of the law that would arise for any newborn, or for any person who comes to a hospital, clinic, or other facility for screening and treatment or otherwise becomes a patient within its care.
(b) Constitutional Authority.—In accordance with the above findings, Congress enacts the following pursuant to Congress’ power under—
(1) section 5 of the 14th Amendment, including the power to enforce the prohibition on government action denying equal protection of the laws; and
(2) section 8 of article I to make all laws necessary and proper for carrying into execution the powers vested by the Constitution of the United States, including the power to regulate commerce under clause 3 of such section.
SEC. 3. BORN-ALIVE INFANTS PROTECTION.
(a) Requirements Pertaining to Born-Alive Abortion Survivors.— Chapter 74 of title 18, United States Code, is amended by inserting after section 1531 the following: “Sec. 1532. Requirements pertaining to born-alive abortion survivors
“(a) Requirements for Health Care Practitioners.—In the case of an abortion or attempted abortion that results in a child born alive (as defined in section 8 of title 1, United States Code (commonly known as the ‘Born-Alive Infants Protection Act’)):
“(1) Degree of care required; immediate admission to a hospital.—Any health care practitioner present at the time the child is born alive shall—
“(A) exercise the same degree of professional skill, care, and diligence to preserve the life and health of the child as a reasonably diligent and conscientious health care practitioner would render to any other child born alive at the same gestational age; and
“(B) following the exercise of skill, care, and diligence required under subparagraph (A), ensure that the child born alive is immediately transported and admitted to a hospital.
“(2) Mandatory reporting of violations.—A health care practitioner or any employee of a hospital, a physician’s office, or an abortion clinic who has knowledge of a failure to comply with the requirements of paragraph (1) shall immediately report the failure to an appropriate State or Federal law enforcement agency, or to both.
“(b) Penalties.—
“(1) In general.—Whoever violates subsection (a) shall be fined under this title or imprisoned for not more than 5 years, or both.
“(2) Intentional killing of child born alive.—Whoever intentionally performs or attempts to perform an overt act that kills a child born alive described under subsection (a), shall be punished as under section 1111 of this title for intentionally killing or attempting to kill a human being.
“(c) Bar to Prosecution.—The mother of a child born alive described under subsection (a) may not be prosecuted under this section, for conspiracy to violate this section, or for an offense under section 3 or 4 of this title based on such a violation.
“(d) Civil Remedies.—
“(1) Civil action by a woman on whom an abortion is performed.—If a child is born alive and there is a violation of subsection (a), the woman upon whom the abortion was performed or attempted may, in a civil action against any person who committed the violation, obtain appropriate relief.
“(2) Appropriate relief.—Appropriate relief in a civil action under this subsection includes—
“(A) objectively verifiable money damage for all injuries, psychological and physical, occasioned by the violation of subsection (a);
“(B) statutory damages equal to 3 times the cost of the abortion or attempted abortion; and
“(C) punitive damages.
“(3) Attorney’s fee for plaintiff.—The court shall award a reasonable attorney’s fee to a prevailing plaintiff in a civil action under this subsection.
“(4) Attorney’s fee for defendant.—If a defendant in a civil action under this subsection prevails and the court finds that the plaintiff’s suit was frivolous, the court shall award a reasonable attorney’s fee in favor of the defendant against the plaintiff.
“(e) Definitions.—In this section the following definitions apply:
“(1) Abortion.—The term ‘abortion’ means the use or prescription of any instrument, medicine, drug, or any other substance or device—
“(A) to intentionally kill the unborn child of a woman known to be pregnant; or
“(B) to intentionally terminate the pregnancy of a woman known to be pregnant, with an intention other than—
“(i) after viability, to produce a live birth and preserve the life and health of the child born alive; or
“(ii) to remove a dead unborn child.
“(2) Attempt.—The term ‘attempt’, with respect to an abortion, means conduct that, under the circumstances as the actor believes them to be, constitutes a substantial step in a course of conduct planned to culminate in performing an abortion.”.
(b) Clerical Amendment.—The table of sections for chapter 74 of title 18, United States Code, is amended by inserting after the item pertaining to section 1531 the following:
“1532. Requirements pertaining to born-alive abortion survivors.”.
(c) Chapter Heading Amendments.—
(1) Chapter heading in chapter.—The chapter heading for chapter 74 of title 18, United States Code, is amended by striking “Partial-Birth Abortions” and inserting “Abortions”.
(2) Table of chapters for part i.—The item relating to chapter 74 in the table of chapters at the beginning of part I of title 18, United States Code, is amended by striking “Partial-Birth Abortions” and inserting “Abortions”.
Passed the House of Representatives January 23, 2025.
Attest:
Clerk. 119th CONGRESS
1st Session
H. R. 21
AN ACT
To amend title 18, United States Code, to prohibit a health care practitioner from failing to exercise the proper degree of care in the case of a child who survives an abortion or attempted abortion.
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