HR21-119

Passed House

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.

119th Congress Introduced Jan 3, 2025

Summary

What This Bill Does

The Born-Alive Abortion Survivors Protection Act states congressional findings that an infant born alive after an abortion is a legal person for all purposes under U.S. law and has the same claim to legal protection as any other newborn or patient in a hospital, clinic, or other facility. The bill then adds title 18 section 1532. If an abortion or attempted abortion results in a child born alive, any health care practitioner present must exercise the same professional skill, care, and diligence to preserve the child's life and health that a reasonably diligent practitioner would provide to any other child born alive at the same gestational age. After providing that care, the practitioner must ensure immediate transport and admission to a hospital. A practitioner or employee of a hospital, physician's office, or abortion clinic who knows of noncompliance must immediately report it to state or federal law enforcement. Violations of the care and transport requirement are punishable by a fine, up to five years in prison, or both. An intentional overt act that kills a born-alive child is punished under the federal murder statute. The mother may not be prosecuted under the section or conspiracy/accessory provisions based on the violation. If a violation occurs, the woman on whom the abortion was performed or attempted may sue for objectively verifiable physical and psychological damages, statutory damages equal to three times the abortion cost, punitive damages, and attorney fees. The bill also defines abortion and attempt and retitles chapter 74 from Partial-Birth Abortions to Abortions.

Who Benefits and How

Infants born alive after attempted abortions, women on whom abortions were performed or attempted, state law-enforcement agencies, federal law-enforcement agencies, neonatal hospital teams receiving transfers, supporters of born-alive protections, and civil plaintiffs benefit from explicit federal duties of care, immediate hospital-transfer requirements, mandatory reporting, criminal penalties, homicide penalties for intentional killing, maternal immunity from prosecution, and civil damages.

Who Bears the Burden and How

Health care practitioners performing abortions, abortion clinics, hospital employees, physician office staff, clinic compliance officers, abortion providers, facility administrators, medical malpractice insurers, and abortion-rights advocates must comply with federal care and transfer duties, report suspected noncompliance immediately, face criminal penalties and civil liability, manage hospital-transfer protocols, and absorb added federal intervention in abortion-related care.

Key Provisions

  • Requires practitioners to provide born-alive children the same care as other newborns at the same gestational age.
  • Requires immediate transport and admission of the born-alive child to a hospital after required care.
  • Requires practitioners and facility employees with knowledge of noncompliance to report immediately to law enforcement.
  • Creates fines, up to five years imprisonment, and federal murder penalties for intentional killing.
  • Protects the mother from prosecution and creates civil remedies including damages and attorney fees.
  • Defines abortion and attempt and updates title 18 chapter headings.

Evidence Chain:

This summary is generated from the full bill text using AI analysis. Expand "Detailed Analysis" below for identified beneficiaries/burden bearers with clause-level evidence links.

At a Glance

What This Bill Does

Creates federal care, hospital-transfer, reporting, criminal-penalty, homicide-penalty, maternal-immunity, and civil-remedy rules for a child born alive after an abortion or attempted abortion, requiring practitioners to provide the same professional care as for any other newborn at the same gestational age.

Key Policy Areas

Health Care, Criminal Justice, Civil Rights

Primary Purpose

Creates federal care, hospital-transfer, reporting, criminal-penalty, homicide-penalty, maternal-immunity, and civil-remedy rules for a child born alive after an abortion or attempted abortion, requiring practitioners to provide the same professional care as for any other newborn at the same gestational age.

Policy Domains

Health Care Criminal Justice Civil Rights

Substantive provisions

Identified Gains
  • Infants born alive after attempted abortions
  • Women on whom abortions were performed or attempted
  • State law-enforcement agencies
  • Federal law-enforcement agencies
  • Neonatal hospital teams
  • Supporters of born-alive protections
  • Civil plaintiffs
Model: codex-gpt-5 | Version: bill_summary_v2 | Source: ih
Civil plaintiffs:
Neonatal hospital teams:
State law-enforcement agencies:
Federal law-enforcement agencies:
Supporters of born-alive protections:
Infants born alive after attempted abortions:
Women on whom abortions were performed or attempted:
Identified Costs
  • Health care practitioners performing abortions
  • Abortion clinics
  • Hospital employees
  • Physician office staff
  • Clinic compliance officers
  • Abortion providers
  • Facility administrators
  • Medical malpractice insurers
Model: codex-gpt-5 | Version: bill_summary_v2 | Source: ih
Abortion clinics:
Abortion providers:
Hospital employees:
Physician office staff:
Facility administrators:
Clinic compliance officers:
Medical malpractice insurers:
Health care practitioners performing abortions:

Legislative Progress

Passed House
Introduced Committee Passed
Jan 24, 2025

Received; read twice and referred to the Committee on the …

Jan 24, 2025 (inferred)

Passed House (inferred from eh version)

Jan 3, 2025

Mrs. Wagner (for herself, Mr. Scalise, and Mrs. Cammack) introduced …

Stakeholder Effects

cui bono?

How this legislation distributes effects. Mention counts reflect frequency, not effect magnitude.

Healthcare
9 mentions across 3 clauses
-9 negative

Abortion clinics, Health care practitioners performing abortions, Hospital employees

General Public
8 mentions across 3 clauses
+8 positive

Civil plaintiffs, Infants born alive after attempted abortions, Women on whom abortions were performed or attempted

State & Local Government
2 mentions across 2 clauses
-2 negative

State law-enforcement agencies

2/4
sections analyzed
Full impact breakdown

Bill Structure & Actor Mappings

Who is "The Secretary" in each section?

Domains
Health Care Criminal Justice Civil Rights
Actor Mappings
"child"
→ child born alive after abortion or attempted abortion
"practitioner"
→ health care practitioner present at the birth

We use a combination of our own taxonomy and classification in addition to large language models to assess meaning and potential beneficiaries. High confidence means strong textual evidence. Always verify with the original bill text.

Learn more about our methodology