HR5485-119

In Committee

Second Chance at Life Act of 2025

119th Congress Introduced Sep 18, 2025

Summary

What This Bill Does

The bill amends the Public Health Service Act to add a new Title XXXIV establishing the abortion pill reversal informed consent framework, including definitions of chemical abortion, abortion provider, unborn child, and woman, requires abortion providers to inform women at least 24 hours before a mifepristone-induced chemical abortion about the possibility of reversal and provide written discharge instructions referencing reversal after, and creates a medical emergency exception to the informed consent requirements when a physician certifies the woman is in danger of death, requiring documentation of the specific medical circumstances. It relies on compliance mandates, reporting requirements, exemptions, and liability protections. The main policy areas are Healthcare, Finance, and Trade.

Who Benefits and How

Abortion pill reversal advocates and providers could gain revenue opportunities, States with stricter abortion disclosure laws would be affected, and Abortion providers in emergency situations could face lower compliance burdens.

Who Bears the Burden and How

Abortion providers who violate informed consent requirements could face increased risk, Abortion providers performing chemical abortions would take on compliance duties, and Abortion providers and clinics performing chemical abortions would take on compliance duties.

Key Provisions

  • Amends the Public Health Service Act to add a new Title XXXIV establishing the abortion pill reversal informed consent framework, including definitions of chemical abortion, abortion provider, unborn child, and woman...
  • Requires abortion providers to inform women at least 24 hours before a mifepristone-induced chemical abortion about the possibility of reversal and provide written discharge instructions referencing reversal after...
  • Creates a medical emergency exception to the informed consent requirements when a physician certifies the woman is in danger of death, requiring documentation of the specific medical circumstances.
  • Requires all facilities performing chemical abortions to conspicuously post signs about abortion pill reversal in patient waiting rooms, consultation rooms, and admission areas, with specific minimum lettering size...
  • Requires HHS Secretary to publish multilingual materials about abortion pill reversal and maintain a privacy-respecting website with this information within 30 days of enactment.

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

The bill amends the Public Health Service Act to add a new Title XXXIV establishing the abortion pill reversal informed consent framework, including definitions of chemical abortion, abortion provider, unborn child, and woman, requires abortion providers to inform women at least 24 hours before a mifepristone-induced chemical abortion about the possibility of reversal and provide written discharge instructions referencing reversal after, and creates a medical emergency exception to the informed consent requirements when a physician certifies the woman is in danger of death, requiring documentation of the specific medical circumstances.

Key Policy Areas

Healthcare, Finance, Trade

Primary Purpose

The bill amends the Public Health Service Act to add a new Title XXXIV establishing the abortion pill reversal informed consent framework, including definitions of chemical abortion, abortion provider, unborn child, and woman, requires abortion providers to inform women at least 24 hours before a mifepristone-induced chemical abortion about the possibility of reversal and provide written discharge instructions referencing reversal after, and creates a medical emergency exception to the informed consent requirements when a physician certifies the woman is in danger of death, requiring documentation of the specific medical circumstances.

Policy Domains

Healthcare Finance Trade

Abortion Pill Reversal Informed Consent (Title XXXIV of PHSA)

Identified Gains
  • Abortion pill reversal advocates and providers
  • States with stricter abortion disclosure laws
  • Abortion providers in emergency situations
  • Abortion pill reversal service providers
  • Anti-abortion legal organizations
Model: codex-gpt-5:bulk-repair | Version: bill_summary_v2 | Source: ih
Anti-abortion legal organizations:
Abortion pill reversal service providers:
Abortion providers in emergency situations:
States with stricter abortion disclosure laws:
Abortion pill reversal advocates and providers:
Identified Costs
  • Abortion providers who violate informed consent requirements
  • Abortion providers performing chemical abortions
  • Abortion providers and clinics performing chemical abortions
  • Department of Health and Human Services
  • Clinics and facilities performing chemical abortions
Model: codex-gpt-5:bulk-repair | Version: bill_summary_v2 | Source: ih
Department of Health and Human Services:
Abortion providers performing chemical abortions:
Clinics and facilities performing chemical abortions:
Abortion providers and clinics performing chemical abortions:
Abortion providers who violate informed consent requirements:

Legislative Progress

In Committee
Introduced Committee Passed
Sep 18, 2025

Mr. Pfluger (for himself, Mr. LaMalfa, Mr. Estes, Mr. Moore …

Sep 18, 2025

Referred to the House Committee on Energy and Commerce.

Sep 18, 2025

Introduced in House

Stakeholder Effects

cui bono?

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

Healthcare
10 mentions across 7 clauses
+3 positive -7 negative

Abortion pill reversal advocates and providers, Abortion pill reversal service providers, Abortion providers and clinics performing chemical abortions

Positive-direction: Abortion pill reversal advocates and providers, Abortion pill reversal service providers, Abortion providers in emergency situations

Negative-direction: Abortion providers and clinics performing chemical abortions, Abortion providers in states with extensive disclosure laws, Abortion providers performing chemical abortions, Abortion providers who violate informed consent requirements, Clinics and facilities performing chemical abortions, Hospitals with abortion services, Telehealth abortion providers

General Public
2 mentions across 2 clauses
+1 positive ?1 uncertain

Women seeking chemical abortions, Women, fathers, and parents of minors

Manufacturing
1 mention across 1 clause
-1 negative

Mifepristone manufacturers and distributors

Financial Services
1 mention across 1 clause
-1 negative

Medical malpractice insurers covering abortion providers

Professional Services
1 mention across 1 clause
+1 positive

Anti-abortion legal organizations

State & Local Government
1 mention across 1 clause
+1 positive

States with stricter abortion disclosure laws

Government
1 mention across 1 clause
-1 negative

Department of Health and Human Services

7/10
sections analyzed
Full impact breakdown

Bill Structure & Actor Mappings

Who is "The Secretary" in each section?

Domains
Healthcare Finance Trade
Actor Mappings
"the_secretary"
→ Secretary of Health and Human Services

Key Definitions

Terms defined in this bill

4 terms
"woman" §3401_woman

A female human being whether or not she has reached the age of majority.

"unborn child" §3401_unborn_child

A member of the species homo sapiens, at any stage of development prior to birth.

"abortion provider" §3401_abortion_provider

Any person licensed to perform a chemical abortion under applicable Federal and State laws.

"chemical abortion" §3401_chemical_abortion

The use or prescription of an abortion-inducing drug dispensed with the intent to cause the death of the unborn child.

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