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H.R. 21

U.S. HouseIn Senate Committee

Summary

H.R. 21, the Born-Alive Abortion Survivors Protection Act, was introduced in the House on Jan 3, 2025 by Rep. Ann Wagner (R) with 163 co-sponsors. It was referred to Judiciary, and last saw action on Jan 24, 2025: Received in the Senate and Read twice and referred to the Committee on the Judiciary.


Record

Text

H.R. 21 has 163 co-sponsors and 2 roll calls.

hb21/engrossed-in-house.txt
119 HR 21 EH: Born-Alive Abortion Survivors Protection Act
U.S. House of Representatives
text/xml
EN
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.
I
119th CONGRESS 1st Session
H. R. 21
IN THE HOUSE OF REPRESENTATIVES
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.
1.
Short title
This Act may be cited as the Born-Alive Abortion Survivors Protection Act .
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.
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:
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. Kevin F. McCumber, Clerk.

Tracker

The tracker indicates the progress of this legislation as it moves through the legislative process.

  1. Introduced2025-01-03
  2. Passed House2025-01-23
  3. Passed Senate
  4. Conference
  5. To President
  6. Became Law

CRS Summary

The summaries are the Congressional Research Service’s, one per stage. Read them in full.

Introduced in House Jan 3, 2025

hb21/introduced-in-house.md

Shown Here:
Introduced in House (01/03/2025)

Born-Alive Abortion Survivors Protection Act

This bill establishes requirements for the degree of care a health care practitioner must provide in the case of a child born alive following an abortion or attempted abortion.

Specifically, a health care practitioner who is present must (1) exercise the same degree of care as would reasonably be provided to any other child born alive at the same gestational age, and (2) ensure the child is immediately admitted to a hospital. Additionally, a health care practitioner or other employee who has knowledge of a failure to comply with the degree-of-care requirements must immediately report such failure to law enforcement.

A health care practitioner who fails to provide the required degree of care, or a health care practitioner or other employee who fails to report such failure, is subject to criminal penalties—a fine, up to five years in prison, or both.

An individual who intentionally kills or attempts to kill a child born alive is subject to prosecution for murder.

The bill bars the criminal prosecution of a mother of a child born alive under this bill and allows her to bring a civil action against a health care practitioner or other employee for violations.

Sponsors

Rep. Ann Wagner (R) sponsors H.R. 21, and 163 members have co-sponsored it, 2 of them from the day it was introduced.

Committees

H.R. 21 went before 2 committees: Judiciary and Judiciary.

Judiciary
Judiciary
Referred To · Jan 24, 2025
Judiciary
Judiciary
Referred To · Jan 3, 2025 · 2,181 Bills

Actions

H.R. 21 has taken 14 actions since Jan 3, 2025, the latest on Jan 24, 2025.

ChamberAction
Jan 24, 2025
Senate
Received in the Senate and Read twice and referred to the Committee on the Judiciary.Judiciary Committee
Jan 23, 202513:53
House
Considered under the provisions of rule H. Res. 5. (consideration: CR H335-345)
Jan 23, 202513:54
House
DEBATE - The House proceeded with one hour of debate on H.R. 21.
Jan 23, 202515:07
House
The previous question was ordered pursuant to the rule.
Jan 23, 202515:08
House
Ms. Chu moved to recommit to the Committee on the Judiciary. (text: CR H344-345)Judiciary Committee

Votes

H.R. 21 went to 2 roll calls in the House, the latest on Jan 23, 2025 at 217204.

ChamberQuestion
Yea
Nay
Jan 23, 2025
House
On Passage
217
204
Jan 23, 2025
House
On Motion to Recommit
205
216

2 bills are related to H.R. 21.

Titles

H.R. 21 goes by 6 titles, 3 of them short titles.

  • Born-Alive Abortion Survivors Protection Act — Display Title
  • 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. — Official Titles from EH (Engrossed in House) bill text
  • Born-Alive Abortion Survivors Protection Act — Short Titles from RFS (Referred to Senate) bill text
  • Born-Alive Abortion Survivors Protection Act — Short Title(s) as Passed House
  • Born-Alive Abortion Survivors Protection Act — Short Title(s) as Introduced
  • 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. — Official Title as Introduced

Lobbying

22 clients hired 22 firms and 116 registered lobbyists who named H.R. 21 in 48 quarterly filings, 2025 to 2026. Reported under the Lobbying Disclosure Act; a filing’s income covers everything its registrant worked that quarter, so the amounts below are the filings’, not this bill’s.

Filed under Health Issues, Budget/Appropriations, Family issues/Abortion/Adoption, Medicare/Medicaid, Immigration, Education, Veterans, Defense.

Clients

Who paid to be heard, by how many filings named the bill. The 20 that filed most often, of 22.

ClientBusinessStateFirmsFilingsReported
POWER TO DECIDEDistrict of Columbia18$36.1K
AMERICAN ACADEMY OF FAMILY PHYSICIANSKansas16
AMERICAN PSYCHIATRIC ASSOCIATIONDistrict of Columbia14
NATIONAL COUNCIL OF JEWISH WOMENDistrict of Columbia14
STUDENTS FOR LIFE ACTIONVirginia14
AMERICAN PUBLIC HEALTH ASSOCIATIONDistrict of Columbia13
LEADERSHIP CONFERENCE ON CIVIL AND HUMAN RIGHTSDistrict of Columbia12
SERVICE EMPLOYEES INTERNATIONAL UNION CTW-CLCDistrict of Columbia12
SUSAN B ANTHONY LISTVirginia12
ALLIANCE DEFENDING FREEDOMReligious Liberty, Life, Parental Rights, Free SpeechVirginia11
AMERICAN ACADEMY OF PEDIATRICSIllinois11
AMERICAN COLLEGE OF OBSTETRICIANS AND GYNECOLOGISTSDistrict of Columbia11
AMERICAN MEDICAL ASSOCIATIONDistrict of Columbia11
AMERICAN SOCIETY OF HEMATOLOGYDistrict of Columbia11
CENTER FOR REPRODUCTIVE RIGHTSNew York11
CONCERNED WOMEN FOR AMERICA LEGISLATIVE ACTION COMMITTEEDistrict of Columbia11
GUTTMACHER INSTITUTEDistrict of Columbia11
HADASSAH, THE WOMEN'S ZIONIST ORGANIZATION OF AMERICA, INC.New York11
HERITAGE ACTION FOR AMERICADistrict of Columbia11
PLANNED PARENTHOOD ACTION FUND INCDistrict of Columbia11

Firms

Registrants who filed on the bill, by filings.

Lobbyists

Named on the filings that cite the bill. The 20 named most often, of 116.

Filings

The documents themselves, on the Senate’s Lobbying Disclosure site, largest reported first.

ClientRegistrantPeriodReportedDocument
AMERICAN MEDICAL ASSOCIATIONAMERICAN MEDICAL ASSOCIATION2025 first_quarter$8M1st Quarter - Report
AMERICAN ACADEMY OF FAMILY PHYSICIANSAMERICAN ACADEMY OF FAMILY PHYSICIANS2025 second_quarter$1.2M2nd Quarter - Report
AMERICAN ACADEMY OF FAMILY PHYSICIANSAMERICAN ACADEMY OF FAMILY PHYSICIANS2025 first_quarter$1.1M1st Quarter - Report
AMERICAN ACADEMY OF FAMILY PHYSICIANSAMERICAN ACADEMY OF FAMILY PHYSICIANS2026 second_quarter$1M2nd Quarter - Report
AMERICAN ACADEMY OF FAMILY PHYSICIANSAMERICAN ACADEMY OF FAMILY PHYSICIANS2025 third_quarter$760.5K3rd Quarter - Report
AMERICAN ACADEMY OF FAMILY PHYSICIANSAMERICAN ACADEMY OF FAMILY PHYSICIANS2026 first_quarter$684K1st Quarter - Report
AMERICAN ACADEMY OF FAMILY PHYSICIANSAMERICAN ACADEMY OF FAMILY PHYSICIANS2025 fourth_quarter$667.9K4th Quarter - Report
LEADERSHIP CONFERENCE ON CIVIL AND HUMAN RIGHTSLEADERSHIP CONFERENCE ON CIVIL AND HUMAN RIGHTS2025 first_quarter$660K1st Quarter - Amendme…
AMERICAN COLLEGE OF OBSTETRICIANS AND GYNECOLOGISTSAMERICAN COLLEGE OF OBSTETRICIANS AND GYNECOLOGISTS2025 first_quarter$660K1st Quarter - Report
SUSAN B ANTHONY LISTSUSAN B ANTHONY LIST2025 first_quarter$600K1st Quarter - Report
LEADERSHIP CONFERENCE ON CIVIL AND HUMAN RIGHTSLEADERSHIP CONFERENCE ON CIVIL AND HUMAN RIGHTS2025 first_quarter$530K1st Quarter - Report
SUSAN B ANTHONY LISTSUSAN B ANTHONY LIST2025 second_quarter$490K2nd Quarter - Report
AMERICAN PSYCHIATRIC ASSOCIATIONAMERICAN PSYCHIATRIC ASSOCIATION2025 fourth_quarter$392K4th Quarter - Report
AMERICAN ACADEMY OF PEDIATRICSAMERICAN ACADEMY OF PEDIATRICS2025 first_quarter$380K1st Quarter - Report
SERVICE EMPLOYEES INTERNATIONAL UNION CTW-CLCSERVICE EMPLOYEES INTERNATIONAL UNION CTW-CLC2025 first_quarter$286K1st Quarter - Amendme…
AMERICAN PSYCHIATRIC ASSOCIATIONAMERICAN PSYCHIATRIC ASSOCIATION2025 second_quarter$263.7K2nd Quarter - Report
AMERICAN PSYCHIATRIC ASSOCIATIONAMERICAN PSYCHIATRIC ASSOCIATION2025 third_quarter$221.4K3rd Quarter - Report
AMERICAN PSYCHIATRIC ASSOCIATIONAMERICAN PSYCHIATRIC ASSOCIATION2025 first_quarter$166.8K1st Quarter - Report
PLANNED PARENTHOOD FEDERATION OF AMERICA INCPLANNED PARENTHOOD FEDERATION OF AMERICA, INC.2025 first_quarter$109.5K1st Quarter - Report
HERITAGE ACTION FOR AMERICAHERITAGE ACTION FOR AMERICA2025 first_quarter$100K1st Quarter - Report

Classification

The Congressional Research Service files H.R. 21 under Crime and Law Enforcement, one of its 31 policy areas, and gives it 7 legislative subjects.

CRS Subjects

CRS assigns every bill one policy area from its 31; H.R. 21’s is Crime and Law Enforcement.

hr21/policy-areas.txt
Crime and Law EnforcementAgriculture and FoodAnimalsArmed Forces and National SecurityArts, Culture, ReligionCivil Rights and Liberties, Minority IssuesCommerceCongressEconomics and Public FinanceEducationEmergency ManagementEnergyEnvironmental ProtectionFamiliesFinance and Financial SectorForeign Trade and International FinanceGovernment Operations and PoliticsHealthHousing and Community DevelopmentImmigrationInternational AffairsLabor and EmploymentLawNative AmericansPublic Lands and Natural ResourcesScience, Technology, CommunicationsSocial WelfareSports and RecreationTaxationTransportation and Public WorksWater Resources Development

Legislative Subjects

H.R. 21 carries 7 of CRS’s legislative subjects, from Abortion to Violent crime.

hr21/subjects.txt
AbortionCivil actions and liabilityCriminal investigation, prosecution, interrogationHealth personnelLegal fees and court costsMedical ethicsViolent crime

Constitutional authority

The clause the sponsor cites as Congress’s power to enact H.R. 21, as entered in the Congressional Record.

[Congressional Record Volume 171, Number 1 (Friday, January 3, 2025)][House]From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]By Mrs. WAGNER:H.R. 21.Congress has the power to enact this legislation pursuantto the following:(1) Section 5 of the 14th Amendment, including the power toenforce the prohibition on government action denying equalprotection of the laws; and (2) Section 9 of Article I, tomake all laws necessary and proper for carrying intoexecution the powers vested by the Constitution of the UnitedStates, including the power to regulate commerce under Clause3 of such action.The single subject of this legislation is:To amend title 18, United States Code, to prohibit a healthcare practitioner from failing to exercise the proper degreeof care in the case of a child who survives an abortion orattempted abortion.[Page H36]

Source: congress.gov · legiscan.com