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H.R. 21
U.S. House•In 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.txt119 HR 21 EH: Born-Alive Abortion Survivors Protection ActU.S. House of Representativestext/xmlENPursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.I119th CONGRESS 1st SessionH. R. 21IN THE HOUSE OF REPRESENTATIVESAN ACTTo 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 titleThis Act may be cited as the Born-Alive Abortion Survivors Protection Act .2.Findings; constitutional authority(a)FindingsCongress 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 authorityIn 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 survivorsChapter 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 practitionersIn 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 hospitalAny 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 violationsA 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 generalWhoever 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 aliveWhoever 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 prosecutionThe 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 performedIf 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 reliefAppropriate 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 plaintiffThe court shall award a reasonable attorney’s fee to a prevailing plaintiff in a civil action under this subsection.(4)Attorney’s fee for defendantIf 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)DefinitionsIn this section the following definitions apply:(1)AbortionThe 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)AttemptThe 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 amendmentThe 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 chapterThe chapter heading for chapter 74 of title 18, United States Code, is amended by strikingPartial-Birth Abortions and insertingAbortions .(2)Table of chapters for part IThe 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.
- Introduced2025-01-03
- Passed House2025-01-23
- Passed Senate
- Conference
- To President
- 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.mdShown 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.

Rep. · R–MO-2 · Sponsor
Introduced Jan 3, 2025

Rep. · R–FL-3 · Co-sponsor
Joined Jan 3, 2025 · Original

Rep. · R–LA-1 · Co-sponsor
Joined Jan 3, 2025 · Original

Rep. · R–AL-4 · Co-sponsor
Joined Jan 6, 2025

Rep. · R–OH-12 · Co-sponsor
Joined Jan 6, 2025

Rep. · R–MI-1 · Co-sponsor
Joined Jan 6, 2025

Rep. · R–AZ-5 · Co-sponsor
Joined Jan 6, 2025

Rep. · R–IL-12 · Co-sponsor
Joined Jan 6, 2025

Rep. · R–MO-7 · Co-sponsor
Joined Jan 6, 2025

Rep. · R–GA-1 · Co-sponsor
Joined Jan 6, 2025
Committees
H.R. 21 went before 2 committees: Judiciary and Judiciary.
Actions
H.R. 21 has taken 14 actions since Jan 3, 2025, the latest on Jan 24, 2025.
| Chamber | Action | |||
|---|---|---|---|---|
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 217–204.
| Chamber | Question | Yea | Nay | |||
|---|---|---|---|---|---|---|
Jan 23, 2025 | House | On Passage | 217 | 204 | ||
Jan 23, 2025 | House | On Motion to Recommit | 205 | 216 |
Related bills
2 bills are related to H.R. 21.
HRES 5Adopting the Rules of the House of Representatives for the One Hundred Nineteenth Congress, and for other purposes.Jan 3, 2025 · Motion to reconsider laid on the table Agreed to without objection. · Related bill
S 6Born-Alive Abortion Survivors Protection ActJan 22, 2025 · Cloture on the motion to proceed to the measure not invoked in Senate by Yea-Na… · Related billTitles
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.
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.
| Lobbyist | Firms | Clients | Filings |
|---|---|---|---|
| MONICA EDWARDS | 1 | 1 | 8 |
| RACHEL FEY | 1 | 1 | 8 |
| TARA MANCINI | 1 | 1 | 8 |
| SOFIA URIAGEREKA | 1 | 1 | 7 |
| DAVID TULLY | 1 | 1 | 6 |
| KATE GILLIARD | 1 | 1 | 6 |
| MEGAN MORTIMER | 1 | 1 | 6 |
| NATALIE WILLIAMS | 1 | 1 | 6 |
| STEPHANIE QUINN | 1 | 1 | 6 |
| ANNA WALDMAN | 1 | 1 | 5 |
| ABIGAIL GRIFFIN | 1 | 1 | 4 |
| ALEX LEHMAN | 1 | 1 | 4 |
| BROOKE TRAINUM | 1 | 1 | 4 |
| DANA DORAN | 1 | 1 | 4 |
| DANIEL STANFORD | 1 | 1 | 4 |
| DARCY HIRSH | 1 | 1 | 4 |
| JODY RABHAN | 1 | 1 | 4 |
| MAUREEN MAGUIRE | 1 | 1 | 4 |
| MIKAEL TROUBH | 1 | 1 | 4 |
| REBECCA KILMER | 1 | 1 | 4 |
Filings
The documents themselves, on the Senate’s Lobbying Disclosure site, largest reported first.
| Client | Registrant | Period | Reported | Document |
|---|---|---|---|---|
| AMERICAN MEDICAL ASSOCIATION | AMERICAN MEDICAL ASSOCIATION | 2025 first_quarter | $8M | 1st Quarter - Report |
| AMERICAN ACADEMY OF FAMILY PHYSICIANS | AMERICAN ACADEMY OF FAMILY PHYSICIANS | 2025 second_quarter | $1.2M | 2nd Quarter - Report |
| AMERICAN ACADEMY OF FAMILY PHYSICIANS | AMERICAN ACADEMY OF FAMILY PHYSICIANS | 2025 first_quarter | $1.1M | 1st Quarter - Report |
| AMERICAN ACADEMY OF FAMILY PHYSICIANS | AMERICAN ACADEMY OF FAMILY PHYSICIANS | 2026 second_quarter | $1M | 2nd Quarter - Report |
| AMERICAN ACADEMY OF FAMILY PHYSICIANS | AMERICAN ACADEMY OF FAMILY PHYSICIANS | 2025 third_quarter | $760.5K | 3rd Quarter - Report |
| AMERICAN ACADEMY OF FAMILY PHYSICIANS | AMERICAN ACADEMY OF FAMILY PHYSICIANS | 2026 first_quarter | $684K | 1st Quarter - Report |
| AMERICAN ACADEMY OF FAMILY PHYSICIANS | AMERICAN ACADEMY OF FAMILY PHYSICIANS | 2025 fourth_quarter | $667.9K | 4th Quarter - Report |
| LEADERSHIP CONFERENCE ON CIVIL AND HUMAN RIGHTS | LEADERSHIP CONFERENCE ON CIVIL AND HUMAN RIGHTS | 2025 first_quarter | $660K | 1st Quarter - Amendme… |
| AMERICAN COLLEGE OF OBSTETRICIANS AND GYNECOLOGISTS | AMERICAN COLLEGE OF OBSTETRICIANS AND GYNECOLOGISTS | 2025 first_quarter | $660K | 1st Quarter - Report |
| SUSAN B ANTHONY LIST | SUSAN B ANTHONY LIST | 2025 first_quarter | $600K | 1st Quarter - Report |
| LEADERSHIP CONFERENCE ON CIVIL AND HUMAN RIGHTS | LEADERSHIP CONFERENCE ON CIVIL AND HUMAN RIGHTS | 2025 first_quarter | $530K | 1st Quarter - Report |
| SUSAN B ANTHONY LIST | SUSAN B ANTHONY LIST | 2025 second_quarter | $490K | 2nd Quarter - Report |
| AMERICAN PSYCHIATRIC ASSOCIATION | AMERICAN PSYCHIATRIC ASSOCIATION | 2025 fourth_quarter | $392K | 4th Quarter - Report |
| AMERICAN ACADEMY OF PEDIATRICS | AMERICAN ACADEMY OF PEDIATRICS | 2025 first_quarter | $380K | 1st Quarter - Report |
| SERVICE EMPLOYEES INTERNATIONAL UNION CTW-CLC | SERVICE EMPLOYEES INTERNATIONAL UNION CTW-CLC | 2025 first_quarter | $286K | 1st Quarter - Amendme… |
| AMERICAN PSYCHIATRIC ASSOCIATION | AMERICAN PSYCHIATRIC ASSOCIATION | 2025 second_quarter | $263.7K | 2nd Quarter - Report |
| AMERICAN PSYCHIATRIC ASSOCIATION | AMERICAN PSYCHIATRIC ASSOCIATION | 2025 third_quarter | $221.4K | 3rd Quarter - Report |
| AMERICAN PSYCHIATRIC ASSOCIATION | AMERICAN PSYCHIATRIC ASSOCIATION | 2025 first_quarter | $166.8K | 1st Quarter - Report |
| PLANNED PARENTHOOD FEDERATION OF AMERICA INC | PLANNED PARENTHOOD FEDERATION OF AMERICA, INC. | 2025 first_quarter | $109.5K | 1st Quarter - Report |
| HERITAGE ACTION FOR AMERICA | HERITAGE ACTION FOR AMERICA | 2025 first_quarter | $100K | 1st 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.txtLegislative Subjects
H.R. 21 carries 7 of CRS’s legislative subjects, from Abortion to Violent crime.
hr21/subjects.txtConstitutional 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