Home > 105th Congressional Bills > H.R. 1003 (rds) To clarify Federal law with respect to restricting the use of Federal funds in support of assisted suicide. ...

H.R. 1003 (rds) To clarify Federal law with respect to restricting the use of Federal funds in support of assisted suicide. ...


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        H.R.1003

                       One Hundred Fifth Congress

                                 of the

                        United States of America


                          AT THE FIRST SESSION

          Begun and held at the City of Washington on Tuesday,
 the seventh day of January, one thousand nine hundred and ninety-seven


                                 An Act


 
 To clarify Federal law with respect to restricting the use of Federal 
                  funds in support of assisted suicide.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE; TABLE OF CONTENTS.

    (a) Short Title.--This Act may be cited as the ``Assisted Suicide 
Funding Restriction Act of 1997''.
    (b) Table of Contents.--The table of contents of this Act is as 
follows:
Sec. 1. Short title; table of contents.
Sec. 2. Findings and purpose.
Sec. 3. Restriction on use of Federal funds under health care programs.
Sec. 4. Restriction on use of Federal funds under certain grant programs 
          under the Developmental Disabilities Assistance and Bill of 
          Rights Act.
Sec. 5. Restriction on use of Federal funds by advocacy programs.
Sec. 6. Restriction on use of other Federal funds.
Sec. 7. Clarification with respect to advance directives.
Sec. 8. Application to District of Columbia.
Sec. 9. Conforming amendments.
Sec. 10. Relation to other laws.
Sec. 11. Effective date.
Sec. 12. Suicide prevention (including assisted suicide).

SEC. 2. FINDINGS AND PURPOSE.

    (a) Findings.--Congress finds the following:
        (1) The Federal Government provides financial support for the 
    provision of and payment for health care services, as well as for 
    advocacy activities to protect the rights of individuals.
        (2) Assisted suicide, euthanasia, and mercy killing have been 
    criminal offenses throughout the United States and, under current 
    law, it would be unlawful to provide services in support of such 
    illegal activities.
        (3) Because of recent legal developments, it may become lawful 
    in areas of the United States to furnish services in support of 
    such activities.
        (4) Congress is not providing Federal financial assistance in 
    support of assisted suicide, euthanasia, and mercy killing and 
    intends that Federal funds not be used to promote such activities.
    (b) Purpose.--It is the principal purpose of this Act to continue 
current Federal policy by providing explicitly that Federal funds may 
not be used to pay for items and services (including assistance) the 
purpose of which is to cause (or assist in causing) the suicide, 
euthanasia, or mercy killing of any individual.

SEC. 3. RESTRICTION ON USE OF FEDERAL FUNDS UNDER HEALTH CARE PROGRAMS.

    (a) Restriction on Federal Funding of Health Care Services.--
Subject to subsection (b), no funds appropriated by Congress for the 
purpose of paying (directly or indirectly) for the provision of health 
care services may be used--
        (1) to provide any health care item or service furnished for 
    the purpose of causing, or for the purpose of assisting in causing, 
    the death of any individual, such as by assisted suicide, 
    euthanasia, or mercy killing;
        (2) to pay (directly, through payment of Federal financial 
    participation or other matching payment, or otherwise) for such an 
    item or service, including payment of expenses relating to such an 
    item or service; or
        (3) to pay (in whole or in part) for health benefit coverage 
    that includes any coverage of such an item or service or of any 
    expenses relating to such an item or service.
    (b) Construction and Treatment of Certain Services.--Nothing in 
subsection (a), or in any other provision of this Act (or in any 
amendment made by this Act), shall be construed to apply to or to 
affect any limitation relating to--
        (1) the withholding or withdrawing of medical treatment or 
    medical care;
        (2) the withholding or withdrawing of nutrition or hydration;
        (3) abortion; or
        (4) the use of an item, good, benefit, or service furnished for 
    the purpose of alleviating pain or discomfort, even if such use may 
    increase the risk of death, so long as such item, good, benefit, or 
    service is not also furnished for the purpose of causing, or the 
    purpose of assisting in causing, death, for any reason.
    (c) Limitation on Federal Facilities and Employees.-- Subject to 
subsection (b), with respect to health care items and services 
furnished--
        (1) by or in a health care facility owned or operated by the 
    Federal government, or
        (2) by any physician or other individual employed by the 
    Federal government to provide health care services within the scope 
    of the physician's or individual's employment,
no such item or service may be furnished for the purpose of causing, or 
for the purpose of assisting in causing, the death of any individual, 
such as by assisted suicide, euthanasia, or mercy killing.
    (d) List of Programs to Which Restrictions Apply.--
        (1) Federal health care funding programs.--Subsection (a) 
    applies to funds appropriated under or to carry out the following:
            (A) Medicare program.--Title XVIII of the Social Security 
        Act.
            (B) Medicaid program.--Title XIX of the Social Security 
        Act.
            (C) Title xx social services block grant.--Title XX of the 
        Social Security Act.
            (D) Maternal and child health block grant program.--Title V 
        of the Social Security Act.
            (E) Public health service act.--The Public Health Service 
        Act.
            (F) Indian health care improvement act.--The Indian Health 
        Care Improvement Act.
            (G) Federal employees health benefits program.--Chapter 89 
        of title 5, United States Code.
            (H) Military health care system (including tricare and 
        champus programs).--Chapter 55 of title 10, United States Code.
            (I) Veterans medical care.--Chapter 17 of title 38, United 
        States Code.
            (J) Health services for peace corps volunteers.--Section 
        5(e) of the Peace Corps Act (22 U.S.C. 2504(e)).
            (K) Medical services for federal prisoners.-- Section 
        4005(a) of title 18, United States Code.
        (2) Federal facilities and personnel.--The provisions of 
    subsection (c) apply to facilities and personnel of the following:
            (A) Military health care system.--The Department of Defense 
        operating under chapter 55 of title 10, United States Code.
            (B) Veterans medical care.--The Veterans Health 
        Administration of the Department of Veterans Affairs.
            (C) Public health service.--The Public Health Service.
        (3) Nonexclusive list.--Nothing in this subsection shall be 
    construed as limiting the application of subsection (a) to the 
    programs specified in paragraph (1) or the application of 
    subsection (c) to the facilities and personnel specified in 
    paragraph (2).

SEC. 4. RESTRICTION ON USE OF FEDERAL FUNDS UNDER CERTAIN GRANT 
              PROGRAMS UNDER THE DEVELOPMENTAL DISABILITIES ASSISTANCE 
              AND BILL OF RIGHTS ACT.

    Subject to section 3(b) (relating to construction and treatment of 
certain services), no funds appropriated by Congress to carry out part 
B, D, or E of the Developmental Disabilities Assistance and Bill of 
Rights Act may be used to support or fund any program or service which 
has a purpose of assisting in procuring any item, benefit, or service 
furnished for the purpose of causing, or the purpose of assisting in 
causing, the death of any individual, such as by assisted suicide, 
euthanasia, or mercy killing.

SEC. 5. RESTRICTION ON USE OF FEDERAL FUNDS BY ADVOCACY PROGRAMS.

    (a) In General.--Subject to section 3(b) (relating to construction 
and treatment of certain services), no funds appropriated by Congress 
may be used to assist in, to support, or to fund any activity or 
service which has a purpose of assisting in, or to bring suit or 
provide any other form of legal assistance for the purpose of--
        (1) securing or funding any item, benefit, program, or service 
    furnished for the purpose of causing, or the purpose of assisting 
    in causing, the suicide, euthanasia, or mercy killing of any 
    individual;
        (2) compelling any person, institution, governmental entity to 
    provide or fund any item, benefit, program, or service for such 
    purpose; or
        (3) asserting or advocating a legal right to cause, or to 
    assist in causing, the suicide, euthanasia, or mercy killing of any 
    individual.
    (b) List of Programs to Which Restrictions Apply.--
        (1) In general.--Subsection (a) applies to funds appropriated 
    under or to carry out the following:
            (A) Protection and advocacy systems under the developmental 
        disabilities assistance and bill of rights act.--Part C of the 
        Developmental Disabilities Assistance and Bill of Rights Act.
            (B) Protection and advocacy systems under the protection 
        and advocacy for mentally ill individuals act.--The Protection 
        and Advocacy for Mentally Ill Individuals Act of 1986.
            (C) Protection and advocacy systems under the 
        rehabilitation act of 1973.--Section 509 of the Rehabilitation 
        Act of 1973 (29 U.S.C. 794e).
            (D) Ombudsman programs under the older americans act of 
        1965.--Ombudsman programs under the Older Americans Act of 
        1965.
            (E) Legal assistance.--Legal assistance programs under the 
        Legal Services Corporation Act.
        (2) Nonexclusive list.--Nothing in this subsection shall be 
    construed as limiting the application of subsection (a) to the 
    programs specified in paragraph (1).

SEC. 6. RESTRICTION ON USE OF OTHER FEDERAL FUNDS.

    (a) In General.--Subject to section 3(b) (relating to construction 
and treatment of certain services) and subsection (b) of this section, 
no funds appropriated by the Congress shall be used to provide, 
procure, furnish, or fund any item, good, benefit, activity, or 
service, furnished or performed for the purpose of causing, or 
assisting in causing, the suicide, euthanasia, or mercy killing of any 
individual.
    (b) Nonduplication.--Subsection (a) shall not apply to funds to 
which section 3, 4, or 5 applies, except that subsection (a), rather 
than section 3, shall apply to funds appropriated to carry out title 
10, United States Code (other than chapter 55), title 18, United States 
Code (other than section 4005(a)), and chapter 37 of title 28, United 
States Code.

SEC. 7. CLARIFICATION WITH RESPECT TO ADVANCE DIRECTIVES.

    Subject to section 3(b) (relating to construction and treatment of 
certain services), sections 1866(f) and 1902(w) of the Social Security 
Act shall not be construed--
        (1) to require any provider or organization, or any employee of 
    such a provider or organization, to inform or counsel any 
    individual regarding any right to obtain an item or service 
    furnished for the purpose of causing, or the purpose of assisting 
    in causing, the death of the individual, such as by assisted 
    suicide, euthanasia, or mercy killing; or
        (2) to apply to or to affect any requirement with respect to a 
    portion of an advance directive that directs the purposeful causing 
    of, or the purposeful assisting in causing, the death of any 
    individual, such as by assisted suicide, euthanasia, or mercy 
    killing.

SEC. 8. APPLICATION TO DISTRICT OF COLUMBIA.

    For purposes of this Act, the term ``funds appropriated by 
Congress'' includes funds appropriated to the District of Columbia 
pursuant to an authorization of appropriations under title V of the 
District of Columbia Self-Government and Governmental Reorganization 
Act and the term ``Federal government'' includes the government of the 
District of Columbia.

SEC. 9. CONFORMING AMENDMENTS.

    (a) Medicare Program.--
        (1) Funding.--Section 1862(a) of the Social Security Act (42 
    U.S.C. 1395y(a)) is amended--
            (A) by striking ``or'' at the end of paragraph (14);
            (B) by striking the period at the end of paragraph (15) and 
        inserting ``; or''; and
            (C) by inserting after paragraph (15) the following new 
        paragraph:
        ``(16) in the case in which funds may not be used for such 
    items and services under the Assisted Suicide Funding Restriction 
    Act of 1997.''.
        (2) Advance directives.--Section 1866(f) of such Act (42 U.S.C. 
    1395cc(f)) is amended by adding at the end the following new 
    paragraph:
    ``(4) For construction relating to this subsection, see section 7 
of the Assisted Suicide Funding Restriction Act of 1997 (relating to 
clarification respecting assisted suicide, euthanasia, and mercy 
killing).''.
    (b) Medicaid Program.--
        (1) Funding.--Section 1903(i) of the Social Security Act (42 
    U.S.C. 1396b(i)) is amended--
            (A) by striking ``or'' at the end of paragraph (14);
            (B) by striking the period at the end of paragraph (15) and 
        inserting ``; or''; and
            (C) by inserting after paragraph (15) the following new 
        paragraph:
        ``(16) with respect to any amount expended for which funds may 
    not be used under the Assisted Suicide Funding Restriction Act of 
    1997.''.
        (2) Advance directives.--Section 1902(w) of such Act (42 U.S.C. 
    1396a(w)) is amended by adding at the end the following new 
    paragraph:
    ``(5) For construction relating to this subsection, see section 7 
of the Assisted Suicide Funding Restriction Act of 1997 (relating to 
clarification respecting assisted suicide, euthanasia, and mercy 
killing).''.
    (c) Title XX Block Grant Program.--Section 2005(a) of the Social 
Security Act (42 U.S.C. 1397d(a)) is amended--
        (1) by striking ``or'' at the end of paragraph (8);
        (2) by striking the period at the end of paragraph (9) and 
    inserting ``; or''; and
        (3) by adding at the end the following:
        ``(10) in a manner inconsistent with the Assisted Suicide 
    Funding Restriction Act of 1997.''.
    (d) Maternal and Child Health Block Grant Program.--Section 501(a) 
of the Social Security Act (42 U.S.C. 701(a)) is amended by adding at 
the end the following:
``Funds appropriated under this section may only be used in a manner 
consistent with the Assisted Suicide Funding Restriction Act of 
1997.''.
    (e) Public Health Service Act.--Title II of the Public Health 
Service Act (42 U.S.C. 201 et seq.) is amended by adding at the end 
thereof the following new section:

``SEC. 246. RESTRICTION ON USE OF FUNDS FOR ASSISTED SUICIDE, 
              EUTHANASIA, AND MERCY KILLING.

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