Findings and purpose
Open ↗(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 chapter to continue current Federal policy by providing ex plicitly 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.
Restriction on use of Federal funds under health care programs
Open ↗(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 chapter (or in any amendment made by this chapter), 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 [42 U.S.C. 1395 et seq.].
(B) Medicaid program
Title XIX of the Social Security Act [42 U.S.C. 1396 et seq.].
(C) Title XX social services block grant
Title XX of the Social Security Act [42 U.S.C. 1397 et seq.].
(D) Maternal and child health block grant program
Title V of the Social Security Act [42 U.S.C. 701 et seq.].
(E) Public Health Service Act
The Public Health Service Act [42 U.S.C. 201 et seq.].
(F) Indian Health Care Improvement Act
The Indian Health Care Improvement Act [25 U.S.C. 1601 et seq.].
(G) Federal employees health benefits program
Chapter 89 of title 5.
(H) Military health care system (including Tricare and CHAMPUS programs)
Chapter 55 of title 10.
(I) Veterans medical care
Chapter 17 of title 38.
(J) Health services for Peace Corps volunteers
Section 2504(e) of title 22.
(K) Medical services for Federal prisoners
Section 4005(a) of title 18.
(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.
(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).
Restriction on use of Federal funds under certain grant programs
Open ↗Subject to section 14402(b) of this title (relating to construction and treatment of certain services), no funds appropriated by Congress to carry out subtitle B, D, or E of the Developmental Disabilities Assistance and Bill of Rights Act of 2000 [42 U.S.C. 15021 et seq., 15061 et seq., 15081 et seq.] 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.
Restriction on use of Federal funds by advocacy programs
Open ↗(a) In general
Subject to section 14402(b) of this title (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 1 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 of 2000
Subtitle C of the Developmental Disabilities Assistance and Bill of Rights Act of 2000 [42 U.S.C. 15041 et seq.].
(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 2 [42 U.S.C. 10801 et seq.].
(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 [42 U.S.C. 3001 et seq.].
(E) Legal assistance
Legal assistance programs under the Legal Services Corporation Act [42 U.S.C. 2996 et seq.].
(2) Nonexclusive list
Nothing in this subsection shall be construed as limiting the application of subsection (a) to the programs specified in paragraph (1).
Restriction on use of other Federal funds
Open ↗(a) In general
Subject to section 14402(b) of this title (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 14402, 14403, or 14404 of this title applies, except that subsection (a), rather than section 14402 of this title, shall apply to funds appropriated to carry out title 10 (other than chapter 55), title 18 (other than section 4005(a)), and chapter 37 of title 28.
Clarification with respect to advance directives
Open ↗Subject to section 14402(b) of this title (relating to construction and treatment of certain services), sections 1395cc(f) and 1396a(w) of this title 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.
Application to District of Columbia
Open ↗For purposes of this chapter, 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 Home Rule Act and the term "Federal government" includes the government of the District of Columbia.
Relation to other laws
Open ↗The provisions of this chapter supersede other Federal laws (including laws enacted after April 30, 1997) except to the extent such laws specifically supersede the provisions of this chapter.
Source: United States Code / CFR (uscode.house.gov, govinfo.gov) — U.S. federal law, public domain (17 U.S.C. § 105).
