S.3 Partial-Birth
Abortion Ban Act of 2003
(Engrossed as Agreed to or Passed by Senate)
(Engrossed as Agreed to or Passed by Senate)
Signed by President Bush and Became Public Law No: 108-105 5nov03
SEC. 2. FINDINGS.
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The Congress finds and declares the following:
(1) A moral, medical, and ethical consensus exists that the practice of performing a partial-birth abortion --an abortion in which a physician delivers an unborn child's body until only the head remains inside the womb, punctures the back of the child's skull with a Sharp instrument, and sucks the child's brains out before completing delivery of the dead infant--is a gruesome and inhumane procedure that is never medically necessary and should be prohibited.
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(2) Rather than being an abortion procedure that is embraced by the medical
community, particularly among physicians who routinely perform other
abortion procedures, partial-birth abortion remains a disfavored procedure
that is not only unnecessary to preserve the health of the mother, but in
fact poses serious risks to the long-term health of women and in some
circumstances, their lives. As a result, at least 27 States banned the
procedure as did the United States Congress which voted to ban the procedure
during the 104th, 105th, and 106th Congresses.
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(3) In Stenberg v. Carhart (530 U.S. 914, 932 (2000)), the United States
Supreme Court opined `that significant medical authority supports the
proposition that in some circumstances, [partial birth abortion ] would be
the safest procedure' for pregnant women who wish to undergo an abortion .
Thus, the Court struck down the State of Nebraska's ban on partial-birth
abortion procedures, concluding that it placed an `undue burden' on women
seeking abortions because it failed to include an exception for
partial-birth abortions deemed necessary to preserve the `health' of the
mother.
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(4) In reaching this conclusion, the Court deferred to the Federal district
court's factual findings that the partial-birth abortion procedure was
statistically and medically as safe as, and in many circumstances safer
than, alternative abortion procedures.
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(5) However, the great weight of evidence presented at the Stenberg trial
and other trials challenging partial-birth abortion bans, as well as at
extensive Congressional hearings, demonstrates that a partial-birth abortion
is never necessary to preserve the health of a woman, poses significant
health risks to a woman upon whom the procedure is performed, and is outside
of the standard of medical care.
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(6) Despite the dearth of evidence in the Stenberg trial court record
supporting the district court's findings, the United States Court of Appeals
for the Eighth Circuit and the Supreme Court refused to set aside the
district court's factual findings because, under the applicable standard of
appellate review, they were not `clearly erroneous'. A finding of fact is
clearly erroneous `when although there is evidence to support it, the
reviewing court on the entire evidence is left with the definite and firm
conviction that a mistake has been committed'. Anderson v. City of Bessemer
City, North Carolina (470 U.S. 564, 573 (1985)). Under this standard, `if
the district court's account of the evidence is plausible in light of the
record viewed in its entirety, the court of appeals may not reverse it even
though convinced that had it been sitting as the trier of fact, it would
have weighed the evidence differently' (Id. at 574).
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(7) Thus, in Stenberg, the United States Supreme Court was required to
accept the very questionable findings issued by the district court
judge--the effect of which was to render null and void the reasoned factual
findings and policy determinations of the United States Congress and at
least 27 State legislatures.
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(8) However, under well-settled Supreme Court jurisprudence, the United
States Congress is not bound to accept the same factual findings that the
Supreme Court was bound to accept in Stenberg under the `clearly erroneous'
standard. Rather, the United States Congress is entitled to reach its own
factual findings--findings that the Supreme Court accords great
deference--and to enact legislation based upon these findings so long as it
seeks to pursue a legitimate interest that is within the scope of the
Constitution, and draws reasonable inferences based upon substantial
evidence.
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(9) In Katzenbach v. Morgan (384 U.S. 641 (1966)), the Supreme Court
articulated its highly deferential review of Congressional factual findings
when it addressed the constitutionality of section 4(e) of the Voting Rights
Act of 1965. Regarding Congress' factual determination that section 4(e)
would assist the Puerto Rican community in `gaining nondiscriminatory
treatment in public services,' the Court stated that `[i]t was for Congress,
as the branch that made this judgment, to assess and weigh the various
conflicting considerations. . . . It is not for us to review the
congressional resolution of these factors. It is enough that we be able to
perceive a basis upon which the Congress might resolve the conflict as it
did. There plainly was such a basis to support section 4(e) in the
application in question in this case.' (Id. at 653).
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(10) Katzenbach's highly deferential review of Congress's factual
conclusions was relied upon by the United States District Court for the
District of Columbia when it upheld the `bail-out' provisions of the Voting
Rights Act of 1965, (42 U.S.C. 1973c), stating that `congressional fact
finding, to which we are inclined to pay great deference, strengthens the
inference that, in those jurisdictions covered by the Act, state actions
discriminatory in effect are discriminatory in purpose'. City of Rome,
Georgia v. U.S. (472 F. Supp. 221 (D. D. Col. 1979)) aff'd City of Rome,
Georgia v. U.S. (46 U.S. 156 (1980)).
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(11) The Court continued its practice of deferring to congressional factual
findings in reviewing the constitutionality of the must-carry provisions of
the Cable Television Consumer Protection and Competition Act of 1992. See
Turner Broadcasting System, Inc. v. Federal Communications Commission (512
U.S. 622 (1994) (Turner I)) and Turner Broadcasting System, Inc. v. Federal
Communications Commission (520 U.S. 180 (1997) (Turner II)). At issue in the
Turner cases was Congress' legislative finding that, absent mandatory
carriage rules, the continued viability of local broadcast television would
be `seriously jeopardized'. The Turner I Court recognized that as an
institution, `Congress is far better equipped than the judiciary to `amass
and evaluate the vast amounts of data' bearing upon an issue as complex and
dynamic as that presented here' (512 U.S. at 665-66). Although the Court
recognized that `the deference afforded to legislative findings does `not
foreclose our independent judgment of the facts bearing on an issue of
constitutional law,' its `obligation to exercise independent judgment when
First Amendment rights are implicated is not a license to reweigh the
evidence de novo, or to replace Congress' factual predictions with our own.
Rather, it is to assure that, in formulating its judgments, Congress has
drawn reasonable inferences based on substantial evidence.' (Id. at 666).
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(12) Three years later in Turner II, the Court upheld the `must-carry'
provisions based upon Congress' findings, stating the Court's `sole
obligation is `to assure that, in formulating its judgments, Congress has
drawn reasonable inferences based on substantial evidence.' (520 U.S. at
195). Citing its ruling in Turner I, the Court reiterated that `[w]e owe
Congress' findings deference in part because the institution `is far better
equipped than the judiciary to `amass and evaluate the vast amounts of data'
bearing upon' legislative questions,' (Id. at 195), and added that it `owe[d]
Congress' findings an additional measure of deference out of respect for its
authority to exercise the legislative power.' (Id. at 196).
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(13) There exists substantial record evidence upon which Congress has
reached its conclusion that a ban on partial-birth abortion is not required
to contain a `health' exception, because the facts indicate that a
partial-birth abortion is never necessary to preserve the health of a woman,
poses serious risks to a woman's health, and lies outside the standard of
medical care. Congress was informed by extensive hearings held during the
104th, 105th, and 107th Congresses and passed a ban on partial-birth
abortion in the 104th, 105th, and 106th Congresses. These findings reflect
the very informed judgment of the Congress that a partial-birth abortion is
never necessary to preserve the health of a woman, poses serious risks to a
woman's health, and lies outside the standard of medical care, and should,
therefore, be banned.
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(14) Pursuant to the testimony received during extensive legislative
hearings during the 104th, 105th, and 107th Congresses, Congress finds and
declares that:
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(A) Partial-birth abortion poses serious risks to the health of a woman
undergoing the procedure. Those risks include, among other things: an
increase in a woman's risk of suffering from cervical incompetence, a
result of cervical dilation making it difficult or impossible for a woman
to successfully carry a subsequent pregnancy to term; an increased risk of
uterine rupture, abruption, amniotic fluid embolus, and trauma to the
uterus as a result of converting the child to a footling breech position,
a procedure which, according to a leading obstetrics textbook, `there are
very few, if any, indications for . . . other than for delivery of a
second twin'; and a risk of lacerations and secondary hemorrhaging due to
the doctor blindly forcing a sharp instrument into the base of the unborn
child's skull while he or she is lodged in the birth canal, an act which
could result in severe bleeding, brings with it the threat of shock, and
could ultimately result in maternal death.
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(B) There is no credible medical evidence that partial-birth abortions are
safe or are safer than other abortion procedures. No controlled studies of
partial-birth abortions have been conducted nor have any comparative
studies been conducted to demonstrate its safety and efficacy compared to
other abortion methods. Furthermore, there have been no articles published
in peer-reviewed journals that establish that partial-birth abortions are
superior in any way to established abortion procedures. Indeed, unlike
other more commonly used abortion procedures, there are currently no
medical schools that provide instruction on abortions that include the
instruction in partial-birth abortions in their curriculum.
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(C) A prominent medical association has concluded that partial-birth
abortion is `not an accepted medical practice,' that it has `never been
subject to even a minimal amount of the normal medical practice
development,' that `the relative advantages and disadvantages of the
procedure in specific circumstances remain unknown,' and that `there is no
consensus among obstetricians about its use'. The association has further
noted that partial-birth abortion is broadly disfavored by both medical
experts and the public, is `ethically wrong,' and `is never the only
appropriate procedure'.
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(D) Neither the plaintiff in Stenberg v. Carhart, nor the experts who
testified on his behalf, have identified a single circumstance during
which a partial-birth abortion was necessary to preserve the health of a
woman.
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(E) The physician credited with developing the partial-birth abortion
procedure has testified that he has never encountered a situation where a
partial-birth abortion was medically necessary to achieve the desired
outcome and, thus, is never medically necessary to preserve the health of
a woman.
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(F) A ban on the partial-birth abortion procedure will therefore advance
the health interests of pregnant women seeking to terminate a pregnancy.
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(G) In light of this overwhelming evidence, Congress and the States have a
compelling interest in prohibiting partial-birth abortions. In addition to
promoting maternal health, such a prohibition will draw a bright line that
clearly distinguishes abortion and infanticide, that preserves the
integrity of the medical profession, and promotes respect for human life.
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(H) Based upon Roe v. Wade (410 U.S. 113 (1973)) and Planned Parenthood v.
Casey (505 U.S. 833 (1992)), a governmental interest in protecting the
life of a child during the delivery process arises by virtue of the fact
that during a partial-birth abortion , labor is induced and the birth
process has begun. This distinction was recognized in Roe when the Court
noted, without comment, that the Texas parturition statute, which
prohibited one from killing a child `in a state of being born and before
actual birth,' was not under attack. This interest becomes compelling as
the child emerges from the maternal body. A child that is completely born
is a full, legal person entitled to constitutional protections afforded a
`person' under the United States Constitution. Partial-birth abortions
involve the killing of a child that is in the process, in fact mere inches
away from, becoming a `person'. Thus, the government has a heightened
interest in protecting the life of the partially-born child.
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(I) This, too, has not gone unnoticed in the medical community, where a
prominent medical association has recognized that partial-birth abortions
are `ethically different from other destructive abortion techniques
because the fetus, normally twenty weeks or longer in gestation, is killed
outside of the womb'. According to this medical association, the `partial
birth' gives the fetus an autonomy which separates it from the right of
the woman to choose treatments for her own body'.
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(J) Partial-birth abortion also confuses the medical, legal, and ethical
duties of physicians to preserve and promote life, as the physician acts
directly against the physical life of a child, whom he or she had just
delivered, all but the head, out of the womb, in order to end that life.
Partial-birth abortion thus appropriates the terminology and techniques
used by obstetricians in the delivery of living children--obstetricians
who preserve and protect the life of the mother and the child--and instead
uses those techniques to end the life of the partially-born child.
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(K) Thus, by aborting a child in the manner that purposefully seeks to
kill the child after he or she has begun the process of birth,
partial-birth abortion undermines the public's perception of the
appropriate role of a physician during the delivery process, and perverts
a process during which life is brought into the world, in order to destroy
a partially-born child.
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(L) The gruesome and inhumane nature of the partial-birth abortion
procedure and its disturbing similarity to the killing of a newborn infant
promotes a complete disregard for infant human life that can only be
countered by a prohibition of the procedure.
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(M) The vast majority of babies killed during partial-birth abortions are
alive until the end of the procedure. It is a medical fact, however, that
unborn infants at this stage can feel pain when subjected to painful
stimuli and that their perception of this pain is even more intense than
that of newborn infants and older children when subjected to the same
stimuli. Thus, during a partial-birth abortion procedure, the child will
fully experience the pain associated with piercing his or her skull and
sucking out his or her brain.
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(N) Implicitly approving such a brutal and inhumane procedure by choosing
not to prohibit it will further coarsen society to the humanity of not
only newborns, but all vulnerable and innocent human life, making it
increasingly difficult to protect such life. Thus, Congress has a
compelling interest in acting--indeed it must act--to prohibit this
inhumane procedure.
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(O) For these reasons, Congress finds that partial-birth abortion is never
medically indicated to preserve the health of the mother; is in fact
unrecognized as a valid abortion procedure by the mainstream medical
community; poses additional health risks to the mother; blurs the line
between abortion and infanticide in the killing of a partially-born child
just inches from birth; and confuses the role of the physician in
childbirth and should, therefore, be banned.
SEC. 3. PROHIBITION ON PARTIAL-BIRTH ABORTIONS.
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(a) IN GENERAL- Title 18, United States Code, is amended by inserting after
chapter 73 the following:
`CHAPTER 74--PARTIAL-BIRTH ABORTIONS
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`Sec.
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`1531. Partial-birth abortions prohibited.
`Sec. 1531. Partial-birth abortions prohibited
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`(a) Any physician who, in or affecting interstate or foreign commerce,
knowingly performs a partial-birth abortion and thereby kills a human fetus
shall be fined under this title or imprisoned not more than 2 years, or both.
This subsection does not apply to a partial-birth abortion that is necessary
to save the life of a mother whose life is endangered by a physical disorder,
physical illness, or physical injury, including a life-endangering physical
condition caused by or arising from the pregnancy itself. This subsection
takes effect 1 day after the date of enactment of this chapter.
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`(b) As used in this section--
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`(1) the term `partial-birth abortion' means an abortion in which--
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`(A) the person performing the abortion deliberately and intentionally
vaginally delivers a living fetus until, in the case of a head-first
presentation, the entire fetal head is outside the body of the mother, or,
in the case of breech presentation, any part of the fetal trunk past the
navel is outside the body of the mother for the purpose of performing an
overt act that the person knows will kill the partially delivered living
fetus; and
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`(B) performs the overt act, other than completion of delivery, that kills
the partially delivered living fetus; and
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`(2) the term `physician' means a doctor of medicine or osteopathy legally
authorized to practice medicine and surgery by the State in which the doctor
performs such activity, or any other individual legally authorized by the
State to perform abortions: Provided, however, That any individual
who is not a physician or not otherwise legally authorized by the State to
perform abortions, but who nevertheless directly performs a partial-birth
abortion , shall be subject to the provisions of this section.
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`(c)(1) The father, if married to the mother at the time she receives a
partial-birth abortion procedure, and if the mother has not attained the age
of 18 years at the time of the abortion , the maternal grandparents of the
fetus, may in a civil action obtain appropriate relief, unless the pregnancy
resulted from the plaintiff's criminal conduct or the plaintiff consented to
the abortion .
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`(2) Such relief shall include--
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`(A) money damages for all injuries, psychological and physical, occasioned
by the violation of this section; and
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`(B) statutory damages equal to three times the cost of the partial-birth
abortion .
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`(d)(1) A defendant accused of an offense under this section may seek a
hearing before the State Medical Board on whether the physician's conduct was
necessary to save the life of the mother whose life was endangered by a
physical disorder, physical illness, or physical injury, including a
life-endangering physical condition caused by or arising from the pregnancy
itself.
status: http://thomas.loc.gov/cgi-bin/bdquery/z?d108:SN00003:@@@X
source: http://thomas.loc.gov/cgi-bin/query/F?c108:1:./temp/~c108vMjDp2:e495:
8nov03
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