S. 204Senate118th Congress (2023-2025)In Committee

Born-Alive Abortion Survivors Protection Act

Sponsored by John ThuneSen. John Thune (R-SD)
Introduced February 1, 2023

AI-Generated Summary

Updated January 20, 2026 at 2:52 AM UTC

The Born-Alive Abortion Survivors Protection Act creates a federal offense requiring health‑care providers to give the same level of care to any infant born alive after an abortion or attempted abortion as they would to any other newborn. It also mandates immediate hospital admission and reporting of any failure to do so. The law applies to health‑care practitioners, clinic staff, and allows civil actions by the woman who underwent the abortion.

Key Provisions

  • Health‑care practitioners must exercise the same skill and diligence to preserve the life and health of a born‑alive infant as they would for any other newborn of the same gestational age, and must ensure the infant is promptly admitted to a hospital.
  • Any practitioner or clinic employee who knows of a violation must immediately report it to state or federal law‑enforcement authorities.
  • Violations can be punished by fines, up to five years in prison, or both; intentional killing of a born‑alive infant is punished as homicide under existing law.
  • The mother of the infant cannot be prosecuted for violations of this section.
  • The woman on whom the abortion was performed may sue for monetary, statutory, and punitive damages, and may recover attorney’s fees; frivolous suits may result in fee awards to the defendant.
  • The bill adds definitions for “abortion,” “attempt,” and “born alive,” and updates Title 18 coding to reflect the new provision.

Legislative Activity

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1 earlier action
SenateIntro Referral Latest Action

Read twice and referred to the Committee on the Judiciary. (Sponsor introductory remarks on measure: CR S205-206; text: CR S206)

February 1, 2023

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SenateIntro Referral

Introduced in Senate

February 1, 2023

SenateIntro Referral

Read twice and referred to the Committee on the Judiciary. (Sponsor introductory remarks on measure: CR S205-206; text: CR S206)

February 1, 2023

Floor Debate

21 members

What members said about S. 204 on the floor

9 Republicans12 Democrats
Thomas R. Carper
Sen. Thomas R. CarperD-DE · Jun 18, 2024

Mr. President, I ask to be recognized, and I am pleased to be here with you today. I rise today in strong support of critical bipartisan legislation that will come to the Senate floor--not later this…

Edward J. Markey
Sen. Edward J. MarkeyD-MA · Jun 18, 2024

Mr. President, I ask unanimous consent that the order for the quorum call be rescinded. Mr. President, I rise today to discuss S. 870. I am a passionately strong supporter of the effort to…

James Lankford
Sen. James LankfordR-OK · Jun 18, 2024

Mr. President, my guess is, if I went to every person in this room--every page, every person sitting in the Gallery, every Senator--and I pointed to this image and said, ``What do you see there?'' my…

James Lankford
Sen. James LankfordR-OK · Sep 18, 2024

Madam President, I come to the floor today to be able to talk about an issue that, apparently, there is a large belief among some that doesn't exist. So I wanted to be able to pull the veil back and…

Christopher Murphy
Sen. Christopher MurphyD-CT · Feb 1, 2023

Madam President, if you were working for the sandwich shop Jimmy John's--I don't know if the Presiding Officer has ever had a Jimmy John's sandwich. It is a pretty good sandwich. If you were working…

Show 8 more
Katie Boyd Britt
Sen. Katie Boyd BrittR-AL · Jun 18, 2024

Mr. President, as Americans, we believe that every person on the planet is created by their Creator with certain unalienable rights. Religious freedom is at the top of that list, and for me, I…

Martin Heinrich
Sen. Martin HeinrichD-NM · Jun 18, 2024

Mr. President, I want to begin today before we get to bump stocks by acknowledging the South Fork and Salt fires that have forced literally thousands from their homes in Lincoln County, NM, and the…

Catherine Cortez Masto
Sen. Catherine Cortez MastoD-NV · Jun 18, 2024

Mr. President, I ask unanimous consent that the order for the quorum call be rescinded. Mr. President, I rise today to express my deep disappointment of what I just heard, unfortunately, from my…

Jerry Moran
Sen. Jerry MoranR-KS · Jun 18, 2024

Mr. President, 10 years ago, a wait-time scandal at the VA Medical Center in Phoenix, AZ, led to a nationwide access and accountability crisis for the VA healthcare system. Many of us responded to…

Maria Cantwell
Sen. Maria CantwellD-WA · Jun 18, 2024

Mr. President, I ask unanimous consent that the order for the quorum call be rescinded. Mr. President, today, the Committee on Commerce, Science, and Transportation was slated to consider the…

Charles E. Schumer
Sen. Charles E. SchumerD-NY · Jun 18, 2024

Mr. President, I ask unanimous consent that the order for the quorum call be rescinded. Mr. President, I am proud to come to the floor today to stand with my good friend and a great leader on this…

Pete Ricketts
Sen. Pete RickettsR-NE · Jun 18, 2024

Reserving the right to object. Welcome to another day of the Democratic summer of show votes. We need to be clear why the majority leader is holding this show vote. The Supreme Court made a decision…

Tina Smith
Sen. Tina SmithD-MN · Jun 18, 2024

Mr. President, reserving the right to object, and with respect for my colleague Senator Hyde-Smith with whom I serve on the Agriculture Committee, I fear this bill is another attempt to distract from…

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John Thune
Sen. John ThuneR-SD · Feb 1, 2023

Madam President, later today, I will introduce the Born- Alive Abortion Survivors Protection Act, along with my colleague Senator Lankford. It is a simple bill. It simply states that a baby born…

John Thune
Sen. John ThuneR-SD · Feb 1, 2023

Madam President, later today, I will introduce the Born- Alive Abortion Survivors Protection Act, along with my colleague Senator Lankford. It is a simple bill. It simply states that a baby born…

Mazie K. Hirono
Sen. Mazie K. HironoD-HI · Jun 18, 2024

Mr. President, I rise today deeply concerned that the far-right majority on the Supreme Court is preparing to sow further chaos in our country. Any day now, the Court is expected to rule on two cases…

Shelley Moore Capito
Sen. Shelley Moore CapitoR-WV · Jun 18, 2024

Mr. President, I ask unanimous consent that the following Senators be allowed to speak prior to the scheduled rollcall vote: me for 5 minutes, Senator Peters for up to 5 minutes, and Leader Schumer…

Susan M. Collins
Sen. Susan M. CollinsR-ME · Jun 18, 2024

Mr. President, I rise today to express my support for the Fire Grants and Safety Act, which is included in the bill we are considering today. I have co-led this bill with Senator Peters and fellow…

Cindy Hyde-Smith
Sen. Cindy Hyde-SmithR-MS · Jun 18, 2024

Mr. President, in a few moments, I would like to ask unanimous consent for the Senate to take up and pass legislation I have introduced to support genuine solutions to infertility and empower couples…

Richard J. Durbin
Sen. Richard J. DurbinD-IL · Sep 18, 2024

Reserving the right to object. Madam President, this is a serious topic. To rush through it in a matter of minutes is unfair. More time should be devoted to it, but I am going to do my best in a…

Mitch McConnell
Sen. Mitch McConnellR-KY · Feb 1, 2023

Mr. President, finally, today marks a solemn anniversary for the people of Burma and for all of us around the world who spent years--literally years--rooting for them to make progress toward greater…

John Thune
Sen. John ThuneR-SD · Jun 18, 2024

Mr. President, in just a few minutes, I will ask for a unanimous consent to pass my Born-Alive Abortion Survivors Protection Act. This is a very simple bill, and it should be a noncontroversial one.…

Gary C. Peters
Sen. Gary C. PetersD-MI · Jun 18, 2024

Mr. President, soon, the Senate will have an opportunity to ensure that essential Federal resources remain available to fire departments all across our country. Every day, firefighters risk their…

Dianne Feinstein
Sen. Dianne FeinsteinD-CA · Feb 1, 2023

Madam President, today I rise to introduce the Crime Gun Tracing Modernization Act. This bill would bring ATF into the 21st century by allowing the Agency to electronically search for the records of…

Bill Text

Latest available legislative text

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Introduced in SenateIssued February 1, 2023

II

118th CONGRESS

1st Session

S. 204

IN THE SENATE OF THE UNITED STATES

February 1, 2023

Mr. Thune (for himself, Mr. Lankford, Mr. Cotton, Mrs. Hyde-Smith, Mr. Johnson, Mr. Sullivan, Mr. Rubio, Mr. Barrasso, Mr. Risch, Mr. Marshall, and Mr. Moran) introduced the following bill; which was read twice and referred to the Committee on the Judiciary

A BILL

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

Congress finds the following:

(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.

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:

(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, 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 for a violation of this section, an attempt to violate this section, a conspiracy to violate this section, or 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.

(3)

Born alive

The term born alive has the meaning given that term in section 8 of title 1, United States Code (commonly known as the Born-Alive Infants Protection Act).

.

(b)

Conforming amendments

(1)

The table of sections for chapter 74 of title 18, United States Code, is amended by adding at the end the following:

1532. Requirements pertaining to born-alive abortion survivors.

.

(2)

The chapter heading for chapter 74 of title 18, United States Code, is amended by striking Partial-Birth Abortions and inserting Abortions.

(3)

The table of chapters for part I of title 18, United States Code, is amended by striking the item relating to chapter 74 and inserting the following:

74.Abortion1531

.

4.

Effective date

This Act shall take effect one day after the date of enactment.