H.R. 797House119th Congress (2025-2027)In Committee

Ultrasounds Save Lives Act of 2025

Introduced January 28, 2025

AI-Generated Summary

Updated November 24, 2025 at 3:13 AM UTC

The Ultrasounds Save Lives Act of 2025 requires abortion providers to perform an ultrasound and give women detailed information about fetal development and abortion risks at least 24 hours before the procedure. Women must sign an informed‑consent form that includes this information, and providers face large civil penalties for non‑compliance. The law also allows women or parents of minors to sue providers for damages, while preserving any stricter state requirements.

Key Provisions

  • Before any abortion (except emergencies), the provider must perform an ultrasound, share the images with the woman, and wait at least 24 hours before proceeding.
  • The woman must sign an informed‑consent form that lists the pregnancy’s gestational age, medical risks of the abortion, and major developmental traits of the fetus (heartbeat, pain response, organ development). The provider and a witness must also sign.
  • Providers must keep the signed form in the patient’s medical record and follow existing health‑information rules for record‑keeping.
  • Violations can trigger civil penalties of $100,000‑$150,000 for a first offense and $150,001‑$250,000 for later offenses, plus possible state licensing notifications.
  • Women (or a parent of a minor) may sue providers for damages, statutory damages equal to three times the abortion cost, and punitive damages, but the woman herself cannot be fined.
  • The rules do not apply if a qualified medical judgment says the requirements would endanger the woman’s life or cause serious, irreversible physical harm.
  • State laws that are stricter than this federal rule are not overridden.

Legislative Activity

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1 earlier action
HouseIntro Referral Latest Action

Referred to the House Committee on Energy and Commerce.

January 28, 2025

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HouseIntro Referral

Introduced in House

January 28, 2025

HouseIntro Referral

Referred to the House Committee on Energy and Commerce.

January 28, 2025

Floor Debate

17 members

What members said about H.R. 797 on the floor

17 Republicans
Christopher H. Smith
Rep. Christopher H. SmithR-NJ-4 · Jun 24, 2025

Mr. Speaker, I ask unanimous consent that all Members may have 5 legislative days in which to revise and extend their remarks and include extraneous material on the topic of this Special Order. Mr.…

Blake D. Moore
Rep. Blake D. MooreR-UT-1 · Jun 24, 2026

Mr. Speaker, I ask unanimous consent that all Members may have 5 legislative days in which to revise and extend their remarks and include extraneous material on the topic of this Special Order. Mr.…

Robert F. Onder, Jr.
Rep. Robert F. Onder, Jr.R-MO-3 · Jun 24, 2025

Madam Speaker, I thank Chairman Smith for his leadership. I am so excited to join him today as the newest co-chairman of the Bipartisan Congressional Pro-Life Caucus. Madam Speaker, today we…

Kat Cammack
Rep. Kat CammackR-FL-3 · Jun 24, 2026

Mr. Speaker, I thank my colleague from the great State of Utah, the very esteemed and important vice chair, the most important title for hosting this Special Order, marking an incredible and…

Mike Johnson
Rep. Mike JohnsonR-LA-4 · Jun 24, 2026

Mr. Speaker, I thank Congressman Blake Moore, a great champion and great vice chairman of the House Republican Conference, for yielding. I am so delighted with what he has done with the office. I…

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Mark Harris
Rep. Mark HarrisR-NC-8 · Jun 24, 2026

Mr. Speaker, I thank Vice Chairman Moore so much for being willing to host this very Special Order. Mr. Speaker, I rise today on this very special anniversary, the fourth anniversary of the Supreme…

Christopher H. Smith
Rep. Christopher H. SmithR-NJ-4 · Jun 24, 2026

Mr. Speaker, I thank my good friend and colleague for his distinguished leadership. He has been tenacious. Mr. Speaker, we have people who will be speaking and some who couldn't be here who have…

Diana Harshbarger
Rep. Diana HarshbargerR-TN-1 · Jun 24, 2026

Mr. Speaker, I thank my colleague from Utah for yielding. Mr. Speaker, I rise today to mark the fourth anniversary of one of the most consequential decisions in the history of our Supreme Court, and…

Michelle Fischbach
Rep. Michelle FischbachR-MN-7 · Jun 24, 2026

Mr. Speaker, I thank the vice chair for putting together this important Special Order to commemorate the historic Dobbs v. Jackson decision. I also thank the other Members, the pro-life Members who…

Mary E. Miller
Rep. Mary E. MillerR-IL-15 · Jun 24, 2026

Mr. Speaker, I thank Vice Chair Moore for hosting this important Special Order commemorating one of the greatest triumphs in our pursuit to protect the lives of the unborn. June 24, 2022, will…

Tracey Mann
Rep. Tracey MannR-KS-1 · Jun 24, 2026

Mr. Speaker, I thank the distinguished gentleman from Utah for hosting this Special Order hour. I thank him for his leadership as the vice chair of our Conference. This is important. Mr. Speaker, I…

Andy Biggs
Rep. Andy BiggsR-AZ-5 · Jun 24, 2025

Madam Speaker, I thank Representative Smith for yielding time to me today and also for a lifetime of work that he has put in to save the lives of so many unborn children. Madam Speaker, today marks…

Mary E. Miller
Rep. Mary E. MillerR-IL-15 · Jun 24, 2025

Mr. Speaker, I thank Congressman Smith so much for his decades of service to the pro-life movement. June 24, 2022, will forever be one of the greatest days in American history. After 50 years of…

Show 7 more
Robert B. Aderholt
Rep. Robert B. AderholtR-AL-4 · Jun 24, 2026

Mr. Speaker, I thank the chairman for yielding. Mr. Speaker, it is great to be here to rise for this occasion, to recognize the fourth anniversary of Dobbs v. Jackson, where the Supreme Court…

Mike Johnson
Rep. Mike JohnsonR-LA-4 · Jun 24, 2025

Mr. Speaker, I thank my friend for his many years in this arena defending the sanctity of every human life. I rise this afternoon to mark this historic lifesaving anniversary. Three years ago today,…

Julie Fedorchak
Rep. Julie FedorchakR-ND · Jun 24, 2025

Mr. Speaker, I thank Congressman Smith for his leadership and for spearheading this Special Order today on this very important subject. Mr. Speaker, I rise today as a pro-life mom of three. Today…

Russ Fulcher
Rep. Russ FulcherR-ID-1 · Jun 24, 2025

Madam Speaker, I thank the good chairman of the Pro-Life Caucus and my friend, Chris Smith, for holding this Special Order. In the Declaration of Independence, our Founding Fathers made clear that…

John J. McGuire III
Rep. John J. McGuire IIIR-VA-5 · Jun 24, 2025

Madam Speaker, life is a miracle, and it must be protected. I am honored to be here today to commemorate the 3-year anniversary of the Supreme Court's decision in Dobbs v. Jackson Women's Health…

Sheri Biggs
Rep. Sheri BiggsR-SC-3 · Jun 24, 2026

Mr. Speaker, I thank my colleague for leading on this important topic. As a child of God, as a mother, and as a healthcare provider, this topic is very personal to me. Mr. Speaker, 4 years ago, the…

Jefferson Shreve
Rep. Jefferson ShreveR-IN-6 · Jun 24, 2025

Madam Speaker, I thank the gentleman from New Jersey (Mr. Smith). Madam Speaker, it is an honor to follow some of our Chamber's most distinguished colleagues, including Speaker Mike Johnson, on the…

Bill Text

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Introduced in HouseIssued January 28, 2025

I

119th CONGRESS

1st Session

H. R. 797

IN THE HOUSE OF REPRESENTATIVES

January 28, 2025

Mrs. Miller of Illinois (for herself, Mr. Babin, Mr. Finstad, Mr. Rutherford, Mr. Moore of Alabama, Mr. Moore of West Virginia, Mr. Ogles, Mr. Webster of Florida, Ms. Tenney, Mr. Self, Mr. Harris of Maryland, and Mr. Weber of Texas) introduced the following bill; which was referred to the Committee on Energy and Commerce

A BILL

To ensure that women seeking an abortion are notified, before giving informed consent to receive an abortion, of the medical risks associated with the abortion procedure and the major developmental characteristics of the unborn child.

1.

Short title

This Act may be cited as the Ultrasounds Save Lives Act of 2025.

2.

Requirement of informed consent

(a)

In general

(1)

Requirement of compliance by providers

Any abortion provider, acting in or affecting interstate or foreign commerce, who knowingly performs, or attempts to perform, any abortion shall comply with the requirements of this section.

(2)

Review of medical risks and unborn health status

Except in the case of a medical emergency, an abortion provider who intends to perform, or attempt to perform, an abortion may not perform any part of the abortion procedure without first—

(A)

performing an ultrasound on the woman seeking the abortion, using whichever method the physician and patient agree is best under the circumstance, and sharing the results of such ultrasound with the woman; and

(B)

obtaining a signed Informed Consent Authorization form in accordance with this subsection.

(3)

Informed consent authorization form

(A)

In general

The Informed Consent Authorization form required under this subsection shall—

(i)

be presented in person by the abortion provider 24 hours prior to performing, or attempting to perform, the abortion to the woman seeking the abortion; and

(ii)

consist of—

(I)

a statement by the abortion provider indicating—

(aa)

the probable gestational age, in completed days, of the child;

(bb)

all medical risks associated with abortion-inducing drugs or the specific abortion procedure; and

(cc)

the major developmental characteristics of unborn children at such gestational age, including the presence of a heartbeat, the ability to react to painful stimuli, and the development of organs, appendages, and facial features;

(II)

a statement by the abortion provider that an ultrasound has been performed, and the results of such ultrasound have been shared, as required by paragraph (2)(A);

(III)

a statement that the requirements of this subsection are binding upon the abortion provider and all other medical personnel, that such abortion providers and medical personnel are subject to criminal and civil penalties for violations of these requirements, and that a woman on whom an abortion has been performed may take civil action if these requirements are not followed; and

(IV)

an affirmation that each individual signing the Informed Consent Authorization form has filled out the form to the best of his or her knowledge and understands the information contained in the form.

(B)

Signatories required

The Informed Consent Authorization form required under this subsection shall be signed in person by the woman seeking the abortion, the abortion provider performing or attempting to perform the abortion, and a witness.

(C)

Retention of consent form

The abortion provider performing or attempting to perform an abortion shall retain the signed Informed Consent Authorization form required under this subsection in the patient's medical file.

(D)

Requirement for data retention

Paragraph (j)(2) of section 164.530 of title 45, Code of Federal Regulations, shall apply to the Informed Consent Authorization form required to be placed in a patient's medical file pursuant to subparagraph (C) in the same manner and to the same extent as such paragraph applies to documentation required by paragraph (j)(1) of such section.

(4)

Exceptions

The requirements of this subsection shall not apply if, in reasonable medical judgment, compliance with paragraph (2) would pose a greater risk of—

(A)

the death of the pregnant woman; or

(B)

the substantial and irreversible physical impairment of a major bodily function, not including psychological or emotional conditions, of the pregnant woman.

(b)

Penalty for failure To comply

(1)

Civil penalty

(A)

Enforcement by Attorney General

The Attorney General shall commence a civil action in an appropriate district court of the United States under this subsection against any abortion provider who knowingly commits a violation of subsection (a).

(B)

Penalty

In a civil action under subparagraph (A), the court may, to vindicate the public interest, assess a civil penalty against the abortion provider in an amount—

(i)

not less than $100,000 and not more than $150,000, for each such violation that is adjudicated in the first proceeding against such abortion provider under this subsection; or

(ii)

not less than $150,001 and not more than $250,000, for each such violation that is adjudicated in a subsequent proceeding against such abortion provider under this subsection.

(C)

Notification

Upon the assessment of a civil penalty under subparagraph (B), the Attorney General shall notify the appropriate State medical licensing authority.

(D)

No penalties for pregnant women

A pregnant woman shall not be subject to any penalty under this section.

(2)

Private right of action

(A)

In general

A woman or a parent of a minor upon whom an abortion has been performed in violation of subsection (a) may commence a civil action against the abortion provider for appropriate relief.

(B)

Appropriate relief

(i)

In general

Subject to clause (ii), appropriate relief in a civil action under this paragraph includes—

(I)

objectively verifiable money damages for all injuries, psychological and physical, occasioned by the violation;

(II)

statutory damages equal to 3 times the cost of the abortion; and

(III)

punitive damages.

(ii)

Exception

No damages may be awarded to a plaintiff in a civil action under this paragraph if the pregnancy in relation to which an abortion was performed in violation of subsection (a) resulted from the plaintiff’s criminal conduct.

(C)

Attorney’s fees for plaintiff

The court shall award a reasonable attorney’s fee as part of the costs to a prevailing plaintiff in a civil action under this paragraph.

(D)

Attorney’s fees for defendant

If a defendant in a civil action under this paragraph 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)

Awards against woman

In any civil action under this paragraph, no damages or other monetary relief, and no attorney’s fees except as provided under subparagraph (D), may be assessed against the woman upon whom the abortion was performed or attempted.

(c)

Preemption

Nothing in this section shall be construed to preempt any provision of State law to the extent that such State law establishes, implements, or continues in effect disclosure requirements regarding abortion or penalties for failure to comply with such requirements that are more extensive than those provided under this section.

(d)

Rule of construction

Nothing in this section shall be construed to prohibit an abortion provider from presenting the information required under subsection (a) to a pregnant woman at the same time as acquiring informed consent for an abortion from such woman in accordance with State law, provided that the presentation of such information occurs at least 24 hours before the abortion.

(e)

Definitions

In this section:

(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)

Abortion provider

The term abortion provider means a person—

(A)

licensed to practice medicine and surgery or osteopathic medicine and surgery; or

(B)

otherwise legally authorized to perform an abortion.

(3)

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.

(4)

Minor

The term minor means an individual who has not attained the age of 18 years.

(5)

Perform

The term perform, with respect to an abortion, includes inducing an abortion through a medical or chemical intervention including writing a prescription for a drug or device intended to result in an abortion.

(6)

Reasonable medical judgment

The term reasonable medical judgment means a medical judgment that would be made by a reasonably prudent abortion provider, knowledgeable about the case and the treatment possibilities with respect to the medical conditions involved.

(7)

Unborn child

The term unborn child means an individual organism of the species homo sapiens, beginning at fertilization, until the point of being born alive as defined in section 8(b) of title 1, United States Code.

(8)

Woman

The term woman means a female human being whether or not she has reached the age of majority.