I 

118TH CONGRESS 

1ST SESSION H. R. 983 

To ensure that a woman seeking a chemical abortion is informed that it 

may be possible to reverse the intended effects of the abortion if the 

woman changes her mind, and for other purposes. 

IN THE HOUSE OF REPRESENTATIVES 

FEBRUARY 10, 2023 

Mr. LAMBORN (for himself, Mr. PFLUGER, Mr. DUNCAN, Mr. BABIN, Mr. 

GROTHMAN, Mr. MOONEY, Mr. BAIRD, Mr. FLEISCHMANN, Mr. BANKS, 

Mr. ESTES, Mr. WEBER of Texas, Mr. JOYCE of Pennsylvania, Mr. 

WENSTRUP, Mr. JACKSON of Texas, Mr. CLOUD, Mr. JOHNSON of Louisiana, Mr. KUSTOFF, Mr. HERN, Mr. C. SCOTT FRANKLIN of Florida, 

Mr. BILIRAKIS, Mr. GUEST, Mr. MOOLENAAR, Mr. GOOD of Virginia, Mr. 

GAETZ, and Mrs. LESKO) introduced the following bill; which was referred to the Committee on Energy and Commerce 

A BILL 

To ensure that a woman seeking a chemical abortion is 

informed that it may be possible to reverse the intended 

effects of the abortion if the woman changes her mind, 

and for other purposes. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Second Chance at Life 

5 Act of 2023’’. 


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1 SEC. 2. ABORTION PILL REVERSAL INFORMED CONSENT. 

2 The Public Health Service Act (42 U.S.C. 201 et 

3 seq.) is amended by adding at the end the following: 

4 ‘‘TITLE XXXIV—ABORTION PILL 

5 REVERSAL INFORMED CONSENT 

6 ‘‘SEC. 3401. DEFINITIONS. 

7 ‘‘In this title: 

8 ‘‘(1) ABORTION PROVIDER.—The term ‘abortion 

9 provider’ means any person licensed to perform a 

10 chemical abortion under applicable Federal and 

11 State laws. 

12 ‘‘(2) CHEMICAL ABORTION.—The term ‘chem13 ical abortion’ means the use or prescription of an 

14 abortion-inducing drug dispensed with the intent to 

15 cause the death of the unborn child. 

16 ‘‘(3) UNBORN CHILD.—The term ‘unborn child’ 

17 means a member of the species homo sapiens, at any 

18 stage of development prior to birth. 

19 ‘‘(4) WOMAN.—The term ‘woman’ means a fe20 male human being whether or not she has reached 

21 the age of majority. 

22 ‘‘SEC. 3402. ABORTION PILL REVERSAL INFORMED CON23 SENT. 

24 ‘‘(a) REQUIREMENT OF COMPLIANCE BY PRO25 VIDERS.—Effective 30 days after the date of enactment 

26 of the Second Chance at Life Act of 2023, any abortion 


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1 provider in or affecting interstate or foreign commerce, 

2 who knowingly performs any chemical abortion, shall com3 ply with the requirements of this title. 

4 ‘‘(b) INFORMED CONSENT.—Except in the case of a 

5 medical emergency described in section 3403, a chemical 

6 abortion involving the two drug process of dispensing 

7 mifepristone first and then misoprostol shall not be per8 formed or induced or attempted to be performed or in9 duced without the following: 

10 ‘‘(1) The woman is informed, by telephone or in 

11 person, by the physician who is to perform the 

12 chemical abortion, by a referring physician, or by an 

13 agent of either physician at least 24 hours before 

14 the chemical abortion, that— 

15 ‘‘(A) it may be possible to reverse the in16 tended effects of a mifepristone-induced chem17 ical abortion if the woman changes her mind 

18 but that time is of the essence; and 

19 ‘‘(B) information on and assistance with 

20 reversing the effects of a mifepristone-induced 

21 chemical abortion is available on the website of 

22 the Department of Health and Human Services 

23 required by section 3405(b). 

24 ‘‘(2) After the first drug involved in the two 

25 drug process is dispensed in a mifepristone-induced 


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1 chemical abortion, the physician shall provide writ2 ten medical discharge instructions to the pregnant 

3 woman which must include the statement: 

4 ‘‘ ‘Recent developing research has indicated that 

5 mifepristone alone is not always effective in ending a preg6 nancy. It may be possible to avoid, cease, or even to re7 verse the intended effects of a mifepristone-induced chem8 ical abortion if the second pill has not been taken. Please 

9 consult with a health care professional immediately.’. 

10 ‘‘SEC. 3403. EXCEPTION FOR MEDICAL EMERGENCIES. 

11 ‘‘(a) EXCEPTION.—The provisions of section 3402 

12 shall not apply in the case where a woman suffers from 

13 a physical disorder, physical injury, or physical illness that 

14 would, as certified by a physician, place the woman in dan15 ger of death unless an abortion is performed, including 

16 a life-endangering physical condition caused by or arising 

17 from the pregnancy itself. 

18 ‘‘(b) CERTIFICATION.—Upon a determination by an 

19 abortion provider under subsection (a) that an abortion 

20 is necessary to save the life of a mother, such provider 

21 shall include in the medical file of the pregnant woman 

22 a truthful and accurate certification of the specific medical 

23 circumstances that support such determination. 


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1 ‘‘SEC. 3404. SIGN POSTING. 

2 ‘‘(a) POSTING.—Any private office, freestanding sur3 gical outpatient clinic or other facility, or clinic in which 

4 chemical abortions, other than abortions necessary in the 

5 case of a medical emergency described in section 3403, 

6 are performed shall conspicuously post a sign (in a loca7 tion as described in subsection (c) so as to be clearly visi8 ble to patients) which reads: 

9 ‘‘ ‘Research has indicated that mifepristone alone is 

10 not always effective in ending a pregnancy and that its 

11 effects can be blocked or reversed if the second pill has 

12 not yet been taken. If you change your mind prior to tak13 ing the second pill and desire to attempt to save your preg14 nancy, consult with a health care professional imme15 diately.’.’’. 

16 ‘‘(b) LETTERING; SIZE.—The sign required by sub17 section (a) shall be printed with lettering that is— 

18 ‘‘(1) legible; and 

19 ‘‘(2) at least three quarters of an inch boldfaced 

20 type. 

21 ‘‘(c) LOCATIONS.—A facility in which chemical abor22 tions are performed that is a private office or a free23 standing surgical outpatient clinic shall post the sign re24 quired by subsection (a) in each patient waiting room and 

25 patient consultation room used by patients on whom chem26 ical abortions are performed. A hospital or any other facilVerDate Sep 11 2014 05:53 Mar 07, 2023 Jkt 039200 PO 00000 Frm 00005 Fmt 6652 Sfmt 6201 E:\BILLS\H983.IH H983

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1 ity in which chemical abortions are performed that is not 

2 a private office or freestanding surgical outpatient clinic 

3 shall post the required sign in each patient admission area 

4 used by patients on whom chemical abortions are per5 formed. 

6 ‘‘SEC. 3405. PRINTED INFORMATION AND WEBSITE. 

7 ‘‘(a) IN GENERAL.—The Secretary shall publish, in 

8 English and in each language which is the primary lan9 guage of 2 percent or more of the population of any State, 

10 and shall cause to be available on the website required by 

11 subsection (b), the following printed materials in such a 

12 way as to ensure that the information is easily comprehen13 sible: 

14 ‘‘(1) Materials designed to inform the woman of 

15 the possibility of reversing the effects of a chemical 

16 abortion utilizing mifepristone if she changes her 

17 mind. 

18 ‘‘(2) Materials on the assistance and resources 

19 that may be available to help reverse the effects of 

20 a chemical abortion. 

21 ‘‘(b) WEBSITE.—Not later than 30 days after the 

22 date of enactment of the Second Chance at Life Act of 

23 2023, the Secretary shall develop and maintain a website 

24 to provide the information described in subsection (a) in 

25 accordance with the following: 


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1 ‘‘(1) No information regarding who uses the 

2 website shall be collected or maintained. 

3 ‘‘(2) The Secretary shall monitor on a regular 

4 basis the website to prevent and correct tampering. 

5 ‘‘(3) The website shall be maintained at a min6 imum resolution of 70 DPI (dots per inch). 

7 ‘‘(4) All pictures appearing on the website shall 

8 be a minimum of 200x300 pixels. 

9 ‘‘(5) All letters on the website shall be a min10 imum of 12 point font. 

11 ‘‘(6) All information and pictures on the 

12 website shall be accessible with an industry standard 

13 browser, requiring no additional plug-ins. 

14 ‘‘SEC. 3406. CIVIL REMEDIES. 

15 ‘‘(a) CIVIL SUITS FOR VIOLATION.—Except as pro16 vided in subsection (b), any of the following parties may 

17 bring a civil action before the appropriate Federal district 

18 court for actual and punitive damages against an abortion 

19 provider who knowingly or recklessly performed or at20 tempted to perform a chemical abortion in violation of this 

21 title: 

22 ‘‘(1) A person upon whom such a chemical 

23 abortion has been performed or attempted. 

24 ‘‘(2) A father of an unborn child who is the 

25 subject of such a chemical abortion. 


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1 ‘‘(3) A parent of a person upon whom such a 

2 chemical abortion has been performed or attempted 

3 if such person had not attained 18 years of age at 

4 the time of such abortion or if such person died as 

5 the result of such abortion. 

6 ‘‘(b) BARRING SUIT.—A plaintiff may not bring a 

7 civil action under subsection (a) if a chemical abortion is 

8 performed or attempted with respect to a pregnancy that 

9 is the result of the plaintiff’s criminal conduct. 

10 ‘‘(c) ATTORNEY’S FEE.—If a party described in para11 graph (1), (2), or (3) of subsection (a) is the prevailing 

12 party in an action under this section, the court shall award 

13 a reasonable attorney’s fee to such party. If a defendant 

14 is the prevailing party in an action under this section, and 

15 the court finds that such action was frivolous or brought 

16 in bad faith, the court shall award a reasonable attorney’s 

17 fee to the defendant.’’. 

18 SEC. 3. PREEMPTION. 

19 Nothing in this Act or the amendment made by this 

20 Act shall be construed to preempt any provision of State 

21 law to the extent that such State law establishes, imple22 ments, or continues in effect disclosure requirements re23 garding abortion or penalties for failure to comply with 

24 such requirements that are more extensive than those pro25 vided under the amendment made by this Act. 


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1 SEC. 4. SEVERABILITY. 

2 If any provision of this Act, or any application there3 of, is found to be unconstitutional, the remainder of this 

4 Act and any application thereof shall not be affected by 

5 such finding. 

Æ 


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