Awareness Decision Form (provided for under 
subsection (d)) and obtain the appropriate sig-
nature of the woman on such form. 
‘‘(c) UNBORN
CHILD
PAIN
AWARENESS
BRO-
CHURE.— 
‘‘(1) DEVELOPMENT.—Not later than 90 days 
after the date of enactment of this title, the Sec-
retary shall develop an Unborn Child Pain Aware-
ness Brochure. Such Brochure shall: 
‘‘(A) Be written in English and Spanish. 
‘‘(B) Contain the following text: ‘Your doc-
tor has determined that, in his or her best me-
dial judgment, your unborn child is at least 20 
weeks old. There is a significant body of evi-
dence that unborn children at 20 weeks after 
fertilization have the physical structures nec-
essary to experience pain. There is substantial 
evidence that at least by this point, unborn chil-
dren draw away from surgical instruments in a 
manner which in an infant or an adult would be 
interpreted as a response to pain. There is sub-
stantial evidence that the process of being killed 
in an abortion will cause the unborn child pain, 
even though you receive a pain-reducing drug or 
drugs. Under the Federal Unborn Child Pain 
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Awareness Act of 2006, you have a right to 
know that there is evidence that the process of 
being killed in an abortion will cause your un-
born child pain. You may request that anes-
thesia or other pain-reducing drug or drugs are 
administered directly to the pain-capable un-
born child if you so desire. The purpose of ad-
ministering such drug or drugs would be to re-
duce or eliminate the capacity of the unborn 
child to experience pain during the abortion 
procedure. In some cases, there may be some 
additional risk to you associated with admin-
istering such a drug.’ 
‘‘(C) Contain greater detail on her option 
of having a pain-reducing drug or drugs admin-
istered to the unborn child to reduce the experi-
ence of pain by the unborn child during the 
abortion. 
‘‘(D) Be written in an objective and 
nonjudgmental manner and be printed in a 
typeface large enough to be clearly legible. 
‘‘(E) Be made available by the Secretary 
at no cost to any abortion provider. 
‘‘(2) INTERNET INFORMATION.—The Brochure 
under this section shall be available on the Internet 
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website of the Department of Health and Human 
Services at a minimum resolution of 70 DPI (dots 
per inch). All pictures appearing on the website shall 
be a minimum of 200x300 pixels. All letters on the 
website shall be a minimum of 12 point font. All 
such information and pictures shall be accessible 
with an industry standard browser, requiring no ad-
ditional plug-ins. 
‘‘(3) PRESENTATION OF BROCHURE.—An abor-
tion provider or his or her agent must provide a 
pregnant woman with the Brochure, developed under 
paragraph (1), before any part of an abortion of a 
pain-capable child begins. The brochure may be pro-
vided— 
‘‘(A) through an in-person visit by the 
pregnant woman; 
‘‘(B) through an e-mail attachment, from 
the abortion provider or his or her agent; or 
‘‘(C) by certified mail, mailed to the 
woman at least 72 hours before any part of the 
abortion begins. 
‘‘(4) WAIVER.—After the abortion provider or 
his or her agent offers to provide a pregnant woman 
the brochure, a pregnant woman may waive receipt 
of the brochure under this subsection by signing the 
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