(F) INDIAN HEALTH CARE IMPROVEMENT
ACT.—The Indian Health Care Improvement
Act.
(G) FEDERAL EMPLOYEES HEALTH BENE-
FITS PROGRAM.—Chapter 89 of title 5, United
States Code.
(H) MILITARY HEALTH CARE SYSTEM (IN-
CLUDING
TRICARE
AND
CHAMPUS
PRO-
GRAMS).—Chapter 55 of title 10, United States
Code.
(I) VETERANS
MEDICAL
CARE.—Chapter
17 of title 38, United States Code.
(J) HEALTH SERVICES FOR PEACE CORPS
VOLUNTEERS.—Section 5(e) of the Peace Corps
Act (22 U.S.C. 2504(e)).
(K) MEDICAL
SERVICES
FOR
FEDERAL
PRISONERS.—Section 4005(a) of title 18, Unit-
ed States Code.
(2) FEDERAL FACILITIES AND PERSONNEL.—
The provisions of subsection (c) apply to facilities
and personnel of the following:
(A) MILITARY
HEALTH
CARE
SYSTEM.—
The Department of Defense operating under
chapter 55 of title 10, United States Code.
(B) VETERANS MEDICAL CARE.—The Vet-
erans Health Administration of the Department
of Veterans Affairs.
(C) PUBLIC HEALTH SERVICE.—The Pub-
lic Health Service.
(3) NONEXCLUSIVE LIST.—Nothing in this sub-
section shall be construed as limiting the application
of subsection (a) to the programs specified in para-
graph (1) or the application of subsection (c) to the
facilities and personnel specified in paragraph (2).
SEC. 4. RESTRICTION ON USE OF FEDERAL FUNDS UNDER
CERTAIN GRANT PROGRAMS UNDER THE DE-
VELOPMENTAL 
DISABILITIES 
ASSISTANCE
AND BILL OF RIGHTS ACT.
Subject to section 3(b) (relating to construction and
treatment of certain services), no funds appropriated by
Congress to carry out part B, D, or E of the Developmen-
tal Disabilities Assistance and Bill of Rights Act may be
used to support or fund any program or service which has
a purpose of assisting in procuring any item, benefit, or
service furnished for the purpose of causing, or the pur-
pose of assisting in causing, the death of any individual,
such as by assisted suicide, euthanasia, or mercy killing.
SEC. 5. RESTRICTION ON USE OF FEDERAL FUNDS BY AD-
VOCACY PROGRAMS.
(a) IN GENERAL.—Subject to section 3(b) (relating
to construction and treatment of certain services), no
funds appropriated by Congress may be used to assist in,
to support, or to fund any activity or service which has
a purpose of assisting in, or to bring suit or provide any
other form of legal assistance for the purpose of—
(1) securing or funding any item, benefit, pro-
gram, or service furnished for the purpose of caus-
ing, or the purpose of assisting in causing, the sui-
cide, euthanasia, or mercy killing of any individual;
(2) compelling any person, institution, govern-
mental entity to provide or fund any item, benefit,
program, or service for such purpose; or
(3) asserting or advocating a legal right to
cause, or to assist in causing, the suicide, eutha-
nasia, or mercy killing of any individual.
(b) LIST OF PROGRAMS TO WHICH RESTRICTIONS
APPLY.—
(1) IN
GENERAL.—Subsection (a) applies to
funds appropriated under or to carry out the follow-
ing:
(A) PROTECTION AND ADVOCACY SYSTEMS
UNDER THE DEVELOPMENTAL DISABILITIES AS-
SISTANCE AND BILL OF RIGHTS ACT.—Part C
of the Developmental Disabilities Assistance
and Bill of Rights Act.
(B) PROTECTION AND ADVOCACY SYSTEMS
UNDER THE PROTECTION AND ADVOCACY FOR
MENTALLY ILL INDIVIDUALS ACT.—The Protec-
tion and Advocacy for Mentally Ill Individuals
Act of 1986.
(C) PROTECTION AND ADVOCACY SYSTEMS
UNDER THE REHABILITATION ACT OF 1973.—
Section 509 of the Rehabilitation Act of 1973
(29 U.S.C. 794e).
(D) OMBUDSMAN PROGRAMS UNDER THE
OLDER AMERICANS ACT OF 1965.—Ombudsman
programs under the Older Americans Act of
1965.
(E) LEGAL ASSISTANCE.—Legal assistance
programs under the Legal Services Corporation
Act.
(2) NONEXCLUSIVE LIST.—Nothing in this sub-
section shall be construed as limiting the application
of subsection (a) to the programs specified in para-
graph (1).
SEC. 6. RESTRICTION ON USE OF OTHER FEDERAL FUNDS.
(a) IN GENERAL.—Subject to section 3(b) (relating
to construction and treatment of certain services) and sub-
section (b) of this section, no funds appropriated by the
Congress shall be used to provide, procure, furnish, or
fund any item, good, benefit, activity, or service, furnished
or performed for the purpose of causing, or assisting in
causing, the suicide, euthanasia, or mercy killing of any
individual.
(b) NONDUPLICATION.—Subsection (a) shall not
apply to funds to which section 3, 4, or 5 applies, except
that subsection (a), rather than section 3, shall apply to
funds appropriated to carry out title 10, United States
Code (other than chapter 55), title 18, United States Code
(other than section 4005(a)), and chapter 37 of title 28,
United States Code.
SEC. 7. CLARIFICATION WITH RESPECT TO ADVANCE DI-
RECTIVES.
Subject to section 3(b) (relating to construction and
treatment of certain services), sections 1866(f) and
1902(w) of the Social Security Act shall not be con-
strued—
(1) to require any provider or organization, or
any employee of such a provider or organization, to
inform or counsel any individual regarding any right
to obtain an item or service furnished for the pur-
pose of causing, or the purpose of assisting in caus-
ing, the death of the individual, such as by assisted
suicide, euthanasia, or mercy killing; or
(2) to apply to or to affect any requirement
with respect to a portion of an advance directive
that directs the purposeful causing of, or the pur-
poseful assisting in causing, the death of any indi-
vidual, such as by assisted suicide, euthanasia, or
mercy killing.
SEC. 8. APPLICATION TO DISTRICT OF COLUMBIA.
For purposes of this Act, the term ‘‘funds appro-
priated by Congress’’ includes funds appropriated to the
District of Columbia pursuant to an authorization of ap-
propriations under title V of the District of Columbia Self-
Government and Governmental Reorganization Act and
the term ‘‘Federal government’’ includes the government
of the District of Columbia.
SEC. 9. CONFORMING AMENDMENTS.
(a) MEDICARE PROGRAM.—
(1) FUNDING.—Section 1862(a) of the Social
Security Act (42 U.S.C. 1395y(a)) is amended—
(A) by striking ‘‘or’’ at the end of para-
graph (14);
(B) by striking the period at the end of
paragraph (15) and inserting ‘‘; or’’; and