tion to continue the restrictive housing place-
ment. 
‘‘(C) A description of all attempts to use 
alternative interventions and sanctions before 
the restrictive housing was used. 
‘‘(D) Any resulting physical effects on the 
woman observed by or reported by the health 
care professional responsible for the health and 
safety of the woman. 
‘‘(E) Strategies the facility is putting in 
place to identify more appropriate alternative 
interventions should a similar situation arise 
again. 
‘‘(4) REPORT TO CONGRESS.—Beginning on the 
date that is 6 months after the date of enactment 
of the Protecting the Health and Wellness of Babies 
and Pregnant Women Act of 2022, and every 6 
months thereafter for a period of 10 years, the At-
torney General shall submit to the Committees on 
the Judiciary of the House of Representatives and 
the Senate a report on the information described in 
paragraph (3). 
‘‘(d) NOTICE.—Not later than 24 hours after the con-
firmation of an incarcerated woman’s pregnancy by a 
health care professional, that woman shall be notified, 
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orally and in writing, by an appropriate health care profes-
sional, correctional officer, or United States Marshal, as 
applicable— 
‘‘(1) of the restrictions on the use of restraints 
and restrictive housing placements under this sec-
tion; 
‘‘(2) of the incarcerated woman’s right to make 
a confidential report of a violation of restrictions on 
the use of restraints or restrictive housing place-
ment; and 
‘‘(3) that the facility staff have been advised of 
all rights of the incarcerated woman under sub-
section (a). 
‘‘(e) VIOLATION REPORTING PROCESS.—Not later 
than 180 days after the date of enactment of this Act, 
the Director of the Bureau of Prisons and the Director 
of the United States Marshals Service shall establish proc-
esses through which an incarcerated person may report 
a violation of this section. 
‘‘(f) NOTIFICATION OF RIGHTS.—The warden of the 
Bureau of Prisons facility where a pregnant woman is in 
custody shall notify necessary facility staff of the preg-
nancy and of the incarcerated pregnant woman’s rights 
under subsection (a). 
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‘‘(g) RETALIATION.—It shall be unlawful for any Bu-
reau of Prisons or United States Marshal Service em-
ployee to retaliate against an incarcerated person for re-
porting under the provisions of subsection (e) a violation 
of subsection (a). 
‘‘(h) EDUCATION.—Not later than 90 days after the 
date of enactment of the Protecting the Health and 
Wellness of Babies and Pregnant Women Act of 2022, the 
Director of the Bureau of Prisons and the Director of the 
United States Marshals Service shall each develop edu-
cation guidelines regarding the physical and mental health 
needs of incarcerated pregnant women, and the use of re-
straints and restrictive housing placements on incarcer-
ated women during the period of pregnancy, labor, and 
postpartum recovery, and shall incorporate such guidelines 
into appropriate education programs. 
‘‘(i) DEFINITION.—In this section: 
‘‘(1) 
RESTRAINTS.—The 
term 
‘restraints’ 
means any physical or mechanical device used to 
control the movement of an incarcerated pregnant 
woman’s body, limbs, or both. 
‘‘(2) RESTRICTIVE
HOUSING.—The term ‘re-
strictive housing’ means any type of detention that 
involves— 
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‘‘(A) removal from the general inmate pop-
ulation, whether voluntary or involuntary; 
‘‘(B) placement in a locked room or cell, 
whether alone or with another inmate; and 
‘‘(C) inability to leave the room or cell for 
the vast majority of the day.’’. 
(b) CLERICAL AMENDMENT.—The table of sections 
at the beginning of chapter 317 of title 18, United States 
Code, is amended by amending the item relating to section 
4322 to read as follows: 
‘‘4322. Use of restraints and restrictive housing on incarcerated women during 
the period of pregnancy, labor, and postpartum recovery pro-
hibited and to improve pregnancy care for women in Federal 
prisons.’’. 
SEC. 5. TREATMENT OF WOMEN WITH HIGH-RISK PREG-
NANCIES. 
(a) IN GENERAL.—Chapter 303 of title 18, United 
States Code, is amended by adding at the end the fol-
lowing: 
‘‘§ 4051. Treatment of incarcerated pregnant women 
‘‘(a) HIGH-RISK PREGNANCY HEALTH CARE.—The 
Director of the Bureau of Prisons shall ensure that each 
incarcerated pregnant woman receives health care appro-
priate for a high-risk pregnancy, including obstetrical and 
gynecological care, during pregnancy and post-partum re-
covery. 
‘‘(b) HIGH-RISK PREGNANCIES.— 
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