‘‘4322. Use of restrictive housing on incarcerated women during the period of 
pregnancy, labor, and postpartum recovery prohibited.’’. 
SEC. 6. 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: 
‘‘§ 4052. 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 an evaluation to de-
termine if the pregnancy is high-risk and, if so, receives 
healthcare appropriate for a high-risk pregnancy, includ-
ing obstetrical and gynecological care, during pregnancy 
and postpartum recovery. 
‘‘(b) HIGH-RISK PREGNANCIES.— 
‘‘(1) IN GENERAL.—The Director of the Bureau 
of Prisons shall transfer to a Residential Reentry 
Center with adequate health care during her preg-
nancy and postpartum recovery any incarcerated 
woman who— 
‘‘(A) is determined by a health care profes-
sional to have a high-risk pregnancy; and 
‘‘(B) agrees to be transferred. 
‘‘(2) PRIORITY.—The Residential Reentry Cen-
ter to which an incarcerated pregnant woman is 
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transferred under paragraph (1) shall, to the extent 
practicable, be in a geographical location that is 
close to the family members of the incarcerated 
pregnant woman. 
‘‘(3) TRANSPORTATION.—To transport an in-
carcerated pregnant woman to a Residential Reentry 
Center, the Director of the Bureau of Prisons shall 
provide to the woman a mode of transportation that 
a healthcare professional has determined to be safe 
for transporting the pregnant woman. 
‘‘(4) SERVICE
OF
SENTENCE.—Any time ac-
crued at a Residential Reentry Center or alternative 
housing as a result of a transfer made under this 
section shall be credited toward service of the incar-
cerated pregnant woman’s sentence. 
‘‘(c) DEFINITIONS.—In this section: 
‘‘(1) HEALTH CARE PROFESSIONAL.—The term 
‘health care professional’ means— 
‘‘(A) a doctor of medicine or osteopathy 
who is authorized to diagnose and treat phys-
ical or mental health conditions under the laws 
of the State in which the doctor practices and 
where the facility is located; 
‘‘(B) any physician’s assistant or nurse 
practitioner who is supervised by a doctor of 
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medicine or osteopathy described in subpara-
graph (A); or 
‘‘(C) any other person determined by the 
Director of the Bureau of Prisons to be capable 
of providing health care services. 
‘‘(2) HIGH-RISK PREGNANCY.—The term ‘high- 
risk pregnancy’ means, with respect to an incarcer-
ated woman, that the pregnancy threatens the 
health or life of the woman or pregnancy, as deter-
mined by a health care professional. 
‘‘(3) 
POSTPARTUM
RECOVERY.—The 
term 
‘postpartum recovery’ means the 3-month period be-
ginning on the date on which an incarcerated preg-
nant woman gives birth, or longer as determined by 
a health care professional following delivery, and 
shall include the entire period that the incarcerated 
pregnant woman is in the hospital or infirmary. 
‘‘(4) RESIDENTIAL
REENTRY
CENTER.—The 
term ‘Residential Reentry Center’ means a Bureau 
of Prisons contracted residential reentry center.’’. 
(b) CONFORMING AMENDMENT.—The table of sec-
tions for chapter 303 of title 18, United States Code, is 
amended by adding at the end the following: 
‘‘4052. Treatment of incarcerated pregnant women.’’. 
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SEC. 7. REPORTING REQUIREMENT REGARDING CLAIMS 
FILED BY PREGNANT INMATES. 
The Director of the Federal Bureau of Prisons shall 
make publicly available on the website of the Federal Bu-
reau of Prisons on an annual basis the following informa-
tion: 
(1) The total number of Administrative Remedy 
appeals related to pregnant inmates that were filed 
during the previous year. 
(2) The total number of institution-level Re-
quests for Administrative Remedy related to preg-
nant inmates that were filed during the previous 
year. 
(3) The total number of informal requests for 
administrative remedy related to pregnant inmates 
that were filed during the previous year. 
(4) The total number of requests or appeals re-
lated to pregnant inmates during the previous year 
that were not resolved before the inmate gave birth 
or that were mooted because the inmate’s pregnancy 
ended. 
(5) The average amount of time that each cat-
egory of request or appeal took to resolve during the 
previous year. 
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(6) The shortest and longest amounts of time 
that a request or appeal in each category that was 
resolved in the last year took to resolve. 
SEC. 8. EDUCATION AND TECHNICAL ASSISTANCE. 
The Director of the National Institute of Corrections 
shall provide education and technical assistance, in con-
junction with the appropriate public agencies, at State and 
local correctional facilities that house women and facilities 
in which incarcerated women go into labor and give birth, 
in order to educate the employees of such facilities, includ-
ing health personnel, on the dangers and potential mental 
health consequences associated with the use of restrictive 
housing and restraints on incarcerated women during 
pregnancy, labor, and postpartum recovery, and on alter-
natives to the use of restraints and restrictive housing 
placement. 
SEC. 9. BUREAU OF PRISONS STAFF AND UNITED STATES 
MARSHALS TRAINING. 
(a) BUREAU OF PRISONS TRAINING.— 
(1) IN GENERAL.— 
(A) INITIAL
TRAINING.—Not later than 
180 days after the date of enactment of this 
Act, the Director of the Bureau of Prisons shall 
provide training to carry out the requirements 
of this Act and the amendments made by this 
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Act to each correctional officer at any Bureau 
of Prisons facility that houses women who is 
employed on the date of enactment of this Act. 
(B) SUBSEQUENT
TRAINING.—After the 
initial training provided under subparagraph 
(A), the Director of the Bureau of Prisons shall 
provide training to carry out the requirements 
of this Act and the amendments made by this 
Act twice each year to each correctional officer 
at any Bureau of Prisons facility that houses 
women. 
(2) NEW HIRES.— 
(A) DEFINITION.—In this paragraph, the 
term ‘‘covered new correctional officer’’ means 
an individual appointed to a position as a cor-
rectional officer at a Bureau of Prisons facility 
that houses women on or after the date that is 
180 days after the date of enactment of this 
Act. 
(B) TRAINING.—The Director of the Bu-
reau of Prisons shall train each covered new 
correctional officer to carry out the require-
ments of this Act and the amendments made by 
this Act not later than 30 days after the date 
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carcerated women during pregnancy, labor, and 
postpartum recovery and incorporate such guidelines 
in the training required under this section. 
(2) 
CONTENTS.—The 
guidelines 
developed 
under paragraph (1) shall include guidance on— 
(A) the transportation of incarcerated 
pregnant women; 
(B) housing of incarcerated pregnant 
women; 
(C) nutritional requirements for incarcer-
ated pregnant women; and 
(D) the right of a health care professional 
to request that restraints not be used. 
SEC. 10. GAO STUDY ON STATE AND LOCAL CORRECTIONAL 
FACILITIES. 
The Comptroller General of the United States shall 
conduct a study of services and protections provided for 
pregnant incarcerated women in local and State correc-
tional settings, including— 
(1) policies on— 
(A) obstetrical and gynecological care; 
(B) education on nutritional issues and 
health and safety risks associated with preg-
nancy; 
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(C) mental health and substance use treat-
ment; 
(D) access to prenatal and post-delivery 
support services and programs; and 
(E) the use of restraints and restrictive 
housing placement; and 
(2) the extent to which the intent of such poli-
cies is fulfilled. 
SEC. 11. DETERMINATION OF BUDGETARY EFFECTS. 
The budgetary effects of this Act, for the purpose of 
complying with the Statutory Pay-As-You-Go Act of 2010, 
shall be determined by reference to the latest statement 
titled ‘‘Budgetary Effects of PAYGO Legislation’’ for this 
Act, submitted for printing in the Congressional Record 
by the Chairman of the House Budget Committee, pro-
vided that such statement has been submitted prior to the 
vote on passage. 
Æ 
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