I 
118TH CONGRESS 
1ST SESSION 
H. R. 421 
To prohibit chemical abortions performed without the presence of a healthcare 
provider, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
JANUARY 20, 2023 
Mr. GOOD of Virginia (for himself, Mr. ROSENDALE, Mr. ADERHOLT, Mr. 
BISHOP of North Carolina, Mrs. MILLER of Illinois, Mr. WITTMAN, Mr. 
LAMBORN, Mr. DUNCAN, Mr. KELLY of Mississippi, Mr. JOHNSON of 
Louisiana, Mr. CLOUD, Mr. WEBER of Texas, Mr. BANKS, Mr. JACKSON 
of Texas, Mr. WILLIAMS of Texas, Mr. SELF, Mr. BIGGS, Mr. CLYDE, 
Mr. BABIN, Mrs. BOEBERT, Mr. GOSAR, Mr. BURLISON, Mr. DAVIDSON, 
Mr. SESSIONS, Mr. MOONEY, Mr. ARRINGTON, Mr. GUEST, and Ms. 
HAGEMAN) introduced the following bill; which was referred to the Com-
mittee on the Judiciary 
A BILL 
To prohibit chemical abortions performed without the 
presence of a healthcare provider, and for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Teleabortion Preven-
tion Act of 2023’’. 
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SEC. 2. CHEMICAL ABORTIONS PROHIBITED WITHOUT A 
HEALTHCARE PROVIDER PRESENT. 
(a) CHEMICAL ABORTIONS PROHIBITED WITHOUT A 
PHYSICIAN PRESENT.—Chapter 74 of title 18, United 
States Code, is amended— 
(1) in the chapter heading by striking ‘‘PAR-
TIAL-BIRTH’’; and 
(2) by inserting after section 1531 the fol-
lowing: 
‘‘§ 1532. Chemical abortions prohibited without a 
healthcare provider physically present 
‘‘(a) OFFENSE.—Any healthcare provider who, in or 
affecting interstate or foreign commerce, who knowingly 
provides or attempts to provide a chemical abortion— 
‘‘(1) without physically examining the patient; 
‘‘(2) without being physically present at the lo-
cation of the chemical abortion; and 
‘‘(3) without scheduling a follow-up visit for the 
patient to occur not more than 14 days after the ad-
ministration or use of the drug to assess the pa-
tient’s physical condition, 
shall be fined not more than $1,000 or imprisoned not 
more than 2 years, or both. This subsection does not apply 
to a chemical abortion that is necessary to save the life 
of a mother whose life is endangered by a physical dis-
order, physical illness, or physical injury, including a life- 
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endangering physical condition caused by or arising from 
the pregnancy itself. 
‘‘(b) NO LIABILITY OF THE PATIENT.—A patient 
upon whom an abortion is performed may not be pros-
ecuted under this section or for a conspiracy to violate 
this section. 
‘‘(c) DEFINITIONS.—In this section: 
‘‘(1) ABORTION
DRUG.—The term ‘abortion 
drug’ means any medicine, drug or any other sub-
stance, or any combination of drugs, medicines or 
substances, when it is used— 
‘‘(A) to intentionally kill the unborn child 
of a woman known to be pregnant; or 
‘‘(B) to intentionally terminate the preg-
nancy of a woman known to be pregnant, with 
an intention other than— 
‘‘(i) to produce a live birth; or 
‘‘(ii) to remove a dead unborn child. 
‘‘(2) ATTEMPTS TO PROVIDE.—In this section, 
the term ‘attempts to provide’, means conduct that, 
under the circumstances as the actor believes them 
to be, constitutes a substantial step in a course of 
conduct planned to culminate in a chemical abortion. 
‘‘(3) 
HEALTHCARE
PROVIDER.—The 
term 
‘healthcare provider’ means any person licensed to 
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prescribe prescription drugs under applicable Fed-
eral and State laws. 
‘‘(4) PROVIDE.—In this section, the term ‘pro-
vide’, means to dispense or prescribe an abortion 
drug, or to otherwise make an abortion drug avail-
able to a patient. 
‘‘(5) CHEMICAL ABORTION.—The term ‘chem-
ical abortion’ refers to the use of an abortion drug 
to— 
‘‘(A) intentionally kill the unborn child of 
a woman known to be pregnant; or 
‘‘(B) intentionally terminate the pregnancy 
of a woman known to be pregnant, with an in-
tention other than— 
‘‘(i) to produce a live birth; or 
‘‘(ii) to remove a dead unborn child. 
‘‘(6) UNBORN CHILD.—The term ‘unborn child’ 
means an individual organism of the species homo 
sapiens, beginning at fertilization, until the point of 
being born alive as defined in section 8(b). 
‘‘(d) RULE OF CONSTRUCTION REGARDING ECTOPIC 
PREGNANCY.—Nothing in this section shall be construed 
to have any impact on the treatment of a verified ectopic 
pregnancy. 
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‘‘(e) SEVERABILITY.—If any provision of this section 
or the application of such provision to any person or cir-
cumstance is held to be invalid, the remainder of this sec-
tion and the application of the provisions of the remainder 
to any person or circumstance shall not be affected there-
by.’’. 
(b) CLERICAL AMENDMENTS.— 
(1) CHAPTER
74.—The table of sections for 
such chapter is amended by inserting after the item 
relating to section 1531 the following: 
‘‘1532. Chemical abortions prohibited without a healthcare provider physically 
present.’’. 
(2) PART I.—The table of chapters for part I 
of title 18, United States Code, is amended by strik-
ing the item relating to chapter 74, and inserting 
the following: 
‘‘74. Abortions .......................................................................................... 1531’’. 
Æ 
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