facility that houses women may determine to be 
appropriate. 
(6) UNEXPECTED BIRTHS RULEMAKING.—Not 
later than 180 days after the date of enactment of 
this Act, the Attorney General shall make rules es-
tablishing procedures for responding to unexpected 
childbirth deliveries, labor complications, and med-
ical complications related to pregnancy if a woman 
in custody is unable to access a hospital in a timely 
manner. 
(7) TREATMENT.—In the case of any woman in 
custody who, after an evaluation under paragraph 
(4), is diagnosed as having a substance use disorder 
or a mental health disorder, that woman shall be en-
titled to treatment in accordance with the following: 
(A) Treatment shall include participation 
in a support group, including a 12-step pro-
gram, such as Alcoholics Anonymous, Narcotics 
Anonymous, and Cocaine Anonymous or a com-
parable nonreligious program. 
(B) Treatment may include psychosocial 
interventions and medication. 
(C) In the case that adequate treatment 
cannot be provided to a woman in custody in a 
Bureau of Prisons facility, the Director of the 
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Bureau of Prisons shall transfer the woman to 
a residential reentry program that offers such 
treatment pursuant to section 508 of the Public 
Health Service Act (42 U.S.C. 290bb–1). 
(D) To the extent practicable, treatment 
for substance use disorders provided pursuant 
to this section shall be conducted in a licensed 
hospital. 
SEC. 4. USE OF RESTRICTIVE HOUSING AND RESTRAINTS 
ON INCARCERATED PREGNANT WOMEN DUR-
ING PREGNANCY, LABOR, AND POSTPARTUM 
RECOVERY PROHIBITED. 
(a) IN GENERAL.—Section 4322 of title 18, United 
States Code, is amended to read as follows: 
‘‘§ 4322. Use of restraints and restrictive housing on 
incarcerated women during the period of 
pregnancy, labor, and postpartum recov-
ery prohibited and to improve pregnancy 
care for women in Federal prisons 
‘‘(a) PROHIBITION.—Except as provided in sub-
section (b), beginning on the date on which pregnancy is 
confirmed by a health care professional and ending not 
earlier than 12 weeks after delivery, an incarcerated 
woman in the custody of the Bureau of Prisons, or in the 
custody of the United States Marshals Service pursuant 
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to section 4086, shall not be placed in restraints or held 
in restrictive housing. 
‘‘(b) EXCEPTIONS.— 
‘‘(1) USE
OF
RESTRAINTS.—The prohibition 
under subsection (a) shall not apply if the senior 
Bureau of Prisons official or United States Marshals 
Service official overseeing women’s health and serv-
ices and a health care professional responsible for 
the health and safety of the incarcerated woman de-
termines that the use of restraints is appropriate for 
the medical safety of the woman, and the health care 
professional reviews such determination not later 
than every 6 hours after such use is initially ap-
proved until such use is terminated. 
‘‘(2) SITUATIONAL USE.—The individualized de-
termination described under paragraph (1) shall only 
apply to a specific situation and must be reaffirmed 
through the same process to use restraints again in 
any future situation involving the same woman. 
‘‘(3) ACCESS TO CARE.—Immediately upon the 
cessation of the use of restraints or restrictive hous-
ing as outlined in this subsection, the Director of the 
Bureau of Prisons or the United States Marshal 
Service shall provide the incarcerated woman with 
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