IB
105TH CONGRESS
1ST SESSION
H. R. 1003
[Report No. 105–46, Part I]
To clarify Federal law with respect to restricting the use of Federal funds
in support of assisted suicide.
IN THE HOUSE OF REPRESENTATIVES
MARCH 11, 1997
Mr. HALL of Texas (for himself, Mr. BAKER, Mr. BARCIA, Mr. BARR of Geor-
gia, Mr. BARTLETT of Maryland, Mr. BARTON of Texas, Mr. BILIRAKIS,
Mr. BLILEY, Mr. BOEHNER, Mr. BONILLA, Mr. BRYANT, Mr. BUNNING,
Mr. BURR of North Carolina, Mr. BURTON of Indiana, Mr. CANADY of
Florida, Mr. CHABOT, Mrs. CHENOWETH, Mr. CHRISTENSEN, Mr. CLEM-
ENT, Mr. COBLE, Mr. COBURN, Mr. COLLINS, Mr. CONDIT, Mrs. CUBIN,
Mr. CUNNINGHAM, Mr. DEAL of Georgia, Mr. DELAY, Mr. DICKEY, Mr.
DOOLITTLE, Mr. DOYLE, Ms. DUNN, Mr. ENGLISH of Pennsylvania, Mr.
FORBES, Mr. GANSKE, Mr. GOODLATTE, Mr. GRAHAM, Mr. GREEN, Mr.
GUTKNECHT, Mr. HASTERT, Mr. HASTINGS
of Washington, Mr.
HAYWORTH, Mr. HERGER, Mr. HILLEARY, Mr. HOEKSTRA, Mr. HOLD-
EN, Mr. HOSTETTLER, Mr. HUNTER, Mr. HYDE, Mr. ISTOOK, Mr. SAM
JOHNSON of Texas, Mr. JONES, Mr. KASICH, Mrs. KELLY, Mr. KING,
Mr. KLINK, Mr. KNOLLENBERG, Mr. LARGENT, Mr. LATHAM, Mr. LEWIS
of Kentucky, Mr. LINDER, Mr. LIVINGSTON, Mr. MCHUGH, Mr. MAN-
TON, Mr. MANZULLO, Mr. MASCARA, Mr. MICA, Mr. NEY, Mr. NOR-
WOOD, Mr. NUSSLE, Mr. OBERSTAR, Mr. OXLEY, Mr. PACKARD, Mr.
PAPPAS, Mr. PARKER, Mr. PAUL, Mr. PAXON, Mr. PETRI, Mr. POSHARD,
Mr. QUINN, Mr. RAHALL, Mr. DAN SCHAEFER of Colorado, Mr. SCHIFF,
Mr. SENSENBRENNER, Mr. SHAYS, Mr. SHIMKUS, Mr. SKAGGS, Mr.
SKEEN, Mr. SKELTON, Mr. SMITH of New Jersey, Mrs. SMITH of Wash-
ington, Mr. SNOWBARGER, Mr. SOLOMON, Mr. SOUDER, Mr. STEARNS,
Mr. STENHOLM, Mr. STUMP, Mr. TALENT, Mr. TAUZIN, Mr. TAYLOR of
North Carolina, Mr. TIAHRT, Mr. WAMP, Mr. WATTS of Oklahoma, Mr.
WELDON of Florida, and Mr. WICKER) introduced the following bill;
which was referred to the Committee on Commerce, and in addition, for
a period ending not later than 30 calendar days after the Committee on
Commerce reports to the House, to the Committees on Ways and Means,
the Judiciary, Education and the Workforce, Government Reform and
Oversight, Resources, and International Relations, in each case for con-
sideration of such provisions as fall within the jurisdiction of the commit-
tee concerned.
APRIL 8, 1997
Additional sponsors: Mr. BALLENGER, Mr. ENSIGN, Mr. FROST, Mr. HEFLEY,
Mr. HULSHOF, Mr. INGLIS of South Carolina, Mr. KLUG, Mr. LAHOOD,
Mr. LEWIS of California, Mr. MCKEON, Mr. MORAN of Kansas, Mr.
RAMSTAD, Mr. BOB SCHAFFER of Colorado, Mr. STUPAK, and Mr.
YOUNG of Alaska
APRIL 8, 1997
Reported from the Committee on Commerce with amendments
[Omit the part struck through and insert the part printed in italic]
APRIL 8, 1997
Referral to the Committees on Ways and Means, the Judiciary, Education and
the Workforce, Government Reform and Oversight, Resources, and Inter-
national Relations extended for a period ending no later than April 8,
1997
APRIL 8, 1997
The Committees on Ways and Means, the Judiciary, Education and the
Workforce, Government Reform and Oversight, Resources, and Inter-
national Relations discharged; referred to the Committee of the Whole
House on the State of the Union
A BILL
To clarify Federal law with respect to restricting the use
of Federal funds in support of assisted suicide.
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled,
SECTION 1. SHORT TITLE; TABLE OF CONTENTS.
(a) SHORT TITLE.—This Act may be cited as the
‘‘Assisted Suicide Funding Restriction Act of 1997’’.
(b) TABLE OF CONTENTS.—The table of contents of
this Act is as follows:
Sec. 1. Short title; table of contents.
Sec. 2. Findings and purpose.
Sec. 3. Restriction on use of Federal funds under health care programs.
Sec. 4. Restriction on use of Federal funds under certain grant programs under
the Developmental Disabilities Assistance and Bill of Rights
Act.
Sec. 5. Restriction on use of Federal funds by advocacy programs.
Sec. 6. Restriction on use of other Federal funds.
Sec. 7. Clarification with respect to advance directives.
Sec. 8. Application to District of Columbia.
Sec. 9. Conforming amendments.
Sec. 10. Relation to other laws.
Sec. 11. Effective date.
Sec. 12. Suicide prevention (including assisted suicide).
SEC. 2. FINDINGS AND PURPOSE.
(a) FINDINGS.—Congress finds the following:
(1) The Federal Government provides financial
support for the provision of and payment for health
care services, as well as for advocacy activities to
protect the rights of individuals.
(2) Assisted suicide, euthanasia, and mercy kill-
ing have been criminal offenses throughout the Unit-
ed States and, under current law, it would be unlaw-
ful to provide services in support of such illegal ac-
tivities.
(3) Because of recent legal developments, it
may become lawful in areas of the United States to
furnish services in support of such activities.
(4) Congress is not providing Federal financial
assistance in support of assisted suicide, euthanasia,
and mercy killing and intends that Federal funds
not be used to promote such activities.
(b) PURPOSE.—It is the principal purpose of this Act
to continue current Federal policy by providing explicitly
that Federal funds may not be used to pay for items and
services (including assistance) the purpose of which is to
cause (or assist in causing) the suicide, euthanasia, or
mercy killing of any individual.
SEC. 3. RESTRICTION ON USE OF FEDERAL FUNDS UNDER
HEALTH CARE PROGRAMS.
(a) RESTRICTION
ON
FEDERAL
FUNDING
OF
HEALTH CARE SERVICES.—Subject to subsection (b), no
funds appropriated by Congress for the purpose of paying
(directly or indirectly) for the provision of health care
services may be used—
(1) to provide any health care item or service
furnished for the purpose of causing, or for the pur-
pose of assisting in causing, the death of any indi-
vidual, such as by assisted suicide, euthanasia, or
mercy killing;
(2) to pay (directly, through payment of Fed-
eral financial participation or other matching pay-
ment, or otherwise) for such an item or service, in-
cluding payment of expenses relating to such an
item or service; or
(3) to pay (in whole or in part) for health bene-
fit coverage that includes any coverage of such an
item or service or of any expenses relating to such
an item or service.
(b) CONSTRUCTION AND TREATMENT OF CERTAIN
SERVICES.—Nothing in subsection (a), or in any other
provision of this Act (or in any amendment made by this
Act), shall be construed to create apply to or to affect any
limitation relating to—
(1) the withholding or withdrawing of medical
treatment or medical care;
(2) the withholding or withdrawing of nutrition
or hydration;
(3) abortion; or
(4) the use of an item, good, benefit, or service
furnished for the purpose of alleviating pain or dis-
comfort, even if such use may increase the risk of
death, so long as such item, good, benefit, or service
is not also furnished for the purpose of causing, or
the purpose of assisting in causing, death, for any
reason.
(c) LIMITATION ON FEDERAL FACILITIES AND EM-
PLOYEES.—Subject to subsection (b), with respect to
health care items and services furnished—
(1) by or in a health care facility owned or op-
erated by the Federal government, or
(2) by any physician or other individual em-
ployed by the Federal government to provide health
care services within the scope of the physician’s or
individual’s employment,
no such item or service may be furnished for the purpose
of causing, or for the purpose of assisting in causing, the
death of any individual, such as by assisted suicide, eutha-
nasia, or mercy killing.
(d) LIST OF PROGRAMS TO WHICH RESTRICTIONS
APPLY.—
(1) FEDERAL
HEALTH
CARE
FUNDING
PRO-
GRAMS.—Subsection (a) applies to funds appro-
priated under or to carry out the following:
(A) MEDICARE PROGRAM.—Title XVIII of
the Social Security Act.
(B) MEDICAID
PROGRAM.—Title XIX of
the Social Security Act.
(C) TITLE
XX
SOCIAL
SERVICES
BLOCK
GRANT.—Title XX of the Social Security Act.
(D) MATERNAL
AND
CHILD
HEALTH
BLOCK GRANT PROGRAM.—Title V of the Social
Security Act.
(E) PUBLIC HEALTH SERVICE ACT.—The
Public Health Service Act.