I 
118TH CONGRESS 
1ST SESSION H. R. 3111 
To amend Federal law to remove the terms ‘‘mentally retarded’’ and ‘‘mental 
retardation’’, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
MAY 5, 2023 
Mr. POCAN (for himself, Mr. SESSIONS, Ms. NORTON, Mrs. RODGERS of 
Washington, Mr. MULLIN, Mr. DESAULNIER, Mr. GRIJALVA, Mr. PHIL-
LIPS, Ms. TOKUDA, Mr. BLUMENAUER, Mr. KEATING, Mr. FITZPATRICK, 
Mr. TONKO, Mr. GARCI´A of Illinois, Mr. SMITH of New Jersey, Mr. 
LANGWORTHY, Mr. MOLINARO, Mrs. HOUCHIN, Mrs. WATSON COLEMAN, 
Mr. NICKEL, Ms. SCHAKOWSKY, Mr. DOGGETT, Ms. MCCOLLUM, Ms. 
CASTOR
of Florida, Ms. KAPTUR, Ms. WILD, Mr. EVANS, Mr. 
MOSKOWITZ, Mr. DUNCAN, Ms. LETLOW, Mr. PAYNE, Ms. SHERRILL, 
Mr. MCGARVEY, Ms. BUDZINSKI, Mr. KHANNA, Mr. MANN, Ms. LEE of 
Pennsylvania, Ms. KUSTER, and Ms. DELBENE) introduced the following 
bill; which was referred to the Committee on the Judiciary 
A BILL 
To amend Federal law to remove the terms ‘‘mentally 
retarded’’ and ‘‘mental retardation’’, 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 ‘‘Words Matter Act of 
2023’’. 
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SEC. 2. REMOVAL OF ‘‘MENTALLY RETARDED’’ AND ‘‘MEN-
TAL RETARDATION’’ FROM FEDERAL LAW. 
(a) CONTRACTS FOR MEDICAL CARE FOR SPOUSES 
AND CHILDREN.—Section 1079(d)(3)(B) of title 10, 
United States Code, is amended by striking ‘‘is moderately 
or severely mentally retarded, has a serious physical dis-
ability, or has’’ and inserting ‘‘has a moderate to severe 
intellectual disability, a serious physical disability, or’’. 
(b) MORTGAGE INSURANCE FOR NURSING HOMES, 
INTERMEDIATE CARE FACILITIES, AND BOARD AND CARE 
HOMES.—Section 232(d)(4)(A) of the National Housing 
Act (12 U.S.C. 1715w(d)(4)(A)) is amended by striking 
‘‘the mentally retarded or developmentally disabled’’ and 
inserting ‘‘individuals with intellectual or developmental 
disabilities’’. 
(c) IMPLEMENTATION OF A SENTENCE OF DEATH.— 
Section 3596(c) of title 18, United States Code, is amend-
ed by striking ‘‘is mentally retarded’’ and inserting ‘‘has 
an intellectual disability’’. 
(d) FETAL ALCOHOL SYNDROME DEFINITION.—Sec-
tion 4(9)(A) of the Indian Health Care Improvement Act 
(25 U.S.C. 1603(9)(A)) is amended by striking ‘‘mental 
retardation’’ and inserting ‘‘intellectual disability’’. 
(e) GENERAL
PROGRAMS
DEFINITIONS.—Section 
701 of the Indian Health Care Improvement Act (25 
U.S.C. 1665) is amended by striking ‘‘mental retardation’’ 
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and inserting ‘‘intellectual disability’’ each place it ap-
pears. 
(f) GRANT AUTHORITY.—Section 2201 of the Omni-
bus Crime Control and Safe Streets Act of 1968 (34 
U.S.C. 10471) is amended— 
(1) in paragraph (1) by striking ‘‘mental retar-
dation’’ and inserting ‘‘intellectual disabilities’’; and 
(2) in paragraph (2)— 
(A) in subparagraph (A) by striking ‘‘a 
mentally ill or mentally retarded offender’’ and 
inserting ‘‘an offender who has a mental illness 
or intellectual disability’’; and 
(B) in subparagraph (C) by striking ‘‘of a 
mentally ill or mentally retarded defendant’s 
cases’’ and inserting ‘‘cases of a defendant who 
has a mental illness or intellectual disability’’. 
(g) MENTAL HEALTH COURTS DEFINITIONS.—Sec-
tion 2202(2) of the Omnibus Crime Control and Safe 
Streets Act of 1968 (34 U.S.C. 10472(2)) is amended by 
striking ‘‘mental retardation’’ and inserting ‘‘intellectual 
disability’’ each place it appears. 
(h) DONATION OF PERSONAL PROPERTY THROUGH 
STATE AGENCIES.—Section 549(c)(3)(B)(iv) of title 40, 
United States Code, is amended by striking ‘‘the mentally 
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retarded or physically handicapped’’ and inserting ‘‘indi-
viduals with intellectual or physical disabilities’’. 
(i) TRAINING OPPORTUNITIES FOR DIRECT CARE 
WORKERS.—Section 747A(a) of the Public Health Service 
Act (42 U.S.C. 293k–1(a)) is amended by striking ‘‘men-
tal retardation’’ and inserting ‘‘intellectual disabilities’’. 
(j) CRIMINAL PENALTIES
FOR ACTS INVOLVING 
FEDERAL HEALTH CARE PROGRAMS.—Section 1128B of 
the Social Security Act (42 U.S.C. 1320a–7b) is amended 
by striking ‘‘the mentally retarded’’ and inserting ‘‘indi-
viduals with intellectual disabilities’’ each place it appears. 
(k) LONG-TERM CARE FACILITY OR PROVIDER.— 
Section 6201(a)(6)(E)(ix) of the Patient Protection and 
Affordable Care Act (42 U.S.C. 1320a–7l(a)(6)(E)(ix)) is 
amended by striking ‘‘the mentally retarded’’ and insert-
ing ‘‘individuals with intellectual disabilities’’. 
(l) GRANTS FOR PLANNING COMPREHENSIVE ACTION 
TO RESPOND TO THE NEEDS OF INDIVIDUALS WITH IN-
TELLECTUAL DISABILITIES.—Title XVII of the Social Se-
curity Act (42 U.S.C. 1391 et seq.) is amended— 
(1) in the title heading by striking ‘‘COMBAT 
MENTAL 
RETARDATION’’ 
and 
inserting 
‘‘MEET THE NEEDS OF INDIVIDUALS 
WITH INTELLECTUAL DISABILITIES’’; 
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(2) in section 1701, by striking ‘‘combat mental 
retardation’’ and inserting ‘‘meet the needs of indi-
viduals with intellectual disabilities’’ each place it 
appears; 
(3) in section 1702— 
(A) by striking ‘‘needed to combat mental 
retardation’’ and inserting ‘‘needed to meet the 
needs of individuals with intellectual disabil-
ities’’; 
(B) by striking ‘‘the mental retardation 
problem and of the need for combating it’’ and 
inserting ‘‘such needs’’; 
(C) by striking ‘‘relating to the various as-
pects of mental retardation and its prevention, 
treatment, or amelioration’’ and inserting ‘‘to 
meet such needs’’; and 
(D) by striking ‘‘community action to com-
bat mental retardation’’ and inserting ‘‘commu-
nity action to meet such needs’’; and 
(4) in section 1703 by striking ‘‘the mentally 
retarded’’ and inserting ‘‘individuals with intellectual 
disabilities’’. 
(m) REQUIREMENTS FOR, AND ASSURING QUALITY 
CARE
IN, SKILLED
NURSING
FACILITIES.—Section 
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1819(b)(4) of the Social Security Act (42 U.S.C. 1395i– 
3(b)(4)) is amended— 
(1) in subparagraph (A)(vii) by striking ‘‘men-
tally ill and mentally retarded residents’’ and insert-
ing ‘‘residents with mental illnesses or intellectual 
disabilities’’; and 
(2) in subparagraph (C)(ii)(IV) by striking ‘‘the 
mentally ill and the mentally retarded’’ and inserting 
‘‘individuals with mental illnesses or intellectual dis-
abilities’’. 
(n) GRANTS TO STATES FOR MEDICAL ASSISTANCE 
PROGRAMS.—Title XIX of the Social Security Act (42 
U.S.C. 1396 et seq.) is amended— 
(1) by striking ‘‘intermediate care facility for 
the mentally retarded’’ and inserting ‘‘intermediate 
care facility for individuals with intellectual disabil-
ities’’ each place it appears; 
(2) by striking ‘‘intermediate care facilities for 
the mentally retarded’’ and inserting ‘‘intermediate 
care facilities for individuals with intellectual disabil-
ities’’ each place it appears; 
(3) in section 1905(d)— 
(A) in the matter preceding paragraph (1) 
by striking ‘‘the mentally retarded or persons 
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with’’ and inserting ‘‘individuals with intellec-
tual disabilities or’’; 
(B) in paragraph (1) by striking ‘‘mentally 
retarded individuals’’ and inserting ‘‘individuals 
with intellectual disabilities’’; and 
(C) in paragraph (2) by striking ‘‘mentally 
retarded individual’’ and inserting ‘‘individual 
who has an intellectual disability’’; 
(4) in the section heading of section 1910 by 
striking ‘‘THE MENTALLY RETARDED’’ and insert-
ing ‘‘INDIVIDUALS
WITH
INTELLECTUAL
DIS-
ABILITIES’’; 
(5) in section 1915(c)(7)(C) by striking ‘‘men-
tal retardation or a related condition’’ and inserting 
‘‘intellectual disabilities or related conditions’’; 
(6) in section 1919— 
(A) in subsection (b)(3)— 
(i) in subparagraph (E)— 
(I) by striking ‘‘mental retarda-
tion’’ and inserting ‘‘intellectual’’; and 
(II) by striking ‘‘is mentally ill or 
mentally retarded’’ and inserting ‘‘has 
a mental illness or intellectual dis-
ability’’; and 
(ii) in subparagraph (F)— 
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(I) in the subparagraph heading 
by striking ‘‘MENTALLY ILL AND MEN-
TALLY RETARDED INDIVIDUALS’’ and 
inserting ‘‘INDIVIDUALS
WHO
HAVE 
MENTAL
ILLNESSES
OR
INTELLEC-
TUAL DISABILITIES’’; 
(II) by striking ‘‘State mental re-
tardation’’ and inserting ‘‘State intel-
lectual’’ each place it appears; 
(III) in clause (i) by striking ‘‘is 
mentally ill’’ and inserting ‘‘has a 
mental illness’’; and 
(IV) in clause (ii)— 
(aa) by striking ‘‘is mentally 
retarded’’ and inserting ‘‘has an 
intellectual disability’’; and 
(bb) by striking ‘‘for mental 
retardation’’ and inserting ‘‘for 
such intellectual disability’’; 
(B) in subsection (b)(4)— 
(i) in subparagraph (A)(vii) by strik-
ing ‘‘mentally ill and mentally retarded 
residents’’ and inserting ‘‘residents with 
mental illnesses or intellectual disabilities’’; 
and 
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