immediate access to physical and mental health as-
sessments and all recommended treatment. 
‘‘(4) RESPONSE TO BEHAVIORAL RISKS IN THE 
BUREAU OF PRISONS.— 
‘‘(A) RESTRICTIVE HOUSING.—The prohi-
bition under subsection (a) relating to restric-
tive housing shall not apply if the Director of 
the Bureau of Prisons or a senior Bureau of 
Prisons official overseeing women’s health and 
services, in consultation with senior officials in 
health services, makes an individualized deter-
mination that restrictive housing is required as 
a temporary response to behavior that poses a 
serious and immediate risk of physical harm. 
‘‘(B) REVIEW.—The official who makes a 
determination under subparagraph (A) shall re-
view such determination every 4 hours for the 
purpose of removing an incarcerated woman as 
quickly as feasible from restrictive housing. 
‘‘(C) RESTRICTIVE
HOUSING
PLAN.—The 
official who makes a determination under sub-
paragraph (A) shall develop an individualized 
plan to move an incarcerated woman to less re-
strictive housing within a reasonable amount of 
time, not to exceed 2 days.
‘‘(D) 
MONITORING.—An 
incarcerated 
woman who is placed in restrictive housing pur-
suant to this paragraph shall be— 
‘‘(i) monitored every hour; 
‘‘(ii) placed in a location visible to cor-
rectional officers; and 
‘‘(iii) prohibited from being placed in 
solitary confinement if the incarcerated 
woman is in her third trimester. 
‘‘(c) REPORTS.— 
‘‘(1) REPORT TO THE DIRECTOR AND HEALTH 
CARE
PROFESSIONAL
AFTER
THE
USE
OF
RE-
STRAINTS.—If an official identified in subsection 
(b)(1) or a correctional officer uses restraints on an 
incarcerated woman under subsection (b), that offi-
cial (or an officer or marshal designated by that offi-
cial) or correctional officer shall submit, not later 
than 30 days after placing the woman in restraints, 
to the Director of the Bureau of Prisons or the Di-
rector of the U.S. Marshal Service, as applicable, a 
written report which describes the facts and cir-
cumstances surrounding the use of restraints, and 
includes each of the following:
‘‘(A) A description of all attempts to use 
alternative interventions and sanctions before 
the restraints were used. 
‘‘(B) A description of the circumstances 
that led to the use of restraints. 
‘‘(C) Strategies the facility is putting in 
place to identify more appropriate alternative 
interventions should a similar situation arise 
again. 
‘‘(2) REPORT TO CONGRESS.—Beginning on the 
date that is 6 months after the date of enactment 
of the Protecting the Health and Wellness of Babies 
and Pregnant Women in Custody Act, and every 6 
months thereafter for a period of 10 years, the At-
torney General shall submit to the Committees on 
the Judiciary of the House of Representatives and 
the Senate a report on— 
‘‘(A) the reasoning upon which the deter-
mination to use restraints was made; 
‘‘(B) the details of the use of restraints, 
including the type of restraints used and length 
of time during which restraints were used; and 
‘‘(C) any resulting physical effects on the 
prisoner observed by or known to the correc-
tions official or United States Marshal, as ap-
plicable. 
‘‘(3) REPORT TO THE DIRECTOR AND HEALTH 
CARE
PROFESSIONAL
AFTER
PLACEMENT
IN
RE-
STRICTIVE
HOUSING.—If an official identified in 
subsection (b)(3), correctional officer, or United 
States Marshal places or causes an incarcerated 
woman to be placed in restrictive housing under 
such subsection, that official, correctional officer, or 
United States Marshal shall submit, not later than 
30 days after placing or causing the placement of 
the incarcerated woman in restrictive housing, to the 
Director of the Bureau of Prisons or the Director of 
the United States Marshals Service, as applicable, 
and to the health care professional responsible for 
the health and safety of the woman, a written report 
which describes the facts and circumstances sur-
rounding the restrictive housing placement, and in-
cludes the following: 
‘‘(A) The reasoning upon which the deter-
mination for the placement was made. 
‘‘(B) The details of the placement, includ-
ing length of time of placement and how fre-
quently and how many times the determination 
was made subsequent to the initial determina-
tion to continue the restrictive housing place-
ment. 
‘‘(C) A description of all attempts to use 
alternative interventions and sanctions before 
the restrictive housing was used. 
‘‘(D) Any resulting physical effects on the 
woman observed by or reported by the health 
care professional responsible for the health and 
safety of the woman. 
‘‘(E) Strategies the facility is putting in 
place to identify more appropriate alternative 
interventions should a similar situation arise 
again. 
‘‘(4) REPORT TO CONGRESS.—Beginning on the 
date that is 6 months after the date of enactment 
of the Protecting the Health and Wellness of Babies 
and Pregnant Women in Custody Act, and every 6 
months thereafter for a period of 10 years, the At-
torney General shall submit to the Committees on 
the Judiciary of the House of Representatives and 
the Senate a report on the information described in 
paragraph (3). 
‘‘(d) NOTICE.—Not later than 24 hours after the con-
firmation of an incarcerated woman’s pregnancy by a 
health care professional, that woman shall be notified,
orally and in writing, by an appropriate health care profes-
sional, correctional officer, or United States Marshal, as 
applicable— 
‘‘(1) of the restrictions on the use of restraints 
and restrictive housing placements under this sec-
tion; 
‘‘(2) of the incarcerated woman’s right to make 
a confidential report of a violation of restrictions on 
the use of restraints or restrictive housing place-
ment; and 
‘‘(3) that the facility staff have been advised of 
all rights of the incarcerated woman under sub-
section (a). 
‘‘(e) VIOLATION REPORTING PROCESS.—Not later 
than 180 days after the date of enactment of this Act, 
the Director of the Bureau of Prisons and the Director 
of the United States Marshals Service shall establish proc-
esses through which an incarcerated person may report 
a violation of this section. 
‘‘(f) NOTIFICATION OF RIGHTS.—The warden of the 
Bureau of Prisons facility where a pregnant woman is in 
custody shall notify necessary facility staff of the preg-
nancy and of the incarcerated pregnant woman’s rights 
under subsection (a).