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I
118TH CONGRESS
1ST SESSION H. R. 3344
To end the shackling of pregnant individuals, and for other purposes.
IN THE HOUSE OF REPRESENTATIVES
MAY 15, 2023
Ms. PRESSLEY (for herself, Ms. UNDERWOOD, Mr. AGUILAR, Mr. ALLRED,
Ms. BARRAGA´N, Mrs. BEATTY, Mr. BISHOP of Georgia, Mr. BLU-
MENAUER, Ms. BLUNT ROCHESTER, Ms. BROWNLEY, Ms. BUDZINSKI,
Ms. BUSH, Ms. CARAVEO, Mr. CARBAJAL, Mr. CARSON, Mr. CARTER of
Louisiana, Mrs. CHERFILUS-MCCORMICK, Ms. CLARKE of New York, Mr.
CLEAVER, Mr. COHEN, Ms. CRAIG, Ms. CROCKETT, Mr. DAVIS of Illinois,
Ms. DEAN of Pennsylvania, Ms. ESCOBAR, Mr. ESPAILLAT, Mr. EVANS,
Mrs. FOUSHEE, Mr. GARAMENDI, Ms. GARCIA of Texas, Mr. GARCI´A of
Illinois, Mr. GREEN of Texas, Mrs. HAYES, Mr. HORSFORD, Mr.
HUFFMAN, Mr. IVEY, Mr. JACKSON of Illinois, Ms. JACKSON LEE, Ms.
JACOBS, Ms. JAYAPAL, Mr. JOHNSON of Georgia, Ms. KAMLAGER-DOVE,
Mr. KRISHNAMOORTHI, Ms. KUSTER, Ms. LEE of California, Mr. LIEU,
Ms. LOFGREN, Mrs. MCBATH, Mrs. MCCLELLAN, Ms. MCCOLLUM, Mr.
MCGOVERN, Mr. MEEKS, Ms. MENG, Mr. MFUME, Mr. MORELLE, Mr.
MOULTON, Ms. MOORE of Wisconsin, Mr. MRVAN, Mr. MULLIN, Mrs.
NAPOLITANO, Mr. NEGUSE, Ms. OCASIO-CORTEZ, Mr. PAPPAS, Mr.
PAYNE, Mr. PHILLIPS, Ms. PORTER, Mr. RUPPERSBERGER, Ms. SALI-
NAS, Ms. SCANLON, Mr. SCHIFF, Mr. SCHNEIDER, Ms. SCHOLTEN, Mr.
DAVID SCOTT of Georgia, Ms. SEWELL, Mr. SMITH of Washington, Mr.
SOTO, Ms. SPANBERGER, Ms. STANSBURY, Ms. STRICKLAND, Mrs.
SYKES, Mr. TAKANO, Mr. THOMPSON of Mississippi, Ms. TLAIB, Ms.
TOKUDA, Mr. TONKO, Mrs. TORRES of California, Mrs. TRAHAN, Mr.
TRONE, Mr. VARGAS, Mr. VEASEY, Ms. VELA´ZQUEZ, Ms. WASSERMAN
SCHULTZ, Mrs. WATSON COLEMAN, Ms. WEXTON, Ms. WILLIAMS of
Georgia, Mr. PASCRELL, Ms. DELBENE, Mr. LYNCH, and Ms. ADAMS)
introduced the following bill; which was referred to the Committee on the
Judiciary
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•HR 3344 IH
A BILL
To end the shackling of pregnant individuals, and for other
purposes.
Be it enacted by the Senate and House of Representa-
1
tives of the United States of America in Congress assembled,
2
SECTION 1. SHORT TITLE.
3
This Act may be cited as the ‘‘Justice for Incarcer-
4
ated Moms Act’’.
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SEC. 2. ENDING THE SHACKLING OF PREGNANT INDIVID-
6
UALS.
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(a) IN GENERAL.—Beginning on the date that is 6
8
months after the date of enactment of this Act, and annu-
9
ally thereafter, in each State that receives a grant under
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subpart 1 of part E of title I of the Omnibus Crime Con-
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trol and Safe Streets Act of 1968 (34 U.S.C. 10151 et
12
seq.) (commonly referred to as the ‘‘Edward Byrne Memo-
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rial Justice Grant Program’’) and that does not have in
14
effect throughout the State for such fiscal year laws re-
15
stricting the use of restraints on pregnant individuals in
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prison that are substantially similar to the rights, proce-
17
dures, requirements, effects, and penalties set forth in sec-
18
tion 4322 of title 18, United States Code, the amount of
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such grant that would otherwise be allocated to such State
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under such subpart for the fiscal year shall be decreased
21
by 25 percent.
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(b) REALLOCATION.—Amounts not allocated to a
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State for failure to comply with subsection (a) shall be
2
reallocated in accordance with subpart 1 of part E of title
3
I of the Omnibus Crime Control and Safe Streets Act of
4
1968 (34 U.S.C. 10151 et seq.) to States that have com-
5
plied with such subsection.
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SEC. 3. CREATING MODEL PROGRAMS FOR THE CARE OF
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INCARCERATED INDIVIDUALS IN THE PRE-
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NATAL AND POSTPARTUM PERIODS.
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(a) IN GENERAL.—Not later than 1 year after the
10
date of enactment of this Act, the Attorney General, act-
11
ing through the Director of the Bureau of Prisons, shall
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establish, in not fewer than 6 Bureau of Prisons facilities,
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programs to optimize maternal health outcomes for preg-
14
nant and postpartum individuals incarcerated in such fa-
15
cilities. The Attorney General shall establish such pro-
16
grams in consultation with stakeholders such as—
17
(1) relevant community-based organizations,
18
particularly organizations that represent incarcer-
19
ated and formerly incarcerated individuals and orga-
20
nizations that seek to improve maternal health out-
21
comes for pregnant and postpartum individuals from
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demographic groups with elevated rates of maternal
23
mortality, severe maternal morbidity, maternal
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•HR 3344 IH
health disparities, or other adverse perinatal or
1
childbirth outcomes;
2
(2) relevant organizations representing patients,
3
with a particular focus on patients from demo-
4
graphic groups with elevated rates of maternal mor-
5
tality, severe maternal morbidity, maternal health
6
disparities, or other adverse perinatal or childbirth
7
outcomes;
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(3) organizations representing maternity care
9
providers and maternal health care education pro-
10
grams;
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(4) perinatal health workers; and
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(5) researchers and policy experts in fields re-
13
lated to maternal health care for incarcerated indi-
14
viduals.
15
(b) START DATE.—Each selected facility shall begin
16
facility programs not later than 18 months after the date
17
of enactment of this Act.
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(c) FACILITY PRIORITY.—In carrying out subsection
19
(a), the Director shall give priority to a facility based on—
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(1) the number of pregnant and postpartum in-
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dividuals incarcerated in such facility and, among
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such individuals, the number of pregnant and
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postpartum individuals from demographic groups
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with elevated rates of maternal mortality, severe ma-
25
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ternal morbidity, maternal health disparities, or
1
other adverse perinatal or childbirth outcomes; and
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(2) the extent to which the leaders of such facil-
3
ity have demonstrated a commitment to developing
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exemplary programs for pregnant and postpartum
5
individuals incarcerated in such facility.
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(d) PROGRAM DURATION.—The programs established
7
under this section shall be for a 5-year period.
8
(e) PROGRAMS.—Bureau of Prisons facilities selected
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by the Director shall establish programs for pregnant and
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postpartum incarcerated individuals, and such programs
11
may—
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(1) provide access to perinatal health workers
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from pregnancy through the postpartum period;
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(2) provide access to healthy foods and coun-
15
seling on nutrition, recommended activity levels, and
16
safety measures throughout pregnancy;
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(3) train correctional officers to ensure that
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pregnant incarcerated individuals receive safe and
19
respectful treatment;
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(4) train medical personnel to ensure that preg-
21
nant incarcerated individuals receive trauma-in-
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formed, culturally and linguistically congruent care
23
that promotes the health and safety of the pregnant
24
individuals;
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(5) provide counseling and treatment for indi-
1
viduals who have suffered from—
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(A) diagnosed mental or behavioral health
3
conditions, including trauma and substance use
4
disorders;
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(B) trauma or violence, including domestic
6
violence;
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(C) human immunodeficiency virus;
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(D) sexual abuse;
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(E) pregnancy or infant loss; or
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(F) chronic conditions;
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(6) provide evidence-based pregnancy and child-
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birth education, parenting support, and other rel-
13
evant forms of health literacy;
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(7) provide clinical education opportunities to
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maternity care providers in training to expand path-
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ways into maternal health care careers serving incar-
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cerated individuals;
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(8) offer opportunities for postpartum individ-
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uals to maintain contact with the individual’s new-
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born child to promote bonding, including enhanced
21
visitation policies, access to prison nursery pro-
22
grams, or breastfeeding support;
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(9) provide reentry assistance, particularly to—
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•HR 3344 IH
(A) ensure access to health insurance cov-
1
erage and transfer of health records to commu-
2
nity providers if an incarcerated individual exits
3
the criminal justice system during such individ-
4
ual’s pregnancy or in the postpartum period;
5
and
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(B) connect individuals exiting the criminal
7
justice system during pregnancy or in the
8
postpartum period to community-based re-
9
sources, such as referrals to health care pro-
10
viders, substance use disorder treatments, and
11
social services that address social determinants
12
of maternal health; or
13
(10) establish partnerships with local public en-
14
tities, private community entities, community-based
15
organizations, Indian Tribes and Tribal organiza-
16
tions (as such terms are defined in section 4 of the
17
Indian Self-Determination and Education Assistance
18
Act (25 U.S.C. 5304)), and Urban Indian organiza-
19
tions (as such term is defined in section 4 of the In-
20
dian Health Care Improvement Act (25 U.S.C.
21
1603)) to establish or expand pretrial diversion pro-
22
grams as an alternative to incarceration for preg-
23
nant and postpartum individuals. Such programs
24
may include—
25
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•HR 3344 IH
(A) evidence-based childbirth education or
1
parenting classes;
2
(B) prenatal health coordination;
3
(C) family and individual counseling;
4
(D) evidence-based screenings, education,
5
and, as needed, treatment for mental and be-
6
havioral health conditions, including drug and
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alcohol treatments;
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(E) family case management services;
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(F) domestic violence education and pre-
10
vention;
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(G) physical and sexual abuse counseling;
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and
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(H) programs to address social deter-
14
minants of health such as employment, housing,
15
education, transportation, and nutrition.
16
(f) IMPLEMENTATION AND REPORTING.—A selected
17
facility shall be responsible for—
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(1) implementing programs, which may include
19
the programs described in subsection (e); and
20
(2) not later than 3 years after the date of en-
21
actment of this Act, and 6 years after the date of
22
enactment of this Act, reporting results of the pro-
23
grams to the Director, including information de-
24
scribing—
25
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(A) relevant quantitative indicators of suc-
1
cess in improving the standard of care and
2
health outcomes for pregnant and postpartum
3
incarcerated individuals in the facility, including
4
data stratified by race, ethnicity, sex, gender,
5
primary language, age, geography, disability
6
status, the category of the criminal charge
7
against such individual, rates of pregnancy-re-
8
lated deaths, pregnancy-associated deaths, cases
9
of infant mortality and morbidity, rates of
10
preterm births and low-birthweight births, cases
11
of severe maternal morbidity, cases of violence
12
against pregnant or postpartum individuals, di-
13
agnoses of maternal mental or behavioral health
14
conditions, and other such information as ap-
15
propriate;
16
(B) relevant qualitative and quantitative
17
evaluations from pregnant and postpartum in-
18
carcerated individuals who participated in such
19
programs, including measures of patient-re-
20
ported experience of care; and
21
(C) strategies to sustain such programs
22
after fiscal year 2028 and expand such pro-
23
grams to other facilities.
24
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(g) REPORT.—Not later than 6 years after the date
1
of enactment of this Act, the Director shall submit to the
2
Attorney General and to the Congress a report describing
3
the results of the programs funded under this section.
4
(h) OVERSIGHT.—Not later than 1 year after the
5
date of enactment of this Act, the Attorney General shall
6
award a contract to an independent organization or inde-
7
pendent organizations to conduct oversight of the pro-
8
grams described in subsection (e).
9
(i) AUTHORIZATION OF APPROPRIATIONS.—There is
10
authorized to be appropriated to carry out this section
11
$10,000,000 for each of fiscal years 2024 through 2028.
12
SEC. 4. GRANT PROGRAM TO IMPROVE MATERNAL HEALTH
13
OUTCOMES FOR INDIVIDUALS IN STATE AND
14
LOCAL PRISONS AND JAILS.
15
(a) ESTABLISHMENT.—Not later than 1 year after
16
the date of enactment of this Act, the Attorney General,
17
acting through the Director of the Bureau of Justice As-
18
sistance, shall award Justice for Incarcerated Moms
19
grants to States to establish or expand programs in State
20
and local prisons and jails for pregnant and postpartum
21
incarcerated individuals. The Attorney General shall
22
award such grants in consultation with stakeholders such
23
as—
24
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•HR 3344 IH
(1) relevant community-based organizations,
1
particularly organizations that represent incarcer-
2
ated and formerly incarcerated individuals and orga-
3
nizations that seek to improve maternal health out-
4
comes for pregnant and postpartum individuals from
5
demographic groups with elevated rates of maternal
6
mortality, severe maternal morbidity, maternal
7
health disparities, or other adverse perinatal or
8
childbirth outcomes;
9
(2) relevant organizations representing patients,
10
with a particular focus on patients from demo-
11
graphic groups with elevated rates of maternal mor-
12
tality, severe maternal morbidity, maternal health
13
disparities, or other adverse perinatal or childbirth
14
outcomes;
15
(3) organizations representing maternity care
16
providers and maternal health care education pro-
17
grams;
18
(4) perinatal health workers; and
19
(5) researchers and policy experts in fields re-
20
lated to maternal health care for incarcerated indi-
21
viduals.
22
(b) APPLICATIONS.—Each appl
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