Subject to subsection (b) of this section, 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 purpose of assisting in causing, the death of any individual, such as by assisted suicide, euthanasia, or mercy killing;
(2) to pay (directly, through payment of Federal financial participation or other matching payment, or otherwise) for such an item or service, including payment of expenses relating to such an item or service; or
(3) to pay (in whole or in part) for health benefit coverage that includes any coverage of such an item or service or of any expenses relating to such an item or service.
Nothing in subsection (a) of this section, or in any other provision of this chapter (or in any amendment made by this chapter), shall be construed to 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 discomfort, 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.
Subject to subsection (b) of this section, with respect to health care items and services furnished—
(1) by or in a health care facility owned or operated by the Federal government, or
(2) by any physician or other individual employed 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, euthanasia, or mercy killing.
Subsection (a) of this section applies to funds appropriated under or to carry out the following:
Title XVIII of the Social Security Act [42 U.S.C. 1395 et seq.].
Title XIX of the Social Security Act [42 U.S.C. 1396 et seq.].
Title XX of the Social Security Act [42 U.S.C. 1397 et seq.].
Title V of the Social Security Act [42 U.S.C. 701 et seq.].
The Public Health Service Act [42 U.S.C. 201 et seq.].
The Indian Health Care Improvement Act [25 U.S.C. 1601 et seq.].
Chapter 89 of title 5.
Chapter 55 of title 10.
Chapter 17 of title 38.
Section 2504(e) of title 22.
Section 4005(a) of title 18.
The provisions of subsection (c) of this section apply to facilities and personnel of the following:
The Department of Defense operating under chapter 55 of title 10.
The Veterans Health Administration of the Department of Veterans Affairs.
The Public Health Service.
Nothing in this subsection shall be construed as limiting the application of subsection (a) of this section to the programs specified in paragraph (1) or the application of subsection (c) of this section to the facilities and personnel specified in paragraph (2).
(Pub. L. 105–12, §3, Apr. 30, 1997, 111 Stat. 23.)
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