H.R. 21Born-Alive Abortion Survivors Protection Act

2 recorded actionsWhat the measure does Read on Congress.gov

Sponsor: Ann Wagner [R-MO-02]
Cosponsors: 163 · 163 Republicans
Policy area: Crime and Law Enforcement
Committee: Judiciary Committee
Latest action: Jan 24, 2025 · Received in the Senate and Read twice and referred to the Committee on the Judiciary.

IntroducedJan 3, 2025
Passed the HouseJan 23, 2025
Passed the SenateNot yet reached
Sent to the PresidentNot yet reached
Became lawNot yet reached

What the measure doesCRS summary

Born-Alive Abortion Survivors Protection Act

This bill establishes requirements for the degree of care a health care practitioner must provide in the case of a child born alive following an abortion or attempted abortion.

Specifically, a health care practitioner who is present must (1) exercise the same degree of care as would reasonably be provided to any other child born alive at the same gestational age, and (2) ensure the child is immediately admitted to a hospital. Additionally, a health care practitioner or other employee who has knowledge of a failure to comply with the degree-of-care requirements must immediately report such failure to law enforcement.

A health care practitioner who fails to provide the required degree of care, or a health care practitioner or other employee who fails to report such failure, is subject to criminal penalties—a fine, up to five years in prison, or both.

An individual who intentionally kills or attempts to kill a child born alive is subject to prosecution for murder.

The bill bars the criminal prosecution of a mother of a child born alive under this bill and allows her to bring a civil action against a health care practitioner or other employee for violations.

Written by the nonpartisan Congressional Research Service, describing H.R. 21 as introduced in House on Jan 3, 2025. It is not the text of the measure; a later amendment may have changed what it does.

Roll calls on H.R. 212 roll calls on this measure

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Jan 23, 2025Each bar: ✓ Yea from the bottom, ✕ Nay aboveJan 23, 2025

How every member votedHouse roll call 27

House Jan 23, 2025 · the primary vote

On Passage

Born-Alive Abortion Survivors Protection Act

Passed

217 Yea 204 Nay 11 not voting · 1 present

Party-line vote 1 of 421 voting members broke with their own party: 1 Democrat.

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How the chamber split

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DemocratsIndependentsRepublicansFilled: YeaRing: NayGrey: not voting or present

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All members433 members

Democratic215 members

Independent1 member

Republican217 members

marks half of the votes cast. A party’s majority is the side most of its voting members took.

Cosponsors163 · 163 Republicans

Signing on is not a vote: a member can cosponsor H.R. 21 and vote against it. 2 signed when it was filed.

Loading the public record

Who lobbied on H.R. 2122 organizations

Organizations that named H.R. 21 in a lobbying disclosure. Only those that cited the bill by number appear, so this is a floor, not a full list.

POWER TO DECIDE

Budget/Appropriations · Health Issues · Medicare/Medicaid · Veterans +3 more10 filings · 3rd Quarter (July 1 - Sep 30) 2026Filing

AMERICAN ACADEMY OF FAMILY PHYSICIANSIts PAC: American Academy of Family Physicians PAC

Budget/Appropriations · Education · Health Issues · Medicare/Medicaid +2 more7 filings · 3rd Quarter (July 1 - Sep 30) 2026Filing

AMERICAN PSYCHIATRIC ASSOCIATIONIts PAC: American Psychiatric Association PAC

Budget/Appropriations · Health Issues · Veterans · Medical/Disease Research/Clinical Labs +6 more4 filings · 4th Quarter (Oct 1 - Dec 31) 2025Filing

NATIONAL COUNCIL OF JEWISH WOMEN

Family issues/Abortion/Adoption · Government Issues · Budget/Appropriations · Civil Rights/Civil Liberties +8 more4 filings · 4th Quarter (Oct 1 - Dec 31) 2025Filing

STUDENTS FOR LIFE ACTIONIts PAC: Students for Life Action PAC

Government Issues · Family issues/Abortion/Adoption4 filings · 4th Quarter (Oct 1 - Dec 31) 2025Filing

AMERICAN PUBLIC HEALTH ASSOCIATION

Agriculture · Budget/Appropriations · Health Issues · Firearms/Guns/Ammunition +4 more3 filings · 3rd Quarter (July 1 - Sep 30) 2025Filing

LEADERSHIP CONFERENCE ON CIVIL AND HUMAN RIGHTS

Medicare/Medicaid · Taxation/Internal Revenue Code · Housing · Education +12 more2 filings · 1st Quarter (Jan 1 - Mar 31) 2025Filing

SERVICE EMPLOYEES INTERNATIONAL UNION CTW-CLC

Labor Issues/Antitrust/Workplace · Medicare/Medicaid · Budget/Appropriations · Civil Rights/Civil Liberties +11 more2 filings · 1st Quarter (Jan 1 - Mar 31) 2025Filing

SUSAN B ANTHONY LIST

Medical/Disease Research/Clinical Labs · Insurance · Medicare/Medicaid · Pharmacy +19 more2 filings · 2nd Quarter (Apr 1 - June 30) 2025Filing

ALLIANCE DEFENDING FREEDOM

Family issues/Abortion/Adoption · Civil Rights/Civil Liberties · Foreign Relations · Health Issues +2 more1 filing · 1st Quarter (Jan 1 - Mar 31) 2025Filing

51 disclosures name this measure. Retrieved from LDA.gov on 2026-10-25. Senate Office of Public Records cannot vouch for the data or analyses derived from these data after the data have been retrieved from LDA.gov.