§ 14402. Restriction on use of Federal funds under health care programs
(a)
Restriction on Federal funding of health care services
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.
(b)
Construction and treatment of certain services
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;
(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.
(c)
Limitation on Federal facilities and employees
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.
(d)
List of programs to which restrictions apply
(1)
Federal health care funding programs
Subsection (a) of this section applies to funds appropriated under or to carry out the following:
(A)
Medicare program
Title XVIII of the Social Security Act [
42 U.S.C.
1395 et seq.].
(B)
Medicaid program
Title XIX of the Social Security Act [
42 U.S.C.
1396 et seq.].
(C)
Title XX social services block grant
Title XX of the Social Security Act [
42 U.S.C.
1397 et seq.].
(D)
Maternal and child health block grant program
Title V of the Social Security Act [
42 U.S.C.
701 et seq.].
(E)
Public Health Service Act
The Public Health Service Act [
42 U.S.C.
201 et seq.].
(F)
Indian Health Care Improvement Act
The Indian Health Care Improvement Act [
25 U.S.C.
1601 et seq.].
(G)
Federal employees health benefits program
(H)
Military health care system (including Tricare and CHAMPUS programs)
(I)
Veterans medical care
(J)
Health services for Peace Corps volunteers
Section
2504
(e) of title
22.
(K)
Medical services for Federal prisoners
Section
4005
(a) of title
18.
(2)
Federal facilities and personnel
The provisions of subsection (c) of this section apply to facilities and personnel of the following:
(A)
Military health care system
The Department of Defense operating under chapter
55 of title
10.
(B)
Veterans medical care
The Veterans Health Administration of the Department of Veterans Affairs.
(C)
Public Health Service
The Public Health Service.
(3)
Nonexclusive list
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).