Page:United States Statutes at Large Volume 111 Part 1.djvu/48

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Ill STAT. 24 PUBLIC LAW 105-12 —APR. 30, 1997 (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), or in any other provision of this Act (or in any amendment made by this Act), 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. (c) LIMITATION ON FEDERAL FACILITIES AND EMPLOYEES. — Subject to subsection (b), 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) applies to funds appropriated under or to carry out the following: (A) MEDICARE PROGRAM. —Title XVIII of the Social Security Act. (B) MEDICAID PROGRAM.— Title XIX of the Social Security Act. (C) TITLE XX SOCIAL SERVICES BLOCK GRANT. — Title XX of the Social Security Act. (D) MATERNAL AND CHILD HEALTH BLOCK GRANT PROGRAM.— Title V of the Social Security Act. (E) PUBLIC HEALTH SERVICE ACT. — The Public Health Service Act. (F) INDIAN HEALTH CARE IMPROVEMENT ACT.—The Indian Health Care Improvement Act. (G) FEDERAL EMPLOYEES HEALTH BENEFITS PROGRAM.— Chapter 89 of title 5, United States Code. (H) MILITARY HEALTH CARE SYSTEM (INCLUDING TRICARE AND CHAMPUS PROGRAMS). —Chapter 55 of title 10, United States Code. (I) VETERANS MEDICAL CARE. —Chapter 17 of title 38, United States Code. (J) HEALTH SERVICES FOR PEACE CORPS VOLUNTEERS.— Section 5(e) of the Peace Corps Act (22 U.S.C. 2504(e)). (K) MEDICAL SERVICES FOR FEDERAL PRISONERS. — Section 4005(a) of title 18, United States Code. (2) FEDERAL FACILITIES AND PERSONNEL.— The provisions of subsection (c) apply to facilities and personnel of the following: (A) MILITARY HEALTH CARE SYSTEM. — The Department of Defense operating under chapter 55 of title 10, United States Code.