HR4664119th CongressWALLET

Stop Shackling and Detaining Pregnant Women Act

Sponsored By: Representative Garcia (TX)

Introduced

Summary

This bill would create a strong presumption against detention and a prohibition on shackling for pregnant, lactating, and postpartum people. It would pair that presumption with health-first standards, regular case reviews, and public reporting to enforce humane treatment.

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  • Pregnant and postpartum individuals would get guaranteed access to pregnancy testing and a wide range of medical care. That includes prenatal and postpartum care, labor and delivery services, lactation support, contraception continuation, substance use disorder treatment, and abortion services when applicable.
  • Detention rules would favor release and require routine oversight. The bill would mandate weekly individualized reviews, a 72-hour review window, and release within 24 hours if detention is no longer justified.
  • Facilities and agencies would face tight limits on restraints and stronger transparency. Most restraints and specific types would be barred except in narrowly documented emergencies, and facilities would do quarterly reporting, yearly audits by the Department of Homeland Security, annual staff training, and privacy-protected public disclosures.

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Bill Overview

Analyzed Economic Effects

7 provisions identified: 7 benefits, 0 costs, 0 mixed.

No shackling of pregnant detainees

This bill would ban restraints on people known to be pregnant, lactating, or in the first year after birth, including during transport. A facility could use restraints only in a rare, documented emergency and only the least restrictive type. Leg, waist, or 4‑point restraints, and face‑down or behind‑the‑back positions, would be banned. Any restraint must be removed if a treating health professional asks. No restraints would be allowed during labor or delivery.

Presumption of release for pregnant people

This bill would set a presumption against detaining people known to be pregnant, lactating, or within one year after birth. Detention would be allowed only in rare cases with a specific finding of immediate serious risk, and only if alternatives cannot reduce the threat. If a pregnant person has a final removal order, detention only to carry out removal would be limited to the shortest possible time and no more than 5 days. DHS would review any such detention at least weekly and finish each review within 72 hours. If detention no longer applies, release would be within 24 hours, with medical records and medications prepared and contacts notified.

Health care for pregnant detainees

If enacted, people in DHS custody who are pregnant, lactating, or within one year after birth would get pregnancy health care. Intake would include pregnancy testing. Care would include prenatal visits, delivery, treatment for complications, postpartum mental and physical care, contraception, menstrual products, lactation help, and abortion services. Care would require informed consent, and treatment could not be forced. Nonmedical staff would not be present during exams or delivery unless a clinician asks.

Facilities must plan for maternity care

Each detention facility would need an arrangement with the nearest maternity hospital and clear emergency steps. Staff would need to know where to take someone in an emergency. Facilities would need a plan to provide care if an immediate transfer is not possible. CBP would set minimum standards for care, and DHS would issue rules to apply these requirements at its facilities.

Know your rights and staff training

Detained people would get a notice of their rights in a language or way they understand. DHS would train staff who work with pregnant or postpartum detainees at hiring and every year. Training would cover the bill’s medical, privacy, release, and restraint rules.

Who is covered by these rules

This bill would define who the protections cover. It would include adults and juveniles held by federal, state, or local agencies, including contract and detainer facilities. "Postpartum" would mean one year after delivery, or longer if a licensed health provider says so. It would list what counts as a restraint and would exclude medical restraints. These definitions would guide who can claim the Act’s protections.

Public reporting and audits on restraints

Facilities would document any rare restraint use within 5 days and keep records for 5 years. Redacted copies would be available for public inspection. Within 30 days after each quarter, facilities would report counts, detention lengths, restraint details, and pregnancy outcomes, without personal data. DHS would complete a yearly audit within 90 days after the fiscal year and share a summary with Congress. DHS would also set minimum medical standards for pregnant detainees.

Sponsors & CoSponsors

Sponsor

Garcia (TX)

TX • D

Cosponsors

  • Thompson (MS)

    MS • D

    Sponsored 7/23/2025

  • Velazquez

    NY • D

    Sponsored 7/23/2025

  • Takano

    CA • D

    Sponsored 7/23/2025

  • Waters

    CA • D

    Sponsored 7/23/2025

  • Espaillat

    NY • D

    Sponsored 7/23/2025

  • Clarke (NY)

    NY • D

    Sponsored 7/23/2025

  • Leger Fernandez

    NM • D

    Sponsored 7/23/2025

  • Castro (TX)

    TX • D

    Sponsored 7/23/2025

  • Ramirez

    IL • D

    Sponsored 7/23/2025

  • Johnson (GA)

    GA • D

    Sponsored 7/23/2025

  • Del. Norton, Eleanor Holmes [D-DC-At Large]

    DC • D

    Sponsored 7/23/2025

  • Evans (PA)

    PA • D

    Sponsored 7/23/2025

  • Watson Coleman

    NJ • D

    Sponsored 7/23/2025

  • DeGette

    CO • D

    Sponsored 7/23/2025

  • Davis (IL)

    IL • D

    Sponsored 7/23/2025

  • Sewell

    AL • D

    Sponsored 7/23/2025

  • Simon

    CA • D

    Sponsored 7/23/2025

  • Tlaib

    MI • D

    Sponsored 7/23/2025

  • Carson

    IN • D

    Sponsored 7/23/2025

  • Krishnamoorthi

    IL • D

    Sponsored 7/23/2025

  • Correa

    CA • D

    Sponsored 7/23/2025

  • Ross

    NC • D

    Sponsored 7/23/2025

  • Vargas

    CA • D

    Sponsored 7/23/2025

  • Williams (GA)

    GA • D

    Sponsored 7/23/2025

  • Fields

    LA • D

    Sponsored 7/23/2025

  • Crockett

    TX • D

    Sponsored 7/23/2025

  • Wilson (FL)

    FL • D

    Sponsored 7/23/2025

  • Bell

    MO • D

    Sponsored 7/23/2025

  • Schakowsky

    IL • D

    Sponsored 7/23/2025

  • Green, Al (TX)

    TX • D

    Sponsored 7/23/2025

  • Kelly (IL)

    IL • D

    Sponsored 7/23/2025

  • Omar

    MN • D

    Sponsored 7/23/2025

  • Thanedar

    MI • D

    Sponsored 7/23/2025

  • Goldman (NY)

    NY • D

    Sponsored 7/23/2025

  • Jackson (IL)

    IL • D

    Sponsored 7/23/2025

  • Barragan

    CA • D

    Sponsored 7/23/2025

  • McCollum

    MN • D

    Sponsored 7/23/2025

  • Khanna

    CA • D

    Sponsored 7/23/2025

  • Soto

    FL • D

    Sponsored 7/23/2025

  • Figures

    AL • D

    Sponsored 7/23/2025

  • Lee (PA)

    PA • D

    Sponsored 7/23/2025

  • Brownley

    CA • D

    Sponsored 7/23/2025

  • Garcia (IL)

    IL • D

    Sponsored 7/23/2025

  • Ocasio-Cortez

    NY • D

    Sponsored 7/23/2025

  • Swalwell

    CA • D

    Sponsored 8/22/2025

  • Frankel, Lois

    FL • D

    Sponsored 8/22/2025

  • Stansbury

    NM • D

    Sponsored 9/2/2025

  • Tokuda

    HI • D

    Sponsored 10/17/2025

  • Ansari

    AZ • D

    Sponsored 10/17/2025

  • McIver

    NJ • D

    Sponsored 10/31/2025

  • Latimer

    NY • D

    Sponsored 11/12/2025

  • DeSaulnier

    CA • D

    Sponsored 11/17/2025

  • Grijalva

    AZ • D

    Sponsored 11/20/2025

  • Torres (CA)

    CA • D

    Sponsored 12/4/2025

  • Meng

    NY • D

    Sponsored 12/9/2025

  • Johnson (TX)

    TX • D

    Sponsored 1/13/2026

Roll Call Votes

No roll call votes available for this bill.

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