Title 42The Public Health and WelfareRelease 119-73not60

§18113 Prohibition Against Discrimination on Assisted Suicide

Title 42 › Chapter 157— QUALITY, AFFORDABLE HEALTH CARE FOR ALL AMERICANS › Subchapter VI— MISCELLANEOUS PROVISIONS › § 18113

Last updated Apr 5, 2026|Official source

Summary

Stops the federal government, and any state or local government that gets federal money, and health plans under the law from punishing a person or a health-care entity for refusing to provide assisted suicide, euthanasia, or mercy killing. Health-care entities include doctors, hospitals, HMOs, insurance plans, and similar providers. Does not change rules about stopping medical treatment or food and water, abortion, or giving medicine to relieve pain (even if that may raise the risk of death) as long as it is not given to cause death. Complaints go to the HHS Office for Civil Rights.

Full Legal Text

Title 42, §18113

The Public Health and Welfare — Source: USLM XML via OLRC

(a)The Federal Government, and any State or local government or health care provider that receives Federal financial assistance under this Act (or under an amendment made by this Act) or any health plan created under this Act (or under an amendment made by this Act), may not subject an individual or institutional health care entity to discrimination on the basis that the entity does not 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.
(b)In this section, the term “health care entity” includes an individual physician or other health care professional, a hospital, a provider-sponsored organization, a health maintenance organization, a health insurance plan, or any other kind of health care facility, organization, or plan.
(c)Nothing in subsection (a) 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.
(d)The Office for Civil Rights of the Department of Health and Human Services is designated to receive complaints of discrimination based on this section.

Legislative History

Notes & Related Subsidiaries

Editorial Notes

References in Text

This Act, referred to in subsec. (a), is Pub. L. 111–148, Mar. 23, 2010, 124 Stat. 119, known as the Patient Protection and Affordable Care Act. For complete classification of this Act to the Code, see

Short Title

note set out under section 18001 of this title and Tables.

Reference

Citations & Metadata

Citation

42 U.S.C. § 18113

Title 42The Public Health and Welfare

Last Updated

Apr 5, 2026

Release point: 119-73not60