PolicyBrief
H.R. 798
119th CongressJan 28th 2025
Dignity for Aborted Children Act
IN COMMITTEE

This bill mandates that abortion providers offer patients the choice to bury or cremate fetal remains and establishes federal requirements and penalties for the proper disposal of such tissue.

Mary Miller
R

Mary Miller

Representative

IL-15

LEGISLATION

Federal Bill Mandates Burial or Cremation for Fetal Remains: New Compliance Rules for Clinics and Patients

The Dignity for Aborted Children Act proposes a major shift in how healthcare facilities handle fetal tissue. Under this bill, every patient undergoing an abortion would be required to sign a consent form choosing between two options: taking the remains for their own private burial or cremation, or releasing them to the provider. If the provider takes responsibility, they must legally arrange for a burial or cremation within seven days. While providers can combine remains for these services, the bill moves fetal tissue disposal out of the realm of standard medical waste and into the legal framework of human remains management.

The Compliance Cost and the 7-Day Clock

For medical clinics—ranging from large centers to small local offices—this bill introduces a heavy administrative lift. Section 3 of the bill mandates that providers keep signed consent forms for every procedure, with a failure to do so carrying a civil penalty of up to $50,000. The seven-day deadline for burial or cremation also creates a logistical hurdle. For a clinic manager, this means coordinating with funeral homes or crematories on a weekly basis, costs that could inevitably trickle down to the patient. It’s not just paperwork; it’s a new recurring operational expense and a potential legal minefield, as failing to follow the disposal rules could lead to up to five years in federal prison.

Impact on the Patient Experience

For someone sitting in a doctor’s office, this bill adds a significant emotional and procedural layer to their visit. Regardless of the reason for the procedure, the law would require them to make a formal decision on interment or cremation. While the bill explicitly protects patients from being prosecuted for a provider’s disposal errors, the mandatory nature of the consent form means every patient must engage with these specific choices. For many, this could turn a private medical appointment into a much more complex and potentially distressing legal process.

Federal Floors and State Ceilings

This bill sets a national minimum standard, but it doesn't stop states from going further. If a state already has stricter laws regarding the treatment of fetal remains, those laws stay in place. Additionally, the bill requires detailed annual reporting to the Department of Health and Human Services, including the gestational age of the fetus and the method of disposal used. While the government frames this as a matter of dignity and transparency, the sheer volume of data being collected and the threat of criminal fines for providers represent a significant increase in federal oversight over personal medical procedures.