PolicyBrief
H.R. 8690
119th CongressMay 7th 2026
Pregnant Women in Custody Act
IN COMMITTEE

This bill establishes comprehensive standards for the care, housing, and treatment of pregnant women in federal custody, including mandated data collection, prohibitions on restrictive housing and restraints, and requirements for family unity services.

Sydney Kamlager-Dove
D

Sydney Kamlager-Dove

Representative

CA-37

LEGISLATION

New Bill Bans Restraints on Pregnant Incarcerated Women, Mandates Mother-Baby Programs

Alright, let's talk about something that hits close to home for a lot of folks, especially those navigating the complexities of modern life. We're looking at the 'Pregnant Women in Custody Act,' and it's basically a big push to change how pregnant women and new moms are treated when they're in federal custody. Think of it as a comprehensive update to ensure that basic human dignity and health aren't forgotten, even in tough situations.

What's Changing for Moms and Babies in Federal Custody?

First off, this bill is setting up some serious data collection. Within a year, the Bureau of Justice Statistics, along with Homeland Security and the Office of Refugee Resettlement, will start gathering detailed info on pregnant women in custody. We're talking demographics, the type of prenatal and post-delivery care they receive, whether they get support like doulas, and even how long moms and babies stay together after birth. This isn't just numbers; it's about shining a light on what's actually happening on the ground, which is crucial for identifying problems and fixing them. For anyone who's ever tried to get clear data on social issues, you know how big a deal this is.

Then there's the big one: family unity. The bill mandates that federal facilities—like those run by the Bureau of Prisons or ICE—must offer programs that allow mothers and infants to stay together after delivery. We're talking nurseries and residential services, plus lactation support and at least 60 minutes of daily bonding time between mom and baby. Imagine being a new mom, separated from your newborn. This provision directly addresses that, aiming to keep families connected during a critical bonding period. It's a recognition that early maternal-infant bonding isn't just nice to have, but essential for development.

Healthcare Gets a Much-Needed Check-Up

For any woman of reproductive age in federal custody, this bill ensures access to contraception and testing for pregnancy and STDs upon request. They'll even be offered a pregnancy test when they first come in. Once a pregnancy is confirmed, facilities have to step up their game. This means proper bedding and clothing, a diet that meets federal guidelines (no more 'nutraloaf' as punishment, thank goodness), and modified recreation to prevent overexertion. Essentially, it's about making sure basic health needs are met, not just for the mom, but for the developing baby too. If you've ever had to manage a pregnancy, you know how vital these details are.

Beyond the basics, there's a strong focus on education and support. Pregnant women will get information on parental rights, family preservation services, and the nitty-gritty of pregnancy, childbirth, and parenting. For those who've recently given birth or experienced a pregnancy outcome like a miscarriage, counseling from a licensed provider is mandated. Plus, there's a requirement for early evaluation for substance use disorders and mental health conditions, including postpartum depression. This is huge, as these issues often go unaddressed in correctional settings, leading to long-term problems for both mother and child.

No More Shackles: Restrictive Housing and Restraints Get the Boot

This is perhaps one of the most impactful changes. The bill largely bans the use of restrictive housing (think solitary confinement) and physical restraints on pregnant women. This prohibition starts when pregnancy is confirmed and lasts until at least 12 weeks postpartum, or longer if a healthcare professional says so. There are extremely narrow exceptions for restrictive housing if there's an immediate and serious risk of physical harm, but even then, it's temporary, reviewed daily, and explicitly prohibits solitary for women in their third trimester. This is a direct response to practices that have been widely criticized as inhumane and dangerous for both mother and baby. Imagine being pregnant and shackled; this bill says 'no more.'

For women with high-risk pregnancies, the bill requires an evaluation and appropriate care. If a woman with a high-risk pregnancy agrees, she can be transferred to a Residential Reentry Center with adequate healthcare, ideally close to her family. This is a practical solution aimed at providing better medical support and maintaining family ties during a vulnerable time. The time spent there even counts towards her sentence, which is a smart move for reintegration.

Holding the System Accountable

To ensure these changes actually stick, the bill includes several accountability measures. There will be mandatory training for all correctional officers and U.S. Marshals on the treatment of pregnant women, covering transportation, housing, nutrition, and the proper use of restraints. Plus, the bill sets up a process for incarcerated individuals to report violations, and it's explicitly unlawful for staff to retaliate against them. If these provisions aren't followed, individuals can file civil lawsuits against the relevant agency director for damages or injunctive relief. This 'right to sue' is a powerful tool to ensure compliance and give people recourse when their rights are violated.

Finally, the Government Accountability Office (GAO) will conduct a study on services and protections for pregnant women in state and local correctional facilities. This means the impact of this bill could extend beyond federal facilities, potentially influencing best practices nationwide. It's about gathering facts to drive further, much-needed reform.

This bill is a significant step towards a more humane and health-conscious approach to incarcerated pregnant women. It directly tackles issues that have long been a concern for advocates, from basic healthcare to the potential trauma of solitary confinement during pregnancy. While implementing these services and training will likely come with increased operational costs for facilities, the long-term benefits for the health and well-being of mothers and infants, and the integrity of the justice system, are substantial. It's a clear statement that even in custody, fundamental rights and needs, especially during pregnancy, should not be overlooked.