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PRINTER'S NO. 2287
THE GENERAL ASSEMBLY OF PENNSYLVANIA
HOUSE RESOLUTION
No.
444
Session of
2017
INTRODUCED BY DALEY, MURT, DEAN, SOLOMON, READSHAW, DAVIS,
SCHLOSSBERG, KINSEY, D. COSTA, SCHWEYER, O'BRIEN, D. MILLER,
WARREN, WATSON, THOMAS, YOUNGBLOOD, FREEMAN, SIMS, HILL-
EVANS, STURLA, KORTZ, M. QUINN, BULLOCK, FRANKEL AND
CALTAGIRONE, AUGUST 16, 2017
REFERRED TO COMMITTEE ON JUDICIARY, AUGUST 16, 2017
A RESOLUTION
Directing the Legislative Budget and Finance Committee to
conduct a study on the use of restraints on pregnant women
and girls in State correctional institutions, county jails
and juvenile detention facilities within this Commonwealth.
WHEREAS, Women and girls housed in State correctional
institutions, county jails and juvenile detention facilities
confront a unique set of challenges and requirements when
compared to their male counterparts; and
WHEREAS, More than 200,000 women are held in prisons and
jails nationwide; and
WHEREAS, Almost three-quarters of women in Federal and state
correctional facilities are mothers, an increase of more than
100% since 1991; and
WHEREAS, It is estimated that 3% of women in Federal
correctional facilities and 4% of women in state correctional
facilities indicated that they were pregnant at the time of
admission; and
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WHEREAS, Approximately 5% of women in local jails reported
being pregnant at intake; and
WHEREAS, More than 2,500 women are currently housed in State
correctional institutions in this Commonwealth; and
WHEREAS, As of January 2015, the official one-day census of
county jails in this Commonwealth found that 4,740 females were
housed in these institutions; and
WHEREAS, This finding is not an adequate representation of
the total number of women passing through county jails each
year; and
WHEREAS, Hundreds of young girls are involved in juvenile
court dispositions in this Commonwealth each year, with some
being placed in secure residential facilities; and
WHEREAS, Many incarcerated women have high-risk pregnancies
due to poverty, inadequate health care and substance abuse; and
WHEREAS, The issue of restraining pregnant women in state
correctional facilities, county jails and juvenile detention
facilities has gained national attention in recent years; and
WHEREAS, Numerous correctional associations and medical
associations, including the American Congress of Obstetricians
and Gynecologists, the American Medical Association, the
American Public Health Association and the American
Psychological Association, have taken a position against the
general use of shackles and restraints on pregnant women, citing
health concerns for the woman and fetus; and
WHEREAS, Being shackled or restrained can directly impact the
mental and physical well-being of pregnant women; and
WHEREAS, The health risks associated with the use of
restraints and shackles include increased likelihood of falls,
general trauma and limited access to treatment during medical
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emergencies; and
WHEREAS, These risks can result in increased medical costs to
state and local governments; and
WHEREAS, The General Assembly, recognizing the health risks
associated with restraining pregnant women, enacted the act of
July 2, 2010 (P.L.275, No.45), which added sections 1104, 1758
and 5905 to Title 61 (Prisons and Parole) of the Pennsylvania
Consolidated Statutes; and
WHEREAS, These new provisions are commonly referred to as the
Healthy Birth for Incarcerated Women Act (the Act); and
WHEREAS, The Act generally prohibits placing pregnant women
in restraints during labor or in transport to a medical facility
in the second or third trimesters of pregnancy unless
correctional staff determines that the individual represents a
substantial risk of flight or if there is some other
extraordinary medical or security circumstance; and
WHEREAS, The Act also requires State correctional
institutions, county jails and juvenile detention facilities to
annually report instances of restraining pregnant women and
girls to the Department of Corrections or the Department of
Human Services; and
WHEREAS, The Act delineates the documentation requirements
for State correctional institutions, county jails and juvenile
detention facilities that must be met in reporting these
instances; and
WHEREAS, Thousands of individuals are employed in State
correctional institutions, county jails and juvenile detention
facilities in this Commonwealth; and
WHEREAS, These individuals work hard to protect the safety of
residents, staff and the public at large each day while adhering
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to State mandates in a difficult environment; and
WHEREAS, While the Act was a meaningful step in ensuring that
many pregnant women are not shackled or restrained in State
correctional institutions, county jails and juvenile detention
facilities, there have been challenges with enforcing the law;
and
WHEREAS, The annual report compiled by the Department of
Corrections on this issue consistently finds that only a handful
of county jails are reporting instances of restraint under the
law; and
WHEREAS, The most recent report of the Department of
Corrections specifically stated that it is unclear whether the
remaining county jails were without incident or failed to report
incidents as required; and
WHEREAS, The county jail reports received by the Department
of Corrections under the Act often lack critical information
such as trimester of pregnancy and the required separate written
findings describing the circumstances that led to the
determination that the inmate represented a substantial flight
risk or a safety threat; and
WHEREAS, The Department of Corrections has stated that the
Act lacks any kind of enforcement mechanism to hold facilities
accountable for failing to properly report incidents involving
application of restraints on pregnant women housed in State
correctional facilities and county jails; and
WHEREAS, There is concern that county jails throughout this
Commonwealth have interpreted the requirements of the Act
differently, leading to confusion and lack of relevant data; and
WHEREAS, There is also concern that pregnant women and girls
continue to be restrained across this Commonwealth in violation
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of the Act; therefore be it
RESOLVED, That the House of Representatives direct the
Legislative Budget and Finance Committee to review and evaluate
the use of restraints on pregnant women and girls in State
correctional institutions, county jails and juvenile detention
facilities within this Commonwealth, including overall best
practices in the care of pregnant women in State and county
custody, by interviewing administrators and employees of these
facilities; and be it further
RESOLVED, That the Legislative Budget and Finance Committee
prepare a report of its findings that shall at a minimum:
(1) Identify reasons why a lack of data exists from
institutions required to report instances of restraint under
the Act.
(2) Estimate the number of pregnant women being
restrained in State correctional institutions, county jails
and juvenile detention facilities, broken down by race if
possible, and determine if the application of these
restraints violates the Act.
(3) Determine the level of awareness surrounding the
requirements of the Act among wardens and chief executives of
State correctional institutions, county jails and juvenile
detention facilities.
(4) Evaluate the quality, scope, frequency, accuracy and
effectiveness of training regarding the requirements of the
Act to the following:
(i) Individuals who place or remove restraints on
pregnant or postpartum women or girls in State
correctional institutions, county jails and juvenile
detention facilities in this Commonwealth.
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(ii) Individuals who have custodial responsibility
or provide medical care to incarcerated pregnant or
postpartum women or girls.
(5) Survey selected health care professionals in this
Commonwealth to determine their knowledge of their rights and
responsibilities under the Act as well as their interactions
and experiences with incarcerated pregnant women and girls
who are under their care.
(6) Determine whether the Act achieves the purpose of
eliminating the use of restraints on pregnant inmates in all
but the most extraordinary circumstances and, if the Act does
not, make recommendations for amending the Act or improving
enforcement of the Act.
(7) Recommend nonlegislative solutions to improve
understanding of and compliance with the Act, such as the
development of a standardized training module for all
facilities and the establishment of a specific reporting form
for instances of restraint and shackling.
(8) Summarize overall best practices regarding the care
and treatment of incarcerated pregnant women from the
prenatal period through the postpartum period, with an
emphasis on the 2014 report by the Bureau of Justice
Assistance entitled Best Practices in the Use of Restraints
with Pregnant Women and Girls Under Correctional Custody, and
determine whether those practices are being followed in this
Commonwealth;
and be it further
RESOLVED, That the Legislative Budget and Finance Committee
report its findings and recommendations to the House of
Representatives within one year of the adoption of this
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resolution.
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