1. Short title This Act may be cited as the Safeguarding Women’s and Children’s Health Act of 2023 . 2. Findings Congress finds the following: (1) Many data limitations affect the accuracy of statistics related to chemical abortions in the United States, and there is no central database tracking this information. (2) States may voluntarily choose to share abortion data with the Centers for Disease Control and Prevention (CDC), but the Guttmacher Institute, which directly surveys abortion providers, consistently documents 30 to 40 percent more abortions than the CDC. (3) Some States with high volumes of abortion, such as California, do not report to the CDC. (4) Only 28 States require abortion providers to report complications, but there is rarely an enforced penalty for noncompliance. Only 12 States require other physicians, coroners, or emergency rooms to report complications or deaths for investigation, and frequently these facilities and physicians are unaware of these reporting requirements. (5) These data problems are a significant limitation to United States studies on abortion complications. (6) Women experiencing complications will often present to an emergency room rather than return to the abortion provider, and researchers frequently ignore the difficulty in obtaining accurate International Classification of Diseases coding in emergency rooms due to search engine failure to discover induced abortion codes, which leads to miscoding and frequently attributing induced abortion complications to spontaneous abortions. (7) When compared to surgical abortions, chemical abortions are over 50 percent more likely to result in an abortion-related visit to an emergency room, and by 2015, 60 percent of chemical abortion-related emergency room visits were incorrectly coded as miscarriages. (8) Better quality, international records-linkages studies, and meta-analyses document far higher rates of complications and mortality from abortion, casting doubt on the validity of the reported data by which United States