The bill aims to restrict the use of restraints on pregnant inmates during labor and delivery, stating that restraints may not be used except in extraordinary circumstances. Specifically, it allows for the use of restraints only if the detention center determines that the inmate poses an established flight risk or a clear threat to themselves or others. However, it explicitly prohibits the use of leg or waist restraints at any stage of labor and delivery, ensuring that any restraints applied are done in the least restrictive manner necessary.

Additionally, the bill mandates that restraints must be removed when the threat or flight risk has been mitigated or at the request of a healthcare professional. The definition of "restraints" is provided, encompassing various devices that restrict movement, including handcuffs and leg shackles. This legislation is intended to be codified as part of Title 7, chapter 32, part 22 of Montana law.