This bill, known as the "Protecting Individuals with Down Syndrome Act," seeks to amend Title 18, United States Code, by prohibiting abortions performed, in whole or in part, because an unborn child has been diagnosed with Down syndrome. It defines "abortion" as an act intended to kill an unborn child or terminate a pregnancy, with specific exceptions for live birth preservation, saving the pregnant woman's life, or removing a dead unborn child. The legislation makes it unlawful to perform an abortion with knowledge of a Down syndrome diagnosis, or without first inquiring about such a diagnosis and informing the woman of the prohibition. The bill also prohibits using force to coerce such an abortion, soliciting funds for it, or transporting a woman across state lines for this purpose. Violators face criminal penalties, including fines and imprisonment for up to 5 years. Additionally, it establishes civil remedies, allowing the woman, father, or maternal grandparent to sue for damages and injunctive relief. The Act mandates that medical professionals report known or suspected violations and stipulates that a woman upon whom an abortion is performed cannot be prosecuted or held civilly liable under this section. Furthermore, a violation of this act is deemed discrimination for the purposes of section 504 of the Rehabilitation Act of 1973, potentially leading to a loss of federal funding.