Sponsors (8)
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Conditions federal Medicaid family planning payments on states' annual submission and certification of standardized abortion data to the CDC and requires HHS/CDC to create and maintain a national abortion surveillance system that collects specified aggregate variables. States must submit required data on a set schedule (with an initial two-year delay and a multi-year data/publication lag), certify accuracy, and face temporary withholding of Medicaid family planning payments if the CDC finds they knowingly provided false information. The CDC must create a standard reporting worksheet, designate mandatory and voluntary questions, provide technical assistance, allow certain cross-tabulations, and publish an annual report of the collected data for each calendar year (with publication required no later than the third calendar year after the year covered). No new appropriations are specified in the text provided; reporting is required for States and territories as defined in the bill.
The bill would produce more standardized, CDC‑supported national abortion data and preserve Medicaid family‑planning funding for compliant states—potentially improving public‑health planning—while raising substantial privacy, safety, administrative, and funding‑risk concerns for patients, providers, and state programs.
Researchers, policymakers, and public-health agencies gain standardized, comprehensive national abortion data (timing, methods, demographics) to track trends, evaluate outcomes, and inform policy and clinical practice.
State and local governments (and their public-health agencies) receive consistent reporting standards and CDC technical assistance, improving data quality and helping allocate resources and plan public-health responses.
State Medicaid programs that submit the required abortion data on time (or by the Dec. 31 grace date) retain federal family‑planning payments, preserving funding and avoiding immediate disruptions to contraception and related care for Medicaid enrollees.
Women and other patients face increased privacy and confidentiality risks because collecting and publishing more detailed and cross‑tabulated abortion data could reveal sensitive, potentially identifying information.
Published or shared data could be misused by anti‑abortion actors or law enforcement to target individuals or jurisdictions, raising safety concerns for people seeking or providing care.
States and health providers will incur increased administrative and IT compliance costs to collect, certify, verify, and transmit the new detailed data elements.
Introduced January 22, 2025 by Ralph Norman · Last progress January 22, 2025