Ensuring Accurate and Complete Abortion Data Reporting Act of 2025

This bill would require every state to send standard abortion data to the CDC if they want to keep receiving certain Medicaid payments for family planning services. Today, reporting is voluntary and uneven; some states don’t send any data. The CDC would create a single worksheet with set questions so states report the same core facts, like the mother’s age, gestational age, race and ethnicity, marital status, prior pregnancies, the abortion method, county and state of residence, and whether a child survived the abortion. The CDC would publish an annual national report, help states with reporting, and allow data to be analyzed across these factors. If a state knowingly submits false data, it can lose these Medicaid payments for a full fiscal year. States that report late within the same year would still receive payments, including retroactively.

• Start date: The requirement to report begins for spending in the year that starts after two full years from enactment. States must send data each year by December 31 for the year before the previous year. The CDC’s annual report is due by December 30 of the third year after the year covered.

Key points

• Who is affected: State health agencies; patients’ information is reported only in aggregate, using set categories.
• What changes: Medicaid family planning funds are tied to submitting standardized abortion data; penalties apply for knowingly false data; late but same-year reporting still allows payment.
• What the CDC does: Creates the standard questions, maintains the data system, helps states, and publishes an annual report.