Introduced May 7, 2025 by Michelle Fischbach · Last progress May 7, 2025
The bill centralizes and expands pregnancy and postpartum support (including telehealth and child‑support enforcement) to improve care and financial help for families, but does so while restricting funding to non‑abortion providers and imposing new administrative, legal, and fiscal burdens on states, providers, and some families.
Pregnant and postpartum people and their families gain easier access to free pregnancy/postpartum support, referrals to social services, and expanded telehealth (including at-home monitoring), improving prenatal and postnatal care—especially for rural and low-income populations.
Parents and prospective adoptive families (and other consumers) get increased transparency via a public directory showing licensed, tax-exempt child-placement agencies and state disciplinary actions, helping them avoid providers with records of violations.
Mothers can seek and obtain child support for prenatal and postnatal care, including retroactive collection and court determinations that consider mother and child best interests, which can increase financial resources for pregnancy and early childcare.
Funding and grants under the bill exclude organizations that provide or support abortion and prohibit use of funds for health coverage that includes abortion, which may reduce availability of comprehensive reproductive care and providers in some areas.
New reporting, website maintenance, privacy safeguards, and grant monitoring create administrative burdens and costs for HHS, states, and smaller nonprofits or providers, which may divert resources from direct services or reduce local capacity.
The bill allows open‑ended appropriations (“such sums as may be necessary”), which could increase federal spending without a fixed cap and create fiscal uncertainty for taxpayers.
Based on analysis of 6 sections of legislative text.
Creates a federal pregnancy-resources clearinghouse, funds carry-to-term nonprofit services (excluding abortion providers), and requires states to enforce child-support for unborn children at a mother's request.
Creates a federal pregnancy-resources clearinghouse and public lists of licensed child-placement agencies and federal funding opportunities, and funds nonprofit pregnancy-support organizations that help women carry pregnancies to term while excluding abortion providers. Requires states to annually report licensed private child-placement agencies to HHS and conditions certain federal adoption/guardianship incentives on that reporting. Sets new rules for state child-support (IV-D) programs to allow establishment and enforcement of child-support obligations for an unborn child at the mother's request, including possible retroactive awards, with an effective date two years after enactment.