Sponsors (104)
The bill prevents federal dollars from being used for abortion—aligning federal policy with anti‑abortion preferences and increasing plan transparency—while reducing affordable access to abortion for low‑income and federally dependent people, fragmenting coverage, and shifting costs and administrative burdens to individuals, employers, and states.
Taxpayers: Federal funds (including certain federal payments and tax-credit‑subsidized dollars) would not be used to pay for abortion, reducing government-funded abortion expenditures.
Americans who oppose abortion: Federal policy would be brought into closer alignment with anti‑abortion values by restricting use of federal dollars for abortion services.
Health plan enrollees (including low‑income consumers): Health plans and Exchanges would be required to disclose the extent of abortion coverage and any abortion‑related premium surcharges, increasing transparency for consumers.
Low‑income people and pregnant people who rely on federal subsidies or programs: Likely reduced access to abortion care because federal funds and premium tax‑credit dollars cannot be used for abortion, making some services less available or unaffordable.
Low‑income individuals: Increased out‑of‑pocket costs and the possible need to purchase separate private abortion‑only plans with no federal subsidy.
Health‑insurance consumers (including people with chronic conditions and Medicaid beneficiaries): Reduction in comprehensive plan options and greater fragmentation of coverage on Exchanges, which can reduce continuity and comprehensiveness of care.
Based on analysis of 4 sections of legislative text.
Prohibits use of federal premium tax credits and related Exchange payments for plans that include abortion, allows separate abortion-only coverage not paid with those federal amounts, and requires disclosure of abortion coverage and surcharges.
Introduced January 22, 2025 by Christopher Henry Smith · Last progress January 22, 2025
Prohibits the use of federal premium tax credits, advance premium tax credits, small employer health insurance tax credits, and other Exchange-related federal payments for health plans that cover abortion (with narrow exceptions already in federal law). It also adds a new chapter to Title 1 of the U.S. Code intended to bar federally funded abortions (the provided text does not include the substantive prohibitory language). The bill permits separate abortion-only coverage or riders so long as their premiums are not paid with affected federal tax credits or eligible employer-creditable contributions, and it requires prominent disclosures about abortion coverage and any abortion premium surcharges in marketing and enrollment materials. The tax-code changes phase in for plan years beginning after December 31, 2025; notice changes apply to materials made available more than 30 days after enactment.