Sponsors (106)
The bill ends federal subsidy support for abortion coverage in subsidized plans and mandates clearer consumer disclosure — giving objecting subsidy recipients relief and preserving a private purchase option, but reducing subsidized access to abortion and raising costs and administrative burdens, especially for low-income women.
Low-income individuals who object to subsidized abortion will no longer have their federal premium tax credits used to pay for plans that include abortion coverage, so their subsidies won't fund services they oppose.
Women and others can still purchase separate abortion-only coverage without federal subsidies, preserving a non-subsidized pathway to obtain abortion services.
All consumers will get clearer disclosure at enrollment about whether a plan covers abortion and any surcharge for those services, improving transparency and comparability of plans.
Women — especially low-income women enrolled in subsidized plans — may lose coverage for abortion services in their plans, reducing access to reproductive healthcare.
Low-income individuals who rely on premium tax credits could face higher net premiums or be forced to pay out-of-pocket or buy separate unsubsidized coverage if insurers drop abortion coverage from subsidized plans or add surcharges.
Reduced coverage in subsidized plans may lead some people to delay or forgo abortion care, creating health and safety risks for affected women.
Based on analysis of 4 sections of legislative text.
Bars federal premium tax credits, advance payments, CSRs, and the small employer credit from subsidizing health plans that cover abortions (limited exceptions), while allowing separate unsubsidized abortion-only plans.
Introduced January 22, 2025 by Christopher Henry Smith · Last progress January 22, 2025
Prohibits use of federal premium tax credits, advance payments, cost-sharing reductions, and the small employer health insurance credit for health plans that include coverage for abortions (with limited exceptions tied to existing federal exceptions). Allows separate, unsubsidized abortion-only coverage or plans to be sold or offered if no federal credit or eligible employer contribution pays premiums. Also adds a new chapter heading to Title 1 that appears intended to bar federally funded abortions but, as drafted, contains no operative statutory text; and tightens enrollment-time disclosure requirements about whether plans cover abortion and any related surcharge.