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Prohibits the Department of Health and Human Services (HHS) from declaring or continuing any public health emergency related to abortion and ends any such emergency in effect when the law takes effect. Requires HHS and the FDA to enforce and reinstate a Risk Evaluation and Mitigation Strategy (REMS) that limits abortion drugs to in-person dispensing at clinics, medical offices, or hospitals under a certified provider’s supervision. Also bars HHS/FDA from loosening REMS protections for abortion drugs until every state submits standardized, aggregate abortion data to the CDC’s surveillance system; it makes those data fields mandatory for the purposes of a related Medicaid reporting provision. The bill defines key terms (including “abortion,” “abortion drug,” and “certified health care provider”) and makes the in-person dispensing and emergency restrictions effective on enactment.
The bill trade-offs greater federal regulatory clarity and national data surveillance for abortion care against reduced emergency flexibility, curtailed telehealth/mail access to medication abortion, higher administrative costs, and patient privacy concerns.
Healthcare providers, clinics, and hospitals will face clearer, more stable federal regulatory rules for abortion-related care (including REMS for abortion drugs) that reduce short-term regulatory uncertainty and operational disruption.
State and local public-health authorities will gain standardized national abortion data collection, improving public-health surveillance and the ability to track outcomes across states.
Pregnant people will be protected from ad-hoc emergency rules that could expand or change abortion-related care without going through normal rulemaking or legislative approval.
People seeking medication abortion (especially those in rural or remote areas) will face reduced access because the bill requires in-person dispensing at clinics/offices/hospitals and bars FDA discretion or waivers for telehealth or mail delivery.
Pregnant people may lose services that are temporarily enabled by a federal public-health emergency if emergency authorities are ended immediately, causing sudden gaps in access to care.
State governments and hospitals could see slower or reduced federal coordination, support, and funding during crises because federal public-health authority to respond related to abortion would be restricted.
Introduced February 24, 2025 by Kevin Hern · Last progress February 24, 2025