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Stops the federal government from giving Title X family-planning assistance to any health care entity unless the entity certifies it will not perform abortions or fund others that do so. It allows narrow exceptions for abortions after rape or incest, or when a physician certifies the pregnancy poses a life-threatening physical risk, provides a limited hospital exemption, and requires a report to Congress within 60 days of enactment and then every year.
Adds a new section 1009 titled 'Additional prohibition regarding abortion' to Title X of the Public Health Service Act (42 U.S.C. 300 et seq.).
The Secretary shall not provide any assistance under Title X to an entity unless the entity certifies that, during the period of assistance, the entity will not perform abortions and will not provide funds to any other entity that performs abortions.
The prohibition does not apply to abortions that are the result of rape or incest.
The prohibition does not apply to abortions when a physician certifies the woman has a physical disorder, injury, or illness that would place her in danger of death unless an abortion is performed, including life‑threatening conditions caused by the pregnancy.
Subsection (a) (the general prohibition) does not apply to a hospital, provided the hospital does not, during the period of assistance, provide funds to any non-hospital entity that performs an abortion other than abortions described in subsection (b).
Primary effect: Title X-funded family-planning providers and clinics must choose whether to certify they will not perform or fund abortions. Those that perform or fund abortions without meeting exceptions will lose eligibility for Title X support. This is likely to reduce or reshape participation by some providers, possibly limiting access to contraception, STI testing, cancer screening, and other family-planning services for low-income patients who rely on Title X clinics. Hospitals meeting the narrow exemption may retain funding in limited situations, but most non-hospital providers that perform abortions could be excluded. The certification and reporting requirements add administrative work for both grantees and the federal agency that administers Title X. Public health outcomes could be affected where clinic capacity or service networks shrink; patients may face longer travel times, out-of-pocket costs, or service interruptions. The measure also creates a likely point of legal dispute over the conditions on federal funds, exemptions, and how the rule is implemented.
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Referred to the House Committee on Energy and Commerce.
Introduced January 13, 2025 by Virginia Ann Foxx · Last progress January 13, 2025
Referred to the House Committee on Energy and Commerce.
Introduced in House