The bill protects federal Title X funding for providers that agree not to provide or fund abortions and preserves narrow emergency exceptions, but it is likely to reduce overall abortion access, increase costs and travel burdens for low‑income patients, and create privacy and compliance burdens for survivors and health systems.
Nonprofit clinics and hospital systems that certify they will not provide or fund abortions can continue receiving Title X federal family-planning funds, preserving revenue and services for those providers.
Women who are victims of rape or incest, or whose life is threatened, retain access to abortion in those narrowly defined emergency exceptions.
The bill requires annual public reporting on Title X recipients and counts of abortions performed under exceptions, increasing transparency for taxpayers about how funds are used.
Women — especially those who rely on Title X clinics — may face reduced access to abortion services because many current providers could lose funding or be excluded from grants.
Low-income patients may incur higher out-of-pocket costs and greater travel burdens if fewer Title X-funded clinics provide or refer for abortion care.
Public reporting of abortion counts categorized by rape/incest could deter survivors from seeking care due to privacy and confidentiality concerns.
Based on analysis of 2 sections of legislative text.
Conditions Title X funding on a certification that entities will not perform or fund abortions, with narrow exceptions for rape, incest, and life‑threatening conditions, and requires reporting to Congress.
Introduced January 13, 2025 by Virginia Ann Foxx · Last progress January 13, 2025
Prohibits the Department of Health and Human Services from awarding Title X family-planning funds to any entity unless the entity certifies it will not perform abortions and will not fund other entities that perform abortions during the grant period, with narrow exceptions for pregnancies from rape or incest and for physician‑certified life‑threatening conditions. Hospitals are exempt from the performance prohibition so long as they do not fund non‑hospital entities that perform abortions. The bill also requires HHS to report to Congress within 60 days of enactment and annually thereafter listing Title X grantees, counts of abortions provided under the exceptions, certification dates, and entities receiving grant funds.