The bill preserves very narrow abortion exceptions and increases reporting transparency while restricting Title X funding for broader abortion-related services, which is likely to reduce family planning access for low-income patients and impose administrative and privacy costs on providers.
Women who are pregnant due to rape or incest, or whose life is at risk, will still be able to obtain abortions through exceptions even if Title X recipients cannot fund or provide most abortion care.
Congress and taxpayers will receive annual transparency on Title X grantees and subrecipients (including counts of abortions under the exceptions and certification dates), improving oversight of program funds.
Women seeking abortions for reasons other than rape, incest, or life-threatening conditions will lose access to abortion services at Title X-funded entities, reducing their reproductive care options.
Low-income patients (including many women) who rely on Title X clinics are likely to see reduced family planning services—contraception, STI screening, and other care—because clinics that provide or fund abortions may decline grants or restructure.
Hospitals and multi-entity health systems may need to reorganize corporate control or limit funding flows to avoid disqualification, creating administrative burdens and potential service disruptions for patients.
Based on analysis of 2 sections of legislative text.
Conditions Title X funding on an entity certifying it will not perform or fund abortions, with narrow exceptions for rape, incest, and life‑threatening medical situations, and requires annual reporting to Congress.
Official title: To amend title X of the Public Health Service Act to prohibit family planning grants from being awarded to any entity that performs abortions, and for other purposes.
Introduced January 13, 2025 by Virginia Ann Foxx · Last progress January 13, 2025
Prohibits the Department of Health and Human Services from giving Title X family planning funds to any organization unless the entire legal entity certifies it will not perform abortions or provide funds to entities that perform abortions during the award period, with limited exceptions for rape, incest, or to save the woman’s life. It exempts hospitals from the restriction only if those hospitals do not pass Title X funds to non‑hospital entities that perform abortions. The law requires an annual report to Congress listing Title X recipients, certifications, counts of abortions performed under the exceptions, and subrecipients.