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Prohibits recipients of Title X federal family-planning funds from performing abortions or using grant funds to support other entities that perform abortions, unless the abortion is the result of rape or incest or is needed to prevent the woman’s death or a life‑threatening physical condition. Hospitals may still receive Title X funds so long as they do not, while receiving those funds, pass Title X money to non‑hospital entities that perform abortions (except under the rape/incest/life‑threatening exceptions). Requires annual reporting to Congress listing every Title X grantee, the date of each grantee’s certification not to perform or fund abortions, the entities that receive Title X funds from each grantee, and (for grantees that provide abortions under the enumerated exceptions) counts of those abortions broken out by rape, incest, and physician‑certified life‑threatening cases; the first report is due no later than 60 days after enactment and then annually for each fiscal year covered.
The bill preserves narrow, lifesaving abortion exceptions and increases transparency while risking reduced local access to family planning, added administrative burdens for providers, and potential privacy harms for patients.
Women who qualify for exceptions (rape, incest, or physician‑certified life‑threatening conditions) retain access to abortion in those circumstances, preserving lifesaving care.
Hospitals and their patients can continue to receive Title X funding even if the hospitals do not fund non‑hospital abortion providers, helping preserve hospital‑based family planning and related services for patients with chronic conditions.
Taxpayers and nonprofits gain increased federal oversight because Congress will receive annual lists of Title X grantees and subrecipients, improving transparency of how family planning funds are distributed.
Women and low‑income individuals could lose local family planning services and face longer travel times and higher out‑of‑pocket costs if providers that perform or fund abortions are excluded or if hospitals are restricted from funding non‑hospital partners, reducing access to contraception, preventive care, and continuity of care.
Nonprofits and hospitals may need to split, restructure, or create separate entities because of a broad definition of 'entity,' increasing administrative, legal, and compliance costs for providers.
Detailed reporting requirements for abortions performed under the rape, incest, or life‑threatening exceptions could risk patient privacy and may deter patients from reporting or seeking care, especially in small clinics or tight‑knit communities.
Introduced January 13, 2025 by Virginia Ann Foxx · Last progress January 13, 2025