Sponsors (23)
The bill narrowly preserves certain abortion access exceptions (rape/incest and life‑threatening conditions) and allows some hospitals to retain Title X funds, but its certification, reporting, and funding conditions risk shrinking Title X‑supported family‑planning services and disrupting integrated care for low‑income patients.
Hospitals that meet the narrow non‑funding condition can continue receiving Title X funds, preserving some clinical services and care continuity for patients served by those hospitals.
Women who become pregnant from rape or incest may obtain abortions without causing their Title X provider to lose funding, preserving that access pathway.
Women who receive Title X care for pregnancy-related, life‑threatening conditions retain access to abortion when a physician certifies that death is threatened.
Low-income patients—especially women—may lose access to contraception and preventive family-planning care because providers that perform or fund abortions risk losing Title X funding, shrinking clinic capacity and likely increasing out‑of‑pocket and travel burdens.
Broad certification requirements that reach controlled affiliates could force multiservice providers to forfeit Title X grants or sever funding relationships, disrupting integrated care networks and continuity of services.
Mandatory reporting of recipient lists and counts of excepted abortions may deter providers from offering abortions under the rape/incest/physician‑certification exceptions because of privacy concerns, administrative burden, and stigma.
Based on analysis of 2 sections of legislative text.
Conditions Title X funding on a certification that recipients will not perform or fund abortions, with exceptions for rape, incest, and life‑threatening situations, and requires annual HHS reporting.
Introduced April 16, 2026 by Marsha Blackburn · Last progress April 16, 2026
Prohibits the Department of Health and Human Services from awarding Title X family planning funds to any organization unless the organization certifies it will not perform abortions or fund other entities that perform abortions during the funding period, with narrow exceptions for pregnancies resulting from rape or incest and for abortions needed to prevent a woman’s death or a life‑threatening physical condition. Hospitals are exempt from the prohibition so long as they do not use Title X funds to support non‑hospital entities that provide abortions. Requires HHS to publish an initial report within 60 days of enactment and an annual report thereafter listing Title X grant recipients, the date of each recipient’s certification, the entities recipients fund, and counts of abortions provided under the rape/incest/physician‑certified life‑saving exceptions (broken out by category). The law defines “entity” broadly to include entire legal entities and related controlled organizations.