Sponsors (24)
The bill preserves narrow exceptions allowing abortions in cases of rape/incest and life‑threatening pregnancy conditions and lets some hospitals keep Title X funds, but its broad certification, reporting, and funding penalties risk shrinking Title X‑funded clinic capacity and access to contraception and integrated care for low‑income patients.
People with pregnancy‑related life‑threatening conditions and patients served by eligible hospitals retain access to necessary emergency abortion care and related services because physicians can certify life‑threatening abortions and hospitals that meet the narrow non‑funding condition can keep Title X funding.
Women who become pregnant as a result of rape or incest can obtain abortions under the bill's exceptions without causing their Title X provider to lose federal family‑planning funding, preserving that legal pathway to care.
Title X recipients that provide or fund abortions risk losing federal family‑planning grants, which could reduce clinic capacity for contraception and preventive care and increase out‑of‑pocket costs or travel burdens for low‑income patients seeking reproductive health services.
The bill's broad certification requirement (including controlled affiliates) and shifted oversight place substantial compliance and administrative burdens on HHS and providers, potentially forcing multiservice health systems to forfeit Title X grants or sever funding relationships and disrupting integrated care networks and funding available for direct services.
Mandatory reporting of recipient lists and counts of excepted abortions could deter providers from offering abortions under the rape/incest/physician‑certification exceptions because of privacy concerns, administrative burden, or fear of stigma, reducing access for eligible patients.
Based on analysis of 2 sections of legislative text.
Conditions Title X funding on a certification that grantees will not perform abortions or fund abortion providers, with narrow exceptions for rape, incest, and life‑threatening conditions.
Official title: 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 April 16, 2026 by Marsha Blackburn · Last progress April 16, 2026
Bars HHS from giving Title X family planning funds to any entity unless the entity certifies it will not perform abortions or fund other entities that perform abortions while receiving assistance, with narrow exceptions for rape, incest, and life‑threatening medical conditions certified by a physician. Hospitals are exempt from the prohibition so long as they do not pass Title X funds to non‑hospital abortion providers. The bill also requires annual reports to Congress listing Title X recipients, their certifications, any abortions provided under the exceptions (by category), and the entities that receive pass‑through funds.