Sponsors (24)
The bill preserves narrow exceptions allowing abortions in life‑threatening cases and for rape/incest and lets some hospitals keep Title X funds, but tight certification, reporting, and non‑funding conditions are likely to shrink Title X provider networks, increase administrative burdens, and reduce access to contraception and preventive care for low‑income patients.
Women with pregnancy-related, life‑threatening conditions keep access to abortion when a physician certifies the pregnancy threatens the woman's life.
Women who become pregnant from rape or incest can obtain abortions without causing their Title X provider to lose federal family‑planning funding.
Hospitals that satisfy the narrow non‑funding condition can continue receiving Title X funds, preserving some clinical services and continuity of care for patients served by those hospitals.
Low‑income individuals, particularly women, could lose access to contraception and preventive reproductive care because Title X recipients that provide or fund abortions may be cut off from federal family‑planning funding, reducing clinic capacity.
Multiservice health providers, hospitals, and nonprofits could be forced to forfeit Title X grants or sever funding relationships due to a broad certification rule that extends to controlled affiliates, disrupting integrated care networks.
Women and providers may be deterred from using or offering the rape/incest/physician‑certification exceptions because mandatory reporting of recipient lists and counts of excepted abortions raises privacy, stigma, and administrative concerns.
Based on analysis of 2 sections of legislative text.
Conditions Title X eligibility on certifying that recipients will not perform or fund abortions, with narrow exceptions for rape, incest, and to save the woman's life.
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 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 while receiving assistance, with narrow exceptions for pregnancies from rape or incest and abortions necessary to prevent the woman’s death or life‑threatening conditions certified by a physician. Hospitals are excepted from the ban on providing abortions so long as they do not route Title X funds to non‑hospital entities that perform abortions. Requires the HHS Secretary to report annually to Congress listing Title X recipients, recipient certifications, to which entities recipients provide funds, and counts of abortions provided under the rape, incest, and physician‑certified exceptions (first report due within 60 days of enactment, then annually). Defines "entity" broadly and references the Social Security Act definition of "hospital."