Sponsors (22)
The bill preserves narrow Title X abortion exceptions and allows some hospitals to retain funding, but its broad certification and reporting rules risk shrinking the pool of Title X providers and reducing access to contraception and preventive reproductive services for low‑income patients.
Hospitals that meet the bill's narrow non‑funding conditions can keep Title X funds, preserving some clinical services and continuity of care for patients served by those hospitals.
Women with pregnancy complications that a physician certifies as life‑threatening retain access to abortion care under Title X exceptions, protecting immediate health and safety in those cases.
Women who become pregnant from rape or incest may obtain abortions under the bill's exceptions without causing their Title X providers to automatically lose Title X funding, preserving access in these limited circumstances.
Low‑income individuals and women could lose local access to contraception and preventive reproductive care if Title X recipients that provide or fund abortions are required to forfeit federal family‑planning funding, reducing clinic capacity and increasing out‑of‑pocket costs and travel burdens.
Multiservice health providers, including hospitals and nonprofits, may be forced to forfeit Title X grants or sever funding relationships because the broad certification requirement extends to controlled affiliates, disrupting integrated care networks and staff workflows.
Mandatory reporting of recipient lists and counts of excepted abortions could deter providers from offering abortions under the rape/incest/physician‑certification exceptions due to privacy concerns, administrative burden, and stigma, chilling available care.
Based on analysis of 2 sections of legislative text.
Conditions Title X eligibility on a certification not to perform or fund abortions (with narrow rape/incest/life‑saving exceptions) and requires annual HHS reporting.
Introduced April 16, 2026 by Marsha Blackburn · Last progress April 16, 2026
Prohibits HHS from awarding Title X family planning funds to any entity unless the entity certifies it will not perform abortions nor provide funds to entities that perform abortions, with narrow exceptions for pregnancies resulting from rape or incest and for abortions needed to prevent the woman’s death or treat life‑threatening physical conditions (physician‑certified). Hospitals are exempt from the prohibition so long as they do not, while receiving Title X funds, pass those funds to non‑hospital entities that perform abortions. HHS must submit an initial report within 60 days of enactment and annual reports listing Title X recipients, recipients’ certifications, where funds are passed, and counts of abortions performed under the exceptions.