HR7-118

Introduced

To prohibit taxpayer funded abortions.

118th Congress Introduced Jan 9, 2023

Analysis under review: This bill has generated analysis that may be too generic or incomplete. Clause-level evidence remains available below.

Summary

What This Bill Does

This bill creates a comprehensive ban on using federal funds for abortions or health insurance plans that cover abortion. It codifies existing restrictions (like the Hyde Amendment) into permanent law in the U.S. Code, and extends these restrictions to Affordable Care Act premium subsidies and tax credits.

Who Benefits and How

Anti-abortion advocacy groups benefit by achieving a long-sought policy goal of making abortion funding restrictions permanent law rather than annual appropriations riders. Taxpayers who oppose abortion funding benefit by having their tax dollars restricted from abortion services. Health insurers may benefit from clearer rules about what plans qualify for federal subsidies.

Who Bears the Burden and How

Women seeking abortions face reduced access as fewer health plans will cover the procedure to remain eligible for federal subsidies. Abortion providers face reduced patient volume as insurance coverage decreases. Health insurers face compliance costs for disclosure requirements and must restructure plans to separate abortion coverage. Low-income women are disproportionately affected as they rely more heavily on subsidized health coverage.

Key Provisions

  • Permanently prohibits federal funds for abortions (with exceptions for rape, incest, life endangerment)
  • Excludes health plans covering abortion from ACA premium tax credits (Section 36B) and small business credits (Section 45R)
  • Requires prominent disclosure of abortion coverage and surcharges in all health plan marketing materials
  • Extends restrictions to District of Columbia budget funds approved by Congress

Evidence Chain:

This summary is generated from the full bill text using AI analysis. Expand "Detailed Analysis" below for identified beneficiaries/burden bearers.

At a Glance

What This Bill Does

Prohibits the use of federal funds for abortions and health plans that cover abortion, while requiring disclosure of abortion coverage in health plan marketing materials

Key Policy Areas

Healthcare, Taxation, Insurance Regulation

Primary Purpose

Prohibits the use of federal funds for abortions and health plans that cover abortion, while requiring disclosure of abortion coverage in health plan marketing materials

Policy Domains

Healthcare Taxation Insurance Regulation

Title I - Prohibiting Taxpayer Funded Abortions

Identified Gains
Contextual inference, no direct clause citation
  • Anti-abortion advocacy organizations
  • Taxpayers opposed to abortion funding
Model: N/A | Version: bill_summary_v2 | Source: ih

Contextual inference, no direct clause citation

Identified Costs
Contextual inference, no direct clause citation
  • Women seeking abortions
  • Abortion service providers
  • Federal healthcare facilities
Model: N/A | Version: bill_summary_v2 | Source: ih

Contextual inference, no direct clause citation

Title II - Application Under the Affordable Care Act

Identified Gains
Contextual inference, no direct clause citation
  • Anti-abortion advocacy organizations
  • Health plan consumers seeking transparency
Model: N/A | Version: bill_summary_v2 | Source: ih

Contextual inference, no direct clause citation

Identified Costs
Contextual inference, no direct clause citation
  • Health insurance issuers
  • Women using ACA subsidies
  • Small businesses offering health coverage
Model: N/A | Version: bill_summary_v2 | Source: ih

Contextual inference, no direct clause citation

Legislative Progress

Introduced
Introduced Committee Passed
Jan 9, 2023

Mr. Smith of New Jersey (for himself, Mrs. Fischbach, Ms. …

Stakeholder Effects

cui bono?

How this legislation distributes effects. Mention counts reflect frequency, not effect magnitude.

Consumers
10 mentions across 10 clauses
+3 positive -6 negative ?1 uncertain

DC residents seeking abortion services, Health plan consumers, Individuals purchasing private abortion coverage

Positive-direction: Health plan consumers, Women experiencing abortion complications, Women with qualifying circumstances (rape, incest, life endangerment)

Negative-direction: DC residents seeking abortion services, Individuals receiving ACA premium subsidies, Military personnel and veterans seeking abortion services, Women enrolled in federally-funded health plans, Women seeking abortion services

Financial Services
7 mentions across 6 clauses
+1 positive -5 negative ?1 uncertain

Health insurance exchanges, Health insurance issuers, Health insurance issuers offering abortion coverage

Positive-direction: Health insurers offering separate abortion riders

Negative-direction: Health insurance exchanges, Health insurance issuers, Health insurance issuers offering abortion coverage, Health insurance issuers on ACA exchanges

Ambulatory Health Care Services
4 mentions across 4 clauses
+1 positive -3 negative

Abortion providers in DC, Abortion providers serving excepted cases, Abortion service providers

Positive-direction: Abortion providers serving excepted cases

Negative-direction: Abortion providers in DC, Abortion service providers

Government
3 mentions across 3 clauses
-3 negative

Federal healthcare facilities, Federal healthcare facilities (VA hospitals, military hospitals), Office of Personnel Management (multi-state plans)

State & Local Government
2 mentions across 2 clauses
-1 negative ?1 uncertain

District of Columbia government, State governments contracting for health coverage

Offices Of Physicians
1 mention across 1 clause
-1 negative

Physicians certifying life endangerment

Healthcare
1 mention across 1 clause
+1 positive

Healthcare providers treating post-abortion complications

Small Business
1 mention across 1 clause
-1 negative

Small businesses using Section 45R credits

14/14
sections analyzed
Full impact breakdown

Bill Structure & Actor Mappings

Who is "The Secretary" in each section?

Domains
Healthcare Government Spending
Domains
Healthcare Taxation Insurance Regulation
Actor Mappings
"the_director"
→ Director of the Office of Personnel Management
"the_secretary"
→ Secretary of Health and Human Services

Key Definitions

Terms defined in this bill

1 term
"Federal Government (for DC purposes)" §309

Includes the government of the District of Columbia; federal funds include DC budget amounts approved by Congress

We use a combination of our own taxonomy and classification in addition to large language models to assess meaning and potential beneficiaries. High confidence means strong textual evidence. Always verify with the original bill text.

Learn more about our methodology