HR7-119

What This Bill Does

The No Taxpayer Funding for Abortion and Abortion Insurance Full Disclosure Act of 2025 writes a broad abortion-funding restriction into title 1 of the U.S. Code. Federal funds, including federal trust-fund dollars, may not be spent on abortions or on health benefits coverage that includes abortion coverage. Federal facilities and federally employed clinicians may not furnish abortion services within federal employment, subject to exceptions. The bill preserves privately funded separate abortion coverage and allows non-federal insurers, States, and localities to offer or buy abortion coverage if only non-federal money is used and Medicaid matching funds are not used. It preserves other federal abortion-funding limits, allows treatment of infections, injuries, diseases, or disorders caused or exacerbated by abortions, and exempts abortions where pregnancy results from rape or incest or where a physician certifies that the woman would otherwise be in danger of death. The bill treats District of Columbia funds approved by Congress as federal funds for this chapter. It also changes ACA tax rules so premium tax credits, advance payments, small-business health insurance credits, and multi-State qualified health plans cannot subsidize abortion-inclusive plans except for permitted exceptions. Finally, it revises ACA notice rules requiring plans and Exchanges to disclose abortion coverage and any separate abortion surcharge in enrollment, marketing, comparison, and summary materials.

Who Benefits and How

Taxpayers and voters who oppose federal abortion funding benefit because the bill makes restrictions permanent and applies them across federal appropriations, trust funds, health plans, facilities, employees, ACA subsidies, and the District of Columbia budget. Federal and State administrators benefit from a single statutory title that defines the funding rule and exceptions. Consumers shopping for ACA plans benefit from prominent disclosure of abortion coverage and separate surcharge information. Insurers that want to offer privately funded separate abortion coverage benefit because the bill preserves that market outside federal subsidy dollars.

Who Bears the Burden and How

Women seeking abortion services bear the burden because federal facilities, federally employed clinicians, federally subsidized plans, ACA premium credits, and small-business credits cannot support most abortion care or abortion-inclusive coverage. Abortion providers and reproductive-health clinics may lose federally supported patient volume. Health insurers, ACA Exchanges, small-business plan sponsors, and federal health programs must separate coverage, premium, credit, surcharge, marketing, and disclosure systems. District of Columbia budget officials must treat congressionally approved D.C. funds as federal funds for these restrictions. Federal facility administrators and clinicians must train staff on exceptions for rape, incest, life endangerment, and treatment of complications.

Key Provisions

• Prohibits federal funds and federal trust-fund dollars from paying for abortions.
• Prohibits federal funds from paying for health benefits coverage that includes abortion coverage.
• Limits abortion services furnished by federal facilities and federally employed clinicians.
• Permits separate abortion coverage only when paid entirely with non-federal funds and without Medicaid matching funds.
• Exempts rape, incest, life-endangering physical conditions, and treatment of abortion-related complications.
• Applies the funding rule to the District of Columbia budget approved by Congress.
• Bars ACA premium tax credits, advance payments, small-business credits, and multi-State plans from subsidizing abortion-inclusive coverage.
• Requires prominent disclosure of abortion coverage and separate abortion surcharges in ACA plan materials.