S186-119

Introduced

To prohibit taxpayer funded abortions.

119th Congress Introduced Jan 22, 2025

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 codifies a permanent ban on using federal taxpayer funds for abortions and for health insurance plans that cover abortion. It also requires health insurance companies to clearly disclose whether their plans cover abortion and how much of the premium goes toward that coverage.

Who Benefits and How

  • Anti-abortion advocacy groups benefit by achieving a long-standing policy goal of making the Hyde Amendment permanent in federal law.
  • Health insurance companies that do not cover abortion may see competitive advantage as consumers seeking federally-subsidized coverage must choose non-abortion plans.
  • Taxpayers opposed to abortion funding benefit from assurance that their tax dollars cannot be used for abortion services.

Who Bears the Burden and How

  • Women seeking abortion services face reduced access, as they cannot use federal health benefits, ACA premium tax credits, or Medicaid to cover abortion procedures.
  • Health insurance companies face new compliance burdens to separately track and disclose abortion coverage and surcharges in all marketing materials.
  • Federal healthcare facilities and employees are prohibited from providing abortion services, limiting options for those relying on federal healthcare systems.

Key Provisions

  • Prohibits any federal funds from being used for abortion or health plans covering abortion (Sections 301-303)
  • Denies ACA premium tax credits for plans that include abortion coverage (Section 201)
  • Requires prominent disclosure of abortion coverage and separate surcharge amounts in health plan marketing (Section 202)
  • Includes exceptions for rape, incest, and life-threatening conditions (Section 308)

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

Permanently prohibits the use of federal funds for abortions and health coverage that includes abortion, while requiring full disclosure of abortion coverage and premium surcharges in ACA marketplace plans.

Key Policy Areas

Healthcare, Taxation, Reproductive Rights, Federal Spending

Primary Purpose

Permanently prohibits the use of federal funds for abortions and health coverage that includes abortion, while requiring full disclosure of abortion coverage and premium surcharges in ACA marketplace plans.

Policy Domains

Healthcare Taxation Reproductive Rights Federal Spending

Title I - Prohibiting Taxpayer Funded Abortions

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

Contextual inference, no direct clause citation

Identified Costs
Contextual inference, no direct clause citation
  • Women seeking abortion services
  • Healthcare providers
Model: N/A | Version: bill_summary_v2 | Source: is

Contextual inference, no direct clause citation

Title II - Application Under the Affordable Care Act

Identified Gains
Contextual inference, no direct clause citation
  • Consumers seeking transparency
  • Health plans without abortion coverage
Model: N/A | Version: bill_summary_v2 | Source: is

Contextual inference, no direct clause citation

Identified Costs
Contextual inference, no direct clause citation
  • Health insurance issuers
  • ACA marketplace enrollees seeking abortion coverage
Model: N/A | Version: bill_summary_v2 | Source: is

Contextual inference, no direct clause citation

Chapter 4 - Prohibiting Taxpayer Funded Abortions (New Chapter in Title 1 USC)

Identified Gains
Contextual inference, no direct clause citation
  • Anti-abortion advocacy groups
  • Non-abortion health insurance providers
Model: N/A | Version: bill_summary_v2 | Source: is

Contextual inference, no direct clause citation

Identified Costs
Contextual inference, no direct clause citation
  • Women seeking abortion services
  • Federal healthcare facilities
  • Federal healthcare employees
Model: N/A | Version: bill_summary_v2 | Source: is

Contextual inference, no direct clause citation

Legislative Progress

Introduced
Introduced Committee Passed
Jan 22, 2025

Mr. Wicker (for himself, Mr. Lankford, Mrs. Hyde-Smith, Mr. Banks, …

Stakeholder Effects

cui bono?

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

Healthcare
17 mentions across 10 clauses
+6 positive -10 negative ?1 uncertain

ACA marketplace enrollees seeking abortion-covering plans, Abortion service providers receiving federal reimbursement, Consumers shopping for health insurance

Positive-direction: Consumers shopping for health insurance, Healthcare providers performing qualifying abortions, Healthcare providers treating post-abortion complications, Women with abortion complications requiring treatment, Women with life-threatening pregnancy conditions, Women with pregnancies from rape or incest

Negative-direction: ACA marketplace enrollees seeking abortion-covering plans, Abortion service providers receiving federal reimbursement, DC residents seeking abortion services through local programs, Federal employees and beneficiaries seeking abortion-inclusive coverage, Federal healthcare employees (physicians, nurses), Federal healthcare facilities (VA hospitals, military bases, IHS), Federal healthcare facilities providing abortion services, Patients at federal healthcare facilities seeking abortion, Women seeking abortion services through federal funding, Women seeking abortion services through federal programs

Financial Services
10 mentions across 6 clauses
+3 positive -5 negative ?2 uncertain

Health insurance exchanges (state and federal), Health insurance issuers offering abortion-inclusive ACA plans, Health insurance issuers with abortion coverage

Positive-direction: Health insurance issuers without abortion coverage, Health insurance plans without abortion coverage, Health insurance providers not offering abortion coverage

Negative-direction: Health insurance exchanges (state and federal), Health insurance issuers offering abortion-inclusive ACA plans, Health insurance issuers with abortion coverage, Health insurance plans covering abortion, Health insurance providers offering abortion coverage

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

District of Columbia government healthcare programs, State governments contracting for abortion coverage

Small Business
1 mention across 1 clause
-1 negative

Small employers providing abortion-covering health plans

14/14
sections analyzed
Full impact breakdown

Bill Structure & Actor Mappings

Who is "The Secretary" in each section?

Domains
Federal Spending Healthcare
Domains
Healthcare Federal Spending Reproductive Rights
Actor Mappings
"the_secretary"
→ Secretary of Health and Human Services
Domains
Healthcare Taxation
Actor Mappings
"the_secretary"
→ Secretary of Health and Human Services

Key Definitions

Terms defined in this bill

2 terms
"Federal funds for abortion" §301

Any funds authorized or appropriated by Federal law, including funds in any trust fund to which funds are authorized or appropriated by Federal law

"Federal Government (for DC)" §309

Includes the Government of the District of Columbia; funds appropriated by Federal law includes amounts within DC budget 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