EACH Act of 2025
- Bill Number
- H.R. 4611
- Origin Chamber
- House
- Congress
- 119th Congress, Session 1
- Policy Area
- Health
- Status
- Introduced
- Latest Action
- 2025-12-19: Referred to the Subcommittee on Health.
- Last Updated
- 2026-06-04T08:07:56Z
AI-Generated Summary
Purpose of the Legislation
This bill aims to guarantee that all individuals have access to abortion services covered by health insurance or provided through federal programs, without regard to income level or type of coverage. It seeks to eliminate existing federal restrictions on such coverage across multiple government-sponsored health programs and to prevent the federal government from limiting abortion coverage in private or state-regulated insurance plans.
Key Provisions Outlined
- Coverage Mandate: Federal health programs and plans must provide coverage for abortion services, defined as an abortion and any related services provided in connection with it. This applies to programs including Medicaid, the Children’s Health Insurance Program, Medicare, the Indian Health Service, TRICARE, veterans’ health benefits, and several others listed in the definitions section.
- Federal Role as Provider: The federal government must ensure access to abortion services in its own facilities or contracted facilities for eligible individuals.
- Private Insurance Protections: The federal government is prohibited from restricting or inhibiting coverage of abortion services by state, local, or private health plans.
- Repeal of ACA Section 1303: This section of the Patient Protection and Affordable Care Act, which imposed limitations on abortion coverage in health insurance marketplaces, is fully repealed, along with related provisions for basic health plans and multi-state plans.
- Sense of Congress: The federal government should model full coverage of abortion services in its capacity as insurer, employer, or provider, and restrictions in the private market should end.
- Superseding Effect: The Act overrides all other federal laws (whether enacted before or after this legislation) and is not subject to the Religious Freedom Restoration Act of 1993.
Significant Changes to Existing Law Introduced
- The bill effectively ends the application of longstanding federal funding restrictions (commonly associated with the Hyde Amendment) in listed federal health programs by requiring coverage of abortion services.
- It repeals specific marketplace and multi-state plan limitations established under the Affordable Care Act.
- It establishes a broad federal override that applies to future government-sponsored programs and removes prior exemptions or prohibitions on coverage.
Potential Impacts
- Government Agencies: Agencies administering programs such as Medicaid, Medicare, the Indian Health Service, TRICARE, and veterans’ benefits would need to update policies, funding mechanisms, and service delivery to include abortion coverage and care.
- Citizens: Individuals enrolled in these federal programs, particularly those of reproductive age, would gain coverage for abortion services regardless of income or insurance source. The legislation also removes federal barriers to coverage in private plans.
- International Relations: No provisions in the bill address or affect international relations.
Main Stakeholders Affected
- Individuals enrolled in or receiving care through federal health programs (including Medicaid recipients, veterans, active-duty military, American Indians and Alaska Natives served by the Indian Health Service, and others).
- Federal agencies and departments responsible for health program administration and direct care delivery.
- Private health insurance plans and state-regulated insurance markets.
- Health care providers participating in federal programs or offering services under covered plans.
Notable Legal, Constitutional, or Political Implications
- The legislation asserts congressional authority under the Commerce Clause, the Necessary and Proper Clause, the Taxing and Spending Clause, and Section 5 of the Fourteenth Amendment to the U.S. Constitution.
- It includes a severability clause to preserve remaining portions if any part is invalidated.
- The Act explicitly states that it supersedes conflicting federal law and is not subject to the Religious Freedom Restoration Act.
- A rule of construction preserves any state or local laws that provide greater protections for abortion coverage than those in this bill.
This summary was generated by AI and may contain inaccuracies. Refer to the official source document for the authoritative text.
Sponsor
Rep. Pressley, Ayanna [D-MA-7]
Cosponsors (185)
Rep. DeGette, Diana [D-CO-1], Rep. Frost, Maxwell [D-FL-10], Rep. Schakowsky, Janice D. [D-IL-9], Rep. Adams, Alma S. [D-NC-12], Rep. Aguilar, Pete [D-CA-33], Rep. Amo, Gabe [D-RI-1], Rep. Ansari, Yassamin [D-AZ-3], Rep. Auchincloss, Jake [D-MA-4], Rep. Balint, Becca [D-VT-At Large], Rep. Barragán, Nanette Diaz [D-CA-44], Rep. Beatty, Joyce [D-OH-3], Rep. Bell, Wesley [D-MO-1], Rep. Bera, Ami [D-CA-6], Rep. Beyer, Donald S. [D-VA-8], Rep. Bonamici, Suzanne [D-OR-1], Rep. Brown, Shontel M. [D-OH-11], Rep. Brownley, Julia [D-CA-26], Rep. Budzinski, Nikki [D-IL-13], Rep. Bynum, Janelle S. [D-OR-5], Rep. Carbajal, Salud O. [D-CA-24], Rep. Carson, André [D-IN-7], Rep. Carter, Troy A. [D-LA-2], Rep. Casar, Greg [D-TX-35], Rep. Case, Ed [D-HI-1], Rep. Casten, Sean [D-IL-6], Rep. Castor, Kathy [D-FL-14], Rep. Castro, Joaquin [D-TX-20], Rep. Cherfilus-McCormick, Sheila [D-FL-20], Rep. Chu, Judy [D-CA-28], Rep. Cisneros, Gilbert Ray [D-CA-31], Rep. Clark, Katherine M. [D-MA-5], Rep. Clarke, Yvette D. [D-NY-9], Rep. Cleaver, Emanuel [D-MO-5], Rep. Cohen, Steve [D-TN-9], Rep. Correa, J. Luis [D-CA-46], Rep. Craig, Angie [D-MN-2], Rep. Crockett, Jasmine [D-TX-30], Rep. Crow, Jason [D-CO-6], Rep. Davids, Sharice [D-KS-3], Rep. Davis, Danny K. [D-IL-7], Rep. Dean, Madeleine [D-PA-4], Rep. DeLauro, Rosa L. [D-CT-3], Rep. DelBene, Suzan K. [D-WA-1], Rep. Deluzio, Christopher R. [D-PA-17], Rep. DeSaulnier, Mark [D-CA-10], Rep. Dexter, Maxine [D-OR-3], Rep. Doggett, Lloyd [D-TX-37], Rep. Elfreth, Sarah [D-MD-3], Rep. Escobar, Veronica [D-TX-16], Rep. Espaillat, Adriano [D-NY-13] and 135 more
Recent Actions
- 2025-12-19: Referred to the Subcommittee on Health.
- 2025-07-22: Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, Natural Resources, Armed Services, Veterans' Affairs, the Judiciary, Oversight and Government Reform, and Foreign Affairs, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
- 2025-07-22: Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, Natural Resources, Armed Services, Veterans' Affairs, the Judiciary, Oversight and Government Reform, and Foreign Affairs, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
- 2025-07-22: Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, Natural Resources, Armed Services, Veterans' Affairs, the Judiciary, Oversight and Government Reform, and Foreign Affairs, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
- 2025-07-22: Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, Natural Resources, Armed Services, Veterans' Affairs, the Judiciary, Oversight and Government Reform, and Foreign Affairs, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
- 2025-07-22: Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, Natural Resources, Armed Services, Veterans' Affairs, the Judiciary, Oversight and Government Reform, and Foreign Affairs, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
- 2025-07-22: Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, Natural Resources, Armed Services, Veterans' Affairs, the Judiciary, Oversight and Government Reform, and Foreign Affairs, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
- 2025-07-22: Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, Natural Resources, Armed Services, Veterans' Affairs, the Judiciary, Oversight and Government Reform, and Foreign Affairs, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
- 2025-07-22: Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, Natural Resources, Armed Services, Veterans' Affairs, the Judiciary, Oversight and Government Reform, and Foreign Affairs, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.
- 2025-07-21: Introduced in House
- 2025-07-21: Sponsor introductory remarks on measure. (CR H3521-3522)
- 2025-07-21: Introduced in House
Bill Versions
- Equal Access to Abortion Coverage in Health Insurance Act of 2025 — issued 2025-07-22 — PDF (16 pages)