Title X Abortion Provider Prohibition Act
- Bill Number
- S. 4329
- Origin Chamber
- Senate
- Congress
- 119th Congress, Session 2
- Policy Area
- Health
- Status
- Introduced
- Latest Action
- 2026-04-16: Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
- Last Updated
- 2026-06-02T11:03:22Z
AI-Generated Summary
Purpose
The Title X Abortion Provider Prohibition Act (S. 4329) aims to prevent federal family planning grants under Title X of the Public Health Service Act from going to any organization that performs abortions or funds others that do, except in specific life-saving cases.
Key Provisions
- Certification Requirement: Entities must certify they will not perform abortions or provide funds to abortion-performing entities during the grant period to receive Title X assistance.
- Exceptions to Prohibition:
- Abortions resulting from rape or incest.
- Abortions certified by a physician as necessary to prevent the woman's death due to a physical disorder, injury, illness, or life-threatening pregnancy condition.
- Hospital Exception: Hospitals are exempt if they do not fund non-hospital entities performing abortions (outside the exceptions).
- Annual Reporting: The Secretary of Health and Human Services (HHS) must submit a report to Congress within 60 days of enactment and annually, including:
- List of all Title X grantees.
- Breakdown of exception abortions (total, by rape, incest, and physician-certified cases).
- Dates of latest certifications.
- List of sub-grantees funded by Title X recipients.
- Definitions:
- Entity: The whole organization, including affiliates or those under common control.
- Hospital: As defined in the Social Security Act (generally, institutions providing inpatient diagnostic and therapeutic services).
Significant Changes to Existing Law
- Adds a new Section 1009 to Title X (42 U.S.C. 300 et seq.), introducing a blanket ban on grants to abortion-performing entities (or their funders), stricter than prior rules that allowed separate abortion and family planning services within the same organization.
- Expands accountability by requiring entity-wide certifications (covering affiliates) and detailed congressional reporting on exceptions and fund flows.
Potential Impacts
- Government Agencies: HHS must enforce certifications, track sub-grantees, and produce annual reports, increasing administrative workload.
- Citizens: May reduce access to family planning services (e.g., birth control, screenings) at organizations that also provide abortions, potentially shifting services to non-abortion providers.
- No Direct International Impact: Focuses on domestic family planning grants.
Main Stakeholders Affected
- Family Planning Providers: Especially large networks like Planned Parenthood that perform abortions and receive Title X funds; many could lose funding.
- HHS and Federal Government: Responsible for implementation and reporting.
- Women Seeking Services: Particularly low-income individuals relying on Title X-funded clinics for non-abortion care.
- Congress: Receives oversight reports to monitor compliance.
Notable Legal, Constitutional, or Political Implications
- Legal: Could face challenges under the First Amendment (free speech restrictions on counseling) or Administrative Procedure Act (rulemaking requirements); builds on past Title X "gag rules" upheld or struck down by courts.
- Constitutional: May raise equal protection or due process questions if seen as targeting specific providers.
- Political: Reinforces restrictions on federal abortion funding, likely sparking debate on reproductive rights vs. taxpayer funding priorities.
This summary was generated by AI and may contain inaccuracies. Refer to the official source document for the authoritative text.
Sponsor
Cosponsors (22)
Sen. Young, Todd [R-IN], Sen. Wicker, Roger F. [R-MS], Sen. Fischer, Deb [R-NE], Sen. Crapo, Mike [R-ID], Sen. Hawley, Josh [R-MO], Sen. Hyde-Smith, Cindy [R-MS], Sen. Hagerty, Bill [R-TN], Sen. Cassidy, Bill [R-LA], Sen. Britt, Katie Boyd [R-AL], Sen. Marshall, Roger [R-KS], Sen. Barrasso, John [R-WY], Sen. Lankford, James [R-OK], Sen. Daines, Steve [R-MT], Sen. Risch, James E. [R-ID], Sen. Cruz, Ted [R-TX], Sen. Tillis, Thomas [R-NC], Sen. Lummis, Cynthia M. [R-WY], Sen. Cramer, Kevin [R-ND], Sen. Scott, Tim [R-SC], Sen. Banks, Jim [R-IN], Sen. Scott, Rick [R-FL], Sen. Lee, Mike [R-UT]
Recent Actions
- 2026-04-16: Read twice and referred to the Committee on Health, Education, Labor, and Pensions.
- 2026-04-16: Introduced in Senate
Bill Versions
- Title X Abortion Provider Prohibition Act — issued 2026-04-16 — PDF (4 pages)