H.R. 1349 (119th)Bill Overview

Women’s Protection in Telehealth Act

Health|AbortionComputers and information technology
Cosponsors
Support
Republican
Introduced
Feb 13, 2025
Discussions
Bill Text
Current stageCommittee

Referred to the Committee on Ways and Means, and in addition to the Committee on Energy and Commerce, for a period to be subsequently determined by the Speaker, in each case for c…

Introduced
Committee
Floor
President
Law
Congressional Activities
01 · The brief
Plain-English summaryWhat this bill actually does

This bill amends Section 1128 of the Social Security Act to create a new Medicare exclusion for any individual or entity that prescribes, administers, dispenses, or furnishes an "abortion-inducing drug" after enactment unless the provider is a physician who performs a physical exam, is physically present in the same room when the drug is taken or administered, and schedules an in-person follow-up within 14 days. The measure defines "abortion-inducing drug" to include any drug intended to terminate a clinically diagnosable pregnancy (including off-label uses) and adopts the statutory definition of "unborn child." It makes exclusions under this new paragraph permanent and removes certain reinstatement or other subsection protections for such exclusions.

Why people may split

Progressives emphasize reduced access and harm to telehealth care.

Watch point

Relatively narrow statutory change that appeals to constituents favoring abortion restrictions; House historically more likely to pass divisive, ideologically driven measures.

This bill amends Section 1128 of the Social Security Act to create a new Medicare exclusion for any individual or entity that prescribes, administers, dispenses, or furnishes an "abortion-inducing drug" after enactment unless the provider is a physician who performs a physical exam, is physically present in the same room when the drug is taken or administered, and schedules an in-person follow-up within 14 days.

The measure defines "abortion-inducing drug" to include any drug intended to terminate a clinically diagnosable pregnancy (including off-label uses) and adopts the statutory definition of "unborn child." It makes exclusions under this new paragraph permanent and removes certain reinstatement or other subsection protections for such exclusions.

The exclusion applies to participation in the Medicare program under Title XVIII and can affect individuals and entities providing the covered services.

Passage30/100

Substantive, ideologically charged restriction with limited compromise features; plausible in lower chamber but faces significant obstacles in the Senate and legal scrutiny.

CredibilityPartial

How solid the drafting looks.

Contention80/100

Progressives emphasize reduced access and harm to telehealth care.

02 · What it does

Who stands to gain, and who may push back.

Likely benefits vs burdens50% / 50%
Likely helpedStates

These are examples from the analysis, not a ranked list of the most-affected groups.

Likely helped
  • Potential benefitRequires in-person physician examination and follow-up for medication abortions, which supporters say improves medical…
  • Potential benefitCurtails telehealth and mail-order distribution of abortion drugs, aligning practice with supporters' safety priorities.
  • Potential benefitRestricts non-physician clinicians and remote pharmacies from furnishing medication abortions, reinforcing physician-ce…
Likely burdened
  • Potential burdenReduces access to medication abortion in rural and underserved areas by eliminating telehealth and mail-order options.
  • Potential burdenMay remove providers from Medicare participation, decreasing available clinicians for other Medicare-covered services.
  • StatesPermanent exclusion without normal reinstatement or appeals increases regulatory severity and chilling effects on provi…
03 · Why people split

Why the argument around this bill splits.

Progressives emphasize reduced access and harm to telehealth care.
Progressive10%

Likely to oppose the bill as an unnecessary restriction on access to medication abortion and telehealth care.

Would view the in-person and physician-only requirements as burdensome, likely to reduce access especially for rural and low-income patients.

Concerned that permanent Medicare exclusion is punitive and could chill providers from offering evidence-based telehealth services.

Likely resistant
Centrist45%

Mixed view: recognizes patient safety and physician oversight arguments but worries about access, workforce effects, and harsh permanent exclusions.

Would want narrower, evidence-based limits or built-in exceptions, and retention of due-process and reinstatement rights.

Sees tradeoffs between in-person care and telehealth efficiencies.

Split reaction
Conservative90%

Likely to support the bill as protecting women by ensuring in-person physician oversight for abortion-inducing drugs and restricting remote provision.

Views the physician-only and in-room requirements as reasonable safety safeguards and the permanent exclusion as a strong enforcement mechanism.

Sees the measure as consistent with efforts to limit medication abortions via telehealth.

Leans supportive
04 · Can it pass?

The path through Congress.

Introduced

Reached or meaningfully advanced

Committee

Reached or meaningfully advanced

Floor

Still ahead

President

Still ahead

Law

Still ahead

Passage likelihood30/100

Substantive, ideologically charged restriction with limited compromise features; plausible in lower chamber but faces significant obstacles in the Senate and legal scrutiny.

Scope and complexity
52%
Scopemoderate
24%
Complexitylow
Why this could stall
  • No CBO score or estimated administrative costs provided
  • Unclear practical scope given Medicare patient population
05 · Recent votes

Recent votes on the bill.

No vote history yet

The bill has not accumulated any surfaced votes yet.

06 · Go deeper

Go deeper than the headline read.

Included on this page

Progressives emphasize reduced access and harm to telehealth care.

Substantive, ideologically charged restriction with limited compromise features; plausible in lower chamber but faces significant obstacles…

Unlocked analysis

Pro readers get the full perspective split, passage barriers, legislative design review, stakeholder impact map, and lens-based policy tradeoff analysis for Women’s Protection in Telehealth Act.

Go beyond the headline summary with full stakeholder mapping, legislative design analysis, passage barriers, and lens-by-lens tradeoff breakdowns.

Perspective breakdownsPassage barriersLegislative design reviewStakeholder impact map
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