H.R. 48 (119th)Bill Overview

Ultrasound Informed Consent Act

Health|AbortionCivil actions and liability
Cosponsors
Support
Republican
Introduced
Jan 3, 2025
Discussions
Bill Text
Current stageCommittee

Referred to the House Committee on Energy and Commerce.

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

The bill amends the Public Health Service Act to require abortion providers affecting interstate or foreign commerce to perform an obstetric ultrasound before obtaining informed consent, display and explain the images and give a medical description (size, cardiac activity, organs). It allows the woman to avert her eyes, exempts life-saving emergency abortions (with provider certification), creates federal civil penalties enforceable by the Attorney General, and provides a private right of action for women harmed by violations.

Why people may split

Progressives see coercive medical interference; conservatives see protection for fetal life.

Watch point

Relative to its intended legislative type, this bill clearly defines a substantive policy requiring ultrasounds and associated disclosures prior to informed consent for abortion and establishes civil enforcement tools.

The bill amends the Public Health Service Act to require abortion providers affecting interstate or foreign commerce to perform an obstetric ultrasound before obtaining informed consent, display and explain the images and give a medical description (size, cardiac activity, organs).

It allows the woman to avert her eyes, exempts life-saving emergency abortions (with provider certification), creates federal civil penalties enforceable by the Attorney General, and provides a private right of action for women harmed by violations.

States may impose stricter disclosure or penalty rules; the bill is severable if any part is found unconstitutional.

Passage20/100

High controversy and litigation risk, combined with significant enforcement provisions, make enactment unlikely without major political realignment or amendment.

CredibilityPartially aligned

Relative to its intended legislative type, this bill clearly defines a substantive policy requiring ultrasounds and associated disclosures prior to informed consent for abortion and establishes civil enforcement tools. It supplies several concrete requirements and an emergency exception but omits important operational, fiscal, and procedural detail.

Contention78/100

Progressives see coercive medical interference; conservatives see protection for fetal life.

02 · What it does

Who stands to gain, and who may push back.

Likely benefits vs burdens50% / 50%
Federal agenciesFederal agencies

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

Likely helped
  • Potential benefitIncreases medical information available to women before giving informed consent for an abortion.
  • Potential benefitMay reduce some abortions by providing visual and descriptive fetal information prior to consent.
  • Federal agenciesEstablishes a federal baseline for pre-abortion disclosure across providers affecting interstate commerce.
Likely burdened
  • Potential burdenAdds regulatory, documentation, and procedural burdens for abortion providers and clinics.
  • Federal agenciesRaises legal and financial exposure for providers through large federal fines and private lawsuits.
  • Potential burdenMay delay time-sensitive abortion care when ultrasounds are unavailable or scheduling is constrained.
03 · Why people split

Why the argument around this bill splits.

Progressives see coercive medical interference; conservatives see protection for fetal life.
Progressive10%

Likely to view this as medically intrusive and a burdensome restriction on abortion access.

They will emphasize the law's potential to chill providers, increase litigation, and lack of broad health exceptions (rape, incest, severe health).

Likely resistant
Centrist50%

Mixed view: supports informed consent in principle but worries about scope, federalization, and large civil penalties.

Would seek narrower, clearer rules to avoid unintended access barriers or high litigation costs.

Split reaction
Conservative85%

Generally favorable: views requirement as protecting fetal life and ensuring women see medical information before consenting.

Appreciates private enforcement and strong civil penalties as deterrents.

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 likelihood20/100

High controversy and litigation risk, combined with significant enforcement provisions, make enactment unlikely without major political realignment or amendment.

Scope and complexity
52%
Scopemoderate
24%
Complexitylow
Why this could stall
  • Likelihood of constitutional or other judicial challenges
  • How broadly 'affecting interstate commerce' will be interpreted
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 see coercive medical interference; conservatives see protection for fetal life.

High controversy and litigation risk, combined with significant enforcement provisions, make enactment unlikely without major political rea…

Unlocked analysis

Relative to its intended legislative type, this bill clearly defines a substantive policy requiring ultrasounds and associated disclosures prior to informed consent for abortion and establishes civil enforcement tools.…

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
Open full analysis