Referred to the House Committee on Energy and Commerce.
The bill amends Social Security Act section 1115 to bar the Secretary of HHS from approving or extending any Medicaid or CHIP demonstration (section 1115) project that provides federal financial assistance or coverage for abortions, including travel or lodging expenses to obtain an abortion. It exempts abortions in cases of rape or incest, to save the life of the pregnant person (physician-certified), and treatment for miscarriage or ectopic pregnancy.
Progressives emphasize reduced access and travel impacts
Relative to its intended legislative type, this bill is a focused substantive change that amends 42 U.S.C. 1315 to prohibit approval of 1115 demonstration projects providing federal assistance for abortion, with specified exceptions; it establishes a clear legal prohibition but omits several implementation and oversight details.
The bill amends Social Security Act section 1115 to bar the Secretary of HHS from approving or extending any Medicaid or CHIP demonstration (section 1115) project that provides federal financial assistance or coverage for abortions, including travel or lodging expenses to obtain an abortion.
It exempts abortions in cases of rape or incest, to save the life of the pregnant person (physician-certified), and treatment for miscarriage or ectopic pregnancy.
The bill cites the Hyde Amendment and an HHS 2022 letter as background.
Content is narrow but ideologically charged; likely to pass in a chamber predisposed to funding limits, but Senate and enactment into law face significant obstacles.
Relative to its intended legislative type, this bill is a focused substantive change that amends 42 U.S.C. 1315 to prohibit approval of 1115 demonstration projects providing federal assistance for abortion, with specified exceptions; it establishes a clear legal prohibition but omits several implementation and oversight details.
Progressives emphasize reduced access and travel impacts
These are examples from the analysis, not a ranked list of the most-affected groups.
Progressives emphasize reduced access and travel impacts
Likely opposes the bill as a restriction on abortion access for low-income people that uses administrative authority to limit coverage.
Views the prohibition on funding travel or lodging as particularly harmful for those needing cross-state access.
Acknowledges exceptions but sees them as narrow and insufficient.
Views the bill as a targeted, incremental restriction on federal waiver authority that clarifies Hyde-related limits for 1115 projects.
Sees legitimate policy questions about federalism, program flexibility, and practical impacts on access for low-income people.
Likely strongly supports the bill as a necessary protection against taxpayer-funded abortions and an enforcement of the Hyde principle in waiver processes.
Sees the travel and lodging prohibition as preventing circumvention of federal funding limits.
Reached or meaningfully advanced
Reached or meaningfully advanced
Still ahead
Still ahead
Still ahead
Content is narrow but ideologically charged; likely to pass in a chamber predisposed to funding limits, but Senate and enactment into law face significant obstacles.
The bill has not accumulated any surfaced votes yet.
Progressives emphasize reduced access and travel impacts
Content is narrow but ideologically charged; likely to pass in a chamber predisposed to funding limits, but Senate and enactment into law f…
Relative to its intended legislative type, this bill is a focused substantive change that amends 42 U.S.C. 1315 to prohibit approval of 1115 demonstration projects providing federal assistance for abortion, with specifi…
Go beyond the headline summary with full stakeholder mapping, legislative design analysis, passage barriers, and lens-by-lens tradeoff breakdowns.