- Federal agenciesReduces federal tax benefits that effectively subsidize abortion payments through deductions.
- Potential benefitIncreases the out-of-pocket after-tax cost for individuals who pay for abortions themselves.
- Federal agenciesLikely yields modest additional federal revenue by narrowing deductible medical expenses.
Abortion Is Not Health Care Act of 2025
Referred to the House Committee on Ways and Means.
This bill amends Internal Revenue Code section 213 to exclude amounts paid for an abortion from the medical expense deduction. The change applies to taxable years beginning after the date of enactment, preventing taxpayers from counting abortion costs toward the itemized medical expense deduction threshold.
Whether abortion qualifies as deductible medical care
Relative to its intended legislative type, this bill is a narrowly focused substantive change to the Internal Revenue Code that is clearly and simply drafted to accomplish a single tax-policy outcome, but it omits definitional language, fiscal acknowledgment, and consideration of edge cases.
This bill amends Internal Revenue Code section 213 to exclude amounts paid for an abortion from the medical expense deduction.
The change applies to taxable years beginning after the date of enactment, preventing taxpayers from counting abortion costs toward the itemized medical expense deduction threshold.
Legally straightforward but politically polarizing; narrow scope helps, yet controversy and lack of compromise features lower overall prospects.
Relative to its intended legislative type, this bill is a narrowly focused substantive change to the Internal Revenue Code that is clearly and simply drafted to accomplish a single tax-policy outcome, but it omits definitional language, fiscal acknowledgment, and consideration of edge cases.
Whether abortion qualifies as deductible medical care
Who stands to gain, and who may push back.
These are examples from the analysis, not a ranked list of the most-affected groups.
- Potential burdenIncreases financial burden on people obtaining abortions, disproportionately affecting low-income individuals.
- Potential burdenCould reduce access to abortion services by raising net costs and deterring care.
- StatesDisproportionately affects individuals who must travel or obtain out-of-state care for abortions.
Why the argument around this bill splits.
Whether abortion qualifies as deductible medical care
Likely strongly opposed.
Will view the bill as a targeted rollback of a tax provision that reduces the net cost of reproductive healthcare.
Sees it as increasing financial barriers, especially for low-income people who pay out of pocket.
Cautiously skeptical.
Recognizes the bill's narrow technical change but worries about its distributional effects and symbolic implications.
Wants clearer estimates of fiscal savings, administrative impact, and interaction with other tax-advantaged accounts.
Likely supportive.
Views removal of the deduction as preventing federal tax recognition or subsidy of abortion.
Sees the change as consistent with pro‑life policy and proper use of the tax code.
The path through Congress.
Reached or meaningfully advanced
Reached or meaningfully advanced
Still ahead
Still ahead
Still ahead
Legally straightforward but politically polarizing; narrow scope helps, yet controversy and lack of compromise features lower overall prospects.
- No CBO or revenue estimate in the text
- Interaction with insurance, HSAs, FSAs not specified
Recent votes on the bill.
No vote history yet
The bill has not accumulated any surfaced votes yet.
Go deeper than the headline read.
Whether abortion qualifies as deductible medical care
Legally straightforward but politically polarizing; narrow scope helps, yet controversy and lack of compromise features lower overall prosp…
Relative to its intended legislative type, this bill is a narrowly focused substantive change to the Internal Revenue Code that is clearly and simply drafted to accomplish a single tax-policy outcome, but it omits defin…
Go beyond the headline summary with full stakeholder mapping, legislative design analysis, passage barriers, and lens-by-lens tradeoff breakdowns.