H.R. 78 (119th)Bill Overview

Pregnant Women Health and Safety Act of 2025

Crime and Law Enforcement|AbortionCrime and Law Enforcement
Cosponsors
Support
Republican
Introduced
Jan 3, 2025
Discussions
Bill Text
Current stageCommittee

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

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

The Pregnant Women Health and Safety Act of 2025 amends Title 18 and federal funding conditions for abortion providers. It requires any physician who performs an abortion to hold admitting privileges at a hospital within 15 miles of the physician’s principal office and the abortion site, and to inform the patient which hospital can provide follow-up care.

Why people may split

Progressives emphasize access harms and clinic closures

Watch point

Relative to its intended legislative type, this bill creates new federal criminal prohibitions on physicians and conditions on federal funding for clinics, and it contains some concrete statutory language, but its construction has limited clarity on key definitions, implementation responsibilities, fiscal impacts, and oversight.

The Pregnant Women Health and Safety Act of 2025 amends Title 18 and federal funding conditions for abortion providers.

It requires any physician who performs an abortion to hold admitting privileges at a hospital within 15 miles of the physician’s principal office and the abortion site, and to inform the patient which hospital can provide follow-up care.

Violations are a federal offense punishable by fine or up to two years imprisonment, and women who receive the procedure are exempt from prosecution.

Passage20/100

High controversy, criminalization, and federal funding conditions make enactment unlikely absent significant political alignment or compromise.

CredibilityMisaligned

Relative to its intended legislative type, this bill creates new federal criminal prohibitions on physicians and conditions on federal funding for clinics, and it contains some concrete statutory language, but its construction has limited clarity on key definitions, implementation responsibilities, fiscal impacts, and oversight.

Contention72/100

Progressives emphasize access harms and clinic closures

02 · What it does

Who stands to gain, and who may push back.

Likely benefits vs burdens50% / 50%
Likely helpedFederal agencies

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

Likely helped
  • Potential benefitCould improve patient safety by ensuring physicians have hospital admitting privileges near abortion facilities.
  • Potential benefitRequires clinics to meet ambulatory surgery center standards, potentially raising clinical quality and infection contro…
  • Potential benefitMandates physicians notify patients of hospital follow-up locations, improving continuity of care awareness.
Likely burdened
  • Potential burdenAdmitting privilege and structural requirements may force some clinics to close, reducing abortion access.
  • Potential burdenCriminal penalties for physicians risk deterring providers from offering abortion services.
  • Federal agenciesConditioning any federal funds could extend federal control into traditionally state-regulated healthcare licensing.
03 · Why people split

Why the argument around this bill splits.

Progressives emphasize access harms and clinic closures
Progressive10%

Likely views the bill as a regulatory barrier targeting abortion access under the guise of safety.

Will be particularly concerned about criminalizing providers and imposing facility standards that could close clinics, especially in rural areas.

Likely resistant
Centrist50%

Sees legitimate patient-safety goals but worries the measures are blunt and carry high practical and constitutional costs.

Wants evidence that benefits outweigh reduced access and expects legal challenges and operational tradeoffs.

Split reaction
Conservative80%

Likely supportive as a measure to protect pregnant women by ensuring clinical accountability and hospital access.

Views federal funding conditions as reasonable oversight of clinics receiving taxpayer support.

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, criminalization, and federal funding conditions make enactment unlikely absent significant political alignment or compromise.

Scope and complexity
52%
Scopemoderate
24%
Complexitylow
Why this could stall
  • No cost or CBO estimate provided
  • Practicality of admitting-privileges requirement in many areas
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 access harms and clinic closures

High controversy, criminalization, and federal funding conditions make enactment unlikely absent significant political alignment or comprom…

Unlocked analysis

Relative to its intended legislative type, this bill creates new federal criminal prohibitions on physicians and conditions on federal funding for clinics, and it contains some concrete statutory language, but its const…

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