H.R. 797 (119th)Bill Overview

Ultrasounds Save Lives Act of 2025

Health|AbortionCivil actions and liability
Cosponsors
Support
Republican
Introduced
Jan 28, 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 Ultrasounds Save Lives Act of 2025 requires abortion providers operating in or affecting interstate commerce to perform an ultrasound and present results, and to obtain a signed Informed Consent Authorization at least 24 hours before any abortion except in medical emergencies. The form must state gestational age in completed days, list medical risks, and describe "major developmental characteristics" at that gestational age; providers must retain the form.

Why people may split

Liberals emphasize access and chilling effects; conservatives emphasize informed choice and fetal information.

Watch point

Relative to its intended legislative type, this bill is a clearly focused substantive policy change that imposes new federally enforceable informed-consent requirements for abortions, with detailed form content, timing, retention, enforcement, and defined remedies.

The Ultrasounds Save Lives Act of 2025 requires abortion providers operating in or affecting interstate commerce to perform an ultrasound and present results, and to obtain a signed Informed Consent Authorization at least 24 hours before any abortion except in medical emergencies.

The form must state gestational age in completed days, list medical risks, and describe "major developmental characteristics" at that gestational age; providers must retain the form.

Enforcement is by the U.S. Attorney General with substantial civil penalties, and a private right of action allows a woman (or a parent of a minor) to sue for damages for violations.

Passage20/100

High controversy, substantial private liability, federalization of abortion rules, and limited compromise features make enactment unlikely without strong aligned majorities.

CredibilityPartially aligned

Relative to its intended legislative type, this bill is a clearly focused substantive policy change that imposes new federally enforceable informed-consent requirements for abortions, with detailed form content, timing, retention, enforcement, and defined remedies.

Contention70/100

Liberals emphasize access and chilling effects; conservatives emphasize informed choice and fetal information.

02 · What it does

Who stands to gain, and who may push back.

Likely benefits vs burdens50% / 50%
Federal agenciesLikely burdened

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

Likely helped
  • Potential benefitIncreases the amount of procedure-specific information patients receive before consenting to abortion.
  • Potential benefitCreates a standardized, written consent process that supporters can argue improves informed decision-making.
  • Federal agenciesEstablishes federal civil enforcement and private litigation avenues intended to hold providers accountable.
Likely burdened
  • Potential burdenImposes additional administrative and clinical requirements that increase provider regulatory burden and compliance cos…
  • Potential burdenRaises litigation and financial exposure for providers through steep civil penalties and private lawsuits.
  • Potential burdenMay delay access to abortion care because of the in-person presentation and 24-hour wait requirement.
03 · Why people split

Why the argument around this bill splits.

Liberals emphasize access and chilling effects; conservatives emphasize informed choice and fetal information.
Progressive10%

Likely to oppose the bill overall.

They would view the law as a medically prescriptive and burdensome federal mandate that could restrict access to abortion, chill providers, and insert contested fetal-development claims into clinical care.

Likely resistant
Centrist45%

Mixed view: supports informed consent in principle but is concerned about federal reach, large penalties, and one-size-fits-all 24-hour timing.

Would want clearer medical accuracy, narrower federal enforcement, and safeguards for telehealth.

Split reaction
Conservative85%

Likely to support the bill strongly.

It is seen as ensuring women receive fetal-development information and ultrasound results before consenting to abortion, and as providing enforcement mechanisms and private remedies.

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, substantial private liability, federalization of abortion rules, and limited compromise features make enactment unlikely without strong aligned majorities.

Scope and complexity
52%
Scopemoderate
52%
Complexitymedium
Why this could stall
  • Constitutional challenge likelihood and scope of judicial review
  • 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

Liberals emphasize access and chilling effects; conservatives emphasize informed choice and fetal information.

High controversy, substantial private liability, federalization of abortion rules, and limited compromise features make enactment unlikely…

Unlocked analysis

Relative to its intended legislative type, this bill is a clearly focused substantive policy change that imposes new federally enforceable informed-consent requirements for abortions, with detailed form content, timing,…

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