S. 178 (119th)Bill Overview

Ensuring Accurate and Complete Abortion Data Reporting Act of 2025

Health|AbortionChild health
Cosponsors
Support
Republican
Introduced
Jan 22, 2025
Discussions
Bill Text
Current stageCommittee

Read twice and referred to the Committee on Finance.

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

The bill requires States to submit standardized abortion data to a new CDC surveillance system and makes receipt of certain Medicaid family-planning payments contingent on timely submission. It defines mandatory variables (age, gestational age, race, ethnicity, method, marital status, pregnancy history, residence, survival of the child) and allows cross-tabulation.

Why people may split

Privacy and access: left worries about patient privacy; right prioritizes transparency.

Watch point

Relative to its intended legislative type, this bill clearly defines a policy change requiring standardized abortion data reporting and ties state Medicaid family-planning payments to compliance, while also creating a statutory reporting role for CDC.

The bill requires States to submit standardized abortion data to a new CDC surveillance system and makes receipt of certain Medicaid family-planning payments contingent on timely submission.

It defines mandatory variables (age, gestational age, race, ethnicity, method, marital status, pregnancy history, residence, survival of the child) and allows cross-tabulation.

States must certify accuracy, face a one-year funding disqualification for knowingly submitting false data, and receive CDC technical assistance.

Passage25/100

High controversy around abortion and federalism implications lower prospects despite narrow administrative framing and built-in flexibilities.

CredibilityPartially aligned

Relative to its intended legislative type, this bill clearly defines a policy change requiring standardized abortion data reporting and ties state Medicaid family-planning payments to compliance, while also creating a statutory reporting role for CDC. It sets out many necessary components (variables, cross-tabulation, certification, deadlines, technical assistance, and an annual CDC report), but contains drafting ambiguities, incomplete cross-references, and lacks funding and comprehensive operational safeguards.

Contention70/100

Privacy and access: left worries about patient privacy; right prioritizes transparency.

02 · What it does

Who stands to gain, and who may push back.

Likely benefits vs burdens50% / 50%
StatesStates · Counties

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

Likely helped
  • Potential benefitImproves national abortion data standardization and completeness for consistent statistics.
  • Potential benefitEnables detailed cross-tabulation to support public health research and policy analysis.
  • StatesCreates a financial incentive for States to submit required data through Medicaid linkage.
Likely burdened
  • StatesIncreases State administrative and IT burdens to collect, standardize, and submit detailed data.
  • CountiesCounty-level and cross-tabbed data raise patient privacy and re-identification concerns.
  • FamiliesWithholding Medicaid family planning funds from noncompliant States could reduce access to services.
03 · Why people split

Why the argument around this bill splits.

Privacy and access: left worries about patient privacy; right prioritizes transparency.
Progressive20%

Likely skeptical overall.

While better data can inform policy, conditioning Medicaid family-planning funds on reporting risks reducing access and threatens patient privacy.

The inclusion of detailed cross-tabulation and a variable on whether the child survived the abortion raises concern about stigmatizing language and potential data misuse.

Likely resistant
Centrist60%

Mixed and pragmatic.

Supports better, standardized data for public-health planning but worries about implementation details, privacy, and unintended effects on access.

Would seek clarifications on timing, enforcement triggers, and cost-sharing for state compliance.

Split reaction
Conservative85%

Generally favorable.

Sees the bill as improving accountability and transparency about abortion practices.

Supports conditioning Medicaid family-planning funding on compliance and the inclusion of variables like survival of the child as important oversight measures.

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 likelihood25/100

High controversy around abortion and federalism implications lower prospects despite narrow administrative framing and built-in flexibilities.

Scope and complexity
52%
Scopemoderate
52%
Complexitymedium
Why this could stall
  • Whether courts would view funding conditions as coercive
  • Privacy and HIPAA concerns about required variables and cross-tabulations
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

Privacy and access: left worries about patient privacy; right prioritizes transparency.

High controversy around abortion and federalism implications lower prospects despite narrow administrative framing and built-in flexibiliti…

Unlocked analysis

Relative to its intended legislative type, this bill clearly defines a policy change requiring standardized abortion data reporting and ties state Medicaid family-planning payments to compliance, while also creating a s…

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
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