S. 253 (119th)Bill Overview

Abortion Is Not Health Care Act of 2025

Taxation|Taxation
Sponsor
Cosponsors
Support
Republican
Introduced
Jan 24, 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

This bill amends Internal Revenue Code section 213 to disallow taking amounts paid for an abortion into account when calculating the medical expense deduction. Two exceptions permit the deduction if a physician certifies the abortion was necessary to prevent the woman's death from a physical condition caused by the pregnancy, or if the pregnancy resulted from rape or incest.

Why people may split

Progressives emphasize harm to low-income people seeking abortion.

Watch point

Relative to its intended legislative type, this bill is a concise, narrowly targeted substantive amendment to the Internal Revenue Code that clearly states the legal change and its effective date but omits several operational details commonly relevant to tax-law implementation.

This bill amends Internal Revenue Code section 213 to disallow taking amounts paid for an abortion into account when calculating the medical expense deduction.

Two exceptions permit the deduction if a physician certifies the abortion was necessary to prevent the woman's death from a physical condition caused by the pregnancy, or if the pregnancy resulted from rape or incest.

The change applies to taxable years beginning after enactment.

Passage20/100

Narrow and administrable but centered on a contentious cultural issue; limited fiscal benefit and strong partisan divisions lower odds.

CredibilityPartially aligned

Relative to its intended legislative type, this bill is a concise, narrowly targeted substantive amendment to the Internal Revenue Code that clearly states the legal change and its effective date but omits several operational details commonly relevant to tax-law implementation.

Contention78/100

Progressives emphasize harm to low-income people seeking abortion.

02 · What it does

Who stands to gain, and who may push back.

Likely benefits vs burdens50% / 50%
Federal agenciesTaxpayers

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

Likely helped
  • Federal agenciesRemoves federal tax subsidy for abortions by disallowing their medical expense deduction.
  • Federal agenciesLikely increases federal revenue modestly by broadening the taxable income base.
  • Potential benefitAligns tax rules with policy that abortion expenses are not treated as deductible healthcare costs.
Likely burdened
  • Potential burdenIncreases financial burden on people seeking abortions, disproportionately affecting low-income individuals.
  • Potential burdenMay exacerbate health disparities by making abortion less affordable for marginalized communities.
  • TaxpayersCreates administrative burdens for taxpayers, physicians, and tax preparers who must document exceptions.
03 · Why people split

Why the argument around this bill splits.

Progressives emphasize harm to low-income people seeking abortion.
Progressive5%

Seen as a punitive tax change that further stigmatizes and financially burdens people seeking abortions.

Viewed as a targeted restriction that reduces access to affordable care and shifts costs onto individuals, especially lower-income people.

Likely resistant
Centrist40%

Views the bill as a narrow tax-policy approach to a divisive social issue.

Appreciates the limited scope, but worries about fairness, administrative ambiguity, and precedent for excluding specific care from medical deductions.

Split reaction
Conservative90%

Sees the bill as a reasonable measure preventing federal tax law from subsidizing abortion expenses.

Views it as a limited, pro-life consistent adjustment to tax policy that preserves narrow exceptions for life and rape/incest.

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

Narrow and administrable but centered on a contentious cultural issue; limited fiscal benefit and strong partisan divisions lower odds.

Scope and complexity
24%
Scopenarrow
24%
Complexitylow
Why this could stall
  • No Congressional Budget Office score or revenue estimate included
  • How insurer or third‑party payments are treated is unclear
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 harm to low-income people seeking abortion.

Narrow and administrable but centered on a contentious cultural issue; limited fiscal benefit and strong partisan divisions lower odds.

Unlocked analysis

Relative to its intended legislative type, this bill is a concise, narrowly targeted substantive amendment to the Internal Revenue Code that clearly states the legal change and its effective date but omits several opera…

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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