Us Congress 2023-2024 Regular Session

Us Congress Senate Bill SB62 Compare Versions

Only one version of the bill is available at this time.

Old	New	Differences
1	1	II
2	2	118THCONGRESS
3	3	1
4	4	STSESSION S. 62
5	5	To prohibit taxpayer funded abortions.
6	6	IN THE SENATE OF THE UNITED STATES
7	7	JANUARY25, 2023
8	8	Mr. W
9	9	ICKER(for himself, Mr. LANKFORD, Mrs. HYDE-SMITH, Mr. TILLIS,
10	10	Mr. R
11	11	ISCH, Mr. BOOZMAN, Mrs. FISCHER, Mr. CRAPO, Mr. HOEVEN, Mr.
12	12	B
13	13	ARRASSO, Mr. ROMNEY, Mr. DAINES, Ms. LUMMIS, Mr. KENNEDY, Mr.
14	14	H
15	15	AGERTY, Mr. JOHNSON, Mr. TUBERVILLE, Mr. MCCONNELL, Mr.
16	16	B
17	17	RAUN, Mr. CORNYN, Mr. VANCE, Mr. CRUZ, Mr. ROUNDS, Mr.
18	18	C
19	19	RAMER, Mr. MULLIN, Mr. MORAN, Mr. SCOTTof Florida, Mr. CASSIDY,
20	20	Mr. R
21	21	UBIO, Mrs. BLACKBURN, Mr. SULLIVAN, Mr. THUNE, Mr. GRASS-
22	22	LEY, Mr. MARSHALL, Mrs. BRITT, Mr. LEE, Mr. SCHMITT, Mr. BUDD,
23	23	Mr. C
24	24	OTTON, Mr. HAWLEY, Mr. YOUNG, Mr. SCOTTof South Carolina,
25	25	Ms. E
26	26	RNST, Mr. PAUL, Mr. GRAHAM, and Mrs. CAPITO, ANDMR.
27	27	R
28	28	ICKETTS) introduced the following bill; which was read twice and re-
29	29	ferred to the Committee on Finance
30	30	A BILL
31	31	To prohibit taxpayer funded abortions.
32	32	Be it enacted by the Senate and House of Representa-1
33	33	tives of the United States of America in Congress assembled, 2
34	34	SECTION 1. SHORT TITLE; TABLE OF CONTENTS. 3
35	35	(a) S
36	36	HORTTITLE.—This Act may be cited as the 4
37	37	‘‘No Taxpayer Funding for Abortion and Abortion Insur-5
38	38	ance Full Disclosure Act of 2023’’. 6
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42	42	(b) TABLE OFCONTENTS.—The table of contents of 1
43	43	this Act is as follows: 2
44	44	Sec. 1. Short title; table of contents.
45	45	TITLE I—PROHIBITING FEDERALLY FUNDED ABORTIONS
46	46	Sec. 101. Prohibiting taxpayer funded abortions.
47	47	Sec. 102. Amendment to table of chapters.
48	48	TITLE II—APPLICATION UNDER THE AFFORDABLE CARE ACT
49	49	Sec. 201. Clarifying application of prohibition to premium credits and cost-
50	50	sharing reductions under ACA.
51	51	Sec. 202. Revision of notice requirements regarding disclosure of extent of
52	52	health plan coverage of abortion and abortion premium sur-
53	53	charges.
54	54	TITLE I—PROHIBITING FEDER-3
55	55	ALLY FUNDED ABORTIONS 4
56	56	SEC. 101. PROHIBITING TAXPAYER FUNDED ABORTIONS. 5
57	57	Title 1, United States Code, is amended by adding 6
58	58	at the end the following new chapter: 7
59	59	‘‘CHAPTER 4—PROHIBITING TAXPAYER 8
60	60	FUNDED ABORTIONS 9
61	61	‘‘301. Prohibition on funding for abortions.
62	62	‘‘302. Prohibition on funding for health benefits plans that cover abortion.
63	63	‘‘303. Limitation on Federal facilities and employees.
64	64	‘‘304. Construction relating to separate coverage.
65	65	‘‘305. Construction relating to the use of non-Federal funds for health coverage.
66	66	‘‘306. Non-preemption of other Federal laws.
67	67	‘‘307. Construction relating to complications arising from abortion.
68	68	‘‘308. Treatment of abortions related to rape, incest, or preserving the life of
69	69	the mother.
70	70	‘‘309. Application to District of Columbia.
71	71	‘‘§ 301. Prohibition on funding for abortions 10
72	72	‘‘No funds authorized or appropriated by Federal 11
73	73	law, and none of the funds in any trust fund to which 12
74	74	funds are authorized or appropriated by Federal law, shall 13
75	75	be expended for any abortion. 14
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79	79	‘‘§ 302. Prohibition on funding for health benefits 1
80	80	plans that cover abortion 2
81	81	‘‘None of the funds authorized or appropriated by 3
82	82	Federal law, and none of the funds in any trust fund to 4
83	83	which funds are authorized or appropriated by Federal 5
84	84	law, shall be expended for health benefits coverage that 6
85	85	includes coverage of abortion. 7
86	86	‘‘§ 303. Limitation on Federal facilities and employees 8
87	87	‘‘No health care service furnished— 9
88	88	‘‘(1) by or in a health care facility owned or op-10
89	89	erated by the Federal Government; or 11
90	90	‘‘(2) by any physician or other individual em-12
91	91	ployed by the Federal Government to provide health 13
92	92	care services within the scope of the physician’s or 14
93	93	individual’s employment, 15
94	94	may include abortion. 16
95	95	‘‘§ 304. Construction relating to separate coverage 17
96	96	‘‘Nothing in this chapter shall be construed as pro-18
97	97	hibiting any individual, entity, or State or locality from 19
98	98	purchasing separate abortion coverage or health benefits 20
99	99	coverage that includes abortion so long as such coverage 21
100	100	is paid for entirely using only funds not authorized or ap-22
101	101	propriated by Federal law and such coverage shall not be 23
102	102	purchased using matching funds required for a federally 24
103	103	subsidized program, including a State’s or locality’s con-25
104	104	tribution of Medicaid matching funds. 26
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108	108	‘‘§ 305. Construction relating to the use of non-Fed-1
109	109	eral funds for health coverage 2
110	110	‘‘Nothing in this chapter shall be construed as re-3
111	111	stricting the ability of any non-Federal health benefits cov-4
112	112	erage provider from offering abortion coverage, or the abil-5
113	113	ity of a State or locality to contract separately with such 6
114	114	a provider for such coverage, so long as only funds not 7
115	115	authorized or appropriated by Federal law are used and 8
116	116	such coverage shall not be purchased using matching 9
117	117	funds required for a federally subsidized program, includ-10
118	118	ing a State’s or locality’s contribution of Medicaid match-11
119	119	ing funds. 12
120	120	‘‘§ 306. Non-preemption of other Federal laws 13
121	121	‘‘Nothing in this chapter shall repeal, amend, or have 14
122	122	any effect on any other Federal law to the extent such 15
123	123	law imposes any limitation on the use of funds for abortion 16
124	124	or for health benefits coverage that includes coverage of 17
125	125	abortion, beyond the limitations set forth in this chapter. 18
126	126	‘‘§ 307. Construction relating to complications arising 19
127	127	from abortion 20
128	128	‘‘Nothing in this chapter shall be construed to apply 21
129	129	to the treatment of any infection, injury, disease, or dis-22
130	130	order that has been caused by or exacerbated by the per-23
131	131	formance of an abortion. This rule of construction shall 24
132	132	be applicable without regard to whether the abortion was 25
133	133	performed in accord with Federal or State law, and with-26
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137	137	out regard to whether funding for the abortion is permis-1
138	138	sible under section 308. 2
139	139	‘‘§ 308. Treatment of abortions related to rape, incest, 3
140	140	or preserving the life of the mother 4
141	141	‘‘The limitations established in sections 301, 302, 5
142	142	and 303 shall not apply to an abortion— 6
143	143	‘‘(1) if the pregnancy is the result of an act of 7
144	144	rape or incest; or 8
145	145	‘‘(2) in the case where a woman suffers from a 9
146	146	physical disorder, physical injury, or physical illness 10
147	147	that would, as certified by a physician, place the 11
148	148	woman in danger of death unless an abortion is per-12
149	149	formed, including a life-endangering physical condi-13
150	150	tion caused by or arising from the pregnancy itself. 14
151	151	‘‘§ 309. Application to District of Columbia 15
152	152	‘‘In this chapter: 16
153	153	‘‘(1) Any reference to funds appropriated by 17
154	154	Federal law shall be treated as including any 18
155	155	amounts within the budget of the District of Colum-19
156	156	bia that have been approved by an Act of Congress 20
157	157	pursuant to section 446 of the District of Columbia 21
158	158	Home Rule Act (or any applicable successor Federal 22
159	159	law). 23
160	160	‘‘(2) The term ‘Federal Government’ includes 24
161	161	the government of the District of Columbia.’’. 25
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165	165	SEC. 102. AMENDMENT TO TABLE OF CHAPTERS. 1
166	166	The table of chapters for title 1, United States Code, 2
167	167	is amended by adding at the end the following new item: 3
168	168	‘‘4. Prohibiting taxpayer funded abortions............................301’’.
169	169	TITLE II—APPLICATION UNDER 4
170	170	THE AFFORDABLE CARE ACT 5
171	171	SEC. 201. CLARIFYING APPLICATION OF PROHIBITION TO 6
172	172	PREMIUM CREDITS AND COST-SHARING RE-7
173	173	DUCTIONS UNDER ACA. 8
174	174	(a) I
175	175	NGENERAL.— 9
176	176	(1) D
177	177	ISALLOWANCE OF REFUNDABLE CREDIT 10
178	178	AND COST-SHARING REDUCTIONS FOR COVERAGE 11
179	179	UNDER QUALIFIED HEALTH PLAN WHICH PROVIDES 12
180	180	COVERAGE FOR ABORTION .— 13
181	181	(A) I
182	182	N GENERAL.—Subparagraph (A) of 14
183	183	section 36B(c)(3) of the Internal Revenue Code 15
184	184	of 1986 is amended by inserting before the pe-16
185	185	riod at the end the following: ‘‘or any health 17
186	186	plan that includes coverage for abortions (other 18
187	187	than any abortion or treatment described in 19
188	188	section 307 or 308 of title 1, United States 20
189	189	Code)’’. 21
190	190	(B) O
191	191	PTION TO PURCHASE OR OFFER SEP -22
192	192	ARATE COVERAGE OR PLAN .—Paragraph (3) of 23
193	193	section 36B(c) of such Code is amended by 24
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197	197	adding at the end the following new subpara-1
198	198	graph: 2
199	199	‘‘(C) S
200	200	EPARATE ABORTION COVERAGE OR 3
201	201	PLAN ALLOWED.— 4
202	202	‘‘(i) O
203	203	PTION TO PURCHASE SEPARATE 5
204	204	COVERAGE OR PLAN.—Nothing in subpara-6
205	205	graph (A) shall be construed as prohibiting 7
206	206	any individual from purchasing separate 8
207	207	coverage for abortions described in such 9
208	208	subparagraph, or a health plan that in-10
209	209	cludes such abortions, so long as no credit 11
210	210	is allowed under this section with respect 12
211	211	to the premiums for such coverage or plan. 13
212	212	‘‘(ii) O
213	213	PTION TO OFFER COVERAGE OR 14
214	214	PLAN.—Nothing in subparagraph (A) shall 15
215	215	restrict any non-Federal health insurance 16
216	216	issuer offering a health plan from offering 17
217	217	separate coverage for abortions described 18
218	218	in such subparagraph, or a plan that in-19
219	219	cludes such abortions, so long as premiums 20
220	220	for such separate coverage or plan are not 21
221	221	paid for with any amount attributable to 22
222	222	the credit allowed under this section (or 23
223	223	the amount of any advance payment of the 24
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226	226	•S 62 IS
227	227	credit under section 1412 of the Patient 1
228	228	Protection and Affordable Care Act).’’. 2
229	229	(2) D
230	230	ISALLOWANCE OF SMALL EMPLOYER 3
231	231	HEALTH INSURANCE EXPENSE CREDIT FOR PLAN 4
232	232	WHICH INCLUDES COVERAGE FOR ABORTION .—Sub-5
233	233	section (h) of section 45R of the Internal Revenue 6
234	234	Code of 1986 is amended— 7
235	235	(A) by striking ‘‘Any term’’ and inserting 8
236	236	the following: 9
237	237	‘‘(1) I
238	238	N GENERAL.—Any term’’; and 10
239	239	(B) by adding at the end the following new 11
240	240	paragraph: 12
241	241	‘‘(2) E
242	242	XCLUSION OF HEALTH PLANS INCLUDING 13
243	243	COVERAGE FOR ABORTION .— 14
244	244	‘‘(A) I
245	245	N GENERAL.—The term ‘qualified 15
246	246	health plan’ does not include any health plan 16
247	247	that includes coverage for abortions (other than 17
248	248	any abortion or treatment described in section 18
249	249	307 or 308 of title 1, United States Code). 19
250	250	‘‘(B) S
251	251	EPARATE ABORTION COVERAGE OR 20
252	252	PLAN ALLOWED.— 21
253	253	‘‘(i) O
254	254	PTION TO PURCHASE SEPARATE 22
255	255	COVERAGE OR PLAN.—Nothing in subpara-23
256	256	graph (A) shall be construed as prohibiting 24
257	257	any employer from purchasing for its em-25
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261	261	ployees separate coverage for abortions de-1
262	262	scribed in such subparagraph, or a health 2
263	263	plan that includes such abortions, so long 3
264	264	as no credit is allowed under this section 4
265	265	with respect to the employer contributions 5
266	266	for such coverage or plan. 6
267	267	‘‘(ii) O
268	268	PTION TO OFFER COVERAGE OR 7
269	269	PLAN.—Nothing in subparagraph (A) shall 8
270	270	restrict any non-Federal health insurance 9
271	271	issuer offering a health plan from offering 10
272	272	separate coverage for abortions described 11
273	273	in such subparagraph, or a plan that in-12
274	274	cludes such abortions, so long as such sep-13
275	275	arate coverage or plan is not paid for with 14
276	276	any employer contribution eligible for the 15
277	277	credit allowed under this section.’’. 16
278	278	(3) C
279	279	ONFORMING ACA AMENDMENTS .—Section 17
280	280	1303(b) of Public Law 111–148 (42 U.S.C. 18
281	281	18023(b)) is amended— 19
282	282	(A) by striking paragraph (2); 20
283	283	(B) by striking paragraph (3), as amended 21
284	284	by section 202(a); and 22
285	285	(C) by redesignating paragraph (4) as 23
286	286	paragraph (2). 24
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290	290	(b) APPLICATION TOMULTI-STATEPLANS.—Para-1
291	291	graph (6) of section 1334(a) of Public Law 111–148 (42 2
292	292	U.S.C. 18054(a)) is amended to read as follows: 3
293	293	‘‘(6) C
294	294	OVERAGE CONSISTENT WITH FEDERAL 4
295	295	ABORTION POLICY .—In entering into contracts 5
296	296	under this subsection, the Director shall ensure that 6
297	297	no multi-State qualified health plan offered in an 7
298	298	Exchange provides health benefits coverage for 8
299	299	which the expenditure of Federal funds is prohibited 9
300	300	under chapter 4 of title 1, United States Code.’’. 10
301	301	(c) E
302	302	FFECTIVEDATE.—The amendments made by 11
303	303	subsection (a) shall apply to taxable years ending after 12
304	304	December 31, 2023, but only with respect to plan years 13
305	305	beginning after such date, and the amendment made by 14
306	306	subsection (b) shall apply to plan years beginning after 15
307	307	such date. 16
308	308	SEC. 202. REVISION OF NOTICE REQUIREMENTS REGARD-17
309	309	ING DISCLOSURE OF EXTENT OF HEALTH 18
310	310	PLAN COVERAGE OF ABORTION AND ABOR-19
311	311	TION PREMIUM SURCHARGES. 20
312	312	(a) I
313	313	NGENERAL.—Paragraph (3) of section 1303(b) 21
314	314	of Public Law 111–148 (42 U.S.C. 18023(b)) is amended 22
315	315	to read as follows: 23
316	316	‘‘(3) R
317	317	ULES RELATING TO NOTICE .— 24
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321	321	‘‘(A) IN GENERAL.—The extent of cov-1
322	322	erage (if any) of services described in para-2
323	323	graph (1)(B)(i) or (1)(B)(ii) by a qualified 3
324	324	health plan shall be disclosed to enrollees at the 4
325	325	time of enrollment in the plan and shall be 5
326	326	prominently displayed in any marketing or ad-6
327	327	vertising materials, comparison tools, or sum-7
328	328	mary of benefits and coverage explanation made 8
329	329	available with respect to such plan by the issuer 9
330	330	of the plan, by an Exchange, or by the Sec-10
331	331	retary, including information made available 11
332	332	through an internet portal or Exchange under 12
333	333	sections 1311(c)(5) and 1311(d)(4)(C). 13
334	334	‘‘(B) S
335	335	EPARATE DISCLOSURE OF ABOR -14
336	336	TION SURCHARGES.—In the case of a qualified 15
337	337	health plan that includes the services described 16
338	338	in paragraph (1)(B)(i) and where the premium 17
339	339	for the plan is disclosed, including in any mar-18
340	340	keting or advertising materials or any other in-19
341	341	formation referred to in subparagraph (A), the 20
342	342	surcharge described in paragraph (2)(B)(i)(II) 21
343	343	that is attributable to such services shall also be 22
344	344	disclosed and identified separately.’’. 23
345	345	(b) E
346	346	FFECTIVEDATE.—The amendment made by 24
347	347	subsection (a) shall apply to materials, tools, or other in-25
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351	351	formation made available more than 30 days after the date 1
352	352	of the enactment of this Act. 2
353	353	Æ
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