I
119THCONGRESS
1
STSESSION H. R. 627
To amend title XIX of the Social Security Act and Public Health Service
Act to improve the reporting of abortion data to the Centers for Disease
Control and Prevention, and for other purposes.
IN THE HOUSE OF REPRESENTATIVES
JANUARY22, 2025
Mr. N
ORMAN(for himself, Mr. ALLEN, Mr. WEBSTERof Florida, Mr.
F
ULCHER, and Mr. SELF) introduced the following bill; which was re-
ferred to the Committee on Energy and Commerce
A BILL
To amend title XIX of the Social Security Act and Public
Health Service Act to improve the reporting of abortion
data to the Centers for Disease Control and Prevention,
and for other purposes.
Be it enacted by the Senate and House of Representa-1
tives of the United States of America in Congress assembled, 2
SECTION 1. SHORT TITLE. 3
This Act may be cited as the ‘‘Ensuring Accurate and 4
Complete Abortion Data Reporting Act of 2025’’. 5
SEC. 2. FINDINGS. 6
Congress finds the following: 7
VerDate Sep 11 2014 00:11 Feb 19, 2025 Jkt 059200 PO 00000 Frm 00001 Fmt 6652 Sfmt 6201 E:\BILLS\H627.IH H627
ssavage on LAPJG3WLY3PROD with BILLS 2
•HR 627 IH
(1) Reporting abortion data has been voluntary 1
in the past, which has not resulted in complete data 2
being submitted to the Centers for Disease Control 3
and Prevention. 4
(2) While the Centers for Disease Control and 5
Prevention requests specific data points from each 6
State and the District of Columbia, there is a great 7
variety in the information collected and published by 8
the States. 9
(3) In fact, there is not a single abortion data 10
point publicly reported for all fifty States and the 11
District of Columbia. 12
(4) Even more alarming, three States that to-13
gether account for 15 percent of the United States 14
population of women of childbearing age do not re-15
port any abortion data to the Centers for Disease 16
Control and Prevention. 17
(5) Accurate statistical data regarding abortion 18
and those who survive abortion attempts is critical 19
to public health and policy analysis. 20
SEC. 3. MEDICAID PAYMENTS FOR CERTAIN FAMILY PLAN-21
NING SERVICES AND SUPPLIES CONTINGENT 22
ON SUBMISSION OF ABORTION DATA TO CDC. 23
Section 1903 of the Social Security Act (42 U.S.C. 24
1396b) is amended— 25
VerDate Sep 11 2014 00:11 Feb 19, 2025 Jkt 059200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\H627.IH H627
ssavage on LAPJG3WLY3PROD with BILLS 3
•HR 627 IH
(1) in subsection (a)(5), by inserting before ‘‘an 1
amount equal to’’ the following: ‘‘subject to sub-2
section (cc),’’; and 3
(2) by adding at the end the following new sub-4
section: 5
‘‘(cc) A
NNUALREPORTS ONABORTIONDATA.— 6
‘‘(1) I
N GENERAL.—Subject to paragraph (2), 7
as a condition of receiving payment under subsection 8
(a)(5) with respect to any amount expended during 9
a year (beginning with the year following two years 10
after the date of the enactment of this subsection) 11
for family planning services and supplies described 12
in section 1905(a)(4)(C) furnished to an individual 13
described in section 1902(ii) or an individual whose 14
medical assistance under this title is limited to such 15
services and supplies furnished pursuant to a waiver 16
granted under section 1115, each State shall, by not 17
later than December 31 of the previous year, submit 18
to the abortion surveillance system of the Centers 19
for Disease Control and Prevention, with respect to 20
the year before the previous year, at least abortion 21
data regarding the mandatory questions described in 22
section 317W(a)(3)(A) of the Public Health Service 23
Act. 24
VerDate Sep 11 2014 00:11 Feb 19, 2025 Jkt 059200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6201 E:\BILLS\H627.IH H627
ssavage on LAPJG3WLY3PROD with BILLS 4
•HR 627 IH
‘‘(2) LATE SUBMISSION OF REPORTS .—With re-1
spect to a year, in the case of a State that does not 2
submit by December 31 of the previous year the 3
abortion data required under paragraph (1) with re-4
spect to the year before the previous year but sub-5
mits such data by December 31 of the year, such 6
State shall continue to receive payment, including 7
retroactive payment, under subsection (a)(5) with 8
respect to any amount expended during the year for 9
family planning services and supplies described in 10
section 1905(a)(4)(C) furnished to an individual de-11
scribed in such paragraph. 12
‘‘(3) C
ERTIFICATION OF ABORTION DATA .— 13
‘‘(A) I
N GENERAL.—With respect to each 14
submission of abortion data under this sub-15
section, a State shall certify to the Director of 16
the Centers for Disease Control and Prevention 17
that such data is accurate. 18
‘‘(B) F
ALSE INFORMATION .—In the case 19
that the Director of the Centers for Disease 20
Control and Prevention determines that a State 21
has knowingly provided false information with 22
respect to a submission of abortion data under 23
this subsection, such State may not receive pay-24
ment under subsection (a)(5) with respect to 25
VerDate Sep 11 2014 00:11 Feb 19, 2025 Jkt 059200 PO 00000 Frm 00004 Fmt 6652 Sfmt 6201 E:\BILLS\H627.IH H627
ssavage on LAPJG3WLY3PROD with BILLS 5
•HR 627 IH
any amount expended during the first full fiscal 1
year following such determination for family 2
planning services and supplies described in sec-3
tion 1905(a)(4)(C) furnished to an individual 4
described in paragraph (1).’’. 5
SEC. 4. COLLECTION OF ABORTION DATA BY CDC. 6
Part B of title III of the Public Health Service Act 7
(42 U.S.C. 243 et seq.) is amended by inserting after sec-8
tion 317V of such Act the following: 9
‘‘SEC. 317W. ABORTION DATA. 10
‘‘(a) I
NGENERAL.—The Secretary, acting through 11
the Director of the Centers for Disease Control and Pre-12
vention (in this section referred to as the ‘Secretary’)— 13
‘‘(1) shall maintain a surveillance system to col-14
lect aggregate data in a standardized format on 15
abortions in the United States; 16
‘‘(2) shall, as part of such system, create a 17
standard worksheet to collect data from States on 18
abortions in the respective States; 19
‘‘(3) in such worksheet— 20
‘‘(A) shall, at a minimum, include ques-21
tions on the variables listed in subsection (b), to 22
be treated as mandatory questions for purposes 23
of section 1903(cc) of the Social Security Act; 24
and 25
VerDate Sep 11 2014 00:11 Feb 19, 2025 Jkt 059200 PO 00000 Frm 00005 Fmt 6652 Sfmt 6201 E:\BILLS\H627.IH H627
ssavage on LAPJG3WLY3PROD with BILLS 6
•HR 627 IH
‘‘(B) may include such additional questions 1
on abortion as the Secretary determines to be 2
appropriate, to be treated as voluntary ques-3
tions; 4
‘‘(4) shall, as part of such system, allow for 5
cross-tabulation of the variables listed in subsection 6
(b), including cross-tabulation of maternal age by 7
gestational age; race and ethnicity by gestational 8
age; type of abortion procedure by gestational age; 9
race and ethnicity by maternal age; and race and 10
ethnicity by marital status; and 11
‘‘(5) periodically update the questions in the 12
worksheet under paragraph (2) and the classification 13
of such questions as mandatory or voluntary under 14
paragraph (3). 15
‘‘(b) V
ARIABLES.—The variables listed in this sub-16
section are the following: 17
‘‘(1) Maternal age in years. 18
‘‘(2) Gestational age in completed weeks at the 19
time of abortion. 20
‘‘(3) Maternal race. 21
‘‘(4) Maternal ethnicity. 22
‘‘(5) Maternal race by ethnicity. 23
‘‘(6) The abortion method type. 24
‘‘(7) Maternal marital status. 25
VerDate Sep 11 2014 00:11 Feb 19, 2025 Jkt 059200 PO 00000 Frm 00006 Fmt 6652 Sfmt 6201 E:\BILLS\H627.IH H627
ssavage on LAPJG3WLY3PROD with BILLS 7
•HR 627 IH
‘‘(8) Previous pregnancies of the mother, in-1
cluding the number of previous live births, the num-2
ber of previous induced abortions, and the number 3
of previous spontaneous abortions. 4
‘‘(9) Maternal residence (State or county). 5
‘‘(10) Whether the child survived the abortion. 6
‘‘(c) T
ECHNICALASSISTANCE.—The Secretary shall 7
provide technical assistance to States to facilitate and im-8
prove the reporting of data to the system under subsection 9
(a). 10
‘‘(d) A
NNUALREPORTING.—The Secretary shall— 11
‘‘(1) include, for each calendar year, the data 12
collected pursuant to this section in a report on 13
abortion; and 14
‘‘(2) publish such report not later than Decem-15
ber 30 of the third calendar year following the cal-16
endar year covered by the report. 17
‘‘(e) D
EFINITIONS.—In this section, the term ‘State’ 18
refers to the several States, the District of Columbia, and 19
any territory of the United States.’’. 20
Æ
VerDate Sep 11 2014 00:11 Feb 19, 2025 Jkt 059200 PO 00000 Frm 00007 Fmt 6652 Sfmt 6301 E:\BILLS\H627.IH H627
ssavage on LAPJG3WLY3PROD with BILLS