| 1 | 1 | | I |
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| 2 | 2 | | 119THCONGRESS |
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| 3 | 3 | | 1 |
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| 4 | 4 | | STSESSION H. R. 719 |
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| 5 | 5 | | To amend title XI of the Social Security Act to limit demonstration projects |
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| 6 | 6 | | related to abortion under Medicaid and CHIP. |
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| 7 | 7 | | IN THE HOUSE OF REPRESENTATIVES |
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| 8 | 8 | | JANUARY24, 2025 |
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| 9 | 9 | | Mr. B |
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| 10 | 10 | | RECHEEN(for himself, Mrs. MILLERof Illinois, Mr. CRENSHAW, Mr. |
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| 11 | 11 | | L |
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| 12 | 12 | | AMALFA, Mr. MOOLENAAR, Mr. WEBERof Texas, Mrs. HARSHBARGER, |
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| 13 | 13 | | Mr. G |
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| 14 | 14 | | ILLof Texas, Mr. OGLES, Mr. FEENSTRA, Mrs. HINSON, Mr. |
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| 15 | 15 | | R |
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| 16 | 16 | | OSE, Mr. PALMER, Mr. WEBSTERof Florida, Mr. GUEST, and Mr. |
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| 17 | 17 | | G |
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| 18 | 18 | | OSAR) introduced the following bill; which was referred to the Com- |
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| 19 | 19 | | mittee on Energy and Commerce |
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| 20 | 20 | | A BILL |
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| 21 | 21 | | To amend title XI of the Social Security Act to limit dem- |
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| 22 | 22 | | onstration projects related to abortion under Medicaid |
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| 23 | 23 | | and CHIP. |
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| 24 | 24 | | Be it enacted by the Senate and House of Representa-1 |
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| 25 | 25 | | tives of the United States of America in Congress assembled, 2 |
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| 26 | 26 | | SECTION 1. SHORT TITLE. 3 |
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| 27 | 27 | | This Act may be cited as the ‘‘No Abortion Coverage 4 |
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| 28 | 28 | | for Medicaid Act’’. 5 |
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| 29 | 29 | | SEC. 2. FINDINGS. 6 |
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| 30 | 30 | | Congress finds the following: 7 |
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| 31 | 31 | | VerDate Sep 11 2014 21:47 Feb 19, 2025 Jkt 059200 PO 00000 Frm 00001 Fmt 6652 Sfmt 6201 E:\BILLS\H719.IH H719 |
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| 32 | 32 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB 2 |
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| 33 | 33 | | •HR 719 IH |
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| 34 | 34 | | (1) The Hyde Amendment was first enacted in 1 |
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| 35 | 35 | | 1976 and has prevented taxpayer funds for abor-2 |
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| 36 | 36 | | tions. 3 |
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| 37 | 37 | | (2) The most recently enacted Hyde Amend-4 |
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| 38 | 38 | | ment states that no appropriated dollars shall be ex-5 |
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| 39 | 39 | | pended for any abortion or health benefits coverage 6 |
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| 40 | 40 | | that includes coverage of abortion. 7 |
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| 41 | 41 | | (3) The Department of Health and Human 8 |
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| 42 | 42 | | Services sent a letter to the States on August 6, 9 |
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| 43 | 43 | | 2022, inviting States to use Medicaid funding under 10 |
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| 44 | 44 | | the demonstration authority under section 1115 of 11 |
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| 45 | 45 | | the Social Security Act to expand access to elective 12 |
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| 46 | 46 | | abortions. 13 |
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| 47 | 47 | | (4) The Hyde Amendment applies to all Med-14 |
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| 48 | 48 | | icaid funds and cannot be superseded by a waiver 15 |
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| 49 | 49 | | under section 1115 of the Social Security Act. 16 |
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| 50 | 50 | | (5) Legislation to permanently prohibit Med-17 |
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| 51 | 51 | | icaid dollars from going to elective abortions, includ-18 |
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| 52 | 52 | | ing payment for abortions and services that neces-19 |
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| 53 | 53 | | sitate receipt for services of abortion, is consistent 20 |
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| 54 | 54 | | with the Hyde Amendment. 21 |
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| 55 | 55 | | VerDate Sep 11 2014 21:47 Feb 19, 2025 Jkt 059200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\H719.IH H719 |
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| 56 | 56 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB 3 |
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| 57 | 57 | | •HR 719 IH |
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| 58 | 58 | | SEC. 3. LIMITING DEMONSTRATION PROJECTS RELATED 1 |
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| 59 | 59 | | TO ABORTION UNDER MEDICAID AND CHIP. 2 |
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| 60 | 60 | | Section 1115 of the Social Security Act (42 U.S.C. 3 |
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| 61 | 61 | | 1315) is amended by adding at the end the following new 4 |
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| 62 | 62 | | subsection: 5 |
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| 63 | 63 | | ‘‘(g) L |
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| 64 | 64 | | IMITATION ON DEMONSTRATION PROJECTS 6 |
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| 65 | 65 | | R |
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| 66 | 66 | | ELATED TOABORTION.— 7 |
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| 67 | 67 | | ‘‘(1) I |
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| 68 | 68 | | N GENERAL.—Subject to paragraph (2), 8 |
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| 69 | 69 | | beginning on enactment, the Secretary may not ap-9 |
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| 70 | 70 | | prove an application (or extension) for any experi-10 |
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| 71 | 71 | | mental, pilot, or demonstration project undertaken 11 |
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| 72 | 72 | | under subsection (a) to promote the objectives of 12 |
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| 73 | 73 | | title XIX or title XXI that provides Federal finan-13 |
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| 74 | 74 | | cial assistance for abortion, or health benefits cov-14 |
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| 75 | 75 | | erage that includes abortion, including expenses for 15 |
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| 76 | 76 | | travel or lodging for the purpose of obtaining an 16 |
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| 77 | 77 | | abortion. 17 |
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| 78 | 78 | | ‘‘(2) E |
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| 79 | 79 | | XCEPTIONS.—The limitations on para-18 |
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| 80 | 80 | | graph (1) shall not apply to— 19 |
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| 81 | 81 | | ‘‘(A) an abortion with respect to a preg-20 |
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| 82 | 82 | | nancy resulting from of an act of rape or incest; 21 |
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| 83 | 83 | | ‘‘(B) treatment to address a physical dis-22 |
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| 84 | 84 | | order, physical injury, or physical illness, in-23 |
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| 85 | 85 | | cluding a life-endangering physical condition 24 |
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| 86 | 86 | | caused by or arising from the pregnancy itself, 25 |
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| 87 | 87 | | that would, as certified by a physician, place 26 |
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| 89 | 89 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB 4 |
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| 90 | 90 | | •HR 719 IH |
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| 91 | 91 | | the individual in danger of death unless such 1 |
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| 92 | 92 | | abortion is performed; or 2 |
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| 93 | 93 | | ‘‘(C) treatment for miscarriage or ectopic 3 |
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| 94 | 94 | | pregnancy.’’. 4 |
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| 95 | 95 | | Æ |
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| 96 | 96 | | VerDate Sep 11 2014 21:47 Feb 19, 2025 Jkt 059200 PO 00000 Frm 00004 Fmt 6652 Sfmt 6301 E:\BILLS\H719.IH H719 |
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| 97 | 97 | | kjohnson on DSK7ZCZBW3PROD with $$_JOB |
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