H.R. 18House117th Congress (2021-2023)In Committee

No Taxpayer Funding for Abortion and Abortion Insurance Full Disclosure Act of 2021

Introduced February 5, 2021

AI-Generated Summary

Updated February 7, 2026 at 10:20 PM UTC

The bill bans the use of any federal money for abortions and for health‑benefit plans that include abortion coverage, while still permitting separate abortion coverage bought with non‑federal funds. It also stops federal subsidies, premium tax credits, and cost‑sharing reductions under the Affordable Care Act for plans that cover abortions, except when the abortion is needed because of rape, incest, or to save the mother’s life. The law requires clear disclosure to consumers about whether a plan covers abortions and any related premium surcharge. It applies to federal facilities, employees, and treats District of Columbia funds as federal for these purposes.

Key Provisions

  • Adds a new Chapter 4 to Title 1 of the U.S. Code that prohibits any federal expenditure on abortions or on health‑benefit plans that include abortion coverage.
  • Allows individuals, states, or employers to purchase separate abortion coverage as long as it is paid entirely with non‑federal funds and not with Medicaid matching or ACA subsidy money.
  • Exempts abortions performed because of rape, incest, or to protect the life of the mother from the funding ban.
  • Bars premium tax credits, cost‑sharing reductions, and small‑employer health‑insurance expense credits for ACA plans that include abortion coverage.
  • Requires health‑plan issuers and exchanges to disclose at enrollment and in marketing whether a plan covers abortions and to separately disclose any abortion‑related premium surcharge.
  • Extends the funding prohibition to federal health facilities, federal employees, and treats District of Columbia funds as federal for purposes of the ban.

Legislative Activity

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3 earlier actions
HouseCommittee Latest Action

Referred to the Subcommittee on the Constitution, Civil Rights, and Civil Liberties.

April 23, 2021

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HouseIntro Referral

Introduced in House

February 5, 2021

HouseIntro Referral

Referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, and the Judiciary, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned.

February 5, 2021

HouseCommittee

Referred to the Subcommittee on Health.

February 5, 2021

HouseCommittee

Referred to the Subcommittee on the Constitution, Civil Rights, and Civil Liberties.

April 23, 2021

Floor Debate

21 members

What members said about H.R. 18 on the floor

19 Republicans2 Democrats
Michael C. Burgess
Rep. Michael C. BurgessR-TX-26 · Jun 23, 2021

Madam Speaker, I yield myself such time as I may consume. Madam Speaker, I thank Mr. Morelle for yielding me the customary 30 minutes. I would parenthetically note that it took about 30 minutes to…

Joseph D. Morelle
Rep. Joseph D. MorelleD-NY-25 · Jun 23, 2021

Madam Speaker, by direction of the Committee on Rules, I call up House Resolution 486 and ask for its immediate consideration. Madam Speaker, for the purpose of debate only, I yield the customary 30…

James P. McGovern
Rep. James P. McGovernD-MA-2 · Jul 27, 2021

Madam Speaker, by the direction of the Committee on Rules, I call up House Resolution 555 and ask for its immediate consideration. Madam Speaker, for the purpose of debate only, I yield the customary…

Madison Cawthorn
Rep. Madison CawthornR-NC-11 · Jun 24, 2021

Mr. Speaker, I ask unanimous consent that all Members may have 5 legislative days in which to revise and extend their remarks and include extraneous material on the topic of this Special Order. Mr.…

Carlos A. Gimenez
Rep. Carlos A. GimenezR-FL-26 · Jun 23, 2021

Mr. Speaker, I ask unanimous consent that all Members have 5 legislative days to revise and extend their remarks and include extraneous material on the subject of my Special Order. Mr. Speaker,…

Show 8 more
Tom Cole
Rep. Tom ColeR-OK-4 · Jul 27, 2021

Madam Speaker, I yield myself such time as I may consume. I thank the gentleman from Massachusetts (Mr. McGovern), the distinguished chairman of the Rules Committee, and my good friend, for yielding…

Tracey Mann
Rep. Tracey MannR-KS-1 · Jun 23, 2021

Mr. Speaker, I rise to discuss winners and losers under President Biden's policies. When I was a kid playing eight-man football for the Quinter Bulldogs in rural Kansas, there wasn't much room for…

David Rouzer
Rep. David RouzerR-NC-7 · Jul 21, 2021

Madam Speaker, I rise today to honor a very distinguished American and longtime public servant of the people of Southeastern North Carolina as well as the United States Congress. Billy Barker has…

Tracey Mann
Rep. Tracey MannR-KS-1 · Jun 24, 2021

Mr. Speaker, I rise today to recognize Kansas farmers for their long hours during this year's wheat harvest and for their work to produce food for people all over the world. With more than 15,000…

Greg Pence
Rep. Greg PenceR-IN-6 · Jul 20, 2021

Madam Speaker, today I rise to recognize the hard work and dedication of Brendan Bridges as he retires from service as Greensburg Police Chief. First joining the department in 2001, Chief Bridges…

Kevin Brady
Rep. Kevin BradyR-TX-8 · Jun 24, 2021

Mr. Speaker, I thank Congressman Cawthorn for his leadership on behalf of working families, small business--of which he is one--for getting this economy going again. I thank him for allowing me to be…

Robert J. Wittman
Rep. Robert J. WittmanR-VA-1 · Jun 23, 2021

Mr. Speaker, over 3.8 million people across the world have died from COVID-19, over 600,000 Americans have died. We deserve to know how the COVID-19 pandemic began. There is mounting evidence to show…

Lloyd Smucker
Rep. Lloyd SmuckerR-PA-11 · Jul 21, 2021

Mr. Speaker, I rise today to honor the life of Anthony Cazillo, III, who passed away last month at the young age of 26 years old. Anthony made an exceptional impact in his short life in the lives…

Show 11 more
Burgess Owens
Rep. Burgess OwensR-UT-4 · Jul 27, 2021

Madam Speaker, I rise in opposition to moving the previous question so we can immediately consider my bill, H.R. 4698, the Say No to Indoctrination Act, which prohibits Federal funds from advancing…

Troy E. Nehls
Rep. Troy E. NehlsR-TX-22 · Jun 23, 2021

Mr. Speaker, I would like to highlight some of the stated goals of the INVEST in America Act. The INVEST in America Act creates and sustains good-paying jobs, restores global competitiveness, tackles…

Ron Estes
Rep. Ron EstesR-KS-4 · Jun 24, 2021

Mr. Speaker, we should be experiencing one of the greatest economic booms in our history as we emerge from COVID, yet prices are climbing, consumer sentiment is plunging, and there are more than nine…

Christopher H. Smith
Rep. Christopher H. SmithR-NJ-4 · Jun 23, 2021

Madam Speaker, more than 20 peer-reviewed studies show that more than 2.4 million people are alive today in the United States because of the Hyde amendment, with about 60,000 babies spared death by…

Bob Good
Rep. Bob GoodR-VA-5 · Jun 24, 2021

Mr. Speaker, as a Nation founded on a history of rugged individualism, the American people are resilient and self- reliant. They will flourish and prosper absent the intrusion and heavy- handed…

Tom Cole
Rep. Tom ColeR-OK-4 · Jun 23, 2021

Madam Speaker, I rise today in opposition to the previous question, and I fully support the immediate consideration of H.R. 18, the No Taxpayer Funding for Abortion and Abortion Insurance Full…

Louie Gohmert
Rep. Louie GohmertR-TX-1 · Jun 24, 2021

Mr. Speaker, I certainly appreciate my friend, Congressman Cawthorn, holding this because it is important. You know, to some people, it is just about, ``Well, it is the economy. It is an…

Michael Cloud
Rep. Michael CloudR-TX-27 · Jun 23, 2021

Mr. Speaker, I appreciate being here, and I thank the gentleman for leading this. This is such an important topic. We have seen ourselves in the last year and a half go from the greatest economy the…

Tracey Mann
Rep. Tracey MannR-KS-1 · Jun 24, 2021

Mr. Speaker, I thank the gentleman for hosting this Special Order. Mr. Speaker, I rise today to introduce you to the newest resident of western and central Kansas. She greets every store's patrons at…

Lauren Boebert
Rep. Lauren BoebertR-CO-3 · Jun 24, 2021

Mr. Speaker, I am so excited for Congressman Cawthorn's leadership on this issue tonight. I thank him for making time to address the American people. Mr. Speaker, there are three people who come to…

Barry Moore
Rep. Barry MooreR-AL-2 · Jun 24, 2021

Mr. Speaker, I thank the gentleman for yielding. I certainly appreciate his leadership on this and giving us an opportunity to speak about small business issues in our country. Mr. Speaker, as…

Bill Text

Latest available legislative text

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Introduced in HouseIssued February 5, 2021

I

117th CONGRESS

1st Session

H. R. 18

IN THE HOUSE OF REPRESENTATIVES

February 5, 2021

Mr. Smith of New Jersey (for himself, Mrs. Hartzler, Mr. Aderholt, Mr. Allen, Mr. Armstrong, Mr. Arrington, Mr. Babin, Mr. Bacon, Mr. Balderson, Mr. Banks, Mrs. Bice of Oklahoma, Mr. Biggs, Mr. Bishop of North Carolina, Mrs. Boebert, Mr. Bost, Mr. Brooks, Mr. Buchanan, Mr. Budd, Mr. Burchett, Mr. Burgess, Mr. Carl, Mr. Carter of Georgia, Mr. Chabot, Ms. Cheney, Mr. Cloud, Mr. Clyde, Mr. Cole, Mr. Curtis, Mr. Davidson, Mr. Rodney Davis of Illinois, Mr. Duncan, Mr. Dunn, Mr. Emmer, Mr. Feenstra, Mrs. Fischbach, Mr. Fortenberry, Ms. Foxx, Mr. C. Scott Franklin of Florida, Mr. Gaetz, Mr. Gibbs, Mr. Gonzalez of Ohio, Mr. Good of Virginia, Mr. Graves of Louisiana, Mr. Graves of Missouri, Mr. Griffith, Mr. Grothman, Mr. Guest, Mr. Guthrie, Mr. Hagedorn, Mr. Harris, Mrs. Harshbarger, Mr. Hern, Ms. Herrell, Mr. Hice of Georgia, Mrs. Hinson, Mr. Hollingsworth, Mr. Hudson, Mr. Huizenga, Mr. Issa, Mr. Jackson, Mr. Jacobs of New York, Mr. Johnson of South Dakota, Mr. Johnson of Louisiana, Mr. Jordan, Mr. Joyce of Pennsylvania, Mr. Keller, Mr. Kelly of Mississippi, Mr. Kinzinger, Mr. Kustoff, Mr. LaHood, Mr. LaMalfa, Mr. Lamborn, Mr. Latta, Mr. LaTurner, Mrs. Lesko, Mr. Loudermilk, Mr. Luetkemeyer, Ms. Mace, Mr. Mann, Mr. Mast, Mr. McCarthy, Mrs. McClain, Mr. McHenry, Mr. McKinley, Mrs. Rodgers of Washington, Mrs. Miller of West Virginia, Mrs. Miller of Illinois, Mr. Moolenaar, Mr. Mooney, Mr. Moore of Alabama, Mr. Moore of Utah, Mr. Mullin, Mr. Murphy of North Carolina, Mr. Newhouse, Mr. Norman, Mr. Owens, Mr. Perry, Mr. Pfluger, Mr. Posey, Mr. Reschenthaler, Mr. Rice of South Carolina, Mr. Rogers of Kentucky, Mr. Rogers of Alabama, Mr. Rose, Mr. Rosendale, Mr. Rouzer, Mr. Roy, Mr. Rutherford, Mr. Scalise, Mr. Schweikert, Mr. Austin Scott of Georgia, Mr. Sessions, Mr. Smith of Missouri, Mr. Smucker, Mr. Stauber, Mr. Steil, Mr. Steube, Mr. Stewart, Mr. Taylor, Mr. Thompson of Pennsylvania, Mr. Timmons, Mrs. Wagner, Mr. Walberg, Mrs. Walorski, Mr. Waltz, Mr. Weber of Texas, Mr. Wenstrup, Mr. Westerman, Mr. Williams of Texas, Mr. Wilson of South Carolina, Mr. Womack, Mr. Wright, and Mr. Young) introduced the following bill; which was referred to the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, and the Judiciary, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned

A BILL

To prohibit taxpayer funded abortions.

1.

Short title; table of contents

(a)

Short title

This Act may be cited as the No Taxpayer Funding for Abortion and Abortion Insurance Full Disclosure Act of 2021.

(b)

Table of contents

The table of contents of this Act is as follows:

Sec. 1. Short title; table of contents.

Title I—Prohibiting Federally Funded Abortions

Sec. 101. Prohibiting taxpayer funded abortions.

Sec. 102. Amendment to table of chapters.

Title II—Application under the Affordable Care Act

Sec. 201. Clarifying application of prohibition to premium credits and cost-sharing reductions under ACA.

Sec. 202. Revision of notice requirements regarding disclosure of extent of health plan coverage of abortion and abortion premium surcharges.

I

Prohibiting Federally Funded Abortions

101.

Prohibiting taxpayer funded abortions

Title 1, United States Code, is amended by adding at the end the following new chapter:

4

Prohibiting taxpayer funded abortions

301. Prohibition on funding for abortions.

302. Prohibition on funding for health benefits plans that cover abortion.

303. Limitation on Federal facilities and employees.

304. Construction relating to separate coverage.

305. Construction relating to the use of non-Federal funds for health coverage.

306. Non-preemption of other Federal laws.

307. Construction relating to complications arising from abortion.

308. Treatment of abortions related to rape, incest, or preserving the life of the mother.

309. Application to District of Columbia.

301.

Prohibition on funding for abortions

No funds authorized or appropriated by Federal law, and none of the funds in any trust fund to which funds are authorized or appropriated by Federal law, shall be expended for any abortion.

302.

Prohibition on funding for health benefits plans that cover abortion

None of the funds authorized or appropriated by Federal law, and none of the funds in any trust fund to which funds are authorized or appropriated by Federal law, shall be expended for health benefits coverage that includes coverage of abortion.

303.

Limitation on Federal facilities and employees

No health care service furnished—

(1)

by or in a health care facility owned or operated by the Federal Government; or

(2)

by any physician or other individual employed by the Federal Government to provide health care services within the scope of the physician’s or individual’s employment,

may include abortion.
304.

Construction relating to separate coverage

Nothing in this chapter shall be construed as prohibiting any individual, entity, or State or locality from purchasing separate abortion coverage or health benefits coverage that includes abortion so long as such coverage is paid for entirely using only funds not authorized or appropriated by Federal law and such coverage shall not be purchased using matching funds required for a federally subsidized program, including a State’s or locality’s contribution of Medicaid matching funds.

305.

Construction relating to the use of non-Federal funds for health coverage

Nothing in this chapter shall be construed as restricting the ability of any non-Federal health benefits coverage provider from offering abortion coverage, or the ability of a State or locality to contract separately with such a provider for such coverage, so long as only funds not authorized or appropriated by Federal law are used and such coverage shall not be purchased using matching funds required for a federally subsidized program, including a State’s or locality’s contribution of Medicaid matching funds.

306.

Non-preemption of other Federal laws

Nothing in this chapter shall repeal, amend, or have any effect on any other Federal law to the extent such law imposes any limitation on the use of funds for abortion or for health benefits coverage that includes coverage of abortion, beyond the limitations set forth in this chapter.

307.

Construction relating to complications arising from abortion

Nothing in this chapter shall be construed to apply to the treatment of any infection, injury, disease, or disorder that has been caused by or exacerbated by the performance of an abortion. This rule of construction shall be applicable without regard to whether the abortion was performed in accord with Federal or State law, and without regard to whether funding for the abortion is permissible under section 308.

308.

Treatment of abortions related to rape, incest, or preserving the life of the mother

The limitations established in sections 301, 302, and 303 shall not apply to an abortion—

(1)

if the pregnancy is the result of an act of rape or incest; or

(2)

in the case where a woman suffers from a physical disorder, physical injury, or physical illness that would, as certified by a physician, place the woman in danger of death unless an abortion is performed, including a life-endangering physical condition caused by or arising from the pregnancy itself.

309.

Application to District of Columbia

In this chapter:

(1)

Any reference to funds appropriated by Federal law shall be treated as including any amounts within the budget of the District of Columbia that have been approved by an Act of Congress pursuant to section 446 of the District of Columbia Home Rule Act (or any applicable successor Federal law).

(2)

The term Federal Government includes the government of the District of Columbia.

.

102.

Amendment to table of chapters

The table of chapters for title 1, United States Code, is amended by adding at the end the following new item:

4.Prohibiting taxpayer funded abortions301

.

II

Application under the Affordable Care Act

201.

Clarifying application of prohibition to premium credits and cost-sharing reductions under ACA

(a)

In general

(1)

Disallowance of refundable credit and cost-sharing reductions for coverage under qualified health plan which provides coverage for abortion

(A)

In general

Subparagraph (A) of section 36B(c)(3) of the Internal Revenue Code of 1986 is amended by inserting before the period at the end the following: or any health plan that includes coverage for abortions (other than any abortion or treatment described in section 307 or 308 of title 1, United States Code).

(B)

Option to purchase or offer separate coverage or plan

Paragraph (3) of section 36B(c) of such Code is amended by adding at the end the following new subparagraph:

(C)

Separate abortion coverage or plan allowed

(i)

Option to purchase separate coverage or plan

Nothing in subparagraph (A) shall be construed as prohibiting any individual from purchasing separate coverage for abortions described in such subparagraph, or a health plan that includes such abortions, so long as no credit is allowed under this section with respect to the premiums for such coverage or plan.

(ii)

Option to offer coverage or plan

Nothing in subparagraph (A) shall restrict any non-Federal health insurance issuer offering a health plan from offering separate coverage for abortions described in such subparagraph, or a plan that includes such abortions, so long as premiums for such separate coverage or plan are not paid for with any amount attributable to the credit allowed under this section (or the amount of any advance payment of the credit under section 1412 of the Patient Protection and Affordable Care Act).

.

(2)

Disallowance of small employer health insurance expense credit for plan which includes coverage for abortion

Subsection (h) of section 45R of the Internal Revenue Code of 1986 is amended—

(A)

by striking Any term and inserting the following:

(1)

In general

Any term

; and

(B)

by adding at the end the following new paragraph:

(2)

Exclusion of health plans including coverage for abortion

(A)

In general

The term qualified health plan does not include any health plan that includes coverage for abortions (other than any abortion or treatment described in section 307 or 308 of title 1, United States Code).

(B)

Separate abortion coverage or plan allowed

(i)

Option to purchase separate coverage or plan

Nothing in subparagraph (A) shall be construed as prohibiting any employer from purchasing for its employees separate coverage for abortions described in such subparagraph, or a health plan that includes such abortions, so long as no credit is allowed under this section with respect to the employer contributions for such coverage or plan.

(ii)

Option to offer coverage or plan

Nothing in subparagraph (A) shall restrict any non-Federal health insurance issuer offering a health plan from offering separate coverage for abortions described in such subparagraph, or a plan that includes such abortions, so long as such separate coverage or plan is not paid for with any employer contribution eligible for the credit allowed under this section.

.

(3)

Conforming ACA amendments

Section 1303(b) of Public Law 111–148 (42 U.S.C. 18023(b)) is amended—

(A)

by striking paragraph (2);

(B)

by striking paragraph (3), as amended by section 202(a); and

(C)

by redesignating paragraph (4) as paragraph (2).

(b)

Application to multi-State plans

Paragraph (6) of section 1334(a) of Public Law 111–148 (42 U.S.C. 18054(a)) is amended to read as follows:

(6)

Coverage consistent with federal abortion policy

In entering into contracts under this subsection, the Director shall ensure that no multi-State qualified health plan offered in an Exchange provides health benefits coverage for which the expenditure of Federal funds is prohibited under chapter 4 of title 1, United States Code.

.

(c)

Effective date

The amendments made by subsection (a) shall apply to taxable years ending after December 31, 2021, but only with respect to plan years beginning after such date, and the amendment made by subsection (b) shall apply to plan years beginning after such date.

202.

Revision of notice requirements regarding disclosure of extent of health plan coverage of abortion and abortion premium surcharges

(a)

In general

Paragraph (3) of section 1303(b) of Public Law 111–148 (42 U.S.C. 18023(b)) is amended to read as follows:

(3)

Rules relating to notice

(A)

In general

The extent of coverage (if any) of services described in paragraph (1)(B)(i) or (1)(B)(ii) by a qualified health plan shall be disclosed to enrollees at the time of enrollment in the plan and shall be prominently displayed in any marketing or advertising materials, comparison tools, or summary of benefits and coverage explanation made available with respect to such plan by the issuer of the plan, by an Exchange, or by the Secretary, including information made available through an Internet portal or Exchange under sections 1311(c)(5) and 1311(d)(4)(C).

(B)

Separate disclosure of abortion surcharges

In the case of a qualified health plan that includes the services described in paragraph (1)(B)(i) and where the premium for the plan is disclosed, including in any marketing or advertising materials or any other information referred to in subparagraph (A), the surcharge described in paragraph (2)(B)(i)(II) that is attributable to such services shall also be disclosed and identified separately.

.

(b)

Effective date

The amendment made by subsection (a) shall apply to materials, tools, or other information made available more than 30 days after the date of the enactment of this Act.