H.R. 243House117th Congress (2021-2023)In Committee

Title X Abortion Provider Prohibition Act

Introduced January 11, 2021

AI-Generated Summary

Updated February 7, 2026 at 9:15 PM UTC

The bill amends the Title X program of the Public Health Service Act to bar federal family‑planning grants from going to any organization that performs abortions. It requires grant recipients to certify they will not provide abortions or fund other abortion providers, except in cases of rape, incest, or when a woman's life is at risk. Hospitals may still receive funds as long as they do not funnel money to non‑hospital abortion providers. The changes would affect clinics, hospitals, and other entities that receive Title X funding.

Key Provisions

  • Grant recipients must certify they will not perform abortions or fund other abortion providers during the period of assistance.
  • Exceptions allow abortions when the pregnancy results from rape or incest, or when a physician certifies the woman's life is in danger.
  • Hospitals are exempt from the prohibition if they do not fund non‑hospital abortion providers, aside from the allowed exceptions.
  • The Secretary must submit an annual report listing grant recipients, abortions performed under the exceptions, and certification dates.
  • Defines “entity” to include any legally related organization and clarifies the meaning of “hospital.”

Legislative Activity

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2 earlier actions
HouseCommittee Latest Action

Referred to the Subcommittee on Health.

February 2, 2021

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HouseIntro Referral

Introduced in House

January 11, 2021

HouseIntro Referral

Referred to the House Committee on Energy and Commerce.

January 11, 2021

HouseCommittee

Referred to the Subcommittee on Health.

February 2, 2021

Bill Text

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Introduced in HouseIssued January 11, 2021

I

117th CONGRESS

1st Session

H. R. 243

IN THE HOUSE OF REPRESENTATIVES

January 11, 2021

Ms. Foxx (for herself, Mr. Aderholt, Mr. Budd, Mr. Westerman, Mr. Joyce of Pennsylvania, Mr. Lamborn, Mr. Norman, Mr. Fleischmann, Mr. Palazzo, Mr. Brooks, Mr. Wittman, Mr. Austin Scott of Georgia, Mr. Mooney, Mr. Duncan, Mr. Posey, Mr. Gaetz, Mr. Hudson, Mr. Long, Mr. Allen, Mr. Grothman, Mr. Latta, Mrs. Hinson, Mr. Scalise, Mr. Waltz, Mr. Rouzer, Mr. Gosar, Mr. Kelly of Pennsylvania, Mrs. Walorski, Mr. Guthrie, Mr. Williams of Texas, Mr. Banks, Mr. Babin, Mr. Pfluger, Mr. Fulcher, Mr. Rogers of Alabama, Mr. Luetkemeyer, Mr. Reschenthaler, Mr. Kustoff, Mr. Feenstra, Mr. Murphy of North Carolina, Mr. Jordan, Mr. Johnson of Ohio, Mr. Bucshon, Mr. LaMalfa, Mr. Rutherford, Mr. Bergman, Mr. McHenry, Mrs. Harshbarger, Mrs. Fischbach, Mr. Higgins of Louisiana, Mr. Cloud, Mr. Barr, Mr. Steube, Mr. Smith of Missouri, Mr. McKinley, Mr. Jackson, Mr. Hagedorn, Mr. Mullin, Mr. Burchett, Mr. Harris, Mr. Moore of Alabama, Mr. Bishop of North Carolina, Mr. Carl, Mr. Emmer, Mr. Dunn, Mr. Guest, Mr. Weber of Texas, Mr. Gibbs, Mr. Kelly of Mississippi, Mrs. Cammack, Mr. Biggs, Mr. Arrington, Mrs. Lesko, Mr. C. Scott Franklin of Florida, Mrs. Hartzler, Mr. Timmons, Mrs. Boebert, Mr. Buck, Mr. Smucker, and Mr. Wright) introduced the following bill; which was referred to the Committee on Energy and Commerce

A BILL

To amend title X of the Public Health Service Act to prohibit family planning grants from being awarded to any entity that performs abortions, and for other purposes.

1.

Short title

This Act may be cited as the Title X Abortion Provider Prohibition Act.

2.

Prohibition on abortion

Title X of the Public Health Service Act (42 U.S.C. 300 et seq.) is amended by adding at the end the following:

1009.

Additional prohibition regarding abortion

(a)

Prohibition

The Secretary shall not provide any assistance under this title to an entity unless the entity certifies that, during the period of such assistance, the entity will not perform, and will not provide any funds to any other entity that performs, an abortion.

(b)

Exception

Subsection (a) does not apply with respect to an abortion where—

(1)

the pregnancy is the result of rape or incest; or

(2)

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

(c)

Hospitals

Subsection (a) does not apply with respect to a hospital, so long as such hospital does not, during the period of assistance described in subsection (a), provide funds to any non-hospital entity that performs an abortion (other than an abortion described in subsection (b)).

(d)

Annual report

Not later than 60 days after the date of the enactment of the Title X Abortion Provider Prohibition Act, and annually thereafter, for the fiscal year involved, the Secretary shall submit a report to the Congress containing—

(1)

a list of each entity receiving a grant under this title;

(2)

for each such entity performing abortions under the exceptions described in subsection (b)—

(A)

the total number of such abortions;

(B)

the number of such abortions where the pregnancy is the result of rape;

(C)

the number of such abortions where the pregnancy is the result of incest; and

(D)

the number of such abortions where a physician provides a certification described in subsection (b)(2);

(3)

a statement of the date of the latest certification under subsection (a) for each entity receiving a grant under this title; and

(4)

a list of each entity to which an entity described in paragraph (1) makes available funds received through a grant under this title.

(e)

Definitions

In this section:

(1)

The term entity means the entire legal entity, including any entity that controls, is controlled by, or is under common control with such entity.

(2)

The term hospital has the meaning given to such term in section 1861(e) of the Social Security Act.

.