S. 4329Senate119th Congress (2025-2027)In Committee

Title X Abortion Provider Prohibition Act

Introduced April 16, 2026

AI-Generated Summary

Updated April 29, 2026 at 9:45 AM UTC

The Title X Abortion Provider Prohibition Act would change the federal family‑planning program so that any organization that receives Title X grants must certify that it does not perform abortions or fund other groups that do. The rule includes narrow exceptions for abortions after rape or incest, or when a doctor says the woman's life is in danger. Hospitals are treated specially and can keep the grant as long as they don’t fund non‑hospital abortion providers. The bill also requires the Health Secretary to report each year on which entities receive grants and any abortions performed under the exceptions.

Key Provisions

  • Entities must certify they will not perform abortions or fund other abortion providers to receive Title X assistance.
  • Exceptions allow abortions when the pregnancy results from rape or incest, or when a physician certifies the woman's life or health is at risk.
  • Hospitals are exempt from the prohibition as long as they do not fund non‑hospital abortion providers.
  • The Secretary must submit an annual report listing grant recipients, abortions performed under the exceptions (including numbers for rape, incest, and physician‑certified cases), and the dates of certifications.
  • Defines “entity” to include any legally related organization and clarifies the meaning of “hospital” as used in the Social Security Act.

Legislative Activity

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1 earlier action
SenateIntro Referral Latest Action

Read twice and referred to the Committee on Health, Education, Labor, and Pensions.

April 16, 2026

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SenateIntro Referral

Introduced in Senate

April 16, 2026

SenateIntro Referral

Read twice and referred to the Committee on Health, Education, Labor, and Pensions.

April 16, 2026

Floor Debate

2 members

What members said about S. 4329 on the floor

1 Republican1 Democrat
Tammy Baldwin
Sen. Tammy BaldwinD-WI · Jun 24, 2026

Mr. President, reserving the right to object, 4 years ago today, women in America lost the right to control their own bodies when an activist Supreme Court overturned Roe v. Wade. For 18 months,…

Marsha Blackburn
Sen. Marsha BlackburnR-TN · Jun 24, 2026

Mr. President, as if in legislative session and notwithstanding rule XXII, I ask unanimous consent that the Committee on Health, Education, Labor, and Pensions be discharged and the Senate proceed to…

Bill Text

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Introduced in SenateIssued April 16, 2026

II

119th CONGRESS

2d Session

S. 4329

IN THE SENATE OF THE UNITED STATES

April 16 (legislative day, April 14), 2026

Mrs. Blackburn (for herself, Mr. Young, Mr. Wicker, Mrs. Fischer, Mr. Crapo, Mr. Hawley, Mrs. Hyde-Smith, Mr. Hagerty, Mr. Cassidy, Mrs. Britt, Mr. Marshall, Mr. Barrasso, Mr. Lankford, Mr. Daines, Mr. Risch, Mr. Cruz, Mr. Tillis, Ms. Lummis, and Mr. Cramer) introduced the following bill; which was read twice and referred to the Committee on Health, Education, Labor, and Pensions

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 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.

.