119-hr627

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 627 Introduced in House

    (IH) ]

<DOC>

119th CONGRESS
 1st Session
 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

 January 22, 2025

 Mr. Norman (for himself, Mr. Allen, Mr. Webster of Florida, Mr. 
 Fulcher, and Mr. Self) introduced the following bill; which was 
 referred 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 Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

 This Act may be cited as the ``Ensuring Accurate and Complete 
Abortion Data Reporting Act of 2025''.

SEC. 2. FINDINGS.

 Congress finds the following:

    (1) Reporting abortion data has been voluntary in the past, 
 which has not resulted in complete data being submitted to the 
 Centers for Disease Control and Prevention.

    (2) While the Centers for Disease Control and Prevention 
 requests specific data points from each State and the District 
 of Columbia, there is a great variety in the information 
 collected and published by the States.

    (3) In fact, there is not a single abortion data point 
 publicly reported for all fifty States and the District of 
 Columbia.

    (4) Even more alarming, three States that together account 
 for 15 percent of the United States population of women of 
 childbearing age do not report any abortion data to the Centers 
 for Disease Control and Prevention.

    (5) Accurate statistical data regarding abortion and those 
 who survive abortion attempts is critical to public health and 
 policy analysis.

SEC. 3. MEDICAID PAYMENTS FOR CERTAIN FAMILY PLANNING SERVICES AND 
 SUPPLIES CONTINGENT ON SUBMISSION OF ABORTION DATA TO 
 CDC.

 

Section 1903 of the Social Security Act (42 U.S.C. 1396b) is 
amended--

    (1) in subsection

    (a)

    (5) , by inserting before ``an amount 
 equal to'' the following: ``subject to subsection
            (cc) ,''; and

    (2) by adding at the end the following new subsection:
 ``
            (cc) Annual Reports on Abortion Data.--
 ``

    (1) In general.--Subject to paragraph

    (2) , as a condition 
 of receiving payment under subsection

    (a)

    (5) with respect to 
 any amount expended during a year (beginning with the year 
 following two years after the date of the enactment of this 
 subsection) for family planning services and supplies described 
 in 

section 1905

    (a)

    (4)
            (C) furnished to an individual described 
 in 

section 1902
            (ii) or an individual whose medical assistance 
 under this title is limited to such services and supplies 
 furnished pursuant to a waiver granted under 

section 1115, each 
 State shall, by not later than December 31 of the previous 
 year, submit to the abortion surveillance system of the Centers 
 for Disease Control and Prevention, with respect to the year 
 before the previous year, at least abortion data regarding the 
 mandatory questions described in 

section 317W

    (a)

    (3)
        (A) of the 
 Public Health Service Act.
 ``

    (2) Late submission of reports.--With respect to a year, 
 in the case of a State that does not submit by December 31 of 
 the previous year the abortion data required under paragraph

    (1) with respect to the year before the previous year but 
 submits such data by December 31 of the year, such State shall 
 continue to receive payment, including retroactive payment, 
 under subsection

    (a)

    (5) with respect to any amount expended 
 during the year for family planning services and supplies 
 described in 

section 1905

    (a)

    (4)
            (C) furnished to an individual 
 described in such paragraph.
 ``

    (3) Certification of abortion data.--
 ``
        (A) In general.--With respect to each submission 
 of abortion data under this subsection, a State shall 
 certify to the Director of the Centers for Disease 
 Control and Prevention that such data is accurate.
 ``
        (B) False information.--In the case that the 
 Director of the Centers for Disease Control and 
 Prevention determines that a State has knowingly 
 provided false information with respect to a submission 
 of abortion data under this subsection, such State may 
 not receive payment under subsection

    (a)

    (5) with 
 respect to any amount expended during the first full 
 fiscal year following such determination for family 
 planning services and supplies described in 

section 1905

    (a)

    (4)
            (C) furnished to an individual described in 
 paragraph

    (1) .''.

SEC. 4. COLLECTION OF ABORTION DATA BY CDC.

 Part B of title III of the Public Health Service Act (42 U.S.C. 243 
et seq.) is amended by inserting after 

section 317V of such Act the 
following:

``

SEC. 317W. ABORTION DATA.

 ``

    (a) In General.--The Secretary, acting through the Director of 
the Centers for Disease Control and Prevention (in this section 
referred to as the `Secretary')--
 ``

    (1) shall maintain a surveillance system to collect 
 aggregate data in a standardized format on abortions in the 
 United States;
 ``

    (2) shall, as part of such system, create a standard 
 worksheet to collect data from States on abortions in the 
 respective States;
 ``

    (3) in such worksheet--
 ``
        (A) shall, at a minimum, include questions on the 
 variables listed in subsection

    (b) , to be treated as 
 mandatory questions for purposes of 

section 1903
            (cc) of 
 the Social Security Act; and
 ``
        (B) may include such additional questions on 
 abortion as the Secretary determines to be appropriate, 
 to be treated as voluntary questions;
 ``

    (4) shall, as part of such system, allow for cross-
 tabulation of the variables listed in subsection

    (b) , including 
 cross-tabulation of maternal age by gestational age; race and 
 ethnicity by gestational age; type of abortion procedure by 
 gestational age; race and ethnicity by maternal age; and race 
 and ethnicity by marital status; and
 ``

    (5) periodically update the questions in the worksheet 
 under paragraph

    (2) and the classification of such questions as 
 mandatory or voluntary under paragraph

    (3) .
 ``

    (b) Variables.--The variables listed in this subsection are the 
following:
 ``

    (1) Maternal age in years.
 ``

    (2) Gestational age in completed weeks at the time of 
 abortion.
 ``

    (3) Maternal race.
 ``

    (4) Maternal ethnicity.
 ``

    (5) Maternal race by ethnicity.
 ``

    (6) The abortion method type.
 ``

    (7) Maternal marital status.
 ``

    (8) Previous pregnancies of the mother, including the 
 number of previous live births, the number of previous induced 
 abortions, and the number of previous spontaneous abortions.
 ``

    (9) Maternal residence (State or county).
 ``

    (10) Whether the child survived the abortion.
 ``
            (c) Technical Assistance.--The Secretary shall provide technical 
assistance to States to facilitate and improve the reporting of data to 
the system under subsection

    (a) .
 ``
            (d) Annual Reporting.--The Secretary shall--
 ``

    (1) include, for each calendar year, the data collected 
 pursuant to this section in a report on abortion; and
 ``

    (2) publish such report not later than December 30 of the 
 third calendar year following the calendar year covered by the 
 report.
 ``

    (e) 

=== Definitions. ===
-In this section, the term `State' refers to the 
several States, the District of Columbia, and any territory of the 
United States.''.
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