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Bill

S 4329

Title X Abortion Provider Prohibition Act

119th Congress Introduced by Jim Banks and 22 co-sponsors

Prohibits Title X funds from going to entities that perform abortions, requiring certification not to perform or fund abortions during assistance, with limited life/health and rape

Introduced in Senate
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WeVote Research Nonpartisan
Bill Summary · S 4329

Overview

  • Bill: S.4329 (119th Congress) - Title X Abortion Provider Prohibition Act
  • Purpose: Amend the Title X program to prohibit family planning grants from being awarded to any entity that performs abortions, with limited exceptions.
  • Introduction/date: Introduced in Senate and referred to the Senate Committee on Health, Education, Labor, and Pensions on April 16, 2026.
  • Principal sponsors: Sens. Blackburn (and a broad slate of co-sponsors including Marshall, Hawley, Fischer, Hyde-Smith, Scott, Tillis, Lankford, Daines, Britt, Young, Barrasso, Cassidy, Wicker, Crapo, Crapo, Lummis, Banks, Cruz, Risch, Razo, etc.).

Main purpose and intent

  • To prohibit the use of Title X family planning funds for or through any entity that performs abortions.
  • The act requires grant-receiving entities to certify that they will not perform abortions during the period they receive Title X assistance, nor provide funds to any other entity that performs abortions.
  • Provides limited statutory exceptions to the prohibition (rape, incest, or a medical condition where abortion is necessary to save the life or protect the physical health of the pregnant person).

Key provisions

  1. Prohibition on abortions with Title X funds

    • The Secretary of Health and Human Services may not provide Title X assistance to any entity unless the entity certifies it will not perform abortions and will not fund any other entity that performs abortions during the period of assistance.

  2. Exceptions to the prohibition

    • Abortions explicitly allowed if:
      • The pregnancy resulted from rape or incest, or
      • A physician certifies that the woman would face a physical disorder, physical injury, or physical illness that would place her in danger of death unless an abortion is performed (including life-threatening conditions caused by or arising from the pregnancy).

  3. Hospital exemption

    • Hospitals are exempt from the prohibition provided they do not fund non-hospital entities that perform abortions (other than abortions described in the subsection on rape/incest or medical necessity).

  4. Annual reporting requirement

    • Within 60 days of enactment and annually thereafter, the Secretary must report to Congress:
      • List of entities receiving Title X grants.
      • For entities performing abortions under the allowed exceptions: total number of such abortions, numbers by rape or incest, and number with physician certification.
      • Date of the latest certification for each grant recipient.
      • A list of entities to which funds received through Title X grants are provided by the described entities.

  5. Definitions

    • “Entity” includes the entire legal entity and any controlled entities.
    • “Hospital” follows the definition in Section 1861(e) of the Social Security Act.

Who would be affected

  • Title X grant recipients (organization-wide entities that provide or fund abortion services) would be subject to the certification requirement.
  • Hospitals receiving Title X funds could participate only if they do not allocate Title X funds to non-hospital abortion providers (except in the medical-necessity or rape/incest exceptions).
  • Other entities within the Title X ecosystem (sub-recipients or associated organizations) could be indirectly affected due to funding restrictions and reporting.

Procedural and timeline aspects

  • Enactment steps: After introduction, the bill would need passage by both chambers and signature by the President to become law.
  • Reporting timeline: The initial annual report is due within 60 days after enactment, with subsequent annual reports each fiscal year.
  • Administrative implementation: The bill would require the Secretary to administer the certification process, monitor compliance, and compile annual congressional reports.

Potential impact and considerations

  • Financial: Could reduce or redirect Title X funding away from clinics that perform abortions, potentially affecting family planning services and other funded activities.
  • Access to care: Depending on the supply of Title X providers and the scope of exceptions, some individuals seeking affordable or confidential family planning services could experience changes in access.
  • Transparency and accountability: The annual reporting requirement aims to increase transparency about abortion-related activities among Title X recipients.
  • Legal considerations: The bill creates a new statutory requirement for certification and imposes restrictions on funding; it could be subject to legal challenges or negotiations around definitions and scope.

Note: This summary reflects the text and provisions as introduced. If enacted, implementing regulations and further interpretations by the Department of Health and Human Services would shape practical effects.

Compiled from official sources — confirm details with the bill’s official record.

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