# What This Bill Does: No Taxpayer Funding for Abortion and Abortion Insurance Full Disclosure Act

This bill aims to prevent federal tax dollars from being used to pay for abortions or health insurance plans that cover abortion services. It's a broad restriction that would affect multiple areas of healthcare and federal spending, with some important exceptions built in.

The core rule is straightforward: no federal money can go toward paying for an abortion procedure itself, and no federal funds can be used to buy health insurance plans that include abortion coverage. This applies to all federal programs and trust funds across the government. Additionally, federal hospitals and doctors employed by the federal government would be prohibited from providing abortion services. However, the bill does allow people and states to purchase separate abortion coverage using their own non-federal money, as long as they don't mix in any federal dollars or federal matching funds.

The bill includes specific exceptions for situations involving rape, incest, or when a pregnancy threatens a woman's life. In these cases, federal funding could be used. The bill also clarifies that treatment for complications arising from an abortion would still be covered by federal funds, regardless of whether the original abortion itself was federally funded. This means if someone experiences an infection or injury from an abortion, they can still receive federal healthcare coverage for treating that complication.

The second major part of this bill focuses on the Affordable Care Act (ACA) and tax credits. It would prevent people from using federal tax credits to buy health insurance plans that cover abortion services. However, people could still purchase separate abortion coverage on their own dime—they just wouldn't get a tax credit to help pay for it. The bill also requires health insurance companies to clearly disclose whether their plans cover abortion and to separately show any extra charges for abortion coverage in their marketing materials and when people are shopping for plans. This transparency requirement means consumers would know exactly what they're getting before they enroll.

No Taxpayer Funding for Abortion and Abortion Insurance Full Disclosure Act of 2023

Smith, Christopher H.

No Taxpayer Funding for Abortion and Abortion Insurance Full Disclosure Act of 2023 This bill modifies provisions relating to federal funding for, and health insurance coverage of, abortions. Specifically, the bill prohibits the use of federal funds for abortions or for health coverage that includes abortions. Such restrictions extend to the use of funds in the budget of the District of Columbia. Additionally, abortions may not be provided in a federal health care facility or by a federal employee. Historically, language has been included in annual appropriations bills for the Department of Health and Human Services (HHS) that prohibits the use of federal funds for abortions&#8212;such language is commonly referred to as the Hyde Amendment. Similar language is also frequently included in appropriations bills for other federal agencies and the District of Columbia. The bill makes these restrictions permanent and extends the restrictions to all federal funds (rather than specific agencies). The bill's restrictions regarding the use of federal funds do not apply in cases of rape, incest, or where a physical disorder, injury, or illness endangers a woman's life unless an abortion is performed. The Hyde Amendment provides the same exceptions. The bill also prohibits qualified health plans from including coverage for abortions. Currently, qualified health plans may cover abortion, but the portion of the premium attributable to abortion coverage is not eligible for subsidies.