,,ii ,cal5d> ,no4 #aa #aaf? ,,congress  
#a/ ,session  ,s4 #aji  ,,9 ,,! ,,s5ate 
,,( ,,! ,,unit$ ,,/ates  ,janu>y #aj1   
#bjai,mr4 ,wick] 7= himself1 ,mr4       
,rob]ts1 ,mr4 ,lank=d1 ,mr4 ,da9es1     
,mrs4 ,hyde-,smi?1 ,mr4 ,ris*1 ,mr4     
,b>rasso1 ,mr4 ,blunt1 ,mrs4 ,blackburn1
 ,mr4 ,rubio1 ,mr4 ,braun1 ,mr4 ,inh(e1 
,mr4 ,cotton1 ,mr4 ,isakson1 ,mr4       
,romney1 ,mr4 ,lee1 ,mr4 ,moran1 ,ms4   
,ern/1 ,mr4 ,k5n$y1 ,mr4 ,crapo1 ,mr4   
,p]due1 ,mr4 ,cassidy1 ,mr4 ,?une1 &    
,mr4 ,hawley7 introduc$ ! foll[+ bill2  
:i* 0 read ! fir/ "t  ,janu>y #aa1      
#bjai,read ! second "t & plac$ on !     
cal5d>  ,a ,,bill  ,to prohibit taxpay] 
fund$ abortions4  #a4 ,%ort title2 table
 ( cont5ts  7a7 ,%ort title ,?is ,act   
may be cit$ z ! ,no ,taxpay] ,fund+ =   
,abortion & ,abortion ,insurance ,full  
,disclosure ,act ( #bjai4  7b7 ,table ( 
cont5ts ,! table ( cont5ts ( ?is ,act is
 z foll[s3 ,sec4 #a4 ,%ort title2 table 
( cont5ts4,title ,i--,prohibit+ ,f$]ally
 ,fund$ ,abortions,sec4 #aja4 ,prohibit+

 taxpay] fund$ abortions4,sec4 #ajb4    
,am5dm5t to table ( *apt]s4,title       
,,ii--,application "u ! ,af=dable ,c>e  
,act,sec4 #bja4 ,cl>ify+ application (  
prohibition to premium cr$its & co/-%>+ 
r$uctions "u ,,aca4,sec4 #bjb4 ,revision
 ( notice requirem5ts reg>d+ disclosure 
( ext5t ( heal? plan cov]age ( abortion 
& abortion premium sur*>ges4  ,i        
,prohibit+ ,f$]ally ,fund$ ,abortions   
#aja4 ,prohibit+ taxpay] fund$ abortions
 ,title #a1 ,unit$ ,/ates ,code is am5d$
 by add+ at ! end ! foll[+ new *apt]3   
#d ,prohibit+ taxpay] fund$ abortions   
#cja4 ,prohibition on fund+ =           
abortions4#cjb4 ,prohibition on fund+ = 
heal? b5efits plans t cov]              
abortion4#cjc4 ,limitation on ,f$]al    
facilities & employees4#cjd4            
,con/ruction relat+ to sep>ate          
cov]age4#cje4 ,con/ruction relat+ to !  
use ( non-,f$]al funds = heal?          
cov]age4#cjf4 ,non-preemption ( o!r     
,f$]al laws4#cjg4 ,con/ruction relat+ to
 complications aris+ f abortion4#cjh4   

,treatm5t ( abortions relat$ to rape1   
ince/1 or pres]v+ ! life ( ! "m4#cji4   
,application to ,di/rict ( ,columbia4   
#cja4 ,prohibition on fund+ = abortions 
,no funds au?oriz$ or appropriat$ by    
,f$]al law1 & none ( ! funds 9 any tru/ 
fund to :i* funds are au?oriz$ or       
appropriat$ by ,f$]al law1 %all be      
exp5d$ = any abortion4  #cjb4           
,prohibition on fund+ = heal? b5efits   
plans t cov] abortion ,none ( ! funds   
au?oriz$ or appropriat$ by ,f$]al law1 &
 none ( ! funds 9 any tru/ fund to :i*  
funds are au?oriz$ or appropriat$ by    
,f$]al law1 %all be exp5d$ = heal?      
b5efits cov]age t includes cov]age (    
abortion4  #cjc4 ,limitation on ,f$]al  
facilities & employees ,no heal? c>e    
s]vice furni%$-- 7#a7 by or 9 a heal?   
c>e facility own$ or op]at$ by ! ,f$]al 
,gov]nm5t2 or  7#b7 by any physician or 
o!r individual employ$ by ! ,f$]al      
,gov]nm5t to provide heal? c>e s]vices  
)9 ! scope ( ! physician's or           
individual's employm5t1  may include    

abortion4  #cjd4 ,con/ruction relat+ to 
sep>ate cov]age ,no?+ 9 ?is *apt] %all  
be con/ru$ z prohibit+ any individual1  
entity1 or ,/ate or locality f pur*as+  
sep>ate abortion cov]age or heal?       
b5efits cov]age t includes abortion s   
long z su* cov]age is paid = entirely   
us+ only funds n au?oriz$ or appropriat$
 by ,f$]al law & su* cov]age %all n be  
pur*as$ us+ mat*+ funds requir$ = a     
f$]ally subsidiz$ program1 includ+ a    
,/ate's or locality's contribution (    
,m$icaid mat*+ funds4  #cje4            
,con/ruction relat+ to ! use (          
non-,f$]al funds = heal? cov]age ,no?+ 9
 ?is *apt] %all be con/ru$ z re/rict+ ! 
ability ( any non-,f$]al heal? b5efits  
cov]age provid] f (f]+ abortion cov]age1
 or ! ability ( a ,/ate or locality to  
contract sep>ately ) su* a provid] = su*
 cov]age1 s long z only funds n au?oriz$
 or appropriat$ by ,f$]al law are us$ & 
su* cov]age %all n be pur*as$ us+ mat*+ 
funds requir$ = a f$]ally subsidiz$     
program1 includ+ a ,/ate's or locality's

 contribution ( ,m$icaid mat*+ funds4   
#cjf4 ,non-preemption ( o!r ,f$]al laws 
,no?+ 9 ?is *apt] %all repeal1 am5d1 or 
h any effect on any o!r ,f$]al law to ! 
ext5t su* law imposes any limitation on 
! use ( funds = abortion or = heal?     
b5efits cov]age t includes cov]age (    
abortion1 beyond ! limitations set =? 9 
?is *apt]4  #cjg4 ,con/ruction relat+ to
 complications aris+ f abortion ,no?+ 9 
?is *apt] %all be con/ru$ to apply to ! 
treatm5t ( any infection1 injury1       
disease1 or disord] t has be5 caus$ by  
or exac]bat$ by ! p]=mance ( an         
abortion4 ,?is rule ( con/ruction %all  
be applicable )\t reg>d to :e!r !       
abortion 0 p]=m$ 9 accord ) ,f$]al or   
,/ate law1 & )\t reg>d to :e!r fund+ = !
 abortion is p]missible "u section #cjh4
  #cjh4 ,treatm5t ( abortions relat$ to 
rape1 ince/1 or pres]v+ ! life ( ! "m ,!
 limitations e/abli%$ 9 sections #cja1  
#cjb1 & #cjc %all n apply to an         
abortion-- 7#a7 if ! pregnancy is !     
result ( an act ( rape or ince/2 or     

7#b7 9 ! case :]e a woman suff]s f a    
physical disord]1 physical injury1 or   
physical illness t w\ld1 z c]tifi$ by a 
physician1 place ! woman 9 dang] ( dea? 
unless an abortion is p]=m$1 includ+ a  
life-endang]+ physical condition caus$  
by or aris+ f ! pregnancy itself4  #cji4
 ,application to ,di/rict ( ,columbia ,9
 ?is *apt]3 7#a7 ,any ref]5ce to funds  
appropriat$ by ,f$]al law %all be treat$
 z includ+ any am\nts )9 ! budget ( !   
,di/rict ( ,columbia t h be5 approv$ by 
,act ( ,congress pursuant to section    
#ddf ( ! ,di/rict ( ,columbia ,home     
,rule ,act 7or any applicable successor 
,f$]al law74  7#b7 ,! t]m ,f$]al        
,gov]nm5t includes ! gov]nm5t ( !       
,di/rict ( ,columbia4  4  #ajb4 ,am5dm5t
 to table ( *apt]s ,! table ( *apt]s =  
title #a1 ,unit$ ,/ates ,code1 is am5d$ 
by add+ at ! end ! foll[+ new item3     
#d4,prohibit+ taxpay] fund$             
abortions#cja  4  ,,ii ,application "u !
 ,af=dable ,c>e ,act  #bja4 ,cl>ify+    
application ( prohibition to premium    

cr$its & co/-%>+ r$uctions "u ,,aca  7a7
 ,9 g5]al  7#a7 ,disall[ance (          
refundable cr$it & co/-%>+ r$uctions =  
cov]age "u qualifi$ heal? plan :i*      
provides cov]age = abortion  7,a7 ,9    
g5]al ,subp>agraph 7,a7 ( section       
#cf;,b7c77#c7 ( ! ,int]nal ,rev5ue ,code
 ( #aihf is am5d$ by ins]t+ be=e ! p]iod
 at ! end ! foll[+3 or any heal? plan t 
includes cov]age = abortions 7o!r ?an   
any abortion or treatm5t describ$ 9     
section #cjg or #cjh ( title #a1 ,unit$ 
,/ates ,code74  7,b7 ,option to pur*ase 
or (f] sep>ate cov]age or plan ,p>agraph
 7#c7 ( section #cf;,b7c7 ( su* ,code is
 am5d$ by add+ at ! end ! foll[+ new    
subp>agraph3  7,c7 ,sep>ate abortion    
cov]age or plan all[$  7i7 ,option to   
pur*ase sep>ate cov]age or plan ,no?+ 9 
subp>agraph 7,a7 %all be con/ru$ z      
prohibit+ any individual f pur*as+      
sep>ate cov]age = abortions describ$ 9  
su* subp>agraph1 or a heal? plan t      
includes su* abortions1 s long z no     
cr$it is all[$ "u ?is section ) respect 

to ! premiums = su* cov]age or plan4    
7ii7 ,option to (f] cov]age or plan     
,no?+ 9 subp>agraph 7,a7 %all re/rict   
any non-,f$]al heal? insurance issu]    
(f]+ a heal? plan f (f]+ sep>ate cov]age
 = abortions describ$ 9 su* subp>agraph1
 or a plan t includes su* abortions1 s  
long z premiums = su* sep>ate cov]age or
 plan are n paid = ) any am\nt          
attributable to ! cr$it all[$ "u ?is    
section 7or ! am\nt ( any advance paym5t
 ( ! cr$it "u section #adab ( ! ,pati5t 
,protection & ,af=dable ,c>e ,act74  4  
7#b7 ,disall[ance ( small employ] heal? 
insurance exp5se cr$it = plan :i*       
includes cov]age = abortion ,subsection 
7h7 ( section #de,r ( ! ,int]nal ,rev5ue
 ,code ( #aihf is am5d$-- 7,a7 by /rik+ 
,any t]m & ins]t+ ! foll[+3  7#a7 ,9    
g5]al ,any t]m  2 &  7,b7 by add+ at !  
end ! foll[+ new p>agraph3  7#b7        
,exclusion ( heal? plans includ+ cov]age
 = abortion  7,a7 ,9 g5]al ,! t]m       
qualifi$ heal? plan does n include any  
heal? plan t includes cov]age =         

abortions 7o!r ?an any abortion or      
treatm5t describ$ 9 section #cjg or #cjh
 ( title #a1 ,unit$ ,/ates ,code74  7,b7
 ,sep>ate abortion cov]age or plan all[$
  7i7 ,option to pur*ase sep>ate cov]age
 or plan ,no?+ 9 subp>agraph 7,a7 %all  
be con/ru$ z prohibit+ any employ] f    
pur*as+ = its employees sep>ate cov]age 
= abortions describ$ 9 su* subp>agraph1 
or a heal? plan t includes su*          
abortions1 s long z no cr$it is all[$ "u
 ?is section ) respect to ! employ]     
contributions = su* cov]age or plan4    
7ii7 ,option to (f] cov]age or plan     
,no?+ 9 subp>agraph 7,a7 %all re/rict   
any non-,f$]al heal? insurance issu]    
(f]+ a heal? plan f (f]+ sep>ate cov]age
 = abortions describ$ 9 su* subp>agraph1
 or a plan t includes su* abortions1 s  
long z su* sep>ate cov]age or plan is n 
paid = ) any employ] contribution       
eligible = ! cr$it all[$ "u ?is section4
  4  7#c7 ,con=m+ ,,aca am5dm5ts        
,section #acjc7;b7 ( ,public ,law       
#aaa-adh 7#db ,u4,s4,c4 #ahjbc7;b77 is  

am5d$-- 7,a7 by /rik+ p>agraph 7#b72    
7,b7 by /rik+ p>agraph 7#c71 z am5d$ by 
section #bjb7;a72 &  7,c7 by r$esignat+ 
p>agraph 7#d7 z p>agraph 7#b74  7b7     
,application to multi-,/ate plans       
,p>agraph 7#f7 ( section #accd7;a7 (    
,public ,law #aaa-adh 7#db ,u4,s4,c4    
#ahjed7;a77 is am5d$ to read z foll[s3  
7#f7 ,cov]age consi/5t ) f$]al abortion 
policy ,9 ent]+ into contracts "u ?is   
subsection1 ! ,director %all ensure t no
 multi-,/ate qualifi$ heal? plan (f]$ 9 
an ,ex*ange provides heal? b5efits      
cov]age = :i* ! exp5diture ( ,f$]al     
funds is prohibit$ "u *apt] #d ( title  
#a1 ,unit$ ,/ates ,code4  4  7c7        
,effective date ,! am5dm5ts made by     
subsection 7a7 %all apply to taxable    
ye>s end+ aft] ,decemb] #ca1 #bjai1 b   
only ) respect to plan ye>s beg9n+ aft] 
su* date1 & ! am5dm5t made by subsection
 7b7 %all apply to plan ye>s beg9n+ aft]
 su* date4  #bjb4 ,revision ( notice    
requirem5ts reg>d+ disclosure ( ext5t ( 
heal? plan cov]age ( abortion & abortion

 premium sur*>ges  7a7 ,9 g5]al         
,p>agraph 7#c7 ( section #acjc7;b7 (    
,public ,law #aaa-adh 7#db ,u4,s4,c4    
#ahjbc7;b77 is am5d$ to read z foll[s3  
7#c7 ,rules relat+ to notice  7,a7 ,9   
g5]al ,! ext5t ( cov]age 7if any7 (     
s]vices describ$ 9 p>agraph 7#a77;,b77i7
 or 7#a77;,b77ii7 by a qualifi$ heal?   
plan %all be disclos$ to enrollees at ! 
"t ( enrollm5t 9 ! plan & %all be       
prom95tly display$ 9 any m>ket+ or      
adv]tis+ mat]ials1 comp>ison tools1 or  
summ>y ( b5efits & cov]age explanation  
made available ) respect to su* plan by 
! issu] ( ! plan1 by an ,ex*ange1 or by 
! ,secret>y1 includ+ in=mation made     
available ?r\gh an ,int]net portal or   
,ex*ange "u sections #acaa7;c77#e7 &    
#acaa7;d77#d77;,c74  7,b7 ,sep>ate      
disclosure ( abortion sur*>ges ,9 ! case
 ( a qualifi$ heal? plan t includes !   
s]vices describ$ 9 p>agraph 7#a77;,b77i7
 & :]e ! premium = ! plan is disclos$1  
includ+ 9 any m>ket+ or adv]tis+        
mat]ials or any o!r in=mation ref]r$ to 

9 subp>agraph 7,a71 ! sur*>ge describ$ 9
 p>agraph 7#b77;,b77i77,,ii7 t is       
attributable to su* s]vices %all also be
 disclos$ & id5tifi$ sep>ately4  4  7b7 
,effective date ,! am5dm5t made by      
subsection 7a7 %all apply to mat]ials1  
tools1 or o!r in=mation made available m
 ?an #cj days aft] ! date ( ! enactm5t (
 ?is ,act4  ,janu>y #aa1 #bjai,read !   
second "t & plac$ on ! cal5d>