,,ii #aaith ,,congress #ast ,session ,s4 #agh ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,january #bb1 #bjbe,ms4 ,ernst 7for herself1 ,mr4 ,lankford1 ,mr4 ,daines1 ,mr4 ,cramer1 ,mrs4 ,fischer1 ,mr4 ,hagerty1 ,mr4 ,risch1 ,mr4 ,hawley1 and ,mrs4 ,blackburn7 introduced the following bill2 which was read twice and referred to the ,committee on ,finance ,a ,,bill ,to amend title ,,xix of the ,social ,security ,act and the ,public ,health ,service ,act to improve the reporting of abortion data to the ,centers for ,disease ,control and ,prevention1 and for other purposes4 #a4 ,short title ,this ,act may be cited as the ,ensuring ,accurate and ,complete ,abortion ,data ,reporting ,act of #bjbe4 #b4 ,findings ,congress finds the following3 7#a7 ,reporting abortion data has been voluntary in the past1 which has not resulted in complete data being submitted to the ,centers for ,disease ,control and ,prevention4 7#b7 ,while the ,centers for ,disease ,control and ,prevention requests specific data points from each ,state and the ,district of ,columbia1 there is a great variety in the information collected and published by the ,states4 7#c7 ,in fact1 there is not a single abortion data point publicly reported for all #ej ,states and the ,district of ,columbia4 7#d7 ,even more alarming1 #c ,states that together account for #ae percent of the ,united ,states population of women of childbearing age do not report any abortion data to the ,centers for ,disease ,control and ,prevention4 7#e7 ,accurate statistical data regarding abortion and those who survive abortion attempts is critical to public health and policy analysis4 #c4 ,medicaid payments for certain family planning services and supplies contingent on submission of abortion data to ,,cdc ,section #aijc of the ,social ,security ,act 7#db ,u4,s4,c4 #acif;b7 is amended-- 7#a7 in subsection 7a77#e71 by inserting before an amount equal to the following3 subject to subsection 7cc712 and 7#b7 by adding at the end the following new subsection3 7cc7 ,annual reports on abortion data 7#a7 ,in general ,subject to paragraph 7#b71 as a condition of receiving payment under subsection 7a77#e7 with respect to any amount expended during a year 7beginning with the year following #b years after the date of the enactment of this subsection7 for family planning services and supplies described in section #aije7;a77#d77;,c7 furnished to an individual described in section #aijb7;ii7 or an individual whose medical assistance under this title is limited to such services and supplies furnished pursuant to a waiver granted under section #aaae1 each ,state shall1 by not later than ,december #ca of the previous year1 submit to the abortion surveillance system of the ,centers for ,disease ,control and ,prevention1 with respect to the year before the previous year1 at least abortion data regarding the mandatory questions described in section #cag,w7a77#c77;,a7 of the ,public ,health ,service ,act4 7#b7 ,late submission of reports ,with respect to a year1 in the case of a ,state that does not submit by ,december #ca of the previous year the abortion data required under paragraph 7#a7 with respect to the year before the previous year but submits such data by ,december #ca of the year1 such ,state shall continue to receive payment1 including retroactive payment1 under subsection 7a77#e7 with respect to any amount expended during the year for family planning services and supplies described in section #aije7;a77#d77;,c7 furnished to an individual described in such paragraph4 7#c7 ,certification of abortion data 7,a7 ,in general ,with respect to each submission of abortion data under this subsection1 a ,state shall certify to the ,director of the ,centers for ,disease ,control and ,prevention that such data is accurate4 7,b7 ,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 subsection1 such ,state may not receive payment under subsection 7a77#e7 with respect to any amount expended during the first full fiscal year following such determination for family planning services and supplies described in section #aije7;a77#d77;,c7 furnished to an individual described in paragraph 7#a74 4 #d4 ,collection of abortion data by ,,cdc ,part ,b of title ,,iii of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bdc et seq47 is amended by inserting after section #cag,v the following3 #cag,w4 ,abortion data 7a7 ,in general ,the ,secretary1 acting through the ,director of the ,centers for ,disease ,control and ,prevention1 shall-- 7#a7 maintain a surveillance system to collect aggregate data in a standardized format on abortions in the ,united ,states2 7#b7 as part of such system1 create a standard worksheet to collect data from ,states on abortions in the respective ,states1 which-- 7,a7 shall1 at a minimum1 include questions on the variables listed in subsection 7b71 to be treated as mandatory questions for purposes of section #aijc7;cc7 of the ,social ,security ,act2 and 7,b7 may include such additional questions on abortion as the ,secretary determines to be appropriate1 to be treated as voluntary questions2 7#c7 as part of such system1 allow for cross-tabulation of the variables listed in subsection 7b71 including cross-tabulation of maternal age by gestational age2 race and ethnicity by gestational age2 type of abortion procedure by gestational age2 race and ethnicity by maternal age2 and race and ethnicity by marital status2 and 7#d7 periodically update the questions in the worksheet under paragraph 7#b71 including the classification of such questions as mandatory or voluntary4 7b7 ,variables ,the variables listed in this subsection are the following3 7#a7 ,maternal age in years4 7#b7 ,gestational age in completed weeks at the time of abortion4 7#c7 ,maternal race4 7#d7 ,maternal ethnicity4 7#e7 ,maternal race by ethnicity4 7#f7 ,the abortion method type4 7#g7 ,maternal marital status4 7#h7 ,previous pregnancies of the mother1 including the number of previous live births1 the number of previous induced abortions1 and the number of previous spontaneous abortions4 7#i7 ,maternal residence 7limited to county and ,state74 7#aj7 ,whether the child survived the abortion4 7c7 ,technical assistance ,the ,secretary shall provide technical assistance to ,states to facilitate and improve the reporting of data to the system under subsection 7a74 7d7 ,annual reporting ,the ,secretary shall-- 7#a7 issue an annual report on abortion1 which shall include the data collected pursuant to this section2 and 7#b7 publish such report not later than ,december #cj of the third calendar year following the calendar year covered by the report4 4