I 

115TH CONGRESS 

2D SESSION H. R. 4849 

To require States to report information on Medicaid payments to abortion 

providers. 

IN THE HOUSE OF REPRESENTATIVES 

JANUARY 19, 2018 

Mr. OLSON introduced the following bill; which was referred to the Committee 

on Energy and Commerce 

A BILL 

To require States to report information on Medicaid 

payments to abortion providers. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Taxpayer Conscience 

5 Protection Act of 2018’’. 

6 SEC. 2. REQUIRED REPORTING OF MEDICAID PAYMENTS 

7 TO ABORTION PROVIDERS. 

8 (a) IN GENERAL.—Not later than 60 days after the 

9 end of fiscal year 2018 and each fiscal year thereafter, 

10 each State that makes a Medicaid payment from Federal 


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1 funds during the fiscal year for any items or services fur2 nished by an abortion provider shall— 

3 (1) submit to the Secretary a report on all such 

4 payments; and 

5 (2) publish the report on a public Internet 

6 website of the State. 

7 (b) REPORT DESCRIBED.—The report under sub8 section (a) shall, with respect to each payment, include 

9 the following: 

10 (1) A specification of the amount of the pay11 ment. 

12 (2) A specification of the purposes for which 

13 the payment was made. 

14 (3) A comparison of the amount of the payment 

15 with the amount of any such payment to the pro16 vider involved in any prior fiscal year. 

17 (4) A specification of the number of abortions 

18 performed during the fiscal year by the provider in19 volved. 

20 (c) REPORT TO CONGRESS.—Not later than 90 days 

21 after the end of each fiscal year, the Secretary shall sub22 mit to the Committee on Energy and Commerce of the 

23 House of Representatives and to the Committee on Fi24 nance of the Senate, and publish on a public Internet 


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1 website of the Department of Health and Human Services, 

2 a report that— 

3 (1) contains the reports submitted pursuant to 

4 subsection (a) for the fiscal year; and 

5 (2) includes a summary of the reports. 

6 (d) DEFINITIONS.—In this section: 

7 (1) ABORTION PROVIDER.—The term ‘‘abortion 

8 provider’’ means an entity that— 

9 (A) performs (or refers an individual for) 

10 an abortion; or 

11 (B) controls, is controlled by, or is under 

12 common control with, an entity described in 

13 subparagraph (A). 

14 (2) MEDICAID PAYMENT FROM FEDERAL

15 FUNDS.—The term ‘‘Medicaid payment from Fed16 eral funds’’ means a payment for which there is 

17 Federal financial participation under title XIX of 

18 the Social Security Act. 

19 (3) SECRETARY.—The term ‘‘Secretary’’ means 

20 the Secretary of Health and Human Services. 

21 (4) STATE.—The term ‘‘State’’ has the mean22 ing given the term for purposes of title XIX of the 

23 Social Security Act. 


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1 (e) CONFORMING AMENDMENTS TO SOCIAL SECU2 RITY ACT.—Section 1902(a) of the Social Security Act 

3 (42 U.S.C. 1396a(a)) is amended— 

4 (1) by striking ‘‘and’’ at the end of paragraph 

5 (82); 

6 (2) by striking the period at the end of para7 graph (83) and inserting ‘‘; and’’; and 

8 (3) by inserting after paragraph (83) the fol9 lowing: 

10 ‘‘(84) provide for the submission of reports in 

11 accordance with section 2 of the Taxpayer Con12 science Protection Act of 2018.’’. 

Æ 


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