I 

112TH CONGRESS 

2D SESSION H. R. 4971 

To amend title I of the Patient Protection and Affordable Care Act to 

ensure that the coverage offered under multi-State qualified health plans 

offered in Exchanges is consistent with the Federal abortion funding 

ban. 

IN THE HOUSE OF REPRESENTATIVES 

APRIL 27, 2012 

Mr. AKIN (for himself, Mr. ALEXANDER, Mrs. BACHMANN, Mr. BARTLETT, 

Mr. BENISHEK, Mrs. BLACK, Mr. BOUSTANY, Mr. BRADY of Texas, Mr. 

BURTON of Indiana, Mr. CANSECO, Mr. CHABOT, Mr. COLE, Mr. CONAWAY, Mr. CRAVAACK, Mr. CRAWFORD, Mr. DUNCAN of South Carolina, 

Mr. DUNCAN of Tennessee, Mr. FLEMING, Mr. FLORES, Mr. FORTENBERRY, Mr. FRANKS of Arizona, Mr. GOHMERT, Mr. GRAVES of Missouri, 

Mr. GRAVES of Georgia, Mr. HARRIS, Mrs. HARTZLER, Mr. HUELSKAMP, 

Mr. HUIZENGA of Michigan, Mr. HULTGREN, Mr. JOHNSON of Ohio, Mr. 

JONES, Mr. JORDAN, Mr. KELLY, Mr. KINGSTON, Mr. KLINE, Mr. LAMBORN, Mr. LANDRY, Mr. LANKFORD, Mr. LIPINSKI, Mr. LUETKEMEYER, 

Mr. MARCHANT, Mr. MCCOTTER, Mr. MILLER of Florida, Mrs. MILLER

of Michigan, Mr. MULVANEY, Mr. NEUGEBAUER, Mr. PAUL, Mr. 

QUAYLE, Mrs. ROBY, Mr. ROSS of Florida, Mr. RYAN of Wisconsin, Mrs. 

SCHMIDT, Mr. SCHWEIKERT, Mr. SCOTT of South Carolina, Mr. SMITH

of New Jersey, Mr. SMITH of Nebraska, Mr. SOUTHERLAND, Mr. STIVERS, Mr. WALBERG, Mr. WESTMORELAND, Mr. WILSON of South Carolina, and Mr. BILIRAKIS) introduced the following bill; which was referred 

to the Committee on Energy and Commerce 

A BILL 

To amend title I of the Patient Protection and Affordable 

Care Act to ensure that the coverage offered under 

multi-State qualified health plans offered in Exchanges 

is consistent with the Federal abortion funding ban. 


srobinson on DSK4SPTVN1PROD with BILLS
2 

•HR 4971 IH

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 ‘‘Stop Abortion Funding 

5 in Multi-state Exchange Plans Act’’ or ‘‘SAFE Act’’. 

6 SEC. 2. CONSISTENCY WITH FEDERAL ABORTION FUNDING 

7 BAN FOR COVERAGE UNDER MULTI-STATE 

8 PLANS IN EXCHANGES. 

9 (a) IN GENERAL.—Section 1334(a)(6) of the Patient 

10 protection and Affordable Care Act (42 U.S.C. 

11 18054(a)(6)) is amended to read as follows: 

12 ‘‘(6) CONSISTENCY WITH FEDERAL ABORTION

13 FUNDING BAN.— 

14 ‘‘(A) IN GENERAL.—In entering into con15 tracts under this subsection, the Director shall 

16 ensure that no multi-State qualified health plan 

17 offered in an Exchange provides coverage of 

18 abortion. 

19 ‘‘(B) EXCEPTION.—The limitation estab20 lished in subparagraph (A) shall not apply to 

21 an abortion— 

22 ‘‘(i) if the pregnancy is the result of 

23 an act of rape or incest; or 

24 ‘‘(ii) in a case where a woman suffers 

25 from a physical disorder, physical injury, 


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•HR 4971 IH

1 or physical illness that would, as certified 

2 by a physician, place the woman in danger 

3 of death unless an abortion is performed, 

4 including a life-endangering physical condi5 tion caused by or arising from the preg6 nancy itself.’’. 

7 (b) PREEMPTION.—Section 1303(c)(1) of the Patient 

8 Protection and Affordable Care Act (42 U.S.C. 

9 18023(c)(1)) is amended by adding at the end the fol10 lowing: ‘‘Notwithstanding this paragraph, no State law 

11 shall preempt the limitation on coverage of abortion in 

12 multi-state plans set forth in Section 1334(a)(6).’’. 

Æ 


srobinson on DSK4SPTVN1PROD with BILLS