I 
119TH CONGRESS 
1ST SESSION H. R. 6442 
To amend title IV of the Social Security Act to establish requirements 
for biological fathers to pay child support for medical expenses incurred 
during pregnancy and delivery. 
IN THE HOUSE OF REPRESENTATIVES 
DECEMBER 4, 2025 
Mrs. HINSON introduced the following bill; which was referred to the 
Committee on Ways and Means 
A BILL 
To amend title IV of the Social Security Act to establish 
requirements for biological fathers to pay child support 
for medical expenses incurred during pregnancy and de-
livery. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Supporting Healthy 
Pregnancy Act’’. 
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SEC. 2. REQUIRING BIOLOGICAL FATHERS TO PAY CHILD 
SUPPORT 
FOR 
MEDICAL 
EXPENSES 
IN-
CURRED DURING PREGNANCY AND DELIV-
ERY. 
(a) IN GENERAL.—Section 454 of the Social Security 
Act (42 U.S.C. 654) is amended— 
(1) in paragraph (33), by striking ‘‘and’’ after 
the semicolon; 
(2) in paragraph (34), by striking the period 
and inserting ‘‘; and’’; and 
(3) by inserting after paragraph (34), the fol-
lowing: 
‘‘(35) provide that the State shall establish and 
enforce a child support obligation of the biological 
father of a child to pay for not less than 50 percent 
of the reasonable out-of-pocket medical expenses (in-
cluding health insurance premiums or similar 
charges, deductions, cost sharing or similar charges, 
and any other related out-of-pocket expenses) the 
mother of the child is responsible for that are in-
curred during, and associated with, the pregnancy 
and delivery of the child, provided that the mother 
requests the payment of such support.’’. 
(b) RULE OF CONSTRUCTION.— 
(1) IN GENERAL.—Nothing in paragraph (35) 
of section 454 of the Social Security Act (42 U.S.C. 
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654), as added by subsection (a), shall be construed 
to imply that an expense associated with an abortion 
is a medical expense. 
(2) ABORTION DEFINED.—For purposes of this 
subsection, the term ‘‘abortion’’ means the use or 
prescription of any instrument, medicine, drug, or 
other substance or device to intentionally— 
(A) kill the unborn child of a woman 
known to be pregnant; or 
(B) prematurely terminate the pregnancy 
of a woman known to be pregnant, with an in-
tention other than to— 
(i) increase the probability of a live 
birth or of preserving the life or health of 
the child after live birth; or 
(ii) remove an ectopic pregnancy or a 
dead unborn child. 
(c) EFFECTIVE DATE.— 
(1) IN GENERAL.—Subject to paragraph (2), 
the amendments made by subsection (a) shall take 
effect on January 1 of the first calendar year that 
begins after the date of enactment of this Act. 
(2) 
DELAY
IF
STATE
LEGISLATION
RE-
QUIRED.—In the case of a State plan under part D 
of title IV of the Social Security Act which the Sec-
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retary of Health and Human Services determines re-
quires State legislation (other than legislation appro-
priating funds) in order for the plan to meet the ad-
ditional requirement imposed by the amendments 
made by this Act, the State plan shall not be re-
garded as failing to comply with the requirements of 
such part solely on the basis of the failure of the 
plan to meet such additional requirement before the 
first day of the first calendar quarter beginning 
after the close of the first regular session of the 
State legislature that begins after the date of enact-
ment of this Act. For purposes of the previous sen-
tence, in the case of a State that has a 2-year legis-
lative session, each year of the session shall be 
deemed to be a separate regular session of the State 
legislature. 
Æ 
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