Fourteenth Amendment to the Constitution of 
the United States. 
(20) Congress has exercised these constitutional 
powers to create, expand, and insure health care ac-
cess for people in the United States for decades. 
Pursuant to this constitutional authority, Congress 
has enacted, and subsequently reauthorized, numer-
ous health care programs including but not limited 
to title XVIII of the Social Security Act of 1965 
(Medicare); title XIX of the Social Security Act of 
1965 (Medicaid); and title XXI of the Social Secu-
rity Act (Children’s Health Insurance Program, en-
acted in 1997). 
SEC. 3. DEFINITIONS. 
For purposes of this Act: 
(1) ABORTION SERVICES.—The term ‘‘abortion 
services’’ means an abortion and any services related 
to and provided in conjunction with an abortion, 
whether or not provided at the same time or on the 
same day as the abortion. 
(2) HEALTH
PROGRAM
OR
PLAN.—The term 
‘‘health program or plan’’ means the following 
health programs or plans that pay the cost of, or 
provide, health care: 
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(A) The Medicaid program under title XIX 
of the Social Security Act (42 U.S.C. 1396 et 
seq.). 
(B) The Children’s Health Insurance Pro-
gram under title XXI of the Social Security Act 
(42 U.S.C. 1397 et seq.). 
(C) The Medicare program under title 
XVIII of the Social Security Act (42 U.S.C. 
1395 et seq.). 
(D) A Medicare supplemental policy as de-
fined in section 1882(g)(1) of the Social Secu-
rity Act (42 U.S.C. 1395ss(g)(1)). 
(E) The Indian Health Service program 
under the Indian Health Care Improvement Act 
(25 U.S.C. 1601 et seq.). 
(F) Medical care and health benefits under 
the TRICARE program (10 U.S.C. 1071 et 
seq.). 
(G) Benefits for veterans under chapter 17 
of title 38, United States Code, and medical 
care for survivors and dependents of veterans 
(38 U.S.C. 1781 et seq.). 
(H) Benefits under the uniform health 
benefits program for employees of the Depart-
ment of Defense assigned to a nonappropriated 
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fund instrumentality of the Department estab-
lished under section 349 of the National De-
fense Authorization Act for Fiscal Year 1995 
(Public Law 103–337; 10 U.S.C. 1587 note). 
(I) Medical care for individuals in the care 
or custody of the Department of Homeland Se-
curity pursuant to any of sections 235, 236, or 
241 of the Immigration and Nationality Act (8 
U.S.C. 1225, 1226, 1231). 
(J) Medical care for individuals in the care 
or custody of the Department of Health and 
Human Services, Office of Refugee Resettle-
ment under section 235 of the William Wilber-
force Trafficking Victims Protection Reauthor-
ization Act of 2008 (8 U.S.C. 1232) or section 
462 of the Homeland Security Act of 2002 (6 
U.S.C. 279). 
(K) Medical assistance to refugees under 
section 412 of the Immigration and Nationality 
Act (8 U.S.C. 1522). 
(L) Other coverage, such as a State health 
benefits risk pool, as the Secretary of Health 
and Human Services, in coordination with the 
Secretary of the Treasury, recognizes for pur-
poses of section 5000A(f)(1)(E) of the Internal 
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Revenue 
Code 
of 
1986 
(26 
U.S.C. 
5000A(f)(1)(E)). 
(M) The Federal Employees Health Ben-
efit Plan under chapter 89 of title 5, United 
States Code. 
(N) Medical care for individuals under the 
care or custody of the Department of Justice 
pursuant to chapter 301 of title 18 (18 U.S.C. 
4001 et seq.). 
(O) Medical care for Peace Corps volun-
teers under section 5(e) of the Peace Corps Act 
(22 U.S.C. 2504(e)). 
(P) Other government-sponsored programs 
established after the date of the enactment of 
this Act. 
SEC. 4. ABORTION COVERAGE AND CARE REGARDLESS OF 
INCOME OR SOURCE OF INSURANCE. 
(a) ENSURING ABORTION COVERAGE
AND CARE 
THROUGH THE FEDERAL GOVERNMENT IN ITS ROLE AS 
AN INSURER AND EMPLOYER.—Each person insured by, 
enrolled in, or otherwise receiving medical care from 
health programs or plans described in section 3(2) shall 
receive coverage of abortion services. Health programs or 
plans described in section 3(2) shall provide coverage of 
abortion services. 
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(b) ENSURING ABORTION COVERAGE
AND CARE 
THROUGH THE FEDERAL GOVERNMENT IN ITS ROLE AS 
A HEALTH CARE PROVIDER.—In its role as a provider 
of health services including in health programs and plans 
described in section 3(2), the Federal Government shall 
ensure access to abortion services for individuals who are 
eligible to receive medical care in its own facilities or in 
facilities with which it contracts to provide medical care. 
(c) PROHIBITING RESTRICTIONS ON PRIVATE INSUR-
ANCE COVERAGE OF ABORTION SERVICES.—The Federal 
Government shall not prohibit, restrict, or otherwise in-
hibit insurance coverage of abortion services by State or 
local government or by private health plans. 
SEC. 5. REPEAL OF SECTION 1303. 
(a) IN GENERAL.—Section 1303 of the Patient Pro-
tection and Affordable Care Act (42 U.S.C. 18023) is re-
pealed. 
(b) CONFORMING AMENDMENTS.— 
(1) BASIC HEALTH PLANS.—Section 1331(d) of 
the Patient Protection and Affordable Care Act (42 
U.S.C. 18051(d)) is amended by striking paragraph 
(4). 
(2) MULTI-STATE PLANS.—Section 1334(a) of 
the Patient Protection and Affordable Care Act 
(Public Law 111–148) is amended— 
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(A) by striking paragraph (6); and 
(B) by redesignating paragraph (7) as 
paragraph (6). 
SEC. 6. SENSE OF CONGRESS. 
It is the sense of Congress that— 
(1) the Federal Government, acting in its ca-
pacity as an insurer, employer, or health care pro-
vider, should serve as a model for the Nation to en-
sure coverage of abortion services; and 
(2) restrictions on coverage of abortion services 
in the private insurance market must end. 
SEC. 7. RULE OF CONSTRUCTION. 
Nothing in this Act shall be construed to have any 
effect on any Federal, State, or local law that includes 
more protections for abortion coverage or services than 
those set forth in this Act. 
SEC. 8. RELATIONSHIP TO FEDERAL LAW. 
This Act supersedes and applies to all Federal law, 
and the implementation of that law, whether statutory or 
otherwise, and whether adopted before or after the date 
of enactment of this Act and is not subject to the Religious 
Freedom Restoration Act of 1993 (42 U.S.C. 2000bb et 
seq.). 
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SEC. 9. SEVERABILITY. 
If any portion of this Act or the application thereof 
to any person, entity, government, or circumstances is 
held invalid, such invalidity shall not affect the portions 
or applications of this Act which can be given effect with-
out the invalid portion or application. 
Æ 
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