I 
119TH CONGRESS 
1ST SESSION H. R. 4611 
To ensure affordable abortion coverage and care for every person, and for 
other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
JULY 22, 2025 
Ms. PRESSLEY (for herself, Ms. DEGETTE, Mr. FROST, Ms. SCHAKOWSKY, 
Ms. ADAMS, Mr. AGUILAR, Mr. AMO, Ms. ANSARI, Mr. AUCHINCLOSS, 
Ms. BALINT, Ms. BARRAGA´N, Mrs. BEATTY, Mr. BELL, Mr. BERA, Mr. 
BEYER, Ms. BONAMICI, Ms. BROWN, Ms. BROWNLEY, Ms. BUDZINSKI, 
Ms. BYNUM, Mr. CARBAJAL, Mr. CARSON, Mr. CARTER of Louisiana, Mr. 
CASAR, Mr. CASE, Mr. CASTEN, Ms. CASTOR of Florida, Mr. CASTRO of 
Texas, Mrs. CHERFILUS-MCCORMICK, Ms. CHU, Mr. CISNEROS, Ms. 
CLARK of Massachusetts, Ms. CLARKE of New York, Mr. CLEAVER, Mr. 
COHEN, Mr. CORREA, Ms. CRAIG, Ms. CROCKETT, Mr. CROW, Ms. DA-
VIDS of Kansas, Mr. DAVIS of Illinois, Ms. DEAN of Pennsylvania, Ms. 
DELAURO, Ms. DELBENE, Mr. DELUZIO, Mr. DESAULNIER, Ms. DEX-
TER, Mr. DOGGETT, Ms. ELFRETH, Ms. ESCOBAR, Mr. ESPAILLAT, Mr. 
EVANS of Pennsylvania, Mr. FIGURES, Mrs. FLETCHER, Mr. FOSTER, 
Mrs. FOUSHEE, Ms. LOIS FRANKEL of Florida, Mr. GARAMENDI, Mr. 
GARCIA of California, Ms. GARCIA of Texas, Mr. GARCI´A of Illinois, Mr. 
GOLDEN of Maine, Mr. GOLDMAN of New York, Ms. GOODLANDER, Mr. 
GOTTHEIMER, Mr. GREEN of Texas, Mrs. HAYES, Mr. HIMES, Mr. 
HORSFORD, Ms. HOYLE of Oregon, Mr. HUFFMAN, Mr. IVEY, Ms. JA-
COBS, Ms. JAYAPAL, Mr. JOHNSON of Georgia, Ms. KAMLAGER-DOVE, 
Mr. KEATING, Ms. KELLY of Illinois, Mr. KENNEDY of New York, Mr. 
KHANNA, Mr. KRISHNAMOORTHI, Mr. LANDSMAN, Mr. LARSEN of Wash-
ington, Mr. LARSON of Connecticut, Mr. LATIMER, Ms. LEE of Nevada, 
Ms. LEE of Pennsylvania, Ms. LEGER FERNANDEZ, Mr. LEVIN, Mr. 
LIEU, Mr. MAGAZINER, Mr. MANNION, Ms. MATSUI, Mrs. MCBATH, Ms. 
MCBRIDE, Mrs. MCCLAIN DELANEY, Ms. MCCLELLAN, Ms. MCCOLLUM, 
Mr. MCGARVEY, Mr. MCGOVERN, Mr. MEEKS, Mr. MENENDEZ, Ms. 
MENG, Mr. MFUME, Mr. MIN, Ms. MOORE of Wisconsin, Mr. MORELLE, 
Ms. MORRISON, Mr. MOSKOWITZ, Mr. MOULTON, Mr. MULLIN, Mr. NAD-
LER, Ms. NORTON, Ms. OCASIO-CORTEZ, Ms. OMAR, Mr. PALLONE, Mr. 
PANETTA, Mr. PAPPAS, Ms. PELOSI, Mr. PETERS, Ms. PETTERSEN, Ms. 
PINGREE, Mr. POCAN, Mr. QUIGLEY, Mrs. RAMIREZ, Ms. RANDALL, Mr. 
RASKIN, Ms. RIVAS, Ms. ROSS, Mr. RUIZ, Mr. RYAN, Ms. SALINAS, Ms. 
SA´NCHEZ, Ms. SCANLON, Mr. SCHNEIDER, Ms. SCHOLTEN, Ms. 
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SCHRIER, Mr. DAVID SCOTT of Georgia, Mr. SHERMAN, Ms. SHERRILL, 
Ms. SIMON, Mr. SMITH of Washington, Mr. SORENSEN, Mr. SOTO, Ms. 
STANSBURY, Mr. STANTON, Ms. STEVENS, Ms. STRICKLAND, Mr. 
SUBRAMANYAM, Mr. SWALWELL, Mrs. SYKES, Mr. TAKANO, Mr. 
THANEDAR, Mr. THOMPSON of California, Ms. TITUS, Ms. TLAIB, Ms. 
TOKUDA, Mr. TONKO, Mrs. TORRES of California, Mr. TORRES of New 
York, Mrs. TRAHAN, Mr. TRAN, Ms. UNDERWOOD, Mr. VARGAS, Mr. 
VASQUEZ, Mr. VEASEY, Ms. VELA´ZQUEZ, Ms. WASSERMAN SCHULTZ, 
Mr. WHITESIDES, Ms. WILLIAMS of Georgia, Ms. WILSON of Florida, Ms. 
JOHNSON of Texas, Mr. NEGUSE, Mr. OLSZEWSKI, and Mr. COURTNEY) 
introduced the following bill; which was referred to the Committee on En-
ergy and Commerce, and in addition to the Committees on Ways and 
Means, Natural Resources, Armed Services, Veterans’ Affairs, the Judici-
ary, Oversight and Government Reform, and Foreign Affairs, for a period 
to be subsequently determined by the Speaker, in each case for consider-
ation of such provisions as fall within the jurisdiction of the committee 
concerned 
A BILL 
To ensure affordable abortion coverage and care for every 
person, and for other purposes. 
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 ‘‘Equal Access to Abor-
tion Coverage in Health Insurance Act of 2025’’ or the 
‘‘EACH Act of 2025’’. 
SEC. 2. FINDINGS. 
Congress makes the following findings: 
(1) All people should have access to abortion 
services regardless of actual or perceived race, color, 
ethnicity, language, ancestry, citizenship, immigra-
tion status, sex (including a sex stereotype; preg-
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nancy, childbirth, or a related medical condition; 
sexual orientation or gender identity; and sex char-
acteristics), age, disability, or sex work status or be-
havior. 
(2) A person’s income level, wealth, or type of 
insurance should not prevent them from having ac-
cess to a full range of pregnancy-related health care, 
including abortion services. 
(3) No person seeking abortion care should be 
barred from receiving the procedure based on the 
ability or inability to afford the health care service. 
(4) Since the decision in Dobbs v. Jackson 
Women’s Health Organization (597 U.S. 215 
(2022)) held that there is no constitutional right to 
abortion, 19 States have outright banned the proce-
dure or imposed a ban at an arbitrary point in preg-
nancy. More than 25,000,000 women aged 15 to 44 
live in States where there are more restrictions im-
posed than prior to the Dobbs decision. This is near-
ly 1 in 5 women. 
(5) Since 1976, the Federal Government has 
banned the use of Federal funds to pay for abortion 
services and allows for exceptions only in very nar-
row circumstances. This ban affects people of repro-
ductive age in the United States who are insured 
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through the Medicaid program, as well as individuals 
who receive insurance or care through other feder-
ally funded health programs and plans. 
(6) Women make up the majority of Medicaid 
enrollees (54 percent), and nearly 2 out of 3 women 
enrolled in the program are of reproductive age. Due 
to systematic barriers and discrimination, a dis-
proportionately higher number of women of color 
and Lesbian, Gay, Bisexual, Transgender, or Queer 
(LGBTQ) individuals are enrolled in the program. 
(7) More than 40 percent of youth and children 
under age 19 and 12 percent of young people aged 
19 to 25 get their health insurance through govern-
ment programs. 
(8) Women of color are more likely to be in-
sured by the Medicaid program. As of 2020, 25 per-
cent of all Black women aged 19 to 64, or 
33,000,000 Black women, and 22 percent of all His-
panic women are enrolled in Medicaid. Nearly 15 
percent of Asian American and Pacific Islander 
women are enrolled in the Medicaid program as of 
2019. 
(9) Medicaid also provides coverage to more 
than 1 in 4 (25 percent) non-elderly American In-
dian and Alaska Native (AIAN) women. 
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(10) The Indian Health Service (IHS) is the 
federally funded health program for American Indi-
ans and Alaska Natives. The IHS serves a popu-
lation of approximately 2,560,000 and as a federally 
funded system, since 1988, it has been barred from 
providing abortion services except for very limited 
cases. American Indians and Alaska Natives often 
face higher levels of poverty and limited access to 
health care for a number of intersecting oppressions 
thus leaving them without recourse for the Federal 
ban on abortion services. 
(11) As of 2025, 30 States and the District of 
Columbia apply Hyde-like restrictions and restrict 
Medicaid from covering abortion procedures except 
in cases of rape, incest, or the pregnant person’s life 
is in danger despite allowance for a State’s un-
matched funds to provide coverage for abortion. As 
of 2024, 35 percent, or 5,500,000 women aged 15 
to 49 who are enrolled in Medicaid live in States 
where abortion is legal but not covered by the pro-
gram except in Hyde-allowable circumstances. 
(12) Moreover, 25 States also prohibit coverage 
of abortion services in the marketplaces and 10 pro-
hibit coverage in private health insurance plans 
under the Patient Protection and Affordable Care 
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Act (Public Law 111–148). Conversely, 8 States 
have no coverage limitations, and an additional 12 
require coverage in Medicaid, private and market-
place plans. 
(13) A recent report details how restrictions on 
abortion services coverage interfere with a person’s 
individual decision making, with their health and 
well-being, with their economic security, with their 
vulnerability to intimate partner violence, and with 
their constitutionally protected right to a safe and 
normal health care service. 
(14) About 25 percent of women covered by 
Medicaid seeking abortion services must carry their 
pregnancies to term because they are unable to ob-
tain funds for their care. Government-imposed bar-
riers to abortion services restrict people’s decisions 
on if, when, and how to parent, and have long-last-
ing and life-altering harmful effects on the pregnant 
person, their families and their communities. Those 
who seek and are denied abortion services are more 
likely to remain in or fall into poverty than those 
who access the care they need. 
(15) Restrictions on abortion service coverage 
have a disproportionately harmful impact on women 
with low incomes, women of color, immigrant 
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women, LGBTQ people, and young women. Addi-
tionally, numerous State-imposed barriers make it 
disparately difficult for low-income people, people of 
color, immigrants, LGBTQ people, and young people 
to access the health care and resources necessary to 
prevent unintended pregnancy or to assure that they 
are able to carry healthy pregnancies to term. Fur-
thermore, young people of reproductive age (ages 15 
to 24) are more likely to have a lower income than 
those older than that, and this income gap is greater 
for young BIPOC. Without insurance coverage for 
abortion services, young people are at greater risk of 
not having the economic means to afford care out-
side of insurance. Young people face dispropor-
tionate access barriers to abortion, including paren-
tal involvement requirement (notification and con-
sent) and cost, in addition to barriers to contracep-
tion and inadequate and incomplete sexual and sexu-
ality education. These challenges, which are mag-
nified for BIPOC and queer, trans, and nonbinary 
youth, can cause significant delays in access to need-
ed care, and could ultimately harm the life of the 
young person seeking abortion services. These insti-
tutionalized barriers deny young people’s right to 
bodily autonomy and can force young people to en-
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counter an abusive parent or guardian, ignores 
trusted relationships young people may have with 
adults other than a parent or legal guardian, and in 
the case of the judicial bypass process, may force 
young BIPOC to interact with a legal system that 
has historically targeted and caused harm to com-
munities of color. 
(16) These and other government-created and 
government-institutionalized barriers—including the 
restriction on funding for abortion services in Fed-
eral programs—exacerbate and create poverty and 
racial inequality in income, wealth-generation, and 
access to services. 
(17) Access to health care, including abortion 
services, promotes the general welfare of people liv-
ing in the United States. Singling out abortion serv-
ices for funding restrictions in health care programs 
otherwise designed to promote the health and well- 
being of people in the United States has cost preg-
nant people their lives, their livelihoods, their ability 
to obtain or maintain economic security for them-
selves and their families, their ability to meet their 
family’s basic needs, their ability to continue their 
education without disruption, and their ability to 
break free of abusive relationships. 
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(18) Like other health care and health insur-
ance markets in the United States, abortion services 
and public insurance programs are commercial ac-
tivities that affect interstate commerce. Providers 
and patients travel across State lines, and otherwise 
engage in interstate commerce, to provide and access 
abortion services. Material goods, services, and fed-
erally regulated medications used in abortion serv-
ices circulate in interstate commerce. 
(19) Congress has the authority to enact this 
Act to ensure affordable coverage of abortion and 
other services pursuant to— 
(A) its powers under the necessary and 
proper clause of Section 8, Article I of the Con-
stitution of the United States; 
(B) its powers under the commerce clause 
of Section 8, Article 1 of the Constitution of the 
United States; 
(C) its powers to tax and spend for the 
general welfare under Section 8, Article 1 of 
the Constitution of the United States; and 
(D) its powers to enforce section 1 of the 
Fourteenth Amendment under Section 5 of the 
Fourteenth Amendment to the Constitution of 
the United States. 
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(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 title XVIII of 
the Social Security Act (Medicare, enacted in 1965); 
title XIX of the Social Security Act (Medicaid, en-
acted in 1965); and title XXI of the Social Security 
Act (Children’s Health Insurance Program, enacted 
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: 
(A) The Medicaid program under title XIX 
of the Social Security Act (42 U.S.C. 1396 et 
seq.). 
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(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 (as defined in section 
1072(7) of title 10, United States Code). 
(G) Benefits under the uniform health ben-
efits program for employees of the Department 
of Defense assigned to a nonappropriated fund 
instrumentality of the Department established 
under section 349 of the National Defense Au-
thorization Act for Fiscal Year 1995 (Public 
Law 103–337; 10 U.S.C. 1587 note). 
(H) Benefits for veterans under chapter 17 
of title 38, United States Code. 
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(I) Medical care for survivors and depend-
ents of veterans under section 1781 of title 38, 
United States Code. 
(J) 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). 
(K) 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). 
(L) Medical assistance to refugees under 
section 412 of the Immigration and Nationality 
Act (8 U.S.C. 1522). 
(M) 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 
Revenue Code of 1986. 
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(N) The Federal Employees Health Ben-
efit Plan under chapter 89 of title 5, United 
States Code. 
(O) Medical care for individuals under the 
care or custody of the Department of Justice 
pursuant to chapter 301 of title 18, United 
States Code. 
(P) Medical care for Peace Corps volun-
teers under section 5(e) of the Peace Corps Act 
(22 U.S.C. 2504(e)). 
(Q) 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. 
(b) ENSURING ABORTION COVERAGE
AND CARE 
THROUGH THE FEDERAL GOVERNMENT IN ITS ROLE AS 
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A HEALTH CARE PROVIDER.—In its role as a provider 
of health services, including under health programs de-
scribed in section 3(2) and health services covered by 
health plans described in section 3(2), the Federal Govern-
ment shall ensure access to abortion services for individ-
uals 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 abortion 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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