I 
116TH CONGRESS 
1ST SESSION H. R. 3580 
To amend title XIX of the Social Security Act and Public Health Service 
Act to improve the reporting of abortion data to the Centers for Disease 
Control and Prevention, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
JUNE 27, 2019 
Mr. NORMAN (for himself and Mr. PALMER) introduced the following bill; 
which was referred to the Committee on Energy and Commerce 
A BILL 
To amend title XIX of the Social Security Act and Public 
Health Service Act to improve the reporting of abortion 
data to the Centers for Disease Control and Prevention, 
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 ‘‘Ensuring Accurate and 
Complete Abortion Data Reporting Act of 2019’’. 
SEC. 2. FINDINGS. 
Congress finds the following: 
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(1) Reporting abortion data has been voluntary 
in the past, which has not resulted in complete data 
being submitted to the Centers for Disease Control 
and Prevention. 
(2) While the Centers for Disease Control and 
Prevention requests specific data points from each 
State and the District of Columbia, there is a great 
variety in the information collected and published by 
the States. 
(3) In fact, there is not a single abortion data 
point publicly reported for all fifty States and the 
District of Columbia. 
(4) Even more alarming, three States that to-
gether account for 15 percent of the United States 
population of women of childbearing age do not re-
port any abortion data to the Centers for Disease 
Control and Prevention. 
(5) Accurate statistical data regarding abortion 
and those who survive abortion attempts is critical 
to public health and policy analysis. 
SEC. 3. MEDICAID PAYMENTS FOR CERTAIN FAMILY PLAN-
NING SERVICES AND SUPPLIES CONTINGENT 
ON SUBMISSION OF ABORTION DATA TO CDC. 
Section 1903 of the Social Security Act (42 U.S.C. 
1396b) is amended— 
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(1) in subsection (a)(5), by inserting before ‘‘an 
amount equal to’’ the following: ‘‘subject to sub-
section (bb),’’; and 
(2) by adding at the end the following new sub-
section: 
‘‘(bb) ANNUAL REPORTS ON ABORTION DATA.— 
‘‘(1) IN GENERAL.—Subject to paragraph (2), 
as a condition of receiving payment under subsection 
(a)(5) with respect to any amount expended during 
a year (beginning with the year following two years 
after the date of the enactment of this subsection) 
for family planning services and supplies described 
in section 1905(a)(4)(C) furnished to an individual 
described in section 1902(ii) or an individual whose 
medical assistance under this title is limited to such 
services and supplies furnished pursuant to a waiver 
granted under section 1115, each State shall, by not 
later than December 31 of the previous year, submit 
to the abortion surveillance system of the Centers 
for Disease Control and Prevention, with respect to 
the year before the previous year, at least abortion 
data regarding the mandatory questions described in 
section 317U(a)(3)(A) of the Public Health Service 
Act. 
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‘‘(2) LATE SUBMISSION OF REPORTS.—With re-
spect to a year, in the case of a State that does not 
submit by December 31 of the previous year the 
abortion data required under paragraph (1) with re-
spect to the year before the previous year but sub-
mits such data by December 31 of the year, such 
State shall continue to receive payment, including 
retroactive payment, under subsection (a)(5) with 
respect to any amount expended during the year for 
family planning services and supplies described in 
section 1905(a)(4)(C) furnished to an individual de-
scribed in such paragraph. 
‘‘(3) CERTIFICATION OF ABORTION DATA.— 
‘‘(A) IN GENERAL.—With respect to each 
submission of abortion data under this sub-
section, a State shall certify to the Director of 
the Centers for Disease Control and Prevention 
that such data is accurate. 
‘‘(B) FALSE INFORMATION.—In the case 
that the Director of the Centers for Disease 
Control and Prevention determines that a State 
has knowingly provided false information with 
respect to a submission of abortion data under 
this subsection, such State may not receive pay-
ment under subsection (a)(5) with respect to 
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