to require any health plan to provide coverage of or access 
to abortion services or to allow the Secretary or any other 
Federal or non-Federal person or entity in implementing 
this Act (or amendment) to require coverage of, access to, 
or training in abortion services.’’; 
(4) by inserting after subsection (b) the following 
new subsection: 
‘‘(c) LIMITATION ON ABORTION FUNDING.— 
‘‘(1) IN GENERAL.—No funds authorized or ap-
propriated by this Act (or an amendment made by 
this Act), including credits applied toward qualified 
health plans under section 36B of the Internal Rev-
enue Code of 1986 or cost-sharing reductions under 
section 1402 of this Act, may be used to pay for any 
abortion or to cover any part of the costs of any 
health plan that includes coverage of abortion, ex-
cept— 
‘‘(A) if the pregnancy is the result of an act 
of rape or incest; or 
‘‘(B) in the case where a pregnant female 
suffers from a physical disorder, physical injury, 
or physical illness that would, as certified by a 
physician, place the female in danger of death 
unless an abortion is performed, including a life- 
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endangering physical condition caused by or 
arising from the pregnancy itself. 
‘‘(2) OPTION TO PURCHASE SEPARATE COVERAGE 
OR PLAN.—Nothing in this subsection shall be con-
strued as prohibiting any non-Federal entity (includ-
ing an individual or a State or local government) 
from purchasing separate coverage for abortions for 
which funding is prohibited under this subsection, or 
a qualified health plan that includes such abortions, 
so long as— 
‘‘(A) such coverage or plan is paid for en-
tirely using only funds not authorized or appro-
priated by this Act; and 
‘‘(B) such coverage or plan is not purchased 
using— 
‘‘(i) individual premium payments re-
quired for a qualified health plan offered 
through an Exchange towards which a cred-
it is applied under section 36B of the Inter-
nal Revenue Code of 1986; or 
‘‘(ii) other non-Federal funds required 
to receive a Federal payment, including a 
State’s or locality’s contribution of Med-
icaid matching funds. 
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‘‘(3) OPTION TO OFFER COVERAGE OR PLAN.— 
Nothing in this subsection or section 1311(d)(2)(B)(i) 
shall restrict any non-Federal health insurance issuer 
offering a qualified health plan from offering separate 
coverage for abortions for which funding is prohibited 
under this subsection, or a qualified health plan that 
includes such abortions, so long as— 
‘‘(A) premiums for such separate coverage 
or plan are paid for entirely with funds not au-
thorized or appropriated by this Act; 
‘‘(B) administrative costs and all services 
offered through such coverage or plan are paid 
for using only premiums collected for such cov-
erage or plan; and 
‘‘(C) any such non-Federal health insurance 
issuer that offers a qualified health plan through 
an Exchange that includes coverage for abortions 
for which funding is prohibited under this sub-
section also offers a qualified health plan through 
the Exchange that is identical in every respect 
except that it does not cover abortions for which 
funding is prohibited under this subsection.’’; 
(5) in subsection (e), as redesignated by para-
graph (1)— 
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(A) in the heading, by striking ‘‘REGARD-
ING ABORTION’’; 
(B) in the heading of each of paragraphs 
(1) and (2), by striking each place it appears 
‘‘REGARDING ABORTION’’; 
(C) in paragraph (1), by striking ‘‘regard-
ing the prohibition of (or requirement of) cov-
erage, funding, or’’ and inserting ‘‘protecting 
conscience rights, restricting or prohibiting abor-
tion or coverage or funding of abortion, or estab-
lishing’’; and 
(D) in paragraph (2)(A), by striking ‘‘Noth-
ing’’ and inserting ‘‘Subject to subsection (g), 
nothing’’; 
(6) in subsection (f), as redesignated by para-
graph (1), by striking ‘‘Nothing’’ and inserting ‘‘Sub-
ject to subsection (g), nothing’’; and 
(7) by adding at the end the following new sub-
section: 
‘‘(g) NONDISCRIMINATION ON ABORTION.— 
‘‘(1) NONDISCRIMINATION.—A Federal agency or 
program, and any State or local government that re-
ceives Federal financial assistance under this Act (or 
an amendment made by this Act), may not subject 
any institutional or individual health care entity to 
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