180 
be construed to require any health plan (including any 
high risk pool described in section 311) to provide cov-
erage of or access to abortion services or to allow the Sec-
retary of the Treasury, the Secretary of Labor, the Sec-
retary of Health and Human Services, or any other Fed-
eral or non-Federal person or entity in implementing this 
Act (or amendment) to require coverage of, or access to, 
abortion services. 
(b) LIMITATION ON ABORTION FUNDING.— 
(1) IN GENERAL.—No funds authorized or ap-
propriated by this Act (or an amendment made by 
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 (including a high risk 
pool described in section 311), except— 
(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 in-
jury, or physical illness that would, as certified 
by a physician, place the female in danger of 
death unless an abortion is performed, includ-
ing a life-endangering physical condition caused 
by or arising from the pregnancy itself. 
VerDate Mar 15 2010 
00:30 Sep 20, 2013
Jkt 029200
PO 00000
Frm 00180
Fmt 6652
Sfmt 6201
E:\BILLS\H3121.IH
H3121
pwalker on DSK7TPTVN1PROD with BILLS
181 
(2) OPTION
TO
PURCHASE
SEPARATE
COV-
ERAGE OR PLAN.—Nothing in this subsection shall 
be construed as prohibiting any non-Federal entity 
(including an individual or a State or local govern-
ment) from purchasing separate coverage for abor-
tions for which funding is prohibited under this sub-
section, or a health plan that includes such abor-
tions, so long as such coverage or plan is paid for 
entirely using only funds not authorized or appro-
priated by this Act. 
(3) OPTION TO OFFER COVERAGE OR PLAN.— 
Nothing in this subsection shall restrict any non- 
Federal health insurance issuer offering a health 
plan from offering separate coverage for abortions 
for which funding is prohibited under this sub-
section, or a health plan that includes such abor-
tions, 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; and 
(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. 
VerDate Mar 15 2010 
00:30 Sep 20, 2013
Jkt 029200
PO 00000
Frm 00181
Fmt 6652
Sfmt 6201
E:\BILLS\H3121.IH
H3121
pwalker on DSK7TPTVN1PROD with BILLS
182 
(4) ADMINISTRATIVE
EXPENSES.—No funds 
authorized or appropriated by this Act shall be avail-
able to pay for administrative expenses in connection 
with any health plan (including an Association 
Health Plan that has entered into trusteeship) which 
provides any benefits or coverage for abortions ex-
cept where the life of the mother would be endan-
gered if the fetus were carried to term, or the preg-
nancy is the result of an act of rape or incest. 
(c) NO PREEMPTION OF STATE LAWS.—Nothing in 
this Act (or an amendment made by this Act) shall be 
construed to preempt or otherwise have any effect on 
State laws protecting conscience rights, restricting or pro-
hibiting abortion or coverage or funding of abortion (in-
cluding State laws opting out of abortion coverage pursu-
ant to section 1303 of the Patient Protection and Afford-
able Care Act, Public Law 111–148), as in effect before 
the date of the enactment of this Act, or establishing pro-
cedural requirements on abortions, including parental no-
tification or consent for the performance of an abortion 
on a minor. 
Æ 
VerDate Mar 15 2010 
00:30 Sep 20, 2013
Jkt 029200
PO 00000
Frm 00182
Fmt 6652
Sfmt 6301
E:\BILLS\H3121.IH
H3121
pwalker on DSK7TPTVN1PROD with BILLS