I 
115TH CONGRESS 
2D SESSION 
H. R. 4849 
To require States to report information on Medicaid payments to abortion 
providers. 
IN THE HOUSE OF REPRESENTATIVES 
JANUARY 19, 2018 
Mr. OLSON introduced the following bill; which was referred to the Committee 
on Energy and Commerce 
A BILL 
To require States to report information on Medicaid 
payments to abortion providers. 
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 ‘‘Taxpayer Conscience 
Protection Act of 2018’’. 
SEC. 2. REQUIRED REPORTING OF MEDICAID PAYMENTS 
TO ABORTION PROVIDERS. 
(a) IN GENERAL.—Not later than 60 days after the 
end of fiscal year 2018 and each fiscal year thereafter, 
each State that makes a Medicaid payment from Federal 
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funds during the fiscal year for any items or services fur-
nished by an abortion provider shall— 
(1) submit to the Secretary a report on all such 
payments; and 
(2) publish the report on a public Internet 
website of the State. 
(b) REPORT DESCRIBED.—The report under sub-
section (a) shall, with respect to each payment, include 
the following: 
(1) A specification of the amount of the pay-
ment. 
(2) A specification of the purposes for which 
the payment was made. 
(3) A comparison of the amount of the payment 
with the amount of any such payment to the pro-
vider involved in any prior fiscal year. 
(4) A specification of the number of abortions 
performed during the fiscal year by the provider in-
volved. 
(c) REPORT TO CONGRESS.—Not later than 90 days 
after the end of each fiscal year, the Secretary shall sub-
mit to the Committee on Energy and Commerce of the 
House of Representatives and to the Committee on Fi-
nance of the Senate, and publish on a public Internet 
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website of the Department of Health and Human Services, 
a report that— 
(1) contains the reports submitted pursuant to 
subsection (a) for the fiscal year; and 
(2) includes a summary of the reports. 
(d) DEFINITIONS.—In this section: 
(1) ABORTION PROVIDER.—The term ‘‘abortion 
provider’’ means an entity that— 
(A) performs (or refers an individual for) 
an abortion; or 
(B) controls, is controlled by, or is under 
common control with, an entity described in 
subparagraph (A). 
(2) 
MEDICAID
PAYMENT
FROM
FEDERAL 
FUNDS.—The term ‘‘Medicaid payment from Fed-
eral funds’’ means a payment for which there is 
Federal financial participation under title XIX of 
the Social Security Act. 
(3) SECRETARY.—The term ‘‘Secretary’’ means 
the Secretary of Health and Human Services. 
(4) STATE.—The term ‘‘State’’ has the mean-
ing given the term for purposes of title XIX of the 
Social Security Act. 
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(e) CONFORMING AMENDMENTS TO SOCIAL SECU-
RITY ACT.—Section 1902(a) of the Social Security Act 
(42 U.S.C. 1396a(a)) is amended— 
(1) by striking ‘‘and’’ at the end of paragraph 
(82); 
(2) by striking the period at the end of para-
graph (83) and inserting ‘‘; and’’; and 
(3) by inserting after paragraph (83) the fol-
lowing: 
‘‘(84) provide for the submission of reports in 
accordance with section 2 of the Taxpayer Con-
science Protection Act of 2018.’’. 
Æ 
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