out regard to whether funding for the abortion is permis-
sible under section 308. 
‘‘§ 308. Treatment of abortions related to rape, incest, 
or preserving the life of the mother 
‘‘The limitations established in sections 301, 302, 
and 303 shall not apply to an abortion— 
‘‘(1) if the pregnancy is the result of an act of 
rape or incest; or 
‘‘(2) in the case where a woman suffers from a 
physical disorder, physical injury, or physical illness 
that would, as certified by a physician, place the 
woman in danger of death unless an abortion is per-
formed, including a life-endangering physical condi-
tion caused by or arising from the pregnancy itself. 
‘‘§ 309. Application to District of Columbia 
‘‘In this chapter: 
‘‘(1) Any reference to funds appropriated by 
Federal law shall be treated as including any 
amounts within the budget of the District of Colum-
bia that have been approved by Act of Congress pur-
suant to section 446 of the District of Columbia 
Home Rule Act (or any applicable successor Federal 
law). 
‘‘(2) The term ‘Federal Government’ includes 
the government of the District of Columbia.’’. 
VerDate Sep 11 2014 
01:45 Jan 22, 2015
Jkt 049200
PO 00000
Frm 00005
Fmt 6652
Sfmt 6201
E:\BILLS\H7.IH
H7
SSpencer on DSK4SPTVN1PROD with BILLS
SEC. 102. AMENDMENT TO TABLE OF CHAPTERS. 
The table of chapters for title 1, United States Code, 
is amended by adding at the end the following new item: 
‘‘4. Prohibiting taxpayer funded abortions ............................
301’’. 
TITLE II—APPLICATION UNDER 
THE AFFORDABLE CARE ACT 
SEC. 201. CLARIFYING APPLICATION OF PROHIBITION TO 
PREMIUM CREDITS AND COST-SHARING RE-
DUCTIONS UNDER ACA. 
(a) IN GENERAL.— 
(1) DISALLOWANCE OF REFUNDABLE CREDIT 
AND
COST-SHARING
REDUCTIONS
FOR
COVERAGE 
UNDER QUALIFIED HEALTH PLAN WHICH PROVIDES 
COVERAGE FOR ABORTION.— 
(A) IN
GENERAL.—Subparagraph (A) of 
section 36B(c)(3) of the Internal Revenue Code 
of 1986 is amended by inserting before the pe-
riod at the end the following: ‘‘or any health 
plan that includes coverage for abortions (other 
than any abortion or treatment described in 
section 307 or 308 of title 1, United States 
Code)’’. 
(B) OPTION TO PURCHASE OR OFFER SEP-
ARATE COVERAGE OR PLAN.—Paragraph (3) of 
section 36B(c) of such Code is amended by 
VerDate Sep 11 2014 
01:45 Jan 22, 2015
Jkt 049200
PO 00000
Frm 00006
Fmt 6652
Sfmt 6201
E:\BILLS\H7.IH
H7
SSpencer on DSK4SPTVN1PROD with BILLS
adding at the end the following new subpara-
graph: 
‘‘(C) SEPARATE ABORTION COVERAGE OR 
PLAN ALLOWED.— 
‘‘(i) OPTION TO PURCHASE SEPARATE 
COVERAGE OR PLAN.—Nothing in subpara-
graph (A) shall be construed as prohibiting 
any individual from purchasing separate 
coverage for abortions described in such 
subparagraph, or a health plan that in-
cludes such abortions, so long as no credit 
is allowed under this section with respect 
to the premiums for such coverage or plan. 
‘‘(ii) OPTION TO OFFER COVERAGE OR 
PLAN.—Nothing in subparagraph (A) shall 
restrict any non-Federal health insurance 
issuer offering a health plan from offering 
separate coverage for abortions described 
in such subparagraph, or a plan that in-
cludes such abortions, so long as premiums 
for such separate coverage or plan are not 
paid for with any amount attributable to 
the credit allowed under this section (or 
the amount of any advance payment of the 
VerDate Sep 11 2014 
01:45 Jan 22, 2015
Jkt 049200
PO 00000
Frm 00007
Fmt 6652
Sfmt 6201
E:\BILLS\H7.IH
H7
SSpencer on DSK4SPTVN1PROD with BILLS
credit under section 1412 of the Patient 
Protection and Affordable Care Act).’’. 
(2) DISALLOWANCE
OF
SMALL
EMPLOYER 
HEALTH
INSURANCE
EXPENSE
CREDIT
FOR
PLAN 
WHICH INCLUDES COVERAGE FOR ABORTION.—Sub-
section (h) of section 45R of the Internal Revenue 
Code of 1986 is amended— 
(A) by striking ‘‘Any term’’ and inserting 
the following: 
‘‘(1) IN GENERAL.—Any term’’; and 
(B) by adding at the end the following new 
paragraph: 
‘‘(2) EXCLUSION OF HEALTH PLANS INCLUDING 
COVERAGE FOR ABORTION.— 
‘‘(A) IN
GENERAL.—The term ‘qualified 
health plan’ does not include any health plan 
that includes coverage for abortions (other than 
any abortion or treatment described in section 
307 or 308 of title 1, United States Code). 
‘‘(B) SEPARATE ABORTION COVERAGE OR 
PLAN ALLOWED.— 
‘‘(i) OPTION TO PURCHASE SEPARATE 
COVERAGE OR PLAN.—Nothing in subpara-
graph (A) shall be construed as prohibiting 
any employer from purchasing for its em-
VerDate Sep 11 2014 
01:45 Jan 22, 2015
Jkt 049200
PO 00000
Frm 00008
Fmt 6652
Sfmt 6201
E:\BILLS\H7.IH
H7
SSpencer on DSK4SPTVN1PROD with BILLS
ployees separate coverage for abortions de-
scribed in such subparagraph, or a health 
plan that includes such abortions, so long 
as no credit is allowed under this section 
with respect to the employer contributions 
for such coverage or plan. 
‘‘(ii) OPTION TO OFFER COVERAGE OR 
PLAN.—Nothing in subparagraph (A) shall 
restrict any non-Federal health insurance 
issuer offering a health plan from offering 
separate coverage for abortions described 
in such subparagraph, or a plan that in-
cludes such abortions, so long as such sep-
arate coverage or plan is not paid for with 
any employer contribution eligible for the 
credit allowed under this section.’’. 
(3) CONFORMING ACA AMENDMENTS.—Section 
1303(b) of Public Law 111–148 (42 U.S.C. 
18023(b)) is amended— 
(A) by striking paragraph (2); 
(B) by striking paragraph (3), as amended 
by section 202(a); and 
(C) by redesignating paragraph (4) as 
paragraph (2). 
VerDate Sep 11 2014 
01:45 Jan 22, 2015
Jkt 049200
PO 00000
Frm 00009
Fmt 6652
Sfmt 6201
E:\BILLS\H7.IH
H7
SSpencer on DSK4SPTVN1PROD with BILLS
(b) APPLICATION TO MULTI-STATE PLANS.—Para-
graph (6) of section 1334(a) of Public Law 111–148 (42 
U.S.C. 18054(a)) is amended to read as follows: 
‘‘(6) COVERAGE
CONSISTENT
WITH
FEDERAL 
ABORTION
POLICY.—In entering into contracts 
under this subsection, the Director shall ensure that 
no multi-State qualified health plan offered in an 
Exchange provides health benefits coverage for 
which the expenditure of Federal funds is prohibited 
under chapter 4 of title 1, United States Code.’’. 
(c) EFFECTIVE DATE.—The amendments made by 
subsection (a) shall apply to taxable years ending after 
December 31, 2015, but only with respect to plan years 
beginning after such date, and the amendment made by 
subsection (b) shall apply to plan years beginning after 
such date. 
SEC. 202. REVISION OF NOTICE REQUIREMENTS REGARD-
ING DISCLOSURE OF EXTENT OF HEALTH 
PLAN COVERAGE OF ABORTION AND ABOR-
TION PREMIUM SURCHARGES. 
(a) IN GENERAL.—Paragraph (3) of section 1303(b) 
of Public Law 111–148 (42 U.S.C. 18023(b)) is amended 
to read as follows: 
‘‘(3) RULES RELATING TO NOTICE.— 
VerDate Sep 11 2014 
01:45 Jan 22, 2015
Jkt 049200
PO 00000
Frm 00010
Fmt 6652
Sfmt 6201
E:\BILLS\H7.IH
H7
SSpencer on DSK4SPTVN1PROD with BILLS
‘‘(A) IN
GENERAL.—The extent of cov-
erage (if any) of services described in para-
graph (1)(B)(i) or (1)(B)(ii) by a qualified 
health plan shall be disclosed to enrollees at the 
time of enrollment in the plan and shall be 
prominently displayed in any marketing or ad-
vertising materials, comparison tools, or sum-
mary of benefits and coverage explanation made 
available with respect to such plan by the issuer 
of the plan, by an Exchange, or by the Sec-
retary, including information made available 
through an Internet portal or Exchange under 
sections 1311(c)(5) and 1311(d)(4)(C). 
‘‘(B) SEPARATE
DISCLOSURE
OF
ABOR-
TION SURCHARGES.—In the case of a qualified 
health plan that includes the services described 
in paragraph (1)(B)(i) and where the premium 
for the plan is disclosed, including in any mar-
keting or advertising materials or any other in-
formation referred to in subparagraph (A), the 
surcharge described in paragraph (2)(B)(i)(II) 
that is attributable to such services shall also be 
disclosed and identified separately.’’. 
(b) EFFECTIVE DATE.—The amendment made by 
subsection (a) shall apply to materials, tools, or other in-
VerDate Sep 11 2014 
01:45 Jan 22, 2015
Jkt 049200
PO 00000
Frm 00011
Fmt 6652
Sfmt 6201
E:\BILLS\H7.IH
H7
SSpencer on DSK4SPTVN1PROD with BILLS
formation made available more than 30 days after the date 
of the enactment of this Act. 
Æ 
VerDate Sep 11 2014 
01:45 Jan 22, 2015
Jkt 049200
PO 00000
Frm 00012
Fmt 6652
Sfmt 6301
E:\BILLS\H7.IH
H7
SSpencer on DSK4SPTVN1PROD with BILLS