I 
117TH CONGRESS 
1ST SESSION 
H. R. 581 
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 
JANUARY 28, 2021 
Mr. NORMAN (for himself, Mr. PALMER, Mr. ADERHOLT, Mr. LAMBORN, Mr. 
ROGERS of Alabama, Mrs. WAGNER, Mr. MOONEY, Mr. BUDD, Mr. 
ESTES, Mr. MURPHY of North Carolina, Mr. BANKS, Mr. RUTHERFORD, 
Mr. LAMALFA, Mr. ALLEN, Mr. BABIN, Mr. GIBBS, Mr. WESTERMAN, 
Mr. PALAZZO, Mrs. HARSHBARGER, Mr. SESSIONS, Mr. TIMMONS, Mr. 
DUNCAN, Mr. DAVIDSON, Mr. SMUCKER, Mr. GROTHMAN, Mr. 
WENSTRUP, Mr. WILSON of South Carolina, Mr. LATTA, Mr. JORDAN, 
Mr. HICE of Georgia, Mr. CARL, Mrs. LESKO, Mr. LUETKEMEYER, Mr. 
MOORE of Alabama, Mr. BIGGS, Mr. BACON, Mr. ROSE, Mr. GOOD of 
Virginia, Mr. HARRIS, Mrs. RODGERS of Washington, Mr. WALTZ, Mr. 
CLOUD, Mr. GAETZ, Mrs. BOEBERT, Mr. WEBER
of Texas, Mr. 
ROSENDALE, Ms. HERRELL, Mr. RICE of South Carolina, Mr. JACKSON, 
Mr. BISHOP of North Carolina, Mr. HUIZENGA, Mr. LONG, Mr. C. SCOTT 
FRANKLIN of Florida, Mr. KELLY of Pennsylvania, Mr. JOHNSON of Lou-
isiana, Mr. BROOKS, and Mr. WOMACK) 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. 
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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 2021’’. 
SEC. 2. FINDINGS. 
Congress finds the following: 
(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. 
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(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— 
(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 
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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. 
‘‘(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. 
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‘‘(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 
any amount expended during the first full fiscal 
year following such determination for family 
planning services and supplies described in sec-
tion 1905(a)(4)(C) furnished to an individual 
described in paragraph (1).’’. 
SEC. 4. COLLECTION OF ABORTION DATA BY CDC. 
The Public Health Service Act is amended by insert-
ing after section 317T of such Act (42 U.S.C. 247b–22) 
the following: 
‘‘SEC. 317U. ABORTION DATA. 
‘‘(a) IN GENERAL.—The Secretary, acting through 
the Director of the Centers for Disease Control and Pre-
vention (in this section referred to as the ‘Secretary’)— 
‘‘(1) shall maintain a surveillance system to col-
lect aggregate data in a standardized format on 
abortions in the United States; 
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‘‘(2) shall, as part of such system, create a 
standard worksheet to collect data from States on 
abortions in the respective States; 
‘‘(3) in such worksheet— 
‘‘(A) shall, at a minimum, include ques-
tions on the variables listed in subsection (b), to 
be treated as mandatory questions for purposes 
of section 1903(bb) of the Social Security Act; 
and 
‘‘(B) may include such additional questions 
on abortion as the Secretary determines to be 
appropriate, to be treated as voluntary ques-
tions; 
‘‘(4) shall, as part of such system, allow for 
cross-tabulation of the variables listed in subsection 
(b), including cross-tabulation of maternal age by 
gestational age; race and ethnicity by gestational 
age; type of abortion procedure by gestational age; 
race and ethnicity by maternal age; and race and 
ethnicity by marital status; and 
‘‘(5) periodically update the questions in the 
worksheet under paragraph (2) and the classification 
of such questions as mandatory or voluntary under 
paragraph (3). 
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‘‘(b) VARIABLES.—The variables listed in this sub-
section are the following: 
‘‘(1) Maternal age in years. 
‘‘(2) Gestational age in completed weeks at the 
time of abortion. 
‘‘(3) Maternal race. 
‘‘(4) Maternal ethnicity. 
‘‘(5) Maternal race by ethnicity. 
‘‘(6) The abortion method type. 
‘‘(7) Maternal marital status. 
‘‘(8) Previous pregnancies of the mother, in-
cluding the number of previous live births, the num-
ber of previous induced abortions, and the number 
of previous spontaneous abortions. 
‘‘(9) Maternal residence (State or county). 
‘‘(10) Whether the child survived the abortion. 
‘‘(c) TECHNICAL ASSISTANCE.—The Secretary shall 
provide technical assistance to States to facilitate and im-
prove the reporting of data to the system under subsection 
(a). 
‘‘(d) ANNUAL REPORTING.—The Secretary shall— 
‘‘(1) include, for each calendar year, the data 
collected pursuant to this section in a report on 
abortion; and 
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‘‘(2) publish such report not later than Decem-
ber 30 of the third calendar year following the cal-
endar year covered by the report. 
‘‘(e) DEFINITIONS.—In this section, the term ‘State’ 
refers to the several States, the District of Columbia, and 
any territory of the United States.’’. 
Æ 
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