I 
112TH CONGRESS 
2D SESSION 
H. R. 4971 
To amend title I of the Patient Protection and Affordable Care Act to 
ensure that the coverage offered under multi-State qualified health plans 
offered in Exchanges is consistent with the Federal abortion funding 
ban. 
IN THE HOUSE OF REPRESENTATIVES 
APRIL 27, 2012 
Mr. AKIN (for himself, Mr. ALEXANDER, Mrs. BACHMANN, Mr. BARTLETT, 
Mr. BENISHEK, Mrs. BLACK, Mr. BOUSTANY, Mr. BRADY of Texas, Mr. 
BURTON of Indiana, Mr. CANSECO, Mr. CHABOT, Mr. COLE, Mr. CON-
AWAY, Mr. CRAVAACK, Mr. CRAWFORD, Mr. DUNCAN of South Carolina, 
Mr. DUNCAN of Tennessee, Mr. FLEMING, Mr. FLORES, Mr. FORTEN-
BERRY, Mr. FRANKS of Arizona, Mr. GOHMERT, Mr. GRAVES of Missouri, 
Mr. GRAVES of Georgia, Mr. HARRIS, Mrs. HARTZLER, Mr. HUELSKAMP, 
Mr. HUIZENGA of Michigan, Mr. HULTGREN, Mr. JOHNSON of Ohio, Mr. 
JONES, Mr. JORDAN, Mr. KELLY, Mr. KINGSTON, Mr. KLINE, Mr. LAM-
BORN, Mr. LANDRY, Mr. LANKFORD, Mr. LIPINSKI, Mr. LUETKEMEYER, 
Mr. MARCHANT, Mr. MCCOTTER, Mr. MILLER of Florida, Mrs. MILLER 
of Michigan, Mr. MULVANEY, Mr. NEUGEBAUER, Mr. PAUL, Mr. 
QUAYLE, Mrs. ROBY, Mr. ROSS of Florida, Mr. RYAN of Wisconsin, Mrs. 
SCHMIDT, Mr. SCHWEIKERT, Mr. SCOTT of South Carolina, Mr. SMITH 
of New Jersey, Mr. SMITH of Nebraska, Mr. SOUTHERLAND, Mr. STIV-
ERS, Mr. WALBERG, Mr. WESTMORELAND, Mr. WILSON of South Caro-
lina, and Mr. BILIRAKIS) introduced the following bill; which was referred 
to the Committee on Energy and Commerce 
A BILL 
To amend title I of the Patient Protection and Affordable 
Care Act to ensure that the coverage offered under 
multi-State qualified health plans offered in Exchanges 
is consistent with the Federal abortion funding ban. 
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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 ‘‘Stop Abortion Funding 
in Multi-state Exchange Plans Act’’ or ‘‘SAFE Act’’. 
SEC. 2. CONSISTENCY WITH FEDERAL ABORTION FUNDING 
BAN FOR COVERAGE UNDER MULTI-STATE 
PLANS IN EXCHANGES. 
(a) IN GENERAL.—Section 1334(a)(6) of the Patient 
protection 
and 
Affordable 
Care 
Act 
(42 
U.S.C. 
18054(a)(6)) is amended to read as follows: 
‘‘(6) CONSISTENCY WITH FEDERAL ABORTION 
FUNDING BAN.— 
‘‘(A) IN GENERAL.—In entering into con-
tracts under this subsection, the Director shall 
ensure that no multi-State qualified health plan 
offered in an Exchange provides coverage of 
abortion. 
‘‘(B) EXCEPTION.—The limitation estab-
lished in subparagraph (A) shall not apply to 
an abortion— 
‘‘(i) if the pregnancy is the result of 
an act of rape or incest; or 
‘‘(ii) in a case where a woman suffers 
from a physical disorder, physical injury, 
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or physical illness that would, as certified 
by a physician, place the woman in danger 
of death unless an abortion is performed, 
including a life-endangering physical condi-
tion caused by or arising from the preg-
nancy itself.’’. 
(b) PREEMPTION.—Section 1303(c)(1) of the Patient 
Protection 
and 
Affordable 
Care 
Act 
(42 
U.S.C. 
18023(c)(1)) is amended by adding at the end the fol-
lowing: ‘‘Notwithstanding this paragraph, no State law 
shall preempt the limitation on coverage of abortion in 
multi-state plans set forth in Section 1334(a)(6).’’. 
Æ 
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