I 
117TH CONGRESS 
1ST SESSION 
H. R. 243 
To amend title X of the Public Health Service Act to prohibit family planning 
grants from being awarded to any entity that performs abortions, and 
for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
JANUARY 11, 2021 
Ms. FOXX (for herself, Mr. ADERHOLT, Mr. BUDD, Mr. WESTERMAN, Mr. 
JOYCE
of 
Pennsylvania, 
Mr. 
LAMBORN, 
Mr. 
NORMAN, 
Mr. 
FLEISCHMANN, Mr. PALAZZO, Mr. BROOKS, Mr. WITTMAN, Mr. AUSTIN 
SCOTT of Georgia, Mr. MOONEY, Mr. DUNCAN, Mr. POSEY, Mr. GAETZ, 
Mr. HUDSON, Mr. LONG, Mr. ALLEN, Mr. GROTHMAN, Mr. LATTA, Mrs. 
HINSON, Mr. SCALISE, Mr. WALTZ, Mr. ROUZER, Mr. GOSAR, Mr. 
KELLY of Pennsylvania, Mrs. WALORSKI, Mr. GUTHRIE, Mr. WILLIAMS 
of Texas, Mr. BANKS, Mr. BABIN, Mr. PFLUGER, Mr. FULCHER, Mr. 
ROGERS of Alabama, Mr. LUETKEMEYER, Mr. RESCHENTHALER, Mr. 
KUSTOFF, Mr. FEENSTRA, Mr. MURPHY of North Carolina, Mr. JORDAN, 
Mr. JOHNSON of Ohio, Mr. BUCSHON, Mr. LAMALFA, Mr. RUTHERFORD, 
Mr. BERGMAN, Mr. MCHENRY, Mrs. HARSHBARGER, Mrs. FISCHBACH, 
Mr. HIGGINS of Louisiana, Mr. CLOUD, Mr. BARR, Mr. STEUBE, Mr. 
SMITH of Missouri, Mr. MCKINLEY, Mr. JACKSON, Mr. HAGEDORN, Mr. 
MULLIN, Mr. BURCHETT, Mr. HARRIS, Mr. MOORE of Alabama, Mr. 
BISHOP of North Carolina, Mr. CARL, Mr. EMMER, Mr. DUNN, Mr. 
GUEST, Mr. WEBER of Texas, Mr. GIBBS, Mr. KELLY of Mississippi, 
Mrs. CAMMACK, Mr. BIGGS, Mr. ARRINGTON, Mrs. LESKO, Mr. C. SCOTT 
FRANKLIN of Florida, Mrs. HARTZLER, Mr. TIMMONS, Mrs. BOEBERT, 
Mr. BUCK, Mr. SMUCKER, and Mr. WRIGHT) introduced the following 
bill; which was referred to the Committee on Energy and Commerce 
A BILL 
To amend title X of the Public Health Service Act to prohibit 
family planning grants from being awarded to any entity 
that performs abortions, 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 ‘‘Title X Abortion Pro-
vider Prohibition Act’’. 
SEC. 2. PROHIBITION ON ABORTION. 
Title X of the Public Health Service Act (42 U.S.C. 
300 et seq.) is amended by adding at the end the fol-
lowing: 
‘‘SEC. 1009. ADDITIONAL PROHIBITION REGARDING ABOR-
TION. 
‘‘(a) PROHIBITION.—The Secretary shall not provide 
any assistance under this title to an entity unless the enti-
ty certifies that, during the period of such assistance, the 
entity will not perform, and will not provide any funds 
to any other entity that performs, an abortion. 
‘‘(b) EXCEPTION.—Subsection (a) does not apply 
with respect to an abortion where— 
‘‘(1) the pregnancy is the result of rape or in-
cest; or 
‘‘(2) a physician certifies that the woman suf-
fers from a physical disorder, physical injury, or 
physical illness that would place the woman in dan-
ger of death unless an abortion is performed, includ-
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ing a life-threatening physical condition caused by or 
arising from the pregnancy itself. 
‘‘(c) HOSPITALS.—Subsection (a) does not apply with 
respect to a hospital, so long as such hospital does not, 
during the period of assistance described in subsection (a), 
provide funds to any non-hospital entity that performs an 
abortion (other than an abortion described in subsection 
(b)). 
‘‘(d) ANNUAL REPORT.—Not later than 60 days after 
the date of the enactment of the Title X Abortion Provider 
Prohibition Act, and annually thereafter, for the fiscal 
year involved, the Secretary shall submit a report to the 
Congress containing— 
‘‘(1) a list of each entity receiving a grant 
under this title; 
‘‘(2) for each such entity performing abortions 
under the exceptions described in subsection (b)— 
‘‘(A) the total number of such abortions; 
‘‘(B) the number of such abortions where 
the pregnancy is the result of rape; 
‘‘(C) the number of such abortions where 
the pregnancy is the result of incest; and 
‘‘(D) the number of such abortions where 
a physician provides a certification described in 
subsection (b)(2); 
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