the basis that such health care entity does not or declines 
to— 
‘‘(1) provide, perform, refer for, pay for, or oth-
erwise participate in abortion; 
‘‘(2) provide or sponsor abortion coverage; or 
‘‘(3) facilitate or make arrangements for any of 
the activities specified in this subsection. 
‘‘(b) RULE OF CONSTRUCTION.—Nothing in this sec-
tion shall be construed— 
‘‘(1) to prevent any health care entity from vol-
untarily electing to participate in abortions or abor-
tion referrals where not prohibited by any other law; 
‘‘(2) to prevent any health care entity from vol-
untarily electing to provide or sponsor abortion cov-
erage or health benefits coverage that includes abor-
tion where not prohibited by any other law; 
‘‘(3) to prevent an accrediting agency, the Fed-
eral Government, or a State or local government 
from establishing standards of medical competency 
applicable only to those who have knowingly, volun-
tarily, and specifically elected to perform abortions, 
or from enforcing contractual obligations applicable 
only to those who, as part of such contract, know-
ingly, voluntarily, and specifically elect to provide 
abortions; 
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‘‘(4) to affect, or be affected by, any Federal 
law that requires stabilizing treatment for a preg-
nant woman or her unborn child when either needs 
emergency care; or 
‘‘(5) to supersede any law enacted by any State 
for the purpose of regulating insurance, except as 
specified in subsection (a). 
‘‘(c) DEFINITIONS.—For purposes of this section: 
‘‘(1) FEDERAL
FINANCIAL
ASSISTANCE.—The 
term ‘Federal financial assistance’ means Federal 
payments to cover the cost of health care services or 
benefits, or other Federal payments, grants, or loans 
to promote or otherwise facilitate health-related ac-
tivities. 
‘‘(2) HEALTH CARE ENTITY.—The term ‘health 
care entity’ includes— 
‘‘(A) an individual physician, health care 
assistant, nurse, pharmacist, health researcher, 
or other health care personnel; 
‘‘(B) a hospital, laboratory, pharmacy, 
health system, or other health care or medical 
research facility or organization (including a 
party to a proposed merger or other collabo-
rative arrangement relating to health services, 
and an entity resulting therefrom); 
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‘‘(C) a provider-sponsored organization, an 
accountable care organization, or a health 
maintenance organization; 
‘‘(D) a social services provider that pro-
vides or authorizes referrals for health care 
services; 
‘‘(E) a program of training or education in 
the health professions or medical research, a 
participant in such a program, or any individual 
applying or otherwise aspiring to participate in 
such a program; 
‘‘(F) an issuer of health insurance cov-
erage or of a health plan; 
‘‘(G) a health care sharing ministry; 
‘‘(H) a health insurance plan, including 
group, individual, or student health plans, or a 
sponsor or administrator thereof; or 
‘‘(I) any other health care organization, 
program, facility, or plan. 
‘‘(3) STATE
OR
LOCAL
GOVERNMENT.—The 
term ‘State or local government’ includes every 
agency and other governmental unit and subdivision 
of a State or local government, if such State or local 
government, or any agency or governmental unit or 
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subdivision thereof, receives Federal financial assist-
ance.’’. 
SEC. 4. STRENGTHENING ENFORCEMENT OF FEDERAL 
CONSCIENCE LAWS. 
Title II of the Public Health Service Act (42 U.S.C. 
202 et seq.), as amended by section 3, is further amended 
by inserting after section 245A the following: 
‘‘SEC. 245B. ADMINISTRATIVE ENFORCEMENT OF FEDERAL 
CONSCIENCE LAWS. 
‘‘(a) REGULATIONS.— 
‘‘(1) IN
GENERAL.—Under this section, the 
Secretary may issue regulations under any provision 
of law described in paragraph (2). 
‘‘(2) PROVISIONS OF LAW.—The provisions of 
law described in this paragraph are each of the fol-
lowing: 
‘‘(A) Sections 245, 245A, 399M(d), and 
520E(f) of this Act. 
‘‘(B) The Religious Freedom Restoration 
Act of 1993, with respect to any program or ac-
tivity funded, administered, or conducted by the 
Department of Health and Human Services. 
‘‘(C) Any of subsections (b) through (e) of 
section 401 of the Health Programs Extension 
Act of 1973 (commonly known as the ‘Church 
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Amendments’), only with respect to an objection 
based on a religious belief or moral conviction. 
‘‘(D) Section 507(d) of the Departments of 
Labor, Health and Human Services, and Edu-
cation, and Related Agencies Appropriations 
Act, 2023 (division H of the Consolidated Ap-
propriations Act, 2023 (Public Law 117–328)) 
(commonly known as the ‘Weldon Amendment’) 
and any subsequent substantially similar provi-
sion in an appropriations Act, to the extent ad-
ministered by the Secretary. 
‘‘(E) Section 209 of the Departments of 
Labor, Health and Human Services, and Edu-
cation, and Related Agencies Appropriations 
Act, 2023 (division H of the Consolidated Ap-
propriations Act, 2023 (Public Law 117–328)) 
and any subsequent substantially similar provi-
sion in an appropriations Act, to the extent ad-
ministered by the Secretary. 
‘‘(F) Clauses (i) and (ii) of paragraph 
(1)(A) of section 1303(b) of the Patient Protec-
tion and Affordable Care Act (only with respect 
to a determination not to provide coverage of 
abortion), and paragraph (4) of such section. 
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‘‘(G) Section 1411(b)(5)(A) of the Patient 
Protection and Affordable Care Act (other than 
with respect to an exemption as an Indian or a 
hardship 
exemption) 
and 
section 
5000A(d)(2)(A) of the Internal Revenue Code 
of 1986. 
‘‘(H) Section 1553 of the Patient Protec-
tion and Affordable Care Act. 
‘‘(I) 
Sections 
1122(h), 
1162, 
1821, 
1861(e), 1861(y)(1), and 1861(ss) of the Social 
Security Act, and the first paragraph of the 
matter following section 1902(a)(87)(D) of such 
Act, each of such provisions only with respect 
to protections for religious nonmedical health 
care institutions. 
‘‘(J) Sections 1852(j)(3)(B), 1866(f)(4), 
1902(w)(3), 
1902(w)(5), 
1907, 
1928(c)(2)(B)(ii) (with respect to a religious or 
other exemption), 1932(b)(3)(B), and 2012(b) 
of such Act. 
‘‘(K) Section 4206(c) of the Omnibus 
Budget Reconciliation Act of 1990. 
‘‘(L) Section 7 of the Assisted Suicide 
Funding Restriction Act of 1997. 
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