Reporting Accountability and Abuse Prevention Act of 2026

New reporting rules for clinics serving minors

If enacted, clinics that get Title X funding would have to follow all state and local laws that require reporting child abuse, sexual abuse, rape, incest, intimate partner violence, and human trafficking. They would need a written plan that explains reporting duties, annual staff training, counseling protocols to help minors resist coercion, and screening when a minor has an STD, is pregnant, or may have been abused. Clinics would have to keep records showing minor patients' ages, any reports they make, and partners' ages when that triggers a report. The HHS Secretary, the HHS Inspector General, and the Comptroller General would be able to review those records. HHS would work with a clinic to fix a first violation, but for a later violation HHS would seek repayment of Title X money the clinic received on or after enactment and would bar Title X funding for at least 36 months.