Ensuring Accurate and Complete Abortion Data Reporting Act of 2025
Sponsored By: Senator Joni Ernst
Introduced
Summary
Require states to report abortion data to the CDC as a condition of Medicaid family planning payments. This bill would create a CDC-managed abortion surveillance system with a standard worksheet of required variables and built-in cross-tabulation for analysis.
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- States would have to submit standardized abortion data and certify its accuracy. Reporting would begin after a two-year delay and follow annual December 31 deadlines for submission windows.
- People who rely on Medicaid-funded family planning services could see federal payments tied to their state's compliance. A state that knowingly provides false data could lose federal family planning payments for one full fiscal year.
- The Centers for Disease Control and Prevention would collect aggregate data on variables like maternal age, gestational age, race and ethnicity, abortion method, marital status, prior pregnancies, county and State of residence, and whether the child survived. The CDC would publish annual reports and provide technical assistance to states.
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Bill Overview
Analyzed Economic Effects
2 provisions identified: 1 benefits, 1 costs, 0 mixed.
New Medicaid rule for family planning
If enacted, your State would have to send abortion data to the CDC to get federal Medicaid payments for family planning. The State must send, by Dec 31 of the previous year, data covering the year before the previous year. If the State misses that deadline but sends the data by Dec 31 of the current year, it would still get payments, including retroactive payment. Each submission must be certified as accurate. If the CDC finds a State knowingly gave false data, the State could lose federal family planning payments for the next full fiscal year. This rule would start with the year that begins two years after enactment.
New federal abortion data system
If enacted, the CDC would maintain a national, standardized system to collect aggregate abortion data from States. The system would use a standard worksheet with required items like maternal age, gestational age in completed weeks, race and ethnicity, abortion method, marital status, prior pregnancies, county and State of residence, and whether the child survived. The CDC would allow cross-tabulation of those fields, update questions over time, provide technical help to States, and publish an annual report not later than Dec 30 of the third calendar year after the year covered.
Sponsors & CoSponsors
Sponsor
Joni Ernst
IA • R
Cosponsors
James Lankford
OK • R
Sponsored 1/22/2025
Steve Daines
MT • R
Sponsored 1/22/2025
Kevin Cramer
ND • R
Sponsored 1/22/2025
Deb Fischer
NE • R
Sponsored 1/22/2025
Bill Hagerty
TN • R
Sponsored 1/22/2025
James Risch
ID • R
Sponsored 1/22/2025
Josh Hawley
MO • R
Sponsored 1/22/2025
Marsha Blackburn
TN • R
Sponsored 1/22/2025
John Cornyn
TX • R
Sponsored 9/3/2025
Roll Call Votes
No roll call votes available for this bill.
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