Reporting Accountability and Abuse Prevention Act of 2026
Sponsored By: Representative Smucker, Lloyd [R-PA-11]
Introduced
Summary
This bill would make compliance with state and local sexual‑abuse reporting laws a condition for receiving Title X grants. It would require grant recipients to adopt written plans, train staff, keep specific records, and face repayment and suspension for repeat violations.
Show full summary
- Minors and families: Every minor seeking Title X services would be screened for possible abuse, given counseling on resisting coercion, and subject to age checks when required by state law.
- Clinics and providers: Grantees would need written policies and procedures, timely annual training for all staff, and protocols to conduct preliminary screenings when pregnancy, sexually transmitted disease, or suspected abuse are present.
- Records and oversight: Programs must document patient ages, each notification or report, and partner ages when relevant. The Secretary of Health and Human Services, the HHS Inspector General, and the Comptroller General may review those records.
- Enforcement on grantees: Initial violations prompt remedial work with the Secretary. Repeat violations can trigger repayment of federal Title X funds and a 36-month ban on receiving Title X assistance.
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Bill Overview
Analyzed Economic Effects
1 provisions identified: 0 benefits, 0 costs, 1 mixed.
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.
Sponsors & CoSponsors
Sponsor
Smucker, Lloyd [R-PA-11]
PA • R
Cosponsors
Rep. Biggs, Sheri [R-SC-3]
SC • R
Sponsored 1/7/2026
Rep. Gill, Brandon [R-TX-26]
TX • R
Sponsored 1/7/2026
Rep. Higgins, Clay [R-LA-3]
LA • R
Sponsored 1/7/2026
Rep. Gosar, Paul A. [R-AZ-9]
AZ • R
Sponsored 1/7/2026
Rep. Tenney, Claudia [R-NY-24]
NY • R
Sponsored 1/7/2026
Rep. Joyce, John [R-PA-13]
PA • R
Sponsored 1/7/2026
Rep. Bost, Mike [R-IL-12]
IL • R
Sponsored 1/7/2026
Rep. Weber, Randy K. Sr. [R-TX-14]
TX • R
Sponsored 1/7/2026
Rep. Rose, John W. [R-TN-6]
TN • R
Sponsored 1/7/2026
Rep. McGuire, John J. [R-VA-5]
VA • R
Sponsored 1/8/2026
Rep. Cloud, Michael [R-TX-27]
TX • R
Sponsored 1/14/2026
Rep. Donalds, Byron [R-FL-19]
FL • R
Sponsored 1/14/2026
Rep. Walberg, Tim [R-MI-5]
MI • R
Sponsored 1/15/2026
Rep. Shreve, Jefferson [R-IN-6]
IN • R
Sponsored 1/20/2026
Rep. Harrigan, Pat [R-NC-10]
NC • R
Sponsored 1/20/2026
Rep. LaHood, Darin [R-IL-16]
IL • R
Sponsored 1/21/2026
Rep. Schweikert, David [R-AZ-1]
AZ • R
Sponsored 1/22/2026
Rep. Harris, Andy [R-MD-1]
MD • R
Sponsored 1/27/2026
Rep. Miller, Mary E. [R-IL-15]
IL • R
Sponsored 2/10/2026
Roll Call Votes
No roll call votes available for this bill.
View on Congress.gov