HR4611119th CongressWALLET

EACH Act of 2025

Sponsored By: Representative Pressley, Ayanna [D-MA-7]

In Committee

Summary

This bill would require that abortion services be covered across federal health programs and plans. It would make the federal government — as insurer, employer, and health-care provider — ensure access in its own facilities and in contracted facilities, and bar the federal government from restricting abortion coverage in private insurance or state and local government plans.

Show full summary

The Impact:

  • People served by federal programs would get guaranteed coverage. This includes Medicaid, the Children’s Health Insurance Program (CHIP), Medicare (and Medicare supplemental policies), Indian Health Service, TRICARE, Department of Defense (DoD) employee plans, veterans’ benefits, Federal Employees Health Benefits Plan, refugee and asylum medical programs, Department of Homeland Security custody medical care, Peace Corps medical care, and other named federal programs.
  • Federal facilities and contractors would be required to provide access to abortion services when acting as payer or provider.
  • The bill repeals Affordable Care Act (ACA) Section 1303, changes rules for Basic Health Plans and Multi-State Plans, declares itself the prevailing federal framework, and is not subject to the Religious Freedom Restoration Act (RFRA).

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Bill Overview

Analyzed Economic Effects

4 provisions identified: 2 benefits, 0 costs, 2 mixed.

Guaranteed abortion coverage in federal programs

If you get care from a listed federal program, the law requires coverage of abortion services. That includes Medicaid, CHIP, Medicare, VA care, TRICARE, Indian Health Service, FEHB, refugee and certain custody medical care, and similar programs. "Abortion services" means an abortion and any related care provided with it. Existing state or local laws that give greater protection still apply. This requirement starts when the law is enacted.

Act overrides federal law, limits RFRA

The Act says it supersedes conflicting federal law and applies whether laws came before or after it. It also says the Act is not subject to the Religious Freedom Restoration Act, so RFRA defenses cannot be used against enforcement of this law. This takes effect when enacted.

Federal ban on blocking abortion coverage

The federal government cannot prohibit, restrict, or otherwise inhibit state, local, or private health plans from covering abortion services. This stops federal actions that would block or limit plan coverage choices. It does not force states or plans to provide coverage; it prevents federal limits. The rule starts when the law is enacted.

Repeals ACA abortion restriction clause

The law removes Section 1303 of the Affordable Care Act. The repeal takes effect on enactment. How this changes actual coverage and costs depends on other rules and how agencies apply this Act.

Sponsors & CoSponsors

Sponsor

Pressley, Ayanna [D-MA-7]

MA • D

Cosponsors

  • Pelosi

    CA • D

    Sponsored 7/22/2025

  • Peters

    CA • D

    Sponsored 7/22/2025

  • Rep. Pettersen, Brittany [D-CO-7]

    CO • D

    Sponsored 7/22/2025

  • Pingree

    ME • D

    Sponsored 7/22/2025

  • Rep. Pocan, Mark [D-WI-2]

    WI • D

    Sponsored 7/22/2025

  • Rep. Quigley, Mike [D-IL-5]

    IL • D

    Sponsored 7/22/2025

  • Rep. Ramirez, Delia C. [D-IL-3]

    IL • D

    Sponsored 7/22/2025

  • Rep. DeGette, Diana [D-CO-1]

    CO • D

    Sponsored 7/22/2025

  • Rep. Frost, Maxwell [D-FL-10]

    FL • D

    Sponsored 7/22/2025

  • Schakowsky

    IL • D

    Sponsored 7/22/2025

  • Adams

    NC • D

    Sponsored 7/22/2025

  • Aguilar

    CA • D

    Sponsored 7/22/2025

  • Rep. Amo, Gabe [D-RI-1]

    RI • D

    Sponsored 7/22/2025

  • Rep. Ansari, Yassamin [D-AZ-3]

    AZ • D

    Sponsored 7/22/2025

  • Auchincloss

    MA • D

    Sponsored 7/22/2025

  • Rep. Balint, Becca [D-VT-At Large]

    VT • D

    Sponsored 7/22/2025

  • Barragan

    CA • D

    Sponsored 7/22/2025

  • Rep. Beatty, Joyce [D-OH-3]

    OH • D

    Sponsored 7/22/2025

  • Rep. Bell, Wesley [D-MO-1]

    MO • D

    Sponsored 7/22/2025

  • Rep. Bera, Ami [D-CA-6]

    CA • D

    Sponsored 7/22/2025

  • Rep. Beyer, Donald S. [D-VA-8]

    VA • D

    Sponsored 7/22/2025

  • Bonamici

    OR • D

    Sponsored 7/22/2025

  • Rep. Brown, Shontel M. [D-OH-11]

    OH • D

    Sponsored 7/22/2025

  • Rep. Brownley, Julia [D-CA-26]

    CA • D

    Sponsored 7/22/2025

  • Budzinski

    IL • D

    Sponsored 7/22/2025

  • Rep. Bynum, Janelle S. [D-OR-5]

    OR • D

    Sponsored 7/22/2025

  • Rep. Carbajal, Salud O. [D-CA-24]

    CA • D

    Sponsored 7/22/2025

  • Carson

    IN • D

    Sponsored 7/22/2025

  • Rep. Carter, Troy A. [D-LA-2]

    LA • D

    Sponsored 7/22/2025

  • Rep. Casar, Greg [D-TX-35]

    TX • D

    Sponsored 7/22/2025

  • Rep. Case, Ed [D-HI-1]

    HI • D

    Sponsored 7/22/2025

  • Casten

    IL • D

    Sponsored 7/22/2025

  • Rep. Castor, Kathy [D-FL-14]

    FL • D

    Sponsored 7/22/2025

  • Castro (TX)

    TX • D

    Sponsored 7/22/2025

  • Cherfilus-McCormick

    FL • D

    Sponsored 7/22/2025

  • Rep. Chu, Judy [D-CA-28]

    CA • D

    Sponsored 7/22/2025

  • Cisneros

    CA • D

    Sponsored 7/22/2025

  • Clark (MA)

    MA • D

    Sponsored 7/22/2025

  • Rep. Clarke, Yvette D. [D-NY-9]

    NY • D

    Sponsored 7/22/2025

  • Rep. Cleaver, Emanuel [D-MO-5]

    MO • D

    Sponsored 7/22/2025

  • Cohen

    TN • D

    Sponsored 7/22/2025

  • Rep. Correa, J. Luis [D-CA-46]

    CA • D

    Sponsored 7/22/2025

  • Craig

    MN • D

    Sponsored 7/22/2025

  • Crockett

    TX • D

    Sponsored 7/22/2025

  • Crow

    CO • D

    Sponsored 7/22/2025

  • Rep. Davids, Sharice [D-KS-3]

    KS • D

    Sponsored 7/22/2025

  • Davis (IL)

    IL • D

    Sponsored 7/22/2025

  • Rep. Dean, Madeleine [D-PA-4]

    PA • D

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  • Rep. DeLauro, Rosa L. [D-CT-3]

    CT • D

    Sponsored 7/22/2025

  • DelBene

    WA • D

    Sponsored 7/22/2025

  • Rep. Deluzio, Christopher R. [D-PA-17]

    PA • D

    Sponsored 7/22/2025

  • Rep. DeSaulnier, Mark [D-CA-10]

    CA • D

    Sponsored 7/22/2025

  • Rep. Dexter, Maxine [D-OR-3]

    OR • D

    Sponsored 7/22/2025

  • Rep. Doggett, Lloyd [D-TX-37]

    TX • D

    Sponsored 7/22/2025

  • Elfreth

    MD • D

    Sponsored 7/22/2025

  • Escobar

    TX • D

    Sponsored 7/22/2025

  • Espaillat

    NY • D

    Sponsored 7/22/2025

  • Rep. Evans, Dwight [D-PA-3]

    PA • D

    Sponsored 7/22/2025

  • Rep. Figures, Shomari [D-AL-2]

    AL • D

    Sponsored 7/22/2025

  • Fletcher

    TX • D

    Sponsored 7/22/2025

  • Rep. Foster, Bill [D-IL-11]

    IL • D

    Sponsored 7/22/2025

  • Rep. Foushee, Valerie P. [D-NC-4]

    NC • D

    Sponsored 7/22/2025

  • Rep. Frankel, Lois [D-FL-22]

    FL • D

    Sponsored 7/22/2025

  • Rep. Garamendi, John [D-CA-8]

    CA • D

    Sponsored 7/22/2025

  • Rep. Garcia, Robert [D-CA-42]

    CA • D

    Sponsored 7/22/2025

  • Rep. Garcia, Sylvia R. [D-TX-29]

    TX • D

    Sponsored 7/22/2025

  • Rep. García, Jesús G. "Chuy" [D-IL-4]

    IL • D

    Sponsored 7/22/2025

  • Rep. Golden, Jared F. [D-ME-2]

    ME • D

    Sponsored 7/22/2025

  • Rep. Goldman, Daniel S. [D-NY-10]

    NY • D

    Sponsored 7/22/2025

  • Rep. Goodlander, Maggie [D-NH-2]

    NH • D

    Sponsored 7/22/2025

  • Rep. Gottheimer, Josh [D-NJ-5]

    NJ • D

    Sponsored 7/22/2025

  • Rep. Green, Al [D-TX-9]

    TX • D

    Sponsored 7/22/2025

  • Rep. Hayes, Jahana [D-CT-5]

    CT • D

    Sponsored 7/22/2025

  • Himes

    CT • D

    Sponsored 7/22/2025

  • Rep. Horsford, Steven [D-NV-4]

    NV • D

    Sponsored 7/22/2025

  • Rep. Hoyle, Val T. [D-OR-4]

    OR • D

    Sponsored 7/22/2025

  • Rep. Huffman, Jared [D-CA-2]

    CA • D

    Sponsored 7/22/2025

  • Ivey

    MD • D

    Sponsored 7/22/2025

  • Rep. Jacobs, Sara [D-CA-51]

    CA • D

    Sponsored 7/22/2025

  • Rep. Jayapal, Pramila [D-WA-7]

    WA • D

    Sponsored 7/22/2025

  • Johnson (GA)

    GA • D

    Sponsored 7/22/2025

  • Rep. Kamlager-Dove, Sydney [D-CA-37]

    CA • D

    Sponsored 7/22/2025

  • Keating

    MA • D

    Sponsored 7/22/2025

  • Rep. Kelly, Robin L. [D-IL-2]

    IL • D

    Sponsored 7/22/2025

  • Kennedy (NY)

    NY • D

    Sponsored 7/22/2025

  • Khanna

    CA • D

    Sponsored 7/22/2025

  • Rep. Krishnamoorthi, Raja [D-IL-8]

    IL • D

    Sponsored 7/22/2025

  • Rep. Landsman, Greg [D-OH-1]

    OH • D

    Sponsored 7/22/2025

  • Rep. Larsen, Rick [D-WA-2]

    WA • D

    Sponsored 7/22/2025

  • Rep. Larson, John B. [D-CT-1]

    CT • D

    Sponsored 7/22/2025

  • Rep. Latimer, George [D-NY-16]

    NY • D

    Sponsored 7/22/2025

  • Rep. Lee, Susie [D-NV-3]

    NV • D

    Sponsored 7/22/2025

  • Rep. Lee, Summer L. [D-PA-12]

    PA • D

    Sponsored 7/22/2025

  • Rep. Leger Fernandez, Teresa [D-NM-3]

    NM • D

    Sponsored 7/22/2025

  • Levin

    CA • D

    Sponsored 7/22/2025

  • Rep. Lieu, Ted [D-CA-36]

    CA • D

    Sponsored 7/22/2025

  • Rep. Magaziner, Seth [D-RI-2]

    RI • D

    Sponsored 7/22/2025

  • Mannion

    NY • D

    Sponsored 7/22/2025

  • Rep. Matsui, Doris O. [D-CA-7]

    CA • D

    Sponsored 7/22/2025

  • McBath

    GA • D

    Sponsored 7/22/2025

  • McBride

    DE • D

    Sponsored 7/22/2025

  • Rep. McClain Delaney, April [D-MD-6]

    MD • D

    Sponsored 7/22/2025

  • McClellan

    VA • D

    Sponsored 7/22/2025

  • McCollum

    MN • D

    Sponsored 7/22/2025

  • Rep. McGarvey, Morgan [D-KY-3]

    KY • D

    Sponsored 7/22/2025

  • McGovern

    MA • D

    Sponsored 7/22/2025

  • Rep. Meeks, Gregory W. [D-NY-5]

    NY • D

    Sponsored 7/22/2025

  • Rep. Menendez, Robert [D-NJ-8]

    NJ • D

    Sponsored 7/22/2025

  • Rep. Meng, Grace [D-NY-6]

    NY • D

    Sponsored 7/22/2025

  • Mfume

    MD • D

    Sponsored 7/22/2025

  • Rep. Min, Dave [D-CA-47]

    CA • D

    Sponsored 7/22/2025

  • Rep. Moore, Gwen [D-WI-4]

    WI • D

    Sponsored 7/22/2025

  • Rep. Morelle, Joseph D. [D-NY-25]

    NY • D

    Sponsored 7/22/2025

  • Rep. Morrison, Kelly [D-MN-3]

    MN • D

    Sponsored 7/22/2025

  • Rep. Moskowitz, Jared [D-FL-23]

    FL • D

    Sponsored 7/22/2025

  • Rep. Moulton, Seth [D-MA-6]

    MA • D

    Sponsored 7/22/2025

  • Mullin

    CA • D

    Sponsored 7/22/2025

  • Rep. Nadler, Jerrold [D-NY-12]

    NY • D

    Sponsored 7/22/2025

  • Del. Norton, Eleanor Holmes [D-DC-At Large]

    DC • D

    Sponsored 7/22/2025

  • Ocasio-Cortez

    NY • D

    Sponsored 7/22/2025

  • Rep. Omar, Ilhan [D-MN-5]

    MN • D

    Sponsored 7/22/2025

  • Pallone

    NJ • D

    Sponsored 7/22/2025

  • Rep. Panetta, Jimmy [D-CA-19]

    CA • D

    Sponsored 7/22/2025

  • Rep. Pappas, Chris [D-NH-1]

    NH • D

    Sponsored 7/22/2025

  • Rep. Schneider, Bradley Scott [D-IL-10]

    IL • D

    Sponsored 7/22/2025

  • Rep. Scholten, Hillary J. [D-MI-3]

    MI • D

    Sponsored 7/22/2025

  • Schrier

    WA • D

    Sponsored 7/22/2025

  • Scott, David

    GA • D

    Sponsored 7/22/2025

  • Rep. Sherman, Brad [D-CA-32]

    CA • D

    Sponsored 7/22/2025

  • Sherrill

    NJ • D

    Sponsored 7/22/2025

  • Simon

    CA • D

    Sponsored 7/22/2025

  • Smith (WA)

    WA • D

    Sponsored 7/22/2025

  • Rep. Sorensen, Eric [D-IL-17]

    IL • D

    Sponsored 7/22/2025

  • Soto

    FL • D

    Sponsored 7/22/2025

  • Stansbury

    NM • D

    Sponsored 7/22/2025

  • Rep. Stanton, Greg [D-AZ-4]

    AZ • D

    Sponsored 7/22/2025

  • Rep. Stevens, Haley M. [D-MI-11]

    MI • D

    Sponsored 7/22/2025

  • Rep. Strickland, Marilyn [D-WA-10]

    WA • D

    Sponsored 7/22/2025

  • Rep. Subramanyam, Suhas [D-VA-10]

    VA • D

    Sponsored 7/22/2025

  • Swalwell

    CA • D

    Sponsored 7/22/2025

  • Rep. Sykes, Emilia Strong [D-OH-13]

    OH • D

    Sponsored 7/22/2025

  • Rep. Takano, Mark [D-CA-39]

    CA • D

    Sponsored 7/22/2025

  • Rep. Thanedar, Shri [D-MI-13]

    MI • D

    Sponsored 7/22/2025

  • Thompson (CA)

    CA • D

    Sponsored 7/22/2025

  • Rep. Titus, Dina [D-NV-1]

    NV • D

    Sponsored 7/22/2025

  • Rep. Tlaib, Rashida [D-MI-12]

    MI • D

    Sponsored 7/22/2025

  • Rep. Tokuda, Jill N. [D-HI-2]

    HI • D

    Sponsored 7/22/2025

  • Rep. Tonko, Paul [D-NY-20]

    NY • D

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  • Rep. Torres, Norma J. [D-CA-35]

    CA • D

    Sponsored 7/22/2025

  • Rep. Torres, Ritchie [D-NY-15]

    NY • D

    Sponsored 7/22/2025

  • Trahan

    MA • D

    Sponsored 7/22/2025

  • Rep. Tran, Derek [D-CA-45]

    CA • D

    Sponsored 7/22/2025

  • Rep. Underwood, Lauren [D-IL-14]

    IL • D

    Sponsored 7/22/2025

  • Rep. Vargas, Juan [D-CA-52]

    CA • D

    Sponsored 7/22/2025

  • Rep. Vasquez, Gabe [D-NM-2]

    NM • D

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  • Rep. Veasey, Marc A. [D-TX-33]

    TX • D

    Sponsored 7/22/2025

  • Rep. Velázquez, Nydia M. [D-NY-7]

    NY • D

    Sponsored 7/22/2025

  • Rep. Wasserman Schultz, Debbie [D-FL-25]

    FL • D

    Sponsored 7/22/2025

  • Rep. Whitesides, George [D-CA-27]

    CA • D

    Sponsored 7/22/2025

  • Rep. Williams, Nikema [D-GA-5]

    GA • D

    Sponsored 7/22/2025

  • Wilson (FL)

    FL • D

    Sponsored 7/22/2025

  • Rep. Johnson, Julie [D-TX-32]

    TX • D

    Sponsored 7/22/2025

  • Rep. Neguse, Joe [D-CO-2]

    CO • D

    Sponsored 7/22/2025

  • Rep. Olszewski, Johnny [D-MD-2]

    MD • D

    Sponsored 7/22/2025

  • Rep. Courtney, Joe [D-CT-2]

    CT • D

    Sponsored 7/22/2025

  • Rep. Pou, Nellie [D-NJ-9]

    NJ • D

    Sponsored 7/23/2025

  • Rep. Waters, Maxine [D-CA-43]

    CA • D

    Sponsored 7/23/2025

  • Scott (VA)

    VA • D

    Sponsored 8/26/2025

  • Randall

    WA • D

    Sponsored 7/22/2025

  • Rep. Raskin, Jamie [D-MD-8]

    MD • D

    Sponsored 7/22/2025

  • Rep. Rivas, Luz M. [D-CA-29]

    CA • D

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  • Rep. Ross, Deborah K. [D-NC-2]

    NC • D

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  • Rep. Ruiz, Raul [D-CA-25]

    CA • D

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  • Rep. Ryan, Patrick [D-NY-18]

    NY • D

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  • Rep. Salinas, Andrea [D-OR-6]

    OR • D

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  • Rep. Sánchez, Linda T. [D-CA-38]

    CA • D

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  • Rep. Scanlon, Mary Gay [D-PA-5]

    PA • D

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  • Gomez

    CA • D

    Sponsored 11/19/2025

  • Norcross

    NJ • D

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  • Friedman

    CA • D

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  • Rep. Watson Coleman, Bonnie [D-NJ-12]

    NJ • D

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  • Rep. McIver, LaMonica [D-NJ-10]

    NJ • D

    Sponsored 1/21/2026

  • Rep. Walkinshaw, James R. [D-VA-11]

    VA • D

    Sponsored 2/20/2026

  • Rep. Vindman, Eugene Simon [D-VA-7]

    VA • D

    Sponsored 2/20/2026

Roll Call Votes

No roll call votes available for this bill.

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