S2377119th CongressWALLET

EACH Act of 2025

Sponsored By: Senator Tammy Duckworth

Introduced

Summary

Guarantees abortion coverage across federal health programs. This bill would require federal health programs to cover abortion services, empower the federal government to act as payer and provider, and block federal limits on private or state coverage.

Show full summary
  • People who get care through the programs named in the bill, including Medicaid, CHIP, Medicare, Indian Health Service, TRICARE, veterans benefits, refugee and detention health services, and other federal plans would have abortion services covered under those programs.
  • The federal government would be required to ensure access to abortion care in its own facilities or through contracted providers and to serve as an insurer or payer for those services.
  • The bill would repeal Section 1303 of the Affordable Care Act, make conforming amendments, assert that it supersedes other federal law, and state that the Religious Freedom Restoration Act does not apply to limit its provisions.

Bill Overview

Analyzed Economic Effects

6 provisions identified: 5 benefits, 0 costs, 1 mixed.

Abortion coverage in federal programs

If enacted, this bill would say which federal programs count as a "health program or plan." It names Medicaid, CHIP, Medicare, TRICARE, VA care, the Indian Health Service, FEHBP, services in federal custody, refugee and ORR care, Peace Corps health care, and other government programs. People in those programs would be covered by the bill's rules.

Federal programs must cover abortion

If enacted, the federal government would have to ensure abortion services are covered for people insured by or receiving care from the listed federal programs. The government would also have to ensure access in federal facilities and contracted sites. The bill would define "abortion services" to include an abortion and related care, even if not on the same day.

Federal primacy over abortion rules

If enacted, the bill would say it overrides conflicting federal laws and applies across federal programs. It would also state the Act is not subject to the Religious Freedom Restoration Act. These legal rules would guide how agencies and courts handle conflicts.

Federal ban on restricting abortion coverage

If enacted, the bill would stop the federal government from prohibiting or limiting abortion coverage in state, local, or private health plans. That would prevent federal agencies from putting new bans or limits on those plans. States and private insurers could still set their own rules.

Remove ACA rule on plan coverage

If enacted, the bill would repeal a provision of the Affordable Care Act that affects plan coverage rules. This could change what ACA marketplace and related plans must cover. People who have or buy ACA plans and plan administrators might see coverage rules change.

State and local abortion protections kept

If enacted, the bill would say it does not reduce any federal, state, or local law that gives greater abortion coverage or services than this bill. Where state or local law already gives more access, that higher protection would still apply.

Sponsors & CoSponsors

Sponsor

Tammy Duckworth

IL • D

Cosponsors

  • Patty Murray

    WA • D

    Sponsored 7/22/2025

  • Mazie Hirono

    HI • D

    Sponsored 7/22/2025

  • Amy Klobuchar

    MN • D

    Sponsored 7/22/2025

  • Elizabeth Warren

    MA • D

    Sponsored 7/22/2025

  • Alex Padilla

    CA • D

    Sponsored 7/22/2025

  • Jeff Merkley

    OR • D

    Sponsored 7/22/2025

  • Richard Blumenthal

    CT • D

    Sponsored 7/22/2025

  • Jacky Rosen

    NV • D

    Sponsored 7/22/2025

  • Jeanne Shaheen

    NH • D

    Sponsored 7/22/2025

  • Adam Schiff

    CA • D

    Sponsored 7/22/2025

  • Martin Heinrich

    NM • D

    Sponsored 7/22/2025

  • Kirsten Gillibrand

    NY • D

    Sponsored 7/22/2025

  • Christopher Coons

    DE • D

    Sponsored 7/22/2025

  • Maria Cantwell

    WA • D

    Sponsored 7/22/2025

  • Chris Van Hollen

    MD • D

    Sponsored 7/22/2025

  • Lisa Blunt Rochester

    DE • D

    Sponsored 7/22/2025

  • Bernie Sanders

    VT • I

    Sponsored 7/22/2025

  • Ruben Gallego

    AZ • D

    Sponsored 7/22/2025

  • Cory Booker

    NJ • D

    Sponsored 7/22/2025

  • Tina Smith

    MN • D

    Sponsored 7/22/2025

  • Tammy Baldwin

    WI • D

    Sponsored 7/22/2025

  • Ron Wyden

    OR • D

    Sponsored 7/22/2025

  • Peter Welch

    VT • D

    Sponsored 7/22/2025

  • Edward Markey

    MA • D

    Sponsored 7/22/2025

  • Christopher Murphy

    CT • D

    Sponsored 7/22/2025

  • Andy Kim

    NJ • D

    Sponsored 7/22/2025

  • Sheldon Whitehouse

    RI • D

    Sponsored 7/22/2025

  • John Fetterman

    PA • D

    Sponsored 7/22/2025

  • Catherine Cortez Masto

    NV • D

    Sponsored 7/22/2025

  • Mark Kelly

    AZ • D

    Sponsored 7/22/2025

  • Sen. Luján, Ben Ray [D-NM]

    NM • D

    Sponsored 7/22/2025

  • Maggie Hassan

    NH • D

    Sponsored 7/24/2025

  • Michael Bennet

    CO • D

    Sponsored 7/24/2025

Roll Call Votes

No roll call votes available for this bill.

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