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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