SB 1384, titled the Abortion Funding Awareness Act of 2025, would require any state that makes Medicaid payments using federal funds to an abortion provider during a fiscal year to submit an annual report to the Secretary of Health and Human Services and to post that report publicly on a state website. The report would have to identify each payment, the amount, the purpose of the payment, and how it compares with payments made in prior fiscal years.
The bill also requires reporting on the abortion provider’s activity, including the number of abortions performed during the fiscal year, the gestational age of each abortion, and the method used. In addition, HHS would have to compile the state reports into a federal report for Congress and publish it online. The bill defines “abortion provider” broadly to include entities that perform or refer for abortions, as well as related entities under common control, and it amends the Social Security Act to require state Medicaid plans to include this reporting obligation.
Impact
If enacted, the bill would add a new federal reporting condition tied to state Medicaid administration under Title XIX of the Social Security Act. States that make Medicaid payments with federal funds to abortion providers would need to collect, submit, and publicly disclose detailed payment and service information, and HHS would gain a new role in aggregating and publishing those reports. The measure would not directly change Medicaid eligibility or covered services, but it would impose new administrative and transparency requirements on states and on providers that receive Medicaid-related payments.
Sentiment
The bill’s framing and sponsorship indicate strong support from anti-abortion lawmakers who favor increased scrutiny of public funds connected to abortion providers. No committee transcript or vote record is available here, so there is no recorded floor debate or formal vote sentiment to assess. Based on the text and title, the bill appears intended to advance transparency and accountability arguments in the abortion funding debate, while likely drawing opposition from abortion-rights supporters and privacy advocates.
Contention
The main point of contention is whether the bill is a transparency measure or an effort to stigmatize and burden abortion providers and state Medicaid programs. Supporters are likely to argue that taxpayers should know how federal Medicaid dollars are used and whether providers receiving those funds also perform abortions. Opponents are likely to object to the breadth of the reporting requirements, the public disclosure of sensitive provider and service information, and the inclusion of gestational age and abortion method data, which could raise privacy, administrative burden, and access-to-care concerns.
Enacts the "life appropriation act" prohibiting state funding for abortions and related costs; regulates abortions and prohibits dismemberment abortions.