In committee
EACH Act of 2025
This bill requires all federal health programs and insurance plans—including Medicaid, Medicare, TRICARE for military members, and federal employee health plans—to cover abortion services. It also requires government-run and contracted medical facilities to provide abortion care to eligible individuals. Additionally, the bill prohibits the federal government from restricting abortion coverage in private health insurance and removes existing coverage limitations within Affordable Care Act health insurance exchanges.
People affected—While Section 2 findings cite demographic figures for various program subsets (e.g., 2.56 million IHS beneficiaries, 5.5 million Medicaid-enrolled reproductive-age women in non-coverage states), the total number of individuals receiving coverage across all enumerated federal programs is not specified in the operative text.
Fiscal magnitude—no CBO estimate published
Reach82provisional · pending reviewrigor: heuristic llm
What this bill touches.
Government role in coverage+45Religious exemptions+55Abortion policy+80
Who it helps · who it burdens.
Who it helps
- Enrollees in federal health programs and plansGain guaranteed coverage for abortion and related services through programs including Medicaid, Medicare, CHIP, TRICARE, the Indian Health Service, and the Federal Employees Health Benefits Program (Sec. 4(a), Sec. 3(2)).
- Individuals receiving care in federal facilities or custodyGain guaranteed access to abortion services at federal medical facilities and contracted facilities, including military personnel, veterans, and individuals in federal custody or immigration detention (Sec. 4(b), Sec. 3(2)).
- Health insurers on Affordable Care Act exchangesRelieved from requirements under section 1303 of the Affordable Care Act to collect separate payments and maintain separate accounts for abortion coverage (Sec. 5(a)).
Who it burdens
- Federal health agencies and health programsMust provide insurance coverage for abortion services and ensure physical access to abortion procedures at directly operated and contracted facilities (Sec. 4(a), Sec. 4(b)).
Who backs it
- Federal health programsFinances coverage and provision of abortion services for beneficiaries and individuals in federal custody or federal facilities (Sec. 4(a), Sec. 4(b)).
Who opposes it
- Religious claimants under the Religious Freedom Restoration ActDirectly barred from using the Religious Freedom Restoration Act of 1993 to challenge or seek exemptions from the bill's abortion coverage and access requirements (Sec. 8).