NEGATIVE Reproductive Rights 119th Congress

H.R.6703 Lower Health Care Premiums Act — Abortion Insurance CSR Restriction

Restricts abortion coverage in Affordable Care Act marketplace insurance plans through cost-sharing reduction provisions (119th Congress)

View on Congress.gov

Legal & Constitutional Grounding

ACA marketplace plans cover reproductive care (42 USC 18022); restriction limits documented healthcare access.

42 U.S.C. § 18022 — ACA essential health benefits; abortion coverage in marketplace plans

Guttmacher: restricting insurance coverage creates documented barriers to reproductive healthcare

Who Lobbied on This Bill

$11.2M combined quarterly activity

15 lobbying firms

15 clients represented

2025-fourth_quarter–2026-second_quarter filing period

⚠ 7 lobbyists who worked this bill previously held government positions

Show all 7

CHRISTINE POLLACK — Rep. E. Clay Shaw, Jr.
HAZEN MARSHALL — Policy Director-Senate Majority Leader Mitch McConnell; Staff Director, Senate Budget Committee-Senator Don Nickles;…
KIP PAYNE — Legislative Assistant, US House of Representatives
LAYLA OGHABIAN — Legislative Advocate
MONICA POPP — Chief of Staff/Deputy Chief of Staff, Office of Senate Republican Whip John Cornyn; Professional Staff Member, U.S.…
SUNEE MICKLE — Vice President of Government and Community Relations
THOMAS FLETCHER — Sen. Shelley Moore Capito (R-WV)

Policy Areas Covered

Health Issues Insurance Pharmacy Small Business Taxation/Internal Revenue Code

Government Entities Lobbied

Agriculture, Dept of (USDA)
Centers For Medicare and Medicaid Services (CMS)
Executive Office of the President (EOP)
Federal Reserve System
Financial Crimes Enforcement Network (FinCEN)
Food & Drug Administration (FDA)
HOUSE OF REPRESENTATIVES
Health & Human Services, Dept of (HHS)
Homeland Security, Dept of (DHS)
Labor, Dept of (DOL)
Medicare Payment Advisory Commission (MedPAC)
Natl Economic Council (NEC)
Occupational Safety & Health Administration (OSHA)
Office of Management & Budget (OMB)
SENATE
Treasury, Dept of
U.S. Mint
White House Office

Who Hired the Lobbyists

JOB CREATORS NETWORK advocacy organization for small business
FOOD MARKETPLACE INC
NFIB (NATIONAL FEDERATION OF INDEPENDENT BUSINESS)
SUN LIFE FINANCIAL (U.S.) SERVICES COMPANY INC.
LUNDBECK LLC
ECONOMIC SECURITY PROJECT ACTION, INC. AND ITS AFFILIATES
AMERICAN FEDERATION OF TEACHERS
FEDERATION OF AMERICAN HOSPITALS Trade association representing hospitals and health systems.
BLUE CROSS AND BLUE SHIELD ASSOCIATION
BLUE CROSS AND BLUE SHIELD OF FLORIDA INC

Source: Senate LDA filings · Dollar figures are combined quarterly totals for all lobbying by each firm, not bill-specific spend.

Lower Health Care Premiums Act with abortion insurance restriction. The bill restricts abortion coverage in ACA marketplace plans, limiting reproductive healthcare access for women purchasing insurance on the exchange.