H.R. 6442

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 6442 Introduced in House (IH)]

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119th CONGRESS
1st Session
H. R. 6442

To amend title IV of the Social Security Act to establish requirements 
for biological fathers to pay child support for medical expenses 
incurred during pregnancy and delivery.

_______________________________________________________________________

IN THE HOUSE OF REPRESENTATIVES

December 4, 2025

Mrs. Hinson introduced the following bill; which was referred to the 
Committee on Ways and Means

_______________________________________________________________________

A BILL

To amend title IV of the Social Security Act to establish requirements 
for biological fathers to pay child support for medical expenses 
incurred during pregnancy and delivery.

Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

This Act may be cited as the ``Supporting Healthy Pregnancy Act''.

SEC. 2. REQUIRING BIOLOGICAL FATHERS TO PAY CHILD SUPPORT FOR MEDICAL 
EXPENSES INCURRED DURING PREGNANCY AND DELIVERY.

(a) In General.--Section 454 of the Social Security Act (42 U.S.C. 
654) is amended--
(1) in paragraph (33), by striking ``and'' after the 
semicolon;
(2) in paragraph (34), by striking the period and inserting 
``; and''; and
(3) by inserting after paragraph (34), the following:
``(35) provide that the State shall establish and enforce a 
child support obligation of the biological father of a child to 
pay for not less than 50 percent of the reasonable out-of-
pocket medical expenses (including health insurance premiums or 
similar charges, deductions, cost sharing or similar charges, 
and any other related out-of-pocket expenses) the mother of the 
child is responsible for that are incurred during, and 
associated with, the pregnancy and delivery of the child, 
provided that the mother requests the payment of such 
support.''.
(b) Rule of Construction.--
(1) In general.--Nothing in paragraph (35) of section 454 
of the Social Security Act (42 U.S.C. 654), as added by 
subsection (a), shall be construed to imply that an expense 
associated with an abortion is a medical expense.
(2) Abortion defined.--For purposes of this subsection, the 
term ``abortion'' means the use or prescription of any 
instrument, medicine, drug, or other substance or device to 
intentionally--
(A) kill the unborn child of a woman known to be 
pregnant; or
(B) prematurely terminate the pregnancy of a woman 
known to be pregnant, with an intention other than to--
(i) increase the probability of a live 
birth or of preserving the life or health of 
the child after live birth; or
(ii) remove an ectopic pregnancy or a dead 
unborn child.
(c) Effective Date.--
(1) In general.--Subject to paragraph (2), the amendments 
made by subsection (a) shall take effect on January 1 of the 
first calendar year that begins after the date of enactment of 
this Act.
(2) Delay if state legislation required.--In the case of a 
State plan under part D of title IV of the Social Security Act 
which the Secretary of Health and Human Services determines 
requires State legislation (other than legislation 
appropriating funds) in order for the plan to meet the 
additional requirement imposed by the amendments made by this 
Act, the State plan shall not be regarded as failing to comply 
with the requirements of such part solely on the basis of the 
failure of the plan to meet such additional requirement before 
the first day of the first calendar quarter beginning after the 
close of the first regular session of the State legislature 
that begins after the date of enactment of this Act. For 
purposes of the previous sentence, in the case of a State that 
has a 2-year legislative session, each year of the session 
shall be deemed to be a separate regular session of the State 
legislature.
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