PolicyBrief
H.R. 6442
119th CongressDec 4th 2025
Supporting Healthy Pregnancy Act
IN COMMITTEE

This act requires biological fathers to pay at least 50% of a mother's out-of-pocket medical expenses related to pregnancy and delivery, upon her request.

Ashley Hinson
R

Ashley Hinson

Representative

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LEGISLATION

New Bill Mandates Fathers Pay Half of Pregnancy & Delivery Costs, Excludes Abortion Expenses

Alright, let's talk about the 'Supporting Healthy Pregnancy Act'—a bill that could significantly shift how medical costs for pregnancy and childbirth are handled. Basically, this legislation is looking to make biological fathers responsible for at least 50% of a mother's out-of-pocket medical expenses during pregnancy and delivery. But here's the catch: the mother has to specifically ask for this financial support.

The New Rule for Dads

Under this proposed law, state child support programs would need to step up and enforce these new obligations. So, if you're a biological father, get ready for a potential new financial responsibility. The bill, specifically amending Section 454 of the Social Security Act, aims to ensure that these costs are shared. Think about it: if a new mom is juggling medical bills after welcoming a baby, this could be a big help, potentially easing some of that financial pressure right when she needs it most. On the flip side, for biological fathers, this means potentially budgeting for these expenses, which could be substantial depending on the pregnancy and delivery.

Where Abortion Costs Stand

Now, here’s a really specific part of the bill: it explicitly states that expenses related to abortion are not considered medical expenses under this law. The bill goes into detail, defining "abortion" as intentionally ending a pregnancy or killing an unborn child, with some clear exceptions. These exceptions include situations where the goal is to increase the chances of a live birth, preserve the life or health of the child after birth, or handle medical necessities like an ectopic pregnancy or a deceased unborn child. This distinction is pretty crucial and could lead to some complex conversations about what is and isn't covered.

When Does This Kick In?

If this bill passes, these changes would start on January 1st of the first calendar year after it becomes law. States that need to update their own legislation to comply would get a bit of a grace period, essentially until their next regular legislative session ends. For those states with two-year legislative sessions, each year counts as a separate session. This staggered implementation gives states a bit of breathing room to get their ducks in a row, but it also means that the exact start date could vary slightly depending on your state's legislative calendar.

This bill is a big one for anyone navigating the costs of starting a family. It’s designed to help mothers with the financial load, but it also places a clear, new financial obligation on biological fathers, all while drawing a distinct line around what types of medical expenses are included. It’s definitely something to keep an eye on as it moves through the legislative process.