Reporting Accountability and Abuse Prevention Act of 2026

Key Points

• Makes Title X family planning grant funding depend on following state and local reporting rules for abuse, rape, incest, partner violence, and trafficking.
• Requires clinics to have written plans, including yearly training for anyone who serves patients, and clear steps for when and how to report.
• Adds extra steps for minors, including counseling on resisting sexual coercion and screening when there’s pregnancy, an STD, or signs of abuse.
• Forces clinics to keep detailed records (like a minor’s age and any reports made) and allow federal reviewers to check those records.
• Sets penalties: first violation triggers a fix-it process; repeated violations can require paying back federal funds and losing Title X funding for at least 36 months.