This legislative proposal seeks to amend Title X of the Public Health Service Act by establishing a new prohibition on the allocation of federal family planning grants. It mandates that the Secretary of Health and Human Services shall not provide assistance to any entity unless that entity certifies it will not perform abortions or provide funds to other entities that perform abortions during the grant period. However, specific exceptions are outlined for abortions resulting from rape or incest , or when a physician certifies that the woman's life is in danger due to a physical disorder, injury, or illness. Hospitals are also granted a limited exemption, allowing them to receive funding, provided they do not financially support non-hospital entities performing abortions outside of these narrow exceptions. The bill defines "entity" broadly to include the entire legal entity and its affiliates. Furthermore, it requires the Secretary to submit an annual report to Congress detailing grant recipients, the number of abortions performed under the specified exceptions (categorized by rape, incest, or life-threatening conditions), and a list of any sub-grantees.