This legislation aims to significantly improve the collection and standardization of abortion data across the United States. It addresses current deficiencies where reporting is voluntary, leading to incomplete and inconsistent information submitted to the Centers for Disease Control and Prevention (CDC). Congress finds that some states report no data at all, and no single data point is publicly available for all states, hindering public health and policy analysis. To achieve this, the bill amends the Social Security Act, making a state's receipt of federal Medicaid payments for certain family planning services and supplies contingent on its submission of abortion data. States must report specific mandatory data points to the CDC's abortion surveillance system annually. Failure to submit data by the deadline, or knowingly providing false information, can result in the withholding of these federal funds. The Public Health Service Act is also amended, directing the Secretary, through the CDC Director, to maintain a standardized surveillance system for aggregate abortion data. This system will include a standard worksheet with **mandatory questions** covering variables such as maternal age, gestational age, race, ethnicity, marital status, abortion method, previous pregnancies, maternal residence, and whether the child survived the abortion. The CDC is also tasked with providing technical assistance to states and issuing annual reports based on the collected data.