14. Department of Health and Human Services · Minor
Require states receiving HHS funds to enforce Coats–Snowe
Printed page 486 14. Department of Health and Human Services
“Require states that receive HHS funds to issue regulations or enter into arrangements with accrediting bodies to comply with the Coats–Snowe Amendment’s prohibition of mandatory abortion training by individuals or institutions.”
What has happened
- Not started
No condition on HHS funds requiring states to issue Coats-Snowe regulations or to enter into arrangements with accrediting bodies is on any allowlisted record. HHS's June 2026 OCR reorganization gives the restored Conscience and Religious Freedom Division enforcement responsibility for the Coats-Snowe Amendment, which is a federal enforcement capability and not the state-level funding condition this Quote asks for. Cluster negative search A (medical education and conscience) in the Chapter 14 log covers this item. **The first in-window Coats-Snowe enforcement action on the record, added under the moved-nearby device and read in full on 2026-09-03.** On 2026-01-21 OCR issued a Notice of Violation to the State of Illinois finding that the Illinois Health Care Right of Conscience Act as amended by P.A. 99-690 violates the Weldon and Coats-Snowe Amendments, giving the State thirty days to say whether it will take corrective action, and warning that otherwise OCR will refer the matter to "the appropriate HHS funding components" and that this "may ultimately result in suspensions, terminations, or other limitations on continued receipt of certain HHS funds." That is federal enforcement against a state that receives HHS funds, with funding consequences held in reserve. It runs the opposite way to this Quote, which asks that states be **required as a condition of HHS funds to issue their own Coats-Snowe regulations and reach arrangements with accrediting bodies**: the Notice tells Illinois to stop enforcing a conflicting state law, and imposes no affirmative regulatory or accreditor obligation on any state. Real, dated, Primary and on the ask's subject, satisfying neither limb — so the rung stays and the citation attaches here.
Research log
What was searched, and what didn’t count as evidence
Research notes
- The government-wide grants proposed rule (2 CFR 200.300, published 2026-05-29) would require non-discrimination award language covering conscience, but it imposes nothing on states about Coats-Snowe regulations or accreditor arrangements; it is recorded as Evidence on #1391, whose Quote is the grant-conditions ask.
- Federal Register full text “Coats-Snowe” since 2025-01-20: four documents, none a funding condition.
- HHS regulatory agenda, checked 2026-09-01. Checked against the full HHS agenda on
reginfo.gov (183 active RINs in the 2026 Unified Agenda, published 2026-08-14), not the
abbreviated version the Federal Register prints. The nearest entry is recorded here. It does
not name this ask’s object, so the Status did not change: an agenda entry counts as an attempt
only when it names what the ask asks for.
- 0945-AA24 (Making Technical Changes and Clarifying How OCR Addresses Conscience Authorities in Health Care; Delegation of Authority, NPRM 07/2026) amends the 2024 conscience rule and names Coats–Snowe in its statement of legal basis — but it governs how OCR itself handles the federal conscience authorities. It imposes no condition on states receiving HHS funds to issue regulations or to reach arrangements with accrediting bodies. The same entry is recorded at #1352.
- Action
- other
- Object
- state compliance arrangements under the Coats–Snowe Amendment
- ID
- 1355