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S. 3238
U.S. Senate•In Senate Committee
Summary
S. 3238, the Conscience Protections for Medical Residents Act, was introduced in the Senate on Nov 20, 2025 by Sen. James Lankford (R) with 15 co-sponsors. It was referred to Finance, and last saw action on Nov 20, 2025: Read twice and referred to the Committee on Finance.
Record
Text
S. 3238 has 15 co-sponsors.
sb3238/introduced-in-senate.txtII 119th CONGRESS 1st Session S. 3238 IN THE SENATE OF THE UNITED STATES November 20, 2025 Mr. Lankford (for himself, Mr. Cassidy , Mr. Cornyn , Ms. Lummis , Mr. Daines , Mrs. Britt , Mr. Scott of Florida , Mr. Budd , Mr. Banks , Mr. Young , Mr. Wicker , and Mr. Hawley ) introduced the following bill; which was read twice and referred to the Committee on Finance A BILLTo amend title XVIII of the Social Security Act to prohibit approved medical residency training programs under the Medicare program from requiring opt-out abortion training.1.Short titleThis Act may be cited as the Conscience Protections for Medical Residents Act .2.Prohibiting approved medical residency training programs under the Medicare program from requiring opt-out abortion trainingSection 1886(h)(5)(A) of the Social Security Act (42 U.S.C. 1395ww(h)(5)(A)) is amended by adding at the end the following new sentence:Beginning on the date of enactment of the Conscience Protections for Medical Residents Act , such term does not include any such residency or other postgraduate medical training program that provides training in the performance of, or assisting in the performance of, induced abortions, or in counseling or referrals for such abortions, if such program—(i)provides or requires such training for any participant in such program without the participant first voluntarily electing to opt-in to undergo such training; or(ii)subjects any participant in such program to discrimination on the basis that the participant does not—(I)voluntarily elect to opt-in to undergo such training; or(II)perform, assist in the performance of, or provide counseling or referrals for, such abortions..
Tracker
The tracker indicates the progress of this legislation as it moves through the legislative process.
- Introduced2025-11-20
- Passed Senate
- Passed House
- Conference
- To President
- Became Law
A bill to amend title XVIII of the Social Security Act to prohibit approved medical residency training programs under the Medicare program from requiring opt-out abortion training.
Sponsors
Sen. James Lankford (R) sponsors S. 3238, and 15 members have co-sponsored it, 11 of them from the day it was introduced.

Sen. · R–OK · Sponsor
Introduced Nov 20, 2025

Sen. · R–IN · Co-sponsor
Joined Nov 20, 2025 · Original

Sen. · R–AL · Co-sponsor
Joined Nov 20, 2025 · Original

Sen. · R–NC · Co-sponsor
Joined Nov 20, 2025 · Original

Sen. · R–LA · Co-sponsor
Joined Nov 20, 2025 · Original

Sen. · R–TX · Co-sponsor
Joined Nov 20, 2025 · Original

Sen. · R–MT · Co-sponsor
Joined Nov 20, 2025 · Original

Sen. · R–MO · Co-sponsor
Joined Nov 20, 2025 · Original

Sen. · R–WY · Co-sponsor
Joined Nov 20, 2025 · Original

Sen. · R–FL · Co-sponsor
Joined Nov 20, 2025 · Original
Committees
S. 3238 went before 1 committee: Finance.
Actions
S. 3238 has taken 2 actions since Nov 20, 2025.
| Chamber | Action | |||
|---|---|---|---|---|
Nov 20, 2025 | Senate | Read twice and referred to the Committee on Finance.Finance Committee | ||
Nov 20, 2025 | — | Introduced in Senate |
Votes
S. 3238 has not gone to a roll call.
Related bills
1 bill is related to S. 3238, as Identical bill.
Titles
S. 3238 goes by 3 titles, 1 of them short titles.
- Conscience Protections for Medical Residents Act — Display Title
- Conscience Protections for Medical Residents Act — Short Title(s) as Introduced
- A bill to amend title XVIII of the Social Security Act to prohibit approved medical residency training programs under the Medicare program from requiring opt-out abortion training. — Official Title as Introduced
Lobbying
1 client hired 1 firm and 1 registered lobbyist who named S. 3238 in 2 quarterly filings, 2025. Reported under the Lobbying Disclosure Act; a filing’s income covers everything its registrant worked that quarter, so the amounts below are the filings’, not this bill’s.
Filed under Banking, Civil Rights/Civil Liberties, Defense, Family issues/Abortion/Adoption, Foreign Relations.
Clients
Who paid to be heard, by how many filings named the bill.
| Client | Business | State | Firms | Filings | Reported |
|---|---|---|---|---|---|
| ALLIANCE DEFENDING FREEDOM | Religious Liberty, Life, Parental Rights, Free Speech | Virginia | 1 | 2 | — |
Firms
Registrants who filed on the bill, by filings.
| Registrant | Clients | Filings | Reported |
|---|---|---|---|
| ALLIANCE DEFENDING FREEDOM | 1 | 2 | — |
Lobbyists
Named on the filings that cite the bill.
| Lobbyist | Firms | Clients | Filings |
|---|---|---|---|
| KATIE DOHERTY | 1 | 1 | 2 |
Filings
The documents themselves, on the Senate’s Lobbying Disclosure site, largest reported first.
| Client | Registrant | Period | Reported | Document |
|---|---|---|---|---|
| ALLIANCE DEFENDING FREEDOM | ALLIANCE DEFENDING FREEDOM | 2025 fourth_quarter | $20K | 4th Quarter - Report |
| ALLIANCE DEFENDING FREEDOM | ALLIANCE DEFENDING FREEDOM | 2025 fourth_quarter | $20K | 4th Quarter - Report |
Classification
The Congressional Research Service files S. 3238 under Health, one of its 31 policy areas.
CRS Subjects
CRS assigns every bill one policy area from its 31; S. 3238’s is Health.
s3238/policy-areas.txtSource: congress.gov · legiscan.com
