Summary

Summary

The Trump administration released the first Unified Agenda of his second administration, a mandatory semi-annual government-wide publication that outlines the administration’s regulatory priorities by previewing upcoming federal rulemaking actions. The Spring 2025 Unified Agenda, released on September 4, proposes numerous regulations that are concerning for reproductive health and rights, laying the groundwork for continued attacks. 

Threats to Rights

Threats to Rights

The most notable threats include: 

• A proposed rule from the Office of the Assistant Secretary for Health (OASH) at HHS on Title X, the only federal program solely dedicated to family planning and related health services for low-income communities.
  • Although the full text of the proposed rule has not yet been published, the first Trump administration released a Title X rule in 2019 that among other things, required strict physical and financial separation of Title X services from abortion services and prohibited Title X funding recipients from referring patients for abortion care. President Trump’s 2019 Title X rule pushed out nearly half of all providers from the program, including the Center’s client Maine Family Planning. 
• A proposed rule from the Office for Civil Rights (OCR) at HHS on “conscience and religious exercise” in health care.
  • Although the full text of the proposed rule has not yet been published, the first Trump administration released a seemingly similar rule that, among other things, removed protections for reproductive health care and gave OCR broad authority to find “conscience” violations. 

Additional Concerns

Additional Concerns

Other proposed rules in the Agenda with implications for health care access and bodily autonomy, like those affecting the Medicaid program and gender-affirming care, are also notable. While these proposals have estimated timelines, especially given the current government shutdown, these timelines provide little insight into publication; the Center is monitoring their release closely.