For over 55 years, Reproductive Freedom for All (formerly NARAL Pro-Choice America) has fought to protect and advance reproductive freedom at the federal and state levels—including access to abortion care, birth control, paid family leave, and protections from pregnancy discrimination—for everybody.

Reproductive Freedom for All is powered by its more than 4.5 million members from every state and congressional district in the country, representing the 8 in 10 Americans who support legal abortion.

WHAT WE BELIEVE

Reproductive Freedom for All centers diversity, equity, inclusion, and justice in our organization and our work. Continuously learning from our history, and working in collaboration and with transparency, we strive to hold ourselves accountable so we can realize our vision for a world where reproductive freedom is a reality for everybody.

Congressional Record on Reproductive Freedom 119th Congress, 1st Session

“This scorecard reflects relentless Republican-led attacks on abortion, reproductive freedom, and our democracy itself.”

Reproductive Freedom for All’s 2025 Congressional Record on Reproductive Freedom tracks key House and Senate votes related to reproductive freedom during the first session of the 119th Congress.

For over 55 years, our organization and members have helped lead the charge to protect and advance reproductive freedom through grassroots organizing, electoral change, and political advocacy at both the state and national levels.

This scorecard reflects how members of Congress used their power during a pivotal year—the first of the second Trump Administration—defined by relentless Republican-led attacks on abortion, reproductive freedom, and our democracy itself.

The Republican Trifecta’s Agenda to Attack Reproductive Freedom and Democracy

With policies rooted in Project 2025, Trump and the Republican trifecta are pursuing the most radical anti-abortion, anti-democracy agenda in modern history.

A 900-page extremist agenda, Project 2025 lays out the coordinated strategy to dismantle democratic institutions, strip away fundamental rights, and roll back reproductive freedom—and it’s already well underway.

After spending the 2024 campaign disavowing and distancing themselves from Project 2025, Trump and his Republican allies moved swiftly to operationalize it, implementing more than half of its proposals in less than a year.

Nearly 58% of Project 2025 proposals targeting reproductive freedom have already been implemented or are in process.

Given this rapid pace, the harm will only accelerate over the next three years.

Federal Agencies Weaponized Against Reproductive Health Care

A key component of this strategy involves replacing career civil servants with political loyalists and weaponizing federal agencies against the very people they are meant to serve.

Immediately following the election, Trump nominated individuals with extensive anti-abortion records to his cabinet and key roles in the administration, including Pam Bondi as U.S. Attorney General, Russell Vought as Director of the White House Office of Management and Budget, Robert Kennedy Jr. as Secretary of Health and Human Services, Martin Makary as Commissioner of the Food and Drug Administration, and Mehmet Oz as Administrator of the Centers for Medicare and Medicaid Services.

Under their leadership, federal agencies moved swiftly to attack reproductive freedom.

The administration’s first abuses included rolling back enforcement of the Freedom of Access to Clinic Entrances (FACE) Act, emboldening perpetrators of anti-abortion violence and harassment. Trump has pardoned individuals convicted of FACE Act violations, while Republicans in Congress have attempted to repeal the law altogether and even misuse it against reproductive rights advocates. These actions have fueled a surge in anti-abortion extremism, including threats to providers and coordinated attacks on clinics.

Furthermore, the Department of Veterans Affairs reversed its policy allowing VA facilities to provide abortion care in cases of rape, incest, or when the patient’s health is at risk—sacrificing veterans’ health by stripping care from those who served our country.

The administration froze Title X family planning funding, threatening the nationwide network of clinics that provide affordable contraception, cancer screenings, and other essential health care to millions of patients.

It has gutted enforcement of EMTALA—the federal law requiring hospitals to provide emergency medical care, including abortion care—endangering patients’ lives and inflicting chaos and confusion for providers in moments of crisis.

Together, these actions reflect a deliberate and escalating effort to dismantle reproductive freedom through executive power.

Medication Abortion in the Crosshairs

Mifepristone remains a central target of the anti-abortion movement because medication abortion now accounts for approximately 63% of all abortion care in the country.

Ignoring decades of peer-reviewed scientific evidence confirming mifepristone’s safety, HHS Secretary Robert F. Kennedy Jr. and FDA Commissioner Martin Makary launched a politically motivated review of the medication under pressure from anti-abortion extremists.

Trump-appointed lower-court allies have kept alive multiple legal challenges to the FDA’s approval of mifepristone, stoking uncertainty for providers and patients, as access to the safe and effective medication remains in peril.

Congressional Republicans have reinforced these efforts by introducing legislation attempting to force the FDA to withdraw mifepristone’s approval entirely.

Attacks on reproductive freedom are only one part of the Project 2025 playbook.

The Trump administration has escalated fear and hostility nationwide by rescinding protections and advancing harmful policies that target LGBTQIA+ and immigrant communities—stoking fear and hatred and making it harder for many to access health care, including reproductive health care.

At the same time, Trump and his allies have intensified attacks on democracy itself.

Through litigation like Louisiana v. Callais—the Supreme Court case that gutted the Voting Rights Act—they are working to disenfranchise voters of color and other historically marginalized communities.

In further attempts to rig the system, they have pressured key states to redraw congressional maps to tilt the scales for Republicans in the 2026 elections and moved to politicize the Department of Justice, defund watchdog agencies, and weaken checks on executive power.

And with the support of Senate allies, the Trump administration has installed numerous extremist judges to the federal judiciary who will prioritize loyalty to Trump over the rule of law and critical checks and balances.

The Courts and Congress as Battlegrounds for Reproductive Freedom

In 2025 the Supreme Court decisions heavily underscore how access to health care now hinges on the judiciary.

In Medina v. Planned Parenthood South Atlantic, the Court allowed South Carolina to remove Planned Parenthood from its Medicaid program—stripping essential health care from more than a million patients and paving the way for other states to follow suit.

In Kennedy v. Braidwood, the Court narrowly preserved the preventive care coverage under the Affordable Care Act (ACA), in a baseless challenge that could have gutted coverage for cancer screenings, HIV prevention, and ultimately contraception.

These cases reveal that control of the courts increasingly determines the fate of our rights. Protecting reproductive freedom and health care access demands not just nominating fair-minded judges, but a commitment to democracy and meaningful court reform.

As the courts reshape the legal landscape, Congress has further eroded reproductive health care access and funding.

During the summer, congressional Republicans passed H.R. 1, Trump’s so-called “Big Beautiful Bill,” which slashed Medicaid, “defunded” Planned Parenthood, and pushed essential reproductive health care further out of reach.

Then, they triggered a historic 43-day government shutdown by refusing to support a clean extension of the expiring ACA enhanced premium tax credits that 22 million people relied on to afford their insurance coverage.

Instead, Republicans let millions lose coverage, offering sham proposals that failed to extend the credits, raised health care costs, and attempted to expand abortion restrictions beyond those already embedded in the ACA.

Despite the ACA’s popularity and its proven success in reducing the uninsured rate nationwide, Republicans continue their crusade against the law—using abortion as a scapegoat.

Defending Reproductive Freedom, Defending Democracy

In November 2025, voters delivered a clear rebuke to anti-abortion extremism.

Every Reproductive Freedom for All-endorsed candidate won, and voters secured critical victories for abortion rights and democracy up and down the ballot in races across the country—including for governor in Virginia and New Jersey, Pennsylvania’s state supreme court, and California’s Proposition 50 ballot initiative, a significant win for redistricting reform.

Exit polls in Virginia, New Jersey, and Pennsylvania confirmed that abortion was highly influential in voters’ decision-making, and candidates who centered reproductive freedom won decisively.

The contrast is unmistakable: Voters across the country show up to protect reproductive freedom while the Trump administration and its allies escalate their attacks despite clear and consistent public opposition.

Because they can’t win on the merits of an anti-abortion agenda that Americans repeatedly reject, they are imposing it by weaponizing federal agencies and courts, tilting the scales against fair elections, and overriding the will of the people.

The White House and Congress are advancing an anti-freedom, anti-democracy blueprint. Lifetime judicial appointments are entrenching it for years to come—the threat to our fundamental rights is existential, and the fight is far from over.

Unified opposition and accountability in Congress remain essential, protecting reproductive freedom and our democracy in 2026 and beyond.

Congressional Record on Reproductive Freedom 119th Congress, 1st Session