Reporting Accountability and Abuse Prevention Act of 2026

Increased Safety and Prevention: Grant recipients would be required to implement a plan that includes training on "appropriate interventions, strategies, and referrals to improve the safety and current situation of the patient" (Section 2(b)(1)(B)(ii)).

Protection of Minors: The bill requires protocols to ensure every minor presenting for treatment receives "counseling on how to resist attempts to coerce the minor into engaging in sexual activities" (Section 2(b)(1)(C)).

Early Detection of Abuse: Recipients must commit to conducting a "preliminary screening of any minor who presents with a sexually transmitted disease, pregnancy, or any suspicion of abuse" to rule out victimization (Section 2(b)(1)(D)).

Compliance with Local Laws: The bill ensures that grant recipients comply with all "applicable State and local laws requiring notification or reporting of child abuse, child molestation, sexual abuse, rape, incest, intimate partner violence, or human trafficking" (Section 2(a)).

Financial Risk for Grant Recipients: If a grantee commits a subsequent violation of the requirements, the Secretary may "seek repayment of all monetary Federal assistance received by the grantee under this title on or after the date of enactment" (Section 2(d)(2)(A)).

Loss of Future Funding: For subsequent violations, the Secretary can choose "not award or provide any assistance under this title to the grantee for a period of at least 36 months" (Section 2(d)(2)(B)).

Increased Administrative Burden: Recipients must maintain specific records that "indicate the age of minor patients" and "indicate the age of the minor patient's sexual partners if such age is an element of a State notification law" (Section 2(b)(2)(A-C)).

Increased Oversight: Recipients must agree to allow the Secretary, the Inspector General of the Department of Health and Human Services, and the Comptroller General of the United States to "review the records maintained by the grant recipient" (Section 2(c)).