> At a Glance
> – President Trump told House Republicans to be “flexible” on the Hyde Amendment
> – The 50-year-old policy bars federal money from funding abortion services
> – Conservatives immediately pushed back, warning of election losses
> – Why it matters: The move could reshape how health-care subsidies are negotiated and affect millions facing premium hikes
President Trump opened the mid-term election year by asking Republicans to reconsider a half-century-old budget rule that blocks federal dollars from covering abortion services, sparking instant backlash from social conservatives and lawmakers in his own party.
The President’s Pitch
Speaking at a party retreat, Trump urged lawmakers to show “ingenuity” and soften their stance on the Hyde Amendment so a new health-care deal can pass. The amendment, first introduced in 1976, prohibits Medicaid and other federal programs from paying for abortions except when the woman’s life is in danger or the pregnancy results from rape or incest.
The president, who once supported abortion rights before entering politics, framed flexibility as the key to replacing expired ACA premium subsidies that have left millions of policy-holders facing steep increases since December 31, 2025.
Capitol Hill Reaction

- House Republicans offered no visible support from the caucus room.
- Senate Republicans, led by Majority Leader John Thune, insisted any bill must keep the Hyde protections intact.
- Anti-abortion groups warned that retreating would demoralize the GOP base ahead of November.
Marjorie Dannenfelser of Susan B. Anthony Pro-Life America stated:
> “To suggest Republicans should be ‘flexible’ is an abandonment of this decades-long commitment. The voters sent a GOP trifecta to Washington and they expect it to govern like one.”
What’s on the Table
| Current Status | Trump Proposal | Conservative Demand |
|---|---|---|
| Hyde Amendment bans federal abortion funding | Allow flexibility to secure deal | Maintain absolute ban |
| ACA subsidies expired Dec 31, 2025 | Direct payments to people, not insurers | Keep Hyde language in any bill |
Gavin Oxley of Americans United for Life wrote in The Hill this week:
> “Republicans must hold the line: No Hyde Amendment, no deal on health care.”
Key Takeaways
- Trump is asking the GOP to trade a core anti-abortion stance for a health-care win
- Conservative activists say compromise would guarantee mid-term losses
- Democrats are already pushing to end Hyde restrictions in subsidy talks
- Senate Republicans show no signs of yielding on the 50-year-old policy
The president’s gamble highlights the tightrope Republicans face as they try to lower health-care costs without fracturing their coalition before November’s elections.

