1. Short title This Act may be cited as the Supporting Healthy Pregnancy Act of 2023 . 2. Requiring biological fathers to pay child support for medical expenses incurred during pregnancy and delivery (a) In general Section 454 of the Social Security Act ( 42 U.S.C. 654 ) is amended— (1) in paragraph (33), by striking and after the semicolon; (2) in paragraph (34), by striking the period and inserting ; and ; (3) by inserting after paragraph (34), the following: (35) provide that the State shall establish and enforce a child support obligation of the biological father of a child to pay for not less than 50 percent of the reasonable out-of-pocket medical expenses (including health insurance premiums or similar charge, deductions, cost sharing or similar charges, and any other related out-of-pocket expenses) the mother of the child is responsible for that are incurred during, and associated with, the pregnancy and delivery of the child, provided that the mother requests the payment of such support. . (b) Rule of construction (1) In general Nothing in paragraph (35) of section 454 of the Social Security Act ( 42 U.S.C. 654 ), as added by subsection (a), shall be construed to imply that an expense associated with an abortion is a medical expense. (2) Abortion defined For purposes of this subsection, the term abortion means the use or prescription of any instrument, medicine, drug, or other substance or device to intentionally— (A) kill the unborn child of a woman known to be pregnant; or (B) prematurely terminate the pregnancy of a woman known to be pregnant, with an intention other than to— (i) increase the probability of a live birth or of preserving the life or health of the child after live birth