House Republicans are preparing to push through restrictions on federal financing of abortions far more extreme than previously proposed at the federal level. Lawmakers who otherwise rail against big government have made it one of their highest priorities to take the decision about a legal medical procedure out of the hands of individuals and turn it over to the government.

Their primary bill the “No Taxpayer Funding for Abortion Act”  is so broad that it could block insurance coverage for abortions for countless American women.

The anti-abortion forces almost derailed health care reform last year over whether people could buy policies that cover abortion on new insurance exchanges. The compromise embedded in the reform law sets up a hugely complicated plan to segregate an individual’s premium payments from the government subsidies. It is so burdensome that it seems likely to discourage insurers from offering any abortion coverage at all on the exchanges.

But anti-abortion lawmakers are not satisfied. The new bill, introduced by Christopher Smith, a New Jersey Republican, would bar outright the use of federal subsidies to buy any insurance that covers abortion well beyond the new exchanges.