This bill amends the Social Security Act to establish new requirements for medical residency training programs approved under the Medicare program. Specifically, it prohibits these programs from providing or requiring training in the performance of, assisting in, or counseling or referring for induced abortions, unless the participant voluntarily elects to opt-in to such training. Furthermore, the legislation ensures that no participant in these programs can be subjected to discrimination if they do not voluntarily opt-in to abortion training or if they choose not to perform, assist in, or provide counseling or referrals for abortions. This measure aims to provide conscience protections for medical residents by making participation in abortion-related training and activities strictly optional.