Green is pro-choice, and consistently votes against restrictions on abortion. On October 13, 2011, he voted against an amendment to the Affordable Care Act, which prevented insurance programs created by the Act from covering abortions. He has voted against eight other bills proposed in the House that would if enacted prevent the federal government from covering the cost of abortions. He has received a 100% ratings from Planned Parenthood and NARAL Pro-Choice America, while receiving a 0% rating from the National Right to Life Committee.