,,iv #aac? ,,congress #a/ ,session ,h4 ,,res4 #id ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,febru>y #bh1 #bjac ,ms4 ,s*ak[sky submitt$ ! foll[+ resolution2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce1 & 9 addition to ! ,committees on ,education & ! ,work=ce & ,ways & ,means1 = a p]iod to be subsequ5tly det]m9$ by ! ,speak]1 9 ea* case = consid]ation ( su* provisions z fall )9 ! jurisdiction ( ! committee conc]n$ ,,resolution ,express+ ! s5se ( ! ,h\se ( ,repres5tatives reg>d+ wom5's heal? & economic security4 ,:]eas improv+ ! heal? & well-be+ ( wom5 is a /at$ goal ( ,heal?y ,p #bjbj1 ! compreh5sive1 nationwide heal? promotion & disease prev5tion ag5da laun*$ by ! ,unit$ ,/ates ,dep>tm5t ( ,heal? & ,human ,s]vices2 ,:]eas old] wom5 & wom5 ) disabilities rely on ,m$ic>e & l[-income wom5 rely on ,m$icaid = af=dable1 quality heal? c>e2 ,:]eas access to compreh5sive reproductive heal? c>e is critical to improv+ ! heal? & well-be+ ( wom52 ,:]eas un9sur$ wom5 are #c times less likely to h _h a ,pap te/ 9 ! la/ #c ye>s1 ) a #fj p]c5t great] risk ( late-/age c]vical canc] diagnosis2 ,:]eas #ej p]c5t ( un9sur$ wom5 d n h a regul> doctor comp>$ to #aa p]c5t ( insur$ wom52 ,:]eas significant racial & e?nic disp>ities exi/ 9 wom5's heal?1 p>ticul>ly 9 mat]nal mortality1 infant mortality1 & incid5ce ( premature or l[ bir? weight bir?s2 ,:]eas lesbian1 gay1 bisexual1 & transg5d] 7,,lgbt7 wom5 h unique heal? c>e ne$s & confront a unique set ( disp>ities 9 ! curr5t heal? c>e sy/em2 ,:]eas pregnant wom5 are (t5 exclud$ f rese>* /udies violat+ ! e?ical pr9ciple ( ju/ice2 ,:]eas f$]ally fund$ rese>* is a critical compon5t to und]/&+ heal? conditions 9 wom5 across ! life span1 & has l$ to _m sci5tific break?r\ghs t h be5 become cl9ical /&>ds ( c>e2 ,:]eas ab\t half ( pregnancies are un9t5d$1 ?\gh prev5t+ un9t5d$ pregnancies b5efits *ild heal?1 mat]nal heal?1 & ! heal? & well-be+ ( families & society z a :ole2 ,:]eas !re are cont9u$ ef=ts to defund or elim9ate family plann+ programs1 ev5 ?\gh !y are prov5 to r$uce un9t5d$ pregnancies & r$uce ! ne$ = abortions2 ,:]eas ! ,m$icaid program cov]s #ga p]c5t ( publicly fund$ family plann+ s]vices & ov] #dj p]c5t ( all ,unit$ ,/ates bir?s & ! ,title ,x ,family ,plann+ program s]ves ov] #e1jjj1jjj l[-income m5 & wom5 a ye> :o (t5 d n h insurance or qualify = ,m$icaid2 ,:]eas !re h be5 num]\s attempts1 bo? legal & legislative1 to all[ insurance companies & employ]s ) p]sonal religi\s or moral objections to d5y wom5 ! ,af=dable ,c>e ,act prev5tive s]vices b5efit requir+ cov]age = all ,,fda approv$ contraceptive me?ods1 despite ! fact t su* s]vices are bas$ on a f\ndation ( sci5tific1 m$ical evid5ce support+ ! effectiv5ess ( prev5tive s]vices2 ,:]eas ov]-!-c\nt] em]g5cy contraception is n available to all wom51 ev5 ?\gh ! ,am]ican ,college ( ,ob/etricians & ,gynecologi/s & ! ,am]ican ,academy ( ,p$iatrics recomm5d increas$ access to em]g5cy contraception1 )\t an age re/riction1 z a back-up bir? control option1 z rese>* %[s x prev5ts un9t5d$ pregnancies & r$uces ! ne$ = abortion2 ,:]eas a lack ( adequate pr5atal c>e increases ! risks ( hav+ l[ bir?-weight or pret]m babies1 neonatal mortality1 infant mortality1 & mat]nal mortality2 ,:]eas pret]m bir?s alone co/s ! ,unit$ ,/ates heal? c>e sy/em #bf1jjj1jjj1jjj annually2 ,:]eas _m wom5 lack access to compreh5sive1 af=dable insurance cov]age1 ev5 ?\gh all wom5 %\ld h ?is = all pregnancy-relat$ c>e1 includ+ pr5atal c>e1 misc>riage managem5t1 family plann+ s]vices1 abortion1 labor & deliv]y s]vices1 & po/natal c>e2 ,:]eas 9 #bjab1 ,/ate legislatures pass$ #dc laws 9 #ai ,/ates to re/rict access to abortion1 ! second-highe/ numb] ( su* measures pass$ 9 a s+le ye>2 ,:]eas ef=ts h be5 made to ban ,graduate ,m$ical ,education fund+ f go+ t[>ds abortion tra9+1 ev5 ?\gh ! ,accr$itation ,c\ncil = ,graduate ,m$ical ,education 7,,acgme7 /&>ds /ipulate t programs 9 ob/etrics & gynecology mu/ h an e/abli%$ curriculum = family plann+ & manag+ complications ( abortions1 & mu/ provide ! opportunity = direct proc$ural tra9+ 9 abortions = ^? resid5ts :o desire x2 ,:]eas legislators h attempt$ to inappropriately int]f]e ) ! pati5t-physician relation%ip1 (t5 to satisfy political ag5das )\t reg>d to e/abli%$1 evid5ce-bas$ guidel9es = c>e2 ,:]eas ?is type ( int]f]5ce c inhibit op5 & hone/ communication betwe5 pati5ts & provid]s & also jeop>dize pati5t safety2 ,:]eas exposure to environm5tal toxicants has ! pot5tial to impact ! heal? ( wom51 & ! heal? ( future g5]ations2 ,:]eas intimate p>tn] viol5ce affects #a1ejj1jjj wom5 ea* ye> & #cbd1jjj pregnant wom5 ea* ye>2 ! direct effects c include misc>riage & fetal injury or dea?1 & ! indirect effects c include delay$ pr5atal c>e1 smok+1 & drug & alcohol abuse2 ,:]eas !re is a kn[n l9k betwe5 intimate p>tn] viol5ce & reproductive co]cion1 :i* occurs :5ev] a p>tn] tries to /op a woman f mak+ h] own decisions ab\t pregnancy1 su* z int]f]+ ) contraception use1 =c+ sex1 or pressur+ h] to cont9ue or end a pregnancy2 ,:]eas a woman mu/ be support$ n only 9 ! decision to c>ry a pregnancy to t]m1 b be emp[]$ to navigate ! complexities ( p>5?ood includ+ ! role z prim>y1 & 9 "s cases ! sole breadw9n]1 active c>egiv]1 employee try+ to fulfill _! job responsibilities1 & prim>y heal? c>e decision mak] )9 ! family2 ,:]eas #hj p]c5t ( all c>egiv]s are wom51 & approximately half ( ^? wom5 provide c>e & support = bo? *ildr5 "u ! age ( #ah & an old] relative1 & make heal? c>e decisions = at lea/ "o o!r p]son 9 ! h\sehold besides !mselves2 ,:]eas wom5 are n[ ! sole breadw9n]s or co-breadw9n]s 9 ! majority ( ,unit$ ,/ates h\seholds2 ,:]eas ! lack ( pay equity =ces wom5 to *oose betwe5 necessities = _! family1 l food1 %elt]1 & clo?+1 & critical heal? c>e ne$s = family memb]s 9 ! home2 ,:]eas #dc p]c5t ( work+ wom5 lack ! workplace flexibility or h family fri5dly workplace policies t ensure t !y c provide = _! family dur+ m$ical em]g5cies1 effectively use ! prev5tative heal? c>e s]vices available to !m & _! dep5d5ts1 & /ay 9 ! work=ce z long z necess>y to provide f9ancial /ability = _! family2 ,:]eas less ?an half ( work+ wom5 h access to any paid p>5tal leave1 :ile paid leave aft] ! bir? ( a *ild leads to bett] heal? outcomes1 high] rates ( brea/fe$+ & = long] duration1 & bett] mat]nal employm5t outcomes & high] wages2 ,:]eas m ?an #dj p]c5t ( work+ wom5 d n h a s+le e>n$ sick day to c>e = !mselves or _! family2 ,:]eas ! ,pregnancy ,discrim9ation ,act prev5ts discrim9ation ( pregnant wom5 9 ! workplace1 yet _m wom5 /ill face pregnancy discrim9ation1 su* z be+ d5i$ reque/s = reasonable workplace accommodations to cont9ue work+ :ile pregnant2 & ,:]eas wom5 rely on ,social ,security = a l>g] %>e ( _! retirem5t income includ+ #bc p]c5t ( old] wom5 :o rely on ,social ,security = #ajj p]c5t ( _! income3 ,n[1 !re=e1 be x ,t ! ,h\se ( ,repres5tatives supports ef=ts to-- 7#a7 make improv+ wom5's heal? a priority 9 ! #aac? ,congress2 7#b7 ensure t all wom5 h access to ! be/ available1 sci5tifically bas$ heal? c>e2 7#c7 ensure t wom5 h access to safe *ildbe>+1 ) res\rces available to r$uce mat]nal & infant morbidity & mortality2 7#d7 ensure t wom5 h ! autonomy to decide :e!r to h *ildr51 ! numb] & spac+ ( _! *ildr51 & to h m$ically accurate in=mation1 education1 & access to heal? s]vices to make ^! decisions2 7#e7 ensure t wom5 h access to af=dable insurance cov]age = all ( _! pregnancy-relat$ heal? c>e ne$s1 includ+ contraception & abortion1 z well z = _! g5]al heal? c>e ne$s includ+ cov]age ?r\gh ,m$ic>e1 ,m$icaid1 & ! ,af=dable ,c>e ,act2 7#f7 "w to end g5d] discrim9ation & improve ! heal? ( wom5 by implem5t+ ! ,af=dable ,c>e ,act2 7#g7 ensure t wom5 h autonom\s decisionmak+1 in=m$ cons5t1 privacy1 & confid5tiality reg>d+ _! heal? c>e2 7#h7 "w to end heal? disp>ities = wom51 includ+ ) reg>d to e?nicity1 race1 g5d]1 & sexual ori5tation2 7#i7 ensure t wom5 are able to p>ticipate equally 9 e?ically conduct$ cl9ical rese>*2 7#aj7 "w to end g5d]-bas$ viol5ce1 :i* disproportionately affects wom51 includ+ transg5d] wom52 7#aa7 ensure p>5ts h & c use e>n$ sick days to c>e = "o's self or "o's family1 h paid leave to prep>e = & recov] f pregnancy & *ildbir? & to c>e = _! *ildr5 or a lov$ "o1 & may receive a social security cr$it if !y are =c$ to leave ! work=ce to c>e = a *ild or a lov$ "o2 7#ab7 elim9ate discrim9ation & promote wom5's heal? & economic security by ensur+ reasonable workplace accommodations = work]s ^: ability to p]=m ! functions ( a job are limit$ by pregnancy1 *ildbir?1 or a relat$ m$ical condition2 7#ac7 ensure t wom5 receive equal pay = equal "w2 & 7#ad7 ensure t old] wom5 h ! res\rces ne$$ to gu>antee _! f9ancial & economic security z !y age4