,,ii  #aac? ,,congress  #b;d ,session   
,s4 #bfhg  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,july #cj1 #bjad ,mrs4 
,%ahe5 7= h]self1 ,mr4 ,reid1 ,mrs4     
,murray1 ,mr4 ,br[n1 ,mrs4 ,gillibr&1   
,mrs4 ,box]1 ,mr4 ,durb91 ,ms4 ,baldw91 
,mr4 ,blum5?al1 ,ms4 ,/ab5[1 ,mrs4      
,fe9/e91 ,ms4 ,hirono1 ,mr4 ,frank51    
,mr4 ,s*atz1 ,mr4 ,te/]1 ,mr4 ,wyd51    
,ms4 ,w>r51 & ,mr4 ,begi*7 introduc$ !  
foll[+ bill2 :i* 0 read twice & ref]r$  
to ! ,committee on ,arm$ ,s]vices  ,a   
,,bill  ,to am5d title #aj1 ,unit$      
,/ates ,code1 to ensure t wom5 memb]s ( 
! ,arm$ ,=ces & _! families h access to 
! contraception !y ne$ 9 ord] to promote
 ! heal? & read9ess ( all memb]s ( !    
,arm$ ,=ces1 & = o!r purposes4  #a4     
,%ort title ,?is ,act may be cit$ z !   
,access to ,contraception = ,wom5       
,s]vicememb]s & ,dep5d5ts ,act ( #bjad4 
#b4 ,f9d+s ,congress makes ! foll[+     
f9d+s3 7#a7 ,wom5 are s]v+ 9 ! ,arm$    
,=ces at increas+ rates1 play+ a        
critical role 9 ! national security ( ! 

,unit$ ,/ates4 ,m ?an #cej1jjj wom5 s]ve
 on active duty 9 ! ,arm$ ,=ces or 9 !  
,select$ ,res]ve4  7#b7 ,ne>ly          
#aj1jjj1jjj memb]s ( ! ,arm$ ,=ces      
7includ+ memb]s ( ! ,national ,gu>d &   
,res]ves71 milit>y retirees1 _!         
families1 _! survivors1 & c]ta9 =m]     
sp\ses1 includ+ ne>ly #e1jjj1jjj female 
b5efici>ies1 are eligible = heal? c>e   
?r\gh ! ,dep>tm5t ( ,def5se4  7#c7      
,contraception is critical = wom5's     
heal? & is highly effective at r$uc+    
un9t5d$ pregnancy4 ,! ,c5t]s = ,disease 
,control & ,prev5tion describe          
contraception z "o ( ! #aj greate/      
public heal? a*ievem5ts ( ! tw5tie?     
c5tury4  7#d7 ,contraception has play$ a
 direct role 9 ! great] p>ticipation (  
wom5 9 education & employm5t4 ,increas$ 
wages & increas$ control ov]            
reproductive decisions provide wom5 )   
educational & pr(essional opportunities 
t h increas$ g5d] equality ov] ! decades
 s9ce contraception 0 introduc$4  7#e7  
,/udies h %[n t :5 co/ b>ri]s to ! full 

range ( me?ods ( contraception are      
elim9at$1 & wom5 receive compreh5sive   
c\nsel+ on ! v>i\s me?ods (             
contraception 7includ+ highly effective 
,long-,act+ ,rev]sible ,contraceptives  
7,l,a,r,cs771 rates ( un9t5d$ pregnancy 
decl9e dramatically4  7#f7 ,rese>* has  
also %[n t inve/m5ts 9 effective        
contraception save public & private     
doll>s4  7#g7 ,! #bjaa recomm5dations ( 
! ,in/itute ( ,m$ic9e on wom5's         
prev5tive heal? s]vices include         
recomm5dations t heal? insurance plans  
cov] all me?ods ( contraception approv$ 
by ! ,food & ,drug ,adm9i/ration1       
/]ilization proc$ures1 & pati5t         
education & c\nsel+ = all wom5 )        
reproductive capacity )\t any co/-%>+   
requirem5ts4  7#h7 ,! recomm5dations    
describ$ 9 p>agraph 7#g7 are reflect$ 9 
provisions ( ! ,pati5t ,protection &    
,af=dable ,c>e ,act 7,public ,law       
#aaa-adh71 & ?us gr\p & individual heal?
 insurance plans mu/ provide su*        
cov]age4 ,! recomm5dations h also be5   

adopt$ by ! ,(fice ( ,p]sonnel          
,managem5t1 & ?us all heal? insurance   
plans t are "p ( ! ,f$]al ,employees    
,heal? ,b5efits ,program mu/ provide su*
 cov]age4  7#i7 ,"u ! ,,tric>e program1 
s]vicewom5 on active duty h full cov]age
 ( all prescription drugs1 includ+      
contraception1 )\t co/-%>+ requirem5ts4 
,h[ev]1 s]vicewom5 n on active duty1 &  
female dep5d5ts ( memb]s ( ! ,arm$      
,=ces1 :o receive heal? c>e ?r\gh !     
,,tric>e program d n h simil> cov]age ( 
all prescription me?ods ( contraception 
approv$ by ! ,food & ,drug ,adm9i/ration
 )\t co/-%>+4  7#aj7 ,/udies indicate t 
s]vicewom5 ne$ compreh5sive c\nsel+ =   
pregnancy prev5tion1 p>ticul>ly 9 _!    
pr$eploym5t prep>ations1 & ! lack !re(  
is contribut+ to un9t5d$ pregnancies    
among s]vicewom54  7#aa7 ,an analysis by
 ,ibis ,reproductive ,heal? ( ! #bjjh   
,survey ( ,heal? ,relat$ ,behaviors     
among ,active ,duty ,milit>y ,p]sonnel  
f\nd a high un9t5d$ pregnancy rate among
 s]vicewom54 ,adju/+ = ! diff]5ce betwe5

 age di/ribution 9 ! ,arm$ ,=ces & !    
g5]al population1 ! rate ( un9t5d$      
pregnancy among s]vicewom5 is high] ?an 
= ! g5]al population4  7#ab7 ,) !       
integrat$ use ( electronic m$ical       
records ?r\gh\t ! ,dep>tm5t ( ,def5se1 !
 te*nological infra/ructure exi/s to    
develop cl9ical decision support tools4 
,^! tools1 :i* are incorporat$ into !   
electronic m$ical record1 all[ = a      
po9t-(-c>e fe$back loop t c be us$ to   
enhance pati5t decisionmak+1 case &     
pati5t managem5t1 & c>e coord9ation4    
,b5efits ( cl9ical decision support     
tools include increas$ quality ( c>e &  
enhanc$ heal? outcomes1 improv$         
effici5cy1 & provid] & pati5t           
satisfaction4  7#ac7 ,! ,def5se         
,advisory ,committee on ,wom5 9 !       
,s]vices 7,,dac[its7 has recomm5d$ t all
 ! ,arm$ ,=ces1 to ! ext5t t !y h n     
already1 implem5t initiatives t in=m    
s]vicememb]s ( ! importance ( family    
plann+1 educate !m on me?ods (          
contraception1 & make v>i\s me?ods (    

contraception available1 bas$ on ! f9d+ 
t family plann+ c increase ! ov]all     
read9ess & quality ( life ( all memb]s (
 ! milit>y4  7#ad7 ,heal? c>e1 includ+  
family plann+ = survivors ( sexual      
assault 9 ! ,arm$ ,=ces is a critical   
issue4 ,s]vicewom5 on active duty report
 rates ( unwant$ sexual contact at      
approximately #af times ^? ( ! comp>able
 g5]al population ( wom5 9 ! ,unit$     
,/ates4 ,?r\gh regulations1 ! ,dep>tm5t 
( ,def5se already supports a policy (   
ensur+ t s]vicewom5 :o are sexually     
assault$ h access to em]g5cy            
contraception4  #c4 ,contraception      
cov]age p>ity "u ! ,,tric>e program  7a7
 ,9 g5]al ,section #ajgd;d ( title #aj1 
,unit$ ,/ates ,code1 is am5d$-- 7#a7 9  
subsection 7a71 by ins]t+ = memb]s & =m]
 memb]s aft] ,s]vices available2  7#b7  
by r$esignat+ subsection 7b7 z          
subsection 7d72 &  7#c7 by ins]t+ aft]  
subsection 7a7 ! foll[+ new subsections3
  7b7 ,c>e relat$ to prev5tion (        
pregnancy ,female cov]$ b5efici>ies %all

 be entitl$ to c>e relat$ to ! prev5tion
 ( pregnancy describ$ by subsection     
7d77#c74  7c7 ,prohibition on co/-,%>+ =
 c]ta9 s]vices ,not)/&+ section         
#ajgd;g7a77#f7 ( ?is title or any o!r   
provision ( law1 co/-%>+ may n be impos$
 or collect$ = c>e relat$ to ! prev5tion
 ( pregnancy provid$ pursuant to        
subsection 7a7 or 7b71 includ+ = any    
me?od ( contraception provid$1 :e!r     
provid$ ?r\gh a facility ( ! uni=m$     
s]vices1 ! ,,tric>e retail ph>macy      
program1 or ! national mail-ord] ph>macy
 program4  4  7b7 ,c>e relat$ to        
prev5tion ( pregnancy ,subsection       
7d77#c7 ( su* section1 z r$esignat$ by  
subsection 7a77#b7 ( ?is section1 is    
fur!r am5d$ by ins]t+ be=e ! p]iod at ! 
end ! foll[+3 7includ+ all me?ods (     
contraception approv$ by ! ,food & ,drug
 ,adm9i/ration1 /]ilization proc$ures1 &
 pati5t education & c\nsel+ 9 connection
 !re)74  7c7 ,con=m+ am5dm5t ,section   
#ajgg7;a77#ac7 ( su* title is am5d$ by  
/rik+ section #ajgd;d7b7 & ins]t+       

section #ajgd;d7d74  #d4 ,access to     
broad range ( me?ods ( contraception    
approv$ by ! ,food & ,drug ,adm9i/ration
 = memb]s ( ! ,arm$ ,=ces & milit>y     
dep5d5ts at milit>y treatm5t facilities 
7a7 ,9 g5]al ,comm5c+ n lat] ?an #ahj   
days aft] ! date ( ! enactm5t ( ?is     
,act1 ! ,secret>y ( ,def5se %all ensure 
t e milit>y treatm5t facility has a     
suffici5t /ock ( a broad range ( me?ods 
( contraception approv$ by ! ,food &    
,drug ,adm9i/ration1 z recomm5d$ by !   
,c5t]s = ,disease ,control & ,prev5tion 
& ! ,(fice ( ,population ,affairs ( !   
,dep>tm5t ( ,heal? & ,human ,s]vices1 to
 be able to disp5se at any "t any su*   
me?od ( contraception to any wom5 memb]s
 ( ! ,arm$ ,=ces & female cov]$         
b5efici>ies :o receive c>e ?r\gh su*    
facility4  7b7 ,cov]$ b5efici>y def9$ ,9
 ?is section1 ! t]m cov]$ b5efici>y has 
! mean+ giv5 t t]m 9 section #ajgb7e7 ( 
title #aj1 ,unit$ ,/ates ,code4  #e4    
,compreh5sive /&>ds & access to         
contraception c\nsel+ = memb]s ( ! ,arm$

 ,=ces  7a7 ,purpose ,! purpose ( ?is   
section is to ensure t all heal? c>e    
provid]s employ$ by ! ,dep>tm5t (       
,def5se :o provide c>e = wom5 memb]s ( !
 ,arm$ ,=ces1 includ+ g5]al             
practition]s1 are provid$1 ?r\gh cl9ical
 practice guidel9es1 ! mo/ curr5t       
evid5ce-bas$ & evid5ce-in=m$ /&>ds ( c>e
 ) respect to me?ods ( contraception &  
c\nsel+ on me?ods ( contraception4  7b7 
,cl9ical practice guidel9es  7#a7 ,9    
g5]al ,n lat] ?an "o ye> aft] ! date ( !
 enactm5t ( ?is ,act1 ! ,secret>y (     
,def5se %all compile cl9ical practice   
guidel9es = heal? c>e provid]s describ$ 
9 subsection 7a7 on /&>ds ( c>e )       
respect to me?ods ( contraception &     
c\nsel+ on me?ods ( contraception = wom5
 memb]s ( ! ,arm$ ,=ces4  7#b7 ,s\rces  
,! ,secret>y %all compile cl9ical       
practice guidel9es "u ?is subsection f  
among cl9ical practice guidel9es        
e/abli%$ by appropriate heal? ag5cies & 
pr(essional organizations1 includ+ !    
foll[+3 7,a7 ,! ,unit$ ,/ates ,prev5tive

 ,s]vices ,task ,=ce4  7,b7 ,! ,c5t]s = 
,disease ,control & ,prev5tion4  7,c7 ,!
 ,(fice ( ,population ,affairs ( !      
,dep>tm5t ( ,heal? & ,human ,s]vices4   
7,d7 ,! ,am]ican ,college (             
,ob/etricians & ,gynecologi/s4  7,e7 ,! 
,association ( ,reproductive ,heal?     
,pr(essionals4  7,f7 ,! ,am]ican        
,academy ( ,family ,physicians4  7,g7 ,!
 ,ag5cy = ,heal?c>e ,rese>* & ,quality4 
7#c7 ,updates ,! ,secret>y %all f "t to 
"t update ! li/ ( cl9ical practice      
guidel9es compil$ "u ?is subsection to  
incorporate into su* guidel9es new or   
updat$ /&>ds ( c>e ) respect to me?ods (
 contraception & c\nsel+ on me?ods (    
contraception4  7#d7 ,dissem9ation  7,a7
 ,initial dissem9ation ,z soon z        
practicable aft] ! compilation ( cl9ical
 practice guidel9es pursuant to p>agraph
 7#a71 b comm5c+ n lat] ?an "o ye> aft] 
! date ( ! enactm5t ( ?is ,act1 !       
,secret>y %all provide = rapid          
dissem9ation ( ! cl9ical practice       
guidel9es to heal? c>e provid]s describ$

 9 subsection 7a74  7,b7 ,updates ,z    
soon z practicable aft] ! adoption "u   
p>agraph 7#c7 ( any update to ! cl9ical 
practice guidel9es compil$ pursuant to  
?is subsection1 ! ,secret>y %all provide
 = ! rapid dissem9ation ( su* cl9ical   
practice guidel9es1 z s updat$1 to heal?
 c>e provid]s describ$ 9 subsection 7a74
  7,c7 ,protocols ,cl9ical practice     
guidel9es1 & any updates to su*         
guidel9es1 %all be dissem9at$ "u ?is    
p>agraph 9 accordance ) adm9i/rative    
protocols develop$ by ! ,secret>y = t   
purpose4  7c7 ,cl9ical decision support 
tools  7#a7 ,9 g5]al ,n lat] ?an "o ye> 
aft] ! date ( ! enactm5t ( ?is ,act1 !  
,secret>y %all1 9 ord] to assi/ heal?   
c>e provid]s describ$ 9 subsection 7a71 
develop & implem5t cl9ical decision     
support tools t reflect1 ?r\gh ! cl9ical
 practice guidel9es compil$ pursuant to 
subsection 7b71 ! mo/ curr5t            
evid5ce-bas$ & evid5ce-in=m$ /&>ds ( c>e
 ) respect to me?ods ( contraception &  
c\nsel+ on me?ods ( contraception4  7#b7

 ,updates ,! ,secret>y %all f "t to "t  
update ! cl9ical decision support tools 
develop$ "u ?is subsection to           
incorporate into su* tools new or updat$
 guidel9es on me?ods ( contraception &  
c\nsel+ on me?ods ( contraception4  7#c7
 ,dissem9ation ,cl9ical decision support
 tools1 & any updates to su* tools1 %all
 be dissem9at$ "u ?is subsection 9      
accordance ) adm9i/rative protocols     
develop$ by ! ,secret>y = t purpose4    
,su* protocols %all be simil> to !      
adm9i/rative protocols develop$ "u      
subsection 7b77#d77;,c74  7d7 ,access to
 contraception c\nsel+ ,z soon z        
practicable aft] ! date ( ! enactm5t (  
?is ,act1 ! ,secret>y %all ensure t wom5
 memb]s ( ! ,arm$ ,=ces h access to     
c\nsel+ on ! full range ( me?ods (      
contraception provid$ by heal? c>e      
provid]s describ$ 9 subsection 7a7 dur+ 
heal? c>e visits1 includ+1 b n limit$   
to1 visits z foll[s3 7#a7 ,dur+         
pr$eploym5t heal? c>e visits1 ) !       
c\nsel+ to be provid$ dur+ su* visits   

emphasiz+ ! int]action betwe5 anticipat$
 deploym5t conditions & v>i\s me?ods (  
contraception4  7#b7 ,dur+ heal? c>e    
visits dur+ deploym5t4  7#c7 ,dur+      
annual physical exam9ations4  7e7       
,incorporation into surveys ( que/ions  
on s]vicewom5 exp]i5ces ) family plann+ 
s]vices & c\nsel+  7#a7 ,9 g5]al ,n lat]
 ?an #ij days aft] ! date ( ! enactm5t (
 ?is ,act1 ! ,secret>y %all integrate   
into ! ,dep>tm5t ( ,def5se surveys      
specifi$ 9 p>agraph 7#b7 que/ions       
design$ to obta9 in=mation on !         
exp]i5ces ( wom5 memb]s ( ! ,arm$       
,=ces-- 7,a7 9 access+ family plann+    
s]vices & c\nsel+2  7,b7 9 us+ family   
plann+ me?ods1 :i* me?od 0 pref]r$ &    
:e!r deploym5t conditions affect$ !     
decision on :i* family plann+ me?od or  
me?ods to be us$2 &  7,c7 if pregnant1  
:e!r ! pregnancy 0 int5d$4  7#b7 ,cov]$ 
surveys ,! surveys into :i* que/ions    
%all be integrat$ z describ$ 9 p>agraph 
7#a7 are ! foll[+3 7,a7 ,! ,heal?       
,relat$ ,behavior ,survey ( ,active     

,duty ,milit>y ,p]sonnel4  7,b7 ,!      
,heal? ,c>e ,survey ( ,dep>tm5t (       
,def5se ,b5efici>ies4  #f4 ,education on
 family plann+ = memb]s ( ! ,arm$ ,=ces 
7a7 ,education program  7#a7 ,9 g5]al ,n
 lat] ?an "o ye> aft] ! date ( !        
enactm5t ( ?is ,act1 ! ,secret>y (      
,def5se %all e/abli% an education       
program = all memb]s ( ! ,arm$ ,=ces1   
includ+ bo? m5 & wom5 memb]s1 consi/+ ( 
a uni=m /&>d curriculum on family       
plann+4  7#b7 ,s5se ( ,congress ,x is ! 
s5se ( ,congress t ! /&>d curriculum    
%\ld use ! late/ te*nology available to 
effici5tly & effectively deliv]         
in=mation to memb]s ( ! ,arm$ ,=ces4    
7b7 ,elem5ts ,! /&>d curriculum "u      
subsection 7a7 %all include ! foll[+3   
7#a7 ,in=mation on ! importance (       
provid+ compreh5sive family plann+ =    
memb]s ( ! ,arm$ ,=ces1 & _! comm&+     
(fic]s1 & on ! positive impact family   
plann+ c h on ! heal? & read9ess ( !    
,arm$ ,=ces4  7#b7 ,curr5t1 m$ically    
accurate in=mation4  7#c7 ,cle>1        

us]-fri5dly in=mation on ! full range ( 
me?ods ( contraception & :]e memb]s ( ! 
,arm$ ,=ces c access _! *os5 me?od (    
contraception4  7#d7 ,in=mation on all  
applicable laws & policies s t memb]s   
are in=m$ ( _! rights & obligations4    
7#e7 ,in=mation on pati5ts' rights to   
confid5tiality4  7#f7 ,in=mation on !   
unique circum/ances enc\nt]$ by memb]s (
 ! ,arm$ ,=ces1 & ! effects ( su*       
circum/ances on ! use ( contraception4  
#g4 ,pregnancy prev5tion assi/ance at   
milit>y treatm5t facilities = wom5 :o   
are sexual assault survivors  7a7       
,purpose ,! purpose ( ?is section is to 
provide 9 /atute1 & to enhance1 exi/+   
regulations t require heal? c>e provid]s
 at milit>y treatm5t facilities to      
consult ) survivors ( sexual assault    
once cl9ically /able reg>d+ options =   
em]g5cy contraception & any necess>y    
foll[-up c>e1 includ+ ! provision ( !   
em]g5cy contraception4  7b7 ,9 g5]al ,! 
assi/ance specifi$ 9 subsection 7c7 %all
 be provid$ at e milit>y treatm5t       

facility to ! foll[+3 7#a7 ,any woman :o
 pres5ts at a milit>y treatm5t facility 
& /ates to p]sonnel ( ! facility t %e is
 a victim ( sexual assault or is        
accompani$ by ano!r individual :o /ates 
t ! woman is a victim ( sexual assault4 
7#b7 ,any woman :o pres5ts at a milit>y 
treatm5t facility & is reasonably       
believ$ by p]sonnel ( su* facility to be
 a survivor ( sexual assault4  7c7      
,assi/ance  7#a7 ,9 g5]al ,! assi/ance  
specifi$ 9 ?is subsection %all include !
 foll[+3 7,a7 ,! prompt provision by    
appropriate /aff ( ! milit>y treatm5t   
facility ( compreh5sive1 m$ically &     
factually accurate1 & unbias$ writt5 &  
oral in=mation ab\t all me?ods ( em]g5cy
 contraception approv$ by ! ,food &     
,drug ,adm9i/ration4  7,b7 ,! prompt    
provision by su* /aff ( em]g5cy         
contraception to a woman ^u h] reque/4  
7,c7 ,notification to ! woman ( h] "r to
 confid5tiality 9 ! receipt ( c>e &     
s]vices pursuant to ?is section4  7#b7  
,nature ( in=mation ,! in=mation provid$

 pursuant to p>agraph 7#a77;,a7 %all be 
provid$ 9 language t is cle> & concise1 
is readily compreh5sible1 & meets su*   
conditions 7includ+ conditions reg>d+ ! 
provision ( in=mation 9 languages o!r   
?an ,engli%7 z ! ,secret>y may provide 9
 ! regulations "u ?is section4