,,ii  #aac? ,,congress  #b;d ,session   
,s4 #bhgf  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,septemb] #ah1 #bjad   
,mrs4 ,murray 7= h]self1 ,mrs4 ,box]1   
,ms4 ,w>r51 ,mr4 ,blum5?al1 & ,mr4      
,book]7 introduc$ ! foll[+ bill2 :i* 0  
read twice & ref]r$ to ! ,committee on  
,heal?1 ,education1 ,labor1 & ,p5sions  
,a ,,bill  ,to e/abli% a public         
education & aw>5ess & access program    
relat+ to em]g5cy contraception4  #a4   
,%ort title  ,?is ,act may be cit$ z !  
,em]g5cy ,contraception ,access &       
,education ,act ( #bjad4  #b4 ,f9d+s    
,congress makes ! foll[+ f9d+s3 7#a7    
,ea* ye> #c1djj1jjj pregnancies1 or     
"o-half ( all pregnancies1 9 ! ,unit$   
,/ates are un9t5d$1 & #d 9 #aj ( ^!     
un9t5d$ pregnancies end 9 abortion4     
7#b7 ,! ,food & ,drug ,adm9i/ration has 
decl>$ em]g5cy contraception to be safe 
& effective 9 prev5t+ un9t5d$ pregnancy 
= wom5 ( reproductive pot5tial & has    
approv$ c]ta9 =ms ( em]g5cy             
contraceptive = unre/rict$ sale on      

ph>macy %elves to wom5 ( all ages4  7#c7
 ,rese>* indicates t em]g5cy            
contraception r$uces ! risk ( pregnancy 
by up to #ie p]c5t & em]g5cy ,,iud      
ins]tion r$uces ! risk by #ii p]c5t4    
,al?\gh m effective ! soon] x is tak51  
m$ical evid5ce indicates t em]g5cy      
contraception c be effective up to #e   
days aft] unprotect$ int]c\rse or       
contraceptive failure4  7#d7 ,em]g5cy   
contraception is a responsible means (  
prev5t+ pregnancy t works l o!r hormonal
 contraceptives by suppress+ or delay+  
ovulation1 :i* makes f]tilization f     
unprotect$ int]c\rse unlikely if !      
m$ication is tak5 )9 #abj h\rs4 ,em]g5cy
 contraception does n t]m9ate an        
e/abli%$ pregnancy4  7#e7 ,mo/ br&s (   
em]g5cy contraception consi/ ( ! same   
hormones f\nd 9 o!r hormonal bir?       
control4  7#f7 ,! p]c5tage ( sexually   
exp]i5c$ wom5 ag$ #ae to #dd 9 ! ,unit$ 
,/ates :o h ev] us$ em]g5cy             
contraception increas$ f #d4b p]c5t 9   
#bjjb to #aa p]c5t 9 ye>s #bjjf ?r\gh   

#bjaj4  7#g7 ,a rec5t /udy by !         
,guttma*] ,in/itute demon/rates t ! rate
 ( te5 pregnancy 9 ! ,unit$ ,/ates has  
rea*$ a hi/oric l[1 decl9+ #ea p]c5t    
s9ce its peak 9 #aiij4 ,f #bjjh to      
#bjaj1 increas+ proportions ( wom5 ag$  
#ah & #ai report$ becom+ sexually       
active1 yet few] ( !m got pregnant dur+ 
?is "t p]iod ?an 9 previ\s /udies4      
,rese>* sugge/s t increas+ rates (      
contraceptive use may be associat$ ) !  
decl9e 9 te5 pregnancy4  7#h7 ,despite  
an increase 9 use1 significant          
disp>ities exi/ = "y1 urban1 m9ority    
wom5 :o lack g5]al k ab\t em]g5cy       
contraception4 ,9 fact1 #a 9 #d te5s    
rema9 completely unaw>e ( ! me?od & its 
use4  7#i7 ,al?\gh ! ,am]ican ,college (
 ,ob/etricians & ,gynecologi/s 7,,acog7 
recomm5ds t doctors r\t9ely discuss     
em]g5cy contraception ) wom5 (          
reproductive age dur+ _! cl9ical visits 
only half ( ob/etricians_/gynecologi/s  
(f] em]g5cy contraception to all ( _!   
pati5ts 9 ne$ sugge/+ t great] provid] &

 pati5t aw>5ess & education is ne$$4    
7#aj7 ,ne>ly #a out ( #e ,am]ican wom5  
is a victim ( rape4 ,x is e/imat$ t     
#be1jjj to #cb1jjj wom5 become pregnant 
ea* ye> z a result ( rape1 half ( :om   
*oose to t]m9ate _! pregnancy4 ,! risk (
 pregnancy aft] sexual assault has be5  
e/imat$ to be #d4g p]c5t 9 adult        
survivors :o 7 n protect$ by "s =m (    
contraception at ! "t ( ! attack4 ,if   
us$ correctly1 em]g5cy contraception    
c\ld help _m ( ^! rape survivors avoid !
 additional trauma ( fac+ an un9t5d$    
pregnancy4  7#aa7 ,only #ah ,/ates & !  
,di/rict ( ,columbia require hospital   
em]g5cy rooms to provide em]g5cy        
contraception-relat$ s]vices to         
survivors ( sexual assault4 ,( ^?1 only 
#ac ,/ates & ! ,di/rict ( ,columbia     
require hospital em]g5cy rooms to       
provide em]g5cy contraception ^u reque/ 
to survivors ( sexual assault4 ,n9e     
,/ates h adopt$ re/rictions on em]g5cy  
contraception1 & six ,/ates explicitly  
all[ ph>maci/s to refuse to disp5se     

em]g5cy contraception4  7#ab7 ,9 light (
 _! safety & efficacy1 ! ,am]ican       
,m$ical ,association1 ,am]ican ,academy 
( ,p$iatrics1 ,am]ican ,wom5's ,m$ical  
,association1 ,society = ,adolesc5t     
,m$ic9e1 & ! ,am]ican ,college (        
,ob/etricians & ,gynecologi/s h endors$ 
m widespread availability ( em]g5cy     
contraceptives4  7#ac7 ,heal?y ,p #bjbj1
 publi%$ by ! ,(fice ( ,disease         
,prev5tion & ,heal? ,promotion          
7,,odphp71 e/abli%es a #aj-ye> national 
public heal? goal ( increas+ !          
proportion ( publicly fund$ heal? c>e   
provid]s :o provide em]g5cy             
contraception to _! pati5ts1 & r$uc+ !  
numb] ( un9t5d$ pregnancies by #aj      
p]c5t4  7#ad7 ,public aw>5ess campaigns 
t>get+ wom5 & heal? c>e provid]s w help 
remove _m ( ! b>ri]s to em]g5cy         
contraception & w help br+ ?is important
 means ( pregnancy prev5tion to wom5 9 !
 ,unit$ ,/ates4  #c4 ,def9itions ,9 ?is 
,act3 7#a7 ,em]g5cy contraception ,! t]m
 em]g5cy contraception means a drug or  

device 7z su* t]ms are def9$ 9 section  
#bja ( ! ,f$]al ,food1 ,drug1 &         
,cosmetic ,act 7#ba ,u4,s4,c4 #cba771 or
 drug regim5 t-- 7,a7 is us$            
po/coitally2  7,b7 prev5ts pregnancy    
prim>ily by prev5t+ or delay+ ovulation1
 & does n t]m9ate an e/abli%$ pregnancy2
 &  7,c7 is approv$ by ! ,food & ,drug  
,adm9i/ration4  7#b7 ,heal? c>e provid] 
,! t]m heal? c>e provid] means an       
individual :o is lic5s$ or c]tifi$ "u   
,/ate law to provide heal? c>e s]vices &
 :o is op]at+ )9 ! scope ( su* lic5se4  
,su* t]m %all include a ph>maci/4  7#c7 
,hospital ,! t]m hospital means-- 7,a7 a
 hospital z def9$ 9 section #ahfa7;e7 ( 
! ,social ,security ,act 7#db ,u4,s4,c4 
#aciex7e772 &  7,b7 a critical access   
hospital z def9$ 9 section #ahfa7mm77#a7
 ( su* ,act 7#db ,u4,s4,c4              
#aciex7mm77#a774  7#d7 ,in/itution (    
high] education ,! t]m in/itution (     
high] education has ! mean+ giv5 su* t]m
 9 section #aja7;a7 ( ! ,high]          
,education ,act ( #aife 7#bj ,u4,s4,c4  

#ajja7;a774  7#e7 ,secret>y ,! t]m      
,secret>y means ! ,secret>y ( ,heal? &  
,human ,s]vices4  7#f7 ,sexual assault  
7,a7 ,9 g5]al ,! t]m sexual assault     
means a sexual act 7z def9$ 9           
subp>agraphs 7,a7 ?r\gh 7,c7 ( section  
#bbdf7b7 ( title #ah1 ,unit$ ,/ates     
,code7 :]e ! victim involv$ does n      
cons5t or lacks ! capacity to cons5t4   
7,b7 ,application ( provisions ,!       
def9ition 9 subp>agraph 7,a7 %all apply 
to all individuals4  #d4 ,survivors (   
sexual assault2 provision by hospitals (
 em]g5cy contraception )\t *>ge  7a7 ,9 
g5]al ,f$]al funds may n be provid$ to a
 hospital "u title ,,xviii ( ! ,social  
,security ,act 7#db ,u4,s4,c4 #acie et  
seq47 or to a ,/ate1 ) respect to       
s]vices ( a hospital1 "u title ,,xix (  
su* ,act 7#db ,u4,s4,c4 #acif et seq471 
unless su* hospital complies ) !        
conditions specifi$ 9 subsection 7b7 9 !
 case (-- 7#a7 any woman :o arrives at !
 hospital & /ates t %e is a victim (    
sexual assault1 or is accompani$ by     

someone :o /ates %e is a victim ( sexual
 assault2 &  7#b7 any woman :o arrives  
at ! hospital :om hospital p]sonnel h   
reason to believe is a victim ( sexual  
assault4  7b7 ,assi/ance = victims ,!   
conditions specifi$ 9 ?is subsection    
reg>d+ a hospital & a woman describ$ 9  
subsection 7a7 are z foll[s3 7#a7 ,!    
hospital promptly provides ! woman )    
m$ically & factually accurate & unbias$ 
writt5 & oral in=mation ab\t em]g5cy    
contraception1 includ+ in=mation expla9+
 t-- 7,a7 em]g5cy contraception has be5 
approv$ by ! ,food & ,drug ,adm9i/ration
 z an ov]-!-c\nt] m$ication = all wom5  
)\t age re/rictions & is a safe &       
effective way to prev5t pregnancy aft]  
unprotect$ int]c\rse or contraceptive   
failure if tak5 9 a timely mann]2  7,b7 
em]g5cy contraception is m effective !  
soon] x is tak52 &  7,c7 em]g5cy        
contraception does n cause an abortion &
 _c int]rupt an e/abli%$ pregnancy4     
7#b7 ,! hospital promptly (f]s em]g5cy  
contraception to ! woman1 & promptly    

provides su* contraception to h] at !   
hospital on h] reque/4  7#c7 ,!         
in=mation provid$ pursuant to p>agraph  
7#a7 is 9 cle> & concise language1 is   
readily compreh5sible1 & meets su*      
conditions reg>d+ ! provision ( !       
in=mation 9 languages o!r ?an ,engli% z 
! ,secret>y may e/abli%4  7#d7 ,!       
s]vices describ$ 9 p>agraphs 7#a7 ?r\gh 
7#c7 are n d5i$ because ( ! inability ( 
! woman or h] family to pay = ! s]vices4
  7c7 ,effective date2 ag5cy crit]ia    
,?is section %all take effect ^u !      
expiration ( ! #ahj-;day p]iod beg9n+ on
 ! date ( ! enactm5t ( ?is ,act4 ,n lat]
 ?an #cj days prior to ! expiration (   
su* p]iod1 ! ,secret>y %all publi% 9 !  
,f$]al ,regi/] crit]ia = c>ry+ out ?is  
section4  #e4 ,em]g5cy contraception    
education & in=mation programs  7a7     
,em]g5cy contraception public education 
program  7#a7 ,9 g5]al ,! ,secret>y1    
act+ ?r\gh ! ,director ( ! ,c5t]s =     
,disease ,control & ,prev5tion1 %all    
develop & dissem9ate to ! public        

in=mation on em]g5cy contraception4     
7#b7 ,dissem9ation ,! ,secret>y may     
dissem9ate in=mation on em]g5cy         
contraception "u p>agraph 7#a7 directly 
or ?r\gh arrangem5ts ) heal? ag5cies1   
pr(essional & nonpr(it organizations1   
consum] gr\ps1 in/itutions ( high]      
education1 cl9ics1 ! m$ia1 & ,f$]al1    
,/ate1 & local ag5cies4  7#c7 ,in=mation
 ,! in=mation on em]g5cy contraception  
dissem9at$ "u p>agraph 7#a7 %all        
include1 at a m9imum1 ! mo/ curr5t      
evid5ce-bas$ & evid5ce-in=m$ /&>ds ( c>e
 ) respect to em]g5cy contraception & an
 explanation ( ! prop]1 use1 safety1    
efficacy1 c\nsel+ & availability ( su*  
contraception4  7b7 ,em]g5cy            
contraception in=mation program = heal? 
c>e provid]s  7#a7 ,9 g5]al ,!          
,secret>y1 act+ ?r\gh ! ,adm9i/rator ( !
 ,heal? ,res\rces & ,s]vices            
,adm9i/ration & 9 consultation ) major  
m$ical & public heal? organizations1    
%all develop & dissem9ate to heal? c>e  
provid]s in=mation on em]g5cy           

contraception4  7#b7 ,in=mation ,!      
in=mation dissem9at$ "u p>agraph 7#a7   
%all include1 at a m9imum-- 7,a7        
in=mation describ+ ! mo/ curr5t         
evid5ce-bas$ & evid5ce-in=m$ /&>ds (    
c>e1 prop] use1 safety1 efficacy1       
c\nsel+ & availability ( em]g5cy        
contraception2  7,b7 a recomm5dation    
reg>d+ ! use ( su* contraception 9      
appropriate cases2  7,c7 recomm5dation =
 heal? c>e provid]s work+ 9 em]g5cy     
rooms to consult ) survivors ( sexual   
assault once cl9ically /able reg>d+     
options = em]g5cy contraception & to    
provide any necess>y foll[-up c>e &     
ref]ral s]vices2 &  7,d7 in=mation      
expla9+ h[ to obta9 copies ( ! in=mation
 develop$ "u subsection 7a7 =           
di/ribution to ! pati5ts ( ! provid]s4  
7c7 ,au?orization ( appropriations ,!re 
are au?oriz$ to be appropriat$ to c>ry  
out ?is section1 su* sums z may be      
necess>y = ea* ( ! fiscal ye>s #bjad    
?r\gh #bjah4