,i  #aad? ,,congress  #a/ ,session  ,h4 
,r4 #bcee  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,may #ae1 #bjae ,mr4  
,b]a introduc$ ! foll[+ bill2 :i* 0     
ref]r$ to ! ,committee on ,en]gy &      
,comm]ce  ,a ,,bill  ,to provide = a    
national public outrea* & education     
campaign to raise public aw>5ess (      
wom5's prev5tive heal?1 & = o!r         
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,wom5's ,prev5tive ,heal?  
,aw>5ess ,campaign4  #b4 ,f9d+s         
,congress makes ! foll[+ f9d+s3  7#a7   
,well-woman visits are ! f\ndation on   
:i* wom5's prev5tive c>e is built4 ,su* 
visits include n only specific scre5+   
te/s1 b also a m$ical hi/ory1 physical  
exam9ation1 evaluation & c\nsel+1 &1 z  
indicat$1 vacc9ations4  7#b7 ,well-woman
 visits facilitate increas$ access to   
heal? c>e t is %[n to id5tify *ronic    
disease risk factors1 promote well-be+1 
& decrease ! likelihood or delay ! onset
 ( a t>get$ disease or condition4  7#c7 
,he>t disease1 /roke1 & o!r c>diovascul>

 diseases are ! numb] "o cause ( dea? 9 
,am]ican wom51 responsible = #a 9 e #d  
female dea?s4  7#d7 ,wom5 are m likely  
?an m5 to h =gone ne$$ heal? c>e due to 
co/2 #a 9 #e wom5 po/pon$ prev5tive     
s]vices 9 ! pa/ ye> due to co/4  7#e7   
,betwe5 #bjjb & #bjaj1 scre5+           
mammography rates among wom5 9 ! ,unit$ 
,/ates :o 7 #ej ye>s ( age to #fd ye>s (
 age decl9$ f ab\t #gi p]c5t to #gc     
p]c5t4  7#f7 ,9 #bjaj1 only #de p]c5t ( 
#ah- to #fd-ye>-olds 9 ! ,unit$ ,/ates  
report$ hav+ ev] receiv$ an ,,hiv te/4  
7#g7 ,among sexually active females 9 ! 
,unit$ ,/ates ages #af-be ye>s ( age1   
only #dd4g p]c5t 7 scre5$ = ,*lamydia4  
7#h7 ,! proportion ( wom5 9 ! ,unit$    
,/ates #bb ye>s ( age to #cj ye>s ( age 
:o report$ nev] hav+ _h a ,pap te/      
increas$ f #f4f p]c5t 9 #bjjj to #i4j   
p]c5t 9 #bjaj despite curr5t            
recomm5dations t !y receive a ,pap te/ e
 ?ree ye>s4  7#i7 ,9 #bjjg1 #bi4c p]c5t 
( wom5 9 ! ,unit$ ,/ates deliv]+ a live 
bir? did n receive any pr5atal c>e 9 !  

fir/ trime/]1 ev5 ?\gh fir/ trime/]     
pr5atal c>e is recomm5d$4  7#aj7 ,dur+ !
 #bjac-bjad flu season1 almo/ #dh p]c5t 
( pregnant wom5 did n receive recomm5d$ 
vacc9ation aga9/ influ5za4  7#aa7 ,ov]  
half 7#ea p]c5t7 ( ! #f4f million       
pregnancies 9 ! ,unit$ ,/ates ea* ye>   
are un9t5d$4 ,multiple /udies h %[n t   
improv$ access to bir? control          
significantly improves ! heal? ( wom5 & 
_! families1 z x is directly l9k$ to    
improv$ mat]nal & infant heal? outcomes4
 ,wom5 t plan _! pregnancies are m      
likely to access pr5atal c>e1 improv+ _!
 own heal? & ! heal? ( _! *ildr54  7#ab7
 ,betwe5 #bjjf & #bjaj1 "o-?ird ( all   
pregnancies 7 conceiv$ )9 #ah mon?s ( a 
previ\s bir?1 an int]val t is pot5tially
 h>mful to ! heal? ( ! "m4  7#ac7       
,improv$ access to family plann+ also   
saves money4 ,= e #a4jj inve/$ 9 family 
plann+1 taxpay]s save m ?an #e4jj 9     
,m$icaid-relat$ exp5ses4  #c4 ,wom5's   
,prev5tive ,heal? ,aw>5ess ,campaign ,"p
 ,p ( title ,,iii ( ! ,public ,heal?    

,s]vice ,act 7#db ,u4,s4,c4 #bhj;g et   
al47 is am5d$ by add+ at ! end ! foll[+ 
new section3  #cii,v-#f4 ,wom5's        
,prev5tive ,heal? ,aw>5ess ,campaign    
7a7 ,9 g5]al ,! ,secret>y %all provide =
 ! plann+ & implem5tation ( a national  
public outrea* & education campaign to  
raise public aw>5ess1 includ+ provid]   
aw>5ess1 ( wom5's prev5tive heal?4 ,su* 
campaign %all include ! m$ia campaign "u
 subsection 7b7 & ! website "u          
subsection 7c7 & %all provide = !       
dissem9ation ( in=mation t--  7#a7      
describes ! guidel9es = wom5's prev5tive
 s]vices1 includ+ ! c]vical canc]       
recomm5dations updat$ 9 #bjab1 by !     
,unit$ ,/ates ,prev5tive ,s]vices ,task 
,=ce1 by ! ,am]ican ,college (          
,ob/etricians & ,gynecologi/s 7,,acog71 
& by ! ,am]ican ,canc] ,society1 !      
,am]ican ,society = ,colposcopy &       
,c]vical ,pa?ology1 & ! ,am]ican        
,society = ,cl9ical ,pa?ology2  7#b7    
promotes well-woman visits = heal?      
assessm5ts :i* include scre5+s1         

evaluations1 c\nsel+1 immunizations1 &  
pr5atal visits1 z appropriate2  7#c7    
expla9s ! wom5's prev5tive s]vices t are
 requir$ "u section #bgac to be cov]$   
)\t co/-%>+ by a gr\p heal? plan or a   
heal? insurance issu] (f]+ gr\p or      
individual heal? insurance cov]age t is 
n a gr&fa!r$ plan 7z def9$ 9 section    
#abea7;e7 ( ! ,pati5t ,protection &     
,af=dable ,c>e ,act72 &  7#d7 addresses 
heal? disp>ities 9 ! area ( wom5's      
prev5tion4  7b7 ,m$ia campaign  7#a7 ,9 
g5]al ,n lat] ?an #a ye> aft] ! date ( !
 enactm5t ( ?is section1 z "p ( !       
campaign "u subsection 7a71 ! ,secret>y 
%all e/abli% & implem5t a national m$ia 
campaign4  7#b7 ,requirem5t ( campaign  
,! campaign implem5t$ "u p>agraph 7#a7--
 7,a7 %all dissem9ate in=mation ab\t !  
updat$ guidel9es = wom5's prev5tive     
s]vices describ$ 9 subsection 7a77#a71  
promote well-woman visits describ$ 9    
subsection 7a77#b71 & provide in=mation 
on ! wom5's prev5tive s]vices describ$ 9
 subsection 7a77#c72 &  7,b7 may include

 ! use ( television1 radio1 ,int]net1 & 
o!r comm]cial m>ket+ v5ues4  7c7        
,website ,z "p ( ! campaign "u          
subsection 7a71 ! ,secret>y %all1 9     
consultation ) private sector exp]ts or 
?r\gh contract ) a private entity       
includ+ a m$ical association or         
non-pr(it organization1 ma9ta9 & update 
an ,int]net website to provide in=mation
 & res\rces ab\t ! updat$ guidel9es =   
wom5's prev5tive s]vices describ$ 9     
subsection 7a77#a71 promote well-woman  
visits1 & provide in=mation on ! wom5's 
prev5tive s]vices describ$ 9 subsection 
7a77#c74  7d7 ,fund+ ,! ,secret>y may   
use1 out ( any funds o!rwise made       
available to ! ,dep>tm5t ( ,heal? &     
,human ,s]vices1 su* sums z may be      
necess>y to c>ry out ?is section4  4    
#d4 ,cl>ification ( cov]age = wom5's    
prev5tive heal? s]vices ,section #bgac (
 ! ,public ,heal? ,s]vice ,act 7#db     
,u4,s4,c4 #cjj;gg-#ac7 is am5d$ by add+ 
at ! end ! foll[+ new subsection3  7d7  
,cl>ification ( cov]age = wom5's        

prev5tive heal? s]vices ,9 apply+       
subsection 7a71 ) respect to wom51 !    
foll[+ %all apply3 7#a7 ,well-woman     
visits1 9 addition to su* well-woman    
visits recomm5d$ 9 ! ,heal? ,res\rces & 
,s]vices ,adm9i/ration guidel9es %all be
 treat$ z describ$ 9 p>agraph 7#d7 ( su*
 subsection1 ) respect to a woman1 if a 
heal? c>e provid] det]m9es t su* woman  
requires su* additional well-woman      
visits to obta9 all necess>y prev5tive  
s]vices recomm5d$ "u su* guidel9es & "u 
?is section1 dep5d+ on ! woman's heal?  
/atus1 heal? ne$s1 & o!r risk factors4  
7#b7 ,! entirety ( any su* well-woman   
visit %all be treat$ z describ$ 9 su*   
p>agraph 7#d7 & any additional facility 
fee or (fice visit fee %all be 9        
violation ( ! requirem5t "u su*         
subsection to provide = cov]age ( su*   
visit )\t ! imposition ( any co/ %>+    
requirem5t4  7#c7 ,if a recomm5dation or
 guidel9e pursuant to subsection 7a7 )  
respect to a prev5tive s]vice does n    
specify ! frequ5cy1 me?od1 treatm5t1 or 

sett+ = ! provision ( su* s]vice1 ! plan
 or issu] involv$ may use reasonable    
m$ical managem5t te*niques to det]m9e   
any cov]age limitations ) respect to    
frequ5cy1 me?od1 treatm5t1 or sett+ = ! 
provision ( su* s]vice4  7#d7 ,if a     
prev5tive s]vice to :i* ?is section is  
applicable is furni%$ to a woman by a   
heal? c>e provid] :o is n )9 ! provid]  
network ( ! gr\p heal? plan or heal?    
insurance cov]age 9 :i* ! woman is      
enroll$ & !re is no heal? c>e provid] :o
 is )9 su* network :o has ! capacity to 
provide ! s]vice1 !n su* s]vice furni%$ 
by su* out-(-network provid] %all be    
cov]$ "u su* plan or cov]age )\t !      
imposition ( any co/ %>+ requirem5t4    
7#e7 ,no?+ 9 ?is section or any         
regulation implem5t+ ?is section %all be
 con/ru$ z requir+ t ea* prev5tive heal?
 s]vice to :i* ?is section applies be   
provid$ 9 a sep>ate visit4 ,effici5t c>e
 deliv]y & ! deliv]y ( multiple         
prev5tion & scre5+ s]vices at a s+le    
visit %all be p]missible "u ?is section 

& su* regulations z a reasonable m$ical 
managem5t te*nique4  7#f7 ,9 det]m9+ !  
categorization ( a s]vice "u ?is section
 z hav+ a rat+ ( ,a or ,b 9 !           
recomm5dations ( ! ,unit$ ,/ates        
,prev5tive ,s]vices ,task ,=ce1 a woman 
:o is at high risk = a disease by reason
 ( ! family or p]sonal hi/ory ( su*     
woman ) respect to su* disease1 %all be 
treat$ 9 ! same mann] z a woman id5tifi$
 at high risk = su* disease by reason ( 
be+ among a population at high risk =   
su* disease4  7#g7 ,9 apply+ p>agraph   
7#f71 9 ! case t a heal? c>e provid]    
det]m9es t a woman is at high risk = a  
disease su* woman %all be treat$ z at   
high risk = su* disease4  7#h7 ,!       
recomm5dation appli$ pursuant to        
subsection 7a7 = g5etic c\nsel+ &       
evaluation = r\t9e brea/ canc]          
susceptibility g5e 7,,brca7 %all be     
treat$ z includ+ a recomm5dation = bo?  
g5etic c\nsel+ & ,,brca te/+1 if        
appropriate1 = a woman z det]m9$ by !   
heal? c>e provid] ( su* woman4  7#i7 ,! 

recomm5dation appli$ pursuant to        
subsection 7a7 = annual ,,hiv c\nsel+ & 
scre5+ = all sexually active wom51 %all 
be treat$ z apply+ to te/+ z well z     
scre5+4  7#aj7 ,! recomm5dation appli$  
pursuant to subsection 7a7 = brea/-fe$+ 
support %all be treat$ z includ+        
compreh5sive pr5atal & po/natal         
lactation support1 c\nsel+1 & r5tal or  
pur*ase ( equipm5t = ! duration (       
brea/-fe$+1 subject to reasonable m$ical
 managem5t4  7#aa7 ,! guidel9es support$
 "u subsection 7a77#d7 %all be treat$ z 
includ+ ! recomm5dation ( "o =m (       
contraception 9 ea* ( ! me?ods id5tifi$ 
by ! ,food & ,drug ,adm9i/ration 9 its  
curr5t ,bir? ,control ,guide z well z   
cl9ical s]vices ne$$ = provision ( su*  
contraceptive me?od1 includ+ pati5t     
education & c\nsel+4  7#ab7 ,9 apply+   
p>agraph 7#aa71 )9 ea* me?od describ$ 9 
su* p>agraph1 a gr\p heal? plan or heal?
 insurance issu] may utilize reasonable 
m$ical managem5t te*niques & may impose 
co/ %>+ on "s items & s]vices to        

enc\rage an individual to use specific  
items & s]vices )9 ! *os5 contraceptive 
me?od1 su* z = purposes ( disc\rag+ !   
use ( br& "n ph>macy items ov] g5]ic    
ph>macy items or = purposes ( enc\rag+ !
 use ( "o ( sev]al intraut]9e devices ) 
proge/9 approv$ by ! ,food & ,drug      
,adm9i/ration4  7#ac7 ,s]vices relat$ to
 foll[-up & managem5t ( side effects1   
c\nsel+ = cont9u$ adh]5ce1 & device     
removal1 subject to reasonable m$ical   
managem5t1 %all be treat$ z describ$ 9  
p>agraph 7#d7 ( su* subsection4  4  #e4 
,in/itute ( ,m$ic9e /udy & report  7a7  
,/udy ,! ,secret>y ( ,heal? & ,human    
,s]vices %all ent] into an agreem5t ) ! 
,in/itute ( ,m$ic9e 7or1 if ! ,in/itute 
decl9es to ent] into su* an agreem5t1   
ano!r appropriate entity7 to conduct a  
/udy to provide recomm5dations on !     
appropriate bill+ codes t %\ld be       
includ$ 9 a well-woman visit describ$ 9 
subsection 7d77#a7 ( section #bgac ( !  
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #cjj;gg-#ac71 z add$ by       

section #d4  7b7 ,report ,! ,secret>y   
%all ensure t n lat] ?an #ab mon?s aft] 
! date ( ! enactm5t ( ?is ,act a report 
conta9+ ! recomm5dations "u subsection  
7a71 includ+ a compreh5sive li/ ( codes 
describ$ 9 su* subsection1 is submitt$  
to ,congress4