,,ii #aaeth ,,congress #ast ,session ,s4 #ajde ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,may #d1 #bjag ,mrs4 ,murray 7for herself1 ,mr4 ,blumenthal1 ,mr4 ,tester1 ,ms4 ,baldwin1 ,mr4 ,bennet1 ,mr4 ,booker1 ,mr4 ,brown1 ,ms4 ,cantwell1 ,mr4 ,cardin1 ,mr4 ,carper1 ,mr4 ,casey1 ,mr4 ,coons1 ,ms4 ,cortez ,masto1 ,mr4 ,donnelly1 ,ms4 ,duckworth1 ,mr4 ,durbin1 ,mrs4 ,feinstein1 ,mr4 ,franken1 ,mrs4 ,gillibrand1 ,ms4 ,harris1 ,ms4 ,hassan1 ,mr4 ,heinrich1 ,ms4 ,heitkamp1 ,ms4 ,hirono1 ,mr4 ,kaine1 ,mr4 ,king1 ,ms4 ,klobuchar1 ,mr4 ,leahy1 ,mr4 ,markey1 ,mrs4 ,mc,caskill1 ,mr4 ,menendez1 ,mr4 ,merkley1 ,mr4 ,murphy1 ,mr4 ,nelson1 ,mr4 ,peters1 ,mr4 ,reed1 ,mr4 ,sanders1 ,mr4 ,schatz1 ,mr4 ,schumer1 ,mrs4 ,shaheen1 ,ms4 ,stabenow1 ,mr4 ,udall1 ,mr4 ,van ,hollen1 ,mr4 ,warner1 ,ms4 ,warren1 ,mr4 ,whitehouse1 and ,mr4 ,wyden7 introduced the following bill2 which was read twice and referred to the ,committee on ,health1 ,education1 ,labor1 and ,pensions ,a ,,bill ,to guarantee coverage of certain women's preventive services under all health plans4 #a4 ,short title ,this ,act may be cited as the ,save ,women's ,preventive ,care ,act4 #b4 ,purpose ,it is the purpose of this ,act to guarantee coverage of women's preventive services that have been covered by group and individual health plans1 in accordance with amendments made by the ,patient ,protection and ,affordable ,care ,act 7,public ,law #aaa-adh7 and consistent with the clinical guidelines dated ,december #bj1 #bjaf1 and developed at the direction of the ,health ,resources and ,service ,administration by the ,national ,academy of ,medicine1 the ,american ,college of ,obstetricians and ,gynecologists1 and other medical experts 7and additional sub-regulatory guidance pertaining to such guidelines and published before ,january #a1 #bjag74 #c4 ,sense of the ,senate ,it is the sense of the ,senate that women should have access to preventive services and benefits with no out-of-pocket costs as provided under the ,patient ,protection and ,affordable ,care ,act 7,public ,law #aad-adh71 limiting racial disparities in health1 and ensuring greater use of highly effective care4 #d4 ,preventive care for women 7a7 ,in general ,section #bgac7;a7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjj;gg-#ac7;a77 is amended-- 7#a7 in paragraph 7#b71 by striking 2 and and inserting a semicolon2 7#b7 in paragraph 7#c71 by striking the period and inserting a semicolon2 7#c7 by amending paragraph 7#d7 to read as follows3 7#d7 with respect to women1 including adolescents1 to the extent not described in paragraph 7#a71 evidence-based preventive care and screenings1 including1 at a minimum-- 7,a7 comprehensive lactation support services 7including counseling1 education1 and breastfeeding equipment and supplies7 during the antenatal1 perinatal1 and postpartum periods1 to ensure the successful initiation and maintenance of breastfeeding2 7,b7 screening adolescents and women for interpersonal and domestic violence at least annually1 and1 when needed1 providing or referring for initial intervention services1 including counseling1 education1 harm reduction strategies1 and other appropriate supportive services2 7,c7 screening for gestational diabetes mellitus2 7,d7 screening for cervical cancer1 and where recommended1 co-testing with cytology and human papillomavirus testing2 7,e7 directed behavioral counseling for sexually transmitted infections2 7,f7 prevention education1 risk assessment1 and screening for human immunodeficiency virus infection1 including screening for pregnant women2 7,g7 contraceptive care1 including-- 7i7 the full range of female-controlled contraceptive methods approved by the ,food and ,drug ,administration1 effective family planning practices1 and sterilization procedures to prevent unintended pregnancy and improve birth outcomes2 7ii7 contraceptive counseling1 initiation of contraceptive use1 and follow-up care 7such as management and evaluation1 and changes to1 and removal or discontinuation of1 the contraceptive method72 and 7iii7 instruction in fertility awareness-based methods1 including the lactation amenorrhea method1 for women desiring an alternative method2 7,h7 screening for breast cancer2 7,i7 at least one well-woman preventive care visit per year for adolescent and adult women in order to deliver and coordinate recommended preventive services1 including preconception and many services necessary for prenatal and interconception care1 in accordance with recommendations based on age and risk factors2 and 7,j7 any other baseline requirements prescribed by the ,health ,resources and ,service ,administration for women2 and 2 and 7#d7 by adding at the end the following3 ,nothing in this subsection prevents a ,state from requiring health plans offered in such ,state to provide more generous coverage than required under this subsection44 7b7 ,conditions ,section #bgac of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #cjj;gg-#ac71 as amended by subsection 7a71 is further amended by adding at the end the following3 7d7 ,conditions ,section #adg4aca of title #de1 ,code of ,federal ,regulations1 as in effect on ,january #a1 #bjag1 shall apply with respect to the coverage requirements under subsection 7a77#d77;,g74 4