,i  #aag? ,,congress  #b;d ,session  ,h4
 ,r4 #ghid  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,may #bg1 #bjbb,ms4   
,pressley 7= h]self1 ,mr4 ,b]a1 ,ms4    
,ocasio-,cortez1 ,ms4 ,norton1 ,ms4     
,spei]1 ,mr4 ,payne1 ,mr4 ,au*9closs1   
,mr4 ,connolly1 ,ms4 ,velzquez1 ,ms4    
,jayapal1 ,mr4 ,rask91 ,mrs4 ,c>olyn ,b4
 ,maloney ( ,new ,york1 ,mr4 ,takano1   
,ms4 ,und]wood1 ,ms4 ,del,bene1 ,ms4    
,/rickl&1 ,ms4 ,g>cia ( ,texas1 ,mrs4   
,napolitano1 ,mr4 ,danny ,k4 ,davis (   
,ill9ois1 ,mr4 ,espaillat1 ,mr4 ,ca/51  
,mr4 ,l>son ( ,connecticut1 ,mrs4       
,lawr5ce1 ,mr4 ,br[n ( ,m>yl&1 ,mrs4    
,flet*]1 ,ms4 ,bonamici1 ,ms4 ,williams 
( ,georgia1 ,mr4 ,johnson ( ,georgia1   
,ms4 ,br[nley1 ,mr4 ,huffman1 ,ms4      
,mc,collum1 ,mr4 ,soto1 ,ms4 ,de,lauro1 
,mr4 ,doggett1 ,mr4 ,mc,govern1 ,ms4    
,m5g1 ,mr4 ,khanna1 ,mr4 ,v>gas1 ,mr4   
,blum5au]1 ,mr4 ,cicill9e1 ,mr4 ,lieu1  
,ms4 ,moore ( ,wiscons91 ,ms4 ,cl>ke (  
,new ,york1 ,ms4 ,lee ( ,cali=nia1 ,ms4 
,jacobs ( ,cali=nia1 ,mr4 ,lev9 (       

,mi*igan1 ,mr4 ,torres ( ,new ,york1    
,mr4 ,de,saulnier1 ,mrs4 ,bu/os1 ,mrs4  
,watson ,coleman1 ,mr4 ,smi? ( ,wa%+ton1
 ,mr4 ,jones1 ,mr4 ,evans1 ,mr4         
,de,fazio1 ,ms4 ,wass]man ,s*ultz1 ,ms4 
,s*ak[sky1 ,mrs4 ,trahan1 ,mr4 ,kilm]1  
,mr4 ,c>bajal1 ,mr4 ,l[5?al1 ,ms4       
,newman1 ,ms4 ,s*ri]1 ,ms4 ,sn*ez1 ,mrs4
 ,*]filus-,mc,cormick1 ,mr4 ,b[man1 ,mr4
 ,trone1 ,mr4 ,swalwell1 ,ms4 ,b>ragn1  
,mr4 ,mc,nerney1 ,ms4 ,*u1 ,ms4 ,lois   
,frankel ( ,florida1 ,mr4 ,g>ca (       
,ill9ois1 ,ms4 ,de,gette1 ,ms4 ,mann+1  
,ms4 ,titus1 ,ms4 ,wilson ( ,florida1   
,ms4 ,ca/or ( ,florida1 ,ms4 ,adams1    
,mr4 ,gomez1 ,mr4 ,grijalva1 ,ms4       
,tlaib1 ,ms4 ,port]1 ,mr4 ,kri%namoor?i1
 ,mr4 ,quigley1 ,mr4 ,pet]s1 ,ms4 ,bass1
 ,mr4 ,nadl]1 ,ms4 ,cl>k (              
,massa*usetts1 ,ms4 ,jackson ,lee1 ,mrs4
 ,mc,bath1 ,mr4 ,crd5as1 ,mr4 ,pocan1 & 
,mr4 ,s*neid]7 introduc$ ! foll[+ bill2 
:i* 0 ref]r$ to ! ,committee on ,en]gy &
 ,comm]ce1 & 9 addition to ! ,committees
 on ,education & ,labor1 & ,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$  ,a
 ,,bill  ,to require gr\p heal? plans & 
gr\p or individual heal? insurance      
cov]age to provide cov]age = ov]-!-c\nt]
 contraceptives4  #a4 ,%ort title ,?is  
,act may be cit$ z ! ,af=dability is    
,access ,act4  #b4 ,purpose ,! purpose (
 ?is ,act is to ensure timely access to 
af=dable bir? control by requir+ cov]age
 )\t co/-%>+ = oral bir? control =      
r\t9e1 daily use t is approv$ by1 or    
o!rwise legally m>ket$ "u regulation by1
 ! ,food & ,drug ,adm9i/ration = use )\t
 a prescription4  #c4 ,f9d+s ,! ,h\se ( 
,repres5tatives f9ds ! foll[+3 7#a7     
,bir? control is critical heal? c>e t   
almo/ all wom5 w use at "s po9t 9 _!    
lifetimes4  7#b7 ,access to ! full range
 ( reproductive heal? c>e1 includ+ bir? 
control cov]age z gu>ante$ "u ,f$]al    
law1 provides p ) ! opportunity to lead 
heal?y lives & get ! c>e !y ne$ to rea* 

_! goals4  7#c7 ,family plann+ has well 
docum5t$ heal? b5efits = wom51 newborns1
 families1 & communities & c l[] ! risk 
( h>m to mat]nal & infant heal?4  7#d7  
,an e/imat$ #gb1jjj1jjj wom5 (          
reproductive age 7ages #ae ?r\gh #dd7   
live 9 ! ,unit$ ,/ates1 ( :i* ne>ly #gj 
p]c5t are at risk ( hav+ an un9t5d$     
pregnancy4 ,sixty-five p]c5t ( wom5 (   
reproductive age are us+ a contraceptive
 me?od & #ab p]c5t ( wom5 at risk =     
un9t5d$ pregnancy are n us+             
contraception4 ,! rates ( non-use (     
contraception are highe/ among ^? betwe5
 #ae & #ai ye>s old4  7#e7 ,! bir?      
control b5efit enact$ "u ! ,pati5t      
,protection & ,af=dable ,c>e ,act       
7,public ,law #aaa-adh7 has be5 a       
crucial /ep =w>d 9 advanc+ access to    
bir? control & has help$ ensure         
#fb1ajj1jjj wom5 h ! p[] to decide =    
!mselves if & :5 to />t a family4  7#f7 
,despite legal requirem5ts = bir?       
control cov]age & access to s]vices1    
gaps rema9 = millions ( p4 ,a national  

survey f\nd t #a 9 #c wom5 h /ruggl$ to 
af=d bir? control at "s po9t 9 _! lives1
 & z a result1 h us$ bir? control       
inconsi/5tly4 ,access to bir? control is
 p>ticul>ly difficult = p :o live 9     
contraceptive des]ts & lack reasonable  
access to a heal? c5t] t (f]s ! full    
range ( contraceptive me?ods4  7#g7     
,heal? disp>ities p]si/ among p )       
l[-incomes1 p ( color1 ,,lgbtq p1       
immigrants & p :o lack access to heal?  
cov]age & heal? c>e provid]s4  7#h7 ,!re
 are num]\s social & economic b>ri]s t  
make x h>d] to access bir? control1     
includ+ ris+ income & weal? inequality1 
gaps 9 insurance cov]age & *all5ges     
access+ heal? provid]s4  7#i7 ,lead+    
heal? exp]ts support ov]-!-c\nt] bir?   
control pills4  #d4 ,s5se ( ! h\se (    
repres5tatives ,x is ! s5se ( ! ,h\se ( 
,repres5tatives t-- 7#a7 9 ord] to      
increase access to oral bir? control1   
su* bir? control mu/ be bo? easi] to    
obta9 & af=dable &1 to make su* bir?    
control ei!r easi] to obta9 or m        

af=dable1 b n bo?1 is to leave          
unacceptable b>ri]s 9 place2  7#b7 x is 
imp]ative t ! entities t rese>* &       
develop oral bir? control & ^: m$ical & 
sci5tific exp]ts h develop$ cl9ical &   
o!r evid5ce t oral bir? control = r\t9e1
 daily use is safe & effective :5 sold  
)\t a prescription1 apply to ! ,food &  
,drug ,adm9i/ration = review & approval 
= sale ( su* bir? control )\t a         
prescription2  7#c7 ^u ! receipt ( su*  
an application1 ! ,food & ,drug         
,adm9i/ration %\ld det]m9e :e!r ! oral  
bir? control meets ! rigor\s safety1    
efficacy1 & quality /&>ds = ov]-!-c\nt] 
use "u ! ,f$]al ,food1 ,drug1 &         
,cosmetic ,act 7#ba ,u4,s4,c4 #cja et   
seq471 & if ! product meets ^? /&>ds1 ! 
,food & ,drug ,adm9i/ration %\ld approve
 ! application )\t delay2 &  7#d7 if &  
:5 ! ,food & ,drug ,adm9i/ration        
approves an oral bir? control t is      
available ov]-!-c\nt]1 su* bir? control 
%\ld be cov]$ by heal? insurance1 )\t a 
prescription & )\t co/-%>+4  #e4        

,cl>ify+ cov]age requirem5ts ,!         
,secret>ies ( ,heal? & ,human ,s]vices1 
,labor1 & ! ,treasury %all cl>ify t     
cov]age ( contraceptives pursuant to    
section #bgac7;a77#d7 ( ! ,public ,heal?
 ,s]vice ,act 7#db ,u4,s4,c4            
#cjj;gg-#ac7;a77#d77 includes cov]age ( 
ov]-!-c\nt] contraceptive me?ods approv$
 by ! ,food & ,drug ,adm9i/ration1 ev5  
if ! enrollee does n h a prescription = 
! contraceptive4  #f4 ,rules (          
con/ruction  7a7 ,non-,int]f]5ce ) ,,fda
 regulation ,no?+ 9 ?is ,act %all be    
con/ru$ to modify or int]f]e ) ,food &  
,drug ,adm9i/ration processes to review 
or approve1 or o!rwise det]m9e ! safety 
& efficacy (1 & make available1         
non-prescription drugs or devices1      
modify or int]f]e ) ! sci5tific & m$ical
 consid]ations ( ! ,food & ,drug        
,adm9i/ration1 or alt] any o!r au?ority 
( ! ,food & ,drug ,adm9i/ration4  7b7   
,non-,preemption ,no?+ 9 ?is ,act       
preempts any provision ( ,f$]al or ,/ate
 law to ! ext5t t su* ,f$]al or ,/ate   

law provides protections = consum]s t   
are great] ?an ! protections provid$ = 9
 ?is ,act4  #g4 ,duties ( retail]s to   
ensure access to oral bir? control = use
 )\t a prescription  7a7 ,9 ,g5]al ,any 
retail] t /ocks oral bir? control =     
r\t9e1 daily use t is approv$ by1 or    
o!rwise legally m>ket$ "u regulation by1
 ! ,food & ,drug ,adm9i/ration = use )\t
 a prescription may n int]f]e ) an      
individual's access to or pur*ase ( su* 
bir? control or access to m$ically      
accurate1 compreh5sive in=mation ab\t   
su* bir? control4  7b7 ,limitation ,no?+
 9 ?is section %all prohibit a retail] t
 /ocks oral bir? control = r\t9e1 daily 
use f refus+ to provide an individual ) 
su* oral bir? control t is approv$ by1  
or o!rwise legally m>ket$ "u regulation 
by1 ! ,food & ,drug ,adm9i/ration if !  
individual is unable to pay = ! bir?    
control1 directly or ?r\gh insurance    
cov]age4