,,ii  #aah? ,,congress  #b;d ,session   
,s4 #cihc  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,m>* #bj1 #bjbd,ms4    
,hirono 7= h]self1 ,ms4 ,duckwor?1 ,mr4 
,blum5?al1 ,mr4 ,m]kley1 ,ms4 ,butl]1   
,mr4 ,wel*1 ,mr4 ,he9ri*1 ,mr4 ,padilla1
 ,ms4 ,w>r51 & ,mr4 ,:iteh\se7 introduc$
 ! foll[+ bill2 :i* 0 read twice &      
ref]r$ to ! ,committee on ,heal?1       
,education1 ,labor1 & ,p5sions  ,a      
,,bill  ,to am5d ! ,public ,heal?       
,s]vice ,act to au?orize a grant program
 to increase capacity = provid+ abortion
 s]vices & o!r sexual & reproductive    
heal? c>e1 & = o!r purposes4  #a4 ,%ort 
title ,?is ,act may be cit$ z !         
,abortion ,c>e ,capacity ,enhancem5t &  
,support ,s]vices ,act ( #bjbd or !     
,,access ,act ( #bjbd4  #b4 ,f9d+s      
,congress f9ds ! foll[+3 7#a7 ,on ,june 
#bd1 #bjbb1 9 ,dobbs v4 ,jackson ,wom5's
 ,heal? ,organization1 ! ,supreme ,c\rt 
ov]turn$ ,roe v4 ,wade1 :i* _h gu>ante$ 
! con/itutional "r to abortion4 ,foll[+ 
! decision1 ,/ates 7 able to increase   

re/rictions or ban access to abortion1  
:i* has exac]bat$ ! abortion access     
crisis4 ,"u ?is legal framework1        
abortion access v>ies widely by ,/ate4  
7#b7 ,comp>$ to ,april #bjbb1 ! numb] ( 
abortions p] mon? by ,june #bjbc1 _h    
dropp$ to z]o 9 at lea/ #ab ,/ates )    
abortion bans 9 place1 :ile o!r ,/ates  
saw increases ( ov] #b1jjj abortions4   
7#c7 ,/ates t d n h an abortion ban or  
re/rictions h exp]i5c$ increas$ numb]s (
 out-(-,/ate pati5ts seek+ abortion     
s]vices4 ,pati5ts travel+ = abortion    
s]vices d\bl$ 9 rec5t ye>s ) #a 9 #e    
pati5ts cross+ ,/ate l9es to obta9 an   
abortion 9 #bjbc1 comp>$ to #a 9 #aj 9  
#bjbj4  7#d7 ,abortion provid]s 9 ,/ates
 :]e abortion is legal h exp]i5c$ an    
increase 9 ! numb] ( pati5ts f out (    
,/ate4 ,?is influx 9 pati5ts has        
increas$ ! dem& = abortion s]vices &    
/ra9$ ! reproductive heal? c>e sy/ems 9 
_m ,/ates4  7#e7 ,! influx ( out-(-,/ate
 pati5ts has also increas$ ! backlogs 9 
s]vices & wait times = appo9tm5ts 9     

multiple ,/ates foll[+ increases 9      
abortion bans & re/rictions4 ,to date1  
_m facilities across ! c\ntry /ill h    
report$ wait times ( a week or long] =  
abortion s]vices4  7#f7 ,! *all5ges to  
access abortion disproportionately      
impact individuals ( color1 l[-income   
individuals1 ,,lgbtq individuals1 y\?1 &
 o!rs :o face exi/+ b>ri]s to access    
heal? c>e 9 _! communities4  7#g7 ,ov]  
#ae1jjj1jjj reproductive-age wom5 (     
color live 9 ,/ates t h bann$ or are    
likely to ban abortion foll[+ ! ,dobbs  
decision4 ,additionally1 wom5 ( color1  
l[-income wom51 "y wom51 & wom5 liv+ 9  
rural communities h be5                 
disproportionately impact$ by travel =  
abortion s]vices4  7#h7 ,to address !   
*all5ges 9 access+ abortion s]vices1    
prop] inve/m5ts ne$ to be made to       
improve capacity to accommodate = bo?   
pati5ts 9 ,/ate & ^? com+ f out ( ,/ate 
to receive compreh5sive & high-quality  
abortion s]vices & o!r sexual &         
reproductive heal? s]vices4  #c4 ,grants

 to increase capacity to provide        
abortion s]vices & o!r sexual &         
reproductive heal? c>e ,subp>t ,v ( "p  
,d ( title ,,iii ( ! ,public ,heal?     
,s]vice ,act 7#db ,u4,s4,c4 #bef et     
seq47 is am5d$ by add+ at ! end !       
foll[+3  #cdj;,a-#a4 ,grants to increase
 capacity to provide abortion s]vices & 
o!r sexual & reproductive heal? c>e  7a7
 ,9 g5]al ,! ,secret>y %all c>ry out a  
grant program consi/+ ( aw>d+ grants to 
eligible entities to increase _!        
capacity to provide abortion s]vices &  
o!r sexual & reproductive heal? c>e to  
individuals seek+ to access abortion )9 
or outside ( _! ,/ates ( resid5ce4  7b7 
,eligible entities ,to be eligible to   
receive a grant "u ?is section1 an      
entity %all-- 7#a7 be a hospital1 cl9ic1
 or o!r heal? c>e facility1 univ]sity1  
nonpr(it organization1 community-bas$   
organization1 local gov]nm5tal entity1  
or ,tribal gov]nm5t t1 ?r\gh programs1  
s]vices1 or activities t are unbias$ &  
m$ically & factually accurate1 provides 

or ref]s = abortion s]vices2 &  7#b7 be 
9 a ,/ate1 ! ,di/rict ( ,columbia1 or a 
commonweal?1 t]ritory1 or possession ( !
 ,unit$ ,/ates :]e abortion s]vices are 
p]missible outside ( exceptions = ! life
 & heal? ( ! pregnant p]son4  7c7       
,priority ,9 aw>d+ grants "u ?is        
section1 ! ,secret>y %all give priority 
to eligible entities 9 ,/ates t1 z      
det]m9$ by ! ,secret>y1 h exp]i5c$ !    
highe/ increases ( out-(-,/ate pati5ts  
seek+ abortion s]vices & o!r sexual &   
reproductive heal? c>e4  7d7 ,au?oriz$  
activities ,a grant "u ?is section may  
be us$ = any ( ! foll[+ supplies1       
equipm5t1 or s]vices relat$ to provid+  
an abortion or o!r sexual & reproductive
 heal? c>e3 7#a7 ,exp&+ ! grantee's     
facilities1 su* z by creat+ m exam9ation
 rooms1 op]ation rooms1 recov]y areas1 &
 o!r additional locations = c>e4  7#b7  
,pur*as+ m$ical supplies or equipm5t to 
provide reproductive heal? c>e s]vices4 
7#c7 ,adm9i/]+ teleheal? s]vices1 :i*   
may include audio1 video1 & text messag+

 s]vices4  7#d7 ,contract+ or hir+      
cl9ical & noncl9ical support /aff1 :i*  
may include intake coord9ators1 heal?   
educators1 d\las1 midwives1 c\nselors1  
ultras\nd te*nicians1 & o!r relevant    
heal? c>e p]sonnel4  7#e7 ,tra9+        
programs to increase cl9ical &          
noncl9ical support /aff1 :i* may include
 intake coord9ators1 heal? educators1   
d\las1 midwives1 c\nselors1 ultras\nd   
te*nicians1 & o!r relevant heal? c>e    
p]sonnel4  7#f7 ,creat+ & dissem9at+    
m$ically accurate1 culturally &         
l+ui/ically appropriate1 accessible     
educational mat]ials & res\rces =       
pati5ts4  7#g7 ,int]pretation &         
translation s]vices4  7#h7 ,ref]rals &  
c\nsel+4  7#i7 ,recov]y c>e4  7e7       
,application ,to seek a grant "u ?is    
section1 an eligible entity %all submit 
an application to ! ,secret>y at su* "t1
 9 su* mann]1 & conta9+ su* in=mation z 
! ,secret>y may require1 includ+ a plan 
= increas+ capacity z describ$ 9        
subsection 7a74  7f7 ,prohibition aga9/ 

exclusion ( qualifi$ eligible entities  
,no ,f$]al ag5cy1 grantee1 subrecipi5t1 
or o!r entity %all1 9 ! c\rse ( adm9i/]+
 or c>ry+ out any program or activity "u
 ?is section1 act 9 a mann] :i* has !   
effect ( exclud+1 limit+1 or re/rict+ ! 
p>ticipation ( any entity t w\ld o!rwise
 be eligible to apply = funds1 on !     
basis ( any factor unrelat$ to !        
entity's qualifications to effectively  
c>ry out ! program or activity4  7g7    
,def9ition ,9 ?is section1 ! t]m        
abortion s]vices means a m$ical or      
surgical abortion & any m$ical or       
non-m$ical supplies1 equipm5t1 or       
s]vices relat$ to & provid$ 9           
conjunction ) an abortion4  7h7         
,au?orization ( appropriations ,to c>ry 
out ?is section1 !re is au?oriz$ to be  
appropriat$ #bjj1jjj1jjj = ea* ( fiscal 
ye>s #bjbd ?r\gh #bjbh4  4