,,ii  #aah? ,,congress  #b;d ,session   
,s4 #decc  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,june #ac1 #bjbd,mrs4  
,hyde-,smi? 7= h]self1 ,mr4 ,lank=d1    
,mr4 ,cornyn1 ,mr4 ,wick]1 ,mr4         
,ricketts1 ,mr4 ,mull91 & ,mr4          
,grassley7 introduc$ ! foll[+ bill2 :i* 
0 read twice & ref]r$ to ! ,committee on
 ,heal?1 ,education1 ,labor1 & ,p5sions 
,a ,,bill  ,to exp& & promote rese>* &  
data collection on reproductive heal?   
conditions1 to provide tra9+            
opportunities = m$ical pr(essionals to  
le>n h[ to diagnose & treat reproductive
 heal? conditions1 & = o!r purposes4    
#a4 ,%ort title ,?is ,act may be cit$ z 
! ,reproductive ,emp[]m5t & ,support    
?r\gh ,optimal ,re/oration ,act or !    
,,re/ore ,act4  #b4 ,f9d+s ,congress    
f9ds ! foll[+3 7#a7 ,9 vitro            
f]tilization & o!r assi/$ reproductive  
te*nologies are n "u ?reat at ! ,f$]al  
level or 9 any ,/ate or t]ritory ( !    
,unit$ ,/ates4  7#b7 ,!re is a gr[+     
int]e/ among wom5 to proactively assess 

_! ov]all heal? & und]/& h[ factors su* 
z age & m$ical hi/ory contribute to     
reproductive heal? & f]tility4  7#c7    
,wom5 are wor?y ( ! highe/ /&>d ( m$ical
 c>e1 includ+ ! opportunity to assess1  
und]/&1 & improve _! reproductive heal?4
 ,un=tunately1 _m wom5 d n receive      
adequate in=mation ab\t _! reproductive 
heal? & d n h access to re/orative      
reproductive m$ic9e4  7#d7 ,reproductive
 heal? conditions are ! lead+ causes (  
inf]tility1 :i* affects #ae to #af p]c5t
 ( c\ples 9 ! ,unit$ ,/ates4 ,su*       
conditions include ! foll[+3 7,a7       
,endometriosis1 a disease :]e tissue    
resembl+ endometrial l9+ tissue gr[s    
outside ( ! ut]us4 ,! tissue (t5 adh]es 
to diff]5t organs1 disfigur+ !m &1 ?r\gh
 sc> tissue or adhesions1 c make !      
organs /ick to "o ano!r or to ! pelvic  
walls4 ,x has be5 f\nd 9 ! abdom9al     
organs1 ! b[el1 ! diaphragm1 ! lungs1 ! 
bra91 & ! eye4 ,x is a progressive      
disease & has be5 comp>$ to gr[+ l      
canc]4 ,endometriosis is (t5 diagnos$ 9 

/ages1 ) ,/age ,i z ! milde/ =m & ,/age 
,,iv z ! mo/ sev]e & widespread =m4 ,!  
av]age diagnosis delay = endometriosis  
is #f to #ab ye>s4 ,endometriosis       
frequ5tly goes undiagnos$1 & wom5 may   
suff] = ye>s ) pa9ful p]iods1 pelvic    
pa91 or inf]tility4 ,! cause (          
endometriosis is unkn[n4  7,b7          
,ad5omyosis1 a disease t occurs :5      
endometrial tissue 7tissue t w\ld       
normally l9e ! inside ( ! ut]us7 gr[s   
into ! muscle lay] ( ! ut]us4           
,ad5omyosis is diff]5t f1 b c exi/      
concurr5tly )1 endometriosis4           
,ad5omyosis may increase ! risk (       
misc>riage & pret]m labor & may         
contribute to inf]tility4 ,! cause (    
ad5omyosis is unkn[n4  7,c7 ,polycy/ic  
ov>y syndrome1 a reproductive hormonal  
disord] t causes cy/s to gr[ on !       
ov>ies1 usually z a result ( hormonal   
imbalances4 ,polycy/ic ov>y syndrome    
affects approximately #ae p]c5t ( wom5  
ov]all b is m common among wom5 )       
inf]tility4 ,x is m preval5t among wom5 

) obesity & insul9 resi/ance4 ,wom5 )   
polycy/ic ov>y syndrome :o are try+ to  
a*ieve pregnancy are commonly prescrib$ 
oral ovulation m$ication & hormonal     
injections t /imulate ovulation4        
,effective diagnosis & treatm5t exi/1 & 
%\ld be made available = all wom54      
,accurate & timely diagnosis & treatm5t 
c correct und]ly+ hormonal imbalances1  
critical = bo? long-t]m heal?           
improvem5ts z well z = f]tility         
outcomes4  7,d7 ,ut]9e fibroids1 :i* are
 muscul> tumors t gr[ 9 ! wall ( !      
ut]us4 ,:ile n all wom5 w exp]i5ce      
symptoms associat$ ) fibroids1 if !     
tumors are l>ge en\gh or emb$d$ f> en\gh
 9 ! ut]9e l9+1 !y c lead to pa9 & heavy
 ble$+4 ,treatm5t = fibroids may include
 assessm5t ( und]ly+ hormonal           
imbalances1 hy/]oscopic myomectomy1     
abdom9al myomectomy1 ut]9e fibroid      
embolization1 & ut]9e art]y             
embolization4 ,ut]9e fibroids c increase
 risks ( pret]m labor1 pregnancy        
complications lead+ to a ces>ean        

section1 & plac5tal abruption1 among o!r
 risks4 ,! cause ( ut]9e fibroids is    
unkn[n4  7,e7 ,block$ fallopian tubes1 a
 condition :]e ! fallopian tubes are    
block$ by tubal spasm1 sc>r+ f          
inflammatory conditions1 debris1 tubal  
polyps1 tubal ligation1 prior ectopic   
pregnancy1 pelvic adhesions1            
endometriosis1 prior pelvic infection   
7pelvic inflammatory disease or ,,pid74 
,approximately #a 9 #d wom5 ) inf]tility
 h a tubal blockage4 ,?is condition     
makes a*iev+ pregnancy difficult1 if n  
impossible4 ,treatm5ts = a blockage     
include fallopian tube recanalization1  
tubo-tubal ana/omosis 7tubal ligation   
rev]sal71 or                            
neosalp+o/omy_/fimbriopla/y4  7#e7      
,rese>* %[s #d or m conditions or       
factors are ! cause ( mo/ male & female 
inf]tility4  7#f7 ,!re is a gap 9 rese>*
 & c>e = male & female reproductive     
heal? conditions1 :i* affect _m         
,am]icans /ruggl+ ) unexpla9$           
inf]tility4  7#g7 ,re/orative           

reproductive m$ic9e aims to diagnose &  
treat und]ly+ hormonal & o!r imbalances1
 re/ore heal? :]e possible1 & improve   
wom5's heal? function+ & long-t]m       
outcomes4  7#h7 ,re/orative reproductive
 m$ic9e c elim9ate b>ri]s to successful 
conception1 pregnancy1 & bir?4 ,x c also
 address "s causes ( recurr5t           
misc>riages4  7#i7 ,re/orative          
reproductive m$ic9e (t5 alleviates o!r  
difficult symptoms associat$ )          
reproductive heal? conditions1 includ+  
hormonal acne1 hormonal weight ga91     
hormonal mood & depression1 pa9ful      
p]iods1 pa9ful fl>e-ups1 bloat+1        
inflammation1 heavy p]iods1 irregul>    
p]iods1 n]ve pa91 b[el symptoms1 pa9    
dur+ sexual int]c\rse1 & back pa94  #c4 
,def9itions ,9 ?is ,act3 7#a7 ,assi/$   
reproductive te*nology ,! t]m assi/$    
reproductive te*nology means any        
treatm5ts or proc$ures t involve ! h&l+ 
( a human egg1 sp]m1 & embryo outside ( 
! body ) ! int5t ( facilitat+ a         
pregnancy1 includ+ artificial           

insem9ation1 intraut]9e insem9ation1 9  
vitro f]tilization1 gamete              
intrafallopian f]tilization1 zygote     
intrafallopian f]tilization1 egg1       
embryo1 & sp]m cryopres]vation1 & egg or
 embryo donation4  7#b7 ,f]tility       
aw>5ess-bas$ me?ods ,! t]m f]tility     
aw>5ess-bas$ me?ods means mod]n1        
evid5ce-bas$ me?ods ( track+ ! m5/rual  
cycle ?r\gh obs]vable biological signs 9
 a woman1 su* z body temp]ature1 c]vical
 fluid1 & hormone production 9 !        
reproductive sy/em1 includ+ lute9iz+    
hormone 7,,lh7 & e/rog54 ,su* me?ods    
include ,f]tility ,education & ,m$ical  
,managem5t1 ! sympto !rmal me?od1 !     
,m>quette me?od1 ! ,creighton me?od1 & !
 ,bill+s ovulation me?od4  7#c7         
,f]tility education & m$ical managem5t  
,! t]m f]tility education & m$ical      
managem5t means ! program develop$ 9    
collaboration ) ! ,reproductive ,heal?  
,rese>* ,in/itute = m$ical rese>*1      
protocols1 & m$ical tra9+ = heal? c>e   
pr(essionals 9 ord] to enable ! cl9ical 

application ( important rese>* advances 
9 reproductive endocr9ology1 by provid+ 
education = wom5 ab\t _! bodies &       
hormonal heal? & m$ical support1 z      
appropriate4  7#d7 ,inf]tility ,! t]m   
inf]tility means a symptom ( an und]ly+ 
disease or condition )9 a p]son's body t
 makes x difficult or impossible to     
successfully conceive & c>ry a *ild to  
t]m1 :i* is diagnos$ aft] #ab mon?s (   
int]c\rse )\t ! use ( a *emical1 b>ri]1 
or o!r contraceptive me?od = wom5 "u #ce
 or aft] #f mon?s ( t>get$ int]c\rse )\t
 ! use ( a *emical1 b>ri]1 or o!r       
contraceptive me?od = wom5 #ce & old]1  
:]e conception %\ld o!rwise be possible4
  7#e7 ,natural procreative te*nology2  
,na,pro,t,e,c,h,n,o,l,o,g,y ,! t]m      
,natural ,procreative ,te*nology or     
,na,pro,t,e,c,h,n,o,l,o,g,y means an    
approa* to heal? c>e t monitors &       
ma9ta9s a woman's reproductive &        
gynecological heal?1 includ+ lap>oscopic
 gynecologic surg]y to recon/ruct !     
ut]us1 fallopian tubes1 ov>ies1 & o!r   

organ /ructures to elim9ate             
endometriosis & o!r reproductive heal?  
conditions4  7#f7 ,reproductive heal?   
conditions ,! t]m reproductive heal?    
conditions includes endometriosis1      
ad5omyosis1 polycy/ic ov>y syndrome1    
ut]9e fibroids1 block$ fallopian tubes1 
hormone imbalances1 hyp]prolact9emia1   
?yroid conditions1 ovulation            
dysfunctions1 & o!r heal? conditions t  
make x difficult or impossible to       
successfully conceive a *ild :]e        
conception %\ld o!rwise be possible4    
7#g7 ,re/orative reproductive heal? ,!  
t]m re/orative reproductive heal?       
includes emp[]+ wom5 & m5 to "k & und]/&
 _! bodies & appreciate ! importance (  
natural reproductive heal? to ov]all    
heal? & well-be+1 includ+ ?r\gh ! use ( 
body lit]acy programs t incorporate     
sci5ce-bas$ *>t+ me?ods1 tea*] lead     
reproductive heal? education1 re/orative
 reproductive m$ic9e1 ,natural          
,procreative ,te*nology1 f]tility       
aw>5ess-bas$ me?ods1 & f]tility         

education & m$ical managem5t4  7#h7     
,re/orative reproductive m$ic9e ,! t]m  
re/orative reproductive m$ic9e-- 7,a7   
means any sci5tific approa* to          
reproductive m$ic9e t seeks to coop]ate 
)1 or re/ore ! normal physiology &      
anatomy (1 ! human reproductive sy/em1  
)\t ! use ( me?ods t are inh]5tly       
suppressive1 circumv5tive1 or de/ructive
 to natural human functions2 &  7,b7 may
 include ultras\nds1 blood te/s1 hormone
 panels1 lap>oscopic & exploratory      
surg]ies1 exam9+ ! man's or woman's     
ov]all heal? & life/yle1 elim9at+       
environm5tal endocr9e disruptors1 &     
assess+ ! heal? & f]tility ( !          
individual's p>tn]1 ,natural            
,procreative ,te*nology1 f]tility       
aw>5ess-bas$ me?ods1 & f]tility         
education & m$ical managem5t4  #d4      
,prohibit+ discrim9ation aga9/ heal? c>e
 provid]s :o d n p>ticipate 9 assi/$    
reproductive te*nology ,not)/&+ any o!r 
law1 ! ,f$]al ,gov]nm5t1 & any p]son or 
entity t receives ,f$]al f9ancial       

assi/ance1 includ+ any ,/ate or local   
gov]nm5t1 may n p5alize1 retaliate      
aga9/1 or o!rwise discrim9ate aga9/ a   
heal? c>e provid] on ! basis t ! provid]
 does n or decl9es to-- 7#a7 assi/ 91   
receive tra9+ 91 provide1 p]=m1 ref] =1 
pay =1 or o!rwise p>ticipate 9 assi/$   
reproductive te*nology2 or  7#b7        
facilitate or make arrangem5ts = any ( !
 activities specifi$ 9 p>agraph 7#a7 9 a
 mann] t violates ! provid]'s s9c]ely   
held religi\s beliefs or moral          
convictions4  #e4 ,implem5t+ lit]ature  
reviews on ! /&>d ( c>e = ! diagnosis ( 
inf]tility  7a7 ,9 g5]al ,! ,assi/ant   
,secret>y = ,heal? ( ! ,dep>tm5t (      
,heal? & ,human ,s]vices 7ref]r$ to 9   
?is section z ! ,assi/ant ,secret>y7    
%all collect data on ! topics describ$ 9
 subsection 7b7 &1 n lat] ?an #b ye>s   
aft] ! date ( enactm5t ( ?is ,act & e #c
 ye>s !reaft]1 issue a report on ! /&>d 
( c>e = wom5 :o h be5 diagnos$ )        
inf]tility4  7b7 ,topics ,9 c>ry+ out   
subsection 7a71 ! ,assi/ant ,secret>y   

%all-- 7#a7 assess pe]-review$ /udies on
 ref]rals to re/orative reproductive    
m$ic9e t are giv5 prior to ref]rals = or
 use ( assi/$ reproductive te*nology2   
7#b7 assess pe]-review$ /udies relat$ to
 access to pati5t & heal? c>e provid]   
in=mation & tra9+ = f]tility            
aw>5ess-bas$ me?ods2 &  7#c7 assess !   
ext5t to :i* ! treatm5ts1 te/s1 & tra9+ 
describ$ 9 p>agraphs 7#a7 & 7#b7 are    
cov]$ "u public & private heal? plans4  
7c7 ,privacy requirem5ts ,9 c>ry+ out   
subsection 7a71 ! ,assi/ant ,secret>y   
%all ensure t ! privacy & confid5tiality
 ( individual pati5ts are protect$ 9 a  
mann] consi/5t ) relevant privacy &     
confid5tiality law4  #f4 ,implem5t+     
lit]ature reviews on ! /&>d ( c>e = wom5
 seek+ a reproductive heal? condition   
diagnosis  7a7 ,9 g5]al ,! ,assi/ant    
,secret>y = ,heal? ( ! ,dep>tm5t (      
,heal? & ,human ,s]vices 7ref]r$ to 9   
?is section z ! ,assi/ant ,secret>y7    
%all collect data on ! topics describ$ 9
 subsection 7b7 &1 n lat] ?an #b ye>s   

aft] ! date ( enactm5t ( ?is ,act & e #c
 ye>s !reaft]1 issue a report on ! /&>d 
( c>e = wom5 seek+ reproductive heal?   
condition diagnoses4  7b7 ,topics ,9    
c>ry+ out p>agraph 7#a71 ! ,assi/ant    
,secret>y %all-- 7#a7 assess pe]-review$
 /udies relat$ to access to re/orative  
reproductive m$ic9e & re/orative        
reproductive heal?1 includ+ access to   
m$ical pr(essionals tra9$ 9             
,na,pro,technology & f]tility education 
& m$ical managem5t2  7#b7 assess        
pe]-review$ /udies relat$ to access to  
in=mation & tra9+ on f]tility           
aw>5ess-bas$ me?ods2 &  7#c7 assess !   
ext5t to :i* ! treatm5ts1 te/s1 & tra9+ 
describ$ 9 p>agraphs 7#a7 & 7#b7 are    
cov]$ "u public & private heal? plans4  
7c7 ,privacy requirem5ts ,9 c>ry+ out   
subsection 7a71 ! ,assi/ant ,secret>y   
%all ensure t ! privacy & confid5tiality
 ( individual pati5ts are protect$ 9 a  
mann] consi/5t ) relevant privacy &     
confid5tiality law4  #g4 ,exp&+ !       
national survey ( family gr[? to include

 reproductive heal? conditions1         
re/orative reproductive m$ic9e1 &       
f]tility aw>5ess-bas$ me?ods  7a7 ,9    
g5]al ,! ,director ( ! ,c5t]s = ,disease
 ,control & ,prev5tion 7ref]r$ to 9 ?is 
section z ! ,director7 %all evaluate !  
,national ,survey ( ,family ,gr[?       
conduct$ by ! ,national ,c5t] = ,heal?  
,/ati/ics ( ! ,c5t]s = ,disease ,control
 & ,prev5tion & consid] mak+            
modifications to ! survey que/ions us$ =
 su* purposes4  7b7 ,topics ,!          
evaluation by ! ,director pursuant to   
subsection %all include consid]ation (  
add+ que/ions relat$ to-- 7#a7          
re/orative reproductive heal?2  7#b7    
reproductive heal? conditions &         
inf]tility2  7#c7 re/orative            
reproductive m$ic9e availability &      
utilization2 &  7#d7 availability (1 &  
tra9+ on1 f]tility aw>5ess-bas$ me?ods4 
7c7 ,report ,! ,director %all submit to 
,congress a report on ! evaluation "u   
subsection 7a7 n lat] ?an #c ye>s aft] !
 date ( enactm5t ( ?is ,act & e #c ye>s 

!reaft]4  #h4 ,includ+ access to title x
 aw>d funds = re/orative reproductive   
m$ic9e grantees ,section #ajjf ( !      
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #cjj;a-#d7 is am5d$ by add+ at
 ! end ! foll[+3  7e7 7#a7 ,not)/&+ any 
o!r requirem5ts relat+ to ! exp]i5ce    
requir$ = an applicant to qualify = a   
grant or contract "u ?is title1 an      
entity %all be deem$ eligible = a grant 
or contract "u ?is title on ! basis (   
be+ prim>ily engag$ 9 provid+ re/orative
 reproductive m$ic9e1 or provid+ tra9+ &
 education = m$ical /ud5ts &            
pr(essionals 9 re/orative reproductive  
m$ic9e1 provid$ t su* entity is o!rwise 
eligible = ! grant or contract4  7#b7 ,9
 ?is subsection1 ! t]m re/orative       
reproductive m$ic9e has ! mean+ giv5 su*
 t]m 9 section #c ( ! ,,re/ore ,act4  4 
#i4 ,advanc+ education on reproductive  
heal? conditions & wom5's natural cycle 
7a7 ,exp&+ grant access & application ,!
 ,deputy ,assi/ant ,secret>y =          
,population ,affairs ( ! ,dep>tm5t (    

,heal? & ,human ,s]vices 7ref]r$ to 9   
?is section z ! ,deputy ,assi/ant       
,secret>y7 %all develop1 )9 ! exi/+ ,te5
 ,pregnancy ,prev5tion program1 access  
to1 & adv]tisem5t =1 applicants = grants
 "u su* program t specialize 9          
re/orative reproductive m$ic9e1         
re/orative reproductive heal?1 &        
f]tility aw>5ess-bas$ me?ods4 ,to be    
eligible to receive an aw>d "u ?is      
subsection1 an entity %all be prim>ily  
engag$ 9 s]vices or education relat+ to 
re/orative reproductive m$ic9e1         
re/orative reproductive heal?1 or       
f]tility aw>5ess-bas$ me?ods4  7b7      
,report ,n lat] ?an #ah mon?s aft] !    
date ( enactm5t ( ?is ,act1 ! ,deputy   
,assi/ant ,secret>y %all submit to      
,congress & make publicly available on !
 website ( ! ,(fice ( ,population       
,affairs a report on recipi5ts ( grants 
"u ! ,te5 ,pregnancy ,prev5tion program 
& ! s]vices1 education1 & tra9+ provid$ 
by su* recipi5ts4  #aj4 ,advanc+        
re/orative reproductive m$ic9e &        

f]tility aw>5ess-bas$ me?ods tra9+ "u ! 
,reproductive ,heal? ,national ,tra9+   
,c5t]  7a7 ,9 g5]al ,! ,assi/ant        
,secret>y = ,heal? ( ! ,dep>tm5t (      
,heal? & ,human ,s]vices 7ref]r$ to 9   
?is section z ! ,assi/ant ,secret>y7    
%all coord9ate ) ! ,(fice ( ,population 
,affairs & ! ,(fice on ,wom5's ,heal? to
 review1 revise1 & in/ruct ! /aff ( !   
,reproductive ,heal? ,national ,tra9+   
,c5t] on reproductive heal? conditions1 
re/orative reproductive m$ic9e1         
re/orative reproductive heal?1 &        
f]tility aw>5ess-bas$ me?ods4  7b7      
,tra9+ ,beg9n+ n lat] ?an #b ye>s aft] !
 date ( enactm5t ( ?is ,act1 z a        
condition = receipt ( a grant or        
contract "u title ,x ( ! ,public ,heal? 
,s]vice ,act 7#db ,u4,s4,c4 #cjj et     
seq471 ! /aff ( ! ,reproductive ,heal?  
,national ,tra9+ ,c5t] %all provide     
tra9+ to /aff work+ 9 o!r entities      
receiv+ grants or contracts "u title ,x 
( ! ,public ,heal? ,s]vice ,act 7#db    
,u4,s4,c4 #cjj et seq47 ab\t            

reproductive heal? conditions1          
re/orative reproductive m$ic9e1         
re/orative reproductive heal?1 &        
f]tility aw>5ess-bas$ me?ods1 :i* may   
include provid+ toolkits & o!r          
in=mation1 includ+ onl9e1 ab\t pe] le>n+
 opportunities1 ,na,pro,technology      
educational fell[%ips1 f]tility         
education & m$ical managem5t1 %ort      
videos on reproductive heal? conditions 
& re/orative reproductive m$ic9e1 &     
contract m$ical pr(essional sem9>s &    
tra9+4  #aa4 ,exp&+ rese>* on           
reproductive heal? conditions1 f]tility 
aw>5ess-bas$ me?ods1 & inf]tility  7a7  
,9 g5]al ,! ,secret>y ( ,heal? & ,human 
,s]vices 7ref]r$ to 9 ?is section z !   
,secret>y71 9 coord9ation ) ! ,assi/ant 
,secret>y = ,heal?1 ! ,director ( !     
,ag5cy = ,heal?c>e ,rese>* & ,quality1 !
 ,director ( ! ,advanc$ ,rese>*         
,projects ,ag5cy = ,heal?1 ! ,director (
 ! ,c5t]s = ,disease & ,control1 !      
,director ( ! ,national ,in/itutes =    
,heal?1 & ! heads ( o!r ag5cies & (fices

 ( ! ,dep>tm5t ( ,heal? & ,human        
,s]vices t are conduct+ rese>* on       
reproductive heal? conditions1          
inf]tility1 & mat]nal heal?1 %all exp& &
 coord9ate programs to conduct & support
 rese>* on reproductive heal?           
conditions4  7b7 ,topics ,! rese>*      
direct$ by ! ,secret>y pursuant to      
subsection 7a7 may include rese>* on--  
7#a7 ! causes ( reproductive heal?      
conditions1 especially endometriosis1   
ad5omyosis1 ut]9e fibroids1 & polycy/ic 
ov>y syndrome2  7#b7 ways to diagnose   
reproductive heal? conditions2  7#c7    
re/orative reproductive m$ic9e & new    
treatm5t options = reproductive heal?   
conditions2  7#d7 endocr9e disrupt+     
*emicals 9 endometriosis1 ! relation%ip 
( endometriosis & canc]1 pr5atal &      
epig5etic influ5ces on ! risk =         
endometriosis2  7#e7 prem5/rual         
syndrome1 hormone dysfunction1 ovulation
 defects1 abnormal ut]9e ble$+1 adhesion
 prev5tion1 tubal corrective surg]y1 &  
preconception & pregnancy heal?2  7#f7 !

 gr[? & progression ( reproductive heal?
 conditions & recurr5ce po/-surgical    
proc$ures2  7#g7 ! increas+ preval5ce ( 
sexually transmitt$ infections & relat$ 
effects on f]tility 9 m5 & wom52  7#h7  
male me*anisms ( inf]tility1 includ+ l[ 
sp]m c\nt2 &  7#i7 ! effectiv5ess (     
re/orative reproductive m$ic9e to a*ieve
 pregnancy4  7c7 ,report ,n lat] ?an #b 
ye>s aft] ! date ( enactm5t ( ?is ,act1 
! ,secret>y %all make an ongo+ report on
 ! rese>* publicly available on !       
website ( ! ,dep>tm5t ( ,heal? & ,human 
,s]vices4  #ab4 ,sev]ability ,if any    
provision ( ?is ,act1 or ! application (
 su* provision to any p]son1 entity1    
gov]nm5t1 or circum/ance1 is held to be 
uncon/itutional1 ! rema9d] ( ?is ,act1  
or ! application ( su* provision to all 
o!r p]sons1 entities1 gov]nm5ts1 or     
circum/ances1 %all n be affect$ !reby4