,,iii  #aah? ,,congress  #a/ ,session   
,s4 ,,res4 #bgf  ,,9 ,,! ,,s5ate ,,( ,,!
 ,,unit$ ,,/ates  ,june #bb1 #bjbc,ms4  
,duckwor? 7= h]self1 ,mr4 ,murphy1 ,mr4 
,m]kley1 ,ms4 ,/ab5[1 ,mr4 ,blum5?al1   
,ms4 ,cantwell1 ,ms4 ,hirono1 ,ms4      
,w>r51 ,mr4 ,he9ri*1 ,mr4 ,wyd51 ,mr4   
,c>d91 ,mr4 ,padilla1 ,ms4 ,smi?1 ,mr4  
,book]1 ,mr4 ,pet]s1 & ,mr4 ,fett]man7  
submitt$ ! foll[+ resolution2 :i* 0     
ref]r$ to ! ,committee on ,heal?1       
,education1 ,labor1 & ,p5sions          
,,resolution  ,express+ opposition to ! 
use ( ,/ate p[] aga9/ p 9 ! ,unit$      
,/ates seek+ ess5tial heal? c>e1 includ+
 crim9alization ( ! full range ( sexual 
& reproductive heal? c>e su* z abortion1
 g5d]-affirm+ c>e1 & contraceptive c>e1 
& disapprov+ ( ,/ate puni%m5t ( p = _!  
pregnancy outcomes4  ,:]eas mo/ p w ne$ 
access to sexual & reproductive heal?   
c>e at "s po9t 9 _! lifetimes1 :e!r x be
 abortion1 contraception1 or            
g5d]-affirm+ c>e2 ,:]eas ! ability ( p  
to access & make decisions ab\t ! full  

range ( sexual & reproductive heal? c>e 
is ess5tial to ! heal?1 well-be+1 &     
autonomy ( all p & to ! heal? & well-be+
 ( society2 ,:]eas provid]s ( sexual1   
reproductive1 & g5d]-affirm+ heal? c>e1 
& ^? :o support p mak+ important heal?  
c>e decisions1 are ess5tial & play a    
critical role 9 ensur+ p are able to h  
control ov] _! own bodies & lives2      
,:]eas p des]ve to be treat$ ) dignity1 
empa?y1 compassion1 & respect by _!     
heal? c>e provid]s2 ,:]eas p ne$ _!     
heal? c>e provid]s to be able to provide
 or ref] = ess5tial heal? c>e )\t fac+  
puni%m5t or crim9al or civil *>ges =    
support+ ! autonom\s decisions ( an     
individual ) respect to _! own body &   
life2 ,:]eas no p]son %\ld face ,/ate   
sanction$ puni%m5t =-- 7#a7 seek+ or    
obta9+ an abortion1 or any pregnancy    
outcome or decision2  7#b7 seek+ or us+ 
contraception2  7#c7 seek+ or obta9+    
g5d]-affirm+ c>e2  7#d7 _! sexual heal? 
/atus2 or  7#e7 = help+ someone access !
 ess5tial heal? c>e !y ne$2 ,:]eas p h  

be5 p5aliz$ or prosecut$ 9 ! ,unit$     
,/ates = actions dur+ _! pregnancy t !  
,/ate alleg$ caus$ h>m or risk to _!    
pregnancies2 ,:]eas p h be5 prosecut$ = 
n seek+ heal? c>e1 = exp]i5c+ a         
misc>riage or /illbir?1 = self-manag+ an
 abortion1 = alcohol or drug use dur+   
pregnancy1 & = _! ,,hiv /atus2 ,:]eas   
rese>* %[s !re is an increas$ ne$ & dem&
 = m$ications to self-manage an abortion
 9 ,/ates ) abortion re/rictions1 & t   
self-manag$ abortion ) access to        
m$ications & accurate in=mation is safe 
& effective2 ,:]eas ! reasons :y p      
self-manage an abortion are v>i$ &      
valid2 ,:]eas ,/ates & localities h     
attempt$ to impose civil & crim9al      
p5alties on p :o help o!rs access !     
g5d]-affirm+ & reproductive heal? c>e !y
 ne$1 includ+ abortion c>e2 ,:]eas at   
lea/ #a ,/ate has pass$ a law attempt+  
to re/rict "s out-(-,/ate travel =      
abortions1 & o!r ,/ates h attempt$ to   
curtail out-(-,/ate travel = abortion   
c>e or ! facilitation !re(1 9 violation 

( basic con/itutional pr9ciples1 includ+
 ! "r to travel2 ,:]eas p h be5 &       
cont9ue to be co]c$ or =c$ to und]go    
unwant$ m$ical proc$ures or surgical    
int]v5tions t negatively impact _!      
sexual & reproductive heal?1 includ+    
involunt>y /]ilization1 involunt>y      
ces>ean sections1 & proc$ures to *ange !
 int]sex traits ( m9ors2 ,:]eas co]cive 
or unwant$ m$ical or surgical           
int]v5tions t negate individual autonomy
 are di/9ct f g5d]-affirm+ c>e1 d n     
con/itute ess5tial heal? c>e or sexual &
 reproductive heal? c>e1 & are n includ$
 )9 ! full range ( su* c>e t ?is        
resolution describes2 ,:]eas m ?an #cj  
,/ates ar\nd ! c\ntry h advanc$         
legislation design$ to sev]ely limit    
access to necess>y g5d]-affirm+ c>e1    
especially = "y p1 :i* is aga9/ !       
recomm5dations ( major m$ical           
organizations1 includ+ ! ,am]ican       
,academy ( ,p$iatrics2 ,:]eas #c ,/ates 
h enact$1 & ne>ly #ae h introduc$1      
legislation design$ to crim9alize &     

p5alize provid+ g5d]-affirm+ c>e to "y  
p1 provid]s ( g5d]-affirm+ c>e = "y p1 &
 ! p>5ts ( ^? "y p = enabl+ access to   
?is ess5tial c>e2 ,:]eas "s ,/ates are  
consid]+ legislation t w\ld use ! p[] ( 
! ,/ate to remove *ildr5 f ! c>e ( _!   
p>5t if t p>5t supports access to       
g5d]-affirm+ c>e = ! *ild2 ,:]eas ,/ates
 & localities h prohibit$ heal? c>e     
provid]s f provid+1 & 9 "s cases h      
crim9aliz$ ! provision (1 g5d]-affirm+ &
 reproductive heal? c>e1 includ+        
abortion c>e1 to pati5ts :o are seek+   
su* c>e :e!r 9 p]son or via teleheal?2  
,:]eas ,/ates & localities h attempt$ to
 prohibit heal? c>e provid]s f ref]r+1 &
 9 "s cases h attempt$ to crim9alize !  
ref]ral (1 pati5ts to out-(-,/ate       
res\rces to receive ! g5d]-affirm+ &    
reproductive heal? c>e !y seek1 includ+ 
abortion c>e2 ,:]eas ,/ates h aim$ to   
re/rict ! ability ( pati5ts to access   
sexual & reproductive heal? c>e by      
?reat5+ provid] lic5sure1 c]tification1 
or r5ewal1 if ev5 suspect$ ( provid+    

c>e1 reg>dless ( conviction2 ,:]eas !   
?reat ( crim9alization or prosecution c 
result 9 a *ill+ effect by intimidat+ p 
into n seek+ or provid+ ne$$ c>e2 ,:]eas
 heal? c>e provid]s h an e?ical         
obligation to provide ess5tial heal? c>e
 to _! pati5ts & to protect ! private   
m$ical in=mation integral to !          
pati5t-provid] relation%ip2 ,:]eas      
limit+ ! ability ( a heal? c>e provid]  
to uphold _! e?ical obligations to      
provide ess5tial heal? c>e1 includ+     
sexual & reproductive heal? c>e1 to     
pati5ts is a violation ( _! rights &    
subjects !m to moral injury2 ,:]eas !   
,/ate advances no legitimate int]e/ by  
impos+ civil or crim9al p5alties on     
m$ically appropriate sexual &           
reproductive heal? c>e1 includ+         
abortion1 contraception1 & g5d]-affirm+ 
c>e1 & has no legitimate int]e/ 9       
crim9aliz+ pregnancy outcomes2 ,:]eas   
,/ate laws crim9aliz+ sexual &          
reproductive heal? c>e1 includ+         
g5d]-affirm+ c>e & abortion c>e1        

sometimes enact$ "u ! guise (           
protection1 con/itute an abuse ( ! p[] (
 ! ,/ate t d5ies individuals _!         
fundam5tal rights2 ,:]eas ev5 :5 *>ges  
are dropp$ or ! def5dant is exon]at$1 ! 
long-t]m consequ5ces ( arre/ or         
prosecution are irrep>able2 ,:]eas      
,black1 indig5\s1 p ( color1 immigrants1
 p ) l[ incomes1 ,,lgbtqi individuals1 &
 o!r m>g9aliz$ individuals are m likely1
 due to p]si/5t disp>ities & oppression1
 to exp]i5ce adv]se pregnancy outcomes t
 place !m "u ! scrut9y ( ! legal sy/em2 
,:]eas gr\ps l ! ,am]ican ,m$ical       
,association1 ,am]ican ,public ,heal?   
,association1 ,am]ican ,academy (       
,p$iatrics1 ,am]ican ,society (         
,addiction ,m$ic9e1 ! ,am]ican ,college 
( ,ob/etricians & ,gynecologi/s1 !      
,am]ican ,b> ,association1 & o!rs oppose
 ,/ate-sanction$ puni%m5t = pregnancy   
outcomes & oppose crim9aliz+ provid]s & 
! provision ( heal? c>e2 ,:]eas ,black1 
indig5\s1 p ( color1 immigrants1 p ) l[ 
incomes1 ,,lgbtqi individuals1 & o!r    

m>g9aliz$ individuals are m likely to be
 surveill$1 arre/$1 *>g$1 prosecut$1    
convict$1 & heavily puni%$ )9 ! crim9al 
ju/ice sy/em2 ,:]eas1 9 ! #bjbb         
,abortion ,c>e ,guidel9es issu$ by ! ,_w
 ,heal? ,organization1 ! ,_w ,heal?     
,organization recomm5ds ! full          
decrim9alization ( abortion2 ,:]eas     
human rights bodies1 includ+ ! ,unit$   
,nations ,human ,rights ,committee1 h   
long said t gov]nm5ts t apply crim9al   
sanctions aga9/ p :o h an abortion1 or  
m$ical provid]s :o assi/ p 9 hav+ an    
abortion1 violate human rights pr9ciples
 & laws2 ,:]eas human rights bodies h   
explicitly describ$ crim9alization (    
abortion & attacks on ,,lgbtqi heal? z a
 =m ( g5d]-bas$ viol5ce2 ,:]eas puni%+ p
 = _! pregnancy outcomes or = seek+ or  
provid+ ess5tial reproductive & sexual  
heal? c>e1 or support+ access to su*    
c>e1 violates _! fundam5tal rights2 &   
,:]eas sev]al ,/ates h recogniz$ ^!     
facts & tak5 /eps-- 7#a7 to repeal or   
re=m laws t _h be5 us$ to crim9alize    

pregnancy outcomes2 &  7#b7 to pass laws
 to increase access to abortion1        
contraception1 & g5d]-affirm+ c>e3 ,n[1 
!re=e1 be x  ,t ! ,s5ate-- 7#a7 condemns
 ! application or use ( crim9al laws to 
puni% p = ! outcomes ( _! pregnancies2  
7#b7 affirms t p des]ve access to       
high-quality heal? c>e )\t fe> (        
reprisal or puni%m5t2  7#c7 condemns !  
crim9alization ( provid+ or support+    
access to ess5tial heal? c>e2  7#d7     
affirms ! e?ical obligations ( heal? c>e
 provid]s to safegu>d pati5t privacy & !
 private m$ical in=mation integral to ! 
pati5t-provid] relation%ip2 &  7#e7     
decl>es a goal = a future 9 :i*-- 7,a7 !
 ability ( pati5ts to access sexual &   
reproductive heal? c>e1 includ+         
abortion1 contraception1 & g5d]-affirm+ 
c>e1 is univ]sally free f re/rictions1  
bans1 & b>ri]s2 &  7,b7 p are able-- 7i7
 to ex]cise self-det]m9ation 9 _!       
reproductive & sexual heal?2 &  7ii7    
manage c>e on _! own t]ms1 free f       
co]cion1 discrim9ation1 or puni%m5t2 &  

7#f7 affirms ! commitm5t ( ,congress to 
work+ t[>d ! goal e/abli%$ 9 p>agraph   
7#e7 9 p>tn]%ip ) provid]s1 pati5ts1    
advocates1 & _! communities4