,,iv #aai? ,,congress #a/ ,session ,h4 ,,con4 ,,res4 #ec ,,9 ,,! ,,h\se ,,( ,,repres5tatives ,septemb] #bf1 #bjbe,ms4 ,velzquez 7= h]self1 ,ms4 ,br[nley1 ,ms4 ,*u1 & ,ms4 ,del,bene7 submitt$ ! foll[+ concurr5t resolution2 :i* 0 ref]r$ to ! ,committee on ,en]gy & ,comm]ce1 & 9 addition to ! ,committee on ,=eign ,affairs1 = 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$ ,,concurr5t ,,resolution ,express+ support = ! recognition ( ,septemb] #bf1 #bjbe1 z ,_w ,contraception ,day & express+ ! s5se ( ! ,h\se ( ,repres5tatives reg>d+ global & dome/ic access to contraception4 ,:]eas ,septemb] #bf m>ks ,_w ,contraception ,day1 a day :5 organizations & individuals ar\nd ! _w advocate to improve aw>5ess ( contraception & ! "r to sexual & reproductive heal?2 ,:]eas1 9 #aifh1 ! ,unit$ ,nations ,int]national ,conf]5ce on ,human ,rights decl>$ t p>5ts h a basic human "r to det]m9e freely & responsibly ! numb] & spac+ ( _! *ildr52 ,:]eas access to contraceptives 9 ! ,unit$ ,/ates is recogniz$ z a fundam5tal "r "u ! con/itutional "r to privacy ?r\gh ! ,supreme ,c\rt's decisions 9 ,griswold v4 ,connecticut 7#cha ,u4,s4 #dgi 7#aife77 & ,eis5/adt v4 ,baird 7#dje ,u4,s4 #dch 7#aigb772 ,:]eas ! ,c5t]s = ,disease ,control & ,prev5tion recogniz$ family plann+ 9 its publi%$ li/ ( ! ,t5 ,greate/ ,public ,heal? ,a*ievem5ts 9 ! #bj? ,c5tury2 ,:]eas t>get #c4g ( ! ,unit$ ,nations ,su/a9able ,developm5t ,goals1 :i* 0 adopt$ by ! ,unit$ ,/ates & #aib o!r ,unit$ ,nations 7,,un7 memb] /ates1 calls on c\ntries by #bjcj1 to ensure univ]sal access to sexual & reproductive heal?-c>e s]vices1 includ+ = family plann+1 in=mation & education1 & ! integration ( reproductive heal? into national /rategies & programs2 ,:]eas c]ta9 b>ri] me?ods ( contraception1 specifically condoms1 decreases ! spread ( sexually transmitt$ infections 7,s,t,is7 & c\ld elim9ate ! #c1ejj1jjj annual cases ( inf]tility 9 l[- & middle-income c\ntries t are caus$ by untreat$ gonorrhea or *lamydia2 ,:]eas ! ability ( individuals to control ! numb] & spac+ ( _! *ildr5 r$uces rates ( un9t5d$ pregnancies1 unsafe abortions1 & mat]nal dea?s2 ,:]eas1 9 economically develop+ c\ntries1 public heal? exp]ts e/imate t access to contraceptives w\ld result 9 #gf1jjj1jjj few] un9t5d$ pregnancies1 #bf1jjj1jjj few] unsafe abortions1 & #ahf1jjj few] mat]nal dea?s2 ,:]eas1 9 ! ,unit$ ,/ates1 due to discrim9ation1 significant racial1 e?nic1 & socioeconomic disp>ities exi/ 9 sexual & reproductive heal?1 p>ticul>ly 9 mat]nal mortality & morbidity & infant mortality ) ,black1 ,am]ican ,indian1 & ,alaska ,native wom5 two to ?ree times m likely to die f pregnancy-relat$ causes ?an ,:ite wom52 ,:]eas contraceptive *oices are unduly influ5c$ by /ructural racism1 g5d] discrim9ation1 & socioeconomic b>ri]s2 ,:]eas rese>* %[s t1 bo? hi/orically & today1 m$ical racism & ableism has result$ 9 co]cion & exp]im5tations on ,native peoples1 communities ( color1 & immigrants1 su* z ! =c$ surgical /]ilization ( ,am]ican ,indian & ,alaska ,native communities 9 ! #aigjs1 mislead+ & eug5ics-bas$ bir? control trials on ,pu]to ,rican wom5 9 ! #aiejs1 & ! developm5t ( mod]n gynecology ?r\gh ! exp]im5tation & exploitation ( enslav$ ,black wom5 beg9n+ 9 ! #ahdjs1 & su* co]cion & exp]im5tations h contribut$ to p]si/5t feel+s ( mi/ru/ among _m communities reg>d+ _! ability to access high-quality sexual & reproductive heal? c>e2 ,:]eas effective contraception has be5 %[n to be an important /rategy to ma9ta9+ & improv+ m5tal heal? & well-be+ = wom5 & o!r individuals :o h ! capacity to get pregnant2 ,:]eas plann+1 delay+1 & spac+ bir?s helps p a*ieve _! education1 c>e]1 & life goals2 ,:]eas "y wom5 ) access to ! bir? control pill be=e age #ba graduat$ f college 9 significantly high] numb]s ?an did wom5 ( ! same era :o came ( age be=e ! bir? control pill 0 available to !m2 ,:]eas *ildr5 born to wom5 ) access to ,unit$ ,/ates f$]ally fund$ family plann+ programs1 :i* increase access to af=dable contraception & family plann+ s]vices1 7 m likely to complete at lea/ #ab1 #ac1 & #af ye>s ( s*ool+1 & _h #b-p]c5t high] family incomes z adults2 ,:]eas globally1 access to contraception increases labor =ce p>ticipation1 boo/+ economic heal? & prosp]ity ( economically develop+ communities2 ,:]eas _m wom5 face *all5ges 9 access+ bir? control & us+ x effectively1 & globally1 #bah1jjj1jjj wom5 9 economically develop+ c\ntries h an unmet ne$ = mod]n contraception2 ,:]eas1 9 ! ,unit$ ,/ates1 "o-?ird ( adult ,unit$ ,/ates wom5 :o h ev] tri$ to obta9 prescription contraception report$ b>ri]s to access2 ,:]eas "o b>ri] to access is an appropriately tra9$1 l+ui/ically appropriate1 & culturally compet5t reproductive heal? c>e work=ce includ+ prim>y c>e & o!r provid]s to ensure t all pati5ts h access to a contraceptive me?od ( _! *oice includ+ highly effective rev]sible contraception me?ods2 ,:]eas m ?an #ai1jjj1jjj wom5 ( reproductive age 9 ! ,unit$ ,/ates are 9 ne$ ( publicly fund$ contraception & live 9 a contraceptive des]t :]e !y lack reasonable access 9 _! c\nty to a heal? c5t] t (f]s ! full range ( contraceptive me?ods2 ,:]eas ne>ly half ( all c\nties 9 ! ,unit$ ,/ates d n h a s+le practic+ ,ob/etrician-,gynecologi/1 fur!r limit+ contraceptive access2 ,:]eas #ab ,/ates 9 ,am]ica all[ "s heal? c>e provid]s to refuse to provide s]vices relat$ to contraception2 ,:]eas /udies %[ t prev5t+ "y adults f access+ contraceptives puts te5s at risk ( un9t5d$ pregnancies & sexually transmitt$ diseases1 includ+ ,,hiv2 ,:]eas em]g5cy contraception is a safe way to prev5t pregnancy aft] unprotect$ sex1 b #i ,/ates 9 ,am]ica h adopt$ re/rictions on em]g5cy contraception by exclud+ em]g5cy contraception f a ,/ate's family plann+ program1 contraceptive cov]age m&ate1 or by all[+ ph>maci/s to refuse to disp5se em]g5cy contraceptives2 ,:]eas ! ,unit$ ,/ates jo9$ ov] #ajj o!r c\ntries t h ov]-!-c\nt] 7,,otc7 bir? control pills :5 a proge/9-only bir? control pill 0 approv$ by ! ,food & ,drug ,adm9i/ration 9 ,july #bjbd & is n[ available nationwide )\t a prescription2 ,:]eas rese>* highlights t #ci p]c5t ( adults & #bi p]c5t ( te5s w\ld be int]e/$ 9 an ,,otc proge/9-only pill1 ) a great] likelihood ( use if cov]$ by insurance2 ,:]eas ! af=dability ( ,,otc contraception1 includ+ bir? control pills & em]g5cy contraception1 is ess5tial = equitable access2 ,:]eas rese>* %[s t #fd p]c5t ( survey respond5ts :o 7 int]e/$ 9 cont9u$ use ( ,,otc proge/9-only pills indicat$ t _! int]e/ 9 us+ an ,,otc oral contraceptive 0 relat$ to co/-sav+s because !y c\ld save money n hav+ to see a provid]2 ,:]eas v>iation 9 prices ( em]g5cy contraception across ph>macies1 di/ributors1 & manufactures c make x out ( rea* = ^? :o ne$ x mo/2 ,:]eas1 accord+ to ! ,,un1 globally1 #ai p]c5t ( gov]nm5ts apply "o or m re/rictions on contraceptive access1 includ+ re/rictions on ! age & m>ital /atus ( ! p]son seek+ access to contraception1 p>5tal cons5t1 & re/rictions on access to em]g5cy contraceptive pills or /]ilization2 ,:]eas rese>*]s h f\nd "s wom5 ( color exp]i5ce implicit & explicit racism :5 int]act+ ) ! m$ical sy/em1 lack ( quality in=mation ab\t effective family plann+ me?ods1 & an inability to access or af=d reproductive heal? c>e2 ,:]eas1 :ile compreh5sive sex education has be5 prov5 to r$uce rates ( un9t5d$ pregnancy & ,s,t,is1 & include outcomes ( appreciation ( sexual div]sity1 dat+ & intimate p>tn] viol5ce prev5tion1 developm5t ( heal?y relation%ips1 prev5tion ( *ild sex abuse1 improv$ social & emotional le>n+1 & increas$ m$ia lit]acy1 only #bb ,/ates & ! ,di/rict ( ,columbia require sex education to include in=mation on bir? control & j #cf ,/ates & ! ,di/rict ( ,columbia require sex education to be taught 9 s*ools at all2 ,:]eas1 globally1 _m c\ntries h made advances 9 develop+ policies to improve access to compreh5sive sex education1 h[ev]1 !re rema9 significant gaps betwe5 global & regional policies & implem5tation on ! gr\nd su* z limit$ tea*] tra9+ capacity2 ,:]eas reproductive ju/ice is ! human "r to ma9ta9 p]sonal bodily autonomy1 h *ildr51 n h *ildr51 & p>5t "o's *ildr5 9 safe & su/a9able communities2 ,:]eas exi/+ rese>* highlights un9sur$ wom5 7 #cj p]c5t less likely to report us+ prescription contraceptive me?ods ?an wom5 ) private or public heal? insurance & wom5 id5tify af=dability among ! top ?ree factors 9 det]m9+ :i* contraception to use2 ,:]eas ,,lgbtq individuals1 p>ticul>ly transg5d] individuals und]go+ transition1 exp]i5ce unique b>ri]s to contraception access su* z fragm5tation ( heal? s]vices1 discrim9ation f provid]s1 & insurance issues1 all ( :i* c be exac]bat$ by racism & int]sect+ oppression2 ,:]eas !re are cont9u$ ef=ts to defund or elim9ate contraceptive programs & falsely conflate em]g5cy contraceptives & intraut]9e devices ) abortion1 ev5 ?\gh !y are prov5 to r$uce un9t5d$ pregnancies2 ,:]eas p ( color1 ,native p1 immigrant communities1 & p ) disabilities h be5 exploit$ 9 ! s]vice ( contraceptive developm5t1 & h be5 co]c$ into us+ contraception1 or /]iliz$ aga9/ _! w1 yet /ill face b>ri]s to access+ contraception :5 !y ne$ x2 & ,:]eas ,congress has repeat$ly recogniz$ ! importance ( wom5's ability to access contraceptives ?r\gh support = ! ,m$icaid program1 ,,tric>e1 title ,x ( ! ,public ,heal? ,s]vice ,act1 & ! ,f$]al ,employees ,heal? ,b5efits ,program3 ,n[1 !re=e1 be x ,t-- 7#a7 x is ! s5se ( ,congress t ,congress & ! ,trump adm9i/ration %\ld take fur!r /eps to ensure t all p h univ]sal1 expansive1 high-quality access to free or af=dable contraception2 7#b7 ,congress & ! ,trump adm9i/ration %\ld ensure all p capable ( pregnancy h ! autonomy to decide :e!r to h *ildr51 ! numb] & spac+ ( _! *ildr51 & to h m$ically accurate in=mation1 education1 & access to heal? s]vices to make ^! decisions & pursue reproductive ju/ice2 7#c7 ,congress & ! ,trump adm9i/ration %\ld exam9e & support ways to exp& compreh5sive access to contraception1 includ+ /udy+ contraceptive des]ts1 new evid5ce-bas$ me?ods & innovations1 & :e!r ,f$]al policy solutions c address ^! issues2 7#d7 ,congress & ! ,trump adm9i/ration %\ld ensure p h access to af=dable1 compreh5sive1 consi/5t insurance cov]age = all _! reproductive heal? c>e ne$s1 includ+ contraception )\t a prescription or co/ %>+ & abortion2 7#e7 ,congress & ! ,trump adm9i/ration %\ld exp& tra9+ ( c\nsel+1 provision1 & foll[-up c>e = all =ms ( highly effective rev]sible contraception me?ods to prim>y c>e physicians to increase access to ! mo/ effective =ms ( bir? control available2 7#f7 ,congress aligns ) ! sci5tific p]spective t contraception includes all curr5t & future ,food & ,drug ,adm9i/ration-approv$1 -grant$1 or-cle>$ me?ods1 includ+ ^? available by prescription & ov]-!-c\nt]1 & ! ,_w ,heal? ,organization def9es contraception to include female & male /]ilization1 ! intraut]9e device1 ! implant1 injectables1 oral contraceptive pills1 ext]nal & int]nal condoms1 vag9al b>ri] me?ods 7includ+ ! diaphragm1 c]vical cap1 & sp]micidal foam1 jelly1 cream1 & sponge71 lactational am5orrhea me?od1 em]g5cy contraception1 & o!r mod]n me?ods n report$ sep>ately 7= example1 ! contraceptive pat* or vag9al r+72 7#g7 ,congress & ! ,trump adm9i/ration %\ld ensure t laws gov]n+ contraception access are evid5ce-bas$ & gr\nd$ 9 accurate m$ical in=mation2 7#h7 ,congress & ! ,trump adm9i/ration %\ld "w to end reproductive heal? disp>ities1 includ+ ) reg>d to e?nicity1 race1 disability1 immigration /atus1 g5d] id5tity1 & sexual ori5tation2 7#i7 ,congress & ! ,trump adm9i/ration %\ld "w to end g5d]-bas$ viol5ce1 :i* disproportionately affects wom51 includ+ transg5d] wom52 7#aj7 ,congress & ! ,trump adm9i/ration %\ld exp& compreh5sive & g5d]-inclusive sex education & pati5t-c5t]$ c\nsel+1 :i* includes accurate1 age-appropriate in=mation ab\t "o's body1 sexual & reproductive heal?1 me?ods ( contraception1 access1 & human rights2 7#aa7 ,congress & ! ,trump adm9i/ration %\ld ensure t ,unit$ ,/ates =eign assi/ance includes support = contraception s]vices1 safe abortion s]vices1 & quality po/abortion c>e1 & dome/ic assi/ance includes support = contraception s]vices ?r\gh title ,x family plann+ provid]s & ,c5t]s = ,m$ic>e & ,m$icaid ,s]vices2 7#ab7 ?is ,congress does n support any policies t und]m9e ! effectiv5ess ( dome/ic & global programs & supports additional fund+ = global & dome/ic programs t increase access to contraception su* z ^? "u title ,x1 ,m$icaid1 ! ,indian ,heal? ,s]vice1 #fch cl9ics1 ,,tric>e1 ,f$]al heal? c>e provid]s1 & ! ,unit$ ,/ates ,ag5cy = ,int]national ,developm5t's ,(fice ( ,population & ,reproductive ,heal?2 & 7#ac7 ,congress & ! ,trump adm9i/ration %\ld exp& access & cov]age = ov]-!-c\nt] bir? control & o!r =ms ( contraception )\t requir+ a prescription4