,i  #aai? ,,congress  #b;d ,session  ,h4
 ,r4 #ajeig  ,,9 ,,! ,,h\se ,,(         
,,repres5tatives  ,septemb] #bd1        
#bjbf,ms4 ,pressley 7= h]self1 ,mr4     
,b]a1 ,ms4 ,ocasio-,cortez1 ,ms4        
,b>ragn1 ,ms4 ,br[n1 ,ms4 ,br[nley1 ,mr4
 ,c>bajal1 ,mr4 ,c>t] ( ,l\isiana1 ,mr4 
,ca/51 ,ms4 ,*u1 ,ms4 ,cl>ke ( ,new     
,york1 ,mr4 ,conaway1 ,ms4 ,crockett1   
,ms4 ,fri$man1 ,mr4 ,g>ca ( ,ill9ois1   
,mr4 ,goldman ( ,new ,york1 ,mr4 ,gomez1
 ,mr4 ,johnson ( ,georgia1 ,ms4 ,lee (  
,p5nsylvania1 ,ms4 ,mc,clellan1 ,mrs4   
,mc,iver1 ,ms4 ,m5g1 ,mr4 ,mull91 ,ms4  
,norton1 ,ms4 ,p+ree1 ,mr4 ,quigley1    
,ms4 ,scanlon1 ,ms4 ,/ansbury1 ,ms4     
,tlaib1 ,ms4 ,tokuda1 ,mr4 ,torres (    
,new ,york1 ,ms4 ,und]wood1 ,mrs4       
,watson ,coleman1 ,ms4 ,williams (      
,georgia1 & ,ms4 ,wilson ( ,florida7    
introduc$ ! foll[+ bill2 :i* 0 ref]r$ to
 ! ,committee on ,en]gy & ,comm]ce1 & 9 
addition to ! ,committees on ,education 
& ,work=ce1 & ,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 ,act ( #bjbf4  #b4 ,purpose ,!  
purpose ( ?is ,act is to ensure timely  
access to af=dable bir? control by      
requir+ cov]age )\t co/-%>+ =           
contraceptives t are approv$1 grant$1 or
 cle>$ by1 or o!rwise legally m>ket$ "u 
regulation by1 ! ,food & ,drug          
,adm9i/ration = use )\t a prescription4 
#c4 ,f9d+s ,congress f9ds ! foll[+3 7#a7
 ,bir? control is critical heal? c>e t  
almo/ all wom51 z well z _m trans m5 &  
nonb9>y p1 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 individuals ) !           
opportunity to lead heal?y lives & get !

 c>e !y ne$ to rea* _! goals4  7#c7     
,contraceptive access is associat$ )    
heal? b5efits = wom51 newborns1         
families1 & communities & c l[] ! risk (
 h>m to mat]nal & infant heal?4  7#d7   
,an e/imat$ #ge1fjj1jjj wom5 (          
reproductive age 7ages #ae ?r\gh #di7   
live 9 ! ,unit$ ,/ates4 ,among !        
#cf1cjj1jjj ( su* wom5 :o are sexually  
active & n seek+ *ildr51 #hg p]c5t use a
 =m ( bir? control4  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 become pregnant4    
7#f7 ,despite legal requirem5ts = bir?  
control cov]age & access to s]vices1    
gaps rema9 = millions ( individuals4    
,tw5ty-five p]c5t ( curr5t & prospective
 contraceptive us]s are n us+ _! pref]r$
 me?od1 & ( ^? wom51 #ah p]c5t say x is 
because ( co/4 ,z a result1 _m wom5 h   

gone )\t ! bir? control !y want to use1 
also creat+ inconsi/5t use4 ,access to  
bir? control is p>ticul>ly difficult = !
 #ba1djj1jjj wom5 9 ne$ ( publicly fund$
 contraception t live 9 a c\nty ) a     
contraceptive access gap & lack         
reasonable access to a heal? c5t] t (f]s
 ! full range ( contraceptive me?ods4   
7#g7 ,due to sy/emic discrim9ation1 p   
paid l[ wages1 p ( color1 ,,lgbtq       
individuals1 immigrants1 & p )          
disabilities are m likely to face b>ri]s
 to1 & lack access to1 heal? cov]age &  
heal? c>e provid]s4  7#h7 ,!re are      
num]\s social & economic factors t make 
x h>d] to access bir? control1 includ+  
ris+ income & weal? inequality1 gaps 9  
insurance cov]age1 & b>ri]s to access+  
heal? provid]s4  7#i7 ,lead+ heal?      
exp]ts support ov]-!-c\nt] bir? control 
pills4  #d4 ,s5se ( ,congress ,x is !   
s5se ( ,congress 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 wom5 
are (t5 d5i$ cov]age = ! new]           
contraceptive products on ! m>ket1 ev5  
?\gh contraceptives are requir$ by law  
to be cov]$ at #ajj p]c5t1 :i* bo?      
limits pati5ts' options & ?w>ts         
innovation by disc\rag+ ! private sector
 f develop+ new contraceptive products2 
7#c7 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#d7 ^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#e7 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 (-- 7#a7 all ov]-!-c\nt]        
contraceptives approv$1 grant$1 or cle>$
 by ! ,food & ,drug ,adm9i/ration1 ev5  
if ! enrollee does n h a prescription = 
! contraceptive2 &  7#b7 all            
prescription contraceptives approv$1    
grant$1 or cle>$ by ! ,food & ,drug     
,adm9i/ration1 except t1 9 ! case ( any 
prescription drug contraceptive = :i*   
!re is at lea/ "o drug or drug-l$       

comb9ation product t is a !rapeutic     
equival5t 7z def9$ 9 section #cad4c7;b7 
( title #ba1 ,code ( ,f$]al ,regulations
 7or any successor regulations771 su*   
cov]age %all be requir$ ) respect to    
only "o su* contraceptive among su*     
!rapeutically equival5t drugs or drug-l$
 comb9ation products4  #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 contraception = use )\t
 a prescription  7a7 ,9 g5]al ,any      
retail] t /ocks contraception t is      
approv$1 grant$1 or cle>$ 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* 
contraception or access to m$ically     
accurate1 compreh5sive in=mation ab\t   
su* contraception4  7b7 ,limitation     
,no?+ 9 ?is section %all prohibit a     
retail] t /ocks ov]-!-c\nt]             
contraceptive products f refus+ to      
provide an individual ) su*             
contraceptive product t is approv$1     
grant$1 or cle>$ by1 or o!rwise legally 
m>ket$ "u regulation by1 ! ,food & ,drug
 ,adm9i/ration if ! individual is unable
 to pay = ! contraceptive product1      
directly1 ?r\gh insurance cov]age1 or   
?r\gh o!r paym5t me*anism4