,i  #aai? ,,congress  #a/ ,session  ,h4 
,r4 #bjdi  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,m>* #aa1 #bjbe,ms4   
,gill5 7= h]self1 ,mr4 ,fitzpatrick1 &  
,mr4 ,lawl]7 introduc$ ! foll[+ bill2   
:i* 0 ref]r$ to ! ,committee on ,en]gy &
 ,comm]ce  ,a ,,bill  ,to prohibit !    
limitation ( access to assi/$           
reproductive te*nology1 & all m$ical c>e
 surr\nd+ su* te*nology4  #a4 ,%ort     
title ,?is ,act may be cit$ z ! ,access 
to ,family ,build+ ,act4  #b4           
,def9itions ,9 ?is ,act3  7#a7 ,assi/$  
reproductive te*nology ,! t]m assi/$    
reproductive te*nology has ! mean+ giv5 
su* t]m 9 section #h ( ! ,f]tility      
,cl9ic ,success ,rate & ,c]tification   
,act ( #aiib 7#db ,u4,s4,c4             
#bfc;a-#g7a774  7#b7 ,heal? c>e provid] 
,! t]m heal? c>e provid] means any      
entity or individual 7includ+ any       
physician1 nurse practition]1 physician 
assi/ant1 ph>maci/1 heal? c>e support   
p]sonnel1 & any o!r individual1 z       
det]m9$ by ! ,secret>y ( ,heal? & ,human

 ,s]vices7 t--  7,a7 is engag$ or seeks 
to engage 9 ! deliv]y ( assi/$          
reproductive te*nology1 includ+ ?r\gh ! 
provision ( evid5ce-bas$ in=mation1     
c\nsel+1 ref]rals1 or items & s]vices t 
relate to1 aid 91 or provide f]tility   
treatm5t2 &  7,b7 if requir$ by ,/ate   
law to be lic5s$1 c]tifi$1 or o!rwise   
au?oriz$ to engage 9 ! deliv]y ( su*    
s]vices--  7i7 is s lic5s$1 c]tifi$1 or 
o!rwise au?oriz$2 or  7ii7 w\ld be s    
lic5s$1 c]tifi$1 or o!rwise au?oriz$ b =
 ! individual's or entity's pa/1 pres5t1
 or pot5tial provision ( assi/$         
reproductive te*nology 9 accordance )   
section #d4  7#c7 ,pati5t ,! t]m pati5t 
means any individual :o receives or     
seeks to receive assi/$ reproductive    
te*nology s]vices & evid5ce-bas$        
in=mation1 c\nsel+1 ref]rals1 or items &
 s]vices t relate to1 aid 91 or provide 
f]tility treatm5t4  7#d7 ,/ate ,! t]m   
,/ate includes ea* ( ! #ej ,/ates1 !    
,di/rict ( ,columbia1 ,pu]to ,rico1 ea* 
t]ritory & possession ( ! ,unit$ ,/ates1

 & any political subdivision !re(4  #c4 
,f9d+s & purpose  7a7 ,f9d+s ,congress  
f9ds ! foll[+3 7#a7 ,congress has !     
au?ority to enact ?is ,act to protect   
access to f]tility treatm5ts pursuant   
to--  7,a7 its p[]s "u ! ,comm]ce       
,clause ( section #h ( article ,i ( !   
,con/itution ( ! ,unit$ ,/ates2  7,b7   
its p[]s "u section #e ( ! ,f\rte5?     
,am5dm5t to ! ,con/itution ( ! ,unit$   
,/ates to en=ce ! provisions ( section  
#a ( ! ,f\rte5? ,am5dm5t2 &  7,c7 its   
p[]s "u ! necess>y & prop] clause (     
section #h ( article ,i ( ! ,con/itution
 ( ! ,unit$ ,/ates4  7#b7 ,congress has 
us$ its au?ority 9 ! pa/ to protect &   
exp& access to f]tility treatm5t1       
in=mation1 products1 & s]vices4  7b7    
,purpose ,x is ! purpose ( ?is ,act to  
p]mit heal? c>e provid]s to provide1 & =
 pati5ts to receive1 assi/$ reproductive
 te*nology s]vices )\t limitations or   
requirem5ts t-- 7#a7 are m burd5some ?an
 limitations or requirem5ts impos$ on   
m$ically comp>able proc$ures2  7#b7 d n 

significantly advance reproductive heal?
 or ! safety ( su* s]vices2 or  7#c7    
unduly re/rict access to su* s]vices4   
#d4 ,access to assi/$ reproductive      
te*nology  7a7 ,g5]al rule  7#a7        
,individual rights ,an individual has a 
/atutory "r "u ?is ,act1 includ+ )\t    
prohibition or unreasonable limitation  
or int]f]5ce 7su* z due to f9ancial co/ 
or detrim5t to ! individual's heal?1    
includ+ m5tal heal?71 to-- 7,a7 access  
assi/$ reproductive te*nology2  7,b7    
cont9ue or complete an ongo+ assi/$     
reproductive te*nology treatm5t or      
proc$ure pursuant to a writt5 plan or   
agreem5t ) a heal? c>e provid]2 &  7,c7 
reta9 all rights reg>d+ ! use or        
disposition ( reproductive g5etic       
mat]ials1 includ+ gametes1 subject to   
subsection 7c74  7#b7 ,heal? c>e provid]
 rights ,a heal? c>e provid] has a      
/atutory "r "u ?is ,act to-- 7,a7 p]=m  
or assi/ ) ! p]=mance ( assi/$          
reproductive te*nology treatm5ts or     
proc$ures2 &  7,b7 provide or assi/ ) ! 

provision ( evid5ce-bas$ in=mation      
relat$ to assi/$ reproductive te*nology4
  7#c7 ,insurance provid] rights ,a     
heal? insurance provid] has a /atutory  
"r "u ?is ,act to cov] assi/$           
reproductive te*nology treatm5ts or     
proc$ures4  7b7 ,en=cem5t  7#a7 ,!      
attorney g5]al ,! ,attorney ,g5]al may  
comm5ce a civil action on behalf ( !    
,unit$ ,/ates aga9/ any ,/ate1 local    
municipality1 or aga9/ any gov]nm5t     
(ficial1 individual1 or entity t enacts1
 implem5ts1 or en=ces a limitation or   
requirem5t t prohibits1 unreasonably    
limits1 or int]f]es ) subsection 7a74 ,!
 c\rt %all hold unlawful & set aside !  
limitation or requirem5t if x is 9      
violation ( subsection 7a74  7#b7       
,private "r ( action ,any individual or 
entity adv]sely affect$ by an alleg$    
violation ( subsection 7a7 may comm5ce a
 civil action aga9/ any ,/ate or local  
gov]nm5t (ficial t enacts1 implem5ts1 or
 en=ces a limitation or requirem5t t    
violates subsection 7a74 ,! c\rt %all   

hold unlawful & enjo9 ! limitation or   
requirem5t if x is 9 violation (        
subsection 7a74  7#c7 ,heal? c>e provid]
 ,a heal? c>e provid] may comm5ce an    
action = relief on its own behalf1 on   
behalf ( ! provid]'s /aff1 or on behalf 
( ! provid]'s pati5ts :o are or may be  
adv]sely affect$ by an alleg$ violation 
( subsection 7a74  7#d7 ,equitable      
relief ,9 any action "u ?is section1 !  
c\rt may aw>d appropriate equitable     
relief1 includ+ tempor>y1 prelim9>y1 or 
p]man5t injunctive relief4  7#e7 ,co/s  
,9 any action "u ?is section1 ! c\rt    
%all aw>d co/s ( litigation1 z well z   
reasonable attorney's fees1 to any      
prevail+ pla9tiff4 ,a pla9tiff %all n be
 liable to a def5dant = co/s or         
attorney's fees 9 any non-frivol\s      
action "u ?is section4  7#f7            
,jurisdiction ,! di/rict c\rts ( !      
,unit$ ,/ates %all h jurisdiction ov]   
proce$+s "u ?is section & %all ex]cise !
 same )\t reg>d to :e!r ! p>ty aggriev$ 
%all h exhau/$ any adm9i/rative or o!r  

rem$ies t may be provid$ = by law4  7#g7
 ,"r to remove ,any p>ty %all h a "r to 
remove an action br\ght "u ?is          
subsection to ! di/rict c\rt ( ! ,unit$ 
,/ates = ! di/rict & division embrac+ ! 
place :]e su* action is p5d+4 ,an ord]  
rem&+ ! case to ! ,/ate c\rt f :i* x 0  
remov$ "u ?is p>agraph is imm$iately    
reviewable by appeal or o!rwise4  7c7   
,/ate regulation ( m$ic9e ,no?+ 9 ?is   
,act %all be con/ru$ to prohibit        
en=cem5t ( heal? & safety regulations a 
,/ate or local municipality requires (  
m$ical facilities or provid]s1 if su*   
regulations--  7#a7 advance ! safety (  
heal? c>e s]vices or ! heal? ( pati5ts2 
&  7#b7 t safety objective _c be advanc$
 by a less re/rictive alt]native measure
 or action4  7d7 ,insurance ,no?+ 9 ?is 
,act %all be con/ru$ to modify1 sup]s$e1
 or o!rwise affect any ,/ate law reg>d+ 
insurance cov]age ( assi/$ reproductive 
te*nologies & treatm5ts4  7e7           
,regulations ,n lat] ?an #a ye> aft] !  
date ( enactm5t ( ?is ,act1 ! ,secret>y 

( ,heal? & ,human ,s]vices %all         
promulgate regulations to c>ry out ?is  
section4  #e4 ,applicability &          
preemption  7a7 ,9 g5]al  7#a7 ,g5]al   
application ,?is ,act sup]s$es & applies
 to ! law ( ! ,f$]al ,gov]nm5t & ea*    
,/ate gov]nm5t1 & ! implem5tation ( su* 
law1 :e!r /atutory1 common law1 or      
o!rwise1 & :e!r adopt$ be=e or aft] !   
date ( enactm5t ( ?is ,act1 & nei!r !   
,f$]al ,gov]nm5t nor any ,/ate gov]nm5t 
%all adm9i/]1 implem5t1 or en=ce any    
law1 rule1 regulation1 /&>d1 or o!r     
provision hav+ ! =ce & effect ( law t   
conflicts ) any provision ( ?is ,act1   
not)/&+ any o!r provision ( ,f$]al law1 
includ+ ! ,religi\s ,fre$om ,re/oration 
,act ( #aiic 7#db ,u4,s4,c4 #bjjj;bb et 
seq474  7#b7 ,subsequ5tly enact$ ,f$]al 
legislation ,f$]al /atutory law adopt$  
aft] ! date ( ! enactm5t ( ?is ,act is  
subject to ?is ,act unless su* law      
explicitly excludes su* application by  
ref]5ce to ?is ,act4  7b7 ,def5se ,9 any
 cause ( action aga9/ an individual or  

entity :o is subject to a limitation or 
requirem5t t violates ?is ,act1 9       
addition to ! rem$ies specifi$ 9 section
 #d7;b71 ?is ,act %all also apply to1 & 
may be rais$ z a def5se by1 su* an      
individual or entity4  #f4 ,sev]ability 
,if any provision ( ?is ,act1 or !      
application ( su* provision to any      
p]son1 entity1 gov]nm5t1 or circum/ance 
is held to be uncon/itutional1 ! rema9d]
 ( ?is ,act1 or ! application ( su*     
provision to all o!r p]sons1 entities1  
gov]nm5ts1 or circum/ances %all n be    
affect$ !reby4