,,ii  #aai? ,,congress  #a/ ,session    
,s4 #bcjb  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,july #af1 #bjbe ,mr4  
,book] 7= himself1 ,mrs4 ,murray1 ,mrs4 
,%ahe51 ,ms4 ,baldw91 ,mr4 ,ka9e1 ,mr4  
,blum5?al1 ,ms4 ,duckwor?1 ,mrs4        
,gillibr&1 ,mr4 ,w>n]1 ,ms4 ,ros51 ,mr4 
,:iteh\se1 ,mr4 ,he9ri*1 ,ms4 ,smi?1    
,ms4 ,hirono1 ,mr4 ,s*iff1 ,ms4 ,w>r51  
,mr4 ,wyd51 ,mr4 ,m>key1 ,mr4 ,m]kley1  
,mr4 ,van ,holl51 ,ms4 ,alsobrooks1 &   
,mr4 ,padilla7 introduc$ ! foll[+ bill2 
:i* 0 read twice & ref]r$ to !          
,committee on ,heal?1 ,education1       
,labor1 & ,p5sions  ,a ,,bill  ,to am5d 
! ,public ,heal? ,s]vice ,act to e/abli%
 c]ta9 duties = ph>macies to ensure     
provision ( ,food & ,drug               
,adm9i/ration-approv$ contraception &   
m$ication relat$ to contraception1 & =  
o!r purposes4  #a4 ,%ort title ,?is ,act
 may be cit$ z ! ,access to ,bir?       
,control ,act4  #b4 ,f9d+s ,congress    
f9ds z foll[s3  7#a7 ,family plann+ is  
basic heal? c>e4 ,access to             

contraception helps p det]m9e if & :5 to
 become pregnant4 ,contraception is also
 a corn]/one ( reproductive autonomy & c
 help p fulfill _! educational1         
pr(essional1 & social aspirations4  7#b7
 ,z a result ( ! enactm5t ( ! ,pati5t   
,protection & ,af=dable ,c>e ,act       
7,public ,law #aaa-adh71 approximately  
#aea1fjj1jjj individuals 9 ! ,unit$     
,/ates 7 enroll$ 9 private heal?        
insurance plans 9 ! ,unit$ ,/ates 9     
#bjbj1 includ+ #eh1jjj1jjj wom5 betwe5 !
 ages ( #ai & #fd :o _h cov]age (       
contraceptive me?ods approv$1 cle>$1 or 
au?oriz$ by ! ,food & ,drug             
,adm9i/ration )\t co/-%>+ "u su* plans4 
7#c7 ,! ,pati5t ,protection & ,af=dable 
,c>e ,act sav$ wom5 #a1djj1jjj1jjj on   
bir? control pills alone 9 #bjac4  7#d7 
,accord+ to ! ,c5t]s = ,disease ,control
 & ,prev5tion1 ne>ly #b_/c ( wom5 betwe5
 ! ages ( #ae & #di are curr5tly us+ a  
contraceptive me?od1 & among sexually   
active wom5 :o 7 n seek+ pregnancy1     
ne>ly #i 9 #aj h us$ contraception4     

7#e7 ,al?\gh ! ,c5t]s = ,disease        
,control & ,prev5tion includ$ family    
plann+ 9 its publi%$ li/ ( ! ,t5 ,great 
,public ,heal? ,a*ievem5ts 9 ! #bj?     
,c5tury1 p 9 ! ,unit$ ,/ates face a     
myriad ( b>ri]s 9 access+ bir? control1 
includ+ co/1 geography1 immigration     
/atus1 language access1 discrim9ation1 &
 /igma4 ,^! contraceptive b>ri]s are    
root$ 9 sy/emic inequities1 /ructural   
racism1 & o!r =ms ( oppression 9 our    
heal? c>e sy/em & society4  7#f7 ,9     
#bjai1 approximately #b1bic1jjj         
pregnancies1 ne>ly #db p]c5t ( all      
pregnancies1 9 ! ,unit$ ,/ates 7        
un9t5d$4  7#g7 ,sy/emic racism &        
discrim9ation1 z well z lack ( access to
 compreh5sive sex education1 exac]bates 
sev]e heal? inequities & creates        
additional b>ri]s to access+            
contraception2 = example1 due to high   
un9sur$ rates & b>ri]s1 ,hispanic wom5 )
 l[-incomes exp]i5ce a significantly    
high] rate ( un9t5d$ pregnancy 7#eh     
p]c5t7 comp>$ to _! ,:ite c\nt]p>ts 7#cc

 p]c5t74 ,9 a #bjbc /udy explor+        
*all5ges access+ contraceptive c>e among
 p :o id5tifi$ z ,asian ,am]ican1       
,native ,hawaiian1 or ,pacific ,isl&]1  
,black or ,african ,am]ican1 ,indig5\s1 
or ,lat9a_/,lat9x1 #de p]c5t (          
respond5ts report$ exp]i5c+ at lea/ "o  
*all5ge access+ contraception 9 ! pa/   
ye>4  7#h7 ,9 addition to prev5t+       
pregnancy1 contraceptives are us$ = a   
range ( m$ical purposes1 su* z treat+   
abnormal ut]9e ble$+1 irregul> m5/rual  
cycles1 & endometriosis1 z well z = p   
manag+ o!r *ronic conditions1 :i* are   
g5]ally high] 9 communities ( color due 
to sy/emic discrim9ation4  7#i7 ,! ,food
 & ,drug ,adm9i/ration has approv$1     
cle>$1 or au?oriz$ multiple em]g5cy     
contraceptive me?ods z safe & effective 
9 prev5t+ un9t5d$ pregnancy & has       
approv$ ov]-!-c\nt] access to "s =ms (  
em]g5cy contraception = all individuals1
 reg>dless ( age4 ,if tak5 soon aft]    
unprotect$ sex or prim>y contraceptive  
failure1 em]g5cy contraception c        

significantly r$uce a p]son's *ance (   
un9t5d$ pregnancy4 ,additionally1 9     
#bjbc1 ! ,food & ,drug ,adm9i/ration    
approv$ ! fir/ ov]-!-c\nt] daily bir?   
control pill :i* w give p ( all ages    
great] access to bir? control options   
)\t a prescription4  7#aj7              
,contraception is a protect$ fundam5tal 
"r 9 ! ,unit$ ,/ates & access to        
contraception %\ld n be imp$$ by "o     
individual's p]sonal beliefs4 ,provid]s1
 includ+ ph>maci/s1 play a key role 9   
provid+ contraceptive s]vices &         
important in=mation ab\t prescription & 
ov]-!-c\nt] bir? control options to p   
across ! c\ntry4 ,x is critical t       
contraceptive c>e is provid$ to p ( all 
ages 9 a supportive way t is culturally 
appropriate & deliv]$ )\t /igma1 bias1  
or delay4  7#aa7 ,reports ( ph>maci/s   
refus+ to fill prescriptions =          
contraceptives1 includ+ em]g5cy         
contraceptives1 or provide em]g5cy      
contraception ov]-!-c\nt] h surfac$ 9   
,/ates across ! ,nation1 includ+        

,alabama1 ,arizona1 ,cali=nia1 !        
,di/rict ( ,columbia1 ,georgia1         
,ill9ois1 ,l\isiana1 ,massa*usetts1     
,mi*igan1 ,m9nesota1 ,miss\ri1 ,montana1
 ,new ,hamp%ire1 ,new ,mexico1 ,new     
,york1 ,nor? ,c>ol9a1 ,ohio1 ,oklahoma1 
,oregon1 ,rhode ,isl&1 ,t5nessee1       
,texas1 ,wa%+ton1 ,we/ ,virg9ia1 &      
,wiscons94  7#ab7 ,s9ce ! ,supreme ,c\rt
 decision 9 ,dobbs v4 ,jackson ,wom5's  
,heal? ,organization 7#adb ,s4 ,ct4     
#bbbh 7#bjbb771 !re h be5 increas$      
reports ( p be+ d5i$ bir? control at    
ph>macies4  7#ac7 ,9 #bjbb1 ! ,dep>tm5t 
( ,heal? & ,human ,s]vices issu$        
guidance cl>ify+ t refus+ to disp5se    
bir? control c be sex discrim9ation "u  
section #aeeg ( ! ,pati5t ,protection & 
,af=dable ,c>e ,act 7#db ,u4,s4,c4      
#ahaaf74  #c4 ,duties ( ph>macies to    
ensure provision ( contraception &      
m$ication relat$ to contraception ,"p ,b
 ( title ,,ii ( ! ,public ,heal? ,s]vice
 ,act 7#db ,u4,s4,c4 #bch et seq47 is   
am5d$ by add+ at ! end ! foll[+3  #bdi4 

,duties ( ph>macies to ensure provision 
( contraception & m$ication relat$ to   
contraception  7a7 ,9 ,g5]al ,subject to
 subsection 7c71 a ph>macy t receives   
drugs or devices approv$1 cle>$1 or     
au?oriz$ by ! ,food & ,drug             
,adm9i/ration 9 int]/ate comm]ce %all   
ma9ta9 compliance ) ! foll[+3 7#a7 ,if a
 cu/om] reque/s a contraceptive or a    
m$ication relat$ to a contraceptive t is
 9 /ock1 ! ph>macy %all ensure t !      
contraceptive or ! m$ication relat$ to a
 contraceptive is provid$ to ! cu/om]   
)\t delay4  7#b7 ,if a cu/om] reque/s a 
contraceptive or a m$ication relat$ to a
 contraceptive t is n 9 /ock & ! ph>macy
 9 ! normal c\rse ( bus9ess /ocks       
contraception or ! m$ication relat$ to  
contraception1 ! ph>macy %all imm$iately
 in=m ! cu/om] t ! contraceptive or !   
m$ication relat$ to a contraceptive is n
 9 /ock & )\t delay (f] ! cu/om] !      
foll[+ options3 7,a7 ,if ! cu/om] pref]s
 to obta9 ! contraceptive or ! m$ication
 relat$ to a contraceptive ?r\gh a      

ref]ral or transf]1 ! ph>macy %all--    
7i7 locate a ph>macy ( ! cu/om]'s *oice 
or ! close/ ph>macy confirm$ to h !     
contraceptive or ! m$ication relat$ to a
 contraceptive 9 /ock2 &  7ii7 ref] !   
cu/om] or transf] ! prescription to t   
ph>macy4  7,b7 ,if ! cu/om] pref]s = !  
ph>macy to ord] ! contraceptive or !    
m$ication relat$ to a contraceptive1 !  
ph>macy %all obta9 ! contraceptive or ! 
m$ication relat$ to a contraceptive "u !
 ph>macy's /&>d proc$ure = exp$it$ ord]+
 ( m$ication & notify ! cu/om] :5 !     
contraceptive or ! m$ication relat$ to a
 contraceptive arrives4  7#c7 ,! ph>macy
 %all ensure t--  7,a7 x does n op]ate  
an environm5t 9 :i* cu/om]s are         
intimidat$1 ?reat5$1 or h>ass$ 9 !      
deliv]y ( s]vices relat+ to a reque/ =  
contraception or a m$ication relat$ to  
contraception2  7,b7 its employees d n  
int]f]e ) or ob/ruct ! deliv]y ( s]vices
 relat+ to a reque/ = contraception or a
 m$ication relat$ to contraception2     
7,c7 its employees d n int5tionally     

misrepres5t or deceive cu/om]s ab\t !   
availability ( contraception or a       
m$ication relat$ to contraception or its
 me*anism ( action2  7,d7 its employees 
d n brea* m$ical confid5tiality )       
respect to a reque/ = contraception or a
 m$ication relat$ to contraception or   
?reat5 to brea* su* confid5tiality2 or  
7,e7 its employees d n refuse to return 
a valid1 lawful prescription =          
contraception or a m$ication relat$ to  
contraception ^u cu/om] reque/4  7b7    
,contraceptives or m$ication relat$ to a
 contraceptive n ord9>ily /ock$ ,no?+ 9 
subsection 7a77#b7 %all be con/ru$ to   
require any ph>macy to comply ) su*     
subsection if ! ph>macy does n ord9>ily 
/ock contraceptives or m$ication relat$ 
to a contraceptive 9 ! normal c\rse (   
bus9ess4  7c7 ,refusals ,pursuant to    
,/&>d ,ph>macy ,practice ,?is section   
does n prohibit a ph>macy f refus+ to   
provide a contraceptive or a m$ication  
relat$ to a contraceptive to a cu/om] 9 
accordance ) any ( ! foll[+3 7#a7 ,if x 

is unlawful to disp5se ! contraceptive  
or ! m$ication relat$ to a contraceptive
 to ! cu/om] )\t a valid1 lawful        
prescription & no su* prescription is   
pres5t$4  7#b7 ,if ! cu/om] is unable to
 pay = ! contraceptive or ! m$ication   
relat$ to a contraceptive4  7#c7 ,if !  
employee ( ! ph>macy refuses to provide 
! contraceptive or ! m$ication relat$ to
 a contraceptive on ! basis ( a         
pr(essional cl9ical judgm5t4  7d7       
,relation to o!r laws  7#a7 ,rule (     
con/ruction ,no?+ 9 ?is section %all be 
con/ru$ to invalidate or limit rights1  
rem$ies1 proc$ures1 or legal /&>ds "u   
title ,,vii ( ! ,civil ,rights ,act (   
#aifd4  7#b7 ,c]ta9 claims ,! ,religi\s 
,fre$om ,re/oration ,act ( #aiic %all n 
provide a claim conc]n+1 or a def5se to 
a claim "u1 a cov]$ title1 or provide a 
basis = *all5g+ ! application or        
en=cem5t ( a cov]$ title4  7e7          
,preemption ,?is section does n preempt 
any provision ( ,/ate law or any        
pr(essional obligation made applicable  

by a ,/ate bo>d or o!r entity           
responsible = lic5s+ or discipl9e (     
ph>macies or ph>maci/s1 to ! ext5t t su*
 ,/ate law or pr(essional obligation    
provides protections = cu/om]s t are    
great] ?an ! protections provid$ by ?is 
section4  7f7 ,en=cem5t  7#a7 ,civil    
p5alty ,a ph>macy t violates a          
requirem5t ( subsection 7a7 is liable to
 ! ,unit$ ,/ates = a civil p5alty 9 an  
am\nt n exce$+ #a1jjj p] day (          
violation1 n to exce$ #ajj1jjj = all    
violations adjudicat$ 9 a s+le proce$+4 
7#b7 ,private cause ( action ,any p]son 
aggriev$ z a result ( a violation ( a   
requirem5t ( subsection 7a7 may1 9 any  
c\rt ( compet5t jurisdiction1 comm5ce a 
civil action aga9/ ! ph>macy involv$ to 
obta9 appropriate relief1 includ+ actual
 & punitive damages1 injunctive relief1 
& a reasonable attorney's fee & co/4    
7#c7 ,limitations ,a civil action "u    
p>agraph 7#a7 or 7#b7 may n be comm5c$  
aga9/ a ph>macy aft] ! expiration ( !   
#e-ye> p]iod beg9n+ on ! date on :i* !  

ph>macy alleg$ly engag$ 9 ! violation   
involv$4  7g7 ,def9itions ,9 ?is        
section3 7#a7 ,! t]m contraception or   
contraceptive means any drug or device  
approv$1 cle>$1 or au?oriz$ by ! ,food &
 ,drug ,adm9i/ration to prev5t          
pregnancy4  7#b7 ,! t]m employee means a
 p]son hir$1 by contract or any o!r =m (
 an agreem5t1 by a ph>macy4  7#c7 ,! t]m
 m$ication relat$ to contraception or   
m$ication relat$ to a contraceptive     
means any drug or device approv$1 cle>$1
 or au?oriz$ by ! ,food & ,drug         
,adm9i/ration t a m$ical pr(essional    
det]m9es necess>y to use be=e or 9      
conjunction ) contraception or a        
contraceptive4  7#d7 ,! t]m ph>macy     
means an entity t-- 7,a7 is au?oriz$ by 
a ,/ate to engage 9 ! bus9ess ( sell+   
prescription drugs at retail2 &  7,b7   
employs "o or m employees4  7#e7 ,! t]m 
product means a drug or device approv$1 
cle>$1 or au?oriz$ by ! ,food & ,drug   
,adm9i/ration4  7#f7 ,! t]m pr(essional 
cl9ical judgm5t means ! use (           

pr(essional k & skills to =m a cl9ical  
judgm5t1 9 accordance ) prevail+ m$ical 
/&>ds4  7#g7 ,! t]m )\t delay1 ) respect
 to a ph>macy provid+1 provid+ a ref]ral
 =1 or ord]+ contraception or a         
m$ication relat$ to contraception1 or   
transf]r+ ! prescription = contraception
 or a m$ication relat$ to contraception1
 means )9 ! usual & cu/om>y timeframe at
 ! ph>macy = provid+1 provid+ a ref]ral 
=1 or ord]+ o!r products1 or transf]r+ !
 prescription = o!r products1           
respectively4  7h7 ,effective ,date ,?is
 section %all take effect #ca days aft] 
! date ( enactm5t ( ?is section1 )\t    
reg>d to :e!r ! ,secret>y has issu$ any 
guidance or f9al rule reg>d+ ?is        
section4  4