,,ii #aai? ,,congress #a/ ,session ,s4 #dbb ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,febru>y #e1 #bjbe,mr4 ,m>key 7= himself1 ,ms4 ,duckwor?1 ,ms4 ,hirono1 ,ms4 ,baldw91 ,mr4 ,b5net1 ,mr4 ,blum5?al1 ,mr4 ,book]1 ,ms4 ,blunt ,ro*e/]1 ,ms4 ,cantwell1 ,mr4 ,coons1 ,ms4 ,cortez ,ma/o1 ,mr4 ,durb91 ,mr4 ,gallego1 ,mrs4 ,gillibr&1 ,mr4 ,he9ri*1 ,mr4 ,hick5loop]1 ,mr4 ,ka9e1 ,mr4 ,kim1 ,ms4 ,klobu*>1 ,mr4 ,m]kley1 ,mr4 ,murphy1 ,mrs4 ,murray1 ,mr4 ,oss(f1 ,mr4 ,padilla1 ,mr4 ,pet]s1 ,mr4 ,re$1 ,ms4 ,ros51 ,mr4 ,s&]s1 ,mr4 ,s*atz1 ,mrs4 ,%ahe51 ,ms4 ,slotk91 ,ms4 ,smi?1 ,mr4 ,van ,holl51 ,mr4 ,w>n]1 ,mr4 ,w>nock1 ,ms4 ,w>r51 ,mr4 ,wel*1 ,mr4 ,:iteh\se1 ,mr4 ,wyd51 & ,mr4 ,fett]man7 introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,heal?1 ,education1 ,labor1 & ,p5sions ,a ,,bill ,to protect an individual's ability to access contraceptives & to engage 9 contraception & to protect a heal? c>e provid]'s ability to provide contraceptives1 contraception1 & in=mation relat$ to contraception4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,"r to ,contraception ,act 4 #b4 ,def9itions ,9 ?is ,act3 7#a7 ,contraception ,! t]m contraception means an action tak5 to prev5t pregnancy1 includ+ ! use ( contraceptives or f]tility-aw>5ess-bas$ me?ods & /]ilization proc$ures4 7#b7 ,contraceptive ,! t]m contraceptive means any drug1 device1 or biological product int5d$ = use 9 ! prev5tion ( pregnancy1 :e!r specifically int5d$ to prev5t pregnancy or = o!r heal? ne$s1 t is approv$1 cle>$1 au?oriz$1 or lic5s$ "u section #eje1 #eaj7k71 #eac7;f77#b71 #eae1 or #efd ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cee1 #cfj7k71 #cfj;c7f77#b71 #cfj;e1 #cfj;bbb-#c7 or section #cea ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bfb74 7#c7 ,gov]nm5t ,! t]m gov]nm5t includes ea* bran*1 dep>tm5t1 ag5cy1 in/rum5tality1 & (ficial ( ! ,unit$ ,/ates or a ,/ate4 7#d7 ,heal? c>e provid] ,! t]m heal? c>e provid] means any entity or individual 7includ+ any physician1 c]tifi$ nurse-midwife1 nurse1 nurse practition]1 physician assi/ant1 & ph>maci/7 t is lic5s$ or o!rwise au?oriz$ by a ,/ate to provide heal? c>e s]vices4 7#e7 ,/ate ,! t]m ,/ate includes ea* ( ! #ej ,/ates1 ! ,di/rict ( ,columbia1 ! ,commonweal? ( ,pu]to ,rico1 ea* t]ritory & possession ( ! ,unit$ ,/ates1 & ea* ,indian ,tribe 7z def9$ 9 section #d ( ! ,indian ,self-,det]m9ation & ,education ,assi/ance ,act 7#be ,u4,s4,c4 #ecjd771 & any political subdivision ( any ( ! =ego+1 includ+ any unit ( local gov]nm5t1 su* z a c\nty1 city1 t[n1 village1 or o!r g5]al purpose political subdivision ( a ,/ate4 #c4 ,f9d+s ,congress f9ds ! foll[+3 7#a7 ,! "r to contraception is a fundam5tal "r1 c5tral to an individual's privacy1 heal?1 well-be+1 dignity1 lib]ty1 equality1 & ability to p>ticipate 9 ! social & economic life ( ! ,nation4 7#b7 ,! ,supreme ,c\rt has repeat$ly recogniz$ ! con/itutional "r to contraception4 7#c7 ,9 ,griswold v4 ,connecticut 7#cha ,u4,s4 #dgi 7#aife771 ! ,supreme ,c\rt fir/ recogniz$ ! con/itutional "r = m>ri$ p to use contraceptives4 7#d7 ,9 ,eis5/adt v4 ,baird 7#dje ,u4,s4 #dch 7#aigb771 ! ,supreme ,c\rt confirm$ ! con/itutional "r ( all p to legally access contraceptives reg>dless ( m>ital /atus4 7#e7 ,9 ,c>ey v4 ,population ,s]vices ,int]national 7#dca ,u4,s4 #fgh 7#aigg771 ! ,supreme ,c\rt affirm$ ! con/itutional "r to contraceptives = m9ors4 7#f7 ,! "r to contraception has be5 repeat$ly recogniz$ int]nationally z a human "r4 ,! ,unit$ ,nations ,population ,fund has publi%$ sev]al reports outl9+ family plann+ z a basic human "r t advances wom5's heal?1 economic emp[]m5t1 & equality4 7#g7 ,access to contraceptives is int]nationally recogniz$ by ! ,_w ,heal? ,organization z advanc+ o!r human rights su* z ! "r to life1 lib]ty1 expression1 heal?1 "w1 & education4 7#h7 ,contraception is safe1 ess5tial heal? c>e1 & access to contraceptive products & s]vices is c5tral to p's ability to p>ticipate equally 9 economic & social life 9 ! ,unit$ ,/ates & globally4 ,contraception all[s p to make decisions ab\t _! families & _! lives4 7#i7 ,contraception is key to sexual & reproductive heal?4 ,contraception is critical to prev5t+ un9t5d$ pregnancy1 & _m contraceptives are highly effective 9 prev5t+ & treat+ a wide array ( m$ical conditions & decrease ! risk ( c]ta9 canc]s4 7#aj7 ,contraception has be5 associat$ ) improv$ heal? outcomes = wom51 _! families1 & _! communities & r$uces rates ( mat]nal & infant mortality & morbidity4 7#aa7 ,! ,unit$ ,/ates has a long hi/ory ( reproductive co]cion1 includ+ ! *ildbe>+ =c$ ^u enslav$ wom51 z well z ! =c$ /]ilization ( ,black wom51 ,pu]to ,rican wom51 indig5\s wom51 immigrant wom51 & disabl$ wom51 & reproductive co]cion cont9ues to occur4 ,?is hi/ory also includes ! co]cive te/+ ( contraceptive pills on wom5 & girls 9 ,pu]to ,rico4 7#ab7 ,! "r to make p]sonal decisions ab\t contraceptive use is important = all ,am]icans1 & is especially critical = hi/orically m>g9aliz$ gr\ps1 includ+-- 7,a7 ,black1 indig5\s1 & o!r p ( color2 7,b7 immigrants2 7,c7 ,,lgbtq p2 7,d7 p ) disabilities2 7,e7 p paid l[ wages2 & 7,f7 p liv+ 9 rural & und]s]v$ areas4 7#ac7 ,_m p :o are "p ( ! m>g9aliz$ gr\ps describ$ 9 p>agraph 7#ab7 already face b>ri]s1 exac]bat$ by social1 political1 economic1 & environm5tal inequities1 to compreh5sive heal? c>e1 includ+ reproductive heal? c>e1 t r$uce _! ability to make decisions ab\t _! heal?1 families1 & lives4 7#ad7 ,/ate & ,f$]al policies gov]n+ ph>maceutical & insurance policies affect ! accessibility ( contraceptives & ! sett+s 9 :i* contraception s]vices are deliv]$4 7#ae7 ,p engage 9 int]/ate comm]ce to access contraception s]vices4 7#af7 ,to provide contraception s]vices1 heal? c>e provid]s employ & obta9 comm]cial s]vices f doctors1 nurses1 & o!r p]sonnel :o engage 9 int]/ate comm]ce & travel across ,/ate l9es4 7#ag7 ,congress has ! au?ority to enact ?is ,act to protect access to contraception pursuant to-- 7,a7 its p[]s "u ! ,comm]ce ,clause ( section #h ( article ,i ( ! ,con/itution ( ! ,unit$ ,/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#ah7 ,congress has us$ its au?ority 9 ! pa/ to protect & exp& access to contraception in=mation1 products1 & s]vices4 7#ai7 ,9 #aigj1 ,congress e/abli%$ ! family plann+ program "u title ,x ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj et seq471 ! only ,f$]al grant program d$icat$ to family plann+ & relat$ s]vices1 provid+ access to in=mation1 products1 & s]vices = contraception4 7#bj7 ,9 #aigb1 ,congress requir$ ! ,m$icaid program to cov] family plann+ s]vices & supplies & ! ,m$icaid program curr5tly acc\nts = #ge p]c5t ( ,f$]al funds sp5t on family plann+4 7#ba7 ,9 #bjaj1 ,congress enact$ ! ,pati5t ,protection & ,af=dable ,c>e ,act 7,public ,law #aaa-adh7 7ref]r$ to 9 ?is section z ! ,,aca74 ,among o!r provisions1 ! ,,aca includ$ provisions to exp& ! af=dability & accessibility ( contraception by requir+ heal? insurance plans to provide cov]age = prev5tive s]vices ) no pati5t co/-%>+4 7#bb7 ,/ates h tri$ to ban access to "s or all contraceptives by re/rict+ access to public fund+ = ^! products & s]vices4 ,fur!rmore1 ,arkansas1 ,mississippi1 ,miss\ri1 & ,texas h infr+$ on p's ability to access _! contraceptive c>e by violat+ ! free *oice ( provid] requirem5t "u ! ,m$icaid program4 7#bc7 ,provid]s' refusals to (f] contraceptives & in=mation relat$ to contraception bas$ on _! own p]sonal beliefs imp$e pati5ts f obta9+ _! pref]r$ me?od ( contraception1 ) laws 9 #ab ,/ates z ( ! date ( introduction ( ?is ,act specifically all[+ heal? c>e provid]s to refuse to provide s]vices relat$ to contraception4 7#bd7 ,/ates h attempt$ to def9e abortion expansively s z to include contraceptives 9 ,/ate bans on abortion & h also re/rict$ access to em]g5cy contraception4 7#be7 ,ju/ice ,?omas1 9 8 concurr+ op9ion 9 ,dobbs v4 ,jackson ,wom5's ,heal? ,organization 7#adb ,s4 ,ct4 #bbbh 7#bjbb771 /at$ t ! ,supreme ,c\rt %\ld reconsid] all ( ?is ,c\rt's sub/antive due process prec$5ts1 includ+ ,griswold1 ,lawr5ce1 & ,ob]gefell & t ! ,c\rt has a duty to correct ! error e/abli%$ 9 ^? prec$5ts by ov]rul+ !m4 7#bf7 ,9 ord] to fur!r public heal? & to combat ef=ts to re/rict access to reproductive heal? c>e1 congressional action is necess>y to protect access to contraceptives1 contraception1 & in=mation relat$ to contraception = ev]yone1 reg>dless ( actual or p]ceiv$ race1 e?nicity1 sex 7includ+ g5d] id5tity & sexual ori5tation71 income1 disability1 national orig91 immigration /atus1 or geography4 #d4 ,purposes ,! purposes ( ?is ,act are-- 7#a7 to provide a cle> & compreh5sive "r to contraception2 7#b7 to p]mit individuals to seek & obta9 contraceptives & engage 9 contraception1 & to p]mit heal? c>e provid]s to facilitate t c>e2 & 7#c7 to protect an individual's ability to make decisions ab\t _! body1 m$ical c>e1 family1 & life's c\rse1 & !reby protect ! individual's ability to p>ticipate equally 9 ! economic & social life ( ! ,unit$ ,/ates4 #e4 ,p]mitt$ s]vices 7a7 ,9 g5]al ,an individual has a /atutory "r "u ?is ,act to obta9 contraceptives & to volunt>ily engage 9 contraception1 free f co]cion1 & a heal? c>e provid] has a correspond+ "r to provide contraceptives1 contraception1 & in=mation1 ref]rals1 & s]vices relat$ to contraception4 7b7 ,limitations or requirem5ts ,! /atutory rights specifi$ 9 subsection 7a7 %all n be limit$ or o!rwise infr+$ ?r\gh any limitation or requirem5t t-- 7#a7 expressly1 effectively1 implicitly1 or z-implem5t$ s+les out-- 7,a7 ! provision ( contraceptives1 contraception1 or contraception-relat$ in=mation2 7,b7 heal? c>e provid]s :o provide contraceptives1 contraception1 or contraception-relat$ in=mation2 or 7,c7 facilities 9 :i* contraceptives1 contraception1 or contraception-relat$ in=mation is provid$2 & 7#b7 imp$es access to contraceptives1 contraception1 or contraception-relat$ in=mation4 7c7 ,exception ,to def5d aga9/ a claim t a limitation or requirem5t violates a heal? c>e provid]'s or individual's /atutory rights "u subsection 7b71 a p>ty mu/ e/abli%1 by cle> & conv9c+ evid5ce1 t-- 7#a7 ! limitation or requirem5t significantly advances access to contraceptives1 contraception1 & in=mation relat$ to contraception2 & 7#b7 access to contraceptives1 contraception1 & in=mation relat$ to contraception or ! heal? ( pati5ts _c be advanc$ by a less re/rictive alt]native measure or action4 7d7 ,rule ( con/ruction ,no?+ 9 ?is section %all be con/ru$ to limit ! au?ority ( ! ,secret>y ( ,heal? & ,human ,s]vices1 act+ ?r\gh ! ,commission] ( ,food & ,drugs1 to approve1 cle>1 au?orize1 or lic5se contraceptives "u section #eje1 #eaj7k71 #eac7;f77#b71 #eae1 or #efd ( ! ,f$]al ,food1 ,drug1 & ,cosmetic ,act 7#ba ,u4,s4,c4 #cee1 #cfj7k71 #cfj;c7f77#b71 #cfj;e1 #cfj;bbb-#c7 or section #cea ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bfb71 or = ! ,f$]al ,gov]nm5t to en=ce su* approval1 cle>ance1 au?orization1 or lic5sure4 #f4 ,applicability & preemption 7a7 ,g5]al application 7#a7 ,9 g5]al ,except z provid$ 9 subsection 7c71 ?is ,act sup]s$es & applies to ! law ( ! ,f$]al ,gov]nm5t & ea* ,/ate1 & ! implem5tation ( su* law1 :e!r /atutory1 common law1 or o!rwise1 & :e!r adopt$ be=e or aft] ! date ( enactm5t ( ?is ,act4 7#b7 ,prohibition ,nei!r ! ,f$]al ,gov]nm5t nor any ,/ate may adm9i/]1 implem5t1 or en=ce any law1 rule1 regulation1 /&>d1 or o!r provision hav+ ! =ce & effect ( law 9 a mann] t-- 7,a7 prohibits or re/ricts ! sale1 provision1 or use ( any contraceptives2 7,b7 prohibits or re/ricts any individual f aid+ ano!r individual 9 volunt>ily obta9+ or us+ any contraceptives or contraceptive me?ods2 or 7,c7 exempts any contraceptives or contraceptive me?ods f any o!r g5]ally applicable law 9 a way t w\ld make x m difficult to sell1 provide1 obta91 or use su* contraceptives or contraceptive me?ods4 7#c7 ,relation%ip ) o!r laws ,?is ,act applies not)/&+ any o!r provision ( ,f$]al law1 includ+ ! ,religi\s ,fre$om ,re/oration ,act ( #aiic 7#db ,u4,s4,c4 #bjjj;bb et seq474 7b7 ,subsequ5tly enact$ ,f$]al legislation ,f$]al law enact$ aft] ! date ( enactm5t ( ?is ,act is subject to ?is ,act1 unless su* law explicitly excludes su* application by ref]5ce to ?is ,act4 7c7 ,limitations ,! provisions ( ?is ,act %all n sup]s$e or o!rwise affect any provision ( ,f$]al law relat+ to cov]age "u 7& %all n be con/ru$ z requir+ ! provision ( specific b5efits "u7 gr\p heal? plans or gr\p or individual heal? insurance cov]age or cov]age "u a ,f$]al heal? c>e program 7z def9$ 9 section #aabh;,b7f7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acbj;a-#g;b7f7771 includ+ cov]age provid$ "u section #aije7;a77#d77;,c7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #acif;d7a77#d77;,c77 & section #bgac ( ! ,public ,heal? ,s]vice ,act 7#db ,u4,s4,c4 #cjj;gg-#ac74 7d7 ,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 #h1 ?is ,act %all also apply to1 & may be rais$ z a def5se by1 su* an individual or entity4 7e7 ,effective date ,?is ,act %all take effect imm$iately ^u ! date ( enactm5t ( ?is ,act4 #g4 ,rules ( con/ruction 7a7 ,9 g5]al ,9 int]pret+ ! provisions ( ?is ,act1 a c\rt %all lib]ally con/rue su* provisions to effectuate ! purposes describ$ 9 section #d4 7b7 ,rule ( con/ruction ,no?+ 9 ?is ,act %all be con/ru$-- 7#a7 to au?orize any gov]nm5t to int]f]e ) a heal? c>e provid]'s ability to provide contraceptives or in=mation relat$ to contraception or a pati5t's ability to obta9 contraceptives or to engage 9 contraception2 or 7#b7 to p]mit or sanction ! conduct ( any /]ilization proc$ure )\t ! pati5t's volunt>y & in=m$ cons5t4 7c7 ,o!r individuals consid]$ z gov]nm5t (ficials ,any individual :o1 by op]ation ( a provision ( ,f$]al or ,/ate law1 is p]mitt$ to implem5t or en=ce a limitation or requirem5t t violates section #e %all be consid]$ a gov]nm5t (ficial = purposes ( ?is ,act4 #h4 ,en=cem5t 7a7 ,attorney ,g5]al ,! ,attorney ,g5]al may comm5ce a civil action on behalf ( ! ,unit$ ,/ates aga9/ any ,/ate t violates1 or aga9/ any gov]nm5t (ficial 7includ+ an individual describ$ 9 section #g7;c77 t implem5ts or en=ces a limitation or requirem5t t violates1 section #e4 ,! c\rt %all hold unlawful & set aside ! limitation or requirem5t if x is 9 violation ( ?is ,act4 7b7 ,private "r ( action 7#a7 ,9 g5]al ,any individual or entity1 includ+ any heal? c>e provid] or pati5t1 adv]sely affect$ by an alleg$ violation ( ?is ,act1 may comm5ce a civil action aga9/ any ,/ate t violates1 or aga9/ any gov]nm5t (ficial 7includ+ an individual describ$ 9 section #g7;c77 t implem5ts or en=ces a limitation or requirem5t t violates1 section #e4 ,! c\rt %all hold unlawful & set aside ! limitation or requirem5t if x is 9 violation ( ?is ,act4 7#b7 ,heal? c>e provid] ,a heal? c>e provid] may comm5ce an action = relief on its own behalf1 on behalf ( ! provid]'s /aff1 & on behalf ( ! provid]'s pati5ts :o are or may be adv]sely affect$ by an alleg$ violation ( ?is ,act4 7c7 ,equitable relief ,9 any action "u ?is section1 ! c\rt may aw>d appropriate equitable relief1 includ+ tempor>y1 prelim9>y1 & p]man5t injunctive relief4 7d7 ,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 nonfrivol\s action "u ?is section4 7e7 ,jurisdiction ,! di/rict c\rts ( ! ,unit$ ,/ates %all h jurisdiction ov] proce$+s "u ?is ,act & %all ex]cise ! same )\t reg>d to :e!r ! p>ty aggriev$ %all h exhau/$ any adm9i/rative or o!r rem$ies t may be provid$ = by law4 7f7 ,abrogation ( ,/ate immunity ,nei!r a ,/ate t en=ces or ma9ta9s1 nor a gov]nm5t (ficial 7includ+ an individual describ$ 9 section #g7;c77 :o is p]mitt$ to implem5t or en=ce any limitation or requirem5t t violates section #e %all be immune "u ! ,t5? ,am5dm5t to ! ,con/itution ( ! ,unit$ ,/ates1 ! ,elev5? ,am5dm5t to ! ,con/itution ( ! ,unit$ ,/ates1 or any o!r s\rce ( law1 f an action 9 a ,f$]al or ,/ate c\rt ( compet5t jurisdiction *all5g+ t limitation or requirem5t4 #i4 ,sev]ability ,if any provision ( ?is ,act1 or ! application ( su* provision to any individual1 entity1 gov]nm5t1 or circum/ance1 is held to be uncon/itutional1 ! rema9d] ( ?is ,act1 or ! application ( su* provision to all o!r individuals1 entities1 gov]nm5ts1 or circum/ances1 %all n be affect$ !reby4