,,ii  #aaith ,,congress  #b;d ,session  
,s4 #dedj  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,may #ad1      
#bjbf,mrs4 ,murray 7for herself1 ,ms4   
,duckworth1 ,ms4 ,alsobrooks1 ,mr4      
,blumenthal1 ,mr4 ,booker1 ,mr4         
,fetterman1 ,mrs4 ,gillibrand1 ,ms4     
,hassan1 ,ms4 ,hirono1 ,mr4 ,markey1    
,mr4 ,merkley1 ,mr4 ,padilla1 ,mr4      
,sanders1 ,mr4 ,schiff1 ,ms4 ,smith1    
,ms4 ,warren1 ,mr4 ,welch1 ,mr4         
,whitehouse1 and ,mr4 ,wyden7 introduced
 the following bill2 which was read     
twice and referred to the ,committee on 
,health1 ,education1 ,labor1 and        
,pensions  ,a ,,bill  ,to amend the     
,public ,health ,service ,act to improve
 reproductive health care of individuals
 with disabilities4  #a4 ,short title   
,this ,act may be cited as the          
,reproductive ,health ,care             
,accessibility ,act4  #b4 ,findings     
,congress finds the following3 7#a7 ,in 
the ,united ,states1 approximately #a in
 #d adults have some type of disability1

 more than #a in #aj individuals with   
disabilities can become pregnant1 and   
over #d1ajj1jjj individuals are parents 
with disabilities4  7#b7 ,all people1   
including individuals with disabilities1
 have the right to decide if1 when1 and 
how to start and raise a family1 as well
 as to have healthy pregnancies and     
postpartum periods4  7#c7 ,titles ,,ii  
and ,,iii of the ,americans with        
,disabilities ,act of #aiij 7#db        
,u4,s4,c4 #abaca et seq4 and #abaha et  
seq471 section #ejd of the              
,rehabilitation ,act of #aigc 7#bi      
,u4,s4,c4 #gid71 and section #aeeg of   
the ,patient ,protection and ,affordable
 ,care ,act 7#db ,u4,s4,c4 #ahaaf7      
provide individuals with disabilities   
with the right to equitably access and  
receive health care4  7#d7 ,disabled    
individuals face unique barriers when   
accessing reproductive health care1     
including accessibility issues at health
 care facilities1 lack of accessible    
medical diagnostic equipment1 barriers  

to accessible travel1 delay in receiving
 preventative services1 and lack of     
health care providers with training and 
knowledge on the needs of individuals   
with disabilities receiving reproductive
 health care4  7#e7 ,reproductive health
 care is critical to an individual's    
long-term health4 ,disabled individuals 
have higher mortality rates from        
reproductive related cancers often due  
to lack of access to reproductive health
 care1 higher rates of maternal         
mortality and morbidity1 and often      
experience earlier onset menopause4     
7#f7 ,the ,united ,states ,access ,board
 has established standards for          
accessible medical diagnostic equipment 
that were adopted by the ,department of 
,health and ,human ,services and the    
,department of ,justice in #bjbd4       
,awareness about the standards remains  
low among providers4 ,greater provider  
education1 implementation1 and          
enforcement of the standards is         
necessary to ensure equally effective   

reproductive and sexual health care for 
individuals with disabilities4  7#g7    
,disabled individuals have an equal     
right to reproductive autonomy1 but     
harmful stereotypes about individuals   
with disabilities create barriers to    
getting care that respects that         
autonomy4  7#h7 ,laws that restrict     
access to reproductive health care1     
including abortion care1                
disproportionally harm individuals who  
already face barriers to reproductive   
health care1 which includes disabled    
individuals4  7#i7 ,individuals with and
 without disabilities want children at  
the same frequency1 but individuals with
 disabilities are less likely to receive
 contraception counseling and timely    
prenatal care1 experience a higher rate 
of sterilization1 and are at a greater  
risk for adverse pregnancy outcomes4    
7#aj7 ,diversity and inclusion in the   
health care workforce is a critical     
factor in the delivery of high-quality1 
culturally competent health care and    

improves patient outcomes4 ,however1 the
 rate of students and trainees with     
disabilities in medical and allied      
health education remains low compared to
 those without disabilities4  #c4       
,program for training the workforce     
,part ,d of title ,,vii of the ,public  
,health ,service ,act 7#db ,u4,s4,c4    
#bid et seq47 is amended by adding at   
the end the following3  #gfj;,a4        
,program for training the workforce     
concerning reproductive health care for 
individuals with disabilities  7a7 ,in  
general ,the ,secretary1 acting through 
the ,administrator of the ,health       
,resources and ,services ,administration
 and in consultation with the           
,administrator of the ,administration   
for ,community ,living1 shall award     
grants1 contracts1 or cooperative       
agreements to eligible entities to carry
 out training programs for health care  
professionals and trainees on providing 
equitable sexual and reproductive health
 care for individuals with disabilities4

  7b7 ,eligibility  7#a7 ,in general ,to
 be eligible to receive an award under  
this section1 an entity shall be a      
public or private nonprofit entity with 
demonstrated expertise in serving       
individuals with disabilities1 which may
 include-- 7,a7 a multidisciplinary     
health care provider who provides sexual
 and reproductive health care1 such as  
federally qualified health centers and  
,title ,x clinics2  7,b7 institutions of
 higher education1 as defined in section
 #aja of the ,higher ,education ,act of 
#aife1 with expertise in sexual and     
reproductive health care2  7,c7 an      
entity primarily led by individuals with
 disabilities2  7,d7 an entity with     
expertise in reproductive rights and    
justice2  7,e7 an ,indian ,tribe1       
,tribal organization1 or urban ,indian  
organization2 or  7,f7 a consortium of  
entities described in any of            
subparagraphs 7,a7 through 7,e74  7#b7  
,application ,to be eligible to receive 
an award under this section1 an eligible

 entity shall submit to the ,secretary  
an application at such time1 in such    
manner1 and containing such information 
as the ,secretary may require1 that     
includes-- 7,a7 a description of the    
eligible entity's or consortium of      
entities' expertise in providing        
technical assistance and training1      
including evidence such as-- 7i7        
knowledge of the rights afforded to     
individuals with a disability under     
relevant ,federal and ,state law2  7ii7 
knowledge of accessibility standards    
established by the ,united ,states      
,access ,board2  7iii7 expertise in     
evidence-based or evidence-informed     
practices in providing trauma-informed  
sexual and reproductive health care1    
including preventive health care        
services and perinatal care1 to         
individuals with disabilities and those 
facing compounded barriers to accessing 
care2  7iv7 experience working with     
health care providers1 public or private
 nonprofit entities1 or ,federal1       

,state1 or local agencies focusing on   
sexual and reproductive health care     
services for individuals with           
disabilities2  7v7 experience working   
with individuals with disabilities and  
their families2  7vi7 expertise in      
providing1 collecting1 compiling1       
communicating1 and disseminating sexual 
and reproductive health care information
 in culturally and linguistically       
appropriate manner especially in easily 
accessible formats2 and  7vii7          
experience improving coordination of    
services1 such as mental health1        
substance use disorder prevention1      
treatment1 and recovery support         
services1 social services1 other health 
care services1 and transportation       
services for individuals with           
disabilities2  7,b7 a description of the
 activities to be funded under the award
 and the goals of such activities1      
including a description of-- 7i7 the    
training or education program to be     
implemented that meets the requirements 

of subsection 7c72  7ii7 the process to 
be used to identify health care         
providers that will participate in the  
training program1 including the process 
to increase diversity in the pool of    
participating providers2  7iii7 the     
process to be used to engage            
stakeholders in such training1 including
 individuals with disabilities2 and     
7iv7 the eligible entity's evaluation   
plan to determine the scope and impact  
of the training program2  7,c7 an       
assurance that the recipients of the    
training will receive ongoing and       
comprehensive training or professional  
development on the sexual and           
reproductive health care needs of       
individuals with disabilities2 and  7,d7
 any other assurances that the          
,secretary may require4  7#c7 ,subawards
 ,an eligible entity or eligible        
consortium receiving an award under this
 section may1 for contracting purposes1 
make subawards to individuals or        
entities with expertise in sexual and   

reproductive health care and serving    
individuals with disabilities4  7c7 ,use
 of funds ,an entity or entities shall  
use amounts received under this section 
to carry out a training program for     
health care professionals providing     
sexual and reproductive health care that
 provides training concerning-- 7#a7    
comprehensive disability clinical care  
curricula to inform health care         
professionals providing sexual and      
reproductive health care on how to      
provide effective1 interprofessional    
team-based health care2  7#b7           
comprehensive clinical care curricula on
 how disability-based and intersectional
 discrimination shapes sexual and       
reproductive health care access and     
quality for disabled individuals1       
including historical and ongoing        
practices2  7#c7 culturally and         
linguistically competent care for       
individuals with disabilities2  7#d7    
delivering sexual and reproductive      
health care for individuals with        

disabilities in a manner that emphasizes
 the independence1 self-determination1  
and choices of individuals with         
disabilities with respect to their      
sexual and reproductive health through  
comprehensive disability clinical care  
curricula2  7#e7 the rights afforded to 
individuals with disabilities under     
relevant ,federal and ,state law2 and   
7#f7 methods and evidence-based or      
evidence-informed practices for         
providing sexual and reproductive health
 care1 including preventive health care 
services1 to individuals with           
disabilities4  7d7 ,evaluation and      
report  7#a7 ,in general ,an entity or  
entities that receives an award under   
this section shall1 at the end of the   
award period1 carry out an evaluation of
 outcomes achieved through the program  
in training health care professionals   
providing sexual and reproductive health
 care1 consistent with the purposes of  
this section4  7#b7 ,report ,not later  
than #ahj days after the end of the     

award period1 an entity that receives an
 award under this section shall submit  
to the ,secretary a report on the       
results of the evaluation conducted     
under paragraph 7#a74  7#c7 ,secretary  
,the ,secretary shall annually compile  
the reports submitted under paragraph   
7#b7 and submit such compilation to the 
,committee on ,health1 ,education1      
,labor1 and ,pensions of the ,senate and
 the ,committee on ,energy and ,commerce
 of the ,house of ,representatives4     
,such compilations shall be posted on   
the internet website of the ,department 
of ,health and ,human ,services in an   
accessible format4  7e7 ,definitions ,in
 this section3 7#a7 ,disability ,the    
terms disability and disabilities have  
the meaning given such terms for        
purposes of the ,americans with         
,disabilities ,act of #aiij4  7#b7      
,indian ,tribe2 ,tribal organization    
,the terms ,indian ,tribe and ,tribal   
organization have the meaning given such
 terms in section #d of the ,indian     

,self-,determination and ,education     
,assistance ,act4  7#c7 ,urban ,indian  
organization ,the term ,urban ,indian   
organization has the meaning given such 
term in section #d of the ,indian       
,health ,care ,improvement ,act4  7f7   
,authorization of appropriations ,there 
is authorized to be appropriated to     
carry out this section1 #aj1jjj1jjj for 
each of fiscal years #bjbg through      
#bjca4 ,funds provided to carry out this
 section shall supplement not supplant  
funds otherwise made available to carry 
out this title4  4  #d4 ,program for    
expanding the reproductive health care  
provider workforce ,part ,b of title    
,,vii of the ,public ,health ,service   
,act 7#db ,u4,s4,c4 #bic et seq47 is    
amended by adding at the end the        
following3  #gdb4 ,program for expanding
 the reproductive health care provider  
workforce  7a7 ,purpose ,it is the      
purpose of this section-- 7#a7 to       
establish and sustain a competitive     
health professions applicant pool of    

individuals with disabilities by        
increasing the total number of          
individuals with disabilities who pursue
 a career in sexual and reproductive    
health care1 including abortion care and
 maternal health care2 and  7#b7 to     
develop a culturally and linguistically 
competent health care workforce         
providing sexual and reproductive health
 care that will serve unserved and      
underserved populations1 including      
individuals with disabilities4  7b7     
,awards ,to assist individuals with     
disabilities in undertaking education to
 enter into the sexual and reproductive 
health care workforce1 the ,secretary   
may award grants1 contracts1 or         
cooperative agreements to public or     
private nonprofit health or educational 
entities1 including schools of medicine1
 schools of osteopathic medicine1       
schools of nursing1 and other           
institutions of higher education1 that  
offer programs1 including graduate      
programs1 in obstetrics and gynecology1 

comprehensive sexual and reproductive   
health care1 or programs for the        
training of health care providers to    
enable such entities to carry out the   
activities described in subsection 7d74 
7c7 ,application ,to be eligible to     
receive an award under subsection 7b71  
an entity described in such subsection  
shall submit to the ,secretary an       
application at such time1 in such       
manner1 and containing such information 
as the ,secretary may require4  7d7 ,use
 of funds ,an entity shall use amounts  
received under an award under subsection
 7b7 to-- 7#a7 conduct or support       
activities to develop a competitive     
applicant pool1 through partnership with
 public or private nonprofit            
institutions of higher education1 local 
educational agencies1 health care       
providers1 such as sexual and           
reproductive health care providers and  
primary care providers1 or other        
community-based entities1 and establish 
an education pipeline for individuals   

with disabilities entering the sexual   
and reproductive health care workforce2 
7#b7 establish1 strengthen1 or expand   
programs to support the academic        
performance of individuals with         
disabilities participating in activities
 funded under this section1 including   
mentorship programs2  7#c7 identify1    
recruit1 enroll1 and retain individuals 
with disabilities in education and      
training related to sexual and          
reproductive health care2  7#d7 improve 
the capacity of the entity involved to  
train1 recruit1 and retain faculty with 
disabilities including the payment of   
such stipends and fellowships as the    
,secretary may determine appropriate2   
7#e7 carry out activities to improve the
 information resources1 clinical        
education1 curricula1 and competencies  
of the graduates of the entity involved1
 as it relates to individuals with      
disabilities2  7#f7 facilitate faculty  
and student research on health issues   
affecting individuals with disabilities1

 including research on issues relating  
to the delivery of sexual and           
reproductive health care to individuals 
with disabilities2  7#g7 carry out      
programs1 or offer experiences1 to train
 students in providing sexual and       
reproductive health services to         
individuals with disabilities at        
community-based health facilities that  
provide sexual and reproductive health  
services2  7#h7 provide stipends to     
individuals with disabilities           
participating in activities funded under
 this section as the ,secretary         
determines appropriate1 in amounts as   
the ,secretary determines appropriate1  
with an assurance that such stipends    
shall not result in loss of an          
individual's ,federal or ,state         
benefits2 or  7#i7 carry out any other  
activities that the ,secretary may      
require4  7e7 ,preference ,in awarding  
grants1 contracts1 or cooperative       
agreements under this section1 the      
,secretary shall give preference to     

applications that have been approved for
 programs that involve a comprehensive  
approach through multiple entities      
described in subsection 7b7 to          
establish1 enhance1 and expand          
educational programs that will result in
 the development of a competitive       
applicant pool of individuals with      
disabilities who desire to pursue       
careers in sexual and reproductive      
health care services4  7f7              
,consideration for awards ,in awarding  
grants1 contracts1 or cooperative       
agreements under this section1 the      
,secretary shall-- 7#a7 consider current
 enrollment trends and the needs of     
certain populations1 including          
individuals with disabilities2 and  7#b7
 align and coordinate with other        
training programs administered by the   
,health ,resources and ,services        
,administration4  7g7 ,effect on other  
programs ,assistance or stipends        
provided to an individual under this    
section shall not be considered when    

applying asset or resource limitation   
provisions related to the eligibility of
 such individual for any benefit1       
assistance1 or service provided under   
any ,federal or ,state program4  7h7    
,report ,not later than #ahj days after 
the end of the award period1 the        
,secretary shall submit to the          
,committee on ,health1 ,education1      
,labor1 and ,pensions of the ,senate and
 the ,committee on ,energy and ,commerce
 of the ,house of ,representatives1 a   
report concerning the activities carried
 out under this section to increase the 
representation of individuals with      
disabilities in the sexual and          
reproductive health profession and      
related training programs4  7i7         
,authorization of appropriations ,there 
is authorized to be appropriated to     
carry out this section1 #ae1jjj1jjj for 
each of fiscal years #bjbg through      
#bjca4 ,funds provided to carry out this
 section shall supplement not supplant  
funds otherwise made available to carry 

out this title4  4  #e4 ,expanding the  
reproductive health care nursing        
workforce ,section #hba of the ,public  
,health ,service ,act 7#db ,u4,s4,c4    
#bifm7 is amended by adding at the end  
the following3  7d7 ,expanding the      
reproductive health care nursing        
workforce  7#a7 ,awards ,to assist      
individuals with disabilities in        
undertaking education to enter into the 
reproductive nursing workforce1 the     
,secretary may award grants1 contracts1 
or cooperative agreements under         
subsection 7a77#a7 to eligible entities 
to enable such entities to carry out the
 activities described in paragraph 7#c74
  7#b7 ,application ,to be eligible to  
receive an award under paragraph 7#a71  
an entity described in such paragraph   
shall submit to the ,secretary an       
application at such time1 in such       
manner1 and containing such information 
as the ,secretary may require4  7#c7    
,use of funds ,an entity shall use      
amounts received under an award under   

paragraph 7#a7 to-- 7,a7 conduct        
activities to develop a competitive     
applicant pool1 through partnership with
 public or private nonprofit            
institutions of higher education1 local 
educational agencies1 nurse-managed     
health clinics1 health care providers1  
such as sexual and reproductive health  
care providers and nurses1 or other     
community-based entities1 and establish 
an education pipeline for individuals   
with disabilities entering the sexual   
and reproductive health care nursing    
workforce2  7,b7 establish1 strengthen1 
or expand programs to support the       
academic performance of individuals with
 disabilities participating in          
activities funded under this subsection1
 including mentorship programs2  7,c7   
identify1 recruit1 enroll1 and retain   
individuals with disabilities in        
education and training related to sexual
 and reproductive health care2  7,d7    
improve the capacity of the entity      
involved to train1 recruit1 and retain  

faculty with disabilities1 including the
 payment of such stipends and           
fellowships as the ,secretary may       
determine appropriate2  7,e7 carry out  
activities to improve the information   
resources1 clinical education1          
curricula1 and competencies of the      
graduates of the entity involved1 as it 
relates to individuals with             
disabilities2  7,f7 facilitate faculty  
and student research to include         
evidence-based practice and quality     
improvement projects focused on health  
issues affecting individuals with       
disabilities1 including research on     
issues relating to the delivery of      
sexual and reproductive health care to  
individuals with disabilities2  7,g7    
carry out programs1 or offer            
experiences1 to train students in       
providing sexual and reproductive health
 services to individuals with           
disabilities at community-based health  
care facilities that provide sexual and 
reproductive health services2  7,h7     

provide stipends to individuals with    
disabilities participating in activities
 funded under this subsection as the    
,secretary determines appropriate1 in   
amounts as the ,secretary determines    
appropriate1 with an assurance that such
 stipends shall not result in the loss  
of an individual's ,federal or ,state   
benefits2 or  7,i7 carry out any other  
activities that the ,secretary may      
require4  7#d7 ,preference ,in awarding 
grants1 contracts1 or cooperative       
agreements under this subsection1 the   
,secretary shall give preference to     
applications that have been approved for
 programs that involve a comprehensive  
approach through multiple entities      
described in paragraph 7#a7 to          
establish1 enhance1 and expand          
educational programs that will result in
 the development of a competitive       
applicant pool of individuals with      
disabilities who desire to pursue       
careers in sexual and reproductive      
health care services4  7#e7             

,consideration for awards ,in awarding  
grants1 contracts1 or cooperative       
agreements under this subsection1 the   
,secretary shall-- 7,a7 consider current
 enrollment trends and the needs of     
certain populations1 including          
individuals with disabilities2 and  7,b7
 align and coordinate with other        
training programs administered by the   
,health ,resources and ,services        
,administration4  7#f7 ,effect on other 
programs ,assistance or stipends        
provided to an individual under this    
subsection shall not be considered when 
applying asset or resource limitation   
provisions related to the eligibility of
 such individual for any benefit1       
assistance1 or service provided under   
any ,federal or ,state program4  7#g7   
,report ,not later than #ahj days after 
the end of the award period1 the        
,secretary shall submit to the          
,committee on ,health1 ,education1      
,labor1 and ,pensions of the ,senate and
 the ,committee on ,energy and ,commerce

 of the ,house of ,representatives1 a   
report concerning the activities carried
 out under this subsection to increase  
the representation of individuals with  
disabilities in the sexual and          
reproductive health profession and      
related training programs4  7#h7        
,authorization of appropriations ,there 
is authorized to be appropriated to     
carry out this subsection1 #ae1jjj1jjj  
for each of fiscal years #bjbg through  
#bjca4 ,funds provided to carry out this
 subsection shall supplement not        
supplant funds otherwise made available 
to carry out this title4  4  #f4        
,program for reproductive health        
education  7a7 ,in general ,the         
,secretary of ,health and ,human        
,services 7referred to in this section  
as the ,secretary71 acting through the  
,administrator of the ,health ,resources
 and ,services ,administration and in   
consultation with the ,administrator of 
the ,administration for ,community      
,living1 shall award grants1 contracts1 

or cooperative agreements to eligible   
entities to provide funding for         
education programs focused on sexual and
 reproductive health needs for          
individuals with disabilities4  7b7     
,eligibility  7#a7 ,in general ,to be   
eligible to receive an award under this 
section an entity shall be a public or  
private nonprofit entity with a         
demonstrated expertise in serving       
individuals with disabilities1 which may
 include-- 7,a7 a multidisciplinary     
health care provider who provides sexual
 and reproductive health care services1 
such as a federally qualified health    
center or a ,title ,x clinic2  7,b7     
institutions of higher education1 as    
defined in section #aja of the ,higher  
,education ,act of #aife1 with expertise
 in sexual and reproductive health care2
  7,c7 an entity primarily led by       
individuals with disabilities2  7,d7 an 
entity with expertise in reproductive   
rights and justice2  7,e7 an ,indian    
,tribe1 ,tribal organization1 or ,urban 

,indian organization2 and  7,f7 a       
consortium of entities described in any 
of subparagraphs 7,a7 through 7,e74     
7#b7 ,application ,to be eligible to    
receive a grant1 contract1 or           
cooperative agreement under this        
section1 an eligible entity or          
consortium of entities shall submit to  
the ,secretary an application at such   
time1 in such manner1 and containing    
such information as the ,secretary may  
require1 that includes a description of 
the eligible entity's or entities'      
expertise in providing education        
programs including evidence that such   
entity has-- 7,a7 knowledge of best     
practices in providing sexual and       
reproductive health care1 including     
preventive health care services1 to     
individuals with disabilities2  7,b7    
experience working with individuals with
 disabilities and their families2 and   
7,c7 demonstrated expertise of          
developing materials in culturally and  
linguistically accessible formats       

including plain language4  7#c7         
,subawards ,an eligible entity or       
eligible consortium receiving an award  
under this section may1 for contracting 
purposes1 make subawards to individuals 
or entities with expertise in sexual and
 reproductive health care and serving   
individuals with disabilities4  7c7 ,use
 of funds ,an entity shall use amounts  
received under subsection 7a7 to-- 7#a7 
carry out evidence-based or             
evidence-informed sexual and            
reproductive health education programs  
for individuals with disabilities1      
including youth1 in culturally and      
linguistically accessible formats2  7#b7
 develop sexual and reproductive health 
education programs in culturally and    
linguistically accessible formats to be 
used in carrying out paragraph 7#a72    
7#c7 provide education to individuals   
with disabilities1 including youth1     
concerning abortion care options and    
their sexual1 reproductive1 and         
perinatal health care needs2  7#d7      

provide education to individuals with   
disabilities1 including youth1          
concerning their rights under relevant  
,federal and ,state law2  7#e7 provide  
access to disability affirmative and    
supportive clinical resources that are  
accessible to individuals with          
disabilities2  7#f7 build the entity's  
capacity and enhance their leadership of
 the entity within the community to     
promote community engagement in1 and    
advancement of1 evidence-based or       
evidence-informed sexual and            
reproductive health care education in   
easily accessible formats2 and  7#g7    
support dissemination of newly developed
 sexual and reproductive health care    
education programs as described in      
paragraph 7#b7 throughout the ,state1   
territorial1 and ,tribal communities4   
7d7 ,evaluation and report  7#a7 ,in    
general ,an entity that receives an     
award under this section shall1 at the  
end of the award period1 carry out an   
evaluation of success of the entity in  

achieving the goals of the program for  
which the award was made4  7#b7 ,report 
,not later than #ahj days after the end 
of the award period1 an entity that     
receives an award under this section    
shall submit to the ,secretary a report 
on the results of the evaluation        
conducted under paragraph 7#a74  7#c7   
,secretary ,the ,secretary shall        
annually compile the reports submitted  
under paragraph 7#b7 and submit such    
compilation to the ,committee on        
,health1 ,education1 ,labor1 and        
,pensions of the ,senate and the        
,committee on ,energy and ,commerce of  
the ,house of ,representatives4 ,such   
compilations shall be posted on the     
website of the ,department of ,health   
and ,human ,services in an accessible   
format4  7e7 ,definitions ,in this      
section3 7#a7 ,disability ,the terms    
disability and disabilities have the    
meaning given such terms for purposes of
 the ,americans with ,disabilities ,act 
of #aiij 7#db ,u4,s4,c4 #abaja et seq474

  7#b7 ,indian ,tribe2 ,tribal          
organization ,the terms ,indian ,tribe  
and ,tribal organization have the       
meaning given such terms in section #d  
of the ,indian ,self-,determination and 
,education ,assistance ,act 7#be        
,u4,s4,c4 #ecjd74  7#c7 ,urban indian   
organization ,the term ,urban ,indian   
organization has the meaning given such 
term in section #d of the ,indian       
,health ,care ,improvement ,act 7#be    
,u4,s4,c4 #afjc74  7f7 ,authorization of
 appropriations ,there is authorized to 
be appropriated to carry out this       
section1 #aj1jjj1jjj for each of fiscal 
years #bjbg through #bjca4  #g4         
,national ,technical ,assistance ,center
  7a7 ,establishment ,the ,secretary of 
,health and ,human ,services1 acting    
through the ,administration for         
,community ,living1 shall directly1 or  
through a grant1 contract1 or           
cooperative agreement1 establish a      
,national ,technical ,assistance ,center
 to-- 7#a7 provide recommendations and  

best practices to ,states1 territories1 
,indian ,tribes1 ,tribal organizations1 
and ,urban ,indian organizations        
concerning improving coordination of    
services including mental health and    
substance use disorder services1 social 
services1 health care1 and              
transportation to increase access to    
quality1 integrated systems of          
accessible1 comprehensive disability    
clinical care1 and services for         
individuals with disabilities2  7#b7    
provide technical assistance to health  
care providers on culturally and        
linguistically accessible and           
appropriate sexual and reproductive     
health care1 including before1 during1  
and after pregnancy and perinatal care  
and family planning services2  7#c7     
develop resources and provide technical 
assistance to assist covered entities in
 complying with applicable ,federal laws
 and regulations2 and  7#d7 develop     
resources for individuals with          
disabilities facing barriers to         

accessible care1 including related to   
accessible medical diagnostic equipment 
and the ,barrier-,free ,health ,care    
,initiative4  7b7 ,definitions ,in this 
section3 7#a7 ,disability ,the terms    
disability and disabilities have the    
meaning given such terms for purposes of
 the ,americans with ,disabilities ,act 
of #aiij 7#db ,u4,s4,c4 #abaja et seq474
  7#b7 ,indian ,tribe2 ,tribal          
organization ,the terms ,indian ,tribe  
and ,tribal organization have the       
meaning given such terms in section #d  
of the ,indian ,self-,determination and 
,education ,assistance ,act 7#be        
,u4,s4,c4 #ecjd74  7#c7 ,urban indian   
organization ,the term ,urban ,indian   
organization has the meaning given such 
term in section #d of the ,indian       
,health ,care ,improvement ,act 7#be    
,u4,s4,c4 #afjc74  7c7 ,authorization of
 appropriations ,there is authorized to 
be appropriated to carry out this       
section1 #aj1jjj1jjj for each of fiscal 
years #bjbg through #bjca4  #h4         

,research study  7a7 ,in general ,the   
,secretary of ,health and ,human        
,services1 in consultation with the     
,administrator of the ,administration   
for ,community ,living1 shall carry out 
a study to-- 7#a7 identify the types of 
programs and services that have         
demonstrated effectiveness in providing 
sexual and reproductive health care     
services for individuals with           
disabilities2  7#b7 analyze the         
effectiveness of ,federal1 ,state1      
,tribal1 and local partnerships to      
coordinate efforts to ensure an         
integrated system of accessible1        
comprehensive sexual and reproductive   
health care for individuals with        
disabilities2 and  7#c7 identify        
necessary memoranda of understanding or 
interagency agreements that are needed  
to foster data and public health        
research focusing on sexual and         
reproductive health care barriers for   
individuals with disabilities4  7b7     
,report ,not later than #c years after  

the date of enactment of this ,act1 the 
,secretary of ,health and ,human        
,services shall submit to the ,committee
 on ,health1 ,education1 ,labor1 and    
,pensions of the ,senate and the        
,committee on ,energy and ,commerce and 
the ,committee on ,education and        
,workforce of the ,house of             
,representatives1 a report on the       
results of the study conducted under    
subsection 7a74  7c7 ,definition ,in    
this section the terms disability and   
disabilities have the meanings given    
such terms for purposes of the          
,americans with ,disabilities ,act of   
#aiij 7#db ,u4,s4,c4 #abaja et seq474   
7d7 ,authorization of appropriations    
,there is authorized to be appropriated 
to carry out this section1 #ae1jjj1jjj  
for fiscal year #bjbg4