,,ii  #aai? ,,congress  #b;d ,session   
,s4 #dedj  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,may #ad1 #bjbf,mrs4   
,murray 7= h]self1 ,ms4 ,duckwor?1 ,ms4 
,alsobrooks1 ,mr4 ,blum5?al1 ,mr4       
,book]1 ,mr4 ,fett]man1 ,mrs4 ,gillibr&1
 ,ms4 ,hassan1 ,ms4 ,hirono1 ,mr4       
,m>key1 ,mr4 ,m]kley1 ,mr4 ,padilla1    
,mr4 ,s&]s1 ,mr4 ,s*iff1 ,ms4 ,smi?1    
,ms4 ,w>r51 ,mr4 ,wel*1 ,mr4 ,:iteh\se1 
& ,mr4 ,wyd57 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 improve
 reproductive heal? c>e ( individuals ) 
disabilities4  #a4 ,%ort title ,?is ,act
 may be cit$ z ! ,reproductive ,heal?   
,c>e ,accessibility ,act4  #b4 ,f9d+s   
,congress f9ds ! foll[+3 7#a7 ,9 !      
,unit$ ,/ates1 approximately #a 9 #d    
adults h "s type ( disability1 m ?an #a 
9 #aj individuals ) disabilities c      
become pregnant1 & ov] #d1ajj1jjj       
individuals are p>5ts ) disabilities4   

7#b7 ,all p1 includ+ individuals )      
disabilities1 h ! "r to decide if1 :51 &
 h[ to />t & raise a family1 z well z to
 h heal?y pregnancies & po/p>tum p]iods4
  7#c7 ,titles ,,ii & ,,iii ( !         
,am]icans ) ,disabilities ,act ( #aiij  
7#db ,u4,s4,c4 #abaca et seq4 & #abaha  
et seq471 section #ejd ( !              
,rehabilitation ,act ( #aigc 7#bi       
,u4,s4,c4 #gid71 & section #aeeg ( !    
,pati5t ,protection & ,af=dable ,c>e    
,act 7#db ,u4,s4,c4 #ahaaf7 provide     
individuals ) disabilities ) ! "r to    
equitably access & receive heal? c>e4   
7#d7 ,disabl$ individuals face unique   
b>ri]s :5 access+ reproductive heal?    
c>e1 includ+ accessibility issues at    
heal? c>e facilities1 lack ( accessible 
m$ical diagno/ic equipm5t1 b>ri]s to    
accessible travel1 delay 9 receiv+      
prev5tative s]vices1 & lack ( heal? c>e 
provid]s ) tra9+ & k on ! ne$s (        
individuals ) disabilities receiv+      
reproductive heal? c>e4  7#e7           
,reproductive heal? c>e is critical to  

an individual's long-t]m heal?4 ,disabl$
 individuals h high] mortality rates f  
reproductive relat$ canc]s (t5 due to   
lack ( access to reproductive heal? c>e1
 high] rates ( mat]nal mortality &      
morbidity1 & (t5 exp]i5ce e>li] onset   
m5opause4  7#f7 ,! ,unit$ ,/ates ,access
 ,bo>d has e/abli%$ /&>ds = accessible  
m$ical diagno/ic equipm5t t 7 adopt$ by 
! ,dep>tm5t ( ,heal? & ,human ,s]vices &
 ! ,dep>tm5t ( ,ju/ice 9 #bjbd4 ,aw>5ess
 ab\t ! /&>ds rema9s l[ among provid]s4 
,great] provid] education1              
implem5tation1 & en=cem5t ( ! /&>ds is  
necess>y to ensure equally effective    
reproductive & sexual heal? c>e =       
individuals ) disabilities4  7#g7       
,disabl$ individuals h an equal "r to   
reproductive autonomy1 b h>mful         
/]eotypes ab\t individuals )            
disabilities create b>ri]s to gett+ c>e 
t respects t autonomy4  7#h7 ,laws t    
re/rict access to reproductive heal?    
c>e1 includ+ abortion c>e1              
disproportionally h>m individuals :o    

already face b>ri]s to reproductive     
heal? c>e1 :i* includes disabl$         
individuals4  7#i7 ,individuals ) & )\t 
disabilities want *ildr5 at ! same      
frequ5cy1 b individuals ) disabilities  
are less likely to receive contraception
 c\nsel+ & timely pr5atal c>e1 exp]i5ce 
a high] rate ( /]ilization1 & are at a  
great] risk = adv]se pregnancy outcomes4
  7#aj7 ,div]sity & inclusion 9 ! heal? 
c>e work=ce is a critical factor 9 !    
deliv]y ( high-quality1 culturally      
compet5t heal? c>e & improves pati5t    
outcomes4 ,h[ev]1 ! rate ( /ud5ts &     
tra9ees ) disabilities 9 m$ical & alli$ 
heal? education rema9s l[ comp>$ to ^?  
)\t disabilities4  #c4 ,program = tra9+ 
! work=ce ,"p ,d ( title ,,vii ( !      
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bid et seq47 is am5d$ by add+
 at ! end ! foll[+3  #gfj;,a4 ,program =
 tra9+ ! work=ce conc]n+ reproductive   
heal? c>e = individuals ) disabilities  
7a7 ,9 g5]al ,! ,secret>y1 act+ ?r\gh ! 
,adm9i/rator ( ! ,heal? ,res\rces &     

,s]vices ,adm9i/ration & 9 consultation 
) ! ,adm9i/rator ( ! ,adm9i/ration =    
,community ,liv+1 %all aw>d grants1     
contracts1 or coop]ative agreem5ts to   
eligible entities to c>ry out tra9+     
programs = heal? c>e pr(essionals &     
tra9ees on provid+ equitable sexual &   
reproductive heal? c>e = individuals )  
disabilities4  7b7 ,eligibility  7#a7 ,9
 g5]al ,to be eligible to receive an    
aw>d "u ?is section1 an entity %all be a
 public or private nonpr(it entity )    
demon/rat$ exp]tise 9 s]v+ individuals )
 disabilities1 :i* may include-- 7,a7 a 
multidiscipl9>y heal? c>e provid] :o    
provides sexual & reproductive heal?    
c>e1 su* z f$]ally qualifi$ heal? c5t]s 
& ,title ,x cl9ics2  7,b7 in/itutions ( 
high] education1 z def9$ 9 section #aja 
( ! ,high] ,education ,act ( #aife1 )   
exp]tise 9 sexual & reproductive heal?  
c>e2  7,c7 an entity prim>ily l$ by     
individuals ) disabilities2  7,d7 an    
entity ) exp]tise 9 reproductive rights 
& ju/ice2  7,e7 an ,indian ,tribe1      

,tribal organization1 or urban ,indian  
organization2 or  7,f7 a consortium (   
entities describ$ 9 any ( subp>agraphs  
7,a7 ?r\gh 7,e74  7#b7 ,application ,to 
be eligible to receive an aw>d "u ?is   
section1 an eligible entity %all submit 
to ! ,secret>y an application at su* "t1
 9 su* mann]1 & conta9+ su* in=mation z 
! ,secret>y may require1 t includes--   
7,a7 a description ( ! eligible entity's
 or consortium ( entities' exp]tise 9   
provid+ te*nical assi/ance & tra9+1     
includ+ evid5ce su* z-- 7i7 k ( ! rights
 af=d$ to individuals ) a disability "u 
relevant ,f$]al & ,/ate law2  7ii7 k (  
accessibility /&>ds e/abli%$ by ! ,unit$
 ,/ates ,access ,bo>d2  7iii7 exp]tise 9
 evid5ce-bas$ or evid5ce-in=m$ practices
 9 provid+ trauma-in=m$ sexual &        
reproductive heal? c>e1 includ+         
prev5tive heal? c>e s]vices & p]9atal   
c>e1 to individuals ) disabilities & ^? 
fac+ comp\nd$ b>ri]s to access+ c>e2    
7iv7 exp]i5ce work+ ) heal? c>e         
provid]s1 public or private nonpr(it    

entities1 or ,f$]al1 ,/ate1 or local    
ag5cies focus+ on sexual & reproductive 
heal? c>e s]vices = individuals )       
disabilities2  7v7 exp]i5ce work+ )     
individuals ) disabilities & _!         
families2  7vi7 exp]tise 9 provid+1     
collect+1 compil+1 communicat+1 &       
dissem9at+ sexual & reproductive heal?  
c>e in=mation 9 culturally & l+ui/ically
 appropriate mann] especially 9 easily  
accessible =mats2 &  7vii7 exp]i5ce     
improv+ coord9ation ( s]vices1 su* z    
m5tal heal?1 sub/ance use disord]       
prev5tion1 treatm5t1 & recov]y support  
s]vices1 social s]vices1 o!r heal? c>e  
s]vices1 & transportation s]vices =     
individuals ) disabilities2  7,b7 a     
description ( ! activities to be fund$  
"u ! aw>d & ! goals ( su* activities1   
includ+ a description (-- 7i7 ! tra9+ or
 education program to be implem5t$ t    
meets ! requirem5ts ( subsection 7c72   
7ii7 ! process to be us$ to id5tify     
heal? c>e provid]s t w p>ticipate 9 !   
tra9+ program1 includ+ ! process to     

increase div]sity 9 ! pool ( p>ticipat+ 
provid]s2  7iii7 ! process to be us$ to 
engage /akehold]s 9 su* tra9+1 includ+  
individuals ) disabilities2 &  7iv7 !   
eligible entity's evaluation plan to    
det]m9e ! scope & impact ( ! tra9+      
program2  7,c7 an assurance t !         
recipi5ts ( ! tra9+ w receive ongo+ &   
compreh5sive tra9+ or pr(essional       
developm5t on ! sexual & reproductive   
heal? c>e ne$s ( individuals )          
disabilities2 &  7,d7 any o!r assurances
 t ! ,secret>y may require4  7#c7       
,subaw>ds ,an eligible entity or        
eligible consortium receiv+ an aw>d "u  
?is section may1 = contract+ purposes1  
make subaw>ds to individuals or entities
 ) exp]tise 9 sexual & reproductive     
heal? c>e & s]v+ individuals )          
disabilities4  7c7 ,use ( funds ,an     
entity or entities %all use am\nts      
receiv$ "u ?is section to c>ry out a    
tra9+ program = heal? c>e pr(essionals  
provid+ sexual & reproductive heal? c>e 
t provides tra9+ conc]n+-- 7#a7         

compreh5sive disability cl9ical c>e     
curricula to in=m heal? c>e pr(essionals
 provid+ sexual & reproductive heal? c>e
 on h[ to provide effective1            
int]pr(essional team-bas$ heal? c>e2    
7#b7 compreh5sive cl9ical c>e curricula 
on h[ disability-bas$ & int]sectional   
discrim9ation %apes sexual &            
reproductive heal? c>e access & quality 
= disabl$ individuals1 includ+ hi/orical
 & ongo+ practices2  7#c7 culturally &  
l+ui/ically compet5t c>e = individuals )
 disabilities2  7#d7 deliv]+ sexual &   
reproductive heal? c>e = individuals )  
disabilities 9 a mann] t emphasizes !   
indep5d5ce1 self-det]m9ation1 & *oices (
 individuals ) disabilities ) respect to
 _! sexual & reproductive heal? ?r\gh   
compreh5sive disability cl9ical c>e     
curricula2  7#e7 ! rights af=d$ to      
individuals ) disabilities "u relevant  
,f$]al & ,/ate law2 &  7#f7 me?ods &    
evid5ce-bas$ or evid5ce-in=m$ practices 
= provid+ sexual & reproductive heal?   
c>e1 includ+ prev5tive heal? c>e        

s]vices1 to individuals ) disabilities4 
7d7 ,evaluation & report  7#a7 ,9 g5]al 
,an entity or entities t receives an    
aw>d "u ?is section %all1 at ! end ( !  
aw>d p]iod1 c>ry out an evaluation (    
outcomes a*iev$ ?r\gh ! program 9 tra9+ 
heal? c>e pr(essionals provid+ sexual & 
reproductive heal? c>e1 consi/5t ) !    
purposes ( ?is section4  7#b7 ,report ,n
 lat] ?an #ahj days aft] ! end ( ! aw>d 
p]iod1 an entity t receives an aw>d "u  
?is section %all submit to ! ,secret>y a
 report on ! results ( ! evaluation     
conduct$ "u p>agraph 7#a74  7#c7        
,secret>y ,! ,secret>y %all annually    
compile ! reports submitt$ "u p>agraph  
7#b7 & submit su* compilation to !      
,committee on ,heal?1 ,education1       
,labor1 & ,p5sions ( ! ,s5ate & !       
,committee on ,en]gy & ,comm]ce ( !     
,h\se ( ,repres5tatives4 ,su*           
compilations %all be po/$ on ! int]net  
website ( ! ,dep>tm5t ( ,heal? & ,human 
,s]vices 9 an accessible =mat4  7e7     
,def9itions ,9 ?is section3 7#a7        

,disability ,! t]ms disability &        
disabilities h ! mean+ giv5 su* t]ms =  
purposes ( ! ,am]icans ) ,disabilities  
,act ( #aiij4  7#b7 ,indian ,tribe2     
,tribal organization ,! t]ms ,indian    
,tribe & ,tribal organization h ! mean+ 
giv5 su* t]ms 9 section #d ( ! ,indian  
,self-,det]m9ation & ,education         
,assi/ance ,act4  7#c7 ,urban ,indian   
organization ,! t]m ,urban ,indian      
organization has ! mean+ giv5 su* t]m 9 
section #d ( ! ,indian ,heal? ,c>e      
,improvem5t ,act4  7f7 ,au?orization (  
appropriations ,!re is au?oriz$ to be   
appropriat$ to c>ry out ?is section1    
#aj1jjj1jjj = ea* ( fiscal ye>s #bjbg   
?r\gh #bjca4 ,funds provid$ to c>ry out 
?is section %all supplem5t n supplant   
funds o!rwise made available to c>ry out
 ?is title4  4  #d4 ,program = exp&+ !  
reproductive heal? c>e provid] work=ce  
,"p ,b ( title ,,vii ( ! ,public ,heal? 
,s]vice ,act 7#db ,u4,s4,c4 #bic et     
seq47 is am5d$ by add+ at ! end !       
foll[+3  #gdb4 ,program = exp&+ !       

reproductive heal? c>e provid] work=ce  
7a7 ,purpose ,x is ! purpose ( ?is      
section-- 7#a7 to e/abli% & su/a9 a     
competitive heal? pr(essions applicant  
pool ( individuals ) disabilities by    
increas+ ! total numb] ( individuals )  
disabilities :o pursue a c>e] 9 sexual &
 reproductive heal? c>e1 includ+        
abortion c>e & mat]nal heal? c>e2 &     
7#b7 to develop a culturally &          
l+ui/ically compet5t heal? c>e work=ce  
provid+ sexual & reproductive heal? c>e 
t w s]ve uns]v$ & und]s]v$ populations1 
includ+ individuals ) disabilities4  7b7
 ,aw>ds ,to assi/ individuals )         
disabilities 9 und]tak+ education to    
ent] into ! sexual & reproductive heal? 
c>e work=ce1 ! ,secret>y may aw>d       
grants1 contracts1 or coop]ative        
agreem5ts to public or private nonpr(it 
heal? or educational entities1 includ+  
s*ools ( m$ic9e1 s*ools ( o/eopa?ic     
m$ic9e1 s*ools ( nurs+1 & o!r           
in/itutions ( high] education1 t (f]    
programs1 includ+ graduate programs1 9  

ob/etrics & gynecology1 compreh5sive    
sexual & reproductive heal? c>e1 or     
programs = ! tra9+ ( heal? c>e provid]s 
to enable su* entities to c>ry out !    
activities describ$ 9 subsection 7d74   
7c7 ,application ,to be eligible to     
receive an aw>d "u subsection 7b71 an   
entity describ$ 9 su* subsection %all   
submit to ! ,secret>y an application at 
su* "t1 9 su* mann]1 & conta9+ su*      
in=mation z ! ,secret>y may require4    
7d7 ,use ( funds ,an entity %all use    
am\nts receiv$ "u an aw>d "u subsection 
7b7 to-- 7#a7 conduct or support        
activities to develop a competitive     
applicant pool1 ?r\gh p>tn]%ip ) public 
or private nonpr(it in/itutions ( high] 
education1 local educational ag5cies1   
heal? c>e provid]s1 su* z sexual &      
reproductive heal? c>e provid]s & prim>y
 c>e provid]s1 or o!r community-bas$    
entities1 & e/abli% an education pipel9e
 = individuals ) disabilities ent]+ !   
sexual & reproductive heal? c>e work=ce2
  7#b7 e/abli%1 /r5g!n1 or exp& programs

 to support ! academic p]=mance (       
individuals ) disabilities p>ticipat+ 9 
activities fund$ "u ?is section1 includ+
 m5tor%ip programs2  7#c7 id5tify1      
recruit1 enroll1 & reta9 individuals )  
disabilities 9 education & tra9+ relat$ 
to sexual & reproductive heal? c>e2     
7#d7 improve ! capacity ( ! entity      
involv$ to tra91 recruit1 & reta9       
faculty ) disabilities includ+ ! paym5t 
( su* /ip5ds & fell[%ips z ! ,secret>y  
may det]m9e appropriate2  7#e7 c>ry out 
activities to improve ! in=mation       
res\rces1 cl9ical education1 curricula1 
& compet5cies ( ! graduates ( ! entity  
involv$1 z x relates to individuals )   
disabilities2  7#f7 facilitate faculty &
 /ud5t rese>* on heal? issues affect+   
individuals ) disabilities1 includ+     
rese>* on issues relat+ to ! deliv]y (  
sexual & reproductive heal? c>e to      
individuals ) disabilities2  7#g7 c>ry  
out programs1 or (f] exp]i5ces1 to tra9 
/ud5ts 9 provid+ sexual & reproductive  
heal? s]vices to individuals )          

disabilities at community-bas$ heal?    
facilities t provide sexual &           
reproductive heal? s]vices2  7#h7       
provide /ip5ds to individuals )         
disabilities p>ticipat+ 9 activities    
fund$ "u ?is section z ! ,secret>y      
det]m9es appropriate1 9 am\nts z !      
,secret>y det]m9es appropriate1 ) an    
assurance t su* /ip5ds %all n result 9  
loss ( an individual's ,f$]al or ,/ate  
b5efits2 or  7#i7 c>ry out any o!r      
activities t ! ,secret>y may require4   
7e7 ,pref]5ce ,9 aw>d+ grants1          
contracts1 or coop]ative agreem5ts "u   
?is section1 ! ,secret>y %all give      
pref]5ce to applications t h be5 approv$
 = programs t involve a compreh5sive    
approa* ?r\gh multiple entities describ$
 9 subsection 7b7 to e/abli%1 enhance1 &
 exp& educational programs t w result 9 
! developm5t ( a competitive applicant  
pool ( individuals ) disabilities :o    
desire to pursue c>e]s 9 sexual &       
reproductive heal? c>e s]vices4  7f7    
,consid]ation = aw>ds ,9 aw>d+ grants1  

contracts1 or coop]ative agreem5ts "u   
?is section1 ! ,secret>y %all-- 7#a7    
consid] curr5t enrollm5t tr5ds & ! ne$s 
( c]ta9 populations1 includ+ individuals
 ) disabilities2 &  7#b7 align &        
coord9ate ) o!r tra9+ programs adm9i/]$ 
by ! ,heal? ,res\rces & ,s]vices        
,adm9i/ration4  7g7 ,effect on o!r      
programs ,assi/ance or /ip5ds provid$ to
 an individual "u ?is section %all n be 
consid]$ :5 apply+ asset or res\rce     
limitation provisions relat$ to !       
eligibility ( su* individual = any      
b5efit1 assi/ance1 or s]vice provid$ "u 
any ,f$]al or ,/ate program4  7h7       
,report ,n lat] ?an #ahj days aft] ! end
 ( ! aw>d p]iod1 ! ,secret>y %all submit
 to ! ,committee on ,heal?1 ,education1 
,labor1 & ,p5sions ( ! ,s5ate & !       
,committee on ,en]gy & ,comm]ce ( !     
,h\se ( ,repres5tatives1 a report       
conc]n+ ! activities c>ri$ out "u ?is   
section to increase ! repres5tation (   
individuals ) disabilities 9 ! sexual & 
reproductive heal? pr(ession & relat$   

tra9+ programs4  7i7 ,au?orization (    
appropriations ,!re is au?oriz$ to be   
appropriat$ to c>ry out ?is section1    
#ae1jjj1jjj = ea* ( fiscal ye>s #bjbg   
?r\gh #bjca4 ,funds provid$ to c>ry out 
?is section %all supplem5t n supplant   
funds o!rwise made available to c>ry out
 ?is title4  4  #e4 ,exp&+ !            
reproductive heal? c>e nurs+ work=ce    
,section #hba ( ! ,public ,heal? ,s]vice
 ,act 7#db ,u4,s4,c4 #bifm7 is am5d$ by 
add+ at ! end ! foll[+3  7d7 ,exp&+ !   
reproductive heal? c>e nurs+ work=ce    
7#a7 ,aw>ds ,to assi/ individuals )     
disabilities 9 und]tak+ education to    
ent] into ! reproductive nurs+ work=ce1 
! ,secret>y may aw>d grants1 contracts1 
or coop]ative agreem5ts "u subsection   
7a77#a7 to eligible entities to enable  
su* entities to c>ry out ! activities   
describ$ 9 p>agraph 7#c74  7#b7         
,application ,to be eligible to receive 
an aw>d "u p>agraph 7#a71 an entity     
describ$ 9 su* p>agraph %all submit to !
 ,secret>y an application at su* "t1 9  

su* mann]1 & conta9+ su* in=mation z !  
,secret>y may require4  7#c7 ,use (     
funds ,an entity %all use am\nts receiv$
 "u an aw>d "u p>agraph 7#a7 to-- 7,a7  
conduct activities to develop a         
competitive applicant pool1 ?r\gh       
p>tn]%ip ) public or private nonpr(it   
in/itutions ( high] education1 local    
educational ag5cies1 nurse-manag$ heal? 
cl9ics1 heal? c>e provid]s1 su* z sexual
 & reproductive heal? c>e provid]s &    
nurses1 or o!r community-bas$ entities1 
& e/abli% an education pipel9e =        
individuals ) disabilities ent]+ !      
sexual & reproductive heal? c>e nurs+   
work=ce2  7,b7 e/abli%1 /r5g!n1 or exp& 
programs to support ! academic p]=mance 
( individuals ) disabilities p>ticipat+ 
9 activities fund$ "u ?is subsection1   
includ+ m5tor%ip programs2  7,c7        
id5tify1 recruit1 enroll1 & reta9       
individuals ) disabilities 9 education &
 tra9+ relat$ to sexual & reproductive  
heal? c>e2  7,d7 improve ! capacity ( ! 
entity involv$ to tra91 recruit1 & reta9

 faculty ) disabilities1 includ+ !      
paym5t ( su* /ip5ds & fell[%ips z !     
,secret>y may det]m9e appropriate2  7,e7
 c>ry out activities to improve !       
in=mation res\rces1 cl9ical education1  
curricula1 & compet5cies ( ! graduates (
 ! entity involv$1 z x relates to       
individuals ) disabilities2  7,f7       
facilitate faculty & /ud5t rese>* to    
include evid5ce-bas$ practice & quality 
improvem5t projects focus$ on heal?     
issues affect+ individuals )            
disabilities1 includ+ rese>* on issues  
relat+ to ! deliv]y ( sexual &          
reproductive heal? c>e to individuals ) 
disabilities2  7,g7 c>ry out programs1  
or (f] exp]i5ces1 to tra9 /ud5ts 9      
provid+ sexual & reproductive heal?     
s]vices to individuals ) disabilities at
 community-bas$ heal? c>e facilities t  
provide sexual & reproductive heal?     
s]vices2  7,h7 provide /ip5ds to        
individuals ) disabilities p>ticipat+ 9 
activities fund$ "u ?is subsection z !  
,secret>y det]m9es appropriate1 9 am\nts

 z ! ,secret>y det]m9es appropriate1 )  
an assurance t su* /ip5ds %all n result 
9 ! loss ( an individual's ,f$]al or    
,/ate b5efits2 or  7,i7 c>ry out any o!r
 activities t ! ,secret>y may require4  
7#d7 ,pref]5ce ,9 aw>d+ grants1         
contracts1 or coop]ative agreem5ts "u   
?is subsection1 ! ,secret>y %all give   
pref]5ce to applications t h be5 approv$
 = programs t involve a compreh5sive    
approa* ?r\gh multiple entities describ$
 9 p>agraph 7#a7 to e/abli%1 enhance1 & 
exp& educational programs t w result 9 !
 developm5t ( a competitive applicant   
pool ( individuals ) disabilities :o    
desire to pursue c>e]s 9 sexual &       
reproductive heal? c>e s]vices4  7#e7   
,consid]ation = aw>ds ,9 aw>d+ grants1  
contracts1 or coop]ative agreem5ts "u   
?is subsection1 ! ,secret>y %all-- 7,a7 
consid] curr5t enrollm5t tr5ds & ! ne$s 
( c]ta9 populations1 includ+ individuals
 ) disabilities2 &  7,b7 align &        
coord9ate ) o!r tra9+ programs adm9i/]$ 
by ! ,heal? ,res\rces & ,s]vices        

,adm9i/ration4  7#f7 ,effect on o!r     
programs ,assi/ance or /ip5ds provid$ to
 an individual "u ?is subsection %all n 
be consid]$ :5 apply+ asset or res\rce  
limitation provisions relat$ to !       
eligibility ( su* individual = any      
b5efit1 assi/ance1 or s]vice provid$ "u 
any ,f$]al or ,/ate program4  7#g7      
,report ,n lat] ?an #ahj days aft] ! end
 ( ! aw>d p]iod1 ! ,secret>y %all submit
 to ! ,committee on ,heal?1 ,education1 
,labor1 & ,p5sions ( ! ,s5ate & !       
,committee on ,en]gy & ,comm]ce ( !     
,h\se ( ,repres5tatives1 a report       
conc]n+ ! activities c>ri$ out "u ?is   
subsection to increase ! repres5tation (
 individuals ) disabilities 9 ! sexual &
 reproductive heal? pr(ession & relat$  
tra9+ programs4  7#h7 ,au?orization (   
appropriations ,!re is au?oriz$ to be   
appropriat$ to c>ry out ?is subsection1 
#ae1jjj1jjj = ea* ( fiscal ye>s #bjbg   
?r\gh #bjca4 ,funds provid$ to c>ry out 
?is subsection %all supplem5t n supplant
 funds o!rwise made available to c>ry   

out ?is title4  4  #f4 ,program =       
reproductive heal? education  7a7 ,9    
g5]al ,! ,secret>y ( ,heal? & ,human    
,s]vices 7ref]r$ to 9 ?is section z !   
,secret>y71 act+ ?r\gh ! ,adm9i/rator ( 
! ,heal? ,res\rces & ,s]vices           
,adm9i/ration & 9 consultation ) !      
,adm9i/rator ( ! ,adm9i/ration =        
,community ,liv+1 %all aw>d grants1     
contracts1 or coop]ative agreem5ts to   
eligible entities to provide fund+ =    
education programs focus$ on sexual &   
reproductive heal? ne$s = individuals ) 
disabilities4  7b7 ,eligibility  7#a7 ,9
 g5]al ,to be eligible to receive an    
aw>d "u ?is section an entity %all be a 
public or private nonpr(it entity ) a   
demon/rat$ exp]tise 9 s]v+ individuals )
 disabilities1 :i* may include-- 7,a7 a 
multidiscipl9>y heal? c>e provid] :o    
provides sexual & reproductive heal? c>e
 s]vices1 su* z a f$]ally qualifi$ heal?
 c5t] or a ,title ,x cl9ic2  7,b7       
in/itutions ( high] education1 z def9$ 9
 section #aja ( ! ,high] ,education ,act

 ( #aife1 ) exp]tise 9 sexual &         
reproductive heal? c>e2  7,c7 an entity 
prim>ily l$ by individuals )            
disabilities2  7,d7 an entity ) exp]tise
 9 reproductive rights & ju/ice2  7,e7  
an ,indian ,tribe1 ,tribal organization1
 or ,urban ,indian organization2 &  7,f7
 a consortium ( entities describ$ 9 any 
( subp>agraphs 7,a7 ?r\gh 7,e74  7#b7   
,application ,to be eligible to receive 
a grant1 contract1 or coop]ative        
agreem5t "u ?is section1 an eligible    
entity or consortium ( entities %all    
submit to ! ,secret>y an application at 
su* "t1 9 su* mann]1 & conta9+ su*      
in=mation z ! ,secret>y may require1 t  
includes a description ( ! eligible     
entity's or entities' exp]tise 9 provid+
 education programs includ+ evid5ce t   
su* entity has-- 7,a7 k ( be/ practices 
9 provid+ sexual & reproductive heal?   
c>e1 includ+ prev5tive heal? c>e        
s]vices1 to individuals ) disabilities2 
7,b7 exp]i5ce work+ ) individuals )     
disabilities & _! families2 &  7,c7     

demon/rat$ exp]tise ( develop+ mat]ials 
9 culturally & l+ui/ically accessible   
=mats includ+ pla9 language4  7#c7      
,subaw>ds ,an eligible entity or        
eligible consortium receiv+ an aw>d "u  
?is section may1 = contract+ purposes1  
make subaw>ds to individuals or entities
 ) exp]tise 9 sexual & reproductive     
heal? c>e & s]v+ individuals )          
disabilities4  7c7 ,use ( funds ,an     
entity %all use am\nts receiv$ "u       
subsection 7a7 to-- 7#a7 c>ry out       
evid5ce-bas$ or evid5ce-in=m$ sexual &  
reproductive heal? education programs = 
individuals ) disabilities1 includ+ y\?1
 9 culturally & l+ui/ically accessible  
=mats2  7#b7 develop sexual &           
reproductive heal? education programs 9 
culturally & l+ui/ically accessible     
=mats to be us$ 9 c>ry+ out p>agraph    
7#a72  7#c7 provide education to        
individuals ) disabilities1 includ+ y\?1
 conc]n+ abortion c>e options & _!      
sexual1 reproductive1 & p]9atal heal?   
c>e ne$s2  7#d7 provide education to    

individuals ) disabilities1 includ+ y\?1
 conc]n+ _! rights "u relevant ,f$]al & 
,/ate law2  7#e7 provide access to      
disability affirmative & supportive     
cl9ical res\rces t are accessible to    
individuals ) disabilities2  7#f7 build 
! entity's capacity & enhance _!        
lead]%ip ( ! entity )9 ! community to   
promote community engagem5t 91 &        
advancem5t (1 evid5ce-bas$ or           
evid5ce-in=m$ sexual & reproductive     
heal? c>e education 9 easily accessible 
=mats2 &  7#g7 support dissem9ation (   
newly develop$ sexual & reproductive    
heal? c>e education programs z describ$ 
9 p>agraph 7#b7 ?r\gh\t ! ,/ate1        
t]ritorial1 & ,tribal communities4  7d7 
,evaluation & report  7#a7 ,9 g5]al ,an 
entity t receives an aw>d "u ?is section
 %all1 at ! end ( ! aw>d p]iod1 c>ry out
 an evaluation ( success ( ! entity 9   
a*iev+ ! goals ( ! program = :i* ! aw>d 
0 made4  7#b7 ,report ,n lat] ?an #ahj  
days aft] ! end ( ! aw>d p]iod1 an      
entity t receives an aw>d "u ?is section

 %all submit to ! ,secret>y a report on 
! results ( ! evaluation conduct$ "u    
p>agraph 7#a74  7#c7 ,secret>y ,!       
,secret>y %all annually compile !       
reports submitt$ "u p>agraph 7#b7 &     
submit su* compilation to ! ,committee  
on ,heal?1 ,education1 ,labor1 &        
,p5sions ( ! ,s5ate & ! ,committee on   
,en]gy & ,comm]ce ( ! ,h\se (           
,repres5tatives4 ,su* compilations %all 
be po/$ on ! website ( ! ,dep>tm5t (    
,heal? & ,human ,s]vices 9 an accessible
 =mat4  7e7 ,def9itions ,9 ?is section3 
7#a7 ,disability ,! t]ms disability &   
disabilities h ! mean+ giv5 su* t]ms =  
purposes ( ! ,am]icans ) ,disabilities  
,act ( #aiij 7#db ,u4,s4,c4 #abaja et   
seq474  7#b7 ,indian ,tribe2 ,tribal    
organization ,! t]ms ,indian ,tribe &   
,tribal organization h ! mean+ giv5 su* 
t]ms 9 section #d ( ! ,indian           
,self-,det]m9ation & ,education         
,assi/ance ,act 7#be ,u4,s4,c4 #ecjd74  
7#c7 ,urban indian organization ,! t]m  
,urban ,indian organization has ! mean+ 

giv5 su* t]m 9 section #d ( ! ,indian   
,heal? ,c>e ,improvem5t ,act 7#be       
,u4,s4,c4 #afjc74  7f7 ,au?orization (  
appropriations ,!re is au?oriz$ to be   
appropriat$ to c>ry out ?is section1    
#aj1jjj1jjj = ea* ( fiscal ye>s #bjbg   
?r\gh #bjca4  #g4 ,national ,te*nical   
,assi/ance ,c5t]  7a7 ,e/abli%m5t ,!    
,secret>y ( ,heal? & ,human ,s]vices1   
act+ ?r\gh ! ,adm9i/ration = ,community 
,liv+1 %all directly1 or ?r\gh a grant1 
contract1 or coop]ative agreem5t1       
e/abli% a ,national ,te*nical ,assi/ance
 ,c5t] to-- 7#a7 provide recomm5dations 
& be/ practices to ,/ates1 t]ritories1  
,indian ,tribes1 ,tribal organizations1 
& ,urban ,indian organizations conc]n+  
improv+ coord9ation ( s]vices includ+   
m5tal heal? & sub/ance use disord]      
s]vices1 social s]vices1 heal? c>e1 &   
transportation to increase access to    
quality1 integrat$ sy/ems ( accessible1 
compreh5sive disability cl9ical c>e1 &  
s]vices = individuals ) disabilities2   
7#b7 provide te*nical assi/ance to heal?

 c>e provid]s on culturally &           
l+ui/ically accessible & appropriate    
sexual & reproductive heal? c>e1 includ+
 be=e1 dur+1 & aft] pregnancy & p]9atal 
c>e & family plann+ s]vices2  7#c7      
develop res\rces & provide te*nical     
assi/ance to assi/ cov]$ entities 9     
comply+ ) applicable ,f$]al laws &      
regulations2 &  7#d7 develop res\rces = 
individuals ) disabilities fac+ b>ri]s  
to accessible c>e1 includ+ relat$ to    
accessible m$ical diagno/ic equipm5t & !
 ,b>ri]-,free ,heal? ,c>e ,initiative4  
7b7 ,def9itions ,9 ?is section3 7#a7    
,disability ,! t]ms disability &        
disabilities h ! mean+ giv5 su* t]ms =  
purposes ( ! ,am]icans ) ,disabilities  
,act ( #aiij 7#db ,u4,s4,c4 #abaja et   
seq474  7#b7 ,indian ,tribe2 ,tribal    
organization ,! t]ms ,indian ,tribe &   
,tribal organization h ! mean+ giv5 su* 
t]ms 9 section #d ( ! ,indian           
,self-,det]m9ation & ,education         
,assi/ance ,act 7#be ,u4,s4,c4 #ecjd74  
7#c7 ,urban indian organization ,! t]m  

,urban ,indian organization has ! mean+ 
giv5 su* t]m 9 section #d ( ! ,indian   
,heal? ,c>e ,improvem5t ,act 7#be       
,u4,s4,c4 #afjc74  7c7 ,au?orization (  
appropriations ,!re is au?oriz$ to be   
appropriat$ to c>ry out ?is section1    
#aj1jjj1jjj = ea* ( fiscal ye>s #bjbg   
?r\gh #bjca4  #h4 ,rese>* /udy  7a7 ,9  
g5]al ,! ,secret>y ( ,heal? & ,human    
,s]vices1 9 consultation ) !            
,adm9i/rator ( ! ,adm9i/ration =        
,community ,liv+1 %all c>ry out a /udy  
to-- 7#a7 id5tify ! types ( programs &  
s]vices t h demon/rat$ effectiv5ess 9   
provid+ sexual & reproductive heal? c>e 
s]vices = individuals ) disabilities2   
7#b7 analyze ! effectiv5ess ( ,f$]al1   
,/ate1 ,tribal1 & local p>tn]%ips to    
coord9ate ef=ts to ensure an integrat$  
sy/em ( accessible1 compreh5sive sexual 
& reproductive heal? c>e = individuals )
 disabilities2 &  7#c7 id5tify necess>y 
memor&a ( und]/&+ or int]ag5cy agreem5ts
 t are ne$$ to fo/] data & public heal? 
rese>* focus+ on sexual & reproductive  

heal? c>e b>ri]s = individuals )        
disabilities4  7b7 ,report ,n lat] ?an  
#c ye>s aft] ! date ( enactm5t ( ?is    
,act1 ! ,secret>y ( ,heal? & ,human     
,s]vices %all submit to ! ,committee on 
,heal?1 ,education1 ,labor1 & ,p5sions (
 ! ,s5ate & ! ,committee on ,en]gy &    
,comm]ce & ! ,committee on ,education & 
,work=ce ( ! ,h\se ( ,repres5tatives1 a 
report on ! results ( ! /udy conduct$ "u
 subsection 7a74  7c7 ,def9ition ,9 ?is 
section ! t]ms disability & disabilities
 h ! mean+s giv5 su* t]ms = purposes ( !
 ,am]icans ) ,disabilities ,act ( #aiij 
7#db ,u4,s4,c4 #abaja et seq474  7d7    
,au?orization ( appropriations ,!re is  
au?oriz$ to be appropriat$ to c>ry out  
?is section1 #ae1jjj1jjj = fiscal ye>   
#bjbg4