[Congressional Bills 115th Congress]
[From the U.S. Government Publishing Office]
[S. 1045 Introduced in Senate (IS)]
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115th CONGRESS
1st Session
S. 1045
To guarantee coverage of certain women's preventive services under all
health plans.
_______________________________________________________________________
IN THE SENATE OF THE UNITED STATES
May 4, 2017
Mrs. Murray (for herself, Mr. Blumenthal, Mr. Tester, Ms. Baldwin, Mr.
Bennet, Mr. Booker, Mr. Brown, Ms. Cantwell, Mr. Cardin, Mr. Carper,
Mr. Casey, Mr. Coons, Ms. Cortez Masto, Mr. Donnelly, Ms. Duckworth,
Mr. Durbin, Mrs. Feinstein, Mr. Franken, Mrs. Gillibrand, Ms. Harris,
Ms. Hassan, Mr. Heinrich, Ms. Heitkamp, Ms. Hirono, Mr. Kaine, Mr.
King, Ms. Klobuchar, Mr. Leahy, Mr. Markey, Mrs. McCaskill, Mr.
Menendez, Mr. Merkley, Mr. Murphy, Mr. Nelson, Mr. Peters, Mr. Reed,
Mr. Sanders, Mr. Schatz, Mr. Schumer, Mrs. Shaheen, Ms. Stabenow, Mr.
Udall, Mr. Van Hollen, Mr. Warner, Ms. Warren, Mr. Whitehouse, and Mr.
Wyden) introduced the following bill; which was read twice and referred
to the Committee on Health, Education, Labor, and Pensions
_______________________________________________________________________
A BILL
To guarantee coverage of certain women's preventive services under all
health plans.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Save Women's Preventive Care Act''.
SEC. 2. PURPOSE.
It is the purpose of this Act to guarantee coverage of women's
preventive services that have been covered by group and individual
health plans, in accordance with amendments made by the Patient
Protection and Affordable Care Act (Public Law 111-148) and consistent
with the clinical guidelines dated December 20, 2016, and developed at
the direction of the Health Resources and Service Administration by the
National Academy of Medicine, the American College of Obstetricians and
Gynecologists, and other medical experts (and additional sub-regulatory
guidance pertaining to such guidelines and published before January 1,
2017).
SEC. 3. SENSE OF THE SENATE.
It is the sense of the Senate that women should have access to
preventive services and benefits with no out-of-pocket costs as
provided under the Patient Protection and Affordable Care Act (Public
Law 114-148), limiting racial disparities in health, and ensuring
greater use of highly effective care.
SEC. 4. PREVENTIVE CARE FOR WOMEN.
(a) In General.--Section 2713(a) of the Public Health Service Act
(42 U.S.C. 300gg-13(a)) is amended--
(1) in paragraph (2), by striking ``; and'' and inserting a
semicolon;
(2) in paragraph (3), by striking the period and inserting
a semicolon;
(3) by amending paragraph (4) to read as follows:
``(4) with respect to women, including adolescents, to the
extent not described in paragraph (1), evidence-based
preventive care and screenings, including, at a minimum--
``(A) comprehensive lactation support services
(including counseling, education, and breastfeeding
equipment and supplies) during the antenatal,
perinatal, and postpartum periods, to ensure the
successful initiation and maintenance of breastfeeding;
``(B) screening adolescents and women for
interpersonal and domestic violence at least annually,
and, when needed, providing or referring for initial
intervention services, including counseling, education,
harm reduction strategies, and other appropriate
supportive services;
``(C) screening for gestational diabetes mellitus;
``(D) screening for cervical cancer, and where
recommended, co-testing with cytology and human
papillomavirus testing;
``(E) directed behavioral counseling for sexually
transmitted infections;
``(F) prevention education, risk assessment, and
screening for human immunodeficiency virus infection,
including screening for pregnant women;
``(G) contraceptive care, including--
``(i) the full range of female-controlled
contraceptive methods approved by the Food and
Drug Administration, effective family planning
practices, and sterilization procedures to
prevent unintended pregnancy and improve birth
outcomes;
``(ii) contraceptive counseling, initiation
of contraceptive use, and follow-up care (such
as management and evaluation, and changes to,
and removal or discontinuation of, the
contraceptive method); and
``(iii) instruction in fertility awareness-
based methods, including the lactation
amenorrhea method, for women desiring an
alternative method;
``(H) screening for breast cancer;
``(I) at least one well-woman preventive care visit
per year for adolescent and adult women in order to
deliver and coordinate recommended preventive services,
including preconception and many services necessary for
prenatal and interconception care, in accordance with
recommendations based on age and risk factors; and
``(J) any other baseline requirements prescribed by
the Health Resources and Service Administration for
women; and''; and
(4) by adding at the end the following: ``Nothing in this
subsection prevents a State from requiring health plans offered
in such State to provide more generous coverage than required
under this subsection.''.
(b) Conditions.--Section 2713 of the Public Health Service Act (42
U.S.C. 300gg-13), as amended by subsection (a), is further amended by
adding at the end the following:
``(d) Conditions.--Section 147.131 of title 45, Code of Federal
Regulations, as in effect on January 1, 2017, shall apply with respect
to the coverage requirements under subsection (a)(4)(G).''.
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