Text: S.1045 — 115th Congress (2017-2018)All Information (Except Text)

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Introduced in Senate (05/04/2017)

[Congressional Bills 115th Congress]
[From the U.S. Government Publishing Office]
[S. 1045 Introduced in Senate (IS)]


  1st Session
                                S. 1045

To guarantee coverage of certain women's preventive services under all 
                             health plans.



                              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,


    This Act may be cited as the ``Save Women's Preventive Care Act''.


    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, 


    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.


    (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 
            (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 
                            ``(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).''.