II 

117TH CONGRESS 

2D SESSION S. 4764 

To amend the Public Health Service Act to improve reproductive health 

care of individuals with disabilities. 

IN THE SENATE OF THE UNITED STATES 

AUGUST 3, 2022 

Mrs. MURRAY (for herself, Ms. DUCKWORTH, Mrs. GILLIBRAND, Mr. HEINRICH, Mr. REED, Ms. SMITH, Ms. HASSAN, Ms. HIRONO, Ms. WARREN, 

Mr. VAN HOLLEN, and Mr. SANDERS) introduced the following bill; which 

was read twice and referred to the Committee on Health, Education, 

Labor, and Pensions 

A BILL 

To amend the Public Health Service Act to improve 

reproductive health care of individuals with disabilities. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Reproductive Health 

5 Care Accessibility Act’’. 

6 SEC. 2. FINDINGS. 

7 Congress finds the following: 

8 (1) In the United States, there are approxi9 mately 1 in 4 adults with disabilities, 1 in 10 indiVerDate Sep 11 2014 17:26 Aug 16, 2022 Jkt 029200 PO 00000 Frm 00001 Fmt 6652 Sfmt 6201 E:\BILLS\S4764.IS S4764

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1 viduals with disabilities who are able to become 

2 pregnant, and approximately 4,100,000 parents with 

3 disabilities. 

4 (2) All people, including individuals with dis5 abilities, have the right to decide if, when, and how 

6 to start and raise a family. 

7 (3) Title II and III of the Americans with Dis8 abilities Act of 1990 (42 U.S.C. 12131 et seq. and 

9 12181 et seq.), section 504 of the Rehabilitation Act 

10 of 1973 (29 U.S.C. 794), and section 1557 of the 

11 Patient Protection and Affordable Care Act (42 

12 U.S.C. 18116) provide individuals with disabilities 

13 with the right to equitably access and receive health 

14 care. 

15 (4) Disabled people face unique barriers when 

16 accessing reproductive health care, including accessi17 bility at health care facilities, lack of accessible med18 ical diagnostic equipment, barriers to accessible trav19 el, delay in receiving preventative services, and lack 

20 of health care providers with training and knowledge 

21 on the needs of individuals with disabilities receiving 

22 reproductive health care. 

23 (5) The United States Access Board has estab24 lished standards for accessible medical diagnostic 

25 equipment, however without enforceable standards 


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1 adopted by the Department of Health and Human 

2 Services and Department of Justice, systemic im3 provements in the availability of accessible medical 

4 diagnostic equipment will not be achieved. 

5 (6) Disabled people have an equal right to re6 productive autonomy, but harmful stereotypes create 

7 barriers to getting care that respects that autonomy. 

8 (7) Laws that restrict access to reproductive 

9 health care, including abortion care, 

10 disproportionally harm people who already face bar11 riers to reproductive health care which includes dis12 abled people. 

13 (8) Individuals with and without disabilities 

14 want children at the same frequency, but individuals 

15 with disabilities experience less likelihood of receiv16 ing contraception counseling and timely prenatal 

17 care, experience a higher rate of sterilization, and 

18 are at a greater risk for adverse pregnancy out19 comes. 

20 (9) Diversity and inclusion in the health care 

21 workforce is a critical factor in the delivery of high22 quality, culturally competent health care and im23 proves patient outcomes. However, the rate of stu24 dents and trainees with disabilities in medical and 


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1 allied health education remains low compared to 

2 those without disabilities. 

3 SEC. 3. PROGRAM FOR TRAINING THE WORKFORCE. 

4 Part D of title VII of the Public Health Service Act 

5 (42 U.S.C. 294 et seq.) is amended by adding at the end 

6 the following: 

7 ‘‘SEC. 760A. PROGRAM FOR TRAINING THE WORKFORCE 

8 CONCERNING REPRODUCTIVE HEALTH CARE 

9 FOR INDIVIDUALS WITH DISABILITIES. 

10 ‘‘(a) IN GENERAL.—The Secretary, acting through 

11 the Administrator of the Health Resources and Services 

12 Administration and in consultation with the Administrator 

13 of the Administration for Community Living, shall award 

14 grants, contracts, or cooperative agreements to eligible en15 tities to carry out training programs for health care pro16 fessionals providing sexual and reproductive health care 

17 concerning comprehensive disability clinical care curricula. 

18 ‘‘(b) ELIGIBILITY.— 

19 ‘‘(1) IN GENERAL.—To be eligible to receive an 

20 award under this section an entity shall be a public 

21 or private nonprofit entity with demonstrated exper22 tise in serving individuals with disabilities, which 

23 may include— 


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1 ‘‘(A) a multidisciplinary health care pro2 vider who provides reproductive health care, 

3 such as federally qualified health centers; 

4 ‘‘(B) institutions of higher education, as 

5 defined in section 101 of the Higher Education 

6 Act of 1965, with expertise in reproductive 

7 health care; 

8 ‘‘(C) an entity primarily led by individuals 

9 with disabilities; 

10 ‘‘(D) an entity with expertise in reproduc11 tive rights and justice; 

12 ‘‘(E) an Indian Tribe, Tribal organization, 

13 or urban Indian organization; or 

14 ‘‘(F) a consortium of entities described in 

15 any of subparagraphs (A) through (E). 

16 ‘‘(2) APPLICATION.—To be eligible to receive an 

17 award under this section an eligible entity shall sub18 mit to the Secretary an application at such time, in 

19 such manner, and containing such information as 

20 the Secretary may require, that includes— 

21 ‘‘(A) a description of the eligible entity’s or 

22 consortium of entities’ expertise in providing 

23 technical assistance and training, including evi24 dence such as— 


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1 ‘‘(i) knowledge of the rights afforded 

2 to individuals with a disability under rel3 evant Federal and State law; 

4 ‘‘(ii) knowledge of accessibility stand5 ards established by the United States Ac6 cess Board; 

7 ‘‘(iii) expertise in evidence-based or 

8 evidence-informed practices in providing 

9 sexual and reproductive health care, in10 cluding preventive health care services and 

11 perinatal care, to individuals with disabil12 ities and those facing compounded barriers 

13 to accessing care; 

14 ‘‘(iv) experience working with health 

15 care providers, public or private nonprofit 

16 entities, or Federal, State, or local agencies 

17 focusing on sexual and reproductive health 

18 care services for individuals with disabil19 ities; 

20 ‘‘(v) experience working with individ21 uals with disabilities and their families; 

22 ‘‘(vi) expertise in providing, collecting, 

23 compiling, communicating, and dissemi24 nating information in culturally and linVerDate Sep 11 2014 17:26 Aug 16, 2022 Jkt 029200 PO 00000 Frm 00006 Fmt 6652 Sfmt 6201 E:\BILLS\S4764.IS S4764

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1 guistically appropriate manner especially in 

2 easily accessible formats; and 

3 ‘‘(vii) experience improving coordina4 tion of services, such as mental health, 

5 substance use disorder prevention, treat6 ment, and recovery support services, social 

7 services, other health care services, and 

8 transportation services for individuals with 

9 disabilities; 

10 ‘‘(B) a description of the activities to be 

11 funded under the award and the goals of such 

12 activities, including a description of— 

13 ‘‘(i) the training or education program 

14 to be implemented that meets the require15 ments of subsection (c); 

16 ‘‘(ii) the process to be used to identify 

17 health care providers that will participate 

18 in the training program, including the 

19 process to increase diversity in the pool of 

20 participating providers; 

21 ‘‘(iii) the process to be used to engage 

22 stakeholders in such training, including in23 dividuals with disabilities; and 


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1 ‘‘(iv) the eligible entity’s evaluation 

2 plan to determine the scope and impact of 

3 the training program; 

4 ‘‘(C) an assurance that the recipients of 

5 the training will receive ongoing and com6 prehensive training or professional development 

7 on the sexual and reproductive health care 

8 needs of individuals with disabilities; and 

9 ‘‘(D) any other assurances that the Sec10 retary may require. 

11 ‘‘(3) SUBAWARDS.—An eligible entity or eligible 

12 consortium receiving an award under this section 

13 may, for contracting purposes, make subawards to 

14 individuals or entities with expertise in reproductive 

15 health care and serving individuals with disabilities. 

16 ‘‘(c) USE OF FUNDS.—An entity or entities shall use 

17 amounts received under this section to carry out a training 

18 program for health care professionals providing sexual and 

19 reproductive health care that provides training con20 cerning— 

21 ‘‘(1) comprehensive disability clinical care cur22 ricula to inform health professionals providing sexual 

23 and reproductive health care on how to provide ef24 fective, interprofessional team-based health care; 


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1 ‘‘(2) culturally and linguistically competent care 

2 for individuals with disabilities; 

3 ‘‘(3) delivering sexual and reproductive health 

4 care for individuals with disabilities in a manner 

5 that emphasizes the independence, self-determina6 tion, and choices of individuals with disabilities with 

7 respect to their sexual and reproductive health 

8 through comprehensive disability clinical care cur9 ricula; 

10 ‘‘(4) the rights afforded to individuals with dis11 abilities under relevant Federal and State law; and 

12 ‘‘(5) methods and evidence-based or evidence-in13 formed practices for providing sexual and reproduc14 tive health care, including preventive health care 

15 services, to individuals with disabilities. 

16 ‘‘(d) EVALUATION AND REPORT.— 

17 ‘‘(1) IN GENERAL.—An entity or entities that 

18 receives an award under this section shall, at the 

19 end of the award period, carry out an evaluation of 

20 any progress made through the program in training 

21 health care professionals providing sexual and repro22 ductive health care, consistent with the purposes of 

23 this section. 

24 ‘‘(2) REPORT.—Not later than 180 days after 

25 the end of the award period, an entity that receives 


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1 an award under this section shall submit to the Sec2 retary a report on the results of the evaluation con3 ducted under paragraph (1). 

4 ‘‘(3) SECRETARY.—The Secretary shall annu5 ally compile the reports submitted under paragraph 

6 (2) and submit such compilation to the Committee 

7 on Health, Education, Labor, and Pensions of the 

8 Senate and the Committee on Energy and Com9 merce of the House of Representatives. Such com10 pilations shall be posted on the internet website of 

11 the Department of Health and Human Services in 

12 an accessible format. 

13 ‘‘(e) DEFINITIONS.—In this section: 

14 ‘‘(1) DISABILITY.—The terms ‘disability’ and 

15 ‘disabilities’ have the meaning given such terms for 

16 purposes of the Americans with Disabilities Act of 

17 1990. 

18 ‘‘(2) INDIAN TRIBE.—The terms ‘Indian Tribe’ 

19 and ‘Tribal organization’ have the meaning given 

20 such terms in section 4 of the Indian Self-Deter21 mination and Education Assistance Act. 

22 ‘‘(3) URBAN INDIAN ORGANIZATION.—The term 

23 ‘urban Indian organization’ has the meaning given 

24 such term in section 4 of the Indian Health Care 

25 Improvement Act. 


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1 ‘‘(f) AUTHORIZATION OF APPROPRIATIONS.—There 

2 is authorized to be appropriated to carry out this section, 

3 $10,000,000 for each of fiscal years 2023 through 2027. 

4 Funds provided to carry out this section shall supplement 

5 not supplant funds otherwise made available to carry out 

6 title VII.’’. 

7 SEC. 4. PROGRAM FOR EXPANDING THE REPRODUCTIVE 

8 HEALTH CARE PHYSICIAN WORKFORCE. 

9 Part B of title VII of the Public Health Service Act 

10 (42 U.S.C. 293 et seq.) is amended by adding at the end 

11 the following: 

12 ‘‘SEC. 742. PROGRAM FOR EXPANDING THE REPRODUCTIVE 

13 HEALTH CARE PHYSICIAN WORKFORCE. 

14 ‘‘(a) PURPOSE.—It is the purpose of this section— 

15 ‘‘(1) to establish and sustain a competitive 

16 health professions applicant pool of individuals with 

17 disabilities by increasing the total number of individ18 uals with disabilities who pursue a career in sexual 

19 and reproductive health care, including abortion care 

20 and maternal health care; and 

21 ‘‘(2) to develop a culturally and linguistically 

22 competent health care workforce providing reproduc23 tive health care that will serve unserved and under24 served populations, including individuals with dis25 abilities. 


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1 ‘‘(b) AWARDS.—To assist individuals with disabilities 

2 in undertaking education to enter into the reproductive 

3 health care workforce, the Secretary may award grants, 

4 contracts, or cooperative agreements to public or private 

5 nonprofit health or educational entities, including schools 

6 of medicine, schools of osteopathic medicine, and institu7 tions of higher education, that offer programs, including 

8 graduate programs, in obstetrics and gynecology or pro9 grams for the training of health care providers to enable 

10 such entities to carry out the activities described in sub11 section (d). 

12 ‘‘(c) APPLICATION.—To be eligible to receive an 

13 award under subsection (b), an entity described in such 

14 subsection shall submit to the Secretary an application at 

15 such time, in such manner, and containing such informa16 tion as the Secretary may require. 

17 ‘‘(d) USE OF FUNDS.—An entity shall use amounts 

18 received under an award under subsection (b) to— 

19 ‘‘(1) conduct or support activities to develop a 

20 competitive applicant pool, through partnership with 

21 public or private nonprofit institutions of higher 

22 education, local educational agencies, health care 

23 providers, such as sexual and reproductive health 

24 care providers and primary care providers, or other 

25 community-based entities, and establish an eduVerDate Sep 11 2014 17:26 Aug 16, 2022 Jkt 029200 PO 00000 Frm 00012 Fmt 6652 Sfmt 6201 E:\BILLS\S4764.IS S4764

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1 cation pipeline for individuals with disabilities enter2 ing the reproductive health care workforce; 

3 ‘‘(2) establish, strengthen, or expand programs 

4 to support the academic performance of individuals 

5 with disabilities participating in activities funded 

6 under this section, including mentorship programs; 

7 ‘‘(3) identify, recruit, enroll, and retain individ8 uals with disabilities in education and training re9 lated to sexual and reproductive health care; 

10 ‘‘(4) improve the capacity of the entity involved 

11 to train, recruit, and retain faculty with disabilities 

12 including the payment of such stipends and fellow13 ships as the Secretary may determine appropriate; 

14 ‘‘(5) carry out activities to improve the informa15 tion resources, clinical education, curricula and com16 petencies of the graduates of the entity involved, as 

17 it relates to individuals with disabilities; 

18 ‘‘(6) facilitate faculty and student research on 

19 health issues affecting individuals with disabilities, 

20 including research on issues relating to the delivery 

21 of sexual and reproductive health care to individuals 

22 with disabilities; 

23 ‘‘(7) carry out programs, or offer experiences, 

24 to train students in providing reproductive health 

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1 nity-based health facilities that provide reproductive 

2 health services; 

3 ‘‘(8) provide stipends to individuals with disabil4 ities participating in activities funded under this sec5 tion as the Secretary determines appropriate, in 

6 amounts as the Secretary determines appropriate, 

7 with an assurance that such stipends shall not result 

8 in loss of an individual’s Federal or State benefits; 

9 or 

10 ‘‘(9) any other activities that the Secretary may 

11 require. 

12 ‘‘(e) PREFERENCE.—In awarding grants, contracts, 

13 or cooperative agreements under this section, the Sec14 retary shall give preference to applications that have been 

15 approved for programs that involve a comprehensive ap16 proach through multiple entities described in subsection 

17 (b) to establish, enhance, and expand educational pro18 grams that will result in the development of a competitive 

19 applicant pool of individuals with disabilities who desire 

20 to pursue careers in reproductive health care services. 

21 ‘‘(f) CONSIDERATION FOR AWARDS.—In awarding 

22 grants, contracts, or cooperative agreements under this 

23 section, the Secretary shall— 


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1 ‘‘(1) consider current enrollment trends and the 

2 needs of certain populations, including individuals 

3 with disabilities; and 

4 ‘‘(2) align and coordinate with other training 

5 programs administered by the Health Resources and 

6 Services Administration. 

7 ‘‘(g) EFFECT ON OTHER PROGRAMS.—Assistance or 

8 stipends provided to an individual under this section shall 

9 not be considered when applying asset or resource limita10 tion provisions related to the eligibility of such individual 

11 for any benefit, assistance, or service provided under any 

12 Federal or State program. 

13 ‘‘(h) REPORT.—Not later than 180 days after the end 

14 of the award period, the Secretary shall submit to the 

15 Committee on Health, Education, Labor, and Pensions of 

16 the Senate and the Committee on Energy and Commerce 

17 of the House of Representatives, a report concerning the 

18 activities carried out under this section to increase the rep19 resentation of individuals with disabilities in the reproduc20 tive health profession and related training programs. 

21 ‘‘(i) AUTHORIZATION OF APPROPRIATIONS.—There is 

22 authorized to be appropriated to carry out this section, 

23 $15,000,000 for each of fiscal years 2023 through 2027. 

24 Funds provided to carry out this section shall supplement 


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1 not supplant funds otherwise made available to carry out 

2 title VII.’’. 

3 SEC. 5. EXPANDING THE REPRODUCTIVE HEALTH CARE 

4 NURSING WORKFORCE. 

5 Section 821 of the Public Health Service Act (42 

6 U.S.C. 296m) is amended by adding at the end the fol7 lowing: 

8 ‘‘(d) EXPANDING THE REPRODUCTIVE HEALTH

9 CARE NURSING WORKFORCE.— 

10 ‘‘(1) AWARDS.—To assist individuals with dis11 abilities in undertaking education to enter into the 

12 reproductive nursing workforce, the Secretary may 

13 award grants, contracts, or cooperative agreements 

14 under subsection (a)(1) to eligible entities to enable 

15 such entities to carry out the activities described in 

16 paragraph (4). 

17 ‘‘(2) APPLICATION.—To be eligible to receive an 

18 award under paragraph (1), an entity described in 

19 such paragraph shall submit to the Secretary an ap20 plication at such time, in such manner, and con21 taining such information as the Secretary may re22 quire. 

23 ‘‘(3) USE OF FUNDS.—An entity shall use 

24 amounts received under an award under paragraph 

25 (1) to— 


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1 ‘‘(A) conduct activities to develop a com2 petitive applicant pool, through partnership 

3 with public or private nonprofit institutions of 

4 higher education, local educational agencies, 

5 nurse-managed health clinics, health care pro6 viders, such as reproductive health care pro7 viders and nurses, or other community-based 

8 entities, and establish an education pipeline for 

9 individuals with disabilities entering the repro10 ductive health care nursing workforce; 

11 ‘‘(B) establish, strengthen, or expand pro12 grams to support the academic performance of 

13 individuals with disabilities participating in ac14 tivities funded under this subsection, including 

15 mentorship programs; 

16 ‘‘(C) identify, recruit, enroll, and retain in17 dividuals with disabilities in education and 

18 training related to sexual and reproductive 

19 health care; 

20 ‘‘(D) improve the capacity of the entity in21 volved to train, recruit, and retain faculty with 

22 disabilities, including the payment of such sti23 pends and fellowships as the Secretary may de24 termine appropriate; 


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1 ‘‘(E) carry out activities to improve the in2 formation resources, clinical education, cur3 ricula, and competencies of the graduates of the 

4 entity involved, as it relates to individuals with 

5 disabilities; 

6 ‘‘(F) facilitate faculty and student research 

7 to include evidence-based practice and quality 

8 improvement projects focused on health issues 

9 affecting individuals with disabilities, including 

10 research on issues relating to the delivery of 

11 sexual and reproductive health care to individ12 uals with disabilities; 

13 ‘‘(G) carry out programs, or offer experi14 ences, to train students in providing reproduc15 tive health services to individuals with disabil16 ities at community-based health care facilities 

17 that provide reproductive health services; 

18 ‘‘(H) provide stipends to individuals with 

19 disabilities participating in activities funded 

20 under this subsection as the Secretary deter21 mines appropriate, in amounts as the Secretary 

22 determines appropriate, with an assurance that 

23 such stipends shall not result in the loss of an 

24 individual’s Federal or State benefits; or 


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1 ‘‘(I) any other activities that the Secretary 

2 may require. 

3 ‘‘(4) PREFERENCE.—In awarding grants, con4 tracts, or cooperative agreements under this sub5 section, the Secretary shall give preference to appli6 cations that have been approved for programs that 

7 involve a comprehensive approach through multiple 

8 entities described in paragraph (1) to establish, en9 hance, and expand educational programs that will 

10 result in the development of a competitive applicant 

11 pool of individuals with disabilities who desire to 

12 pursue careers in reproductive health care services. 

13 ‘‘(5) CONSIDERATION FOR AWARDS.—In award14 ing grants, contracts, or cooperative agreements 

15 under this subsection, the Secretary shall— 

16 ‘‘(A) consider current enrollment trends 

17 and the needs of certain populations, including 

18 individuals with disabilities; and 

19 ‘‘(B) align and coordinate with other train20 ing programs administered by the Health Re21 sources and Services Administration. 

22 ‘‘(6) EFFECT ON OTHER PROGRAMS.—Assist23 ance or stipends provided to an individual under this 

24 subsection shall not be considered when applying 

25 asset or resource limitation provisions related to the 


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1 eligibility of such individual for any benefit, assist2 ance, or service provided under any Federal or State 

3 program. 

4 ‘‘(7) REPORT.—Not later than 180 days after 

5 the end of the award period, the Secretary shall sub6 mit to the Committee on Health, Education, Labor, 

7 and Pensions of the Senate and the Committee on 

8 Energy and Commerce of the House of Representa9 tives, a report concerning the activities carried out 

10 under this subsection to increase the representation 

11 of individuals with disabilities in the reproductive 

12 health profession and related training programs. 

13 ‘‘(8) AUTHORIZATION OF APPROPRIATIONS.— 

14 There is authorized to be appropriated to carry out 

15 this subsection, $15,000,000 for each of fiscal years 

16 2023 through 2027. Funds provided to carry out 

17 this subsection shall supplement not supplant funds 

18 otherwise made available to carry out title VIII.’’. 

19 SEC. 6. PROGRAM FOR REPRODUCTIVE HEALTH EDU20 CATION. 

21 (a) IN GENERAL.—The Secretary of Health and 

22 Human Services (referred to in this section as the ‘‘Sec23 retary’’), acting through the Administrator of the Health 

24 Resources and Services Administration and in consulta25 tion with the Administrator of the Administration for 


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1 Community Living, shall award grants, contracts, or coop2 erative agreements to eligible entities to provide funding 

3 for education programs focused on sexual and reproduc4 tive health needs for individuals with disabilities. 

5 (b) ELIGIBILITY.— 

6 (1) IN GENERAL.—To be eligible to receive an 

7 award under this section an entity shall be a public 

8 or private nonprofit entity with a demonstrated ex9 pertise in serving individuals with disabilities, which 

10 may include— 

11 (A) a multidisciplinary health care provider 

12 who provides reproductive health care services, 

13 such as a federally qualified health center; 

14 (B) institutions of higher education, as de15 fined in section 101 of the Higher Education 

16 Act of 1965, with expertise in reproductive 

17 health care; 

18 (C) an entity primarily led by individuals 

19 with disabilities; 

20 (D) an entity with expertise in reproduc21 tive rights and justice; 

22 (E) an Indian Tribe, Tribal organization, 

23 or urban Indian organization; and 

24 (F) a consortium of entities described in 

25 any of subparagraphs (A) through (E). 


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1 (2) APPLICATION.—To be eligible to receive a 

2 grant, contract, or cooperative agreement under this 

3 section an eligible entity or consortium of entities 

4 shall submit to the Secretary an application at such 

5 time, in such manner, and containing such informa6 tion as the Secretary may require, that includes a 

7 description of the eligible entity’s or entities’ exper8 tise in providing education programs including evi9 dence that such entity has— 

10 (A) knowledge of best practices in pro11 viding reproductive health care, including pre12 ventive health care services, to individuals with 

13 disabilities; 

14 (B) experience working with individuals 

15 with disabilities and their families; and 

16 (C) demonstrated expertise of developing 

17 materials in culturally and linguistically acces18 sible formats including plain language. 

19 (3) SUBAWARDS.—An eligible entity or eligible 

20 consortium receiving an award under this section 

21 may, for contracting purposes, make subawards to 

22 individuals or entities with expertise in reproductive 

23 health care and serving individuals with disabilities. 

24 (c) USE OF FUNDS.—An entity or entities’ shall use 

25 amounts received under subsection (a) to— 


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1 (1) carry out evidence-based or evidence-in2 formed sexual and reproductive health education 

3 programs for individuals with disabilities, including 

4 youth, in culturally and linguistically accessible for5 mats; 

6 (2) develop sexual and reproductive health edu7 cation programs in culturally and linguistically ac8 cessible formats to be used in carrying out para9 graph (1); 

10 (3) provide education to individuals with dis11 abilities, including youth, concerning abortion care 

12 options and their sexual, reproductive, and perinatal 

13 health care needs; 

14 (4) provide education to individuals with dis15 abilities, including youth, concerning their rights 

16 under relevant Federal and State law; 

17 (5) provide access to disability affirmative and 

18 supportive clinical resources that are accessible to 

19 individuals with disabilities; 

20 (6) build the entity’s or entities’ capacity and 

21 enhance their leadership of the entity or entities 

22 within the community to promote community en23 gagement in, and advancement of, evidence-based or 

24 evidence-informed sexual and reproductive health 

25 care education in easily accessible formats; and 


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1 (7) support dissemination of newly developed 

2 sexual and reproductive health care education pro3 grams as described in paragraph (2) throughout the 

4 State, territorial, and Tribal communities. 

5 (d) EVALUATION AND REPORT.— 

6 (1) IN GENERAL.—An entity that receives an 

7 award under this section shall, at the end of the 

8 award period, carry out an evaluation of success of 

9 the entity in achieving the goals of the program for 

10 which the award was made. 

11 (2) REPORT.—Not later than 180 days after 

12 the end of the award period, an entity that receives 

13 an award under this section shall submit to the Sec14 retary a report on the results of the evaluation con15 ducted under paragraph (1). 

16 (3) SECRETARY.—The Secretary shall annually 

17 compile the reports submitted under paragraph (2) 

18 and submit such compilation to the Committee on 

19 Health, Education, Labor, and Pensions of the Sen20 ate and the Committee on Energy and Commerce of 

21 the House of Representatives. Such compilations 

22 shall be posted on the internet website of the De23 partment of Health and Human Services in an ac24 cessible format. 

25 (e) DEFINITIONS.—In this section: 


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1 (1) DISABILITY.—The terms ‘‘disability’’ and 

2 ‘‘disabilities’’ have the meaning given such terms for 

3 purposes of the Americans with Disabilities Act of 

4 1990. 

5 (2) INDIAN TRIBE.—The terms ‘‘Indian Tribe’’ 

6 and ‘‘Tribal organization’’ have the meaning given 

7 such terms in section 4 of the Indian Self-Deter8 mination and Education Assistance Act. 

9 (3) URBAN INDIAN ORGANIZATION.—The term 

10 ‘‘urban Indian organization’’ has the meaning given 

11 such term in section 4 of the Indian Health Care 

12 Improvement Act. 

13 (f) AUTHORIZATION OF APPROPRIATIONS.—There is 

14 authorized to be appropriated to carry out this section, 

15 $10,000,000 for each of fiscal years 2023 through 2027. 

16 SEC. 7. NATIONAL TECHNICAL ASSISTANCE CENTER. 

17 (a) ESTABLISHMENT.—The Secretary of Health and 

18 Human Services, acting through the Administration for 

19 Community Living, shall directly, or through a grant, con20 tract, or cooperative agreement, establish a National Tech21 nical Assistance Center to— 

22 (1) provide recommendations and best practices 

23 to States, Indian Tribes, Tribal organizations, and 

24 urban Indian organizations concerning improving co25 ordination of services including mental health and 


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1 substance use disorder services, social services, 

2 health care, and transportation to increase access to 

3 quality, integrated systems of accessible, comprehen4 sive disability clinical care, and services for individ5 uals with disabilities; 

6 (2) provide technical assistance to health care 

7 providers on culturally and linguistically accessible 

8 and appropriate sexual and reproductive health care, 

9 including before, during, and after pregnancy and 

10 perinatal care and family planning services; 

11 (3) develop resources and provide technical as12 sistance to assist covered entities in complying with 

13 applicable Federal laws and regulations; and 

14 (4) develop resources for individuals with dis15 abilities facing barriers to accessible care, including 

16 related to accessible medical diagnostic equipment 

17 and the Barrier-Free Health Care Initiative. 

18 (b) DEFINITIONS.—In this section: 

19 (1) DISABILITY.—The terms ‘‘disability’’ and 

20 ‘‘disabilities’’ have the meaning given such terms for 

21 purposes of the Americans with Disabilities Act of 

22 1990. 

23 (2) INDIAN TRIBE.—The terms ‘‘Indian Tribe’’ 

24 and ‘‘Tribal organization’’ have the meaning given 


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1 such terms in section 4 of the Indian Self-Deter2 mination and Education Assistance Act. 

3 (3) URBAN INDIAN ORGANIZATION.—The term 

4 ‘‘urban Indian organization’’ has the meaning given 

5 such term in section 4 of the Indian Health Care 

6 Improvement Act. 

7 (c) AUTHORIZATION OF APPROPRIATIONS.—There is 

8 authorized to be appropriated to carry out this section, 

9 $10,000,000 for each of fiscal years 2023 through 2027. 

10 SEC. 8. RESEARCH STUDY. 

11 (a) IN GENERAL.—The Secretary of Health and 

12 Human Services, in consultation with the Administrator 

13 of the Administration for Community Living, shall carry 

14 out a study to— 

15 (1) identify the types of programs and services 

16 that have demonstrated effectiveness in providing re17 productive health care services for individuals with 

18 disabilities; 

19 (2) analyze the effectiveness of Federal, State, 

20 Tribal, and local partnerships to coordinate efforts 

21 to ensure an integrated system of accessible, com22 prehensive reproductive health care for individuals 

23 with disabilities; and 

24 (3) identify necessary memoranda of under25 standing or interagency agreements that are needed 


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•S 4764 IS

1 to foster data and public health research focusing on 

2 reproductive health care barriers for individuals with 

3 disabilities. 

4 (b) REPORT.—Not later than 3 years after the date 

5 of enactment of this Act, the Secretary of Health and 

6 Human Services shall submit to the Committee on Health, 

7 Education, Labor, and Pensions of the Senate and the 

8 Committee on Energy and Commerce and the Committee 

9 on Education and Labor of the House of Representatives, 

10 a report on the results of the study conducted under sub11 section (a). 

12 (c) DEFINITION.—In this section the terms ‘‘dis13 ability’’ and ‘‘disabilities’’ have the meanings given such 

14 terms for purposes of the Americans with Disabilities Act 

15 of 1990. 

16 (d) AUTHORIZATION OF APPROPRIATIONS.—There is 

17 authorized to be appropriated to carry out this section, 

18 $15,000,000 for fiscal year 2023. 

Æ 


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