II 

117TH CONGRESS 

2D SESSION S. 4550 

To provide enhanced funding for family planning services. 

IN THE SENATE OF THE UNITED STATES 

JULY 19, 2022 

Ms. SMITH (for herself, Mrs. MURRAY, Ms. WARREN, Mr. VAN HOLLEN, Ms. 

CORTEZ MASTO, Mr. KING, Ms. STABENOW, Mr. LUJA ́N, Mr. BENNET, 

Mrs. SHAHEEN, Ms. HIRONO, Mr. PADILLA, Mr. SCHATZ, Ms. HASSAN, 

Mr. KAINE, Mr. MENENDEZ, Ms. ROSEN, Mr. BLUMENTHAL, Mr. DURBIN, Mr. WYDEN, Mr. SANDERS, Mr. MARKEY, Ms. BALDWIN, Mr. REED, 

Mr. MERKLEY, Ms. DUCKWORTH, Mr. MURPHY, Mr. KELLY, Ms. KLOBUCHAR, Mr. WARNOCK, Mr. WHITEHOUSE, Mr. WARNER, Mrs. GILLIBRAND, Mr. BROWN, Mr. BOOKER, Mr. HICKENLOOPER, and Ms. 

SINEMA) introduced the following bill; which was read twice and referred 

to the Committee on Health, Education, Labor, and Pensions 

A BILL 

To provide enhanced funding for family planning services. 

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 ‘‘Expanding Access to 

5 Family Planning Act’’. 

6 SEC. 2. TITLE X CLINIC FUND. 

7 (a) IN GENERAL.—There is established a Title X 

8 Clinic Fund to be administered through the Office of the 


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1 Secretary of the Department of Health and Human Serv2 ices (referred to in this section as the ‘‘Office of the Sec3 retary’’), to provide for expanded and sustained national 

4 investment in clinics providing family planning services 

5 supported under title X of the Public Health Service Act 

6 (42 U.S.C. 300 et seq.) (referred to in this section as ‘‘title 

7 X clinics’’). 

8 (b) FUNDING.—There is appropriated to the Office 

9 of the Secretary for the Title X Clinic Fund, out of any 

10 monies in the Treasury not otherwise appropriated, for 

11 each of fiscal years 2023 through 2032— 

12 (1) $500,000,000 for necessary expenses for 

13 grants and contracts under title X of the Public 

14 Health Service Act (42 U.S.C. 300 et seq.); and 

15 (2) $50,000,000 for infrastructure, including 

16 the construction and renovation (including equip17 ment) of title X clinics. 

18 (c) AVAILABILITY.—Amounts appropriated under 

19 subsection (b) shall remain available until expended. 

20 (d) CONDITIONS ON FUNDING.— 

21 (1) PROHIBITION.—No recipient of funds made 

22 available under this section that makes a subaward 

23 for the provision of title X services may prohibit an 

24 entity from participating in such subaward program 


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1 for reasons other than the entity’s inability to pro2 vide such title X services. 

3 (2) PREGNANCY COUNSELING.—In the case of 

4 services provided by a title X clinic that receives 

5 funding made available under this section, all preg6 nancy counseling shall be nondirective, and, with re7 spect to all patients of the title X clinic with a posi8 tive pregnancy test, the following shall apply: 

9 (A) All such patients shall be given the op10 portunity to be provided information and coun11 seling regarding each of the following options: 

12 (i) Prenatal care and delivery. 

13 (ii) Infant care, foster care, and adop14 tion. 

15 (iii) Pregnancy termination. 

16 (B) If the patient requests such informa17 tion and counseling, such patient shall be pro18 vided with neutral, factual information and 

19 nondirective counseling on each option de20 scribed in subparagraph (A), including referral 

21 upon request, except with respect to any option 

22 about which the patient indicates no interest in 

23 receiving such information and counseling. 

Æ 


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