II 

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. 

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 ‘‘Save Women’s Preven5 tive Care Act’’. 


sradovich on DSK3GMQ082PROD with BILLS
2 

•S 1045 IS

1 SEC. 2. PURPOSE. 

2 It is the purpose of this Act to guarantee coverage 

3 of women’s preventive services that have been covered by 

4 group and individual health plans, in accordance with 

5 amendments made by the Patient Protection and Afford6 able Care Act (Public Law 111–148) and consistent with 

7 the clinical guidelines dated December 20, 2016, and de8 veloped at the direction of the Health Resources and Serv9 ice Administration by the National Academy of Medicine, 

10 the American College of Obstetricians and Gynecologists, 

11 and other medical experts (and additional sub-regulatory 

12 guidance pertaining to such guidelines and published be13 fore January 1, 2017). 

14 SEC. 3. SENSE OF THE SENATE. 

15 It is the sense of the Senate that women should have 

16 access to preventive services and benefits with no out-of17 pocket costs as provided under the Patient Protection and 

18 Affordable Care Act (Public Law 114–148), limiting racial 

19 disparities in health, and ensuring greater use of highly 

20 effective care. 

21 SEC. 4. PREVENTIVE CARE FOR WOMEN. 

22 (a) IN GENERAL.—Section 2713(a) of the Public 

23 Health Service Act (42 U.S.C. 300gg–13(a)) is amend24 ed— 

25 (1) in paragraph (2), by striking ‘‘; and’’ and 

26 inserting a semicolon; 


sradovich on DSK3GMQ082PROD with BILLS
3 

•S 1045 IS

1 (2) in paragraph (3), by striking the period and 

2 inserting a semicolon; 

3 (3) by amending paragraph (4) to read as fol4 lows: 

5 ‘‘(4) with respect to women, including adoles6 cents, to the extent not described in paragraph (1), 

7 evidence-based preventive care and screenings, in8 cluding, at a minimum— 

9 ‘‘(A) comprehensive lactation support serv10 ices (including counseling, education, and 

11 breastfeeding equipment and supplies) during 

12 the antenatal, perinatal, and postpartum peri13 ods, to ensure the successful initiation and 

14 maintenance of breastfeeding; 

15 ‘‘(B) screening adolescents and women for 

16 interpersonal and domestic violence at least an17 nually, and, when needed, providing or referring 

18 for initial intervention services, including coun19 seling, education, harm reduction strategies, 

20 and other appropriate supportive services; 

21 ‘‘(C) screening for gestational diabetes 

22 mellitus; 

23 ‘‘(D) screening for cervical cancer, and 

24 where recommended, co-testing with cytology 

25 and human papillomavirus testing; 


sradovich on DSK3GMQ082PROD with BILLS
4 

•S 1045 IS

1 ‘‘(E) directed behavioral counseling for 

2 sexually transmitted infections; 

3 ‘‘(F) prevention education, risk assess4 ment, and screening for human immuno5 deficiency virus infection, including screening 

6 for pregnant women; 

7 ‘‘(G) contraceptive care, including— 

8 ‘‘(i) the full range of female-controlled 

9 contraceptive methods approved by the 

10 Food and Drug Administration, effective 

11 family planning practices, and sterilization 

12 procedures to prevent unintended preg13 nancy and improve birth outcomes; 

14 ‘‘(ii) contraceptive counseling, initi15 ation of contraceptive use, and follow-up 

16 care (such as management and evaluation, 

17 and changes to, and removal or discontinu18 ation of, the contraceptive method); and 

19 ‘‘(iii) instruction in fertility aware20 ness-based methods, including the lactation 

21 amenorrhea method, for women desiring 

22 an alternative method; 

23 ‘‘(H) screening for breast cancer; 

24 ‘‘(I) at least one well-woman preventive 

25 care visit per year for adolescent and adult 


sradovich on DSK3GMQ082PROD with BILLS
5 

•S 1045 IS

1 women in order to deliver and coordinate rec2 ommended preventive services, including pre3 conception and many services necessary for pre4 natal and interconception care, in accordance 

5 with recommendations based on age and risk 

6 factors; and 

7 ‘‘(J) any other baseline requirements pre8 scribed by the Health Resources and Service 

9 Administration for women; and’’; and 

10 (4) by adding at the end the following: ‘‘Noth11 ing in this subsection prevents a State from requir12 ing health plans offered in such State to provide 

13 more generous coverage than required under this 

14 subsection.’’. 

15 (b) CONDITIONS.—Section 2713 of the Public Health 

16 Service Act (42 U.S.C. 300gg–13), as amended by sub17 section (a), is further amended by adding at the end the 

18 following: 

19 ‘‘(d) CONDITIONS.—Section 147.131 of title 45, Code 

20 of Federal Regulations, as in effect on January 1, 2017, 

21 shall apply with respect to the coverage requirements 

22 under subsection (a)(4)(G).’’. 

Æ 


sradovich on DSK3GMQ082PROD with BILLS