I 
118TH CONGRESS 
1ST SESSION H. R. 4329 
To provide enhanced funding for family planning services. 
IN THE HOUSE OF REPRESENTATIVES 
JUNE 23, 2023 
Ms. DAVIDS of Kansas (for herself, Ms. CHU, Ms. TITUS, and Mr. LIEU) in-
troduced the following bill; which was referred to the Committee on En-
ergy and Commerce 
A BILL 
To provide enhanced funding for family planning services. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Expanding Access to 
Family Planning Act’’. 
SEC. 2. TITLE X CLINIC FUND. 
(a) IN GENERAL.—There is established a Title X 
Clinic Fund to be administered through the Office of the 
Secretary of the Department of Health and Human Serv-
ices (referred to in this section as the ‘‘Office of the Sec-
retary’’), to provide for expanded and sustained national 
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investment in clinics providing family planning services 
supported under title X of the Public Health Service Act 
(42 U.S.C. 300 et seq.) (referred to in this section as ‘‘title 
X clinics’’). 
(b) FUNDING.—There is appropriated to the Office 
of the Secretary for the Title X Clinic Fund, out of any 
monies in the Treasury not otherwise appropriated, for 
each of fiscal years 2024 through 2033— 
(1) $512,000,000 for necessary expenses for 
grants and contracts under title X of the Public 
Health Service Act (42 U.S.C. 300 et seq.); and 
(2) $50,000,000 for infrastructure, including 
the construction and renovation (including equip-
ment) of title X clinics. 
(c) AVAILABILITY.—Amounts appropriated under 
subsection (b) shall remain available until expended. 
(d) CONDITIONS ON FUNDING.— 
(1) PROHIBITION.—No recipient of funds made 
available under this section that makes a subaward 
for the provision of title X services may prohibit an 
entity from participating in such subaward program 
for reasons other than the entity’s inability to pro-
vide such title X services. 
(2) PREGNANCY COUNSELING.—In the case of 
services provided by a title X clinic that receives 
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funding made available under this section, all preg-
nancy counseling shall be nondirective, and, with re-
spect to all patients of the title X clinic with a posi-
tive pregnancy test, the following shall apply: 
(A) All such patients shall be given the op-
portunity to be provided information and coun-
seling regarding each of the following options: 
(i) Prenatal care and delivery. 
(ii) Infant care, foster care, and adop-
tion. 
(iii) Pregnancy termination. 
(B) If the patient requests such informa-
tion and counseling, such patient shall be pro-
vided with neutral, factual information and 
nondirective counseling on each option de-
scribed in subparagraph (A), including referral 
upon request, except with respect to any option 
about which the patient indicates no interest in 
receiving such information and counseling. 
Æ 
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