I 
118TH CONGRESS 
2D SESSION 
H. R. 7059 
To amend the Public Health Service Act to authorize a grant program 
to increase capacity for providing abortion services and other sexual 
and reproductive health care, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
JANUARY 22, 2024 
Ms. CARAVEO (for herself, Ms. CHU, Ms. ESCOBAR, Ms. JACOBS, Ms. NOR-
TON, Ms. TLAIB, Mrs. HAYES, Ms. WILD, Mr. CONNOLLY, Ms. SALINAS, 
Ms. SCHAKOWSKY, Mrs. CHERFILUS-MCCORMICK, Ms. TITUS, Ms. 
CRAIG, Ms. CROCKETT, Ms. VELA´ZQUEZ, Mr. TAKANO, Ms. MCCLELLAN, 
Ms. ADAMS, Ms. LEE of California, Mr. ROBERT GARCIA of California, 
Ms. ROSS, Mrs. WATSON COLEMAN, Ms. CASTOR of Florida, Ms. WIL-
LIAMS of Georgia, Ms. STANSBURY, Mr. TRONE, Mr. FROST, Ms. 
BROWNLEY, Ms. PETTERSEN, Mrs. FLETCHER, Mr. CASTEN, Ms. LEE of 
Pennsylvania, Mr. ALLRED, Ms. STEVENS, Ms. SPANBERGER, Mr. DAVIS 
of Illinois, Ms. MENG, Ms. LEE of Nevada, Ms. LOIS FRANKEL of Flor-
ida, Mr. MULLIN, Mr. GOLDMAN of New York, Mr. SMITH of Wash-
ington, Mrs. TRAHAN, Mr. VARGAS, Mr. LARSON of Connecticut, Ms. 
WILSON of Florida, Mr. JOHNSON of Georgia, Mr. MOSKOWITZ, Ms. 
DEGETTE, Ms. TOKUDA, Ms. GARCIA of Texas, Ms. BARRAGA´N, Mr. 
KHANNA, Ms. DEAN of Pennsylvania, Mrs. TORRES of California, Mr. 
ESPAILLAT, Mrs. SYKES, Mr. SORENSEN, Mrs. RAMIREZ, Mr. IVEY, Mr. 
CARSON, Mr. COHEN, and Ms. BALINT) introduced the following bill; 
which was referred to the Committee on Energy and Commerce 
A BILL 
To amend the Public Health Service Act to authorize a 
grant program to increase capacity for providing abortion 
services and other sexual and reproductive health care, 
and for other purposes. 
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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 ‘‘Abortion Care Capac-
ity Enhancement and Support Services Act of 2024’’ or 
the ‘‘ACCESS Act of 2024’’. 
SEC. 2. FINDINGS. 
Congress finds the following: 
(1) On June 24, 2022, in Dobbs v. Jackson 
Women’s Health Organization, the Supreme Court 
overturned Roe v. Wade, which had guaranteed the 
constitutional right to abortion. Following the deci-
sion, States were able to increase restrictions or ban 
access to abortion, which has exacerbated the abor-
tion access crisis. Under this legal framework, abor-
tion access varies widely by State. 
(2) Compared to April 2022, the number of 
abortions per month by June 2023 had dropped to 
zero in at least 12 States with abortion bans in 
place, while other States saw increases of over 2,000 
abortions. 
(3) States that do not have an abortion ban or 
restrictions have experienced increased numbers of 
out-of-State patients seeking abortion services. Pa-
tients traveling for abortion services doubled in re-
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cent years with one in five patients crossing State 
lines to obtain an abortion in 2023, compared to one 
in ten in 2020. 
(4) Abortion providers in States where abortion 
is legal have experienced an increase in the number 
of patients from out of State. This influx in patients 
has increased the demand for abortion services and 
strained the reproductive health care systems in 
many States. 
(5) The influx of out-of-State patients has also 
increased the backlogs in services and wait times for 
appointments in multiple States following increases 
in abortion bans and restrictions. To date, many fa-
cilities across the country still have reported wait 
times of a week or longer for abortion services. 
(6) The challenges to access abortion dispropor-
tionately impact individuals of color, low-income in-
dividuals, LGBTQ+ individuals, youth, and others 
who face existing barriers to access health care in 
their communities. 
(7) Over 15 million reproductive-age women of 
color live in States that have banned or are likely to 
ban abortion following the Dobbs decision. Addition-
ally, women of color, low-income women, young 
women, and women living in rural communities have 
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been disproportionately impacted by travel for abor-
tion services. 
(8) To address the challenges in accessing abor-
tion services, proper investments need to be made to 
improve capacity to accommodate for both patients 
in State and those coming from out of State to re-
ceive comprehensive and high-quality abortion serv-
ices and other sexual and reproductive health serv-
ices. 
SEC. 3. GRANTS TO INCREASE CAPACITY TO PROVIDE 
ABORTION SERVICES AND OTHER SEXUAL 
AND REPRODUCTIVE HEALTH CARE. 
Subpart V of part D of title III of the Public Health 
Service Act (42 U.S.C. 256 et seq.) is amended by adding 
at the end the following: 
‘‘SEC. 340A–1. GRANTS TO INCREASE CAPACITY TO PROVIDE 
ABORTION SERVICES AND OTHER SEXUAL 
AND REPRODUCTIVE HEALTH CARE. 
‘‘(a) IN GENERAL.—The Secretary shall carry out a 
grant program consisting of awarding grants to eligible 
entities to increase their capacity to provide abortion serv-
ices and other sexual and reproductive health care to indi-
viduals seeking to access abortion within or outside of 
their States of residence. 
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‘‘(1) Expanding the grantee’s facilities, such as 
by creating more examination rooms, operation 
rooms, recovery areas, and other additional locations 
for care. 
‘‘(2) Purchasing medical supplies or equipment 
to provide reproductive health care services. 
‘‘(3) Administering telehealth services, which 
may include audio, video, and text messaging serv-
ices. 
‘‘(4) Contracting or hiring clinical and nonclin-
ical support staff, which may include intake coordi-
nators, health educators, doulas, midwives, coun-
selors, ultrasound technicians, and other relevant 
health care personnel. 
‘‘(5) Training programs to increase clinical and 
nonclinical support staff, which may include intake 
coordinators, health educators, doulas, midwives, 
counselors, ultrasound technicians, and other rel-
evant health care personnel. 
‘‘(6) Creating and disseminating medically ac-
curate, culturally and linguistically appropriate, ac-
cessible educational materials and resources for pa-
tients. 
‘‘(7) Interpretation and translation services. 
‘‘(8) Referrals and counseling. 
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‘‘(9) Recovery care. 
‘‘(e) APPLICATION.—To seek a grant under this sec-
tion, an eligible entity shall submit an application to the 
Secretary at such time, in such manner, and containing 
such information as the Secretary may require, including 
a plan for increasing capacity as described in subsection 
(a). 
‘‘(f) PROHIBITION AGAINST EXCLUSION OF QUALI-
FIED ELIGIBLE ENTITIES.—No Federal agency, grantee, 
subrecipient, or other entity shall, in the course of admin-
istering or carrying out any program or activity under this 
section, act in a manner which has the effect of excluding, 
limiting, or restricting the participation of any entity that 
would otherwise be eligible to apply for funds, on the basis 
of any factor unrelated to the entity’s qualifications to ef-
fectively carry out the program or activity. 
‘‘(g) DEFINITION.—In this section, the term ‘abor-
tion services’ means a medical or surgical abortion and 
any medical or non-medical supplies, equipment, or serv-
ices related to and provided in conjunction with an abor-
tion. 
‘‘(h) AUTHORIZATION
OF
APPROPRIATIONS.—To 
carry out this section, there is authorized to be appro-
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priated $200,000,000 for each of fiscal years 2024 
through 2028.’’. 
Æ 
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