abortion care. Actualizing the promise of telehealth 
and technology requires centering equity by invest-
ing in broadband, cultural competency, health lit-
eracy, and digital and physical infrastructure devel-
opment. 
(20) Bans on insurance coverage of abortion 
compound barriers to health care access for immi-
grant and migrant communities, which can also in-
clude logistical barriers like travel costs and distance 
to clinics, lodging needs and costs, childcare costs 
and availability, limited access to translation serv-
ices, culturally competent care inclusive of low-lit-
eracy services, lost wages, and lack of paid time off 
for health care appointments can all delay or pro-
hibit abortion care. 
(21) Nearly two out of three people live within 
the 100-mile border zone that allows for interior 
Customs and Border Protection checkpoints where 
immigration officers have increased discretion to de-
tain and question individuals. 
(22) Immigrants of all statuses and people who 
are undocumented or in mixed-status families are 
deprived of the freedom to travel because of in-State 
immigration checkpoints that put them at even 
greater risk of criminalization, all of which con-
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tribute to a chilling effect for abortion access due to 
heightened threats of family separation, detention, 
and deportation. 
(23) In 2019, noncitizen immigrants aged 15 to 
49 had three times the uninsured rate of naturalized 
citizens or people born in the United States (36 per-
cent vs. 12 percent), and immigrants with low in-
comes fared worse, where in 2019 50 percent of 
noncitizen immigrants aged 15 to 49 with a family 
income below the Federal poverty level (earning less 
than $21,330 for a family of three) were uninsured. 
(24) People held in immigration detention cen-
ters who are separated from their children and fami-
lies face additional barriers to abortion care because 
of financial barriers due to the abortion coverage 
bans and other restrictions. 
(25) On November 10, 2022, the Office of Ref-
ugee Resettlement (ORR) issued new guidance to 
ensure that unaccompanied immigrant minors have 
access to abortion while in ORR custody awaiting re-
unification with family in the United States. The 
Federal Government should implement policies re-
garding the detention of pregnant, postpartum, and 
nursing people, to ensure that no pregnant person is 
detained and if such detention occurs, that there is 
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no barrier to abortion while detained regardless of 
the detaining agency. 
(26) More than 40 percent of youth and chil-
dren under age 19 and 12 percent of young people 
age 19 to 25 have health insurance through govern-
ment programs. 
(27) Pregnant people younger than 18 face ad-
ditional barriers to accessing abortion care. 
(28) Young people face parental involvement 
laws in 22 States where abortion is still available, or 
the exercise of a judicial bypass which requires mi-
nors to receive court approval to access abortion 
care when they do not have their parents’ knowledge 
or consent. 
(29) Judicial bypass is not a meaningful alter-
native but instead another hurdle faced by young 
people. Many minors do not know judicial bypass is 
available or do not know how to get it, do not have 
access to transportation to travel to the necessary 
courts, or simply are denied bypass by resistant or 
biased judges. 
(30) Abortion is one of the safest medical pro-
cedures in the country and leading public health or-
ganizations such as the American College of Obste-
tricians and Gynecologists, the American Medical 
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Association, and the American Academy of Family 
Physicians strongly oppose efforts to impede access 
to abortion care or interfere in the relationship be-
tween a person and health care provider. 
(31) The ‘‘2022 Violence and Disruption Re-
port’’ of the National Abortion Federation found an 
alarming escalation in incidents of obstruction, van-
dalism, and trespassing at abortion clinics, with 
abortion providers reporting an alarming rate of 
death threats and threats of harm, and documented 
218 incidents in 2022, a 20-percent increase in 
death threats and threats of harm over 2021. 
(32) Black, Indigenous, and other providers 
and patients of color face heightened levels of 
threats, harassment, and violence as compared to 
their White counterparts. 
(33) In the face of multifaceted attacks on their 
work, abortion providers remain an essential and 
valued part of their communities, providing high- 
quality, compassionate, and necessary health care. 
(34) There is a critical shortage of health care 
providers, including abortion care providers, and it is 
estimated that 28 percent of OB/GYN residency 
programs are based in States or territories that are 
currently enforcing abortion bans. 
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(35) Residents desiring abortion care training 
living in hostile States are forced to travel to States 
without abortion restrictions. 
(36) Abortion care training residents face bar-
riers to training including obtaining licensure and li-
ability insurance, making it difficult for the next 
generation of abortion providers to provide com-
prehensive sexual and reproductive health care in 
their communities. 
(37) In the face of the fear and stigma fol-
lowing the Dobbs decision, health care facilities have 
denied patients lawful emergency care because of the 
similarities in abortion care and miscarriage man-
agement. 
(38) 91 facilities that provide abortion care 
have closed since the Supreme Court’s decision in 
Dobbs v. Jackson Women’s Health Organization. Of 
these, 62 facilities closed as a direct consequence of 
Dobbs and enforced or anticipated abortion bans. 
(39) The ability to meaningfully access abortion 
gives meaning to the right to abortion. 
(40) In the United States there is an existing 
support network, including abortion funds, pro-
viders, doulas, and many more, to help abortion 
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seekers access care and navigate restrictions with ex-
pertise in providing patient-centered care. 
(41) Investments to improve telehealth would 
improve care for people with barriers to accessing in- 
person care, people with disabilities, and rural com-
munities, by providing expanded autonomy and de-
creased barriers to access. 
(42) Creating more opportunities for telehealth 
services should not substitute building much needed 
capacity for high-quality, in-person care, particularly 
in underserved rural, low-income, and Black, Indige-
nous, and people of color communities. 
(43) Removing Federal restrictions to abortion 
training and investing in clinic infrastructure, in-
cluding clinic security, will allow more people to pro-
vide and more people to access abortion in a safe 
and healthy environment and help to alleviate the 
drastic shortage in abortion providers. 
(44) Critical investments in evidence-based, pa-
tient-centered research and innovation is needed to 
ensure abortion care continues to meet the needs of 
patients across the country and will help to improve 
access and quality of care. 
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SEC. 3. GRANT FOR FUNDING TO SUPPORT INDIVIDUALS 
WHO NEED TO ACCESS ABORTION CARE. 
(a) IN GENERAL.—The Secretary of Health and 
Human Services (in this section referred to as the ‘‘Sec-
retary’’) shall award grants to entities to increase abortion 
access or to support individuals who need access to abor-
tion care. 
(b) TIMING.—Not later than 180 days after the date 
of enactment of this Act, the Secretary shall award grants 
under this section. 
(c) USE OF FUNDS.—A grant received under this sec-
tion shall be used to increase abortion access or to support 
individuals who need access to abortion, which may in-
clude— 
(1) providing abortion care in person or by 
means of telehealth; 
(2) training health care professionals in the 
provision of abortion care; 
(3) offering funding to individuals seeking abor-
tion care for both the direct costs of the care and 
associated costs of travel, lodging, and childcare; 
(4) conducting pharmaceutical and techno-
logical research and innovation in abortion care; 
(5) employing patient navigators; 
(6) providing linguistically appropriate and cul-
turally competent legal assistance, case manage-
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ment, translation and interpretation services, or care 
for individuals in need of such services related to ac-
cessing abortion care; 
(7) providing the full spectrum of doula care 
and the full spectrum of doula training; 
(8) providing escorts to support abortion seek-
ers as they access care; 
(9) constructing, installing, or improving facili-
ties and other infrastructure for health care pro-
viders that provide or are seeking to provide abor-
tion care, including by increasing physical security 
and upgrading digital infrastructure such as by 
switching to broadband internet service; and 
(10) otherwise assisting abortion providers or 
individuals seeking abortion care. 
(d) PRIORITIZATION.—In awarding grants under this 
section, the Secretary shall give priority to applicants pro-
posing to use the award to support individuals who need 
access to abortion care in medically underserved commu-
nities. 
(e) AUTHORIZATION OF APPROPRIATIONS.—To carry 
out this section, there is authorized to be appropriated 
$350,000,000 for fiscal year 2024 and each subsequent 
fiscal year, to remain available until expended. 
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SEC. 4. FACILITIES AND PROVIDERS. 
(a) INCREASE
THE NUMBER
OF ABORTION PRO-
VIDERS.—The Public Health Service Act is amended by 
striking section 245 of such Act (42 U.S.C. 238n). 
(b) REQUIREMENT TO PROVIDE ABORTION CARE.— 
As a condition on the direct or indirect receipt of any Fed-
eral funds, a health care facility shall agree to provide pa-
tients with, or refer patients to— 
(1) all medically appropriate reproductive 
health care, including abortion care, that is within 
the capability of the staff and medical equipment of 
the health care facility providing the care; and 
(2) any routinely available ancillary services. 
(c) UNIVERSITY STUDENT HEALTH CENTERS.— 
(1) IN GENERAL.—As a condition on the direct 
or indirect receipt of any Federal funds, an institu-
tion of higher education shall agree to provide— 
(A) medication abortion to students of the 
institution through— 
(i) an on-campus student health cen-
ter; 
(ii) providers associated with a con-
tracted external agency; or 
(iii) telehealth services; and 
(B) referrals to other abortion care pro-
viders located within a reasonable distance as 
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needed for other medically appropriate repro-
ductive health care, including abortion care. 
(d) DEFINITIONS.—In this section: 
(1) The term ‘‘institution of higher education’’ 
has the meaning given to such term in subsections 
(a) and (b) of section 101 of the Higher Education 
Act of 1965 (20 U.S.C. 1001). 
(2) The term ‘‘medically appropriate reproduc-
tive health care’’ means reproductive health care 
that is— 
(A) evidence-based; and 
(B) appropriate for the patient. 
(3) The term ‘‘health care facility’’ includes— 
(A) any institution, entity, or agency that 
provides health care services; and 
(B) any community pharmacy, hospital, 
doctor’s office, health clinic, family planning 
clinic, emergent or urgent care facility, or com-
munity health center. 
SEC. 5. COMPREHENSIVE COVERAGE. 
(a) IN GENERAL.—The Secretary of Health and 
Human Services shall issue a rule ensuring that all health 
programs or plans provide consumer-friendly information 
about abortion coverage provided by health programs or 
plans. 
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