prove women’s health functioning and long-term out-
comes. 
(7) Restorative reproductive medicine can elimi-
nate barriers to successful conception, pregnancy, 
and birth. It can also address some causes of recur-
rent miscarriages. 
(8) Restorative reproductive medicine often alle-
viates other difficult symptoms associated with re-
productive health conditions, including hormonal 
acne, hormonal weight gain, hormonal mood and de-
pression, painful periods, painful flare-ups, bloating, 
inflammation, heavy periods, irregular periods, nerve 
pain, bowel symptoms, pain during sexual inter-
course, and back pain. 
SEC. 3. DEFINITIONS. 
In this Act: 
(1) ASSISTED REPRODUCTIVE TECHNOLOGY.— 
The term ‘‘assisted reproductive technology’’ means 
any treatments or procedures that involve the han-
dling of a human egg, sperm, and embryo outside of 
the body with the intent of facilitating a pregnancy, 
including artificial insemination, intrauterine insemi-
nation, in vitro fertilization, gamete intrafallopian 
fertilization, zygote intrafallopian fertilization, egg, 
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embryo, and sperm cryopreservation, and egg or em-
bryo donation. 
(2) FERTILITY AWARENESS-BASED METHODS.— 
The term ‘‘fertility awareness-based methods’’ 
means modern, evidence-based methods of tracking 
the menstrual cycle through observable biological 
signs in a woman, such as body temperature, cer-
vical fluid, and hormone production in the reproduc-
tive system, including luteinizing hormone (LH) and 
estrogen. Such methods include Fertility Education 
and Medical Management, the sympto thermal meth-
od, the Marquette method, the Creighton method, 
and the Billings ovulation method. 
(3) FERTILITY EDUCATION AND MEDICAL MAN-
AGEMENT.—The term ‘‘fertility education and med-
ical management’’ means the program developed in 
collaboration with the Reproductive Health Research 
Institute for medical research, protocols, and med-
ical training for health care professionals in order to 
enable the clinical application of important research 
advances in reproductive endocrinology, by providing 
education for women about their bodies and hor-
monal health and medical support, as appropriate. 
(4) 
INFERTILITY.—The 
term 
‘‘infertility’’ 
means a symptom of an underlying disease or condi-
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tion within a person’s body that makes it difficult or 
impossible to successfully conceive and carry a child 
to term, which is diagnosed after 12 months of 
intercourse without the use of a chemical, barrier, or 
other contraceptive method for women under 35 or 
after 6 months of targeted intercourse without the 
use of a chemical, barrier, or other contraceptive 
method for women 35 and older, where conception 
should otherwise be possible. 
(5) 
NATURAL
PROCREATIVE
TECHNOLOGY; 
NAPROTECHNOLOGY.—The 
term 
‘‘Natural 
Pro-
creative Technology’’ or ‘‘NaProTECHNOLOGY’’ 
means an approach to health care that monitors and 
maintains a woman’s reproductive and gynecological 
health, including laparoscopic gynecologic surgery to 
reconstruct the uterus, fallopian tubes, ovaries, and 
other organ structures to eliminate endometriosis 
and other reproductive health conditions. 
(6) REPRODUCTIVE
HEALTH
CONDITIONS.— 
The term ‘‘reproductive health conditions’’ includes 
endometriosis, adenomyosis, polycystic ovary syn-
drome, uterine fibroids, blocked fallopian tubes, hor-
mone imbalances, hyperprolactinemia, thyroid condi-
tions, ovulation dysfunctions, and other health condi-
tions that make it difficult or impossible to success-
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fully conceive a child where conception should other-
wise be possible. 
(7) RESTORATIVE
REPRODUCTIVE
HEALTH.— 
The term ‘‘restorative reproductive health’’ includes 
empowering women and men to know and under-
stand their bodies and appreciate the importance of 
natural reproductive health to overall health and 
well-being, including through the use of body literacy 
programs that incorporate science-based charting 
methods, teacher-lead reproductive health education, 
restorative reproductive medicine, Natural Pro-
creative Technology, fertility awareness-based meth-
ods, and fertility education and medical manage-
ment. 
(8) RESTORATIVE REPRODUCTIVE MEDICINE.— 
The term ‘‘restorative reproductive medicine’’— 
(A) means any scientific approach to re-
productive medicine that seeks to cooperate 
with, or restore the normal physiology and 
anatomy of, the human reproductive system, 
without the use of methods that are inherently 
suppressive, circumventive, or destructive to 
natural human functions; and 
(B) may include ultrasounds, blood tests, 
hormone panels, laparoscopic and exploratory 
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surgeries, examining the man’s or woman’s 
overall health and lifestyle, eliminating environ-
mental endocrine disruptors, and assessing the 
health and fertility of the individual’s partner, 
Natural Procreative Technology, fertility aware-
ness-based methods, and fertility education and 
medical management. 
SEC. 4. PROHIBITING DISCRIMINATION AGAINST HEALTH 
CARE PROVIDERS WHO DO NOT PARTICIPATE 
IN ASSISTED REPRODUCTIVE TECHNOLOGY. 
Notwithstanding any other law, the Federal Govern-
ment, and any person or entity that receives Federal fi-
nancial assistance, including any State or local govern-
ment, may not penalize, retaliate against, or otherwise dis-
criminate against a health care provider on the basis that 
the provider does not or declines to— 
(1) assist in, receive training in, provide, per-
form, refer for, pay for, or otherwise participate in 
assisted reproductive technology; or 
(2) facilitate or make arrangements for any of 
the activities specified in paragraph (1) in a manner 
that violates the provider’s sincerely held religious 
beliefs or moral convictions. 
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SEC. 5. IMPLEMENTING LITERATURE REVIEWS ON THE 
STANDARD OF CARE FOR THE DIAGNOSIS OF 
INFERTILITY. 
(a) IN
GENERAL.—The Assistant Secretary for 
Health of the Department of Health and Human Services 
(referred to in this section as the ‘‘Assistant Secretary’’) 
shall collect data on the topics described in subsection (b) 
and, not later than 2 years after the date of enactment 
of this Act and every 3 years thereafter, issue a report 
on the standard of care for women who have been diag-
nosed with infertility. 
(b) TOPICS.—In carrying out subsection (a), the As-
sistant Secretary shall— 
(1) assess peer-reviewed studies on referrals to 
restorative reproductive medicine that are given 
prior to referrals for or use of assisted reproductive 
technology; 
(2) assess peer-reviewed studies related to ac-
cess to patient and health care provider information 
and training for fertility awareness-based methods; 
and 
(3) assess the extent to which the treatments, 
tests, and training described in paragraphs (1) and 
(2) are covered under public and private health 
plans. 
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(c) PRIVACY REQUIREMENTS.—In carrying out sub-
section (a), the Assistant Secretary shall ensure that the 
privacy and confidentiality of individual patients are pro-
tected in a manner consistent with relevant privacy and 
confidentiality law. 
SEC. 6. IMPLEMENTING LITERATURE REVIEWS ON THE 
STANDARD OF CARE FOR INDIVIDUALS SEEK-
ING A REPRODUCTIVE HEALTH CONDITION 
DIAGNOSIS. 
(a) IN
GENERAL.—The Assistant Secretary for 
Health of the Department of Health and Human Services 
(referred to in this section as the ‘‘Assistant Secretary’’) 
shall collect data on the topics described in subsection (b) 
and, not later than 2 years after the date of enactment 
of this Act and every 3 years thereafter, issue a report 
on the standard of care for women and men seeking repro-
ductive health condition diagnoses. 
(b) TOPICS.—In carrying out paragraph (1), the As-
sistant Secretary shall— 
(1) assess peer-reviewed studies related to ac-
cess to restorative reproductive medicine and restor-
ative reproductive health, including access to medical 
professionals trained in NaProTechnology and fer-
tility education and medical management; 
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(2) assess peer-reviewed studies related to ac-
cess to information and training on fertility aware-
ness-based methods; and 
(3) assess the extent to which the treatments, 
tests, and training described in paragraphs (1) and 
(2) are covered under public and private health 
plans. 
(c) PRIVACY REQUIREMENTS.—In carrying out sub-
section (a), the Assistant Secretary shall ensure that the 
privacy and confidentiality of individual patients are pro-
tected in a manner consistent with relevant privacy and 
confidentiality law. 
SEC. 7. EXPANDING THE NATIONAL SURVEY OF FAMILY 
GROWTH 
TO 
INCLUDE 
REPRODUCTIVE 
HEALTH CONDITIONS, RESTORATIVE REPRO-
DUCTIVE MEDICINE, AND FERTILITY AWARE-
NESS-BASED METHODS. 
(a) IN GENERAL.—The Director of the Centers for 
Disease Control and Prevention (referred to in this section 
as the ‘‘Director’’) shall evaluate the National Survey of 
Family Growth conducted by the National Center for 
Health Statistics of the Centers for Disease Control and 
Prevention and consider making modifications to the sur-
vey questions used for such purposes. 
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(b) TOPICS.—The evaluation by the Director pursu-
ant to subsection shall include consideration of adding 
questions related to— 
(1) restorative reproductive health; 
(2) reproductive health conditions and infer-
tility; 
(3) restorative reproductive medicine availability 
and utilization; and 
(4) availability of, and training on, fertility 
awareness-based methods. 
(c) REPORT.—The Director shall submit to Congress 
a report on the evaluation under subsection (a) not later 
than 3 years after the date of enactment of this Act and 
every 3 years thereafter. 
SEC. 8. INCLUDING ACCESS TO TITLE X AWARD FUNDS FOR 
RESTORATIVE 
REPRODUCTIVE 
MEDICINE 
GRANTEES. 
Section 1006 of the Public Health Service Act (42 
U.S.C. 300a–4) is amended by adding at the end the fol-
lowing: 
‘‘(e)(1) Notwithstanding any other requirements re-
lating to the experience required for an applicant to qual-
ify for a grant or contract under this title, an entity shall 
be deemed eligible for a grant or contract under this title 
on the basis of being primarily engaged in providing re-
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storative reproductive medicine, or providing training and 
education for medical students and professionals in restor-
ative reproductive medicine, provided that such entity is 
otherwise eligible for the grant or contract. 
‘‘(2) In this subsection, the term ‘restorative repro-
ductive medicine’ has the meaning given such term in sec-
tion 3 of the RESTORE Act.’’. 
SEC. 
9. 
ADVANCING 
EDUCATION 
ON 
REPRODUCTIVE 
HEALTH CONDITIONS AND WOMEN’S NAT-
URAL CYCLE. 
(a) EXPANDING
GRANT
ACCESS
AND
APPLICA-
TION.—The Deputy Assistant Secretary for Population 
Affairs of the Department of Health and Human Services 
(referred to in this section as the ‘‘Deputy Assistant Sec-
retary’’) shall develop, within the existing Teen Pregnancy 
Prevention program, access to, and advertisement for, ap-
plicants for grants under such program that specialize in 
restorative reproductive medicine, restorative reproductive 
health, and fertility awareness-based methods. To be eligi-
ble to receive an award under this subsection, an entity 
shall be primarily engaged in services or education relating 
to restorative reproductive medicine, restorative reproduc-
tive health, or fertility awareness-based methods. 
(b) REPORT.—Not later than 18 months after the 
date of enactment of this Act, the Deputy Assistant Sec-
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retary shall submit to Congress and make publicly avail-
able on the website of the Office of Population Affairs a 
report on recipients of grants under the Teen Pregnancy 
Prevention program and the services, education, and 
training provided by such recipients. 
SEC. 10. ADVANCING RESTORATIVE REPRODUCTIVE MEDI-
CINE 
AND 
FERTILITY 
AWARENESS-BASED 
METHODS TRAINING UNDER THE REPRODUC-
TIVE HEALTH NATIONAL TRAINING CENTER. 
(a) IN
GENERAL.—The Assistant Secretary for 
Health of the Department of Health and Human Services 
(referred to in this section as the ‘‘Assistant Secretary’’) 
shall coordinate with the Office of Population Affairs and 
the Office on Women’s Health to review, revise, and in-
struct the staff of the Reproductive Health National 
Training Center on reproductive health conditions, restor-
ative reproductive medicine, restorative reproductive 
health, and fertility awareness-based methods. 
(b) TRAINING.—Beginning not later than 2 years 
after the date of enactment of this Act, as a condition 
for receipt of a grant or contract under title X of the Pub-
lic Health Service Act (42 U.S.C. 300 et seq.), the staff 
of the Reproductive Health National Training Center shall 
provide training to staff working in other entities receiving 
grants or contracts under title X of the Public Health 
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Service Act (42 U.S.C. 300 et seq.) about reproductive 
health conditions, restorative reproductive medicine, re-
storative reproductive health, and fertility awareness- 
based methods, which may include providing toolkits and 
other information, including online, about peer learning 
opportunities, NaProTechnology educational fellowships, 
fertility education and medical management, short videos 
on reproductive health conditions and restorative repro-
ductive medicine, and contract medical professional semi-
nars and training. 
SEC. 11. ADVANCING LIFESTYLE MEDICINE PRESCRIP-
TIONS AS A METHOD FOR TREATING MALE 
INFERTILITY. 
(a) IN GENERAL.—The Secretary of Health and 
Human Services (referred to in this section as the ‘‘Sec-
retary’’), in collaboration with the Assistant Secretary for 
Health and the Deputy Assistant Secretary for Population 
Affairs, shall evaluate, and develop within relevant health 
programs of the Department of Health and Human Serv-
ices, education for awareness of and treatment for, 
through lifestyle and metabolic modifications, male factor 
infertility. 
(b) TOPICS.—The development of treatment for male 
factor infertility in health programs by the Secretary pur-
suant to subsection (a) shall include consideration for— 
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(1) sperm count; 
(2) sperm motility; 
(3) sperm morphology; 
(4) erectile dysfunction; 
(5) hormonal imbalance; 
(6) sexually transmitted infections; 
(7) endocrine-disrupting chemicals; 
(8) testicular torsion; 
(9) varicoceles; 
(10) obesity; 
(11) insulin resistance; and 
(12) substance use. 
(c) REPORT.—Not later than 18 months after the 
date of enactment of this Act, the Secretary shall submit 
to Congress, and make publicly available, plans to develop 
education on treatment for male factor infertility in health 
programs of the Department of Health and Human Serv-
ices. 
SEC. 12. MODERNIZING MEDICAL CODING TO ACCURATELY 
CLASSIFY AND REIMBURSE PROVIDERS OF 
RESTORATIVE TREATMENTS. 
(a) IN GENERAL.—The Secretary of Health and 
Human Services (referred to in this section as the ‘‘Sec-
retary’’), in collaboration with the Administrator of the 
Centers for Medicare & Medicaid Services, the Director 
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of the National Center for Health Statistics of the Centers 
for Disease Control and Prevention, and the CPT Edi-
torial Panel of the American Medical Association, shall 
take all necessary actions to update, not later than 1 year 
after the date of enactment of this Act, diagnostic and 
procedural codes related to infertility treatments to reflect 
the latest knowledge and practices related to the practice 
of restorative reproductive medicine. 
(b) REQUIREMENTS.—In carrying out subsection (a), 
the Secretary shall— 
(1) conduct a thorough review and revision of 
ICD–10–CM codes for conditions such as endo-
metriosis, 
polycystic 
ovary 
syndrome, 
uterine 
fibroids, adenomyosis, blocked fallopian tubes, and 
male mechanisms of infertility to ensure accurate 
classification of severe, chronic reproductive health 
conditions requiring medical or surgical intervention; 
(2) develop and implement new ICD–10–PCS 
codes for laparoscopic excision, hysteroscopic proce-
dures, and other minimally invasive surgeries aimed 
at addressing such conditions, including the excision 
of fibroids, ovarian cysts, and adenomyosis-related 
tissue removal; 
(3) revise diagnostic and procedural codes 
under the International Classification of Diseases to 
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more accurately reflect severe and chronic reproduc-
tive conditions; 
(4) develop new Current Procedural Termi-
nology codes for minimally invasive surgeries and 
other interventions that target infertility-related con-
ditions, specifically including laparoscopic excision, 
differentiation between laparoscopic ablation and 
laparoscopic excision of endometriosis, appendectomy 
related to endometriosis, bowel resection related to 
endometriosis, hysteroscopic myomectomy, abdom-
inal myomectomy, cystectomy, other minimally 
invasive procedures that directly treat underlying re-
productive health conditions, and for family planning 
services, specifically including female cycle charting 
instruction; 
(5) establish new Healthcare Common Proce-
dure Coding System codes to ensure appropriate re-
imbursement under the Medicare and Medicaid pro-
grams for reproductive health-related surgical proce-
dures, postoperative care, and family planning serv-
ices, specifically including female cycle charting in-
struction; 
(6) conduct an actuarial analysis to determine 
appropriate reimbursement rates and assign relative 
value units to reflect the complexity and time re-
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