I 
119TH CONGRESS 
1ST SESSION H. R. 4084 
To amend the Public Health Service Act to establish certain duties for 
pharmacies to ensure provision of Food and Drug Administration-ap-
proved contraception and medication related to contraception, and for 
other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
JUNE 23, 2025 
Ms. KELLY
of Illinois (for herself, Mr. FOSTER, Ms. NORTON, Ms. 
BROWNLEY, Ms. SCANLON, Ms. GARCIA of Texas, Ms. STANSBURY, Ms. 
SEWELL, Ms. CASTOR of Florida, Mr. POCAN, Ms. BARRAGA´N, Mr. 
THANEDAR, Ms. CROCKETT, Mr. VARGAS, Ms. SALINAS, Ms. MCCOLLUM, 
Mr. TONKO, Ms. CLARKE of New York, Mr. LARSON of Connecticut, Ms. 
STRICKLAND, Ms. WILLIAMS of Georgia, Mr. MFUME, Ms. MATSUI, Ms. 
LOIS FRANKEL of Florida, Ms. MCCLELLAN, Mr. GARAMENDI, Ms. 
DEGETTE, Mr. SWALWELL, Mr. MOULTON, Mr. COHEN, Ms. CHU, Mrs. 
RAMIREZ, Ms. TLAIB, Mrs. TRAHAN, Mr. JOHNSON of Georgia, Mr. 
DELUZIO, Mr. GOMEZ, Mrs. FOUSHEE, Mr. GARCIA of California, Ms. 
SHERRILL, Ms. DELAURO, and Mr. BERA) introduced the following bill; 
which was referred to the Committee on Energy and Commerce 
A BILL 
To amend the Public Health Service Act to establish certain 
duties for pharmacies to ensure provision of Food and 
Drug Administration-approved contraception and medica-
tion related to contraception, and for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
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SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Access to Birth Control 
Act’’. 
SEC. 2. FINDINGS. 
Congress finds as follows: 
(1) Family planning is basic health care. Access 
to contraception helps people determine if and when 
to become pregnant. Contraception is also a corner-
stone of reproductive autonomy and can help people 
fulfill their educational, professional, and social aspi-
rations. 
(2) As a result of the enactment of the Patient 
Protection and Affordable Care Act (Public Law 
111–148), approximately 151,600,000 individuals in 
the United States were enrolled in private health in-
surance plans in the United States in 2020, includ-
ing 58,000,000 women between the ages of 19 and 
64 who had coverage of contraceptive methods ap-
proved, cleared, or authorized by the Food and Drug 
Administration without cost-sharing under such 
plans. 
(3) The Patient Protection and Affordable Care 
Act saved women $1,400,000,000 on birth control 
pills alone in 2013. 
(4) According to the Centers for Disease Con-
trol and Prevention, nearly 2⁄3 of women between the 
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ages of 15 and 49 are currently using a contracep-
tive method, and among sexually active women who 
were not seeking pregnancy, nearly 9 in 10 have 
used contraception. 
(5) Although the Centers for Disease Control 
and Prevention included family planning in its pub-
lished list of the Ten Great Public Health Achieve-
ments in the 20th Century, people in the United 
States face a myriad of barriers in accessing birth 
control, including cost, geography, immigration sta-
tus, language access, discrimination, and stigma. 
These contraceptive barriers are rooted in systemic 
inequities, structural racism, and other forms of op-
pression in our health care system and society. 
(6) In 2019, approximately 2,293,000 preg-
nancies, nearly 42 percent of all pregnancies, in the 
United States were unintended. 
(7) Systemic racism and discrimination, as well 
as lack of access to comprehensive sex education, ex-
acerbates severe health inequities and creates addi-
tional barriers to accessing contraception; for exam-
ple, due to high uninsured rates and barriers, His-
panic women with low-incomes experience a signifi-
cantly higher rate of unintended pregnancy (58 per-
cent) compared to their White counterparts (33 per-
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