I 
111TH CONGRESS 
1ST SESSION 
H. R. 463 
To expand access to preventive health care services that help reduce unin-
tended pregnancy, reduce abortions, and improve access to women’s 
health care. 
IN THE HOUSE OF REPRESENTATIVES 
JANUARY 13, 2009 
Ms. SLAUGHTER (for herself, Ms. DEGETTE, Ms. DELAURO, Ms. HARMAN, 
Ms. LEE of California, Mrs. LOWEY, Mr. ROTHMAN of New Jersey, Mr. 
WAXMAN, Mr. ABERCROMBIE, Mr. ACKERMAN, Mr. ADLER of New Jer-
sey, Mr. ARCURI, Ms. BALDWIN, Ms. BERKLEY, Mr. BERMAN, Mrs. 
BIGGERT, Mr. BISHOP of New York, Mr. BISHOP of Georgia, Mr. 
BLUMENAUER, Mr. BOUCHER, Mr. BRADY of Pennsylvania, Mr. BRALEY 
of Iowa, Mrs. CAPPS, Mr. CAPUANO, Mr. CARNAHAN, Mr. CHANDLER, 
Mr. CLAY, Mr. COHEN, Mr. CONNOLLY of Virginia, Mr. CROWLEY, Mrs. 
DAVIS of California, Mr. DELAHUNT, Mr. DICKS, Mr. ELLISON, Mr. 
ENGEL, Mr. FARR, Mr. FATTAH, Mr. FILNER, Mr. FRANK of Massachu-
setts, Ms. GIFFORDS, Mrs. GILLIBRAND, Mr. AL GREEN of Texas, Mr. 
GENE GREEN of Texas, Mr. GRIJALVA, Mr. HALL of New York, Mr. 
HARE, Mr. HIGGINS, Mr. HINCHEY, Ms. HIRONO, Mr. HODES, Mr. 
HOLT, Mr. HONDA, Mr. INSLEE, Mr. ISRAEL, Ms. JACKSON-LEE of 
Texas, Mr. KENNEDY, Ms. KILROY, Mr. KIND, Mr. KUCINICH, Mr. 
LANGEVIN, Mr. LARSEN of Washington, Mr. LEVIN, Mr. LOEBSACK, Ms. 
ZOE LOFGREN of California, Mrs. MALONEY, Ms. MATSUI, Ms. MCCOL-
LUM, Mr. MCDERMOTT, Mr. MCGOVERN, Mr. MCNERNEY, Mr. MEEKS 
of New York, Mr. GEORGE MILLER of California, Mr. MITCHELL, Ms. 
MOORE of Wisconsin, Mr. MOORE of Kansas, Mr. MURPHY of Con-
necticut, Mr. PATRICK J. MURPHY of Pennsylvania, Mr. NADLER of New 
York, Mrs. NAPOLITANO, Ms. NORTON, Mr. OLVER, Mr. PAYNE, Mr. PE-
TERS, Ms. PINGREE of Maine, Mr. PRICE of North Carolina, Mr. RAN-
GEL, Ms. ROYBAL-ALLARD, Mr. RUPPERSBERGER, Mr. RUSH, Mr. RYAN 
of Ohio, Ms. LORETTA SANCHEZ of California, Mr. SARBANES, Ms. 
SCHAKOWSKY, Mr. SCHIFF, Ms. SCHWARTZ, Mr. SERRANO, Mr. SHER-
MAN, Mr. SIRES, Mr. STARK, Ms. SUTTON, Mrs. TAUSCHER, Mr. THOMP-
SON of California, Ms. TSONGAS, Ms. VELA´ZQUEZ, Ms. WASSERMAN 
SCHULTZ, Mr. WELCH, Mr. WEXLER, Ms. WOOLSEY, Mr. WU, Mr. 
YARMUTH, and Mr. VAN HOLLEN) introduced the following bill; which 
was referred to the Committee on Energy and Commerce, and in addition 
to the Committees on Ways and Means and Education and Labor, for 
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a period to be subsequently determined by the Speaker, in each case for 
consideration of such provisions as fall within the jurisdiction of the com-
mittee concerned 
A BILL 
To expand access to preventive health care services that 
help reduce unintended pregnancy, reduce abortions, and 
improve access to women’s health care. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE; TABLE OF CONTENTS. 
(a) SHORT TITLE.—This Act may be cited as the 
‘‘Prevention First Act of 2009’’. 
(b) TABLE OF CONTENTS.—The table of contents for 
this Act is as follows: 
Sec. 1. Short title; table of contents. 
Sec. 2. Findings. 
TITLE I—TITLE X OF PUBLIC HEALTH SERVICE ACT 
Sec. 101. Short title. 
Sec. 102. Authorization of appropriations. 
TITLE II—EQUITY IN PRESCRIPTION INSURANCE AND 
CONTRACEPTIVE COVERAGE 
Sec. 201. Short title. 
Sec. 202. Amendments to Employee Retirement Income Security Act of 1974. 
Sec. 203. Amendments to Public Health Service Act relating to the group mar-
ket. 
Sec. 204. Amendment to Public Health Service Act relating to the individual 
market. 
TITLE III—EMERGENCY CONTRACEPTION EDUCATION AND 
INFORMATION 
Sec. 301. Short title. 
Sec. 302. Emergency contraception education and information programs. 
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TITLE IV—COMPASSIONATE ASSISTANCE FOR RAPE 
EMERGENCIES 
Sec. 401. Short title. 
Sec. 402. Survivors of sexual assault; provision by hospitals of emergency con-
traceptives without charge. 
TITLE V—AT-RISK COMMUNITIES TEENAGE PREGNANCY 
PREVENTION ACT 
Sec. 501. Short title. 
Sec. 502. Teen pregnancy prevention. 
Sec. 503. Research. 
TITLE VI—ACCURACY OF CONTRACEPTIVE INFORMATION 
Sec. 601. Short title. 
Sec. 602. Accuracy of contraceptive information. 
TITLE VII—UNINTENDED PREGNANCY REDUCTION ACT 
Sec. 701. Short title. 
Sec. 702. Medicaid; clarification of coverage of family planning services and 
supplies. 
Sec. 703. Expansion of family planning services. 
Sec. 704. Effective date. 
TITLE VIII—RESPONSIBLE EDUCATION ABOUT LIFE ACT 
Sec. 801. Short title. 
Sec. 802. Assistance to reduce teen pregnancy, HIV/AIDS, and other sexually 
transmitted diseases and to support healthy adolescent develop-
ment. 
Sec. 803. Sense of Congress. 
Sec. 804. Evaluation of programs. 
Sec. 805. Limitations on use of funds. 
Sec. 806. Definitions. 
Sec. 807. Authorization of appropriations. 
SEC. 2. FINDINGS. 
The Congress finds as follows: 
(1) Healthy People 2010 sets forth a reduction 
of unintended pregnancies as an important health 
objective for the Nation to achieve over the first dec-
ade of the new century, a goal first articulated in 
the 1979 Surgeon General’s Report, Healthy People, 
and reiterated in Healthy People 2000: National 
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