I 
108TH CONGRESS 
2D SESSION 
H. R. 4192 
To expand access to preventive health care services and education programs 
that help reduce unintended pregnancy, reduce infection with sexually 
transmitted disease, and reduce the number of abortions. 
IN THE HOUSE OF REPRESENTATIVES 
APRIL 21, 2004 
Ms. SLAUGHTER (for herself, Ms. DEGETTE, Mr. GREENWOOD, Mrs. JOHN-
SON of Connecticut, Mr. ALLEN, Mr. BAIRD, Ms. BALDWIN, Ms. BERK-
LEY, Mr. BISHOP of New York, Mr. BLUMENAUER, Mr. BROWN of Ohio, 
Mrs. CAPPS, Mr. CARDIN, Mrs. CHRISTENSEN, Mr. CROWLEY, Mr. DAVIS 
of Illinois, Mrs. DAVIS of California, Mr. DEFAZIO, Ms. DELAURO, Mr. 
DOGGETT, Mr. DOOLEY of California, Mr. EMANUEL, Mr. FILNER, Mr. 
FRANK of Massachusetts, Mr. FROST, Mr. GONZALEZ, Mr. GRIJALVA, 
Ms. HARMAN, Mr. HINCHEY, Mr. HOEFFEL, Ms. NORTON, Mr. HOLT, 
Mr. HONDA, Ms. HOOLEY of Oregon, Mr. INSLEE, Mr. ISRAEL, Ms. 
JACKSON-LEE of Texas, Mr. JACKSON of Illinois, Mr. KENNEDY of 
Rhode Island, Ms. KILPATRICK, Mr. LARSEN of Washington, Ms. LEE, 
Ms. LOFGREN, Mrs. LOWEY, Mrs. MALONEY, Ms. MAJETTE, Mrs. 
MCCARTHY of New York, Ms. MCCARTHY of Missouri, Ms. MCCOLLUM, 
Mr. MCDERMOTT, Ms. MILLENDER-MCDONALD, Mr. MORAN of Virginia, 
Mr. NADLER, Mr. OLVER, Ms. PELOSI, Mr. ROTHMAN, Ms. ROYBAL-AL-
LARD, Ms. LINDA T. SA´NCHEZ of California, Mr. SANDERS, Ms. 
SCHAKOWSKY, Mr. SCOTT of Virginia, Mr. SERRANO, Mr. SHAYS, Mr. 
SIMMONS, Ms. SOLIS, Mr. TIERNEY, Mrs. JONES of Ohio, Mr. UDALL of 
Colorado, Mr. VAN HOLLEN, Ms. WATERS, Ms. WATSON, Mr. WAXMAN, 
Mr. WEINER, Mr. WEXLER, Ms. WOOLSEY, Mr. WU, and Mr. WYNN) in-
troduced the following bill; which was referred to the Committee on En-
ergy and Commerce, and in addition to the Committees on Education and 
the Workforce and Ways and Means, for a period to be subsequently de-
termined by the Speaker, in each case for consideration of such provisions 
as fall within the jurisdiction of the committee concerned
A BILL 
To expand access to preventive health care services and edu-
cation programs that help reduce unintended pregnancy, 
reduce infection with sexually transmitted disease, and 
reduce the number of abortions. 
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 
‘‘Putting Prevention First Act’’. 
(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—FAMILY PLANNING STATE EMPOWERMENT 
Sec. 201. Short title. 
Sec. 202. State option to provide family planning services and supplies to addi-
tional low-income individuals. 
Sec. 203. State option to extend the period of eligibility for provision of family 
planning services and supplies. 
TITLE III—EQUITY IN PRESCRIPTION INSURANCE AND 
CONTRACEPTIVE COVERAGE 
Sec. 301. Short title. 
Sec. 302. Amendments to Employee Retirement Income Security Act of 1974. 
Sec. 303. Amendments to Public Health Service Act relating to the group mar-
ket. 
Sec. 304. Amendment to Public Health Service Act relating to the individual 
market. 
TITLE IV—EMERGENCY CONTRACEPTION EDUCATION AND 
INFORMATION 
Sec. 401. Short title. 
Sec. 402. Emergency contraception education and information programs.
TITLE V—COMPASSIONATE ASSISTANCE FOR RAPE 
EMERGENCIES 
Sec. 501. Short title. 
Sec. 502. Survivors of sexual assault; provision by hospitals of emergency con-
traceptives without charge. 
TITLE VI—FAMILY LIFE EDUCATION 
Sec. 601. Short title. 
Sec. 602. Findings. 
Sec. 603. Assistance to reduce teen pregnancy, HIV/AIDS, and other sexually 
transmitted diseases and to support healthy adolescent develop-
ment. 
Sec. 604. Sense of Congress. 
Sec. 605. Evaluation of programs. 
Sec. 606. Definitions. 
Sec. 607. Appropriations. 
TITLE VII—TEENAGE PREGNANCY PREVENTION 
Sec. 701. Short title. 
Sec. 702. Teenage pregnancy prevention. 
SEC. 2. FINDINGS. 
The Congress finds as follows: 
(1) Although the Centers for Disease Control 
and Prevention (‘‘CDC’’) included family planning in 
its published list of the ‘‘Ten Great Public Health 
Achievements in the 20th Century’’, the United 
States still has one of the highest rates of unin-
tended pregnancies among industrialized nations. 
(2) Each year, three million pregnancies, nearly 
half of all pregnancies, in the United States are un-
intended; and half of unintended pregnancies end in 
abortion. 
(3) In 2000, 34 million women—half of all 
women of reproductive age (ages 15–44)—were in 
need of contraceptive services and supplies to help