II 117th CONGRESS 2d Session S. 5174 IN THE SENATE OF THE UNITED STATES December 1, 2022 Ms. Cortez Masto (for herself, Mrs. Murray , Ms. Rosen , Ms. Smith , Mr. Bennet , Ms. Duckworth , Mr. Blumenthal , Mr. Padilla , and Ms. Klobuchar ) introduced the following bill; which was read twice and referred to the Committee on Health, Education, Labor, and Pensions A BILL To establish a grant program to fund women’s health patient navigators for patients seeking abortion care.

1. Short title This Act may be cited as the Women's Health Patient Navigator Act of 2022 . 2. Establishment of women’s health patient navigators Subpart V of part D of title III of the Public Health Service Act ( 42 U.S.C. 256 et seq. ) is amended by adding at the end the following: 340A–1. Women's health patient navigators (a) In general The Secretary shall establish a grant program to support eligible entities for purposes of serving as women’s health patient navigators for patients seeking to access abortion care in order to connect those patients to abortion services. (b) Eligible entities To be eligible to receive a grant under this section, an entity shall— (1) be a nonprofit organization, a community-based organization, a State, local governmental entity, or Tribal government that, through programs, services, or activities that are unbiased and medically- and factually-accurate, assists individuals seeking abortion services; and (2) submit an application to the Secretary, at such time, in such manner, and containing such information as the Secretary may require, including a plan for— (A) establishing and operating a program of patient navigator services to help patients seeking abortion services access abortion services, as described in subsection (c); and (B) ensuring that any personally identifiable patient data obtained through the operation of such program is kept confidential. (c) Activities An eligible entity receiving a grant under this section shall use such funds for the following activities related to abortion services: (1) Informing patients of medically-accurate, culturally- and linguistically-appropriate services and resources. (2) Coordinating financing resources for travel-related costs, including transportation, childcare, and lodging. (3) Coordinating abortion services, including identifying available abortion providers and scheduling appointments. (4) Providing psycho-social support to patients seeking abortion care. (5) Assisting patients seeking care with treatment decision-making. (6) Developing partnerships with local community organizations providing services for which eligible entity provides assistance, abortion service providers, and other patient navigators, such as patient navigators receiving grants under section 340A. (7) Assisting with understanding reimbursement and health insurance coverage options, including completing eligibility and enrollment forms. (8) Assisting with understanding where abortion services are legal and the ways in which abortion services may be restricted. (d) Patient navigator protections (1) In general No individual, entity, or State may prevent, restrict, impede, or disadvantage an entity eligible to receive a grant under this section by nature of delivering services described in subsection (c), or any affiliate of such an entity or individual or other entity collaborating with such an entity, from— (A) providing or assisting a health care provider, or any other person, with eligible services described in subsection (c) related to reproductive health care services— (i) lawful in the State in which services are to be provided; or (ii) provided for an individual who does not reside in the State in which the services are to be provided; or (B) carrying out the activities described in this section in any State, including any State in which abortion services are not lawful. (2) Enforcement (A) Attorney General The Attorney General may commence a civil action on behalf of the United States against any State, or against any government official, individual, or entity that enacts, implements, or enforces a limitation or requirement that violates paragraph (1). The court shall hold unlawful and set aside the limitation or requirement if it is in violation of paragraph (1). (B) Private right of action Any women's health patient navigator adversely affected by an alleged violation of paragraph (1) may commence a civil action against any State that violates this subsection, against any government official that enacts, implements, or enforces a limitation or requirement that violates paragraph (1), or against any individual who, pursuant to State law, prevents, restricts, impedes, or disadvantages the entity from carrying out activities in violation of paragraph (1). The court shall hold unlawful and enjoin the limitation or requirement if it is in violation of paragraph (1). (C) Equitable relief In any action under this subsection, the court may award appropriate equitable relief, including temporary, preliminary, or permanent injunctive relief. (D) Costs In any action under this subsection, the court shall award costs of litigation, as well as reasonable attorney’s fees, to any prevailing plaintiff. A plaintiff shall not be liable to a defendant for costs or attorney’s fees in any nonfrivolous action under this subsection. (E) Jurisdiction The district courts of the United States shall have jurisdiction over proceedings under this subsection and shall exercise the same without regard to whether the party aggrieved shall have exhausted any administrative or other remedies that may be provided for by law. (F) Abrogation of State immunity Neither a State that enforces or maintains, nor a government official who is permitted to implement or enforce, any limitation or requirement that violates paragraph (1) shall be immune under the Tenth Amendment to the Constitution of the United States, the Eleventh Amendment to the Constitution of the United States, or any other source of law, from an action in a Federal or State court of competent jurisdiction challenging that limitation or requirement. (G) Right to remove Any party shall have a right to remove an action brought under this subsection to the district court of the United States for the district and division embracing the place where such action is pending. An order remanding the case to the State court from which it was removed under this paragraph may be immediately reviewable by appeal or otherwise. (e) Funding There are appropriated, for fiscal years 2023 through 2027, out of amounts in the Treasury not otherwise appropriated, such sums as may be necessary for purposes of carrying out this section. .