HouseH.R. 10559119th Congress

LARC Access Expansion Act

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[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 10559 Introduced in House (IH)]

<DOC>

119th CONGRESS
  2d Session
                               H. R. 10559

To amend the Public Health Service Act to authorize grants to eligible 
  health centers to provide patient access to long-acting reversible 
                 contraception, and for other purposes.

_______________________________________________________________________

                    IN THE HOUSE OF REPRESENTATIVES

                           September 24, 2026

 Mrs. Hinson (for herself, Ms. Malliotakis, and Mrs. Bice) introduced 
 the following bill; which was referred to the Committee on Energy and 
                                Commerce

_______________________________________________________________________

                                 A BILL

 
To amend the Public Health Service Act to authorize grants to eligible 
  health centers to provide patient access to long-acting reversible 
                 contraception, and for other purposes.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``LARC Access Expansion Act''.

SEC. 2. GRANTS TO ELIGIBLE HEALTH CENTERS TO PROVIDE PATIENT ACCESS TO 
              LONG-ACTING REVERSIBLE CONTRACEPTION.

    (a) In General.--Section 330 of the Public Health Service Act (42 
U.S.C. 254b) is amended--
            (1) by redesignating subsections (k) through (r) as 
        subsections (m) through (t), respectively; and
            (2) by inserting after subsection (j) the following:
    ``(k) Grants for Providing Patient Access to Long-Acting Reversible 
Contraception.--
            ``(1) Awards.--The Secretary may award grants to eligible 
        health centers to provide patient access to LARCs.
            ``(2) Use of funds.--A grant under paragraph (1) shall be 
        used--
                    ``(A) to provide education or training on the 
                provision of a LARC to at least two full-time health 
                care professionals; and
                    ``(B) to procure and maintain an inventory of LARCs 
                to provide for same-day insertion.
            ``(3) Limitation.--No funds provided through a grant under 
        this subsection may be used with respect to long-acting 
        reversible contraception intended for use as emergency 
        contraception.
            ``(4) Definitions.--In this subsection--
                    ``(A) The term `eligible health center' means a 
                health center that--
                            ``(i) serves--
                                    ``(I) an area with one or more 
                                populations that have a high rate of 
                                infant mortality, or maternal morbidity 
                                and mortality;
                                    ``(II) a medically underserved 
                                population;
                                    ``(III) a health professional 
                                shortage area designated under section 
                                332; or
                                    ``(IV) a maternity care health 
                                professional target area identified 
                                under section 332(k);
                            ``(ii) does not receive funds under title 
                        X; and
                            ``(iii) certifies that, during the period 
                        of receiving assistance under this subsection, 
                        the health center will not perform, and will 
                        not provide any funds to any other entity that 
                        performs, an abortion.
                    ``(B) The term `LARC' means long-acting reversible 
                contraception.''.
    (b) Conforming Changes.--Section 330 of the Public Health Service 
Act (42 U.S.C. 254b) is amended--
            (1) in subsection (c)(3)(B), by striking ``subsection 
        (k)(3)(J)'' and inserting ``subsection (m)(3)(J)'';
            (2) in subsections (e)(1)(B), by striking ``subsection 
        (k)(3)'' each place it appears and inserting ``subsection 
        (m)(3)'';
            (3) in subsection (m)(3)(H), as so redesignated, by 
        striking ``or (p)'' and inserting ``or (r)'';
            (4) in subsection (n), as so redesignated--
                    (A) by striking ``subsection (k)(3)'' and inserting 
                ``subsection (m)(3)''; and
                    (B) by striking ``subsection (m)'' and inserting 
                ``subsection (o)'';
            (5) in subsection (r), as so redesignated, by striking 
        ``(k)(3)(G)'' and inserting ``(m)(3)(G)''; and
            (6) in subsection (t), as so redesignated--
                    (A) in paragraph (2)(A)--
                            (i) by striking ``(k)(3)'' and inserting 
                        ``(m)(3)''; and
                            (ii) by striking ``(k)(3)(H)'' and 
                        inserting ``(m)(3)(H)''; and
                    (B) in paragraph (3)(I), by striking ``subsection 
                (q)(4)'' and inserting ``subsection (s)(4)''.

SEC. 3. DEMONSTRATION PROGRAM FOR HEALTH CENTERS FOR INCREASING ACCESS 
              TO CERTAIN CONTRACEPTIVE METHODS.

    Section 330 of the Public Health Service Act (42 U.S.C. 254b), as 
amended by section 2 of this Act, is further amended by inserting after 
subsection (k) the following new subsection:
    ``(l) Demonstration Program for Health Centers for Increasing 
Access to Certain Contraceptive Methods.--
            ``(1) Awards.--The Secretary may award grant funds to 
        eligible health centers to use telehealth capabilities to 
        increase women's access to certain contraceptive methods and 
        address known barriers to such access.
            ``(2) Eligible health centers.--To be eligible to seek a 
        grant under this subsection, a health center shall--
                    ``(A) not be receiving any funds under title X;
                    ``(B) be receiving funds under other provisions of 
                this section; and
                    ``(C) certify that, during the period of receiving 
                assistance under this subsection, the health center 
                will not perform, and will not provide any funds to any 
                other entity that performs, an abortion.
            ``(3) Use of funds.--
                    ``(A) In general.--An eligible health center 
                receiving grant funds under paragraph (1) shall use 
                such funds to establish a consortium, composed of such 
                entities as the Secretary may specify, to coordinate 
                the voluntary provision of long-acting reversible 
                contraception at community clinics through telehealth 
                resources--
                            ``(i) to increase women's access to the 
                        full range of long-acting reversible 
                        contraception at community clinics, including 
                        for women residing in rural counties or rural 
                        census tracts in urban counties as designated 
                        by the Secretary; and
                            ``(ii) to provide patient consultations 
                        prior to prescribing a form of long-acting 
                        reversible contraception and making a referral 
                        to a physician to provide such contraception.
                    ``(B) Composition of consortium.--The voluntary 
                consortium under subparagraph (A)--
                            ``(i) shall be composed of such entities as 
                        the Secretary determines appropriate; and
                            ``(ii) may include rural hospitals; rural 
                        community-based ambulatory patient care centers 
                        (including rural health clinics); health 
                        centers operated by an Indian Tribe, Tribal 
                        organization, or urban Indian organization; and 
                        graduate medical education consortia.
            ``(4) Limitation.--No funds provided through a grant under 
        this subsection may be used with respect to long-acting 
        reversible contraception intended for use as emergency 
        contraception.''.
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