Representatives Ocasio-Cortez, Pressley, Bera, Senators Murray, Hirono, Cortez Masto, Reintroduce Bill to Expand Coverage of Birth Control in America

Press Release

WASHINGTON, D.C. - Today, Representatives Alexandria Ocasio-Cortez (NY-14), Ayanna Pressley (MA-07), Ami Bera (CA-06), and U.S. Senators Patty Murray (D-WA), Mazie Hirono (D-HI) and Catherine Cortez Masto (D-NV) reintroduced their bicameral Affordability is Access Act.

The Affordability is Access Act would require insurers to fully cover over-the-counter birth control without any fees or out-of-pocket costs, once it's FDA-approved. The legislation also includes a new provision to require health insurance to cover every FDA-approved contraceptive drug or drug-led combination product without cost sharing unless the health plan also covers a therapeutically equivalent generic without cost sharing-this would significantly eliminate barriers that some patients face in accessing contraceptives prescribed by their provider.

This reintroduction comes as the Trump administration continues their senseless attacks on reproductive care, family planning, and contraception. Throughout the press conference, speakers discussed the administration's moves to cancel teen pregnancy prevention grants, their attempts to decimate Title X, and their attacks on contraception-including the State Department's extremist decision to falsely label birth control products as abortifacients.

"I am proud to reintroduce the Affordability is Access Act alongside Representative Ayanna Pressley and Senator Patty Murray, which will make birth control widely accessible and affordable without a prescription," said Rep Ocasio-Cortez. "As this administration continues to attack bodily autonomy, we will continue to fight to ensure that people everywhere have access to reproductive care."

"While Trump and his Republican co-conspirators attack our bodily autonomy and make life less affordable, we're fighting hard to protect reproductive freedom, lower costs, and ensure contraceptives are affordable nationwide," said Rep. Pressley. "Our bill would make over-the-counter birth control accessible to all who need it, without the burden of prescriptions or out-of-pocket costs. Reproductive justice means protecting and expanding reproductive healthcare, and I'm proud to partner with Senators Murray, Cortez Masto, and Hirono, alongside Reps. Bera and Ocasio-Cortez, and our colleagues to make that a reality for all."

"When it comes to birth control, the challenge we face isn't just to stop Trump from setting up new barriers. We have to tear down the barriers that have been standing for far too long-like cost," said Senator Murray. "We have to put forward our own vision for the future-not just reject Trump's far-right dystopia. That's why we are re-introducing the Affordability is Access Act. This bill would require insurance to fully cover safe, over-the-counter birth control for patients. And this year we made a big update: our bill will also make sure all other FDA-approved forms of contraception are covered for patients. No fees. No hurdles. No out-of-pocket costs. This is especially important because, as of March 2024, there is an over-the counter birth control pill that women can buy at pharmacies and grocery stores. Trump has made his vision painfully clear, he wants to take women's rights away, he wants to set birth control on fire. Well, this bill is our vision as Democrats. We want to protect women's rights. And we want to protect your birth control."

"As the Trump regime continues to attack reproductive freedom, fighting for contraception access has never been more important," said Senator Hirono. "FDA approval of over-the-counter birth control is a major step forward, but approval alone does not guarantee access. By requiring insurance companies to cover over-the-counter contraception at no cost and without a prescription, this legislation will help to ensure women nationwide have the power to control their bodies and their lives."

"Congress must pass the Affordability is Access Act to expand Americans' reproductive freedoms even as this Administration tries to shrink them," said Senator Cortez Masto. "Birth control has helped thousands of Nevadans and millions of Americans live healthy lives. It's past time we made sure every woman who wants it has an affordable over-the-counter option they can buy."

"Birth control is essential healthcare that everyone, no matter their insurance or income, should be able to get when they need it," said Alexis McGill Johnson, president and CEO, Planned Parenthood Federation of America. "This act is a crucial first step in removing cost barriers and expanding access to contraception. As anti-reproductive health lawmakers continue to do everything in their power to restrict access to care, we're grateful to Sen. Murray for reintroducing this bill."

"Contraception is a fundamental part of reproductive health care and autonomy- it gives people the power to shape their own futures," said Daria Neal, Senior Director of Policy and Advocacy at the Center for Reproductive Rights. "Everyone who needs contraception should be able to access and afford it. Yet the Trump Administration has repeatedly put that access at risk, from subverting the federal family planning program and ending teen pregnancy prevention grants, to letting millions of dollars in taxpayer-funded contraceptives go to waste overseas. We're grateful to Senator Murray and her colleagues for standing up for reproductive rights and supporting this critically important legislation."

"With the sudden termination of AccessMatters' teen pregnancy prevention initiative, over 2,500 adolescents in Philadelphia immediately lost access to everything this program provided over the last three years - including evidence-based education programming, parent workshops, connections to local healthcare providers, assistance setting up medical appointments and accessing contraceptives, and leadership opportunities for the Youth Advisory Board," said Audrey Ann Ross, Senior Manager of Communications and Policy at AccessMatters. "This loss of access coupled with the shifts in Title X program priorities further underscore the need for policies that support access to contraceptives and sexual and reproductive health care and information. We urge Congress to pass policies like the Affordability in Access Act and to also demand that HHS immediately restore this funding so that adolescents nationwide can continue benefitting from these programs."

Under the Affordable Care Act, all private health insurance plans are required to fully cover - without copays or out-of-pocket costs - prescribed U.S. Food and Drug Administration (FDA)-approved, granted, or cleared methods of contraception. The Affordability is Access Act would change this to apply to over-the-counter birth control that women can get without a prescription. The Affordability is Access Act would also maintain the FDA's sole authority to determine the safety and efficacy of drugs and make them available over the counter without a prescription, and ensure retailers provide contraception without a prescription. The legislation states that any retailer that stocks contraception that the FDA has approved, granted, or cleared without a prescription may not interfere with a consumer's access to or purchase of such contraception.

The bill is endorsed by: Contraceptive Access Initiative (CAI), National Family Planning & Reproductive Health Association (NFPRHA), American College of Obstetricians and Gynecologists, Upstream USA, Reproductive Health Access Project, Physicians for Reproductive Health, National Partnership for Women & Families, Healthy Teen Network, Jacobs Institute of Women's Health, Reproductive Freedom for All, Power to Decide, Planned Parenthood Federation of America, The Center for Biological Diversity, National Council of Jewish Women, Society for Maternal-Fetal Medicine, National Women's Law Center Action Fund, National Latina Institute for Reproductive Justice, Advocates for Youth, In Our Own Voice: National Black Women's Reproductive Justice Agenda, AIDS United, National Asian Pacific American Women's Forum, National Network of Abortion Funds, Center for Reproductive Rights, National Organization for Women (NOW), Religious Community for Reproductive Choice, The Guttmacher Institute, Population Connection Action Fund, American College of Nurse Mid-Wives, and Ibis Reproductive Health.

Read the full text of the Affordability is Access Act HERE.

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