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S4447FEDERAL
High Impact

Allowing Greater Access to Safe and Effective Contraception Act

April 30, 2026

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The Frame

What this does

The bill would change the regulatory approval process for certain oral contraceptives to become available over-the-counter for adults 18 and older, while requiring a comprehensive audit of federal contraceptive funding across multiple government programs.

Who is mentioned in the record

Potentially affected actors named in the source documents. Mention is not a position.

Adults 18 and older

They may gain over-the-counter access to specific oral contraceptives if applications are approved under the new priority review process.

Minors under 18

They remain subject to existing prescription requirements for the contraceptive drugs covered by the bill.

Pharmaceutical companies

They may receive priority review and fee waivers for supplemental applications for qualifying oral contraceptives.

What changed

Last recorded activity April 30, 2026.

What's next

Introduced.

Summary

This bill directs the FDA to prioritize the review of applications for over-the-counter oral contraceptives that are not for emergency use or abortion. It also mandates a GAO study on federal spending related to contraceptive services over the past 15 years.

Key Facts

  • The Secretary of Health and Human Services must prioritize review of supplemental applications for oral contraceptives intended for routine use.
  • Priority review is excluded for emergency contraceptives or drugs approved for induced abortion.
  • Drugs approved under this process would be available over-the-counter for individuals aged 18 and older.
  • The FDA must waive application fees for drugs receiving this priority review.
  • Contraceptive drugs remain subject to prescription requirements for individuals under age 18.
  • The Comptroller General must conduct a study on federal funding for contraception over the 15 years preceding the bill's enactment.
  • The GAO report must cover funding from Medicare, Medicaid, Indian Health Service, Health Benefit Exchanges, Federally-qualified health centers, Title X, TANF, and TRICARE.
  • The GAO report is due to Congress within one year of the bill's enactment.

Frequently Asked Questions

Would this bill make all birth control pills available over-the-counter?
No, it only applies to oral contraceptives intended for routine use that are not emergency contraceptives or drugs approved for induced abortion.
Does this change access for minors?
No, the bill explicitly states that individuals under age 18 will still require a prescription for these drugs.
What is the GAO study for?
The study is intended to determine the total amount of federal funds spent on contraceptive reimbursement, inventory, training, and education over the last 15 years.

Why It Matters

The bill would change the regulatory approval process for certain oral contraceptives to become available over-the-counter for adults 18 and older, while requiring a comprehensive audit of federal contraceptive funding across multiple government programs.

News Coverage

No news coverage found yet. Articles are indexed twice daily.

Sponsors

Discoveries

Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.

policy shift100% confidence

Regulatory Fast-Track for Contraceptives

The bill creates a specific carve-out for routine oral contraceptives to bypass standard FDA fee structures and review timelines, provided they are not linked to emergency use or abortion.

Connected Entities

personMr. DainesCo-sponsorMap →
personMr. PaulCo-sponsorMap →
personMrs. CapitoCo-sponsorMap →
personMr. GrassleyCo-sponsorMap →
personMr. MarshallCo-sponsorMap →
personMr. ThuneCo-sponsorMap →
personMr. CruzCo-sponsorMap →
personMr. YoungCo-sponsorMap →
organizationDepartment of Health and Human ServicesResponsible for priority review of drug applicationsMap →
personMr. TillisCo-sponsorMap →
personMr. RischCo-sponsorMap →
personMr. McConnellCo-sponsorMap →
personMr. CornynCo-sponsorMap →
personMs. ErnstLead sponsor of the billMap →
organizationGovernment Accountability OfficeResponsible for conducting the funding studyMap →

Analysis Score

0–100
  • Significance75
    How much this matters to a regular citizen
  • Controversy65
    Intensity of disagreement among stakeholders
  • Entertainment10
    Compellingness for a non-policy-wonk reader
  • Buzz40
    Current news / social attention level

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