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Allowing Greater Access to Safe and Effective Contraception Act

Last action · June 5, 2024: Read the second time. Placed on Senate Legislative Calendar under General Orders. Calendar No. 418.Sponsor: Joni Ernst

Introduced
Committee
Floor Vote
Passed
Law

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What This Bill Would Do

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.

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.

Who It Would Affect

Groups the bill's text would affect if enacted, as described in the record. Being affected is not a position for or against it.

Directly affected

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.

Directly affected

Minors under 18

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

Directly affected

Pharmaceutical companies

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

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.
Show all 8 facts
  • 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.

What else do you want to know?

News Coverage

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

Where This Stands

Currently on floor. The next step in the legislative lifecycle is Passed.

Last action
Read the second time. Placed on Senate Legislative Calendar under General Orders. Calendar No. 418.Jun 5, 2024

Version history

Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.

View official text →

Full breakdown

Who this bill affects and the strongest case for and against it, written only from the bill’s own text.

Sponsors

Discoveries

1 pattern noticed across the record

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

Shelley M Capito, Mr. Paul, Mr. Grassley and 12 more
PersonShelley M Capito“Co-sponsor”Map →
PersonMr. Paul“Co-sponsor”Map →
PersonMr. Grassley“Co-sponsor”Map →
PersonMr. Marshall“Co-sponsor”Map →
PersonMr. Thune“Co-sponsor”Map →
PersonMr. Cruz“Co-sponsor”Map →
PersonMr. Young“Co-sponsor”Map →
OrganizationDepartment of Health and Human Services“Responsible for priority review of drug applications”Map →
PersonThomas Tillis“Co-sponsor”Map →
PersonMr. Risch“Co-sponsor”Map →
PersonMr. McConnell“Co-sponsor”Map →
PersonSteve Daines“Co-sponsor”Map →
PersonMr. Cornyn“Co-sponsor”Map →
PersonMs. Ernst“Lead sponsor of the bill”Map →
OrganizationGovernment Accountability Office“Responsible for conducting the funding study”Map →

Sources

Open source document

www.congress.gov

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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