H.R. 8829

[Congressional Bills 119th Congress]
[From the U.S. Government Publishing Office]
[H.R. 8829 Introduced in House (IH)]

<DOC>

119th CONGRESS
2d Session
H. R. 8829

To amend the Public Health Service Act to improve reproductive health 
care of individuals with disabilities.

_______________________________________________________________________

IN THE HOUSE OF REPRESENTATIVES

May 14, 2026

Ms. Pressley introduced the following bill; which was referred to the 
Committee on Energy and Commerce

_______________________________________________________________________

A BILL

To amend the Public Health Service Act to improve reproductive health 
care of individuals with disabilities.

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 ``Reproductive Health Care 
Accessibility Act''.

SEC. 2. FINDINGS.

Congress finds the following:
(1) In the United States, approximately 1 in 4 adults have 
some type of disability, more than 1 in 10 individuals with 
disabilities can become pregnant, and over 4,100,000 
individuals are parents with disabilities.
(2) All people, including individuals with disabilities, 
have the right to decide if, when, and how to start and raise a 
family, as well as to have healthy pregnancies and postpartum 
periods.
(3) Titles II and III of the Americans with Disabilities 
Act of 1990 (42 U.S.C. 12131 et seq. and 12181 et seq.), 
section 504 of the Rehabilitation Act of 1973 (29 U.S.C. 794), 
and section 1557 of the Patient Protection and Affordable Care 
Act (42 U.S.C. 18116) provide individuals with disabilities 
with the right to equitably access and receive health care.
(4) Disabled individuals face unique barriers when 
accessing reproductive health care, including accessibility 
issues at health care facilities, lack of accessible medical 
diagnostic equipment, barriers to accessible travel, delay in 
receiving preventative services, and lack of health care 
providers with training and knowledge on the needs of 
individuals with disabilities receiving reproductive health 
care.
(5) Reproductive health care is critical to an individual's 
long-term health. Disabled individuals have higher mortality 
rates from reproductive related cancers often due to lack of 
access to reproductive health care, higher rates of maternal 
mortality and morbidity, and often experience earlier onset 
menopause.
(6) The United States Access Board has established 
standards for accessible medical diagnostic equipment that were 
adopted by the Department of Health and Human Services and the 
Department of Justice in 2024. Awareness about the standards 
remains low among providers. Greater provider education, 
implementation, and enforcement of the standards is necessary 
to ensure equally effective reproductive and sexual health care 
for individuals with disabilities.
(7) Disabled individuals have an equal right to 
reproductive autonomy, but harmful stereotypes about 
individuals with disabilities create barriers to getting care 
that respects that autonomy.
(8) Laws that restrict access to reproductive health care, 
including abortion care, disproportionally harm individuals who 
already face barriers to reproductive health care, which 
includes disabled individuals.
(9) Individuals with and without disabilities want children 
at the same frequency, but individuals with disabilities are 
less likely to receive contraception counseling and timely 
prenatal care, experience a higher rate of sterilization, and 
are at a greater risk for adverse pregnancy outcomes.
(10) Diversity and inclusion in the health care workforce 
is a critical factor in the delivery of high-quality, 
culturally competent health care and improves patient outcomes. 
However, the rate of students and trainees with disabilities in 
medical and allied health education remains low compared to 
those without disabilities.

SEC. 3. PROGRAM FOR TRAINING THE WORKFORCE.

Part D of title VII of the Public Health Service Act (42 U.S.C. 294 
et seq.) is amended by adding at the end the following:

``SEC. 760A. PROGRAM FOR TRAINING THE WORKFORCE CONCERNING REPRODUCTIVE 
HEALTH CARE FOR INDIVIDUALS WITH DISABILITIES.

``(a) In General.--The Secretary, acting through the Administrator 
of the Health Resources and Services Administration and in consultation 
with the Administrator of the Administration for Community Living, 
shall award grants, contracts, or cooperative agreements to eligible 
entities to carry out training programs for health care professionals 
and trainees on providing equitable sexual and reproductive health care 
for individuals with disabilities.
``(b) Eligibility.--
``(1) In general.--To be eligible to receive an award under 
this section, an entity shall be a public or private nonprofit 
entity with demonstrated expertise in serving individuals with 
disabilities, which may include--
``(A) a multidisciplinary health care provider who 
provides sexual and reproductive health care, such as 
federally qualified health centers and Title X clinics;
``(B) institutions of higher education, as defined 
in section 101 of the Higher Education Act of 1965, 
with expertise in sexual and reproductive health care;
``(C) an entity primarily led by individuals with 
disabilities;
``(D) an entity with expertise in reproductive 
rights and justice;
``(E) an Indian Tribe, Tribal organization, or 
urban Indian organization; or
``(F) a consortium of entities described in any of 
subparagraphs (A) through (E).
``(2) Application.--To be eligible to receive an award 
under this section, an eligible entity shall submit to the 
Secretary an application at such time, in such manner, and 
containing such information as the Secretary may require, that 
includes--
``(A) a description of the eligible entity's or 
consortium of entities' expertise in providing 
technical assistance and training, including evidence 
such as--
``(i) knowledge of the rights afforded to 
individuals with a disability under relevant 
Federal and State law;
``(ii) knowledge of accessibility standards 
established by the United States Access Board;
``(iii) expertise in evidence-based or 
evidence-informed practices in providing 
trauma-informed sexual and reproductive health 
care, including preventive health care services 
and perinatal care, to individuals with 
disabilities and those facing compounded 
barriers to accessing care;
``(iv) experience working with health care 
providers, public or private nonprofit 
entities, or Federal, State, or local agencies 
focusing on sexual and reproductive health care 
services for individuals with disabilities;
``(v) experience working with individuals 
with disabilities and their families;
``(vi) expertise in providing, collecting, 
compiling, communicating, and disseminating 
sexual and reproductive health care information 
in culturally and linguistically appropriate 
manner especially in easily accessible formats; 
and
``(vii) experience improving coordination 
of services, such as mental health, substance 
use disorder prevention, treatment, and 
recovery support services, social services, 
other health care services, and transportation 
services for individuals with disabilities;
``(B) a description of the activities to be funded 
under the award and the goals of such activities, 
including a description of--
``(i) the training or education program to 
be implemented that meets the requirements of 
subsection (c);
``(ii) the process to be used to identify 
health care providers that will participate in 
the training program, including the process to 
increase diversity in the pool of participating 
providers;
``(iii) the process to be used to engage 
stakeholders in such training, including 
individuals with disabilities; and
``(iv) the eligible entity's evaluation 
plan to determine the scope and impact of the 
training program;
``(C) an assurance that the recipients of the 
training will receive ongoing and comprehensive 
training or professional development on the sexual and 
reproductive health care needs of individuals with 
disabilities; and
``(D) any other assurances that the Secretary may 
require.
``(3) Subawards.--An eligible entity or eligible consortium 
receiving an award under this section may, for contracting 
purposes, make subawards to individuals or entities with 
expertise in sexual and reproductive health care and serving 
individuals with disabilities.
``(c) Use of Funds.--An entity or entities shall use amounts 
received under this section to carry out a training program for health 
care professionals providing sexual and reproductive health care that 
provides training concerning--
``(1) comprehensive disability clinical care curricula to 
inform health care professionals providing sexual and 
reproductive health care on how to provide effective, 
interprofessional team-based health care;
``(2) comprehensive clinical care curricula on how 
disability-based and intersectional discrimination shapes 
sexual and reproductive health care access and quality for 
disabled individuals, including historical and ongoing 
practices;
``(3) culturally and linguistically competent care for 
individuals with disabilities;
``(4) delivering sexual and reproductive health care for 
individuals with disabilities in a manner that emphasizes the 
independence, self-determination, and choices of individuals 
with disabilities with respect to their sexual and reproductive 
health through comprehensive disability clinical care 
curricula;
``(5) the rights afforded to individuals with disabilities 
under relevant Federal and State law; and
``(6) methods and evidence-based or evidence-informed 
practices for providing sexual and reproductive health care, 
including preventive health care services, to individuals with 
disabilities.
``(d) Evaluation and Report.--
``(1) In general.--An entity or entities that receives an 
award under this section shall, at the end of the award period, 
carry out an evaluation of outcomes achieved through the 
program in training health care professionals providing sexual 
and reproductive health care, consistent with the purposes of 
this section.
``(2) Report.--Not later than 180 days after the end of the 
award period, an entity that receives an award under this 
section shall submit to the Secretary a report on the results 
of the evaluation conducted under paragraph (1).
``(3) Secretary.--The Secretary shall annually compile the 
reports submitted under paragraph (2) and submit such 
compilation to the Committee on Health, Education, Labor, and 
Pensions of the Senate and the Committee on Energy and Commerce 
of the House of Representatives. Such compilations shall be 
posted on the internet website of the Department of Health and 
Human Services in an accessible format.
``(e) Definitions.--In this section:
``(1) Disability.--The terms `disability' and 
`disabilities' have the meaning given such terms for purposes 
of the Americans with Disabilities Act of 1990.
``(2) Indian tribe; tribal organization.--The terms `Indian 
Tribe' and `Tribal organization' have the meaning given such 
terms in section 4 of the Indian Self-Determination and 
Education Assistance Act.
``(3) Urban indian organization.--The term `Urban Indian 
organization' has the meaning given such term in section 4 of 
the Indian Health Care Improvement Act.
``(f) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section, $10,000,000 for each of fiscal 
years 2027 through 2031. Funds provided to carry out this section shall 
supplement not supplant funds otherwise made available to carry out 
this title.''.

SEC. 4. PROGRAM FOR EXPANDING THE REPRODUCTIVE HEALTH CARE PROVIDER 
WORKFORCE.

Part B of title VII of the Public Health Service Act (42 U.S.C. 293 
et seq.) is amended by adding at the end the following:

``SEC. 742. PROGRAM FOR EXPANDING THE REPRODUCTIVE HEALTH CARE PROVIDER 
WORKFORCE.

``(a) Purpose.--It is the purpose of this section--
``(1) to establish and sustain a competitive health 
professions applicant pool of individuals with disabilities by 
increasing the total number of individuals with disabilities 
who pursue a career in sexual and reproductive health care, 
including abortion care and maternal health care; and
``(2) to develop a culturally and linguistically competent 
health care workforce providing sexual and reproductive health 
care that will serve unserved and underserved populations, 
including individuals with disabilities.
``(b) Awards.--To assist individuals with disabilities in 
undertaking education to enter into the sexual and reproductive health 
care workforce, the Secretary may award grants, contracts, or 
cooperative agreements to public or private nonprofit health or 
educational entities, including schools of medicine, schools of 
osteopathic medicine, schools of nursing, and other institutions of 
higher education, that offer programs, including graduate programs, in 
obstetrics and gynecology, comprehensive sexual and reproductive health 
care, or programs for the training of health care providers to enable 
such entities to carry out the activities described in subsection (d).
``(c) Application.--To be eligible to receive an award under 
subsection (b), an entity described in such subsection shall submit to 
the Secretary an application at such time, in such manner, and 
containing such information as the Secretary may require.
``(d) Use of Funds.--An entity shall use amounts received under an 
award under subsection (b) to--
``(1) conduct or support activities to develop a 
competitive applicant pool, through partnership with public or 
private nonprofit institutions of higher education, local 
educational agencies, health care providers, such as sexual and 
reproductive health care providers and primary care providers, 
or other community-based entities, and establish an education 
pipeline for individuals with disabilities entering the sexual 
and reproductive health care workforce;
``(2) establish, strengthen, or expand programs to support 
the academic performance of individuals with disabilities 
participating in activities funded under this section, 
including mentorship programs;
``(3) identify, recruit, enroll, and retain individuals 
with disabilities in education and training related to sexual 
and reproductive health care;
``(4) improve the capacity of the entity involved to train, 
recruit, and retain faculty with disabilities including the 
payment of such stipends and fellowships as the Secretary may 
determine appropriate;
``(5) carry out activities to improve the information 
resources, clinical education, curricula, and competencies of 
the graduates of the entity involved, as it relates to 
individuals with disabilities;
``(6) facilitate faculty and student research on health 
issues affecting individuals with disabilities, including 
research on issues relating to the delivery of sexual and 
reproductive health care to individuals with disabilities;
``(7) carry out programs, or offer experiences, to train 
students in providing sexual and reproductive health services 
to individuals with disabilities at community-based health 
facilities that provide sexual and reproductive health 
services;
``(8) provide stipends to individuals with disabilities 
participating in activities funded under this section as the 
Secretary determines appropriate, in amounts as the Secretary 
determines appropriate, with an assurance that such stipends 
shall not result in loss of an individual's Federal or State 
benefits; or
``(9) carry out any other activities that the Secretary may 
require.
``(e) Preference.--In awarding grants, contracts, or cooperative 
agreements under this section, the Secretary shall give preference to 
applications that have been approved for programs that involve a 
comprehensive approach through multiple entities described in 
subsection (b) to establish, enhance, and expand educational programs 
that will result in the development of a competitive applicant pool of 
individuals with disabilities who desire to pursue careers in sexual 
and reproductive health care services.
``(f) Consideration for Awards.--In awarding grants, contracts, or 
cooperative agreements under this section, the Secretary shall--
``(1) consider current enrollment trends and the needs of 
certain populations, including individuals with disabilities; 
and
``(2) align and coordinate with other training programs 
administered by the Health Resources and Services 
Administration.
``(g) Effect on Other Programs.--Assistance or stipends provided to 
an individual under this section shall not be considered when applying 
asset or resource limitation provisions related to the eligibility of 
such individual for any benefit, assistance, or service provided under 
any Federal or State program.
``(h) Report.--Not later than 180 days after the end of the award 
period, the Secretary shall submit to the Committee on Health, 
Education, Labor, and Pensions of the Senate and the Committee on 
Energy and Commerce of the House of Representatives, a report 
concerning the activities carried out under this section to increase 
the representation of individuals with disabilities in the sexual and 
reproductive health profession and related training programs.
``(i) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section, $15,000,000 for each of fiscal 
years 2027 through 2031. Funds provided to carry out this section shall 
supplement not supplant funds otherwise made available to carry out 
this title.''.

SEC. 5. EXPANDING THE REPRODUCTIVE HEALTH CARE NURSING WORKFORCE.

Section 821 of the Public Health Service Act (42 U.S.C. 296m) is 
amended by adding at the end the following:
``(d) Expanding the Reproductive Health Care Nursing Workforce.--
``(1) Awards.--To assist individuals with disabilities in 
undertaking education to enter into the reproductive nursing 
workforce, the Secretary may award grants, contracts, or 
cooperative agreements under subsection (a)(1) to eligible 
entities to enable such entities to carry out the activities 
described in paragraph (3).
``(2) Application.--To be eligible to receive an award 
under paragraph (1), an entity described in such paragraph 
shall submit to the Secretary an application at such time, in 
such manner, and containing such information as the Secretary 
may require.
``(3) Use of funds.--An entity shall use amounts received 
under an award under paragraph (1) to--
``(A) conduct activities to develop a competitive 
applicant pool, through partnership with public or 
private nonprofit institutions of higher education, 
local educational agencies, nurse-managed health 
clinics, health care providers, such as sexual and 
reproductive health care providers and nurses, or other 
community-based entities, and establish an education 
pipeline for individuals with disabilities entering the 
sexual and reproductive health care nursing workforce;
``(B) establish, strengthen, or expand programs to 
support the academic performance of individuals with 
disabilities participating in activities funded under 
this subsection, including mentorship programs;
``(C) identify, recruit, enroll, and retain 
individuals with disabilities in education and training 
related to sexual and reproductive health care;
``(D) improve the capacity of the entity involved 
to train, recruit, and retain faculty with 
disabilities, including the payment of such stipends 
and fellowships as the Secretary may determine 
appropriate;
``(E) carry out activities to improve the 
information resources, clinical education, curricula, 
and competencies of the graduates of the entity 
involved, as it relates to individuals with 
disabilities;
``(F) facilitate faculty and student research to 
include evidence-based practice and quality improvement 
projects focused on health issues affecting individuals 
with disabilities, including research on issues 
relating to the delivery of sexual and reproductive 
health care to individuals with disabilities;
``(G) carry out programs, or offer experiences, to 
train students in providing sexual and reproductive 
health services to individuals with disabilities at 
community-based health care facilities that provide 
sexual and reproductive health services;
``(H) provide stipends to individuals with 
disabilities participating in activities funded under 
this subsection as the Secretary determines 
appropriate, in amounts as the Secretary determines 
appropriate, with an assurance that such stipends shall 
not result in the loss of an individual's Federal or 
State benefits; or
``(I) carry out any other activities that the 
Secretary may require.
``(4) Preference.--In awarding grants, contracts, or 
cooperative agreements under this subsection, the Secretary 
shall give preference to applications that have been approved 
for programs that involve a comprehensive approach through 
multiple entities described in paragraph (1) to establish, 
enhance, and expand educational programs that will result in 
the development of a competitive applicant pool of individuals 
with disabilities who desire to pursue careers in sexual and 
reproductive health care services.
``(5) Consideration for awards.--In awarding grants, 
contracts, or cooperative agreements under this subsection, the 
Secretary shall--
``(A) consider current enrollment trends and the 
needs of certain populations, including individuals 
with disabilities; and
``(B) align and coordinate with other training 
programs administered by the Health Resources and 
Services Administration.
``(6) Effect on other programs.--Assistance or stipends 
provided to an individual under this subsection shall not be 
considered when applying asset or resource limitation 
provisions related to the eligibility of such individual for 
any benefit, assistance, or service provided under any Federal 
or State program.
``(7) Report.--Not later than 180 days after the end of the 
award period, the Secretary shall submit to the Committee on 
Health, Education, Labor, and Pensions of the Senate and the 
Committee on Energy and Commerce of the House of 
Representatives, a report concerning the activities carried out 
under this subsection to increase the representation of 
individuals with disabilities in the sexual and reproductive 
health profession and related training programs.
``(8) Authorization of appropriations.--There is authorized 
to be appropriated to carry out this subsection, $15,000,000 
for each of fiscal years 2027 through 2031. Funds provided to 
carry out this subsection shall supplement not supplant funds 
otherwise made available to carry out this title.''.

SEC. 6. PROGRAM FOR REPRODUCTIVE HEALTH EDUCATION.

(a) In General.--The Secretary of Health and Human Services 
(referred to in this section as the ``Secretary''), acting through the 
Administrator of the Health Resources and Services Administration and 
in consultation with the Administrator of the Administration for 
Community Living, shall award grants, contracts, or cooperative 
agreements to eligible entities to provide funding for education 
programs focused on sexual and reproductive health needs for 
individuals with disabilities.
(b) Eligibility.--
(1) In general.--To be eligible to receive an award under 
this section an entity shall be a public or private nonprofit 
entity with a demonstrated expertise in serving individuals 
with disabilities, which may include--
(A) a multidisciplinary health care provider who 
provides sexual and reproductive health care services, 
such as a federally qualified health center or a Title 
X clinic;
(B) institutions of higher education, as defined in 
section 101 of the Higher Education Act of 1965, with 
expertise in sexual and reproductive health care;
(C) an entity primarily led by individuals with 
disabilities;
(D) an entity with expertise in reproductive rights 
and justice;
(E) an Indian Tribe, Tribal organization, or Urban 
Indian organization; and
(F) a consortium of entities described in any of 
subparagraphs (A) through (E).
(2) Application.--To be eligible to receive a grant, 
contract, or cooperative agreement under this section, an 
eligible entity or consortium of entities shall submit to the 
Secretary an application at such time, in such manner, and 
containing such information as the Secretary may require, that 
includes a description of the eligible entity's or entities' 
expertise in providing education programs including evidence 
that such entity has--
(A) knowledge of best practices in providing sexual 
and reproductive health care, including preventive 
health care services, to individuals with disabilities;
(B) experience working with individuals with 
disabilities and their families; and
(C) demonstrated expertise of developing materials 
in culturally and linguistically accessible formats 
including plain language.
(3) Subawards.--An eligible entity or eligible consortium 
receiving an award under this section may, for contracting 
purposes, make subawards to individuals or entities with 
expertise in sexual and reproductive health care and serving 
individuals with disabilities.
(c) Use of Funds.--An entity shall use amounts received under 
subsection (a) to--
(1) carry out evidence-based or evidence-informed sexual 
and reproductive health education programs for individuals with 
disabilities, including youth, in culturally and linguistically 
accessible formats;
(2) develop sexual and reproductive health education 
programs in culturally and linguistically accessible formats to 
be used in carrying out paragraph (1);
(3) provide education to individuals with disabilities, 
including youth, concerning abortion care options and their 
sexual, reproductive, and perinatal health care needs;
(4) provide education to individuals with disabilities, 
including youth, concerning their rights under relevant Federal 
and State law;
(5) provide access to disability affirmative and supportive 
clinical resources that are accessible to individuals with 
disabilities;
(6) build the entity's capacity and enhance their 
leadership of the entity within the community to promote 
community engagement in, and advancement of, evidence-based or 
evidence-informed sexual and reproductive health care education 
in easily accessible formats; and
(7) support dissemination of newly developed sexual and 
reproductive health care education programs as described in 
paragraph (2) throughout the State, territorial, and Tribal 
communities.
(d) Evaluation and Report.--
(1) In general.--An entity that receives an award under 
this section shall, at the end of the award period, carry out 
an evaluation of success of the entity in achieving the goals 
of the program for which the award was made.
(2) Report.--Not later than 180 days after the end of the 
award period, an entity that receives an award under this 
section shall submit to the Secretary a report on the results 
of the evaluation conducted under paragraph (1).
(3) Secretary.--The Secretary shall annually compile the 
reports submitted under paragraph (2) and submit such 
compilation to the Committee on Health, Education, Labor, and 
Pensions of the Senate and the Committee on Energy and Commerce 
of the House of Representatives. Such compilations shall be 
posted on the website of the Department of Health and Human 
Services in an accessible format.
(e) Definitions.--In this section:
(1) Disability.--The terms ``disability'' and 
``disabilities'' have the meaning given such terms for purposes 
of the Americans with Disabilities Act of 1990 (42 U.S.C. 12101 
et seq.).
(2) Indian tribe; tribal organization.--The terms ``Indian 
Tribe'' and ``Tribal organization'' have the meaning given such 
terms in section 4 of the Indian Self-Determination and 
Education Assistance Act (25 U.S.C. 5304).
(3) Urban indian organization.--The term ``Urban Indian 
organization'' has the meaning given such term in section 4 of 
the Indian Health Care Improvement Act (25 U.S.C. 1603).
(f) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section, $10,000,000 for each of fiscal 
years 2027 through 2031.

SEC. 7. NATIONAL TECHNICAL ASSISTANCE CENTER.

(a) Establishment.--The Secretary of Health and Human Services, 
acting through the Administration for Community Living, shall directly, 
or through a grant, contract, or cooperative agreement, establish a 
National Technical Assistance Center to--
(1) provide recommendations and best practices to States, 
territories, Indian Tribes, Tribal organizations, and Urban 
Indian organizations concerning improving coordination of 
services including mental health and substance use disorder 
services, social services, health care, and transportation to 
increase access to quality, integrated systems of accessible, 
comprehensive disability clinical care, and services for 
individuals with disabilities;
(2) provide technical assistance to health care providers 
on culturally and linguistically accessible and appropriate 
sexual and reproductive health care, including before, during, 
and after pregnancy and perinatal care and family planning 
services;
(3) develop resources and provide technical assistance to 
assist covered entities in complying with applicable Federal 
laws and regulations; and
(4) develop resources for individuals with disabilities 
facing barriers to accessible care, including related to 
accessible medical diagnostic equipment and the Barrier-Free 
Health Care Initiative.
(b) Definitions.--In this section:
(1) Disability.--The terms ``disability'' and 
``disabilities'' have the meaning given such terms for purposes 
of the Americans with Disabilities Act of 1990 (42 U.S.C. 12101 
et seq.).
(2) Indian tribe; tribal organization.--The terms ``Indian 
Tribe'' and ``Tribal organization'' have the meaning given such 
terms in section 4 of the Indian Self-Determination and 
Education Assistance Act (25 U.S.C. 5304).
(3) Urban indian organization.--The term ``Urban Indian 
organization'' has the meaning given such term in section 4 of 
the Indian Health Care Improvement Act (25 U.S.C. 1603).
(c) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section, $10,000,000 for each of fiscal 
years 2027 through 2031.

SEC. 8. RESEARCH STUDY.

(a) In General.--The Secretary of Health and Human Services, in 
consultation with the Administrator of the Administration for Community 
Living, shall carry out a study to--
(1) identify the types of programs and services that have 
demonstrated effectiveness in providing sexual and reproductive 
health care services for individuals with disabilities;
(2) analyze the effectiveness of Federal, State, Tribal, 
and local partnerships to coordinate efforts to ensure an 
integrated system of accessible, comprehensive sexual and 
reproductive health care for individuals with disabilities; and
(3) identify necessary memoranda of understanding or 
interagency agreements that are needed to foster data and 
public health research focusing on sexual and reproductive 
health care barriers for individuals with disabilities.
(b) Report.--Not later than 3 years after the date of enactment of 
this Act, the Secretary of Health and Human Services shall submit to 
the Committee on Health, Education, Labor, and Pensions of the Senate 
and the Committee on Energy and Commerce and the Committee on Education 
and Workforce of the House of Representatives, a report on the results 
of the study conducted under subsection (a).
(c) Definition.--In this section the terms ``disability'' and 
``disabilities'' have the meanings given such terms for purposes of the 
Americans with Disabilities Act of 1990 (42 U.S.C. 12101 et seq.).
(d) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section, $15,000,000 for fiscal year 
2027.
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