S. 4381Senate118th Congress (2023-2025)Failed

Right to Contraception Act

Introduced May 21, 2024

AI-Generated Summary

Updated January 20, 2026 at 4:51 PM UTC

The Right to Contraception Act creates a federal right for individuals to obtain contraceptives and for health‑care providers to offer them and related information. It blocks any federal, state, or local law that limits the sale, provision, or use of contraceptives. The law also allows people and providers to sue states or officials that impose such restrictions, with the Attorney General able to bring actions on the government’s behalf.

Key Provisions

  • Defines "contraception" and "contraceptive" and clarifies who counts as a health‑care provider and as government.
  • Grants individuals a statutory right to obtain contraceptives and providers a right to furnish them without coercion or discrimination.
  • Prohibits any law, rule, or regulation that restricts the sale, provision, or use of contraceptives or that impedes access.
  • Preempts conflicting state or federal restrictions, overriding other laws including the Religious Freedom Restoration Act.
  • Creates a private right of action for affected individuals or providers and allows the Attorney General to sue violating states or officials, with courts able to issue injunctive relief and award fees.

Legislative Activity

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8 earlier actions
SenateFloor Latest Action

Motion to table the motion to proceed to the measure agreed to in Senate by Voice Vote.

June 5, 2024

View full timeline
SenateIntro Referral

Introduced in Senate

May 21, 2024

SenateCalendars

Introduced in the Senate. Read the first time. Placed on Senate Legislative Calendar under Read the First Time.

May 21, 2024

SenateCalendars

Read the second time. Placed on Senate Legislative Calendar under General Orders. Calendar No. 400.

May 22, 2024

SenateFloor

Motion to proceed to consideration of measure made in Senate. (CR S3915)

June 3, 2024

SenateFloor

Cloture motion on the motion to proceed to the measure presented in Senate. (CR S3915)

June 3, 2024

SenateFloor

Motion to proceed to consideration of measure made in Senate. (CR S3971)

June 5, 2024

SenateFloor

Cloture on the motion to proceed to the measure not invoked in Senate by Yea-Nay Vote. 51 - 39. Record Vote Number: 190. (CR S3982)

June 5, 2024

SenateFloor

Motion by Senator Schumer to reconsider the vote by which cloture on the motion to proceed to the measure was not invoked (Record Vote No. 190) made in Senate.

June 5, 2024

SenateFloor

Motion to table the motion to proceed to the measure agreed to in Senate by Voice Vote.

June 5, 2024

Floor Debate

20 members

What members said about S. 4381 on the floor

4 Republicans16 Democrats
Benjamin L. Cardin
Sen. Benjamin L. CardinD-MD · Jun 5, 2024

Madam President, I rise today to urge my colleagues to join me in supporting the Right to Contraception Act. Now more than ever, it is vital to codify reproductive rights. The right to contraception…

Edward J. Markey
Sen. Edward J. MarkeyD-MA · Jun 5, 2024

Madam President, thank you to my partner Senator Hirono from Hawaii and to all of the Senators who today are going to lead on this issue of ensuring that people in the United States have access to…

Mazie K. Hirono
Sen. Mazie K. HironoD-HI · Jun 5, 2024

Madam President, I rise today in proud support of the Right to Contraception Act, straightforward legislation that would protect individuals' right to access contraception and providers' right to…

Maria Cantwell
Sen. Maria CantwellD-WA · Jun 5, 2024

Madam President, I join my colleagues out here on the floor. I thank the Senator from Minnesota for her unbelievable advocacy on behalf of women and healthcare and for her constant leadership on this…

Amy Klobuchar
Sen. Amy KlobucharD-MN · Jun 5, 2024

Madam President, I rise in support of the Right to Contraception Act. I would like to thank Senators Markey, Hirono, Murray, and Duckworth for their leadership on this bill. Senator Hirono is here.…

Show 8 more
Jeanne Shaheen
Sen. Jeanne ShaheenD-NH · Jun 5, 2024

Madam President, I am here today with the same concern that we heard from my colleagues--that this country is failing women in New Hampshire and across the country when it comes to protecting our…

Tina Smith
Sen. Tina SmithD-MN · Jun 5, 2024

Madam President, I rise today with my colleagues to urge all of my colleagues to vote in favor of the Right to Contraception Act. At its core, this bill is based on a very simple value. The value is…

Debbie Stabenow
Sen. Debbie StabenowD-MI · Jun 5, 2024

Madam President, I rise at a very serious moment in our history. I want to thank Senator Hirono, Senator Markey, all of our colleagues, for joining together in really--not only speaking out but…

Joni Ernst
Sen. Joni ErnstR-IA · Jun 5, 2024

The so-called Right to Contraception Act goes far beyond the scope of providing access to contraception. It is important the American people understand what the Democrats are peddling. Senator…

Bill Cassidy
Sen. Bill CassidyR-LA · Jun 5, 2024

Madam President, I ask unanimous consent to ask that baby to come back into the spectators' Gallery. That was the sweetest noise we have heard here for quite some time. Right to Contraception Act…

Patty Murray
Sen. Patty MurrayD-WA · Jun 5, 2024

Madam President, I want to thank all of my colleagues who are here on the floor and thank Senator Hirono, who has led this legislation, along with Senator Markey. As you just heard, today, every…

Catherine Cortez Masto
Sen. Catherine Cortez MastoD-NV · Jun 5, 2024

Madam President, I am thrilled to be joining Senators Markey, Hirono, Duckworth, and all of my colleagues today in support of the Right to Contraception Act. This month marks the second anniversary…

Brian Schatz
Sen. Brian SchatzD-HI · Jun 5, 2024

Madam President, for years, people were accused of being hysterical for saying Republicans would actually take away people's reproductive freedoms. The prevailing Republican position to ban abortions…

Show 11 more
Laphonza R. Butler
Sen. Laphonza R. ButlerD-CA · Jun 5, 2024

Madam President, I rise today to join my colleagues in calling for the passage of the Right to Contraception Act. I would like to start, of course, by thanking Senators Markey, Hirono, and Duckworth…

Ted Cruz
Sen. Ted CruzR-TX · Jun 5, 2024

Madam President, I want to thank the Senator from Iowa for her legislation, important legislation, protecting the right to birth control and making it easier for women to have access to birth control…

Gary C. Peters
Sen. Gary C. PetersD-MI · Jun 5, 2024

Madam President, we are living through a new era in a fight for reproductive freedom. This month marks 2 years since the extreme conservative majority on the Supreme Court struck down Roe v. Wade.…

Tina Smith
Sen. Tina SmithD-MN · Jun 5, 2024

Madam President, reserving the right to object, I have great respect for my colleague from Iowa, our neighbor to the south, but we just disagree on this issue. I think that this is an attempt by…

Charles E. Schumer
Sen. Charles E. SchumerD-NY · Jun 5, 2024

Madam President, today, every Senator must take a stand: If you agree all Americans deserve access to contraception, then vote yes on the Right to Contraception Act. This bill simply says that if you…

John Thune
Sen. John ThuneR-SD · Jun 5, 2024

The following Senators are necessarily absent: the Senator from Indiana (Mr. Braun), the Senator from Alabama (Mrs. Britt), the Senator from South Carolina (Mr. Graham), the Senator from Tennessee…

Margaret Wood Hassan
Sen. Margaret Wood HassanD-NH · May 21, 2024

Mr. President, I understand that there is a bill at the desk, and I ask for its first reading. Mr. President, I now ask for a second reading, and in order to place the bill on the calendar under the…

Charles E. Schumer
Sen. Charles E. SchumerD-NY · Jun 3, 2024

Madam President, I move to proceed to Calendar No. 400, I send a cloture motion to the desk. Madam President, I suggest the absence of a quorum. Madam President, I ask unanimous consent that the…

Charles E. Schumer
Sen. Charles E. SchumerD-NY · May 22, 2024

Mr. President, I understand that there is a bill at the desk that is due for a second reading. Mr. President, in order to place the bill on the calendar under the provisions of rule XIV, I would…

Richard J. Durbin
Sen. Richard J. DurbinD-IL · Jun 5, 2024

I announce that the Senator from New Jersey (Mr. Menendez) is necessarily absent.

Charles E. Schumer
Sen. Charles E. SchumerD-NY · Jun 5, 2024

Madam President, I move to table the motion to proceed to S. 4381.

Bill Text

Latest available legislative text

Reading Mode
Latest
Placed on Calendar SenateIssued May 22, 2024

II

Calendar No. 400

118th CONGRESS

2d Session

S. 4381

IN THE SENATE OF THE UNITED STATES

May 21, 2024

Mr. Markey (for himself, Ms. Baldwin, Mr. Bennet, Mr. Blumenthal, Mr. Booker, Mr. Brown, Ms. Butler, Ms. Cantwell, Mr. Cardin, Mr. Carper, Mr. Casey, Mr. Coons, Ms. Cortez Masto, Ms. Duckworth, Mr. Durbin, Mr. Fetterman, Mrs. Gillibrand, Ms. Hassan, Mr. Heinrich, Mr. Hickenlooper, Ms. Hirono, Mr. Kaine, Mr. Kelly, Mr. King, Ms. Klobuchar, Mr. Luján, Mr. Menendez, Mr. Merkley, Mr. Murphy, Mrs. Murray, Mr. Ossoff, Mr. Padilla, Mr. Peters, Mr. Reed, Ms. Rosen, Mr. Sanders, Mr. Schatz, Mr. Schumer, Mrs. Shaheen, Ms. Sinema, Ms. Smith, Ms. Stabenow, Mr. Tester, Mr. Van Hollen, Mr. Warner, Mr. Warnock, Ms. Warren, Mr. Welch, Mr. Whitehouse, and Mr. Wyden) introduced the following bill; which was read the first time

May 22, 2024

Read the second time and placed on the calendar

A BILL

To protect an individual’s ability to access contraceptives and to engage in contraception and to protect a health care provider’s ability to provide contraceptives, contraception, and information related to contraception.

1.

Short title

This Act may be cited as the Right to Contraception Act .

2.

Definitions

In this Act:

(1)

Contraception

The term contraception means an action taken to prevent pregnancy, including the use of contraceptives or fertility-awareness-based methods and sterilization procedures.

(2)

Contraceptive

The term contraceptive means any drug, device, or biological product intended for use in the prevention of pregnancy, whether specifically intended to prevent pregnancy or for other health needs, that is approved, cleared, authorized, or licensed under section 505, 510(k), 513(f)(2), 515, or 564 of the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 355, 360(k), 360c(f)(2), 360e, 360bbb–3) or section 351 of the Public Health Service Act (42 U.S.C. 262).

(3)

Government

The term government includes each branch, department, agency, instrumentality, and official of the United States or a State.

(4)

Health care provider

The term health care provider means any entity or individual (including any physician, certified nurse-midwife, nurse, nurse practitioner, physician assistant, and pharmacist) that is licensed or otherwise authorized by a State to provide health care services.

(5)

State

The term State includes each of the 50 States, the District of Columbia, the Commonwealth of Puerto Rico, each territory and possession of the United States, and each Indian Tribe (as defined in section 4 of the Indian Self-Determination and Education Assistance Act (25 U.S.C. 5304)), and any political subdivision of any of the foregoing, including any unit of local government, such as a county, city, town, village, or other general purpose political subdivision of a State.

3.

Purposes

The purposes of this Act are—

(1)

to provide a clear and comprehensive right to contraception;

(2)

to permit individuals to seek and obtain contraceptives and engage in contraception, and to permit health care providers to facilitate that care; and

(3)

to protect an individual’s ability to make decisions about their body, medical care, family, and life’s course, and thereby protect the individual’s ability to participate equally in the economic and social life of the United States.

4.

Permitted services

(a)

In general

An individual has a statutory right under this Act to obtain contraceptives and to voluntarily engage in contraception, free from coercion, and a health care provider has a corresponding right to provide contraceptives, contraception, and information, referrals, and services related to contraception.

(b)

Limitations or requirements

The statutory rights specified in subsection (a) shall not be limited or otherwise infringed through any limitation or requirement that—

(1)

expressly, effectively, implicitly, or as-implemented singles out—

(A)

the provision of contraceptives, contraception, or contraception-related information;

(B)

health care providers who provide contraceptives, contraception, or contraception-related information; or

(C)

facilities in which contraceptives, contraception, or contraception-related information is provided; and

(2)

impedes access to contraceptives, contraception, or contraception-related information.

(c)

Exception

To defend against a claim that a limitation or requirement violates a health care provider’s or individual’s statutory rights under subsection (b), a party must establish, by clear and convincing evidence, that—

(1)

the limitation or requirement significantly advances access to contraceptives, contraception, and information related to contraception; and

(2)

access to contraceptives, contraception, and information related to contraception or the health of patients cannot be advanced by a less restrictive alternative measure or action.

(d)

Rule of construction

Nothing in this section shall be construed to limit the authority of the Secretary of Health and Human Services, acting through the Commissioner of Food and Drugs, to approve, clear, authorize, or license contraceptives under section 505, 510(k), 513(f)(2), 515, or 564 of the Federal Food, Drug, and Cosmetic Act (21 U.S.C. 355, 360(k), 360c(f)(2), 360e, 360bbb–3) or section 351 of the Public Health Service Act (42 U.S.C. 262), or for the Federal Government to enforce such approval, clearance, authorization, or licensure.

5.

Applicability and preemption

(a)

General application

(1)

In general

Except as provided in subsection (c), this Act supersedes and applies to the law of the Federal Government and each State, and the implementation of such law, whether statutory, common law, or otherwise, and whether adopted before or after the date of enactment of this Act.

(2)

Prohibition

Neither the Federal Government nor any State may administer, implement, or enforce any law, rule, regulation, standard, or other provision having the force and effect of law in a manner that—

(A)

prohibits or restricts the sale, provision, or use of any contraceptives;

(B)

prohibits or restricts any individual from aiding another individual in voluntarily obtaining or using any contraceptives or contraceptive methods; or

(C)

exempts any contraceptives or contraceptive methods from any other generally applicable law in a way that would make it more difficult to sell, provide, obtain, or use such contraceptives or contraceptive methods.

(3)

Relationship with other laws

This Act applies notwithstanding any other provision of Federal law, including the Religious Freedom Restoration Act of 1993 (42 U.S.C. 2000bb et seq.).

(b)

Subsequently enacted Federal legislation

Federal law enacted after the date of enactment of this Act is subject to this Act, unless such law explicitly excludes such application by reference to this Act.

(c)

Limitations

The provisions of this Act shall not supersede or otherwise affect any provision of Federal law relating to coverage under (and shall not be construed as requiring the provision of specific benefits under) group health plans or group or individual health insurance coverage or coverage under a Federal health care program (as defined in section 1128B(f) of the Social Security Act (42 U.S.C. 1320a–7b(f))), including coverage provided under section 1905(a)(4)(C) of the Social Security Act (42 U.S.C. 1396d(a)(4)(C)) and section 2713 of the Public Health Service Act (42 U.S.C. 300gg–13).

(d)

Defense

In any cause of action against an individual or entity who is subject to a limitation or requirement that violates this Act, in addition to the remedies specified in section 7, this Act shall also apply to, and may be raised as a defense by, such an individual or entity.

(e)

Effective date

This Act shall take effect immediately upon the date of enactment of this Act.

6.

Rules of construction

(a)

In general

In interpreting the provisions of this Act, a court shall liberally construe such provisions to effectuate the purposes described in section 3.

(b)

Rule of construction

Nothing in this Act shall be construed—

(1)

to authorize any government to interfere with a health care provider’s ability to provide contraceptives or information related to contraception or a patient’s ability to obtain contraceptives or to engage in contraception; or

(2)

to permit or sanction the conduct of any sterilization procedure without the patient’s voluntary and informed consent.

(c)

Other individuals considered as government officials

Any individual who, by operation of a provision of Federal or State law, is permitted to implement or enforce a limitation or requirement that violates section 4 shall be considered a government official for purposes of this Act.

7.

Enforcement

(a)

Attorney General

The Attorney General may commence a civil action on behalf of the United States against any State that violates, or against any government official (including an individual described in section 6(c)) that implements or enforces a limitation or requirement that violates, section 4. The court shall hold unlawful and set aside the limitation or requirement if it is in violation of this Act.

(b)

Private right of action

(1)

In general

Any individual or entity, including any health care provider or patient, adversely affected by an alleged violation of this Act, may commence a civil action against any State that violates, or against any government official (including an individual described in section 6(c)) that implements or enforces a limitation or requirement that violates, section 4. The court shall hold unlawful and set aside the limitation or requirement if it is in violation of this Act.

(2)

Health care provider

A health care provider may commence an action for relief on its own behalf, on behalf of the provider’s staff, and on behalf of the provider’s patients who are or may be adversely affected by an alleged violation of this Act.

(c)

Equitable relief

In any action under this section, the court may award appropriate equitable relief, including temporary, preliminary, and permanent injunctive relief.

(d)

Costs

In any action under this section, the court shall award costs of litigation, as well as reasonable attorney’s fees, to any prevailing plaintiff. A plaintiff shall not be liable to a defendant for costs or attorney’s fees in any nonfrivolous action under this section.

(e)

Jurisdiction

The district courts of the United States shall have jurisdiction over proceedings under this Act and shall exercise the same without regard to whether the party aggrieved shall have exhausted any administrative or other remedies that may be provided for by law.

(f)

Abrogation of State immunity

Neither a State that enforces or maintains, nor a government official (including an individual described in section 6(c)) who is permitted to implement or enforce any limitation or requirement that violates section 4 shall be immune under the Tenth Amendment to the Constitution of the United States, the Eleventh Amendment to the Constitution of the United States, or any other source of law, from an action in a Federal or State court of competent jurisdiction challenging that limitation or requirement.

8.

Severability

If any provision of this Act, or the application of such provision to any individual, entity, government, or circumstance, is held to be unconstitutional, the remainder of this Act, or the application of such provision to all other individuals, entities, governments, or circumstances, shall not be affected thereby.

May 22, 2024

Read the second time and placed on the calendar