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H.R.10559 / 119th Congress

LARC Access Expansion Act

Referred to the House Committee on Energy and Commerce.

Official summary

No official summary is available in the imported record yet.

Who introduced it

Rep. Hinson, Ashley [R-IA-2] · R–IA

Committees

  • Energy and Commerce Committee
2 cosponsorship records, including any withdrawals

Actions

A procedural vote is different from passage. Passage in one chamber does not establish enactment. Explore the glossary.

  1. Referred to the House Committee on Energy and Commerce.

  2. Introduced in House

  3. Introduced in House

Bill text & related measures

Text links open the official source. We also preserved the text version used in the PlainBill explanation below.

Related bills identified by Congress.gov

No related bills are listed in this snapshot. This does not establish whether the proposal has appeared in earlier Congresses.

Source last updated: Sep 30, 2026. Consult Congress.gov for the current record.

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Neutral evidence review

Objective

Analyze H.R.10559 as objectively as possible. Explain its main provisions, who would be affected, possible benefits and harms, implementation, exceptions, and uncertainties. Present the strongest arguments for and against it, and identify evidence needed to assess its public impact.

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Fairness and public impact

Progressive lens

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Institutions and government scope

Conservative lens

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Individual rights and government power

Liberty lens

Examine H.R.10559 through a civil-liberties and limited-government lens. Consider individual rights, privacy, voluntary choice, accountability, and government power. Explain tradeoffs, possible safeguards, and the strongest counterarguments without assuming the proposal is beneficial or harmful.

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Read the proposal in plain language

AI-generated · Source-checked by AI · Oct 26, 2026

Based on the full Introduced in House · 2026-09-24 text. This explanation has not received human editorial review. This overview describes the proposal’s major provisions; it does not establish what its real-world effects would be.

What it would do

The proposed LARC Access Expansion Act would allow grants to certain health centers to expand access to long-acting reversible contraception, meaning birth control designed to last and be reversible. Grants would support staff training, supplies for same-day insertion, and remote health care coordination. Participating centers could not receive Title X funding and would have to certify that they would neither perform abortions nor fund entities that do so while receiving assistance.

Check the sources
This Act may be cited as the LARC Access Expansion Act.
Official bill text · Introduced in House · 2026-09-24
(1) Awards The Secretary may award grants to eligible health centers to provide patient access to LARCs. (2) Use of funds A grant under paragraph (1) shall be used— (A) to provide education or training on the provision of a LARC to at least two full-time health care professionals; and (B) to procure and maintain an inventory of LARCs to provide for same-day insertion.
Official bill text · Introduced in House · 2026-09-24
(ii) does not receive funds under title X; and (iii) certifies that, during the period of receiving assistance under this subsection, the health center will not perform, and will not provide any funds to any other entity that performs, an abortion. (B) The term LARC means long-acting reversible contraception.
Official bill text · Introduced in House · 2026-09-24
(1) Awards The Secretary may award grant funds to eligible health centers to use telehealth capabilities to increase women’s access to certain contraceptive methods and address known barriers to such access. (2) Eligible health centers To be eligible to seek a grant under this subsection, a health center shall— (A) not be receiving any funds under title X; (B) be receiving funds under other provisions of this section; and (C) certify that, during the period of receiving assistance under this subsection, the health center will not perform, and will not provide any funds to any other entity that performs, an abortion.
Official bill text · Introduced in House · 2026-09-24

How it would work

Section 2 would allow, but not require, the Secretary to award grants for access to long-acting reversible contraception. Recipients would have to use the grants both to educate or train at least two full-time health care professionals and to maintain contraceptive supplies for same-day insertion.

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(1) Awards The Secretary may award grants to eligible health centers to provide patient access to LARCs. (2) Use of funds A grant under paragraph (1) shall be used— (A) to provide education or training on the provision of a LARC to at least two full-time health care professionals; and (B) to procure and maintain an inventory of LARCs to provide for same-day insertion.
Official bill text · Introduced in House · 2026-09-24

To qualify for Section 2 grants, a health center would have to serve at least one specified population or area: an area with high infant death rates or high maternal illness and death rates, a medically underserved population, a designated health professional shortage area, or an identified maternity care health professional target area.

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(A) The term eligible health center means a health center that— (i) serves— (I) an area with one or more populations that have a high rate of infant mortality, or maternal morbidity and mortality; (II) a medically underserved population; (III) a health professional shortage area designated under section 332; or (IV) a maternity care health professional target area identified under section 332(k);
Official bill text · Introduced in House · 2026-09-24

Both proposed grant programs would exclude centers receiving Title X funds. Each participating center would also have to certify that, throughout its assistance period, it would neither perform abortions nor provide any funds to another entity that performs abortions.

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(ii) does not receive funds under title X; and (iii) certifies that, during the period of receiving assistance under this subsection, the health center will not perform, and will not provide any funds to any other entity that performs, an abortion.
Official bill text · Introduced in House · 2026-09-24
(A) not be receiving any funds under title X; (B) be receiving funds under other provisions of this section; and (C) certify that, during the period of receiving assistance under this subsection, the health center will not perform, and will not provide any funds to any other entity that performs, an abortion.
Official bill text · Introduced in House · 2026-09-24

Neither grant program could fund activities involving long-acting reversible contraception intended for use as emergency contraception.

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(3) Limitation No funds provided through a grant under this subsection may be used with respect to long-acting reversible contraception intended for use as emergency contraception.
Official bill text · Introduced in House · 2026-09-24
(4) Limitation No funds provided through a grant under this subsection may be used with respect to long-acting reversible contraception intended for use as emergency contraception.
Official bill text · Introduced in House · 2026-09-24

Section 3 would allow the Secretary to award demonstration-program grants for telehealth—health care delivered remotely—to increase women's contraceptive access and address barriers. Applicants would have to receive funding under other provisions of Section 330 of the Public Health Service Act, in addition to meeting the Title X and abortion-related conditions.

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Section 330 of the Public Health Service Act (42 U.S.C. 254b), as amended by section 2 of this Act, is further amended by inserting after subsection (k) the following new subsection: (l) Demonstration program for health centers for increasing access to certain contraceptive methods (1) Awards The Secretary may award grant funds to eligible health centers to use telehealth capabilities to increase women’s access to certain contraceptive methods and address known barriers to such access. (2) Eligible health centers To be eligible to seek a grant under this subsection, a health center shall— (A) not be receiving any funds under title X; (B) be receiving funds under other provisions of this section; and (C) certify that, during the period of receiving assistance under this subsection, the health center will not perform, and will not provide any funds to any other entity that performs, an abortion.
Official bill text · Introduced in House · 2026-09-24

Demonstration-grant recipients would have to establish a consortium, or cooperating group of organizations, to coordinate voluntary provision of long-acting reversible contraception at community clinics through telehealth. Its access work would include women in rural counties and in rural census tracts within urban counties designated by the Secretary.

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(A) In general An eligible health center receiving grant funds under paragraph (1) shall use such funds to establish a consortium, composed of such entities as the Secretary may specify, to coordinate the voluntary provision of long-acting reversible contraception at community clinics through telehealth resources— (i) to increase women’s access to the full range of long-acting reversible contraception at community clinics, including for women residing in rural counties or rural census tracts in urban counties as designated by the Secretary;
Official bill text · Introduced in House · 2026-09-24

The demonstration program would provide patient consultations before prescribing long-acting reversible contraception and making a referral to a physician to provide it.

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(ii) to provide patient consultations prior to prescribing a form of long-acting reversible contraception and making a referral to a physician to provide such contraception.
Official bill text · Introduced in House · 2026-09-24

The Secretary would determine which organizations could compose the consortium. Permitted participants could include rural hospitals, rural outpatient care centers and clinics, health centers operated by Indian Tribes or specified Indian organizations, and groups involved in graduate medical education.

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(B) Composition of consortium The voluntary consortium under subparagraph (A)— (i) shall be composed of such entities as the Secretary determines appropriate; and (ii) may include rural hospitals; rural community-based ambulatory patient care centers (including rural health clinics); health centers operated by an Indian Tribe, Tribal organization, or urban Indian organization; and graduate medical education consortia.
Official bill text · Introduced in House · 2026-09-24

Section 2 would renumber existing subsections of Section 330 and update internal references to accommodate the new grant provisions.

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(1) by redesignating subsections (k) through (r) as subsections (m) through (t), respectively;
Official bill text · Introduced in House · 2026-09-24
(b) Conforming changes Section 330 of the Public Health Service Act (42 U.S.C. 254b) is amended— (1) in subsection (c)(3)(B), by striking subsection (k)(3)(J) and inserting subsection (m)(3)(J); (2) in subsections (e)(1)(B), by striking subsection (k)(3) each place it appears and inserting subsection (m)(3); (3) in subsection (m)(3)(H), as so redesignated, by striking or (p) and inserting or (r); (4) in subsection (n), as so redesignated— (A) by striking subsection (k)(3) and inserting subsection (m)(3); and (B) by striking subsection (m) and inserting subsection (o); (5) in subsection (r), as so redesignated, by striking (k)(3)(G) and inserting (m)(3)(G); and (6) in subsection (t), as so redesignated— (A) in paragraph (2)(A)— (i) by striking (k)(3) and inserting (m)(3); and (ii) by striking (k)(3)(H) and inserting (m)(3)(H); and (B) in paragraph (3)(I), by striking subsection (q)(4) and inserting subsection (s)(4).
Official bill text · Introduced in House · 2026-09-24

What the record shows

The supplied actions snapshot, updated September 30, 2026, records introduction in the House and referral to the House Committee on Energy and Commerce on September 24, 2026.

Check the source
Source snapshot updated 2026-09-30T14:44:46Z. 2026-09-24: Referred to the House Committee on Energy and Commerce. 2026-09-24: Introduced in House
Official legislative record · 2026-09-30T14:44:46Z

Riders & Targeted Benefits

Reviewed version: Introduced in House · 2026-09-24. These findings describe provisions and who may benefit; they are not judgments of waste, corruption, or motive.

This review covers the supplied bill text. “None identified” does not rule out provisions in later versions or accompanying reports and disclosures.

Riders

Provisions outside the bill’s main subject, or policy changes attached to appropriations.

None identified in the reviewed text

No unrelated provision or policy attached to appropriations was identified in the complete supplied introduced text. This conclusion is limited to that version and does not establish absence in other versions or accompanying materials.

Earmarks

Spending directed to particular recipients or places outside ordinary competitive or formula-based allocation.

None identified in the reviewed text

No congressionally directed spending for a particular recipient or place was identified in the complete supplied introduced text. This conclusion is limited to that version; accompanying disclosures and other materials were not supplied.

Other targeted benefits

Narrow exceptions, exemptions, or preferential treatment that warrant a closer look.

None identified in the reviewed text

No materially narrow special exemption or preferential carve-out beyond the programs' intended coverage and eligibility conditions was identified in the complete supplied introduced text. This conclusion does not extend to other versions or accompanying materials.

What this analysis cannot establish

  • This analysis covers the complete supplied introduced text. Its provisions are proposals, not evidence of enacted law. The dated actions snapshot does not establish whether the bill advanced or became law afterward.
  • The bundle does not reproduce the existing provisions of the Public Health Service Act, including Title X and the referenced area-designation rules. Their broader requirements and interaction with these proposed grants cannot be fully assessed from this evidence.
  • The proposed text specifies no funding amount, appropriation, implementation deadline, or program expiration date. It also provides no detailed application, monitoring, or enforcement process.
  • No member earmark requests, disclosures, committee reports, conference materials, or amendment attachment history are supplied.

Full text preserved for this analysis. Legislative record snapshot: Sep 30, 2026. How PlainBill uses AI