To amend title XXVII of the Public Health Service Act to require group health plans and health insurance issuers offering group or individual health insurance coverage to permit enrollees to obtain a 365-day supply of contraceptives.

Affordability is Access Act HR 3589/S 1698 Right to Contraception Act HR 4121/S 1999 Convenient Contraception Act HR 4816 / S 2427 S Res 510 - A resolution expressing the sense of the Senate that the scientific judgement of the Food and Drug Administration that mifepristone is safe and effective should be respected, and law and policy governing access to lifesaving, time-sensitive medication abortion care in the United States should be equitable and based on science.

Client expense: $17,476 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Abortion access (general); Access to Mifepristone (general); Contraception (general); Maternal Mortality and Morbidity (general); H.R. 1117, Advancing Safe Medications for Moms and Babies Act; obstetric and gynecologic care in rural areas (general; H.R. 3305/S. 1606, Black Maternal Health Momnibus Act; H.R. 952, Kids Access to Primary Care Act of 2023; H.R. 1202/S. 704, Resident Education Deferred Interest (REDI) Act; H.R. 4933/S. 462, Mental Health Professionals Workforce Shortage Loan Repayment Act of 2023; H.R. 2389/S. 1302, Resident Physician Shortage Reduction Act of 2023; H.R. 2569, Doctors of Community (DOC) Act; Teaching Health Center Graduate Medication Education (general); physician workforce and training (general); H.R. 3838/S. 2415, Preventing Maternal Deaths Reauthorization Act of 2023; H.R. 3226/S. 1573, PREEMIE Reauthorization Act of 2023; inclusion of pregnant and lactating individuals in research (general); Implementation of P.L. 115-320, Improving Access to Maternity Care Act; telemedicine (general); H.R. 5012/S. 2647, SHINE for Autumn Act; Rural Residency Planning and Development (RRPD) Program; H.R. 4581/S. 2231, Maternal and Child Health Stillbirth Prevention Act; Implementation of P.L. 117-328, Consolidated Appropriations Act, including the Pregnant Workers Fairness Act; Health Insurance Portability and Accountability Act (general); patient-physician relationship (general); H.R. 4605/S. 948, Healthy Moms and Babies Act; H.R. 4816/S. 2427, Convenient Contraception Act; Cost-sharing for maternity care (general); H.R. 4796/S. 2439, Reproductive Health Patient Navigator Act; H.R. 4731/S. 2386, Access to Infertility Treatment and Care Act; H.R. 5066, Tech to Save Moms Act; H.R. 4901/S. 2544, Reproductive Health Care Accessibility Act; Conscientious refusals in medicine (general); H.R. 834/S. 230, Rural Physician Workforce Production Act; menopause research (general); Alliance for Innovation on Maternal Health; Residency programs in obstetrics and gynecology (general); H.R. 5568/S. 2846, CARE for Moms Act; Value-based care models for obstetrics and gynecology (general); S. 3006, SAFE in Recovery Act; H.R. 4775, Helping Tobacco Users Quit Act; Treatment of reproductive health information under the Stored Communications Act (general); Congenital syphilis (general); Tax treatment of stillbirths (general); Substance use disorder during pregnancy (general); H.R. 117, NEWBORN Act; Physician burnout (general); Maternal mental health (general).

Client expense: $130,000 · Firm income: Not reported

Abortion access (general); Access to Mifepristone (general); Contraception (general); Maternal Mortality and Morbidity (general); H.R. 1117, Advancing Safe Medications for Moms and Babies Act; obstetric and gynecologic care in rural areas (general; H.R. 3305/S. 1606, Black Maternal Health Momnibus Act; H.R. 952, Kids Access to Primary Care Act of 2023; H.R. 1202/S. 704, Resident Education Deferred Interest (REDI) Act; H.R. 4933/S. 462, Mental Health Professionals Workforce Shortage Loan Repayment Act of 2023; H.R. 2389/S. 1302, Resident Physician Shortage Reduction Act of 2023; H.R. 2569, Doctors of Community (DOC) Act; Teaching Health Center Graduate Medication Education (general); physician workforce and training (general); H.R. 3838/S. 2415, Preventing Maternal Deaths Reauthorization Act of 2023; H.R. 3226/S. 1573, PREEMIE Reauthorization Act of 2023; inclusion of pregnant and lactating individuals in research (general); Implementation of P.L. 115-320, Improving Access to Maternity Care Act; telemedicine (general); H.R. 5012/S. 2647, SHINE for Autumn Act; Rural Residency Planning and Development (RRPD) Program; H.R. 4581/S. 2231, Maternal and Child Health Stillbirth Prevention Act; Implementation of P.L. 117-328, Consolidated Appropriations Act, including the Pregnant Workers Fairness Act; Health Insurance Portability and Accountability Act (general); patient-physician relationship (general); H.R. 4605/S. 948, Healthy Moms and Babies Act; H.R. 4816/S. 2427, Convenient Contraception Act; Cost-sharing for maternity care (general); H.R. 4796/S. 2439, Reproductive Health Patient Navigator Act; H.R. 4731/S. 2386, Access to Infertility Treatment and Care Act; H.R. 5066, Tech to Save Moms Act; H.R. 4901/S. 2544, Reproductive Health Care Accessibility Act; Conscientious refusals in medicine (general); H.R. 834/S. 230, Rural Physician Workforce Production Act; menopause research (general); Alliance for Innovation on Maternal Health; Residency programs in obstetrics and gynecology (general); H.R. 5568/S. 2846, CARE for Moms Act; Value-based care models for obstetrics and gynecology (general); S. 3006, SAFE in Recovery Act; H.R. 4775, Helping Tobacco Users Quit Act; Treatment of reproductive health information under the Stored Communications Act (general); Congenital syphilis (general); Tax treatment of stillbirths (general); Substance use disorder during pregnancy (general); H.R. 117, NEWBORN Act; Physician burnout (general); Maternal mental health (general).

Abortion access (general); Access to Mifepristone (general); Contraception (general); Maternal Mortality and Morbidity (general); H.R. 1117, Advancing Safe Medications for Moms and Babies Act; obstetric and gynecologic care in rural areas (general; H.R. 3305/S. 1606, Black Maternal Health Momnibus Act; H.R. 952, Kids Access to Primary Care Act of 2023; H.R. 1202/S. 704, Resident Education Deferred Interest (REDI) Act; H.R. 4933/S. 462, Mental Health Professionals Workforce Shortage Loan Repayment Act of 2023; H.R. 2389/S. 1302, Resident Physician Shortage Reduction Act of 2023; H.R. 2569, Doctors of Community (DOC) Act; Teaching Health Center Graduate Medication Education (general); physician workforce and training (general); H.R. 3838/S. 2415, Preventing Maternal Deaths Reauthorization Act of 2023; H.R. 3226/S. 1573, PREEMIE Reauthorization Act of 2023; inclusion of pregnant and lactating individuals in research (general); Implementation of P.L. 115-320, Improving Access to Maternity Care Act; telemedicine (general); H.R. 5012/S. 2647, SHINE for Autumn Act; Rural Residency Planning and Development (RRPD) Program; H.R. 4581/S. 2231, Maternal and Child Health Stillbirth Prevention Act; Implementation of P.L. 117-328, Consolidated Appropriations Act, including the Pregnant Workers Fairness Act; Health Insurance Portability and Accountability Act (general); patient-physician relationship (general); H.R. 4605/S. 948, Healthy Moms and Babies Act; H.R. 4816/S. 2427, Convenient Contraception Act; Cost-sharing for maternity care (general); H.R. 4796/S. 2439, Reproductive Health Patient Navigator Act; H.R. 4731/S. 2386, Access to Infertility Treatment and Care Act; H.R. 5066, Tech to Save Moms Act; H.R. 4901/S. 2544, Reproductive Health Care Accessibility Act; Conscientious refusals in medicine (general); H.R. 834/S. 230, Rural Physician Workforce Production Act; menopause research (general); Alliance for Innovation on Maternal Health; Residency programs in obstetrics and gynecology (general); H.R. 5568/S. 2846, CARE for Moms Act; Value-based care models for obstetrics and gynecology (general); S. 3006, SAFE in Recovery Act; H.R. 4775, Helping Tobacco Users Quit Act; Treatment of reproductive health information under the Stored Communications Act (general); Congenital syphilis (general); Tax treatment of stillbirths (general); Substance use disorder during pregnancy (general); H.R. 117, NEWBORN Act; Physician burnout (general); Maternal mental health (general).

A bill to amend title XXVII of the Public Health Service Act to require group health plans and health insurance issuers offering group or individual health insurance coverage to permit enrollees to obtain a 365-day supply of contraceptives. (S. 2427/H.R. 4816) Reproductive Health Care Accessibility Act (S. 4764/H.R. 9040) Child Marriage Prevention Act of 2023 The Orally Taken Contraception Act (H.R. 4626) Right to Contraception Act (S. 4557)

Client expense: $306,810 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

Abortion access (general); Access to Mifepristone (general); Contraception (general); Maternal Mortality and Morbidity (general); H.R. 1117, Advancing Safe Medications for Moms and Babies Act; obstetric and gynecologic care in rural areas (general; H.R. 3305/S. 1606, Black Maternal Health Momnibus Act; H.R. 952, Kids Access to Primary Care Act of 2023; H.R. 1202/S. 704, Resident Education Deferred Interest (REDI) Act; H.R. 4933/S. 462, Mental Health Professionals Workforce Shortage Loan Repayment Act of 2023; H.R. 2389/S. 1302, Resident Physician Shortage Reduction Act of 2023; H.R. 2569, Doctors of Community (DOC) Act; Teaching Health Center Graduate Medication Education (general); physician workforce and training (general); H.R. 3838/S. 2415, Preventing Maternal Deaths Reauthorization Act of 2023; H.R. 3226/S. 1573, PREEMIE Reauthorization Act of 2023; inclusion of pregnant and lactating individuals in research (general); Implementation of P.L. 115-320, Improving Access to Maternity Care Act; telemedicine (general); H.R. 5012/S. 2647, SHINE for Autumn Act; Rural Residency Planning and Development (RRPD) Program; H.R. 4581/S. 2231, Maternal and Child Health Stillbirth Prevention Act; Implementation of P.L. 117-328, Consolidated Appropriations Act, including the Pregnant Workers Fairness Act; Health Insurance Portability and Accountability Act (general); patient-physician relationship (general); H.R. 4605/S. 948, Healthy Moms and Babies Act; H.R. 4816/S. 2427, Convenient Contraception Act; Cost-sharing for maternity care (general); H.R. 4796/S. 2439, Reproductive Health Patient Navigator Act; H.R. 4731/S. 2386, Access to Infertility Treatment and Care Act; H.R. 5066, Tech to Save Moms Act; H.R. 4901/S. 2544, Reproductive Health Care Accessibility Act; Conscientious refusals in medicine (general); H.R. 834/S. 230, Rural Physician Workforce Production Act; menopause research (general); Alliance for Innovation on Maternal Health; Residency programs in obstetrics and gynecology (general); H.R. 5568/S. 2846, CARE for Moms Act; Value-based care models for obstetrics and gynecology (general); S. 3006, SAFE in Recovery Act; H.R. 4775, Helping Tobacco Users Quit Act; Treatment of reproductive health information under the Stored Communications Act (general); Congenital syphilis (general); Tax treatment of stillbirths (general); Substance use disorder during pregnancy (general); H.R. 117, NEWBORN Act; Physician burnout (general); Maternal mental health (general).

Reproductive healthcare in federal spending bills and the presidential budget; Reproductive Rights and Roe v. Wade and Dobbs v. Jackson Womens Health Organization; Federal issues related to state abortion bans and abortion access in the United States; Administrative actions to protect and expand abortion access; Access to reproductive health services, including contraception and abortion, for veterans and service members and dependents; H.R.2670/S.2226, National Defense Authorization Act, access to reproductive health services, including contraception and abortion, for servicemembers and dependents; Denials of and nondiscrimination in healthcare; Restrictions on funding for entities that provide abortion care, including medical training and defunding abortion providers; Access to contraception and the right to contraception, including the Right to Contraception Act; Access to and affordability of OTC contraceptives; H.R.4816/S.2427, the Convenient Contraception Act, requires insurance coverage for 12 months of contraceptives dispensed at one time; LGBTQI+ rights; Discrimination against LGBTQI+ people; Bans and restrictions on gender-affirming care; H.R.561/S.1031, the EACH Act of 2023, regarding access to affordable health insurance plans that cover abortion; H.R.12 and S.701 the Women's Health Protection Act, regarding access to abortion care; S.2053, Freedom to Travel for Health Care Act of 2023 H.R.782, Ensuring Womens Right to Reproductive Freedom Act, regarding the right to travel to seek reproductive health care; Funding for costs related to traveling for abortion care; Access to evidence-based medication abortion care; Issues related Alliance for Hippocratic (AHM) v. FDA; Issues related to discrimination and mistreatment of pregnant people, including implementation of the Pregnant Workers Fairness Act and opposing restraining detained pregnant people; Paid Family and Medical Leave, including H.R.3481 and S.1714 the FAMILY Act; H.R.4901/S.2544, the Reproductive Health Care Accessibility Act, which would eliminate barriers and expand access to reproductive health care for people with disabilities.

Affordability is Access Act HR 3589/S 1698 Right to Contraception Act HR 4121/S 1999 Black Maternal Health Momnibus HR 3305/S 1606 Enhancing Questions to Understand Intentions for Pregnancy (EQUIP) Act HR 3659 Anti-Racism in Public Health Act HR 2904/S 1317 Establishing Office of Sexual and Reproductive Health HR 4281 Resolution Opposing Criminalization of People Seeking Essential Health Care H Res 561 Convenient Contraception Act HR 4816 / S 2427 Reproductive Health Care Accessibility Act HR 4901 / S 2544 HEAL Act HR 4007 / S 2809 World Contraception Day Resolution H Res 68

Client expense: $22,842 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE

In Q3 2023, Upstream USA lobbied in support of increased Title X funding to various Congressional offices. We also conducted outreach to Sen. Fetterman's office to offer a note of support of the Convenient Contraception Act (H.R. 4816/S. 2427). Additionally, Upstream met with Sen. Schumer in person to discuss various topics including increasing FY24 funding for Title X, discussing the timeline for a floor vote on the Right to Contraception Act, and generally about Upstream's programmatic work with health care organizations.

Client expense: $10,000 · Firm income: Not reported

Government targets: HOUSE OF REPRESENTATIVES, SENATE