Sen. Duckworth, Tammy [D-IL]

Wage Theft Prevention and Wage Recovery Act

United States · United States Congress · 12 September 2023

VA Emergency Transportation Access Act

United States · United States Congress · 11 September 2023

School Bus Safety Act of 2023

United States · United States Congress · 7 September 2023

School Bus Safety Act of 2023 This bill directs the Department of Transportation (DOT) to issue rules requiring school buses to have certain safety features. DOT must also establish a grant program to assist in the implementation of the requirements. Specifically, DOT must issue rules requiring school buses to include three-point safety belts for all seats, a fire suppression system which addresses engine fires, a firewall between the engine and passenger compartment that prevents hazardous quantities of gas or flames from passing through the firewall, increased performance standards for interior flammability and smoke emissions, an automatic emergency braking system, an event data recorder, and an electronic stability control system. DOT must also require at least eight hours of behind-the-wheel training for school bus operators that meets specified requirements. Further, the Federal Motor Carrier Safety Administration and the National Highway Traffic Safety Administration (NHTSA) must issue rules on the evaluation of safety sensitive personnel for moderate-to-severe obstructive sleep apnea. NHTSA must also study the benefits of requiring school buses manufactured in, or imported into, the United States to be equipped with a motion-activated detection system that is capable of detecting road users (e.g., pedestrians and bicyclists) and alerting the bus operator of their presence. NHTSA must issue rules implementing such a requirement. Finally, DOT must establish a grant program to assist local educational agencies in (1) purchasing school buses equipped with three-point safety belts or any of the other safety features required under this bill, and (2) modifying existing school buses.

Reducing Waste in National Parks Act

United States · United States Congress · 6 September 2023

Nationwide Right To Unionize Act

United States · United States Congress · 5 September 2023

Nationwide Right To Unionize Act This bill authorizes labor agreements to require membership in a labor organization (i.e., union) as a condition of employment regardless of state law (thus preempting any state laws that prohibit such agreements).

Break the Cycle of Violence Act

United States · United States Congress · 27 July 2023

A resolution designating August 16, 2023, as "National Airborne Day".

United States · United States Congress · 27 July 2023

This resolution designates August 16, 2023, as National Airborne Day.

A resolution declaring racism a public health crisis.

United States · United States Congress · 27 July 2023

This resolution declares racism a public health crisis and supports efforts to address health disparities and inequities across all sectors.

Renewing Immigration Provisions of the Immigration Act of 1929

United States · United States Congress · 27 July 2023

Renewing Immigration Provisions of the Immigration Act of 1929 This bill expands eligibility for a program that authorizes the Department of Homeland Security to, at its discretion, provide lawful permanent resident status to certain long-term residents of the United States, including individuals who are unlawfully present. Currently, this program, sometimes referred to as the Registry program, is only available to eligible non-U.S. nationals ( aliens under federal law) who entered the United States before January 1, 1972. The bill removes this entry cutoff date and opens up the program to eligible individuals who have resided in the United States for at least seven years. Existing requirements (e.g., the individual must not be inadmissible or deportable due to certain grounds related to crime or terrorism) continue to apply.

A concurrent resolution urging the establishment of a United States Commission on Truth, Racial Healing, and Transformation.

United States · United States Congress · 27 July 2023

This concurrent resolution affirms, more than 400 years after the arrival of the first slave ship, that the United States owes a debt of remembrance to those who lived through slavery or other historical injustices against people of color, as well as to their descendants. It also urges the establishment of a U.S. Commission on Truth, Racial Healing, and Transformation.

Ensuring Accountability for Equity at USDA Act

United States · United States Congress · 27 July 2023

Ensuring Accountability for Equity at USDA Act This bill directs the Department of Agriculture (USDA) to improve the equitable availability and distribution of USDA services and program benefits through specific actions.  Under the bill, USDA must    include within the performance evaluations for USDA senior leadership a review of an individual's direct efforts to improve equity in USDA programs and services; issue uniform, department-wide guidance on collecting and responding to feedback and using that feedback to improve efforts to provide more equitable and consistent services; and build frontline USDA customer service staff capacity to make eligible services or benefits available to customers. USDA must also notify Congress when it has identified an opportunity to improve equity in a particular program or service, but lacks the authority to make the necessary changes. Further, the bill requires additional information to be included in USDA's annual data report (which is meant to assess and hold USDA accountable for the nondiscriminatory participation of socially disadvantaged farmers and ranchers in USDA programs). The report must also describe trends in the data and include a discussion of efforts to implement necessary improvements to equity. In addition, USDA must use collected data to examine and assess USDA programs and policies to identify and understand communities, organizations, groups, and individuals in need of USDA services or benefits. 

PHS COR Act

United States · United States Congress · 27 July 2023

Public Health Service Commissioned Corps Operations and Readiness Act or the PHS COR Act This bill requires various activities to support the operations of the Commissioned Corps of the U.S. Public Health Service. Required activities include (1) recruiting and retaining professionals suited to work in underserved and vulnerable communities, (2) improving processes for deploying mission teams to routine and emergent public health events, and (3) establishing an office to carry out legislative affairs functions.

AANAPISI Opportunity Act

United States · United States Congress · 27 July 2023

AANAPISI Opportunity Act This bill requires the Department of Agriculture (USDA) to establish a scholarship grant program for covered Asian American and Native American Pacific Islander-serving institutions (AANAPISIs) to provide scholarships in agriculture-related fields. Covered institutions include institutions of higher education that (1) have a student body consisting of at least 10% Asian American or Native American Pacific Islander students; and (2) offer associate, bachelors, or other accredited degree programs in agriculture-related fields. USDA may only award the grants to AANAPISIs that have established a competitive scholarship awards process for individuals who intend to pursue a career in agriculture, including in the agricultural disciplines of business, engineering, technology, food science, forestry, home economics, nutrition, soil conservation, non-medical biological sciences, and computer science. This bill also allows USDA to provide competitive grants for up to five years for integrated agricultural research, education, and extension projects at covered AANAPISIs to address U.S. agriculture priorities. The project grants include a 50% matching funds requirement that USDA may waive if certain requirements are met.

Rebuild America’s Schools Act of 2023

United States · United States Congress · 27 July 2023

Rebuild America's Schools Act of 2023 This bill provides support for long-term improvements to public elementary and secondary school facilities. First, the bill sets forth allocations to states and establishes a need-based grant program for local educational agencies (LEAs) to improve school facilities. Further, the bill specifies allowable uses of grant funds, including carrying out major repairs, improving indoor air quality, and making facilities accessible to disabled individuals. Additionally, the bill requires LEAs that receive funds for new construction, modernization, or renovation projects to comply with hazard-resistance building codes and performance criteria under the WaterSense program of the Environmental Protection Agency. Further, the bill requires such LEAs to adopt certain green practices (environmental standards) and requires the use of iron, steel, and manufactured products that are made in the United States (Buy America). The bill restores school infrastructure tax credit bonds. The bill also sets forth reporting requirements, including annual reports on grant program projects and a report by the Government Accountability Office that requires a study of the geographic distribution of projects, the impact of selected projects on student and staff health and safety, and the accessibility of projects to high-poverty schools. The bill also establishes the Office of School Infrastructure and Sustainability within the Department of Education. Next, the bill extends through FY2028 the Impact Aid Construction program. Finally, the bill establishes a grant program to assist LEAs with repairing or replacing concrete foundations affected by pyrrhotite (an iron sulfide material linked to crumbling foundations).

A joint resolution expressing the sense of Congress that the article of amendment commonly known as the "Equal Rights Amendment" has been validly ratified and is enforceable as the 28th Amendment to the Constitution of the United States, and the Archivist of the United States must certify and publish the Equal Rights Amendment as the 28th Amendment without delay.

United States · United States Congress · 27 July 2023

This joint resolution expresses the sense of Congress that the Equal Rights Amendment, which prohibits discrimination on the basis of sex, was ratified by more than three-fourths of the states and is therefore a valid constitutional amendment, effective January 27, 2020 (the date of Virginia's ratification). The Equal Rights Amendment was originally proposed to the states in 1972. The original proposal included a deadline for ratification of March 22, 1979; Congress subsequently extended the deadline to June 30, 1982. Although the requisite 38 states have ratified the amendment, three of these states did so after the deadlines, and five states subsequently rescinded their ratifications. The status of the amendment has been the subject of litigation.

Women's Retirement Protection Act

United States · United States Congress · 27 July 2023

Better CARE for Animals Act of 2023

United States · United States Congress · 27 July 2023

Better Collaboration, Accountability, and Regulatory Enforcement for Animals Act of 2023 or the Better CARE for Animals Act of 2023 This bill modifies enforcement provisions under the Animal Welfare Act, including by allowing the Department of Justice (DOJ) to bring civil actions against violators of the act for appropriate relief, such as removing animals, revoking violators' licenses, or issuing civil penalties. DOJ must use the penalties to pay for the temporary care for animals pending the disposition of civil or criminal proceedings that allege violations of the act with respect to such animals.

Nationwide Consumer and Fuel Retailer Choice Act of 2023

United States · United States Congress · 27 July 2023

Nationwide Consumer and Fuel Retailer Choice Act of 2023 This bill amends the Clean Air Act to address the limitations on Reid Vapor Pressure (a measure of gasoline's volatility) that are placed on gasoline during the summer ozone season. Specifically, the bill applies the waiver for Reid Vapor Pressure requirements that are applicable to gasoline blended with 10% ethanol (E10) to gasoline blended with up to 15% ethanol (E15). This change allows gasoline that is blended with 10% to 15% ethanol to be sold year-round. The bill also modifies the renewable fuel program by directing the Environmental Protection Agency to return compliance credits to small refineries under certain circumstances.

Reproductive Health Care Accessibility Act

United States · United States Congress · 26 July 2023

Reproductive Health Care Accessibility Act This bill establishes various grants and related programs that address sexual and reproductive health care for individuals with disabilities. Specifically, the Health Resources and Services Administration must support training for health care providers who offer sexual and reproductive health care to individuals with disabilities, and educating individuals with disabilities about sexual and reproductive health care. The Administration for Community Living must establish a national center to provide recommendations, technical assistance, and other resources related to the provision of sexual and reproductive health care for individuals with disabilities. The bill also authorizes support for medical schools, nursing schools, and other educational institutions that offer obstetrics and gynecology training programs to expand the number of individuals with disabilities entering the reproductive health care workforce. Additionally, the Department of Health and Human Services must study the effectiveness and other aspects of reproductive health care services and programs for individuals with disabilities.

ABLE MATCH (Making Able a Tool to Combat Hardship) Act

United States · United States Congress · 26 July 2023

ABLE MATCH (Making Able a Tool to Combat Hardship) Act This bill allows beneficiaries of ABLE (Achieving a Better Life Experience) accounts a refundable tax credit to match their contributions to such accounts. The amount of such credit may not exceed $2,000. The bill also requires demographic reporting (e.g., race, gender, disability type) with respect to ABLE accounts and directs the Department of the Treasury to award grants to states for promoting such accounts and for making matching payments of contributions to such accounts.

A resolution recognizing the importance of independent living for individuals with disabilities made possible by the Americans with Disabilities Act of 1990 and calling for further action to strengthen home and community living for individuals with disabilities.

United States · United States Congress · 26 July 2023

This resolution (1) recognizes the importance of the Americans with Disabilities Act of 1990 in advancing independent living for individuals with disabilities; (2) pledges continued efforts to address remaining barriers for individuals with disabilities; and (3) calls on federal agencies to provide additional resources for individuals with disabilities with respect to economic self-sufficiency, community-based services, housing, telecommunication, and transportation.

Route 66 National Historic Trail Designation Act

United States · United States Congress · 26 July 2023

Raise the Wage Act of 2023

United States · United States Congress · 25 July 2023

A resolution recognizing the historic significance of the 30th anniversary of the founding of the Department of Defense State Partnership Program.

United States · United States Congress · 25 July 2023

This resolution recognizes the 30th anniversary of the founding of the Department of Defense State Partnership Program and its outsized influence in developing and supporting enduring relationships around the world. The resolution also expresses deep gratitude for the service of members of the National Guard to the program.

Communications, Video, and Technology Accessibility Act of 2023

United States · United States Congress · 25 July 2023

Freedom to Vote Act

United States · United States Congress · 25 July 2023

Freedom to Vote Act This bill addresses voter registration and voting access, election integrity and security, redistricting, and campaign finance. Specifically, the bill expands voter registration (e.g., automatic and same-day registration) and voting access (e.g., vote-by-mail and early voting). It also limits removing voters from voter rolls. Next, the bill establishes Election Day as a federal holiday. The bill declares that the right of a U.S. citizen to vote in any election for federal office shall not be denied or abridged because that individual has been convicted of a criminal offense unless, at the time of the election, such individual is serving a felony sentence. The bill establishes certain federal criminal offenses related to voting. In particular, the bill establishes a new criminal offense for conduct (or attempted conduct) to corruptly hinder, interfere with, or prevent another person from registering to vote or helping someone register to vote. Additionally, the bill sets forth provisions related to election security, including by requiring states to conduct post-election audits for federal elections. The bill outlines criteria for congressional redistricting and generally prohibits mid-decade redistricting. The bill addresses campaign finance, including by expanding the prohibition on campaign spending by foreign nationals, requiring additional disclosure of campaign-related fundraising and spending, requiring additional disclaimers regarding certain political advertising, and establishing an alternative campaign funding system for certain federal offices.

Equitable Community Access to Pharmacist Services Act

United States · United States Congress · 25 July 2023

Equitable Community Access to Pharmacist Services Act This bill expands Medicare coverage to permanently include services provided by a pharmacist, including incidental services and supplies, related to testing, vaccines, and treatment for COVID-19, influenza, and certain other illnesses. Specifically, the bill provides for continued coverage of pharmacist services relating to evaluation and management of patients for testing and treatment for COVID-19, influenza, respiratory syncytial virus (RSV), or streptococcal pharyngitis (strep throat), as well as vaccines for pneumococcal disease, COVID-19, influenza, or hepatitis B. It also generally provides for coverage of pharmacist services during a public health emergency.

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.

United States · United States Congress · 20 July 2023

Relief for Survivors of Miners Act of 2023

United States · United States Congress · 20 July 2023

Treat and Reduce Obesity Act of 2023

United States · United States Congress · 20 July 2023

Treat and Reduce Obesity Act of 2023 This bill expands Medicare coverage of intensive behavioral therapy for obesity. Specifically, the bill allows coverage for therapy that is provided by (1) a physician who is not a primary care physician; or (2) other health care providers (e.g., physician assistants and nurse practitioners) and approved counseling programs, if provided upon a referral from, and in coordination with, a physician or primary care practitioner. Currently, such therapy is covered only if provided by a primary care practitioner. The bill also allows coverage under Medicare's prescription drug benefit of drugs used for the treatment of obesity or for weight loss management for individuals who are overweight.

A resolution recognizing that the United States needs to support and empower mothers in the workforce by investing in the Mom Economy.

United States · United States Congress · 20 July 2023

This resolution express support for policies and infrastructure to adequately support mothers in the workforce.

Reproductive Health Patient Navigator Act of 2023

United States · United States Congress · 20 July 2023

Reproductive Health Patient Navigator Act of 2023 This bill provides funding for patient navigator grants to assist individuals in accessing abortion services. The Department of Health and Human Services must award the grants to state, tribal, or local governments; nonprofits; or community organizations that offer unbiased and medically accurate programs, services, or activities to connect individuals with abortion services. Grant-funded activities include, among others, coordinating the scheduling, financing, and other logistics of abortion services. Further, the bill prohibits individuals, entities, and states from preventing or otherwise disadvantaging an entity that is eligible to receive a grant from carrying out activities to assist individuals with accessing abortion services, including in any state in which those services are not lawful. Such activities include providing (or assisting in the provision of) abortion care and other reproductive health services that are either (1) lawful in the state where the services are provided, or (2) provided to an individual who does not reside in the state where the services are provided. The Department of Justice may bring civil actions for violations; the bill also provides for a private right of action.  

Enlist Act of 2023

United States · United States Congress · 19 July 2023

Enlist Act of 2023 This bill authorizes certain non-U.S. nationals ( aliens under federal law) to enlist in the Armed Forces, including individuals who are beneficiaries of the Deferred Action for Childhood Arrivals (DACA) policy. (DACA provides eligible individuals, generally individuals who unlawfully entered the United States as a child, with protection from deportation.) Under this bill, a non-U.S. national may be eligible to enlist in the Armed Forces if the individual (1) is a beneficiary of DACA or a successor policy, even if a court terminates such a policy; (2) has temporary protected status; or (3) has an approved immigrant visa application but has been unable to adjust to lawful permanent resident status because a visa is not available (or the individual turned 21 years old before a visa became available). Furthermore, to be eligible to enlist under this bill, the individual must also (1) meet the security and suitability requirements related to enlistment; and (2) have been continuously physically present in the United States for five years, with certain exceptions. The Department of Homeland Security (DHS) must stay removal proceedings against an individual who has enlisted under this bill if the individual (1) has served honorably in the Armed Forces, or (2) is a veteran and was not separated from service except under honorable conditions. If an individual has enlisted under this bill, DHS must consider the individual's honorable service in the Armed Forces when determining, for immigration purposes, whether the individual has good moral character.

Access to Infertility Treatment and Care Act

United States · United States Congress · 19 July 2023

Accelerating Kids’ Access to Care Act

United States · United States Congress · 19 July 2023

Accelerating Kids' Access to Care Act This bill requires state Medicaid programs to establish a process through which qualifying out-of-state providers may enroll as participating providers for five years without undergoing additional screening requirements, unless the state has an agreement with other states that governs coverage of children with medically complex conditions that is in accordance with specified guidance from the Centers for Medicare & Medicaid Services (CMS). Among other requirements, a qualifying provider must (1) serve individuals under the age of 21; (2) have previously been screened for Medicare participation or for participation in the Medicaid program of the state in which the provider is located; and (3) have been determined by the CMS or state Medicaid program to pose a limited risk of fraud, waste, or abuse.

Experienced Pilots Save Lives Act of 2023

United States · United States Congress · 18 July 2023

Plastic Pellet Free Waters Act

United States · United States Congress · 18 July 2023

Plastic Pellet Free Waters Act This bill requires the Environmental Protection Agency to issue a final rule that prohibits certain discharges of plastic pellets and other preproduction plastic into waters of the United States.

Freedom to Vote Act

United States · United States Congress · 18 July 2023

Freedom to Vote Act This bill addresses voter registration and voting access, election integrity and security, redistricting, and campaign finance. Specifically, the bill expands voter registration (e.g., automatic and same-day registration) and voting access (e.g., vote-by-mail and early voting). It also limits removing voters from voter rolls. Next, the bill establishes Election Day as a federal holiday. The bill declares that the right of a U.S. citizen to vote in any election for federal office shall not be denied or abridged because that individual has been convicted of a criminal offense unless, at the time of the election, such individual is serving a felony sentence. The bill establishes certain federal criminal offenses related to voting. In particular, the bill establishes a new criminal offense for conduct (or attempted conduct) to corruptly hinder, interfere with, or prevent another person from registering to vote or helping someone register to vote. Additionally, the bill sets forth provisions related to election security, including by requiring states to conduct post-election audits for federal elections. The bill outlines criteria for congressional redistricting and generally prohibits mid-decade redistricting. The bill addresses campaign finance, including by expanding the prohibition on campaign spending by foreign nationals, requiring additional disclosure of campaign-related fundraising and spending, requiring additional disclaimers regarding certain political advertising, and establishing an alternative campaign funding system for certain federal offices.

Bring Our Heroes Home Act

United States · United States Congress · 13 July 2023

A resolution designating July 30, 2023, as "National Whistleblower Appreciation Day".

United States · United States Congress · 13 July 2023

This resolution designates July 30, 2023, as National Whistleblower Appreciation Day.

A concurrent resolution recognizing that the climate crisis disproportionately affects the health, economic opportunity, and fundamental rights of children, expressing the sense of Congress that leadership by the United States is still urgently needed to address the climate crisis, and acknowledging the need of the United States to develop a national, comprehensive, science-based, and just climate recovery plan to phase out fossil fuel emissions, protect and enhance natural carbon sequestration, and put the United States on a path toward stabilizing the climate system.

United States · United States Congress · 13 July 2023

This concurrent resolution calls for U.S. leadership in addressing the climate crisis that is disproportionately affecting the health, economic opportunity, and fundamental rights of children. It also recognizes the need for a climate recovery plan that puts the United States on a trajectory consistent with reducing global atmospheric carbon dioxide to below 350 parts per million by the year 2100.

Parity for Public Health Service Ready Reserve Act

United States · United States Congress · 13 July 2023

Parity for Public Health Service Ready Reserve Act This bill reauthorizes through FY2025 the Ready Reserve Corps of the U.S. Public Health Service (USPHS). It also extends educational assistance, medical benefits, leave allowances, and other benefits that apply to the reserve components of the armed forces to the Ready Reserve Corps. (The Ready Reserve Corps is comprised of trained health care and public health personnel that may be deployed alongside active-duty officers of the USPHS to respond to health emergencies and improve access to health services.)

Social Security 2100 Act

United States · United States Congress · 12 July 2023

Social Security 2100 Act This bill modifies the Social Security system, particularly with respect to benefit calculations, fund administration, and beneficiary resources. For example, the bill temporarily increases the primary insurance amount for Social Security benefits for all individuals (from 90% of a certain portion of average indexed monthly earnings to 93%). It also modifies benefit calculations for certain individuals, including by temporarily (1) increasing benefits for widows or widowers in two-income households; and (2) allowing children of a deceased, disabled, or retired worker to remain eligible for benefits through age 25 if they are full-time students. Additionally, the bill temporarily eliminates (1) the government pension offset , which reduces Social Security benefits for spouses, widows, and widowers who also receive government pensions of their own; and (2) the windfall elimination provision , which reduces Social Security benefits for individuals who also receive a pension or disability benefit from an employer that did not withhold Social Security taxes. The bill also modifies the financing and administration of the Social Security trust funds. For example, the bill (1) subjects income over $400,000 to Social Security payroll taxes, and (2) combines the Federal Old-Age and Survivors Insurance Trust Fund and the Federal Disability Insurance Trust Fund into a single Social Security Trust Fund. Finally, the bill establishes requirements relating to Social Security services and resources, including by prohibiting the closure of field offices unless certain conditions are met (e.g., public hearings).

Youth Poisoning Protection Act

United States · United States Congress · 11 July 2023

Youth Poisoning Protection Act This bill makes a consumer product with a concentration of sodium nitrite of 10% or greater a banned hazardous product.

Maternal and Child Health Stillbirth Prevention Act

United States · United States Congress · 11 July 2023

Maternal and Child Health Stillbirth Prevention Act This bill expands the scope of the Maternal and Child Health Services Block Grant to include research and activities to prevent stillbirths.

IDEA Full Funding Act

United States · United States Congress · 10 July 2023

IDEA Full Funding Act This bill provides permanent, mandatory funding for the grant program that assists states and outlying areas in providing special education and related services to children with disabilities.

Equal Dignity for Married Taxpayers Act of 2023

United States · United States Congress · 10 July 2023

Equal Dignity for Married Taxpayers Act of 2023 This bill modifies several tax provisions that refer to married couples to make the provisions equally applicable to legally married same-sex couples.

Women’s Business Centers Improvement Act of 2023

United States · United States Congress · 22 June 2023

Women's Business Centers Improvement Act of 2023 This bill reauthorizes the Women's Business Center Program through FY2027, raises the cap on individual center grants, establishes an accreditation program for grant recipients, and revises the duties of the Office of Women's Business Ownership. Specifically, the bill modifies the Women's Business Center Program to enable the Small Business Administration (SBA) to provide initial and continuation grants to eligible entities to operate women's business centers for the benefit of women-owned small businesses. The SBA must also publish standards for a program to accredit entities that receive grants from the Women's Business Center Program, and such entities' receipt of continuation grants shall be contingent upon their obtaining accreditation.

A resolution recognizing June 2023 as "LGBTQ Pride Month".

United States · United States Congress · 22 June 2023

This resolution expresses support for the rights, freedoms, and equal treatment of lesbian, gay, bisexual, transgender, and queer (LGBTQ) individuals. The resolution r ecognizes that LGBTQ rights are human rights and protected by the laws of the United States and international treaties. Additionally, the resolution encourages the celebration of LGBTQ Pride Month in June.

A resolution expressing opposition to the use of State power against people in the United States seeking essential health care, including criminalization of the full range of sexual and reproductive health care such as abortion, gender-affirming care, and contraceptive care, and disapproving of State punishment of people for their pregnancy outcomes.

United States · United States Congress · 22 June 2023

This resolution expresses condemnation for criminalizing the provision of and access to reproductive health care services, including abortion, contraception, and gender-affirming care. It further expresses support for efforts to expand access to such services.