PolicyBrief
H.CON.RES. 53
119th CongressSep 26th 2025
Expressing support for the recognition of September 26, 2025, as "World Contraception Day" and expressing the sense of the House of Representatives regarding global and domestic access to contraception.
IN COMMITTEE

This resolution expresses the House's support for World Contraception Day and outlines the importance of ensuring equitable, comprehensive, and affordable access to contraception both domestically and globally.

Nydia Velázquez
D

Nydia Velázquez

Representative

NY-7

LEGISLATION

Congress Backs Universal Birth Control Access, Urges Funding for Family Planning Programs

This Concurrent Resolution is essentially Congress drawing a line in the sand and stating its strong support for universal access to contraception, both here at home and abroad. While a resolution doesn’t change any laws—it’s more of an official statement of opinion—it sets the policy tone by detailing exactly why birth control access is critical for public health, economic stability, and social equity. It specifically urges the administration to ensure all Americans can get affordable, high-quality family planning services, including the newly approved over-the-counter (OTC) pill, without unnecessary cost barriers.

The OTC Revolution and Your Wallet

The biggest real-world hook here is the FDA’s approval of the first OTC progestin-only birth control pill. This resolution strongly supports expanding access to this new option, recognizing that many people, especially busy young adults and teens, are interested in skipping the doctor’s visit. For the uninsured or those with high deductibles, this is huge: the resolution pushes for full insurance coverage of all FDA-approved methods, including the OTC option, without requiring a prescription or any out-of-pocket costs. If this goal is realized, it could mean that picking up your birth control becomes as simple and cost-free as grabbing a covered flu shot, saving you time and potentially hundreds of dollars in copays and clinic fees every year (Section: Expanding Access and Coverage).

Mapping the 'Contraceptive Deserts'

This resolution shines a light on a major problem: the "contraceptive deserts." These are areas, often rural or underserved urban communities, where over 19 million women of reproductive age lack easy access to a clinic offering a full range of birth control options. The text points out that this lack of access contributes directly to devastating health disparities. For example, Black, American Indian, and Alaska Native women are two to three times more likely to die from pregnancy-related causes than White women. By calling for studies and action to close these deserts, Congress is signaling that it wants to target federal resources—like Title X family planning funds—to ensure that location doesn't dictate whether you can control your family planning (Section: Highlighting Barriers and Disparities).

The Provider Conscience Clause Conflict

One area where this resolution steps into a potential conflict is by highlighting the fact that 12 states allow some providers to refuse to dispense contraception services, and 9 states allow pharmacists to refuse emergency contraception. The resolution’s overall goal is to achieve universal access, which implicitly means removing these structural barriers. For the average person, this is about convenience and dignity—not having to drive to three different pharmacies because one pharmacist refuses to fill your prescription. For providers who hold moral objections, however, this push for universal access suggests a future where their right to refuse certain services may be challenged or restricted in favor of patient access and public health goals (Section: Highlighting Barriers and Disparities).

Training and Education: A Long-Term Investment

Beyond immediate access, the resolution calls for two key investments that affect the next generation. First, it urges better training for primary care doctors on how to counsel patients about the most effective birth control methods. This means your annual physical should include more informed, evidence-based conversations about your options. Second, it advocates for expanding comprehensive, inclusive sex education in schools (Section: Improving Provider Training and Information). Currently, only 22 states require sex education to even mention birth control. If Congress follows through on this goal, it would ensure that young people are getting accurate, non-judgmental information about their bodies and health options, reducing reliance on misinformation and helping them make smarter choices sooner.