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LAST ACTION SEP 24, 2026  UPDATED OCT 3
S. 5539SENATE BILL · 119TH CONGRESS119TH

Affordability is Access Act of 2026

Requires health plans to cover eligible over-the-counter contraceptives without cost-sharing and bars retailers from interfering with access or information.

WHERE IT STANDS

In the Senate Health, Education, Labor, and Pensions Committee since Sept. 24, 2026, 11 days after it was introduced. Most bills never leave committee.

  1. INTRODUCEDINTROSEP 24, 2026
  2. COMMITTEECOMM.IN COMMITTEE
  3. SENATESENATE—
  4. HOUSEHOUSE—
  5. LAWLAW—
Read the text
WHAT IT DOES

What the bill would do, and why it matters

BASED ON THE TEXT AS INTRODUCED
tl;drWRITTEN OCT 4 FROM THE TEXT AS INTRODUCED

Insurance coverage rules affect what people pay for birth control and which options they can use. The measure would require health plans to cover eligible over-the-counter contraceptives without a prescription or cost-sharing, and clarify coverage for prescription options. It would also bar retailers from interfering with access to nonprescription contraception or medically accurate information.

  • INTRODUCED ONLY This bill has been introduced and possibly referred to a committee, but it has not passed any vote. Most introduced bills never become law — they die in committee without a hearing.
  • DATA NOTE No Congressional Research Service summary was available.
WHAT IT WOULD DO · 4 PROVISIONSINTRODUCED IN SENATE
  1. Cover over-the-counter contraceptives

    The measure would require group health plans and group or individual health insurance coverage to cover FDA-approved, cleared, or granted over-the-counter contraceptives without a prescription and without cost-sharing.

  2. Clarify coverage for prescription contraceptives

    The measure would clarify that coverage includes FDA-approved, cleared, or granted prescription contraceptives. If therapeutically equivalent versions exist, coverage would be required for at least one of them.

  3. Protect access at retail stores

    A retailer that stocks contraception for use without a prescription could not interfere with a person's access to it or to medically accurate, comprehensive information about it. A retailer could refuse to provide a product if the person cannot pay, including through insurance or another payment method.

  4. Preserve FDA authority and stronger protections

    The measure would not change the FDA's authority to review or approve products, and it would not override federal or state laws that provide greater consumer protections.

THE CONTEXT

The bill cites cost and access barriers: it says 25 percent of current and prospective contraceptive users are not using their preferred method, and that 18 percent of those women cite cost. It also identifies people who lack reasonable access to a health center offering a full range of contraceptive methods.

The bill says existing federal birth control coverage has helped many women, while gaps persist. Its stated aim is to make birth control easier to obtain and affordable, including when a product can be used without a prescription.

Written from the bill text.

TEXT VERSIONS
  1. ISIntroduced in SenateSEP 24, 20261,095
THE JOURNEY

The path it took, step by step

FROM THE OFFICIAL ACTIONS ON CONGRESS.GOV
  1. IntroducedSEP 24, 2026
    SENATE
    SEP 24, 2026
    By Sen. Murray with 31 original cosponsors
    Referred to Health, Education, Labor, and Pensions
  2. SAME DAYNOW
    Senate committeeSEP 24, 2026
    HEALTH, EDUCATION, LABOR, & PENSIONS NOW
    SEP 24, 2026
    In committee for 11 days
    No hearing yet
  3. 11 DAYS SO FAR
    Passed the Senate—
    SENATE FLOOR
    —
    Not scheduled
  4. House committee—
    HOUSE
    —
  5. Passed the House—
    HOUSE FLOOR
    —
    Not scheduled
  6. Resolve differencesONLY IF NEEDED
    BOTH CHAMBERS
    ONLY IF NEEDED
    Skipped if the other chamber passes the same text
  7. Signed into law—
    PRESIDENT
    —
    10 days to sign or veto
KEY ACTIONS2 OF 2 · PROCEDURAL STEPS FOLDED
  1. SEP 242026SEP 24, 2026REFERREDRead twice and referred to the Committee on Health, Education, Labor, and Pensions.
  2. SEP 242026SEP 24, 2026INTRODUCEDSENATEIntroduced in Senate
HOW LONG LAWS TAKE118 LAWS THIS CONGRESS

At day 11, this bill is already older than 3% of the laws passed this Congress were when they were signed.

DAYS FROM INTRODUCTION TO SIGNING · ○ CEREMONIAL
YOUR MEMBERS

Where your members stand on it

WHO’S BEHIND IT · 32 COSPONSORS

A coalition from 21 states

PARTY MIX
0 REPUBLICANS31 DEMOCRATS1 IND.

Plus the sponsor, a Democrat. Every cosponsor is from one party.

COSPONSORS BY STATEEACH BAR IS ONE OF THE STATE’S TWO SENATORS
AK
ME
VT
NH
WA
ID
MT
ND
MN
IL
WI
MI
NY
RI
MA
OR
NV
WY
SD
IA
IN
OH
PA
NJ
CT
CA
UT
CO
NE
MO
KY
WV
VA
MD
DE
AZ
NM
KS
AR
TN
NC
SC
OK
LA
MS
AL
GA
HI
TX
FL
DEMOCRATDEMREPUBLICANREPINDEPENDENTINDSPONSORNOT A COSPONSORNONE
PARTY MIX
0 REPUBLICANS31 DEMOCRATS1 IND.

Plus the sponsor, a Democrat. Every cosponsor is from one party.

MOMENTUM+1 IN THE LAST 30 DAYS
SEP 2026 · 31 ORIGINALNOW · 32

Sen. Murray’s record: sponsored 47 bills this Congress. 5 passed the Senate; 0 became law.

EVERY COSPONSOR · IN THE ORDER THEY JOINED32 ACTIVE
READERS · 0 COMMENTS

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