House
File
573
H-1063
Amend
House
File
573
as
follows:
1
1.
Page
1,
before
line
1
by
inserting:
2
<
Section
1.
FINDINGS
AND
INTENT.
3
1.
The
general
assembly
finds
all
of
the
following:
4
a.
According
to
the
Guttmacher
institute,
182,690
5
Iowa
women
were
in
need
of
publicly
supported
family
6
planning
services
in
2012.
7
b.
According
to
a
study
in
2009
by
the
university
8
of
Iowa
public
policy
center
entitled
“The
Cost
of
9
Unintended
Pregnancy
in
Iowa”,
every
dollar
invested
10
in
family
planning
services
saved
$15.12
in
public
11
expenditures
over
a
five-year
time
period.
12
c.
Improving
the
health
and
well-being
of
women
is
13
a
goal
of
the
healthiest
state
initiative.
14
d.
Access
to
comprehensive
reproductive
health
care
15
is
critical
to
improving
the
health
and
well-being
of
16
women.
17
e.
Significant
racial
and
ethnic
disparities
exist
18
in
women’s
health,
particularly
in
maternal
mortality,
19
infant
mortality,
and
incidence
of
premature
or
low
20
birth
weight
births.
21
f.
Lesbian,
gay,
bisexual,
and
transgender
women
22
have
unique
health
care
needs
and
confront
a
unique
set
23
of
disparities
in
the
current
health
care
system.
24
g.
Approximately
half
of
pregnancies
are
25
unintended,
and
preventing
unintended
pregnancies
26
benefits
child
health,
maternal
health,
and
the
health
27
and
well-being
of
families
and
society
as
a
whole.
28
h.
The
United
States
centers
for
disease
control
29
and
prevention
included
family
planning
in
their
30
published
list
of
the
“Ten
Great
Public
Health
31
Achievements
in
the
20th
Century”.
32
i.
Many
women
lack
access
to
comprehensive,
33
affordable
insurance
coverage,
even
though
all
women
34
should
have
such
coverage
for
all
pregnancy-related
35
care,
including
prenatal
care,
miscarriage
management,
36
family
planning
services,
abortion,
labor
and
delivery
37
services,
and
postnatal
care.
38
j.
According
to
the
Guttmacher
institute,
more
39
abortion
restrictions
were
enacted
in
the
period
from
40
2011-2013
than
in
the
entire
previous
decade.
41
2.
It
is
the
intent
of
the
general
assembly
to
do
42
all
of
the
following:
43
a.
Make
improving
women’s
health
a
priority.
44
b.
Ensure
that
all
women
have
access
to
the
best
45
available,
scientifically
based
health
care.
46
c.
Ensure
that
women
have
access
to
safe
47
childbearing,
with
resources
available
to
reduce
48
maternal
and
infant
morbidity
and
mortality.
49
d.
Ensure
that
women
have
the
autonomy
to
decide
50
-1-
HF573.879
(3)
86
pf/nh
1/
2
#1.
whether
to
have
children,
the
number
and
spacing
1
of
their
children,
and
to
have
medically
accurate
2
information,
education,
and
access
to
health
services
3
to
make
these
decisions.
4
e.
Ensure
that
women
have
access
to
affordable
5
insurance
coverage
for
all
of
their
pregnancy-related
6
health
care
needs,
including
contraception
and
7
abortion,
as
well
as
for
their
general
health
care
8
needs
including
coverage
through
Medicare,
the
Iowa
9
wellness
plan,
and
the
Iowa
marketplace
choice
plan.
10
f.
Ensure
that
women
are
afforded
autonomous
11
decision
making,
informed
consent,
privacy,
and
12
confidentiality
regarding
their
health
care.
13
g.
Work
to
end
health
disparities
for
women,
14
including
with
regard
to
ethnicity,
race,
gender,
and
15
sexual
orientation.
>
16
2.
By
renumbering
as
necessary.
17
______________________________
WESSEL-KROESCHELL
of
Story
-2-
HF573.879
(3)
86
pf/nh
2/
2
#2.