The bill expands OTC access to routine oral contraceptives for adults and reduces manufacturer barriers while improving federal spending transparency on contraception, but it keeps minors prescription‑only, excludes emergency and abortion‑related drugs from OTC access, and creates administrative, data‑quality, and political risks associated with the mandated GAO report.
Women aged 18 and older can obtain routine oral contraceptives over‑the‑counter (OTC) without a prescription, and waiving FDA user fees for qualifying supplements reduces manufacturer costs and may speed consumer access.
A GAO 15‑year accounting of federal reimbursements, stocking, training, and education for contraception increases transparency for taxpayers and policymakers and can identify funding gaps to help target improvements in family‑planning and Medicaid‑serving programs.
Excluding emergency contraceptives and drugs approved for induced abortion from expanded OTC access means many people will not gain broader OTC options and could be confused about what contraceptives are available without a prescription.
Minors under 18 remain prescription‑only for routine oral contraceptives, so teenagers may continue to face barriers to timely access.
Requiring GAO to compile a comprehensive 15‑year accounting will create additional administrative costs for GAO and federal agencies that are ultimately borne by taxpayers.
Based on analysis of 3 sections of legislative text.
Directs HHS/FDA to fast-track and waive fees for OTC switches of routine oral contraceptives for ages 18+, keeps minors prescription-only, and orders a GAO report on 15 years of federal contraception spending.
Introduced March 25, 2026 by Ashley Hinson · Last progress March 25, 2026
Requires the Department of Health and Human Services/FDA to give priority review and waive certain user fees for supplemental drug applications that would make routine oral contraceptives available over the counter for people aged 18 and older, while keeping such products prescription-only for those under 18. Also directs the Government Accountability Office to report to Congress within one year quantifying federal spending on contraception reimbursement, stocking, training, and patient education over the prior 15 years.