Support the Affordability is Access Act to require insurers to fully cover over-the-counter birth control without fees or out-of-pocket costs once FDA-approved, and to cover FDA-approved contraceptive drugs and drug-led combination products without cost sharing unless a therapeutically equivalent generic is covered without cost sharing.

Patty Murray · Washington · Democratic

policy impact 0.78 specificity 0.90 extraction confidence 94%

Commitment kind: action. Promised action: Support the Affordability is Access Act to require insurers to cover over-the-counter birth control and FDA-approved contraceptive products without cost sharing.. Promised outcome: Over-the-counter birth control and FDA-approved contraceptive products are covered without fees, hurdles, or out-of-pocket costs.. Deadline: unknown; not assumed expired. U.S. Senate press release announcing Senator Patty Murray's reintroduction of the Affordability is Access Act during her federal Senate term.

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Occurrences

The Affordability is Access Act would require insurers to fully cover over-the-counter birth control without any fees or out-of-pocket costs, once it’s FDA-approved. The legislation also includes a new provision to require health insurance to cover every FDA-approved contraceptive drug or drug-led combination product without cost sharing unless the health plan also covers a therapeutically equivalent generic without cost sharing—this would significantly eliminate barriers that some patients face in accessing contraceptives prescribed by their provider.

Murray reintroduced legislation that would require insurance coverage of over-the-counter birth control and other FDA-approved contraceptive products without cost sharing.

Senators Murray, Hirono, Cortez Masto, Reintroduce Bill to Expand Coverage of Birth Control in America and Sound the Alarm on Trump’s Relentless Attacks on Contraception & Family Planning - Senator Patty Murray
primary · press_release · model gpt-5.5

Evidence

unverified · Source version 75897 · locator unknown

Today, U.S. Senator Patty Murray (D-WA), Vice Chair of the Senate Appropriations Committee and former chair of the Senate Health, Education, Labor, and Pensions (HELP) Committee, held a press conference with Senators Mazie Hirono (D-HI) and Catherine Cortez Masto (D-NV) on the reintroduction of their bicameral Affordability is Access Act.

Unverified model/legacy excerpt; not proof. AI summary (separate from source): Within the 30-day lookback window, Murray’s office reported that she helped reintroduce and promote the Affordability is Access Act, showing renewed concrete support during her current Senate term.

partial same_term A for effort

Senators Murray, Hirono, Cortez Masto, Reintroduce Bill to Expand Coverage of Birth Control in America and Sound the Alarm on Trump’s Relentless Attacks on Contraception & Family Planning - Senator Patty Murray
primary · model gpt-5.5 · confidence 96%

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verified · Source version 75897 · locator 2634

The Affordability is Access Act would require insurers to fully cover over-the-counter birth control without any fees or out-of-pocket costs, once it’s FDA-approved. The legislation also includes a new provision to require health insurance to cover every FDA-approved contraceptive drug or drug-led combination product without cost sharing unless the health plan also covers a therapeutically equivalent generic without cost sharing

Fetched verbatim passage. AI summary (separate from source): The reintroduced 2026 measure matches both parts of the commitment: OTC birth control coverage without fees or out-of-pocket costs after FDA approval, and coverage rules for FDA-approved contraceptive drugs and drug-led combination products unless a therapeutically equivalent generic is covered.

partial same_term A for effort

Senators Murray, Hirono, Cortez Masto, Reintroduce Bill to Expand Coverage of Birth Control in America and Sound the Alarm on Trump’s Relentless Attacks on Contraception & Family Planning - Senator Patty Murray
primary · model gpt-5.5 · confidence 95%

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verified · Source version 75899 · locator 235

Mrs. MURRAY introduced the following bill; which was read twice and referred to the Committee on llllllllll

Fetched verbatim passage. AI summary (separate from source): The bill text posted with the 2026 reintroduction identifies Murray as the Senate introducer, a direct legislative action supporting the commitment, though the posted draft did not show enactment.

partial same_term A for effort

TAM26796.pdf
secondary · model gpt-5.5 · confidence 91%

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verified · Source version 75901 · locator 1553

Today, the U.S. Food and Drug Administration approved Opill (norgestrel) tablet for nonprescription use to prevent pregnancy— the first daily oral contraceptive approved for use in the U.S. without a prescription.

Fetched verbatim passage. AI summary (separate from source): FDA approval of an over-the-counter daily oral contraceptive occurred during Murray’s current term, satisfying the factual trigger contemplated by the bill, but this source does not show insurer coverage without cost sharing.

partial same_term

FDA Approves First Nonprescription Daily Oral Contraceptive | FDA
secondary · model gpt-5.5 · confidence 96%

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verified · Source version 75903 · locator 5633

Sponsor: Sen. Murray, Patty [D-WA] (Introduced 05/18/2023)

Fetched verbatim passage. AI summary (separate from source): Congress.gov confirms Murray sponsored the prior same-term Senate version of the Affordability is Access Act in 2023.

partial same_term A for effort

S.1698 - 118th Congress (2023-2024): Affordability is Access Act of 2023 | Congress.gov | Library of Congress
secondary · model gpt-5.5 · confidence 96%

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verified · Source version 75905 · locator 682

The proposed rule was formally withdrawn on January 15, 2025.

Fetched verbatim passage. AI summary (separate from source): A related executive-branch rulemaking that would have expanded preventive-services coverage, including OTC preventive items and contraceptive drug-led products, was withdrawn rather than finalized, leaving the coverage outcome unresolved absent enacted legislation.

unresolved same_term

View Rule
secondary · model gpt-5.5 · confidence 90%

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Assessments

Public state: delivered As of 2026-09-30 · verified · . Original AI recommendation (not independently established): delivered. same_term A for effort

The verified commitment is framed as support for the Affordability is Access Act, not a promise that the coverage outcome would be enacted. Verified evidence shows the bill would require the stated no-cost contraceptive coverage, and that Murray introduced/sponsored the Senate legislation during her Senate term. Because introducing and sponsoring the bill materially fulfills the promised support action, this is delivered for the action commitment. The broader coverage outcome itself is not shown as enacted, but enactment was not the exact commitment being judged.

provider codex_cli · model gpt-5.5 · confidence 92%