l identify a problem or concern in
your community, organization, etc. that has the capacity to be legislated. You will conduct research and
state a proposal. Through the legislative process, your proposal for the problem or concern may
influence an idea for change into a law.
First, refer to the “How a Bill Becomes a Law” media.
Then, view the “Bill to Law Process” to watch the scenario.
How a Bill Becomes a Law
Unsafe abortion among teenagers is one of the major concerns within the health care
sector that needs to be addressed. Several stakeholders have recently shared their findings
revealing that induce abortion accounts for a high proportion of deaths with many teenagers
reporting the largest proportion of admission related to abortion complications in the US
according to (UNFPA, 2010).
Several research findings indicate that increased rates of death related to abortion
complication are as a result of unintended pregnancy, especially among teenagers. According to
the United Nations Population Fund annual reports, a total of 6.8 million teen pregnancies occur
HOW A BILL BECOMES A LAW 2
annually across the world. Among these pregnancies one in five is unplanned therefore half of
the unplanned pregnancy end up as induced abortion .research further reveal that there are a lot
of misconception among young people about contraceptive (UNFPA ,2010).
Several circumstances limit accessibility and use of contraceptives these includes
economic status among other important factors. According to the recent research findings, urban
teenagers are more likely to have good knowledge and use contraceptive compared to teenagers
who live in the rural areas. Some of the barriers that hinder teenagers from accessing family
planning services are misconceptions and also their attitudes. Teenagers believe that they are not
at risk f getting pregnant. In one the research conducted within the local neighborhood teenagers
stated that they fear the side effects of using contraceptives while other indicated that lack of
accessibility to these services is the biggest barriers as indicated by the (UNFPA ,2010) annual
Assessment of the situation
The Sterilization and the Abortion Act of 1977 are some of the similar legislation
introduced to permit young girls to access contraceptives and abortion services without parent
consent. Ironically some section of this law makes it illegal to provide contraceptive advice
especially for girls below 16 years. Such laws limit the efforts of educating girls on preventing
unintended pregnancies. In an attempt to address this concern, under the public health service
Act, the Title X family planning program was initiated, this is the only federal program initiated
to provide family planning services to the general population (Napili, 2014).
Through the public health service Act under the Title X program, the government
allocated $300 million in 2015 to prevent unintended teenage pregnancies. However, the
program is not flexible to offer youth-friendly services. Even though medical experts support the
HOW A BILL BECOMES A LAW 3
expansion of the Title X program to reduce the rate of unintended pregnancy, lawmakers argue
that this could be an attempt to legalize abortion which for them is an immoral act (Napili, 2014).
I propose that, to prevent abortion-related deaths; there is the need to improve the
accessibility of contraceptive among young girls by providing important information to reduce
the number of abortion in the country. For my proposal to become a bill, the first step is to make
an appointment with my legislator writing a letter about my intentions. My letter will contain
facts about unsafe abortion and how induced abortion accounts for a high proportion of deaths.
After sending the letter, I will follow-up by calling the office to book an appointment. When
given the chance to present my proposal, I would ask for her position on the proposal and also
try to be tolerant of the differing views hoping that she will support the proposal.
HOW A BILL BECOMES A LAW 4
Napili A (2014). Title X (Public Health Service Act) Family Planning Program. Washington
UNFPA (2010). How universal is Access to reproductive health? A review of the literature.
Congressional Research service.