; (B) immigrants; (C) LGBTQ+ people; (D) people with disabilities; (E) people paid low wages; and (F) people living in rural and underserved areas. (13) Many people who are part of the marginalized groups described in paragraph (12) already face barriers, exacerbated by social, political, economic, and environmental inequities, to comprehensive health care, including reproductive health care, that reduce their ability to make decisions about their health, families, and lives. (14) State and Federal policies governing pharmaceutical and insurance policies affect the accessibility of contraceptives and the settings in which contraception services are delivered. (15) People engage in interstate commerce to access contraception services. (16) To provide contraception services, health care providers employ and obtain commercial services from doctors, nurses, and other personnel who engage in interstate commerce and travel across State lines. (17) Congress has the authority to enact this Act to protect access to contraception pursuant to— (A) its powers under the Commerce Clause of section 8 of article I of the Constitution of the United States; (B) its powers under section 5 of the Fourteenth Amendment to the Constitution of the United States to enforce the provisions of section 1 of the Fourteenth Amendment