I

103D CONGRESS

1ST SESSION H. R. 3028

To direct the Secretary of Health and Human Services to establish a program

to provide pregnant women with certificates to cover expenses incurred

in receiving services at maternity and housing services facilities and

to direct the Secretary of Housing and Urban Development to provide

assistance to nonprofit entities for the rehabilitation of existing structures

for use as facilities to provide housing and services to pregnant women.

IN THE HOUSE OF REPRESENTATIVES

SEPTEMBER 8, 1993

Mr. SMITH of New Jersey (for himself, Mr. INGLIS of South Carolina, Mrs.

CLAYTON, Mr. RANGEL, Mr. GALLEGLY, Mr. WELDON, Mr. MCHALE,

and Mr. HYDE) introduced the following bill; which was referred jointly

to the Committees on Energy and Commerce and Banking, Finance and

Urban Affairs

A BILL

To direct the Secretary of Health and Human Services to

establish a program to provide pregnant women with

certificates to cover expenses incurred in receiving services at maternity and housing services facilities and to

direct the Secretary of Housing and Urban Development

to provide assistance to nonprofit entities for the rehabilitation of existing structures for use as facilities to

provide housing and services to pregnant women.

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled,
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1 SECTION 1. SHORT TITLE.

2 This Act may be cited as the ‘‘Health Care and Hous3 ing for Women and Children Act of 1993’’.

4 TITLE I—MATERNAL HEALTH CERTIFICATES

5 PROGRAM

6 SEC. 101. MATERNAL HEALTH CERTIFICATES FOR ELIGI7 BLE PREGNANT WOMEN.

8 (a) ESTABLISHMENT OF MATERNAL HEALTH CER9 TIFICATES FOR ELIGIBLE PREGNANT WOMEN.—Not later

10 than 180 days after the date of the enactment of this Act,

11 the Secretary of Health and Human Services shall estab12 lish a program to provide maternal health certificates for

13 eligible pregnant women to use to cover expenses incurred

14 in receiving services at a maternity and housing services

15 facility.

16 (b) ELIGIBILITY OF INDIVIDUALS.—

17 (1) IN GENERAL.—A pregnant woman is eligi18 ble to receive a maternal health certificate under the

19 program established under subsection (a) if the

20 woman—

21 (A) has an annual individual income (de22 termined without taking into account the in23 come of any parent or guardian of the individ24 ual) not greater than 175 percent of the income

25 official poverty line (as defined by the Office of

26 Management and Budget, and revised annually
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1 in accordance with section 673(2) of the Omni2 bus Budget Reconciliation Act of 1981) applica3 ble to such individual; and

4 (B) provides the Secretary with such other

5 information and assurances as the Secretary

6 may require.

7 (2) INCOME OF ESTRANGED SPOUSE NOT IN8 CLUDED.—In determining the income of an individ9 ual for purposes of paragraph (1)(A), there shall not

10 be included the income of a spouse if the spouse has

11 been living apart from the woman for not less than

12 6 months.

13 (3) PARTICIPATION IN AFDC PROGRAM NOT RE14 QUIRED.—An individual otherwise eligible to receive

15 a maternal health certificate under the program es16 tablished under subsection (a) shall not be found in17 eligible to receive such a certificate solely on the

18 grounds that the individual does not receive aid

19 under the State plan for aid to families with depend20 ent children under part A of title IV of the Social

21 Security Act.

22 (c) LIMITATIONS ON AMOUNT OF EXPENSES IN23 CURRED.—A certificate received under the program estab24 lished under subsection (a) may be used to cover an

25 amount of expenses incurred by an individual at a mater-
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1 nity housing and services facility that does not exceed an

2 amount equal to—

3 (1) $100; multiplied by

4 (2) the number of days during which such serv5 ices are provided to the individual at such facility.

6 (d) DEFINITIONS.—For purposes of this section:

7 (1) MATERNITY AND HOUSING SERVICES FA8 CILITY.—The term ‘‘maternity and housing services

9 facility’’ means a nonprofit facility licensed or other10 wise approved by the State in which the facility is

11 located to serve as a residence for not fewer than 4

12 pregnant women during pregnancy and for a limited

13 period after the date on which the child carried dur14 ing the pregnancy is born, as the Secretary may de15 termine, that provides such pregnant women with

16 appropriate supportive services, which may include

17 the following supportive services:

18 (A) Room and board.

19 (B) Medical care (provided either at the

20 facility or off-site) for the woman and her child,

21 including prenatal, delivery, and post-delivery

22 care.

23 (C) Instruction and counseling regarding

24 future health care for the woman and her child.
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1 (D) Nutrition services and nutrition coun2 seling.

3 (E) Counseling and education concerning

4 all aspects of prenatal care, childbirth, and

5 motherhood.

6 (F) General family counseling, including

7 child and family development counseling.

8 (G) Adoption counseling.

9 (H) Vocational and educational counseling

10 and services.

11 (I) Basic transportation services to enable

12 the woman to obtain services from the facility.

13 (2) PREGNANT WOMAN.—The term ‘‘pregnant

14 woman’’ means a woman determined to have one or

15 more fetuses in utero.

16 (3) SECRETARY.—The term ‘‘Secretary’’ means

17 the Secretary of Health and Human Services.

18 (e) AUTHORIZATION OF APPROPRIATIONS.—There

19 are authorized to be appropriated for maternal health cer20 tificates under this section—

21 (1) $50,000,000 for fiscal year 1993;

22 (2) $75,000,000 for fiscal year 1994; and

23 (3) $100,000,000 for fiscal year 1995.
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1 TITLE II—REHABILITATION GRANTS FOR MA2 TERNITY HOUSING AND SERVICES FACILI3 TIES

4 SEC. 201. ESTABLISHMENT OF GRANT PROGRAM.

5 The Secretary of Housing and Urban Development

6 shall carry out a program to provide assistance under this

7 title to eligible nonprofit entities for rehabilitation of exist8 ing structures for use as facilities to provide housing and

9 services to pregnant women.

10 SEC. 202. AUTHORITY AND APPLICATIONS.

11 (a) AUTHORITY.—The Secretary may make grants

12 under the program under this title to eligible nonprofit

13 entities to rehabilitate existing structures for use as ma14 ternity housing and services facilities.

15 (b) APPLICATIONS.—The Secretary may make grants

16 only to nonprofit entities that submit applications for

17 grants under this title in the form and manner that the

18 Secretary shall prescribe, which shall include assurances

19 that grant amounts will be used to provide a maternity

20 housing and services facility.

21 SEC. 203. GRANT LIMITATIONS.

22 (a) MAXIMUM GRANT AMOUNT.—A grant under this

23 title may not be in an amount greater than $1,000,000.

24 An eligible nonprofit entity may not receive more than 1

25 grant under this title in any fiscal year.
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1 (b) MAXIMUM NUMBER OF GRANTS.—The Secretary

2 may not make grants under this title to more than 100

3 eligible nonprofit entities in any fiscal year.

4 (c) USE OF GRANTS FOR REHABILITATION ACTIVI5 TIES.—Any eligible nonprofit entity that receives a grant

6 under this title shall use the grant amounts for the acqui7 sition or rehabilitation (or both) of existing structures for

8 use as a maternity housing and services facility, which

9 may include planning and development costs, professional

10 fees, and administrative costs related to such acquisition

11 or rehabilitation.

12 SEC. 204. REPORTS.

13 The Secretary shall require each eligible nonprofit en14 tity that receives a grant under this title to submit to the

15 Secretary a report, at such times and including such infor16 mation as the Secretary shall determine, describing the

17 activities carried out by the eligible nonprofit entity with

18 the grant amounts.

19 SEC. 205. DEFINITIONS.

20 For purposes of this title:

21 (1) ELIGIBLE NONPROFIT ENTITIES.—The term

22 ‘‘eligible nonprofit entity’’ means any organization

23 that—

24 (A) is described in section 501(c)(3) of the

25 Internal Revenue Code of 1986 that is exempt
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1 from taxation under subtitle A of such Code;

2 and

3 (B) has submitted an application under

4 section 702(b) for a grant under this title.

5 (2) MATERNITY HOUSING AND SERVICES FA6 CILITY.—The term ‘‘maternity housing and services

7 facility’’ means a facility licensed or otherwise ap8 proved by the State in which the facility is located

9 to serve as a residence for not fewer than 4 preg10 nant women during pregnancy and for a limited pe11 riod after the date on which the child carried during

12 the pregnancy is born, as the Secretary may deter13 mine, that provides such pregnant women with ap14 propriate supportive services, which may include the

15 following services:

16 (A) Room and board.

17 (B) Medical care for the woman and her

18 child, including prenatal, delivery, and post-de19 livery care.

20 (C) Instruction and counseling regarding

21 future health care for the woman and her child.

22 (D) Nutrition services and nutrition coun23 seling.
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1 (E) Counseling and education concerning

2 all aspects of prenatal care, childbirth, and

3 motherhood.

4 (F) General family counseling, including

5 child and family development counseling.

6 (G) Adoption counseling.

7 (H) Vocational and educational counseling

8 and services.

9 (I) Basic transportation services to enable

10 the woman to obtain services from the facility.

11 (J) Any other appropriate supportive serv12 ices.

13 (3) PREGNANT WOMAN.—The term ‘‘pregnant

14 woman’’ means a woman determined to have one or

15 more fetuses in utero.

16 (4) SECRETARY.—The term ‘‘Secretary’’ means

17 the Secretary of Housing and Urban Development.

18 SEC. 206. AUTHORIZATION OF APPROPRIATIONS.

19 There are authorized to be appropriated to carry out

20 this title $25,000,000 for fiscal year 1993, $40,000,000

21 for fiscal year 1994, and $60,000,000 for fiscal year 1995.

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