I 

111TH CONGRESS 

1ST SESSION H. R. 605 

To provide for programs that reduce the need for abortion, help women 

bear healthy children, and support new parents. 

IN THE HOUSE OF REPRESENTATIVES 

JANUARY 16, 2009 

Mr. DAVIS of Tennessee introduced the following bill; which was referred to 

the Committee on Energy and Commerce, and in addition to the Committees on Ways and Means, Education and Labor, and Agriculture, for a 

period to be subsequently determined by the Speaker, in each case for 

consideration of such provisions as fall within the jurisdiction of the committee concerned 

A BILL 

To provide for programs that reduce the need for abortion, 

help women bear healthy children, and support new parents. 

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

3 SECTION 1. SHORT TITLE; TABLE OF CONTENTS. 

4 (a) SHORT TITLE.—This Act may be cited as the 

5 ‘‘Pregnant Women Support Act’’. 

6 (b) TABLE OF CONTENTS.—The table of contents for 

7 this Act is as follows: 

Sec. 1. Short title; table of contents. 

Sec. 2. Findings. 

Sec. 3. Definitions. 


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TITLE I—PUBLIC AWARENESS AND ASSISTANCE FOR PREGNANT 

WOMEN AND NEW PARENTS 

Sec. 101. Grants for increasing public awareness of resources available to assist 

pregnant women in carrying their pregnancies to term and to 

assist new parents. 

TITLE II—INCREASING WOMEN’S KNOWLEDGE ABOUT THEIR 

PREGNANCY 

Sec. 201. Grants to health centers for purchase of ultrasound equipment. 

TITLE III—PREGNANCY AS A PREEXISTING CONDITION 

Sec. 301. Individual health insurance coverage for pregnant women. 

Sec. 302. Continuation of health insurance coverage for newborns. 

TITLE IV—MEDICAID AND SCHIP COVERAGE OF PREGNANT 

WOMEN AND UNBORN CHILDREN 

Sec. 401. Treatment of unborn children. 

Sec. 402. Coordination with the maternal and child health program. 

TITLE V—DISCLOSURE OF INFORMATION ON ABORTION 

SERVICES 

Sec. 501. Disclosure of information on abortion services. 

TITLE VI—SERVICES TO PATIENTS RECEIVING POSITIVE TEST 

DIAGNOSIS OF DOWN SYNDROME OR OTHER PRENATALLY DIAGNOSED CONDITIONS 

Sec. 601. Services to patients receiving positive test diagnosis for down syndrome or other prenatally diagnosed conditions. 

TITLE VII—SUPPORT FOR PREGNANT AND PARENTING COLLEGE 

STUDENTS 

Sec. 701. Sense of Congress. 

Sec. 702. Definitions. 

Sec. 703. Pregnant and parenting student services pilot program. 

Sec. 704. Application; number of grants. 

Sec. 705. Matching requirement. 

Sec. 706. Use of funds. 

Sec. 707. Reporting. 

Sec. 708. Authorization of appropriations. 

TITLE VIII—SUPPORT FOR PREGNANT AND PARENTING TEENS 

Sec. 801. Grants to States. 

TITLE IX—IMPROVING SERVICES FOR PREGNANT WOMEN WHO 

ARE VICTIMS OF DOMESTIC VIOLENCE, DATING VIOLENCE, 

AND STALKING 

Sec. 901. Findings. 

Sec. 902. Program to support pregnant women who are victims of domestic violence. 

Sec. 903. Homicide death certificates of certain female victims. 


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TITLE X—LIFE SUPPORT CENTERS FOR PREGNANT WOMEN, 

MOTHERS, AND CHILDREN 

Sec. 1001. Life Support Centers Pilot Program. 

TITLE XI—EXPANSION OF ADOPTION CREDIT AND ADOPTION 

ASSISTANCE PROGRAMS 

Sec. 1101. Expansion of adoption credit and adoption assistance programs. 

TITLE XII—PROVIDING SUPPORT TO NEW PARENTS 

Sec. 1201. Increased support for WIC program. 

Sec. 1202. Nutritional support for low-income parents. 

Sec. 1203. Increased funding for the Child Care and Development Block Grant 

program. 

Sec. 1204. Teenage or first-time mothers; free home visits by registered nurses 

for education on health needs of infants. 

TITLE XIII—COLLECTING AND REPORTING ABORTION DATA 

Sec. 1301. Grants for collection and reporting of abortion data. 

1 SEC. 2. FINDINGS. 

2 The Congress finds as follows: 

3 (1) In 2004, 839,226 abortions were reported 

4 to the Centers for Disease Control and Prevention. 

5 (2) 48 percent of all pregnancies in America are 

6 unintended. Excluding miscarriages, 54 percent of 

7 unintended pregnancies end in abortion. 

8 (3) 57 percent of women who have abortions 

9 have incomes below 200 percent of the poverty level. 

10 (4) ‘‘Cannot afford a baby’’ is the second most 

11 frequently cited reason women choose to have an 

12 abortion; 73 percent of women having abortions 

13 cited this reason as a contributing factor. 

14 (5) This Act is an initiative to gather more 

15 complete information about abortion, to reduce the 

16 abortion rate by helping women carry their pregVerDate Nov 24 2008 03:52 Jan 17, 2009 Jkt 079200 PO 00000 Frm 00003 Fmt 6652 Sfmt 6201 E:\BILLS\H605.IH H605

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1 nancies to term and bear healthy children, and by 

2 affirming the right of women to be fully informed 

3 about their other options when they seek an abor4 tion. 

5 (6) The initiative will work to support women 

6 facing unplanned pregnancies, new parents and their 

7 children by providing comprehensive measures for 

8 health care needs, supportive services and helpful 

9 prenatal information and postnatal services. 

10 SEC. 3. DEFINITIONS. 

11 Except as otherwise provided in this Act, for purposes 

12 of this Act: 

13 (1) The term ‘‘Secretary’’ means the Secretary 

14 of Health and Human Services. 

15 (2) The term ‘‘State’’ includes the 50 States, 

16 the District of Columbia, the Commonwealth of 

17 Puerto Rico, the Commonwealth of the Northern 

18 Mariana Islands, American Samoa, Guam, the Vir19 gin Islands, and any other territory or possession of 

20 the United States. 


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1 TITLE I—PUBLIC AWARENESS 

2 AND ASSISTANCE FOR PREG3 NANT WOMEN AND NEW PAR4 ENTS 

5 SEC. 101. GRANTS FOR INCREASING PUBLIC AWARENESS 

6 OF RESOURCES AVAILABLE TO ASSIST PREG7 NANT WOMEN IN CARRYING THEIR PREG8 NANCIES TO TERM AND TO ASSIST NEW PAR9 ENTS. 

10 (a) GRANTS.—The Secretary may make grants to 

11 States to increase public awareness of resources available 

12 to pregnant women to carry their pregnancy to term and 

13 to new parents. 

14 (b) USE OF FUNDS.—The Secretary may make a 

15 grant to a State under this section only if the State agrees 

16 to use the grant for the following: 

17 (1) Identification of resources available to assist 

18 pregnant women to carry their pregnancy to term or 

19 to assist new parents, or both. 

20 (2) Conducting an advertising campaign to in21 crease public awareness of such resources. 

22 (3) Establishing and maintaining a toll-free 

23 telephone line to direct people to— 


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1 (A) organizations that provide support 

2 services for pregnant women to carry their 

3 pregnancy to term; 

4 (B) adoption centers; and 

5 (C) organizations that provide support 

6 services to new parents. 

7 (c) PROHIBITION.—The Secretary shall prohibit each 

8 State receiving a grant under this section from using the 

9 grant to direct people to an organization or adoption cen10 ter that is for-profit. 

11 (d) IDENTIFICATION OF RESOURCES.—The Secretary 

12 shall require each State receiving a grant under this sec13 tion to make publicly available by means of the Internet 

14 (electronic and paper form) a list of the following: 

15 (1) The resources identified pursuant to sub16 section (b)(1). 

17 (2) The organizations and adoption centers to 

18 which people are directed pursuant to an advertising 

19 campaign or telephone line funded under this sec20 tion. 

21 (e) AUTHORIZATION OF APPROPRIATIONS.—The Sec22 retary shall make such funds available as may be nec23 essary to carry out the activities of this section. 


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1 TITLE II—INCREASING WOMEN’S 

2 KNOWLEDGE ABOUT THEIR 

3 PREGNANCY 

4 SEC. 201. GRANTS TO HEALTH CENTERS FOR PURCHASE OF 

5 ULTRASOUND EQUIPMENT. 

6 Part B of title III of the Public Health Service Act 

7 (42 U.S.C. 243 et seq.) is amended by inserting after sec8 tion 317L the following: 

9 ‘‘SEC. 317L–1. GRANTS FOR THE PURCHASE OR UPGRADE 

10 OF ULTRASOUND EQUIPMENT. 

11 ‘‘(a) IN GENERAL.—The Secretary may make grants 

12 for the purchase of ultrasound equipment. Such 

13 ultrasound equipment shall be used by the recipients of 

14 such grants to provide, under the direction and super15 vision of a licensed medical physician, ultrasound examina16 tions to pregnant women consenting to such services. 

17 ‘‘(b) ELIGIBILITY REQUIREMENTS.—An entity may 

18 receive a grant under subsection (a) only if the entity 

19 meets the following conditions: 

20 ‘‘(1) The entity is a health center eligible to re21 ceive a grant under section 330 (relating to commu22 nity health centers, migrant health centers, homeless 

23 health centers, and public-housing health centers). 

24 ‘‘(2) The entity agrees to comply with the fol25 lowing medical procedures: 


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1 ‘‘(A) The entity will inform each pregnant 

2 woman upon whom the ultrasound equipment is 

3 used that she has the right to view the visual 

4 image of the unborn child from the ultrasound 

5 examination and that she has the right to hear 

6 a general anatomical and physiological descrip7 tion of the characteristics of the unborn child. 

8 ‘‘(B) The entity will inform each pregnant 

9 woman that she has the right to learn, accord10 ing to the best medical judgment of the physi11 cian performing the ultrasound examination or 

12 the physician’s agent performing such exam, 

13 the approximate age of the embryo or unborn 

14 child considering the number of weeks elapsed 

15 from the probable time of the conception of the 

16 embryo or unborn child, based upon the infor17 mation provided by the client as to the time of 

18 her last menstrual period, her medical history, 

19 a physical examination, or appropriate labora20 tory tests. 

21 ‘‘(c) APPLICATION FOR GRANT.—A grant may be 

22 made under subsection (a) only if an application for the 

23 grant is submitted to the Secretary and the application 

24 is in such form, is made in such manner, and contains 


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1 such agreements, assurances, and information as the Sec2 retary determines to be necessary to carry out this section. 

3 ‘‘(d) ANNUAL REPORT TO SECRETARY.—A grant 

4 may be made under subsection (a) only if the applicant 

5 for the grant agrees to report on an annual basis to the 

6 Secretary, in such form and manner as the Secretary may 

7 require, on the ongoing compliance of the applicant with 

8 the eligibility conditions established in subsection (b). 

9 ‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—For the 

10 purpose of carrying out this section, there are authorized 

11 to be appropriated $3,000,000 for fiscal year 2010, and 

12 such sums as may be necessary for each of the fiscal years 

13 2011 through 2014.’’. 

14 TITLE III—PREGNANCY AS A 

15 PREEXISTING CONDITION 

16 SEC. 301. INDIVIDUAL HEALTH INSURANCE COVERAGE FOR 

17 PREGNANT WOMEN. 

18 (a) LIMITATION ON IMPOSITION OF PRE-EXISTING

19 CONDITION EXCLUSIONS AND WAITING PERIODS FOR

20 WOMEN WITH PRIOR COVERAGE.—Title XXVII of the 

21 Public Health Service Act (42 U.S.C. 300gg et seq.) is 

22 amended by inserting after section 2753 the following new 

23 section: 


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1 ‘‘SEC. 2754. PROVIDING INDIVIDUAL HEALTH INSURANCE 

2 COVERAGE WITHOUT REGARD TO PRE3 EXISTING CONDITION EXCLUSION AND WAIT4 ING PERIODS FOR PREGNANT WOMEN WITH5 IN ONE YEAR OF CONTINUOUS PRIOR COV6 ERAGE. 

7 ‘‘In the case of a woman who has had at least 12 

8 months of creditable coverage before seeking individual 

9 health insurance coverage, such individual health insur10 ance coverage, and the health insurance issuer offering 

11 such coverage, may not impose any preexisting condition 

12 exclusion relating to pregnancy as a preexisting condition, 

13 any waiting period, or otherwise discriminate in coverage 

14 or premiums against the woman on the basis that she is 

15 pregnant.’’. 

16 (b) EFFECTIVE DATE.—The amendment made by 

17 subsection (a) shall take effect on October 1, 2009, and 

18 shall apply to women who become pregnant on or after 

19 such date. 

20 SEC. 302. CONTINUATION OF HEALTH INSURANCE COV21 ERAGE FOR NEWBORNS. 

22 (a) GROUP HEALTH PLAN COVERAGE.—Title XXVII 

23 of the Public Health Service Act (42 U.S.C. 300gg et seq.) 

24 is amended by inserting after section 2707 the following 

25 new section: 


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1 ‘‘SEC. 2708. CONTINUATION OF COVERAGE FOR NEWBORNS. 

2 ‘‘(a) NOTIFICATION.—In the case of a pregnant 

3 woman who is covered under a group health plan, or under 

4 group health insurance coverage, for other than family 

5 coverage, the plan or issuer of the insurance shall provide 

6 notice to the woman during the 5th month of pregnancy, 

7 during the 8th month of pregnancy, and within 2 weeks 

8 after delivery, of the woman’s option to provide continuing 

9 coverage of the newborn child under the group health plan 

10 or health insurance coverage under subsection (b). 

11 ‘‘(b) OPTION OF CONTINUED COVERAGE FOR

12 NEWBORNS.—In the case of a pregnant woman described 

13 in subsection (a) who has a newborn child under a group 

14 health plan or under group health insurance coverage, the 

15 plan or issuer offering the coverage shall provide the 

16 woman with the option of electing coverage of the newborn 

17 child at least through the end of the 30-day period begin18 ning on the date of birth of the child and no waiting period 

19 or preexisting condition exclusion shall apply with respect 

20 to the coverage of such a newborn child under such plan 

21 or coverage. Such continuation coverage shall remain in 

22 effect, subject to payment of applicable premiums, for at 

23 least such period as the Secretary specifies.’’. 

24 (b) INDIVIDUAL HEALTH INSURANCE COVERAGE.— 

25 Such title is further amended by inserting after section 

26 2754, as added by section 301, the following new section: 


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1 ‘‘SEC. 2755. CONTINUATION OF COVERAGE FOR NEWBORNS. 

2 ‘‘The provisions of section 2708 shall apply with re3 spect to individual health insurance coverage and the 

4 issuer of such coverage in the same manner as they apply 

5 to group health insurance coverage and the issuer of such 

6 coverage.’’. 

7 (c) EFFECTIVE DATE.—The amendments made by 

8 this section shall take effect on January 1, 2010, and shall 

9 apply to women who become pregnant on or after such 

10 date and children who are born of such women. 

11 TITLE IV—MEDICAID AND SCHIP 

12 COVERAGE OF PREGNANT 

13 WOMEN AND UNBORN CHIL14 DREN 

15 SEC. 401. TREATMENT OF UNBORN CHILDREN. 

16 (a) CODIFICATION OF CURRENT REGULATIONS.— 

17 Section 2110(c)(1) (42 U.S.C. 1397(c)(1)) of the Social 

18 Security Act is amended by striking the period at the end 

19 and inserting the following: ‘‘, and includes, at the option 

20 of a State, an unborn child.’’. 

21 (b) CLARIFICATIONS REGARDING COVERAGE OF

22 MOTHERS.—Section 2103 (42 U.S.C. 1397cc) of such Act 

23 is amended by adding at the end the following new sub24 section: 

25 ‘‘(g) CLARIFICATIONS REGARDING AUTHORITY TO

26 PROVIDE POSTPARTUM SERVICES AND MATERNAL


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1 HEALTH CARE.—Any State that provides child health as2 sistance to an unborn child under the option described in 

3 section 2110(c)(1) may— 

4 ‘‘(1) continue to provide such assistance to the 

5 mother, as well as postpartum services, through the 

6 end of the month in which the 60-day period (begin7 ning on the last day of pregnancy) ends; and 

8 ‘‘(2) in the interest of the child to be born, have 

9 flexibility in defining and providing services to ben10 efit either the mother or unborn child consistent 

11 with the health of both.’’. 

12 SEC. 402. COORDINATION WITH THE MATERNAL AND CHILD 

13 HEALTH PROGRAM. 

14 (a) IN GENERAL.—Section 2102(b)(3) of the Social 

15 Security Act (42 U.S.C. 1397bb(b)(3)) is amended— 

16 (1) in subparagraph (D), by striking ‘‘and’’ at 

17 the end; 

18 (2) in subparagraph (E), by striking the period 

19 and inserting ‘‘; and’’; and 

20 (3) by adding at the end the following new sub21 paragraph: 

22 ‘‘(F) that operations and activities under 

23 this title are developed and implemented in con24 sultation and coordination with the program op25 erated by the State under title V in areas inVerDate Nov 24 2008 03:52 Jan 17, 2009 Jkt 079200 PO 00000 Frm 00013 Fmt 6652 Sfmt 6201 E:\BILLS\H605.IH H605

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1 cluding outreach and enrollment, benefits and 

2 services, service delivery standards, public 

3 health and social service agency relationships, 

4 and quality assurance and data reporting.’’. 

5 (b) CONFORMING MEDICAID AMENDMENT.—Section 

6 1902(a)(11) of such Act (42 U.S.C. 1396a(a)(11)) is 

7 amended— 

8 (1) by striking ‘‘and’’ before ‘‘(C)’’; and 

9 (2) by inserting before the semicolon at the end 

10 the following: ‘‘, and (D) provide that operations and 

11 activities under this title are developed and imple12 mented in consultation and coordination with the 

13 program operated by the State under title V in areas 

14 including outreach and enrollment, benefits and 

15 services, service delivery standards, public health 

16 and social service agency relationships, and quality 

17 assurance and data reporting’’. 

18 (c) EFFECTIVE DATE.—The amendments made by 

19 this section take effect on October 1, 2009. 


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1 TITLE V—DISCLOSURE OF IN2 FORMATION ON ABORTION 

3 SERVICES 

4 SEC. 501. DISCLOSURE OF INFORMATION ON ABORTION 

5 SERVICES. 

6 (a) IN GENERAL.—Health facilities that perform 

7 abortions in or affecting interstate commerce shall obtain 

8 informed consent from the pregnant woman seeking to 

9 have the abortion. Informed consent shall exist only after 

10 a woman has voluntarily completed or opted not to com11 plete pre-abortion counseling sessions. 

12 (b) ACCURATE INFORMATION.—Counseling sessions 

13 under subsection (a) shall include the following informa14 tion: 

15 (1) The probable gestational age and character16 istics of the unborn child at the time the abortion 

17 will be performed. 

18 (2) How the abortion procedure is performed. 

19 (3) Possible short-term and long-term risks and 

20 complications of the procedure to be performed. 

21 (4) Options or alternatives to abortion, includ22 ing, but not limited to, adoption, and the resources 

23 available in the community to assist women choosing 

24 these options. 


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1 (5) The availability of post-procedure medical 

2 services to address the risks and complications of 

3 the procedure. 

4 (c) EXCEPTION.—This section shall not apply when 

5 the pregnant woman is herself incapable, under State law, 

6 of making medical decisions. This section does not affect 

7 or modify any requirement under State law for making 

8 medical decisions for such patients. 

9 (d) CIVIL REMEDIES.— 

10 (1) CIVIL ACTION.—Any female upon whom an 

11 abortion has been performed or attempted without 

12 complying with the informed consent requirements 

13 may bring a civil action in an appropriate district 

14 court of the United States against the person who 

15 performed the abortion in knowing or reckless viola16 tion of this section for actual and punitive damages. 

17 (2) CERTAIN AUTHORITIES AND REQUIRE18 MENTS.—With respect to an action under paragraph 

19 (1): 

20 (A) The court may award attorney’s fees 

21 to the plaintiff if judgment is rendered in favor 

22 of the plaintiff, and may award attorney’s fees 

23 to the defendant if judgment is rendered in 

24 favor of the defendant and the court finds that 


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1 the plaintiff’s case was frivolous and brought in 

2 bad faith. 

3 (B) The court shall determine whether the 

4 anonymity of the female involved will be pre5 served from public disclosure if the female has 

6 not consented to her identity being disclosed. If 

7 the female’s identity is to be shielded, the court 

8 shall issue an order sealing the record and ex9 cluding individuals from the courtroom to pre10 serve her identity. 

11 (C) In the absence of the female’s written 

12 consent, anyone other than a public official who 

13 brings the action shall do so under a pseu14 donym. 

15 (3) RULE OF CONSTRUCTION.—Nothing in this 

16 subsection may be construed to conceal the identity 

17 of the plaintiff or of the witnesses from the defend18 ant. 

19 (e) SEVERABILITY.—If any provision of this section 

20 requiring informed consent for abortions is found uncon21 stitutional, the unconstitutional provision is severable and 

22 the other provisions of this section remain in effect. 

23 (f) PREEMPTION.—Nothing in this section shall pre24 vent a State from enacting and enforcing additional re25 quirements with respect to informed consent. 


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1 TITLE VI—SERVICES TO PA2 TIENTS RECEIVING POSITIVE 

3 TEST DIAGNOSIS OF DOWN 

4 SYNDROME OR OTHER PRE5 NATALLY DIAGNOSED CONDI6 TIONS 

7 SEC. 601. SERVICES TO PATIENTS RECEIVING POSITIVE 

8 TEST DIAGNOSIS FOR DOWN SYNDROME OR 

9 OTHER PRENATALLY DIAGNOSED CONDI10 TIONS. 

11 (a) FINDINGS AND PURPOSES.— 

12 (1) FINDINGS.—The Congress finds as follows: 

13 (A) Pregnant women who choose to under14 go prenatal genetic testing should have access 

15 to timely, scientific, and nondirective counseling 

16 about the conditions being tested for and the 

17 accuracy of such tests, from health care profes18 sionals qualified to provide and interpret these 

19 tests. Informed consent is a critical component 

20 of all genetic testing. 

21 (B) A recent, peer-reviewed study and two 

22 reports from the Centers for Disease Control 

23 and Prevention on prenatal testing found a de24 ficiency in the data needed to understand the 

25 epidemiology of prenatally diagnosed conditions, 


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1 to monitor trends accurately, and to increase 

2 the effectiveness of health intervention. 

3 (2) PURPOSES.—It is the purpose of this sec4 tion, after the diagnosis of an unborn child with 

5 Down syndrome or other prenatally diagnosed condi6 tions, to— 

7 (A) increase patient referrals to providers 

8 of key support services to assist parents in the 

9 care, or placement for adoption, of a child with 

10 Down syndrome, or other prenatally diagnosed 

11 conditions, as well as to provide up-to-date, 

12 science-based information about life-expectancy 

13 and development potential for a child born with 

14 Down syndrome or other prenatally diagnosed 

15 condition; 

16 (B) provide networks of support services 

17 described in subparagraph (A) through a Cen18 ters for Disease Control and Prevention patient 

19 and provider outreach program; 

20 (C) improve available data by incor21 porating information directly revealed by pre22 natal testing into existing State-based surveil23 lance programs for birth defects and prenatally 

24 diagnosed conditions; and 


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1 (D) ensure that patients receive up-to-date, 

2 scientific information about the accuracy of the 

3 test. 

4 (b) AMENDMENT TO THE PUBLIC HEALTH SERVICE

5 ACT.—Part P of title III of the Public Health Service Act 

6 (42 U.S.C. 280g et seq.) is amended by adding at the end 

7 the following: 

8 ‘‘SEC. 399U. SUPPORT FOR PATIENTS RECEIVING A POSI9 TIVE TEST DIAGNOSIS OF DOWN SYNDROME 

10 OR OTHER PRENATALLY DIAGNOSED CONDI11 TIONS. 

12 ‘‘(a) DEFINITIONS.—In this section: 

13 ‘‘(1) DOWN SYNDROME.—The term ‘Down syn14 drome’ refers to a chromosomal disorder caused by 

15 an error in cell division that results in the presence 

16 of an extra whole or partial copy of chromosome 21. 

17 ‘‘(2) HEALTH CARE PROVIDER.—The term 

18 ‘health care provider’ means any person or entity re19 quired by State or Federal law or regulation to be 

20 licensed, registered, or certified to provide health 

21 care services, and who is so licensed, registered, or 

22 certified. 

23 ‘‘(3) PRENATALLY DIAGNOSED CONDITION.— 

24 The term ‘prenatally diagnosed condition’ means any 


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1 fetal health condition identified by prenatal genetic 

2 testing or prenatal screening procedures. 

3 ‘‘(4) PRENATAL TEST.—The term ‘prenatal 

4 test’ means diagnostic or screening tests offered to 

5 pregnant women seeking routine prenatal care that 

6 are administered by a health care provider based on 

7 medical history, family background, ethnic back8 ground, previous test results, or other risk factors. 

9 ‘‘(5) SUPPORT.—The terms ‘support’ and ‘sup10 portive services’ mean services to assist parents to 

11 care for, and prepare to care for, a child with Down 

12 Syndrome or another prenatally diagnosed condition, 

13 and to facilitate the adoption of such children as ap14 propriate. 

15 ‘‘(b) INFORMATION AND SUPPORT SERVICES.—The 

16 Secretary, acting through the Director of the National In17 stitutes of Health, the Director of the Centers for Disease 

18 Control and Prevention, or the Administrator of the 

19 Health Resources and Services Administration, may au20 thorize and oversee certain activities, including the award21 ing of grants, contracts, or cooperative agreements, to— 

22 ‘‘(1) collect, synthesize, and disseminate current 

23 scientific information relating to Down syndrome or 

24 other prenatally diagnosed conditions; 


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1 ‘‘(2) coordinate the provision of, and access to, 

2 new or existing supportive services for patients re3 ceiving a positive test diagnosis for Down syndrome 

4 or other prenatally diagnosed conditions, including— 

5 ‘‘(A) the establishment of a resource tele6 phone hotline and Internet Website accessible 

7 to patients receiving a positive test result; 

8 ‘‘(B) the establishment of national and 

9 local peer-support programs; and 

10 ‘‘(C) the establishment of a national reg11 istry, or network of local registries, of families 

12 willing to adopt newborns with Down syndrome 

13 or other prenatally diagnosed conditions, and 

14 links to adoption agencies willing to place ba15 bies with Down syndrome or other prenatally 

16 diagnosed conditions, with families willing to 

17 adopt; 

18 ‘‘(3) establish a clearinghouse of information 

19 regarding the scientific facts, clinical course, life ex20 pectancy, and development potential relating to 

21 Down syndrome or other prenatally diagnosed condi22 tions; and 

23 ‘‘(4) establish awareness and education pro24 grams for health care providers who provide the re25 sults of prenatal tests for Down syndrome or other 


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1 prenatally diagnosed conditions, to patients, con2 sistent with the purpose described in section 

3 601(a)(2)(A) of the Pregnant Women Support Act. 

4 ‘‘(c) DATA COLLECTION.— 

5 ‘‘(1) PROVISION OF ASSISTANCE.—The Sec6 retary, acting through the Director of the Centers 

7 for Disease Control and Prevention, shall provide as8 sistance to State and local health departments to in9 tegrate the results of prenatal testing into State10 based vital statistics and birth defects surveillance 

11 programs. 

12 ‘‘(2) ACTIVITIES.—The Secretary shall ensure 

13 that activities carried out under paragraph (1) are 

14 sufficient to extract population-level data relating to 

15 national rates and results of prenatal testing. 

16 ‘‘(d) PROVISION OF INFORMATION BY PROVIDERS.— 

17 Upon receipt of a positive test result from a prenatal test 

18 for Down syndrome or other prenatally diagnosed condi19 tions performed on a patient, the health care provider in20 volved (or his or her designee) shall provide the patient 

21 with the following: 

22 ‘‘(1) Up-to-date, scientific, written information 

23 concerning the life expectancy, clinical course, and 

24 intellectual and functional development and treat25 ment options for an unborn child diagnosed with or 


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1 child born with Down syndrome or other prenatally 

2 diagnosed conditions. 

3 ‘‘(2) Referral to supportive services providers, 

4 including information hotlines specific to Down syn5 drome or other prenatally diagnosed conditions, re6 source centers or clearinghouses, and other edu7 cation and support programs described in subsection 

8 (b). 

9 ‘‘(e) PRIVACY.— 

10 ‘‘(1) IN GENERAL.—Notwithstanding sub11 sections (c) and (d), nothing in this section shall be 

12 construed to permit or require the collection, mainte13 nance, or transmission, without the health care pro14 vider obtaining the prior, written consent of the pa15 tient, of— 

16 ‘‘(A) health information or data that iden17 tify a patient, or with respect to which there is 

18 a reasonable basis to believe the information 

19 could be used to identify the patient (including 

20 a patient’s name, address, healthcare provider, 

21 or hospital); and 

22 ‘‘(B) data that are not related to the epi23 demiology of the condition being tested for. 

24 ‘‘(2) GUIDANCE.—Not later than 180 days 

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1 retary shall establish guidelines concerning the im2 plementation of paragraph (1) and subsection (d). 

3 ‘‘(f) REPORTS.— 

4 ‘‘(1) IMPLEMENTATION REPORT.—Not later 

5 than 2 years after the date of enactment of this sec6 tion, and every 2 years thereafter, the Secretary 

7 shall submit a report to Congress concerning the im8 plementation of the guidelines described in sub9 section (e)(2). 

10 ‘‘(2) GAO REPORT.—Not later than 1 year 

11 after the date of enactment of this section, the Gov12 ernment Accountability Office shall submit a report 

13 to Congress concerning the effectiveness of current 

14 healthcare and family support programs serving as 

15 resources for the families of children with disabil16 ities. 

17 ‘‘(g) AUTHORIZATION OF APPROPRIATIONS.—There 

18 is authorized to be appropriated to carry out this section 

19 $5,000,000 for each of the fiscal years 2010 through 

20 2014.’’. 

21 TITLE VII—SUPPORT FOR PREG22 NANT AND PARENTING COL23 LEGE STUDENTS 

24 SEC. 701. SENSE OF CONGRESS. 

25 It is the sense of Congress that— 


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1 (1) pregnant college students should not have 

2 to make a choice between keeping their baby and 

3 staying in school; 

4 (2) the pilot program under this title will help 

5 interested, eligible institutions of higher education 

6 establish pregnancy and parenting student services 

7 offices that will operate independent of Federal 

8 funding no later than 5 years after the date of the 

9 enactment of this title; and 

10 (3) amounts appropriated to carry out other 

11 Federal programs should be reduced to offset the 

12 costs of this title. 

13 SEC. 702. DEFINITIONS. 

14 In this title: 

15 (1) ELIGIBLE INSTITUTION OF HIGHER EDU16 CATION.—The term ‘‘eligible institution of higher 

17 education’’ means an institution of higher education 

18 (as such term is defined in section 101 of the High19 er Education Act of 1965 (20 U.S.C. 1001)) that 

20 has established and operates, or agrees to establish 

21 and operate upon the receipt of a grant under this 

22 title, a pregnant and parenting student services of23 fice described in section 706. 


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1 (2) PARENT; PARENTING.—The terms ‘‘parent’’ 

2 and ‘‘parenting’’ refer to a parent or legal guardian 

3 of a minor. 

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

5 the Secretary of Education. 

6 SEC. 703. PREGNANT AND PARENTING STUDENT SERVICES 

7 PILOT PROGRAM. 

8 From amounts appropriated under section 708 for a 

9 fiscal year, the Secretary shall establish a pilot program 

10 to award grants to eligible institutions of higher education 

11 to enable the eligible institutions to establish (or maintain) 

12 and operate pregnant and parenting student services of13 fices in accordance with section 706. 

14 SEC. 704. APPLICATION; NUMBER OF GRANTS. 

15 (a) APPLICATION.—An eligible institution of higher 

16 education that desires to receive a grant under this title 

17 shall submit an application to the Secretary at such time, 

18 in such manner, and containing such information as the 

19 Secretary may require. 

20 (b) REQUESTS FOR ADDITIONAL INFORMATION.— 

21 The Secretary may require an eligible institution submit22 ting an application under subsection (a) to provide addi23 tional information if the Secretary determines such infor24 mation is necessary to process the application. 


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1 (c) NUMBER OF GRANTS.—Subject to the availability 

2 of appropriations under section 708, the Secretary shall 

3 award grants under this title to no more than 200 eligible 

4 institutions. 

5 SEC. 705. MATCHING REQUIREMENT. 

6 An eligible institution of higher education that re7 ceives a grant under this title shall contribute to the con8 duct of the pregnant and parenting student services office 

9 supported by the grant an amount from non-Federal funds 

10 equal to the amount of the grant. The non-Federal share 

11 may be in cash or in kind, fairly evaluated, including serv12 ices, facilities, supplies, or equipment. 

13 SEC. 706. USE OF FUNDS. 

14 (a) IN GENERAL.—An eligible institution of higher 

15 education that receives a grant under this title shall use 

16 grant funds to establish (or maintain) and operate a preg17 nant and parenting student services office, located on the 

18 campus of the eligible institution, that carries out the fol19 lowing programs and activities: 

20 (1) Hosts an initial pregnancy and parenting 

21 resource forum— 

22 (A) to assess pregnancy and parenting re23 sources, located on the campus or within the 

24 local community, that are available to meet the 

25 needs described in paragraph (2); and 


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1 (B) to set goals for— 

2 (i) improving such resources for preg3 nant, parenting, and prospective parenting 

4 students; and 

5 (ii) improving access to such re6 sources. 

7 (2) Annually assesses the performance of the el8 igible institution and the office in meeting the fol9 lowing needs of students enrolled in the eligible in10 stitution who are pregnant or are parents: 

11 (A) The inclusion of maternity coverage 

12 and the availability of riders for additional fam13 ily members in student health care. 

14 (B) Family housing. 

15 (C) Child care. 

16 (D) Flexible or alternative academic sched17 uling, such as telecommuting programs. 

18 (E) Education to improve parenting skills 

19 for mothers and fathers and to strengthen mar20 riages. 

21 (F) Maternity and baby clothing, baby 

22 food (including formula), baby furniture, and 

23 similar items to assist parents and prospective 

24 parents in meeting the material needs of their 

25 children. 


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1 (G) Post-partum counseling and support 

2 groups. 

3 (3) Identifies public and private service pro4 viders, located on the campus of the eligible institu5 tion or within the local community, that are quali6 fied to meet the needs described in paragraph (2), 

7 and establishes programs with qualified providers to 

8 meet such needs. 

9 (4) Assists pregnant and parenting students 

10 and their spouses in locating and obtaining services 

11 that meet the needs described in paragraph (2). 

12 (5) If appropriate, provides referrals for pre13 natal care and delivery, infant or foster care, or 

14 adoption, to a student who requests such informa15 tion. An office shall make such referrals only to 

16 service providers that primarily serve the following 

17 types of individuals: 

18 (A) Parents. 

19 (B) Prospective parents awaiting adoption. 

20 (C) Women who are pregnant and plan on 

21 parenting or placing the child for adoption. 

22 (D) Parenting or prospective parenting 

23 couples who are married or who plan on 

24 marrying in order to provide a supportive envi25 ronment for each other and their child. 


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1 (b) EXPANDED SERVICES.—In carrying out the pro2 grams and activities described in subsection (a), an eligible 

3 institution of higher education receiving a grant under this 

4 title may choose to provide access to such programs and 

5 activities to a pregnant or parenting employee of the eligi6 ble institution, and the employee’s spouse. 

7 SEC. 707. REPORTING. 

8 (a) ANNUAL REPORT BY INSTITUTIONS.— 

9 (1) IN GENERAL.—For each fiscal year that an 

10 eligible institution of higher education receives a 

11 grant under this title, the eligible institution shall 

12 prepare and submit to the Secretary, by the date de13 termined by the Secretary, a report that— 

14 (A) itemizes the pregnant and parenting 

15 student services office’s expenditures for the fis16 cal year; 

17 (B) contains a review and evaluation of the 

18 performance of the office in fulfilling the re19 quirements of this title, using the specific per20 formance criteria or standards established 

21 under paragraph (2)(A); and 

22 (C) describes the achievement of the office 

23 in meeting the needs listed in section 706(a)(2) 

24 of the students served by the eligible institution, 


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1 and the frequency of use of the office by such 

2 students. 

3 (2) PERFORMANCE CRITERIA.—Not later than 

4 180 days before the date the annual report described 

5 in paragraph (1) is submitted, the Secretary— 

6 (A) shall identify the specific performance 

7 criteria or standards that shall be used to pre8 pare the report; and 

9 (B) may establish the form or format of 

10 the report. 

11 (3) ADDITIONAL INFORMATION.—After review12 ing an annual report of an eligible institution of 

13 higher education, the Secretary may require that the 

14 eligible institution provide additional information if 

15 the Secretary determines that such additional infor16 mation is necessary to evaluate the pilot program. 

17 (b) REPORT BY SECRETARY.—The Secretary shall 

18 annually prepare and submit a report on the findings of 

19 the pilot program under this title, including the number 

20 of eligible institutions of higher education that were 

21 awarded grants and the number of students served by 

22 each pregnant and parenting student services office receiv23 ing funds under this title, to the appropriate committees 

24 of the Senate and the House of Representatives. 


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1 SEC. 708. AUTHORIZATION OF APPROPRIATIONS. 

2 There is authorized to be appropriated to carry out 

3 this title not more than $10,000,000 for each of the fiscal 

4 years 2010 through 2014. 

5 TITLE VIII—SUPPORT FOR 

6 PREGNANT AND PARENTING 

7 TEENS 

8 SEC. 801. GRANTS TO STATES. 

9 The Secretary shall make grants to States to allow 

10 early childhood education programs, including Head Start, 

11 to work with pregnant or parenting teens to complete high 

12 school and prepare for college or for vocational education. 

13 TITLE IX—IMPROVING SERVICES 

14 FOR PREGNANT WOMEN WHO 

15 ARE VICTIMS OF DOMESTIC 

16 VIOLENCE, DATING VIO17 LENCE, AND STALKING 

18 SEC. 901. FINDINGS. 

19 The Congress finds as follows: 

20 (1) Pregnant and recently pregnant women are 

21 more likely to be victims of homicide than to die of 

22 any other causes, and evidence exists that a signifi23 cant proportion of all female homicide victims are 

24 killed by their intimate partners. 

25 (2) A 2001 study published by the Journal of 

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1 der is the number one cause of death among preg2 nant women. 

3 (3) Research suggests that injury-related 

4 deaths, including homicide and suicide, account for 

5 approximately one-third of all maternal mortality 

6 cases, while medical reasons make up the rest. 

7 Homicide is the leading cause of death overall for 

8 pregnant women, followed by cancer, acute and 

9 chronic respiratory conditions, motor vehicle colli10 sions and drug overdose, peripartum and 

11 postpartum cardiomyopthy, and suicide. 

12 SEC. 902. PROGRAM TO SUPPORT PREGNANT WOMEN WHO 

13 ARE VICTIMS OF DOMESTIC VIOLENCE. 

14 (a) IN GENERAL.—For fiscal year 2010 and each 

15 subsequent fiscal year, the Attorney General, through the 

16 Director of the Office on Violence Against Women, may 

17 award grants to States, to be used for any of the following 

18 purposes: 

19 (1) To assist States in providing intervention 

20 services, accompaniment, and supportive social serv21 ices for eligible pregnant women who are victims of 

22 domestic violence, dating violence, or stalking. 

23 (2) To provide for technical assistance and 

24 training (as described in subsection (c)) relating to 


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1 violence against eligible pregnant women to be made 

2 available to the following: 

3 (A) Federal, State, tribal, territorial, and 

4 local governments, law enforcement agencies, 

5 and courts. 

6 (B) Professionals working in legal, social 

7 service, and health care settings. 

8 (C) Nonprofit organizations. 

9 (D) Faith-based organizations. 

10 (b) STATE ELIGIBILITY.—To be eligible for a grant 

11 under subsection (a), a State shall— 

12 (1) submit to the Attorney General an applica13 tion in such time and manner, and containing such 

14 information, as specified by the Attorney General; 

15 and 

16 (2) for a grant made for a fiscal year beginning 

17 on or after the date that is one year after the date 

18 of the enactment of this title, satisfy the require19 ment under section 903, relating to female homicide 

20 victim determinations and death certificates. 

21 (c) TECHNICAL ASSISTANCE AND TRAINING DE22 SCRIBED.—For purposes of subsection (a)(2), technical 

23 assistance and training is— 


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1 (1) the identification of eligible pregnant women 

2 experiencing domestic violence, dating violence, or 

3 stalking; 

4 (2) the assessment of the immediate and short5 term safety of such a pregnant woman, the evalua6 tion of the impact of the violence or stalking on the 

7 pregnant woman’s health, and the assistance of the 

8 pregnant woman in developing a plan aimed at pre9 venting further domestic violence, dating violence, or 

10 stalking, as appropriate; 

11 (3) the maintenance of complete medical or fo12 rensic records that include the documentation of any 

13 examination, treatment given, and referrals made, 

14 recording the location and nature of the pregnant 

15 woman’s injuries, and the establishment of mecha16 nisms to ensure the privacy and confidentiality of 

17 those medical records; and 

18 (4) the identification and referral of the preg19 nant woman to appropriate public and private non20 profit entities that provide intervention services, ac21 companiment, and supportive social services. 

22 (d) DEFINITIONS.—For purposes of this title: 

23 (1) ACCOMPANIMENT.—The term ‘‘accompani24 ment’’ means assisting, representing, and accom25 panying a woman in seeking judicial relief for child 


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1 support, child custody, restraining orders, and res2 titution for harm to persons and property, and in fil3 ing criminal charges, and may include the payment 

4 of court costs and reasonable attorney and witness 

5 fees associated therewith. 

6 (2) ELIGIBLE PREGNANT WOMAN.—The term 

7 ‘‘eligible pregnant woman’’ means any woman who is 

8 pregnant on the date on which such woman becomes 

9 a victim of domestic violence, dating violence, or 

10 stalking or who was pregnant during the one-year 

11 period before such date. 

12 (3) INTERVENTION SERVICES.—The term 

13 ‘‘intervention services’’ means, with respect to do14 mestic violence, dating violence, or stalking, 24-hour 

15 telephone hotline services for police protection and 

16 referral to shelters. 

17 (4) STATE.—The term ‘‘State’’ includes the 

18 District of Columbia, any commonwealth, possession, 

19 or other territory of the United States, and any In20 dian tribe or reservation. 

21 (5) SUPPORTIVE SOCIAL SERVICES.—The term 

22 ‘‘supportive social services’’ means transitional and 

23 permanent housing, vocational counseling, and indi24 vidual and group counseling aimed at preventing do25 mestic violence, dating violence, or stalking. 


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1 (6) VIOLENCE.—The term ‘‘violence’’ means ac2 tual violence and the risk or threat of violence. 

3 (e) AUTHORIZATION OF APPROPRIATIONS.—For the 

4 purpose of making allotments under subsection (a), there 

5 are authorized to be appropriated $4,000,000 for each of 

6 the fiscal years 2010 through 2014. 

7 SEC. 903. HOMICIDE DEATH CERTIFICATES OF CERTAIN FE8 MALE VICTIMS. 

9 For purposes of section 902(b)(2), the requirement 

10 under this section is that not later than the date that is 

11 one year after the date of the enactment of this title, a 

12 State shall require, with respect to any homicide case initi13 ated after such one-year date and in which the victim is 

14 a female of possible child-bearing age, each of the fol15 lowing: 

16 (1) A determination of which, if any, of the fol17 lowing categories, described the victim: 

18 (A) The victim was pregnant on the date 

19 of her death. 

20 (B) The victim was not pregnant on the 

21 date of her death, but had been pregnant dur22 ing the 42-day period before such date. 

23 (C) The victim was not pregnant on the 

24 date of her death, but had been pregnant dur25 ing the period beginning on the date that was 


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1 one year before such date of her death and end2 ing on the date that was 43 days before such 

3 date of her death. 

4 (D) The victim was not pregnant during 

5 the one-year period before the date of her 

6 death. 

7 (E) It could not be determined whether or 

8 not the victim had been pregnant during the 

9 one-year period before the date of her death. 

10 (2) The determination made under paragraph 

11 (1) shall be included in the death certificate of the 

12 victim. 

13 TITLE X—LIFE SUPPORT CEN14 TERS FOR PREGNANT 

15 WOMEN, MOTHERS, AND 

16 CHILDREN 

17 SEC. 1001. LIFE SUPPORT CENTERS PILOT PROGRAM. 

18 (a) IN GENERAL.—The Secretary shall establish a 

19 pilot program to fund comprehensive and supportive serv20 ices for pregnant women, mothers, and children. Such 

21 services may include— 

22 (1) child care for infants and toddlers to allow 

23 mothers to find jobs and finish their education; 

24 (2) relocation assistance to establish good and 

25 stable homes; 


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1 (3) educational support, such as preparation for 

2 pregnant and parenting mothers for the recognized 

3 equivalent of a secondary school diploma; 

4 (4) counseling; 

5 (5) parenting classes; 

6 (6) business skills training; 

7 (7) emergency aid in times of crisis; 

8 (8) nutrition education and food assistance; and 

9 (9) outreach to seniors, many of whom volun10 teer to help with the children or who receive advice 

11 on helping raise their own grandchildren. 

12 (b) AUTHORIZATION OF APPROPRIATIONS.—There is 

13 authorized to be appropriated to carry out this section no 

14 more than $10,000,000 for each of the fiscal years 2010 

15 through 2014. 

16 TITLE XI—EXPANSION OF ADOP17 TION CREDIT AND ADOPTION 

18 ASSISTANCE PROGRAMS 

19 SEC. 1101. EXPANSION OF ADOPTION CREDIT AND ADOP20 TION ASSISTANCE PROGRAMS. 

21 (a) INCREASE IN DOLLAR LIMITATION.— 

22 (1) ADOPTION CREDIT.— 

23 (A) IN GENERAL.—Paragraph (1) of sec24 tion 23(b) of the Internal Revenue Code of 


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1 1986 (relating to dollar limitation) is amended 

2 by striking ‘‘$10,000’’ and inserting ‘‘$15,000’’. 

3 (B) CHILD WITH SPECIAL NEEDS.—Para4 graph (3) of section 23(a) of such Code (relat5 ing to $10,000 credit for adoption of child with 

6 special needs regardless of expenses) is amend7 ed— 

8 (i) by striking ‘‘$10,000’’ and insert9 ing ‘‘$15,000’’, and 

10 (ii) by striking ‘‘$10,000’’ in the head11 ing and inserting ‘‘$15,000’’. 

12 (C) CONFORMING AMENDMENT TO INFLA13 TION ADJUSTMENT.—Subsection (h) of section 

14 23 of such Code (relating to adjustments for in15 flation) is amended to read as follows: 

16 ‘‘(h) ADJUSTMENTS FOR INFLATION.— 

17 ‘‘(1) DOLLAR LIMITATIONS.—In the case of a 

18 taxable year beginning after December 31, 2009, 

19 each of the dollar amounts in subsections (a)(3) and 

20 (b)(1) shall be increased by an amount equal to— 

21 ‘‘(A) such dollar amount, multiplied by 

22 ‘‘(B) the cost-of-living adjustment deter23 mined under section 1(f)(3) for the calendar 

24 year in which the taxable year begins, deter25 mined by substituting ‘calendar year 2009’ for 


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1 ‘calendar year 1992’ in subparagraph (B) 

2 thereof. 

3 If any amount as increased under the preceding sen4 tence is not a multiple of $10, such amount shall be 

5 rounded to the nearest multiple of $10. 

6 ‘‘(2) INCOME LIMITATION.—In the case of a 

7 taxable year beginning after December 31, 2002, the 

8 dollar amount in subsection (b)(2)(A)(i) shall be in9 creased by an amount equal to— 

10 ‘‘(A) such dollar amount, multiplied by 

11 ‘‘(B) the cost-of-living adjustment deter12 mined under section 1(f)(3) for the calendar 

13 year in which the taxable year begins, deter14 mined by substituting ‘calendar year 2001’ for 

15 ‘calendar year 1992’ in subparagraph (B) 

16 thereof. 

17 If any amount as increased under the preceding sen18 tence is not a multiple of $10, such amount shall be 

19 rounded to the nearest multiple of $10.’’. 

20 (2) ADOPTION ASSISTANCE PROGRAMS.— 

21 (A) IN GENERAL.—Paragraph (1) of sec22 tion 137(b) of the Internal Revenue Code of 

23 1986 (relating to dollar limitation) is amended 

24 by striking ‘‘$10,000’’ and inserting ‘‘$15,000’’. 


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1 (B) CHILD WITH SPECIAL NEEDS.—Para2 graph (2) of section 137(a) of such Code (relat3 ing to $10,000 exclusion for adoption of child 

4 with special needs regardless of expenses) is 

5 amended— 

6 (i) in the text by striking ‘‘$10,000’’ 

7 and inserting ‘‘$15,000’’, and 

8 (ii) in the heading by striking 

9 ‘‘$10,000’’ and inserting ‘‘$15,000’’. 

10 (C) CONFORMING AMENDMENT TO INFLA11 TION ADJUSTMENT.—Subsection (f) of section 

12 137 of such Code (relating to adjustments for 

13 inflation) is amended to read as follows: 

14 ‘‘(f) ADJUSTMENTS FOR INFLATION.— 

15 ‘‘(1) DOLLAR LIMITATIONS.—In the case of a 

16 taxable year beginning after December 31, 2009, 

17 each of the dollar amounts in subsections (a)(2) and 

18 (b)(1) shall be increased by an amount equal to— 

19 ‘‘(A) such dollar amount, multiplied by 

20 ‘‘(B) the cost-of-living adjustment deter21 mined under section 1(f)(3) for the calendar 

22 year in which the taxable year begins, deter23 mined by substituting ‘calendar year 2008’ for 

24 ‘calendar year 1992’ in subparagraph (B) 

25 thereof. 


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1 If any amount as increased under the preceding sen2 tence is not a multiple of $10, such amount shall be 

3 rounded to the nearest multiple of $10. 

4 ‘‘(2) INCOME LIMITATION.—In the case of a 

5 taxable year beginning after December 31, 2002, the 

6 dollar amount in subsection (b)(2)(A) shall be in7 creased by an amount equal to— 

8 ‘‘(A) such dollar amount, multiplied by 

9 ‘‘(B) the cost-of-living adjustment deter10 mined under section 1(f)(3) for the calendar 

11 year in which the taxable year begins, deter12 mined by substituting ‘calendar year 2001’ for 

13 ‘calendar year 1992’ in subparagraph thereof. 

14 If any amount as increased under the preceding sen15 tence is not a multiple of $10, such amount shall be 

16 rounded to the nearest multiple of $10.’’. 

17 (b) CREDIT MADE REFUNDABLE.— 

18 (1) CREDIT MOVED TO SUBPART RELATING TO

19 REFUNDABLE CREDITS.—The Internal Revenue 

20 Code of 1986 is amended— 

21 (A) by redesignating section 23, as amend22 ed by subsection (a), as section 36A, and 

23 (B) by moving section 36A (as so redesig24 nated) from subpart A of part IV of subchapter 

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1 fore section 37 in subpart C of part IV of sub2 chapter A of chapter 1. 

3 (2) CONFORMING AMENDMENTS.— 

4 (A) Section 24(b)(3)(B) of such Code is 

5 amended by striking ‘‘23, 25B,’’ and inserting 

6 ‘‘25B,’’. 

7 (B) Section 25(e)(1)(C) of such Code is 

8 amended— 

9 (i) in clause (i) by striking ‘‘23, 

10 25D,’’ and inserting ‘‘25D’’, and 

11 (ii) in clause (ii) by striking ‘‘23, 24,’’ 

12 and inserting ‘‘24,’’. 

13 (C) Section 25B(g)(2) of such Code is 

14 amended by striking ‘‘sections 23 and 25D’’ 

15 and inserting ‘‘section 25D’’. 

16 (D) Section 26(a)(1) of such Code is 

17 amended by striking ‘‘23, 24’’ and inserting 

18 ‘‘24’’. 

19 (E) Section 36A of such Code, as so redes20 ignated, is amended— 

21 (i) by striking paragraph (4) of sub22 section (b), and 

23 (ii) by striking subsection (c). 

24 (F) Section 137 of such Code is amend25 ed— 


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1 (i) in subsection (d) by striking ‘‘sec2 tion 23(d)’’ and inserting ‘‘section 

3 36A(d)’’, and 

4 (ii) in subsection (e) by striking ‘‘sec5 tion 23’’ and inserting ‘‘section 36A’’. 

6 (G) Section 904(i) of such Code is amend7 ed by striking ‘‘23, 24,’’ and inserting ‘‘24’’. 

8 (H) Section 1016(a)(26) of such Code is 

9 amended by striking ‘‘23(g)’’ and inserting 

10 ‘‘36A(g)’’. 

11 (I) Section 1400C(d)(2) of such Code is 

12 amended by striking ‘‘23, 24,’’ and inserting 

13 ‘‘24,’’. 

14 (J) The table of sections for subpart A of 

15 part IV of subchapter A of chapter 1 of such 

16 Code is amended by striking the item relating 

17 to section 23. 

18 (K) Paragraph (2) of section 1324(b) of 

19 title 31, United States Code, is amended by in20 serting ‘‘36A,’’ after ‘‘36,’’. 

21 (L) The table of sections for subpart C of 

22 part IV of subchapter A of chapter 1 of the In23 ternal Revenue Code of 1986 is amended by in24 serting after the item relating to section 36 the 

25 following new item: 

‘‘Sec. 36A. Adoption expenses.’’. 


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1 (c) MODIFICATIONS MADE BY EGTRRA TO ADOP2 TION CREDIT MADE PERMANENT.—Title IX of the Eco3 nomic Growth and Tax Relief Reconciliation Act of 2001 

4 shall not apply to the amendments made by section 202 

5 of such Act. 

6 (d) EFFECTIVE DATE.—The amendments made by 

7 this section shall apply to taxable years beginning after 

8 December 31, 2009. 

9 TITLE XII—PROVIDING SUPPORT 

10 TO NEW PARENTS 

11 SEC. 1201. INCREASED SUPPORT FOR WIC PROGRAM. 

12 (a) FINDINGS.—Congress finds the following: 

13 (1) The special supplemental nutrition program 

14 for women, infants, and children (WIC) authorized 

15 in section 17 of the Child Nutrition Act of 1966 (42 

16 U.S.C. 1786) served approximately 8,100,000 

17 women, infants, and children per month in fiscal 

18 year 2006. 

19 (2) Half of all infants in the United States and 

20 1 in 4 young children under age 5 get crucial health 

21 and nutrition benefits from the WIC Program. 

22 (3) It is estimated that every dollar spent on 

23 WIC results in between $1.92 and $4.21 in Medicaid 

24 savings for newborns and their mothers. 


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1 (4) The WIC program has been proven to in2 crease the number of women receiving prenatal care, 

3 reduce the incidence of low birth weight and fetal 

4 mortality, reduce anemia, and enhance the nutri5 tional quality of the diet of mothers and children. 

6 (5) The WIC program’s essential, effective nu7 trition services include nutrition assessment, coun8 seling and education, obesity prevention, 

9 breastfeeding support and promotion, prenatal and 

10 pediatric health care referrals and follow-up, spousal 

11 and child abuse referral, drug and alcohol abuse re12 ferral, immunization screening, assessment and re13 ferral, and a host of other services for mothers and 

14 children. 

15 (b) AUTHORIZATION OF APPROPRIATIONS.—For the 

16 purpose of carrying out the special supplemental nutrition 

17 program for women, infants, and children (WIC) author18 ized in section 17 of the Child Nutrition Act of 1966 (42 

19 U.S.C. 1786), there is authorized to be appropriated 

20 $6,000,000,000 for fiscal year 2010, and such sums as 

21 may be necessary for each of fiscal years 2011 through 

22 2014, of which— 

23 (1) there is authorized to be appropriated 

24 $15,000,000 for fiscal year 2010, and such sums as 

25 may be necessary for each of fiscal years 2011 


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1 through 2014, for breast-feeding peer counselors; 

2 and 

3 (2) there is authorized to be appropriated 

4 $14,000,000 for fiscal year 2010, and such sums as 

5 may be necessary for each of fiscal years 2011 

6 through 2014, for infrastructure needs. 

7 SEC. 1202. NUTRITIONAL SUPPORT FOR LOW-INCOME PAR8 ENTS. 

9 Section 5(c)(2) of the Food and Nutrition Act of 

10 2008 (7 U.S.C. 2014(c)(2)) is amended by striking ‘‘30 

11 per centum’’ and inserting ‘‘85 percent’’. 

12 SEC. 1203. INCREASED FUNDING FOR THE CHILD CARE AND 

13 DEVELOPMENT BLOCK GRANT PROGRAM. 

14 (a) AUTHORIZATION OF APPROPRIATIONS.—Section 

15 658B of the Child Care and Development Block Grant Act 

16 of 1990 (42 U.S.C. 9858) is amended to read as follows: 

17 ‘‘SEC. 658B. AUTHORIZATION OF APPROPRIATIONS. 

18 ‘‘There are authorized to be appropriated to carry out 

19 this subchapter $2,350,000,000 for fiscal year 2010 and 

20 such sums as may be necessary for fiscal years 2011 

21 through 2014.’’. 

22 (b) CONFORMING AMENDMENT.—Section 

23 658E(c)(3)(D) of the Child Care and Development Block 

24 Grant Act of 1990 (42 U.S.C. 9858c(c)(3)(D)) is amended 


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1 by striking ‘‘1997 through 2002’’ and inserting ‘‘2010 

2 through 2014’’. 

3 SEC. 1204. TEENAGE OR FIRST-TIME MOTHERS; FREE HOME 

4 VISITS BY REGISTERED NURSES FOR EDU5 CATION ON HEALTH NEEDS OF INFANTS. 

6 (a) IN GENERAL.—The Secretary may make grants 

7 to local health departments to provide to eligible mothers, 

8 without charge, education on the health needs of their in9 fants through visits to their homes by registered nurses. 

10 (b) ELIGIBLE MOTHER.— 

11 (1) IN GENERAL.—For purposes of subsection 

12 (a), a woman is an eligible mother if, subject to 

13 paragraph (2), the woman— 

14 (A) is the mother of an infant who is not 

15 more than 24 months of age; and 

16 (B)(i) the woman was under the age of 20 

17 at the time of birth; or 

18 (ii) the infant referred to in subparagraph 

19 (A) is the first child of the woman. 

20 (2) ADDITIONAL REQUIREMENTS FOR CERTAIN

21 MOTHERS.—In the case of a woman described in 

22 paragraph (1)(B)(ii) who is 20 years of age or older, 

23 the woman is an eligible mother for purposes of sub24 section (a) only if the woman meets such standards 

25 in addition to the applicable standards under paraVerDate Nov 24 2008 03:52 Jan 17, 2009 Jkt 079200 PO 00000 Frm 00050 Fmt 6652 Sfmt 6201 E:\BILLS\H605.IH H605

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1 graph (1) as the local health department involved 

2 determines to be appropriate. 

3 (c) CERTAIN REQUIREMENTS.—A grant may be 

4 made under subsection (a) only if the applicant involved 

5 agrees as follows: 

6 (1) The program carried out under such sub7 section by the applicant will be designed to instill in 

8 eligible mothers confidence in their abilities to pro9 vide for the health needs of their newborns, includ10 ing through— 

11 (A) providing information on child develop12 ment; and 

13 (B) soliciting questions from the mothers. 

14 (2) The registered nurses who make home visits 

15 under subsection (a) will, as needed, provide refer16 rals for health and social services to serve the needs 

17 of the newborns. 

18 (3) The period during which the visits will be 

19 available to an eligible mother will not be fewer than 

20 six months. 

21 (d) AUTHORIZED SERVICES.— 

22 (1) REQUIREMENTS.—A grant may be made 

23 under subsection (a) only if the applicant involved 

24 agrees that the following services will be provided by 


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1 registered nurses in home visits under subsection 

2 (a): 

3 (A) Information on child health and devel4 opment, including suggestions for child-develop5 mental activities that are enjoyable for parents 

6 and children. 

7 (B) Advice on parenting, including infor8 mation on how to develop a strong parent-child 

9 relationship. 

10 (C) Information on resources about par11 enting, including identifying books and videos 

12 that are available at local libraries. 

13 (D) Information on upcoming parenting 

14 workshops in the local region. 

15 (E) Information on programs that facili16 tate parent-to-parent support services. 

17 (F) In the case of an eligible mother who 

18 is a student, information on resources that may 

19 assist the mother in completing the educational 

20 courses involved. 

21 (2) ADDITIONAL SERVICES.—A grant under 

22 subsection (a) may be expended to provide services 

23 during home visits under such subsection in addition 

24 to the services specified in paragraph (1). 


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1 (e) AUTHORIZATION OF APPROPRIATIONS.—For the 

2 purpose of carrying out this section, there are authorized 

3 to be appropriated $3,000,000 for fiscal year 2010, and 

4 such sums as may be necessary for each of fiscal years 

5 2011 through 2014. 

6 TITLE XIII—COLLECTING AND 

7 REPORTING ABORTION DATA 

8 SEC. 1301. GRANTS FOR COLLECTION AND REPORTING OF 

9 ABORTION DATA. 

10 (a) GRANTS.—The Secretary, acting through the Di11 rector of the Centers for Disease Control and Prevention, 

12 may make grants to States for collecting and reporting 

13 abortion surveillance data. 

14 (b) REPORTING REQUIREMENT.— 

15 (1) IN GENERAL.—The Secretary may make a 

16 grant to a State under this section only if the State 

17 agrees to submit a report in each of fiscal years 

18 2011 and 2013 on the State’s abortion surveillance 

19 data. 

20 (2) CONTENTS.—Each report submitted by a 

21 State under this subsection shall, with respect to the 

22 preceding 2 fiscal years, include— 

23 (A) the number and characteristics of 

24 women obtaining abortions in the State; and 


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1 (B) the characteristics of these abortions, 

2 including the approximate gestational age of the 

3 unborn child, the abortion method, and any 

4 known physical or psychological complications. 

5 (3) PERSONAL INFORMATION.—A report sub6 mitted by a State under this subsection shall not 

7 contain the name of any woman obtaining or seeking 

8 to obtain an abortion, any common identifier (such 

9 as a social security number), or any other identifier 

10 (including statistical information) that would make 

11 it possible to identify in any manner or under any 

12 circumstances an individual who has obtained or 

13 seeks to obtain an abortion. 

14 (c) CONFIDENTIALITY.—The Secretary shall main15 tain the confidentiality of any individually identifiable in16 formation reported to the Secretary under this section. 

17 (d) REPORT TO CONGRESS.— 

18 (1) IN GENERAL.—Not later than the end of 

19 fiscal year 2013, the Secretary shall submit a report 

20 to the Congress on the abortion surveillance data re21 ported to the Secretary under this section. 

22 (2) PERSONAL INFORMATION.—A report sub23 mitted by the Secretary to the Congress under this 

24 subsection shall not contain any name or other iden25 tifier described in subsection (b)(3). 


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1 (e) AUTHORIZATION OF APPROPRIATIONS.—To carry 

2 out this section, there are authorized to be appropriated 

3 such sums as may be necessary for each of fiscal years 

4 2010 through 2014. 

Æ 


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