I 

111TH CONGRESS 

2D SESSION H. R. 5033 

To authorize the Secretary of Health and Human Services to carry out 

programs to provide youth in racial or ethnic minority or immigrant 

communities the information and skills needed to reduce teenage pregnancies. 

IN THE HOUSE OF REPRESENTATIVES 

APRIL 15, 2010 

Ms. ROYBAL-ALLARD (for herself and Mr. DAVIS of Illinois) introduced the 

following bill; which was referred to the Committee on Energy and Commerce 

A BILL 

To authorize the Secretary of Health and Human Services 

to carry out programs to provide youth in racial or 

ethnic minority or immigrant communities the information and skills needed to reduce teenage pregnancies. 

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. 

4 This Act may be cited as the ‘‘Communities of Color 

5 Teenage Pregnancy Prevention Act of 2010’’. 

6 SEC. 2. PURPOSE. 

7 It is the purpose of this Act to develop and carry out 

8 research and demonstration projects on new and existing 


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1 program interventions to provide youth in racial or ethnic 

2 minority or immigrant communities the information and 

3 skills needed to reduce teenage pregnancies, build healthy 

4 relationships, and improve overall health and well-being. 

5 SEC. 3. FINDINGS. 

6 The Congress finds the following: 

7 (1) Teenage pregnancy is one of the most crit8 ical issues facing the Nation today. The United 

9 States has the highest teenage pregnancy rate of 

10 any developed nation, with nearly 750,000 teenage 

11 girls (ages 15 to 19) becoming pregnant each year, 

12 and 80 percent of those pregnancies unplanned. 

13 (2) Nationally, teenage pregnancy has signifi14 cant fiscal implications, costing taxpayers at least 

15 $9,100,000,000 annually. 

16 (3) Communities of color disproportionately suf17 fer from teenage pregnancy. Fifty-two percent of 

18 Latinas and 50 percent of African-American girls 

19 will become pregnant at least once before they turn 

20 20. In comparison, only 19 percent of non-Hispanic 

21 white teenage girls under the age of 20 become preg22 nant. 

23 (4) Between 2005 and 2006, the teen preg24 nancy rate increased for every racial/ethnic subVerDate Nov 24 2008 22:56 Apr 16, 2010 Jkt 089200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\H5033.IH H5033

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1 group. Hispanic teens continue to have the highest 

2 rates of both teen pregnancy and birth. 

3 (5) Research shows that starting a family too 

4 soon may have significant social, educational, and fi5 nancial impacts on the lives of young people. Less 

6 than half of teenage mothers finish high school and 

7 less than 2 percent go on to finish college, making 

8 it difficult to find and maintain a job. 

9 (6) New research shows that teenage dating vi10 olence and abuse are serious public health problems 

11 and are associated with higher levels of teenage 

12 pregnancy and unplanned pregnancy. Studies show 

13 that 1 in 5 teenage girls in the United States report 

14 having experienced physical or sexual intimate part15 ner violence. 

16 (7) Promoting and building healthy relation17 ships are fundamental to prevent teenage preg18 nancies and unplanned pregnancies. 

19 SEC. 4. DEMONSTRATION GRANTS TO REDUCE TEENAGE 

20 PREGNANCIES. 

21 (a) IN GENERAL.—The Secretary shall award com22 petitive grants to eligible entities for new and existing pro23 gram interventions to provide youth in racial or ethnic mi24 nority or immigrant communities the information and 


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1 skills needed to reduce teenage pregnancies and develop 

2 healthy relationships. 

3 (b) PRIORITY.—In awarding grants under this sec4 tion, the Secretary shall give priority to applicants pro5 posing to carry out projects in racial or ethnic minority 

6 or immigrant communities. 

7 (c) PROJECT SETTINGS.—Funds received under this 

8 section may be used to provide information and skills as 

9 described in subsection (a)— 

10 (1) through classroom-based settings, such as 

11 school health education or family and consumer 

12 science education; after-school programs; commu13 nity-based programs; workforce development pro14 grams; and health clinics; or 

15 (2) in collaboration with systems that serve 

16 large numbers of at-risk youth such as juvenile jus17 tice or foster care systems. 

18 (d) PROJECT REQUIREMENTS.—As a condition on re19 ceipt of a grant under this section, an entity shall agree 

20 that information and skills provided through the grant will 

21 be— 

22 (1) age-appropriate; 

23 (2) evidence-based; 

24 (3) provided in accordance with section 7(b); 

25 and 


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1 (4) culturally sensitive and relevant to the tar2 get population 

3 (e) EVALUATION.—Of the total amount made avail4 able to carry out this section for a fiscal year, the Sec5 retary, acting through the Director of the Centers for Dis6 ease Control and Prevention, shall use 10 percent of such 

7 amount to carry out a rigorous, independent evaluation 

8 to determine the extent and the effectiveness of activities 

9 funded through this section in changing attitudes and be10 havior. 

11 (f) DEFINITION.—In this section, the term ‘‘eligible 

12 entity’’ means a State, local, or tribal agency; a school 

13 or postsecondary institution; an after-school program; a 

14 nonprofit coalition; a community or faith-based organiza15 tion; or any other entity determined appropriate by the 

16 Secretary. 

17 SEC. 5. MULTIMEDIA CAMPAIGNS TO REDUCE TEENAGE 

18 PREGNANCIES. 

19 (a) IN GENERAL.—The Secretary shall award com20 petitive grants to carry out multimedia campaigns to pro21 vide public education and increase public awareness re22 garding teenage pregnancy and related social and emo23 tional issues. 

24 (b) PRIORITY.—In awarding grants under this sec25 tion, the Secretary shall give priority to applicants proVerDate Nov 24 2008 22:56 Apr 16, 2010 Jkt 089200 PO 00000 Frm 00005 Fmt 6652 Sfmt 6201 E:\BILLS\H5033.IH H5033

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1 posing to carry out campaigns developed for racial or eth2 nic minority or immigrant communities. 

3 (c) INFORMATION TO BE PROVIDED.—As a condition 

4 on receipt of a grant under this section, an entity shall 

5 agree to use the grant to carry out multimedia campaigns 

6 described in subsection (a) that— 

7 (1) at a minimum, shall provide information 

8 on— 

9 (A) the prevention of teenage pregnancy; 

10 and 

11 (B) healthy relationship development; and 

12 (2) may provide information on the prevention 

13 of dating violence. 

14 SEC. 6. RESEARCH ON REDUCING TEENAGE PREGNANCIES. 

15 (a) PURPOSE.—The purpose of this section is to pro16 vide for the conduct, support, or coordination of research 

17 among culturally and linguistically specific communities, 

18 including projects that— 

19 (1) examine factors that contribute to dis20 proportionately high rates of teenage and unintended 

21 pregnancy or sexual abuse in such communities; 

22 (2) explore research-based strategies for ad23 dressing high rates of teenage pregnancy and unin24 tended pregnancies through programs that empha25 size healthy relationships; and 


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1 (3) study the role which violence and abuse play 

2 in the decisions made by young people about rela3 tionships, sex, pregnancy, and childbearing. 

4 (b) IN GENERAL.—The Secretary, acting through the 

5 Director of the Centers for Disease Control and Preven6 tion, shall make grants to public and private entities to 

7 conduct, support, or coordinate research that— 

8 (1) investigates the incidence and prevalence of 

9 teenage pregnancy and births in racial and ethnic 

10 minority or immigrant communities; 

11 (2) examines— 

12 (A) the relationships between teenage preg13 nancy or dating abuse and one or more of— 

14 (i) the mental and physical health and 

15 well-being of teenagers in such commu16 nities; 

17 (ii) the scholastic achievement of such 

18 teenagers, including with respect to school 

19 completion; 

20 (iii) family communication; and 

21 (iv) exposure to violence, sexual abuse, 

22 pregnancy coercion, and birth control sabo23 tage; 

24 (B) effective interventions to reduce preg25 nancy coercion and birth control sabotage; 


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1 (C) the variance in the rates of teenage 

2 pregnancy by— 

3 (i) location (such as inner cities, inner 

4 suburbs, outer suburbs, and rural areas); 

5 (ii) population subgroup (such as His6 panic, Asian, African-American, Pacific Is7 lander, American Indian, and Alaskan Na8 tive); 

9 (iii) level of acculturation; or 

10 (iv) socioeconomic status (such as in11 come, educational attainment of the par12 ents of the teenager, and school attendance 

13 of the teenager); 

14 (D) the importance of the physical and so15 cial environment as a factor in placing commu16 nities at risk of increased rates of teenage preg17 nancy or dating violence abuse; and 

18 (E) the importance of aspirations and mo19 tivations as factors affecting young people’s risk 

20 of teenage pregnancy or dating abuse; 

21 (3) improves data collection on— 

22 (A) sexual and reproductive health, includ23 ing teenage pregnancies and births, among all 

24 minority communities and subpopulations, with 


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1 an emphasis on American Indian and Alaska 

2 Native youth; 

3 (B) sexual behavior, sexual or reproductive 

4 coercion, birth control sabotage, and teenage 

5 contraceptive use patterns at the State level; or 

6 (C) teenage pregnancies among youth in 

7 and aging out of foster care or juvenile justice 

8 systems; 

9 (4) examines underlying factors that lead to 

10 teenage pregnancy among youth in foster care or ju11 venile justice systems; 

12 (5) identifies strategies to address the dis13 proportionate rates of teenage and unintended preg14 nancies and dating violence in racial or ethnic mi15 nority or immigrant communities; 

16 (6) examines the effectiveness of media cam17 paigns addressing healthy relationship development, 

18 dating violence prevention, and teenage pregnancy; 

19 or 

20 (7) examines how effective interventions can be 

21 replicated or adapted in other settings to serve racial 

22 or ethnic minority or immigrant communities. 

23 (c) PRIORITY.—In carrying out this section, the Sec24 retary shall give priority to research that incorporates— 

25 (1) interdisciplinary approaches; or 


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1 (2) a strong emphasis on community-based 

2 participatory research. 

3 SEC. 7. MISCELLANEOUS PROVISIONS. 

4 (a) APPLICATIONS.—To seek a grant under this Act, 

5 an entity shall submit an application to the Secretary in 

6 such form, in such manner, and containing such agree7 ments, assurances, and information as the Secretary may 

8 require. 

9 (b) ADDITIONAL REQUIREMENTS.—A grant may be 

10 made under this Act only if the applicant involved agrees 

11 that information, activities, and services under the 

12 grant— 

13 (1) will be evidence-based; 

14 (2) will be factually and medically accurate and 

15 complete; and 

16 (3) if directed to a particular population group, 

17 will be provided in an appropriate language and cul18 tural context. 

19 (c) TRAINING AND TECHNICAL ASSISTANCE.— 

20 (1) IN GENERAL.—Of the total amount made 

21 available to carry out this Act for a fiscal year, the 

22 Secretary shall use 10 percent to provide, directly or 

23 through a competitive grant process, training and 

24 technical assistance to the grant recipients under 

25 this section, including by disseminating research and 


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1 information regarding effective and promising prac2 tices, providing consultation and resources on a 

3 broad array of teenage and unintended pregnancy 

4 and violence prevention strategies, and developing 

5 resources and materials. 

6 (2) COLLABORATION.—In carrying out this sub7 section, the Secretary shall collaborate with a variety 

8 of entities that have expertise in the prevention of 

9 teenage pregnancy, healthy relationship development, 

10 and violence prevention. 

11 SEC. 8. DEFINITIONS. 

12 In this Act: 

13 (1) MEDICALLY ACCURATE AND COMPLETE.— 

14 The term ‘‘medically accurate and complete’’ means 

15 verified or supported by the weight of research con16 ducted in compliance with accepted scientific meth17 ods and— 

18 (A) published in peer-reviewed journals, 

19 where applicable; or 

20 (B) comprising information that leading 

21 professional organizations and agencies with 

22 relevant expertise in the field recognize as accu23 rate, objective, and complete. 

24 (2) RACIAL OR ETHNIC MINORITY OR IMMI25 GRANT COMMUNITIES.—The term ‘‘racial or ethnic 


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1 minority or immigrant communities’’ means commu2 nities with a substantial number of residents who 

3 are members of racial or ethnic minority groups or 

4 who are immigrants. 

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

6 the Secretary of Health and Human Services. 

7 (4) YOUTH.—The term ‘‘youth’’ means individ8 uals who are 11 to 19 years of age. 

9 SEC. 9. AUTHORIZATION OF APPROPRIATIONS. 

10 There are authorized to be appropriated— 

11 (1) to carry out section 4, $45,000,000 for each 

12 of fiscal years 2011 through 2015; 

13 (2) to carry out section 5, $5,000,000 for each 

14 of fiscal years 2011 through 2015; and 

15 (3) to carry out section 6, $10,000,000 for each 

16 of fiscal years 2011 through 2015. 

Æ 


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