II 

111TH CONGRESS 

1ST SESSION S. 1032 

To provide for programs that reduce abortions, help women bear healthy 

children, and support new parents. 

IN THE SENATE OF THE UNITED STATES 

MAY 13, 2009 

Mr. CASEY (for himself and Mr. NELSON of Nebraska) introduced the following bill; which was read twice and referred to the Committee on 

Health, Education, Labor, and Pensions 

A BILL 

To provide for programs that reduce abortions, 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. 

TITLE I—PUBLIC AWARENESS AND ASSISTANCE FOR PREGNANT 

WOMEN AND NEW PARENTS 


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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 PRE-EXISTING 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—SUPPORT FOR PREGNANT AND PARENTING COLLEGE 

STUDENTS 

Sec. 601. Sense of Congress. 

Sec. 602. Definitions. 

Sec. 603. Pregnant and parenting student services pilot program. 

Sec. 604. Application; number of grants. 

Sec. 605. Matching Requirement. 

Sec. 606. Use of funds. 

Sec. 607. Reporting. 

Sec. 608. Authorization of appropriations. 

TITLE VII—SUPPORT FOR PREGNANT AND PARENTING TEENS 

Sec. 701. Grants to States. 

TITLE VIII—IMPROVING SERVICES FOR PREGNANT WOMEN WHO 

ARE VICTIMS OF DOMESTIC VIOLENCE, DATING VIOLENCE, 

AND STALKING 

Sec. 801. Findings. 

Sec. 802. Program to support pregnant women who are victims of domestic violence. 

Sec. 803. Homicide death certificates of certain female victims. 

TITLE IX—LIFE SUPPORT CENTERS FOR PREGNANT WOMEN, 

MOTHERS, AND CHILDREN 

Sec. 901. Life support centers pilot program. 

TITLE X—PROVIDING SUPPORT TO NEW PARENTS 

Sec. 1001. Increased support for WIC program. 

Sec. 1002. Nutritional support for low-income parents. 


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Sec. 1003. Increased funding for the Child Care and Development Block Grant 

program. 

Sec. 1004. Teenage or first-time mothers; free home visits by registered nurses 

for education on health needs of infants. 

TITLE XI—COLLECTING AND REPORTING ABORTION DATA 

Sec. 1101. Grants for collection and reporting of abortion data. 

1 SEC. 2. FINDINGS. 

2 The Congress finds as follows: 

3 (1) In 2005, 820,151 abortions were reported 

4 to the Centers for Disease Control and Prevention. 

5 (2) Forty-eight percent of all pregnancies in 

6 America are unintended. Excluding miscarriages, 54 

7 percent of unintended pregnancies end in abortion. 

8 (3) Fifty-seven percent of women who have 

9 abortions have incomes below 200 percent of the 

10 poverty level. 

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

12 frequently cited reason women choose to have an 

13 abortion; 73 percent of women having abortions 

14 cited this reason as a contributing factor. 

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

16 complete information about abortion, to reduce the 

17 abortion rate by helping women carry their preg18 nancies to term and bear healthy children, and by 

19 affirming the right of women to be fully informed 

20 about their other options when they seek an abor21 tion. 


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1 (6) The initiative will work to support women 

2 facing unplanned pregnancies, new parents and their 

3 children by providing for health care needs, sup4 portive services and helpful prenatal information and 

5 postnatal services. 

6 SEC. 3. DEFINITIONS. 

7 For purposes of this Act: 

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

9 of Health and Human Services. 

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

11 the District of Columbia, the Commonwealth of 

12 Puerto Rico, the Commonwealth of the Northern 

13 Mariana Islands, American Samoa, Guam, the Vir14 gin Islands, and any other territory or possession of 

15 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 PRE-EXISTING 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 pre-existing condition 

12 exclusion relating to pregnancy as a pre-existing 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 pre-existing 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) of the Social Security Act (42 U.S.C. 

18 1397jj(c)(1)) 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 of such Act (42 U.S.C. 1397cc) 

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 01:48 May 15, 2009 Jkt 079200 PO 00000 Frm 00013 Fmt 6652 Sfmt 6201 E:\BILLS\S1032.IS S1032

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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) Alternatives to abortion, including, but not 

22 limited to, adoption, and the resources available in 

23 the community to assist women choosing these alter24 natives. 


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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—SUPPORT FOR PREG2 NANT AND PARENTING COL3 LEGE STUDENTS 

4 SEC. 601. SENSE OF CONGRESS. 

5 It is the sense of Congress that— 

6 (1) pregnant college students should not have 

7 to make a choice between keeping their baby and 

8 staying in school; 

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

10 interested, eligible institutions of higher education 

11 establish pregnancy and parenting student services 

12 offices that will operate independent of Federal 

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

14 enactment of this title; and 

15 (3) amounts appropriated to carry out other 

16 Federal programs should be reduced to offset the 

17 costs of this title. 

18 SEC. 602. DEFINITIONS. 

19 In this title: 

20 (1) ELIGIBLE INSTITUTION OF HIGHER EDU21 CATION.—The term ‘‘eligible institution of higher 

22 education’’ means an institution of higher education 

23 (as such term is defined in section 101 of the High24 er Education Act of 1965 (20 U.S.C. 1001)) that 

25 has established and operates, or agrees to establish 


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1 and operate upon the receipt of a grant under this 

2 title, a pregnant and parenting student services of3 fice described in section 606. 

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

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

6 of a minor. 

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

8 the Secretary of Education. 

9 SEC. 603. PREGNANT AND PARENTING STUDENT SERVICES 

10 PILOT PROGRAM. 

11 From amounts appropriated under section 608 for a 

12 fiscal year, the Secretary shall establish a pilot program 

13 to award grants to eligible institutions of higher education 

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

15 and operate pregnant and parenting student services of16 fices in accordance with section 606. 

17 SEC. 604. APPLICATION; NUMBER OF GRANTS. 

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

19 education that desires to receive a grant under this title 

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

21 in such manner, and containing such information as the 

22 Secretary may require. 

23 (b) REQUESTS FOR ADDITIONAL INFORMATION.— 

24 The Secretary may require an eligible institution submit25 ting an application under subsection (a) to provide addiVerDate Nov 24 2008 01:48 May 15, 2009 Jkt 079200 PO 00000 Frm 00019 Fmt 6652 Sfmt 6201 E:\BILLS\S1032.IS S1032

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1 tional information if the Secretary determines such infor2 mation is necessary to process the application. 

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

4 of appropriations under section 608, the Secretary shall 

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

6 institutions. 

7 SEC. 605. MATCHING REQUIREMENT. 

8 An eligible institution of higher education that re9 ceives a grant under this title shall contribute to the con10 duct of the pregnant and parenting student services office 

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

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

13 may be in cash or in-kind, fairly evaluated, including serv14 ices, facilities, supplies, or equipment. 

15 SEC. 606. USE OF FUNDS. 

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

17 education that receives a grant under this title shall use 

18 grant funds to establish (or maintain) and operate a preg19 nant and parenting student services office, located on the 

20 campus of the eligible institution, that carries out the fol21 lowing programs and activities: 

22 (1) Hosts an initial pregnancy and parenting 

23 resource forum— 

24 (A) to assess pregnancy and parenting re25 sources, located on the campus or within the 


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1 local community, that are available to meet the 

2 needs described in paragraph (2); and 

3 (B) to set goals for— 

4 (i) improving such resources for preg5 nant, parenting, and prospective parenting 

6 students; and 

7 (ii) improving access to such re8 sources. 

9 (2) Annually assesses the performance of the el10 igible institution and the office in meeting the fol11 lowing needs of students enrolled in the eligible in12 stitution who are pregnant or are parents: 

13 (A) The inclusion of maternity coverage 

14 and the availability of riders for additional fam15 ily members in student health care. 

16 (B) Family housing. 

17 (C) Child care. 

18 (D) Flexible or alternative academic sched19 uling, such as telecommuting programs. 

20 (E) Education to improve parenting skills 

21 for mothers and fathers and to strengthen mar22 riages. 

23 (F) Maternity and baby clothing, baby 

24 food (including formula), baby furniture, and 

25 similar items to assist parents and prospective 


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1 parents in meeting the material needs of their 

2 children. 

3 (G) Post-partum counseling and support 

4 groups. 

5 (3) Identifies public and private service pro6 viders, located on the campus of the eligible institu7 tion or within the local community, that are quali8 fied to meet the needs described in paragraph (2), 

9 and establishes programs with qualified providers to 

10 meet such needs. 

11 (4) Assists pregnant and parenting students 

12 and their spouses in locating and obtaining services 

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

14 (5) If appropriate, provides referrals for pre15 natal care and delivery, infant or foster care, or 

16 adoption, to a student who requests such informa17 tion. An office shall make such referrals only to 

18 service providers that primarily serve the following 

19 types of individuals: 

20 (A) Parents. 

21 (B) Prospective parents awaiting adoption. 

22 (C) Women who are pregnant and plan on 

23 parenting or placing the child for adoption. 

24 (D) Parenting or prospective parenting 

25 couples who are married or who plan on 


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1 marrying in order to provide a supportive envi2 ronment for each other and their child. 

3 (b) EXPANDED SERVICES.—In carrying out the pro4 grams and activities described in subsection (a), an eligible 

5 institution of higher education receiving a grant under this 

6 title may choose to provide access to such programs and 

7 activities to a pregnant or parenting employee of the eligi8 ble institution, and the employee’s spouse. 

9 SEC. 607. REPORTING. 

10 (a) ANNUAL REPORT BY INSTITUTIONS.— 

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

12 eligible institution of higher education receives a 

13 grant under this title, the eligible institution shall 

14 prepare and submit to the Secretary, by the date de15 termined by the Secretary, a report that— 

16 (A) itemizes the pregnant and parenting 

17 student services office’s expenditures for the fis18 cal year; 

19 (B) contains a review and evaluation of the 

20 performance of the office in fulfilling the re21 quirements of this title, using the specific per22 formance criteria or standards established 

23 under paragraph (2)(A); and 

24 (C) describes the achievement of the office 

25 in meeting the needs listed in section 606(a)(2) 


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1 of the students served by the eligible institution, 

2 and the frequency of use of the office by such 

3 students. 

4 (2) PERFORMANCE CRITERIA.—Not later than 

5 180 days before the date the annual report described 

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

7 (A) shall identify the specific performance 

8 criteria or standards that shall be used to pre9 pare the report; and 

10 (B) may establish the form or format of 

11 the report. 

12 (3) ADDITIONAL INFORMATION.—After review13 ing an annual report of an eligible institution of 

14 higher education, the Secretary may require that the 

15 eligible institution provide additional information if 

16 the Secretary determines that such additional infor17 mation is necessary to evaluate the pilot program. 

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

19 annually prepare and submit a report on the findings of 

20 the pilot program under this title, including the number 

21 of eligible institutions of higher education that were 

22 awarded grants and the number of students served by 

23 each pregnant and parenting student services office receiv24 ing funds under this title, to the appropriate committees 

25 of the Senate and the House of Representatives. 


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1 SEC. 608. 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 VII—SUPPORT FOR PREG6 NANT AND PARENTING TEENS 

7 SEC. 701. GRANTS TO STATES. 

8 The Secretary shall make grants to States to allow 

9 early childhood education programs, including Head Start, 

10 to work with pregnant or parenting teens to complete high 

11 school and prepare for college or for vocational education. 

12 TITLE VIII—IMPROVING SERV13 ICES FOR PREGNANT WOMEN 

14 WHO ARE VICTIMS OF DOMES15 TIC VIOLENCE, DATING VIO16 LENCE, AND STALKING 

17 SEC. 801. FINDINGS. 

18 The Congress finds as follows: 

19 (1) Pregnant and recently pregnant women are 

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

21 any other causes, and evidence exists that a signifi22 cant proportion of all female homicide victims are 

23 killed by their intimate partners. 

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

25 the American Medical Association found that murVerDate Nov 24 2008 01:48 May 15, 2009 Jkt 079200 PO 00000 Frm 00025 Fmt 6652 Sfmt 6201 E:\BILLS\S1032.IS S1032

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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. 802. 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. 803. HOMICIDE DEATH CERTIFICATES OF CERTAIN FE8 MALE VICTIMS. 

9 For purposes of section 802(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 IX—LIFE SUPPORT CEN14 TERS FOR PREGNANT 

15 WOMEN, MOTHERS, AND 

16 CHILDREN 

17 SEC. 901. LIFE SUPPORT CENTERS PILOT PROGRAM. 

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

19 pilot program to fund supportive services for pregnant 

20 women, mothers, and children. Such services shall consist 

21 of— 

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) temporary residential care as needed by 

2 pregnant women, mothers and children; 

3 (4) educational support, such as preparation for 

4 pregnant and parenting mothers for the recognized 

5 equivalent of a secondary school diploma; 

6 (5) adoption counseling; 

7 (6) parenting classes; 

8 (7) business skills training; 

9 (8) emergency financial aid in times of crisis; 

10 (9) nutrition education and food assistance; and 

11 (10) outreach to seniors, many of whom volun12 teer to help with the children or who receive advice 

13 on helping raise their own grandchildren. 

14 (b) AUTHORIZATION OF APPROPRIATIONS.—There is 

15 authorized to be appropriated to carry out this section no 

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

17 through 2014. 

18 TITLE X—PROVIDING SUPPORT 

19 TO NEW PARENTS 

20 SEC. 1001. INCREASED SUPPORT FOR WIC PROGRAM. 

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

22 (1) The special supplemental nutrition program 

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

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

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


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1 women, infants, and children per month in fiscal 

2 year 2006. 

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

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

5 and nutrition benefits from the WIC Program. 

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

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

8 savings for newborns and their mothers. 

9 (4) The WIC program has been proven to in10 crease the number of women receiving prenatal care, 

11 reduce the incidence of low birth weight and fetal 

12 mortality, reduce anemia, and enhance the nutri13 tional quality of the diet of mothers and children. 

14 (5) The WIC program’s essential, effective nu15 trition services include nutrition assessment, coun16 seling and education, obesity prevention, 

17 breastfeeding support and promotion, prenatal and 

18 pediatric health care referrals and follow-up, spousal 

19 and child abuse referral, drug and alcohol abuse re20 ferral, immunization screening, assessment and re21 ferral, and a host of other services for mothers and 

22 children. 

23 (b) AUTHORIZATION OF APPROPRIATIONS.—For the 

24 purpose of carrying out the special supplemental nutrition 

25 program for women, infants, and children (WIC) authorVerDate Nov 24 2008 01:48 May 15, 2009 Jkt 079200 PO 00000 Frm 00033 Fmt 6652 Sfmt 6201 E:\BILLS\S1032.IS S1032

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1 ized in section 17 of the Child Nutrition Act of 1966 (42 

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

3 sums as may be necessary for each of fiscal years 2010 

4 through 2014, of which— 

5 (1) there is authorized to be appropriated 

6 $15,000,000 for fiscal year 2010, and such sums as 

7 may be necessary for each of fiscal years 2011 

8 through 2014, for breast-feeding peer counselors; 

9 and 

10 (2) there is authorized to be appropriated 

11 $14,000,000 for fiscal year 2010, and such sums as 

12 may be necessary for each of fiscal years 2011 

13 through 2014, for infrastructure needs. 

14 SEC. 1002. NUTRITIONAL SUPPORT FOR LOW-INCOME PAR15 ENTS. 

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

17 2008 (7 U.S.C. 2014(c)(2)) is amended by striking ‘‘30 

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

19 SEC. 1003. INCREASED FUNDING FOR THE CHILD CARE AND 

20 DEVELOPMENT BLOCK GRANT PROGRAM. 

21 (a) AUTHORIZATION OF APPROPRIATIONS.—Section 

22 658B of the Child Care and Development Block Grant Act 

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


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

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

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

4 such sums as may be necessary for fiscal years 2011 

5 through 2014.’’. 

6 (b) CONFORMING AMENDMENT.—Section 

7 658E(c)(3)(D) of the Child Care and Development Block 

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

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

10 through 2014’’. 

11 SEC. 1004. TEENAGE OR FIRST-TIME MOTHERS; FREE HOME 

12 VISITS BY REGISTERED NURSES FOR EDU13 CATION ON HEALTH NEEDS OF INFANTS. 

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

15 to local health departments to provide to eligible mothers, 

16 without charge, education on the health needs of their in17 fants through visits to their homes by registered nurses. 

18 (b) ELIGIBLE MOTHER.— 

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

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

21 paragraph (2), the woman— 

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

23 more than 24 months of age; and 

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

25 at the time of birth; or 


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1 (ii) the infant referred to in subparagraph 

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

3 (2) ADDITIONAL REQUIREMENTS FOR CERTAIN

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

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

6 the woman is an eligible mother for purposes of sub7 section (a) only if the woman meets such standards 

8 in addition to the applicable standards under para9 graph (1) as the local health department involved 

10 determines to be appropriate. 

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

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

13 agrees as follows: 

14 (1) The program carried out under such sub15 section by the applicant will be designed to instill in 

16 eligible mothers confidence in their abilities to pro17 vide for the health needs of their newborns, includ18 ing through— 

19 (A) providing information on child develop20 ment; and 

21 (B) soliciting questions from the mothers. 

22 (2) The registered nurses who make home visits 

23 under subsection (a) will, as needed, provide refer24 rals for health and social services to serve the needs 

25 of the newborns. 


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

2 available to an eligible mother will not be fewer than 

3 six months. 

4 (d) AUTHORIZED SERVICES.— 

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

6 under subsection (a) only if the applicant involved 

7 agrees that the following services will be provided by 

8 registered nurses in home visits under subsection 

9 (a): 

10 (A) Information on child health and devel11 opment, including suggestions for child-develop12 mental activities that are enjoyable for parents 

13 and children. 

14 (B) Advice on parenting, including infor15 mation on how to develop a strong parent-child 

16 relationship. 

17 (C) Information on resources about par18 enting, including identifying books and videos 

19 that are available at local libraries. 

20 (D) Information on upcoming parenting 

21 workshops in the local region. 

22 (E) Information on programs that facili23 tate parent-to-parent support services. 

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

25 is a student, information on resources that may 


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1 assist the mother in completing the educational 

2 courses involved. 

3 (2) ADDITIONAL SERVICES.—A grant under 

4 subsection (a) may be expended to provide services 

5 during home visits under such subsection in addition 

6 to the services specified in paragraph (1). 

7 (e) AUTHORIZATION OF APPROPRIATIONS.—For the 

8 purpose of carrying out this section, there are authorized 

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

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

11 2011 through 2014. 

12 TITLE XI—COLLECTING AND 

13 REPORTING ABORTION DATA 

14 SEC. 1101. GRANTS FOR COLLECTION AND REPORTING OF 

15 ABORTION DATA. 

16 (a) GRANTS.—The Secretary, acting through the Di17 rector of the Centers for Disease Control and Prevention, 

18 may make grants to States for collecting and reporting 

19 abortion surveillance data. 

20 (b) REPORTING REQUIREMENT.— 

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

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

23 agrees to submit a report in each of fiscal years 

24 2011 and 2013 on the State’s abortion surveillance 

25 data. 


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

2 State under this subsection shall, with respect to the 

3 preceding 2 fiscal years, include— 

4 (A) the number and characteristics of 

5 women obtaining abortions in the State; and 

6 (B) the characteristics of these abortions, 

7 including the approximate gestational age of the 

8 unborn child, the abortion method, and any 

9 known physical or psychological complications. 

10 (3) PERSONAL INFORMATION.—A report sub11 mitted by a State under this subsection shall not 

12 contain the name of any woman obtaining or seeking 

13 to obtain an abortion, any common identifier (such 

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

15 (including statistical information) that would make 

16 it possible to identify in any manner or under any 

17 circumstances an individual who has obtained or 

18 seeks to obtain an abortion. 

19 (c) CONFIDENTIALITY.—The Secretary shall main20 tain the confidentiality of any individually identifiable in21 formation reported to the Secretary under this section. 

22 (d) REPORT TO CONGRESS.— 

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

24 fiscal year 2013, the Secretary shall submit a report 


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1 to the Congress on the abortion surveillance data re2 ported to the Secretary under this section. 

3 (2) PERSONAL INFORMATION.—A report sub4 mitted by the Secretary to the Congress under this 

5 subsection shall not contain any name or other iden6 tifier described in subsection (b)(3). 

7 (e) AUTHORIZATION OF APPROPRIATIONS.—To carry 

8 out this section, there are authorized to be appropriated 

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

10 2010 through 2014. 

Æ 


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