I 

110TH CONGRESS 

1ST SESSION H. R. 1074 

To provide for programs that reduce the number of unplanned pregnancies, 

reduce the need for abortion, help women bear healthy children, and 

support new parents. 

IN THE HOUSE OF REPRESENTATIVES 

FEBRUARY 15, 2007 

Mr. RYAN of Ohio (for himself, Ms. DELAURO, Mr. LANGEVIN, Ms. HERSETH, 

Mr. EMANUEL, Ms. ESHOO, Ms. KAPTUR, Mr. KILDEE, Ms. MCCOLLUM

of Minnesota, Mr. PRICE of North Carolina, Mr. DOYLE, Mrs. MALONEY

of New York, Mr. KENNEDY, Mr. GEORGE MILLER of California, Mr. 

KUCINICH, Mr. MORAN of Virginia, Mr. CROWLEY, Mr. SMITH of Washington, Mr. COURTNEY, Mr. MCGOVERN, Ms. WASSERMAN SCHULTZ, Mr. 

LARSON of Connecticut, Mr. PATRICK J. MURPHY of Pennsylvania, Mr. 

OBEY, Mr. DEFAZIO, and Mr. BLUMENAUER) introduced the following 

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

in addition to the Committees on Education and Labor and Ways and 

Means, 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 number of unplanned pregnancies, 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, 


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1 SECTION 1. SHORT TITLE; TABLE OF CONTENTS. 

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

3 ‘‘Reducing the Need for Abortion and Supporting Parents 

4 Act’’. 

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

6 this Act is as follows: 

Sec. 1. Short title; table of contents. 

Sec. 2. Findings; purpose. 

Sec. 3. Definitions. 

Sec. 4. Eligibility of Indian tribes for awards. 

TITLE I—EDUCATION PROGRAMS FOR PREVENTING TEEN 

PREGNANCIES 

Sec. 101. Findings. 

Sec. 102. Education programs for preventing teen pregnancies. 

TITLE II—REAUTHORIZATION OF CERTAIN AFTER-SCHOOL 

PROGRAMS 

Sec. 201. Findings. 

Sec. 202. Reauthorization of certain after-school programs. 

TITLE III—TEEN PREGNANCY PREVENTION INCENTIVE GRANTS 

Sec. 301. Teen pregnancy prevention incentive grants. 

Sec. 302. Establishing national goal to prevent teen pregnancy. 

TITLE IV—DEMONSTRATION GRANTS TO ENCOURAGE CREATIVE 

APPROACHES TO TEEN PREGNANCY PREVENTION 

Sec. 401. Demonstration grants to encourage creative approaches to teen pregnancy prevention. 

TITLE V—NATIONAL CAMPAIGN TO ENLIST PARENTS IN 

PREVENTING TEEN PREGNANCY 

Sec. 501. Findings. 

Sec. 502. Establishment of a national center for parents of adolescents; provision of challenge grants for State and local programs. 

TITLE VI—CLARIFICATION OF CONTINUED MEDICAID COVERAGE 

OF FAMILY PLANNING SERVICES 

Sec. 601. Clarification of continued Medicaid coverage of family planning services. 

TITLE VII—EXPANDED MEDICAID ELIGIBILITY FOR FAMILY 

PLANNING SERVICES 

Sec. 701. Expanded Medicaid eligibility for family planning services. 


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TITLE VIII—DISCLOSURE OF INFORMATION FOR ABORTION 

SERVICES 

Sec. 801. Disclosure of information for abortion services. 

TITLE IX—MEDICAID AND SCHIP COVERAGE OF PREGNANT 

WOMEN 

Sec. 901. State option to expand or add coverage of certain pregnant women 

under Medicaid and SCHIP. 

Sec. 902. Coordination with the maternal and child health program. 

Sec. 903. Increase in SCHIP income eligibility. 

Sec. 904. Outreach program to encourage those eligible for services to enroll. 

TITLE X—TITLE X OF PUBLIC HEALTH SERVICE ACT 

Sec. 1001. Short title. 

Sec. 1002. Authorization of appropriations. 

TITLE XI—PREGNANCY AS PREEXISTING CONDITION 

Sec. 1101. Removal of pregnancy as a preexisting condition under individual 

health insurance coverage. 

TITLE XII—INCREASING WOMEN’S KNOWLEDGE ABOUT THEIR 

PREGNANCY 

Sec. 1201. Grants to health centers for purchase of ultrasound equipment. 

Sec. 1202. Services to patients receiving positive test diagnosis for Down syndrome or other prenatally diagnosed condition. 

TITLE XIII—PREVENTING DOMESTIC VIOLENCE AND SEXUAL 

ASSAULT 

Sec. 1301. Separate program to identify and treat pregnant women and new 

mothers who are victims of domestic violence, dating violence, 

sexual assault, or stalking. 

Sec. 1302. Additional authorization of appropriations for public campaign to increase public awareness. 

TITLE XIV—SUPPORT FOR PREGNANT AND PARENTING 

STUDENTS 

Sec. 1401. Support services for students of institutions of higher education. 

Sec. 1402. Child care access means parents in school program. 

TITLE XV—FEDERALLY-FUNDED HOMES FOR PREGNANT AND 

PARENTING WOMEN 

Sec. 1501. Counseling requirements. 

Sec. 1502. Treatment of pregnant and parenting women. 

TITLE XVI—EXPANSION OF ADOPTION CREDIT AND ADOPTION 

ASSISTANCE PROGRAMS 

Sec. 1601. Expansion of adoption credit and adoption assistance programs. 

TITLE XVII—PROVIDING SUPPORT TO NEW PARENTS 

Sec. 1701. Increased support for WIC program. 


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Sec. 1702. Nutritional support for low-income parents. 

Sec. 1703. Increased funding for the Child Care and Development Block Grant 

program. 

Sec. 1704. Teenage or first-time mothers; free home visits by registered nurses 

for education on health needs of infants. 

Sec. 1705. Grants for increasing public awareness of resources available to 

women preparing for child birth. 

TITLE XVIII—COLLECTING AND REPORTING ABORTION 

SURVEILLANCE DATA 

Sec. 1801. Grants for collection and reporting of abortion surveillance data. 

Sec. 1802. Report on reasons why women choose to have an abortion. 

1 SEC. 2. FINDINGS; PURPOSE. 

2 (a) FINDINGS.—Congress makes the following find3 ings: 

4 (1) There are 1,290,000 abortions annually in 

5 America and one in five pregnancies ends in abor6 tion. 

7 (2) 49 percent of all pregnancies in America are 

8 unintended. Excluding miscarriages, 54 percent of 

9 unintended pregnancies end in abortion. 

10 (3) 57 percent of women who have abortions 

11 have incomes below 200 percent of the poverty level. 

12 (4) Rates of unintended pregnancy in the 

13 United States increased by nearly 30 percent among 

14 low-income women between 1994 and 2001, and a 

15 low-income woman today is about 4 times as likely 

16 to have an unintended pregnancy as her higher in17 come counterpart. 

18 (5) Levels of contraceptive use among low-in19 come women at risk of unintended pregnancy deVerDate Aug 31 2005 22:27 Feb 22, 2007 Jkt 059200 PO 00000 Frm 00004 Fmt 6652 Sfmt 6201 E:\BILLS\H1074.IH H1074

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1 clined significantly between 1994 and 2001, from 92 

2 percent to 86 percent. 

3 (6) By helping couples avoid unintended preg4 nancy, Medicaid-funded and Title X contraceptive 

5 services are highly cost-effective, and every public 

6 dollar spent on family planning saves $3 in the cost 

7 of pregnancy-related care alone. 

8 (7) Abortion rates decreased among higher in9 come women but increased among low income 

10 women between 1994 and 2001, and a low income 

11 woman is more than 4 times as likely to have an 

12 abortion as her higher income counterpart. 

13 (8) ‘‘Cannot afford a baby’’ is the second most 

14 frequently cited reason women choose to have an 

15 abortion; 73 percent of women having abortions 

16 cited this reason as a contributing factor. 

17 (b) PURPOSE.—The purpose of this Act is to provide 

18 a comprehensive initiative to— 

19 (1) reduce the abortion rate by reducing the 

20 number of unintended pregnancies and supporting 

21 women facing unplanned pregnancies; 

22 (2) prevent unintended pregnancies from occur23 ring in the first place— 


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1 (A) by reducing teen pregnancy through 

2 education, after-school and other programs, and 

3 involving parents; and 

4 (B) by extending Medicaid family planning 

5 services to more low-income women; and 

6 (3) support pregnant women, new parents, and 

7 their children, through measures that address do8 mestic violence and sexual assault, provide health 

9 care services, information about pregnancy, and 

10 other supportive services for pregnant women, and 

11 provide supportive services for new parents. 

12 SEC. 3. DEFINITIONS. 

13 For purposes of this Act: 

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

15 of Health and Human Services. 

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

17 the District of Columbia, the Commonwealth of 

18 Puerto Rico, the Commonwealth of the Northern 

19 Mariana Islands, American Samoa, Guam, the Vir20 gin Islands, and any other territory or possession of 

21 the United States. 

22 SEC. 4. ELIGIBILITY OF INDIAN TRIBES FOR AWARDS. 

23 (a) IN GENERAL.—In the case of programs carried 

24 out pursuant to this Act that make awards of grants, co25 operative agreements, or contracts, Indian tribes are eligiVerDate Aug 31 2005 22:27 Feb 22, 2007 Jkt 059200 PO 00000 Frm 00006 Fmt 6652 Sfmt 6201 E:\BILLS\H1074.IH H1074

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1 ble for awards under the programs in accordance with 

2 such criteria as the Secretary may establish. 

3 (b) DEFINITIONS.—For purposes of this Act, the 

4 term ‘‘Indian tribe’’ has the meaning given such term in 

5 section 4 of the Indian Self-Determination and Education 

6 Assistance Act. 

7 TITLE I—EDUCATION PRO8 GRAMS FOR PREVENTING 

9 TEEN PREGNANCIES 

10 SEC. 101. FINDINGS. 

11 The Congress finds as follows: 

12 (1) The United States has the highest teen 

13 pregnancy rate and teen birth rate among com14 parable countries, costing the United States at least 

15 $7,000,000,000 annually. 

16 (2) About one out of three young women in 

17 America become pregnant before they reach the age 

18 of 20. 

19 (3) Teenagers account for nearly one of every 

20 five abortions. 

21 (4) Teen pregnancy has serious consequences 

22 for young women, their children, and communities 

23 as a whole. Too-early childbearing increases the like24 lihood that a young woman will drop out of high 

25 school and that she and her child will live in poverty. 


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1 (5) Statistically, the sons of teen mothers are 

2 more likely to end up in prison. The daughters of 

3 teen mothers are more likely to end up teen mothers 

4 too. 

5 (6) Teens that grow up in disadvantaged eco6 nomic, social, and family circumstances are more 

7 likely to engage in risky behavior and have a child 

8 during adolescence. 

9 (7) Eight in 10 girls and six in 10 boys report 

10 that they wish they had waited until they were older 

11 to have sex. 

12 SEC. 102. EDUCATION PROGRAMS FOR PREVENTING TEEN 

13 PREGNANCIES. 

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

15 to local educational agencies, State and local public health 

16 agencies, and nonprofit private entities for the purpose of 

17 carrying out projects to provide education on preventing 

18 teen pregnancies. 

19 (b) PREFERENCE IN MAKING GRANTS.—In making 

20 grants under subsection (a), the Secretary shall give pref21 erence to applicants that will carry out the projects under 

22 such subsection in communities for which the rate of teen 

23 pregnancy is significantly above the average rate of such 

24 pregnancies. 


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

2 made under subsection (a) only if the applicant for the 

3 grant meets the following conditions with respect to the 

4 project involved: 

5 (1) The applicant agrees that information pro6 vided by the project on pregnancy prevention will be 

7 age-appropriate, factually and medically accurate 

8 and complete, and scientifically-based. 

9 (2) The applicant agrees that the project will 

10 prevent teen pregnancies by— 

11 (A) encouraging teens to delay sexual ac12 tivity and providing educational services and 

13 interventions, including information about con14 traception for sexually active teens or teens at 

15 risk of becoming sexually active that meets the 

16 requirements of paragraph (1); 

17 (B) educating both young men and women 

18 about the responsibilities and pressures that 

19 come along with parenting; 

20 (C) helping parents communicate with 

21 teens about sexuality; or 

22 (D) teaching young people responsible de23 cision-making. 

24 (d) MATCHING FUNDS.— 


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1 (1) IN GENERAL.—With respect to the costs of 

2 the project to be carried out under subsection (a) by 

3 an applicant, a grant may be made under such sub4 section only if the applicant agrees to make available 

5 (directly or through donations from public or private 

6 entities) non-Federal contributions toward such 

7 costs in an amount that is not less than 25 percent 

8 of such costs ($1 for each $3 of Federal funds pro9 vided in the grant). 

10 (2) DETERMINATION OF AMOUNT CONTRIB11 UTED.—Non-Federal contributions required in para12 graph (1) may be in cash or in kind, fairly evalu13 ated, including plant, equipment, or services. 

14 Amounts provided by the Federal Government, or 

15 services assisted or subsidized to any significant ex16 tent by the Federal Government, may not be in17 cluded in determining the amount of such non-Fed18 eral contributions. 

19 (e) SUPPLEMENTATION OF FUNDS.—An applicant to 

20 which a grant is made under subsection (a) for a fiscal 

21 year shall use the grant to supplement and not supplant 

22 funds that would otherwise be available to the applicant 

23 for carrying out the purpose described in such subsection. 

24 (f) EVALUATION OF PROJECTS.—The Secretary shall 

25 establish criteria for the evaluation of projects under subVerDate Aug 31 2005 22:27 Feb 22, 2007 Jkt 059200 PO 00000 Frm 00010 Fmt 6652 Sfmt 6201 E:\BILLS\H1074.IH H1074

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1 section (a). A grant may be made under such subsection 

2 only if the applicant involved— 

3 (1) agrees to conduct evaluations of the project 

4 in accordance with such criteria; 

5 (2) agrees to submit to the Secretary such re6 ports describing the results of the evaluations as the 

7 Secretary determines to be appropriate; and 

8 (3) submits to the Secretary, in the application 

9 under subsection (g), a plan for conducting the eval10 uations. 

11 (g) APPLICATION FOR GRANT.—A grant may be 

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

13 grant is submitted to the Secretary and the application 

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

15 such agreements, assurances, and information, including 

16 the agreements under subsections (c) through (f) and the 

17 plan under subsection (f)(3), as the Secretary determines 

18 to be necessary to carry out this section. 

19 (h) REPORT TO CONGRESS.—Not later than April 1, 

20 2012, the Secretary shall submit to the Congress a report 

21 describing the extent to which projects under subsection 

22 (a) have been successful in reducing the rate of teen preg23 nancies in the communities in which the projects have 

24 been carried out. 

25 (i) DEFINITIONS.—For purposes of this section: 


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1 (1) The term ‘‘age-appropriate’’, with respect to 

2 the information in pregnancy prevention, means top3 ics, messages, and teaching methods suitable to par4 ticular ages or age groups of children and adoles5 cents, based on developing cognitive, emotional, and 

6 behavioral capacity typical for the age or age group. 

7 (2) The term ‘‘factually and medically accurate 

8 and complete’’ means verified or supported by the 

9 weight of research conducted in compliance with ac10 cepted scientific methods and— 

11 (A) published in peer-reviewed journals, 

12 where applicable; or 

13 (B) comprising information that leading 

14 professional organizations and agencies with 

15 relevant expertise in the field recognize as accu16 rate, objective, and complete. 

17 (3) The term ‘‘local educational agency’’ has 

18 the meaning given such term in section 9101 of the 

19 Elementary and Secondary Education Act of 1965. 

20 (j) AUTHORIZATION OF APPROPRIATIONS.—For the 

21 purpose of carrying out this section, there is authorized 

22 to be appropriated $20,000,000 for each of the fiscal years 

23 2008 through 2012. 


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1 TITLE II—REAUTHORIZATION OF 

2 CERTAIN AFTER-SCHOOL 

3 PROGRAMS 

4 SEC. 201. FINDINGS. 

5 The Congress finds as follows: 

6 (1) The likelihood of teens having sex for the 

7 first time increases with the number of unsupervised 

8 hours teens have during a week. 

9 (2) After-school programs can reduce teen risky 

10 behavior. Teenage girls who play sports, for in11 stance, are more likely to delay sex and have fewer 

12 partners and less likely to become pregnant. 

13 (3) After-school programs can help prevent teen 

14 pregnancy by advancing good decision-making skills 

15 and providing teens with health education and posi16 tive role models in a supervised setting. 

17 SEC. 202. REAUTHORIZATION OF CERTAIN AFTER-SCHOOL 

18 PROGRAMS. 

19 (a) 21ST CENTURY COMMUNITY LEARNING CEN20 TERS.—Section 4206 of the Elementary and Secondary 

21 Education Act of 1965 (20 U.S.C. 7176) is amended— 

22 (1) in paragraph (5), by striking ‘‘and’’; 

23 (2) in paragraph (6), by striking the period at 

24 the end and inserting a semicolon; and 

25 (3) by adding at the end the following: 


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1 ‘‘(7) $2,750,000,000 for fiscal year 2008; and 

2 ‘‘(8) $2,750,000,000 for fiscal year 2009.’’. 

3 (b) CAROL M. WHITE PHYSICAL EDUCATION PRO4 GRAM.—Section 5401 of the Elementary and Secondary 

5 Education Act of 1965 (20 U.S.C. 7241) is amended by 

6 adding at the end the following: 

7 ‘‘(7) $755,000,000 for fiscal year 2008, of 

8 which $80,000,000 is for carrying out subpart 10. 

9 ‘‘(8) $755,000,000 for fiscal year 2009, of 

10 which $80,000,000 is for carrying out subpart 10.’’. 

11 (c) FEDERAL TRIO PROGRAMS.—Section 402A(f) of 

12 the Higher Education Act of 1965 (20 U.S.C. 1070a– 

13 11(f)) is amended by striking ‘‘$700,000,000 for fiscal 

14 year 1999, and such sums as may be necessary for each 

15 of the 4 succeeding fiscal years’’ and inserting 

16 ‘‘$883,000,000 for fiscal year 2008 and such sums as may 

17 be necessary for each of the 5 succeeding fiscal years’’. 

18 (d) GEARUP.—Section 404H of the Higher Edu19 cation Act of 1965 (20 U.S.C. 1070a–28) is amended by 

20 striking ‘‘$200,000,000 for fiscal year 1999 and such 

21 sums as may be necessary for each of the 4 succeeding 

22 fiscal years’’ and inserting ‘‘$350,000,000 for fiscal year 

23 2008 and such sums as may be necessary for each of the 

24 5 succeeding fiscal years’’. 


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1 TITLE III—TEEN PREGNANCY 

2 PREVENTION INCENTIVE 

3 GRANTS 

4 SEC. 301. TEEN PREGNANCY PREVENTION INCENTIVE 

5 GRANTS. 

6 Section 403(a)(2) of the Social Security Act (42 

7 U.S.C. 603(a)(2)) is amended to read as follows: 

8 ‘‘(2) INCENTIVE GRANTS TO PREVENT TEEN

9 PREGNANCY.— 

10 ‘‘(A) GRANTS TO ELIGIBLE STATES.— 

11 ‘‘(i) IN GENERAL.— 

12 ‘‘(I) FISCAL YEAR 2008; GRANTS

13 TO STATES WITH COMPLIANT

14 PLANS.—For fiscal year 2008, each 

15 State that meets the requirements of 

16 clause (ii) shall be eligible to receive 

17 from the Secretary for such year a 

18 grant in an amount determined under 

19 subparagraph (B)(i)(I). 

20 ‘‘(II) SUBSEQUENT FISCAL

21 YEARS; GRANTS TO HIGH-ACHIEVING

22 STATES WITH COMPLIANT PLANS.— 

23 For each of the fiscal years 2009 

24 through 2012, each high-achieving 

25 State that meets the requirements of 


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1 clause (ii) shall be eligible to receive 

2 from the Secretary for such year a 

3 grant in an amount determined under 

4 subparagraph (B)(i)(II). 

5 ‘‘(III) HIGH-ACHIEVING

6 STATE.—For purposes of this para7 graph, the term ‘high-achieving 

8 State’, with respect to a year, means 

9 a State that has achieved an annual 

10 decline in the teen pregnancy rate for 

11 the State as compared to the pre12 ceding year (or the most recent year 

13 for which data is available) which ex14 ceeds the national average rate of de15 cline. 

16 ‘‘(ii) SUBMISSION OF PLAN; REQUIRE17 MENTS.—A plan meets the requirements of 

18 this clause if the plan describes— 

19 ‘‘(I) the State’s numerical goal 

20 for reducing teen pregnancy and teen 

21 births; 

22 ‘‘(II) the strategies to be used to 

23 achieve such goal; 

24 ‘‘(III) the efforts the State will 

25 make to involve young men, as well as 


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1 young women, in delaying pregnancy 

2 and parenting; 

3 ‘‘(IV) efforts to involve parents 

4 and other caretakers; and 

5 ‘‘(V) efforts to reach commu6 nities or populations experiencing 

7 rates of teen pregnancy above the 

8 State average. 

9 ‘‘(iii) SET-ASIDE FOR GRANTS TO IN10 DIAN TRIBES.—An amount equal to 1.5 

11 percent of the amount appropriated in sub12 paragraph (G) for a fiscal year shall be re13 served for awarding grants to Indian tribes 

14 under this paragraph in such manner, and 

15 subject to such requirements, as the Sec16 retary, in consultation with such tribes, de17 termines appropriate. 

18 ‘‘(iv) STATE.—The term ‘State’ 

19 means each of the several States of the 

20 United States, the District of Columbia, 

21 the Commonwealth of Puerto Rico, the 

22 United States Virgin Islands, Guam, 

23 American Samoa, and the Commonwealth 

24 of the Northern Mariana Islands. 

25 ‘‘(B) AMOUNT OF GRANT.— 


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1 ‘‘(i) IN GENERAL.—The amount of a 

2 grant under subparagraph (A)(i) to an eli3 gible State for a fiscal year shall be the 

4 following amount, as applicable: 

5 ‘‘(I) For fiscal year 2008, the 

6 amount that bears the same ratio to 

7 the amount appropriated in subpara8 graph (G) for such fiscal year as the 

9 proportion of births in the State to 

10 teens under age 20 bears to the num11 ber of such births in all eligible States 

12 in the most recent year for which data 

13 is available. 

14 ‘‘(II) For each of fiscal years 

15 2009 through 2012, the amount that 

16 bears the same ratio to the amount 

17 appropriated in subparagraph (G) for 

18 such fiscal year as the proportion of 

19 teens under age 20 in the State bears 

20 to the number of such teens in all eli21 gible States in the most recent year 

22 for which data is available. 

23 ‘‘(ii) DETERMINATION OF TEEN PREG24 NANCY RATES.—For purposes of this para25 graph, the teen pregnancy rate for a State 


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1 shall be determined on the basis of the 

2 teen pregnancy rate per 1,000 women, 

3 ages 15 through 19, who reside in the 

4 State. Where teen pregnancy data is not 

5 available in a particular State, the Sec6 retary may identify alternative sources of 

7 data. 

8 ‘‘(C) USE OF FUNDS.— 

9 ‘‘(i) IN GENERAL.—A State or Indian 

10 tribe shall use funds provided under a 

11 grant under this paragraph to implement 

12 teen pregnancy prevention strategies that 

13 meet the following requirements: 

14 ‘‘(I) The strategies replicate or 

15 substantially incorporate the elements 

16 of one or more teen pregnancy preven17 tion programs that have been proven 

18 effective (on the basis of rigorous sci19 entific research) to— 

20 ‘‘(aa) delay or decrease sex21 ual intercourse or sexual activity; 

22 ‘‘(bb) increase contraceptive 

23 use among sexually active teens; 

24 or 


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1 ‘‘(cc) reduce teenage preg2 nancy. 

3 ‘‘(II) The strategies incorporate 

4 one or more of the following strategies 

5 for preventing teenage pregnancy: 

6 ‘‘(aa) Encouraging teenagers 

7 to delay sexual activity. 

8 ‘‘(bb) Sex and HIV edu9 cation. 

10 ‘‘(cc) Preventive health serv11 ices. 

12 ‘‘(dd) Youth development 

13 programs. 

14 ‘‘(ee) Service learning pro15 grams. 

16 ‘‘(ff) Helping parents com17 municate with teens. 

18 ‘‘(gg) Outreach or media 

19 programs. 

20 ‘‘(III) The strategies provide in21 formation that is age-appropriate, fac22 tually and medically accurate and 

23 complete, and scientifically-based. 

24 ‘‘(D) SUBGRANT OR CONTRACT RECIPI25 ENTS.—A State to which a grant is made under 


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1 this paragraph for a fiscal year may award sub2 grants or contracts to— 

3 ‘‘(i) State or local nonprofit coalitions 

4 or organizations working to prevent teen5 age pregnancy; 

6 ‘‘(ii) State, local, or tribal agencies; 

7 ‘‘(iii) schools; 

8 ‘‘(iv) entities that provide after-school 

9 programs; 

10 ‘‘(v) nonprofit community or faith11 based organizations; or 

12 ‘‘(vi) other organizations designated 

13 by the State. 

14 ‘‘(E) SUPPLEMENTATION OF FUNDS.—A 

15 State to which a grant is made under this para16 graph for a fiscal year shall use funds provided 

17 under the grant to supplement and not sup18 plant funds that would otherwise be available to 

19 the State for preventing teen pregnancy. 

20 ‘‘(F) DATA REPORTING.—A State to which 

21 a grant is made under this paragraph for a fis22 cal year shall cooperate with the Secretary to 

23 collect information and report on outcomes of 

24 programs funded under the grant, as specified 

25 by the Secretary. 


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1 ‘‘(G) APPROPRIATION.—Out of any money 

2 in the Treasury of the United States not other3 wise appropriated, there are appropriated for 

4 making grants under this paragraph 

5 $20,000,000 for each of the fiscal years 2008 

6 through 2012. 

7 ‘‘(H) EVALUATION.— 

8 ‘‘(i) IN GENERAL.—The Secretary 

9 shall, by grant or contract, gather and dis10 seminate information on effective practices, 

11 programs, and strategies for reducing teen 

12 pregnancy rates that are used by States 

13 that receive grants under this paragraph in 

14 order to allow other States, and leaders in 

15 the area of teen pregnancy prevention, to 

16 learn from the experiences of successful 

17 States. The Secretary shall publish an in18 terim and final report summarizing and 

19 synthesizing outcomes and lessons learned 

20 pursuant to such grants. 

21 ‘‘(ii) APPROPRIATION.—Out of any 

22 money in the Treasury of the United 

23 States not otherwise appropriated, there is 

24 appropriated to the Secretary for the pur25 pose of carrying out clause (i) $2,000,000 


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1 for fiscal year 2008, to remain available 

2 through fiscal year 2013.’’. 

3 SEC. 302. ESTABLISHING NATIONAL GOAL TO PREVENT 

4 TEEN PREGNANCY. 

5 Section 905 of the Personal Responsibility and Work 

6 Opportunity Reconciliation Act of 1996 (42 U.S.C. 710 

7 note) is amended to read as follows: 

8 ‘‘SEC. 905. ESTABLISHING NATIONAL GOAL TO PREVENT 

9 TEEN PREGNANCY. 

10 ‘‘(a) IN GENERAL.—Not later than 90 days after the 

11 date of the enactment of this Act, the Secretary of Health 

12 and Human Services shall establish a national goal of re13 ducing teen pregnancy by at least one-third over the sub14 sequent ten years. 

15 ‘‘(b) REPORT.—Not later than 12 months after the 

16 date of the enactment of this Act, and annually thereafter, 

17 the Secretary of Health and Human Services shall report 

18 to Congress with respect to the progress that has been 

19 made in meeting the national goal established under sub20 section (a) and with respect to State-level progress on re21 ducing teen pregnancy.’’. 


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1 TITLE IV—DEMONSTRATION 

2 GRANTS TO ENCOURAGE CRE3 ATIVE APPROACHES TO TEEN 

4 PREGNANCY PREVENTION 

5 SEC. 401. DEMONSTRATION GRANTS TO ENCOURAGE CRE6 ATIVE APPROACHES TO TEEN PREGNANCY 

7 PREVENTION. 

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

9 to several public or nonprofit private entities for the pur10 pose of assisting the entities in demonstrating innovative 

11 approaches to prevent teen pregnancies. 

12 (b) CERTAIN APPROACHES.—Approaches under sub13 section (a) may include approaches such as the following: 

14 (1) Encouraging teen-driven approaches to 

15 pregnancy prevention. 

16 (2) Exposing teens to realistic simulations of 

17 the physical, emotional, and financial consequences 

18 of pregnancy and parenting. 

19 (3) Facilitating communication between parents 

20 and children, especially using programs that have 

21 been evaluated and proven effective. 

22 (c) MATCHING FUNDS.— 

23 (1) IN GENERAL.—With respect to the costs of 

24 the project to be carried out under subsection (a) by 

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1 section only if the applicant agrees to make available 

2 (directly or through donations from public or private 

3 entities) non-Federal contributions toward such 

4 costs in an amount that is not less than 25 percent 

5 of such costs ($1 for each $3 of Federal funds pro6 vided in the grant). 

7 (2) DETERMINATION OF AMOUNT CONTRIB8 UTED.—Non-Federal contributions required in para9 graph (1) may be in cash or in kind, fairly evalu10 ated, including plant, equipment, or services. 

11 Amounts provided by the Federal Government, or 

12 services assisted or subsidized to any significant ex13 tent by the Federal Government, may not be in14 cluded in determining the amount of such non-Fed15 eral contributions. 

16 (d) EVALUATION OF PROJECTS.—The Secretary shall 

17 establish criteria for the evaluation of projects under sub18 section (a). A grant may be made under such subsection 

19 only if the applicant involved— 

20 (1) agrees to conduct evaluations of the project 

21 in accordance with such criteria; 

22 (2) agrees to submit to the Secretary such re23 ports describing the results of the evaluations as the 

24 Secretary determines to be appropriate; and 


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1 (3) submits to the Secretary, in the application 

2 under subsection (e), a plan for conducting the eval3 uations. 

4 (e) APPLICATION FOR GRANT.—A grant may be 

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

6 grant is submitted to the Secretary and the application 

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

8 such agreements, assurances, and information, including 

9 the agreements under subsections (c) and (d) and the plan 

10 under subsection (d)(3), as the Secretary determines to 

11 be necessary to carry out this section. 

12 (f) REPORT TO CONGRESS.—Not later than April 1, 

13 2013, the Secretary shall submit to the Congress a report 

14 describing the extent to which projects under subsection 

15 (a) have been successful in reducing the rate of teen preg16 nancies in the communities in which the projects have 

17 been carried out. Such reports shall describe the various 

18 approaches used under subsection (a) and the effective19 ness of each of the approaches. 

20 (g) AUTHORIZATION OF APPROPRIATIONS.—For the 

21 purpose of carrying out this section, there is authorized 

22 to be appropriated $10,000,000 for each of the fiscal years 

23 2008 through 2012. 


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1 TITLE V—NATIONAL CAMPAIGN 

2 TO ENLIST PARENTS IN PRE3 VENTING TEEN PREGNANCY 

4 SEC. 501. FINDINGS. 

5 The Congress finds as follows: 

6 (1) Teens with strong emotional attachments to 

7 their parents are more likely to delay becoming sexu8 ally active. Seven out of ten teens say that they are 

9 prepared to listen to things parents thought the 

10 teens were not ready to hear. 

11 (2) Ninety percent of parents of teens report 

12 that they know they should talk to their kids about 

13 sex but often don’t know what to say, how to say it, 

14 or when to start the conversations. 

15 SEC. 502. ESTABLISHMENT OF A NATIONAL CENTER FOR 

16 PARENTS OF ADOLESCENTS; PROVISION OF 

17 CHALLENGE GRANTS FOR STATE AND LOCAL 

18 PROGRAMS. 

19 (a) GRANT.—The Secretary shall make one grant to 

20 a nationally recognized nonpartisan, nonprofit organiza21 tion that meets the requirements of this section to estab22 lish and operate a national center for parents of adoles23 cents to carry out the purposes and activities described 

24 in subsections (b) and (c) (referred to in this section as 

25 the ‘‘Center’’). 


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1 (b) REQUIREMENTS.—The Secretary may make a 

2 grant under this section only if— 

3 (1) the organization focuses exclusively on pre4 venting teen pregnancy and has at least 10 years of 

5 experience in working with diverse sectors of society 

6 to reduce teen pregnancy; 

7 (2) the organization has a demonstrated ability 

8 to work with and provide assistance to a broad 

9 range of individuals and entities, including teens, 

10 parents, the entertainment and news media, State, 

11 tribal, and local organizations, networks of teen 

12 pregnancy prevention practitioners, businesses, faith 

13 and community leaders, and researchers; 

14 (3) the organization is research-based and has 

15 capabilities in scientific analysis and evaluation; and 

16 (4) the organization has comprehensive knowl17 edge and data about teen pregnancy prevention 

18 strategies. 

19 (c) PURPOSES.—The purposes of the Center are to— 

20 (1) support parents in their essential role in 

21 preventing teen pregnancy by equipping them with 

22 information and resources to promote and strength23 en communication with their children about sex, val24 ues, and healthy relationships; 


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1 (2) develop and implement media campaigns to 

2 promote positive information and messages for par3 ents about how they can help address teen preg4 nancy; and 

5 (3) provide challenge grants to States to pro6 mote parent education and involvement. 

7 (d) ACTIVITIES.—The Center shall carry out the pur8 poses described in subsection (c) through the following ac9 tivities: 

10 (1) Providing resources for parents and other 

11 adults (such as other family members, teachers, 

12 coaches, mentors, and faith leaders) that help to fos13 ter strong connections with children, including— 

14 (A) online access to current research; 

15 (B) user-friendly guides for parents; 

16 (C) practical tips and advice from experts; 

17 (D) alerts about new trends among teens; 

18 (E) suggestions for how to use the enter19 tainment media as a discussion-starter; and 

20 (F) information about the rapidly-changing 

21 media environment of teens. 

22 In order to efficiently reach and support parents, in23 formation shall be provided primarily through tech24 nological means, including the Internet. 


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1 (2) Using a portion of the funds available 

2 through this section to develop and implement media 

3 campaigns directly or through grants, contracts, or 

4 cooperative agreements with other entities. They 

5 may include the production and distribution of print6 ed materials and messages for print media, tele7 vision, and radio broadcast media, the Internet, or 

8 such other new technology as may be appropriate for 

9 reaching large numbers of parents and other adults 

10 involved in the lives of teens. Special efforts shall be 

11 made to develop messages that are effective in 

12 reaching fathers as well as mothers. To the extent 

13 possible, funds used to develop and implement media 

14 campaigns under this subsection shall be matched 

15 with non-Federal resources, including in-kind con16 tributions, from public and private entities. In addi17 tion, the Center shall provide consultation and serve 

18 as a source of factual information to individuals and 

19 organizations in the entertainment industry on 

20 issues related to teen pregnancy prevention that 

21 highlights the role of parents. 

22 (3) Awarding challenge grants on a competitive 

23 basis to States and Indian tribes. Applicants shall 

24 submit a plan for how they would involve parents 

25 and other caregivers (such as grandparents, foster 


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1 parents and other guardians) in helping to reduce 

2 teen pregnancy through activities such as— 

3 (A) workshops and town hall meetings; 

4 (B) providing information through employ5 ers, civic associations, community and faith6 based organizations, parent-teacher organiza7 tions, and other organizations that reach large 

8 numbers of parents; and 

9 (C) innovative ways to provide education 

10 and support for parents through online commu11 nities and neighborhood-based activities. 

12 (e) AUTHORIZATION OF APPROPRIATIONS.— 

13 (1) IN GENERAL.—For the purpose of carrying 

14 out this section, there is authorized to be appro15 priated $15,000,000 for each of fiscal years 2008 

16 through 2012. 

17 (2) CHALLENGE GRANTS.—Of the amount ap18 propriated under paragraph (1) for a fiscal year, not 

19 less than $5,000,000 shall be made available for 

20 challenge grants under subsection (d)(3). 


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1 TITLE VI—CLARIFICATION OF 

2 CONTINUED MEDICAID COV3 ERAGE OF FAMILY PLANNING 

4 SERVICES 

5 SEC. 601. CLARIFICATION OF CONTINUED MEDICAID COV6 ERAGE OF FAMILY PLANNING SERVICES. 

7 (a) IN GENERAL.—Section 1937(a)(1) of the Social 

8 Security Act (42 U.S.C. 1396u–7(a)(1)) is amended by 

9 adding at the end the following new subparagraph: 

10 ‘‘(E) COVERAGE OF FAMILY PLANNING

11 SERVICES.—The State may only exercise the 

12 option under subparagraph (A) with respect to 

13 an individual if the State provides the indi14 vidual, through the benchmark coverage, bench15 mark equivalent coverage, or directly under its 

16 State plan, medical assistance for family plan17 ning services and supplies (described in section 

18 1905(a)(4)(C)) in at least the same amount, 

19 duration, and scope as would be provided if this 

20 section did not apply.’’. 

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

22 subsection (a) shall apply as of the first day of the first 

23 month that begins more than 30 days after the date of 

24 the enactment of this Act. 


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1 TITLE VII—EXPANDED MED2 ICAID ELIGIBILITY FOR FAM3 ILY PLANNING SERVICES 

4 SEC. 701. EXPANDED MEDICAID ELIGIBILITY FOR FAMILY 

5 PLANNING SERVICES. 

6 (a) COVERAGE AS MANDATORY CATEGORICALLY

7 NEEDY GROUP.— 

8 (1) IN GENERAL.—Section 1902(a)(10)(A)(i) of 

9 the Social Security Act (42 U.S.C. 

10 1396a(a)(10)(A)(i)) is amended— 

11 (A) in subclause (VI), by striking ‘‘or’’ at 

12 the end; 

13 (B) in subclause (VII), by adding ‘‘or’’ at 

14 the end; and 

15 (C) by adding at the end the following new 

16 subclause: 

17 ‘‘(VIII) subject to subsection 

18 (dd)(3), who are described in sub19 section (dd) (relating to individuals 

20 who meet the income standards for 

21 pregnant women);’’. 

22 (2) GROUP DESCRIBED.—Section 1902 of the 

23 Social Security Act (42 U.S.C. 1396a) is amended 

24 by adding at the end the following new subsection: 


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1 ‘‘(dd)(1) Individuals described in this subsection are 

2 individuals who— 

3 ‘‘(A) meet at least the income eligibility stand4 ards established under the State plan as of May 1, 

5 2006, for pregnant women or such higher income 

6 eligibility standard for such women as the State may 

7 establish; and 

8 ‘‘(B) are not pregnant. 

9 ‘‘(2) At the option of a State, individuals described 

10 in this subsection may include individuals who are deter11 mined to meet the income eligibility standards referred to 

12 in paragraph (1)(A) under the terms and conditions appli13 cable to making eligibility determinations for medical as14 sistance under this title under a waiver to provide the ben15 efits described in clause (XV) of the matter following sub16 paragraph (G) of section 1902(a)(10) granted to the State 

17 under section 1115 as of May 1, 2006.’’. 

18 (3) LIMITATION ON BENEFITS.—Section 

19 1902(a)(10) of the Social Security Act (42 U.S.C. 

20 1396a(a)(10)) is amended in the matter following 

21 subparagraph (G)— 

22 (A) by striking ‘‘and (XIV)’’ and inserting 

23 ‘‘(XIV)’’; and 

24 (B) by inserting ‘‘, and (XV) the medical 

25 assistance made available to an individual deVerDate Aug 31 2005 22:27 Feb 22, 2007 Jkt 059200 PO 00000 Frm 00034 Fmt 6652 Sfmt 6201 E:\BILLS\H1074.IH H1074

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1 scribed in subsection (dd) who is eligible for 

2 medical assistance only because of subpara3 graph (A)(10)(i)(VIII) shall be limited to family 

4 planning services and supplies described in sec5 tion 1905(a)(4)(C) and, at the State’s option, 

6 medical diagnosis or treatment services that are 

7 provided in conjunction with a family planning 

8 service in a family planning setting provided 

9 during the period in which such an individual is 

10 eligible;’’ after ‘‘cervical cancer’’. 

11 (4) CONFORMING AMENDMENTS.—Section 

12 1905(a) of the Social Security Act (42 U.S.C. 

13 1396d(a)) is amended in the matter preceding para14 graph (1)— 

15 (A) in clause (xii), by striking ‘‘or’’ at the 

16 end; 

17 (B) in clause (xiii), by adding ‘‘or’’ at the 

18 end; and 

19 (C) by inserting after clause (xiii) the fol20 lowing: 

21 ‘‘(xiv) individuals described in section 

22 1902(dd),’’. 

23 (b) PRESUMPTIVE ELIGIBILITY.— 


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1 (1) IN GENERAL.—Title XIX of the Social Se2 curity Act (42 U.S.C. 1396 et seq.) is amended by 

3 inserting after section 1920B the following: 

4 ‘‘PRESUMPTIVE ELIGIBILITY FOR FAMILY PLANNING

5 SERVICES

6 ‘‘SEC. 1920C. (a) STATE OPTION.—A State plan ap7 proved under section 1902 may provide for making med8 ical assistance available to an individual described in sec9 tion 1902(dd) (relating to individuals who meet the in10 come eligibility standard for pregnant women in the State) 

11 during a presumptive eligibility period. In the case of an 

12 individual described in section 1902(dd) who is eligible for 

13 medical assistance only because of subparagraph 

14 (A)(10)(i)(VIII), such medical assistance may be limited 

15 to family planning services and supplies described in 

16 1905(a)(4)(C) and, at the State’s option, medical diag17 nosis or treatment services that are provided in conjunc18 tion with a family planning service in a family planning 

19 setting provided during the period in which such an indi20 vidual is eligible. 

21 ‘‘(b) DEFINITIONS.—For purposes of this section: 

22 ‘‘(1) PRESUMPTIVE ELIGIBILITY PERIOD.—The 

23 term ‘presumptive eligibility period’ means, with re24 spect to an individual described in subsection (a), 

25 the period that— 


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1 ‘‘(A) begins with the date on which a 

2 qualified entity determines, on the basis of pre3 liminary information, that the individual is de4 scribed in section 1902(dd); and 

5 ‘‘(B) ends with (and includes) the earlier 

6 of— 

7 ‘‘(i) the day on which a determination 

8 is made with respect to the eligibility of 

9 such individual for services under the State 

10 plan; or 

11 ‘‘(ii) in the case of such an individual 

12 who does not file an application by the last 

13 day of the month following the month dur14 ing which the entity makes the determina15 tion referred to in subparagraph (A), such 

16 last day. 

17 ‘‘(2) QUALIFIED ENTITY.— 

18 ‘‘(A) IN GENERAL.—Subject to subpara19 graph (B), the term ‘qualified entity’ means 

20 any entity that— 

21 ‘‘(i) is eligible for payments under a 

22 State plan approved under this title; and 

23 ‘‘(ii) is determined by the State agen24 cy to be capable of making determinations 

25 of the type described in paragraph (1)(A). 


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1 ‘‘(B) REGULATIONS.—The Secretary may 

2 issue regulations further limiting those entities 

3 that may become qualified entities in order to 

4 prevent fraud and abuse and for other reasons. 

5 ‘‘(C) RULE OF CONSTRUCTION.—Nothing 

6 in this paragraph shall be construed as pre7 venting a State from limiting the classes of en8 tities that may become qualified entities, con9 sistent with any limitations imposed under sub10 paragraph (B). 

11 ‘‘(c) ADMINISTRATION.— 

12 ‘‘(1) IN GENERAL.—The State agency shall pro13 vide qualified entities with— 

14 ‘‘(A) such forms as are necessary for an 

15 application to be made by an individual de16 scribed in subsection (a) for medical assistance 

17 under the State plan; and 

18 ‘‘(B) information on how to assist such in19 dividuals in completing and filing such forms. 

20 ‘‘(2) NOTIFICATION REQUIREMENTS.—A quali21 fied entity that determines under subsection 

22 (b)(1)(A) that an individual described in subsection 

23 (a) is presumptively eligible for medical assistance 

24 under a State plan shall— 


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1 ‘‘(A) notify the State agency of the deter2 mination within 5 working days after the date 

3 on which determination is made; and 

4 ‘‘(B) inform such individual at the time 

5 the determination is made that an application 

6 for medical assistance is required to be made by 

7 not later than the last day of the month fol8 lowing the month during which the determina9 tion is made. 

10 ‘‘(3) APPLICATION FOR MEDICAL ASSIST11 ANCE.—In the case of an individual described in 

12 subsection (a) who is determined by a qualified enti13 ty to be presumptively eligible for medical assistance 

14 under a State plan, the individual shall apply for 

15 medical assistance by not later than the last day of 

16 the month following the month during which the de17 termination is made. 

18 ‘‘(d) PAYMENT.—Notwithstanding any other provi19 sion of this title, medical assistance that— 

20 ‘‘(1) is furnished to an individual described in 

21 subsection (a)— 

22 ‘‘(A) during a presumptive eligibility pe23 riod; 

24 ‘‘(B) by a entity that is eligible for pay25 ments under the State plan; and 


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1 ‘‘(2) is included in the care and services covered 

2 by the State plan, shall be treated as medical assist3 ance provided by such plan for purposes of clause 

4 (4) of the first sentence of section 1905(b).’’. 

5 (2) CONFORMING AMENDMENTS.— 

6 (A) Section 1902(a)(47) of the Social Se7 curity Act (42 U.S.C. 1396a(a)(47)) is amend8 ed by inserting before the semicolon at the end 

9 the following: ‘‘and provide for making medical 

10 assistance available to individuals described in 

11 subsection (a) of section 1920C during a pre12 sumptive eligibility period in accordance with 

13 such section.’’. 

14 (B) Section 1903(u)(1)(D)(v) of such Act 

15 (42 U.S.C. 1396b(u)(1)(D)(v)) is amended— 

16 (i) by striking ‘‘or for’’ and inserting 

17 ‘‘, for’’; and 

18 (ii) by inserting before the period the 

19 following: ‘‘, or for medical assistance pro20 vided to an individual described in sub21 section (a) of section 1920C during a pre22 sumptive eligibility period under such sec23 tion’’. 

24 (c) EFFECTIVE DATE.— 


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1 (1) IN GENERAL.—Except as provided in para2 graph (2), the amendments made by this section 

3 shall apply as of the first day of the first month that 

4 begins more than 30 days after the date of the en5 actment of this Act. 

6 (2) EXTENSION OF EFFECTIVE DATE FOR

7 STATE LAW AMENDMENT.—In the case of a State 

8 plan under title XIX of the Social Security Act (42 

9 U.S.C. 1396 et seq.) which the Secretary of Health 

10 and Human Services determines requires State legis11 lation in order for the plan to meet the additional 

12 requirements imposed by the amendments made by 

13 this section, the State plan shall not be regarded as 

14 failing to comply with the requirements of such title 

15 solely on the basis of its failure to meet these addi16 tional requirements before the first day of the first 

17 calendar quarter beginning after the close of the 

18 first regular session of the State legislature that be19 gins after the date of enactment of this Act. For 

20 purposes of the previous sentence, in the case of a 

21 State that has a 2-year legislative session, each year 

22 of the session is considered to be a separate regular 

23 session of the State legislature. 


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1 TITLE VIII—DISCLOSURE OF IN2 FORMATION FOR ABORTION 

3 SERVICES 

4 SEC. 801. DISCLOSURE OF INFORMATION FOR ABORTION 

5 SERVICES. 

6 (a) IN GENERAL.—Primary care clinics that receive 

7 Federal financial assistance and provide abortion services 

8 shall obtain informed consent from the pregnant woman 

9 seeking to have the abortion. 

10 (b) INFORMED CONSENT.—Informed consent shall 

11 include: 

12 (1) Medically and factually accurate informa13 tion on the following: 

14 (A) How the abortion procedure is per15 formed. 

16 (B) Possible risks and complications of the 

17 procedure to be performed versus carrying the 

18 pregnancy to term. 

19 (2) At the woman’s request, information re20 garding alternatives to abortion including adoption 

21 and information concerning public and private agen22 cies that may provide the woman with economic and 

23 other assistance to carry her pregnancy to term. 

24 (c) PREVENTION.—Information about family plan25 ning services and supplies shall also be offered. 


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1 (d) TREATMENT OF PATIENTS.—Primary care clinics 

2 receiving Federal financial assistance shall ensure that all 

3 patients are treated in a nonjudgmental manner and are 

4 not subjected to indignity, humiliation, or breaches of con5 fidentiality. 

6 (e) DEFINITION.—For purposes of this section, the 

7 term ‘‘medically and factually accurate’’, with respect to 

8 information, means the information is— 

9 (1) verified or supported by the weight of re10 search conducted in compliance with accepted sci11 entific methods; and 

12 (2)(A) published in peer-reviewed journals 

13 where applicable; or 

14 (B) information that leading professional orga15 nizations and agencies with relevant expertise in the 

16 field, such as the American College of Obstetricians 

17 and Gynecologists, recognize as accurate and objec18 tive. 

19 TITLE IX—MEDICAID AND SCHIP 

20 COVERAGE OF PREGNANT 

21 WOMEN 

22 SEC. 901. STATE OPTION TO EXPAND OR ADD COVERAGE 

23 OF CERTAIN PREGNANT WOMEN UNDER MED24 ICAID AND SCHIP. 

25 (a) MEDICAID.— 


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1 (1) AUTHORITY TO EXPAND COVERAGE.—Sec2 tion 1902(l)(2)(A)(i) of the Social Security Act (42 

3 U.S.C. 1396a(l)(2)(A)(i)) is amended by inserting 

4 ‘‘(or such higher percent as the State may elect for 

5 purposes of expenditures for medical assistance for 

6 pregnant women described in section 

7 1905(u)(4)(A))’’ after ‘‘185 percent’’. 

8 (2) ENHANCED MATCHING FUNDS AVAILABLE

9 IF CERTAIN CONDITIONS MET.—Section 1905 of the 

10 Social Security Act (42 U.S.C. 1396d) is amended— 

11 (A) in the fourth sentence of subsection 

12 (b), by striking ‘‘or subsection (u)(3)’’ and in13 serting ‘‘, (u)(3), or (u)(4)’’; and 

14 (B) in subsection (u)— 

15 (i) by redesignating paragraph (4) as 

16 paragraph (5); and 

17 (ii) by inserting after paragraph (3) 

18 the following: 

19 ‘‘(4) For purposes of the fourth sentence of 

20 subsection (b) and section 2105(a), the expenditures 

21 described in this paragraph are the following: 

22 ‘‘(A) CERTAIN PREGNANT WOMEN.—If the 

23 conditions described in subparagraph (B) are 

24 met, expenditures for medical assistance for 

25 pregnant women described in subsection (n) or 


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1 under section 1902(l)(1)(A) in a family the in2 come of which exceeds the effective income level 

3 (expressed as a percent of the poverty line and 

4 considering applicable income disregards) that 

5 has been specified under subsection 

6 (a)(10)(A)(i)(III) or (l)(2)(A) of section 1902, 

7 as of January 1, 2007, but does not exceed the 

8 income eligibility level established under title 

9 XXI for a targeted low-income child. 

10 ‘‘(B) CONDITIONS.—The conditions de11 scribed in this subparagraph are the following: 

12 ‘‘(i) The State plans under this title 

13 and title XXI do not provide coverage for 

14 pregnant women described in subpara15 graph (A) with higher family income with16 out covering such pregnant women with a 

17 lower family income. 

18 ‘‘(ii) The State does not apply an ef19 fective income level for pregnant women 

20 that is lower than the effective income level 

21 (expressed as a percent of the poverty line 

22 and considering applicable income dis23 regards) that has been specified under the 

24 State plan under subsection 

25 (a)(10)(A)(i)(III) or (l)(2)(A) of section 


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1 1902, as of January 1, 2007, to be eligible 

2 for medical assistance as a pregnant 

3 woman. 

4 ‘‘(C) DEFINITION OF POVERTY LINE.—In 

5 this subsection, the term ‘poverty line’ has the 

6 meaning given such term in section 

7 2110(c)(5).’’. 

8 (3) PAYMENT FROM TITLE XXI ALLOTMENT

9 FOR MEDICAID EXPANSION COSTS; ELIMINATION OF

10 COUNTING MEDICAID CHILD PRESUMPTIVE ELIGI11 BILITY COSTS AGAINST TITLE XXI ALLOTMENT.— 

12 Section 2105(a)(1) of the Social Security Act (42 

13 U.S.C. 1397ee(a)(1)) is amended— 

14 (A) in the matter preceding subparagraph 

15 (A), by striking ‘‘(or, in the case of expendi16 tures described in subparagraph (B), the Fed17 eral medical assistance percentage (as defined 

18 in the first sentence of section 1905(b)))’’; and 

19 (B) by striking subparagraph (B) and in20 serting the following: 

21 ‘‘(B) for the provision of medical assist22 ance that is attributable to expenditures de23 scribed in section 1905(u)(4)(A);’’. 

24 (4) ADDITIONAL AMENDMENTS TO MEDICAID.— 


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1 (A) ELIGIBILITY OF A NEWBORN.—Section 

2 1902(e)(4) of the Social Security Act (42 

3 U.S.C. 1396a(e)(4)) is amended in the first 

4 sentence by striking ‘‘so long as the child is a 

5 member of the woman’s household and the 

6 woman remains (or would remain if pregnant) 

7 eligible for such assistance’’. 

8 (B) APPLICATION OF QUALIFIED ENTITIES

9 TO PRESUMPTIVE ELIGIBILITY FOR PREGNANT

10 WOMEN UNDER MEDICAID.—Section 1920(b) of 

11 the Social Security Act (42 U.S.C. 1396r–1(b)) 

12 is amended by adding at the end after and 

13 below paragraph (2) the following flush sen14 tence: 

15 ‘‘The term ‘qualified provider’ includes a qualified en16 tity as defined in section 1920A(b)(3).’’. 

17 (b) SCHIP.— 

18 (1) COVERAGE.—Title XXI of the Social Secu19 rity Act (42 U.S.C. 1397aa et seq.) is amended by 

20 adding at the end the following: 

21 ‘‘SEC. 2111. OPTIONAL COVERAGE OF TARGETED LOW-IN22 COME PREGNANT WOMEN. 

23 ‘‘(a) OPTIONAL COVERAGE.—Notwithstanding any 

24 other provision of this title, a State may provide for cov25 erage, through an amendment to its State child health 


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1 plan under section 2102, of pregnancy-related assistance 

2 for targeted low-income pregnant women in accordance 

3 with this section, but only if the State meets the conditions 

4 described in section 1905(u)(4)(B). 

5 ‘‘(b) DEFINITIONS.—For purposes of this title: 

6 ‘‘(1) PREGNANCY-RELATED ASSISTANCE.—The 

7 term ‘pregnancy-related assistance’ has the meaning 

8 given the term child health assistance in section 

9 2110(a) as if any reference to targeted low-income 

10 children were a reference to targeted low-income 

11 pregnant women, except that the assistance shall be 

12 limited to services related to pregnancy (which in13 clude prenatal, delivery, and postpartum services 

14 and services described in section 1905(a)(4)(C)) and 

15 to other conditions that may complicate pregnancy. 

16 ‘‘(2) TARGETED LOW-INCOME PREGNANT

17 WOMAN.—The term ‘targeted low-income pregnant 

18 woman’ means a woman 

19 ‘‘(A) during pregnancy and through the 

20 end of the month in which the 60-day period 

21 (beginning on the last day of her pregnancy) 

22 ends; 

23 ‘‘(B) whose family income exceeds the ef24 fective income level (expressed as a percent of 

25 the poverty line and considering applicable inVerDate Aug 31 2005 22:27 Feb 22, 2007 Jkt 059200 PO 00000 Frm 00048 Fmt 6652 Sfmt 6201 E:\BILLS\H1074.IH H1074

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1 come disregards) that has been specified under 

2 subsection (a)(10)(A)(i)(III) or (l)(2)(A) of sec3 tion 1902, as of January 1, 2007, to be eligible 

4 for medical assistance as a pregnant woman 

5 under title XIX but does not exceed the income 

6 eligibility level established under the State child 

7 health plan under this title for a targeted low 

8 income child; and 

9 ‘‘(C) who satisfies the requirements of 

10 paragraphs (1)(A), (1)(C), (2), and (3) of sec11 tion 2110(b). 

12 ‘‘(c) REFERENCES TO TERMS AND SPECIAL

13 RULES.—In the case of, and with respect to, a State pro14 viding for coverage of pregnancy-related assistance to tar15 geted low-income pregnant women under subsection (a), 

16 the following special rules apply: 

17 ‘‘(1) Any reference in this title (other than in 

18 subsection (b)) to a targeted low-income child is 

19 deemed to include a reference to a targeted low-in20 come pregnant woman. 

21 ‘‘(2) Any such reference to child health assist22 ance with respect to such women is deemed a ref23 erence to pregnancy-related assistance. 


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1 ‘‘(3) Any such reference to a child is deemed a 

2 reference to a woman during pregnancy and the pe3 riod described in subsection (b)(2)(A). 

4 ‘‘(4) In applying section 2102(b)(3)(B), any 

5 reference to children found through screening to be 

6 eligible for medical assistance under the State Med7 icaid plan under title XIX is deemed a reference to 

8 pregnant women. 

9 ‘‘(5) There shall be no exclusion of benefits for 

10 services described in subsection (b)(1) based on any 

11 preexisting condition and no waiting period (includ12 ing any waiting period imposed to carry out section 

13 2102(b)(3)(C)) shall apply. 

14 ‘‘(6) Subsection (a) of section 2103 (relating to 

15 required scope of health insurance coverage) shall 

16 not apply insofar as a State limits coverage to serv17 ices described in subsection (b)(1) and the reference 

18 to such section in section 2105(a)(1)(C) is deemed 

19 not to require, in such case, compliance with the re20 quirements of section 2103(a). 

21 ‘‘(7) In applying section 2103(e)(3)(B) in the 

22 case of a pregnant woman provided coverage under 

23 this section, the limitation on total annual aggregate 

24 cost-sharing shall be applied to the entire family of 

25 such pregnant woman. 


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1 ‘‘(d) AUTOMATIC ENROLLMENT FOR CHILDREN

2 BORN TO WOMEN RECEIVING PREGNANCY-RELATED AS3 SISTANCE.—If a child is born to a targeted low-income 

4 pregnant woman who was receiving pregnancy-related as5 sistance under this section on the date of the child’s birth, 

6 the child shall be deemed to have applied for child health 

7 assistance under the State child health plan and to have 

8 been found eligible for such assistance under such plan 

9 or to have applied for medical assistance under title XIX 

10 and to have been found eligible for such assistance under 

11 such title, as appropriate, on the date of such birth and 

12 to remain eligible for such assistance until the child at13 tains 1 year of age. During the period in which a child 

14 is deemed under the preceding sentence to be eligible for 

15 child health or medical assistance, the child health or med16 ical assistance eligibility identification number of the 

17 mother shall also serve as the identification number of the 

18 child, and all claims shall be submitted and paid under 

19 such number (unless the State issues a separate identifica20 tion number for the child before such period expires).’’. 

21 (2) ADDITIONAL ALLOTMENTS FOR PROVIDING

22 COVERAGE OF PREGNANT WOMEN.— 

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1 ed by adding at the end the following new sub2 section: 

3 ‘‘(i) ADDITIONAL ALLOTMENTS FOR PROVIDING COV4 ERAGE OF PREGNANT WOMEN.— 

5 ‘‘(1) APPROPRIATION; TOTAL ALLOTMENT.— 

6 For the purpose of providing additional allotments 

7 to States under this title, there is appropriated, out 

8 of any money in the Treasury not otherwise appro9 priated, for each of fiscal years 2008 and 2009, 

10 $200,000,000. 

11 ‘‘(2) STATE AND TERRITORIAL ALLOTMENTS.— 

12 In addition to the allotments provided under sub13 sections (b) and (c), subject to paragraphs (3) and 

14 (4), of the amount available for the additional allot15 ments under paragraph (1) for a fiscal year, the 

16 Secretary shall allot to each State with a State child 

17 health plan approved under this title— 

18 ‘‘(A) in the case of such a State other than 

19 a commonwealth or territory described in sub20 paragraph (B), the same proportion as the pro21 portion of the State’s allotment under sub22 section (b) (determined without regard to sub23 section (f)) to the total amount of the allot24 ments under subsection (b) for such States eliVerDate Aug 31 2005 22:27 Feb 22, 2007 Jkt 059200 PO 00000 Frm 00052 Fmt 6652 Sfmt 6201 E:\BILLS\H1074.IH H1074

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1 gible for an allotment under this paragraph for 

2 such fiscal year; and 

3 ‘‘(B) in the case of a commonwealth or ter4 ritory described in subsection (c)(3), the same 

5 proportion as the proportion of the common6 wealth’s or territory’s allotment under sub7 section (c) (determined without regard to sub8 section (f)) to the total amount of the allot9 ments under subsection (c) for commonwealths 

10 and territories eligible for an allotment under 

11 this paragraph for such fiscal year. 

12 ‘‘(3) USE OF ADDITIONAL ALLOTMENT.—Addi13 tional allotments provided under this subsection are 

14 not available for amounts expended before October 

15 1, 2007. Such amounts are available for amounts ex16 pended on or after such date for child health assist17 ance for targeted low-income children, as well as for 

18 pregnancy-related assistance for targeted low-income 

19 pregnant women. 

20 ‘‘(4) NO PAYMENTS UNLESS ELECTION TO EX21 PAND COVERAGE OF PREGNANT WOMEN.—No pay22 ments may be made to a State under this title from 

23 an allotment provided under this subsection unless 

24 the State provides pregnancy-related assistance for 

25 targeted low-income pregnant women under this 


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1 title, or provides medical assistance for pregnant 

2 women under title XIX, whose family income ex3 ceeds the effective income level applicable under sub4 section (a)(10)(A)(i)(III) or (l)(2)(A) of section 

5 1902 to a family of the size involved as of January 

6 1, 2008.’’. 

7 (B) CONFORMING AMENDMENTS.—Section 

8 2104 of the Social Security Act (42 U.S.C. 

9 1397dd) is amended— 

10 (i) in subsection (a), in the matter 

11 preceding paragraph (1), by striking ‘‘sub12 section (d)’’ and inserting ‘‘subsections (d) 

13 and (i),’’ after ‘‘under this section,’’; 

14 (ii) in subsection (b)(1), by striking 

15 ‘‘subsection (d)’’ and inserting ‘‘sub16 sections (d) and (i)’’ after ‘‘Subject to 

17 paragraph (4)’’; and 

18 (iii) in subsection (c)(1), by striking 

19 ‘‘subsection (d)’’ and inserting ‘‘sub20 sections (d) and (i)’’. 

21 (3) PRESUMPTIVE ELIGIBILITY UNDER TITLE

22 XXI.— 

23 (A) APPLICATION TO PREGNANT

24 WOMEN.—Section 2107(e)(1)(D) of the Social 


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1 Security Act (42 U.S.C. 1397gg(e)(1)) is 

2 amended to read as follows: 

3 ‘‘(D) Sections 1920 and 1920A (relating to 

4 presumptive eligibility).’’. 

5 (B) EXCEPTION FROM LIMITATION ON AD6 MINISTRATIVE EXPENSES.—Section 2105(c)(2) 

7 of the Social Security Act (42 U.S.C. 

8 1397ee(c)(2)) is amended by adding at the end 

9 the following new subparagraph: 

10 ‘‘(C) EXCEPTION FOR PRESUMPTIVE ELI11 GIBILITY EXPENDITURES.—The limitation 

12 under subparagraph (A) on expenditures shall 

13 not apply to expenditures attributable to the 

14 application of section 1920 or 1920A (pursuant 

15 to section 2107(e)(1)(D)), regardless of whether 

16 the child or pregnant woman is determined to 

17 be ineligible for the program under this title or 

18 title XIX.’’. 

19 (4) ADDITIONAL AMENDMENTS TO TITLE

20 XXI.— 

21 (A) NO COST-SHARING FOR PREGNANCY

22 RELATED SERVICES.—Section 2103(e)(2) of the 

23 Social Security Act (42 U.S.C. 1397cc(e)(2)) is 

24 amended— 


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1 (i) in the heading, by inserting ‘‘OR

2 PREGNANCY-RELATED SERVICES’’ after 

3 ‘‘PREVENTIVE SERVICES’’; and 

4 (ii) by inserting before the period at 

5 the end the following: ‘‘or for pregnancy 

6 related services’’. 

7 (B) NO WAITING PERIOD.—Section 

8 2102(b)(1)(B) of the Social Security Act (42 

9 U.S.C. 1397bb(b)(1)(B)) is amended— 

10 (i) by striking ‘‘, and’’ at the end of 

11 clause (i) and inserting a semicolon; 

12 (ii) by striking the period at the end 

13 of clause (ii) and inserting ‘‘; and’’; and 

14 (iii) by adding at the end the fol15 lowing: 

16 ‘‘(iii) may not apply a waiting period 

17 (including a waiting period to carry out 

18 paragraph (3)(C)) in the case of a targeted 

19 low-income pregnant woman.’’. 

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

21 this section apply to items and services furnished on or 

22 after October 1, 2007, without regard to whether regula23 tions implementing such amendments have been promul24 gated. 


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1 (d) CONSTRUCTION.—Nothing in this Act shall be 

2 construed as affecting the regulation promulgated at Fed3 eral Register 61956 (October 2, 2002), relating to eligi4 bility for prenatal care and other health services for un5 born children under SCHIP. 

6 SEC. 902. COORDINATION WITH THE MATERNAL AND CHILD 

7 HEALTH PROGRAM. 

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

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

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

11 the end; 

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

13 and inserting ‘‘; and’’; and 

14 (3) by adding at the end the following new sub15 paragraph: 

16 ‘‘(F) that operations and activities under 

17 this title are developed and implemented in con18 sultation and coordination with the program op19 erated by the State under title V in areas in20 cluding outreach and enrollment, benefits and 

21 services, service delivery standards, public 

22 health and social service agency relationships, 

23 and quality assurance and data reporting.’’. 


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1 (b) CONFORMING MEDICAID AMENDMENT.—Section 

2 1902(a)(11) of such Act (42 U.S.C. 1396a(a)(11)) is 

3 amended— 

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

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

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

7 activities under this title are developed and imple8 mented in consultation and coordination with the 

9 program operated by the State under title V in areas 

10 including outreach and enrollment, benefits and 

11 services, service delivery standards, public health 

12 and social service agency relationships, and quality 

13 assurance and data reporting’’. 

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

15 this section take effect on January 1, 2008. 

16 SEC. 903. INCREASE IN SCHIP INCOME ELIGIBILITY. 

17 (a) DEFINITION OF LOW-INCOME CHILD.—Section 

18 2110(c)(4) of the Social Security Act (42 U.S.C. 42 

19 U.S.C. 1397jj(c)(4)) is amended by striking ‘‘200’’ and 

20 inserting ‘‘250’’. 

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

22 subsection (a) applies to child health assistance provided 

23 and allotments determined under section 2104 of the So24 cial Security Act (42 U.S.C. 1397dd) for fiscal years be25 ginning with fiscal year 2008. 


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1 SEC. 904. OUTREACH PROGRAM TO ENCOURAGE THOSE EL2 IGIBLE FOR SERVICES TO ENROLL. 

3 The Secretary shall make such funds available as 

4 may be necessary to encourage eligible pregnant women 

5 to enroll for services under this title. 

6 TITLE X—TITLE X OF PUBLIC 

7 HEALTH SERVICE ACT 

8 SEC. 1001. SHORT TITLE. 

9 This title may be cited as the ‘‘Title X Family Plan10 ning Services Act of 2007’’. 

11 SEC. 1002. AUTHORIZATION OF APPROPRIATIONS. 

12 For the purpose of making grants and contracts 

13 under section 1001 of the Public Health Service Act, there 

14 are authorized to be appropriated $700,000,000 for fiscal 

15 year 2008, and such sums as may be necessary for each 

16 subsequent fiscal year. 

17 TITLE XI—PREGNANCY AS 

18 PREEXISTING CONDITION 

19 SEC. 1101. REMOVAL OF PREGNANCY AS A PREEXISTING 

20 CONDITION UNDER INDIVIDUAL HEALTH IN21 SURANCE COVERAGE. 

22 (a) IN GENERAL.—Title XXVII of the Public Health 

23 Service Act is amended by inserting after section 2752 the 

24 following new section: 


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1 ‘‘SEC. 2753. PREEXISTING CONDITION EXCLUSION NOT AP2 PLICABLE TO PREGNANCY. 

3 ‘‘Individual health insurance coverage, and a health 

4 insurance issuer offering individual health insurance cov5 erage, may not impose any preexisting condition exclusion 

6 relating to pregnancy as a preexisting condition.’’. 

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

8 subsection (a) shall apply to coverage provided on or after 

9 January 1, 2008. 

10 TITLE XII—INCREASING WOM11 EN’S KNOWLEDGE ABOUT 

12 THEIR PREGNANCY 

13 SEC. 1201. GRANTS TO HEALTH CENTERS FOR PURCHASE 

14 OF ULTRASOUND EQUIPMENT. 

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

16 (42 U.S.C. 243 et seq.) is amended by inserting after sec17 tion 317L the following: 

18 ‘‘SEC. 317L-1. GRANTS FOR THE PURCHASE OR UPGRADE 

19 OF ULTRASOUND EQUIPMENT. 

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

21 for the purchase of ultrasound equipment. Such 

22 ultrasound equipment shall be used by the recipients of 

23 such grants to provide ultrasound examinations to preg24 nant women consenting to such services. 


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

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

3 meets the following conditions: 

4 ‘‘(1) The entity is a health center eligible to re5 ceive a grant under section 330 of the Public Health 

6 Service Act (relating to community health centers, 

7 migrant health centers, homeless health centers, and 

8 public-housing health centers). 

9 ‘‘(2) The entity agrees to comply with the fol10 lowing medical procedures: 

11 ‘‘(A) Each pregnant woman upon whom 

12 the ultrasound equipment is used will be given 

13 the option of viewing the visual image of the 

14 fetus from the ultrasound examination and will 

15 be given the option of hearing a general ana16 tomical and physiological description of the 

17 characteristics of the fetus. 

18 ‘‘(B) Each pregnant woman upon whom 

19 the ultrasound equipment is used will be given 

20 the option of learning, according to the best 

21 medical judgment of the health professional 

22 performing the ultrasound examination, the ap23 proximate age of the embryo or fetus consid24 ering the number of weeks elapsed from the 

25 probable time of the conception of the embryo 


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1 or fetus, based upon the information provided 

2 by the client as to the time of her last men3 strual period, her medical history, a physical ex4 amination, or appropriate laboratory tests. 

5 ‘‘(C) The ultrasound examinations will be 

6 performed by a health professional authorized 

7 under the law of the State involved to perform 

8 such examinations. 

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

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

11 grant is submitted to the Secretary and the application 

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

13 such agreements, assurances, and information as the Sec14 retary determines to be necessary to carry out this section. 

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

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

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

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

19 require, on the ongoing compliance of the applicant with 

20 the eligibility conditions established in subsection (b). 

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

22 purpose of carrying out this section, there are authorized 

23 to be appropriated $3,000,000 for fiscal year 2008, and 

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

25 2009 through 2011.’’. 


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1 SEC. 1202. SERVICES TO PATIENTS RECEIVING POSITIVE 

2 TEST DIAGNOSIS FOR DOWN SYNDROME OR 

3 OTHER PRENATALLY DIAGNOSED CONDI4 TION. 

5 (a) FINDINGS AND PURPOSES.— 

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

7 (A) Pregnant women who choose to under8 go prenatal genetic testing should have access 

9 to timely, scientific, and nondirective counseling 

10 about the conditions being tested for and the 

11 accuracy of such tests, from health care profes12 sionals qualified to provide and interpret these 

13 tests. Informed consent is a critical component 

14 of all genetic testing. 

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

16 reports from the Centers for Disease Control 

17 and Prevention on prenatal testing found a de18 ficiency in the data needed to understand the 

19 epidemiology of prenatally diagnosed conditions, 

20 to monitor trends accurately, and to increase 

21 the effectiveness of health intervention. 

22 (2) PURPOSES.—It is the purpose of this sec23 tion, after the diagnosis of a fetus with Down syn24 drome or other prenatally diagnosed conditions, to— 

25 (A) increase patient referrals to providers 

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1 ceived a positive test diagnosis for Down syn2 drome, or other prenatally diagnosed conditions, 

3 as well as to provide up-to-date, science-based 

4 information about life-expectancy, development 

5 potential, and quality of life for a child born 

6 with Down syndrome or other prenatally diag7 nosed condition; 

8 (B) provide networks of support through a 

9 Centers for Disease Control and Prevention pa10 tient and provider outreach program; 

11 (C) improve available data by incor12 porating information directly revealed by pre13 natal testing into existing State-based surveil14 lance programs for birth defects and prenatally 

15 diagnosed conditions; and 

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

17 scientific information about the accuracy of the 

18 test. 

19 (b) AMENDMENT TO THE PUBLIC HEALTH SERVICE

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

21 (42 U.S.C. 280g et seq.) is amended by adding at the end 

22 the following: 


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1 ‘‘SEC. 399R. SUPPORT FOR PATIENTS RECEIVING A POSI2 TIVE TEST DIAGNOSIS OF DOWN SYNDROME 

3 OR OTHER PRENATALLY DIAGNOSED CONDI4 TIONS. 

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

6 ‘‘(1) DOWN SYNDROME.—The term ‘Down syn7 drome’ refers to a chromosomal disorder caused by 

8 an error in cell division that results in the presence 

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

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

11 ‘health care provider’ means any person or entity re12 quired by State or Federal law or regulation to be 

13 licensed, registered, or certified to provide health 

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

15 certified. 

16 ‘‘(3) PRENATALLY DIAGNOSED CONDITION.— 

17 The term ‘prenatally diagnosed condition’ means any 

18 fetal health condition identified by prenatal genetic 

19 testing or prenatal screening procedures. 

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

21 test’ means diagnostic or screening tests offered to 

22 pregnant women seeking routine prenatal care that 

23 are administered on a required or recommended 

24 basis by a health care provider based on medical his25 tory, family background, ethnic background, pre26 vious test results, or other risk factors. 


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

2 Secretary, acting through the Director of the National In3 stitutes of Health, the Director of the Centers for Disease 

4 Control and Prevention, or the Administrator of the 

5 Health Resources and Services Administration, may au6 thorize and oversee certain activities, including the award7 ing of grants, contracts or cooperative agreements, to— 

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

9 scientific information relating to Down syndrome or 

10 other prenatally diagnosed conditions; and 

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

12 new or existing supportive services for patients re13 ceiving a positive test diagnosis for Down syndrome 

14 or other prenatally diagnosed conditions, including— 

15 ‘‘(A) the establishment of a resource tele16 phone hotline and Internet Website accessible 

17 to patients receiving a positive test result; 

18 ‘‘(B) the establishment of a clearinghouse 

19 of scientific information, including clinical 

20 course, life expectancy, development potential, 

21 and quality of life relating to Down syndrome 

22 or other prenatally diagnosed conditions; 

23 ‘‘(C) the establishment of national and 

24 local peer-support programs; 


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1 ‘‘(D) the establishment of a national reg2 istry, or network of local registries, of families 

3 willing to adopt newborns with Down syndrome 

4 or other prenatally diagnosed conditions, and 

5 links to adoption agencies willing to place ba6 bies with Down syndrome or other prenatally 

7 diagnosed conditions, with families willing to 

8 adopt; and 

9 ‘‘(E) the establishment of awareness and 

10 education programs for health care providers 

11 who provide the results of prenatal tests for 

12 Down syndrome or other prenatally diagnosed 

13 conditions, to patients, consistent with the pur14 poses described in section 1202(a)(2) of the Re15 ducing the Need for Abortion and Supporting 

16 Parents Act. 

17 ‘‘(c) DATA COLLECTION.— 

18 ‘‘(1) PROVISION OF ASSISTANCE.—The Sec19 retary, acting through the Director of the Centers 

20 for Disease Control and Prevention, shall provide as21 sistance to State and local health departments to in22 tegrate the results of prenatal testing into State23 based vital statistics and birth defects surveillance 

24 programs. 


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

2 that activities carried out under paragraph (1) are 

3 sufficient to extract population-level data relating to 

4 national rates and results of prenatal testing. 

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

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

7 for Down syndrome or other prenatally diagnosed condi8 tions performed on a patient, the health care provider in9 volved (or his or her designee) shall provide the patient 

10 with the following: 

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

12 concerning the life expectancy, clinical course, and 

13 intellectual and functional development and treat14 ment options for a fetus diagnosed with or child 

15 born with Down syndrome or other prenatally diag16 nosed conditions. 

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

18 including information hotlines specific to Down syn19 drome or other prenatally diagnosed conditions, re20 source centers or clearinghouses, and other edu21 cation and support programs as described in sub22 section (b)(2). 

23 ‘‘(e) PRIVACY.— 

24 ‘‘(1) IN GENERAL.—Notwithstanding sub25 sections (c) and (d), nothing in this section shall be 


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1 construed to have any effect on laws or policies that 

2 protect the confidentiality of medical information on 

3 a patient. Notwithstanding such subsections, nothing 

4 in this section shall be construed to permit or re5 quire the collection, maintenance, or transmission, 

6 without the health care provider obtaining the prior, 

7 written consent of the patient, of— 

8 ‘‘(A) health information or data that iden9 tify a patient, or with respect to which there is 

10 a reasonable basis to believe the information 

11 could be used to identify the patient (including 

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

13 or hospital); and 

14 ‘‘(B) data that are not related to the epi15 demiology of the condition being tested for. 

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

17 after the date of enactment of this section, the Sec18 retary shall establish guidelines concerning the im19 plementation of paragraph (1) and subsection (d). 

20 ‘‘(f) REPORTS.— 

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

22 than 2 years after the date of enactment of this sec23 tion, and every 2 years thereafter, the Secretary 

24 shall submit a report to Congress concerning the imVerDate Aug 31 2005 22:27 Feb 22, 2007 Jkt 059200 PO 00000 Frm 00069 Fmt 6652 Sfmt 6201 E:\BILLS\H1074.IH H1074

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1 plementation of the guidelines described in sub2 section (e)(2). 

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

4 after the date of enactment of this section, the Gov5 ernment Accountability Office shall submit a report 

6 to Congress concerning the effectiveness of current 

7 healthcare and family support programs serving as 

8 resources for the families of children with disabil9 ities. 

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

11 is authorized to be appropriated to carry out this section 

12 $5,000,000 for each of the fiscal years 2008 through 

13 2012.’’. 

14 TITLE XIII—PREVENTING DO15 MESTIC VIOLENCE AND SEX16 UAL ASSAULT 

17 SEC. 1301. SEPARATE PROGRAM TO IDENTIFY AND TREAT 

18 PREGNANT WOMEN AND NEW MOTHERS WHO 

19 ARE VICTIMS OF DOMESTIC VIOLENCE, DAT20 ING VIOLENCE, SEXUAL ASSAULT, OR STALK21 ING. 

22 (a) ALLOTMENTS.—For the purpose described in 

23 subsection (b), the Secretary shall, for fiscal year 2008 

24 and each subsequent fiscal year, allot to each State that 

25 has transmitted an application for the fiscal year under 


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1 section 505(a) of the Social Security Act an amount equal 

2 to the product of— 

3 (1) the amount appropriated under subsection 

4 (d) for the fiscal year; and 

5 (2) the percentage determined for the State 

6 under section 502(c)(1)(B)(ii) of such Act. 

7 (b) PURPOSE.—The purpose of an allotment under 

8 subsection (a) with respect to a State is to enable the 

9 State to better identify and treat pregnant women and 

10 mothers of children up to one year old who are victims 

11 of domestic violence, dating violence, sexual assault, or 

12 stalking through training health care professionals and be13 havioral and public health staff how to identify, assess, 

14 treat, and refer such women. Such training shall include— 

15 (1) identifying patients of clients experiencing 

16 domestic violence, dating violence sexual assault, or 

17 stalking; 

18 (2) assessing the immediate and short-term 

19 safety of the patient or client, the impact of the 

20 abuse on the health of the patient, and assisting the 

21 patient in developing a plan to promote his or her 

22 safety; 

23 (3) examining and treating such patients or cli24 ents within the scope of the health professional’s dis25 cipline, training, and practice (including providing 


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1 medical advice regarding the dynamics and nature of 

2 domestic violence, dating violence sexual assault, or 

3 stalking); 

4 (4) maintaining complete medical or forensic 

5 records that include the documentation of the exam6 ination, treatment given, and referrals made, and re7 cording the location and nature of the victim’s inju8 ries, and establishing mechanisms to ensure the pri9 vacy and confidentiality of those medical records; 

10 (5) referring the patient or client to public and 

11 private nonprofit entities that provide services for 

12 such victims; and 

13 (6) ensuring that all services are provided in a 

14 linguistically and culturally relevant manner. 

15 (c) APPLICATION OF PROVISIONS.— 

16 (1) IN GENERAL.—Sections 503, 507, and 508 

17 of the Social Security Act apply to allotments under 

18 subsection (a) to the same extent and in the same 

19 manner as such sections apply to allotments under 

20 section 502(c) of such Act. 

21 (2) SECRETARIAL DISCRETION.—Sections 505 

22 and 506 of the Social Security Act apply to allot23 ments under subsection (a) to the extent determined 

24 by the Secretary to be appropriate. 


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1 (d) AUTHORIZATION OF APPROPRIATIONS.—For the 

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

3 is authorized to be appropriated $4,000,000 for each of 

4 the fiscal years 2008 through 2012. 

5 SEC. 1302. ADDITIONAL AUTHORIZATION OF APPROPRIA6 TIONS FOR PUBLIC CAMPAIGN TO INCREASE 

7 PUBLIC AWARENESS. 

8 Section 403(b) of Public Law 109–162 (119 Stat. 

9 3023) is amended by striking ‘‘such sums’’ and all that 

10 follows and inserting the following: ‘‘$5,000,000 for fiscal 

11 year 2008, and such sums as may be necessary for each 

12 of the fiscal years 2009 through 2012.’’. 

13 TITLE XIV—SUPPORT FOR PREG14 NANT AND PARENTING STU15 DENTS 

16 SEC. 1401. SUPPORT SERVICES FOR STUDENTS OF INSTITU17 TIONS OF HIGHER EDUCATION. 

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

19 to public institutions of higher education to carry out dem20 onstration projects for the purpose of providing services 

21 to assist both students who have decided to carry their 

22 pregnancies to term, including those anticipating adop23 tion, and parenting students in continuing their studies 

24 and graduating. 


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1 (b) CERTAIN REQUIREMENTS FOR GRANTEES.—A 

2 grant may be made under subsection (a) only if the insti3 tution of higher education involved agrees that the institu4 tion— 

5 (1) will provide the services through on-campus 

6 facilities; and 

7 (2) will submit to the Secretary, for each fiscal 

8 year for which the grant is provided, a report de9 scribing the activities carried out under the grant 

10 and the effects of the activities on the students in11 volved. 

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

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

14 grant is submitted to the Secretary and the application 

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

16 such agreements, assurances, and information as the Sec17 retary determines to be necessary to carry out this section. 

18 (d) LIMITATIONS ON AMOUNT OF GRANT.—A grant 

19 under subsection (a) for a fiscal year may not be made 

20 in an amount exceeding $25,000. 

21 (e) AUTHORIZATION OF APPROPRIATIONS.—For the 

22 purpose of carrying out this section, there are authorized 

23 to be appropriated $500,000 for each of the fiscal years 

24 2008 through 2012. 


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1 SEC. 1402. CHILD CARE ACCESS MEANS PARENTS IN 

2 SCHOOL PROGRAM. 

3 (a) MINIMUM GRANT.—Section 419N(b)(2)(B) of the 

4 Higher Education Act of 1965 (20 U.S.C. 

5 1070e(b)(2)(B)) is amended by striking ‘‘$10,000’’ and 

6 inserting ‘‘$30,000’’. 

7 (b) DEFINITION OF LOW-INCOME STUDENT.—Sec8 tion 419N(b)(7) of such Act is amended to read as follows: 

9 ‘‘(7) DEFINITION OF LOW-INCOME STUDENT.— 

10 For the purpose of this section, the term ‘low-income 

11 student’ means a student who— 

12 ‘‘(A) is eligible to receive a Federal Pell 

13 Grant for the fiscal year for which the deter14 mination is made; or 

15 ‘‘(B) would otherwise be eligible to receive 

16 a Federal Pell Grant for the fiscal year for 

17 which the determination is made, except that 

18 the student fails to meet the requirements of— 

19 ‘‘(i) section 401(c)(1) because the stu20 dent is enrolled in a graduate or first pro21 fessional course of study; or 

22 ‘‘(ii) section 484(a)(5) because the 

23 student is in the United States for a tem24 porary purpose.’’. 

25 (c) AUTHORIZATION OF APPROPRIATIONS.—Section 

26 419N(g) of such Act is amended by striking ‘‘$45,000,000 


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1 for fiscal year 1999’’ and inserting ‘‘$75,000,000 for fiscal 

2 year 2008’’. 

3 TITLE XV—FEDERALLY-FUNDED 

4 HOMES FOR PREGNANT AND 

5 PARENTING WOMEN 

6 SEC. 1501. COUNSELING REQUIREMENTS. 

7 With respect to any program of grants that is admin8 istered by the Secretary and whose purposes include pro9 viding funds for group homes for pregnant and parenting 

10 women, the Secretary shall require as a condition of mak11 ing such grants that the entities operating the group 

12 homes provide to such women, upon request— 

13 (1) adoption counseling; and 

14 (2) counseling on parenting skills. 

15 SEC. 1502. TREATMENT OF PREGNANT AND PARENTING 

16 WOMEN. 

17 Organizations that provide group homes for pregnant 

18 and parenting women and receive Federal financial assist19 ance shall ensure that all residents are treated in a 

20 nonjudgmental manner and are not subject to indignity 

21 and humiliation. 


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1 TITLE XVI—EXPANSION OF 

2 ADOPTION CREDIT AND 

3 ADOPTION ASSISTANCE PRO4 GRAMS 

5 SEC. 1601. EXPANSION OF ADOPTION CREDIT AND ADOP6 TION ASSISTANCE PROGRAMS. 

7 (a) INCREASE IN DOLLAR LIMITATION.— 

8 (1) ADOPTION CREDIT.— 

9 (A) IN GENERAL.—Paragraph (1) of sec10 tion 23(b) of the Internal Revenue Code of 

11 1986 (relating to dollar limitation) is amended 

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

13 (B) CHILD WITH SPECIAL NEEDS.—Para14 graph (3) of section 23(a) of such Code (relat15 ing to $10,000 credit for adoption of child with 

16 special needs regardless of expenses) is amend17 ed 

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

19 and inserting ‘‘$15,000’’, and 

20 (ii) in the heading by striking 

21 ‘‘$10,000’’ and inserting ‘‘$15,000’’. 

22 (C) CONFORMING AMENDMENT TO INFLA23 TION ADJUSTMENT.—Subsection (h) of section 

24 23 of such Code (relating to adjustments for in25 flation) is amended to read as follows: 


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1 ‘‘(h) ADJUSTMENTS FOR INFLATION.— 

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

3 taxable year beginning after December 31, 2008, 

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

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

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

7 ‘‘(B) the cost-of-living adjustment deter8 mined under section 1(f)(3) for the calendar 

9 year in which the taxable year begins, deter10 mined by substituting ‘calendar year 2007’ for 

11 ‘calendar year 1992’ in subparagraph (B) 

12 thereof. 

13 If any amount as increased under the preceding sen14 tence is not a multiple of $10, such amount shall be 

15 rounded to the nearest multiple of $10. 

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

17 taxable year beginning after December 31, 2002, the 

18 dollar amount in subsection (b)(2)(A)(i) shall be in19 creased by an amount equal to— 

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

21 ‘‘(B) the cost-of-living adjustment deter22 mined under section 1(f)(3) for the calendar 

23 year in which the taxable year begins, deter24 mined by substituting ‘calendar year 2001’ 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) ADOPTION ASSISTANCE PROGRAMS.— 

7 (A) IN GENERAL.—Paragraph (1) of sec8 tion 137(b) of the Internal Revenue Code of 

9 1986 (relating to dollar limitation) is amended 

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

11 (B) CHILD WITH SPECIAL NEEDS.—Para12 graph (2) of section 137(a) of such Code (relat13 ing to $10,000 exclusion for adoption of child 

14 with special needs regardless of expenses) is 

15 amended— 

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

17 and inserting ‘‘$15,000’’, and 

18 (ii) in the heading by striking 

19 ‘‘$10,000’’ and inserting ‘‘$15,000’’. 

20 (C) CONFORMING AMENDMENT TO INFLA21 TION ADJUSTMENT.—Subsection (f) of section 

22 137 of such Code (relating to adjustments for 

23 inflation) is amended to read as follows: 

24 ‘‘(f) ADJUSTMENTS FOR INFLATION.— 


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

2 taxable year beginning after December 31, 2008, 

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

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

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

6 ‘‘(B) the cost-of-living adjustment deter7 mined under section 1(f)(3) for the calendar 

8 year in which the taxable year begins, deter9 mined by substituting ‘calendar year 2007’ for 

10 ‘calendar year 1992’ in subparagraph (B) 

11 thereof. 

12 If any amount as increased under the preceding sen13 tence is not a multiple of $10, such amount shall be 

14 rounded to the nearest multiple of $10. 

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

16 taxable year beginning after December 31, 2002, the 

17 dollar amount in subsection (b)(2)(A) shall be in18 creased 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 2001’ for 

24 ‘calendar year 1992’ in subparagraph 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 (b) CREDIT MADE REFUNDABLE.— 

5 (1) CREDIT MOVED TO SUBPART RELATING TO

6 REFUNDABLE CREDITS.—The Internal Revenue 

7 Code of 1986 is amended— 

8 (A) by redesignating section 36 as section 

9 37, 

10 (B) by redesignating section 23, as amend11 ed by subsection (a), as section 36, and 

12 (C) by moving section 36 (as so redesig13 nated) from subpart A of part IV of subchapter 

14 A of chapter 1 to the location immediately be15 fore section 37 (as so redesignated) in subpart 

16 C of part IV of subchapter A of chapter 1. 

17 (2) CONFORMING AMENDMENTS.— 

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

19 amended by striking ‘‘sections 23 and’’ and in20 serting ‘‘section’’. 

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

22 amended— 

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

24 25D,’’ and inserting ‘‘25D’’, and 

25 (ii) in clause (ii) by striking ‘‘23,’’. 


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

2 amended by striking ‘‘and section 23’’. 

3 (D) Section 25D(c)(2) of such Code is 

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

5 ‘‘24’’. 

6 (E) Section 26(a)(1) of such Code is 

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

8 ‘‘24’’. 

9 (F) Section 36 of such Code, as so redesig10 nated, is amended— 

11 (i) by striking paragraph (4) of sub12 section (b), and 

13 (ii) by striking subsection (c). 

14 (G) Section 137 of such Code is amend15 ed— 

16 (i) in subsection (d) by striking ‘‘sec17 tion 23(d)’’ and inserting ‘‘section 36(d)’’, 

18 and 

19 (ii) in subsection (e) by striking ‘‘sec20 tion 23’’ and inserting ‘‘section 36’’. 

21 (H) Section 904(i) of such Code is amend22 ed by striking ‘‘23, 24,’’ and inserting ‘‘24’’. 

23 (I) Section 1016(a)(26) is amended by 

24 striking ‘‘23(g)’’ and inserting ‘‘36(g)’’. 


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1 (J) Section 1400C(d) of such Code is 

2 amended by striking ‘‘23,’’. 

3 (K) The table of sections for subpart A of 

4 part IV of subchapter A of chapter 1 of such 

5 Code of 1986 is amended by striking the item 

6 relating to section 23. 

7 (L) Paragraph (2) of section 1324(b) of 

8 title 31, United States Code, is amended by in9 serting ‘‘or 36’’ after ‘‘section 35’’. 

10 (M) The table of sections for subpart C of 

11 part IV of subchapter A of chapter 1 of the In12 ternal Revenue Code of 1986 is amended by 

13 striking the last item and inserting the fol14 lowing new items: 

‘‘Sec. 36. Adoption expenses. 

‘‘Sec. 37. Overpayments of tax.’’. 

15 (c) MODIFICATIONS MADE BY EGTRRA TO ADOPTION

16 CREDIT MADE PERMANENT.—Title IX of the Economic 

17 Growth and Tax Relief Reconciliation Act of 2001 shall 

18 not apply to the amendments made by section 202 of such 

19 Act. 

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

21 this section shall apply to taxable years beginning after 

22 December 31, 2007. 


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1 TITLE XVII—PROVIDING 

2 SUPPORT TO NEW PARENTS 

3 SEC. 1701. INCREASED SUPPORT FOR WIC PROGRAM. 

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

5 (1) The special supplemental nutrition program 

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

7 by section 17 of the Child Nutrition Act of 1966 (42 

8 U.S.C. 1786) serves over 8,000,000 women, infants, 

9 and children. 

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

11 1 in 4 young children under age 5 get crucial health 

12 and nutrition benefits from the WIC Program. 

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

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

15 savings for newborns and their mothers. 

16 (4) The WIC program has been proven to in17 crease the number of women receiving prenatal care, 

18 reduce the incidence of low birth weight and fetal 

19 mortality, reduce anemia, and enhance the nutri20 tional quality of the diet of mothers and children. 

21 (5) The WIC program’s essential, effective nu22 trition services include nutrition assessment, coun23 seling and education, obesity prevention, 

24 breastfeeding support and promotion, prenatal and 

25 pediatric health care referrals and follow-up, spousal 


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1 and child abuse referral, drug and alcohol abuse re2 ferral, immunization screening, assessment and re3 ferral, and a host of other services for mothers and 

4 children. 

5 (6) One in 10 people eligible to participate in 

6 the WIC program are unable to receive WIC serv7 ices. 

8 (b) AUTHORIZATION OF APPROPRIATIONS.—Section 

9 17(g)(1)(A) of the Child Nutrition Act of 1966 (42 U.S.C. 

10 1786(g)(1)(A)) is amended to read as follows: 

11 ‘‘(A) AUTHORIZATION.—Amounts are au12 thorized to be appropriated to carry out this 

13 section as follows: 

14 ‘‘(i) $5,388,000,000 for fiscal year 

15 2008, of which $15,000,000 is for breast16 feeding peer counselors, $14,000,000 is for 

17 infrastructure needs, and $30,000,000 is 

18 for management information systems. 

19 ‘‘(ii) Such sums as may be necessary 

20 for fiscal year 2009.’’. 

21 SEC. 1702. NUTRITIONAL SUPPORT FOR LOW-INCOME PAR22 ENTS. 

23 Section 5(c)(2) of the Food Stamp Act of 1977 (7 

24 U.S.C. 2014(c)(2)) is amended by striking ‘‘30 

25 percentum’’ and inserting ‘‘85 percentum’’. 


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1 SEC. 1703. INCREASED FUNDING FOR THE CHILD CARE AND 

2 DEVELOPMENT BLOCK GRANT PROGRAM. 

3 (a) AUTHORIZATION OF APPROPRIATIONS.—Section 

4 658B of the Child Care and Development Block Grant Act 

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

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

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

8 this subchapter $2,350,000,000 for fiscal year 2008 and 

9 such sums as may be necessary for fiscal years 2008 

10 through 2012.’’. 

11 (b) CONFORMING AMENDMENT.—Section 

12 658E(c)(3)(D) of the Child Care and Development Block 

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

14 by striking ‘‘1997 through 2002’’ and inserting ‘‘2008 

15 through 2012’’. 

16 SEC. 1704. TEENAGE OR FIRST-TIME MOTHERS; FREE HOME 

17 VISITS BY REGISTERED NURSES FOR EDU18 CATION ON HEALTH NEEDS OF INFANTS. 

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

20 to local health departments to provide to eligible mothers, 

21 without charge, education on the health needs of their in22 fants through visits to their homes by registered nurses. 

23 (b) ELIGIBLE MOTHER.— 

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

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

26 paragraph (2), the woman— 


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

2 more than 12 months of age; and 

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

4 at the time of birth; or 

5 (ii) the infant referred to in subparagraph 

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

7 (2) ADDITIONAL REQUIREMENTS FOR CERTAIN

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

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

10 the woman is an eligible mother for purposes of sub11 section (a) only if the woman meets such standards 

12 in addition to the applicable standards under para13 graph (1) as the local health department involved 

14 determines to be appropriate. 

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

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

17 agrees as follows: 

18 (1) The program carried out under such sub19 section by the applicant will be designed to instill in 

20 eligible mothers confidence in their abilities to pro21 vide for the health needs of their newborns, includ22 ing through— 

23 (A) providing information on child develop24 ment; and 

25 (B) soliciting questions from the mothers. 


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1 (2) The registered nurses who make home visits 

2 under subsection (a) will, as needed, provide refer3 rals for health and social services. 

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

5 available to an eligible mother will not be fewer than 

6 six months. 

7 (4) An eligible mother will not receive more 

8 than one visit each month during the period in 

9 which such visits are available to the woman. 

10 (d) AUTHORIZED SERVICES.— 

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

12 under subsection (a) only if the applicant involved 

13 agrees that the following services will be provided by 

14 registered nurses in home visits under subsection 

15 (a): 

16 (A) Information on child health and devel17 opment, including suggestions for child-develop18 mental activities that are enjoyable for parents 

19 and children. 

20 (B) Advice on parenting, including infor21 mation on how to develop a strong parent-child 

22 relationship. 

23 (C) Information on resources about par24 enting, including identifying books and videos 

25 that are available at local libraries. 


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1 (D) Information on upcoming parenting 

2 workshops in the local region. 

3 (E) Information on programs that facili4 tate parent-to-parent support services. 

5 (F) Factually and medically accurate and 

6 complete information about contraception. 

7 (G) In the case of an eligible mother who 

8 is a student, information on resources that may 

9 assist the mother in completing the educational 

10 courses involved. 

11 (2) ADDITIONAL SERVICES.—A grant under 

12 subsection (a) may be expended to provide services 

13 during home visits under such subsection in addition 

14 to the services specified in paragraph (1). 

15 (e) AUTHORIZATION OF APPROPRIATIONS.—For the 

16 purpose of carrying out this section, there are authorized 

17 to be appropriated $3,000,000 for fiscal year 2008. 

18 SEC. 1705. GRANTS FOR INCREASING PUBLIC AWARENESS 

19 OF RESOURCES AVAILABLE TO WOMEN PRE20 PARING FOR CHILD BIRTH. 

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

22 States to increase public awareness of resources available 

23 to women preparing for child birth and to new parents. 


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

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

3 to use the grant for the following: 

4 (1) Identification of resources available to preg5 nant women who have decided to carry their preg6 nancies to term or to new parents, or both. 

7 (2) Conducting an advertising campaign to in8 crease public awareness of such resources. 

9 (3) Establishing and maintaining a toll-free 

10 telephone line to direct people to— 

11 (A) organizations that provide support 

12 services for pregnant women who have decided 

13 to carry their pregnancies to term; 

14 (B) adoption centers; and 

15 (C) organizations that provide support 

16 services to new parents. 

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

18 State receiving a grant under this section from using the 

19 grant to direct people to an organization or adoption cen20 ter that is for-profit. 

21 (d) IDENTIFICATION OF RESOURCES.—The Secretary 

22 shall require each State receiving a grant under this sec23 tion to make publicly available by means of the Internet 

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


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1 (1) The resources identified pursuant to sub2 section (b)(1). 

3 (2) The organizations and adoption centers to 

4 which people are directed pursuant to an advertising 

5 campaign or telephone line funded under this sec6 tion. 

7 (e) AUTHORIZATION OF APPROPRIATIONS.—The Sec8 retary shall make such funds available as may be nec9 essary to carry out the activities of this section. 

10 TITLE XVIII—COLLECTING AND 

11 REPORTING ABORTION SUR12 VEILLANCE DATA 

13 SEC. 1801. GRANTS FOR COLLECTION AND REPORTING OF 

14 ABORTION SURVEILLANCE DATA. 

15 (a) GRANTS.—The Secretary, acting through the Di16 rector of the Centers for Disease Control and Prevention, 

17 may make grants to States for collecting and reporting 

18 abortion surveillance data. 

19 (b) REPORTING REQUIREMENT.— 

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

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

22 agrees to submit a report in each of fiscal years 

23 2009 and 2011 on the State’s abortion surveillance 

24 data. 


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

2 State under this section shall, with respect to the 

3 preceding 2 fiscal years, include the number and de4 mographic characteristics of women obtaining abor5 tions in the State. 

6 (3) CONFIDENTIALITY.—For purposes of grants 

7 under this section, a State may not collect names as 

8 part of abortion data. Each report submitted by a 

9 State under this section shall report all data in the 

10 aggregate and shall not report any individually iden11 tifiable information. 

12 (c) REPORT TO CONGRESS.—Not later than the end 

13 of fiscal year 2011, the Secretary shall submit a report 

14 to the Congress on the abortion surveillance data reported 

15 to the Secretary under this section. 

16 (d) AUTHORIZATION OF APPROPRIATIONS.—To carry 

17 out this section, there are authorized to be appropriated 

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

19 2008 through 2011. 

20 SEC. 1802. REPORT ON REASONS WHY WOMEN CHOOSE TO 

21 HAVE AN ABORTION. 

22 (a) IN GENERAL.—The Secretary shall enter into an 

23 agreement with the Institute of Medicine to study the rea24 sons why women choose to have an abortion. The Sec25 retary shall ensure that a report from the Institute deVerDate Aug 31 2005 22:27 Feb 22, 2007 Jkt 059200 PO 00000 Frm 00092 Fmt 6652 Sfmt 6201 E:\BILLS\H1074.IH H1074

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1 scribing the findings of the study is submitted to the Con2 gress not later than January 10, 2011. Names may not 

3 be collected for purposes of the study. 

4 (b) AUTHORIZATION OF APPROPRIATIONS.—To carry 

5 out this section, there are authorized to be appropriated 

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

7 2008 through 2011. 

Æ 


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