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[Congressional Bills 111th Congress]
[From the U.S. Government Publishing Office]
[S. 270 Introduced in Senate (IS)]

111th CONGRESS
  1st Session
                                 S. 270

 To provide for programs that reduce the need for abortion, help women 
            bear healthy children, and support new parents.

_______________________________________________________________________

                   IN THE SENATE OF THE UNITED STATES

                            January 15, 2009

   Mr. Casey (for himself and Mr. Nelson of Nebraska) introduced the 
 following bill; which was read twice and referred to the Committee on 
                 Health, Education, Labor, and Pensions

_______________________________________________________________________

                                 A BILL

 
 To provide for programs that reduce the need for abortion, help women 
            bear healthy children, and support new parents.

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

SECTION 1. SHORT TITLE; TABLE OF CONTENTS.

    (a) Short Title.--This Act may be cited as the ``Pregnant Women 
Support Act''.
    (b) Table of Contents.--The table of contents for this Act is as 
follows:

Sec. 1. Short title; table of contents.
Sec. 2. Findings.
Sec. 3. Definitions.
  TITLE I--PUBLIC AWARENESS AND ASSISTANCE FOR PREGNANT WOMEN AND NEW 
                                PARENTS

Sec. 101. Grants for increasing public awareness of resources available 
                            to assist pregnant women in carrying their 
                            pregnancies to term and to assist new 
                            parents.
      TITLE II--INCREASING WOMEN'S KNOWLEDGE ABOUT THEIR PREGNANCY

Sec. 201. Grants to health centers for purchase of ultrasound 
                            equipment.
            TITLE III--PREGNANCY AS A PREEXISTING CONDITION

Sec. 301. Individual health insurance coverage for pregnant women.
Sec. 302. Continuation of health insurance coverage for newborns.
  TITLE IV--MEDICAID AND SCHIP COVERAGE OF PREGNANT WOMEN AND UNBORN 
                                CHILDREN

Sec. 401. Treatment of unborn children.
Sec. 402. Coordination with the maternal and child health program.
        TITLE V--DISCLOSURE OF INFORMATION ON ABORTION SERVICES

Sec. 501. Disclosure of information on abortion services.
  TITLE VI--SERVICES TO PATIENTS RECEIVING POSITIVE TEST DIAGNOSIS OF 
         DOWN SYNDROME OR OTHER PRENATALLY DIAGNOSED CONDITIONS

Sec. 601. Services to patients receiving positive test diagnosis for 
                            Down syndrome or other prenatally diagnosed 
                            conditions.
     TITLE VII--SUPPORT FOR PREGNANT AND PARENTING COLLEGE STUDENTS

Sec. 701. Sense of Congress.
Sec. 702. Definitions.
Sec. 703. Pregnant and parenting student services pilot program.
Sec. 704. Application; number of grants.
Sec. 705. Matching Requirement.
Sec. 706. Use of funds.
Sec. 707. Reporting.
Sec. 708. Authorization of appropriations.
          TITLE VIII--SUPPORT FOR PREGNANT AND PARENTING TEENS

Sec. 801. Grants to States.
  TITLE IX--IMPROVING SERVICES FOR PREGNANT WOMEN WHO ARE VICTIMS OF 
            DOMESTIC VIOLENCE, DATING VIOLENCE, AND STALKING

Sec. 901. Findings.
Sec. 902. Program to support pregnant women who are victims of domestic 
                            violence.
Sec. 903. Homicide death certificates of certain female victims.
TITLE X--LIFE SUPPORT CENTERS FOR PREGNANT WOMEN, MOTHERS, AND CHILDREN

Sec. 1001. Life support centers pilot program.
               TITLE XI--PROVIDING SUPPORT TO NEW PARENTS

Sec. 1101. Increased support for WIC program.
Sec. 1102. Nutritional support for low-income parents.
Sec. 1103. Increased funding for the Child Care and Development Block 
                            Grant program.
Sec. 1104. Teenage or first-time mothers; free home visits by 
                            registered nurses for education on health 
                            needs of infants.
           TITLE XII--COLLECTING AND REPORTING ABORTION DATA

Sec. 1201. Grants for collection and reporting of abortion data.

SEC. 2. FINDINGS.

    The Congress finds as follows:
            (1) In 2004, 839,226 abortions were reported to the Centers 
        for Disease Control and Prevention.
            (2) 48 percent of all pregnancies in America are 
        unintended. Excluding miscarriages, 54 percent of unintended 
        pregnancies end in abortion.
            (3) 57 percent of women who have abortions have incomes 
        below 200 percent of the poverty level.
            (4) ``Cannot afford a baby'' is the second most frequently 
        cited reason women choose to have an abortion; 73 percent of 
        women having abortions cited this reason as a contributing 
        factor.
            (5) This Act is an initiative to gather more complete 
        information about abortion, to reduce the abortion rate by 
        helping women carry their pregnancies to term and bear healthy 
        children, and by affirming the right of women to be fully 
        informed about their other options when they seek an abortion.
            (6) The initiative will work to support women facing 
        unplanned pregnancies, new parents and their children by 
        providing comprehensive measures for health care needs, 
        supportive services and helpful prenatal information and 
        postnatal services.

SEC. 3. DEFINITIONS.

    For purposes of this Act:
            (1) The term ``Secretary'' means the Secretary of Health 
        and Human Services.
            (2) The term ``State'' includes the 50 States, the District 
        of Columbia, the Commonwealth of Puerto Rico, the Commonwealth 
        of the Northern Mariana Islands, American Samoa, Guam, the 
        Virgin Islands, and any other territory or possession of the 
        United States.

  TITLE I--PUBLIC AWARENESS AND ASSISTANCE FOR PREGNANT WOMEN AND NEW 
                                PARENTS

SEC. 101. GRANTS FOR INCREASING PUBLIC AWARENESS OF RESOURCES AVAILABLE 
              TO ASSIST PREGNANT WOMEN IN CARRYING THEIR PREGNANCIES TO 
              TERM AND TO ASSIST NEW PARENTS.

    (a) Grants.--The Secretary may make grants to States to increase 
public awareness of resources available to pregnant women to carry 
their pregnancy to term and to new parents.
    (b) Use of Funds.--The Secretary may make a grant to a State under 
this section only if the State agrees to use the grant for the 
following:
            (1) Identification of resources available to assist 
        pregnant women to carry their pregnancy to term or to assist 
        new parents, or both.
            (2) Conducting an advertising campaign to increase public 
        awareness of such resources.
            (3) Establishing and maintaining a toll-free telephone line 
        to direct people to--
                    (A) organizations that provide support services for 
                pregnant women to carry their pregnancy to term;
                    (B) adoption centers; and
                    (C) organizations that provide support services to 
                new parents.
    (c) Prohibition.--The Secretary shall prohibit each State receiving 
a grant under this section from using the grant to direct people to an 
organization or adoption center that is for-profit.
    (d) Identification of Resources.--The Secretary shall require each 
State receiving a grant under this section to make publicly available 
by means of the Internet (electronic and paper form) a list of the 
following:
            (1) The resources identified pursuant to subsection (b)(1).
            (2) The organizations and adoption centers to which people 
        are directed pursuant to an advertising campaign or telephone 
        line funded under this section.
    (e) Authorization of Appropriations.--The Secretary shall make such 
funds available as may be necessary to carry out the activities of this 
section.

      TITLE II--INCREASING WOMEN'S KNOWLEDGE ABOUT THEIR PREGNANCY

SEC. 201. GRANTS TO HEALTH CENTERS FOR PURCHASE OF ULTRASOUND 
              EQUIPMENT.

    Part B of title III of the Public Health Service Act (42 U.S.C. 243 
et seq.) is amended by inserting after section 317L the following:

``SEC. 317L-1. GRANTS FOR THE PURCHASE OR UPGRADE OF ULTRASOUND 
              EQUIPMENT.

    ``(a) In General.--The Secretary may make grants for the purchase 
of ultrasound equipment. Such ultrasound equipment shall be used by the 
recipients of such grants to provide, under the direction and 
supervision of a licensed medical physician, ultrasound examinations to 
pregnant women consenting to such services.
    ``(b) Eligibility Requirements.--An entity may receive a grant 
under subsection (a) only if the entity meets the following conditions:
            ``(1) The entity is a health center eligible to receive a 
        grant under section 330 (relating to community health centers, 
        migrant health centers, homeless health centers, and public-
        housing health centers).
            ``(2) The entity agrees to comply with the following 
        medical procedures:
                    ``(A) The entity will inform each pregnant woman 
                upon whom the ultrasound equipment is used that she has 
                the right to view the visual image of the unborn child 
                from the ultrasound examination and that she has the 
                right to hear a general anatomical and physiological 
                description of the characteristics of the unborn child.
                    ``(B) The entity will inform each pregnant woman 
                that she has the right to learn, according to the best 
                medical judgment of the physician performing the 
                ultrasound examination or the physician's agent 
                performing such exam, the approximate age of the embryo 
                or unborn child considering the number of weeks elapsed 
                from the probable time of the conception of the embryo 
                or unborn child, based upon the information provided by 
                the client as to the time of her last menstrual period, 
                her medical history, a physical examination, or 
                appropriate laboratory tests.
    ``(c) Application for Grant.--A grant may be made under subsection 
(a) only if an application for the grant is submitted to the Secretary 
and the application is in such form, is made in such manner, and 
contains such agreements, assurances, and information as the Secretary 
determines to be necessary to carry out this section.
    ``(d) Annual Report to Secretary.--A grant may be made under 
subsection (a) only if the applicant for the grant agrees to report on 
an annual basis to the Secretary, in such form and manner as the 
Secretary may require, on the ongoing compliance of the applicant with 
the eligibility conditions established in subsection (b).
    ``(e) Authorization of Appropriations.--For the purpose of carrying 
out this section, there are authorized to be appropriated $3,000,000 
for fiscal year 2010, and such sums as may be necessary for each of the 
fiscal years 2011 through 2014.''.

            TITLE III--PREGNANCY AS A PREEXISTING CONDITION

SEC. 301. INDIVIDUAL HEALTH INSURANCE COVERAGE FOR PREGNANT WOMEN.

    (a) Limitation on Imposition of Pre-Existing Condition Exclusions 
and Waiting Periods for Women With Prior Coverage.--Title XXVII of the 
Public Health Service Act (42 U.S.C. 300gg et seq.) is amended by 
inserting after section 2753 the following new section:

``SEC. 2754. PROVIDING INDIVIDUAL HEALTH INSURANCE COVERAGE WITHOUT 
              REGARD TO PREEXISTING CONDITION EXCLUSION AND WAITING 
              PERIODS FOR PREGNANT WOMEN WITHIN ONE YEAR OF CONTINUOUS 
              PRIOR COVERAGE.

    ``In the case of a woman who has had at least 12 months of 
creditable coverage before seeking individual health insurance 
coverage, such individual health insurance coverage, and the health 
insurance issuer offering such coverage, may not impose any preexisting 
condition exclusion relating to pregnancy as a preexisting condition, 
any waiting period, or otherwise discriminate in coverage or premiums 
against the woman on the basis that she is pregnant.''.
    (b) Effective Date.--The amendment made by subsection (a) shall 
take effect on October 1, 2009, and shall apply to women who become 
pregnant on or after such date.

SEC. 302. CONTINUATION OF HEALTH INSURANCE COVERAGE FOR NEWBORNS.

    (a) Group Health Plan Coverage.--Title XXVII of the Public Health 
Service Act (42 U.S.C. 300gg et seq.) is amended by inserting after 
section 2707 the following new section:

``SEC. 2708. CONTINUATION OF COVERAGE FOR NEWBORNS.

    ``(a) Notification.--In the case of a pregnant woman who is covered 
under a group health plan, or under group health insurance coverage, 
for other than family coverage, the plan or issuer of the insurance 
shall provide notice to the woman during the 5th month of pregnancy, 
during the 8th month of pregnancy, and within 2 weeks after delivery, 
of the woman's option to provide continuing coverage of the newborn 
child under the group health plan or health insurance coverage under 
subsection (b).
    ``(b) Option of Continued Coverage for Newborns.--In the case of a 
pregnant woman described in subsection (a) who has a newborn child 
under a group health plan or under group health insurance coverage, the 
plan or issuer offering the coverage shall provide the woman with the 
option of electing coverage of the newborn child at least through the 
end of the 30-day period beginning on the date of birth of the child 
and no waiting period or preexisting condition exclusion shall apply 
with respect to the coverage of such a newborn child under such plan or 
coverage. Such continuation coverage shall remain in effect, subject to 
payment of applicable premiums, for at least such period as the 
Secretary specifies.''.
    (b) Individual Health Insurance Coverage.--Such title is further 
amended by inserting after section 2754, as added by section 301, the 
following new section:

``SEC. 2755. CONTINUATION OF COVERAGE FOR NEWBORNS.

    ``The provisions of section 2708 shall apply with respect to 
individual health insurance coverage and the issuer of such coverage in 
the same manner as they apply to group health insurance coverage and 
the issuer of such coverage.''.
    (c) Effective Date.--The amendments made by this section shall take 
effect on January 1, 2010, and shall apply to women who become pregnant 
on or after such date and children who are born of such women.

  TITLE IV--MEDICAID AND SCHIP COVERAGE OF PREGNANT WOMEN AND UNBORN 
                                CHILDREN

SEC. 401. TREATMENT OF UNBORN CHILDREN.

    (a) Codification of Current Regulations.--Section 2110(c)(1) (42 
U.S.C. 1397(c)(1)) is amended by striking the period at the end and 
inserting the following: ``, and includes, at the option of a State, an 
unborn child.''.
    (b) Clarifications Regarding Coverage of Mothers.--Section 2103 (42 
U.S.C. 1397cc) is amended by adding at the end the following new 
subsection:
    ``(g) Clarifications Regarding Authority To Provide Postpartum 
Services and Maternal Health Care.--Any State that provides child 
health assistance to an unborn child under the option described in 
section 2110(c)(1) may--
            ``(1) continue to provide such assistance to the mother, as 
        well as postpartum services, through the end of the month in 
        which the 60-day period (beginning on the last day of 
        pregnancy) ends; and
            ``(2) in the interest of the child to be born, have 
        flexibility in defining and providing services to benefit 
        either the mother or unborn child consistent with the health of 
        both.''.

SEC. 402. COORDINATION WITH THE MATERNAL AND CHILD HEALTH PROGRAM.

    (a) In General.--Section 2102(b)(3) of the Social Security Act (42 
U.S.C. 1397bb(b)(3)) is amended--
            (1) in subparagraph (D), by striking ``and'' at the end;
            (2) in subparagraph (E), by striking the period and 
        inserting ``; and''; and
            (3) by adding at the end the following new subparagraph:
                    ``(F) that operations and activities under this 
                title are developed and implemented in consultation and 
                coordination with the program operated by the State 
                under title V in areas including outreach and 
                enrollment, benefits and services, service delivery 
                standards, public health and social service agency 
                relationships, and quality assurance and data 
                reporting.''.
    (b) Conforming Medicaid Amendment.--Section 1902(a)(11) of such Act 
(42 U.S.C. 1396a(a)(11)) is amended--
            (1) by striking ``and'' before ``(C)''; and
            (2) by inserting before the semicolon at the end the 
        following: ``, and (D) provide that operations and activities 
        under this title are developed and implemented in consultation 
        and coordination with the program operated by the State under 
        title V in areas including outreach and enrollment, benefits 
        and services, service delivery standards, public health and 
        social service agency relationships, and quality assurance and 
        data reporting''.
    (c) Effective Date.--The amendments made by this section take 
effect on October 1, 2009.

        TITLE V--DISCLOSURE OF INFORMATION ON ABORTION SERVICES

SEC. 501. DISCLOSURE OF INFORMATION ON ABORTION SERVICES.

    (a) In General.--Health facilities that perform abortions in or 
affecting interstate commerce shall obtain informed consent from the 
pregnant woman seeking to have the abortion. Informed consent shall 
exist only after a woman has voluntarily completed or opted not to 
complete pre-abortion counseling sessions.
    (b) Accurate Information.--Counseling sessions under subsection (a) 
shall include the following information:
            (1) The probable gestational age and characteristics of the 
        unborn child at the time the abortion will be performed.
            (2) How the abortion procedure is performed.
            (3) Possible short-term and long-term risks and 
        complications of the procedure to be performed.
            (4) Options or alternatives to abortion, including, but not 
        limited to, adoption, and the resources available in the 
        community to assist women choosing these options.
            (5) The availability of post-procedure medical services to 
        address the risks and complications of the procedure.
    (c) Exception.--This section shall not apply when the pregnant 
woman is herself incapable, under State law, of making medical 
decisions. This section does not affect or modify any requirement under 
State law for making medical decisions for such patients.
    (d) Civil Remedies.--
            (1) Civil action.--Any female upon whom an abortion has 
        been performed or attempted without complying with the informed 
        consent requirements may bring a civil action in an appropriate 
        district court of the United States against the person who 
        performed the abortion in knowing or reckless violation of this 
        section for actual and punitive damages.
            (2) Certain authorities and requirements.--With respect to 
        an action under paragraph (1):
                    (A) The court may award attorney's fees to the 
                plaintiff if judgment is rendered in favor of the 
                plaintiff, and may award attorney's fees to the 
                defendant if judgment is rendered in favor of the 
                defendant and the court finds that the plaintiff's case 
                was frivolous and brought in bad faith.
                    (B) The court shall determine whether the anonymity 
                of the female involved will be preserved from public 
                disclosure if the female has not consented to her 
                identity being disclosed. If the female's identity is 
                to be shielded, the court shall issue an order sealing 
                the record and excluding individuals from the courtroom 
                to preserve her identity.
                    (C) In the absence of the female's written consent, 
                anyone other than a public official who brings the 
                action shall do so under a pseudonym.
            (3) Rule of construction.--Nothing in this subsection may 
        be construed to conceal the identity of the plaintiff or of the 
        witnesses from the defendant.
    (e) Severability.--If any provision of this section requiring 
informed consent for abortions is found unconstitutional, the 
unconstitutional provision is severable and the other provisions of 
this section remain in effect.
    (f) Preemption.--Nothing in this section shall prevent a State from 
enacting and enforcing additional requirements with respect to informed 
consent.

  TITLE VI--SERVICES TO PATIENTS RECEIVING POSITIVE TEST DIAGNOSIS OF 
         DOWN SYNDROME OR OTHER PRENATALLY DIAGNOSED CONDITIONS

SEC. 601. SERVICES TO PATIENTS RECEIVING POSITIVE TEST DIAGNOSIS FOR 
              DOWN SYNDROME OR OTHER PRENATALLY DIAGNOSED CONDITIONS.

    (a) Findings and Purposes.--
            (1) Findings.--The Congress finds as follows:
                    (A) Pregnant women who choose to undergo prenatal 
                genetic testing should have access to timely, 
                scientific, and nondirective counseling about the 
                conditions being tested for and the accuracy of such 
                tests, from health care professionals qualified to 
                provide and interpret these tests. Informed consent is 
                a critical component of all genetic testing.
                    (B) A recent, peer-reviewed study and two reports 
                from the Centers for Disease Control and Prevention on 
                prenatal testing found a deficiency in the data needed 
                to understand the epidemiology of prenatally diagnosed 
                conditions, to monitor trends accurately, and to 
                increase the effectiveness of health intervention.
            (2) Purposes.--It is the purpose of this section, after the 
        diagnosis of an unborn child with Down syndrome or other 
        prenatally diagnosed conditions, to--
                    (A) increase patient referrals to providers of key 
                support services to assist parents in the care, or 
                placement for adoption, of a child with Down syndrome, 
                or other prenatally diagnosed conditions, as well as to 
                provide up-to-date, science-based information about 
                life-expectancy and development potential for a child 
                born with Down syndrome or other prenatally diagnosed 
                condition;
                    (B) provide networks of support services described 
                in subparagraph (A) through a Centers for Disease 
                Control and Prevention patient and provider outreach 
                program;
                    (C) improve available data by incorporating 
                information directly revealed by prenatal testing into 
                existing State-based surveillance programs for birth 
                defects and prenatally diagnosed conditions; and
                    (D) ensure that patients receive up-to-date, 
                scientific information about the accuracy of the test.
    (b) Amendment to the Public Health Service Act.--Part P of title 
III of the Public Health Service Act (42 U.S.C. 280g et seq.) is 
amended by adding at the end the following:

``SEC. 399U. SUPPORT FOR PATIENTS RECEIVING A POSITIVE TEST DIAGNOSIS 
              OF DOWN SYNDROME OR OTHER PRENATALLY DIAGNOSED 
              CONDITIONS.

    ``(a) Definitions.--In this section:
            ``(1) Down syndrome.--The term `Down syndrome' refers to a 
        chromosomal disorder caused by an error in cell division that 
        results in the presence of an extra whole or partial copy of 
        chromosome 21.
            ``(2) Health care provider.--The term `health care 
        provider' means any person or entity required by State or 
        Federal law or regulation to be licensed, registered, or 
        certified to provide health care services, and who is so 
        licensed, registered, or certified.
            ``(3) Prenatally diagnosed condition.--The term `prenatally 
        diagnosed condition' means any fetal health condition 
        identified by prenatal genetic testing or prenatal screening 
        procedures.
            ``(4) Prenatal test.--The term `prenatal test' means 
        diagnostic or screening tests offered to pregnant women seeking 
        routine prenatal care that are administered by a health care 
        provider based on medical history, family background, ethnic 
        background, previous test results, or other risk factors.
            ``(5) Support.--The terms `support' and `supportive 
        services' mean services to assist parents to care for, and 
        prepare to care for, a child with Down Syndrome or another 
        prenatally diagnosed condition, and to facilitate the adoption 
        of such children as appropriate.
    ``(b) Information and Support Services.--The Secretary, acting 
through the Director of the National Institutes of Health, the Director 
of the Centers for Disease Control and Prevention, or the Administrator 
of the Health Resources and Services Administration, may authorize and 
oversee certain activities, including the awarding of grants, 
contracts, or cooperative agreements, to--
            ``(1) collect, synthesize, and disseminate current 
        scientific information relating to Down syndrome or other 
        prenatally diagnosed conditions;
            ``(2) coordinate the provision of, and access to, new or 
        existing supportive services for patients receiving a positive 
        test diagnosis for Down syndrome or other prenatally diagnosed 
        conditions, including--
                    ``(A) the establishment of a resource telephone 
                hotline and Internet Website accessible to patients 
                receiving a positive test result;
                    ``(B) the establishment of national and local peer-
                support programs; and
                    ``(C) the establishment of a national registry, or 
                network of local registries, of families willing to 
                adopt newborns with Down syndrome or other prenatally 
                diagnosed conditions, and links to adoption agencies 
                willing to place babies with Down syndrome or other 
                prenatally diagnosed conditions, with families willing 
                to adopt;
            ``(3) establish a clearinghouse of information regarding 
        the scientific facts, clinical course, life expectancy, and 
        development potential relating to Down syndrome or other 
        prenatally diagnosed conditions; and
            ``(4) establish awareness and education programs for health 
        care providers who provide the results of prenatal tests for 
        Down syndrome or other prenatally diagnosed conditions, to 
        patients, consistent with the purpose described in section 
        601(a)(2)(A) of the Pregnant Women Support Act.
    ``(c) Data Collection.--
            ``(1) Provision of assistance.--The Secretary, acting 
        through the Director of the Centers for Disease Control and 
        Prevention, shall provide assistance to State and local health 
        departments to integrate the results of prenatal testing into 
        State-based vital statistics and birth defects surveillance 
        programs.
            ``(2) Activities.--The Secretary shall ensure that 
        activities carried out under paragraph (1) are sufficient to 
        extract population-level data relating to national rates and 
        results of prenatal testing.
    ``(d) Provision of Information by Providers.--Upon receipt of a 
positive test result from a prenatal test for Down syndrome or other 
prenatally diagnosed conditions performed on a patient, the health care 
provider involved (or his or her designee) shall provide the patient 
with the following:
            ``(1) Up-to-date, scientific, written information 
        concerning the life expectancy, clinical course, and 
        intellectual and functional development and treatment options 
        for an unborn child diagnosed with or child born with Down 
        syndrome or other prenatally diagnosed conditions.
            ``(2) Referral to supportive services providers, including 
        information hotlines specific to Down syndrome or other 
        prenatally diagnosed conditions, resource centers or 
        clearinghouses, and other education and support programs 
        described in subsection (b).
    ``(e) Privacy.--
            ``(1) In general.--Notwithstanding subsections (c) and (d), 
        nothing in this section shall be construed to permit or require 
        the collection, maintenance, or transmission, without the 
        health care provider obtaining the prior, written consent of 
        the patient, of--
                    ``(A) health information or data that identify a 
                patient, or with respect to which there is a reasonable 
                basis to believe the information could be used to 
                identify the patient (including a patient's name, 
                address, healthcare provider, or hospital); and
                    ``(B) data that are not related to the epidemiology 
                of the condition being tested for.
            ``(2) Guidance.--Not later than 180 days after the date of 
        enactment of this section, the Secretary shall establish 
        guidelines concerning the implementation of paragraph (1) and 
        subsection (d).
    ``(f) Reports.--
            ``(1) Implementation report.--Not later than 2 years after 
        the date of enactment of this section, and every 2 years 
        thereafter, the Secretary shall submit a report to Congress 
        concerning the implementation of the guidelines described in 
        subsection (e)(2).
            ``(2) GAO report.--Not later than 1 year after the date of 
        enactment of this section, the Government Accountability Office 
        shall submit a report to Congress concerning the effectiveness 
        of current healthcare and family support programs serving as 
        resources for the families of children with disabilities.
    ``(g) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section $5,000,000 for each of the 
fiscal years 2010 through 2014.''.

     TITLE VII--SUPPORT FOR PREGNANT AND PARENTING COLLEGE STUDENTS

SEC. 701. SENSE OF CONGRESS.

    It is the sense of Congress that--
            (1) pregnant college students should not have to make a 
        choice between keeping their baby and staying in school;
            (2) the pilot program under this title will help 
        interested, eligible institutions of higher education establish 
        pregnancy and parenting student services offices that will 
        operate independent of Federal funding no later than 5 years 
        after the date of the enactment of this title; and
            (3) amounts appropriated to carry out other Federal 
        programs should be reduced to offset the costs of this title.

SEC. 702. DEFINITIONS.

    In this title:
            (1) Eligible institution of higher education.--The term 
        ``eligible institution of higher education'' means an 
        institution of higher education (as such term is defined in 
        section 101 of the Higher Education Act of 1965 (20 U.S.C. 
        1001)) that has established and operates, or agrees to 
        establish and operate upon the receipt of a grant under this 
        title, a pregnant and parenting student services office 
        described in section 706.
            (2) Parent; parenting.--The terms ``parent'' and 
        ``parenting'' refer to a parent or legal guardian of a minor.
            (3) Secretary.--The term ``Secretary'' means the Secretary 
        of Education.

SEC. 703. PREGNANT AND PARENTING STUDENT SERVICES PILOT PROGRAM.

    From amounts appropriated under section 708 for a fiscal year, the 
Secretary shall establish a pilot program to award grants to eligible 
institutions of higher education to enable the eligible institutions to 
establish (or maintain) and operate pregnant and parenting student 
services offices in accordance with section 706.

SEC. 704. APPLICATION; NUMBER OF GRANTS.

    (a) Application.--An eligible institution of higher education that 
desires to receive a grant under this title shall submit an application 
to the Secretary at such time, in such manner, and containing such 
information as the Secretary may require.
    (b) Requests for Additional Information.--The Secretary may require 
an eligible institution submitting an application under subsection (a) 
to provide additional information if the Secretary determines such 
information is necessary to process the application.
    (c) Number of Grants.--Subject to the availability of 
appropriations under section 708, the Secretary shall award grants 
under this title to no more than 200 eligible institutions.

SEC. 705. MATCHING REQUIREMENT.

    An eligible institution of higher education that receives a grant 
under this title shall contribute to the conduct of the pregnant and 
parenting student services office supported by the grant an amount from 
non-Federal funds equal to the amount of the grant. The non-Federal 
share may be in cash or in kind, fairly evaluated, including services, 
facilities, supplies, or equipment.

SEC. 706. USE OF FUNDS.

    (a) In General.--An eligible institution of higher education that 
receives a grant under this title shall use grant funds to establish 
(or maintain) and operate a pregnant and parenting student services 
office, located on the campus of the eligible institution, that carries 
out the following programs and activities:
            (1) Hosts an initial pregnancy and parenting resource 
        forum--
                    (A) to assess pregnancy and parenting resources, 
                located on the campus or within the local community, 
                that are available to meet the needs described in 
                paragraph (2); and
                    (B) to set goals for--
                            (i) improving such resources for pregnant, 
                        parenting, and prospective parenting students; 
                        and
                            (ii) improving access to such resources.
            (2) Annually assesses the performance of the eligible 
        institution and the office in meeting the following needs of 
        students enrolled in the eligible institution who are pregnant 
        or are parents:
                    (A) The inclusion of maternity coverage and the 
                availability of riders for additional family members in 
                student health care.
                    (B) Family housing.
                    (C) Child care.
                    (D) Flexible or alternative academic scheduling, 
                such as telecommuting programs.
                    (E) Education to improve parenting skills for 
                mothers and fathers and to strengthen marriages.
                    (F) Maternity and baby clothing, baby food 
                (including formula), baby furniture, and similar items 
                to assist parents and prospective parents in meeting 
                the material needs of their children.
                    (G) Post-partum counseling and support groups.
            (3) Identifies public and private service providers, 
        located on the campus of the eligible institution or within the 
        local community, that are qualified to meet the needs described 
        in paragraph (2), and establishes programs with qualified 
        providers to meet such needs.
            (4) Assists pregnant and parenting students and their 
        spouses in locating and obtaining services that meet the needs 
        described in paragraph (2).
            (5) If appropriate, provides referrals for prenatal care 
        and delivery, infant or foster care, or adoption, to a student 
        who requests such information. An office shall make such 
        referrals only to service providers that primarily serve the 
        following types of individuals:
                    (A) Parents.
                    (B) Prospective parents awaiting adoption.
                    (C) Women who are pregnant and plan on parenting or 
                placing the child for adoption.
                    (D) Parenting or prospective parenting couples who 
                are married or who plan on marrying in order to provide 
                a supportive environment for each other and their 
                child.
    (b) Expanded Services.--In carrying out the programs and activities 
described in subsection (a), an eligible institution of higher 
education receiving a grant under this title may choose to provide 
access to such programs and activities to a pregnant or parenting 
employee of the eligible institution, and the employee's spouse.

SEC. 707. REPORTING.

    (a) Annual Report by Institutions.--
            (1) In general.--For each fiscal year that an eligible 
        institution of higher education receives a grant under this 
        title, the eligible institution shall prepare and submit to the 
        Secretary, by the date determined by the Secretary, a report 
        that--
                    (A) itemizes the pregnant and parenting student 
                services office's expenditures for the fiscal year;
                    (B) contains a review and evaluation of the 
                performance of the office in fulfilling the 
                requirements of this title, using the specific 
                performance criteria or standards established under 
                paragraph (2)(A); and
                    (C) describes the achievement of the office in 
                meeting the needs listed in section 706(a)(2) of the 
                students served by the eligible institution, and the 
                frequency of use of the office by such students.
            (2) Performance criteria.--Not later than 180 days before 
        the date the annual report described in paragraph (1) is 
        submitted, the Secretary--
                    (A) shall identify the specific performance 
                criteria or standards that shall be used to prepare the 
                report; and
                    (B) may establish the form or format of the report.
            (3) Additional information.--After reviewing an annual 
        report of an eligible institution of higher education, the 
        Secretary may require that the eligible institution provide 
        additional information if the Secretary determines that such 
        additional information is necessary to evaluate the pilot 
        program.
    (b) Report by Secretary.--The Secretary shall annually prepare and 
submit a report on the findings of the pilot program under this title, 
including the number of eligible institutions of higher education that 
were awarded grants and the number of students served by each pregnant 
and parenting student services office receiving funds under this title, 
to the appropriate committees of the Senate and the House of 
Representatives.

SEC. 708. AUTHORIZATION OF APPROPRIATIONS.

    There is authorized to be appropriated to carry out this title not 
more than $10,000,000 for each of the fiscal years 2010 through 2014.

          TITLE VIII--SUPPORT FOR PREGNANT AND PARENTING TEENS

SEC. 801. GRANTS TO STATES.

    The Secretary shall make grants to States to allow early childhood 
education programs, including Head Start, to work with pregnant or 
parenting teens to complete high school and prepare for college or for 
vocational education.

  TITLE IX--IMPROVING SERVICES FOR PREGNANT WOMEN WHO ARE VICTIMS OF 
            DOMESTIC VIOLENCE, DATING VIOLENCE, AND STALKING

SEC. 901. FINDINGS.

    The Congress finds as follows:
            (1) Pregnant and recently pregnant women are more likely to 
        be victims of homicide than to die of any other causes, and 
        evidence exists that a significant proportion of all female 
        homicide victims are killed by their intimate partners.
            (2) A 2001 study published by the Journal of the American 
        Medical Association found that murder is the number one cause 
        of death among pregnant women.
            (3) Research suggests that injury-related deaths, including 
        homicide and suicide, account for approximately one-third of 
        all maternal mortality cases, while medical reasons make up the 
        rest. Homicide is the leading cause of death overall for 
        pregnant women, followed by cancer, acute and chronic 
        respiratory conditions, motor vehicle collisions and drug 
        overdose, peripartum and postpartum cardiomyopthy, and suicide.

SEC. 902. PROGRAM TO SUPPORT PREGNANT WOMEN WHO ARE VICTIMS OF DOMESTIC 
              VIOLENCE.

    (a) In General.--For fiscal year 2010 and each subsequent fiscal 
year, the Attorney General, through the Director of the Office on 
Violence Against Women, may award grants to States, to be used for any 
of the following purposes:
            (1) To assist States in providing intervention services, 
        accompaniment, and supportive social services for eligible 
        pregnant women who are victims of domestic violence, dating 
        violence, or stalking.
            (2) To provide for technical assistance and training (as 
        described in subsection (c)) relating to violence against 
        eligible pregnant women to be made available to the following:
                    (A) Federal, State, tribal, territorial, and local 
                governments, law enforcement agencies, and courts.
                    (B) Professionals working in legal, social service, 
                and health care settings.
                    (C) Nonprofit organizations.
                    (D) Faith-based organizations.
    (b) State Eligibility.--To be eligible for a grant under subsection 
(a), a State shall--
            (1) submit to the Attorney General an application in such 
        time and manner, and containing such information, as specified 
        by the Attorney General; and
            (2) for a grant made for a fiscal year beginning on or 
        after the date that is one year after the date of the enactment 
        of this title, satisfy the requirement under section 903, 
        relating to female homicide victim determinations and death 
        certificates.
    (c) Technical Assistance and Training Described.--For purposes of 
subsection (a)(2), technical assistance and training is--
            (1) the identification of eligible pregnant women 
        experiencing domestic violence, dating violence, or stalking;
            (2) the assessment of the immediate and short-term safety 
        of such a pregnant woman, the evaluation of the impact of the 
        violence or stalking on the pregnant woman's health, and the 
        assistance of the pregnant woman in developing a plan aimed at 
        preventing further domestic violence, dating violence, or 
        stalking, as appropriate;
            (3) the maintenance of complete medical or forensic records 
        that include the documentation of any examination, treatment 
        given, and referrals made, recording the location and nature of 
        the pregnant woman's injuries, and the establishment of 
        mechanisms to ensure the privacy and confidentiality of those 
        medical records; and
            (4) the identification and referral of the pregnant woman 
        to appropriate public and private nonprofit entities that 
        provide intervention services, accompaniment, and supportive 
        social services.
    (d) Definitions.--For purposes of this title:
            (1) Accompaniment.--The term ``accompaniment'' means 
        assisting, representing, and accompanying a woman in seeking 
        judicial relief for child support, child custody, restraining 
        orders, and restitution for harm to persons and property, and 
        in filing criminal charges, and may include the payment of 
        court costs and reasonable attorney and witness fees associated 
        therewith.
            (2) Eligible pregnant woman.--The term ``eligible pregnant 
        woman'' means any woman who is pregnant on the date on which 
        such woman becomes a victim of domestic violence, dating 
        violence, or stalking or who was pregnant during the one-year 
        period before such date.
            (3) Intervention services.--The term ``intervention 
        services'' means, with respect to domestic violence, dating 
        violence, or stalking, 24-hour telephone hotline services for 
        police protection and referral to shelters.
            (4) State.--The term ``State'' includes the District of 
        Columbia, any commonwealth, possession, or other territory of 
        the United States, and any Indian tribe or reservation.
            (5) Supportive social services.--The term ``supportive 
        social services'' means transitional and permanent housing, 
        vocational counseling, and individual and group counseling 
        aimed at preventing domestic violence, dating violence, or 
        stalking.
            (6) Violence.--The term ``violence'' means actual violence 
        and the risk or threat of violence.
    (e) Authorization of Appropriations.--For the purpose of making 
allotments under subsection (a), there are authorized to be 
appropriated $4,000,000 for each of the fiscal years 2010 through 2014.

SEC. 903. HOMICIDE DEATH CERTIFICATES OF CERTAIN FEMALE VICTIMS.

    For purposes of section 902(b)(2), the requirement under this 
section is that not later than the date that is one year after the date 
of the enactment of this title, a State shall require, with respect to 
any homicide case initiated after such one-year date and in which the 
victim is a female of possible child-bearing age, each of the 
following:
            (1) A determination of which, if any, of the following 
        categories, described the victim:
                    (A) The victim was pregnant on the date of her 
                death.
                    (B) The victim was not pregnant on the date of her 
                death, but had been pregnant during the 42-day period 
                before such date.
                    (C) The victim was not pregnant on the date of her 
                death, but had been pregnant during the period 
                beginning on the date that was one year before such 
                date of her death and ending on the date that was 43 
                days before such date of her death.
                    (D) The victim was not pregnant during the one-year 
                period before the date of her death.
                    (E) It could not be determined whether or not the 
                victim had been pregnant during the one-year period 
                before the date of her death.
            (2) The determination made under paragraph (1) shall be 
        included in the death certificate of the victim.

TITLE X--LIFE SUPPORT CENTERS FOR PREGNANT WOMEN, MOTHERS, AND CHILDREN

SEC. 1001. LIFE SUPPORT CENTERS PILOT PROGRAM.

    (a) In General.--The Secretary shall establish a pilot program to 
fund comprehensive and supportive services for pregnant women, mothers, 
and children. Such services may include--
            (1) child care for infants and toddlers to allow mothers to 
        find jobs and finish their education;
            (2) relocation assistance to establish good and stable 
        homes;
            (3) educational support, such as preparation for pregnant 
        and parenting mothers for the recognized equivalent of a 
        secondary school diploma;
            (4) counseling, including adoption counseling;
            (5) parenting classes;
            (6) business skills training;
            (7) emergency aid in times of crisis;
            (8) nutrition education and food assistance; and
            (9) outreach to seniors, many of whom volunteer to help 
        with the children or who receive advice on helping raise their 
        own grandchildren.
    (b) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section no more than $10,000,000 for 
each of the fiscal years 2010 through 2014.

               TITLE XI--PROVIDING SUPPORT TO NEW PARENTS

SEC. 1101. INCREASED SUPPORT FOR WIC PROGRAM.

    (a) Findings.--Congress finds the following:
            (1) The special supplemental nutrition program for women, 
        infants, and children (WIC) authorized in section 17 of the 
        Child Nutrition Act of 1966 (42 U.S.C. 1786) served 
        approximately 8,100,000 women, infants, and children per month 
        in fiscal year 2006.
            (2) Half of all infants in the United States and 1 in 4 
        young children under age 5 get crucial health and nutrition 
        benefits from the WIC Program.
            (3) It is estimated that every dollar spent on WIC results 
        in between $1.92 and $4.21 in Medicaid savings for newborns and 
        their mothers.
            (4) The WIC program has been proven to increase the number 
        of women receiving prenatal care, reduce the incidence of low 
        birth weight and fetal mortality, reduce anemia, and enhance 
        the nutritional quality of the diet of mothers and children.
            (5) The WIC program's essential, effective nutrition 
        services include nutrition assessment, counseling and 
        education, obesity prevention, breastfeeding support and 
        promotion, prenatal and pediatric health care referrals and 
        follow-up, spousal and child abuse referral, drug and alcohol 
        abuse referral, immunization screening, assessment and 
        referral, and a host of other services for mothers and 
        children.
    (b) Authorization of Appropriations.--For the purpose of carrying 
out the special supplemental nutrition program for women, infants, and 
children (WIC) authorized in section 17 of the Child Nutrition Act of 
1966 (42 U.S.C. 1786), there is authorized to be appropriated such sums 
as may be necessary for each of fiscal years 2010 through 2014, of 
which--
            (1) there is authorized to be appropriated $15,000,000 for 
        fiscal year 2010, and such sums as may be necessary for each of 
        fiscal years 2011 through 2014, for breast-feeding peer 
        counselors; and
            (2) there is authorized to be appropriated $14,000,000 for 
        fiscal year 2010, and such sums as may be necessary for each of 
        fiscal years 2011 through 2014, for infrastructure needs.

SEC. 1102. NUTRITIONAL SUPPORT FOR LOW-INCOME PARENTS.

    Section 5(c)(2) of the Food and Nutrition Act of 2008 (7 U.S.C. 
2014(c)(2)) is amended by striking ``30 per centum'' and inserting ``85 
percent''.

SEC. 1103. INCREASED FUNDING FOR THE CHILD CARE AND DEVELOPMENT BLOCK 
              GRANT PROGRAM.

    (a) Authorization of Appropriations.--Section 658B of the Child 
Care and Development Block Grant Act of 1990 (42 U.S.C. 9858) is 
amended to read as follows:

``SEC. 658B. AUTHORIZATION OF APPROPRIATIONS.

    ``There are authorized to be appropriated to carry out this 
subchapter $2,350,000,000 for fiscal year 2010 and such sums as may be 
necessary for fiscal years 2011 through 2014.''.
    (b) Conforming Amendment.--Section 658E(c)(3)(D) of the Child Care 
and Development Block Grant Act of 1990 (42 U.S.C. 9858c(c)(3)(D)) is 
amended by striking ``1997 through 2002'' and inserting ``2010 through 
2014''.

SEC. 1104. TEENAGE OR FIRST-TIME MOTHERS; FREE HOME VISITS BY 
              REGISTERED NURSES FOR EDUCATION ON HEALTH NEEDS OF 
              INFANTS.

    (a) In General.--The Secretary may make grants to local health 
departments to provide to eligible mothers, without charge, education 
on the health needs of their infants through visits to their homes by 
registered nurses.
    (b) Eligible Mother.--
            (1) In general.--For purposes of subsection (a), a woman is 
        an eligible mother if, subject to paragraph (2), the woman--
                    (A) is the mother of an infant who is not more than 
                24 months of age; and
                    (B)(i) the woman was under the age of 20 at the 
                time of birth; or
                    (ii) the infant referred to in subparagraph (A) is 
                the first child of the woman.
            (2) Additional requirements for certain mothers.--In the 
        case of a woman described in paragraph (1)(B)(ii) who is 20 
        years of age or older, the woman is an eligible mother for 
        purposes of subsection (a) only if the woman meets such 
        standards in addition to the applicable standards under 
        paragraph (1) as the local health department involved 
        determines to be appropriate.
    (c) Certain Requirements.--A grant may be made under subsection (a) 
only if the applicant involved agrees as follows:
            (1) The program carried out under such subsection by the 
        applicant will be designed to instill in eligible mothers 
        confidence in their abilities to provide for the health needs 
        of their newborns, including through--
                    (A) providing information on child development; and
                    (B) soliciting questions from the mothers.
            (2) The registered nurses who make home visits under 
        subsection (a) will, as needed, provide referrals for health 
        and social services to serve the needs of the newborns.
            (3) The period during which the visits will be available to 
        an eligible mother will not be fewer than six months.
    (d) Authorized Services.--
            (1) Requirements.--A grant may be made under subsection (a) 
        only if the applicant involved agrees that the following 
        services will be provided by registered nurses in home visits 
        under subsection (a):
                    (A) Information on child health and development, 
                including suggestions for child-developmental 
                activities that are enjoyable for parents and children.
                    (B) Advice on parenting, including information on 
                how to develop a strong parent-child relationship.
                    (C) Information on resources about parenting, 
                including identifying books and videos that are 
                available at local libraries.
                    (D) Information on upcoming parenting workshops in 
                the local region.
                    (E) Information on programs that facilitate parent-
                to-parent support services.
                    (F) In the case of an eligible mother who is a 
                student, information on resources that may assist the 
                mother in completing the educational courses involved.
            (2) Additional services.--A grant under subsection (a) may 
        be expended to provide services during home visits under such 
        subsection in addition to the services specified in paragraph 
        (1).
    (e) Authorization of Appropriations.--For the purpose of carrying 
out this section, there are authorized to be appropriated $3,000,000 
for fiscal year 2010, and such sums as may be necessary for each of 
fiscal years 2011 through 2014.

           TITLE XII--COLLECTING AND REPORTING ABORTION DATA

SEC. 1201. GRANTS FOR COLLECTION AND REPORTING OF ABORTION DATA.

    (a) Grants.--The Secretary, acting through the Director of the 
Centers for Disease Control and Prevention, may make grants to States 
for collecting and reporting abortion surveillance data.
    (b) Reporting Requirement.--
            (1) In general.--The Secretary may make a grant to a State 
        under this section only if the State agrees to submit a report 
        in each of fiscal years 2011 and 2013 on the State's abortion 
        surveillance data.
            (2) Contents.--Each report submitted by a State under this 
        subsection shall, with respect to the preceding 2 fiscal years, 
        include--
                    (A) the number and characteristics of women 
                obtaining abortions in the State; and
                    (B) the characteristics of these abortions, 
                including the approximate gestational age of the unborn 
                child, the abortion method, and any known physical or 
                psychological complications.
            (3) Personal information.--A report submitted by a State 
        under this subsection shall not contain the name of any woman 
        obtaining or seeking to obtain an abortion, any common 
        identifier (such as a social security number), or any other 
        identifier (including statistical information) that would make 
        it possible to identify in any manner or under any 
        circumstances an individual who has obtained or seeks to obtain 
        an abortion.
    (c) Confidentiality.--The Secretary shall maintain the 
confidentiality of any individually identifiable information reported 
to the Secretary under this section.
    (d) Report to Congress.--
            (1) In general.--Not later than the end of fiscal year 
        2013, the Secretary shall submit a report to the Congress on 
        the abortion surveillance data reported to the Secretary under 
        this section.
            (2) Personal information.--A report submitted by the 
        Secretary to the Congress under this subsection shall not 
        contain any name or other identifier described in subsection 
        (b)(3).
    (e) Authorization of Appropriations.--To carry out this section, 
there are authorized to be appropriated such sums as may be necessary 
for each of fiscal years 2010 through 2014.
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