I 

111TH CONGRESS 

1ST SESSION H. R. 3312 

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 

JULY 23, 2009 

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

PERRIELLO, Mr. SMITH of Washington, Mr. FARR, Mr. CROWLEY, Mr. 

MCGOVERN, Mr. OBEY, Mr. MEEK of Florida, Mr. DAVIS of Alabama, 

Mr. DOYLE, and Mr. LANGEVIN) introduced the following bill; which was 

referred to the Committee on Energy and Commerce, and in addition to 

the Committees on Education and Labor, Ways and Means, the Judiciary, and Agriculture, for a period to be subsequently determined by the 

Speaker, in each case for consideration of such provisions as fall within 

the jurisdiction of the committee concerned 

A BILL 

To provide for programs that reduce the 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, 

3 SECTION 1. SHORT TITLE; TABLE OF CONTENTS. 

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

5 ‘‘Preventing Unintended Pregnancies, Reducing the Need 

6 for Abortion, and Supporting Parents Act’’. 


rfrederick on DSKD9S0YB1PROD with BILLS
2 

•HR 3312 IH

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

2 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. Creating a national initiative to enlist parents of adolescents in preventing teen pregnancy; provision of challenge grants for state 

and local programs. 

TITLE VI—PREVENTING UNPLANNED PREGNANCY AMONG 

COMMUNITY COLLEGE STUDENTS 

Sec. 601. Findings. 

Sec. 602. Demonstration grants to prevent unplanned pregnancy among community college students. 

TITLE VII—CLARIFICATION OF CONTINUED MEDICAID COVERAGE 

OF FAMILY PLANNING SERVICES 

Sec. 701. Clarification of continue Medicaid coverage of family planning services. 

TITLE VIII—EXPANDED MEDICAID ELIGIBILITY FOR FAMILY 

PLANNING SERVICES 

Sec. 801. Expand Medicaid eligibility for family planning services. 


rfrederick on DSKD9S0YB1PROD with BILLS
3 

•HR 3312 IH

TITLE IX—MEDICAID AND CHIP COVERAGE OF MOTHERS AND 

CHILDREN 

Sec. 901. Extending postpartum coverage for Medicaid and CHIP. 

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—ENSURING COVERAGE OF MATERNITY CARE 

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

health insurance coverage. 

Sec. 1102. Coverage of maternity care in the individual market. 

TITLE XII—IMPROVING ACCESS TO PRENATAL ULTRASOUNDS 

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

TITLE XIII—PREVENTING DOMESTIC VIOLENCE AND SEXUAL ASSAULT AND ADDRESSING THE LINK BETWEEN SUCH VIOLENCE AND UNINTENDED PREGNANCY 

Sec. 1301. Findings. 

Sec. 1302. Separate program to identify and treat women who are victims of 

or at risk of domestic violence, dating violence, sexual assault, 

sexual coercion, or stalking. 

Sec. 1303. 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. 

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

TITLE XV—GRANTS FOR A NATIONAL INFORMATION CAMPAIGN 

ON ADOPTION 

Sec. 1501. Grants for a national information campaign on adoption. 

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. 

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

Sec. 1703. Increased funding for the child care and development block grant 

program. 

Sec. 1704. Free home visits by trained home visitors for education on health 

and developmental needs of infants and toddlers for low-income 

families. 


rfrederick on DSKD9S0YB1PROD with BILLS
4 

•HR 3312 IH

Sec. 1705. Grants to increase public awareness of resources available to new 

parents. 

TITLE XVIII—RESEARCH ON RESPONSES TO UNINTENDED 

PREGNANCIES 

Sec. 1801. Report on responses to unintended pregnancy. 

1 SEC. 2. FINDINGS; PURPOSE. 

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

4 (1) 49 percent of all pregnancies in America are 

5 unintended. Excluding miscarriages, 42 percent of 

6 unintended pregnancies end in abortion. 

7 (2) There are approximately 1,200,000 abor8 tions annually in America and one in five preg9 nancies ends 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 de20 clined significantly between 1994 and 2001, from 92 

21 percent to 86 percent. 


rfrederick on DSKD9S0YB1PROD with BILLS
5 

•HR 3312 IH

1 (6) By helping couples avoid unintended preg2 nancy, Medicaid-funded and title X contraceptive 

3 services are highly cost-effective, and every public 

4 dollar spent on family planning saves $4 in the cost 

5 of pregnancy-related care alone. 

6 (7) Abortion rates decreased among higher in7 come women but increased among low-income 

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

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

10 abortion as her higher income counterpart. 

11 (8) Most women cite more than one reason for 

12 their decision to have an abortion. The most fre13 quently cited reasons were: ‘‘having a baby would 

14 dramatically change my life’’ (74 percent) by inter15 fering with educational and job prospects and re16 sponsibilities towards existing children and ‘‘cannot 

17 afford a baby now’’ (73 percent). 

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

19 a comprehensive initiative to— 

20 (1) reduce the need for abortion by reducing 

21 the number of unintended pregnancies and sup22 porting women facing unplanned pregnancies; 

23 (2) prevent unintended pregnancies from occur24 ring in the first place— 


rfrederick on DSKD9S0YB1PROD with BILLS
6 

•HR 3312 IH

1 (A) by reducing teen pregnancy through 

2 comprehensive education, after-school and other 

3 programs, and involving parents; and 

4 (B) by increasing support for family plan5 ning services under title X of the Public Health 

6 Service Act and extending Medicaid family 

7 planning services to more low-income women 

8 and men; and 

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

10 their children, through measures that address do11 mestic violence and sexual assault, provide health 

12 care services, information about pregnancy, and 

13 other supportive services for pregnant women, and 

14 provide supportive services for new parents. 

15 SEC. 3. DEFINITIONS. 

16 For purposes of this Act: 

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

18 of Health and Human Services. 

19 (2) Except as specified, the term ‘‘State’’ in20 cludes the 50 States, the District of Columbia, the 

21 Commonwealth of Puerto Rico, the Commonwealth 

22 of the Northern Mariana Islands, American Samoa, 

23 Guam, the Virgin Islands, and any other territory or 

24 possession of the United States. 


rfrederick on DSKD9S0YB1PROD with BILLS
7 

•HR 3312 IH

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

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

3 out pursuant to this Act that make awards of grants, co4 operative agreements, or contracts, Indian tribes are eligi5 ble for awards under the programs in accordance with 

6 such criteria as the Secretary may establish. 

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

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

9 section 4 of the Indian Self-Determination and Education 

10 Assistance Act (25 U.S.C. 450b). 

11 TITLE I—EDUCATION PRO12 GRAMS FOR PREVENTING 

13 TEEN PREGNANCIES 

14 SEC. 101. FINDINGS. 

15 The Congress finds as follows: 

16 (1) The United States has the highest teen 

17 pregnancy rate and teen birth rate among com18 parable countries, costing the United States at least 

19 $9,000,000,000 annually. 

20 (2) Three out of ten young women in America 

21 become pregnant before they reach the age of 20. 

22 (3) According to the National Center on Health 

23 Statistics, the teen birth rate increased 5 percent be24 tween 2005 and 2007, reversing a 14-year decline. 

25 Teen birth rates increased significantly in over half 


rfrederick on DSKD9S0YB1PROD with BILLS
8 

•HR 3312 IH

1 of states, representing nearly every region of the 

2 country. 

3 (4) Teen pregnancy has serious consequences 

4 for young parents, their children, and communities 

5 as a whole. Too-early childbearing increases the like6 lihood that a young woman will drop out of high 

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

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

9 more likely to be incarcerated. The daughters of teen 

10 mothers are more likely to become teen mothers too. 

11 (6) Teens that grow up in disadvantaged eco12 nomic, social, and family circumstances are more 

13 likely to engage in risky behavior and have a child 

14 during adolescence. 

15 (7) In a national survey on teen attitudes to16 wards teen pregnancy, 7 in 10 girls and 6 in 10 boys 

17 report that they wish they had waited until they 

18 were older to have sex. 

19 (8) Programs comprehensive in scope are effec20 tive in reducing risk behaviors by delaying or reduc21 ing sexual activity, reducing the number of sexual 

22 partners or increasing condom or contraceptive use. 

23 Reducing risky behaviors leads to reductions in un24 intended pregnancy and abortion and transmission 


rfrederick on DSKD9S0YB1PROD with BILLS
9 

•HR 3312 IH

1 of sexually transmitted diseases (STDs), including 

2 HIV. 

3 (9) According to the results of a 2005–2006 

4 nationally representative survey of U.S. adults, more 

5 than 8 of 10 of those polled support comprehensive 

6 education. 

7 (10) Ethnic and racial minority groups have 

8 been disproportionately affected by early pregnancy 

9 and parenthood. Fifty-three percent of Latina teens 

10 and 51 percent of African-American young women 

11 will become pregnant at least once before they turn 

12 20, as compared to only 19 percent of non-Hispanic 

13 White young women. 

14 (11) Recent estimates suggest that while 15- to 

15 24-year-olds represent 25 percent of the sexually ac16 tive population, they acquire nearly half of all new 

17 STIs. Each year, one in four sexually active teen18 agers contracts a sexually transmitted infection. 

19 (12) Nearly 15 percent of the 56,000 annual 

20 new cases of HIV infections in the United States oc21 curred in youth ages 13 through 24 in 2006. An av22 erage of one young person every hour of every day 

23 is infected with HIV in the United States. 

24 (13) African-American and Latino youth have 

25 been disproportionately affected by the HIV/AIDS 


rfrederick on DSKD9S0YB1PROD with BILLS
10 

•HR 3312 IH

1 epidemic. Although African-American adolescents 

2 ages 13 through 19 represent only 17 percent of the 

3 adolescent population in the United States, they ac4 counted for 70 percent of new HIV/AIDS cases re5 ported among teens in 2005. Latino adolescents 

6 ages 13 through 19 accounted for 17 percent of 

7 AIDS cases among teens, the same as their propor8 tion of the U.S. population in 2005. 

9 (14) Parental involvement is critical to any 

10 healthy relationship program. A major study showed 

11 that adolescents who reported feeling connected to 

12 parents and family were more likely than other teens 

13 to delay initiating sexual intercourse. Another study 

14 found that teens who reported previous discussions 

15 of sexuality with parents were seven times more like16 ly to feel able to communicate with a partner about 

17 HIV/AIDS than those who did not have such discus18 sions with their parents. Parental involvement is a 

19 leading protective factor for dating violence preven20 tion. 

21 (15) Comprehensive education programs respect 

22 the diversity of values and beliefs represented in the 

23 community and will complement and augment the 

24 education children receive from their families and 

25 faith communities. 


rfrederick on DSKD9S0YB1PROD with BILLS
11 

•HR 3312 IH

1 (16) Incorporating teen dating violence preven2 tion into health education and comprehensive edu3 cation is imperative given the widespread experience 

4 of violence in dating relationships. Approximately 

5 one in three teens reports some kind of abuse in a 

6 romantic relationship, including emotional and 

7 verbal abuse. Young women who experience dating 

8 violence have sex earlier than their peers; are much 

9 less likely to use birth control; and engage in a wide 

10 variety of high-risk behaviors including multiple 

11 partners, sex with older men, and drug and alcohol 

12 abuse. Young women who are victims of dating vio13 lence are four to six times more likely than non14 abused girls to become pregnant. 

15 SEC. 102. EDUCATION PROGRAMS FOR PREVENTING TEEN 

16 PREGNANCIES. 

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

18 to local educational agencies, State and local public health 

19 agencies, and nonprofit private entities for the purpose of 

20 carrying out projects to provide comprehensive education 

21 on preventing teen pregnancies. 

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

23 grants under subsection (a), the Secretary shall give pref24 erence to applicants that will carry out the projects under 

25 such subsection in communities for which the rate of teen 


rfrederick on DSKD9S0YB1PROD with BILLS
12 

•HR 3312 IH

1 pregnancy is significantly above the average rate of such 

2 pregnancies. 

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

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

5 grant meets the following conditions with respect to the 

6 project involved: 

7 (1) The applicant agrees that information pro8 vided by the project will be age-appropriate, factu9 ally and medically accurate and complete, and sci10 entifically based. 

11 (2) The applicant agrees that strategies rep12 licate or substantially incorporate the elements of 

13 one or more comprehensive education programs that 

14 have been proven effective on the basis of rigorous 

15 scientific research to— 

16 (A) delay sexual intercourse or sexual ac17 tivity; 

18 (B) improve contraceptive use; 

19 (C) reduce the number of partners among 

20 those who are sexually active; or 

21 (D) reduce teenage pregnancy. 

22 (3) The applicant agrees that the project will 

23 not teach or promote religion. 

24 (4) The applicant agrees that the project will 

25 substantially incorporate the following elements— 


rfrederick on DSKD9S0YB1PROD with BILLS
13 

•HR 3312 IH

1 (A) encourage teens to delay sexual activ2 ity; 

3 (B) provide comprehensive educational 

4 services and interventions, including informa5 tion about the risks and benefits of all contra6 ceptives as a means to prevent pregnancy and 

7 reduce the risk of contracting sexually trans8 mitted diseases, including HIV/AIDS; 

9 (C) educate both young men and women 

10 about the responsibilities and pressures that 

11 come along with parenting; 

12 (D) encourage family communication about 

13 sexuality; 

14 (E) teach young people the skills to make 

15 responsible decisions about sexuality, including 

16 how to avoid unwanted verbal, physical, and 

17 sexual advances and how avoid making un18 wanted verbal, physical, and sexual advances 

19 that are not wanted by the other party; 

20 (F) develop healthy relationships, including 

21 the prevention of dating and sexual violence; 

22 and 

23 (G) teach young people how alcohol and 

24 drug use can affect responsible decisionmaking. 


rfrederick on DSKD9S0YB1PROD with BILLS
14 

•HR 3312 IH

1 (d) OPTIONAL ADDITIONAL ACTIVITIES.—In car2 rying out a comprehensive education program, a grant 

3 under this section may be expended to carry out, in addi4 tion to the services specified in subsection (c), educational 

5 and motivational activities that help young people to— 

6 (1) gain knowledge about the physical, emo7 tional, biological, and hormonal changes of adoles8 cence and subsequent stages of human maturation; 

9 (2) develop the knowledge and skills necessary 

10 to ensure and protect their sexual and reproductive 

11 health from unintended pregnancy and sexually 

12 transmitted disease, including HIV/AIDS through13 out their lifespan; 

14 (3) gain knowledge about the specific involve15 ment and responsibility of each individual in sexual 

16 decision making; 

17 (4) develop healthy attitudes and values about 

18 adolescent growth and development, body image, ra19 cial and ethnic diversity, and other related subjects; 

20 (5) develop and practice healthy life skills, in21 cluding goal-setting, decision making, negotiation, 

22 communication, and stress management; 

23 (6) promote self-esteem and positive inter24 personal skills focusing on relationship dynamics, in25 cluding, but not limited to, friendships, dating, roVerDate Nov 24 2008 03:48 Jul 24, 2009 Jkt 079200 PO 00000 Frm 00014 Fmt 6652 Sfmt 6201 E:\BILLS\H3312.IH H3312

rfrederick on DSKD9S0YB1PROD with BILLS
15 

•HR 3312 IH

1 mantic involvement, marriage, and family inter2 actions; and 

3 (7) prepare for the adult world by focusing on 

4 educational and career success, including developing 

5 skills for employment, job seeking, independent liv6 ing, financial self-sufficiency, and workplace produc7 tivity. 

8 (e) MATCHING FUNDS.— 

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

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

11 an applicant, a grant may be made under such sub12 section only if the applicant agrees to make available 

13 (directly or through donations from public or private 

14 entities) non-Federal contributions toward such 

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

16 of such costs ($1 for each $3 of Federal funds pro17 vided in the grant). 

18 (2) DETERMINATION OF AMOUNT CONTRIB19 UTED.—Non-Federal contributions required in para20 graph (1) may be in cash or in kind, fairly evalu21 ated, including plant, equipment, or services. 

22 Amounts provided by the Federal Government, or 

23 services assisted or subsidized to any significant ex24 tent by the Federal Government, may not be inVerDate Nov 24 2008 03:48 Jul 24, 2009 Jkt 079200 PO 00000 Frm 00015 Fmt 6652 Sfmt 6201 E:\BILLS\H3312.IH H3312

rfrederick on DSKD9S0YB1PROD with BILLS
16 

•HR 3312 IH

1 cluded in determining the amount of such non-Fed2 eral contributions. 

3 (f) SUPPLEMENTATION OF FUNDS.—An applicant to 

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

5 year shall use the grant to supplement and not supplant 

6 funds that would otherwise be available to the applicant 

7 for carrying out the purpose described in such subsection. 

8 (g) DATA REPORTING.—A State to which a grant is 

9 made under this paragraph for a fiscal year shall cooper10 ate with the Secretary to collect information and report 

11 on outcomes of programs funded under the grant, as spec12 ified by the Secretary. 

13 (h) APPLICATION FOR GRANT.—A grant may be 

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

15 grant is submitted to the Secretary and the application 

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

17 such agreements, assurances, and information, including 

18 the agreement under subsection (e), as the Secretary de19 termines to be necessary to carry out this section. 

20 (i) EVALUATION.— 

21 (1) IN GENERAL.—The Secretary shall commis22 sion a random assignment evaluation conducted by 

23 a third party of the programs of a few selected 

24 grantees under this section. 


rfrederick on DSKD9S0YB1PROD with BILLS
17 

•HR 3312 IH

1 (2) ALLOCATION.—Of the amount appropriated 

2 to carry out this section, the Secretary may use not 

3 more than 10 percent of such amount for the pur4 pose of carrying out clause (i) for fiscal year 2010. 

5 Funds allocated under this paragraph are authorized 

6 to be appropriated to remain available for expendi7 ture through fiscal year 2015. 

8 (j) REPORT TO CONGRESS.—Not later than April 1, 

9 2015, the Secretary shall submit to the Congress a report 

10 describing the extent to which projects under subsection 

11 (a) have been successful in reducing teen pregnancy and 

12 achieving other evaluation outcomes in the communities 

13 in which the projects have been carried out. 

14 (k) DEFINITIONS.—For purposes of this section: 

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

16 the information in pregnancy prevention, means top17 ics, messages, and teaching methods suitable to par18 ticular ages or age groups of children and adoles19 cents, based on developing cognitive, emotional, and 

20 behavioral capacity typical for the age or age group. 

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

22 and complete’’ means verified or supported by the 

23 weight of research conducted in compliance with ac24 cepted scientific methods and— 


rfrederick on DSKD9S0YB1PROD with BILLS
18 

•HR 3312 IH

1 (A) published in peer-reviewed journals, 

2 where applicable; or 

3 (B) comprising information that leading 

4 professional organizations and agencies with 

5 relevant expertise in the field recognize as accu6 rate, objective, and complete. 

7 (3) The term ‘‘HIV/AIDS’’ means the human 

8 immunodeficiency virus, and includes acquired im9 mune deficiency syndrome. 

10 (4) The term ‘‘local educational agency’’ has 

11 the meaning given such term in section 9101 of the 

12 Elementary and Secondary Education Act of 1965 

13 (20 U.S.C. 7801). 

14 (l) AUTHORIZATION OF APPROPRIATIONS.—For the 

15 purpose of carrying out this section, there are authorized 

16 to be appropriated such sums as may be necessary for 

17 each of fiscal years 2010 through 2015. 

18 TITLE II—REAUTHORIZATION OF 

19 CERTAIN AFTER-SCHOOL 

20 PROGRAMS 

21 SEC. 201. FINDINGS. 

22 The Congress finds as follows: 

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

24 first time increases with the number of unsupervised 

25 hours teens have during a week. 


rfrederick on DSKD9S0YB1PROD with BILLS
19 

•HR 3312 IH

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

2 behavior. Teenage girls who play sports, for in3 stance, are more likely to delay sex and have fewer 

4 partners and less likely to become pregnant. 

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

6 pregnancy by advancing good decisionmaking skills 

7 and providing teens with health education and posi8 tive role models in a supervised setting. 

9 SEC. 202. REAUTHORIZATION OF CERTAIN AFTER-SCHOOL 

10 PROGRAMS. 

11 (a) 21ST CENTURY COMMUNITY LEARNING CEN12 TERS.—Section 4206 of the Elementary and Secondary 

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

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

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

16 the end and inserting a semicolon; and 

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

18 ‘‘(7) $2,750,000,000 for fiscal year 2010; and 

19 ‘‘(8) $2,750,000,000 for fiscal year 2011.’’. 

20 (b) CAROL M. WHITE PHYSICAL EDUCATION PRO21 GRAM.—Section 5401 of the Elementary and Secondary 

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

23 adding at the end the following: 

24 ‘‘(7) $755,000,000 for fiscal year 2010, of 

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


rfrederick on DSKD9S0YB1PROD with BILLS
20 

•HR 3312 IH

1 ‘‘(8) $755,000,000 for fiscal year 2011, of 

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

3 (c) FEDERAL TRIO PROGRAMS.—Section 402A(g) of 

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

5 11(g)) is amended by striking ‘‘$900,000,000 for fiscal 

6 year 2009 and such sums as may be necessary for each 

7 of the five succeeding fiscal years’’ and inserting 

8 ‘‘$980,000,000 for fiscal year 2010 and such sums as may 

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

10 (d) GEARUP.—Section 404H of the Higher Edu11 cation Act of 1965 (20 U.S.C. 1070a–28) is amended by 

12 striking ‘‘$400,000,000 for fiscal year 2009 and such 

13 sums as may be necessary for each of the five succeeding 

14 fiscal years’’ and inserting ‘‘$450,000,000 for fiscal year 

15 2010 and such sums as may be necessary for each of the 

16 5 succeeding fiscal years’’. 

17 TITLE III—TEEN PREGNANCY 

18 PREVENTION INCENTIVE 

19 GRANTS 

20 SEC. 301. TEEN PREGNANCY PREVENTION INCENTIVE 

21 GRANTS. 

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

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

24 ‘‘(2) INCENTIVE GRANTS TO PREVENT TEEN

25 PREGNANCY.— 


rfrederick on DSKD9S0YB1PROD with BILLS
21 

•HR 3312 IH

1 ‘‘(A) GRANTS TO ELIGIBLE STATES.— 

2 ‘‘(i) IN GENERAL.— 

3 ‘‘(I) FISCAL YEAR 2010; GRANTS

4 TO STATES WITH COMPLIANT

5 PLANS.—For fiscal year 2010, each 

6 State that meets the requirements of 

7 clause (ii) of this subparagraph shall 

8 be eligible to receive from the Sec9 retary for such year a grant in an 

10 amount determined under subpara11 graph (B)(i)(I). 

12 ‘‘(II) SUBSEQUENT FISCAL

13 YEARS; GRANTS TO HIGH-ACHIEVING

14 STATES WITH COMPLIANT PLANS.— 

15 For each of fiscal years 2011 through 

16 2014, each high-achieving State that 

17 meets the requirements of clause (ii) 

18 of this subparagraph shall be eligible 

19 to receive from the Secretary for such 

20 year a grant in an amount determined 

21 under subparagraph (B)(i)(II). 

22 ‘‘(III) HIGH-ACHIEVING

23 STATE.—In this paragraph, the term 

24 ‘high-achieving State’, with respect to 

25 a year, means a State which exceeds 


rfrederick on DSKD9S0YB1PROD with BILLS
22 

•HR 3312 IH

1 the national performance in the teen 

2 pregnancy rate. 

3 ‘‘(ii) SUBMISSION OF PLAN; REQUIRE4 MENTS.—A plan meets the requirements of 

5 this clause if the plan describes— 

6 ‘‘(I) the State’s numerical goal 

7 for reducing teen pregnancy and teen 

8 births; 

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

10 achieve such goal; 

11 ‘‘(III) the efforts the State will 

12 make to involve young men, as well as 

13 young women, in delaying pregnancy 

14 and parenting; 

15 ‘‘(IV) efforts to involve parents 

16 and other caretakers; and 

17 ‘‘(V) efforts to reach commu18 nities or populations experiencing 

19 rates of teen pregnancy above the 

20 State average. 

21 ‘‘(iii) SET-ASIDE FOR GRANTS TO IN22 DIAN TRIBES.—An amount equal to 1.5 

23 percent of the amount appropriated under 

24 subparagraph (H) for a fiscal year shall be 

25 reserved for awarding grants to Indian 


rfrederick on DSKD9S0YB1PROD with BILLS
23 

•HR 3312 IH

1 tribes under this paragraph in such man2 ner, and subject to such requirements, as 

3 the Secretary, in consultation with such 

4 tribes, determines appropriate. 

5 ‘‘(iv) STATE.—In this paragraph, the 

6 term ‘State’ means each of the several 

7 States of the United States, the District of 

8 Columbia, the Commonwealth of Puerto 

9 Rico, the United States Virgin Islands, 

10 Guam, American Samoa, and the Com11 monwealth of the Northern Mariana Is12 lands. 

13 ‘‘(B) AMOUNT OF GRANT.— 

14 ‘‘(i) IN GENERAL.—The amount of a 

15 grant under subparagraph (A)(i) to an eli16 gible State for a fiscal year shall be the 

17 following amount, as applicable: 

18 ‘‘(I) For fiscal year 2010, the 

19 amount that bears the same ratio to 

20 the amount appropriated under sub21 paragraph (H) for the fiscal year as 

22 the proportion of births in the State 

23 to teens under age 20 bears to the 

24 number of such births in all eligible 


rfrederick on DSKD9S0YB1PROD with BILLS
24 

•HR 3312 IH

1 States in the most recent year for 

2 which data is available. 

3 ‘‘(II) For each of fiscal years 

4 2011 through 2014, the amount that 

5 bears the same ratio to the amount 

6 appropriated under subparagraph (H) 

7 for the fiscal year as the proportion of 

8 teens under age 20 in the State bears 

9 to the number of such teens in all eli10 gible States in the most recent year 

11 for which data is available. 

12 ‘‘(ii) DETERMINATION OF TEEN PREG13 NANCY RATES.—For purposes of this para14 graph, the teen pregnancy rate for a State 

15 shall be determined on the basis of the 

16 teen pregnancy rate per 1,000 women, 

17 ages 15 through 19, who reside in the 

18 State. If teen pregnancy data is not avail19 able in a particular State, the Secretary 

20 may identify alternative sources of data. 

21 ‘‘(C) USE OF FUNDS.— 

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

23 tribe shall use funds provided under a 

24 grant under this paragraph to implement 


rfrederick on DSKD9S0YB1PROD with BILLS
25 

•HR 3312 IH

1 teen pregnancy prevention strategies that 

2 meet the following requirements: 

3 ‘‘(I) The strategies replicate or 

4 substantially incorporate the elements 

5 of one or more teen pregnancy preven6 tion programs that have been proven 

7 effective on the basis of rigorous sci8 entific research to— 

9 ‘‘(aa) delay or decrease sex10 ual intercourse or sexual activity; 

11 ‘‘(bb) increase contraceptive 

12 use among sexually active teens; 

13 or 

14 ‘‘(cc) reduce teenage preg15 nancy. 

16 ‘‘(II) The strategies incorporate 

17 one or more of the following strategies 

18 for preventing teenage pregnancy: 

19 ‘‘(aa) Encouraging teenagers 

20 to delay sexual activity. 

21 ‘‘(bb) Sex and HIV edu22 cation. 

23 ‘‘(cc) Preventive health serv24 ices. 


rfrederick on DSKD9S0YB1PROD with BILLS
26 

•HR 3312 IH

1 ‘‘(dd) Youth development 

2 programs. 

3 ‘‘(ee) Service learning pro4 grams. 

5 ‘‘(ff) Helping parents com6 municate with teens. 

7 ‘‘(gg) Outreach or media 

8 programs. 

9 ‘‘(III) The strategies provide in10 formation that is age-appropriate, fac11 tually and medically accurate and 

12 complete, and scientifically based. 

13 ‘‘(D) SUBGRANT OR CONTRACT RECIPI14 ENTS.—A State to which a grant is made under 

15 this paragraph for a fiscal year may award sub16 grants or contracts to— 

17 ‘‘(i) State or local nonprofit coalitions 

18 or organizations working to prevent teen19 age pregnancy; 

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

21 ‘‘(iii) schools; 

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

23 programs; 

24 ‘‘(v) nonprofit community or faith25 based organizations; or 


rfrederick on DSKD9S0YB1PROD with BILLS
27 

•HR 3312 IH

1 ‘‘(vi) other organizations designated 

2 by the State. 

3 ‘‘(E) SUPPLEMENTATION OF FUNDS.—A 

4 State to which a grant is made under this para5 graph for a fiscal year shall use funds provided 

6 under the grant to supplement and not sup7 plant funds that would otherwise be available to 

8 the State for preventing teen pregnancy. 

9 ‘‘(F) REQUIREMENT.—As a condition on 

10 receipt of funds for activities under this para11 graph, a grantee, subgrantee, or contractee 

12 shall agree that such activities will not include 

13 teaching or promoting religion. 

14 ‘‘(G) DATA REPORTING.—A State to which 

15 a grant is made under this paragraph for a fis16 cal year shall cooperate with the Secretary to 

17 collect information and report on outcomes of 

18 programs funded under the grant, as specified 

19 by the Secretary. 

20 ‘‘(H) APPROPRIATION.—To carry out this 

21 section, there are authorized to be appropriated 

22 such sums as may be necessary for each of fis23 cal years 2010 through 2014. 

24 ‘‘(I) EVALUATION.— 


rfrederick on DSKD9S0YB1PROD with BILLS
28 

•HR 3312 IH

1 ‘‘(i) IN GENERAL.—The Secretary 

2 shall, by grant or contract, gather and dis3 seminate information on effective practices, 

4 programs, and strategies for reducing teen 

5 pregnancy rates that are used by States 

6 that receive grants under this paragraph in 

7 order to allow other States, and leaders in 

8 the area of teen pregnancy prevention, to 

9 learn from the experiences of successful 

10 States. The Secretary shall publish an in11 terim and final report summarizing and 

12 synthesizing outcomes and lessons learned 

13 pursuant to such grants, including a ran14 dom-assignment evaluation of selected pro15 grams. 

16 ‘‘(ii) APPROPRIATION.—The Secretary 

17 may use up to 10 percent of the amount 

18 appropriated under subparagraph (H) to 

19 carry out clause (i) for fiscal year 2010, 

20 and the amount shall remain available 

21 through fiscal year 2015.’’. 


rfrederick on DSKD9S0YB1PROD with BILLS
29 

•HR 3312 IH

1 SEC. 302. ESTABLISHING NATIONAL GOAL TO PREVENT 

2 TEEN PREGNANCY. 

3 Section 905 of the Personal Responsibility and Work 

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

5 note) is amended to read as follows: 

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

7 TEEN PREGNANCY. 

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

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

10 and Human Services shall establish a national goal of re11 ducing teen pregnancy by at least one-third over the sub12 sequent ten years. 

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

14 date of the enactment of the Preventing Unintended Preg15 nancies, Reducing the Need for Abortion, and Supporting 

16 Parents Act, and annually thereafter, the Secretary of 

17 Health and Human Services shall report to Congress with 

18 respect to the progress that has been made in meeting the 

19 national goal established under subsection (a) and with 

20 respect to State-level progress on reducing teen preg21 nancy.’’. 


rfrederick on DSKD9S0YB1PROD with BILLS
30 

•HR 3312 IH

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 (4) Reaching teens through innovative uses of 

23 media and technology. 

24 (5) Helping teens develop healthy relationships. 

25 (c) MATCHING FUNDS.— 


rfrederick on DSKD9S0YB1PROD with BILLS
31 

•HR 3312 IH

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 (d) REQUIREMENT.—As a condition on the receipt of 

20 funds for activities under this section, an applicant shall 

21 agree that such activities will not include teaching or pro22 moting religion. 

23 (e) EVALUATION OF PROJECTS.—The Secretary shall 

24 establish criteria for the evaluation of projects under subVerDate Nov 24 2008 03:48 Jul 24, 2009 Jkt 079200 PO 00000 Frm 00031 Fmt 6652 Sfmt 6201 E:\BILLS\H3312.IH H3312

rfrederick on DSKD9S0YB1PROD with BILLS
32 

•HR 3312 IH

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 (f), a plan for conducting the eval10 uations. 

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

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

13 is submitted to the Secretary and the application is in 

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

15 agreements, assurances, and information, including the 

16 agreements under subsections (c) and (e) and the plan 

17 under subsection (e)(3), as the Secretary determines to 

18 be necessary to carry out this section. 

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

20 2015, 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. Such reports shall describe the various 


rfrederick on DSKD9S0YB1PROD with BILLS
33 

•HR 3312 IH

1 approaches used under subsection (a) and the effective2 ness of each of the approaches. 

3 (h) AUTHORIZATION OF APPROPRIATIONS.—For the 

4 purpose of carrying out this section, there are authorized 

5 to be appropriated such sums as may be necessary for 

6 each of fiscal years 2010 through 2014. 

7 TITLE V—NATIONAL CAMPAIGN 

8 TO ENLIST PARENTS IN PRE9 VENTING TEEN PREGNANCY 

10 SEC. 501. FINDINGS. 

11 The Congress finds as follows: 

12 (1) Teens with strong emotional attachments to 

13 their parents are more likely to delay becoming sexu14 ally active. Seven out of ten teens say that they are 

15 prepared to listen to things parents thought the 

16 teens were not ready to hear. 

17 (2) Ninety percent of parents of teens report 

18 that they know they should talk to their teens about 

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

20 or when to start the conversations. 


rfrederick on DSKD9S0YB1PROD with BILLS
34 

•HR 3312 IH

1 SEC. 502. CREATING A NATIONAL INITIATIVE TO ENLIST 

2 PARENTS OF ADOLESCENTS IN PREVENTING 

3 TEEN PREGNANCY; PROVISION OF CHAL4 LENGE GRANTS FOR STATE AND LOCAL PRO5 GRAMS. 

6 (a) GRANT.—The Secretary shall select on the basis 

7 of competitive grants, national nonpartisan, nonprofit or8 ganizations that meet the requirements of this section to 

9 establish and operate a national initiative for parents of 

10 adolescents to carry out the purposes and activities de11 scribed in subsections (b) and (c) (referred to in this sec12 tion as the ‘‘Initiative’’). 

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

14 grant under this section only if— 

15 (1) the organization has experience working to 

16 reduce teen pregnancy; 

17 (2) the organization has a demonstrated ability 

18 to work with and provide assistance to a broad 

19 range of individuals and entities, including teens, 

20 parents, the entertainment and news media, State, 

21 tribal, and local organizations, teen pregnancy pre22 vention practitioners, businesses, faith and commu23 nity leaders, and researchers; 

24 (3) the organization is research-based; 


rfrederick on DSKD9S0YB1PROD with BILLS
35 

•HR 3312 IH

1 (4) the organization has comprehensive knowl2 edge and data about teen pregnancy prevention 

3 strategies; and 

4 (5) the organization agrees that the activities 

5 funded under this section will not include teaching 

6 or promoting religion. 

7 (c) PURPOSES.—The purposes of the Initiative are 

8 to— 

9 (1) support parents in their essential role in 

10 preventing teen pregnancy by equipping them with 

11 information and resources to promote and strength12 en communication with their children about sex, val13 ues, and healthy relationships; 

14 (2) develop and implement media campaigns to 

15 promote positive information and messages for par16 ents about how they can help address teen preg17 nancy; and 

18 (3) provide challenge grants to States and Na19 tive American tribes to promote parent education 

20 and involvement. 

21 (d) ACTIVITIES.—The grantees shall carry out the 

22 purposes described in subsection (c) through the following 

23 activities: 

24 (1) Providing resources for parents and other 

25 adults (such as other family members, teachers, 


rfrederick on DSKD9S0YB1PROD with BILLS
36 

•HR 3312 IH

1 coaches, mentors, and faith leaders) that help to fos2 ter strong connections with children, including— 

3 (A) online access to current research; 

4 (B) user-friendly guides for parents; 

5 (C) practical tips and advice from experts; 

6 (D) alerts about new trends among teens; 

7 (E) suggestions for how to use the enter8 tainment media as a discussion-starter; and 

9 (F) information about the rapidly-changing 

10 media environment of teens. 

11 In order to efficiently reach and support parents, in12 formation shall be provided primarily through tech13 nological means, including the Internet. 

14 (2) Using a portion of the funds available 

15 through this section to develop and implement media 

16 campaigns directly or through grants, contracts, or 

17 cooperative agreements with other entities. Such 

18 campaigns may include the production and distribu19 tion of printed materials and messages for print 

20 media, television, and radio broadcast media, the 

21 Internet, or such other new technology as may be 

22 appropriate for reaching large numbers of parents 

23 and other adults involved in the lives of teens. Spe24 cial efforts shall be made to develop messages that 

25 are effective in reaching fathers as well as mothers. 


rfrederick on DSKD9S0YB1PROD with BILLS
37 

•HR 3312 IH

1 To the extent possible, funds used to develop and 

2 implement media campaigns under this subsection 

3 shall be matched with non-Federal resources, includ4 ing in-kind contributions, from public and private 

5 entities. Such campaigns may also include the grant6 ee providing consultation and serving as a source of 

7 factual information to individuals and organizations 

8 in the entertainment industry on issues related to 

9 teen pregnancy prevention that highlights the role of 

10 parents. 

11 (3) Awarding challenge grants on a competitive 

12 basis to States and Indian tribes. Applicants shall 

13 submit a plan for how they would involve parents 

14 and other caregivers (such as grandparents, foster 

15 parents, and other guardians) in helping to reduce 

16 teen pregnancy through activities such as— 

17 (A) workshops and community meetings; 

18 (B) providing information through employ19 ers, civic associations, community and faith20 based organizations, parent-teacher organiza21 tions, and other organizations that reach large 

22 numbers of parents; and 

23 (C) innovative ways to provide education 

24 and support for parents through online commu25 nities and neighborhood-based activities. 


rfrederick on DSKD9S0YB1PROD with BILLS
38 

•HR 3312 IH

1 (e) AUTHORIZATION OF APPROPRIATION.— 

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

3 out this section, there is authorized to be appro4 priated $30,000,000 for each of fiscal years 2010 

5 through 2014. 

6 (2) CHALLENGE GRANTS.—Of the amount ap7 propriated under paragraph (1) for a fiscal year, not 

8 less than $10,000,000 shall be made available for 

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

10 TITLE VI—PREVENTING UN11 PLANNED PREGNANCY 

12 AMONG COMMUNITY COL13 LEGE STUDENTS 

14 SEC. 601. FINDINGS. 

15 Congress makes the following findings: 

16 (1) There are 11,500,000 students enrolled in 

17 community college and 60 percent of these students 

18 are women. 

19 (2) 61 percent of women who have children 

20 after enrolling in community college fail to finish 

21 their degree. This drop-out rate is 65 percent higher 

22 than that of women who don’t have children. 

23 (3) Approximately 15 percent of all community 

24 college students are single parents compared to 6 

25 percent at 4-year colleges. 


rfrederick on DSKD9S0YB1PROD with BILLS
39 

•HR 3312 IH

1 (4) Only two out of ten students at 2-year insti2 tutions report receiving information from their col3 lege on pregnancy prevention, compared to 33 per4 cent of students at 4-year institutions. 

5 (5) Few community colleges have the resources 

6 to provide information, education, or other activities 

7 focused on healthy relationships or pregnancy pre8 vention and planning. 

9 (6) For women with some college, 53 percent of 

10 pregnancies were unplanned. This is twice as high as 

11 the percent of pregnancies that are unplanned for 

12 college graduates (26 percent). 

13 SEC. 602. DEMONSTRATION GRANTS TO PREVENT UN14 PLANNED PREGNANCY AMONG COMMUNITY 

15 COLLEGE STUDENTS. 

16 (a) IN GENERAL.—The Secretary of Education shall 

17 award demonstration grants under this section on a com18 petitive basis to community colleges for the purpose of de19 veloping and implementing innovative approaches to pre20 vent unplanned pregnancy and promote healthy relation21 ships among women and men in community colleges in 

22 order to remove a barrier to degree completion by these 

23 students, reduce poverty among these students, and im24 prove the success of these students. 


rfrederick on DSKD9S0YB1PROD with BILLS
40 

•HR 3312 IH

1 (b) REQUIREMENTS.—A grant may be made under 

2 this section only if the applicant for the grant agrees 

3 that— 

4 (1) all information provided will be factually 

5 and medically accurate and complete, and scientif6 ically based; and 

7 (2) the activities funded under this title will not 

8 include teaching or promoting religion. 

9 (c) ACTIVITIES.— 

10 (1) IN GENERAL.—A grant made under this 

11 section may be used for one or more of the fol12 lowing: 

13 (A) Developing educational content to in14 corporate in first-year orientation or core 

15 courses where appropriate. 

16 (B) Creating innovative technology-based 

17 approaches to deliver messages and information 

18 to students, faculty, and staff. 

19 (C) Training for targeted faculty and staff 

20 on how unplanned pregnancy affects student 

21 success and ways to help students address this 

22 issue. 

23 (D) Creating partnerships with commu24 nity-based organizations who have expertise in 


rfrederick on DSKD9S0YB1PROD with BILLS
41 

•HR 3312 IH

1 addressing pregnancy prevention or healthy re2 lationships. 

3 (E) Developing and employing peer-out4 reach and education to generate discussion and 

5 raise awareness among students. 

6 (F) Providing campus-based family plan7 ning services. 

8 (G) Teaching students about developing 

9 healthy relationships, including the prevention 

10 of dating and sexual violence. 

11 (H) Providing students with information 

12 regarding the dynamics and nature of domestic 

13 violence, dating violence, sexual assault, sexual 

14 coercion, or stalking; its implications for unin15 tended pregnancy and sexually transmitted in16 fections and HIV; and strategies to manage 

17 health in the context of a violent relationship. 

18 (2) INTEGRATION.—Activities funded through a 

19 grant under this title should be integrated into the 

20 academic or support areas of the community colleges 

21 in order to reach a large number of students. Pri22 ority should be given to activities that could operate 

23 on a sustained basis after the grant ends. 

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

25 establish criteria for the evaluation of projects funded 


rfrederick on DSKD9S0YB1PROD with BILLS
42 

•HR 3312 IH

1 under this section. A grant may be made only if the appli2 cant involved— 

3 (1) agrees to participate in an independent eval4 uation of the project in accordance with such cri5 teria; and 

6 (2) agrees to submit to the Secretary such data 

7 as the Secretary determines to be appropriate. 

8 (e) DEFINITION.—For the purpose of this section, 

9 the term ‘‘community college’’ means an institution of 

10 higher education (as such term is defined in section 101(a) 

11 of the Higher Education Act of 1965 (20 U.S.C. 1001(a))) 

12 at which the highest degree offered is predominantly the 

13 associate’s degree. 

14 (f) AUTHORIZATION OF APPROPRIATIONS.— 

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

16 out this section, there is authorized to be appro17 priated $15,000,000 for each of fiscal years 2010 

18 through 2012. 

19 (2) ALLOCATION.—Of the amount appropriated 

20 to carry out this section for a fiscal year— 

21 (A) at least 5 percent shall be made avail22 able— 

23 (i) for technical assistance for the 

24 projects funded under this section; 


rfrederick on DSKD9S0YB1PROD with BILLS
43 

•HR 3312 IH

1 (ii) to raise awareness of the issue of 

2 pregnancy prevention; and 

3 (iii) to disseminate promising prac4 tices among community colleges and other 

5 similar postsecondary institutions; and 

6 (B) up to 10 percent shall be made avail7 able for evaluations of the projects. 

8 TITLE VII—CLARIFICATION OF 

9 CONTINUED MEDICAID COV10 ERAGE OF FAMILY PLANNING 

11 SERVICES 

12 SEC. 701. CLARIFICATION OF CONTINUED MEDICAID COV13 ERAGE OF FAMILY PLANNING SERVICES. 

14 (a) IN GENERAL.—Section 1937(b) of the Social Se15 curity Act (42 U.S.C. 1396u–7(b)) is amended by adding 

16 at the end the following: 

17 ‘‘(5) COVERAGE OF FAMILY PLANNING SERV18 ICES AND SUPPLIES.—Notwithstanding the previous 

19 provisions of this section, a State may not provide 

20 for medical assistance through enrollment of an indi21 vidual with benchmark coverage or benchmark equiv22 alent coverage under this section unless such cov23 erage includes, for any individual (described in sec24 tion 1905(a)(4)(C)) medical assistance for family 


rfrederick on DSKD9S0YB1PROD with BILLS
44 

•HR 3312 IH

1 planning and services in accordance with such sec2 tion.’’. 

3 (b) EFFECTIVE DATE.— 

4 (1) IN GENERAL.—The amendment made by 

5 this section shall take effect on October 1, 2010. 

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. 


rfrederick on DSKD9S0YB1PROD with BILLS
45 

•HR 3312 IH

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

4 SEC. 801. 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) who are described in sub18 section (gg) (relating to individuals 

19 who meet the income standards for 

20 pregnant women);’’. 

21 (2) GROUP DESCRIBED.—Section 1902 of such 

22 Act (42 U.S.C. 1396a) is amended by adding at the 

23 end the following new subsection: 

24 ‘‘(gg)(1) Individuals described in this subsection are 

25 individuals who— 


rfrederick on DSKD9S0YB1PROD with BILLS
46 

•HR 3312 IH

1 ‘‘(A) meet at least the income eligibility stand2 ards established under the State plan as of January 

3 1, 2009, for pregnant women or such higher income 

4 eligibility standard for such women as the State may 

5 establish; and 

6 ‘‘(B) are not pregnant. 

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

8 in this subsection may include individuals who are deter9 mined to meet the income eligibility standards referred to 

10 in paragraph (1)(A) under the terms and conditions appli11 cable to making eligibility determinations for medical as12 sistance under this title under a waiver to provide the ben13 efits described in clause (XV) of the matter following sub14 paragraph (G) of section 1902(a)(10) granted to the State 

15 under section 1115 as of January 1, 2007.’’. 

16 (3) LIMITATION ON BENEFITS.—Section 

17 1902(a)(10) of the Social Security Act (42 U.S.C. 

18 1396a(a)(10)) is amended in the matter following 

19 subparagraph (G)— 

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

21 ‘‘(XIV)’’; and 

22 (B) by striking the semicolon at the end 

23 and inserting ‘‘, and (XV) the medical assist24 ance made available to an individual described 

25 in subsection (gg) who is eligible for medical asVerDate Nov 24 2008 03:48 Jul 24, 2009 Jkt 079200 PO 00000 Frm 00046 Fmt 6652 Sfmt 6201 E:\BILLS\H3312.IH H3312

rfrederick on DSKD9S0YB1PROD with BILLS
47 

•HR 3312 IH

1 sistance only because of subparagraph 

2 (A)(i)(VIII) shall be limited to family planning 

3 services and supplies described in section 

4 1905(a)(4)(C) and, at the State’s option, med5 ical diagnosis or treatment services that are 

6 provided in conjunction with a family planning 

7 service in a family planning setting provided 

8 during the period in which such an individual is 

9 eligible’’. 

10 (4) CONFORMING AMENDMENTS.—Section 

11 1905(a) of the Social Security Act (42 U.S.C. 

12 1396d(a)) is amended in the matter preceding para13 graph (1)— 

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

15 end; 

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

17 end; and 

18 (C) by inserting after clause (xiii) the fol19 lowing: 

20 ‘‘(xiv) individuals described in section 

21 1902(gg),’’. 

22 (b) PRESUMPTIVE ELIGIBILITY.— 

23 (1) IN GENERAL.—Title XIX of the Social Se24 curity Act (42 U.S.C. 1396 et seq.) is amended by 

25 inserting after section 1920B the following: 


rfrederick on DSKD9S0YB1PROD with BILLS
48 

•HR 3312 IH

1 ‘‘PRESUMPTIVE ELIGIBILITY FOR FAMILY PLANNING

2 SERVICES

3 ‘‘SEC. 1920C. (a) STATE OPTION.—A State plan ap4 proved under section 1902 may provide for making med5 ical assistance available to an individual described in sec6 tion 1902(gg) (relating to individuals who meet the income 

7 eligibility standard for pregnant women in the State) dur8 ing a presumptive eligibility period. In the case of an indi9 vidual described in section 1902(gg) who is eligible for 

10 medical assistance only because of section 

11 1902(a)(10)(i)(VIII), such medical assistance may be lim12 ited to family planning services and supplies described in 

13 1905(a)(4)(C) and, at the State’s option, medical diag14 nosis or treatment services that are provided in conjunc15 tion with a family planning service in a family planning 

16 setting provided during the period in which such an indi17 vidual is eligible. 

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

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

20 term ‘presumptive eligibility period’ means, with re21 spect to an individual described in subsection (a), 

22 the period that— 

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

24 qualified entity determines, on the basis of preVerDate Nov 24 2008 03:48 Jul 24, 2009 Jkt 079200 PO 00000 Frm 00048 Fmt 6652 Sfmt 6201 E:\BILLS\H3312.IH H3312

rfrederick on DSKD9S0YB1PROD with BILLS
49 

•HR 3312 IH

1 liminary information, that the individual is de2 scribed in section 1902(gg); and 

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

4 of— 

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

6 is made with respect to the eligibility of 

7 such individual for services under the State 

8 plan; or 

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

10 who does not file an application by the last 

11 day of the month following the month dur12 ing which the entity makes the determina13 tion referred to in subparagraph (A), such 

14 last day. 

15 ‘‘(2) QUALIFIED ENTITY.— 

16 ‘‘(A) IN GENERAL.—Subject to subpara17 graph (B), the term ‘qualified entity’ means 

18 any entity that— 

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

20 State plan approved under this title; and 

21 ‘‘(ii) is determined by the State agen22 cy to be capable of making determinations 

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

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

25 issue regulations further limiting those entities 


rfrederick on DSKD9S0YB1PROD with BILLS
50 

•HR 3312 IH

1 that may become qualified entities in order to 

2 prevent fraud and abuse and for other reasons. 

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

4 in this paragraph shall be construed as pre5 venting a State from limiting the classes of en6 tities that may become qualified entities, con7 sistent with any limitations imposed under sub8 paragraph (B). 

9 ‘‘(c) ADMINISTRATION.— 

10 ‘‘(1) IN GENERAL.—The State agency shall pro11 vide qualified entities with— 

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

13 application to be made by an individual de14 scribed in subsection (a) for medical assistance 

15 under the State plan; and 

16 ‘‘(B) information on how to assist such in17 dividuals in completing and filing such forms. 

18 ‘‘(2) NOTIFICATION REQUIREMENTS.—A quali19 fied entity that determines under subsection 

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

21 (a) is presumptively eligible for medical assistance 

22 under a State plan shall— 

23 ‘‘(A) notify the State agency of the deter24 mination within 5 working days after the date 

25 on which determination is made; and 


rfrederick on DSKD9S0YB1PROD with BILLS
51 

•HR 3312 IH

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

2 the determination is made that an application 

3 for medical assistance is required to be made by 

4 not later than the last day of the month fol5 lowing the month during which the determina6 tion is made. 

7 ‘‘(3) APPLICATION FOR MEDICAL ASSIST8 ANCE.—In the case of an individual described in 

9 subsection (a) who is determined by a qualified enti10 ty to be presumptively eligible for medical assistance 

11 under a State plan, the individual shall apply for 

12 medical assistance by not later than the last day of 

13 the month following the month during which the de14 termination is made. 

15 ‘‘(d) PAYMENT.—Notwithstanding any other provi16 sion of this title, medical assistance that— 

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

18 subsection (a)— 

19 ‘‘(A) during a presumptive eligibility pe20 riod; and 

21 ‘‘(B) by a entity that is eligible for pay22 ments under the State plan; and 

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

24 by the State plan, shall be treated as medical assistVerDate Nov 24 2008 04:52 Jul 25, 2009 Jkt 079200 PO 00000 Frm 00051 Fmt 6652 Sfmt 6201 E:\BILLS\H3312.IH H3312

rfrederick on DSKD9S0YB1PROD with BILLS
52 

•HR 3312 IH

1 ance provided by such plan for purposes of clause 

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

3 TITLE IX—MEDICAID AND CHIP 

4 COVERAGE OF MOTHERS AND 

5 CHILDREN 

6 SEC. 901. EXTENDING POSTPARTUM COVERAGE FOR MED7 ICAID AND CHIP. 

8 (a) MEDICAID COVERAGE EXTENSION.— 

9 (1) Section 1902 of the Social Security Act (42 

10 U.S.C. 1306a) is amended— 

11 (A) in subsections (e)(5), (e)(6), and 

12 (l)(1)(A), by striking ‘‘60-day’’ and inserting 

13 ‘‘1-year’’ each place it appears; and 

14 (B) in the matter in subsection (a)(10) fol15 lowing subparagraph (G)— 

16 (i) in clause (V), by inserting ‘‘, ex17 cept that the limit on medical assistance 

18 under this clause does not apply during the 

19 1-year period beginning on the last day of 

20 the pregnancy’’ after ‘‘under the State 

21 plan’’; and 

22 (ii) in clause (VII), by inserting ‘‘, ex23 cept that the limit on medical assistance 

24 under this clause does not apply during the 

25 1-year period beginning on the last day of 


rfrederick on DSKD9S0YB1PROD with BILLS
53 

•HR 3312 IH

1 the pregnancy’’ after ‘‘may complicate 

2 pregnancy’’. 

3 (2) Section 1903(v)(4)(A)(i) of such Act (42 

4 U.S.C. 1396b(v)(4)(A)(i)) is amended by striking 

5 ‘‘60-day’’ and inserting ‘‘1-year’’. 

6 (3) Section 1938(b)(2)(C) of such Act (42 

7 U.S.C. 1396u–8(b)(2)(C)) is amended by striking 

8 ‘‘60 days’’ and inserting ‘‘1 year’’. 

9 (b) SCHIP.— 

10 (1) Section 2112(d)(2)(A) of such Act (42 

11 U.S.C. 1397ll(d)(2)(A)) is amended— 

12 (A) in subsections (d)(2)(A) and (f)(2), by 

13 striking ‘‘60-day’’ and inserting ‘‘1-year’’ each 

14 place it appears; and 

15 (B) in subsection (f)(2)— 

16 (i) in the heading by striking 

17 ‘‘POSTPARTUM SERVICES’’ and inserting 

18 ‘‘SERVICES POSTPARTUM’’; 

19 (ii) by striking ‘‘may continue’’ and 

20 inserting ‘‘shall continue’’; 

21 (iii) by striking ‘‘, as well as 

22 postpartum services,’’ and ‘‘and 

23 postpartum services’’; and 

24 (iv) by striking ‘‘, but only if’’ and all 

25 that follows up to the period at the end. 


rfrederick on DSKD9S0YB1PROD with BILLS
54 

•HR 3312 IH

1 SEC. 902. COORDINATION WITH THE MATERNAL AND CHILD 

2 HEALTH PROGRAM. 

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

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

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

6 the end; 

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

8 and inserting ‘‘; and’’; and 

9 (3) by adding at the end the following new sub10 paragraph: 

11 ‘‘(F) that operations and activities under 

12 this title are developed and implemented in con13 sultation and coordination with the program op14 erated by the State under title V in areas in15 cluding outreach and enrollment, benefits and 

16 services, service delivery standards, public 

17 health and social service agency relationships, 

18 and quality assurance and data reporting.’’. 

19 (b) CONFORMING MEDICAID AMENDMENT.—Section 

20 1902(a)(11) of such Act (42 U.S.C. 1396a(a)(11)) is 

21 amended— 

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

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

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

25 activities under this title are developed and imple26 mented in consultation and coordination with the 


rfrederick on DSKD9S0YB1PROD with BILLS
55 

•HR 3312 IH

1 program operated by the State under title V in areas 

2 including outreach and enrollment, benefits and 

3 services, service delivery standards, public health 

4 and social service agency relationships, and quality 

5 assurance and data reporting’’. 

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

7 this section take effect on January 1, 2010. 

8 SEC. 903. INCREASE IN SCHIP INCOME ELIGIBILITY. 

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

10 2110(c)(4) of the Social Security Act (42 U.S.C. 

11 1397jj(c)(4)) is amended by striking ‘‘200’’ and inserting 

12 ‘‘250’’. 

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

14 subsection (a) applies to child health assistance provided 

15 and allotments determined under section 2104 of the So16 cial Security Act (42 U.S.C. 1397dd) for fiscal years be17 ginning with fiscal year 2010. 

18 SEC. 904. OUTREACH PROGRAM TO ENCOURAGE THOSE EL19 IGIBLE FOR SERVICES TO ENROLL. 

20 The Secretary shall make such funds available as 

21 may be necessary to encourage eligible pregnant women 

22 to enroll for services under this title. 


rfrederick on DSKD9S0YB1PROD with BILLS
56 

•HR 3312 IH

1 TITLE X—TITLE X OF PUBLIC 

2 HEALTH SERVICE ACT 

3 SEC. 1001. SHORT TITLE. 

4 This title may be cited as the ‘‘Title X Family Plan5 ning Services Act of 2009’’. 

6 SEC. 1002. AUTHORIZATION OF APPROPRIATIONS. 

7 For the purpose of making grants and contracts 

8 under section 1001 of the Public Health Service Act (42 

9 U.S.C. 300), there are authorized to be appropriated 

10 $700,000,000 for fiscal year 2010, and such sums as may 

11 be necessary for each subsequent fiscal year. 

12 TITLE XI—ENSURING COVERAGE 

13 OF MATERNITY CARE 

14 SEC. 1101. REMOVAL OF PREGNANCY AS A PREEXISTING 

15 CONDITION UNDER INDIVIDUAL HEALTH IN16 SURANCE COVERAGE. 

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

18 Service Act (42 U.S.C. 300gg et seq.) is amended by in19 serting after section 2753 the following: 

20 ‘‘SEC. 2754. PREEXISTING CONDITION EXCLUSION NOT AP21 PLICABLE TO PREGNANCY. 

22 ‘‘Individual health insurance coverage, and a health 

23 insurance issuer offering individual health insurance cov24 erage, may not impose any preexisting condition exclusion 

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


rfrederick on DSKD9S0YB1PROD with BILLS
57 

•HR 3312 IH

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

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

3 January 1, 2010. 

4 SEC. 1102. COVERAGE OF MATERNITY CARE IN THE INDI5 VIDUAL MARKET. 

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

7 Service Act (42 U.S.C. 300gg et seq.), as amended by sec8 tion 1101, is further amended by inserting after section 

9 2754 the following: 

10 ‘‘SEC. 2755. COVERAGE OF MATERNITY CARE. 

11 ‘‘(a) IN GENERAL.—A health insurance issuer offer12 ing health insurance in the individual market that is 

13 issued, amended, renewed, or delivered on or after the date 

14 of enactment of this section, shall provide coverage for ma15 ternity services. 

16 ‘‘(b) MATERNITY SERVICES DEFINED.—In this sec17 tion the term ‘maternity services’ includes preconception, 

18 prenatal care, necessary immunizations, mental health 

19 screening and services, ambulatory care maternity serv20 ices, complications of pregnancy, neonatal care, inpatient 

21 hospital maternity care including labor and delivery, in22 cluding c-sections, and postpartum care including family 

23 planning services. 

24 ‘‘(c) NON-PREEMPTION.—Nothing in this section 

25 shall be construed to preempt any State law in effect as 


rfrederick on DSKD9S0YB1PROD with BILLS
58 

•HR 3312 IH

1 of the date of enactment of this section, with respect to 

2 health insurance that requires coverage of maternity serv3 ices that exceeds the minimum coverage requirements as 

4 specified in subsection (a).’’. 

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

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

7 January 1, 2010. 

8 TITLE XII—IMPROVING ACCESS 

9 TO PRENATAL ULTRASOUNDS 

10 SEC. 1201. GRANTS TO HEALTH CENTERS FOR PURCHASE 

11 OF ULTRASOUND EQUIPMENT. 

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

13 (42 U.S.C. 243 et seq.) is amended by inserting after sec14 tion 317L the following: 

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

16 OF ULTRASOUND EQUIPMENT. 

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

18 for the purchase of ultrasound equipment. Such 

19 ultrasound equipment shall be used by the recipients of 

20 such grants to provide ultrasound examinations to preg21 nant women consenting to such services. 

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

23 receive a grant under subsection (a) only if— 

24 ‘‘(1) the entity is a health center eligible to re25 ceive a grant under section 330; and 


rfrederick on DSKD9S0YB1PROD with BILLS
59 

•HR 3312 IH

1 ‘‘(2) the entity follows practice standards sup2 ported by the American Institute of Ultrasound in 

3 Medicine and other professional organizations rep4 resenting health care providers. 

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

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

7 grant is submitted in such form, in such manner, and con8 taining such agreements, assurances, and information as 

9 the Secretary determines to be necessary. 

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

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

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

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

14 require, on the ongoing compliance of the applicant with 

15 the eligibility conditions established in this section. 

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

17 purpose of carrying out this section, there are authorized 

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

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

20 2011 through 2013.’’ 


rfrederick on DSKD9S0YB1PROD with BILLS
60 

•HR 3312 IH

1 TITLE XIII—PREVENTING DO2 MESTIC VIOLENCE AND SEX3 UAL ASSAULT AND ADDRESS4 ING THE LINK BETWEEN 

5 SUCH VIOLENCE AND UNIN6 TENDED PREGNANCY 

7 SEC. 1301. FINDINGS. 

8 The Congress finds as follows: 

9 (1) On average, almost 500 women are raped or 

10 sexually assaulted each day in the United States and 

11 4,800,000 intimate partner related physical assaults 

12 and rapes are experienced by women each year. 

13 (2) Homicide was found to be a leading cause 

14 of pregnancy-associated injury deaths among women 

15 from 1991–1999. The pregnancy-associated homi16 cide ratio was 1.7 per 100,000 live births. 

17 (3) Women experiencing abuse in the year prior 

18 to and/or during a recent pregnancy are 40 to 60 

19 percent more likely than non-abused women to re20 port high-blood pressure, vaginal bleeding, severe 

21 nausea, kidney or urinary tract infections and hos22 pitalization during pregnancy and are 37 percent 

23 more likely to deliver preterm. 

24 (4) Children born to abused mothers are 17 

25 percent more likely to be born underweight and 


rfrederick on DSKD9S0YB1PROD with BILLS
61 

•HR 3312 IH

1 more than 30 percent more likely than other chil2 dren to require intensive care upon birth. 

3 (5) Too few doctors screen their patients for 

4 abuse, even though up to one in 12 pregnant women 

5 are battered. 

6 (6) Physical violence is linked to STD and HIV 

7 transmission, miscarriages, and risky sexual health 

8 behavior. 

9 (7) A study found women who experienced inti10 mate partner violence were more likely to report a 

11 lack of contraception use due to partner control over 

12 contraception. 

13 (8) Two in five adult women who have been 

14 abused by partners have experienced an unwanted 

15 pregnancy. 

16 SEC. 1302. SEPARATE PROGRAM TO IDENTIFY AND TREAT 

17 WOMEN WHO ARE VICTIMS OF OR AT RISK OF 

18 DOMESTIC VIOLENCE, DATING VIOLENCE, 

19 SEXUAL ASSAULT, SEXUAL COERCION, OR 

20 STALKING. 

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

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

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

24 has transmitted an application for the fiscal year under 


rfrederick on DSKD9S0YB1PROD with BILLS
62 

•HR 3312 IH

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 women who are victims 

10 of or at risk of domestic violence, dating violence, sexual 

11 assault, sexual coercion, or stalking through training 

12 health care professionals and behavioral and public health 

13 staff how to identify, assess, treat, and refer such women. 

14 Such training shall include— 

15 (1) identifying patients or clients at risk of or 

16 experiencing domestic violence, dating violence sex17 ual assault, sexual coercion, or stalking; 

18 (2) assessing the immediate safety of the pa19 tient or client, the impact of the abuse on the health 

20 of the patient, and assisting the patient in devel21 oping a plan to promote her safety; 

22 (3) examining and treating such patients or cli23 ents, including providing information regarding the 

24 dynamics and nature of domestic violence, dating vi25 olence sexual assault, sexual coercion, or stalking; 


rfrederick on DSKD9S0YB1PROD with BILLS
63 

•HR 3312 IH

1 (4) providing information regarding its implica2 tions for unintended pregnancy and sexually trans3 mitted infections and HIV; 

4 (5) emphasizing strategies to manage the pa5 tient or client’s health, including unintended preg6 nancies, in the context of a violent relationship; 

7 (6) maintaining complete medical or forensic 

8 records that include the documentation of the exam9 ination, treatment given, and referrals made, and es10 tablishing mechanisms to ensure the privacy and 

11 confidentiality of those medical records; 

12 (7) referring the patient or client to public and 

13 private nonprofit entities that provide services for 

14 such victims; and 

15 (8) ensuring that all services are provided in a 

16 linguistically and culturally relevant manner. 

17 (c) APPLICATION OF PROVISIONS.— 

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

19 of the Social Security Act apply to allotments under 

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

21 manner as such sections apply to allotments under 

22 section 502(c) of such Act. 

23 (2) SECRETARIAL DISCRETION.—Sections 505 

24 and 506 of the Social Security Act apply to allotVerDate Nov 24 2008 03:48 Jul 24, 2009 Jkt 079200 PO 00000 Frm 00063 Fmt 6652 Sfmt 6201 E:\BILLS\H3312.IH H3312

rfrederick on DSKD9S0YB1PROD with BILLS
64 

•HR 3312 IH

1 ments under subsection (a) to the extent determined 

2 by the Secretary to be appropriate. 

3 (d) AUTHORIZATION OF APPROPRIATIONS.—For the 

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

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

6 fiscal years 2010 through 2014. 

7 SEC. 1303. ADDITIONAL AUTHORIZATION OF APPROPRIA8 TIONS FOR PUBLIC CAMPAIGN TO INCREASE 

9 PUBLIC AWARENESS. 

10 Section 403 of the Violence Against Women and De11 partment of Justice Reauthorization Act of 2005 (42 

12 U.S.C. 14045c) is amended— 

13 (1) in subsection (a), by inserting ‘‘women, in14 cluding’’ after ‘‘against’’; and 

15 (2) in subsection (b), by striking ‘‘such sums’’ 

16 and all that follows and inserting the following: 

17 ‘‘$5,000,000 for fiscal year 2010, and such sums as 

18 may be necessary for each of fiscal years 2011 

19 through 2014.’’. 

20 TITLE XIV—SUPPORT FOR PREG21 NANT AND PARENTING STU22 DENTS 

23 SEC. 1401. SUPPORT SERVICES FOR STUDENTS. 

24 (a) IN GENERAL.—The Secretary of Education may 

25 make grants to institutions of higher education (as defined 


rfrederick on DSKD9S0YB1PROD with BILLS
65 

•HR 3312 IH

1 in section 102 of the Higher Education Act of 1965 (20 

2 U.S.C. 1002)) that receive Federal financial assistance to 

3 carry out demonstration projects for the purpose of pro4 viding services to assist students who have decided to 

5 carry their pregnancies to term, including those antici6 pating adoption, and parenting students, in continuing 

7 their studies and graduating. 

8 (b) APPLICATION.—Each institution of higher edu9 cation desiring a grant under this section shall submit to 

10 the Secretary of Education an application in such form, 

11 in such manner, and containing such agreements, assur12 ances, and information as the Secretary determines to be 

13 necessary to carry out this section. Such application shall 

14 include an assurance that the institution will— 

15 (1) provide the services offered under the dem16 onstration program carried out with such grant 

17 through on-campus facilities; and 

18 (2) submit to the Secretary, for each fiscal year 

19 for which such grant is awarded, a report describing 

20 the activities carried out under the grant and the ef21 fects of the activities on the students to whom serv22 ices are provided. 

23 (c) LIMITATIONS ON AMOUNT OF GRANT.—Each 

24 grant awarded under subsection (a) for a fiscal year shall 

25 be for an amount that is not more than $25,000. 


rfrederick on DSKD9S0YB1PROD with BILLS
66 

•HR 3312 IH

1 (d) AUTHORIZATION OF APPROPRIATIONS.—For the 

2 purpose of carrying out this section, there are authorized 

3 to be appropriated $500,000 for each of fiscal years 2010 

4 through 2014. 

5 SEC. 1402. CHILD CARE ACCESS MEANS PARENTS IN 

6 SCHOOL PROGRAM. 

7 Section 419N(b)(2)(B) of the Higher Education Act 

8 of 1965 (20 U.S.C. 1070e(b)(2)(B)) is amended to read 

9 as follows: 

10 ‘‘(B) MINIMUM.—A grant under this sec11 tion shall be awarded in an amount that is not 

12 less than $30,000.’’. 

13 TITLE XV—GRANTS FOR A NA14 TIONAL INFORMATION CAM15 PAIGN ON ADOPTION 

16 SEC. 1501. GRANTS FOR A NATIONAL INFORMATION CAM17 PAIGN ON ADOPTION. 

18 (a) GRANTS.—The Secretary shall select on the basis 

19 of competitive grants, national nonpartisan, nonprofit or20 ganizations that meet the requirements of this section to 

21 establish national information campaigns to educate the 

22 public about adoption, including foster care adoption, and 

23 resources available to prospective and current adoptive 

24 parents, and to carry out the purposes and activities de25 scribed in subsections (c) and (d). 


rfrederick on DSKD9S0YB1PROD with BILLS
67 

•HR 3312 IH

1 (b) REQUIREMENTS FOR GRANT.—The Secretary 

2 may award a grant under this section to an entity only 

3 if the Secretary determines that— 

4 (1) the organization has experience in the field 

5 of adoption and foster care, which includes, but is 

6 not limited to, research and education; 

7 (2) the organization is research-based; 

8 (3) the organization has comprehensive knowl9 edge and data about adoption and foster care; 

10 (4) the organization has a demonstrated ability 

11 to work with and provide assistance to a broad 

12 range of individuals and entities; and 

13 (5) the organization has provided assurances 

14 satisfactory to the Secretary that the activities fund15 ed under this section will not include teaching or 

16 promoting religion. 

17 (c) PURPOSES.—Purposes under subsection (a) may 

18 include the following: 

19 (1) Developing and implementing comprehen20 sive information campaigns to promote accurate 

21 positive information and messages on adoption, in22 cluding foster care adoption, and the benefits it can 

23 bring to children and families. 

24 (2) Reaching the public in a linguistically and 

25 culturally relevant manner, dispelling negative 


rfrederick on DSKD9S0YB1PROD with BILLS
68 

•HR 3312 IH

1 stereotypes while promoting accurate, comprehensive 

2 positive information and messages about adoption, 

3 including foster care adoption. 

4 (d) ACTIVITIES.—Each grantee shall carry out the 

5 purposes described in subsection (c) and develop and im6 plement information campaigns directly or through 

7 grants, contracts, or cooperative agreements with other 

8 entities. Activities may include the following: 

9 (1) Public service announcements. 

10 (2) Paid educational messages for print media. 

11 (3) Public transit advertising. 

12 (4) Radio broadcast media. 

13 (5) Internet. 

14 (6) Other new technology as may be appro15 priate for reaching a large audience. 

16 (7) Providing information through community 

17 and faith-based organizations. 

18 (8) Providing workshops or trainings for media, 

19 professionals, and other relevant parties. 

20 (e) SUBMISSION OF PLAN.— 

21 (1) IN GENERAL.—To be eligible to receive a 

22 grant under this section, a grantee shall submit to 

23 the Secretary an application that meets the require24 ments of paragraph (2). 


rfrederick on DSKD9S0YB1PROD with BILLS
69 

•HR 3312 IH

1 (2) REQUIREMENTS.—An application under this 

2 subsection shall be submitted in such form, in such 

3 manner, and containing such information and assur4 ances as the Secretary may prescribe, and shall in5 clude the following: 

6 (A) A complete description of applicant’s 

7 plan for the proposed public information cam8 paign. 

9 (B) A description of the positive messages 

10 for the proposed public information campaign. 

11 (C) An identification of the media organi12 zations and other groups through which the 

13 campaign will be carried out. 

14 (D) A description of the nature, amount, 

15 distribution, and timing of informational mes16 sages to be used in the campaign. 

17 (E) If targeting specific communities and 

18 groups, an identification of the specific commu19 nities and groups to be educated by the cam20 paign, and a description of how the campaign 

21 will educate the communities and groups. 

22 (F) If targeting specific communities and 

23 groups, the plans of the applicant with respect 

24 to working with organizations that have experVerDate Nov 24 2008 03:48 Jul 24, 2009 Jkt 079200 PO 00000 Frm 00069 Fmt 6652 Sfmt 6201 E:\BILLS\H3312.IH H3312

rfrederick on DSKD9S0YB1PROD with BILLS
70 

•HR 3312 IH

1 tise in developing culturally appropriate infor2 mational messages. 

3 (G) A description of the geographic dis4 tribution of the campaign. 

5 (H) Such other information and assur6 ances as the Secretary may require. 

7 (f) EVALUATION OF PROJECT.—The Secretary shall 

8 establish criteria for the evaluation of projects. A grant 

9 may be made only if the grantee involved— 

10 (1) agrees to participate in an independent eval11 uation of the project in accordance with such cri12 teria; and 

13 (2) agrees to submit to the Secretary such data 

14 as the Secretary determines to be appropriate. 

15 (g) AUTHORIZATION OF APPROPRIATIONS.— 

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

17 out this section, there is authorized to be appro18 priated $30,000,000 for each of fiscal years 2010 

19 through 2014. 

20 (2) EVALUATION.—Of the total amount appro21 priated to carry out this section for a fiscal year, not 

22 more than 10 percent may be made available for the 

23 evaluation of projects. 


rfrederick on DSKD9S0YB1PROD with BILLS
71 

•HR 3312 IH

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: 


rfrederick on DSKD9S0YB1PROD with BILLS
72 

•HR 3312 IH

1 ‘‘(h) ADJUSTMENTS FOR INFLATION.— 

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

3 taxable year beginning after December 31, 2010, 

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 2009’ 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 


rfrederick on DSKD9S0YB1PROD with BILLS
73 

•HR 3312 IH

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.— 


rfrederick on DSKD9S0YB1PROD with BILLS
74 

•HR 3312 IH

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

2 taxable year beginning after December 31, 2010, 

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 2009’ 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. 


rfrederick on DSKD9S0YB1PROD with BILLS
75 

•HR 3312 IH

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 23, as amend9 ed by subsection (a), as section 36B, and 

10 (B) by moving section 36B (as so redesig11 nated) from subpart A of part IV of subchapter 

12 A of chapter 1 to the location immediately be13 fore section 37 in subpart C of part IV of sub14 chapter A of chapter 1. 

15 (2) CONFORMING AMENDMENTS.— 

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

17 amended by striking ‘‘sections 23,’’. 

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

19 amended— 

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

21 25D,’’ and inserting ‘‘25D’’, and 

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

23 (C) Section 25A(i)(5)(B) of such Code is 

24 amended by striking ‘‘23, 25D’’ and inserting 

25 ‘‘25D’’. 


rfrederick on DSKD9S0YB1PROD with BILLS
76 

•HR 3312 IH

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

2 amended by striking ‘‘23,’’. 

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

4 amended by striking ‘‘23,’’. 

5 (F) Section 30(c)(2)(B)(ii) of such Code is 

6 amended by striking ‘‘23, 25D’’ and inserting 

7 ‘‘25D’’. 

8 (G) Section 30B(g)(2)(B)(ii) of such Code 

9 is amended by striking ‘‘23,’’. 

10 (H) Section 30D(c)(2)(B)(ii) of such Code 

11 is amended by striking ‘‘sections 23 and’’ and 

12 inserting ‘‘section’’. 

13 (I) Section 36B of such Code, as so redes14 ignated, is amended— 

15 (i) by striking paragraph (4) of sub16 section (b), and 

17 (ii) by striking subsection (c). 

18 (J) Section 137 of such Code is amend19 ed— 

20 (i) in subsection (d) by striking ‘‘sec21 tion 23(d)’’ and inserting ‘‘section 

22 36B(d)’’, and 

23 (ii) in subsection (e) by striking ‘‘sec24 tion 23’’ and inserting ‘‘section 36B’’. 


rfrederick on DSKD9S0YB1PROD with BILLS
77 

•HR 3312 IH

1 (K) Section 904(i) of such Code is amend2 ed by striking ‘‘23,’’. 

3 (L) Section 1016(a)(26) is amended by 

4 striking ‘‘23(g)’’ and inserting ‘‘36B(g)’’. 

5 (M) Section 1400C(d) of such Code is 

6 amended by striking ‘‘23,’’. 

7 (N) The table of sections for subpart A of 

8 part IV of subchapter A of chapter 1 of such 

9 Code of 1986 is amended by striking the item 

10 relating to section 23. 

11 (O) Paragraph (2) of section 1324(b) of 

12 title 31, United States Code, is amended by in13 serting ‘‘36B,’’ after ‘‘36A,’’. 

14 (P) The table of sections for subpart C of 

15 part IV of subchapter A of chapter 1 of the In16 ternal Revenue Code of 1986 is amended by 

17 striking the last item and inserting the fol18 lowing new items: 

‘‘Sec. 36B. Adoption expenses.’’. 

19 (c) MODIFICATIONS MADE BY EGTRRA TO ADOP20 TION CREDIT MADE PERMANENT.—Title IX of the Eco21 nomic Growth and Tax Relief Reconciliation Act of 2001 

22 shall not apply to the amendments made by section 202 

23 of such Act. 


rfrederick on DSKD9S0YB1PROD with BILLS
78 

•HR 3312 IH

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

2 this section shall apply to taxable years beginning after 

3 December 31, 2009. 

4 TITLE XVII—PROVIDING 

5 SUPPORT TO NEW PARENTS 

6 SEC. 1701. INCREASED SUPPORT FOR WIC PROGRAM. 

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

8 (1) The special supplemental nutrition program 

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

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

11 U.S.C. 1786) serves over 9,000,000 women, infants, 

12 and children. 

13 (2) Over half of all infants in the United States 

14 and 1 in 4 young children under age 5 get crucial 

15 health and nutrition benefits from the WIC Pro16 gram. 

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

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

19 savings for newborns and their mothers. 

20 (4) The WIC program has been proven to in21 crease the number of women receiving prenatal care, 

22 reduce the incidence of low birth weight and fetal 

23 mortality, reduce anemia, and enhance the nutri24 tional quality of the diet of mothers and children. 


rfrederick on DSKD9S0YB1PROD with BILLS
79 

•HR 3312 IH

1 (5) The WIC program’s essential, effective nu2 trition services include nutrition assessment, coun3 seling and education, obesity prevention, 

4 breastfeeding support and promotion, prenatal and 

5 pediatric health care referrals and follow-up, spousal 

6 and child abuse referral, drug and alcohol abuse re7 ferral, immunization screening, assessment and re8 ferral, and a host of other services for mothers and 

9 children. 

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

11 the WIC program are unable to receive WIC serv12 ices. 

13 (b) EXTENDING CERTIFICATION PERIOD.—Section 

14 17(d)(3)(A) of the Child Nutrition Act of 1966 (42 U.S.C. 

15 1786(d)(3)(A)) is amended by adding at the end the fol16 lowing: 

17 ‘‘(iii) CHILDREN.—A State may elect 

18 to certify children for a period of 1 year.’’. 

19 (c) PROMOTING AND SUPPORTING

20 BREASTFEEDING.— 

21 (1) The second sentence of section 17(a) of the 

22 Child Nutrition Act of 1966 (42 U.S.C. 1786(a)) is 

23 amended to read as follows: ‘‘It is, therefore, the 

24 purpose of the program authorized by this section to 

25 provide, up to the authorization levels set forth in 


rfrederick on DSKD9S0YB1PROD with BILLS
80 

•HR 3312 IH

1 subsection (g) of this section, supplemental foods, 

2 nutrition education, and breastfeeding support and 

3 promotion through any eligible local agency that ap4 plies for participation in the program.’’ 

5 (2) Section 17(h)(10)(B)(iii) of the Child Nutri6 tion Act of 1966 (42 U.S.C. 1786(h)(10(B)(iii)) is 

7 amended to read as follows: 

8 ‘‘(iii) $40,000,000 shall be used for 

9 special nutrition education such as 

10 breastfeeding peer counselors and other re11 lated activities.’’. 

12 (3) Section 17(h)(1)(C)(ii) of the Child Nutri13 tion Act of 1966 (42 U.S.C. 1786(h)(1)(C)(ii)) is 

14 amended to read as follows: 

15 ‘‘(ii) BREAST PUMPS.—A State agen16 cy may, without restriction, use amounts 

17 available under clause (i) for the provision 

18 of breast pumps needed to serve partici19 pants.’’. 

20 (d) APPROPRIATING FUNDING FOR WIC.—Section 

21 17(g)(1)(A) of the Child Nutrition Act of 1966 (42 U.S.C. 

22 1786(g)(1)(A)) is amended to read as follows: 

23 ‘‘(A) AUTHORIZATION.—There are author24 ized to be appropriated to carry out this sec25 tion— 


rfrederick on DSKD9S0YB1PROD with BILLS
81 

•HR 3312 IH

1 ‘‘(i) $7,777,000,000 for fiscal year 

2 2010, of which— 

3 ‘‘(I) $40,000,000 shall be made 

4 available for breastfeeding peer coun5 selors; 

6 ‘‘(II) $40,000,000 shall be made 

7 available for infrastructure needs; 

8 ‘‘(III) $60,000,000 shall be made 

9 available for management information 

10 systems; and 

11 ‘‘(IV) $5,000,000 shall be made 

12 available to support rigorous health 

13 outcomes research and evaluation. 

14 ‘‘(ii) such sums as may be necessary 

15 for fiscal year 2011.’’. 

16 SEC. 1702. NUTRITIONAL SUPPORT FOR LOW-INCOME PAR17 ENTS. 

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

19 2008 (7 U.S.C. 2014(c)(2)) is amended by striking ‘‘30 

20 percentum’’ and inserting ‘‘85 percent’’. 

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

22 DEVELOPMENT BLOCK GRANT PROGRAM. 

23 Section 658B of the Child Care and Development 

24 Block Grant Act of 1990 (42 U.S.C. 9858) is amended 

25 by striking ‘‘$1,000,000,000 for each of fiscal years 1996 


rfrederick on DSKD9S0YB1PROD with BILLS
82 

•HR 3312 IH

1 through 2002’’ and inserting ‘‘$4,127,000,000 for each of 

2 fiscal years 2010 through 2016’’. 

3 SEC. 1704. FREE HOME VISITS BY TRAINED HOME VISITORS 

4 FOR EDUCATION ON HEALTH AND DEVELOP5 MENTAL NEEDS OF INFANTS AND TODDLERS 

6 FOR LOW-INCOME FAMILIES. 

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

8 to health departments and schools to provide to eligible 

9 families, without charge, education on the health and de10 velopmental needs of their infants through visits to their 

11 homes by trained home visitors. 

12 (b) DEFINITIONS.—In this section: 

13 (1) ELIGIBLE FAMILY.—The term ‘‘eligible 

14 family’’ means a family that— 

15 (A) has low income; and 

16 (B) includes the parents or caregivers of a 

17 child who has not yet entered kindergarten. 

18 (2) LOW INCOME.— 

19 (A) IN GENERAL.—The term ‘‘low income’’ 

20 means income not exceeding 200 percent of the 

21 poverty line for a family of the size involved. 

22 (B) SPECIAL RULE.—For purposes of this 

23 section, a family that has low income when the 

24 provision of home visitation services to the fam25 ily commences shall be considered to have low 


rfrederick on DSKD9S0YB1PROD with BILLS
83 

•HR 3312 IH

1 income throughout the course of receiving the 

2 services. 

3 (3) POVERTY LINE.—The term ‘‘poverty line’’ 

4 has the meaning given the term in section 673(2) of 

5 the Community Services Block Grant Act (42 U.S.C. 

6 9902(2)), including any revision required by such 

7 section. 

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

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

10 agrees as follows: 

11 (1) The program carried out under subsection 

12 (a) by the applicant will be designed to instill in eli13 gible families confidence in their abilities to provide 

14 for the health needs of their newborns, including 

15 through— 

16 (A) providing information on child develop17 ment; and 

18 (B) soliciting questions from the families. 

19 (2) The trained home visitors who make home 

20 visits under subsection (a) will, as needed, provide 

21 referrals for health and social services. 

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

23 available to an eligible family will not be less than 

24 1 year. 


rfrederick on DSKD9S0YB1PROD with BILLS
84 

•HR 3312 IH

1 (4) An eligible family will receive no less than 

2 2 visits each month, with more frequent visits pro3 vided for families with high needs. 

4 (5) The program is proven effective on the basis 

5 of rigorous scientific research. 

6 (d) AUTHORIZED SERVICES.— 

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

8 under subsection (a) only if the applicant involved 

9 agrees that the following services will be provided by 

10 trained home visitors in home visits under subsection 

11 (a): 

12 (A) Research based information on child 

13 health and age appropriate development, includ14 ing suggestions for child-developmental activi15 ties. 

16 (B) Advice on parenting, including infor17 mation on how to develop a strong parent-child 

18 relationship and realistic expectations of age-ap19 propriate child behaviors. 

20 (C) Information on parenting, including 

21 identifying books, videos and parenting work22 shops in the local region. 

23 (D) Information on programs that facili24 tate parent-to-parent support services. 


rfrederick on DSKD9S0YB1PROD with BILLS
85 

•HR 3312 IH

1 (E) Factually and medically accurate and 

2 complete information about contraception. 

3 (F) In the case of an eligible entity who is 

4 a student, information on resources that may 

5 assist the mother in completing the educational 

6 courses involved. 

7 (G) Child health and developmental screen8 ing. 

9 (2) ADDITIONAL SERVICES.—A grant under 

10 subsection (a) may be expended to provide services 

11 under such subsection in addition to the services 

12 specified in paragraph (1). The services may in13 clude— 

14 (A) providing the necessary hygiene prod15 ucts for children, such as diapers, that allow a 

16 parent to provide for the basic needs of the 

17 child; or 

18 (B) an effort to recruit low-income preg19 nant women who are in their third trimester 

20 and have decided to carry their pregnancy to 

21 term. 

22 (e) LIMITATIONS ON AUTHORIZATION OF APPRO23 PRIATIONS.—To carry out this section, there are author24 ized to be appropriated $150,000,000 for fiscal year 2010, 

25 $250,000,000 for fiscal year 2011, $350,000,000 for fisVerDate Nov 24 2008 03:48 Jul 24, 2009 Jkt 079200 PO 00000 Frm 00085 Fmt 6652 Sfmt 6201 E:\BILLS\H3312.IH H3312

rfrederick on DSKD9S0YB1PROD with BILLS
86 

•HR 3312 IH

1 cal year 2012, $450,000,000 for fiscal year 2013, and 

2 $550,000,000 for fiscal year 2014. 

3 SEC. 1705. GRANTS TO INCREASE PUBLIC AWARENESS OF 

4 RESOURCES AVAILABLE TO NEW PARENTS. 

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

6 States to increase public awareness of resources available 

7 to new parents. 

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

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

10 to use the grant for all the following: 

11 (1) Identification of resources available to new 

12 parents. 

13 (2) Conducting an advertising campaign to in14 crease public awareness of the resources. 

15 (3) Establishing and maintaining a toll-free 

16 telephone line to direct people to— 

17 (A) adoption centers; and 

18 (B) organizations that provide support 

19 services to new parents. 

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

21 State receiving a grant under this section from using the 

22 grant to direct people to an organization or adoption cen23 ter that is operated for profit. 

24 (d) CERTIFICATIONS REQUIRED AS CONDITION OF

25 GRANT.—As a condition of providing a grant to a State 


rfrederick on DSKD9S0YB1PROD with BILLS
87 

•HR 3312 IH

1 under this section, the Secretary shall require the State 

2 to certify to the Secretary that the State will— 

3 (1) use the grant to direct people to an organi4 zation that provides mandatory full disclosure as to 

5 which services and referrals the organization will or 

6 will not provide; and 

7 (2) make publicly available by means of the 

8 Internet (in electronic and paper form) a list of— 

9 (A) the resources identified by the State 

10 pursuant to subsection (b)(1); and 

11 (B) the organizations and adoption centers 

12 to which people are directed pursuant to an ad13 vertising campaign or telephone line funded 

14 under this section. 

15 TITLE XVIII—RESEARCH ON RE16 SPONSES TO UNINTENDED 

17 PREGNANCIES 

18 SEC. 1801. REPORT ON RESPONSES TO UNINTENDED PREG19 NANCY. 

20 (a) IN GENERAL.—The Secretary shall enter into an 

21 agreement with the Institute of Medicine to study the 

22 range of choices women make in response to unintended 

23 pregnancy. The Secretary shall ensure that a report from 

24 the Institute describing the findings of the study is subVerDate Nov 24 2008 03:48 Jul 24, 2009 Jkt 079200 PO 00000 Frm 00087 Fmt 6652 Sfmt 6201 E:\BILLS\H3312.IH H3312

rfrederick on DSKD9S0YB1PROD with BILLS
88 

•HR 3312 IH

1 mitted to the Congress not later than January 10, 2013. 

2 Names may not be collected for purposes of the study. 

3 (b) AUTHORIZATION OF APPROPRIATIONS.—To carry 

4 out this section, there are authorized to be appropriated 

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

6 2010 through 2013. 

Æ 


rfrederick on DSKD9S0YB1PROD with BILLS