addressing pregnancy prevention or healthy re-
lationships. 
(E) Developing and employing peer-out-
reach and education to generate discussion and 
raise awareness among students. 
(F) Providing campus-based family plan-
ning services. 
(G) Teaching students about developing 
healthy relationships, including the prevention 
of dating and sexual violence. 
(H) Providing students with information 
regarding the dynamics and nature of domestic 
violence, dating violence, sexual assault, sexual 
coercion, or stalking; its implications for unin-
tended pregnancy and sexually transmitted in-
fections and HIV; and strategies to manage 
health in the context of a violent relationship. 
(2) INTEGRATION.—Activities funded through a 
grant under this title should be integrated into the 
academic or support areas of the community colleges 
in order to reach a large number of students. Pri-
ority should be given to activities that could operate 
on a sustained basis after the grant ends. 
(d) EVALUATION OF PROJECTS.—The Secretary shall 
establish criteria for the evaluation of projects funded 
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under this section. A grant may be made only if the appli-
cant involved— 
(1) agrees to participate in an independent eval-
uation of the project in accordance with such cri-
teria; and 
(2) agrees to submit to the Secretary such data 
as the Secretary determines to be appropriate. 
(e) DEFINITION.—For the purpose of this section, 
the term ‘‘community college’’ means an institution of 
higher education (as such term is defined in section 101(a) 
of the Higher Education Act of 1965 (20 U.S.C. 1001(a))) 
at which the highest degree offered is predominantly the 
associate’s degree. 
(f) AUTHORIZATION OF APPROPRIATIONS.— 
(1) IN GENERAL.—For the purpose of carrying 
out this section, there is authorized to be appro-
priated $15,000,000 for each of fiscal years 2010 
through 2012. 
(2) ALLOCATION.—Of the amount appropriated 
to carry out this section for a fiscal year— 
(A) at least 5 percent shall be made avail-
able— 
(i) for technical assistance for the 
projects funded under this section; 
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(ii) to raise awareness of the issue of 
pregnancy prevention; and 
(iii) to disseminate promising prac-
tices among community colleges and other 
similar postsecondary institutions; and 
(B) up to 10 percent shall be made avail-
able for evaluations of the projects. 
TITLE VII—CLARIFICATION OF 
CONTINUED MEDICAID COV-
ERAGE OF FAMILY PLANNING 
SERVICES 
SEC. 701. CLARIFICATION OF CONTINUED MEDICAID COV-
ERAGE OF FAMILY PLANNING SERVICES. 
(a) IN GENERAL.—Section 1937(b) of the Social Se-
curity Act (42 U.S.C. 1396u–7(b)) is amended by adding 
at the end the following: 
‘‘(5) COVERAGE OF FAMILY PLANNING SERV-
ICES AND SUPPLIES.—Notwithstanding the previous 
provisions of this section, a State may not provide 
for medical assistance through enrollment of an indi-
vidual with benchmark coverage or benchmark equiv-
alent coverage under this section unless such cov-
erage includes, for any individual (described in sec-
tion 1905(a)(4)(C)) medical assistance for family 
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planning and services in accordance with such sec-
tion.’’. 
(b) EFFECTIVE DATE.— 
(1) IN
GENERAL.—The amendment made by 
this section shall take effect on October 1, 2010. 
(2) EXTENSION
OF
EFFECTIVE
DATE
FOR 
STATE LAW AMENDMENT.—In the case of a State 
plan under title XIX of the Social Security Act (42 
U.S.C. 1396 et seq.) which the Secretary of Health 
and Human Services determines requires State legis-
lation in order for the plan to meet the additional 
requirements imposed by the amendments made by 
this section, the State plan shall not be regarded as 
failing to comply with the requirements of such title 
solely on the basis of its failure to meet these addi-
tional requirements before the first day of the first 
calendar quarter beginning after the close of the 
first regular session of the State legislature that be-
gins after the date of enactment of this Act. For 
purposes of the previous sentence, in the case of a 
State that has a 2-year legislative session, each year 
of the session is considered to be a separate regular 
session of the State legislature. 
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TITLE 
VIII—EXPANDED 
MED-
ICAID ELIGIBILITY FOR FAM-
ILY PLANNING SERVICES 
SEC. 801. EXPANDED MEDICAID ELIGIBILITY FOR FAMILY 
PLANNING SERVICES. 
(a) COVERAGE
AS
MANDATORY
CATEGORICALLY 
NEEDY GROUP.— 
(1) IN GENERAL.—Section 1902(a)(10)(A)(i) of 
the 
Social 
Security 
Act 
(42 
U.S.C. 
1396a(a)(10)(A)(i)) is amended— 
(A) in subclause (VI), by striking ‘‘or’’ at 
the end; 
(B) in subclause (VII), by adding ‘‘or’’ at 
the end; and 
(C) by adding at the end the following new 
subclause: 
‘‘(VIII) who are described in sub-
section (gg) (relating to individuals 
who meet the income standards for 
pregnant women);’’. 
(2) GROUP DESCRIBED.—Section 1902 of such 
Act (42 U.S.C. 1396a) is amended by adding at the 
end the following new subsection: 
‘‘(gg)(1) Individuals described in this subsection are 
individuals who— 
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‘‘(A) meet at least the income eligibility stand-
ards established under the State plan as of January 
1, 2009, for pregnant women or such higher income 
eligibility standard for such women as the State may 
establish; and 
‘‘(B) are not pregnant. 
‘‘(2) At the option of a State, individuals described 
in this subsection may include individuals who are deter-
mined to meet the income eligibility standards referred to 
in paragraph (1)(A) under the terms and conditions appli-
cable to making eligibility determinations for medical as-
sistance under this title under a waiver to provide the ben-
efits described in clause (XV) of the matter following sub-
paragraph (G) of section 1902(a)(10) granted to the State 
under section 1115 as of January 1, 2007.’’. 
(3) 
LIMITATION
ON
BENEFITS.—Section 
1902(a)(10) of the Social Security Act (42 U.S.C. 
1396a(a)(10)) is amended in the matter following 
subparagraph (G)— 
(A) by striking ‘‘and (XIV)’’ and inserting 
‘‘(XIV)’’; and 
(B) by striking the semicolon at the end 
and inserting ‘‘, and (XV) the medical assist-
ance made available to an individual described 
in subsection (gg) who is eligible for medical as-
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sistance 
only 
because 
of 
subparagraph 
(A)(i)(VIII) shall be limited to family planning 
services and supplies described in section 
1905(a)(4)(C) and, at the State’s option, med-
ical diagnosis or treatment services that are 
provided in conjunction with a family planning 
service in a family planning setting provided 
during the period in which such an individual is 
eligible’’. 
(4) 
CONFORMING
AMENDMENTS.—Section 
1905(a) of the Social Security Act (42 U.S.C. 
1396d(a)) is amended in the matter preceding para-
graph (1)— 
(A) in clause (xii), by striking ‘‘or’’ at the 
end; 
(B) in clause (xiii), by adding ‘‘or’’ at the 
end; and 
(C) by inserting after clause (xiii) the fol-
lowing: 
‘‘(xiv) individuals described in section 
1902(gg),’’. 
(b) PRESUMPTIVE ELIGIBILITY.— 
(1) IN GENERAL.—Title XIX of the Social Se-
curity Act (42 U.S.C. 1396 et seq.) is amended by 
inserting after section 1920B the following: 
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‘‘PRESUMPTIVE ELIGIBILITY FOR FAMILY PLANNING 
SERVICES 
‘‘SEC. 1920C. (a) STATE OPTION.—A State plan ap-
proved under section 1902 may provide for making med-
ical assistance available to an individual described in sec-
tion 1902(gg) (relating to individuals who meet the income 
eligibility standard for pregnant women in the State) dur-
ing a presumptive eligibility period. In the case of an indi-
vidual described in section 1902(gg) who is eligible for 
medical 
assistance 
only 
because 
of 
section 
1902(a)(10)(i)(VIII), such medical assistance may be lim-
ited to family planning services and supplies described in 
1905(a)(4)(C) and, at the State’s option, medical diag-
nosis or treatment services that are provided in conjunc-
tion with a family planning service in a family planning 
setting provided during the period in which such an indi-
vidual is eligible. 
‘‘(b) DEFINITIONS.—For purposes of this section: 
‘‘(1) PRESUMPTIVE ELIGIBILITY PERIOD.—The 
term ‘presumptive eligibility period’ means, with re-
spect to an individual described in subsection (a), 
the period that— 
‘‘(A) begins with the date on which a 
qualified entity determines, on the basis of pre-
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liminary information, that the individual is de-
scribed in section 1902(gg); and 
‘‘(B) ends with (and includes) the earlier 
of— 
‘‘(i) the day on which a determination 
is made with respect to the eligibility of 
such individual for services under the State 
plan; or 
‘‘(ii) in the case of such an individual 
who does not file an application by the last 
day of the month following the month dur-
ing which the entity makes the determina-
tion referred to in subparagraph (A), such 
last day. 
‘‘(2) QUALIFIED ENTITY.— 
‘‘(A) IN
GENERAL.—Subject to subpara-
graph (B), the term ‘qualified entity’ means 
any entity that— 
‘‘(i) is eligible for payments under a 
State plan approved under this title; and 
‘‘(ii) is determined by the State agen-
cy to be capable of making determinations 
of the type described in paragraph (1)(A). 
‘‘(B) REGULATIONS.—The Secretary may 
issue regulations further limiting those entities 
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that may become qualified entities in order to 
prevent fraud and abuse and for other reasons. 
‘‘(C) RULE OF CONSTRUCTION.—Nothing 
in this paragraph shall be construed as pre-
venting a State from limiting the classes of en-
tities that may become qualified entities, con-
sistent with any limitations imposed under sub-
paragraph (B). 
‘‘(c) ADMINISTRATION.— 
‘‘(1) IN GENERAL.—The State agency shall pro-
vide qualified entities with— 
‘‘(A) such forms as are necessary for an 
application to be made by an individual de-
scribed in subsection (a) for medical assistance 
under the State plan; and 
‘‘(B) information on how to assist such in-
dividuals in completing and filing such forms. 
‘‘(2) NOTIFICATION REQUIREMENTS.—A quali-
fied 
entity 
that 
determines 
under 
subsection 
(b)(1)(A) that an individual described in subsection 
(a) is presumptively eligible for medical assistance 
under a State plan shall— 
‘‘(A) notify the State agency of the deter-
mination within 5 working days after the date 
on which determination is made; and 
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‘‘(B) inform such individual at the time 
the determination is made that an application 
for medical assistance is required to be made by 
not later than the last day of the month fol-
lowing the month during which the determina-
tion is made. 
‘‘(3) 
APPLICATION
FOR
MEDICAL
ASSIST-
ANCE.—In the case of an individual described in 
subsection (a) who is determined by a qualified enti-
ty to be presumptively eligible for medical assistance 
under a State plan, the individual shall apply for 
medical assistance by not later than the last day of 
the month following the month during which the de-
termination is made. 
‘‘(d) PAYMENT.—Notwithstanding any other provi-
sion of this title, medical assistance that— 
‘‘(1) is furnished to an individual described in 
subsection (a)— 
‘‘(A) during a presumptive eligibility pe-
riod; and 
‘‘(B) by a entity that is eligible for pay-
ments under the State plan; and 
‘‘(2) is included in the care and services covered 
by the State plan, shall be treated as medical assist-
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ance provided by such plan for purposes of clause 
(4) of the first sentence of section 1905(b).’’. 
TITLE IX—MEDICAID AND CHIP 
COVERAGE OF MOTHERS AND 
CHILDREN 
SEC. 901. EXTENDING POSTPARTUM COVERAGE FOR MED-
ICAID AND CHIP. 
(a) MEDICAID COVERAGE EXTENSION.— 
(1) Section 1902 of the Social Security Act (42 
U.S.C. 1306a) is amended— 
(A) in subsections (e)(5), (e)(6), and 
(l)(1)(A), by striking ‘‘60-day’’ and inserting 
‘‘1-year’’ each place it appears; and 
(B) in the matter in subsection (a)(10) fol-
lowing subparagraph (G)— 
(i) in clause (V), by inserting ‘‘, ex-
cept that the limit on medical assistance 
under this clause does not apply during the 
1-year period beginning on the last day of 
the pregnancy’’ after ‘‘under the State 
plan’’; and 
(ii) in clause (VII), by inserting ‘‘, ex-
cept that the limit on medical assistance 
under this clause does not apply during the 
1-year period beginning on the last day of 
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SEC. 902. COORDINATION WITH THE MATERNAL AND CHILD 
HEALTH PROGRAM. 
(a) IN GENERAL.—Section 2102(b)(3) of the Social 
Security Act (42 U.S.C. 1397bb(b)(3)) is amended— 
(1) in subparagraph (D), by striking ‘‘and’’ at 
the end; 
(2) in subparagraph (E), by striking the period 
and inserting ‘‘; and’’; and 
(3) by adding at the end the following new sub-
paragraph: 
‘‘(F) that operations and activities under 
this title are developed and implemented in con-
sultation and coordination with the program op-
erated by the State under title V in areas in-
cluding outreach and enrollment, benefits and 
services, service delivery standards, public 
health and social service agency relationships, 
and quality assurance and data reporting.’’. 
(b) CONFORMING MEDICAID AMENDMENT.—Section 
1902(a)(11) of such Act (42 U.S.C. 1396a(a)(11)) is 
amended— 
(1) by striking ‘‘and’’ before ‘‘(C)’’; and 
(2) by inserting before the semicolon at the end 
the following: ‘‘, and (D) provide that operations and 
activities under this title are developed and imple-
mented in consultation and coordination with the 
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program operated by the State under title V in areas 
including outreach and enrollment, benefits and 
services, service delivery standards, public health 
and social service agency relationships, and quality 
assurance and data reporting’’. 
(c) EFFECTIVE DATE.—The amendments made by 
this section take effect on January 1, 2010. 
SEC. 903. INCREASE IN SCHIP INCOME ELIGIBILITY. 
(a) DEFINITION OF LOW-INCOME CHILD.—Section 
2110(c)(4) of the Social Security Act (42 U.S.C. 
1397jj(c)(4)) is amended by striking ‘‘200’’ and inserting 
‘‘250’’. 
(b) EFFECTIVE DATE.—The amendment made by 
subsection (a) applies to child health assistance provided 
and allotments determined under section 2104 of the So-
cial Security Act (42 U.S.C. 1397dd) for fiscal years be-
ginning with fiscal year 2010. 
SEC. 904. OUTREACH PROGRAM TO ENCOURAGE THOSE EL-
IGIBLE FOR SERVICES TO ENROLL. 
The Secretary shall make such funds available as 
may be necessary to encourage eligible pregnant women 
to enroll for services under this title. 
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TITLE X—TITLE X OF PUBLIC 
HEALTH SERVICE ACT 
SEC. 1001. SHORT TITLE. 
This title may be cited as the ‘‘Title X Family Plan-
ning Services Act of 2009’’. 
SEC. 1002. AUTHORIZATION OF APPROPRIATIONS. 
For the purpose of making grants and contracts 
under section 1001 of the Public Health Service Act (42 
U.S.C. 300), there are authorized to be appropriated 
$700,000,000 for fiscal year 2010, and such sums as may 
be necessary for each subsequent fiscal year. 
TITLE XI—ENSURING COVERAGE 
OF MATERNITY CARE 
SEC. 1101. REMOVAL OF PREGNANCY AS A PREEXISTING 
CONDITION UNDER INDIVIDUAL HEALTH IN-
SURANCE COVERAGE. 
(a) IN GENERAL.—Title XXVII of the Public Health 
Service Act (42 U.S.C. 300gg et seq.) is amended by in-
serting after section 2753 the following: 
‘‘SEC. 2754. PREEXISTING CONDITION EXCLUSION NOT AP-
PLICABLE TO PREGNANCY. 
‘‘Individual health insurance coverage, and a health 
insurance issuer offering individual health insurance cov-
erage, may not impose any preexisting condition exclusion 
relating to pregnancy as a preexisting condition.’’. 
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(b) EFFECTIVE DATE.—The amendment made by 
subsection (a) shall apply to coverage provided on or after 
January 1, 2010. 
SEC. 1102. COVERAGE OF MATERNITY CARE IN THE INDI-
VIDUAL MARKET. 
(a) IN GENERAL.—Title XXVII of the Public Health 
Service Act (42 U.S.C. 300gg et seq.), as amended by sec-
tion 1101, is further amended by inserting after section 
2754 the following: 
‘‘SEC. 2755. COVERAGE OF MATERNITY CARE. 
‘‘(a) IN GENERAL.—A health insurance issuer offer-
ing health insurance in the individual market that is 
issued, amended, renewed, or delivered on or after the date 
of enactment of this section, shall provide coverage for ma-
ternity services. 
‘‘(b) MATERNITY SERVICES DEFINED.—In this sec-
tion the term ‘maternity services’ includes preconception, 
prenatal care, necessary immunizations, mental health 
screening and services, ambulatory care maternity serv-
ices, complications of pregnancy, neonatal care, inpatient 
hospital maternity care including labor and delivery, in-
cluding c-sections, and postpartum care including family 
planning services. 
‘‘(c) NON-PREEMPTION.—Nothing in this section 
shall be construed to preempt any State law in effect as 
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of the date of enactment of this section, with respect to 
health insurance that requires coverage of maternity serv-
ices that exceeds the minimum coverage requirements as 
specified in subsection (a).’’. 
(b) EFFECTIVE DATE.—The amendment made by 
subsection (a) shall apply to coverage provided on or after 
January 1, 2010. 
TITLE XII—IMPROVING ACCESS 
TO PRENATAL ULTRASOUNDS 
SEC. 1201. GRANTS TO HEALTH CENTERS FOR PURCHASE 
OF ULTRASOUND EQUIPMENT. 
Part B of title III of the Public Health Service Act 
(42 U.S.C. 243 et seq.) is amended by inserting after sec-
tion 317L the following: 
‘‘SEC. 317L–1. GRANTS FOR THE PURCHASE OR UPGRADE 
OF ULTRASOUND EQUIPMENT. 
‘‘(a) IN GENERAL.—The Secretary may make grants 
for the purchase of ultrasound equipment. Such 
ultrasound equipment shall be used by the recipients of 
such grants to provide ultrasound examinations to preg-
nant women consenting to such services. 
‘‘(b) ELIGIBILITY REQUIREMENTS.—An entity may 
receive a grant under subsection (a) only if— 
‘‘(1) the entity is a health center eligible to re-
ceive a grant under section 330; and 
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‘‘(2) the entity follows practice standards sup-
ported by the American Institute of Ultrasound in 
Medicine and other professional organizations rep-
resenting health care providers. 
‘‘(c) APPLICATION FOR GRANT.—A grant may be 
made under subsection (a) only if an application for the 
grant is submitted in such form, in such manner, and con-
taining such agreements, assurances, and information as 
the Secretary determines to be necessary. 
‘‘(d) ANNUAL REPORT
TO SECRETARY.—A grant 
may be made under subsection (a) only if the applicant 
for the grant agrees to report on an annual basis to the 
Secretary, in such form and manner as the Secretary may 
require, on the ongoing compliance of the applicant with 
the eligibility conditions established in this section. 
‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—For the 
purpose of carrying out this section, there are authorized 
to be appropriated $3,000,000 for fiscal year 2010, and 
such sums as may be necessary for each of fiscal years 
2011 through 2013.’’ 
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TITLE 
XIII—PREVENTING 
DO-
MESTIC VIOLENCE AND SEX-
UAL ASSAULT AND ADDRESS-
ING 
THE 
LINK 
BETWEEN 
SUCH VIOLENCE AND UNIN-
TENDED PREGNANCY 
SEC. 1301. FINDINGS. 
The Congress finds as follows: 
(1) On average, almost 500 women are raped or 
sexually assaulted each day in the United States and 
4,800,000 intimate partner related physical assaults 
and rapes are experienced by women each year. 
(2) Homicide was found to be a leading cause 
of pregnancy-associated injury deaths among women 
from 1991–1999. The pregnancy-associated homi-
cide ratio was 1.7 per 100,000 live births. 
(3) Women experiencing abuse in the year prior 
to and/or during a recent pregnancy are 40 to 60 
percent more likely than non-abused women to re-
port high-blood pressure, vaginal bleeding, severe 
nausea, kidney or urinary tract infections and hos-
pitalization during pregnancy and are 37 percent 
more likely to deliver preterm. 
(4) Children born to abused mothers are 17 
percent more likely to be born underweight and 
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more than 30 percent more likely than other chil-
dren to require intensive care upon birth. 
(5) Too few doctors screen their patients for 
abuse, even though up to one in 12 pregnant women 
are battered. 
(6) Physical violence is linked to STD and HIV 
transmission, miscarriages, and risky sexual health 
behavior. 
(7) A study found women who experienced inti-
mate partner violence were more likely to report a 
lack of contraception use due to partner control over 
contraception. 
(8) Two in five adult women who have been 
abused by partners have experienced an unwanted 
pregnancy. 
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. 
(a) ALLOTMENTS.—For the purpose described in 
subsection (b), the Secretary shall, for fiscal year 2008 
and each subsequent fiscal year, allot to each State that 
has transmitted an application for the fiscal year under 
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section 505(a) of the Social Security Act an amount equal 
to the product of— 
(1) the amount appropriated under subsection 
(d) for the fiscal year; and 
(2) the percentage determined for the State 
under section 502(c)(1)(B)(ii) of such Act. 
(b) PURPOSE.—The purpose of an allotment under 
subsection (a) with respect to a State is to enable the 
State to better identify and treat women who are victims 
of or at risk of domestic violence, dating violence, sexual 
assault, sexual coercion, or stalking through training 
health care professionals and behavioral and public health 
staff how to identify, assess, treat, and refer such women. 
Such training shall include— 
(1) identifying patients or clients at risk of or 
experiencing domestic violence, dating violence sex-
ual assault, sexual coercion, or stalking; 
(2) assessing the immediate safety of the pa-
tient or client, the impact of the abuse on the health 
of the patient, and assisting the patient in devel-
oping a plan to promote her safety; 
(3) examining and treating such patients or cli-
ents, including providing information regarding the 
dynamics and nature of domestic violence, dating vi-
olence sexual assault, sexual coercion, or stalking; 
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(4) providing information regarding its implica-
tions for unintended pregnancy and sexually trans-
mitted infections and HIV; 
(5) emphasizing strategies to manage the pa-
tient or client’s health, including unintended preg-
nancies, in the context of a violent relationship; 
(6) maintaining complete medical or forensic 
records that include the documentation of the exam-
ination, treatment given, and referrals made, and es-
tablishing mechanisms to ensure the privacy and 
confidentiality of those medical records; 
(7) referring the patient or client to public and 
private nonprofit entities that provide services for 
such victims; and 
(8) ensuring that all services are provided in a 
linguistically and culturally relevant manner. 
(c) APPLICATION OF PROVISIONS.— 
(1) IN GENERAL.—Sections 503, 507, and 508 
of the Social Security Act apply to allotments under 
subsection (a) to the same extent and in the same 
manner as such sections apply to allotments under 
section 502(c) of such Act. 
(2) SECRETARIAL DISCRETION.—Sections 505 
and 506 of the Social Security Act apply to allot-
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ments under subsection (a) to the extent determined 
by the Secretary to be appropriate. 
(d) AUTHORIZATION OF APPROPRIATIONS.—For the 
purpose of making allotments under subsection (a), there 
is authorized to be appropriated $4,000,000 for each of 
fiscal years 2010 through 2014. 
SEC. 1303. ADDITIONAL AUTHORIZATION OF APPROPRIA-
TIONS FOR PUBLIC CAMPAIGN TO INCREASE 
PUBLIC AWARENESS. 
Section 403 of the Violence Against Women and De-
partment of Justice Reauthorization Act of 2005 (42 
U.S.C. 14045c) is amended— 
(1) in subsection (a), by inserting ‘‘women, in-
cluding’’ after ‘‘against’’; and 
(2) in subsection (b), by striking ‘‘such sums’’ 
and all that follows and inserting the following: 
‘‘$5,000,000 for fiscal year 2010, and such sums as 
may be necessary for each of fiscal years 2011 
through 2014.’’. 
TITLE XIV—SUPPORT FOR PREG-
NANT AND PARENTING STU-
DENTS 
SEC. 1401. SUPPORT SERVICES FOR STUDENTS. 
(a) IN GENERAL.—The Secretary of Education may 
make grants to institutions of higher education (as defined 
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in section 102 of the Higher Education Act of 1965 (20 
U.S.C. 1002)) that receive Federal financial assistance to 
carry out demonstration projects for the purpose of pro-
viding services to assist students who have decided to 
carry their pregnancies to term, including those antici-
pating adoption, and parenting students, in continuing 
their studies and graduating. 
(b) APPLICATION.—Each institution of higher edu-
cation desiring a grant under this section shall submit to 
the Secretary of Education an application in such form, 
in such manner, and containing such agreements, assur-
ances, and information as the Secretary determines to be 
necessary to carry out this section. Such application shall 
include an assurance that the institution will— 
(1) provide the services offered under the dem-
onstration program carried out with such grant 
through on-campus facilities; and 
(2) submit to the Secretary, for each fiscal year 
for which such grant is awarded, a report describing 
the activities carried out under the grant and the ef-
fects of the activities on the students to whom serv-
ices are provided. 
(c) LIMITATIONS
ON AMOUNT
OF GRANT.—Each 
grant awarded under subsection (a) for a fiscal year shall 
be for an amount that is not more than $25,000. 
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(d) AUTHORIZATION OF APPROPRIATIONS.—For the 
purpose of carrying out this section, there are authorized 
to be appropriated $500,000 for each of fiscal years 2010 
through 2014. 
SEC. 1402. CHILD CARE ACCESS MEANS PARENTS IN 
SCHOOL PROGRAM. 
Section 419N(b)(2)(B) of the Higher Education Act 
of 1965 (20 U.S.C. 1070e(b)(2)(B)) is amended to read 
as follows: 
‘‘(B) MINIMUM.—A grant under this sec-
tion shall be awarded in an amount that is not 
less than $30,000.’’. 
TITLE XV—GRANTS FOR A NA-
TIONAL INFORMATION CAM-
PAIGN ON ADOPTION 
SEC. 1501. GRANTS FOR A NATIONAL INFORMATION CAM-
PAIGN ON ADOPTION. 
(a) GRANTS.—The Secretary shall select on the basis 
of competitive grants, national nonpartisan, nonprofit or-
ganizations that meet the requirements of this section to 
establish national information campaigns to educate the 
public about adoption, including foster care adoption, and 
resources available to prospective and current adoptive 
parents, and to carry out the purposes and activities de-
scribed in subsections (c) and (d). 
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(b) REQUIREMENTS
FOR GRANT.—The Secretary 
may award a grant under this section to an entity only 
if the Secretary determines that— 
(1) the organization has experience in the field 
of adoption and foster care, which includes, but is 
not limited to, research and education; 
(2) the organization is research-based; 
(3) the organization has comprehensive knowl-
edge and data about adoption and foster care; 
(4) the organization has a demonstrated ability 
to work with and provide assistance to a broad 
range of individuals and entities; and 
(5) the organization has provided assurances 
satisfactory to the Secretary that the activities fund-
ed under this section will not include teaching or 
promoting religion. 
(c) PURPOSES.—Purposes under subsection (a) may 
include the following: 
(1) Developing and implementing comprehen-
sive information campaigns to promote accurate 
positive information and messages on adoption, in-
cluding foster care adoption, and the benefits it can 
bring to children and families. 
(2) Reaching the public in a linguistically and 
culturally relevant manner, dispelling negative 
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stereotypes while promoting accurate, comprehensive 
positive information and messages about adoption, 
including foster care adoption. 
(d) ACTIVITIES.—Each grantee shall carry out the 
purposes described in subsection (c) and develop and im-
plement information campaigns directly or through 
grants, contracts, or cooperative agreements with other 
entities. Activities may include the following: 
(1) Public service announcements. 
(2) Paid educational messages for print media. 
(3) Public transit advertising. 
(4) Radio broadcast media. 
(5) Internet. 
(6) Other new technology as may be appro-
priate for reaching a large audience. 
(7) Providing information through community 
and faith-based organizations. 
(8) Providing workshops or trainings for media, 
professionals, and other relevant parties. 
(e) SUBMISSION OF PLAN.— 
(1) IN GENERAL.—To be eligible to receive a 
grant under this section, a grantee shall submit to 
the Secretary an application that meets the require-
ments of paragraph (2). 
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(2) REQUIREMENTS.—An application under this 
subsection shall be submitted in such form, in such 
manner, and containing such information and assur-
ances as the Secretary may prescribe, and shall in-
clude the following: 
(A) A complete description of applicant’s 
plan for the proposed public information cam-
paign. 
(B) A description of the positive messages 
for the proposed public information campaign. 
(C) An identification of the media organi-
zations and other groups through which the 
campaign will be carried out. 
(D) A description of the nature, amount, 
distribution, and timing of informational mes-
sages to be used in the campaign. 
(E) If targeting specific communities and 
groups, an identification of the specific commu-
nities and groups to be educated by the cam-
paign, and a description of how the campaign 
will educate the communities and groups. 
(F) If targeting specific communities and 
groups, the plans of the applicant with respect 
to working with organizations that have exper-
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tise in developing culturally appropriate infor-
mational messages. 
(G) A description of the geographic dis-
tribution of the campaign. 
(H) Such other information and assur-
ances as the Secretary may require. 
(f) EVALUATION OF PROJECT.—The Secretary shall 
establish criteria for the evaluation of projects. A grant 
may be made only if the grantee involved— 
(1) agrees to participate in an independent eval-
uation of the project in accordance with such cri-
teria; and 
(2) agrees to submit to the Secretary such data 
as the Secretary determines to be appropriate. 
(g) AUTHORIZATION OF APPROPRIATIONS.— 
(1) IN GENERAL.—For the purpose of carrying 
out this section, there is authorized to be appro-
priated $30,000,000 for each of fiscal years 2010 
through 2014. 
(2) EVALUATION.—Of the total amount appro-
priated to carry out this section for a fiscal year, not 
more than 10 percent may be made available for the 
evaluation of projects. 
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TITLE 
XVI—EXPANSION 
OF 
ADOPTION 
CREDIT 
AND 
ADOPTION ASSISTANCE PRO-
GRAMS 
SEC. 1601. EXPANSION OF ADOPTION CREDIT AND ADOP-
TION ASSISTANCE PROGRAMS. 
(a) INCREASE IN DOLLAR LIMITATION.— 
(1) ADOPTION CREDIT.— 
(A) IN GENERAL.—Paragraph (1) of sec-
tion 23(b) of the Internal Revenue Code of 
1986 (relating to dollar limitation) is amended 
by striking ‘‘$10,000’’ and inserting ‘‘$15,000’’. 
(B) CHILD WITH SPECIAL NEEDS.—Para-
graph (3) of section 23(a) of such Code (relat-
ing to $10,000 credit for adoption of child with 
special needs regardless of expenses) is amend-
ed— 
(i) in the text by striking ‘‘$10,000’’ 
and inserting ‘‘$15,000’’, and 
(ii) 
in 
the 
heading 
by 
striking 
‘‘$10,000’’ and inserting ‘‘$15,000’’. 
(C) CONFORMING AMENDMENT TO INFLA-
TION ADJUSTMENT.—Subsection (h) of section 
23 of such Code (relating to adjustments for in-
flation) is amended to read as follows: 
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‘‘(h) ADJUSTMENTS FOR INFLATION.— 
‘‘(1) DOLLAR LIMITATIONS.—In the case of a 
taxable year beginning after December 31, 2010, 
each of the dollar amounts in subsections (a)(3) and 
(b)(1) shall be increased by an amount equal to— 
‘‘(A) such dollar amount, multiplied by 
‘‘(B) the cost-of-living adjustment deter-
mined under section 1(f)(3) for the calendar 
year in which the taxable year begins, deter-
mined by substituting ‘calendar year 2009’ for 
‘calendar year 1992’ in subparagraph (B) 
thereof. 
If any amount as increased under the preceding sen-
tence is not a multiple of $10, such amount shall be 
rounded to the nearest multiple of $10. 
‘‘(2) INCOME LIMITATION.—In the case of a 
taxable year beginning after December 31, 2002, the 
dollar amount in subsection (b)(2)(A)(i) shall be in-
creased by an amount equal to— 
‘‘(A) such dollar amount, multiplied by 
‘‘(B) the cost-of-living adjustment deter-
mined under section 1(f)(3) for the calendar 
year in which the taxable year begins, deter-
mined by substituting ‘calendar year 2001’ for 
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‘calendar year 1992’ in subparagraph (B) 
thereof. 
If any amount as increased under the preceding sen-
tence is not a multiple of $10, such amount shall be 
rounded to the nearest multiple of $10.’’. 
(2) ADOPTION ASSISTANCE PROGRAMS.— 
(A) IN GENERAL.—Paragraph (1) of sec-
tion 137(b) of the Internal Revenue Code of 
1986 (relating to dollar limitation) is amended 
by striking ‘‘$10,000’’ and inserting ‘‘$15,000’’. 
(B) CHILD WITH SPECIAL NEEDS.—Para-
graph (2) of section 137(a) of such Code (relat-
ing to $10,000 exclusion for adoption of child 
with special needs regardless of expenses) is 
amended— 
(i) in the text by striking ‘‘$10,000’’ 
and inserting ‘‘$15,000’’, and 
(ii) 
in 
the 
heading 
by 
striking 
‘‘$10,000’’ and inserting ‘‘$15,000’’. 
(C) CONFORMING AMENDMENT TO INFLA-
TION ADJUSTMENT.—Subsection (f) of section 
137 of such Code (relating to adjustments for 
inflation) is amended to read as follows: 
‘‘(f) ADJUSTMENTS FOR INFLATION.— 
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‘‘(1) DOLLAR LIMITATIONS.—In the case of a 
taxable year beginning after December 31, 2010, 
each of the dollar amounts in subsections (a)(2) and 
(b)(1) shall be increased by an amount equal to— 
‘‘(A) such dollar amount, multiplied by 
‘‘(B) the cost-of-living adjustment deter-
mined under section 1(f)(3) for the calendar 
year in which the taxable year begins, deter-
mined by substituting ‘calendar year 2009’ for 
‘calendar year 1992’ in subparagraph (B) 
thereof. 
If any amount as increased under the preceding sen-
tence is not a multiple of $10, such amount shall be 
rounded to the nearest multiple of $10. 
‘‘(2) INCOME LIMITATION.—In the case of a 
taxable year beginning after December 31, 2002, the 
dollar amount in subsection (b)(2)(A) shall be in-
creased by an amount equal to— 
‘‘(A) such dollar amount, multiplied by 
‘‘(B) the cost-of-living adjustment deter-
mined under section 1(f)(3) for the calendar 
year in which the taxable year begins, deter-
mined by substituting ‘calendar year 2001’ for 
‘calendar year 1992’ in subparagraph thereof. 
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If any amount as increased under the preceding sen-
tence is not a multiple of $10, such amount shall be 
rounded to the nearest multiple of $10.’’. 
(b) CREDIT MADE REFUNDABLE.— 
(1) CREDIT MOVED TO SUBPART RELATING TO 
REFUNDABLE
CREDITS.—The 
Internal 
Revenue 
Code of 1986 is amended— 
(A) by redesignating section 23, as amend-
ed by subsection (a), as section 36B, and 
(B) by moving section 36B (as so redesig-
nated) from subpart A of part IV of subchapter 
A of chapter 1 to the location immediately be-
fore section 37 in subpart C of part IV of sub-
chapter A of chapter 1. 
(2) CONFORMING AMENDMENTS.— 
(A) Section 24(b)(3)(B) of such Code is 
amended by striking ‘‘sections 23,’’. 
(B) Section 25(e)(1)(C) of such Code is 
amended— 
(i) in clause (i) by striking ‘‘23, 
25D,’’ and inserting ‘‘25D’’, and 
(ii) in clause (ii) by striking ‘‘23,’’. 
(C) Section 25A(i)(5)(B) of such Code is 
amended by striking ‘‘23, 25D’’ and inserting 
‘‘25D’’. 
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(D) Section 25B(g)(2) of such Code is 
amended by striking ‘‘23,’’. 
(E) Section 26(a)(1) of such Code is 
amended by striking ‘‘23,’’. 
(F) Section 30(c)(2)(B)(ii) of such Code is 
amended by striking ‘‘23, 25D’’ and inserting 
‘‘25D’’. 
(G) Section 30B(g)(2)(B)(ii) of such Code 
is amended by striking ‘‘23,’’. 
(H) Section 30D(c)(2)(B)(ii) of such Code 
is amended by striking ‘‘sections 23 and’’ and 
inserting ‘‘section’’. 
(I) Section 36B of such Code, as so redes-
ignated, is amended— 
(i) by striking paragraph (4) of sub-
section (b), and 
(ii) by striking subsection (c). 
(J) Section 137 of such Code is amend-
ed— 
(i) in subsection (d) by striking ‘‘sec-
tion 
23(d)’’ 
and 
inserting 
‘‘section 
36B(d)’’, and 
(ii) in subsection (e) by striking ‘‘sec-
tion 23’’ and inserting ‘‘section 36B’’. 
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