clined significantly between 1994 and 2001, from 92 
percent to 86 percent. 
(6) By helping couples avoid unintended preg-
nancy, Medicaid-funded and Title X contraceptive 
services are highly cost-effective, and every public 
dollar spent on family planning saves $3 in the cost 
of pregnancy-related care alone. 
(7) Abortion rates decreased among higher in-
come women but increased among low income 
women between 1994 and 2001, and a low income 
woman is more than 4 times as likely to have an 
abortion as her higher income counterpart. 
(8) ‘‘Cannot afford a baby’’ is the second most 
frequently cited reason women choose to have an 
abortion; 73 percent of women having abortions 
cited this reason as a contributing factor. 
(b) PURPOSE.—The purpose of this Act is to provide 
a comprehensive initiative to— 
(1) reduce the abortion rate by reducing the 
number of unintended pregnancies and supporting 
women facing unplanned pregnancies; 
(2) prevent unintended pregnancies from occur-
ring in the first place— 
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(A) by reducing teen pregnancy through 
education, after-school and other programs, and 
involving parents; and 
(B) by extending Medicaid family planning 
services to more low-income women; and 
(3) support pregnant women, new parents, and 
their children, through measures that address do-
mestic violence and sexual assault, provide health 
care services, information about pregnancy, and 
other supportive services for pregnant women, and 
provide supportive services for new parents. 
SEC. 3. DEFINITIONS. 
For purposes of this Act: 
(1) The term ‘‘Secretary’’ means the Secretary 
of Health and Human Services. 
(2) The term ‘‘State’’ includes the 50 States, 
the District of Columbia, the Commonwealth of 
Puerto Rico, the Commonwealth of the Northern 
Mariana Islands, American Samoa, Guam, the Vir-
gin Islands, and any other territory or possession of 
the United States. 
SEC. 4. ELIGIBILITY OF INDIAN TRIBES FOR AWARDS. 
(a) IN GENERAL.—In the case of programs carried 
out pursuant to this Act that make awards of grants, co-
operative agreements, or contracts, Indian tribes are eligi-
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ble for awards under the programs in accordance with 
such criteria as the Secretary may establish. 
(b) DEFINITIONS.—For purposes of this Act, the 
term ‘‘Indian tribe’’ has the meaning given such term in 
section 4 of the Indian Self-Determination and Education 
Assistance Act. 
TITLE 
I—EDUCATION 
PRO-
GRAMS 
FOR 
PREVENTING 
TEEN PREGNANCIES 
SEC. 101. FINDINGS. 
The Congress finds as follows: 
(1) The United States has the highest teen 
pregnancy rate and teen birth rate among com-
parable countries, costing the United States at least 
$7,000,000,000 annually. 
(2) About one out of three young women in 
America become pregnant before they reach the age 
of 20. 
(3) Teenagers account for nearly one of every 
five abortions. 
(4) Teen pregnancy has serious consequences 
for young women, their children, and communities 
as a whole. Too-early childbearing increases the like-
lihood that a young woman will drop out of high 
school and that she and her child will live in poverty. 
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