I 
111TH CONGRESS 
1ST SESSION H. R. 2035 
To provide for programs that reduce abortions, help women bear healthy 
children, and support new parents. 
IN THE HOUSE OF REPRESENTATIVES 
APRIL 22, 2009 
Mr. DAVIS of Tennessee (for himself, Mr. SMITH of New Jersey, Ms. 
BORDALLO, Ms. KAPTUR, Mr. SOUDER, Mr. LAMBORN, Mr. FRANKS of 
Arizona, Mr. LIPINSKI, Mr. GORDON of Tennessee, Mr. SHULER, Mr. 
MOLLOHAN, Mr. DONNELLY of Indiana, Mr. MELANCON, Mr. BERRY, 
Mrs. DAHLKEMPER, Mr. OBERSTAR, Mr. HOLDEN, Mr. CARTER, Mr. 
COSTELLO, Mr. PETERSON, Mrs. BLACKBURN, Mr. MCINTYRE, Mr. TAY-
LOR, Mr. ORTIZ, Mr. PLATTS, Mr. CAO, and Mr. DAVIS of Alabama) in-
troduced the following bill; which was referred to the Committee on En-
ergy and Commerce, and in addition to the Committees on Ways and 
Means, Education and Labor, and Agriculture, for a period to be subse-
quently 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 abortions, help women 
bear healthy children, and support new parents. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE; TABLE OF CONTENTS. 
(a) SHORT TITLE.—This Act may be cited as the 
‘‘Pregnant Women Support Act’’. 
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(b) TABLE OF CONTENTS.—The table of contents for 
this Act is as follows: 
Sec. 1. Short title; table of contents. 
Sec. 2. Findings. 
Sec. 3. Definitions. 
TITLE I—PUBLIC AWARENESS AND ASSISTANCE FOR PREGNANT 
WOMEN AND NEW PARENTS 
Sec. 101. Grants for increasing public awareness of resources available to assist 
pregnant women in carrying their pregnancies to term and to 
assist new parents. 
TITLE II—INCREASING WOMEN’S KNOWLEDGE ABOUT THEIR 
PREGNANCY 
Sec. 201. Grants to health centers for purchase of ultrasound equipment. 
TITLE III—PREGNANCY AS A PREEXISTING CONDITION 
Sec. 301. Individual health insurance coverage for pregnant women. 
Sec. 302. Continuation of health insurance coverage for newborns. 
TITLE IV—MEDICAID AND SCHIP COVERAGE OF PREGNANT 
WOMEN AND UNBORN CHILDREN 
Sec. 401. Treatment of unborn children. 
Sec. 402. Coordination with the maternal and child health program. 
TITLE V—DISCLOSURE OF INFORMATION ON ABORTION 
SERVICES 
Sec. 501. Disclosure of information on abortion services. 
TITLE VI—SUPPORT FOR PREGNANT AND PARENTING COLLEGE 
STUDENTS 
Sec. 601. Sense of Congress. 
Sec. 602. Definitions. 
Sec. 603. Pregnant and parenting student services pilot program. 
Sec. 604. Application; number of grants. 
Sec. 605. Matching Requirement. 
Sec. 606. Use of funds. 
Sec. 607. Reporting. 
Sec. 608. Authorization of appropriations. 
TITLE VII—SUPPORT FOR PREGNANT AND PARENTING TEENS 
Sec. 701. Grants to States. 
TITLE VIII—IMPROVING SERVICES FOR PREGNANT WOMEN WHO 
ARE VICTIMS OF DOMESTIC VIOLENCE, DATING VIOLENCE, 
AND STALKING 
Sec. 801. Findings. 
Sec. 802. Program to support pregnant women who are victims of domestic vio-
lence. 
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Sec. 803. Homicide death certificates of certain female victims. 
TITLE IX—LIFE SUPPORT CENTERS FOR PREGNANT WOMEN, 
MOTHERS, AND CHILDREN 
Sec. 901. Life Support Centers Pilot Program. 
TITLE X—EXPANSION OF ADOPTION CREDIT AND ADOPTION 
ASSISTANCE PROGRAMS 
Sec. 1001. Expansion of adoption credit and adoption assistance programs. 
TITLE XI—PROVIDING SUPPORT TO NEW PARENTS 
Sec. 1101. Increased support for WIC program. 
Sec. 1102. Nutritional support for low-income parents. 
Sec. 1103. Increased funding for the Child Care and Development Block Grant 
program. 
Sec. 1104. Teenage or first-time mothers; free home visits by registered nurses 
for education on health needs of infants. 
TITLE XII—COLLECTING AND REPORTING ABORTION DATA 
Sec. 1201. Grants for collection and reporting of abortion data. 
SEC. 2. FINDINGS. 
The Congress finds as follows: 
(1) In 2005, 820,151 abortions were reported 
to the Centers for Disease Control and Prevention. 
(2) 48 percent of all pregnancies in America are 
unintended. Excluding miscarriages, 54 percent of 
unintended pregnancies end in abortion. 
(3) 57 percent of women who have abortions 
have incomes below 200 percent of the poverty level. 
(4) ‘‘Cannot afford a baby’’ is the second most 
frequently cited reason women choose to have an 
abortion; 73 percent of women having abortions 
cited this reason as a contributing factor. 
(5) This Act is an initiative to gather more 
complete information about abortion, to reduce the 
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abortion rate by helping women carry their preg-
nancies to term and bear healthy children, and by 
affirming the right of women to be fully informed 
about their other options when they seek an abor-
tion. 
(6) The initiative will work to support women 
facing unplanned pregnancies, new parents and their 
children by providing for health care needs, sup-
portive services, and helpful prenatal information 
and postnatal services. 
SEC. 3. DEFINITIONS. 
Except as otherwise provided in this Act, 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. 
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TITLE 
I—PUBLIC 
AWARENESS 
AND ASSISTANCE FOR PREG-
NANT WOMEN AND NEW PAR-
ENTS 
SEC. 101. GRANTS FOR INCREASING PUBLIC AWARENESS 
OF RESOURCES AVAILABLE TO ASSIST PREG-
NANT WOMEN IN CARRYING THEIR PREG-
NANCIES TO TERM AND TO ASSIST NEW PAR-
ENTS. 
(a) GRANTS.—The Secretary may make grants to 
States to increase public awareness of resources available 
to pregnant women to carry their pregnancy to term and 
to new parents. 
(b) USE OF FUNDS.—The Secretary may make a 
grant to a State under this section only if the State agrees 
to use the grant for the following: 
(1) Identification of resources available to assist 
pregnant women to carry their pregnancy to term or 
to assist new parents, or both. 
(2) Conducting an advertising campaign to in-
crease public awareness of such resources. 
(3) Establishing and maintaining a toll-free 
telephone line to direct people to— 
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(A) organizations that provide support 
services for pregnant women to carry their 
pregnancy to term; 
(B) adoption centers; and 
(C) organizations that provide support 
services to new parents. 
(c) PROHIBITION.—The Secretary shall prohibit each 
State receiving a grant under this section from using the 
grant to direct people to an organization or adoption cen-
ter that is for-profit. 
(d) IDENTIFICATION OF RESOURCES.—The Secretary 
shall require each State receiving a grant under this sec-
tion to make publicly available by means of the Internet 
(electronic and paper form) a list of the following: 
(1) The resources identified pursuant to sub-
section (b)(1). 
(2) The organizations and adoption centers to 
which people are directed pursuant to an advertising 
campaign or telephone line funded under this sec-
tion. 
(e) AUTHORIZATION OF APPROPRIATIONS.—The Sec-
retary shall make such funds available as may be nec-
essary to carry out the activities of this section. 
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TITLE II—INCREASING WOMEN’S 
KNOWLEDGE 
ABOUT 
THEIR 
PREGNANCY 
SEC. 201. GRANTS TO HEALTH CENTERS FOR PURCHASE OF 
ULTRASOUND EQUIPMENT. 
Part B of title III of the Public Health Service Act 
(42 U.S.C. 243 et seq.) is amended by inserting after 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, under the direction and super-
vision of a licensed medical physician, ultrasound examina-
tions to pregnant women consenting to such services. 
‘‘(b) ELIGIBILITY REQUIREMENTS.—An entity may 
receive a grant under subsection (a) only if the entity 
meets the following conditions: 
‘‘(1) The entity is a health center eligible to re-
ceive a grant under section 330 (relating to commu-
nity health centers, migrant health centers, homeless 
health centers, and public-housing health centers). 
‘‘(2) The entity agrees to comply with the fol-
lowing medical procedures: 
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‘‘(A) The entity will inform each pregnant 
woman upon whom the ultrasound equipment is 
used that she has the right to view the visual 
image of the unborn child from the ultrasound 
examination and that she has the right to hear 
a general anatomical and physiological descrip-
tion of the characteristics of the unborn child. 
‘‘(B) The entity will inform each pregnant 
woman that she has the right to learn, accord-
ing to the best medical judgment of the physi-
cian performing the ultrasound examination or 
the physician’s agent performing such exam, 
the approximate age of the embryo or unborn 
child considering the number of weeks elapsed 
from the probable time of the conception of the 
embryo or unborn child, based upon the infor-
mation provided by the client as to the time of 
her last menstrual period, her medical history, 
a physical examination, or appropriate labora-
tory tests. 
‘‘(c) APPLICATION FOR GRANT.—A grant may be 
made under subsection (a) only if an application for the 
grant is submitted to the Secretary and the application 
is in such form, is made in such manner, and contains 
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such agreements, assurances, and information as the Sec-
retary determines to be necessary to carry out this section. 
‘‘(d) ANNUAL REPORT
TO SECRETARY.—A grant 
may be made under subsection (a) only if the applicant 
for the grant agrees to report on an annual basis to the 
Secretary, in such form and manner as the Secretary may 
require, on the ongoing compliance of the applicant with 
the eligibility conditions established in subsection (b). 
‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—For the 
purpose of carrying out this section, there are authorized 
to be appropriated $3,000,000 for fiscal year 2010, and 
such sums as may be necessary for each of the fiscal years 
2011 through 2014.’’. 
TITLE III—PREGNANCY AS A 
PREEXISTING CONDITION 
SEC. 301. INDIVIDUAL HEALTH INSURANCE COVERAGE FOR 
PREGNANT WOMEN. 
(a) LIMITATION ON IMPOSITION OF PRE-EXISTING 
CONDITION EXCLUSIONS
AND WAITING PERIODS
FOR 
WOMEN WITH PRIOR COVERAGE.—Title XXVII of the 
Public Health Service Act (42 U.S.C. 300gg et seq.) is 
amended by inserting after section 2753 the following new 
section: 
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‘‘SEC. 2754. PROVIDING INDIVIDUAL HEALTH INSURANCE 
COVERAGE 
WITHOUT 
REGARD 
TO 
PRE-
EXISTING CONDITION EXCLUSION AND WAIT-
ING PERIODS FOR PREGNANT WOMEN WITH-
IN ONE YEAR OF CONTINUOUS PRIOR COV-
ERAGE. 
‘‘In the case of a woman who has had at least 12 
months of creditable coverage before seeking individual 
health insurance coverage, such individual health insur-
ance coverage, and the health insurance issuer offering 
such coverage, may not impose any preexisting condition 
exclusion relating to pregnancy as a preexisting condition, 
any waiting period, or otherwise discriminate in coverage 
or premiums against the woman on the basis that she is 
pregnant.’’. 
(b) EFFECTIVE DATE.—The amendment made by 
subsection (a) shall take effect on October 1, 2009, and 
shall apply to women who become pregnant on or after 
such date. 
SEC. 302. CONTINUATION OF HEALTH INSURANCE COV-
ERAGE FOR NEWBORNS. 
(a) GROUP HEALTH PLAN COVERAGE.—Title XXVII 
of the Public Health Service Act (42 U.S.C. 300gg et seq.) 
is amended by inserting after section 2707 the following 
new section: 
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‘‘SEC. 2708. CONTINUATION OF COVERAGE FOR NEWBORNS. 
‘‘(a) NOTIFICATION.—In the case of a pregnant 
woman who is covered under a group health plan, or under 
group health insurance coverage, for other than family 
coverage, the plan or issuer of the insurance shall provide 
notice to the woman during the 5th month of pregnancy, 
during the 8th month of pregnancy, and within 2 weeks 
after delivery, of the woman’s option to provide continuing 
coverage of the newborn child under the group health plan 
or health insurance coverage under subsection (b). 
‘‘(b) OPTION
OF
CONTINUED
COVERAGE
FOR 
NEWBORNS.—In the case of a pregnant woman described 
in subsection (a) who has a newborn child under a group 
health plan or under group health insurance coverage, the 
plan or issuer offering the coverage shall provide the 
woman with the option of electing coverage of the newborn 
child at least through the end of the 30-day period begin-
ning on the date of birth of the child and no waiting period 
or preexisting condition exclusion shall apply with respect 
to the coverage of such a newborn child under such plan 
or coverage. Such continuation coverage shall remain in 
effect, subject to payment of applicable premiums, for at 
least such period as the Secretary specifies.’’. 
(b) INDIVIDUAL HEALTH INSURANCE COVERAGE.— 
Such title is further amended by inserting after section 
2754, as added by section 301, the following new section: 
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‘‘SEC. 2755. CONTINUATION OF COVERAGE FOR NEWBORNS. 
‘‘The provisions of section 2708 shall apply with re-
spect to individual health insurance coverage and the 
issuer of such coverage in the same manner as they apply 
to group health insurance coverage and the issuer of such 
coverage.’’. 
(c) EFFECTIVE DATE.—The amendments made by 
this section shall take effect on January 1, 2010, and shall 
apply to women who become pregnant on or after such 
date and children who are born of such women. 
TITLE IV—MEDICAID AND SCHIP 
COVERAGE 
OF 
PREGNANT 
WOMEN AND UNBORN CHIL-
DREN 
SEC. 401. TREATMENT OF UNBORN CHILDREN. 
(a) CODIFICATION
OF CURRENT REGULATIONS.— 
Section 2110(c)(1) (42 U.S.C. 1397jj(c)(1)) of the Social 
Security Act is amended by striking the period at the end 
and inserting the following: ‘‘, and includes, at the option 
of a State, an unborn child.’’. 
(b) CLARIFICATIONS
REGARDING
COVERAGE
OF 
MOTHERS.—Section 2103 (42 U.S.C. 1397cc) of such Act 
is amended by adding at the end the following new sub-
section: 
‘‘(g) CLARIFICATIONS REGARDING AUTHORITY TO 
PROVIDE
POSTPARTUM
SERVICES
AND
MATERNAL 
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HEALTH CARE.—Any State that provides child health as-
sistance to an unborn child under the option described in 
section 2110(c)(1) may— 
‘‘(1) continue to provide such assistance to the 
mother, as well as postpartum services, through the 
end of the month in which the 60-day period (begin-
ning on the last day of pregnancy) ends; and 
‘‘(2) in the interest of the child to be born, have 
flexibility in defining and providing services to ben-
efit either the mother or unborn child consistent 
with the health of both.’’. 
SEC. 402. COORDINATION WITH THE MATERNAL AND CHILD 
HEALTH PROGRAM. 
(a) IN GENERAL.—Section 2102(b)(3) of the Social 
Security Act (42 U.S.C. 1397bb(b)(3)) is amended— 
(1) in subparagraph (D), by striking ‘‘and’’ at 
the end; 
(2) in subparagraph (E), by striking the period 
and inserting ‘‘; and’’; and 
(3) by adding at the end the following new 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-
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