I 
110TH CONGRESS 
1ST SESSION H. R. 3192 
To provide for programs that reduce the need for abortion, help women 
bear healthy children, and support new parents. 
IN THE HOUSE OF REPRESENTATIVES 
JULY 26, 2007 
Mr. LINCOLN DAVIS of Tennessee (for himself, Mr. SMITH of New Jersey, Mr. 
MURTHA, Ms. BORDALLO, Ms. KAPTUR, Mrs. JO ANN DAVIS of Virginia, 
Mr. SOUDER, Mr. MARSHALL, Mr. PENCE, Mr. MOLLOHAN, Mr. FRANKS 
of Arizona, Mr. MELANCON, Mr. KING of New York, Mr. ORTIZ, Mr. 
BOOZMAN, Mr. HUNTER, Mr. BOREN, Mr. KILDEE, Mr. COSTELLO, Mr. 
SHULER, Mr. LANGEVIN, Mr. LAMBORN, Mr. PETERSON of Minnesota, 
Mr. STUPAK, Mr. TAYLOR, Mr. OBERSTAR, Mr. MCINTYRE, Mr. 
GINGREY, Mr. BOYD of Florida, Mr. BERRY, Mr. DONNELLY, Mr. 
HOLDEN, Mr. RENZI, Mr. RYAN of Ohio, Mr. BARROW, and Mr. CLY-
BURN) introduced the following bill; which was referred to the Committee 
on Energy and Commerce, and in addition to the Committees on Ways 
and Means, Education and Labor, 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 con-
cerned 
A BILL 
To provide for programs that reduce the need for abortion, 
help women bear healthy children, and support new parents. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
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SECTION 1. SHORT TITLE; TABLE OF CONTENTS. 
(a) SHORT TITLE.—This Act may be cited as the 
‘‘Pregnant Women Support Act’’. 
(b) TABLE OF CONTENTS.—The table of contents for 
this Act is as follows: 
Sec. 1. Short title; table of contents. 
Sec. 2. Findings. 
Sec. 3. Definitions. 
TITLE I—COLLECTING AND REPORTING ABORTION 
SURVEILLANCE DATA 
Sec. 101. Grants for collection and reporting of abortion surveillance data. 
Sec. 102. Report on reasons why women choose to have an abortion. 
TITLE II—DISCLOSURE OF INFORMATION ON ABORTION 
Sec. 201. Disclosure of information on abortion. 
TITLE III—MEDICAID AND SCHIP COVERAGE OF PREGNANT 
WOMEN AND UNBORN CHILDREN 
Sec. 301. Codification of optional SCHIP coverage of unborn children. 
Sec. 302. Coordination with the maternal and child health program. 
Sec. 303. Increase in SCHIP income eligibility. 
Sec. 304. Outreach program to encourage those eligible for services to enroll. 
TITLE IV—HEALTH INSURANCE COVERAGE FOR PREGNANT 
WOMEN AND NEWBORNS 
Sec. 401. Individual health insurance coverage for pregnant women. 
Sec. 402. Continuation of health insurance coverage for newborns. 
TITLE V—INCREASING WOMEN’S KNOWLEDGE ABOUT THEIR 
PREGNANCY 
Sec. 501. Grants to health centers for purchase of ultrasound equipment. 
TITLE VI—SERVICES REGARDING POSITIVE TEST DIAGNOSIS OF 
DOWN SYNDROME OR OTHER PRENATALLY DIAGNOSED CONDI-
TIONS 
Sec. 601. Services to patients receiving positive test diagnosis for down syn-
drome or other prenatally diagnosed conditions. 
TITLE VII—IMPROVING SERVICES FOR PREGNANT WOMEN WHO 
ARE VICTIMS OF DOMESTIC VIOLENCE, DATING VIOLENCE, 
AND STALKING 
Sec. 701. Findings. 
Sec. 702. Program to support pregnant women who are victims of domestic vio-
lence. 
Sec. 703. Homicide death certificates of certain female victims. 
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TITLE VIII—PUBLIC AWARENESS CAMPAIGN 
Sec. 801. Grants for increasing public awareness of resources available to assist 
pregnant women in carrying their pregnancies to term and to 
assist new parents. 
TITLE IX—SUPPORT FOR PREGNANT AND PARENTING STUDENTS 
Sec. 901. Sense of Congress. 
Sec. 902. Definitions. 
Sec. 903. Pregnant and parenting student services pilot program. 
Sec. 904. Application; number of grants. 
Sec. 905. Matching Requirement. 
Sec. 906. Use of funds. 
Sec. 907. Reporting. 
Sec. 908. Authorization of appropriations. 
TITLE X—SUPPORT FOR PREGNANT AND PARENTING TEENS 
Sec. 1001. Grants to States. 
TITLE XI—FEDERALLY-FUNDED HOMES FOR PREGNANT AND 
PARENTING 
WOMEN; 
ADOPTION 
COUNSELING; 
PARENTING 
SKILLS 
Sec. 1101. Counseling requirements. 
TITLE XII—EXPANSION OF ADOPTION CREDIT AND ADOPTION 
ASSISTANCE PROGRAMS 
Sec. 1201. Expansion of adoption credit and adoption assistance programs. 
TITLE XIII—PROVIDING SUPPORT TO NEW PARENTS 
Sec. 1301. Increased support for WIC program. 
Sec. 1302. Nutritional support for low-income parents. 
Sec. 1303. Increased funding for the Child Care and Development Block Grant 
program. 
Sec. 1304. Teenage or first-time mothers; free home visits by registered nurses 
for education on health needs of infants. 
SEC. 2. FINDINGS. 
The Congress finds as follows: 
(1) There are 1.29 million abortions annually in 
America. 
(2) 48 percent of all pregnancies in America are 
unintended. Excluding miscarriages, 54 percent of 
unintended pregnancies end in abortion. 
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(3) 57 percent of women who have abortions 
have incomes below 200 percent of the poverty level. 
(4) ‘‘Cannot afford a baby’’ is the second most 
frequently cited reason women choose to have an 
abortion; 73 percent of women having abortions 
cited this reason as a contributing factor. 
(5) This Act is an initiative to gather more 
complete information about abortion, to reduce the 
abortion rate by helping women carry their 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 comprehensive measures for 
health care needs, supportive services and helpful 
prenatal information and postnatal services. 
SEC. 3. DEFINITIONS. 
For purposes of this Act: 
(1) The term ‘‘Secretary’’ means the Secretary 
of Health and Human Services. 
(2) The term ‘‘State’’ includes the 50 States, 
the District of Columbia, the Commonwealth of 
Puerto Rico, the Commonwealth of the Northern 
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Mariana Islands, American Samoa, Guam, the Vir-
gin Islands, and any other territory or possession of 
the United States. 
TITLE I—COLLECTING AND RE-
PORTING 
ABORTION 
SUR-
VEILLANCE DATA 
SEC. 101. GRANTS FOR COLLECTION AND REPORTING OF 
ABORTION SURVEILLANCE DATA. 
(a) GRANTS.—The Secretary, acting through the Di-
rector of the Centers for Disease Control and Prevention, 
may make grants to States for collecting and reporting 
abortion surveillance data. 
(b) REPORTING REQUIREMENT.— 
(1) IN GENERAL.—The Secretary may make a 
grant to a State under this section only if the State 
agrees to submit a report in each of fiscal years 
2009 and 2011 on the State’s abortion surveillance 
data. 
(2) CONTENTS.—Each report submitted by a 
State under this subsection shall, with respect to the 
preceding 2 fiscal years, include— 
(A) the number and characteristics of 
women obtaining abortions in the State; and 
(B) the characteristics of these abortions, 
including the approximate gestational age of the 
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unborn child, the abortion method, and any 
known physical or psychological complications. 
(3) PERSONAL INFORMATION.—A report sub-
mitted by a State under this subsection shall not 
contain the name of any woman obtaining or seeking 
to obtain an abortion, any common identifier (such 
as a social security number), or any other identifier 
(including statistical information) that would make 
it possible to identify in any manner or under any 
circumstances an individual who has obtained or 
seeks to obtain an abortion. 
(c) CONFIDENTIALITY.—The Secretary shall main-
tain the confidentiality of any individually identifiable in-
formation reported to the Secretary under this section. 
(d) REPORT TO CONGRESS.— 
(1) IN GENERAL.—Not later than the end of 
fiscal year 2011, the Secretary shall submit a report 
to the Congress on the abortion surveillance data re-
ported to the Secretary under this section. 
(2) PERSONAL INFORMATION.—A report sub-
mitted by the Secretary to the Congress under this 
subsection shall not contain any name or other iden-
tifier described in subsection (b)(3). 
(e) AUTHORIZATION OF APPROPRIATIONS.—To carry 
out this section, there are authorized to be appropriated 
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such sums as may be necessary for each of fiscal years 
2008 through 2011. 
SEC. 102. REPORT ON REASONS WHY WOMEN CHOOSE TO 
HAVE AN ABORTION. 
The Secretary shall enter into an agreement with the 
Institute of Medicine to study the reasons why women 
choose to have an abortion. The Secretary shall ensure 
that a report from the Institute describing the findings 
of the study is submitted to the Congress not later than 
January 10, 2011. 
TITLE II—DISCLOSURE OF 
INFORMATION ON ABORTION 
SEC. 201. DISCLOSURE OF INFORMATION ON ABORTION. 
(a) IN GENERAL.—Health facilities that perform 
abortions in or affecting interstate commerce shall obtain 
informed consent from the pregnant woman seeking to 
have the abortion. Informed consent shall exist only after 
a woman has voluntarily completed or opted not to com-
plete pre-abortion counseling sessions. 
(b) ACCURATE INFORMATION.—Counseling sessions 
under subsection (a) shall include the following informa-
tion: 
(1) The probable gestational age and character-
istics of the unborn child at the time the abortion 
will be performed. 
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(2) How the abortion procedure is performed. 
(3) Possible short-term and long-term risks and 
complications of the procedure to be performed. 
(4) Options or alternatives to abortion, includ-
ing, but not limited to, adoption, and the resources 
available in the community to assist women choosing 
these options. 
(5) The availability of post-procedure medical 
services to address the risks and complications of 
the procedure. 
(c) EXCEPTION.—This section shall not apply when 
the pregnant woman is herself incapable, under State law, 
of making medical decisions. This section does not affect 
or modify any requirement under State law for making 
medical decisions for such patients. 
(d) CIVIL REMEDIES.— 
(1) CIVIL ACTION.—Any female upon whom an 
abortion has been performed or attempted without 
complying with the informed consent requirements 
may bring a civil action in an appropriate district 
court of the United States against the person who 
performed the abortion in knowing or reckless viola-
tion of this section for actual and punitive damages. 
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(2) CERTAIN
AUTHORITIES
AND
REQUIRE-
MENTS.—With respect to an action under paragraph 
(1): 
(A) The court may award attorney’s fees 
to the plaintiff if judgment is rendered in favor 
of the plaintiff, and may award attorney’s fees 
to the defendant if judgment is rendered in 
favor of the defendant and the court finds that 
the plaintiff’s case was frivolous and brought in 
bad faith. 
(B) The court shall determine whether the 
anonymity of the female involved will be pre-
served from public disclosure if the female has 
not consented to her identity being disclosed. If 
the female’s identity is to be shielded, the court 
shall issue an order sealing the record and ex-
cluding individuals from the courtroom to pre-
serve her identity. 
(C) In the absence of the female’s written 
consent, anyone other than a public official who 
brings the action shall do so under a pseu-
donym. 
(3) RULE OF CONSTRUCTION.—Nothing in this 
subsection may be construed to conceal the identity 
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of the plaintiff or of the witnesses from the defend-
ant. 
(e) SEVERABILITY.—If any provision of this section 
requiring informed consent for abortions is found uncon-
stitutional, the unconstitutional provision is severable and 
the other provisions of this section remain in effect. 
(f) PREEMPTION.—Nothing in this section shall pre-
vent a State from enacting and enforcing additional re-
quirements with respect to informed consent. 
TITLE III—MEDICAID AND SCHIP 
COVERAGE 
OF 
PREGNANT 
WOMEN AND UNBORN CHIL-
DREN 
SEC. 301. CODIFICATION OF OPTIONAL SCHIP COVERAGE 
OF UNBORN CHILDREN. 
(a) IN GENERAL.—Section 2110(b) of the Social Se-
curity Act (42 U.S.C. 1397jj(b)) is amended by adding 
at the end the following new paragraph: 
‘‘(5) COVERAGE OF UNBORN CHILDREN.—The 
terms ‘child’ and ‘individual’ include, at the State 
option, an unborn child.’’. 
(b) CONSTRUCTION.—Subsection (a) shall be con-
strued as codifying the regulation promulgated at Federal 
Register 61956 (October 2, 2002), relating to eligibility 
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for prenatal care and other health services for unborn chil-
dren under SCHIP. 
SEC. 302. 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 
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(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 
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, 2008. 
SEC. 303. INCREASE IN SCHIP INCOME ELIGIBILITY. 
(a) DEFINITION OF LOW-INCOME CHILD.—Section 
2110(c)(4) of the Social Security Act (42 U.S.C. 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 2008. 
SEC. 304. 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 
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to enroll for services for their unborn children under titles 
XIX and XXI of the Social Security Act. 
TITLE IV—HEALTH INSURANCE 
COVERAGE FOR PREGNANT 
WOMEN AND NEWBORNS 
SEC. 401. 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 is amended by inserting after 
section 2752 the following new section: 
‘‘SEC. 2753. 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 
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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 January 1, 2008, and 
shall apply to women who become pregnant on or after 
such date. 
SEC. 402. CONTINUATION OF HEALTH INSURANCE COV-
ERAGE FOR NEWBORNS. 
(a) GROUP HEALTH PLAN COVERAGE.—Title XXVII 
of the Public Health Service Act is amended by inserting 
after section 2706 the following new section: 
‘‘SEC. 2707. 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 
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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 
2753, as added by section 401, the following new section: 
‘‘SEC. 2754. CONTINUATION OF COVERAGE FOR NEWBORNS. 
‘‘The provisions of section 2707 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, 2008, and shall 
apply to women who become pregnant on or after such 
date and children who are born of such women. 
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TITLE V—INCREASING WOMEN’S 
KNOWLEDGE 
ABOUT 
THEIR 
PREGNANCY 
SEC. 501. 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 of the Public Health 
Service Act (relating to community health centers, 
migrant health centers, homeless health centers, and 
public-housing health centers). 
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‘‘(2) The entity agrees to comply with the fol-
lowing medical procedures: 
‘‘(A) The entity will inform each pregnant 
woman upon whom the ultrasound equipment is 
used that she has the right to view the visual 
image of the unborn child from the ultrasound 
examination and that she has the right to hear 
a general anatomical and physiological 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 
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is in such form, is made in such manner, and contains 
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 2008, and 
such sums as may be necessary for each of the fiscal years 
2009 and 2010.’’. 
TITLE 
VI—SERVICES 
REGARD-
ING 
POSITIVE 
TEST 
DIAG-
NOSIS OF DOWN SYNDROME 
OR OTHER PRENATALLY DI-
AGNOSED CONDITIONS 
SEC. 601. SERVICES TO PATIENTS RECEIVING POSITIVE 
TEST DIAGNOSIS FOR DOWN SYNDROME OR 
OTHER 
PRENATALLY 
DIAGNOSED 
CONDI-
TIONS. 
(a) FINDINGS AND PURPOSES.— 
(1) FINDINGS.—The Congress finds as follows: 
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(A) Pregnant women who choose to under-
go prenatal genetic testing should have access 
to timely, scientific, and nondirective counseling 
about the conditions being tested for and the 
accuracy of such tests, from health care profes-
sionals qualified to provide and interpret these 
tests. Informed consent is a critical component 
of all genetic testing. 
(B) A recent, peer-reviewed study and two 
reports from the Centers for Disease Control 
and Prevention on prenatal testing found a de-
ficiency in the data needed to understand the 
epidemiology of prenatally diagnosed conditions, 
to monitor trends accurately, and to increase 
the effectiveness of health intervention. 
(2) PURPOSES.—It is the purpose of this sec-
tion, after the diagnosis of an unborn child with 
Down syndrome or other prenatally diagnosed condi-
tions, to— 
(A) increase patient referrals to providers 
of key support services to assist parents in the 
care, or placement for adoption, of a child with 
Down syndrome, or other prenatally diagnosed 
conditions, as well as to provide up-to-date, 
science-based information about life-expectancy 
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and development potential for a child born with 
Down syndrome or other prenatally diagnosed 
condition; 
(B) provide networks of support services 
described in subparagraph (A) through a Cen-
ters for Disease Control and Prevention patient 
and provider outreach program; 
(C) improve available data by incor-
porating information directly revealed by pre-
natal testing into existing State-based surveil-
lance programs for birth defects and prenatally 
diagnosed conditions; and 
(D) ensure that patients receive up-to-date, 
scientific information about the accuracy of the 
test. 
(b) AMENDMENT TO THE PUBLIC HEALTH SERVICE 
ACT.—Part P of title III of the Public Health Service Act 
(42 U.S.C. 280g et seq.) is amended by adding at the end 
the following: 
‘‘SEC. 399R. SUPPORT FOR PATIENTS RECEIVING A POSI-
TIVE TEST DIAGNOSIS OF DOWN SYNDROME 
OR OTHER PRENATALLY DIAGNOSED CONDI-
TIONS. 
‘‘(a) DEFINITIONS.—In this section: 
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