H. R. 4365—33
‘‘(II) affected public health entities.
‘‘(ii) 
DESCRIPTION
OF
PROCESS.—The 
process
referred to in clause (i) is a process in which the
participants described in such clause collaborate to
develop best-practices guidelines on the provision of
adoption information and referrals to pregnant women
on an equal basis with all other courses of action
included in nondirective counseling to pregnant
women.
‘‘(iii) DATE CERTAIN FOR DEVELOPMENT.—The Sec-
retary shall ensure that the guidelines described in
clause (ii) are developed not later than 180 days after
the date of the enactment of the Children’s Health
Act of 2000.
‘‘(C) RELATION TO AUTHORITY FOR GRANTS.—The Sec-
retary may not make any grant under paragraph (1) before
the date on which the guidelines under subparagraph (B)
are developed.
‘‘(3) USE OF GRANT.—
‘‘(A) IN GENERAL.—With respect to a grant under para-
graph (1)—
‘‘(i) an adoption organization may expend the grant
to carry out the programs directly or through grants
to or contracts with other adoption organizations;
‘‘(ii) the purposes for which the adoption organiza-
tion expends the grant may include the development
of a training curriculum, consistent with the guidelines
developed under paragraph (2)(B); and
‘‘(iii) a condition for the receipt of the grant is
that the adoption organization agree that, in providing
training for the designated staff of eligible health cen-
ters, such organization will make reasonable efforts
to ensure that the individuals who provide the training
are individuals who are knowledgeable in all elements
of the adoption process and are experienced in pro-
viding adoption information and referrals in the
geographic areas in which the eligible health centers
are located, and that the designated staff receive the
training in such areas.
‘‘(B) RULE OF CONSTRUCTION REGARDING TRAINING OF
TRAINERS.—With respect to individuals who under a grant
under paragraph (1) provide training for the designated
staff of eligible health centers (referred to in this subpara-
graph as ‘trainers’), subparagraph (A)(iii) may not be con-
strued as establishing any limitation regarding the
geographic area in which the trainers receive instruction
in being such trainers. A trainer may receive such instruc-
tion in a different geographic area than the area in which
the trainer trains (or will train) the designated staff of
eligible health centers.
‘‘(4) ADOPTION ORGANIZATIONS; ELIGIBLE HEALTH CENTERS;
OTHER DEFINITIONS.—For purposes of this section:
‘‘(A) The term ‘adoption organization’ means a national,
regional, or local organization—
‘‘(i) among whose primary purposes are adoption;
H. R. 4365—34
‘‘(ii) that is knowledgeable in all elements of the
adoption process and on providing adoption information
and referrals to pregnant women; and
‘‘(iii) that is a nonprofit private entity.
‘‘(B) The term ‘designated staff’, with respect to an
eligible health center, means staff of the center who provide
pregnancy or adoption information and referrals (or will
provide such information and referrals after receiving
training under a grant under paragraph (1)).
‘‘(C) The term ‘eligible health centers’ means public
and nonprofit private entities that provide health services
to pregnant women.
‘‘(5) TRAINING FOR CERTAIN ELIGIBLE HEALTH CENTERS.—
A condition for the receipt of a grant under paragraph (1)
is that the adoption organization involved agree to make reason-
able efforts to ensure that the eligible health centers with
respect to which training under the grant is provided include—
‘‘(A) eligible health centers that receive grants under
section 1001 (relating to voluntary family planning
projects);
‘‘(B) eligible health centers that receive grants under
section 330 (relating to community health centers, migrant
health centers, and centers regarding homeless individuals
and residents of public housing); and
‘‘(C) eligible health centers that receive grants under
this Act for the provision of services in schools.
‘‘(6) PARTICIPATION OF CERTAIN ELIGIBLE HEALTH CLINICS.—
In the case of eligible health centers that receive grants under
section 330 or 1001:
‘‘(A) Within a reasonable period after the Secretary
begins making grants under paragraph (1), the Secretary
shall provide eligible health centers with complete informa-
tion about the training available from organizations
receiving grants under such paragraph. The Secretary shall
make reasonable efforts to encourage eligible health centers
to arrange for designated staff to participate in such
training. Such efforts shall affirm Federal requirements,
if any, that the eligible health center provide nondirective
counseling to pregnant women.
‘‘(B) All costs of such centers in obtaining the training
shall be reimbursed by the organization that provides the
training, using grants under paragraph (1).
‘‘(C) Not later than 1 year after the date of the enact-
ment of the Children’s Health Act of 2000, the Secretary
shall submit to the appropriate committees of the Congress
a report evaluating the extent to which adoption informa-
tion and referral, upon request, are provided by eligible
health centers. Within a reasonable time after training
under this section is initiated, the Secretary shall submit
to the appropriate committees of the Congress a report
evaluating the extent to which adoption information and
referral, upon request, are provided by eligible health cen-
ters in order to determine the effectiveness of such training
and the extent to which such training complies with sub-
section (a)(1). In preparing the reports required by this
subparagraph, the Secretary shall in no respect interpret
the provisions of this section to allow any interference
H. R. 4365—35
in the provider-patient relationship, any breach of patient
confidentiality, or any monitoring or auditing of the coun-
seling process or patient records which breaches patient
confidentiality or reveals patient identity. The reports
required by this subparagraph shall be conducted by the
Secretary acting through the Administrator of the Health
Resources and Services Administration and in collaboration
with the Director of the Agency for Healthcare Research
and Quality.
‘‘(b) APPLICATION FOR GRANT.—The Secretary may make a grant
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 such agreements, assurances, and
information as the Secretary determines to be necessary to carry
out this section.
‘‘(c) AUTHORIZATION OF APPROPRIATIONS.—For the purpose of
carrying out this section, there are authorized to be appropriated
such sums as may be necessary for each of the fiscal years 2001
through 2005.’’.
Subtitle B—Special Needs Adoption
Awareness
SEC. 1211. SPECIAL NEEDS ADOPTION PROGRAMS; PUBLIC AWARE-
NESS CAMPAIGN AND OTHER ACTIVITIES.
Subpart I of part D of title III of the Public Health Service
Act, as amended by section 1201 of this Act, is amended by adding
at the end the following section:
‘‘SEC. 330G. SPECIAL NEEDS ADOPTION PROGRAMS; PUBLIC AWARE-
NESS CAMPAIGN AND OTHER ACTIVITIES.
‘‘(a) SPECIAL NEEDS ADOPTION AWARENESS CAMPAIGN.—
‘‘(1) IN GENERAL.—The Secretary shall, through making
grants to nonprofit private entities, provide for the planning,
development, and carrying out of a national campaign to pro-
vide information to the public regarding the adoption of children
with special needs.
‘‘(2) INPUT ON PLANNING AND DEVELOPMENT.—In providing
for the planning and development of the national campaign
under paragraph (1), the Secretary shall provide for input from
a number and variety of adoption organizations throughout
the States in order that the full national diversity of interests
among adoption organizations is represented in the planning
and development of the campaign.
‘‘(3) CERTAIN FEATURES.—With respect to the national cam-
paign under paragraph (1):
‘‘(A) The campaign shall be directed at various popu-
lations, taking into account as appropriate differences
among geographic regions, and shall be carried out in the
language and cultural context that is most appropriate
to the population involved.
‘‘(B) The means through which the campaign may be
carried out include—
‘‘(i) placing public service announcements on tele-
vision, radio, and billboards; and
H. R. 4365—36
‘‘(ii) providing information through means that the
Secretary determines will reach individuals who are
most likely to adopt children with special needs.
‘‘(C) The campaign shall provide information on the
subsidies and supports that are available to individuals
regarding the adoption of children with special needs.
‘‘(D) The Secretary may provide that the placement
of public service announcements, and the dissemination
of brochures and other materials, is subject to review by
the Secretary.
‘‘(4) MATCHING REQUIREMENT.—
‘‘(A) IN GENERAL.—With respect to the costs of the
activities to be carried out by an entity pursuant to para-
graph (1), a condition for the receipt of a grant under
such paragraph is that the entity agree to make available
(directly or through donations from public or private enti-
ties) non-Federal contributions toward such costs in an
amount that is not less than 25 percent of such costs.
‘‘(B) DETERMINATION OF AMOUNT CONTRIBUTED.—Non-
Federal contributions under subparagraph (A) may be in
cash or in kind, fairly evaluated, including plant, equip-
ment, or services. Amounts provided by the Federal Govern-
ment, or services assisted or subsidized to any significant
extent by the Federal Government, may not be included
in determining the amount of such contributions.
‘‘(b) NATIONAL
RESOURCES
PROGRAM.—The Secretary shall
(directly or through grant or contract) carry out a program that,
through toll-free telecommunications, makes available to the public
information regarding the adoption of children with special needs.
Such information shall include the following:
‘‘(1) A list of national, State, and regional organizations
that provide services regarding such adoptions, including
exchanges and other information on communicating with the
organizations. The list shall represent the full national diversity
of adoption organizations.
‘‘(2) Information beneficial to individuals who adopt such
children, including lists of support groups for adoptive parents
and other postadoptive services.
‘‘(c) OTHER PROGRAMS.—With respect to the adoption of children
with special needs, the Secretary shall make grants—
‘‘(1) to provide assistance to support groups for adoptive
parents, adopted children, and siblings of adopted children;
and
‘‘(2) to carry out studies to identify—
‘‘(A) the barriers to completion of the adoption process;
and
‘‘(B) those components that lead to favorable long-term
outcomes for families that adopt children with special
needs.
‘‘(d) APPLICATION FOR GRANT.—The Secretary may make an
award of a grant or contract under this section only if an application
for the award is submitted to the Secretary and the application
is in such form, is made in such manner, and contains such agree-
ments, assurances, and information as the Secretary determines
to be necessary to carry out this section.