child, carrying the pregnancy to term and placing the child 
for adoption, miscarriage, and having an abortion. This 
study may assess the incidence, timing, magnitude, and 
duration of the immediate and long-term mental health 
consequences (positive or negative) of these pregnancy 
outcomes. 
(b) REPORT.—Beginning not later than 3 years after 
the date of the enactment of this Act, and periodically 
thereafter for the duration of the study under subsection 
(a), the Director of the Institute should prepare and sub-
mit to the Congress reports on the findings of the study. 
TITLE II—DELIVERY OF SERV-
ICES 
REGARDING 
POSTPARTUM 
DEPRESSION 
AND PSYCHOSIS 
SEC. 201. ESTABLISHMENT OF PROGRAM OF GRANTS. 
(a) IN GENERAL.—The Secretary of Health and 
Human Services (in this title referred to as the ‘‘Sec-
retary’’) should in accordance with this title make grants 
to provide for projects for the establishment, operation, 
and coordination of effective and cost-efficient systems for 
the delivery of essential services to individuals with 
postpartum depression or postpartum psychosis (referred 
to in this section as a ‘‘postpartum condition’’) and their 
families.
(b) RECIPIENTS OF GRANTS.—A grant under sub-
section (a) may be made to an entity only if the entity 
is a public or nonprofit private entity, which may include 
a State or local government; a public or nonprofit private 
hospital, community-based organization, hospice, ambula-
tory care facility, community health center, migrant health 
center, or homeless health center; or any other appropriate 
public or nonprofit private entity. 
(c) CERTAIN ACTIVITIES.—To the extent practicable 
and appropriate, the Secretary shall ensure that projects 
under subsection (a) provide services for the diagnosis and 
management of postpartum conditions. Activities that the 
Secretary may authorize for such projects may also in-
clude the following: 
(1) Delivering or enhancing outpatient and 
home-based health and support services, including 
case management, screening, and comprehensive 
treatment services for individuals with or at risk for 
postpartum conditions; and delivering or enhancing 
support services for their families. 
(2) Delivering or enhancing inpatient care man-
agement services that ensure the well-being of the 
mother and family and the future development of 
the infant.
(3) Improving the quality, availability, and or-
ganization of health care and support services (in-
cluding transportation services, attendant care, 
homemaker services, day or respite care, and pro-
viding counseling on financial assistance and insur-
ance) for individuals with postpartum conditions and 
support services for their families. 
(d) INTEGRATION WITH OTHER PROGRAMS.—To the 
extent practicable and appropriate, the Secretary should 
integrate the program under this title with other grant 
programs carried out by the Secretary, including the pro-
gram under section 330 of the Public Health Service Act. 
SEC. 202. CERTAIN REQUIREMENTS. 
A grant may be made under section 201 only if the 
applicant involved makes the following agreements: 
(1) Not more than 5 percent of the grant will 
be used for administration, accounting, reporting, 
and program oversight functions. 
(2) The grant will be used to supplement and 
not supplant funds from other sources related to the 
treatment of postpartum conditions. 
(3) The applicant will abide by any limitations 
deemed appropriate by the Secretary on any charges 
to individuals receiving services pursuant to the 
grant. As deemed appropriate by the Secretary, such
limitations on charges may vary based on the finan-
cial circumstances of the individual receiving serv-
ices. 
(4) The grant will not be expended to make 
payment for services authorized under section 
201(a) to the extent that payment has been made, 
or can reasonably be expected to be made, with re-
spect to such services— 
(A) under any State compensation pro-
gram, under an insurance policy, or under any 
Federal or State health benefits program; or 
(B) by an entity that provides health serv-
ices on a prepaid basis. 
(5) The applicant will, at each site at which the 
applicant provides services under section 201(a), 
post a conspicuous notice informing individuals who 
receive the services of any Federal policies that 
apply to the applicant with respect to the imposition 
of charges on such individuals. 
SEC. 203. TECHNICAL ASSISTANCE. 
The Secretary may provide technical assistance to as-
sist entities in complying with the requirements of this 
title in order to make such entities eligible to receive 
grants under section 201.
TITLE III—GENERAL 
PROVISIONS 
SEC. 301. AUTHORIZATION OF APPROPRIATIONS. 
To carry out this Act and the amendments made by 
this Act, there are authorized to be appropriated— 
(1) $3,000,000 for fiscal year 2008; and 
(2) such sums as may be necessary for fiscal 
years 2009 and 2010. 
Passed the House of Representatives October 15, 
2007. 
Attest: 
Clerk.
110TH CONGRESS 
1ST SESSION 
H. R. 20 
AN ACT 
To provide for research on, and services for individ-
uals with, postpartum depression and psychosis.