(1) IN GENERAL.—Except as provided in para-
graph (2), the amendments made by this section 
shall apply as of the first day of the first month that 
begins more than 30 days after the date of the en-
actment of this Act. 
(2) EXTENSION
OF
EFFECTIVE
DATE
FOR 
STATE LAW AMENDMENT.—In the case of a State 
plan under title XIX of the Social Security Act (42 
U.S.C. 1396 et seq.) which the Secretary of Health 
and Human Services determines requires State legis-
lation in order for the plan to meet the additional 
requirements imposed by the amendments made by 
this section, the State plan shall not be regarded as 
failing to comply with the requirements of such title 
solely on the basis of its failure to meet these addi-
tional requirements before the first day of the first 
calendar quarter beginning after the close of the 
first regular session of the State legislature that be-
gins after the date of enactment of this Act. For 
purposes of the previous sentence, in the case of a 
State that has a 2-year legislative session, each year 
of the session is considered to be a separate regular 
session of the State legislature. 
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TITLE VIII—DISCLOSURE OF IN-
FORMATION FOR ABORTION 
SERVICES 
SEC. 801. DISCLOSURE OF INFORMATION FOR ABORTION 
SERVICES. 
(a) IN GENERAL.—Primary care clinics that receive 
Federal financial assistance and provide abortion services 
shall obtain informed consent from the pregnant woman 
seeking to have the abortion. 
(b) INFORMED CONSENT.—Informed consent shall 
include: 
(1) Medically and factually accurate informa-
tion on the following: 
(A) How the abortion procedure is per-
formed. 
(B) Possible risks and complications of the 
procedure to be performed versus carrying the 
pregnancy to term. 
(2) At the woman’s request, information re-
garding alternatives to abortion including adoption 
and information concerning public and private agen-
cies that may provide the woman with economic and 
other assistance to carry her pregnancy to term. 
(c) PREVENTION.—Information about family plan-
ning services and supplies shall also be offered. 
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(d) TREATMENT OF PATIENTS.—Primary care clinics 
receiving Federal financial assistance shall ensure that all 
patients are treated in a nonjudgmental manner and are 
not subjected to indignity, humiliation, or breaches of con-
fidentiality. 
(e) DEFINITION.—For purposes of this section, the 
term ‘‘medically and factually accurate’’, with respect to 
information, means the information is— 
(1) verified or supported by the weight of re-
search conducted in compliance with accepted sci-
entific methods; and 
(2)(A) published in peer-reviewed journals 
where applicable; or 
(B) information that leading professional orga-
nizations and agencies with relevant expertise in the 
field, such as the American College of Obstetricians 
and Gynecologists, recognize as accurate and objec-
tive. 
TITLE IX—MEDICAID AND SCHIP 
COVERAGE 
OF 
PREGNANT 
WOMEN 
SEC. 901. STATE OPTION TO EXPAND OR ADD COVERAGE 
OF CERTAIN PREGNANT WOMEN UNDER MED-
ICAID AND SCHIP. 
(a) MEDICAID.— 
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(1) AUTHORITY TO EXPAND COVERAGE.—Sec-
tion 1902(l)(2)(A)(i) of the Social Security Act (42 
U.S.C. 1396a(l)(2)(A)(i)) is amended by inserting 
‘‘(or such higher percent as the State may elect for 
purposes of expenditures for medical assistance for 
pregnant 
women 
described 
in 
section 
1905(u)(4)(A))’’ after ‘‘185 percent’’. 
(2) ENHANCED MATCHING FUNDS AVAILABLE 
IF CERTAIN CONDITIONS MET.—Section 1905 of the 
Social Security Act (42 U.S.C. 1396d) is amended— 
(A) in the fourth sentence of subsection 
(b), by striking ‘‘or subsection (u)(3)’’ and in-
serting ‘‘, (u)(3), or (u)(4)’’; and 
(B) in subsection (u)— 
(i) by redesignating paragraph (4) as 
paragraph (5); and 
(ii) by inserting after paragraph (3) 
the following: 
‘‘(4) For purposes of the fourth sentence of 
subsection (b) and section 2105(a), the expenditures 
described in this paragraph are the following: 
‘‘(A) CERTAIN PREGNANT WOMEN.—If the 
conditions described in subparagraph (B) are 
met, expenditures for medical assistance for 
pregnant women described in subsection (n) or 
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under section 1902(l)(1)(A) in a family the in-
come of which exceeds the effective income level 
(expressed as a percent of the poverty line and 
considering applicable income disregards) that 
has 
been 
specified 
under 
subsection 
(a)(10)(A)(i)(III) or (l)(2)(A) of section 1902, 
as of January 1, 2007, but does not exceed the 
income eligibility level established under title 
XXI for a targeted low-income child. 
‘‘(B) CONDITIONS.—The conditions de-
scribed in this subparagraph are the following: 
‘‘(i) The State plans under this title 
and title XXI do not provide coverage for 
pregnant women described in subpara-
graph (A) with higher family income with-
out covering such pregnant women with a 
lower family income. 
‘‘(ii) The State does not apply an ef-
fective income level for pregnant women 
that is lower than the effective income level 
(expressed as a percent of the poverty line 
and considering applicable income dis-
regards) that has been specified under the 
State 
plan 
under 
subsection 
(a)(10)(A)(i)(III) or (l)(2)(A) of section 
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