I 
111TH CONGRESS 
1ST SESSION 
H. R. 643 
To encourage and assist women to carry their children to live birth by 
providing services, during and after pregnancy, that will alleviate the 
financial, social, emotional, and other difficulties that may otherwise 
lead to abortion. 
IN THE HOUSE OF REPRESENTATIVES 
JANUARY 22, 2009 
Mr. FORTENBERRY (for himself and Mrs. MCMORRIS RODGERS) introduced 
the following bill; which was referred to the Committee on Energy and 
Commerce, and in addition to the Committees on Ways and Means and 
Education and Labor, 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 concerned 
A BILL 
To encourage and assist women to carry their children to 
live birth by providing services, during and after preg-
nancy, that will alleviate the financial, social, emotional, 
and other difficulties that may otherwise lead to abor-
tion. 
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 
‘‘Care for Life Act of 2009’’. 
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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. 
TITLE I—PREGNANCY SUPPORT SERVICES 
Sec. 101. Sense of Congress. 
Sec. 102. Office of Pregnancy Support Services. 
Sec. 103. Individual health insurance coverage for pregnant women. 
TITLE II—DEPARTMENT OF EDUCATION 
Sec. 201. Fund for the Improvement of Postsecondary Education. 
TITLE III—ADOPTION TAX INCENTIVES 
Sec. 301. Expansion of adoption credit and adoption assistance programs. 
SEC. 2. FINDINGS. 
The Congress finds as follows: 
(1) Half of American women will experience an 
unintended pregnancy, and more than one-third will 
have an abortion by the age of 45. 
(2) Twenty-two percent of all pregnancies end 
in abortion. 
(3) It is estimated that more than 48,000,000 
abortions have been performed in the United States 
since 1973. 
(4) Two-thirds of all abortions are obtained by 
women who have never married. 
(5) Social reasons account for 93 percent of 
abortion decisions by United States women, whereas 
health concerns are the primary reason for 3 percent 
of abortions. 
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(6) According to a national study of women un-
dergoing abortion, 64 percent felt pressured by oth-
ers to have their abortions. 
(7) In a study of the reasons why United States 
women have an abortion, three-fourths report con-
cern for or responsibility to other individuals; three- 
fourths cannot afford to have a child; three-fourths 
cite interference with work, school, or dependent 
care; and half report not wanting to be a single par-
ent or report problems with the father of the child. 
(8) Fifty percent of United States women who 
abort a pregnancy are younger than 25 years of age; 
33 percent are 20 to 24 years of age; and 17 percent 
are teenagers. 
(9) Over 70 percent of United States abortion 
facilities are found in minority neighborhoods. 
(10) Domestic private adoptions are estimated 
to have fallen to 58,600 in 2001 from 97,700 in 
1992. 
(11) Less than half (39 percent) of major 
United States companies provide adoption assistance 
as an employee benefit. 
(12) Domestic private adoptions can range in 
cost from $5,000 to greater than $40,000. 
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TITLE I—PREGNANCY SUPPORT 
SERVICES 
SEC. 101. SENSE OF CONGRESS. 
It is the sense of the Congress that— 
(1) women facing pregnancy under difficult life 
circumstances should not feel compelled to have an 
abortion; and 
(2) recipients of care funded through title X of 
the Public Health Service Act (42 U.S.C. 300 et 
seq.) and expectant mothers in need should be aware 
of the services available, during and after pregnancy, 
to assist them to carry their children to live birth 
and to care for themselves and their children fol-
lowing birth. 
SEC. 102. OFFICE OF PREGNANCY SUPPORT SERVICES. 
Part D of title III of the Public Health Service Act 
(42 U.S.C. 254b et seq.) is amended— 
(1) by redesignating section 330F as section 
330F–1; and 
(2) by inserting after section 330E the fol-
lowing: 
‘‘SEC. 330F. OFFICE OF PREGNANCY SUPPORT SERVICES. 
‘‘(a) OFFICE.— 
‘‘(1) ESTABLISHMENT.—Not later than 180 
days after the date of the enactment of this section, 
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the Secretary shall establish within the Department 
of Health and Human Services an Office of Preg-
nancy Support Services. 
‘‘(2) PURPOSE.—The purpose of the Office 
shall be to encourage and assist pregnant women to 
carry their children to live birth by providing serv-
ices, during and after pregnancy, that will alleviate 
the financial, social, emotional and other difficulties 
that may otherwise lead to an abortion. 
‘‘(3) DEPUTY ASSISTANT SECRETARY.—The Of-
fice shall be headed by a Deputy Assistant Secretary 
for Pregnancy Support Services, who shall be ap-
pointed by and shall serve under the supervision and 
direction of the Assistant Secretary for Health. 
‘‘(4) NO DUPLICATION OF EFFORT.—The Sec-
retary shall coordinate the functions of the Office 
with the activities of other agencies and offices of 
the Department of Health and Human Services so 
as to avoid any duplication of effort. 
‘‘(b) PREGNANCY CARE INFORMATION SERVICE.— 
‘‘(1) DATABASE.—The Secretary shall develop 
and maintain a comprehensive, publicly accessible, 
and user friendly database, to be known as the Preg-
nancy Care Information Service, to serve as a con-
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