I
103D CONGRESS
1ST SESSION
H. R. 3561
To amend the Public Health Service Act to reauthorize adolescent family
life demonstration projects, and for other purposes.
IN THE HOUSE OF REPRESENTATIVES
NOVEMBER 19, 1993
Mrs. JOHNSON of Connecticut (for herself, Mr. GREENWOOD, Ms. MCKINNEY,
Ms. VELA´ZQUEZ, Mr. ACKERMAN, Mr. BEILENSON, Mr. FILNER, Mr.
HOCHBRUECKNER, Mr. SCOTT, Mr. SERRANO, Mrs. UNSOELD, Ms. WA-
TERS, and Ms. WOOLSEY) introduced the following bill; which was re-
ferred to the Committee on Energy and Commerce
A BILL
To amend the Public Health Service Act to reauthorize ado-
lescent family life demonstration projects, and for other
purposes.
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ‘‘Mickey Leland Adoles-
cent Pregnancy Prevention and Parenthood Act of 1993’’.
SEC. 2. ADOLESCENT PREGNANCY PREVENTION, CARE,
AND RESEARCH GRANTS.
Title XX of the Public Health Service Act (42 U.S.C.
300z et seq.) is amended to read as follows:
‘‘TITLE XX—ADOLESCENT PREG-
NANCY PREVENTION, CARE,
AND RESEARCH GRANTS
‘‘SEC. 2001. FINDINGS AND PURPOSES.
‘‘(a) FINDINGS.— The Congress finds that—
‘‘(1) adolescents are at a high risk of unwanted
pregnancy;
‘‘(2) in 1988, more than 1,000,000 teenagers
became pregnant, and nearly 500,000 teenagers car-
ried their pregnancies to term, of which more than
6 out of 10 births were out of wedlock;
‘‘(3) the birthrate for adolescents between the
ages of 15 and 17 increased 23 percent between
1986 and 1989;
‘‘(4) in a high proportion of cases, the pregnant
adolescent is herself the product of an unmarried
parenthood during adolescence and is continuing the
pattern in her own lifestyle;
‘‘(5) pregnancy and childbirth among unmar-
ried adolescents, particularly young adolescents,
often results in severe adverse health, social, and
economic consequences, including—
‘‘(A) higher percentage of pregnancy and
childbirth complications;
‘‘(B) higher incidence of low birth weight
babies;
‘‘(C) higher infant mortality and morbid-
ity;
‘‘(D) greater likelihood that an adolescent
marriage will end in divorce;
‘‘(E) decreased likelihood of completing
schooling; and
‘‘(F) higher risks of unemployment and
welfare dependency; and
therefore, education, training, and job research serv-
ices are important for adolescent parents; and
‘‘(6) an adolescent who becomes pregnant once
is likely to experience rapid repeat pregnancies and
childbearing, with increased risks;
‘‘(7) research has shown that in cases in which
there is a family involvement in comprehensive val-
ues-based projects and services—
‘‘(A) low birth weight is significantly re-
duced;
‘‘(B) delays in initiating sexual activity
occur;
‘‘(C) there are significant reductions in re-
peat pregnancy, welfare costs, and child abuse;
and
‘‘(D) teens are more likely to return and
complete their high school education; and
therefore, the family should become a partner in the
development of curriculum and programs that reflect
the values of the community;
‘‘(8) the problems of adolescent pregnancy and
parenthood are multiple and complex and are best
approached through a variety of integrated and es-
sential services, particularly those that allow the
pregnant adolescent and adolescent parent to stay in
school;
‘‘(9) such services, including a wide array of
educational and supportive services, often are not
available to the adolescents who need them, or are
available but fragmented and thus of limited effec-
tiveness in preventing pregnancies and future wel-
fare dependency; and
‘‘(10) Federal policy therefore should encourage
the development of appropriate health, educational,
and social services where they are now lacking or in-
adequate, and the better coordination of existing
services where they are available in order to prevent
unwanted early and repeat pregnancies and to help
adolescents become productive, independent contrib-
utors to family and community life.
‘‘(b) PURPOSES.—It is the purpose of this title—
‘‘(1) to establish better coordination, integra-
tion, and linkages among existing programs in order
to expand and improve the availability of, and access
to, needed comprehensive community services that
assist in preventing unwanted initial and repeat
pregnancies among adolescents, enable pregnant
adolescents to obtain proper care and assist preg-
nant adolescents, their male partners, and adoles-
cent parents to become productive independent con-
tributors to family and community life, with primary
emphasis on services to adolescents who are 17 years
of age and under;
‘‘(2) to expand the availability of such services
that are essential to that objective;
‘‘(3) to promote innovative, comprehensive, and
integrated approaches to the delivery of such serv-
ices;
‘‘(4) to encourage and support research pro-
grams concerning the societal causes and con-
sequences of pregnancy, childbearing, and child
rearing for adolescent females and males;
‘‘(5) to support evaluative research to identify
effective services that reduce adolescent pregnancy
rates and that improve the outcome of adolescent
childbearing for the parents, the child, and their
families; and
‘‘(6) to encourage and provide for the dissemi-
nation of results, findings, and information from
programs and research projects relating to adoles-
cent pregnancy and parenthood.
‘‘SEC. 2002. DEFINITIONS.
‘‘For the purposes of this title:
‘‘(1) ADOLESCENT.—The term ‘adolescent’
means an individual under the age of 21.
‘‘(2) CARE SERVICES.—The term ‘care services’
means all services for the provision of care to adoles-
cents, both male and female, pregnant adolescents
and their male partners, and adolescent parents.
Such term shall include all core services and may in-
clude supplementary services, in accordance with
regulations prescribed by the Secretary.
‘‘(3) CORE SERVICES.—The term ‘core services’
means those services that shall be provided by a
grantee, as determined by the Secretary by regula-
tion, which shall include—
‘‘(A) pregnancy testing and maternity
counseling, or referral for such services;
‘‘(B) family planning services, except that
such services for adolescents who are not al-
ready parents may be limited to counseling and
referral unless suitable and appropriate family
planning services are not otherwise available in
the community;
‘‘(C) counseling on all options regarding
pregnancy, or referral for such services;
‘‘(D) primary and preventive health serv-
ices, including prenatal and postnatal care for
mother and children and arrangements for de-
livery;
‘‘(E) well-baby care;
‘‘(F) nutrition information and counseling;
‘‘(G) screening, counseling and treatment
or referral for treatment and prevention of sex-
ually transmitted diseases, including acquired
immunodeficiency syndrome;
‘‘(H) referral to appropriate pediatric care;
‘‘(I) educational services relating to sexual-
ity and family life, including—
‘‘(i) education on responsible decision-
making regarding sexual activity;
‘‘(ii) education on the responsibilities
of parenting;
‘‘(iii) education on a full range of
means for delaying becoming pregnant, in-
cluding abstinence, natural family plan-
ning, and contraception;
‘‘(iv) education on the prevention of
sexually transmitted diseases, including ac-
quired immunodeficiency syndrome; and
‘‘(v) assistance to parents, schools,
youth agencies, and health care providers
to educate adolescents and pre-adolescents
concerning self-discipline and responsibility
in human sexuality;
‘‘(J) referral to appropriate educational,
employment, employment training, and voca-
tional services;
‘‘(K) mental health services and referral to
mental health services and to other appropriate
physical health and social services; and
‘‘(L) encouragement of parent and family
involvement in each of the core services de-
scribed in subparagraphs (A) through (K).
‘‘(4) ELIGIBLE GRANT RECIPIENT.—The term
‘eligible grant recipient’ means a public or nonprofit
private organization or agency that demonstrates, to
the satisfaction of the Secretary—
‘‘(A) in the case of an organization that
will provide care services, the capability of pro-
viding all care services in a single setting or the
capability of creating a network through which
all care services would be provided; or
‘‘(B) in the case of an organization that
will provide prevention services, the capability
of providing such services.
‘‘(5) ELIGIBLE
PERSON.—The term ‘eligible
person’ means—
‘‘(A) with regard to the provision of pre-
vention services and referral to such other serv-
ices as may be appropriate, any adolescent; or
‘‘(B) with regard to the provision of care
services, adolescent parents and (when appro-
priate) adolescents who are not parents.
‘‘(6) PREVENTION SERVICES.—The term ‘pre-
vention services’ means services described in sub-
paragraphs (B) and (I) of paragraph (3) and refer-
rals to such other services as may be appropriate, in-
cluding services to be offered in schools at local
discretion.
‘‘(7) SECRETARY.—The term ‘Secretary’ means
the Secretary of Health and Human Services.
‘‘(8) SUPPLEMENTAL
SERVICES.—The term
‘supplemental services’ means those services that
may be provided by a grantee, as determined by the
Secretary by regulation, which may include—
‘‘(A) child care sufficient to enable the ad-
olescent parent to continue education or to
enter into employment, including services to be
provided within secondary schools at local dis-
cretion;
‘‘(B) 
consumer 
education 
and 
home-
making;
‘‘(C) counseling for the immediate and ex-
tended family members of the eligible person;
‘‘(D) transportation;
‘‘(E) referral to licensed residential care or
maternity home services;
‘‘(F) referral to licensed adoption agencies
for adoption placement services;
‘‘(G) employability training and counseling;
and
‘‘(H) such other services as are consistent
with this title as the Secretary may approve in
accordance with regulations promulgated by the
Secretary.
‘‘SEC. 2003. AUTHORITY TO MAKE GRANTS FOR SERVICES.
‘‘The Secretary may make grants to provide preven-
tion and care services to pregnant adolescents and their
male partners, adolescent parents, and nonpregnant ado-
lescents. Grants shall be used to provide, supplement, or
improve the quality of such services.
‘‘SEC. 2004. USE OF GRANTS FOR SERVICES.
‘‘(a) USES.—A grant made under this title may be
used to—
‘‘(1) provide eligible persons—
‘‘(A) prevention services;
‘‘(B) care services; or
‘‘(C) any combination of prevention and
care services;
‘‘(2) coordinate, integrate, and provide linkages
among providers of prevention, care, and other serv-
ices for eligible persons in furtherance of the pur-
poses of this title;
‘‘(3) provide supplemental services where such
services are not adequate or not available to eligible
persons in the community and that are essential to
the care of eligible persons and to the prevention of
adolescent pregnancy;
‘‘(4) plan, for a period of not more than 1 year,
for the administration and coordination of preg-
nancy prevention services and programs of care for
eligible persons that will further the objectives of
this title; and
‘‘(5) fulfill assurances required for grant ap-
proval by section 2006.
‘‘(b) FEES.—Grantees shall charge fees for services
only pursuant to a fee schedule, approved by the Secretary
as a part of the application described in section 2006, that
bases fees charged by the grantee on the income of the
eligible person and takes into account the difficulty adoles-
cents face in obtaining resources to pay for services. In
no case may a grantee discriminate with regard to the pro-
vision of services to any individual because of that individ-
ual’s inability to provide payment for such services.
‘‘SEC. 2005. PRIORITIES, AMOUNTS, AND DURATION OF
GRANTS FOR SERVICES.
‘‘(a) PRIORITIES.—In approving applications for
grants for services under this title, the Secretary shall give
priority to applicants who—
‘‘(1) serve an area where there is a high inci-
dence of adolescent pregnancy;
‘‘(2) serve an area with a high proportion of
low-income families and where the availability of
programs of prevention and care for eligible persons
is low;
‘‘(3) show evidence—
‘‘(A) in the case of an applicant who will
provide prevention services, of having the ability
to provide prevention services for adolescents
and their families that are appropriate for the
target population and the geographic area to be
served, including the special needs of rural
areas; or
‘‘(B) in the case of an applicant who will
provide care services, of having the ability to
bring together a wide range of needed core serv-
ices and, as appropriate, supplemental services
in comprehensive single-site programs, or to es-
tablish a well-integrated network of such serv-
ices (appropriate for the target population and
geographic area to be served including the spe-
cial needs of rural areas) for eligible persons;
‘‘(4) will utilize to the maximum extent feasible
existing available programs and facilities such as
community health centers, child welfare agencies,
children and youth centers, maternal and infant
health centers, regional rural health facilities, li-
censed adoption agencies, maternity homes, school
and other educational programs, family planning
clinics, mental health programs, nutrition programs,
recreation programs, and other ongoing pregnancy
prevention and pregnancy-related services;
‘‘(5) make use, to the maximum extent feasible,
of other Federal, State, and local funds, programs,
contributions, and other third-party reimbursements;
‘‘(6) can demonstrate a community commitment
to the program by making available to the program
non-Federal funds, personnel, and facilities;
‘‘(7) have involved the community to be served,
including public and nonprofit private agencies, ado-
lescents, and families, in the planning and imple-
mentation of the program; and
‘‘(8) will demonstrate innovative and effective
approaches in addressing the problems of adolescent
pregnancy or parenthood, including outreach to ado-
lescent males and approaches for providing pregnant
adolescents with adequate information about adop-
tion.
‘‘(b) AMOUNTS.—
‘‘(1) IN GENERAL.—The amount of a grant for
a program for services under this title shall be deter-
mined by the Secretary, based on factors such as the
incidence of adolescent pregnancy in the geographic
area to be served, and the adequacy of pregnancy
prevention services and programs of care for eligible
persons in such area.
‘‘(2) RURAL
AREAS.—In making grants for
services under this title, the Secretary shall consider
the special needs of rural areas and, to the maxi-
mum extent practicable, shall distribute funds taking
into consideration the relative number of adolescents
in such areas in need of such services.
‘‘(c) FEDERAL SHARE.—
‘‘(1) IN GENERAL.—Subject to paragraph (3), a
grant for services under this title may not exceed 75
percent of the costs of the program for any year.
‘‘(2) 
FORM
OF
NON-FEDERAL
CONTRIBU-
TIONS.—Non-Federal 
contributions 
required 
by
paragraph (1) may be in cash or in kind, fairly eval-
uated, including plant, equipment, or services.
‘‘(3) WAIVER.—The Secretary may waive the
limitation specified in paragraph (1) for any year in
accordance with criteria established by regulation.
‘‘SEC. 
2006. 
REQUIREMENTS 
FOR 
APPLICATIONS 
FOR
GRANTS FOR SERVICES.
‘‘(a) IN GENERAL.—An application for a grant for
services under this title shall be in such form and contain
such information as the Secretary may require, and shall
include—
‘‘(1) an identification of the incidence of adoles-
cent pregnancy and related problems;
‘‘(2) a description of the economic conditions
and income levels in the geographic area to be
served;
‘‘(3) a description of existing pregnancy preven-
tion services and programs of care for eligible per-
sons (including adoption services), and including
where, how, by whom, and to which population
groups such services are provided, and the extent to
which they are coordinated in the geographic area to
be served;
‘‘(4) a description of the major unmet needs for
services for adolescents at risk of initial or recurrent
pregnancies and an estimate of the number of ado-
lescents not being served in the area;
‘‘(5)(A) in the case of an applicant who will
provide prevention services, a description of the nec-
essary services to be provided and how the applicant
will provide such services; or
‘‘(B) in the case of an applicant who will pro-
vide care services, a description of how all core serv-
ices will be provided in the program using funds
under this title or will otherwise be provided by the
grantee in the area to be served, the population to
which such services will be provided, how such serv-
ices will be coordinated, integrated, and linked with
other related programs and services and the source
or sources of funding of such core services in the
public and private sectors; or
‘‘(6) a description of the manner in which ado-
lescents needing services other than the services pro-
vided directly by the applicant will be identified and
how access and appropriate referral to such other
services (such as but not limited to medicaid; li-
censed adoption agencies; maternity home services;
public assistance; employment services; child care
services for adolescent parents; and other city, coun-
ty, and State programs related to adolescent preg-
nancy) will be provided, including a description of a
plan to coordinate such other services with the serv-
ices supported under this title;
‘‘(7) a description of the results expected from
the provision of services, and the procedures to be
used for evaluating those results;
‘‘(8) assurances that the applicant will have an
ongoing quality assurance program;
‘‘(9) assurances that the applicant shall have a
system for maintaining the confidentiality of patient
records in accordance with regulations prescribed by
the Secretary;
‘‘(10) assurances that the applicant will dem-
onstrate its financial responsibility by the use of
such accounting procedures and other requirements
as may be prescribed by the Secretary;
‘‘(11) assurances that the applicant will make
maximum use of other sources of Federal and State
funding;
‘‘(12)(A) a description of—
‘‘(i) the schedule of fees to be used in the
provision of services, which shall comply with
section 2004(c); and
‘‘(ii) a corresponding schedule of discounts
to be applied to the payment of such fees, which
shall—
‘‘(I) comply with section 2004(b);
‘‘(II) be adjusted on the basis of the
ability of the eligible person to pay; and
‘‘(III) provide that no fee will be im-
posed on any eligible individual with an in-
come of less than 100 percent of the offi-
cial poverty line;
‘‘(B) assurances that the applicant has made
and will continue to make every reasonable effort—
‘‘(i) to secure from eligible persons pay-
ment for services in accordance with such
schedules;
‘‘(ii) to collect reimbursement for health or
other services provided to persons who are enti-
tled to have payment made on their behalf for
such services under any Federal or other gov-
ernment program or private insurance program;
and
‘‘(iii) to seek such reimbursement on the
basis of the full amount of fees for services
without application of any discount; and
‘‘(C) assurances that the applicant has submit-
ted or will submit to the Secretary such reports as
the Secretary may require to determine compliance
with this paragraph;
‘‘(13) assurances that the applicant will make
maximum use of funds available under title X;
‘‘(14) assurances that the acceptance by any in-
dividual of family planning services or family plan-
ning information (including educational materials)
provided through financial assistance under this title
shall be voluntary and shall not be a prerequisite to
eligibility for or receipt of any other service fur-
nished by the applicant;
‘‘(15) assurances that fees collected by the ap-
plicant for services rendered in accordance with this
title shall be used by the applicant to further the
purposes of this title;
‘‘(16) assurances that the applicant, if provid-
ing both prevention and care services, will not ex-
clude or discriminate against any adolescent who re-
ceives prevention services and subsequently requires
care services as a pregnant adolescent;
‘‘(17) a description of how the applicant will as-
certain whether services for which adolescents have
been referred have actually been obtained and de-
velop a plan to ensure that needed services actually
are received;
‘‘(18) assurances that unemancipated minors
requesting services from the applicant will be en-
couraged to consult with their parents with respect
to such services and that services shall not be denied
to unemancipated minors who decide not to consult
their parents;
‘‘(19) assurances that all pregnant adolescents
receiving services will be informed of the availability
of counseling (either by the entity providing core
services or through a referral agreement with such
other entity that provides such counseling) on all op-
tions, regarding the pregnancy;
‘‘(20) assurances that primary emphasis for
services supported under this title shall be given to
adolescents 17 and under who are not able to obtain
needed assistance through other means;
‘‘(21) assurances that funds received under this
title shall not supplant funds received from any
other Federal, State, or local program or any private
sources of funds; and
‘‘(22) a plan for the conduct of, and assurances
that the applicant will conduct, evaluations of the ef-
fectiveness of the services supported under this title
in accordance with subsection (b).
‘‘(b) EVALUATIONS.—
‘‘(1) IN GENERAL.—Each grantee that receives
funds for a grant for services under this title shall
expend at least 3 percent but not in excess of 10
percent of the amounts received under this title for
the conduct of evaluations of the services supported
under this title. The Secretary may, for a particular
grantee on good cause shown, waive the preceding
sentence with respect to the amounts to be expended
on evaluations, but may not waive the requirement
that such evaluations be conducted.
‘‘(2) INDEPENDENT EVALUATION.—Evaluations
required by paragraph (1) shall be conducted by an
organization or entity that is independent of the
grantee providing services supported under this title.
‘‘(c) REPORTS.—
‘‘(1) IN GENERAL.—Each grantee that partici-
pates in the program established by this title shall
make such reports concerning its use of Federal
funds as the Secretary may require, including re-
ports on prevention programs and care programs.
‘‘(2) CONTENTS OF REPORTS ON PREVENTION
PROGRAMS.—Reports on prevention programs shall
be in a standard format as prescribed by the Sec-
retary and shall include a description of—
‘‘(A) the characteristics, educational at-
tainments, and economic status of clients;
‘‘(B) the clients’ previous exposure in
home, school, or other locations to educational
efforts regarding sexuality and family life;
‘‘(C) the types of interventions employed in
the prevention program;
‘‘(D) the before and after outcome meas-
urements on variables appropriate to the inter-
vention;
‘‘(E) to the extent possible and where ap-
propriate to program goals, the pregnancy and
sexually transmitted disease rates subsequent to
intervention; and
‘‘(F) the extent of parent or family involve-
ment in the program.
‘‘(3) CONTENTS
OF
REPORTS
ON
CARE
PRO-
GRAMS.—Reports on care programs shall be in
standard format as prescribed by the Secretary and
shall include a description of—
‘‘(A) the characteristics, health history,
educational attainments, and economic status of
clients at the time of entry;
‘‘(B) the client prenatal care and preg-
nancy outcome, complications of pregnancy and
delivery, and infant birth outcomes;
‘‘(C) the characteristics, educational at-
tainments, and economic status of clients at
time of follow-up and infant follow-up informa-
tion;
‘‘(D) the types of services provided to cli-
ents; and
‘‘(E) the extent of parent or family involve-
ment in the services provided.
‘‘(4) COMPARISON DATA.—Reports on preven-
tion programs and care programs shall include con-
trol group data or other appropriate comparison
data to provide comparisons with project data and to
indicate program impact or effectiveness.
‘‘(5) FOLLOW-UP DATA.—Reports on prevention
programs and care programs shall include, to the ex-
tent possible, follow-up data on a random sample of
program graduates and dropouts.
‘‘(d) TIMING OF SERVICES.—No application submit-
ted for a grant for a program for care services under this
title may be approved unless the Secretary is satisfied that
core services shall be available through the applicant with-
in a reasonable time after such grant is received.
‘‘SEC. 2007. COORDINATION OF FEDERAL AND STATE PRO-
GRAMS.
‘‘(a) FEDERAL PROGRAMS.—The Secretary shall co-
ordinate Federal policies and programs providing services
relating to the prevention of initial and recurrent adoles-
cent pregnancies and providing care services for eligible
persons. In achieving such coordination, the Secretary
shall—
‘‘(1) require grantees who receive grants for
services under this title to report periodically to the
Secretary concerning Federal, State, and local poli-
cies and programs that interfere with the delivery of
and coordination of pregnancy prevention services
and other programs of care for pregnant adolescents
and adolescent parents;
‘‘(2) provide technical assistance to facilitate
coordination by State and local recipients of Federal
assistance;
‘‘(3) give priority in the provision of funds,
where appropriate, to applicants using single or co-
ordinated grant applications for multiple programs;
and
‘‘(4) give priority, where appropriate, to the
provision of funds under Federal programs adminis-
tered by the Secretary (other than the program es-
tablished by this title) to programs providing com-
prehensive prevention services and comprehensive
programs of care for eligible persons.
‘‘(b) OTHER RECIPIENTS.—Any recipient of a grant
for services under this title shall coordinate its activities
with any other recipient of such a grant that is located
in the same locality.
‘‘SEC. 2008. GRANTS FOR RESEARCH.
‘‘(a) IN GENERAL.—
‘‘(1) AUTHORIZATION.—The Secretary may
make grants to public agencies or nonprofit private
organizations or institutions of higher education to
support the research and dissemination activities de-
scribed in paragraphs (4), (5), and (6) of section
2001(b).
‘‘(2) DURATION.—The Secretary may make
grants or enter into contracts under this section for
a period of 1 year. A grant or contract under this
section for a program may be renewed for 4 addi-
tional 1-year periods, which need not be consecutive.
‘‘(3) AMOUNT
LIMITATION.—A grant or con-
tract for any 1-year period under this section may
not exceed $100,000 for the direct costs of conduct-
ing research or dissemination activities under this
section and may include such additional amounts for
the indirect costs of conducting such activities as the
Secretary determines appropriate. The Secretary
may waive the preceding sentence with respect to a
specific program if the Secretary determines that—
‘‘(A) exceptional circumstances warrant
such waiver and that the program will have na-
tional impact;
‘‘(B) additional amounts are necessary for
the direct costs of conducting limited programs
for the provision of necessary services in order
to provide data for research carried out under
this title; or
‘‘(C) several grantees together require
more than $100,000 to evaluate the effective-
ness of different combinations of services, and
if such grantees demonstrate evidence of rea-
sonable progress in the first year, such
multisite evaluation studies shall receive pref-
erence for funding renewal.
‘‘(4) CARRYOVER FOR REPORT.—The amount
of any grant or contract made under this section
may remain available for obligation or expenditure
after the close of the 1-year period for which such
grant or contract is made in order to assist the re-
cipient in preparing the report required by sub-
section (f)(1).
‘‘(b) USE OF FUNDS.—
‘‘(1) IN
GENERAL.—Funds provided for re-
search under this section may be used for descriptive
or explanatory surveys, evaluation studies, longitu-
dinal studies, or limited programs for services that
are for the purpose of increasing knowledge and un-
derstanding of the matters described in paragraphs
(4) and (5) of section 2001(b).
‘‘(2) LIMITATIONS.—Funds provided under this
section may not be used for the purchase or im-
provement of land, or the purchase, construction, or
permanent improvement (other than minor remodel-
ing) of any building or facility.
‘‘(c) PREREQUISITES.—The Secretary may not make
any grant or enter into any contract to support research
or dissemination activities under this section unless—
‘‘(1) the Secretary has received an application
for such grant or contract that is in such form and
that contains such information as the Secretary may
by regulation require;
‘‘(2) the applicant has demonstrated that the
applicant is capable of conducting one or more of
the types of research or dissemination activities de-
scribed in paragraph (4), (5), or (6) of section
2001(b); and
‘‘(3) in the case of an application for a research
program, the panel established by subsection (e)(2)
has determined that the program is of scientific
merit.
‘‘(d) COORDINATION.—The Secretary shall coordi-
nate research and dissemination activities carried out
under this section with research and dissemination activi-
ties carried out by the National Institutes of Health.
‘‘(e) REVIEW OF APPLICATIONS.—
‘‘(1) SYSTEM.—The Secretary shall establish a
system for the review of applications for grants and
contracts under this section. Such system shall be
substantially similar to the system for scientific peer
review of the National Institutes of Health and shall
meet the requirements of paragraphs (2) and (3).
‘‘(2) PANEL.—
‘‘(A) ESTABLISHMENT.—In establishing
the system required by paragraph (1), the Sec-
retary shall establish a panel to review applica-
tions under this section.
‘‘(B) EXPERTISE.—Panel members should
have expertise in research and evaluation and
should represent disciplines relevant to the
study of adolescent pregnancy and parenting.
‘‘(C) LIMIT
ON
PHYSICIANS.—Not more
than 25 percent of the members of the panel
shall be physicians.
‘‘(D) MEETINGS.—The panel shall meet as
often as may be necessary to facilitate the expe-
ditious review of applications under this section,
but not less than once each year.
‘‘(E) REVIEW.—The panel shall review
each program for which an application is made
under this section, evaluate the scientific merit
of the program, determine whether the program
is of scientific merit, and make recommenda-
tions to the Secretary concerning whether the
application for the program should be approved.
‘‘(3) GRANT DETERMINATION.—The Secretary
shall make grants under this section from among the
programs that the panel established by paragraph
(2) has determined to be of scientific merit and may
only approve an application for a program if the
panel has made such determination with respect to
such a program. The Secretary shall make a deter-
mination with respect to an application within 1
month after receiving the determinations and rec-
ommendations of such panel with respect to the
application.
‘‘(f) REPORTS.—
‘‘(1) RESEARCH REPORTS.—
‘‘(A) IN
GENERAL.—The recipient of a
grant or contract for a research program under
this section shall prepare and transmit to the
Secretary a report describing the results and
conclusions of such research. Except as pro-
vided in subparagraph (B), such report shall be
transmitted to the Secretary not later than 12
months after the end of the year for which
funds are provided under this section. The re-
cipient may utilize reprints of articles published
or accepted for publication in professional jour-
nals to supplement or replace such report if the
research contained in such articles was sup-
ported under this section during the year for
which the report is required.
‘‘(B) MULTIYEAR PROGRAMS.—In the case
of any research program for which assistance is
provided under this section for 2 or more con-
secutive 1-year periods, the recipient of such as-
sistance shall prepare and transmit the report
required by subparagraph (A) to the Secretary
not later than 12 months after the end of each
1-year period for which such funding is pro-
vided.
‘‘(2) OTHER
REPORTS.—Recipients of grants
and contracts for dissemination under this section
shall submit to the Secretary such reports as the
Secretary determines appropriate.
‘‘SEC. 2009. EVALUATION.
‘‘Of the funds appropriated under this title, the Sec-
retary shall reserve not less than 1 percent and not more
than 3 percent for the evaluation of activities carried out
under this title. The Secretary shall submit to the appro-
priate committees of Congress a summary of each evalua-
tion conducted under this section and a summary of the
data reported by grantees under section 2006(c).
‘‘SEC. 2010. AUTHORIZATION OF APPROPRIATIONS.
‘‘(a) IN GENERAL.—For the purpose of carrying out
this title, there are authorized to be appropriated
$60,000,000 for each of the fiscal years 1995 through
1997.
‘‘(b) GRANTS FOR SERVICES.—At least two-thirds of
the amounts appropriated to carry out this title shall be
used to make grants for services.
‘‘(c) PREVENTION SERVICES.—Two-thirds of the
amounts specified under subsection (b) for use for grants
for services shall be used for grants for prevention
services.
‘‘SEC. 2011. FUND RESTRICTION.
‘‘No funds for grants made under this title may be
used for payment for the performance of an abortion.’’.
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HR 3561 IH——2
HR 3561 IH——3