solidated source of information on pregnancy sup-
port services. 
‘‘(2) PROVIDER INFORMATION.—The database 
developed under paragraph (1) shall include perti-
nent information on the providers of the pregnancy 
support services listed in the database. 
‘‘(3) DIRECTOR OF PREGNANCY CARE INFORMA-
TION SERVICES.—The Secretary shall appoint a Di-
rector of Pregnancy Care Information Services to 
carry out this subsection under the supervision and 
direction of the Deputy Assistant Secretary. 
‘‘(c) ANNUAL CONFERENCE.—The Secretary shall 
conduct an annual nationwide best practices conference, 
gathering experts from State and local governments, pre-
natal and parenting care centers, and other relevant facili-
ties— 
‘‘(1) to share information on best practices in 
pregnancy support services; and 
‘‘(2) to identify and address key burdens or ad-
verse circumstances facing pregnant women. 
‘‘(d) TOLL-FREE NUMBER.—The Secretary shall 
enter into a contract, through the use of competitive pro-
cedures, with an entity to establish and operate a toll-free 
number to provide women with referrals for obtaining 
pregnancy support services. 
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‘‘(e) LIFE CARE GRANTS.— 
‘‘(1) IN GENERAL.—The Secretary may award 
competitive grants to entities to provide pregnancy 
support services. 
‘‘(2) ELIGIBILITY.—The Secretary may award a 
grant to an entity under this subsection only if the 
entity has been engaged in providing pregnancy sup-
port services for at least 2 years. 
‘‘(3) SUPPLEMENT NOT SUPPLANT.—The Sec-
retary may award a grant to an entity under this 
subsection only if the entity agrees that the grant 
will be used to supplement, and not supplant, preg-
nancy support services. 
‘‘(f) PUBLIC OUTREACH.—The Secretary shall de-
velop and implement a public outreach campaign to pro-
vide information on pregnancy support services to— 
‘‘(1) vulnerable women, including those in low- 
income, urban and rural areas; and 
‘‘(2) facilities receiving funds through title X. 
‘‘(g) PRENATAL CARE GRANTS TO INSTITUTIONS OF 
HIGHER EDUCATION.—The Secretary may award com-
petitive grants to institutions of higher education for the 
exclusive purpose of providing pregnancy support services, 
which may include— 
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‘‘(1) employing a registered nurse, nurse practi-
tioner, physician assistant, or physician with special-
ized training in prenatal care; or 
‘‘(2) establishing and maintaining student out-
reach programs to provide prenatal care, parenting 
assistance, and student housing assistance to the in-
stitution’s pregnant and parenting students. 
‘‘(h) ANNUAL REPORT.—The Secretary shall submit 
an annual report to the Congress on the activities carried 
out under this section, the funds expended on such activi-
ties, and the results achieved through such activities. 
‘‘(i) DEFINITIONS.—In this section: 
‘‘(1) The term ‘Deputy Assistant Secretary’ 
means the Deputy Assistant Secretary for Preg-
nancy Support Services appointed under subsection 
(a)(3). 
‘‘(2) The term ‘Office’ means the Office of 
Pregnancy Support Services established under sub-
section (a)(1). 
‘‘(3) The term ‘pregnancy support services’ 
means services offered by Federal, State, faith- 
based, and other providers, during and after preg-
nancy, that will encourage and assist women to 
carry their children to live birth by alleviating finan-
cial, social, emotional, and other difficulties that 
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may otherwise lead to an abortion, including the fol-
lowing: 
‘‘(A) Material assistance, including mater-
nity and baby clothing, diapers, baby food (in-
cluding formula), baby furniture, and car seats. 
‘‘(B) Referrals for adoption, job training, 
housing, assistance with domestic violence, and 
food stamps and other governmental assistance. 
‘‘(C) Crisis hotlines, including for violence 
or suicide prevention. 
‘‘(D) Pro bono obstetric and prenatal care 
services for women intending to carry their chil-
dren to live birth, including services during 
pregnancy and following childbirth, and neo-
natal care services, including referrals for such 
services. 
‘‘(E) Pro bono legal services to assist 
women who wish to carry their children to live 
birth and parents with newborn children. 
‘‘(F) Child care services. 
‘‘(G) Services to assist parents to care for, 
and prepare to care for, a child with Down syn-
drome or another prenatally diagnosed condi-
tion, and to facilitate the adoption of such chil-
dren as appropriate. 
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‘‘(H) Life skills mentoring, including to en-
hance the following competencies: 
‘‘(i) Strengthening marriage. 
‘‘(ii) 
Communication 
and 
conflict 
management for building healthy mar-
riages and families. 
‘‘(iii) Decisionmaking and relation-
ship-building skills prior to marriage. 
‘‘(iv) High-risk behavior awareness. 
‘‘(I) Life-skills counseling. 
‘‘(J) Provision of any of the services identi-
fied in subparagraphs (A) through (I) through 
pregnancy support centers.’’. 
SEC. 103. INDIVIDUAL HEALTH INSURANCE COVERAGE FOR 
PREGNANT WOMEN. 
(a) LIMITATION ON IMPOSITION OF PRE-EXISTING 
CONDITION EXCLUSIONS
AND WAITING PERIODS
FOR 
WOMEN WITH PRIOR COVERAGE.—Title XXVII of the 
Public Health Service Act is amended by inserting after 
section 2753 the following new section: 
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‘‘SEC. 2754. PROVIDING INDIVIDUAL HEALTH INSURANCE 
COVERAGE 
WITHOUT 
REGARD 
TO 
PRE-
EXISTING CONDITION EXCLUSION AND WAIT-
ING PERIODS FOR PREGNANT WOMEN WITH-
IN ONE YEAR OF CONTINUOUS PRIOR COV-
ERAGE. 
‘‘In the case of a woman who has had at least 12 
months of creditable coverage before seeking health insur-
ance coverage in the individual market, such individual 
health insurance coverage, and the health insurance issuer 
offering such coverage, may not impose any preexisting 
condition exclusion (as defined in section 2701(b)(1)(A)) 
relating to pregnancy as a preexisting condition, any wait-
ing period, or otherwise discriminate in coverage or pre-
miums against the woman on the basis that she is preg-
nant.’’. 
(b) EFFECTIVE DATE.—The amendment made by 
subsection (a) shall take effect on January 1, 2009, and 
shall apply to women who become pregnant on or after 
such date. 
TITLE II—DEPARTMENT OF 
EDUCATION 
SEC. 201. FUND FOR THE IMPROVEMENT OF POSTSEC-
ONDARY EDUCATION. 
Section 741(a) of the Higher Education Act of 1965 
(20 U.S.C. 1138(a)) is amended— 
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(1) by striking ‘‘and’’ at the end of paragraph 
(12); 
(2) by striking the period at the end of para-
graph (13) and inserting ‘‘; and’’; and 
(3) by adding at the end the following: 
‘‘(14) establishing and operating pregnant and 
parenting student services offices or agencies the ex-
clusive purpose of which shall be to provide preg-
nancy support services (as defined in section 330F 
of the Public Health Service Act), including serv-
ices— 
‘‘(A) to assist students to carry their chil-
dren to live birth and to assist student parents 
to care for their children or to place them for 
adoption, as appropriate; and 
‘‘(B) to assist pregnant and parenting stu-
dents— 
‘‘(i) to locate and utilize child care, 
family housing, health insurance for them-
selves and their family, flexible academic 
scheduling such as telecommuting pro-
grams, parenting classes and programs, 
postpartum counseling and support groups, 
and adoption placement services; and 
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‘‘(ii) to meet the material needs of 
their children, including maternity and 
baby clothing, diapers, baby food (includ-
ing formula), baby furniture, car seats, 
and similar items.’’. 
TITLE III—ADOPTION TAX 
INCENTIVES 
SEC. 301. EXPANSION OF ADOPTION CREDIT AND ADOP-
TION ASSISTANCE PROGRAMS. 
(a) INCREASE IN DOLLAR LIMITATIONS.— 
(1) ADOPTION CREDIT.— 
(A) IN GENERAL.—Paragraph (1) of sec-
tion 23(b) of the Internal Revenue Code of 
1986 (relating to dollar limitation) is amended 
by striking ‘‘$10,000’’ and inserting ‘‘$15,000’’. 
(B) CHILD WITH SPECIAL NEEDS.—Para-
graph (3) of section 23(a) of such Code (relat-
ing to $10,000 credit for adoption of child with 
special needs regardless of expenses) is amend-
ed— 
(i) in the text by striking ‘‘$10,000’’ 
and inserting ‘‘$15,000’’, and 
(ii) 
in 
the 
heading 
by 
striking 
‘‘$10,000’’ and inserting ‘‘$15,000’’. 
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(C) INCOME
LIMITATION.—Clause (i) of 
section 23(b)(2)(A) of such Code (relating to 
general rule for income limitation) is amended 
by 
striking 
‘‘$150,000’’ 
and 
inserting 
‘‘$200,000’’. 
(D) CONFORMING AMENDMENT TO INFLA-
TION ADJUSTMENT.—Subsection (h) of section 
23 of such Code (relating to adjustments for in-
flation) is amended— 
(i) in the matter preceding paragraph 
(1) by striking ‘‘December 31, 2002’’ and 
inserting ‘‘December 31, 2009,’’, and 
(ii) in paragraph (2) by striking ‘‘cal-
endar year 2001’’ and inserting ‘‘calendar 
year 2008’’. 
(2) ADOPTION ASSISTANCE PROGRAMS.— 
(A) IN GENERAL.—Paragraph (1) of sec-
tion 137(b) of the Internal Revenue Code of 
1986 (relating to dollar limitation) is amended 
by striking ‘‘$10,000’’ and inserting ‘‘$15,000’’. 
(B) CHILD WITH SPECIAL NEEDS.—Para-
graph (2) of section 137(a) of such Code (relat-
ing to $10,000 exclusion for adoption of child 
with special needs regardless of expenses) is 
amended— 
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(i) in the text by striking ‘‘$10,000’’ 
and inserting ‘‘$15,000’’, and 
(ii) 
in 
the 
heading 
by 
striking 
‘‘$10,000’’ and inserting ‘‘$15,000’’. 
(C) INCOME
LIMITATION.—Clause (i) of 
section 137(b)(2)(A) of such Code (relating to 
general rule for income limitation) is amended 
by 
striking 
‘‘$150,000’’ 
and 
inserting 
‘‘$200,000’’. 
(D) CONFORMING AMENDMENT TO INFLA-
TION ADJUSTMENT.—Subsection (f) of section 
137 of such Code (relating to adjustments for 
inflation) is amended— 
(i) in the matter preceding paragraph 
(1) by striking ‘‘December 31, 2002’’ and 
inserting ‘‘December 31, 2009,’’, and 
(ii) in paragraph (2) by striking ‘‘cal-
endar year 2001’’ and inserting ‘‘calendar 
year 2008’’. 
(b) CREDIT MADE REFUNDABLE.— 
(1) CREDIT MOVED TO SUBPART RELATING TO 
REFUNDABLE
CREDITS.—The 
Internal 
Revenue 
Code of 1986 is amended— 
(A) by redesignating section 37 as section 
37A, 
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(B) by redesignating section 23, as amend-
ed by subsection (a), as section 37, and 
(C) by moving section 37 (as so redesig-
nated) from subpart A of part IV of subchapter 
A of chapter 1 to the location immediately be-
fore section 37 (as so redesignated) in subpart 
C of part IV of subchapter A of chapter 1. 
(2) CONFORMING AMENDMENTS.— 
(A) Section 24(b)(3)(B) of such Code is 
amended by striking ‘‘sections 23 and’’ and in-
serting ‘‘section’’. 
(B) Section 25(e)(1)(C) of such Code is 
amended— 
(i) in clause (i) by striking ‘‘23, 
25D,’’ and inserting ‘‘25D’’, and 
(ii) in clause (ii) by striking ‘‘23,’’. 
(C) Section 25B(g)(2) of such Code is 
amended by striking ‘‘and section 23’’. 
(D) Section 25D(c)(2) of such Code is 
amended by striking ‘‘23, 24,’’ and inserting 
‘‘24’’. 
(E) Section 26(a)(1) of such Code is 
amended by striking ‘‘23, 24,’’ and inserting 
‘‘24’’. 
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(F) Section 37 of such Code, as so redesig-
nated, is amended— 
(i) by striking paragraph (4) of sub-
section (b), and 
(ii) by striking subsection (c). 
(G) Section 137 of such Code is amend-
ed— 
(i) in subsection (d) by striking ‘‘sec-
tion 23(d)’’ and inserting ‘‘section 37(d)’’, 
and 
(ii) in subsection (e) by striking ‘‘sec-
tion 23’’ and inserting ‘‘section 37’’. 
(H) Section 904(i) of such Code is amend-
ed by striking ‘‘23, 24,’’ and inserting ‘‘24’’. 
(I) Section 1016(a)(26) is amended by 
striking ‘‘23(g)’’ and inserting ‘‘37(g)’’. 
(J) Section 1400C(d) of such Code is 
amended by striking ‘‘23,’’. 
(K) The table of sections for subpart A of 
part IV of subchapter A of chapter 1 of such 
Code of 1986 is amended by striking the item 
relating to section 23. 
(L) Paragraph (2) of section 1324(b) of 
title 31, United States Code, is amended by in-
serting ‘‘37,’’ after ‘‘36,’’. 
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