‘‘SEC. 3402. LIST OF FUNDING OPPORTUNITIES AVAILABLE 
TO PREGNANCY SUPPORT CENTERS. 
‘‘The Secretary shall compile and maintain on the 
public website entitled ‘pregnancy.gov’ required to be es-
tablished under section 3401, a publicly available list of 
Federal funding opportunities available to nonprofit and 
health care entities for pregnancy support services that 
offer or provide the relevant resources (as defined in sub-
section (g) of such section).’’. 
TITLE 
II—IMPROVING 
ACCESS 
TO 
PRENATAL 
AND 
POST-
NATAL RESOURCES 
SEC. 201. POSITIVE ALTERNATIVES FOR WOMEN. 
(a) PROGRAM AUTHORITY.— 
(1) PURPOSE.—The purpose of grants under 
this section shall be to support, encourage, and as-
sist women— 
(A) to carry their pregnancies to term; and 
(B) to care for themselves and their babies 
after birth. 
(2) GRANTS.—For the purpose described in 
paragraph (1), the Secretary shall award grants to 
eligible entities described in subsection (b) to provide 
information on, referral to, and direct services as de-
scribed in subsection (c). 
(b) ELIGIBILITY.— 
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(1) ELIGIBLE ENTITIES.—To be eligible for a 
grant under this section, an entity shall— 
(A) be a nonprofit organization; 
(B) support, encourage, and assist women 
as described in subsection (a)(1); 
(C) agree to be subject to such monitoring 
and review as the Secretary may require under 
subsection (g); 
(D) agree to not charge women for services 
provided through the grant; 
(E) provide each pregnant woman coun-
seled through the grant with accurate informa-
tion on the developmental characteristics of ba-
bies and of unborn children, including offering 
printed information; and 
(F) have a privacy policy and procedures 
in place to ensure that— 
(i) the name, address, telephone num-
ber, or any other information that might 
identify any woman seeking services sup-
ported through the grant is not made pub-
lic or shared with any other entity without 
the written consent of the woman; and 
(ii) the grantee adheres to require-
ments comparable to those applicable 
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under the HIPAA privacy regulation (as 
defined in section 1180(b)(3) of the Social 
Security Act (42 U.S.C. 1320d–9(b)(3))) 
to covered entities (as defined for purposes 
of such regulation). 
(2) INELIGIBLE ENTITIES.—An entity shall be 
ineligible to receive a grant under this section if the 
entity or any affiliate, subsidiary, successor, or clinic 
thereof— 
(A) performs, induces, refers for, or coun-
sels in favor of abortions; or 
(B) provides financial support to any other 
entity that conducts any activity described in 
subparagraph (A). 
(3) FINANCIAL RECORDS.—As a condition on 
receipt of a grant under this section, an eligible enti-
ty shall agree to maintain and make available to the 
Secretary records, including financial records, that 
demonstrate that the entity satisfies the require-
ments of paragraph (1) and is not ineligible by oper-
ation of paragraph (2). 
(c) COVERED SERVICES.— 
(1) REQUIRED
INFORMATION
AND
REFER-
RAL.—For the purpose described in subsection 
(a)(1), an eligible entity receiving a grant under this 
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section shall use the grant to provide to pregnant 
and postpartum women, or women parenting young 
children, information on, and referral to, each of the 
following services: 
(A) Medical care. 
(B) Nutritional services. 
(C) Housing assistance. 
(D) Adoption services. 
(E) Education and employment assistance, 
including services that support the continuation 
and completion of high school. 
(F) Child care assistance. 
(G) Parenting education and support serv-
ices. 
(H) Voluntary substance abuse counseling 
and treatment. 
(2) PERMISSIBLE DIRECT PROVISION OF SERV-
ICES.—For the purpose described in subsection 
(a)(1), in addition to using a grant under this sec-
tion as described in paragraph (1), an eligible entity 
receiving a grant under this section may use the 
grant for the direct provision of one or more services 
listed in paragraph (1). 
(d) PROHIBITED USES
OF FUNDS.—None of the 
funds made available under this section shall be used— 
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(1) for health benefits coverage that includes 
coverage of abortion; 
(2) for providing or assisting a woman to obtain 
adoption services from a provider of adoption serv-
ices that is not licensed; and 
(3) for any of the activities described in sub-
section (b)(2). 
(e) CONSIDERATION.—In selecting the recipients of 
grants under this section, the Secretary shall consider 
each applicant’s demonstrated capacity in providing serv-
ices to assist a pregnant woman in carrying her pregnancy 
to term. 
(f) MONITORING
AND
REVIEW.—The Secretary 
shall— 
(1) monitor and review each program funded 
through a grant under this section to ensure that 
the grantee carefully adheres to— 
(A) the purpose described in subsection 
(a)(1); and 
(B) the requirements of this section; and 
(2) cease to fund a program under this section 
if the grantee fails to adhere to such purpose and re-
quirements. 
(g) DEFINITIONS.—In this section: 
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(1) ABORTION.—The term ‘‘abortion’’ means 
the use or prescription of any instrument, medicine, 
drug, or any other substance or device to inten-
tionally— 
(A) kill the unborn child of a woman 
known to be pregnant; or 
(B) terminate the pregnancy of a woman 
known to be pregnant, with an intention other 
than— 
(i) after viability, to produce a live 
birth and preserve the life and health of 
the child born alive; 
(ii) to remove a dead unborn child; or 
(iii) to treat an ectopic pregnancy. 
(2) SECRETARY.—The term ‘‘Secretary’’ means 
the Secretary of Health and Human Services. 
(h) AUTHORIZATION OF APPROPRIATIONS.—To carry 
out this section, there are authorized to be appropriated 
such sums as may be necessary for each of fiscal years 
2024 through 2029. 
SEC. 202. IMPROVING ACCESS TO PRENATAL AND POST-
NATAL TELEHEALTH CARE. 
(a) IN GENERAL.—The Secretary shall award grants 
to, or enter into cooperative agreements with, eligible enti-
ties to purchase equipment necessary for carrying out at- 
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home telehealth visits for screening, monitoring, and man-
agement of prenatal and postnatal care for the purpose 
of improving maternal and infant health outcomes, and 
reducing maternal mortality, by improving access to care 
in rural areas, frontier counties, medically underserved 
areas, or jurisdictions of Indian Tribes and Tribal organi-
zations. 
(b) INELIGIBLE ENTITIES.—An entity shall be ineli-
gible to receive a grant or enter into a cooperative agree-
ment under this section if the entity or any affiliate, sub-
sidiary, successor, or clinic thereof— 
(1) performs, induces, refers for, or counsels in 
favor of abortions; or 
(2) provides financial support to any other enti-
ty that conducts any activity described in paragraph 
(1). 
(c) USE OF FUNDS.—A recipient of a grant or coop-
erative agreement under this section shall use the award 
funds as described in subsection (a), which may include 
purchasing or providing equipment necessary for carrying 
out at-home telehealth visits (such as remote physiologic 
devices and related services, including pulse oximeters, 
blood pressure cuffs, scales, and blood glucose monitors) 
to screen, monitor, and manage prenatal and postnatal 
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care at home by means of telehealth visits and services 
for the purpose described in subsection (a). 
(d) REPORT TO CONGRESS.—Not later than Sep-
tember 30, 2028, the Secretary shall submit to Congress 
a report on activities supported through grants and coop-
erative agreements under this section, including— 
(1) a description of the activities conducted 
pursuant to such grants and cooperative agreements; 
and 
(2) an analysis of the effects of such grants and 
cooperative agreements on improving prenatal and 
postnatal care in areas and jurisdictions described in 
subsection (a). 
(e) DEFINITIONS.—In this section: 
(1) ELIGIBLE ENTITY.—The term ‘‘eligible enti-
ty’’ means an entity that provides prenatal care, 
labor care, birthing, or postpartum care services in 
a rural area, a frontier county, a medically under-
served area, or the jurisdiction of an Indian Tribe 
or Tribal organization. 
(2) FRONTIER
COUNTY.—The term ‘‘frontier 
county’’ has the meaning given such term in section 
1886(d)(3)(E)(iii)(III) of the Social Security Act 
(42 U.S.C. 1395ww(d)(3)(E)(iii)(III)). 
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(3) INDIAN
TRIBE; TRIBAL
ORGANIZATION.— 
The terms ‘‘Indian Tribe’’ and ‘‘Tribal organiza-
tion’’ have the meanings given such terms in section 
4 of the Indian Self-Determination and Education 
Assistance Act (25 U.S.C. 5304). 
(4) MEDICALLY
UNDERSERVED
AREA.—The 
term ‘‘medically underserved area’’ means a health 
professional shortage area designated under section 
332 of the Public Health Service Act (42 U.S.C. 
254e). 
(5) RURAL AREA.—The term ‘‘rural area’’ has 
the meaning given such term in section 330J(e) of 
the Public Health Service Act (42 U.S.C. 254c– 
15(e)). 
(6) SECRETARY.—The term ‘‘Secretary’’ means 
the Secretary of Health and Human Services. 
(f) AUTHORIZATION OF APPROPRIATIONS.—To carry 
out this section, there are authorized to be appropriated 
such sums as may be necessary for each of fiscal years 
2024 through 2029. 
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TITLE III—UNBORN CHILD 
SUPPORT 
SEC. 301. CHILD SUPPORT ENFORCEMENT ON BEHALF OF 
UNBORN CHILDREN. 
(a) STATE PLAN AMENDMENT.—Section 454 of the 
Social Security Act (42 U.S.C. 654) is amended— 
(1) in paragraph (4)(A)— 
(A) in clause (i)— 
(i) by inserting ‘‘, including an unborn 
child,’’ after ‘‘child’’; and 
(ii) by inserting ‘‘and’’ after the semi-
colon; and 
(B) in clause (ii), by inserting ‘‘, including 
an unborn child’’ after ‘‘other child’’; 
(2) in paragraph (33), by striking ‘‘and’’ after 
the semicolon; 
(3) in paragraph (34), by striking the period 
and inserting ‘‘; and’’; 
(4) by inserting after paragraph (34), the fol-
lowing: 
‘‘(35) provide that the State will establish and 
enforce child support obligations of the biological fa-
ther of an unborn child (and subsequent to the birth 
of the child) to the mother of such child provided 
that— 
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‘‘(A) the mother has requested payment of 
such child support obligations; 
‘‘(B) the start date for such obligations 
may begin with the first month in which the 
child was conceived, as determined by a physi-
cian (and shall begin with that month if the 
mother so requests); 
‘‘(C) payments for such obligations may be 
retroactively collected or awarded, including in 
the case where paternity is established subse-
quent to the birth of the child; 
‘‘(D) the payment amount for such obliga-
tions shall be determined by a court, in con-
sultation with the mother, taking into account 
the best interests of the mother and child; 
‘‘(E) any measure to establish the pater-
nity of a child (born or unborn) shall not be re-
quired without the consent of the mother; and 
‘‘(F) any measure to establish the pater-
nity of an unborn child shall not be taken if the 
measure poses any risk of harm to the child if 
unborn.’’; and 
(5) by adding at the end the following: ‘‘For 
purposes of paragraphs (4) and (35), the term ‘un-
born child’ means a member of the species homo 
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sapiens, at any stage of development, who is carried 
in the womb.’’. 
(b) LIMITATION OF WAIVER AUTHORITY.—Section 
1115 of the Social Security Act (42 U.S.C. 1315) is 
amended— 
(1) in subsection (a), in the matter preceding 
paragraph (1), by striking ‘‘In the case of’’ and in-
serting ‘‘Except as provided in subsection (c), in the 
case of’’; 
(2) in subsection (b)(1), in the matter pre-
ceding subparagraph (A), by striking ‘‘In the case 
of’’ and inserting ‘‘Except as provided in subsection 
(c), in the case of’’; and 
(3) by striking subsection (c) and inserting the 
following: 
‘‘(c) No experimental, pilot, or demonstration project 
undertaken under subsection (a) to assist in promoting the 
objectives of part D of title IV, may permit modifications 
of paragraphs (4)(A)(ii) and (35) of section 454 to estab-
lish and enforce child support obligations of the biological 
father of an unborn child. For purposes of the preceding 
sentence, the term ‘unborn child’ means a member of the 
species homo sapiens, at any stage of development, who 
is carried in the womb.’’. 
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(c) EFFECTIVE DATE.—The amendments made by 
this section shall take effect on the date that is 2 years 
after the date of enactment of this Act and shall apply 
to payments under part D of title IV of the Social Security 
Act (42 U.S.C. 651 et seq.) for calendar quarters begin-
ning on or after such date. 
Æ 
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