I 
111TH CONGRESS 
1ST SESSION 
H. R. 605 
To provide for programs that reduce the need for abortion, help women 
bear healthy children, and support new parents. 
IN THE HOUSE OF REPRESENTATIVES 
JANUARY 16, 2009 
Mr. DAVIS of Tennessee introduced the following bill; which was referred to 
the Committee on Energy and Commerce, and in addition to the Commit-
tees on Ways and Means, Education and Labor, and Agriculture, 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 com-
mittee concerned 
A BILL 
To provide for programs that reduce the need for abortion, 
help women bear healthy children, and support new parents. 
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 
‘‘Pregnant Women Support Act’’. 
(b) TABLE OF CONTENTS.—The table of contents for 
this Act is as follows: 
Sec. 1. Short title; table of contents. 
Sec. 2. Findings. 
Sec. 3. Definitions. 
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TITLE I—PUBLIC AWARENESS AND ASSISTANCE FOR PREGNANT 
WOMEN AND NEW PARENTS 
Sec. 101. Grants for increasing public awareness of resources available to assist 
pregnant women in carrying their pregnancies to term and to 
assist new parents. 
TITLE II—INCREASING WOMEN’S KNOWLEDGE ABOUT THEIR 
PREGNANCY 
Sec. 201. Grants to health centers for purchase of ultrasound equipment. 
TITLE III—PREGNANCY AS A PREEXISTING CONDITION 
Sec. 301. Individual health insurance coverage for pregnant women. 
Sec. 302. Continuation of health insurance coverage for newborns. 
TITLE IV—MEDICAID AND SCHIP COVERAGE OF PREGNANT 
WOMEN AND UNBORN CHILDREN 
Sec. 401. Treatment of unborn children. 
Sec. 402. Coordination with the maternal and child health program. 
TITLE V—DISCLOSURE OF INFORMATION ON ABORTION 
SERVICES 
Sec. 501. Disclosure of information on abortion services. 
TITLE VI—SERVICES TO PATIENTS RECEIVING POSITIVE TEST 
DIAGNOSIS OF DOWN SYNDROME OR OTHER PRENATALLY DI-
AGNOSED CONDITIONS 
Sec. 601. Services to patients receiving positive test diagnosis for down syn-
drome or other prenatally diagnosed conditions. 
TITLE VII—SUPPORT FOR PREGNANT AND PARENTING COLLEGE 
STUDENTS 
Sec. 701. Sense of Congress. 
Sec. 702. Definitions. 
Sec. 703. Pregnant and parenting student services pilot program. 
Sec. 704. Application; number of grants. 
Sec. 705. Matching requirement. 
Sec. 706. Use of funds. 
Sec. 707. Reporting. 
Sec. 708. Authorization of appropriations. 
TITLE VIII—SUPPORT FOR PREGNANT AND PARENTING TEENS 
Sec. 801. Grants to States. 
TITLE IX—IMPROVING SERVICES FOR PREGNANT WOMEN WHO 
ARE VICTIMS OF DOMESTIC VIOLENCE, DATING VIOLENCE, 
AND STALKING 
Sec. 901. Findings. 
Sec. 902. Program to support pregnant women who are victims of domestic vio-
lence. 
Sec. 903. Homicide death certificates of certain female victims. 
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TITLE X—LIFE SUPPORT CENTERS FOR PREGNANT WOMEN, 
MOTHERS, AND CHILDREN 
Sec. 1001. Life Support Centers Pilot Program. 
TITLE XI—EXPANSION OF ADOPTION CREDIT AND ADOPTION 
ASSISTANCE PROGRAMS 
Sec. 1101. Expansion of adoption credit and adoption assistance programs. 
TITLE XII—PROVIDING SUPPORT TO NEW PARENTS 
Sec. 1201. Increased support for WIC program. 
Sec. 1202. Nutritional support for low-income parents. 
Sec. 1203. Increased funding for the Child Care and Development Block Grant 
program. 
Sec. 1204. Teenage or first-time mothers; free home visits by registered nurses 
for education on health needs of infants. 
TITLE XIII—COLLECTING AND REPORTING ABORTION DATA 
Sec. 1301. Grants for collection and reporting of abortion data. 
SEC. 2. FINDINGS. 
The Congress finds as follows: 
(1) In 2004, 839,226 abortions were reported 
to the Centers for Disease Control and Prevention. 
(2) 48 percent of all pregnancies in America are 
unintended. Excluding miscarriages, 54 percent of 
unintended pregnancies end in abortion. 
(3) 57 percent of women who have abortions 
have incomes below 200 percent of the poverty level. 
(4) ‘‘Cannot afford a baby’’ is the second most 
frequently cited reason women choose to have an 
abortion; 73 percent of women having abortions 
cited this reason as a contributing factor. 
(5) This Act is an initiative to gather more 
complete information about abortion, to reduce the 
abortion rate by helping women carry their preg-
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nancies to term and bear healthy children, and by 
affirming the right of women to be fully informed 
about their other options when they seek an abor-
tion. 
(6) The initiative will work to support women 
facing unplanned pregnancies, new parents and their 
children by providing comprehensive measures for 
health care needs, supportive services and helpful 
prenatal information and postnatal services. 
SEC. 3. DEFINITIONS. 
Except as otherwise provided in this Act, for purposes 
of this Act: 
(1) The term ‘‘Secretary’’ means the Secretary 
of Health and Human Services. 
(2) The term ‘‘State’’ includes the 50 States, 
the District of Columbia, the Commonwealth of 
Puerto Rico, the Commonwealth of the Northern 
Mariana Islands, American Samoa, Guam, the Vir-
gin Islands, and any other territory or possession of 
the United States. 
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TITLE 
I—PUBLIC 
AWARENESS 
AND ASSISTANCE FOR PREG-
NANT WOMEN AND NEW PAR-
ENTS 
SEC. 101. GRANTS FOR INCREASING PUBLIC AWARENESS 
OF RESOURCES AVAILABLE TO ASSIST PREG-
NANT WOMEN IN CARRYING THEIR PREG-
NANCIES TO TERM AND TO ASSIST NEW PAR-
ENTS. 
(a) GRANTS.—The Secretary may make grants to 
States to increase public awareness of resources available 
to pregnant women to carry their pregnancy to term and 
to new parents. 
(b) USE OF FUNDS.—The Secretary may make a 
grant to a State under this section only if the State agrees 
to use the grant for the following: 
(1) Identification of resources available to assist 
pregnant women to carry their pregnancy to term or 
to assist new parents, or both. 
(2) Conducting an advertising campaign to in-
crease public awareness of such resources. 
(3) Establishing and maintaining a toll-free 
telephone line to direct people to— 
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(A) organizations that provide support 
services for pregnant women to carry their 
pregnancy to term; 
(B) adoption centers; and 
(C) organizations that provide support 
services to new parents. 
(c) PROHIBITION.—The Secretary shall prohibit each 
State receiving a grant under this section from using the 
grant to direct people to an organization or adoption cen-
ter that is for-profit. 
(d) IDENTIFICATION OF RESOURCES.—The Secretary 
shall require each State receiving a grant under this sec-
tion to make publicly available by means of the Internet 
(electronic and paper form) a list of the following: 
(1) The resources identified pursuant to sub-
section (b)(1). 
(2) The organizations and adoption centers to 
which people are directed pursuant to an advertising 
campaign or telephone line funded under this sec-
tion. 
(e) AUTHORIZATION OF APPROPRIATIONS.—The Sec-
retary shall make such funds available as may be nec-
essary to carry out the activities of this section. 
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TITLE II—INCREASING WOMEN’S 
KNOWLEDGE 
ABOUT 
THEIR 
PREGNANCY 
SEC. 201. GRANTS TO HEALTH CENTERS FOR PURCHASE OF 
ULTRASOUND EQUIPMENT. 
Part B of title III of the Public Health Service Act 
(42 U.S.C. 243 et seq.) is amended by inserting after sec-
tion 317L the following: 
‘‘SEC. 317L–1. GRANTS FOR THE PURCHASE OR UPGRADE 
OF ULTRASOUND EQUIPMENT. 
‘‘(a) IN GENERAL.—The Secretary may make grants 
for the purchase of ultrasound equipment. Such 
ultrasound equipment shall be used by the recipients of 
such grants to provide, under the direction and super-
vision of a licensed medical physician, ultrasound examina-
tions to pregnant women consenting to such services. 
‘‘(b) ELIGIBILITY REQUIREMENTS.—An entity may 
receive a grant under subsection (a) only if the entity 
meets the following conditions: 
‘‘(1) The entity is a health center eligible to re-
ceive a grant under section 330 (relating to commu-
nity health centers, migrant health centers, homeless 
health centers, and public-housing health centers). 
‘‘(2) The entity agrees to comply with the fol-
lowing medical procedures: 
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‘‘(A) The entity will inform each pregnant 
woman upon whom the ultrasound equipment is 
used that she has the right to view the visual 
image of the unborn child from the ultrasound 
examination and that she has the right to hear 
a general anatomical and physiological descrip-
tion of the characteristics of the unborn child. 
‘‘(B) The entity will inform each pregnant 
woman that she has the right to learn, accord-
ing to the best medical judgment of the physi-
cian performing the ultrasound examination or 
the physician’s agent performing such exam, 
the approximate age of the embryo or unborn 
child considering the number of weeks elapsed 
from the probable time of the conception of the 
embryo or unborn child, based upon the infor-
mation provided by the client as to the time of 
her last menstrual period, her medical history, 
a physical examination, or appropriate labora-
tory tests. 
‘‘(c) APPLICATION FOR GRANT.—A grant may be 
made under subsection (a) only if an application for the 
grant is submitted to the Secretary and the application 
is in such form, is made in such manner, and contains 
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such agreements, assurances, and information as the Sec-
retary determines to be necessary to carry out this section. 
‘‘(d) ANNUAL REPORT
TO SECRETARY.—A grant 
may be made under subsection (a) only if the applicant 
for the grant agrees to report on an annual basis to the 
Secretary, in such form and manner as the Secretary may 
require, on the ongoing compliance of the applicant with 
the eligibility conditions established in subsection (b). 
‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—For the 
purpose of carrying out this section, there are authorized 
to be appropriated $3,000,000 for fiscal year 2010, and 
such sums as may be necessary for each of the fiscal years 
2011 through 2014.’’. 
TITLE III—PREGNANCY AS A 
PREEXISTING CONDITION 
SEC. 301. 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 (42 U.S.C. 300gg et seq.) 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 individual 
health insurance coverage, such individual health insur-
ance coverage, and the health insurance issuer offering 
such coverage, may not impose any preexisting condition 
exclusion relating to pregnancy as a preexisting condition, 
any waiting period, or otherwise discriminate in coverage 
or premiums against the woman on the basis that she is 
pregnant.’’. 
(b) EFFECTIVE DATE.—The amendment made by 
subsection (a) shall take effect on October 1, 2009, and 
shall apply to women who become pregnant on or after 
such date. 
SEC. 302. CONTINUATION OF HEALTH INSURANCE COV-
ERAGE FOR NEWBORNS. 
(a) GROUP HEALTH PLAN COVERAGE.—Title XXVII 
of the Public Health Service Act (42 U.S.C. 300gg et seq.) 
is amended by inserting after section 2707 the following 
new section: 
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‘‘SEC. 2708. CONTINUATION OF COVERAGE FOR NEWBORNS. 
‘‘(a) NOTIFICATION.—In the case of a pregnant 
woman who is covered under a group health plan, or under 
group health insurance coverage, for other than family 
coverage, the plan or issuer of the insurance shall provide 
notice to the woman during the 5th month of pregnancy, 
during the 8th month of pregnancy, and within 2 weeks 
after delivery, of the woman’s option to provide continuing 
coverage of the newborn child under the group health plan 
or health insurance coverage under subsection (b). 
‘‘(b) OPTION
OF
CONTINUED
COVERAGE
FOR 
NEWBORNS.—In the case of a pregnant woman described 
in subsection (a) who has a newborn child under a group 
health plan or under group health insurance coverage, the 
plan or issuer offering the coverage shall provide the 
woman with the option of electing coverage of the newborn 
child at least through the end of the 30-day period begin-
ning on the date of birth of the child and no waiting period 
or preexisting condition exclusion shall apply with respect 
to the coverage of such a newborn child under such plan 
or coverage. Such continuation coverage shall remain in 
effect, subject to payment of applicable premiums, for at 
least such period as the Secretary specifies.’’. 
(b) INDIVIDUAL HEALTH INSURANCE COVERAGE.— 
Such title is further amended by inserting after section 
2754, as added by section 301, the following new section: 
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‘‘SEC. 2755. CONTINUATION OF COVERAGE FOR NEWBORNS. 
‘‘The provisions of section 2708 shall apply with re-
spect to individual health insurance coverage and the 
issuer of such coverage in the same manner as they apply 
to group health insurance coverage and the issuer of such 
coverage.’’. 
(c) EFFECTIVE DATE.—The amendments made by 
this section shall take effect on January 1, 2010, and shall 
apply to women who become pregnant on or after such 
date and children who are born of such women. 
TITLE IV—MEDICAID AND SCHIP 
COVERAGE 
OF 
PREGNANT 
WOMEN AND UNBORN CHIL-
DREN 
SEC. 401. TREATMENT OF UNBORN CHILDREN. 
(a) CODIFICATION
OF CURRENT REGULATIONS.— 
Section 2110(c)(1) (42 U.S.C. 1397(c)(1)) of the Social 
Security Act is amended by striking the period at the end 
and inserting the following: ‘‘, and includes, at the option 
of a State, an unborn child.’’. 
(b) CLARIFICATIONS
REGARDING
COVERAGE
OF 
MOTHERS.—Section 2103 (42 U.S.C. 1397cc) of such Act 
is amended by adding at the end the following new sub-
section: 
‘‘(g) CLARIFICATIONS REGARDING AUTHORITY TO 
PROVIDE
POSTPARTUM
SERVICES
AND
MATERNAL 
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HEALTH CARE.—Any State that provides child health as-
sistance to an unborn child under the option described in 
section 2110(c)(1) may— 
‘‘(1) continue to provide such assistance to the 
mother, as well as postpartum services, through the 
end of the month in which the 60-day period (begin-
ning on the last day of pregnancy) ends; and 
‘‘(2) in the interest of the child to be born, have 
flexibility in defining and providing services to ben-
efit either the mother or unborn child consistent 
with the health of both.’’. 
SEC. 402. COORDINATION WITH THE MATERNAL AND CHILD 
HEALTH PROGRAM. 
(a) IN GENERAL.—Section 2102(b)(3) of the Social 
Security Act (42 U.S.C. 1397bb(b)(3)) is amended— 
(1) in subparagraph (D), by striking ‘‘and’’ at 
the end; 
(2) in subparagraph (E), by striking the period 
and inserting ‘‘; and’’; and 
(3) by adding at the end the following new sub-
paragraph: 
‘‘(F) that operations and activities under 
this title are developed and implemented in con-
sultation and coordination with the program op-
erated by the State under title V in areas in-
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cluding outreach and enrollment, benefits and 
services, service delivery standards, public 
health and social service agency relationships, 
and quality assurance and data reporting.’’. 
(b) CONFORMING MEDICAID AMENDMENT.—Section 
1902(a)(11) of such Act (42 U.S.C. 1396a(a)(11)) is 
amended— 
(1) by striking ‘‘and’’ before ‘‘(C)’’; and 
(2) by inserting before the semicolon at the end 
the following: ‘‘, and (D) provide that operations and 
activities under this title are developed and imple-
mented in consultation and coordination with the 
program operated by the State under title V in areas 
including outreach and enrollment, benefits and 
services, service delivery standards, public health 
and social service agency relationships, and quality 
assurance and data reporting’’. 
(c) EFFECTIVE DATE.—The amendments made by 
this section take effect on October 1, 2009. 
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TITLE V—DISCLOSURE OF IN-
FORMATION 
ON 
ABORTION 
SERVICES 
SEC. 501. DISCLOSURE OF INFORMATION ON ABORTION 
SERVICES. 
(a) IN GENERAL.—Health facilities that perform 
abortions in or affecting interstate commerce shall obtain 
informed consent from the pregnant woman seeking to 
have the abortion. Informed consent shall exist only after 
a woman has voluntarily completed or opted not to com-
plete pre-abortion counseling sessions. 
(b) ACCURATE INFORMATION.—Counseling sessions 
under subsection (a) shall include the following informa-
tion: 
(1) The probable gestational age and character-
istics of the unborn child at the time the abortion 
will be performed. 
(2) How the abortion procedure is performed. 
(3) Possible short-term and long-term risks and 
complications of the procedure to be performed. 
(4) Options or alternatives to abortion, includ-
ing, but not limited to, adoption, and the resources 
available in the community to assist women choosing 
these options. 
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(5) The availability of post-procedure medical 
services to address the risks and complications of 
the procedure. 
(c) EXCEPTION.—This section shall not apply when 
the pregnant woman is herself incapable, under State law, 
of making medical decisions. This section does not affect 
or modify any requirement under State law for making 
medical decisions for such patients. 
(d) CIVIL REMEDIES.— 
(1) CIVIL ACTION.—Any female upon whom an 
abortion has been performed or attempted without 
complying with the informed consent requirements 
may bring a civil action in an appropriate district 
court of the United States against the person who 
performed the abortion in knowing or reckless viola-
tion of this section for actual and punitive damages. 
(2) CERTAIN
AUTHORITIES
AND
REQUIRE-
MENTS.—With respect to an action under paragraph 
(1): 
(A) The court may award attorney’s fees 
to the plaintiff if judgment is rendered in favor 
of the plaintiff, and may award attorney’s fees 
to the defendant if judgment is rendered in 
favor of the defendant and the court finds that 
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the plaintiff’s case was frivolous and brought in 
bad faith. 
(B) The court shall determine whether the 
anonymity of the female involved will be pre-
served from public disclosure if the female has 
not consented to her identity being disclosed. If 
the female’s identity is to be shielded, the court 
shall issue an order sealing the record and ex-
cluding individuals from the courtroom to pre-
serve her identity. 
(C) In the absence of the female’s written 
consent, anyone other than a public official who 
brings the action shall do so under a pseu-
donym. 
(3) RULE OF CONSTRUCTION.—Nothing in this 
subsection may be construed to conceal the identity 
of the plaintiff or of the witnesses from the defend-
ant. 
(e) SEVERABILITY.—If any provision of this section 
requiring informed consent for abortions is found uncon-
stitutional, the unconstitutional provision is severable and 
the other provisions of this section remain in effect. 
(f) PREEMPTION.—Nothing in this section shall pre-
vent a State from enacting and enforcing additional re-
quirements with respect to informed consent. 
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TITLE 
VI—SERVICES 
TO 
PA-
TIENTS RECEIVING POSITIVE 
TEST DIAGNOSIS OF DOWN 
SYNDROME OR OTHER PRE-
NATALLY DIAGNOSED CONDI-
TIONS 
SEC. 601. SERVICES TO PATIENTS RECEIVING POSITIVE 
TEST DIAGNOSIS FOR DOWN SYNDROME OR 
OTHER 
PRENATALLY 
DIAGNOSED 
CONDI-
TIONS. 
(a) FINDINGS AND PURPOSES.— 
(1) FINDINGS.—The Congress finds as follows: 
(A) Pregnant women who choose to under-
go prenatal genetic testing should have access 
to timely, scientific, and nondirective counseling 
about the conditions being tested for and the 
accuracy of such tests, from health care profes-
sionals qualified to provide and interpret these 
tests. Informed consent is a critical component 
of all genetic testing. 
(B) A recent, peer-reviewed study and two 
reports from the Centers for Disease Control 
and Prevention on prenatal testing found a de-
ficiency in the data needed to understand the 
epidemiology of prenatally diagnosed conditions, 
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to monitor trends accurately, and to increase 
the effectiveness of health intervention. 
(2) PURPOSES.—It is the purpose of this sec-
tion, after the diagnosis of an unborn child with 
Down syndrome or other prenatally diagnosed condi-
tions, to— 
(A) increase patient referrals to providers 
of key support services to assist parents in the 
care, or placement for adoption, of a child with 
Down syndrome, or other prenatally diagnosed 
conditions, as well as to provide up-to-date, 
science-based information about life-expectancy 
and development potential for a child born with 
Down syndrome or other prenatally diagnosed 
condition; 
(B) provide networks of support services 
described in subparagraph (A) through a Cen-
ters for Disease Control and Prevention patient 
and provider outreach program; 
(C) improve available data by incor-
porating information directly revealed by pre-
natal testing into existing State-based surveil-
lance programs for birth defects and prenatally 
diagnosed conditions; and 
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(D) ensure that patients receive up-to-date, 
scientific information about the accuracy of the 
test. 
(b) AMENDMENT TO THE PUBLIC HEALTH SERVICE 
ACT.—Part P of title III of the Public Health Service Act 
(42 U.S.C. 280g et seq.) is amended by adding at the end 
the following: 
‘‘SEC. 399U. SUPPORT FOR PATIENTS RECEIVING A POSI-
TIVE TEST DIAGNOSIS OF DOWN SYNDROME 
OR OTHER PRENATALLY DIAGNOSED CONDI-
TIONS. 
‘‘(a) DEFINITIONS.—In this section: 
‘‘(1) DOWN SYNDROME.—The term ‘Down syn-
drome’ refers to a chromosomal disorder caused by 
an error in cell division that results in the presence 
of an extra whole or partial copy of chromosome 21. 
‘‘(2) HEALTH
CARE
PROVIDER.—The term 
‘health care provider’ means any person or entity re-
quired by State or Federal law or regulation to be 
licensed, registered, or certified to provide health 
care services, and who is so licensed, registered, or 
certified. 
‘‘(3) PRENATALLY
DIAGNOSED
CONDITION.— 
The term ‘prenatally diagnosed condition’ means any 
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fetal health condition identified by prenatal genetic 
testing or prenatal screening procedures. 
‘‘(4) PRENATAL
TEST.—The term ‘prenatal 
test’ means diagnostic or screening tests offered to 
pregnant women seeking routine prenatal care that 
are administered by a health care provider based on 
medical history, family background, ethnic back-
ground, previous test results, or other risk factors. 
‘‘(5) SUPPORT.—The terms ‘support’ and ‘sup-
portive services’ mean services to assist parents to 
care for, and prepare to care for, a child with Down 
Syndrome or another prenatally diagnosed condition, 
and to facilitate the adoption of such children as ap-
propriate. 
‘‘(b) INFORMATION AND SUPPORT SERVICES.—The 
Secretary, acting through the Director of the National In-
stitutes of Health, the Director of the Centers for Disease 
Control and Prevention, or the Administrator of the 
Health Resources and Services Administration, may au-
thorize and oversee certain activities, including the award-
ing of grants, contracts, or cooperative agreements, to— 
‘‘(1) collect, synthesize, and disseminate current 
scientific information relating to Down syndrome or 
other prenatally diagnosed conditions; 
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‘‘(2) coordinate the provision of, and access to, 
new or existing supportive services for patients re-
ceiving a positive test diagnosis for Down syndrome 
or other prenatally diagnosed conditions, including— 
‘‘(A) the establishment of a resource tele-
phone hotline and Internet Website accessible 
to patients receiving a positive test result; 
‘‘(B) the establishment of national and 
local peer-support programs; and 
‘‘(C) the establishment of a national reg-
istry, or network of local registries, of families 
willing to adopt newborns with Down syndrome 
or other prenatally diagnosed conditions, and 
links to adoption agencies willing to place ba-
bies with Down syndrome or other prenatally 
diagnosed conditions, with families willing to 
adopt; 
‘‘(3) establish a clearinghouse of information 
regarding the scientific facts, clinical course, life ex-
pectancy, and development potential relating to 
Down syndrome or other prenatally diagnosed condi-
tions; and 
‘‘(4) establish awareness and education pro-
grams for health care providers who provide the re-
sults of prenatal tests for Down syndrome or other 
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prenatally diagnosed conditions, to patients, con-
sistent with the purpose described in section 
601(a)(2)(A) of the Pregnant Women Support Act. 
‘‘(c) DATA COLLECTION.— 
‘‘(1) PROVISION
OF
ASSISTANCE.—The Sec-
retary, acting through the Director of the Centers 
for Disease Control and Prevention, shall provide as-
sistance to State and local health departments to in-
tegrate the results of prenatal testing into State- 
based vital statistics and birth defects surveillance 
programs. 
‘‘(2) ACTIVITIES.—The Secretary shall ensure 
that activities carried out under paragraph (1) are 
sufficient to extract population-level data relating to 
national rates and results of prenatal testing. 
‘‘(d) PROVISION OF INFORMATION BY PROVIDERS.— 
Upon receipt of a positive test result from a prenatal test 
for Down syndrome or other prenatally diagnosed condi-
tions performed on a patient, the health care provider in-
volved (or his or her designee) shall provide the patient 
with the following: 
‘‘(1) Up-to-date, scientific, written information 
concerning the life expectancy, clinical course, and 
intellectual and functional development and treat-
ment options for an unborn child diagnosed with or 
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child born with Down syndrome or other prenatally 
diagnosed conditions. 
‘‘(2) Referral to supportive services providers, 
including information hotlines specific to Down syn-
drome or other prenatally diagnosed conditions, re-
source centers or clearinghouses, and other edu-
cation and support programs described in subsection 
(b). 
‘‘(e) PRIVACY.— 
‘‘(1) 
IN
GENERAL.—Notwithstanding 
sub-
sections (c) and (d), nothing in this section shall be 
construed to permit or require the collection, mainte-
nance, or transmission, without the health care pro-
vider obtaining the prior, written consent of the pa-
tient, of— 
‘‘(A) health information or data that iden-
tify a patient, or with respect to which there is 
a reasonable basis to believe the information 
could be used to identify the patient (including 
a patient’s name, address, healthcare provider, 
or hospital); and 
‘‘(B) data that are not related to the epi-
demiology of the condition being tested for. 
‘‘(2) GUIDANCE.—Not later than 180 days 
after the date of enactment of this section, the Sec-
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retary shall establish guidelines concerning the im-
plementation of paragraph (1) and subsection (d). 
‘‘(f) REPORTS.— 
‘‘(1) IMPLEMENTATION
REPORT.—Not later 
than 2 years after the date of enactment of this sec-
tion, and every 2 years thereafter, the Secretary 
shall submit a report to Congress concerning the im-
plementation of the guidelines described in sub-
section (e)(2). 
‘‘(2) GAO REPORT.—Not later than 1 year 
after the date of enactment of this section, the Gov-
ernment Accountability Office shall submit a report 
to Congress concerning the effectiveness of current 
healthcare and family support programs serving as 
resources for the families of children with disabil-
ities. 
‘‘(g) AUTHORIZATION OF APPROPRIATIONS.—There 
is authorized to be appropriated to carry out this section 
$5,000,000 for each of the fiscal years 2010 through 
2014.’’. 
TITLE VII—SUPPORT FOR PREG-
NANT AND PARENTING COL-
LEGE STUDENTS 
SEC. 701. SENSE OF CONGRESS. 
It is the sense of Congress that— 
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(1) pregnant college students should not have 
to make a choice between keeping their baby and 
staying in school; 
(2) the pilot program under this title will help 
interested, eligible institutions of higher education 
establish pregnancy and parenting student services 
offices that will operate independent of Federal 
funding no later than 5 years after the date of the 
enactment of this title; and 
(3) amounts appropriated to carry out other 
Federal programs should be reduced to offset the 
costs of this title. 
SEC. 702. DEFINITIONS. 
In this title: 
(1) ELIGIBLE INSTITUTION OF HIGHER EDU-
CATION.—The term ‘‘eligible institution of higher 
education’’ means an institution of higher education 
(as such term is defined in section 101 of the High-
er Education Act of 1965 (20 U.S.C. 1001)) that 
has established and operates, or agrees to establish 
and operate upon the receipt of a grant under this 
title, a pregnant and parenting student services of-
fice described in section 706. 
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(2) PARENT; PARENTING.—The terms ‘‘parent’’ 
and ‘‘parenting’’ refer to a parent or legal guardian 
of a minor. 
(3) SECRETARY.—The term ‘‘Secretary’’ means 
the Secretary of Education. 
SEC. 703. PREGNANT AND PARENTING STUDENT SERVICES 
PILOT PROGRAM. 
From amounts appropriated under section 708 for a 
fiscal year, the Secretary shall establish a pilot program 
to award grants to eligible institutions of higher education 
to enable the eligible institutions to establish (or maintain) 
and operate pregnant and parenting student services of-
fices in accordance with section 706. 
SEC. 704. APPLICATION; NUMBER OF GRANTS. 
(a) APPLICATION.—An eligible institution of higher 
education that desires to receive a grant under this title 
shall submit an application to the Secretary at such time, 
in such manner, and containing such information as the 
Secretary may require. 
(b) REQUESTS FOR ADDITIONAL INFORMATION.— 
The Secretary may require an eligible institution submit-
ting an application under subsection (a) to provide addi-
tional information if the Secretary determines such infor-
mation is necessary to process the application. 
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(c) NUMBER OF GRANTS.—Subject to the availability 
of appropriations under section 708, the Secretary shall 
award grants under this title to no more than 200 eligible 
institutions. 
SEC. 705. MATCHING REQUIREMENT. 
An eligible institution of higher education that re-
ceives a grant under this title shall contribute to the con-
duct of the pregnant and parenting student services office 
supported by the grant an amount from non-Federal funds 
equal to the amount of the grant. The non-Federal share 
may be in cash or in kind, fairly evaluated, including serv-
ices, facilities, supplies, or equipment. 
SEC. 706. USE OF FUNDS. 
(a) IN GENERAL.—An eligible institution of higher 
education that receives a grant under this title shall use 
grant funds to establish (or maintain) and operate a preg-
nant and parenting student services office, located on the 
campus of the eligible institution, that carries out the fol-
lowing programs and activities: 
(1) Hosts an initial pregnancy and parenting 
resource forum— 
(A) to assess pregnancy and parenting re-
sources, located on the campus or within the 
local community, that are available to meet the 
needs described in paragraph (2); and 
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(B) to set goals for— 
(i) improving such resources for preg-
nant, parenting, and prospective parenting 
students; and 
(ii) improving access to such re-
sources. 
(2) Annually assesses the performance of the el-
igible institution and the office in meeting the fol-
lowing needs of students enrolled in the eligible in-
stitution who are pregnant or are parents: 
(A) The inclusion of maternity coverage 
and the availability of riders for additional fam-
ily members in student health care. 
(B) Family housing. 
(C) Child care. 
(D) Flexible or alternative academic sched-
uling, such as telecommuting programs. 
(E) Education to improve parenting skills 
for mothers and fathers and to strengthen mar-
riages. 
(F) Maternity and baby clothing, baby 
food (including formula), baby furniture, and 
similar items to assist parents and prospective 
parents in meeting the material needs of their 
children. 
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(G) Post-partum counseling and support 
groups. 
(3) Identifies public and private service pro-
viders, located on the campus of the eligible institu-
tion or within the local community, that are quali-
fied to meet the needs described in paragraph (2), 
and establishes programs with qualified providers to 
meet such needs. 
(4) Assists pregnant and parenting students 
and their spouses in locating and obtaining services 
that meet the needs described in paragraph (2). 
(5) If appropriate, provides referrals for pre-
natal care and delivery, infant or foster care, or 
adoption, to a student who requests such informa-
tion. An office shall make such referrals only to 
service providers that primarily serve the following 
types of individuals: 
(A) Parents. 
(B) Prospective parents awaiting adoption. 
(C) Women who are pregnant and plan on 
parenting or placing the child for adoption. 
(D) Parenting or prospective parenting 
couples who are married or who plan on 
marrying in order to provide a supportive envi-
ronment for each other and their child. 
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(b) EXPANDED SERVICES.—In carrying out the pro-
grams and activities described in subsection (a), an eligible 
institution of higher education receiving a grant under this 
title may choose to provide access to such programs and 
activities to a pregnant or parenting employee of the eligi-
ble institution, and the employee’s spouse. 
SEC. 707. REPORTING. 
(a) ANNUAL REPORT BY INSTITUTIONS.— 
(1) IN GENERAL.—For each fiscal year that an 
eligible institution of higher education receives a 
grant under this title, the eligible institution shall 
prepare and submit to the Secretary, by the date de-
termined by the Secretary, a report that— 
(A) itemizes the pregnant and parenting 
student services office’s expenditures for the fis-
cal year; 
(B) contains a review and evaluation of the 
performance of the office in fulfilling the re-
quirements of this title, using the specific per-
formance criteria or standards established 
under paragraph (2)(A); and 
(C) describes the achievement of the office 
in meeting the needs listed in section 706(a)(2) 
of the students served by the eligible institution, 
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(e) 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 
2010 through 2014. 
Æ 
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