H. R. 3590—224 
to eligible entities that are States and shall require the 
organization to— 
‘‘(i) carry out the program based on the needs 
assessment conducted by the State under subsection 
(b); and 
‘‘(ii) establish quantifiable, measurable 3- and 5- 
year benchmarks consistent with subsection (d)(1)(A). 
‘‘(3) RESEARCH AND OTHER EVALUATION ACTIVITIES.— 
‘‘(A) IN
GENERAL.—The Secretary shall carry out a 
continuous program of research and evaluation activities 
in order to increase knowledge about the implementation 
and effectiveness of home visiting programs, using random 
assignment designs to the maximum extent feasible. The 
Secretary may carry out such activities directly, or through 
grants, cooperative agreements, or contracts. 
‘‘(B) REQUIREMENTS.—The Secretary shall ensure 
that— 
‘‘(i) evaluation of a specific program or project is 
conducted by persons or individuals not directly 
involved in the operation of such program or project; 
and 
‘‘(ii) the conduct of research and evaluation activi-
ties 
includes 
consultation 
with 
independent 
researchers, State officials, and developers and pro-
viders of home visiting programs on topics including 
research design and administrative data matching. 
‘‘(4) REPORT
AND
RECOMMENDATION.—Not later than 
December 31, 2015, the Secretary shall submit a report to 
Congress regarding the programs conducted with grants under 
this section. The report required under this paragraph shall 
include— 
‘‘(A) information regarding the extent to which eligible 
entities receiving grants under this section demonstrated 
improvements in each of the areas specified in subsection 
(d)(1)(A); 
‘‘(B) information regarding any technical assistance 
provided under subsection (d)(1)(B)(iii)(I), including the 
type of any such assistance provided; and 
‘‘(C) recommendations for such legislative or adminis-
trative action as the Secretary determines appropriate. 
‘‘(i) APPLICATION OF OTHER PROVISIONS OF TITLE.— 
‘‘(1) IN GENERAL.—Except as provided in paragraph (2), 
the other provisions of this title shall not apply to a grant 
made under this section. 
‘‘(2) EXCEPTIONS.—The following provisions of this title 
shall apply to a grant made under this section to the same 
extent and in the same manner as such provisions apply to 
allotments made under section 502(c): 
‘‘(A) Section 504(b)(6) (relating to prohibition on pay-
ments to excluded individuals and entities). 
‘‘(B) Section 504(c) (relating to the use of funds for 
the purchase of technical assistance). 
‘‘(C) Section 504(d) (relating to a limitation on adminis-
trative expenditures). 
‘‘(D) Section 506 (relating to reports and audits), but 
only to the extent determined by the Secretary to be appro-
priate for grants made under this section.
H. R. 3590—225 
‘‘(E) Section 507 (relating to penalties for false state-
ments). 
‘‘(F) Section 508 (relating to nondiscrimination). 
‘‘(G) Section 509(a) (relating to the administration of 
the grant program). 
‘‘(j) APPROPRIATIONS.— 
‘‘(1) IN GENERAL.—Out of any funds in the Treasury not 
otherwise appropriated, there are appropriated to the Secretary 
to carry out this section— 
‘‘(A) $100,000,000 for fiscal year 2010; 
‘‘(B) $250,000,000 for fiscal year 2011; 
‘‘(C) $350,000,000 for fiscal year 2012; 
‘‘(D) $400,000,000 for fiscal year 2013; and 
‘‘(E) $400,000,000 for fiscal year 2014. 
‘‘(2) RESERVATIONS.—Of the amount appropriated under 
this subsection for a fiscal year, the Secretary shall reserve— 
‘‘(A) 3 percent of such amount for purposes of making 
grants to eligible entities that are Indian Tribes (or a 
consortium of Indian Tribes), Tribal Organizations, or 
Urban Indian Organizations; and 
‘‘(B) 3 percent of such amount for purposes of carrying 
out subsections (d)(1)(B)(iii), (g), and (h)(3). 
‘‘(3) AVAILABILITY.—Funds made available to an eligible 
entity under this section for a fiscal year shall remain available 
for expenditure by the eligible entity through the end of the 
second succeeding fiscal year after award. Any funds that are 
not expended by the eligible entity during the period in which 
the funds are available under the preceding sentence may 
be used for grants to nonprofit organizations under subsection 
(h)(2)(B). 
‘‘(k) DEFINITIONS.—In this section: 
‘‘(1) ELIGIBLE ENTITY.— 
‘‘(A) IN GENERAL.—The term ‘eligible entity’ means a 
State, an Indian Tribe, Tribal Organization, or Urban 
Indian Organization, Puerto Rico, Guam, the Virgin 
Islands, the Northern Mariana Islands, and American 
Samoa. 
‘‘(B) NONPROFIT ORGANIZATIONS.—Only for purposes of 
awarding grants under subsection (h)(2)(B), such term shall 
include a nonprofit organization with an established record 
of providing early childhood home visitation programs or 
initiatives in a State or several States. 
‘‘(2) ELIGIBLE FAMILY.—The term ‘eligible family’ means— 
‘‘(A) a woman who is pregnant, and the father of the 
child if the father is available; or 
‘‘(B) a parent or primary caregiver of a child, including 
grandparents or other relatives of the child, and foster 
parents, who are serving as the child’s primary caregiver 
from birth to kindergarten entry, and including a noncusto-
dial parent who has an ongoing relationship with, and 
at times provides physical care for, the child. 
‘‘(3) INDIAN
TRIBE; 
TRIBAL
ORGANIZATION.—The terms 
‘Indian Tribe’ and ‘Tribal Organization’, and ‘Urban Indian 
Organization’ have the meanings given such terms in section 
4 of the Indian Health Care Improvement Act.’’.
H. R. 3590—226 
SEC. 2952. SUPPORT, EDUCATION, AND RESEARCH FOR POSTPARTUM 
DEPRESSION. 
(a) RESEARCH ON POSTPARTUM CONDITIONS.— 
(1) EXPANSION AND INTENSIFICATION OF ACTIVITIES.—The 
Secretary of Health and Human Services (in this subsection 
and subsection (c) referred to as the ‘‘Secretary’’) is encouraged 
to continue activities on postpartum depression or postpartum 
psychosis (in this subsection and subsection (c) referred to 
as ‘‘postpartum conditions’’), including research to expand the 
understanding of the causes of, and treatments for, postpartum 
conditions. Activities under this paragraph shall include con-
ducting and supporting the following: 
(A) Basic research concerning the etiology and causes 
of the conditions. 
(B) Epidemiological studies to address the frequency 
and natural history of the conditions and the differences 
among racial and ethnic groups with respect to the condi-
tions. 
(C) The development of improved screening and diag-
nostic techniques. 
(D) Clinical research for the development and evalua-
tion of new treatments. 
(E) Information and education programs for health 
care professionals and the public, which may include a 
coordinated national campaign to increase the awareness 
and knowledge of postpartum conditions. Activities under 
such a national campaign may— 
(i) include public service announcements through 
television, radio, and other means; and 
(ii) focus on— 
(I) raising awareness about screening; 
(II) educating new mothers and their families 
about postpartum conditions to promote earlier 
diagnosis and treatment; and 
(III) ensuring that such education includes 
complete 
information 
concerning 
postpartum 
conditions, including its symptoms, methods of 
coping with the illness, and treatment resources. 
(2) SENSE OF CONGRESS REGARDING LONGITUDINAL STUDY 
OF RELATIVE MENTAL HEALTH CONSEQUENCES FOR WOMEN OF 
RESOLVING A PREGNANCY.— 
(A) SENSE OF CONGRESS.—It is the sense of Congress 
that the Director of the National Institute of Mental Health 
may conduct a nationally representative longitudinal study 
(during the period of fiscal years 2010 through 2019) of 
the relative mental health consequences for women of 
resolving a pregnancy (intended and unintended) in various 
ways, including carrying the pregnancy to term and par-
enting the child, carrying the pregnancy to term and 
placing the child for adoption, miscarriage, and having 
an abortion. This study may assess the incidence, timing, 
magnitude, and duration of the immediate and long-term 
mental health consequences (positive or negative) of these 
pregnancy outcomes. 
(B) REPORT.—Subject to the completion of the study 
under subsection (a), beginning not later than 5 years 
after the date of the enactment of this Act, and periodically
H. R. 3590—227 
thereafter for the duration of the study, such Director 
may prepare and submit to the Congress reports on the 
findings of the study. 
(b) GRANTS TO PROVIDE SERVICES
TO INDIVIDUALS WITH
A 
POSTPARTUM CONDITION AND THEIR FAMILIES.—Title V of the Social 
Security Act (42 U.S.C. 701 et seq.), as amended by section 2951, 
is amended by adding at the end the following new section: 
‘‘SEC. 512. SERVICES TO INDIVIDUALS WITH A POSTPARTUM CONDI-
TION AND THEIR FAMILIES. 
‘‘(a) IN GENERAL.—In addition to any other payments made 
under this title to a State, the Secretary may make grants to 
eligible entities for projects for the establishment, operation, and 
coordination of effective and cost-efficient systems for the delivery 
of essential services to individuals with or at risk for postpartum 
conditions and their families. 
‘‘(b) CERTAIN ACTIVITIES.—To the extent practicable and appro-
priate, the Secretary shall ensure that projects funded under sub-
section (a) provide education and services with respect to the diag-
nosis and management of postpartum conditions for individuals 
with or at risk for postpartum conditions and their families. The 
Secretary may allow such projects to include the following: 
‘‘(1) Delivering or enhancing outpatient and home-based 
health and support services, including case management and 
comprehensive treatment services. 
‘‘(2) Delivering or enhancing inpatient care management 
services that ensure the well-being of the mother and family 
and the future development of the infant. 
‘‘(3) Improving the quality, availability, and organization 
of health care and support services (including transportation 
services, attendant care, homemaker services, day or respite 
care, and providing counseling on financial assistance and 
insurance). 
‘‘(4) Providing education about postpartum conditions to 
promote earlier diagnosis and treatment. Such education may 
include— 
‘‘(A) providing complete information on postpartum 
conditions, symptoms, methods of coping with the illness, 
and treatment resources; and 
‘‘(B) in the case of a grantee that is a State, hospital, 
or birthing facility— 
‘‘(i) providing education to new mothers and 
fathers, and other family members as appropriate, con-
cerning postpartum conditions before new mothers 
leave the health facility; and 
‘‘(ii) ensuring that training programs regarding 
such education are carried out at the health facility. 
‘‘(c) INTEGRATION WITH OTHER PROGRAMS.—To the extent prac-
ticable and appropriate, the Secretary may integrate the grant 
program under this section with other grant programs carried out 
by the Secretary, including the program under section 330 of the 
Public Health Service Act. 
‘‘(d) REQUIREMENTS.—The Secretary shall establish require-
ments for grants made under this section that include a limit 
on the amount of grants funds that may be used for administration, 
accounting, reporting, or program oversight functions and a require-
ment for each eligible entity that receives a grant to submit, for