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H.R. 1074 (110th): Reducing the Need for Abortion and Supporting Parents Act


The text of the bill below is as of Feb 15, 2007 (Introduced). The bill was not enacted into law.


I

110th CONGRESS

1st Session

H. R. 1074

IN THE HOUSE OF REPRESENTATIVES

February 15, 2007

(for himself, Ms. DeLauro, Mr. Langevin, Ms. Herseth, Mr. Emanuel, Ms. Eshoo, Ms. Kaptur, Mr. Kildee, Ms. McCollum of Minnesota, Mr. Price of North Carolina, Mr. Doyle, Mrs. Maloney of New York, Mr. Kennedy, Mr. George Miller of California, Mr. Kucinich, Mr. Moran of Virginia, Mr. Crowley, Mr. Smith of Washington, Mr. Courtney, Mr. McGovern, Ms. Wasserman Schultz, Mr. Larson of Connecticut, Mr. Patrick J. Murphy of Pennsylvania, Mr. Obey, Mr. DeFazio, and Mr. Blumenauer) introduced the following bill; which was referred to the Committee on Energy and Commerce, and in addition to the Committees on Education and Labor and Ways and Means, 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 committee concerned

A BILL

To provide for programs that reduce the number of unplanned pregnancies, reduce the need for abortion, help women bear healthy children, and support new parents.

1.

Short title; table of contents

(a)

Short title

This Act may be cited as the Reducing the Need for Abortion and Supporting Parents 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; purpose.

Sec. 3. Definitions.

Sec. 4. Eligibility of Indian tribes for awards.

Title I—Education Programs for Preventing Teen Pregnancies

Sec. 101. Findings.

Sec. 102. Education programs for preventing teen pregnancies.

Title II—Reauthorization of Certain After-School Programs

Sec. 201. Findings.

Sec. 202. Reauthorization of certain after-school programs.

Title III—Teen Pregnancy Prevention Incentive Grants

Sec. 301. Teen pregnancy prevention incentive grants.

Sec. 302. Establishing national goal to prevent teen pregnancy.

Title IV—Demonstration Grants to Encourage Creative Approaches to Teen Pregnancy Prevention

Sec. 401. Demonstration grants to encourage creative approaches to teen pregnancy prevention.

Title V—National Campaign to Enlist Parents in Preventing Teen Pregnancy

Sec. 501. Findings.

Sec. 502. Establishment of a national center for parents of adolescents; provision of challenge grants for State and local programs.

Title VI—Clarification of Continued Medicaid Coverage of Family Planning Services

Sec. 601. Clarification of continued Medicaid coverage of family planning services.

Title VII—Expanded Medicaid Eligibility for Family Planning Services

Sec. 701. Expanded Medicaid eligibility for family planning services.

Title VIII—Disclosure of Information for Abortion Services

Sec. 801. Disclosure of information for abortion services.

Title IX—Medicaid and SCHIP Coverage of Pregnant Women

Sec. 901. State option to expand or add coverage of certain pregnant women under Medicaid and SCHIP.

Sec. 902. Coordination with the maternal and child health program.

Sec. 903. Increase in SCHIP income eligibility.

Sec. 904. Outreach program to encourage those eligible for services to enroll.

Title X—Title X of Public Health Service Act

Sec. 1001. Short title.

Sec. 1002. Authorization of appropriations.

Title XI—Pregnancy as Preexisting Condition

Sec. 1101. Removal of pregnancy as a preexisting condition under individual health insurance coverage.

Title XII—Increasing Women’s Knowledge About Their Pregnancy

Sec. 1201. Grants to health centers for purchase of ultrasound equipment.

Sec. 1202. Services to patients receiving positive test diagnosis for Down syndrome or other prenatally diagnosed condition.

Title XIII—Preventing Domestic Violence and Sexual Assault

Sec. 1301. Separate program to identify and treat pregnant women and new mothers who are victims of domestic violence, dating violence, sexual assault, or stalking.

Sec. 1302. Additional authorization of appropriations for public campaign to increase public awareness.

Title XIV—Support for Pregnant and Parenting Students

Sec. 1401. Support services for students of institutions of higher education.

Sec. 1402. Child care access means parents in school program.

Title XV—Federally-Funded Homes for Pregnant and Parenting Women

Sec. 1501. Counseling requirements.

Sec. 1502. Treatment of pregnant and parenting women.

Title XVI—Expansion of Adoption Credit and Adoption Assistance Programs

Sec. 1601. Expansion of adoption credit and adoption assistance programs.

Title XVII—Providing Support to New Parents

Sec. 1701. Increased support for WIC program.

Sec. 1702. Nutritional support for low-income parents.

Sec. 1703. Increased funding for the Child Care and Development Block Grant program.

Sec. 1704. Teenage or first-time mothers; free home visits by registered nurses for education on health needs of infants.

Sec. 1705. Grants for increasing public awareness of resources available to women preparing for child birth.

Title XVIII—Collecting and Reporting Abortion Surveillance Data

Sec. 1801. Grants for collection and reporting of abortion surveillance data.

Sec. 1802. Report on reasons why women choose to have an abortion.

2.

Findings; purpose

(a)

Findings

Congress makes the following findings:

(1)

There are 1,290,000 abortions annually in America and one in five pregnancies ends in abortion.

(2)

49 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)

Rates of unintended pregnancy in the United States increased by nearly 30 percent among low-income women between 1994 and 2001, and a low-income woman today is about 4 times as likely to have an unintended pregnancy as her higher income counterpart.

(5)

Levels of contraceptive use among low-income women at risk of unintended pregnancy declined significantly between 1994 and 2001, from 92 percent to 86 percent.

(6)

By helping couples avoid unintended pregnancy, Medicaid-funded and Title X contraceptive services are highly cost-effective, and every public dollar spent on family planning saves $3 in the cost of pregnancy-related care alone.

(7)

Abortion rates decreased among higher income women but increased among low income women between 1994 and 2001, and a low income woman is more than 4 times as likely to have an abortion as her higher income counterpart.

(8)

“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.

(b)

Purpose

The purpose of this Act is to provide a comprehensive initiative to—

(1)

reduce the abortion rate by reducing the number of unintended pregnancies and supporting women facing unplanned pregnancies;

(2)

prevent unintended pregnancies from occurring in the first place—

(A)

by reducing teen pregnancy through education, after-school and other programs, and involving parents; and

(B)

by extending Medicaid family planning services to more low-income women; and

(3)

support pregnant women, new parents, and their children, through measures that address domestic violence and sexual assault, provide health care services, information about pregnancy, and other supportive services for pregnant women, and provide supportive services for new parents.

3.

Definitions

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 Virgin Islands, and any other territory or possession of the United States.

4.

Eligibility of Indian tribes for awards

(a)

In general

In the case of programs carried out pursuant to this Act that make awards of grants, cooperative agreements, or contracts, Indian tribes are eligible for awards under the programs in accordance with such criteria as the Secretary may establish.

(b)

Definitions

For purposes of this Act, the term Indian tribe has the meaning given such term in section 4 of the Indian Self-Determination and Education Assistance Act.

I

Education Programs for Preventing Teen Pregnancies

101.

Findings

The Congress finds as follows:

(1)

The United States has the highest teen pregnancy rate and teen birth rate among comparable countries, costing the United States at least $7,000,000,000 annually.

(2)

About one out of three young women in America become pregnant before they reach the age of 20.

(3)

Teenagers account for nearly one of every five abortions.

(4)

Teen pregnancy has serious consequences for young women, their children, and communities as a whole. Too-early childbearing increases the likelihood that a young woman will drop out of high school and that she and her child will live in poverty.

(5)

Statistically, the sons of teen mothers are more likely to end up in prison. The daughters of teen mothers are more likely to end up teen mothers too.

(6)

Teens that grow up in disadvantaged economic, social, and family circumstances are more likely to engage in risky behavior and have a child during adolescence.

(7)

Eight in 10 girls and six in 10 boys report that they wish they had waited until they were older to have sex.

102.

Education programs for preventing teen pregnancies

(a)

In general

The Secretary shall make grants to local educational agencies, State and local public health agencies, and nonprofit private entities for the purpose of carrying out projects to provide education on preventing teen pregnancies.

(b)

Preference in making grants

In making grants under subsection (a), the Secretary shall give preference to applicants that will carry out the projects under such subsection in communities for which the rate of teen pregnancy is significantly above the average rate of such pregnancies.

(c)

Certain requirements

A grant may be made under subsection (a) only if the applicant for the grant meets the following conditions with respect to the project involved:

(1)

The applicant agrees that information provided by the project on pregnancy prevention will be age-appropriate, factually and medically accurate and complete, and scientifically-based.

(2)

The applicant agrees that the project will prevent teen pregnancies by—

(A)

encouraging teens to delay sexual activity and providing educational services and interventions, including information about contraception for sexually active teens or teens at risk of becoming sexually active that meets the requirements of paragraph (1);

(B)

educating both young men and women about the responsibilities and pressures that come along with parenting;

(C)

helping parents communicate with teens about sexuality; or

(D)

teaching young people responsible decision-making.

(d)

Matching funds

(1)

In general

With respect to the costs of the project to be carried out under subsection (a) by an applicant, a grant may be made under such subsection only if the applicant agrees to make available (directly or through donations from public or private entities) non-Federal contributions toward such costs in an amount that is not less than 25 percent of such costs ($1 for each $3 of Federal funds provided in the grant).

(2)

Determination of amount contributed

Non-Federal contributions required in paragraph (1) may be in cash or in kind, fairly evaluated, including plant, equipment, or services. Amounts provided by the Federal Government, or services assisted or subsidized to any significant extent by the Federal Government, may not be included in determining the amount of such non-Federal contributions.

(e)

Supplementation of funds

An applicant to which a grant is made under subsection (a) for a fiscal year shall use the grant to supplement and not supplant funds that would otherwise be available to the applicant for carrying out the purpose described in such subsection.

(f)

Evaluation of projects

The Secretary shall establish criteria for the evaluation of projects under subsection (a). A grant may be made under such subsection only if the applicant involved—

(1)

agrees to conduct evaluations of the project in accordance with such criteria;

(2)

agrees to submit to the Secretary such reports describing the results of the evaluations as the Secretary determines to be appropriate; and

(3)

submits to the Secretary, in the application under subsection (g), a plan for conducting the evaluations.

(g)

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 such agreements, assurances, and information, including the agreements under subsections (c) through (f) and the plan under subsection (f)(3), as the Secretary determines to be necessary to carry out this section.

(h)

Report to Congress

Not later than April 1, 2012, the Secretary shall submit to the Congress a report describing the extent to which projects under subsection (a) have been successful in reducing the rate of teen pregnancies in the communities in which the projects have been carried out.

(i)

Definitions

For purposes of this section:

(1)

The term age-appropriate, with respect to the information in pregnancy prevention, means topics, messages, and teaching methods suitable to particular ages or age groups of children and adolescents, based on developing cognitive, emotional, and behavioral capacity typical for the age or age group.

(2)

The term factually and medically accurate and complete means verified or supported by the weight of research conducted in compliance with accepted scientific methods and—

(A)

published in peer-reviewed journals, where applicable; or

(B)

comprising information that leading professional organizations and agencies with relevant expertise in the field recognize as accurate, objective, and complete.

(3)

The term local educational agency has the meaning given such term in section 9101 of the Elementary and Secondary Education Act of 1965.

(j)

Authorization of Appropriations

For the purpose of carrying out this section, there is authorized to be appropriated $20,000,000 for each of the fiscal years 2008 through 2012.

II

Reauthorization of Certain After-School Programs

201.

Findings

The Congress finds as follows:

(1)

The likelihood of teens having sex for the first time increases with the number of unsupervised hours teens have during a week.

(2)

After-school programs can reduce teen risky behavior. Teenage girls who play sports, for instance, are more likely to delay sex and have fewer partners and less likely to become pregnant.

(3)

After-school programs can help prevent teen pregnancy by advancing good decision-making skills and providing teens with health education and positive role models in a supervised setting.

202.

Reauthorization of certain after-school programs

(a)

21st century community learning centers

Section 4206 of the Elementary and Secondary Education Act of 1965 (20 U.S.C. 7176) is amended—

(1)

in paragraph (5), by striking and;

(2)

in paragraph (6), by striking the period at the end and inserting a semicolon; and

(3)

by adding at the end the following:

(7)

$2,750,000,000 for fiscal year 2008; and

(8)

$2,750,000,000 for fiscal year 2009.

.

(b)

Carol M. White physical education program

Section 5401 of the Elementary and Secondary Education Act of 1965 (20 U.S.C. 7241) is amended by adding at the end the following:

(7)

$755,000,000 for fiscal year 2008, of which $80,000,000 is for carrying out subpart 10.

(8)

$755,000,000 for fiscal year 2009, of which $80,000,000 is for carrying out subpart 10.

.

(c)

Federal TRIO programs

Section 402A(f) of the Higher Education Act of 1965 (20 U.S.C. 1070a–11(f)) is amended by striking $700,000,000 for fiscal year 1999, and such sums as may be necessary for each of the 4 succeeding fiscal years and inserting $883,000,000 for fiscal year 2008 and such sums as may be necessary for each of the 5 succeeding fiscal years.

(d)

Gearup

Section 404H of the Higher Education Act of 1965 (20 U.S.C. 1070a–28) is amended by striking $200,000,000 for fiscal year 1999 and such sums as may be necessary for each of the 4 succeeding fiscal years and inserting $350,000,000 for fiscal year 2008 and such sums as may be necessary for each of the 5 succeeding fiscal years.

III

Teen Pregnancy Prevention Incentive Grants

301.

Teen pregnancy prevention incentive grants

Section 403(a)(2) of the Social Security Act (42 U.S.C. 603(a)(2)) is amended to read as follows:

(2)

Incentive grants to prevent teen pregnancy

(A)

Grants to eligible states

(i)

In general

(I)

Fiscal year 2008; grants to states with compliant plans

For fiscal year 2008, each State that meets the requirements of clause (ii) shall be eligible to receive from the Secretary for such year a grant in an amount determined under subparagraph (B)(i)(I).

(II)

Subsequent fiscal years; grants to high-achieving states with compliant plans

For each of the fiscal years 2009 through 2012, each high-achieving State that meets the requirements of clause (ii) shall be eligible to receive from the Secretary for such year a grant in an amount determined under subparagraph (B)(i)(II).

(III)

High-achieving state

For purposes of this paragraph, the term high-achieving State, with respect to a year, means a State that has achieved an annual decline in the teen pregnancy rate for the State as compared to the preceding year (or the most recent year for which data is available) which exceeds the national average rate of decline.

(ii)

Submission of plan; requirements

A plan meets the requirements of this clause if the plan describes—

(I)

the State’s numerical goal for reducing teen pregnancy and teen births;

(II)

the strategies to be used to achieve such goal;

(III)

the efforts the State will make to involve young men, as well as young women, in delaying pregnancy and parenting;

(IV)

efforts to involve parents and other caretakers; and

(V)

efforts to reach communities or populations experiencing rates of teen pregnancy above the State average.

(iii)

Set-aside for grants to Indian tribes

An amount equal to 1.5 percent of the amount appropriated in subparagraph (G) for a fiscal year shall be reserved for awarding grants to Indian tribes under this paragraph in such manner, and subject to such requirements, as the Secretary, in consultation with such tribes, determines appropriate.

(iv)

State

The term State means each of the several States of the United States, the District of Columbia, the Commonwealth of Puerto Rico, the United States Virgin Islands, Guam, American Samoa, and the Commonwealth of the Northern Mariana Islands.

(B)

Amount of grant

(i)

In general

The amount of a grant under subparagraph (A)(i) to an eligible State for a fiscal year shall be the following amount, as applicable:

(I)

For fiscal year 2008, the amount that bears the same ratio to the amount appropriated in subparagraph (G) for such fiscal year as the proportion of births in the State to teens under age 20 bears to the number of such births in all eligible States in the most recent year for which data is available.

(II)

For each of fiscal years 2009 through 2012, the amount that bears the same ratio to the amount appropriated in subparagraph (G) for such fiscal year as the proportion of teens under age 20 in the State bears to the number of such teens in all eligible States in the most recent year for which data is available.

(ii)

Determination of teen pregnancy rates

For purposes of this paragraph, the teen pregnancy rate for a State shall be determined on the basis of the teen pregnancy rate per 1,000 women, ages 15 through 19, who reside in the State. Where teen pregnancy data is not available in a particular State, the Secretary may identify alternative sources of data.

(C)

Use of funds

(i)

In general

A State or Indian tribe shall use funds provided under a grant under this paragraph to implement teen pregnancy prevention strategies that meet the following requirements:

(I)

The strategies replicate or substantially incorporate the elements of one or more teen pregnancy prevention programs that have been proven effective (on the basis of rigorous scientific research) to—

(aa)

delay or decrease sexual intercourse or sexual activity;

(bb)

increase contraceptive use among sexually active teens; or

(cc)

reduce teenage pregnancy.

(II)

The strategies incorporate one or more of the following strategies for preventing teenage pregnancy:

(aa)

Encouraging teenagers to delay sexual activity.

(bb)

Sex and HIV education.

(cc)

Preventive health services.

(dd)

Youth development programs.

(ee)

Service learning programs.

(ff)

Helping parents communicate with teens.

(gg)

Outreach or media programs.

(III)

The strategies provide information that is age-appropriate, factually and medically accurate and complete, and scientifically-based.

(D)

Subgrant or contract recipients

A State to which a grant is made under this paragraph for a fiscal year may award subgrants or contracts to—

(i)

State or local nonprofit coalitions or organizations working to prevent teenage pregnancy;

(ii)

State, local, or tribal agencies;

(iii)

schools;

(iv)

entities that provide after-school programs;

(v)

nonprofit community or faith-based organizations; or

(vi)

other organizations designated by the State.

(E)

Supplementation of funds

A State to which a grant is made under this paragraph for a fiscal year shall use funds provided under the grant to supplement and not supplant funds that would otherwise be available to the State for preventing teen pregnancy.

(F)

Data reporting

A State to which a grant is made under this paragraph for a fiscal year shall cooperate with the Secretary to collect information and report on outcomes of programs funded under the grant, as specified by the Secretary.

(G)

Appropriation

Out of any money in the Treasury of the United States not otherwise appropriated, there are appropriated for making grants under this paragraph $20,000,000 for each of the fiscal years 2008 through 2012.

(H)

Evaluation

(i)

In general

The Secretary shall, by grant or contract, gather and disseminate information on effective practices, programs, and strategies for reducing teen pregnancy rates that are used by States that receive grants under this paragraph in order to allow other States, and leaders in the area of teen pregnancy prevention, to learn from the experiences of successful States. The Secretary shall publish an interim and final report summarizing and synthesizing outcomes and lessons learned pursuant to such grants.

(ii)

Appropriation

Out of any money in the Treasury of the United States not otherwise appropriated, there is appropriated to the Secretary for the purpose of carrying out clause (i) $2,000,000 for fiscal year 2008, to remain available through fiscal year 2013.

.

302.

Establishing national goal to prevent teen pregnancy

Section 905 of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (42 U.S.C. 710 note) is amended to read as follows:

905.

Establishing national goal to prevent teen pregnancy

(a)

In general

Not later than 90 days after the date of the enactment of this Act, the Secretary of Health and Human Services shall establish a national goal of reducing teen pregnancy by at least one-third over the subsequent ten years.

(b)

Report

Not later than 12 months after the date of the enactment of this Act, and annually thereafter, the Secretary of Health and Human Services shall report to Congress with respect to the progress that has been made in meeting the national goal established under subsection (a) and with respect to State-level progress on reducing teen pregnancy.

.

IV

Demonstration Grants to Encourage Creative Approaches to Teen Pregnancy Prevention

401.

Demonstration grants to encourage creative approaches to teen pregnancy prevention

(a)

In general

The Secretary may make grants to several public or nonprofit private entities for the purpose of assisting the entities in demonstrating innovative approaches to prevent teen pregnancies.

(b)

Certain approaches

Approaches under subsection (a) may include approaches such as the following:

(1)

Encouraging teen-driven approaches to pregnancy prevention.

(2)

Exposing teens to realistic simulations of the physical, emotional, and financial consequences of pregnancy and parenting.

(3)

Facilitating communication between parents and children, especially using programs that have been evaluated and proven effective.

(c)

Matching funds

(1)

In general

With respect to the costs of the project to be carried out under subsection (a) by an applicant, a grant may be made under such subsection only if the applicant agrees to make available (directly or through donations from public or private entities) non-Federal contributions toward such costs in an amount that is not less than 25 percent of such costs ($1 for each $3 of Federal funds provided in the grant).

(2)

Determination of amount contributed

Non-Federal contributions required in paragraph (1) may be in cash or in kind, fairly evaluated, including plant, equipment, or services. Amounts provided by the Federal Government, or services assisted or subsidized to any significant extent by the Federal Government, may not be included in determining the amount of such non-Federal contributions.

(d)

Evaluation of projects

The Secretary shall establish criteria for the evaluation of projects under subsection (a). A grant may be made under such subsection only if the applicant involved—

(1)

agrees to conduct evaluations of the project in accordance with such criteria;

(2)

agrees to submit to the Secretary such reports describing the results of the evaluations as the Secretary determines to be appropriate; and

(3)

submits to the Secretary, in the application under subsection (e), a plan for conducting the evaluations.

(e)

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 such agreements, assurances, and information, including the agreements under subsections (c) and (d) and the plan under subsection (d)(3), as the Secretary determines to be necessary to carry out this section.

(f)

Report to Congress

Not later than April 1, 2013, the Secretary shall submit to the Congress a report describing the extent to which projects under subsection (a) have been successful in reducing the rate of teen pregnancies in the communities in which the projects have been carried out. Such reports shall describe the various approaches used under subsection (a) and the effectiveness of each of the approaches.

(g)

Authorization of appropriations

For the purpose of carrying out this section, there is authorized to be appropriated $10,000,000 for each of the fiscal years 2008 through 2012.

V

National Campaign to Enlist Parents in Preventing Teen Pregnancy

501.

Findings

The Congress finds as follows:

(1)

Teens with strong emotional attachments to their parents are more likely to delay becoming sexually active. Seven out of ten teens say that they are prepared to listen to things parents thought the teens were not ready to hear.

(2)

Ninety percent of parents of teens report that they know they should talk to their kids about sex but often don’t know what to say, how to say it, or when to start the conversations.

502.

Establishment of a national center for parents of adolescents; provision of challenge grants for State and local programs

(a)

Grant

The Secretary shall make one grant to a nationally recognized nonpartisan, nonprofit organization that meets the requirements of this section to establish and operate a national center for parents of adolescents to carry out the purposes and activities described in subsections (b) and (c) (referred to in this section as the Center).

(b)

Requirements

The Secretary may make a grant under this section only if—

(1)

the organization focuses exclusively on preventing teen pregnancy and has at least 10 years of experience in working with diverse sectors of society to reduce teen pregnancy;

(2)

the organization has a demonstrated ability to work with and provide assistance to a broad range of individuals and entities, including teens, parents, the entertainment and news media, State, tribal, and local organizations, networks of teen pregnancy prevention practitioners, businesses, faith and community leaders, and researchers;

(3)

the organization is research-based and has capabilities in scientific analysis and evaluation; and

(4)

the organization has comprehensive knowledge and data about teen pregnancy prevention strategies.

(c)

Purposes

The purposes of the Center are to—

(1)

support parents in their essential role in preventing teen pregnancy by equipping them with information and resources to promote and strengthen communication with their children about sex, values, and healthy relationships;

(2)

develop and implement media campaigns to promote positive information and messages for parents about how they can help address teen pregnancy; and

(3)

provide challenge grants to States to promote parent education and involvement.

(d)

Activities

The Center shall carry out the purposes described in subsection (c) through the following activities:

(1)

Providing resources for parents and other adults (such as other family members, teachers, coaches, mentors, and faith leaders) that help to foster strong connections with children, including—

(A)

online access to current research;

(B)

user-friendly guides for parents;

(C)

practical tips and advice from experts;

(D)

alerts about new trends among teens;

(E)

suggestions for how to use the entertainment media as a discussion-starter; and

(F)

information about the rapidly-changing media environment of teens.

In order to efficiently reach and support parents, information shall be provided primarily through technological means, including the Internet.
(2)

Using a portion of the funds available through this section to develop and implement media campaigns directly or through grants, contracts, or cooperative agreements with other entities. They may include the production and distribution of printed materials and messages for print media, television, and radio broadcast media, the Internet, or such other new technology as may be appropriate for reaching large numbers of parents and other adults involved in the lives of teens. Special efforts shall be made to develop messages that are effective in reaching fathers as well as mothers. To the extent possible, funds used to develop and implement media campaigns under this subsection shall be matched with non-Federal resources, including in-kind contributions, from public and private entities. In addition, the Center shall provide consultation and serve as a source of factual information to individuals and organizations in the entertainment industry on issues related to teen pregnancy prevention that highlights the role of parents.

(3)

Awarding challenge grants on a competitive basis to States and Indian tribes. Applicants shall submit a plan for how they would involve parents and other caregivers (such as grandparents, foster parents and other guardians) in helping to reduce teen pregnancy through activities such as—

(A)

workshops and town hall meetings;

(B)

providing information through employers, civic associations, community and faith-based organizations, parent-teacher organizations, and other organizations that reach large numbers of parents; and

(C)

innovative ways to provide education and support for parents through online communities and neighborhood-based activities.

(e)

Authorization of appropriations

(1)

In general

For the purpose of carrying out this section, there is authorized to be appropriated $15,000,000 for each of fiscal years 2008 through 2012.

(2)

Challenge grants

Of the amount appropriated under paragraph (1) for a fiscal year, not less than $5,000,000 shall be made available for challenge grants under subsection (d)(3).

VI

Clarification of Continued Medicaid Coverage of Family Planning Services

601.

Clarification of continued Medicaid coverage of family planning services

(a)

In general

Section 1937(a)(1) of the Social Security Act (42 U.S.C. 1396u–7(a)(1)) is amended by adding at the end the following new subparagraph:

(E)

Coverage of family planning services

The State may only exercise the option under subparagraph (A) with respect to an individual if the State provides the individual, through the benchmark coverage, benchmark equivalent coverage, or directly under its State plan, medical assistance for family planning services and supplies (described in section 1905(a)(4)(C)) in at least the same amount, duration, and scope as would be provided if this section did not apply.

.

(b)

Effective date

The amendment made by subsection (a) shall apply as of the first day of the first month that begins more than 30 days after the date of the enactment of this Act.

VII

Expanded Medicaid Eligibility for Family Planning Services

701.

Expanded Medicaid eligibility for family planning services

(a)

Coverage as Mandatory Categorically Needy Group

(1)

In general

Section 1902(a)(10)(A)(i) of the Social Security Act (42 U.S.C. 1396a(a)(10)(A)(i)) is amended—

(A)

in subclause (VI), by striking or at the end;

(B)

in subclause (VII), by adding or at the end; and

(C)

by adding at the end the following new subclause:

(VIII)

subject to subsection (dd)(3), who are described in subsection (dd) (relating to individuals who meet the income standards for pregnant women);

.

(2)

Group described

Section 1902 of the Social Security Act (42 U.S.C. 1396a) is amended by adding at the end the following new subsection:

(dd)
(1)

Individuals described in this subsection are individuals who—

(A)

meet at least the income eligibility standards established under the State plan as of May 1, 2006, for pregnant women or such higher income eligibility standard for such women as the State may establish; and

(B)

are not pregnant.

(2)

At the option of a State, individuals described in this subsection may include individuals who are determined to meet the income eligibility standards referred to in paragraph (1)(A) under the terms and conditions applicable to making eligibility determinations for medical assistance under this title under a waiver to provide the benefits described in clause (XV) of the matter following subparagraph (G) of section 1902(a)(10) granted to the State under section 1115 as of May 1, 2006.

.

(3)

Limitation on benefits

Section 1902(a)(10) of the Social Security Act (42 U.S.C. 1396a(a)(10)) is amended in the matter following subparagraph (G)—

(A)

by striking and (XIV) and inserting (XIV); and

(B)

by inserting , and (XV) the medical assistance made available to an individual described in subsection (dd) who is eligible for medical assistance only because of subparagraph (A)(10)(i)(VIII) shall be limited to family planning services and supplies described in section 1905(a)(4)(C) and, at the State’s option, medical diagnosis or treatment services that are provided in conjunction with a family planning service in a family planning setting provided during the period in which such an individual is eligible; after cervical cancer.

(4)

Conforming amendments

Section 1905(a) of the Social Security Act (42 U.S.C. 1396d(a)) is amended in the matter preceding paragraph (1)—

(A)

in clause (xii), by striking or at the end;

(B)

in clause (xiii), by adding or at the end; and

(C)

by inserting after clause (xiii) the following:

(xiv)

individuals described in section 1902(dd),

.

(b)

Presumptive eligibility

(1)

In general

Title XIX of the Social Security Act (42 U.S.C. 1396 et seq.) is amended by inserting after section 1920B the following:

1920C.

PRESUMPTIVE ELIGIBILITY FOR FAMILY PLANNING SERVICES

(a)

State Option

A State plan approved under section 1902 may provide for making medical assistance available to an individual described in section 1902(dd) (relating to individuals who meet the income eligibility standard for pregnant women in the State) during a presumptive eligibility period. In the case of an individual described in section 1902(dd) who is eligible for medical assistance only because of subparagraph (A)(10)(i)(VIII), such medical assistance may be limited to family planning services and supplies described in 1905(a)(4)(C) and, at the State’s option, medical diagnosis or treatment services that are provided in conjunction with a family planning service in a family planning setting provided during the period in which such an individual is eligible.

(b)

Definitions

For purposes of this section:

(1)

Presumptive eligibility period

The term presumptive eligibility period means, with respect to an individual described in subsection (a), the period that—

(A)

begins with the date on which a qualified entity determines, on the basis of preliminary information, that the individual is described in section 1902(dd); and

(B)

ends with (and includes) the earlier of—

(i)

the day on which a determination is made with respect to the eligibility of such individual for services under the State plan; or

(ii)

in the case of such an individual who does not file an application by the last day of the month following the month during which the entity makes the determination referred to in subparagraph (A), such last day.

(2)

Qualified entity

(A)

In general

Subject to subparagraph (B), the term qualified entity means any entity that—

(i)

is eligible for payments under a State plan approved under this title; and

(ii)

is determined by the State agency to be capable of making determinations of the type described in paragraph (1)(A).

(B)

Regulations

The Secretary may issue regulations further limiting those entities that may become qualified entities in order to prevent fraud and abuse and for other reasons.

(C)

Rule of construction

Nothing in this paragraph shall be construed as preventing a State from limiting the classes of entities that may become qualified entities, consistent with any limitations imposed under subparagraph (B).

(c)

Administration

(1)

In general

The State agency shall provide qualified entities with—

(A)

such forms as are necessary for an application to be made by an individual described in subsection (a) for medical assistance under the State plan; and

(B)

information on how to assist such individuals in completing and filing such forms.

(2)

Notification requirements

A qualified entity that determines under subsection (b)(1)(A) that an individual described in subsection (a) is presumptively eligible for medical assistance under a State plan shall—

(A)

notify the State agency of the determination within 5 working days after the date on which determination is made; and

(B)

inform such individual at the time the determination is made that an application for medical assistance is required to be made by not later than the last day of the month following the month during which the determination is made.

(3)

Application for medical assistance

In the case of an individual described in subsection (a) who is determined by a qualified entity to be presumptively eligible for medical assistance under a State plan, the individual shall apply for medical assistance by not later than the last day of the month following the month during which the determination is made.

(d)

Payment

Notwithstanding any other provision of this title, medical assistance that—

(1)

is furnished to an individual described in subsection (a)—

(A)

during a presumptive eligibility period;

(B)

by a entity that is eligible for payments under the State plan; and

(2)

is included in the care and services covered by the State plan, shall be treated as medical assistance provided by such plan for purposes of clause (4) of the first sentence of section 1905(b).

.

(2)

Conforming amendments

(A)

Section 1902(a)(47) of the Social Security Act (42 U.S.C. 1396a(a)(47)) is amended by inserting before the semicolon at the end the following: and provide for making medical assistance available to individuals described in subsection (a) of section 1920C during a presumptive eligibility period in accordance with such section..

(B)

Section 1903(u)(1)(D)(v) of such Act (42 U.S.C. 1396b(u)(1)(D)(v)) is amended—

(i)

by striking or for and inserting , for; and

(ii)

by inserting before the period the following: , or for medical assistance provided to an individual described in subsection (a) of section 1920C during a presumptive eligibility period under such section.

(c)

Effective date

(1)

In general

Except as provided in paragraph (2), the amendments made by this section shall apply as of the first day of the first month that begins more than 30 days after the date of the enactment of this Act.

(2)

Extension of effective date for state law amendment

In the case of a State plan under title XIX of the Social Security Act (42 U.S.C. 1396 et seq.) which the Secretary of Health and Human Services determines requires State legislation in order for the plan to meet the additional requirements imposed by the amendments made by this section, the State plan shall not be regarded as failing to comply with the requirements of such title solely on the basis of its failure to meet these additional requirements before the first day of the first calendar quarter beginning after the close of the first regular session of the State legislature that begins after the date of enactment of this Act. For purposes of the previous sentence, in the case of a State that has a 2-year legislative session, each year of the session is considered to be a separate regular session of the State legislature.

VIII

Disclosure of Information for Abortion Services

801.

Disclosure of information for abortion services

(a)

In general

Primary care clinics that receive Federal financial assistance and provide abortion services shall obtain informed consent from the pregnant woman seeking to have the abortion.

(b)

Informed consent

Informed consent shall include:

(1)

Medically and factually accurate information on the following:

(A)

How the abortion procedure is performed.

(B)

Possible risks and complications of the procedure to be performed versus carrying the pregnancy to term.

(2)

At the woman's request, information regarding alternatives to abortion including adoption and information concerning public and private agencies that may provide the woman with economic and other assistance to carry her pregnancy to term.

(c)

Prevention

Information about family planning services and supplies shall also be offered.

(d)

Treatment of patients

Primary care clinics receiving Federal financial assistance shall ensure that all patients are treated in a nonjudgmental manner and are not subjected to indignity, humiliation, or breaches of confidentiality.

(e)

Definition

For purposes of this section, the term medically and factually accurate, with respect to information, means the information is—

(1)

verified or supported by the weight of research conducted in compliance with accepted scientific methods; and

(2)
(A)

published in peer-reviewed journals where applicable; or

(B)

information that leading professional organizations and agencies with relevant expertise in the field, such as the American College of Obstetricians and Gynecologists, recognize as accurate and objective.

IX

Medicaid and SCHIP Coverage of Pregnant Women

901.

State option to expand or add coverage of certain pregnant women under Medicaid and SCHIP

(a)

Medicaid

(1)

Authority to expand coverage

Section 1902(l)(2)(A)(i) of the Social Security Act (42 U.S.C. 1396a(l)(2)(A)(i)) is amended by inserting (or such higher percent as the State may elect for purposes of expenditures for medical assistance for pregnant women described in section 1905(u)(4)(A)) after 185 percent.

(2)

Enhanced matching funds available if certain conditions met

Section 1905 of the Social Security Act (42 U.S.C. 1396d) is amended—

(A)

in the fourth sentence of subsection (b), by striking or subsection (u)(3) and inserting , (u)(3), or (u)(4); and

(B)

in subsection (u)—

(i)

by redesignating paragraph (4) as paragraph (5); and

(ii)

by inserting after paragraph (3) the following:

(4)

For purposes of the fourth sentence of subsection (b) and section 2105(a), the expenditures described in this paragraph are the following:

(A)

Certain pregnant women

If the conditions described in subparagraph (B) are met, expenditures for medical assistance for pregnant women described in subsection (n) or under section 1902(l)(1)(A) in a family the income of which exceeds the effective income level (expressed as a percent of the poverty line and considering applicable income disregards) that has been specified under subsection (a)(10)(A)(i)(III) or (l)(2)(A) of section 1902, as of January 1, 2007, but does not exceed the income eligibility level established under title XXI for a targeted low-income child.

(B)

Conditions

The conditions described in this subparagraph are the following:

(i)

The State plans under this title and title XXI do not provide coverage for pregnant women described in subparagraph (A) with higher family income without covering such pregnant women with a lower family income.

(ii)

The State does not apply an effective income level for pregnant women that is lower than the effective income level (expressed as a percent of the poverty line and considering applicable income disregards) that has been specified under the State plan under subsection (a)(10)(A)(i)(III) or (l)(2)(A) of section 1902, as of January 1, 2007, to be eligible for medical assistance as a pregnant woman.

(C)

Definition of poverty line

In this subsection, the term poverty line has the meaning given such term in section 2110(c)(5).

.

(3)

Payment from title XXI allotment for medicaid expansion costs; elimination of counting medicaid child presumptive eligibility costs against title XXI allotment

Section 2105(a)(1) of the Social Security Act (42 U.S.C. 1397ee(a)(1)) is amended—

(A)

in the matter preceding subparagraph (A), by striking (or, in the case of expenditures described in subparagraph (B), the Federal medical assistance percentage (as defined in the first sentence of section 1905(b))); and

(B)

by striking subparagraph (B) and inserting the following:

(B)

for the provision of medical assistance that is attributable to expenditures described in section 1905(u)(4)(A);

.

(4)

Additional amendments to Medicaid

(A)

Eligibility of a newborn

Section 1902(e)(4) of the Social Security Act (42 U.S.C. 1396a(e)(4)) is amended in the first sentence by striking so long as the child is a member of the woman’s household and the woman remains (or would remain if pregnant) eligible for such assistance.

(B)

Application of qualified entities to presumptive eligibility for pregnant women under medicaid

Section 1920(b) of the Social Security Act (42 U.S.C. 1396r–1(b)) is amended by adding at the end after and below paragraph (2) the following flush sentence:

The term ‘qualified provider’ includes a qualified entity as defined in section 1920A(b)(3).

.

(b)

SCHIP

(1)

Coverage

Title XXI of the Social Security Act (42 U.S.C. 1397aa et seq.) is amended by adding at the end the following:

2111.

Optional coverage of targeted low-income pregnant women

(a)

Optional coverage

Notwithstanding any other provision of this title, a State may provide for coverage, through an amendment to its State child health plan under section 2102, of pregnancy-related assistance for targeted low-income pregnant women in accordance with this section, but only if the State meets the conditions described in section 1905(u)(4)(B).

(b)

Definitions

For purposes of this title:

(1)

Pregnancy-related assistance

The term pregnancy-related assistance has the meaning given the term child health assistance in section 2110(a) as if any reference to targeted low-income children were a reference to targeted low-income pregnant women, except that the assistance shall be limited to services related to pregnancy (which include prenatal, delivery, and postpartum services and services described in section 1905(a)(4)(C)) and to other conditions that may complicate pregnancy.

(2)

Targeted low-income pregnant woman

The term targeted low-income pregnant woman means a woman

(A)

during pregnancy and through the end of the month in which the 60-day period (beginning on the last day of her pregnancy) ends;

(B)

whose family income exceeds the effective income level (expressed as a percent of the poverty line and considering applicable income disregards) that has been specified under subsection (a)(10)(A)(i)(III) or (l)(2)(A) of section 1902, as of January 1, 2007, to be eligible for medical assistance as a pregnant woman under title XIX but does not exceed the income eligibility level established under the State child health plan under this title for a targeted low income child; and

(C)

who satisfies the requirements of paragraphs (1)(A), (1)(C), (2), and (3) of section 2110(b).

(c)

References to terms and special rules

In the case of, and with respect to, a State providing for coverage of pregnancy-related assistance to targeted low-income pregnant women under subsection (a), the following special rules apply:

(1)

Any reference in this title (other than in subsection (b)) to a targeted low-income child is deemed to include a reference to a targeted low-income pregnant woman.

(2)

Any such reference to child health assistance with respect to such women is deemed a reference to pregnancy-related assistance.

(3)

Any such reference to a child is deemed a reference to a woman during pregnancy and the period described in subsection (b)(2)(A).

(4)

In applying section 2102(b)(3)(B), any reference to children found through screening to be eligible for medical assistance under the State Medicaid plan under title XIX is deemed a reference to pregnant women.

(5)

There shall be no exclusion of benefits for services described in subsection (b)(1) based on any preexisting condition and no waiting period (including any waiting period imposed to carry out section 2102(b)(3)(C)) shall apply.

(6)

Subsection (a) of section 2103 (relating to required scope of health insurance coverage) shall not apply insofar as a State limits coverage to services described in subsection (b)(1) and the reference to such section in section 2105(a)(1)(C) is deemed not to require, in such case, compliance with the requirements of section 2103(a).

(7)

In applying section 2103(e)(3)(B) in the case of a pregnant woman provided coverage under this section, the limitation on total annual aggregate cost-sharing shall be applied to the entire family of such pregnant woman.

(d)

Automatic enrollment for children born to women receiving pregnancy-related assistance

If a child is born to a targeted low-income pregnant woman who was receiving pregnancy-related assistance under this section on the date of the child’s birth, the child shall be deemed to have applied for child health assistance under the State child health plan and to have been found eligible for such assistance under such plan or to have applied for medical assistance under title XIX and to have been found eligible for such assistance under such title, as appropriate, on the date of such birth and to remain eligible for such assistance until the child attains 1 year of age. During the period in which a child is deemed under the preceding sentence to be eligible for child health or medical assistance, the child health or medical assistance eligibility identification number of the mother shall also serve as the identification number of the child, and all claims shall be submitted and paid under such number (unless the State issues a separate identification number for the child before such period expires).

.

(2)

Additional allotments for providing coverage of pregnant women

(A)

In general

Section 2104 of the Social Security Act (42 U.S.C. 1397dd) is amended by adding at the end the following new subsection:

(i)

Additional allotments for providing coverage of pregnant women

(1)

Appropriation; total allotment

For the purpose of providing additional allotments to States under this title, there is appropriated, out of any money in the Treasury not otherwise appropriated, for each of fiscal years 2008 and 2009, $200,000,000.

(2)

State and territorial allotments

In addition to the allotments provided under subsections (b) and (c), subject to paragraphs (3) and (4), of the amount available for the additional allotments under paragraph (1) for a fiscal year, the Secretary shall allot to each State with a State child health plan approved under this title—

(A)

in the case of such a State other than a commonwealth or territory described in subparagraph (B), the same proportion as the proportion of the State’s allotment under subsection (b) (determined without regard to subsection (f)) to the total amount of the allotments under subsection (b) for such States eligible for an allotment under this paragraph for such fiscal year; and

(B)

in the case of a commonwealth or territory described in subsection (c)(3), the same proportion as the proportion of the commonwealth’s or territory’s allotment under subsection (c) (determined without regard to subsection (f)) to the total amount of the allotments under subsection (c) for commonwealths and territories eligible for an allotment under this paragraph for such fiscal year.

(3)

Use of additional allotment

Additional allotments provided under this subsection are not available for amounts expended before October 1, 2007. Such amounts are available for amounts expended on or after such date for child health assistance for targeted low-income children, as well as for pregnancy-related assistance for targeted low-income pregnant women.

(4)

No payments unless election to expand coverage of pregnant women

No payments may be made to a State under this title from an allotment provided under this subsection unless the State provides pregnancy-related assistance for targeted low-income pregnant women under this title, or provides medical assistance for pregnant women under title XIX, whose family income exceeds the effective income level applicable under subsection (a)(10)(A)(i)(III) or (l)(2)(A) of section 1902 to a family of the size involved as of January 1, 2008.

.

(B)

Conforming amendments

Section 2104 of the Social Security Act (42 U.S.C. 1397dd) is amended—

(i)

in subsection (a), in the matter preceding paragraph (1), by striking subsection (d) and inserting subsections (d) and (i), after under this section,;

(ii)

in subsection (b)(1), by striking subsection (d) and inserting subsections (d) and (i) after Subject to paragraph (4); and

(iii)

in subsection (c)(1), by striking subsection (d) and inserting subsections (d) and (i).

(3)

Presumptive eligibility under title XXI

(A)

Application to pregnant women

Section 2107(e)(1)(D) of the Social Security Act (42 U.S.C. 1397gg(e)(1)) is amended to read as follows:

(D)

Sections 1920 and 1920A (relating to presumptive eligibility).

.

(B)

Exception from limitation on administrative expenses

Section 2105(c)(2) of the Social Security Act (42 U.S.C. 1397ee(c)(2)) is amended by adding at the end the following new subparagraph:

(C)

Exception for presumptive eligibility expenditures

The limitation under subparagraph (A) on expenditures shall not apply to expenditures attributable to the application of section 1920 or 1920A (pursuant to section 2107(e)(1)(D)), regardless of whether the child or pregnant woman is determined to be ineligible for the program under this title or title XIX.

.

(4)

Additional amendments to title XXI

(A)

No cost-sharing for pregnancy related services

Section 2103(e)(2) of the Social Security Act (42 U.S.C. 1397cc(e)(2)) is amended—

(i)

in the heading, by inserting or pregnancy-related services after preventive services; and

(ii)

by inserting before the period at the end the following: or for pregnancy related services.

(B)

No waiting period

Section 2102(b)(1)(B) of the Social Security Act (42 U.S.C. 1397bb(b)(1)(B)) is amended—

(i)

by striking , and at the end of clause (i) and inserting a semicolon;

(ii)

by striking the period at the end of clause (ii) and inserting ; and; and

(iii)

by adding at the end the following:

(iii)

may not apply a waiting period (including a waiting period to carry out paragraph (3)(C)) in the case of a targeted low-income pregnant woman.

.

(c)

Effective date

The amendments made by this section apply to items and services furnished on or after October 1, 2007, without regard to whether regulations implementing such amendments have been promulgated.

(d)

Construction

Nothing in this Act shall be construed as affecting the regulation promulgated at Federal Register 61956 (October 2, 2002), relating to eligibility for prenatal care and other health services for unborn children under SCHIP.

902.

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 subparagraph:

(F)

that operations and activities under this title are developed and implemented 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.

.

(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 implemented 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 January 1, 2008.

903.

Increase in SCHIP income eligibility

(a)

Definition of low-income child

Section 2110(c)(4) of the Social Security Act (42 U.S.C. 42 U.S.C. 1397jj(c)(4)) is amended by striking 200 and inserting 250.

(b)

Effective date

The amendment made by subsection (a) applies to child health assistance provided and allotments determined under section 2104 of the Social Security Act (42 U.S.C. 1397dd) for fiscal years beginning with fiscal year 2008.

904.

Outreach program to encourage those eligible for services to enroll

The Secretary shall make such funds available as may be necessary to encourage eligible pregnant women to enroll for services under this title.

X

Title X of Public Health Service Act

1001.

Short title

This title may be cited as the Title X Family Planning Services Act of 2007.

1002.

Authorization of appropriations

For the purpose of making grants and contracts under section 1001 of the Public Health Service Act, there are authorized to be appropriated $700,000,000 for fiscal year 2008, and such sums as may be necessary for each subsequent fiscal year.

XI

Pregnancy as Preexisting Condition

1101.

Removal of pregnancy as a preexisting condition under individual health insurance coverage

(a)

In general

Title XXVII of the Public Health Service Act is amended by inserting after section 2752 the following new section:

2753.

Preexisting condition exclusion not Applicable to pregnancy

Individual health insurance coverage, and a health insurance issuer offering individual health insurance coverage, may not impose any preexisting condition exclusion relating to pregnancy as a preexisting condition.

.

(b)

Effective date

The amendment made by subsection (a) shall apply to coverage provided on or after January 1, 2008.

XII

Increasing Women’s Knowledge About Their Pregnancy

1201.

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 section 317L the following:

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 ultrasound examinations 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 receive a grant under section 330 of the Public Health Service Act (relating to community health centers, migrant health centers, homeless health centers, and public-housing health centers).

(2)

The entity agrees to comply with the following medical procedures:

(A)

Each pregnant woman upon whom the ultrasound equipment is used will be given the option of viewing the visual image of the fetus from the ultrasound examination and will be given the option of hearing a general anatomical and physiological description of the characteristics of the fetus.

(B)

Each pregnant woman upon whom the ultrasound equipment is used will be given the option of learning, according to the best medical judgment of the health professional performing the ultrasound examination, the approximate age of the embryo or fetus considering the number of weeks elapsed from the probable time of the conception of the embryo or fetus, based upon the information provided by the client as to the time of her last menstrual period, her medical history, a physical examination, or appropriate laboratory tests.

(C)

The ultrasound examinations will be performed by a health professional authorized under the law of the State involved to perform such examinations.

(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 such agreements, assurances, and information as the Secretary 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 2008, and such sums as may be necessary for each of the fiscal years 2009 through 2011.

.

1202.

Services to patients receiving positive test diagnosis for down syndrome or other prenatally diagnosed condition

(a)

Findings and purposes

(1)

Findings

The Congress finds as follows:

(A)

Pregnant women who choose to undergo 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 professionals 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 deficiency in the data needed to understand the epidemiology of prenatally diagnosed conditions, to monitor trends accurately, and to increase the effectiveness of health intervention.

(2)

Purposes

It is the purpose of this section, after the diagnosis of a fetus with Down syndrome or other prenatally diagnosed conditions, to—

(A)

increase patient referrals to providers of key support services for women who have received a positive test diagnosis for Down syndrome, or other prenatally diagnosed conditions, as well as to provide up-to-date, science-based information about life-expectancy, development potential, and quality of life for a child born with Down syndrome or other prenatally diagnosed condition;

(B)

provide networks of support through a Centers for Disease Control and Prevention patient and provider outreach program;

(C)

improve available data by incorporating information directly revealed by prenatal testing into existing State-based surveillance programs for birth defects and prenatally diagnosed conditions; and

(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:

399R.

Support for patients receiving a positive test diagnosis of down syndrome or other prenatally diagnosed conditions

(a)

Definitions

In this section:

(1)

Down syndrome

The term Down syndrome 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 required 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 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 on a required or recommended basis by a health care provider based on medical history, family background, ethnic background, previous test results, or other risk factors.

(b)

Information and support services

The Secretary, acting through the Director of the National Institutes of Health, the Director of the Centers for Disease Control and Prevention, or the Administrator of the Health Resources and Services Administration, may authorize and oversee certain activities, including the awarding of grants, contracts or cooperative agreements, to—

(1)

collect, synthesize, and disseminate current scientific information relating to Down syndrome or other prenatally diagnosed conditions; and

(2)

coordinate the provision of, and access to, new or existing supportive services for patients receiving a positive test diagnosis for Down syndrome or other prenatally diagnosed conditions, including—

(A)

the establishment of a resource telephone hotline and Internet Website accessible to patients receiving a positive test result;

(B)

the establishment of a clearinghouse of scientific information, including clinical course, life expectancy, development potential, and quality of life relating to Down syndrome or other prenatally diagnosed conditions;

(C)

the establishment of national and local peer-support programs;

(D)

the establishment of a national registry, 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 babies with Down syndrome or other prenatally diagnosed conditions, with families willing to adopt; and

(E)

the establishment of awareness and education programs for health care providers who provide the results of prenatal tests for Down syndrome or other prenatally diagnosed conditions, to patients, consistent with the purposes described in section 1202(a)(2) of the Reducing the Need for Abortion and Supporting Parents Act.

(c)

Data collection

(1)

Provision of assistance

The Secretary, acting through the Director of the Centers for Disease Control and Prevention, shall provide assistance to State and local health departments to integrate 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 conditions performed on a patient, the health care provider involved (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 treatment options for a fetus diagnosed with or child born with Down syndrome or other prenatally diagnosed conditions.

(2)

Referral to supportive services providers, including information hotlines specific to Down syndrome or other prenatally diagnosed conditions, resource centers or clearinghouses, and other education and support programs as described in subsection (b)(2).

(e)

Privacy

(1)

In general

Notwithstanding subsections (c) and (d), nothing in this section shall be construed to have any effect on laws or policies that protect the confidentiality of medical information on a patient. Notwithstanding such subsections, nothing in this section shall be construed to permit or require the collection, maintenance, or transmission, without the health care provider obtaining the prior, written consent of the patient, of—

(A)

health information or data that identify 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 epidemiology of the condition being tested for.

(2)

Guidance

Not later than 180 days after the date of enactment of this section, the Secretary shall establish guidelines concerning the implementation of paragraph (1) and subsection (d).

(f)

Reports

(1)

Implementation report

Not later than 2 years after the date of enactment of this section, and every 2 years thereafter, the Secretary shall submit a report to Congress concerning the implementation of the guidelines described in subsection (e)(2).

(2)

GAO report

Not later than 1 year after the date of enactment of this section, the Government 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 disabilities.

(g)

Authorization of appropriations

There is authorized to be appropriated to carry out this section $5,000,000 for each of the fiscal years 2008 through 2012.

.

XIII

Preventing Domestic Violence and Sexual Assault

1301.

Separate program to identify and treat pregnant women and new mothers who are victims of domestic violence, dating violence, sexual assault, or stalking

(a)

Allotments

For the purpose described in subsection (b), the Secretary shall, for fiscal year 2008 and each subsequent fiscal year, allot to each State that has transmitted an application for the fiscal year under section 505(a) of the Social Security Act an amount equal to the product of—

(1)

the amount appropriated under subsection (d) for the fiscal year; and

(2)

the percentage determined for the State under section 502(c)(1)(B)(ii) of such Act.

(b)

Purpose

The purpose of an allotment under subsection (a) with respect to a State is to enable the State to better identify and treat pregnant women and mothers of children up to one year old who are victims of domestic violence, dating violence, sexual assault, or stalking through training health care professionals and behavioral and public health staff how to identify, assess, treat, and refer such women. Such training shall include—

(1)

identifying patients of clients experiencing domestic violence, dating violence sexual assault, or stalking;

(2)

assessing the immediate and short-term safety of the patient or client, the impact of the abuse on the health of the patient, and assisting the patient in developing a plan to promote his or her safety;

(3)

examining and treating such patients or clients within the scope of the health professional’s discipline, training, and practice (including providing medical advice regarding the dynamics and nature of domestic violence, dating violence sexual assault, or stalking);

(4)

maintaining complete medical or forensic records that include the documentation of the examination, treatment given, and referrals made, and recording the location and nature of the victim’s injuries, and establishing mechanisms to ensure the privacy and confidentiality of those medical records;

(5)

referring the patient or client to public and private nonprofit entities that provide services for such victims; and

(6)

ensuring that all services are provided in a linguistically and culturally relevant manner.

(c)

Application of provisions

(1)

In general

Sections 503, 507, and 508 of the Social Security Act apply to allotments under subsection (a) to the same extent and in the same manner as such sections apply to allotments under section 502(c) of such Act.

(2)

Secretarial discretion

Sections 505 and 506 of the Social Security Act apply to allotments under subsection (a) to the extent determined by the Secretary to be appropriate.

(d)

Authorization of Appropriations

For the purpose of making allotments under subsection (a), there is authorized to be appropriated $4,000,000 for each of the fiscal years 2008 through 2012.

1302.

Additional authorization of appropriations for public campaign to increase public awareness

Section 403(b) of Public Law 109–162 (119 Stat. 3023) is amended by striking such sums and all that follows and inserting the following: $5,000,000 for fiscal year 2008, and such sums as may be necessary for each of the fiscal years 2009 through 2012..

XIV

Support for Pregnant and Parenting Students

1401.

Support services for students of institutions of higher education

(a)

In general

The Secretary may make grants to public institutions of higher education to carry out demonstration projects for the purpose of providing services to assist both students who have decided to carry their pregnancies to term, including those anticipating adoption, and parenting students in continuing their studies and graduating.

(b)

Certain requirements for grantees

A grant may be made under subsection (a) only if the institution of higher education involved agrees that the institution—

(1)

will provide the services through on-campus facilities; and

(2)

will submit to the Secretary, for each fiscal year for which the grant is provided, a report describing the activities carried out under the grant and the effects of the activities on the students involved.

(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 such agreements, assurances, and information as the Secretary determines to be necessary to carry out this section.

(d)

Limitations on amount of grant

A grant under subsection (a) for a fiscal year may not be made in an amount exceeding $25,000.

(e)

Authorization of Appropriations

For the purpose of carrying out this section, there are authorized to be appropriated $500,000 for each of the fiscal years 2008 through 2012.

1402.

Child care access means parents in school program

(a)

Minimum grant

Section 419N(b)(2)(B) of the Higher Education Act of 1965 (20 U.S.C. 1070e(b)(2)(B)) is amended by striking $10,000 and inserting $30,000.

(b)

Definition of low-income student

Section 419N(b)(7) of such Act is amended to read as follows:

(7)

Definition of low-income student

For the purpose of this section, the term low-income student means a student who—

(A)

is eligible to receive a Federal Pell Grant for the fiscal year for which the determination is made; or

(B)

would otherwise be eligible to receive a Federal Pell Grant for the fiscal year for which the determination is made, except that the student fails to meet the requirements of—

(i)

section 401(c)(1) because the student is enrolled in a graduate or first professional course of study; or

(ii)

section 484(a)(5) because the student is in the United States for a temporary purpose.

.

(c)

Authorization of appropriations

Section 419N(g) of such Act is amended by striking $45,000,000 for fiscal year 1999 and inserting $75,000,000 for fiscal year 2008.

XV

Federally-Funded Homes for Pregnant and Parenting Women

1501.

Counseling requirements

With respect to any program of grants that is administered by the Secretary and whose purposes include providing funds for group homes for pregnant and parenting women, the Secretary shall require as a condition of making such grants that the entities operating the group homes provide to such women, upon request—

(1)

adoption counseling; and

(2)

counseling on parenting skills.

1502.

Treatment of pregnant and parenting women

Organizations that provide group homes for pregnant and parenting women and receive Federal financial assistance shall ensure that all residents are treated in a nonjudgmental manner and are not subject to indignity and humiliation.

XVI

Expansion of Adoption Credit and Adoption Assistance Programs

1601.

Expansion of adoption credit and adoption assistance programs

(a)

Increase in dollar limitation

(1)

Adoption credit

(A)

In general

Paragraph (1) of section 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

Paragraph (3) of section 23(a) of such Code (relating to $10,000 credit for adoption of child with special needs regardless of expenses) is amended

(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)

Conforming amendment to inflation adjustment

Subsection (h) of section 23 of such Code (relating to adjustments for inflation) is amended to read as follows:

(h)

Adjustments for inflation

(1)

Dollar limitations

In the case of a taxable year beginning after December 31, 2008, each of the dollar amounts in subsections (a)(3) and (b)(1) shall be increased by an amount equal to—

(A)

such dollar amount, multiplied by

(B)

the cost-of-living adjustment determined under section 1(f)(3) for the calendar year in which the taxable year begins, determined by substituting calendar year 2007 for calendar year 1992 in subparagraph (B) thereof.

If any amount as increased under the preceding sentence is not a multiple of $10, such amount shall be rounded to the nearest multiple of $10.
(2)

Income limitation

In the case of a taxable year beginning after December 31, 2002, the dollar amount in subsection (b)(2)(A)(i) shall be increased by an amount equal to—

(A)

such dollar amount, multiplied by

(B)

the cost-of-living adjustment determined under section 1(f)(3) for the calendar year in which the taxable year begins, determined by substituting calendar year 2001 for calendar year 1992 in subparagraph (B) thereof.

If any amount as increased under the preceding sentence is not a multiple of $10, such amount shall be rounded to the nearest multiple of $10.

.

(2)

Adoption assistance programs

(A)

In general

Paragraph (1) of section 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

Paragraph (2) of section 137(a) of such Code (relating to $10,000 exclusion for adoption of child with special needs regardless of expenses) is amended—

(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)

Conforming amendment to inflation adjustment

Subsection (f) of section 137 of such Code (relating to adjustments for inflation) is amended to read as follows:

(f)

Adjustments for inflation

(1)

Dollar limitations

In the case of a taxable year beginning after December 31, 2008, each of the dollar amounts in subsections (a)(2) and (b)(1) shall be increased by an amount equal to—

(A)

such dollar amount, multiplied by

(B)

the cost-of-living adjustment determined under section 1(f)(3) for the calendar year in which the taxable year begins, determined by substituting calendar year 2007 for calendar year 1992 in subparagraph (B) thereof.

If any amount as increased under the preceding sentence is not a multiple of $10, such amount shall be rounded to the nearest multiple of $10.
(2)

Income limitation

In the case of a taxable year beginning after December 31, 2002, the dollar amount in subsection (b)(2)(A) shall be increased by an amount equal to—

(A)

such dollar amount, multiplied by

(B)

the cost-of-living adjustment determined under section 1(f)(3) for the calendar year in which the taxable year begins, determined by substituting calendar year 2001 for calendar year 1992 in subparagraph thereof.

If any amount as increased under the preceding sentence is not a multiple of $10, such amount shall be rounded to the nearest multiple of $10.

.

(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 36 as section 37,

(B)

by redesignating section 23, as amended by subsection (a), as section 36, and

(C)

by moving section 36 (as so redesignated) from subpart A of part IV of subchapter A of chapter 1 to the location immediately before 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 inserting 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.

(F)

Section 36 of such Code, as so redesignated, is amended—

(i)

by striking paragraph (4) of subsection (b), and

(ii)

by striking subsection (c).

(G)

Section 137 of such Code is amended—

(i)

in subsection (d) by striking section 23(d) and inserting section 36(d), and

(ii)

in subsection (e) by striking section 23 and inserting section 36.

(H)

Section 904(i) of such Code is amended by striking 23, 24, and inserting 24.

(I)

Section 1016(a)(26) is amended by striking 23(g) and inserting 36(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 inserting or 36 after section 35.

(M)

The table of sections for subpart C of part IV of subchapter A of chapter 1 of the Internal Revenue Code of 1986 is amended by striking the last item and inserting the following new items:

Sec. 36. Adoption expenses.

Sec. 37. Overpayments of tax.

.

(c)

Modifications made by egtrra to adoption credit made permanent

Title IX of the Economic Growth and Tax Relief Reconciliation Act of 2001 shall not apply to the amendments made by section 202 of such Act.

(d)

Effective date

The amendments made by this section shall apply to taxable years beginning after December 31, 2007.

XVII

Providing Support to New Parents

1701.

Increased support for WIC program

(a)

Findings

Congress finds the following:

(1)

The special supplemental nutrition program for women, infants, and children (WIC) authorized by section 17 of the Child Nutrition Act of 1966 (42 U.S.C. 1786) serves over 8,000,000 women, infants, and children.

(2)

Half of all infants in the United States and 1 in 4 young children under age 5 get crucial health and nutrition benefits from the WIC Program.

(3)

It is estimated that every dollar spent on WIC results in between $1.92 and $4.21 in Medicaid savings for newborns and their mothers.

(4)

The WIC program has been proven to increase the number of women receiving prenatal care, reduce the incidence of low birth weight and fetal mortality, reduce anemia, and enhance the nutritional quality of the diet of mothers and children.

(5)

The WIC program’s essential, effective nutrition services include nutrition assessment, counseling and education, obesity prevention, breastfeeding support and promotion, prenatal and pediatric health care referrals and follow-up, spousal and child abuse referral, drug and alcohol abuse referral, immunization screening, assessment and referral, and a host of other services for mothers and children.

(6)

One in 10 people eligible to participate in the WIC program are unable to receive WIC services.

(b)

Authorization of appropriations

Section 17(g)(1)(A) of the Child Nutrition Act of 1966 (42 U.S.C. 1786(g)(1)(A)) is amended to read as follows:

(A)

Authorization

Amounts are authorized to be appropriated to carry out this section as follows:

(i)

$5,388,000,000 for fiscal year 2008, of which $15,000,000 is for breast-feeding peer counselors, $14,000,000 is for infrastructure needs, and $30,000,000 is for management information systems.

(ii)

Such sums as may be necessary for fiscal year 2009.

.

1702.

Nutritional support for low-income parents

Section 5(c)(2) of the Food Stamp Act of 1977 (7 U.S.C. 2014(c)(2)) is amended by striking “30 percentum” and inserting “85 percentum”.

1703.

Increased funding for the Child Care and Development Block Grant program

(a)

Authorization of appropriations

Section 658B of the Child Care and Development Block Grant Act of 1990 (42 U.S.C. 9858) is amended to read as follows:

658B.

Authorization of appropriations

There are authorized to be appropriated to carry out this subchapter $2,350,000,000 for fiscal year 2008 and such sums as may be necessary for fiscal years 2008 through 2012.

.

(b)

Conforming amendment

Section 658E(c)(3)(D) of the Child Care and Development Block Grant Act of 1990 (42 U.S.C. 9858c(c)(3)(D)) is amended by striking 1997 through 2002 and inserting 2008 through 2012.

1704.

Teenage or first-time mothers; free home visits by registered nurses for education on health needs of infants

(a)

In general

The Secretary may make grants to local health departments to provide to eligible mothers, without charge, education on the health needs of their infants through visits to their homes by registered nurses.

(b)

Eligible mother

(1)

In general

For purposes of subsection (a), a woman is an eligible mother if, subject to paragraph (2), the woman—

(A)

is the mother of an infant who is not more than 12 months of age; and

(B)
(i)

the woman was under the age of 20 at the time of birth; or

(ii)

the infant referred to in subparagraph (A) is the first child of the woman.

(2)

Additional requirements for certain mothers

In the case of a woman described in paragraph (1)(B)(ii) who is 20 years of age or older, the woman is an eligible mother for purposes of subsection (a) only if the woman meets such standards in addition to the applicable standards under paragraph (1) as the local health department involved determines to be appropriate.

(c)

Certain requirements

A grant may be made under subsection (a) only if the applicant involved agrees as follows:

(1)

The program carried out under such subsection by the applicant will be designed to instill in eligible mothers confidence in their abilities to provide for the health needs of their newborns, including through—

(A)

providing information on child development; and

(B)

soliciting questions from the mothers.

(2)

The registered nurses who make home visits under subsection (a) will, as needed, provide referrals for health and social services.

(3)

The period during which the visits will be available to an eligible mother will not be fewer than six months.

(4)

An eligible mother will not receive more than one visit each month during the period in which such visits are available to the woman.

(d)

Authorized services

(1)

Requirements

A grant may be made under subsection (a) only if the applicant involved agrees that the following services will be provided by registered nurses in home visits under subsection (a):

(A)

Information on child health and development, including suggestions for child-developmental activities that are enjoyable for parents and children.

(B)

Advice on parenting, including information on how to develop a strong parent-child relationship.

(C)

Information on resources about parenting, including identifying books and videos that are available at local libraries.

(D)

Information on upcoming parenting workshops in the local region.

(E)

Information on programs that facilitate parent-to-parent support services.

(F)

Factually and medically accurate and complete information about contraception.

(G)

In the case of an eligible mother who is a student, information on resources that may assist the mother in completing the educational courses involved.

(2)

Additional services

A grant under subsection (a) may be expended to provide services during home visits under such subsection in addition to the services specified in paragraph (1).

(e)

Authorization of Appropriations

For the purpose of carrying out this section, there are authorized to be appropriated $3,000,000 for fiscal year 2008.

1705.

Grants for increasing public awareness of resources available to women preparing for child birth

(a)

Grants

The Secretary may make grants to States to increase public awareness of resources available to women preparing for child birth 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 pregnant women who have decided to carry their pregnancies to term or to new parents, or both.

(2)

Conducting an advertising campaign to increase public awareness of such resources.

(3)

Establishing and maintaining a toll-free telephone line to direct people to—

(A)

organizations that provide support services for pregnant women who have decided to carry their pregnancies 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 center that is for-profit.

(d)

Identification of resources

The Secretary shall require each State receiving a grant under this section to make publicly available by means of the Internet (electronic and paper form) a list of the following:

(1)

The resources identified pursuant to subsection (b)(1).

(2)

The organizations and adoption centers to which people are directed pursuant to an advertising campaign or telephone line funded under this section.

(e)

Authorization of Appropriations

The Secretary shall make such funds available as may be necessary to carry out the activities of this section.

XVIII

Collecting and Reporting Abortion Surveillance Data

1801.

Grants for collection and reporting of abortion surveillance data

(a)

Grants

The Secretary, acting through the Director of the Centers for Disease Control and Prevention, may make grants to States for collecting and reporting abortion surveillance data.

(b)

Reporting requirement

(1)

In general

The Secretary may make a grant to a State under this section only if the State agrees to submit a report in each of fiscal years 2009 and 2011 on the State’s abortion surveillance data.

(2)

Contents

Each report submitted by a State under this section shall, with respect to the preceding 2 fiscal years, include the number and demographic characteristics of women obtaining abortions in the State.

(3)

Confidentiality

For purposes of grants under this section, a State may not collect names as part of abortion data. Each report submitted by a State under this section shall report all data in the aggregate and shall not report any individually identifiable information.

(c)

Report to congress

Not later than the end of fiscal year 2011, the Secretary shall submit a report to the Congress on the abortion surveillance data reported to the Secretary under this section.

(d)

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 2008 through 2011.

1802.

Report on reasons why women choose to have an abortion

(a)

In general

The Secretary shall enter into an agreement with the Institute of Medicine to study the reasons why women choose to have an abortion. The Secretary shall ensure that a report from the Institute describing the findings of the study is submitted to the Congress not later than January 10, 2011. Names may not be collected for purposes of the study.

(b)

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 2008 through 2011.