[Congressional Bills 103th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3561 Introduced in House (IH)]

103d CONGRESS
  1st Session
                                H. R. 3561

To amend the Public Health Service Act to reauthorize adolescent family 
          life demonstration projects, and for other purposes.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                           November 19, 1993

Mrs. Johnson of Connecticut (for herself, Mr. Greenwood, Ms. McKinney, 
      Ms. Velazquez, Mr. Ackerman, Mr. Beilenson, Mr. Filner, Mr. 
 Hochbrueckner, Mr. Scott, Mr. Serrano, Mrs. Unsoeld, Ms. Waters, and 
 Ms. Woolsey) introduced the following bill; which was referred to the 
                    Committee on Energy and Commerce

_______________________________________________________________________

                                 A BILL


 
To amend the Public Health Service Act to reauthorize adolescent family 
          life demonstration projects, and for other purposes.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Mickey Leland Adolescent Pregnancy 
Prevention and Parenthood Act of 1993''.

SEC. 2. ADOLESCENT PREGNANCY PREVENTION, CARE, AND RESEARCH GRANTS.

    Title XX of the Public Health Service Act (42 U.S.C. 300z et seq.) 
is amended to read as follows:

 ``TITLE XX--ADOLESCENT PREGNANCY PREVENTION, CARE, AND RESEARCH GRANTS

``SEC. 2001. FINDINGS AND PURPOSES.

    ``(a) Findings.-- The Congress finds that--
            ``(1) adolescents are at a high risk of unwanted pregnancy;
            ``(2) in 1988, more than 1,000,000 teenagers became 
        pregnant, and nearly 500,000 teenagers carried their 
        pregnancies to term, of which more than 6 out of 10 births were 
        out of wedlock;
            ``(3) the birthrate for adolescents between the ages of 15 
        and 17 increased 23 percent between 1986 and 1989;
            ``(4) in a high proportion of cases, the pregnant 
        adolescent is herself the product of an unmarried parenthood 
        during adolescence and is continuing the pattern in her own 
        lifestyle;
            ``(5) pregnancy and childbirth among unmarried adolescents, 
        particularly young adolescents, often results in severe adverse 
        health, social, and economic consequences, including--
                    ``(A) higher percentage of pregnancy and childbirth 
                complications;
                    ``(B) higher incidence of low birth weight babies;
                    ``(C) higher infant mortality and morbidity;
                    ``(D) greater likelihood that an adolescent 
                marriage will end in divorce;
                    ``(E) decreased likelihood of completing schooling; 
                and
                    ``(F) higher risks of unemployment and welfare 
                dependency; and
        therefore, education, training, and job research services are 
        important for adolescent parents; and
            ``(6) an adolescent who becomes pregnant once is likely to 
        experience rapid repeat pregnancies and childbearing, with 
        increased risks;
            ``(7) research has shown that in cases in which there is a 
        family involvement in comprehensive values-based projects and 
        services--
                    ``(A) low birth weight is significantly reduced;
                    ``(B) delays in initiating sexual activity occur;
                    ``(C) there are significant reductions in repeat 
                pregnancy, welfare costs, and child abuse; and
                    ``(D) teens are more likely to return and complete 
                their high school education; and
        therefore, the family should become a partner in the 
        development of curriculum and programs that reflect the values 
        of the community;
            ``(8) the problems of adolescent pregnancy and parenthood 
        are multiple and complex and are best approached through a 
        variety of integrated and essential services, particularly 
        those that allow the pregnant adolescent and adolescent parent 
        to stay in school;
            ``(9) such services, including a wide array of educational 
        and supportive services, often are not available to the 
        adolescents who need them, or are available but fragmented and 
        thus of limited effectiveness in preventing pregnancies and 
        future welfare dependency; and
            ``(10) Federal policy therefore should encourage the 
        development of appropriate health, educational, and social 
        services where they are now lacking or inadequate, and the 
        better coordination of existing services where they are 
        available in order to prevent unwanted early and repeat 
        pregnancies and to help adolescents become productive, 
        independent contributors to family and community life.
    ``(b) Purposes.--It is the purpose of this title--
            ``(1) to establish better coordination, integration, and 
        linkages among existing programs in order to expand and improve 
        the availability of, and access to, needed comprehensive 
        community services that assist in preventing unwanted initial 
        and repeat pregnancies among adolescents, enable pregnant 
        adolescents to obtain proper care and assist pregnant 
        adolescents, their male partners, and adolescent parents to 
        become productive independent contributors to family and 
        community life, with primary emphasis on services to 
        adolescents who are 17 years of age and under;
            ``(2) to expand the availability of such services that are 
        essential to that objective;
            ``(3) to promote innovative, comprehensive, and integrated 
        approaches to the delivery of such services;
            ``(4) to encourage and support research programs concerning 
        the societal causes and consequences of pregnancy, 
        childbearing, and child rearing for adolescent females and 
        males;
            ``(5) to support evaluative research to identify effective 
        services that reduce adolescent pregnancy rates and that 
        improve the outcome of adolescent childbearing for the parents, 
        the child, and their families; and
            ``(6) to encourage and provide for the dissemination of 
        results, findings, and information from programs and research 
        projects relating to adolescent pregnancy and parenthood.

``SEC. 2002. DEFINITIONS.

    ``For the purposes of this title:
            ``(1) Adolescent.--The term `adolescent' means an 
        individual under the age of 21.
            ``(2) Care services.--The term `care services' means all 
        services for the provision of care to adolescents, both male 
        and female, pregnant adolescents and their male partners, and 
        adolescent parents. Such term shall include all core services 
        and may include supplementary services, in accordance with 
        regulations prescribed by the Secretary.
            ``(3) Core services.--The term `core services' means those 
        services that shall be provided by a grantee, as determined by 
        the Secretary by regulation, which shall include--
                    ``(A) pregnancy testing and maternity counseling, 
                or referral for such services;
                    ``(B) family planning services, except that such 
                services for adolescents who are not already parents 
                may be limited to counseling and referral unless 
                suitable and appropriate family planning services are 
                not otherwise available in the community;
                    ``(C) counseling on all options regarding 
                pregnancy, or referral for such services;
                    ``(D) primary and preventive health services, 
                including prenatal and postnatal care for mother and 
                children and arrangements for delivery;
                    ``(E) well-baby care;
                    ``(F) nutrition information and counseling;
                    ``(G) screening, counseling and treatment or 
                referral for treatment and prevention of sexually 
                transmitted diseases, including acquired 
                immunodeficiency syndrome;
                    ``(H) referral to appropriate pediatric care;
                    ``(I) educational services relating to sexuality 
                and family life, including--
                            ``(i) education on responsible 
                        decisionmaking regarding sexual activity;
                            ``(ii) education on the responsibilities of 
                        parenting;
                            ``(iii) education on a full range of means 
                        for delaying becoming pregnant, including 
                        abstinence, natural family planning, and 
                        contraception;
                            ``(iv) education on the prevention of 
                        sexually transmitted diseases, including 
                        acquired immunodeficiency syndrome; and
                            ``(v) assistance to parents, schools, youth 
                        agencies, and health care providers to educate 
                        adolescents and pre-adolescents concerning 
                        self-discipline and responsibility in human 
                        sexuality;
                    ``(J) referral to appropriate educational, 
                employment, employment training, and vocational 
                services;
                    ``(K) mental health services and referral to mental 
                health services and to other appropriate physical 
                health and social services; and
                    ``(L) encouragement of parent and family 
                involvement in each of the core services described in 
                subparagraphs (A) through (K).
            ``(4) Eligible grant recipient.--The term `eligible grant 
        recipient' means a public or nonprofit private organization or 
        agency that demonstrates, to the satisfaction of the 
        Secretary--
                    ``(A) in the case of an organization that will 
                provide care services, the capability of providing all 
                care services in a single setting or the capability of 
                creating a network through which all care services 
                would be provided; or
                    ``(B) in the case of an organization that will 
                provide prevention services, the capability of 
                providing such services.
            ``(5) Eligible person.--The term `eligible person' means--
                    ``(A) with regard to the provision of prevention 
                services and referral to such other services as may be 
                appropriate, any adolescent; or
                    ``(B) with regard to the provision of care 
                services, adolescent parents and (when appropriate) 
                adolescents who are not parents.
            ``(6) Prevention services.--The term `prevention services' 
        means services described in subparagraphs (B) and (I) of 
        paragraph (3) and referrals to such other services as may be 
        appropriate, including services to be offered in schools at 
        local discretion.
            ``(7) Secretary.--The term `Secretary' means the Secretary 
        of Health and Human Services.
            ``(8) Supplemental services.--The term `supplemental 
        services' means those services that may be provided by a 
        grantee, as determined by the Secretary by regulation, which 
        may include--
                    ``(A) child care sufficient to enable the 
                adolescent parent to continue education or to enter 
                into employment, including services to be provided 
                within secondary schools at local discretion;
                    ``(B) consumer education and homemaking;
                    ``(C) counseling for the immediate and extended 
                family members of the eligible person;
                    ``(D) transportation;
                    ``(E) referral to licensed residential care or 
                maternity home services;
                    ``(F) referral to licensed adoption agencies for 
                adoption placement services;
                    ``(G) employability training and counseling; and
                    ``(H) such other services as are consistent with 
                this title as the Secretary may approve in accordance 
                with regulations promulgated by the Secretary.

``SEC. 2003. AUTHORITY TO MAKE GRANTS FOR SERVICES.

    ``The Secretary may make grants to provide prevention and care 
services to pregnant adolescents and their male partners, adolescent 
parents, and nonpregnant adolescents. Grants shall be used to provide, 
supplement, or improve the quality of such services.

``SEC. 2004. USE OF GRANTS FOR SERVICES.

    ``(a) Uses.--A grant made under this title may be used to--
            ``(1) provide eligible persons--
                    ``(A) prevention services;
                    ``(B) care services; or
                    ``(C) any combination of prevention and care 
                services;
            ``(2) coordinate, integrate, and provide linkages among 
        providers of prevention, care, and other services for eligible 
        persons in furtherance of the purposes of this title;
            ``(3) provide supplemental services where such services are 
        not adequate or not available to eligible persons in the 
        community and that are essential to the care of eligible 
        persons and to the prevention of adolescent pregnancy;
            ``(4) plan, for a period of not more than 1 year, for the 
        administration and coordination of pregnancy prevention 
        services and programs of care for eligible persons that will 
        further the objectives of this title; and
            ``(5) fulfill assurances required for grant approval by 
        section 2006.
    ``(b) Fees.--Grantees shall charge fees for services only pursuant 
to a fee schedule, approved by the Secretary as a part of the 
application described in section 2006, that bases fees charged by the 
grantee on the income of the eligible person and takes into account the 
difficulty adolescents face in obtaining resources to pay for services. 
In no case may a grantee discriminate with regard to the provision of 
services to any individual because of that individual's inability to 
provide payment for such services.

``SEC. 2005. PRIORITIES, AMOUNTS, AND DURATION OF GRANTS FOR SERVICES.

    ``(a) Priorities.--In approving applications for grants for 
services under this title, the Secretary shall give priority to 
applicants who--
            ``(1) serve an area where there is a high incidence of 
        adolescent pregnancy;
            ``(2) serve an area with a high proportion of low-income 
        families and where the availability of programs of prevention 
        and care for eligible persons is low;
            ``(3) show evidence--
                    ``(A) in the case of an applicant who will provide 
                prevention services, of having the ability to provide 
                prevention services for adolescents and their families 
                that are appropriate for the target population and the 
                geographic area to be served, including the special 
                needs of rural areas; or
                    ``(B) in the case of an applicant who will provide 
                care services, of having the ability to bring together 
                a wide range of needed core services and, as 
                appropriate, supplemental services in comprehensive 
                single-site programs, or to establish a well-integrated 
                network of such services (appropriate for the target 
                population and geographic area to be served including 
                the special needs of rural areas) for eligible persons;
            ``(4) will utilize to the maximum extent feasible existing 
        available programs and facilities such as community health 
        centers, child welfare agencies, children and youth centers, 
        maternal and infant health centers, regional rural health 
        facilities, licensed adoption agencies, maternity homes, school 
        and other educational programs, family planning clinics, mental 
        health programs, nutrition programs, recreation programs, and 
        other ongoing pregnancy prevention and pregnancy-related 
        services;
            ``(5) make use, to the maximum extent feasible, of other 
        Federal, State, and local funds, programs, contributions, and 
        other third-party reimbursements;
            ``(6) can demonstrate a community commitment to the program 
        by making available to the program non-Federal funds, 
        personnel, and facilities;
            ``(7) have involved the community to be served, including 
        public and nonprofit private agencies, adolescents, and 
        families, in the planning and implementation of the program; 
        and
            ``(8) will demonstrate innovative and effective approaches 
        in addressing the problems of adolescent pregnancy or 
        parenthood, including outreach to adolescent males and 
        approaches for providing pregnant adolescents with adequate 
        information about adoption.
    ``(b) Amounts.--
            ``(1) In general.--The amount of a grant for a program for 
        services under this title shall be determined by the Secretary, 
        based on factors such as the incidence of adolescent pregnancy 
        in the geographic area to be served, and the adequacy of 
        pregnancy prevention services and programs of care for eligible 
        persons in such area.
            ``(2) Rural areas.--In making grants for services under 
        this title, the Secretary shall consider the special needs of 
        rural areas and, to the maximum extent practicable, shall 
        distribute funds taking into consideration the relative number 
        of adolescents in such areas in need of such services.
    ``(c) Federal Share.--
            ``(1) In general.--Subject to paragraph (3), a grant for 
        services under this title may not exceed 75 percent of the 
        costs of the program for any year.
            ``(2) Form of non-federal contributions.--Non-Federal 
        contributions required by paragraph (1) may be in cash or in 
        kind, fairly evaluated, including plant, equipment, or 
        services.
            ``(3) Waiver.--The Secretary may waive the limitation 
        specified in paragraph (1) for any year in accordance with 
        criteria established by regulation.

``SEC. 2006. REQUIREMENTS FOR APPLICATIONS FOR GRANTS FOR SERVICES.

    ``(a) In General.--An application for a grant for services under 
this title shall be in such form and contain such information as the 
Secretary may require, and shall include--
            ``(1) an identification of the incidence of adolescent 
        pregnancy and related problems;
            ``(2) a description of the economic conditions and income 
        levels in the geographic area to be served;
            ``(3) a description of existing pregnancy prevention 
        services and programs of care for eligible persons (including 
        adoption services), and including where, how, by whom, and to 
        which population groups such services are provided, and the 
        extent to which they are coordinated in the geographic area to 
        be served;
            ``(4) a description of the major unmet needs for services 
        for adolescents at risk of initial or recurrent pregnancies and 
        an estimate of the number of adolescents not being served in 
        the area;
            ``(5)(A) in the case of an applicant who will provide 
        prevention services, a description of the necessary services to 
        be provided and how the applicant will provide such services; 
        or
            ``(B) in the case of an applicant who will provide care 
        services, a description of how all core services will be 
        provided in the program using funds under this title or will 
        otherwise be provided by the grantee in the area to be served, 
        the population to which such services will be provided, how 
        such services will be coordinated, integrated, and linked with 
        other related programs and services and the source or sources 
        of funding of such core services in the public and private 
        sectors; or
            ``(6) a description of the manner in which adolescents 
        needing services other than the services provided directly by 
        the applicant will be identified and how access and appropriate 
        referral to such other services (such as but not limited to 
        medicaid; licensed adoption agencies; maternity home services; 
        public assistance; employment services; child care services for 
        adolescent parents; and other city, county, and State programs 
        related to adolescent pregnancy) will be provided, including a 
        description of a plan to coordinate such other services with 
        the services supported under this title;
            ``(7) a description of the results expected from the 
        provision of services, and the procedures to be used for 
        evaluating those results;
            ``(8) assurances that the applicant will have an ongoing 
        quality assurance program;
            ``(9) assurances that the applicant shall have a system for 
        maintaining the confidentiality of patient records in 
        accordance with regulations prescribed by the Secretary;
            ``(10) assurances that the applicant will demonstrate its 
        financial responsibility by the use of such accounting 
        procedures and other requirements as may be prescribed by the 
        Secretary;
            ``(11) assurances that the applicant will make maximum use 
        of other sources of Federal and State funding;
            ``(12)(A) a description of--
                    ``(i) the schedule of fees to be used in the 
                provision of services, which shall comply with section 
                2004(c); and
                    ``(ii) a corresponding schedule of discounts to be 
                applied to the payment of such fees, which shall--
                            ``(I) comply with section 2004(b);
                            ``(II) be adjusted on the basis of the 
                        ability of the eligible person to pay; and
                            ``(III) provide that no fee will be imposed 
                        on any eligible individual with an income of 
                        less than 100 percent of the official poverty 
                        line;
            ``(B) assurances that the applicant has made and will 
        continue to make every reasonable effort--
                    ``(i) to secure from eligible persons payment for 
                services in accordance with such schedules;
                    ``(ii) to collect reimbursement for health or other 
                services provided to persons who are entitled to have 
                payment made on their behalf for such services under 
                any Federal or other government program or private 
                insurance program; and
                    ``(iii) to seek such reimbursement on the basis of 
                the full amount of fees for services without 
                application of any discount; and
            ``(C) assurances that the applicant has submitted or will 
        submit to the Secretary such reports as the Secretary may 
        require to determine compliance with this paragraph;
            ``(13) assurances that the applicant will make maximum use 
        of funds available under title X;
            ``(14) assurances that the acceptance by any individual of 
        family planning services or family planning information 
        (including educational materials) provided through financial 
        assistance under this title shall be voluntary and shall not be 
        a prerequisite to eligibility for or receipt of any other 
        service furnished by the applicant;
            ``(15) assurances that fees collected by the applicant for 
        services rendered in accordance with this title shall be used 
        by the applicant to further the purposes of this title;
            ``(16) assurances that the applicant, if providing both 
        prevention and care services, will not exclude or discriminate 
        against any adolescent who receives prevention services and 
        subsequently requires care services as a pregnant adolescent;
            ``(17) a description of how the applicant will ascertain 
        whether services for which adolescents have been referred have 
        actually been obtained and develop a plan to ensure that needed 
        services actually are received;
            ``(18) assurances that unemancipated minors requesting 
        services from the applicant will be encouraged to consult with 
        their parents with respect to such services and that services 
        shall not be denied to unemancipated minors who decide not to 
        consult their parents;
            ``(19) assurances that all pregnant adolescents receiving 
        services will be informed of the availability of counseling 
        (either by the entity providing core services or through a 
        referral agreement with such other entity that provides such 
        counseling) on all options, regarding the pregnancy;
            ``(20) assurances that primary emphasis for services 
        supported under this title shall be given to adolescents 17 and 
        under who are not able to obtain needed assistance through 
        other means;
            ``(21) assurances that funds received under this title 
        shall not supplant funds received from any other Federal, 
        State, or local program or any private sources of funds; and
            ``(22) a plan for the conduct of, and assurances that the 
        applicant will conduct, evaluations of the effectiveness of the 
        services supported under this title in accordance with 
        subsection (b).
    ``(b) Evaluations.--
            ``(1) In general.--Each grantee that receives funds for a 
        grant for services under this title shall expend at least 3 
        percent but not in excess of 10 percent of the amounts received 
        under this title for the conduct of evaluations of the services 
        supported under this title. The Secretary may, for a particular 
        grantee on good cause shown, waive the preceding sentence with 
        respect to the amounts to be expended on evaluations, but may 
        not waive the requirement that such evaluations be conducted.
            ``(2) Independent evaluation.--Evaluations required by 
        paragraph (1) shall be conducted by an organization or entity 
        that is independent of the grantee providing services supported 
        under this title.
    ``(c) Reports.--
            ``(1) In general.--Each grantee that participates in the 
        program established by this title shall make such reports 
        concerning its use of Federal funds as the Secretary may 
        require, including reports on prevention programs and care 
        programs.
            ``(2) Contents of reports on prevention programs.--Reports 
        on prevention programs shall be in a standard format as 
        prescribed by the Secretary and shall include a description 
        of--
                    ``(A) the characteristics, educational attainments, 
                and economic status of clients;
                    ``(B) the clients' previous exposure in home, 
                school, or other locations to educational efforts 
                regarding sexuality and family life;
                    ``(C) the types of interventions employed in the 
                prevention program;
                    ``(D) the before and after outcome measurements on 
                variables appropriate to the intervention;
                    ``(E) to the extent possible and where appropriate 
                to program goals, the pregnancy and sexually 
                transmitted disease rates subsequent to intervention; 
                and
                    ``(F) the extent of parent or family involvement in 
                the program.
            ``(3) Contents of reports on care programs.--Reports on 
        care programs shall be in standard format as prescribed by the 
        Secretary and shall include a description of--
                    ``(A) the characteristics, health history, 
                educational attainments, and economic status of clients 
                at the time of entry;
                    ``(B) the client prenatal care and pregnancy 
                outcome, complications of pregnancy and delivery, and 
                infant birth outcomes;
                    ``(C) the characteristics, educational attainments, 
                and economic status of clients at time of follow-up and 
                infant follow-up information;
                    ``(D) the types of services provided to clients; 
                and
                    ``(E) the extent of parent or family involvement in 
                the services provided.
            ``(4) Comparison data.--Reports on prevention programs and 
        care programs shall include control group data or other 
        appropriate comparison data to provide comparisons with project 
        data and to indicate program impact or effectiveness.
            ``(5) Follow-up data.--Reports on prevention programs and 
        care programs shall include, to the extent possible, follow-up 
        data on a random sample of program graduates and dropouts.
    ``(d) Timing of Services.--No application submitted for a grant for 
a program for care services under this title may be approved unless the 
Secretary is satisfied that core services shall be available through 
the applicant within a reasonable time after such grant is received.

``SEC. 2007. COORDINATION OF FEDERAL AND STATE PROGRAMS.

    ``(a) Federal Programs.--The Secretary shall coordinate Federal 
policies and programs providing services relating to the prevention of 
initial and recurrent adolescent pregnancies and providing care 
services for eligible persons. In achieving such coordination, the 
Secretary shall--
            ``(1) require grantees who receive grants for services 
        under this title to report periodically to the Secretary 
        concerning Federal, State, and local policies and programs that 
        interfere with the delivery of and coordination of pregnancy 
        prevention services and other programs of care for pregnant 
        adolescents and adolescent parents;
            ``(2) provide technical assistance to facilitate 
        coordination by State and local recipients of Federal 
        assistance;
            ``(3) give priority in the provision of funds, where 
        appropriate, to applicants using single or coordinated grant 
        applications for multiple programs; and
            ``(4) give priority, where appropriate, to the provision of 
        funds under Federal programs administered by the Secretary 
        (other than the program established by this title) to programs 
        providing comprehensive prevention services and comprehensive 
        programs of care for eligible persons.
    ``(b) Other Recipients.--Any recipient of a grant for services 
under this title shall coordinate its activities with any other 
recipient of such a grant that is located in the same locality.

``SEC. 2008. GRANTS FOR RESEARCH.

    ``(a) In General.--
            ``(1) Authorization.--The Secretary may make grants to 
        public agencies or nonprofit private organizations or 
        institutions of higher education to support the research and 
        dissemination activities described in paragraphs (4), (5), and 
        (6) of section 2001(b).
            ``(2) Duration.--The Secretary may make grants or enter 
        into contracts under this section for a period of 1 year. A 
        grant or contract under this section for a program may be 
        renewed for 4 additional 1-year periods, which need not be 
        consecutive.
            ``(3) Amount limitation.--A grant or contract for any 1-
        year period under this section may not exceed $100,000 for the 
        direct costs of conducting research or dissemination activities 
        under this section and may include such additional amounts for 
        the indirect costs of conducting such activities as the 
        Secretary determines appropriate. The Secretary may waive the 
        preceding sentence with respect to a specific program if the 
        Secretary determines that--
                    ``(A) exceptional circumstances warrant such waiver 
                and that the program will have national impact;
                    ``(B) additional amounts are necessary for the 
                direct costs of conducting limited programs for the 
                provision of necessary services in order to provide 
                data for research carried out under this title; or
                    ``(C) several grantees together require more than 
                $100,000 to evaluate the effectiveness of different 
                combinations of services, and if such grantees 
                demonstrate evidence of reasonable progress in the 
                first year, such multisite evaluation studies shall 
                receive preference for funding renewal.
            ``(4) Carryover for report.--The amount of any grant or 
        contract made under this section may remain available for 
        obligation or expenditure after the close of the 1-year period 
        for which such grant or contract is made in order to assist the 
        recipient in preparing the report required by subsection 
        (f)(1).
    ``(b) Use of Funds.--
            ``(1) In general.--Funds provided for research under this 
        section may be used for descriptive or explanatory surveys, 
        evaluation studies, longitudinal studies, or limited programs 
        for services that are for the purpose of increasing knowledge 
        and understanding of the matters described in paragraphs (4) 
        and (5) of section 2001(b).
            ``(2) Limitations.--Funds provided under this section may 
        not be used for the purchase or improvement of land, or the 
        purchase, construction, or permanent improvement (other than 
        minor remodeling) of any building or facility.
    ``(c) Prerequisites.--The Secretary may not make any grant or enter 
into any contract to support research or dissemination activities under 
this section unless--
            ``(1) the Secretary has received an application for such 
        grant or contract that is in such form and that contains such 
        information as the Secretary may by regulation require;
            ``(2) the applicant has demonstrated that the applicant is 
        capable of conducting one or more of the types of research or 
        dissemination activities described in paragraph (4), (5), or 
        (6) of section 2001(b); and
            ``(3) in the case of an application for a research program, 
        the panel established by subsection (e)(2) has determined that 
        the program is of scientific merit.
    ``(d) Coordination.--The Secretary shall coordinate research and 
dissemination activities carried out under this section with research 
and dissemination activities carried out by the National Institutes of 
Health.
    ``(e) Review of Applications.--
            ``(1) System.--The Secretary shall establish a system for 
        the review of applications for grants and contracts under this 
        section. Such system shall be substantially similar to the 
        system for scientific peer review of the National Institutes of 
        Health and shall meet the requirements of paragraphs (2) and 
        (3).
            ``(2) Panel.--
                    ``(A) Establishment.--In establishing the system 
                required by paragraph (1), the Secretary shall 
                establish a panel to review applications under this 
                section.
                    ``(B) Expertise.--Panel members should have 
                expertise in research and evaluation and should 
                represent disciplines relevant to the study of 
                adolescent pregnancy and parenting.
                    ``(C) Limit on physicians.--Not more than 25 
                percent of the members of the panel shall be 
                physicians.
                    ``(D) Meetings.--The panel shall meet as often as 
                may be necessary to facilitate the expeditious review 
                of applications under this section, but not less than 
                once each year.
                    ``(E) Review.--The panel shall review each program 
                for which an application is made under this section, 
                evaluate the scientific merit of the program, determine 
                whether the program is of scientific merit, and make 
                recommendations to the Secretary concerning whether the 
                application for the program should be approved.
            ``(3) Grant determination.--The Secretary shall make grants 
        under this section from among the programs that the panel 
        established by paragraph (2) has determined to be of scientific 
        merit and may only approve an application for a program if the 
        panel has made such determination with respect to such a 
        program. The Secretary shall make a determination with respect 
        to an application within 1 month after receiving the 
        determinations and recommendations of such panel with respect 
        to the application.
    ``(f) Reports.--
            ``(1) Research reports.--
                    ``(A) In general.--The recipient of a grant or 
                contract for a research program under this section 
                shall prepare and transmit to the Secretary a report 
                describing the results and conclusions of such 
                research. Except as provided in subparagraph (B), such 
                report shall be transmitted to the Secretary not later 
                than 12 months after the end of the year for which 
                funds are provided under this section. The recipient 
                may utilize reprints of articles published or accepted 
                for publication in professional journals to supplement 
                or replace such report if the research contained in 
                such articles was supported under this section during 
                the year for which the report is required.
                    ``(B) Multiyear programs.--In the case of any 
                research program for which assistance is provided under 
                this section for 2 or more consecutive 1-year periods, 
                the recipient of such assistance shall prepare and 
                transmit the report required by subparagraph (A) to the 
                Secretary not later than 12 months after the end of 
                each 1-year period for which such funding is provided.
            ``(2) Other reports.--Recipients of grants and contracts 
        for dissemination under this section shall submit to the 
        Secretary such reports as the Secretary determines appropriate.

``SEC. 2009. EVALUATION.

    ``Of the funds appropriated under this title, the Secretary shall 
reserve not less than 1 percent and not more than 3 percent for the 
evaluation of activities carried out under this title. The Secretary 
shall submit to the appropriate committees of Congress a summary of 
each evaluation conducted under this section and a summary of the data 
reported by grantees under section 2006(c).

``SEC. 2010. AUTHORIZATION OF APPROPRIATIONS.

    ``(a) In General.--For the purpose of carrying out this title, 
there are authorized to be appropriated $60,000,000 for each of the 
fiscal years 1995 through 1997.
    ``(b) Grants for Services.--At least two-thirds of the amounts 
appropriated to carry out this title shall be used to make grants for 
services.
    ``(c) Prevention Services.--Two-thirds of the amounts specified 
under subsection (b) for use for grants for services shall be used for 
grants for prevention services.

``SEC. 2011. FUND RESTRICTION.

    ``No funds for grants made under this title may be used for payment 
for the performance of an abortion.''.

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