[Congressional Bills 104th Congress]
[From the U.S. Government Publishing Office]
[S. 1209 Introduced in Senate (IS)]


104th CONGRESS
  1st Session
                                S. 1209

  To amend title V of the Social Security Act to promote responsible 
   parenthood and integrated delivery of family planning services by 
 increasing funding for and block granting the family planning program 
                and the adolescent family life program.


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

            September 6 (legislative day, September 5), 1995

   Mr. Coats introduced the following bill; which was read twice and 
                  referred to the Committee on Finance

_______________________________________________________________________

                                 A BILL


 
  To amend title V of the Social Security Act to promote responsible 
   parenthood and integrated delivery of family planning services by 
 increasing funding for and block granting the family planning program 
                and the adolescent family life program.
    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE; AMENDMENTS TO SOCIAL SECURITY ACT.

    (a) Short Title.--This Act may be cited as the ``Responsible 
Parenthood Act of 1995''.
    (b) Amendments to the Social Security Act.--Except as otherwise 
specifically provided, whenever in this Act an amendment is expressed 
in terms of an amendment to or repeal of a section or other provision, 
the reference shall be considered to be made to that section or other 
provision of the Social Security Act.

SEC. 2. INTEGRATION OF FAMILY PLANNING AND MATERNAL AND CHILD HEALTH 
              SERVICES.

    (a) Increase in Funding.--Section 501(a) (42 U.S.C. 701(a)) is 
amended in the matter preceding paragraph (1) by striking 
``$686,000,000'' and inserting ``$886,000,000''.
    (b) Reservation of Certain Amounts.--Section 502 (42 U.S.C. 702) is 
amended by striking ``$600,000,000'' each place it appears and 
inserting ``$800,000,000''.

SEC. 3. ABSTINENCE SERVICES.

    (a) Provision and Promotion of Abstinence Services.--Section 
501(a)(1) (42 U.S.C. 701(a)(1)) is amended--
            (1) in subparagraph (C), by striking ``and'' at the end;
            (2) in subparagraph (D), by inserting ``and'' at the end; 
        and
            (3) by adding the following new subparagraph:
                    ``(E) to provide and to promote family-centered, 
                community-based services and information regarding the 
                delay or discontinuation of premarital sexual activity, 
                particularly among adolescents, and to provide 
                adoption-related services and promote adoption as an 
                acceptable alternative for pregnant unmarried 
                individuals.''.
    (b) Minimum Amount for Abstinence Services.--Section 504 (42 U.S.C. 
704) is amended by adding the following new subsection:
    ``(e) Of the amounts paid to a State under section 503 from an 
allotment for a fiscal year under section 502(c), not less than 100 
percent of such amounts (including the fair market value of any 
supplies or equipment) as were used under this title in the preceding 
fiscal year to provide family planning services shall be used to 
provide services described in section 501(a)(1)(E).''.
    (c) Needs Assessment for Abstinence Services.--Section 505(a)(1) 
(42 U.S.C. 705(a)(1)) is amended--
            (1) in subparagraph (B), by striking ``and'' at the end;
            (2) in subparagraph (C), by adding ``and'' at the end; and
            (3) by adding at the end the following new subparagraph:
                    ``(D) services and information regarding the delay 
                or discontinuation of premarital sexual activity, 
                particularly among adolescents, and regarding 
                adoption.''.

SEC. 4. USE OF FUNDS.

    (a) Prohibition of Use for Family Planning Services in Schools.--
Section 504(b) (42 U.S.C. 704(b)) is amended--
            (1) in paragraph (5), by striking ``or'' at the end;
            (2) in paragraph (6)(B), by striking the period at the end 
        and inserting ``; or''; and
            (3) by adding at the end the following new paragraphs:
            ``(7) to provide or promote family planning services in any 
        elementary or secondary educational institution; or
            ``(8) to provide or promote any drug or device except for a 
        use that has been approved by the Food and Drug 
        Administration.''.
    (b) No Funding of Programs or Projects That Provide Abortion 
Services.--Section 504 (42 U.S.C. 704), as amended by section 3(b), is 
amended by adding at the end the following new subsections:
    ``(f)(1) Payments under this title may be made only to programs or 
projects that--
            ``(A) do not provide abortions or abortion counseling or 
        referral;
            ``(B) do not subcontract with or make any payment to any 
        person who provides abortions or abortion counseling or 
        referral (except that any such program or project may provide 
        referral for abortion counseling to a pregnant adolescent if 
        such adolescent and the parents or guardians of such adolescent 
        request such referral); or
            ``(C) do not advocate, promote, or encourage abortion.
    ``(2) The Secretary shall ascertain whether programs or projects 
comply with paragraph (1) and take appropriate action if programs or 
projects do not comply with such paragraph, including withholding of 
funds.
    ``(g) A State shall ensure, to the maximum extent possible, family 
participation in the receipt of services provided under section 
501(a)(1) and shall ensure that an entity that receives funds under 
this title shall comply with any State law that requires--
            ``(1) involvement of a family member prior to the provision 
        of services related to family planning or abortion; and
            ``(2) reporting of civil or criminal offenses involving 
        child abuse or statutory rape.
    ``(h) The acceptance by any individual of family planning services 
or family planning or population growth 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 or assistance from, or to 
participation in, any other program of the entity or individual that 
provided such service or information.''.

SEC. 5. APPLICATION FOR BLOCK GRANT FUNDS.

    Section 505(a)(5) (42 U.S.C. 705(a)(5)) is amended--
            (1) by redesignating subparagraph (F) as subparagraph (I); 
        and
            (2) by inserting after subparagraph (F) the following 
        subparagraphs:
                    ``(G) the State will provide a description of how 
                the applicant will, as appropriate to the provision of 
                family planning services or services provided under 
                section 501(e)(1)(A)--
                            ``(i) involve families of adolescents in a 
                        manner that will maximize the role of the 
                        family in the solution of problems relating to 
                        the parenthood or pregnancy of the adolescent; 
                        and
                            ``(ii) involve religious and charitable 
                        organizations, voluntary associations, and 
                        other groups in the private sector as well as 
                        services provided by publicly sponsored 
                        initiatives;
                    ``(H)(i) the State will provide assurances that--
                            ``(I) except as provided in clause (ii), 
                        and subject to subclause (II), the applicant 
                        will notify the parents or guardians of any 
                        unemancipated minor requesting services from 
                        the applicant and will obtain the permission of 
                        such parents or guardians with respect to the 
                        provision of such services; and
                            ``(II) in the case of a pregnant 
                        unemancipated minor requesting services from a 
                        recipient of funds under this title, the 
                        recipient will notify the parents or guardians 
                        of such minor under subclause (I) within a 
                        reasonable period of time; and
                    ``(ii) the State will provide assurances that the 
                applicant will not notify or request the permission of 
                the parent or guardian of any unemancipated minor 
                without the consent of the minor--
                            ``(I) who solely is requesting from the 
                        applicant pregnancy testing or testing or 
                        treatment for venereal disease;
                            ``(II) who is the victim of incest 
                        involving a parent; or
                            ``(III) if an adult sibling of the minor or 
                        an adult aunt, uncle, or grandparent who is 
                        related to the minor by blood certifies to the 
                        recipient that notification of the parent or 
                        guardian of such minor would result in physical 
                        injury to such minor.''.

SEC. 6. REPORTS AND AUDITS.

    (a) Report by State.--Section 506(a)(2) (42 U.S.C. 706(a)(2)) is 
amended by adding after subparagraph (E) the following new 
subparagraph:
            ``(F) Information (as prescribed by the Secretary) on the 
        State's activities in connection with the services described in 
        section 501(a)(1)(E).''.
    (b) Report by Secretary.--Section 506(a)(3) (42 U.S.C. 706(a)(3)) 
is amended--
            (1) in subparagraph (D), by striking ``and'' at the end;
            (2) in subparagraph (E), by striking the period at the end 
        and inserting ``; and''; and
            (3) by adding at the end the following new subparagraph:
            ``(F) information on the State's activities in connection 
        with the services described in section 501(a)(1)(E).''.

SEC. 7. EVALUATION.

    Title V (42 U.S.C. 701 et seq.) is amended by adding at the end the 
following new section:

                              ``evaluation

    ``Sec. 510. (a) Of amounts allotted to a State under section 502(c) 
in a fiscal year that the State estimates will be expended on family 
planning services and the services described in section 501(a)(1)(E) 
for such year the State shall reserve--
            ``(1) not less than 2 percent and not more than 4 percent 
        of such amounts for an annual evaluation of activities carried 
        out under this title and the effectiveness of such activities 
        in reducing sexual activity, pregnancies, and births among 
        unmarried individuals, particularly adolescents; and
            ``(2) not less than 2 percent and not more than 4 percent 
        of such amounts for an annual longitudinal study by an 
        independent research organization of the activities carried out 
        under this title and the effectiveness of such activities in 
        reducing sexual activity, pregnancies, and births among 
        unmarried individuals, particularly adolescents.
    ``(b)(1) Each State shall submit the evaluations and studies 
conducted under this section to the Secretary.
    ``(2) The Secretary shall submit a summary of each evaluation and 
study submitted under paragraph (1) to the appropriate committees of 
the Congress.''.

SEC. 8. DEFINITION OF FAMILY.

    Section 501(b) (42 U.S.C. 701(b)) is amended by adding at the end 
the following new paragraph:
            ``(5) The term `family' means a child under the age of 19, 
        the biological or adoptive parents of the child, the legal 
        guardian of the child, or a responsible relative or caretaker 
        with whom the child regularly resides, the siblings of the 
        child, and other individuals living in the child's home.''.

SEC. 9. REPEAL OF CERTAIN PROGRAMS.

    (a) Repeal of Population Research and Voluntary Family Planning 
Programs.--Title X of the Public Health Service Act (42 U.S.C. 300 et 
seq.) is repealed.
    (b) Repeal of Adolescent Family Life Demonstration Projects.--Title 
XX of the Public Health Service Act (42 U.S.C. 300z et seq.) is 
repealed.

SEC. 10. EFFECTIVE DATE.

    This Act and the amendments made by this Act shall take effect on 
October 1, 1995.
                                 <all>