[Congressional Bills 104th Congress]
[From the U.S. Government Publishing Office]
[S. 1214 Introduced in Senate (IS)]


104th CONGRESS
  1st Session
                                S. 1214

  To direct the Secretary of Health and Human Services to establish a 
 program to provide pregnant women with certificates to cover expenses 
 incurred in receiving services at maternity homes and to establish a 
  demonstration program to provide maternity care services to certain 
           unwed, pregnant teenagers, and for other purposes.


_______________________________________________________________________


                   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 Labor and Human Resources

_______________________________________________________________________

                                 A BILL


 
  To direct the Secretary of Health and Human Services to establish a 
 program to provide pregnant women with certificates to cover expenses 
 incurred in receiving services at maternity homes and to establish a 
  demonstration program to provide maternity care services to certain 
           unwed, pregnant teenagers, 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 ``Maternity Shelter Act of 1995''.

SEC. 2. FINDINGS.

    Congress finds that--
            (1) pregnancy among unmarried teenagers is one of the most 
        difficult and far-reaching social problems faced by the United 
        States;
            (2) in 1988, the most recent year for which statistics are 
        available, 816,000 unmarried teenagers became pregnant, and of 
        such pregnancies, 44 percent ended in abortion, 12 percent in 
        miscarriage or still birth, and 44 percent in birth;
            (3) less than 10 percent of unwed teenage mothers place 
        their children for adoption;
            (4) only half as many unmarried teenagers begin prenatal 
        care in the first trimester of pregnancy as do teenagers who 
        become pregnant after marriage, with the result that unmarried 
        teenagers are twice as likely to give birth to low-birth-weight 
        babies than their married teenage counterparts and the rate of 
        infant mortality is twice as high as mothers giving birth in 
        their twenties; and
            (5) Federal policy should assist and encourage States to 
        provide pre- and postnatal maternity care services to pregnant 
        teenagers in order to protect the future health and well-being 
        of their newborn children.

             TITLE I--MATERNAL HEALTH CERTIFICATES PROGRAM

SEC. 101. MATERNAL HEALTH CERTIFICATES FOR ELIGIBLE PREGNANT WOMEN.

    (a) Establishment of Maternal Health Certificates for Eligible 
Pregnant Women.--Not later than 180 days after the date of the 
enactment of this Act, the Secretary shall establish a program to 
provide maternal health certificates for eligible pregnant women to use 
to cover expenses incurred in receiving services at a maternity home.
    (b) Eligibility of Individuals.--
            (1) In general.--A pregnant woman is eligible to receive a 
        maternal health certificate under the program established under 
        subsection (a) if the woman--
                    (A) has an annual individual income (determined 
                without taking into account the income of any parent or 
                guardian of the individual) not greater than 175 
                percent of the income official poverty line (as defined 
                by the Office of Management and Budget, and revised 
                annually in accordance with section 673(2) of the 
                Omnibus Budget Reconciliation Act of 1981) applicable 
                to such individual; and
                    (B) provides the Secretary with such other 
                information and assurances as the Secretary may 
                require.
            (2) Income of estranged spouse not included.--In 
        determining the income of an individual for purposes of 
        paragraph (1)(A), there shall not be included the income of a 
        spouse if the spouse has been living apart from the woman for 
        not less than 6 months, or if the spouse is incarcerated.
            (3) Participation in afdc program not required.--An 
        individual otherwise eligible to receive a maternal health 
        certificate under the program established under subsection (a) 
        shall not be found ineligible to receive such a certificate 
        solely on the grounds that the individual does not receive or 
        is not eligible to receive aid under the State plan for aid to 
        families with dependent children under part A of title IV of 
        the Social Security Act.
    (c) Limitations on Amount of Expenses Incurred.--A certificate 
received under the program established under subsection (a) may be used 
to cover an amount of expenses incurred by an individual at a maternity 
home that does not exceed an amount equal to--
            (1) $100; multiplied by
            (2) the number of days during which such services are 
        provided to the individual at such facility.
    (d) Definitions.--For purposes of this section:
            (1) Maternity home.--The term ``maternity home'' means a 
        nonprofit facility licensed or otherwise approved by the State 
        (including accreditation or other peer review systems that may 
        be recognized by the State) in which the facility is located to 
        serve as a residence for not fewer than 4 pregnant women during 
        pregnancy and for a limited period after the date on which the 
        child carried during the pregnancy is born, as the Secretary 
        may determine, that provides such pregnant women with 
        appropriate supportive services, which--
                    (A) shall include the following services--
                            (i) instruction and counseling regarding 
                        future health care for the woman and her child;
                            (ii) nutrition counseling;
                            (iii) counseling and education concerning 
                        all aspects of prenatal care, childbirth, and 
                        motherhood;
                            (iv) general family counseling, including 
                        child and family development counseling;
                            (v) adoption counseling;
                            (vi) employability training, job 
                        assistance, and counseling; and
                            (vii) medical care or referral for medical 
                        care for the woman and her child, including--
                                    (I) prenatal, delivery, and post-
                                delivery care;
                                    (II) screening or referral for 
                                screening for illegal drug use and 
                                treatment; and
                                    (III) screening or referral for 
                                screening and treatment of sexually 
                                transmitted diseases; and
                    (B) may include the following services--
                            (i) housing;
                            (ii) board and nutrition services;
                            (iii) basic transportation services to 
                        enable the woman to obtain services from the 
                        facility;
                            (iv) incidental dental care;
                            (v) referral for job training; and
                            (vi) such other services as are consistent 
                        with the purposes of this section.
            (2) Pregnant woman.--The term ``pregnant woman'' means a 
        woman determined to have one or more fetuses in utero.
    (e) Authorization of Appropriations.--There are authorized to be 
appropriated for maternal health certificates under this section--
            (1) $50,000,000 for fiscal year 1996;
            (2) $75,000,000 for fiscal year 1997; and
            (3) $100,000,000 for fiscal year 1998.

                TITLE II--MATERNITY HOME DEMONSTRATIONS

SEC. 201. PURPOSES.

    It is the purpose of this title to support demonstrations--
            (1) to improve and expand the availability of, and access 
        to, needed comprehensive maternity care services that enable 
        pregnant adolescents to obtain proper care and to assist 
        pregnant adolescents and adolescent parents to become 
        productive independent contributors to family and community 
        life; and
            (2) to promote innovative, comprehensive, and integrated 
        approaches to the delivery of such services.

SEC. 202. ESTABLISHMENT OF DEMONSTRATION PROGRAM.

    (a) Grants.--
            (1) In general.--The Secretary of Health and Human Services 
        (hereinafter referred to in this Act as the ``Secretary'') may 
        make demonstration grants to any State that submits an 
        application under this section (in such form and containing 
        such information as the Secretary may require) to reimburse the 
        State for amounts expended under an eligible grant program for 
        maternity care services furnished to eligible beneficiaries.
            (2) Limitations.--No grant made under paragraph (1)--
                    (A) shall exceed an amount equal to 50 percent of 
                the total amount expended by the State under the 
                demonstration program for maternity care services 
                furnished to eligible beneficiaries; or
                    (B) shall be used for the performance, counseling, 
                or referral for abortion.
            (3) Definitions.--As used in this subsection:
                    (A) Demonstration program.--The term 
                ``demonstration program'' means any program conducted 
                by a nonprofit private organization or agency that (as 
                determined by the Secretary) is capable of furnishing 
                in a single setting maternity care services which--
                            (i) shall include the following services--
                                    (I) instruction and counseling 
                                regarding future health care for the 
                                woman and her child;
                                    (II) nutrition counseling;
                                    (III) counseling and education 
                                concerning all aspects of prenatal 
                                care, childbirth, and motherhood;
                                    (IV) general family counseling, 
                                including child and family development 
                                counseling;
                                    (V) adoption counseling;
                                    (VI) employability training, job 
                                assistance, and counseling; and
                                    (VII) medical care or referral for 
                                medical care for the woman and her 
                                child, including--
                                            (aa) prenatal, delivery, 
                                        and post-delivery care;
                                            (bb) screening or referral 
                                        for screening for illegal drug 
                                        use and treatment; and
                                            (cc) screening or referral 
                                        for screening and treatment of 
                                        sexually transmitted diseases; 
                                        and
                            (ii) may include the following services--
                                    (I) housing;
                                    (II) board and nutrition services;
                                    (III) basic transportation services 
                                to enable the woman to obtain services 
                                from the facility;
                                    (IV) incidental dental care;
                                    (V) referral for job training; and
                                    (VI) such other services as are 
                                consistent with the purposes of this 
                                section.
                    (B) Eligible beneficiary.--The term ``eligible 
                beneficiary'' means any individual who--
                            (i) is under the age of 19;
                            (ii) has not completed high school; and
                            (iii)(I) is pregnant; or
                            (II) has given birth in the preceding 90 
                        days.
    (b) Administration.--The officer or employee of the Department of 
Health and Human Services designated by the Secretary to administer the 
grant program under this section shall report directly to the Assistant 
Secretary for Health with respect to the activities of such officer or 
employee in administering such program.
    (c) Authorization of Appropriations; Amounts for Administration and 
Evaluation.--
            (1) Authorization of appropriations.--There are authorized 
        to be appropriated $50,000,000 for each of the fiscal years 
        1996, 1997, and 1998 for the purpose of carrying out the grant 
        program under this section.
            (2) Administration and start up.--Not more than 25 percent 
        of the amounts appropriated pursuant to paragraph (1) may be 
        used for the purpose of administering or starting up the grant 
        program under this section.
    (d) Regulations.--The Secretary shall adopt such regulations as are 
necessary to carry out this section.

  TITLE III--REHABILITATION GRANTS FOR MATERNITY HOUSING AND SERVICES 
                               FACILITIES

SEC. 301. ESTABLISHMENT OF GRANT PROGRAM.

    The Secretary of Housing and Urban Development shall carry out a 
program to provide assistance under this title to eligible nonprofit 
entities for rehabilitation of existing structures for use as 
facilities to provide housing and services to pregnant women.

SEC. 302. AUTHORITY AND APPLICATIONS.

    (a) Authority.--The Secretary may make grants under the program 
under this title to eligible nonprofit entities to rehabilitate 
existing structures for use as maternity housing and services 
facilities.
    (b) Applications.--The Secretary may make grants only to nonprofit 
entities that submit applications for grants under this title in the 
form and manner that the Secretary shall prescribe, which shall include 
assurances that grant amounts will be used to provide a maternity 
housing and services facility.

SEC. 303. GRANT LIMITATIONS.

    (a) Maximum Grant Amount.--A grant under this title may not be in 
an amount greater than $1,000,000. An eligible nonprofit entity may not 
receive more than 1 grant under this title in any fiscal year.
    (b) Maximum Number of Grants.--The Secretary may not make grants 
under this title to more than 100 eligible nonprofit entities in any 
fiscal year.
    (c) Use of Grants for Rehabilitation Activities.--Any eligible 
nonprofit entity that receives a grant under this title shall use the 
grant amounts for the acquisition or rehabilitation (or both) of 
existing structures for use as a maternity housing and services 
facility, which may include planning and development costs, 
professional fees, and administrative costs related to such acquisition 
or rehabilitation.
    (d) Time Limitation.--Rehabilitation projects that receive 
assistance under this title shall be operated for not less than 10 
years for the purposes described in this title.
    (e) Repayment.--
            (1) Requirement.--The Secretary shall require a recipient 
        of a grant under this title to repay 100 percent of the amount 
        of such grant if the Secretary determines that the recipient 
        has failed to use such grant to operate maternity housing 
        during the 1-year period beginning on the date such housing is 
        placed in service. If the Secretary determines that such 
        recipient is operating maternity housing under such grant for 
        periods in excess of such 1-year period, the Secretary shall 
        reduce the percentage of the amount required to be repaid by 10 
        percentage points for each year such maternity housing is in 
        operation in excess of such 1-year period.
            (2) Exception.--A recipient of a grant under this title 
        shall not be required to comply with the terms and conditions 
        prescribed under this subsection if the recipient elects to 
        sell or dispose of the property involved and such sale or 
        disposition results in the use of the project for the direct 
        benefit of very low income individuals or if all of the 
        proceeds generated from such sale or disposition are used to 
        provide maternity housing that meets the requirements of this 
        title.

SEC. 304. REPORTS.

    The Secretary shall require each eligible nonprofit entity that 
receives a grant under this title to submit to the Secretary a report, 
at such times and including such information as the Secretary shall 
determine, describing the activities carried out by the eligible 
nonprofit entity with the grant amounts.

SEC. 305. DEFINITIONS.

    For purposes of this title:
            (1) Eligible nonprofit entities.--The term ``eligible 
        nonprofit entity'' means any organization that--
                    (A) is described in section 501(c)(3) of the 
                Internal Revenue Code of 1986 that is exempt from 
                taxation under subtitle A of such Code; and
                    (B) has submitted an application under section 
                702(b) for a grant under this title.
            (2) Maternity housing and services facility.--The term 
        ``maternity housing and services facility'' means a facility 
        licensed or otherwise approved by the State in which the 
        facility is located to serve as a residence for not fewer than 
        4 pregnant women during pregnancy and for a limited period 
        after the date on which the child carried during the pregnancy 
        is born, as the Secretary may determine, that provides such 
        pregnant women with appropriate supportive services, which
                    (A) shall include the following services--
                            (i) instruction and counseling regarding 
                        future health care for the woman and her child;
                            (ii) nutrition counseling;
                            (iii) counseling and education concerning 
                        all aspects of prenatal care, childbirth, and 
                        motherhood;
                            (iv) general family counseling, including 
                        child and family development counseling;
                            (v) adoption counseling;
                            (vi) employability training, job 
                        assistance, and counseling; and
                            (vii) medical care or referral for medical 
                        care for the woman and her child, including--
                                    (I) prenatal, delivery, and post-
                                delivery care;
                                    (II) screening or referral for 
                                screening for illegal drug use and 
                                treatment; and
                                    (III) screening or referral for 
                                screening and treatment of sexually 
                                transmitted diseases; and
                    (B) may include the following services--
                            (i) housing;
                            (ii) board and nutrition services;
                            (iii) basic transportation services to 
                        enable the woman to obtain services from the 
                        facility;
                            (iv) incidental dental care;
                            (v) referral for job training; and
                            (vi) such other services as are consistent 
                        with the purposes of this section.
            (3) Pregnant woman.--The term ``pregnant woman'' means a 
        woman determined to have one or more fetuses in utero.
            (4) Secretary.--The term ``Secretary'' means the Secretary 
        of Housing and Urban Development.

SEC. 306. AUTHORIZATION OF APPROPRIATIONS.

    There are authorized to be appropriated to carry out this title 
$25,000,000 for fiscal year 1996, $40,000,000 for fiscal year 1997, and 
$60,000,000 for fiscal year 1998.

                   TITLE IV--MISCELLANEOUS PROVISIONS

SEC. 401. EVALUATIONS AND REPORTS.

    (a) Evaluation.--The Secretary of Health and Human Services (with 
respect to titles I and II) and the Secretary of Housing and Urban 
Development (with respect to title III) shall conduct an evaluation of 
each program receiving a grant under this Act and may require each 
recipient of a grant under this Act to submit such information to the 
appropriate Secretary as such Secretary determines is necessary to 
conduct such evaluation.
    (b) Report.--Each Secretary referred to in subsection (a) shall for 
each year of the grant program under this Act submit to the Congress a 
summary of each evaluation conducted under subsection (a) and of the 
information submitted to each such Secretary by recipients of grants 
under this Act.
    (c) Funding.--Of the amounts appropriated pursuant to this Act--
            (1) the Secretary of Health and Human Services shall 
        reserve not less than 3 percent nor more than 10 percent of the 
        amount appropriated under titles I and II; and
            (2) the Secretary of Housing and Urban Development shall 
        reserve not less than 3 percent nor more than 10 percent of the 
        amount appropriated under title III;
for the purpose of carrying out the activities under subsections (a) 
and (b).

SEC. 402. PROHIBITION ON ABORTION.

    Amounts may be made available under this Act only to programs or 
projects that--
            (1) do not provide for the performance of abortions or 
        provide abortion counseling or referral;
            (2) do not subcontract with or make any payments to any 
        person who provides for the performance of abortions or 
        provides abortion counseling or referral; and
            (3) do not advocate, promote, or encourage abortion;
except where the life of the mother would be endangered of the fetus 
were carried to term.
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