[Congressional Bills 109th Congress]
[From the U.S. Government Publishing Office]
[H.R. 6067 Introduced in House (IH)]








109th CONGRESS
  2d Session
                                H. R. 6067

      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.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                           September 13, 2006

 Mr. Ryan of Ohio (for himself, Mr. Langevin, Ms. Kaptur, Ms. DeLauro, 
 Ms. Herseth, Mr. Emanuel, Mr. Larson of Connecticut, Mr. Clyburn, Mr. 
Strickland, Mr. Ford, Mr. Obey, and Ms. Eshoo) introduced the following 
 bill; which was referred to the Committee on Energy and Commerce, and 
 in addition to the Committees on Education and the Workforce 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.

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

SECTION 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.

SEC. 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.

SEC. 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.

SEC. 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.

      TITLE I--EDUCATION PROGRAMS FOR PREVENTING TEEN PREGNANCIES

SEC. 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.

SEC. 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 2007 through 2011.

       TITLE II--REAUTHORIZATION OF CERTAIN AFTER-SCHOOL PROGRAMS

SEC. 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.

SEC. 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 ``$2,250,000,000'' and 
        inserting ``$2,500,000,000''; and
            (2) in paragraph (6), by striking ``$2,500,000,000'' and 
        inserting ``$2,750,000,000''.
    (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--
            (1) by striking ``there are'' and inserting ``(a) In 
        General.--There are''; and
            (2) by adding at the end the following:
    ``(b) Physical Education.--In addition to the amounts authorized to 
be appropriated $80,000,000 for each of fiscal years 2007 and 2008 to 
carry 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 2007 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 2007 and 
such sums as may be necessary for each of the 5 succeeding fiscal 
years''.

         TITLE III--TEEN PREGNANCY PREVENTION INCENTIVE GRANTS

SEC. 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 2007; grants to 
                                states with compliant plans.--For 
                                fiscal year 2007, 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 2008 through 2011, 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 2007, 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 
                                2008 through 2011, 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 2007 through 2011.
                    ``(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 2007, to 
                        remain available through fiscal year 2012.''.

SEC. 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:

``SEC. 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.''.

TITLE IV--DEMONSTRATION GRANTS TO ENCOURAGE CREATIVE APPROACHES TO TEEN 
                          PREGNANCY PREVENTION

SEC. 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, 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. 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 2007 through 2011.

    TITLE V--NATIONAL CAMPAIGN TO ENLIST PARENTS IN PREVENTING TEEN 
                               PREGNANCY

SEC. 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.

SEC. 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 2007 through 2011.
            (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).

   TITLE VI--CLARIFICATION OF CONTINUED MEDICAID COVERAGE OF FAMILY 
                           PLANNING SERVICES

SEC. 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.

 TITLE VII--EXPANDED MEDICAID ELIGIBILITY FOR FAMILY PLANNING SERVICES

SEC. 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 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 (xii), 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:

         ``presumptive eligibility for family planning services

    ``Sec. 1920C.  (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.

      TITLE VIII--DISCLOSURE OF INFORMATION FOR ABORTION SERVICES

SEC. 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.

        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.

    (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:

``SEC. 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 inserting 
                after subsection (c) the following:
    ``(d) 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 2007 and 2008, 
        $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, 2006. 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, 2007.''.
                    (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 inserting ``subject 
                        to subsection (d),'' after ``under this 
                        section,'';
                            (ii) in subsection (b)(1), by inserting 
                        ``and subsection (d)'' after ``Subject to 
                        paragraph (4)''; and
                            (iii) in subsection (c)(1), by inserting 
                        ``subject to subsection (d),'' after ``for a 
                        fiscal year,''.
            (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, 2006, 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.

SEC. 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, 2007.

SEC. 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 2007.

SEC. 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.

             TITLE X--TITLE X OF PUBLIC HEALTH SERVICE ACT

SEC. 1001. SHORT TITLE.

    This title may be cited as the ``Title X Family Planning Services 
Act of 2006''.

SEC. 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 $643,000,000 for fiscal year 2007, and such sums as may be 
necessary for each subsequent fiscal year.

              TITLE XI--PREGNANCY AS PREEXISTING CONDITION

SEC. 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:

``SEC. 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, 2007.

     TITLE XII--INCREASING WOMEN'S KNOWLEDGE ABOUT THEIR PREGNANCY

SEC. 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:

``SEC. 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 2007, and such sums as may be necessary for each of the 
fiscal years 2008 through 2010.''.

SEC. 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:

``SEC. 399P. 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 purpose described in section 
                2(b)(1) of the Prenatal Diagnosis Support 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 2007 through 2011.''.

      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.

    (a) Allotments.--For the purpose described in subsection (b), the 
Secretary shall, for fiscal year 2007 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 2007 through 2011.

SEC. 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 2007, and such sums as may be 
necessary for each of the fiscal years 2008 through 2011.''.

         TITLE XIV--SUPPORT FOR PREGNANT AND PARENTING STUDENTS

SEC. 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 2007 through 2011.

SEC. 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 2007''.

   TITLE XV--FEDERALLY-FUNDED HOMES FOR PREGNANT AND PARENTING WOMEN

SEC. 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.

SEC. 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.

    TITLE XVI--EXPANSION OF ADOPTION CREDIT AND ADOPTION ASSISTANCE 
                                PROGRAMS

SEC. 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, 2007, 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 2006' 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, 2007, 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 2006' 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 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 ``and sections 23'' and inserting ``section''.
                    (B) Section 25(e)(1)(C) of such Code is amended by 
                striking ``23,''.
                    (C) Section 25B(g)(2) of such Code is amended by 
                striking ``and section 23''.
                    (D) Section 36 of such code, as so redesignated, is 
                amended--
                            (i) by striking paragraph (4) of subsection 
                        (b), and
                            (ii) by striking subsection (c).
                    (E) 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''.
                    (F) Section 1400C(d) of such Code is amended by 
                striking ``23, 24,'' and inserting ``24''.
                    (G) 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.
                    (H) Paragraph (2) of section 1324(b) of title 31, 
                United States Code, is amended by inserting ``or 36'' 
                after ``section 35''.
                    (I) 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, 2006.

              TITLE XVII--PROVIDING SUPPORT TO NEW PARENTS

SEC. 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 in 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.--For the purpose of carrying 
out the special supplemental nutrition program for women, infants, and 
children (WIC) (42 U.S.C. 1786), there is authorized to be appropriated 
$5,388,000,000 for fiscal year 2007, of which there is authorized to be 
appropriated $15,000,000 for breast-feeding peer counselors, 
$14,000,000 for infrastructure needs, and $30,000,000 for management 
information systems.

SEC. 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''.

SEC. 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:

``SEC. 658B. AUTHORIZATION OF APPROPRIATIONS.

    ``There are authorized to be appropriated to carry out this 
subchapter $2,350,000,000 for fiscal year 2007 and such sums as may be 
necessary for fiscal years 2007 through 2011.''.
    (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 ``2007 through 
2011''.

SEC. 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 2007.

SEC. 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.

    TITLE XVIII--COLLECTING AND REPORTING ABORTION SURVEILLANCE DATA

SEC. 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 2008 and 2010 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 
2010, 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 2006 through 2010.

SEC. 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, 2010. 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 2006 through 2010.
                                 <all>