109 HR 6067 IH: Reducing the Need for Abortion and Supporting Parents
U.S. House of Representatives
2006-09-13
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Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.
1.Short title; table of
contents
(a)This Act may be cited as the Reducing the Need for Abortion and Supporting Parents
Act
.
(b)The table of contents for this Act is as follows:
Sec. 1. Short title; table of contents.
Sec. 2. Findings; purpose.
Sec. 3. Definitions.
Sec. 4. Eligibility of Indian tribes for awards.
Title I—Education Programs for Preventing Teen
Pregnancies
Sec. 101. Findings.
Sec. 102. Education programs for preventing teen
pregnancies.
Title II—Reauthorization of Certain After-School
Programs
Sec. 201. Findings.
Sec. 202. Reauthorization of certain after-school
programs.
Title III—Teen Pregnancy Prevention Incentive Grants
Sec. 301. Teen pregnancy prevention incentive
grants.
Sec. 302. Establishing national goal to prevent teen
pregnancy.
Title IV—Demonstration Grants to Encourage Creative Approaches to
Teen Pregnancy Prevention
Sec. 401. Demonstration grants to encourage creative approaches
to teen pregnancy prevention.
Title V—National Campaign to Enlist Parents in Preventing Teen
Pregnancy
Sec. 501. Findings.
Sec. 502. Establishment of a national center for parents of
adolescents; provision of challenge grants for State and local
programs.
Title VI—Clarification of Continued Medicaid Coverage of Family
Planning Services
Sec. 601. Clarification of continued Medicaid coverage of
family planning services.
Title VII—Expanded Medicaid Eligibility for Family Planning
Services
Sec. 701. Expanded Medicaid eligibility for family planning
services.
Title VIII—Disclosure of Information for Abortion
Services
Sec. 801. Disclosure of information for abortion
services.
Title IX—Medicaid and SCHIP Coverage of Pregnant
Women
Sec. 901. State option to expand or add coverage of certain
pregnant women under medicaid and SCHIP.
Sec. 902. Coordination with the maternal and child health
program.
Sec. 903. Increase in SCHIP income eligibility.
Sec. 904. Outreach program to encourage those eligible for
services to enroll.
Title X—Title X of Public Health Service Act
Sec. 1001. Short title.
Sec. 1002. Authorization of appropriations.
Title XI—Pregnancy as Preexisting Condition
Sec. 1101. Removal of pregnancy as a preexisting condition
under individual health insurance coverage.
Title XII—Increasing Women’s Knowledge About Their
Pregnancy
Sec. 1201. Grants to health centers for purchase of ultrasound
equipment.
Sec. 1202. Services to patients receiving positive test
diagnosis for down syndrome or other prenatally diagnosed
condition.
Title XIII—Preventing Domestic Violence and Sexual
Assault
Sec. 1301. Separate program to identify and treat pregnant
women and new mothers who are victims of domestic violence, dating violence,
sexual assault, or stalking.
Sec. 1302. Additional authorization of appropriations for
public campaign to increase public awareness.
Title XIV—Support for Pregnant and Parenting Students
Sec. 1401. Support services for students of institutions of
higher education.
Sec. 1402. Child care access means parents in school
program.
Title XV—Federally-Funded Homes for Pregnant and Parenting
Women
Sec. 1501. Counseling requirements.
Sec. 1502. Treatment of pregnant and parenting
women.
Title XVI—Expansion of Adoption Credit and Adoption Assistance
Programs
Sec. 1601. Expansion of adoption credit and adoption assistance
programs.
Title XVII—Providing Support to New Parents
Sec. 1701. Increased support for WIC program.
Sec. 1702. Nutritional support for low-income
parents.
Sec. 1703. Increased funding for the Child Care and Development
Block Grant program.
Sec. 1704. Teenage or first-time mothers; free home visits by
registered nurses for education on health needs of infants.
Sec. 1705. Grants for increasing public awareness of resources
available to women preparing for child birth.
Title XVIII—Collecting and Reporting Abortion Surveillance
Data
Sec. 1801. Grants for collection and reporting of abortion
surveillance data.
Sec. 1802. Report on reasons why women choose to have an
abortion.
2.
(a)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)The
purpose of this Act is to provide a comprehensive initiative to—
(1)reduce the
abortion rate by reducing the number of unintended pregnancies and supporting
women facing unplanned pregnancies;
(2)prevent unintended
pregnancies from occurring in the first place—
(A)by reducing teen pregnancy through
education, after-school and other programs, and involving parents; and
(B)by extending
Medicaid family planning services to more low-income women; and
(3)support pregnant women, new parents, and
their children, through measures that address domestic violence and sexual
assault, provide health care services, information about pregnancy, and other
supportive services for pregnant women, and provide supportive services for new
parents.
3.For purposes of this Act:
(1)The term
Secretary means the Secretary of Health and Human Services.
(2)The term State includes the 50
States, the District of Columbia, the Commonwealth of Puerto Rico, the
Commonwealth of the Northern Mariana Islands, American Samoa, Guam, the Virgin
Islands, and any other territory or possession of the United States.
4.Eligibility of
Indian tribes for awards
(a)In 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)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.
<enum>I</enum><header>Education Programs
for Preventing Teen Pregnancies</header>
<section id="H3F865604CA6F44F3A18BD49009E24B5"><enum>101.</enum><header>Findings</header><text display-inline="no-display-inline">The Congress finds as follows:</text>
<paragraph id="HF28260C5962E4BB8915208DB022DD6F"><enum>(1)</enum><text>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.</text>
</paragraph><paragraph id="HBA171097EECC453280A6C5CA79306617"><enum>(2)</enum><text>About one out of
three young women in America become pregnant before they reach the age of
20.</text>
</paragraph><paragraph id="H1DFE7393B00D41D4B909F7BAE3925D44"><enum>(3)</enum><text>Teenagers account
for nearly one of every five abortions.</text>
</paragraph><paragraph id="HAD7FF9A0F7814DD18FA12F2FB785B400"><enum>(4)</enum><text>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.</text>
</paragraph><paragraph id="HF8EE236B12B14F2FBCA7D0C5BF4B27F2"><enum>(5)</enum><text>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.</text>
</paragraph><paragraph id="H16586DAB98084307BE7D42F9D325E028"><enum>(6)</enum><text>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.</text>
</paragraph><paragraph id="HCE2518F1BEE1457DB13CA2395D1F1906"><enum>(7)</enum><text>Eight in 10 girls
and six in 10 boys report that they wish they had waited until they were older
to have sex.</text>
</paragraph></section><section id="H99C1D9D54F8A42B4859678B29580776D"><enum>102.</enum><header>Education
programs for preventing teen pregnancies</header>
<subsection id="HD4BFA034B86C40EE967647072CCC002F"><enum>(a)</enum><header>In
general</header><text>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.</text>
</subsection><subsection id="H9E2AA343198243B2BC9DFE008167BCAC"><enum>(b)</enum><header>Preference in
making grants</header><text>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.</text>
</subsection><subsection id="H1D29F3BC4D29422BB2309741AB3209F3"><enum>(c)</enum><header>Certain
requirements</header><text>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:</text>
<paragraph id="H6371FE1149BC44B6A524B8694675AB83"><enum>(1)</enum><text>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.</text>
</paragraph><paragraph id="HFE5A1E6166AA4C1EB3887FB1E4A1AAE7"><enum>(2)</enum><text>The applicant
agrees that the project will prevent teen pregnancies by—</text>
<subparagraph id="HA587AFC0511D4EBD874EFE2644A1EB9"><enum>(A)</enum><text display-inline="yes-display-inline">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);</text>
</subparagraph><subparagraph id="HD079E4B2767E47AA954364EF97C49BD7"><enum>(B)</enum><text>educating both
young men and women about the responsibilities and pressures that come along
with parenting;</text>
</subparagraph><subparagraph id="HFE88C6647DF24BD8A3D0E4F94570F9C1"><enum>(C)</enum><text>helping parents
communicate with teens about sexuality; or</text>
</subparagraph><subparagraph id="H5A8DF06147B740E99C683CA8855BA208"><enum>(D)</enum><text>teaching young
people responsible decision-making.</text>
</subparagraph></paragraph></subsection><subsection id="H3DD3AE6546D947009124E3B2EAF002E"><enum>(d)</enum><header>Matching
funds</header>
<paragraph id="H4EE4BBD820224E1C001D89338EEDB864"><enum>(1)</enum><header>In
general</header><text>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).</text>
</paragraph><paragraph id="HE64210284D1840E49C5E13E22DF5C1FE"><enum>(2)</enum><header>Determination of
amount contributed</header><text>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.</text>
</paragraph></subsection><subsection id="H87C4A4F31F1E47CB002B6BCB97076913"><enum>(e)</enum><header>Supplementation
of funds</header><text>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.</text>
</subsection><subsection id="HFCA3C926AB8E459299E0041B19E3142"><enum>(f)</enum><header>Evaluation of
projects</header><text>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—</text>
<paragraph id="HB50754B1B7F24705ADD4CFF6776F00D5"><enum>(1)</enum><text>agrees to conduct
evaluations of the project in accordance with such criteria;</text>
</paragraph><paragraph id="HA6326404CC374523BE72ED6DADA62C83"><enum>(2)</enum><text>agrees to submit
to the Secretary such reports describing the results of the evaluations as the
Secretary determines to be appropriate; and</text>
</paragraph><paragraph id="H519007D07E564D389547B9DE83FD6EC3"><enum>(3)</enum><text>submits to the
Secretary, in the application under subsection (g), a plan for conducting the
evaluations.</text>
</paragraph></subsection><subsection id="H45A77C18F7104FC2AFC2A14851814D21"><enum>(g)</enum><header>Application for
grant</header><text>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.</text>
</subsection><subsection id="H1713AC28DEAF411D8F7E6F579D23A06"><enum>(h)</enum><header>Report to
Congress</header><text>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.</text>
</subsection><subsection id="HA679D2B830FD45E6AF70DAD439AFFB00"><enum>(i)</enum><header>Definitions</header><text>For
purposes of this section:</text>
<paragraph id="H064BA78437A141E5BE90D227CA95586"><enum>(1)</enum><text>The term
<term>age-appropriate</term>, 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.</text>
</paragraph><paragraph id="H71E7AFFC40FC41F98904FCBDA42EE72F"><enum>(2)</enum><text>The term
<term>factually and medically accurate and complete</term> means verified or
supported by the weight of research conducted in compliance with accepted
scientific methods and—</text>
<subparagraph id="H63A337CB99B3471885FCC0ED008F72BC"><enum>(A)</enum><text>published in
peer-reviewed journals, where applicable; or</text>
</subparagraph><subparagraph id="HC2325D9F3A2F41FE87A2A1EB6BE8192D"><enum>(B)</enum><text>comprising
information that leading professional organizations and agencies with relevant
expertise in the field recognize as accurate, objective, and complete.</text>
</subparagraph></paragraph><paragraph id="HB12124858B1A4579BD406C4BE05E3229"><enum>(3)</enum><text>The term
<term>local educational agency</term> has the meaning given such term in
section 9101 of the Elementary and Secondary Education Act of 1965.</text>
</paragraph></subsection><subsection id="H9D5556617A514B1A97A962869162CBA6"><enum>(j)</enum><header>Authorization of
Appropriations</header><text>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.</text>
</subsection></section><enum>II</enum><header>Reauthorization
of Certain After-School Programs</header>
<section id="HFCBEA7ABBCD84B30A7A100D1E6004E03"><enum>201.</enum><header>Findings</header><text display-inline="no-display-inline">The Congress finds as follows:</text>
<paragraph id="H1405059F6B0346ADA83D7EEFFE3BCB50"><enum>(1)</enum><text>The likelihood of
teens having sex for the first time increases with the number of unsupervised
hours teens have during a week.</text>
</paragraph><paragraph id="H0BA2B0ABF7EA479B8C44F406A20049BA"><enum>(2)</enum><text>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.</text>
</paragraph><paragraph id="H7665052A3BA84E88801670EBF00A71D"><enum>(3)</enum><text>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.</text>
</paragraph></section><section id="H8A1B0D62D9AC434FBC3B66F5F0C75854"><enum>202.</enum><header>Reauthorization
of certain after-school programs</header>
<subsection id="H775F9D24C8B14B62869CA9CA2E13E31"><enum>(a)</enum><header>21st century
community learning centers</header><text>Section 4206 of the Elementary and
Secondary Education Act of 1965 (<external-xref legal-doc="usc" parsable-cite="usc/20/7176">20 U.S.C. 7176</external-xref>) is amended—</text>
<paragraph id="H5AA7BF466B4747B686EDF32B27006B3B"><enum>(1)</enum><text>in paragraph (5),
by striking <quote>$2,250,000,000</quote> and inserting
<quote>$2,500,000,000</quote>; and</text>
</paragraph><paragraph id="H37F989ABF1D5437798F592A2D6B9EE92"><enum>(2)</enum><text>in paragraph (6),
by striking <quote>$2,500,000,000</quote> and inserting
<quote>$2,750,000,000</quote>.</text>
</paragraph></subsection><subsection id="HF374AB866AF74A028C3F59D6C8F3B05"><enum>(b)</enum><header>Carol M. White
physical education program</header><text>Section 5401 of the Elementary and
Secondary Education Act of 1965 (<external-xref legal-doc="usc" parsable-cite="usc/20/7241">20 U.S.C. 7241</external-xref>) is amended—</text>
<paragraph id="HBEF823C9915E48978F85488FC89B766B"><enum>(1)</enum><text>by striking
<quote>there are</quote> and inserting <quote>(a)
<header-in-text level="subsection" style="OLC">In
general.—</header-in-text>There are</quote>; and</text>
</paragraph><paragraph id="HE752746BA56F4FF89B9711E2F9E7A9AA"><enum>(2)</enum><text>by adding at the
end the following:</text>
<quoted-block id="H7E2E3ACC64514B81874D1374E23646AF" style="OLC">
<subsection id="H9A9600B730C7429F893CA67E6E257C44"><enum>(b)</enum><header>Physical
education</header><text>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.</text>
</subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></subsection><subsection id="H48EFDD12A06946E1BC88A18389909FD3"><enum>(c)</enum><header>Federal TRIO
programs</header><text>Section 402A(f) of the Higher Education Act of 1965 (20
U.S.C. 1070a–11(f)) is amended by striking <quote>$700,000,000 for fiscal year
1999, and such sums as may be necessary for each of the 4 succeeding fiscal
years</quote> and inserting <quote>$883,000,000 for fiscal year 2007 and such
sums as may be necessary for each of the 5 succeeding fiscal
years</quote>.</text>
</subsection><subsection id="H0229999F94C54FEF8128F11249BE00F7"><enum>(d)</enum><header>Gearup</header><text>Section
404H of the Higher Education Act of 1965 (<external-xref legal-doc="usc" parsable-cite="usc/20/1070a-28">20 U.S.C. 1070a–28</external-xref>) is amended by
striking <quote>$200,000,000 for fiscal year 1999 and such sums as may be
necessary for each of the 4 succeeding fiscal years</quote> and inserting
<quote>$350,000,000 for fiscal year 2007 and such sums as may be necessary for
each of the 5 succeeding fiscal years</quote>.</text>
</subsection></section><enum>III</enum><header>Teen Pregnancy
Prevention Incentive Grants</header>
<section id="H4B96CC6A9C6A4852857DB68B04C6D47D"><enum>301.</enum><header>Teen pregnancy
prevention incentive grants</header><text display-inline="no-display-inline">Section 403(a)(2) of the Social Security Act
(<external-xref legal-doc="usc" parsable-cite="usc/42/603">42 U.S.C. 603(a)(2)</external-xref>) is amended to read as follows:</text>
<quoted-block id="H65304DC05EC443A0A865607191B919B3" style="OLC">
<paragraph id="H67B3733942B243D6A6C0080FC69B98C"><enum>(2)</enum><header>Incentive grants
to prevent teen pregnancy</header>
<subparagraph id="H9EFEDC4AF3864F8ABCBABEA7536ECC02"><enum>(A)</enum><header>Grants to
eligible states</header>
<clause commented="no" id="H67C235933B864338B301A152BFD2B003"><enum>(i)</enum><header>In
general</header>
<subclause commented="no" id="H2433E0D117934650A52400BBE0EEB4F7"><enum>(I)</enum><header>Fiscal year
2007; grants to states with compliant plans</header><text>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).</text>
</subclause><subclause commented="no" display-inline="no-display-inline" id="HB9E2567F19DD404FA917358C978239FC"><enum>(II)</enum><header>Subsequent
fiscal years; grants to high-achieving states with compliant
plans</header><text>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).</text>
</subclause><subclause commented="no" id="HC2181C5C51ED49479EC800E25523C2A9"><enum>(III)</enum><header>High-achieving
state</header><text display-inline="yes-display-inline">For purposes of this
paragraph, the term <term>high-achieving State</term>, 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.</text>
</subclause></clause><clause id="HB378C2CC82CC457194BD152C2E1F4F33"><enum>(ii)</enum><header>Submission of
plan; requirements</header><text>A plan meets the requirements of this clause
if the plan describes—</text>
<subclause id="HB91F63FE26D24945B802ABF374BC4025"><enum>(I)</enum><text>the State’s
numerical goal for reducing teen pregnancy and teen births;</text>
</subclause><subclause id="H6CF103DCCC6D444999E53E2F89ACE187"><enum>(II)</enum><text>the strategies to
be used to achieve such goal;</text>
</subclause><subclause id="H159E7E8F58DF4C5296C977BABAE347F"><enum>(III)</enum><text>the efforts the
State will make to involve young men, as well as young women, in delaying
pregnancy and parenting;</text>
</subclause><subclause id="H1FE33D947CBD4967932CB1D1DF6FC77"><enum>(IV)</enum><text>efforts to involve
parents and other caretakers; and</text>
</subclause><subclause id="H05EB9221EB7946A6839F66D42C007476"><enum>(V)</enum><text>efforts to reach
communities or populations experiencing rates of teen pregnancy above the State
average.</text>
</subclause></clause><clause id="HBE303CDD04B14A79AFF1534857049F2C"><enum>(iii)</enum><header>Set-aside for
grants to Indian tribes</header><text>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.</text>
</clause><clause id="HA2E0054652DB4D1A9EDBDDC82C63038E"><enum>(iv)</enum><header>State</header><text>The
term <term>State</term> 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.</text>
</clause></subparagraph><subparagraph commented="no" id="H95A762095BA34EE186EA2BFF70D72776"><enum>(B)</enum><header>Amount of
grant</header>
<clause commented="no" id="HE5609AEBC6A240789304D600439B7BE8"><enum>(i)</enum><header>In
general</header><text>The amount of a grant under subparagraph (A)(i) to an
eligible State for a fiscal year shall be the following amount, as
applicable:</text>
<subclause commented="no" id="H62AA1C0B611E42DD897E8DC4BA334736"><enum>(I)</enum><text display-inline="yes-display-inline">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.</text>
</subclause><subclause commented="no" id="H8C443DD2FDCF4974ADBD88F99BAE005F"><enum>(II)</enum><text>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.</text>
</subclause></clause><clause commented="no" id="H5A119FF743124F52A9E85B994D16E0B8"><enum>(ii)</enum><header>Determination
of teen pregnancy rates</header><text>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.</text>
</clause></subparagraph><subparagraph id="HEEB1585C29A44B7294AC7EDF32626B80"><enum>(C)</enum><header>Use of
funds</header>
<clause id="HCF234585E4D4427894245B83F4677BE5"><enum>(i)</enum><header>In
general</header><text>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:</text>
<subclause id="H795251BBB70345F100EEFC6815209B27"><enum>(I)</enum><text>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—</text>
<item id="H10015E5F675144E9A91F9114FCB5F2C9"><enum>(aa)</enum><text>delay or decrease
sexual intercourse or sexual activity;</text>
</item><item id="H253C61DC79C242CA94DAD2F883765F3F"><enum>(bb)</enum><text>increase
contraceptive use among sexually active teens; or</text>
</item><item id="HC27B934630354FB6B6E6AF85B1D58300"><enum>(cc)</enum><text>reduce teenage
pregnancy.</text>
</item></subclause><subclause id="HAE3F26CCB9BF438E9044BB25DD629E6E"><enum>(II)</enum><text>The strategies
incorporate one or more of the following strategies for preventing teenage
pregnancy:</text>
<item id="H81CDAE6FD5DD40439F91A7754623495D"><enum>(aa)</enum><text>Encouraging
teenagers to delay sexual activity.</text>
</item><item id="HA76F32B2600C4B0BA14B009E17941DCB"><enum>(bb)</enum><text>Sex
and HIV education.</text>
</item><item id="HE34BF642DEFD4E1B9238EFF497CE4B9B"><enum>(cc)</enum><text>Preventive health
services.</text>
</item><item id="HF59AF778498D46919DB300AF5DF5CBCC"><enum>(dd)</enum><text>Youth development
programs.</text>
</item><item id="H6F1B605B096841DF812C9925007212F4"><enum>(ee)</enum><text>Service learning
programs.</text>
</item><item id="H4661A30641EA422F0074C997406BBA86"><enum>(ff)</enum><text>Helping parents
communicate with teens.</text>
</item><item id="H04F440F991E54945BEB19268F7EF5D"><enum>(gg)</enum><text>Outreach or media
programs.</text>
</item></subclause><subclause id="H795F69DF753A4E35860071B2C83070AB"><enum>(III)</enum><text display-inline="yes-display-inline">The strategies provide information that is
age-appropriate, factually and medically accurate and complete, and
scientifically-based.</text>
</subclause></clause></subparagraph><subparagraph id="H392B1E042FD84ADB8449FB017E8F6118"><enum>(D)</enum><header>Subgrant or
contract recipients</header><text>A State to which a grant is made under this
paragraph for a fiscal year may award subgrants or contracts to—</text>
<clause id="H8E708D7F6F40488EBE4C5500E1F7000"><enum>(i)</enum><text display-inline="yes-display-inline">State or local nonprofit coalitions or
organizations working to prevent teenage pregnancy;</text>
</clause><clause id="H3E443337674441E99729CC03C2E6B59"><enum>(ii)</enum><text>State, local, or
tribal agencies;</text>
</clause><clause id="HF1C8A548F0474356A799453DAE26703D"><enum>(iii)</enum><text>schools;</text>
</clause><clause id="H977F397E67BF4B30903B7500F973DF1B"><enum>(iv)</enum><text>entities that
provide after-school programs;</text>
</clause><clause id="H5F1F629D44BE4387903F5E73112C9348"><enum>(v)</enum><text>nonprofit
community or faith-based organizations; or</text>
</clause><clause id="H2ED971A989F14C0288A57562B7EC8DCD"><enum>(vi)</enum><text>other
organizations designated by the State.</text>
</clause></subparagraph><subparagraph id="H4081CBC0DAD945C39C15DAEA6B3FE5C9"><enum>(E)</enum><header>Supplementation
of funds</header><text>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.</text>
</subparagraph><subparagraph id="HF834F046FEE04F339C893CBD40946506"><enum>(F)</enum><header>Data
reporting</header><text>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.</text>
</subparagraph><subparagraph id="HCF99A2BBE61A4090AD24F042777F9326"><enum>(G)</enum><header>Appropriation</header><text>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.</text>
</subparagraph><subparagraph id="H24FB9F0766CA4424003E4EAE700077F3"><enum>(H)</enum><header>Evaluation</header>
<clause id="H28F4C3F882964DA2AEB3228E001F85E9"><enum>(i)</enum><header>In
general</header><text>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.</text>
</clause><clause id="HD14BFC8DFDED44E980DC1EE331D3364D"><enum>(ii)</enum><header>Appropriation</header><text>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.</text>
</clause></subparagraph></paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</section><section id="H6FE51E42CDC24F87B5B632E7B9682560"><enum>302.</enum><header>Establishing
national goal to prevent teen pregnancy</header><text display-inline="no-display-inline">Section 905 of the Personal Responsibility
and Work Opportunity Reconciliation Act of 1996 (<external-xref legal-doc="usc" parsable-cite="usc/42/710">42 U.S.C. 710</external-xref> note) is amended
to read as follows:</text>
<quoted-block id="H2F655B29751B4A90A53FFBB866F39EF7">
<section id="H69761A47BEEC43AF91DC42FB289C545C"><enum>905.</enum><header>Establishing
national goal to prevent teen pregnancy</header>
<subsection id="HB5939ECBE0BB4CEA93007400FB22165B"><enum>(a)</enum><header>In
general</header><text display-inline="yes-display-inline">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.</text>
</subsection><subsection id="H41EAA40963A541A28CFC9DE12272B932"><enum>(b)</enum><header>Report</header><text display-inline="yes-display-inline">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.</text>
</subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</section><enum>IV</enum><header>Demonstration
Grants to Encourage Creative Approaches to Teen Pregnancy Prevention</header>
<section id="HF26534E0ACD5494AA02274BB199B4FFB"><enum>401.</enum><header>Demonstration
grants to encourage creative approaches to teen pregnancy prevention</header>
<subsection id="HB63A8F26E8814F1EA76592A48DBFD6CD"><enum>(a)</enum><header>In
general</header><text>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.</text>
</subsection><subsection id="H399576CBAE9F4503B75538B9E5BA8B8F"><enum>(b)</enum><header>Certain
approaches</header><text>Approaches under subsection (a) may include approaches
such as the following:</text>
<paragraph id="HC0EEB4AFE6184D41B3C8496034FAC7C4"><enum>(1)</enum><text>Encouraging
teen-driven approaches to pregnancy prevention.</text>
</paragraph><paragraph id="H5BE47666E44F474981DF65318638FCAE"><enum>(2)</enum><text>Exposing teens to
realistic simulations of the physical, emotional, and financial consequences of
pregnancy and parenting.</text>
</paragraph><paragraph id="H58A6C62B1EA94A05A46D35F279BA37E4"><enum>(3)</enum><text>Facilitating
communication between parents and children, especially using programs that have
been evaluated and proven effective.</text>
</paragraph></subsection><subsection id="HED15D4676EDA490C87475E4CD8B3E5E"><enum>(c)</enum><header>Matching
funds</header>
<paragraph id="HCED7D949AE4C4B98004E076657B82389"><enum>(1)</enum><header>In
general</header><text>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).</text>
</paragraph><paragraph id="HC960030928824C2EAD63ACE0977B87"><enum>(2)</enum><header>Determination of
amount contributed</header><text>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.</text>
</paragraph></subsection><subsection id="H5AC84A6D28DE4D7D9F46F04164808FCC"><enum>(d)</enum><header>Evaluation of
projects</header><text>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—</text>
<paragraph id="HDA283A8863164E508737F1F400E0E135"><enum>(1)</enum><text>agrees to conduct
evaluations of the project in accordance with such criteria;</text>
</paragraph><paragraph id="HD95017CCFCBE495CA357895E11FB9B14"><enum>(2)</enum><text>agrees to submit
to the Secretary such reports describing the results of the evaluations as the
Secretary determines to be appropriate; and</text>
</paragraph><paragraph id="H6EA466C8B5974F97AA645FCAC3C932C3"><enum>(3)</enum><text>submits to the
Secretary, in the application under subsection (e), a plan for conducting the
evaluations.</text>
</paragraph></subsection><subsection id="H76D87B22394A40B98374A7E0E4ADE38B"><enum>(e)</enum><header>Application for
grant</header><text>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.</text>
</subsection><subsection id="H2219757B47E54006A04DBC9169A4E252"><enum>(f)</enum><header>Report to
Congress</header><text>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.</text>
</subsection><subsection id="HB0DB46BA5D0E409186AFAC769BE230EF"><enum>(g)</enum><header>Authorization of
appropriations</header><text>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.</text>
</subsection></section><enum>V</enum><header>National Campaign
to Enlist Parents in Preventing Teen Pregnancy</header>
<section id="HF2BF59D56F7F4A9DBFDD1FD7EE38C29"><enum>501.</enum><header>Findings</header><text display-inline="no-display-inline">The Congress finds as follows:</text>
<paragraph id="HE004706F6BFA427988904D5B8E5885E5"><enum>(1)</enum><text display-inline="yes-display-inline">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.</text>
</paragraph><paragraph id="HF2EE71A185DD42F19D22A875EBCC02C9"><enum>(2)</enum><text display-inline="yes-display-inline">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.</text>
</paragraph></section><section id="H7EDCB1BF987A4AC2A81F19EF5EC1E7A9"><enum>502.</enum><header>Establishment
of a national center for parents of adolescents; provision of challenge grants
for State and local programs</header>
<subsection id="H45C83604B9BE4E0BB008C24499F9DF03"><enum>(a)</enum><header>Grant</header><text>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 <quote>Center</quote>).</text>
</subsection><subsection id="HACE53B0380EC4361BD00F928254D3C95"><enum>(b)</enum><header>Requirements</header><text>The
Secretary may make a grant under this section only if—</text>
<paragraph id="HF026C01F56244070A2795FDC6925A8A3"><enum>(1)</enum><text>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;</text>
</paragraph><paragraph id="HDEAB68BCC8D247D281AA41CD1FEB49FD"><enum>(2)</enum><text>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;</text>
</paragraph><paragraph id="H6445CF639B7C439B00459CCF24C88EF7"><enum>(3)</enum><text>the organization
is research-based and has capabilities in scientific analysis and evaluation;
and</text>
</paragraph><paragraph id="H04BB1235B0094F0ABC1CAC49F46525AE"><enum>(4)</enum><text>the organization
has comprehensive knowledge and data about teen pregnancy prevention
strategies.</text>
</paragraph></subsection><subsection id="H861540D5C9004F24B2D98100C3AEA869"><enum>(c)</enum><header>Purposes</header><text>The
purposes of the Center are to—</text>
<paragraph id="HBD61918645DD430A998BC055F1FD464B"><enum>(1)</enum><text>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;</text>
</paragraph><paragraph id="HBE35955BC0B8445AA3EC8636A0331044"><enum>(2)</enum><text>develop and
implement media campaigns to promote positive information and messages for
parents about how they can help address teen pregnancy; and</text>
</paragraph><paragraph id="H0132C8FC03AD4150902B5427FF81BCA3"><enum>(3)</enum><text>provide challenge
grants to States to promote parent education and involvement.</text>
</paragraph></subsection><subsection id="H412BF9B908CE4A53A347D2CBB7CD49FD"><enum>(d)</enum><header>Activities</header><text>The
Center shall carry out the purposes described in subsection (c) through the
following activities:</text>
<paragraph id="H6B2018E04AE447A89C7C9C2D70FA6920"><enum>(1)</enum><text>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—</text>
<subparagraph id="HE88B04AFA3B64F098F1249397CB67915"><enum>(A)</enum><text>online access to
current research;</text>
</subparagraph><subparagraph id="H35DE8134D33B4520B52F71DB88E452B"><enum>(B)</enum><text>user-friendly
guides for parents;</text>
</subparagraph><subparagraph id="HD89BFBFE50D4469CA39228C0E452C46F"><enum>(C)</enum><text>practical tips and
advice from experts;</text>
</subparagraph><subparagraph id="H1B49D2BB93E14C92A6D2617B3602F18E"><enum>(D)</enum><text>alerts about new
trends among teens;</text>
</subparagraph><subparagraph id="H9F8EB4D9247A4A40AFD7A4387187B1B1"><enum>(E)</enum><text>suggestions for
how to use the entertainment media as a discussion-starter; and</text>
</subparagraph><subparagraph id="HEE3E93B7608A429980FBDB1D023B26AB"><enum>(F)</enum><text>information about
the rapidly-changing media environment of teens.</text>
</subparagraph><continuation-text continuation-text-level="paragraph">In order to
efficiently reach and support parents, information shall be provided primarily
through technological means, including the Internet.</continuation-text></paragraph><paragraph id="HBF08C0001D044EACAA64263E00FCB56F"><enum>(2)</enum><text>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.</text>
</paragraph><paragraph id="H242B9801888640E986D4530011497FA8"><enum>(3)</enum><text display-inline="yes-display-inline">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—</text>
<subparagraph id="HAD28A43A667A460A9D3892093FCAE16"><enum>(A)</enum><text>workshops and town
hall meetings;</text>
</subparagraph><subparagraph id="H1B1148970BD44555B9B1DF6C4524B27D"><enum>(B)</enum><text>providing
information through employers, civic associations, community and faith-based
organizations, parent-teacher organizations, and other organizations that reach
large numbers of parents; and</text>
</subparagraph><subparagraph id="H2B6CBB307328423A85C400485D3739D4"><enum>(C)</enum><text>innovative ways to
provide education and support for parents through online communities and
neighborhood-based activities.</text>
</subparagraph></paragraph></subsection><subsection id="H1CDAFDCCCAEF4BC6A8F96EA720397117"><enum>(e)</enum><header>Authorization of
appropriations</header>
<paragraph id="H714F8008452845C7A0893FC826911C91"><enum>(1)</enum><header>In
general</header><text>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.</text>
</paragraph><paragraph id="H70E1C1DBB1F14EA1816527D379A400EC"><enum>(2)</enum><header>Challenge
grants</header><text>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).</text>
</paragraph></subsection></section><enum>VI</enum><header>Clarification of
Continued Medicaid Coverage of Family Planning Services</header>
<section id="H7EDC521E04854DC5B658AFB2F55EAA58"><enum>601.</enum><header>Clarification
of continued Medicaid coverage of family planning services</header>
<subsection id="H12A18DC9DE0244E49D344D36B3617C08"><enum>(a)</enum><header>In
general</header><text display-inline="yes-display-inline">Section 1937(a)(1) of
the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1396u-7">42 U.S.C. 1396u–7(a)(1)</external-xref>) is amended by adding at the
end the following new subparagraph:</text>
<quoted-block display-inline="no-display-inline" id="HAF3556F22CA0473FA42844CCEE2DDE7C" style="OLC">
<subparagraph id="H7394726F471049549F3929117C65DE58"><enum>(E)</enum><header>Coverage of
family planning services</header><text display-inline="yes-display-inline">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.</text>
</subparagraph><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection><subsection id="H6B40A58545604DA4ABE432F03AA8CD2"><enum>(b)</enum><header>Effective
date</header><text>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.</text>
</subsection></section><enum>VII</enum><header>Expanded Medicaid
Eligibility for Family Planning Services</header>
<section display-inline="no-display-inline" id="H462D7A9C2BD040A482FB1D39CB76F349"><enum>701.</enum><header>Expanded
Medicaid eligibility for family planning services</header>
<subsection id="H6A055913459D4743AED7173EAAD13967"><enum>(a)</enum><header>Coverage as
Mandatory Categorically Needy Group</header>
<paragraph id="H2ED2BCE915AA424088F03CAF53C04B20"><enum>(1)</enum><header>In
general</header><text>Section 1902(a)(10)(A)(i) of the Social Security Act (42
U.S.C. 1396a(a)(10)(A)(i)) is amended—</text>
<subparagraph id="HFF2366DEA5874C45B132D09B32ACAB47"><enum>(A)</enum><text>in subclause (VI),
by striking <quote>or</quote> at the end;</text>
</subparagraph><subparagraph id="H3B1C956038584BFB941095EBF761F9CD"><enum>(B)</enum><text>in subclause
(VII), by adding <quote>or</quote> at the end; and</text>
</subparagraph><subparagraph id="H28F8EAF212A74E96B193D9E2702C9BE0"><enum>(C)</enum><text>by adding at the
end the following new subclause:</text>
<quoted-block display-inline="no-display-inline" id="HDB38D70B22C34A92A159684CF1DCD1CA" style="OLC">
<subclause id="HAA0836865E8C4AE296567C00883E0900"><enum>(VIII)</enum><text>subject to
subsection (dd)(3), who are described in subsection (dd) (relating to
individuals who meet the income standards for pregnant
women);</text>
</subclause><after-quoted-block>.</after-quoted-block></quoted-block>
</subparagraph></paragraph><paragraph id="HBD2371F45C5A49A0BDE75D9B4C9CADFD"><enum>(2)</enum><header>Group
described</header><text>Section 1902 of the Social Security Act (42 U.S.C.
1396a) is amended by adding at the end the following new subsection:</text>
<quoted-block display-inline="no-display-inline" id="HBB32505D129B41B68351740292935200" style="OLC">
<subsection id="H579ED2017B24467E9B7CA7C6F85CC1E6"><enum>(dd)</enum><paragraph commented="no" display-inline="yes-display-inline" id="HD378DB22C9174F91A2C0AFEBC28C44F"><enum>(1)</enum><text>Individuals described in
this subsection are individuals who—</text>
<subparagraph id="HE1AECBDFC826447A932913D0006CE671" indent="up1"><enum>(A)</enum><text>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</text>
</subparagraph><subparagraph id="HD6A6234F2D9D48929175F758FB271F4E" indent="up1"><enum>(B)</enum><text>are not pregnant.</text>
</subparagraph></paragraph><paragraph id="H99373627DE2E4377B671136CD6D1D0E4" indent="up1"><enum>(2)</enum><text>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.</text>
</paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph><paragraph id="H74AA0EB8D15A4FCE985700811F3B23C1"><enum>(3)</enum><header>Limitation on
benefits</header><text>Section 1902(a)(10) of the Social Security Act (42
U.S.C. 1396a(a)(10)) is amended in the matter following subparagraph
(G)—</text>
<subparagraph id="H4FC07073F68D4088AAF98E72F996ECD9"><enum>(A)</enum><text>by striking
<quote>and (XIV)</quote> and inserting <quote>(XIV)</quote>; and</text>
</subparagraph><subparagraph id="H0D2B5F931B2C41BFB03084EC95869F3F"><enum>(B)</enum><text>by inserting
<quote>, 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;</quote> after <quote>cervical
cancer</quote>.</text>
</subparagraph></paragraph><paragraph id="H61C1A29A81E4421D866010297F255872"><enum>(4)</enum><header>Conforming
amendments</header><text>Section 1905(a) of the Social Security Act (42 U.S.C.
1396d(a)) is amended in the matter preceding paragraph (1)—</text>
<subparagraph id="H608AE36A2771457C96CB9800535FBEF1"><enum>(A)</enum><text>in clause (xii),
by striking <quote>or</quote> at the end;</text>
</subparagraph><subparagraph id="H6424EA39258F4955993E8674BD89E7B"><enum>(B)</enum><text>in clause (xii), by
adding <quote>or</quote> at the end; and</text>
</subparagraph><subparagraph id="H62E8D72938CD4899BDF8D2EEADB2AE2"><enum>(C)</enum><text>by inserting after
clause (xiii) the following:</text>
<quoted-block display-inline="no-display-inline" id="HFE1DF347E3A7428AB995A87CC1663F48" style="OLC">
<clause id="H34900117571E4498B9F5DF51FE562778"><enum>(xiv)</enum><text>individuals
described in section
1902(dd),</text>
</clause><after-quoted-block>.</after-quoted-block></quoted-block>
</subparagraph></paragraph></subsection><subsection id="H22AEE8828F5E4ADD8024EEE30844653B"><enum>(b)</enum><header>Presumptive
eligibility</header>
<paragraph id="HAF8E71C5A8C74ECE87E348BAD7C3C136"><enum>(1)</enum><header>In
general</header><text>Title XIX of the Social Security Act (42 U.S.C. 1396 et
seq.) is amended by inserting after section 1920B the following:</text>
<quoted-block display-inline="no-display-inline" id="H339A25EBF501431494000733C8A4729E" style="traditional">
<section id="HEAC681F655B24FEFB36169EA39C539A7"><enum>1920C.</enum><header>PRESUMPTIVE ELIGIBILITY FOR FAMILY PLANNING
SERVICES</header><subsection commented="no" display-inline="yes-display-inline" id="H6513E6A8ADDB4F9100DFE93BEE41E419"><enum>(a)</enum><header>State
Option</header><text>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.</text>
</subsection><subsection id="H7E8CD52B0CBE492890033F1EAF56FFB"><enum>(b)</enum><header>Definitions</header><text>For
purposes of this section:</text>
<paragraph id="H0E76E902710544CCA332690074DC8C1C"><enum>(1)</enum><header>Presumptive
eligibility period</header><text>The term <term>presumptive eligibility
period</term> means, with respect to an individual described in subsection (a),
the period that—</text>
<subparagraph id="HE20A15C0B60047B0946CE2AC5973D785"><enum>(A)</enum><text>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</text>
</subparagraph><subparagraph id="HEB8D6EC260A349CCA974B456DABE5BA5"><enum>(B)</enum><text>ends with (and
includes) the earlier of—</text>
<clause id="H12ADEFB741F34382A7B684F5C5F31FEC"><enum>(i)</enum><text>the day on which a
determination is made with respect to the eligibility of such individual for
services under the State plan; or</text>
</clause><clause id="HBDD8409FF30A4A8B8C81B61682A52C4F"><enum>(ii)</enum><text>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.</text>
</clause></subparagraph></paragraph><paragraph id="HCA79CB6282B344218BAA4BB5897C9BBB"><enum>(2)</enum><header>Qualified
entity</header>
<subparagraph id="H590955BF54E84AB9A8F25759BF5C4196"><enum>(A)</enum><header>In
general</header><text>Subject to subparagraph (B), the term <term>qualified
entity</term> means any entity that—</text>
<clause id="HF0CA899745354EE7BC7172FA9F3669DF"><enum>(i)</enum><text>is
eligible for payments under a State plan approved under this title; and</text>
</clause><clause id="HCFF1C4A2071A477AAFAA5E04C074DA8"><enum>(ii)</enum><text>is
determined by the State agency to be capable of making determinations of the
type described in paragraph (1)(A).</text>
</clause></subparagraph><subparagraph id="HB97D9F2BCB07442CB9C7BC29677B0200"><enum>(B)</enum><header>Regulations</header><text>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.</text>
</subparagraph><subparagraph id="H85882F8DF0A9419E89418147A0B2E3CD"><enum>(C)</enum><header>Rule of
construction</header><text>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).</text>
</subparagraph></paragraph></subsection><subsection id="HBF31C6A5D0C5412F853204279E4D35BD"><enum>(c)</enum><header>Administration</header>
<paragraph id="H136AFE2EC1E94F718B379CDC65A1D3A6"><enum>(1)</enum><header>In
general</header><text>The State agency shall provide qualified entities
with—</text>
<subparagraph id="H66F5982522504C8DBAAFD4BA03BD6C79"><enum>(A)</enum><text>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</text>
</subparagraph><subparagraph id="H35A73E8A09B048CA953C203F962E11FB"><enum>(B)</enum><text>information on how
to assist such individuals in completing and filing such forms.</text>
</subparagraph></paragraph><paragraph id="HE51F73E4557747C7A6A18FC18E1FA98D"><enum>(2)</enum><header>Notification
requirements</header><text>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—</text>
<subparagraph id="HD6B29155990F4DF5AA723C0000999C4B"><enum>(A)</enum><text>notify the State
agency of the determination within 5 working days after the date on which
determination is made; and</text>
</subparagraph><subparagraph id="H80DAC849BF204BEEA46CC2B81FBB3D00"><enum>(B)</enum><text>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.</text>
</subparagraph></paragraph><paragraph id="H09C141E65C564F4F9736F73491BF067B"><enum>(3)</enum><header>Application for
medical assistance</header><text>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.</text>
</paragraph></subsection><subsection id="HD803C15711414B2C9C5C03F01FA8C057"><enum>(d)</enum><header>Payment</header><text>Notwithstanding
any other provision of this title, medical assistance that—</text>
<paragraph id="H48F7E3D6259B44558E8BAF9F699492D8"><enum>(1)</enum><text>is furnished to an
individual described in subsection (a)—</text>
<subparagraph id="H53C6C9D4008645E5B1A6EB96BA3966FF"><enum>(A)</enum><text>during a
presumptive eligibility period;</text>
</subparagraph><subparagraph id="H6E8726C3B86340EC899FEFE4066F9713"><enum>(B)</enum><text>by a entity that
is eligible for payments under the State plan; and</text>
</subparagraph></paragraph><paragraph id="H42CF490B64284389A92C852ED068F892"><enum>(2)</enum><text>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).</text>
</paragraph></subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph><paragraph id="H4E1B9842030A44FDB6FF7364E004149"><enum>(2)</enum><header>Conforming
amendments</header>
<subparagraph id="H03F7391E337541FFB0B2FBB627D5F21D"><enum>(A)</enum><text>Section
1902(a)(47) of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1396a">42 U.S.C. 1396a(a)(47)</external-xref>) is amended by
inserting before the semicolon at the end the following: <quote>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.</quote>.</text>
</subparagraph><subparagraph id="HE1A32483ECC844BFA0B664F928A2A3C0"><enum>(B)</enum><text>Section
1903(u)(1)(D)(v) of such Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1396b">42 U.S.C. 1396b(u)(1)(D)(v)</external-xref>) is amended—</text>
<clause id="H9D13EA328FB8479DAE8691A3DC019537"><enum>(i)</enum><text>by
striking <quote>or for</quote> and inserting <quote>, for</quote>; and</text>
</clause><clause id="H0580C0DE336349B091AE72D1BD5D65C5"><enum>(ii)</enum><text>by
inserting before the period the following: <quote>, or for medical assistance
provided to an individual described in subsection (a) of section 1920C during a
presumptive eligibility period under such section</quote>.</text>
</clause></subparagraph></paragraph></subsection><subsection id="H57655AD2DE60440587FDB65F9F2D53CE"><enum>(c)</enum><header>Effective
date</header>
<paragraph id="H83B9FE5240B044449E3BB100ABCDE3D3"><enum>(1)</enum><header>In
general</header><text display-inline="yes-display-inline">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.</text>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="H397262E607FF4149A228D33273000062"><enum>(2)</enum><header>Extension of
effective date for state law amendment</header><text>In the case of a State
plan under title XIX of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1396">42 U.S.C. 1396 et seq.</external-xref>) 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.</text>
</paragraph></subsection></section><enum>VIII</enum><header>Disclosure of
Information for Abortion Services</header>
<section id="H1F377C6FEFCD4663B52EF6E584801E11"><enum>801.</enum><header>Disclosure of
information for abortion services</header>
<subsection id="HA4241D092424471EB5007F8728196B53"><enum>(a)</enum><header>In
general</header><text>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.</text>
</subsection><subsection id="H743E932C1F20458B804B95E3BF8BC118"><enum>(b)</enum><header>Informed
consent</header><text display-inline="yes-display-inline">Informed consent
shall include:</text>
<paragraph id="H566AEA4D803043088C54BFF1C8BEC05"><enum>(1)</enum><text>Medically and
factually accurate information on the following:</text>
<subparagraph id="H2F17B63FCCA247D7A496BF1700195E05"><enum>(A)</enum><text>How the abortion
procedure is performed.</text>
</subparagraph><subparagraph id="H710A5EA4772446638749FA9C8C890269"><enum>(B)</enum><text>Possible risks and
complications of the procedure to be performed versus carrying the pregnancy to
term.</text>
</subparagraph></paragraph><paragraph id="H667B08CC8A554024A500D59738FEF95"><enum>(2)</enum><text>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.</text>
</paragraph></subsection><subsection id="H4C624159F89B4280A7415191AEFBF64B"><enum>(c)</enum><header>Prevention</header><text display-inline="yes-display-inline">Information about family planning services
and supplies shall also be offered.</text>
</subsection><subsection id="HC71F5940F9634A6D90B5D7997F1E006F"><enum>(d)</enum><header>Treatment of
patients</header><text>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.</text>
</subsection><subsection id="HBD2A8A290DB8421CA682C5CE08CF208C"><enum>(e)</enum><header>Definition</header><text>For
purposes of this section, the term <term>medically and factually
accurate</term>, with respect to information, means the information is—</text>
<paragraph id="H06B3735A217F47288E8E9DD3456F3DF7"><enum>(1)</enum><text>verified or
supported by the weight of research conducted in compliance with accepted
scientific methods; and</text>
</paragraph><paragraph id="H4B805B800E4F40BF84A5D7655C4E3115"><enum>(2)</enum><subparagraph commented="no" display-inline="yes-display-inline" id="H058464B437DF457DAD7E496F317074F8"><enum>(A)</enum><text>published in
peer-reviewed journals where applicable; or</text>
</subparagraph><subparagraph id="HE90D16CBBB584ECCB93D32D7E5523F14" indent="up1"><enum>(B)</enum><text>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.</text>
</subparagraph></paragraph></subsection></section><enum>IX</enum><header>Medicaid and
SCHIP Coverage of Pregnant Women</header>
<section id="HD371FF0CD14C43BFB32D2B5C45A63885"><enum>901.</enum><header>State option to
expand or add coverage of certain pregnant women under medicaid and
SCHIP</header>
<subsection id="H221661992556475CA0AEA7414957EE58"><enum>(a)</enum><header>Medicaid</header>
<paragraph id="H41E77143E8D744F983CC2C15218FA270"><enum>(1)</enum><header>Authority to
expand coverage</header><text>Section 1902(l)(2)(A)(i) of the Social Security
Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1396a">42 U.S.C. 1396a(l)(2)(A)(i)</external-xref>) is amended by inserting <quote>(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))</quote> after
<quote>185 percent</quote>.</text>
</paragraph><paragraph id="H059A36FD050945FDB07331001EECB5F6"><enum>(2)</enum><header>Enhanced
matching funds available if certain conditions met</header><text>Section 1905
of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1396d">42 U.S.C. 1396d</external-xref>) is amended—</text>
<subparagraph id="H8F366C45FC8240849ED1A179861BF8D2"><enum>(A)</enum><text>in the fourth
sentence of subsection (b), by striking <quote>or subsection (u)(3)</quote> and
inserting <quote>, (u)(3), or (u)(4)</quote>; and</text>
</subparagraph><subparagraph id="H4B6C90CCA2064A32A15E644656DFA000"><enum>(B)</enum><text>in subsection
(u)—</text>
<clause id="H57692E523F78485EABCF25B6F9BBAFD"><enum>(i)</enum><text>by
redesignating paragraph (4) as paragraph (5); and</text>
</clause><clause id="HFA4FDA4DCD3F4093B3307FF6EA2DABE8"><enum>(ii)</enum><text>by
inserting after paragraph (3) the following:</text>
<quoted-block id="H639322536354416CA5F7AC759DBB4B08" style="OLC">
<paragraph id="H1C1C2E01718D40F9B651914670FA5D02"><enum>(4)</enum><text>For purposes of
the fourth sentence of subsection (b) and section 2105(a), the expenditures
described in this paragraph are the following:</text>
<subparagraph id="HC2F953D5480F443BA3CBDC5C854E0C7"><enum>(A)</enum><header>Certain pregnant
women</header><text>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.</text>
</subparagraph><subparagraph id="HAC7BA8A2BA644FF4B1527F8171C780B1"><enum>(B)</enum><header>Conditions</header><text>The
conditions described in this subparagraph are the following:</text>
<clause id="H568CD73A257A422E895EF4C3E8D6D84"><enum>(i)</enum><text>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.</text>
</clause><clause id="H342D8C9EC7404BC790924C007C1EC9D7"><enum>(ii)</enum><text>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.</text>
</clause></subparagraph><subparagraph id="H3E4C15241CE04ABABED200F726F9E7D8"><enum>(C)</enum><header>Definition of
poverty line</header><text>In this subsection, the term <term>poverty
line</term> has the meaning given such term in section
2110(c)(5).</text>
</subparagraph></paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</clause></subparagraph></paragraph><paragraph id="H4949D35473474B00AFC80FD082B0095"><enum>(3)</enum><header>Payment from
title XXI allotment for medicaid expansion costs; elimination of counting
medicaid child presumptive eligibility costs against title XXI
allotment</header><text>Section 2105(a)(1) of the Social Security Act (42
U.S.C. 1397ee(a)(1)) is amended—</text>
<subparagraph id="H5F22A4C86429433793D864FC139F21D5"><enum>(A)</enum><text>in the matter
preceding subparagraph (A), by striking <quote>(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)))</quote>; and</text>
</subparagraph><subparagraph id="H33B231DDA546436A92DEB3F844BD1B65"><enum>(B)</enum><text>by striking
subparagraph (B) and inserting the following:</text>
<quoted-block id="HCE4572E5526B4E37A6C33E67AA36DC95" style="OLC">
<subparagraph id="HE78DF4832D864780B0CAF48BDC824F00"><enum>(B)</enum><text>for the provision
of medical assistance that is attributable to expenditures described in section
1905(u)(4)(A);</text>
</subparagraph><after-quoted-block>.</after-quoted-block></quoted-block>
</subparagraph></paragraph><paragraph id="H13C6F4FCC12E4F35A4309FF02EA9D7AB"><enum>(4)</enum><header>Additional
amendments to medicaid</header>
<subparagraph id="H079008C8528D4EDAA5EE1BC3749E0085"><enum>(A)</enum><header>Eligibility of a
newborn</header><text>Section 1902(e)(4) of the Social Security Act (42 U.S.C.
1396a(e)(4)) is amended in the first sentence by striking <quote>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</quote>.</text>
</subparagraph><subparagraph id="HCAC7B8EBAC8644159617F9A1208E8B1E"><enum>(B)</enum><header>Application of
qualified entities to presumptive eligibility for pregnant women under
medicaid</header><text>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:</text>
<quoted-block id="H05F2D6BD76064A709CE74DEC43FBCBE" style="OLC">
<text display-inline="no-display-inline">The term ‘qualified provider’ includes a
qualified entity as defined in section
1920A(b)(3).</text>
<after-quoted-block>.</after-quoted-block></quoted-block>
</subparagraph></paragraph></subsection><subsection id="HFBCE73ADE44142EF92FF4B1D22962055"><enum>(b)</enum><header>SCHIP</header>
<paragraph id="HEDCB618590494E6CA959DECE351CBA15"><enum>(1)</enum><header>Coverage</header><text>Title
XXI of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1397aa">42 U.S.C. 1397aa et seq.</external-xref>) is amended by adding
at the end the following:</text>
<quoted-block display-inline="no-display-inline" id="HC3676F2CD5144137B560B332C273B318" style="OLC">
<section id="H7158C9B11314450D9C8270733B13FFAD"><enum>2111.</enum><header>Optional
coverage of targeted low-income pregnant women</header>
<subsection id="HDDEC6E6FCBCA403586DA4FFC18D4B8F4"><enum>(a)</enum><header>Optional
coverage</header><text>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).</text>
</subsection><subsection id="H6BF046EF58B340368B742DDDE31FD40"><enum>(b)</enum><header>Definitions</header><text>For
purposes of this title:</text>
<paragraph id="H4B86136D357F42E684BA71BFF53D43FC"><enum>(1)</enum><header>Pregnancy-related
assistance</header><text>The term <term>pregnancy-related assistance</term> 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.</text>
</paragraph><paragraph id="H581720250CC64AD1B390795229A0B9FB"><enum>(2)</enum><header>Targeted
low-income pregnant woman</header><text>The term <term>targeted low-income
pregnant woman</term> means a woman</text>
<subparagraph id="H7936BA22AED842E5835B32F897525D2"><enum>(A)</enum><text>during pregnancy
and through the end of the month in which the 60-day period (beginning on the
last day of her pregnancy) ends;</text>
</subparagraph><subparagraph id="H739448E86D00449CA4F9D2063466A283"><enum>(B)</enum><text>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</text>
</subparagraph><subparagraph id="H730D4476FE444CA6A652B90113B54000"><enum>(C)</enum><text>who satisfies the
requirements of paragraphs (1)(A), (1)(C), (2), and (3) of section
2110(b).</text>
</subparagraph></paragraph></subsection><subsection id="HC0517809AEF34C598CF752A548C0BAB9"><enum>(c)</enum><header>References to
terms and special rules</header><text>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:</text>
<paragraph id="H5C7EBC7CA92C417E8FBED0EC7147E368"><enum>(1)</enum><text>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.</text>
</paragraph><paragraph id="HCE8AC8C5134F44F59D003875A1D19D0"><enum>(2)</enum><text>Any such reference
to child health assistance with respect to such women is deemed a reference to
pregnancy-related assistance.</text>
</paragraph><paragraph id="HF2404BD4BAEC4791B6D8C88D14CBF81E"><enum>(3)</enum><text>Any such reference
to a child is deemed a reference to a woman during pregnancy and the period
described in subsection (b)(2)(A).</text>
</paragraph><paragraph id="H4E5DD8BE081F4FB79B829CD32C96D1F0"><enum>(4)</enum><text>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.</text>
</paragraph><paragraph id="H1F85069B57BD448FA4B60024F578E781"><enum>(5)</enum><text>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.</text>
</paragraph><paragraph id="H7187F285EAC34032A5195C00767685F5"><enum>(6)</enum><text>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).</text>
</paragraph><paragraph id="HC1C5E12BB3DA49E0BFBEE2B0DD5876BE"><enum>(7)</enum><text>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.</text>
</paragraph></subsection><subsection id="H4D3E06F7F2734F199C52CA9BCFC154AE"><enum>(d)</enum><header>Automatic
enrollment for children born to women receiving pregnancy-related
assistance</header><text>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).</text>
</subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph><paragraph id="HED9C568CD5DA44E38B20FBD6DB6258B"><enum>(2)</enum><header>Additional
allotments for providing coverage of pregnant women</header>
<subparagraph id="HCCF1FB34CAE94A07B7B2D5F729690103"><enum>(A)</enum><header>In
general</header><text display-inline="yes-display-inline">Section 2104 of the
Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1397dd">42 U.S.C. 1397dd</external-xref>) is amended by inserting after subsection
(c) the following:</text>
<quoted-block display-inline="no-display-inline" id="HBD33F55503214DDEB6DFDCAF1D9E0F1" style="OLC">
<subsection id="H6CD834ACCACD456FA5CCB170583477C7"><enum>(d)</enum><header>Additional
allotments for providing coverage of pregnant women</header>
<paragraph id="HBF3970CCBD7942E3A87B9C7FBB11EEFE"><enum>(1)</enum><header>Appropriation;
total allotment</header><text display-inline="yes-display-inline">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.</text>
</paragraph><paragraph id="HDC45EC4561214037B7E3A1879701048F"><enum>(2)</enum><header>State and
territorial allotments</header><text display-inline="yes-display-inline">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—</text>
<subparagraph id="H60C80132F96E4E5A9100AC47E4199807"><enum>(A)</enum><text display-inline="yes-display-inline">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</text>
</subparagraph><subparagraph id="HB6FA258ACAAA4BBDAFA2EA3D83B9E4F5"><enum>(B)</enum><text display-inline="yes-display-inline">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.</text>
</subparagraph></paragraph><paragraph id="H4FA23EE6B8484EC0B8EB985E07E05960"><enum>(3)</enum><header>Use of
additional allotment</header><text display-inline="yes-display-inline">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.</text>
</paragraph><paragraph id="H226561B667004551A806EC6DC2C737E0"><enum>(4)</enum><header>No payments
unless election to expand coverage of pregnant women</header><text display-inline="yes-display-inline">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.</text>
</paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</subparagraph><subparagraph id="HBB5FB9C0B4C044689133067EFE598AC"><enum>(B)</enum><header>Conforming
amendments</header><text display-inline="yes-display-inline">Section 2104 of
the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1397dd">42 U.S.C. 1397dd</external-xref>) is amended—</text>
<clause id="H6A3569E334C64D5B961E00B6D3F56E9F"><enum>(i)</enum><text>in
subsection (a), in the matter preceding paragraph (1), by inserting
<quote>subject to subsection (d),</quote> after <quote>under this
section,</quote>;</text>
</clause><clause id="H7EC7700A16AB418E91F2A1BFD71249D5"><enum>(ii)</enum><text>in
subsection (b)(1), by inserting <quote>and subsection (d)</quote> after
<quote>Subject to paragraph (4)</quote>; and</text>
</clause><clause id="H78823A59DFAC432BB918AD41D0D7011E"><enum>(iii)</enum><text>in
subsection (c)(1), by inserting <quote>subject to subsection (d),</quote> after
<quote>for a fiscal year,</quote>.</text>
</clause></subparagraph></paragraph><paragraph id="HB93E5D1E964E4C55970430BA63EEEFF5"><enum>(3)</enum><header>Presumptive
eligibility under title XXI</header>
<subparagraph id="H7A4F038FECD64CCDA2EEC341865BDF08"><enum>(A)</enum><header>Application to
pregnant women</header><text>Section 2107(e)(1)(D) of the Social Security Act
(<external-xref legal-doc="usc" parsable-cite="usc/42/1397gg">42 U.S.C. 1397gg(e)(1)</external-xref>) is amended to read as follows:</text>
<quoted-block display-inline="no-display-inline" id="H7CAA096FFE4C49D192CA4CD32E31F276" style="OLC">
<subparagraph id="HB3B43926126C4D63817C1F6B702B494F"><enum>(D)</enum><text display-inline="yes-display-inline">Sections 1920 and 1920A (relating to
presumptive
eligibility).</text>
</subparagraph><after-quoted-block>.</after-quoted-block></quoted-block>
</subparagraph><subparagraph id="HB89F6DF38C544CCE8F218838523E0300"><enum>(B)</enum><header>Exception from
limitation on administrative expenses</header><text display-inline="yes-display-inline">Section 2105(c)(2) of the Social Security
Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1397ee">42 U.S.C. 1397ee(c)(2)</external-xref>) is amended by adding at the end the following new
subparagraph:</text>
<quoted-block display-inline="no-display-inline" id="H46BFF184DB1442AC87B6F320E71B8262" style="OLC">
<subparagraph id="H6033BEAAD07B48579534F0101FDC77F2"><enum>(C)</enum><header>Exception for
presumptive eligibility expenditures</header><text display-inline="yes-display-inline">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.</text>
</subparagraph><after-quoted-block>.</after-quoted-block></quoted-block>
</subparagraph></paragraph><paragraph id="H0C9E81CC4AFD4AD9BB26803FD5F19680"><enum>(4)</enum><header>Additional
amendments to title XXI</header>
<subparagraph id="H1738C2B1E9104EC89830A979EAB0162F"><enum>(A)</enum><header>No cost-sharing
for pregnancy related services</header><text>Section 2103(e)(2) of the Social
Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1397cc">42 U.S.C. 1397cc(e)(2)</external-xref>) is amended—</text>
<clause id="HA26C643BBD964126B69C15FBDE19FE9C"><enum>(i)</enum><text>in
the heading, by inserting <quote><header-in-text level="paragraph" style="OLC">or pregnancy-related services</header-in-text></quote> after
<quote><header-in-text level="paragraph" style="OLC">preventive
services</header-in-text></quote>; and</text>
</clause><clause id="HC39575E2B4AE4525AC8E99865BC827BB"><enum>(ii)</enum><text>by
inserting before the period at the end the following: <quote>or for pregnancy
related services</quote>.</text>
</clause></subparagraph><subparagraph id="H2427E59FE9CF43E489E29693FEC02DC0"><enum>(B)</enum><header>No waiting
period</header><text display-inline="yes-display-inline">Section 2102(b)(1)(B)
of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1397bb">42 U.S.C. 1397bb(b)(1)(B)</external-xref>) is amended—</text>
<clause id="H8C505ED54B274A33ABB937947F41F094"><enum>(i)</enum><text display-inline="yes-display-inline">by striking <quote>, and</quote> at the end
of clause (i) and inserting a semicolon;</text>
</clause><clause id="H0FFC924637C64153B05F006814D7AAB"><enum>(ii)</enum><text>by
striking the period at the end of clause (ii) and inserting <quote>;
and</quote>; and</text>
</clause><clause id="H924CA3FA8E15481EACE9FBC8E0C31F45"><enum>(iii)</enum><text>by
adding at the end the following:</text>
<quoted-block display-inline="no-display-inline" id="H2FDB0A2891B34B0196F1037D49761355" style="OLC">
<clause id="HC61B10F6D33A4FE8BB56B2A224152031"><enum>(iii)</enum><text display-inline="yes-display-inline">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.</text>
</clause><after-quoted-block>.</after-quoted-block></quoted-block>
</clause></subparagraph></paragraph></subsection><subsection id="H0F82335C69C44575AF8466FDDD15157F"><enum>(c)</enum><header>Effective
date</header><text display-inline="yes-display-inline">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.</text>
</subsection><subsection id="H5ABBBB889A9146ABBDDBA920C741C3D4"><enum>(d)</enum><header>Construction</header><text display-inline="yes-display-inline">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.</text>
</subsection></section><section id="H89157A4436C54F7DB57B8CF37423AD33"><enum>902.</enum><header>Coordination
with the maternal and child health program</header>
<subsection id="H7026AAC070714DC4894100B9BA10B63C"><enum>(a)</enum><header>In
general</header><text>Section 2102(b)(3) of the Social Security Act (42 U.S.C.
1397bb(b)(3)) is amended—</text>
<paragraph id="HE4AFB985BA02426AA46B9C2CF126A665"><enum>(1)</enum><text>in subparagraph
(D), by striking <quote>and</quote> at the end;</text>
</paragraph><paragraph id="HC2026C5C9EED436BAB9E6BE2BBC4860"><enum>(2)</enum><text>in
subparagraph (E), by striking the period and inserting <quote>; and</quote>;
and</text>
</paragraph><paragraph id="H91F81B15C805417BBA5188D3452E406D"><enum>(3)</enum><text>by adding at the
end the following new subparagraph:</text>
<quoted-block id="H177F94E1904C4BBDB332617E58D018D2" style="OLC">
<subparagraph id="H2939199DD81A4A5AAC002B4F4800EBC3"><enum>(F)</enum><text>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.</text>
</subparagraph><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></subsection><subsection id="HB8325B7EB660499697CFA30238296600"><enum>(b)</enum><header>Conforming
medicaid amendment</header><text>Section 1902(a)(11) of such Act (42 U.S.C.
1396a(a)(11)) is amended—</text>
<paragraph id="HFCE138837559473B90D8277F5BBAE637"><enum>(1)</enum><text>by striking
<quote>and</quote> before <quote>(C)</quote>; and</text>
</paragraph><paragraph id="HBB2E98E19ECB42EF873DA743E5003641"><enum>(2)</enum><text>by inserting
before the semicolon at the end the following: <quote>, 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</quote>.</text>
</paragraph></subsection><subsection id="H4E4BDCB92D904319A99350E00FEE722"><enum>(c)</enum><header>Effective
date</header><text>The amendments made by this section take effect on January
1, 2007.</text>
</subsection></section><section id="H727AFC91A6C6427EA93EF872E08139AD"><enum>903.</enum><header>Increase in
SCHIP income eligibility</header>
<subsection id="HF67CC6B9230D4D48BBD725A95FCC921E"><enum>(a)</enum><header>Definition of
low-income child</header><text>Section 2110(c)(4) of the Social Security Act
(42 U.S.C. <external-xref legal-doc="usc" parsable-cite="usc/42/1397jj">42 U.S.C. 1397jj(c)(4)</external-xref>) is amended by striking <quote>200</quote>
and inserting <quote>250</quote>.</text>
</subsection><subsection id="HFE080272118F4B34A8C4D8E6FC5253B3"><enum>(b)</enum><header>Effective
date</header><text>The amendment made by subsection (a) applies to child health
assistance provided and allotments determined under section 2104 of the Social
Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1397dd">42 U.S.C. 1397dd</external-xref>) for fiscal years beginning with fiscal year
2007.</text>
</subsection></section><section id="H9073CD3DFCAB491CB1CEA73E4F621091"><enum>904.</enum><header>Outreach
program to encourage those eligible for services to enroll</header><text display-inline="no-display-inline">The Secretary shall make such funds
available as may be necessary to encourage eligible pregnant women to enroll
for services under this title.</text>
</section><enum>X</enum><header>Title
X of Public Health Service Act</header>
<section id="H19D2B46E898C48C3B4334D4C0054BBFE"><enum>1001.</enum><header>Short
title</header><text display-inline="no-display-inline">This title may be cited
as the <quote>Title X Family Planning Services Act of 2006</quote>.</text>
</section><section id="H515601E50EA443E6BA9193DAA3FF6D2"><enum>1002.</enum><header>Authorization
of appropriations</header><text display-inline="no-display-inline">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.</text>
</section><enum>XI</enum><header>Pregnancy as
Preexisting Condition</header>
<section id="H8A4246D815D04050A56E5B01E8C919A2"><enum>1101.</enum><header>Removal of
pregnancy as a preexisting condition under individual health insurance
coverage</header>
<subsection id="H7E045440723A4B768F9E011F1300DDDC"><enum>(a)</enum><header>In
general</header><text>Title XXVII of the Public Health Service Act is amended
by inserting after section 2752 the following new section:</text>
<quoted-block display-inline="no-display-inline" id="H6F8C2FC800D24CFFA690FA3F307DF8F8" style="OLC">
<section id="H7462B1D30BDC42DBA5348B82E944F5E1"><enum>2753.</enum><header>Preexisting
condition exclusion not Applicable to pregnancy</header><text display-inline="no-display-inline">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.</text>
</section><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection><subsection id="H84314619E0DE48578CC316B52E767E0"><enum>(b)</enum><header>Effective
date</header><text>The amendment made by subsection (a) shall apply to coverage
provided on or after January 1, 2007.</text>
</subsection></section><enum>XII</enum><header>Increasing
Women’s Knowledge About Their Pregnancy</header>
<section id="HF44EE52DE964400DA37E5300985E8CA3"><enum>1201.</enum><header>Grants to
health centers for purchase of ultrasound equipment</header><text display-inline="no-display-inline">Part B of title III of the Public Health
Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/243">42 U.S.C. 243 et seq.</external-xref>) is amended by inserting after section 317L
the following:</text>
<quoted-block display-inline="no-display-inline" id="HA4FAEFDA66D3419B8CB0145EE69D24B3" style="OLC">
<section id="H28EC61BBA6244EA4A521C1E73F004894"><enum>317L-1.</enum><header>Grants for
the purchase or upgrade of ultrasound equipment</header>
<subsection id="HEEA1ACD451DD4F92A7B64ED8147CD16E"><enum>(a)</enum><header>In
general</header><text>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.</text>
</subsection><subsection id="HE478C99A4F084D9DA6D794E400BFFEAE"><enum>(b)</enum><header>Eligibility
requirements</header><text>An entity may receive a grant under subsection (a)
only if the entity meets the following conditions:</text>
<paragraph id="HBA85DEDF7DE04FF296ECD02FAC54586E"><enum>(1)</enum><text>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).</text>
</paragraph><paragraph id="HE1254F1CFBAD4831BDFD63CCB529BF8"><enum>(2)</enum><text>The entity agrees
to comply with the following medical procedures:</text>
<subparagraph id="HDB4E1E498F3A412C9C97BF3E87F0155"><enum>(A)</enum><text>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.</text>
</subparagraph><subparagraph id="H723207FD3BDE4F668E00E602B7BCA11C"><enum>(B)</enum><text display-inline="yes-display-inline">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.</text>
</subparagraph><subparagraph id="H30146F78282943C89ECB3834A50048DD"><enum>(C)</enum><text>The ultrasound
examinations will be performed by a health professional authorized under the
law of the State involved to perform such examinations.</text>
</subparagraph></paragraph></subsection><subsection id="H64AB775C3F3A4CF7839D0097773D9979"><enum>(c)</enum><header>Application for
grant</header><text>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.</text>
</subsection><subsection id="HFED99638153247C0A6D01C72355347DC"><enum>(d)</enum><header>Annual report to
Secretary</header><text>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).</text>
</subsection><subsection id="H8AD6D6121AB14878B26D4DEB004B3C13"><enum>(e)</enum><header>Authorization of
appropriations</header><text>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.</text>
</subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</section><section id="H7B7ABDB54FEB42168203E02B04A236FD"><enum>1202.</enum><header>Services to
patients receiving positive test diagnosis for down syndrome or other
prenatally diagnosed condition</header>
<subsection id="H3034FF9C4C4B4848AD0089637C199B84"><enum>(a)</enum><header>Findings and
purposes</header>
<paragraph id="H38B24C34D50D429ABE0632028CE827E"><enum>(1)</enum><header>Findings</header><text>The
Congress finds as follows:</text>
<subparagraph id="H94F2016BA5C940798400F80030870668"><enum>(A)</enum><text>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.</text>
</subparagraph><subparagraph id="HF67D1E1F4003415E83E0AA21B7EDE2D"><enum>(B)</enum><text>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.</text>
</subparagraph></paragraph><paragraph id="H1F48BD1F4A8141AB91DDE85C84C9AE00"><enum>(2)</enum><header>Purposes</header><text>It
is the purpose of this section, after the diagnosis of a fetus with Down
syndrome or other prenatally diagnosed conditions, to—</text>
<subparagraph id="HB44E56872515432FB9E5313D39C35BFA"><enum>(A)</enum><text>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;</text>
</subparagraph><subparagraph id="H246C12F49DAD475E8E24B8A7904BA652"><enum>(B)</enum><text>provide networks
of support through a Centers for Disease Control and Prevention patient and
provider outreach program;</text>
</subparagraph><subparagraph id="H4676054B8186436300A4A55F79680696"><enum>(C)</enum><text>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</text>
</subparagraph><subparagraph id="H3BE7E381F5FE4BE29B24C90521BFBA2E"><enum>(D)</enum><text>ensure that
patients receive up-to-date, scientific information about the accuracy of the
test.</text>
</subparagraph></paragraph></subsection><subsection id="HE2B2AD860EA54E869D7158D09B6BC236"><enum>(b)</enum><header>Amendment to the
Public Health Service Act</header><text>Part P of title III of the Public
Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/280g">42 U.S.C. 280g et seq.</external-xref>) is amended by adding at the end the
following:</text>
<quoted-block display-inline="no-display-inline" id="HA550331C7B3A443CA700AB2D5664A53F" style="OLC">
<section id="HEA946657D4EA496C00A8A7452300D848"><enum>399P.</enum><header>Support for
patients receiving a positive test diagnosis of down syndrome or other
prenatally diagnosed conditions</header>
<subsection id="H8618A42F7A88431D933EFA1CD5DB5DB4"><enum>(a)</enum><header>Definitions</header><text>In
this section:</text>
<paragraph id="H6BF79A531065469B900776611491CA1C"><enum>(1)</enum><header>Down
syndrome</header><text>The term <term>Down syndrome</term> 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.</text>
</paragraph><paragraph id="HCF6E645A54A64047B23172B410DF5B6B"><enum>(2)</enum><header>Health care
provider</header><text>The term <term>health care provider</term> 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.</text>
</paragraph><paragraph id="HE3CC63943C314585AD77866140928585"><enum>(3)</enum><header>Prenatally
diagnosed condition</header><text>The term <term>prenatally diagnosed
condition</term> means any fetal health condition identified by prenatal
genetic testing or prenatal screening procedures.</text>
</paragraph><paragraph id="H994843B649224EB8AD79B24F8E7A994"><enum>(4)</enum><header>Prenatal
test</header><text>The term <term>prenatal test</term> 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.</text>
</paragraph></subsection><subsection id="H03ED426F7B8E4FF2B77EF8C181BEDB"><enum>(b)</enum><header>Information and
support services</header><text>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—</text>
<paragraph id="HD3E8AA700A3941E3B40021B809BE93A8"><enum>(1)</enum><text>collect,
synthesize, and disseminate current scientific information relating to Down
syndrome or other prenatally diagnosed conditions; and</text>
</paragraph><paragraph id="H44A716F48DBB418FB81C63C7A78B5FBD"><enum>(2)</enum><text>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—</text>
<subparagraph id="H84845E4CCA0D4C3EB26F8D5DA9CFE3AE"><enum>(A)</enum><text>the establishment
of a resource telephone hotline and Internet Website accessible to patients
receiving a positive test result;</text>
</subparagraph><subparagraph id="HBF7BA46F64C14417B79EFD4905D818F1"><enum>(B)</enum><text>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;</text>
</subparagraph><subparagraph id="HA98D27F1CBF64EFF8F1477F5645EB561"><enum>(C)</enum><text>the establishment
of national and local peer-support programs;</text>
</subparagraph><subparagraph id="H88FAC76179AF44E3A5702E9288C9C121"><enum>(D)</enum><text>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</text>
</subparagraph><subparagraph id="HBB9470AB7C2A4F56BA3C2900EB3DECAD"><enum>(E)</enum><text>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.</text>
</subparagraph></paragraph></subsection><subsection id="HEBC12E18B12E42B2B8CF01A21ECEFE3"><enum>(c)</enum><header>Data
collection</header>
<paragraph id="H55F3103C2239489F8F997F1413424070"><enum>(1)</enum><header>Provision of
assistance</header><text>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.</text>
</paragraph><paragraph id="H78BC2A8CBAFF4200A1E228A3EA00B9A8"><enum>(2)</enum><header>Activities</header><text>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.</text>
</paragraph></subsection><subsection id="H95146040AB644EA39E03AED74DAE05A1"><enum>(d)</enum><header>Provision of
information by providers</header><text>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:</text>
<paragraph id="HE27F4C20AFA34F49906EAFEAD8E66BD3"><enum>(1)</enum><text>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.</text>
</paragraph><paragraph id="HD950397954674EB091BE195863DFA0C2"><enum>(2)</enum><text>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).</text>
</paragraph></subsection><subsection id="H335400F00401441E886F46F4204CBD6E"><enum>(e)</enum><header>Privacy</header>
<paragraph id="HB6097E3AABFF4B9F8CD2B9BDED3E84DD"><enum>(1)</enum><header>In
general</header><text>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—</text>
<subparagraph id="H835B4A6B970146D6A324BA5D6D7BBBC9"><enum>(A)</enum><text>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</text>
</subparagraph><subparagraph id="HEF286CBCB1D84484AA4C8798227131BF"><enum>(B)</enum><text>data that are not
related to the epidemiology of the condition being tested for.</text>
</subparagraph></paragraph><paragraph id="H2656AACB5CDC42F3BE1C7D905D2FEF60"><enum>(2)</enum><header>Guidance</header><text>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).</text>
</paragraph></subsection><subsection id="H0780C3257A9F46E1B87F4B37C2B32458"><enum>(f)</enum><header>Reports</header>
<paragraph id="HB69ACF3027FE4A82B0000063008980E1"><enum>(1)</enum><header>Implementation
report</header><text>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).</text>
</paragraph><paragraph id="H929053E85F6E484A0019E187A915CFB2"><enum>(2)</enum><header>GAO
report</header><text>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.</text>
</paragraph></subsection><subsection id="H892629043FC14A11A800A0642B2D4517"><enum>(g)</enum><header>Authorization of
appropriations</header><text>There is authorized to be appropriated to carry
out this section $5,000,000 for each of the fiscal years 2007 through
2011.</text>
</subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection></section><enum>XIII</enum><header>Preventing
Domestic Violence and Sexual Assault</header>
<section id="H06A270B9BEDC45A5B81926CC007C3B25"><enum>1301.</enum><header>Separate
program to identify and treat pregnant women and new mothers who are victims of
domestic violence, dating violence, sexual assault, or stalking</header>
<subsection id="H37387E66D84042A88B97ABC72000042"><enum>(a)</enum><header>Allotments</header><text>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—</text>
<paragraph id="H67113A9BB85A4343A1C3B87561E22D75"><enum>(1)</enum><text>the amount
appropriated under subsection (d) for the fiscal year; and</text>
</paragraph><paragraph id="HC192518998044750841CA6AEA3E95B61"><enum>(2)</enum><text>the percentage
determined for the State under section 502(c)(1)(B)(ii) of such Act.</text>
</paragraph></subsection><subsection id="H08920C7344CE4AD1A818CC5D401BDB00"><enum>(b)</enum><header>Purpose</header><text display-inline="yes-display-inline">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—</text>
<paragraph id="H6434EC092A6044A7AC804B2882A4651E"><enum>(1)</enum><text>identifying
patients of clients experiencing domestic violence, dating violence sexual
assault, or stalking;</text>
</paragraph><paragraph id="H32BFAFCF49614D24A1049900B8904400"><enum>(2)</enum><text>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;</text>
</paragraph><paragraph id="H05500658AA924D68A7F6F684B32900DD"><enum>(3)</enum><text>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);</text>
</paragraph><paragraph id="H331439DC27D5414A808370EA5CF9D4DA"><enum>(4)</enum><text>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;</text>
</paragraph><paragraph id="HF3DA4E9E4EE64FBDA5427E653CD1EC96"><enum>(5)</enum><text>referring the
patient or client to public and private nonprofit entities that provide
services for such victims; and</text>
</paragraph><paragraph id="H6E53CAB22ADD4A0D89EEB01F9242E217"><enum>(6)</enum><text>ensuring that all
services are provided in a linguistically and culturally relevant
manner.</text>
</paragraph></subsection><subsection id="H050C45EC28C5438DA4BBB962F3159D79"><enum>(c)</enum><header>Application of
provisions</header>
<paragraph id="H09280D4D568E49DB966D7D93E300AA66"><enum>(1)</enum><header>In
general</header><text>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.</text>
</paragraph><paragraph id="H66078CFE2AA5417E82607867EBAE24AE"><enum>(2)</enum><header>Secretarial
discretion</header><text>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.</text>
</paragraph></subsection><subsection id="H036254FFDE344C74B4249F19A953EF9B"><enum>(d)</enum><header>Authorization of
Appropriations</header><text>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.</text>
</subsection></section><section id="HADA3F7BF065445D49245E4D395F4D801"><enum>1302.</enum><header>Additional
authorization of appropriations for public campaign to increase public
awareness</header><text display-inline="no-display-inline">Section 403(b) of
<external-xref legal-doc="public-law" parsable-cite="pl/109/162">Public Law 109–162</external-xref> (119 Stat. 3023) is amended by striking <quote>such
sums</quote> and all that follows and inserting the following:
<quote>$5,000,000 for fiscal year 2007, and such sums as may be necessary for
each of the fiscal years 2008 through 2011.</quote>.</text>
</section><enum>XIV</enum><header>Support for
Pregnant and Parenting Students</header>
<section id="HD176A197ABBA4658BD2136A2A7F851E2"><enum>1401.</enum><header>Support
services for students of institutions of higher education</header>
<subsection id="H2E895538820F4EF68233F6288CE1B435"><enum>(a)</enum><header>In
general</header><text display-inline="yes-display-inline">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.</text>
</subsection><subsection id="H844E4B7401F645B3B884578FC9969DB4"><enum>(b)</enum><header>Certain
requirements for grantees</header><text>A grant may be made under subsection
(a) only if the institution of higher education involved agrees that the
institution—</text>
<paragraph id="H4C2C2E9110A2473C86F1E5368175EAA1"><enum>(1)</enum><text>will provide the
services through on-campus facilities; and</text>
</paragraph><paragraph id="H86033F3794854947BC4C4721173600F0"><enum>(2)</enum><text>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.</text>
</paragraph></subsection><subsection id="H0B4C5F2D2DB74448A666CBB258343D59"><enum>(c)</enum><header>Application for
grant</header><text>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.</text>
</subsection><subsection id="HC10F58ABDD964CB9B8E77700001BDD00"><enum>(d)</enum><header>Limitations on
amount of grant</header><text>A grant under subsection (a) for a fiscal year
may not be made in an amount exceeding $25,000.</text>
</subsection><subsection id="H08E8B749D0464D1DAEC5721FABF3A526"><enum>(e)</enum><header>Authorization of
Appropriations</header><text>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.</text>
</subsection></section><section id="H3EB8A2F47B724B168B401CA6D9716C3B"><enum>1402.</enum><header>Child care
access means parents in school program</header>
<subsection id="H7DA6C88E038A4C3AAC86432522D1189E"><enum>(a)</enum><header>Minimum
grant</header><text display-inline="yes-display-inline">Section 419N(b)(2)(B)
of the Higher Education Act of 1965 (<external-xref legal-doc="usc" parsable-cite="usc/20/1070e">20 U.S.C. 1070e(b)(2)(B)</external-xref>) is amended by
striking <quote>$10,000</quote> and inserting <quote>$30,000</quote>.</text>
</subsection><subsection id="H723DB9CDE30946CB8FEFE55491009F82"><enum>(b)</enum><header>Definition of
low-income student</header><text>Section 419N(b)(7) of such Act is amended to
read as follows:</text>
<quoted-block display-inline="no-display-inline" id="H2BA9590B147144E0B54B87BC5EAF02A1" style="OLC">
<paragraph id="HA38F42F0BD3C44C0A2A99CE623131316"><enum>(7)</enum><header>Definition of
low-income student</header><text display-inline="yes-display-inline">For the
purpose of this section, the term `low-income student' means a student
who—</text>
<subparagraph id="H888CAEEC94E746E7BC56BFC3EFA31756"><enum>(A)</enum><text>is eligible to
receive a Federal Pell Grant for the fiscal year for which the determination is
made; or</text>
</subparagraph><subparagraph id="H167DFEA6431F49699B30DC7E6372B0AC"><enum>(B)</enum><text>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—</text>
<clause id="H892214D78F814171A72891932826311E"><enum>(i)</enum><text>section 401(c)(1)
because the student is enrolled in a graduate or first professional course of
study; or</text>
</clause><clause id="H49D7D651A62F4F5982F49FD2984B3D86"><enum>(ii)</enum><text>section 484(a)(5)
because the student is in the United States for a temporary
purpose.'.</text>
</clause></subparagraph></paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection><subsection id="H4ED301EEADBC46B5A548C683D2BD80DB"><enum>(c)</enum><header>Authorization of
appropriations</header><text display-inline="yes-display-inline">Section
419N(g) of such Act is amended by striking <quote>$45,000,000 for fiscal year
1999</quote> and inserting <quote>$75,000,000 for fiscal year
2007</quote>.</text>
</subsection></section><enum>XV</enum><header>Federally-Funded
Homes for Pregnant and Parenting Women</header>
<section id="H1C276CEDECEA4BFD958E428C77232E06"><enum>1501.</enum><header>Counseling
requirements</header><text display-inline="no-display-inline">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—</text>
<paragraph id="H09D7FAA3362841ECB2ADBE92A69834C7"><enum>(1)</enum><text>adoption
counseling; and</text>
</paragraph><paragraph id="H1758D7478BA8428B91F206C7ADFF2990"><enum>(2)</enum><text>counseling on
parenting skills.</text>
</paragraph></section><section id="HD47814B1CC0C4DC0AE63001BFD954800"><enum>1502.</enum><header>Treatment of
pregnant and parenting women</header><text display-inline="no-display-inline">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.</text>
</section><enum>XVI</enum><header>Expansion of
Adoption Credit and Adoption Assistance Programs</header>
<section id="HB66092E416834FECB333A2FF1E3C922E"><enum>1601.</enum><header>Expansion of
adoption credit and adoption assistance programs</header>
<subsection id="HED34BB2818E74DEE83EC00AB545C824C"><enum>(a)</enum><header>Increase in
dollar limitation</header>
<paragraph id="H1F63F2881538446FB17E832FBD1223AB"><enum>(1)</enum><header>Adoption
credit</header>
<subparagraph id="HCDCDD241158B497592A8FC3256A1E9B2"><enum>(A)</enum><header>In
general</header><text>Paragraph (1) of section 23(b) of the Internal Revenue
Code of 1986 (relating to dollar limitation) is amended by striking
<quote>$10,000</quote> and inserting <quote>$15,000</quote>.</text>
</subparagraph><subparagraph id="H367DA0077C01428AA8003563E3D16301"><enum>(B)</enum><header>Child with
special needs</header><text>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</text>
<clause id="HD111A3029B8F451589ECB22C8528344D"><enum>(i)</enum><text>in
the text by striking <quote>$10,000</quote> and inserting
<quote>$15,000</quote>, and</text>
</clause><clause id="HA56FAB2F94C246E78418A3D55EDC8CAA"><enum>(ii)</enum><text>in
the heading by striking <quote>$10,000</quote> and inserting
<quote>$15,000</quote>.</text>
</clause></subparagraph><subparagraph id="HE80F2B79B75348D786474131175CC099"><enum>(C)</enum><header>Conforming
amendment to inflation adjustment</header><text>Subsection (h) of section 23 of
such Code (relating to adjustments for inflation) is amended to read as
follows:</text>
<quoted-block id="HBFA86B407B5449128FD817AA9071BD05" style="OLC">
<subsection id="HDE265D15880D449190E98422EAF61763"><enum>(h)</enum><header>Adjustments for
inflation</header>
<paragraph id="H3BA10AE1B9864B14A2D9DB15365273C6"><enum>(1)</enum><header>Dollar
limitations</header><text>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—</text>
<subparagraph id="HF5CDFB156BAD4B4ABC1B46469800AB99"><enum>(A)</enum><text>such dollar
amount, multiplied by</text>
</subparagraph><subparagraph id="H8417ACA90A764E16BEB685D302A47E86"><enum>(B)</enum><text>the cost-of-living
adjustment determined under section 1(f)(3) for the calendar year in which the
taxable year begins, determined by substituting <quote>calendar year
2006</quote> for <quote>calendar year 1992</quote> in subparagraph (B)
thereof.</text>
</subparagraph><continuation-text continuation-text-level="paragraph">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.</continuation-text></paragraph><paragraph id="H506B11DC0B1B457BA63B2357A2984F4B"><enum>(2)</enum><header>Income
limitation</header><text>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—</text>
<subparagraph id="H79D5D4C20D4D431DA78FC94899C3A6D8"><enum>(A)</enum><text>such dollar
amount, multiplied by</text>
</subparagraph><subparagraph id="H09BEFC553462492B86DA99389968F26B"><enum>(B)</enum><text>the cost-of-living
adjustment determined under section 1(f)(3) for the calendar year in which the
taxable year begins, determined by substituting <quote>calendar year
2001</quote> for <quote>calendar year 1992</quote> in subparagraph (B)
thereof.</text>
</subparagraph><continuation-text continuation-text-level="paragraph">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.</continuation-text></paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</subparagraph></paragraph><paragraph id="H236CA5EC07374E52B8EA8334DCA1F7C3"><enum>(2)</enum><header>Adoption
assistance programs</header>
<subparagraph id="H7C786076A61B46C0BB5BF6C8BAD676BF"><enum>(A)</enum><header>In
general</header><text>Paragraph (1) of section 137(b) of the Internal Revenue
Code of 1986 (relating to dollar limitation) is amended by striking
<quote>$10,000</quote> and inserting <quote>$15,000</quote>.</text>
</subparagraph><subparagraph id="HF88C8A12227D41A99B5685B7B0F6B25B"><enum>(B)</enum><header>Child with
special needs</header><text>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—</text>
<clause id="H1FA3DE513AF941EE929400B1B5ACA3DC"><enum>(i)</enum><text>in
the text by striking <quote>$10,000</quote> and inserting
<quote>$15,000</quote>, and</text>
</clause><clause id="H0851EBCE42DD42799F809011CC4C0000"><enum>(ii)</enum><text>in
the heading by striking <quote>$10,000</quote> and inserting
<quote>$15,000</quote>.</text>
</clause></subparagraph><subparagraph id="H044BC2DA934E4D7F92D588541E9800DE"><enum>(C)</enum><header>Conforming
amendment to inflation adjustment</header><text>Subsection (f) of section 137
of such Code (relating to adjustments for inflation) is amended to read as
follows:</text>
<quoted-block id="HBC369F878E7449E6A73FBC00805DE1FE" style="OLC">
<subsection id="HD6CFC764C0A24340B66FD0795299FF1C"><enum>(f)</enum><header>Adjustments for
inflation</header>
<paragraph id="H4C464F3097A54BA99680CEDAC013ACA8"><enum>(1)</enum><header>Dollar
limitations</header><text>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—</text>
<subparagraph id="H67CE8F6B43E2474EB604B83C224B2629"><enum>(A)</enum><text>such dollar
amount, multiplied by</text>
</subparagraph><subparagraph id="HF1FA21A3CC3F4968B300B9626C162BD7"><enum>(B)</enum><text>the cost-of-living
adjustment determined under section 1(f)(3) for the calendar year in which the
taxable year begins, determined by substituting <quote>calendar year
2006</quote> for <quote>calendar year 1992</quote> in subparagraph (B)
thereof.</text>
</subparagraph><continuation-text continuation-text-level="paragraph">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.</continuation-text></paragraph><paragraph id="H262BF192BC5440A9B1DCA89427B027EC"><enum>(2)</enum><header>Income
limitation</header><text>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—</text>
<subparagraph id="H51407838EB8A437C937CA2FC743C8CAE"><enum>(A)</enum><text>such dollar
amount, multiplied by</text>
</subparagraph><subparagraph id="H02CE15ED4F7A4A06006C6B09AAE700D4"><enum>(B)</enum><text>the cost-of-living
adjustment determined under section 1(f)(3) for the calendar year in which the
taxable year begins, determined by substituting <quote>calendar year
2001</quote> for <quote>calendar year 1992</quote> in subparagraph
thereof.</text>
</subparagraph><continuation-text continuation-text-level="paragraph">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.</continuation-text></paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</subparagraph></paragraph></subsection><subsection id="H633B29CEC5BA47DB9C46869EDAE71F"><enum>(b)</enum><header>Credit made
refundable</header>
<paragraph id="H6D315A831E8344F38795667EA8B499BA"><enum>(1)</enum><header>Credit moved to
subpart relating to refundable credits</header><text>The Internal Revenue Code
of 1986 is amended—</text>
<subparagraph id="H836DB6A09420409A943006AA284FE630"><enum>(A)</enum><text>by redesignating
section 36 as section 37,</text>
</subparagraph><subparagraph id="H053C5B6D943E467E993C69FE3074575"><enum>(B)</enum><text>by redesignating
section 23, as amended by subsection (a), as section 36, and</text>
</subparagraph><subparagraph id="HC69FAC9DDF44401C8F40AE86D6871CEE"><enum>(C)</enum><text>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.</text>
</subparagraph></paragraph><paragraph id="H2560A017002A44249913DA3EF2CB95A4"><enum>(2)</enum><header>Conforming
amendments</header>
<subparagraph id="H15662FDF6FC84771ABE02B00F0D83872"><enum>(A)</enum><text>Section
24(b)(3)(B) of such Code is amended by striking <quote>and sections 23</quote>
and inserting <quote>section</quote>.</text>
</subparagraph><subparagraph id="HD81625B3F3A1454283D734B5BBBAF68"><enum>(B)</enum><text>Section 25(e)(1)(C)
of such Code is amended by striking <quote>23,</quote>.</text>
</subparagraph><subparagraph id="HF917C9045A764437AB8F6FAE42B7889"><enum>(C)</enum><text>Section 25B(g)(2)
of such Code is amended by striking <quote>and section 23</quote>.</text>
</subparagraph><subparagraph id="HEF05B6CD3C054E739595F2B36D42399E"><enum>(D)</enum><text>Section 36 of such
code, as so redesignated, is amended—</text>
<clause id="HE468A4200DD741C0BCC338794F7248BE"><enum>(i)</enum><text>by
striking paragraph (4) of subsection (b), and</text>
</clause><clause id="H03ECECF6529B421680FB9F5BD356D186"><enum>(ii)</enum><text>by
striking subsection (c).</text>
</clause></subparagraph><subparagraph id="H06E3CF8B846147EE8C81F0DDA2CF431"><enum>(E)</enum><text>Section 137 of such
code is amended—</text>
<clause id="H46C01AFE48A64C2F004D617825204500"><enum>(i)</enum><text>in
subsection (d) by striking <quote>section 23(d)</quote> and inserting
<quote>section 36(d)</quote>, and</text>
</clause><clause id="H89D9D69C1C0142BF8437B69078D9EAC"><enum>(ii)</enum><text>in
subsection (e) by striking <quote>section 23</quote> and inserting
<quote>section 36</quote>.</text>
</clause></subparagraph><subparagraph id="HB6CEE1CB15B94A0A858B39A4B2E0ACE7"><enum>(F)</enum><text>Section 1400C(d)
of such Code is amended by striking <quote>23, 24,</quote> and inserting
<quote>24</quote>.</text>
</subparagraph><subparagraph id="HC959776EE65F459CA6798DA03648C496"><enum>(G)</enum><text>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.</text>
</subparagraph><subparagraph id="H22C1E4B1D11B46E880A9679454092FD"><enum>(H)</enum><text>Paragraph (2) of
<external-xref legal-doc="usc" parsable-cite="usc/31/1324">section 1324(b)</external-xref> of title 31, United States Code, is amended by inserting
<quote>or 36</quote> after <quote>section 35</quote>.</text>
</subparagraph><subparagraph id="H978632BD6C744CB889C6D4F7C1E918B"><enum>(I)</enum><text>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:</text>
<quoted-block display-inline="no-display-inline" id="H35087983EDDD4A959488145CCE21FD95" style="OLC">
<toc regeneration="no-regeneration">
<toc-entry level="section">Sec. 36. Adoption expenses.</toc-entry>
<toc-entry level="section">Sec. 37. Overpayments of
tax.</toc-entry>
</toc>
<after-quoted-block>.</after-quoted-block></quoted-block>
</subparagraph></paragraph></subsection><subsection id="HEB5262A4C22D40D900FFE419582C6CB"><enum>(c)</enum><header>Modifications
made by egtrra to adoption credit made permanent</header><text>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.</text>
</subsection><subsection id="H43CFB7FF27584101B6905C7C9EF9B19B"><enum>(d)</enum><header>Effective
date</header><text>The amendments made by this section shall apply to taxable
years beginning after December 31, 2006.</text>
</subsection></section><enum>XVII</enum><header>Providing
Support to New Parents</header>
<section id="H1FC32FB9C95847BAA8F45C2F676B07BD"><enum>1701.</enum><header>Increased
support for WIC program</header>
<subsection id="H402D335BC82C41D5943CA02E5F72C58B"><enum>(a)</enum><header>Findings</header><text>Congress
finds the following:</text>
<paragraph id="HC7119136222E44A6853F8E9C58302DCA"><enum>(1)</enum><text>The special
supplemental nutrition program for women, infants, and children (WIC)
authorized in the Child Nutrition Act of 1966 (<external-xref legal-doc="usc" parsable-cite="usc/42/1786">42 U.S.C. 1786</external-xref>) serves over
8,000,000 women, infants, and children.</text>
</paragraph><paragraph id="HDB2B77C804064255B34C6BCD806F3EC9"><enum>(2)</enum><text>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.</text>
</paragraph><paragraph id="H27EC11314DE844F08E46EBD438F6DB8"><enum>(3)</enum><text>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.</text>
</paragraph><paragraph id="H9D91D6DCFA6F42369132B3A3EB8C78C3"><enum>(4)</enum><text>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.</text>
</paragraph><paragraph id="HEE9EB73D637A45728121AF424EB0634F"><enum>(5)</enum><text display-inline="yes-display-inline">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.</text>
</paragraph><paragraph id="HAE7ED1DE979A48C2A949CF000170FEE7"><enum>(6)</enum><text>One in 10 people
eligible to participate in the WIC program are unable to receive WIC
services.</text>
</paragraph></subsection><subsection id="HE1E98FA408E847A5A1B9B2A27032D8B3"><enum>(b)</enum><header>Authorization of
appropriations</header><text display-inline="yes-display-inline">For the
purpose of carrying out the special supplemental nutrition program for women,
infants, and children (WIC) (<external-xref legal-doc="usc" parsable-cite="usc/42/1786">42 U.S.C. 1786</external-xref>), 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.</text>
</subsection></section><section id="HCC522DD92EEF4D2BA033103BFEBC3B5"><enum>1702.</enum><header>Nutritional
support for low-income parents</header><text display-inline="no-display-inline">Section 5(c)(2) of the Food Stamp Act of
1977 (<external-xref legal-doc="usc" parsable-cite="usc/7/2014">7 U.S.C. 2014(c)(2)</external-xref>) is amended by striking “30 percentum” and inserting
“85 percentum”.</text>
</section><section id="HCE23EC98DF0C4292B1A7D4BBD42F7BBE"><enum>1703.</enum><header>Increased
funding for the Child Care and Development Block Grant program</header>
<subsection id="H20DC07D36D5F4A8CBAC0D442C5277606"><enum>(a)</enum><header>Authorization of
appropriations</header><text display-inline="yes-display-inline">Section 658B
of the Child Care and Development Block Grant Act of 1990 (<external-xref legal-doc="usc" parsable-cite="usc/42/9858">42 U.S.C. 9858</external-xref>) is
amended to read as follows:</text>
<quoted-block display-inline="no-display-inline" id="HF404757A7588447DA9D6C9E44B681977" style="OLC">
<section id="H6F72845709BD4EE49FDA7E6245D1160"><enum>658B.</enum><header>Authorization
of appropriations</header><text display-inline="no-display-inline">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.</text>
</section><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection><subsection id="HEF958AB7ECB84857A545A77F938C275C"><enum>(b)</enum><header>Conforming
amendment</header><text>Section 658E(c)(3)(D) of the Child Care and Development
Block Grant Act of 1990 (<external-xref legal-doc="usc" parsable-cite="usc/42/9858c">42 U.S.C. 9858c(c)(3)(D)</external-xref>) is amended by striking
<quote>1997 through 2002</quote> and inserting <quote>2007 through
2011</quote>.</text>
</subsection></section><section id="H8F2FC1C7B5E345E28B00399BD2996C5B"><enum>1704.</enum><header>Teenage or
first-time mothers; free home visits by registered nurses for education on
health needs of infants</header>
<subsection id="H5F4EBECCDBB549DCAF588B81B6984F88"><enum>(a)</enum><header>In
general</header><text>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.</text>
</subsection><subsection id="H252EDE36DE8F44FC812DCC9D45C7F0C1"><enum>(b)</enum><header>Eligible
mother</header>
<paragraph id="H3B74E0DEF12B45F7B2477F07B356A3F0"><enum>(1)</enum><header>In
general</header><text>For purposes of subsection (a), a woman is an eligible
mother if, subject to paragraph (2), the woman—</text>
<subparagraph id="H7BAA5A06FC9A44CB83D02D97E3180E7"><enum>(A)</enum><text>is the mother of an
infant who is not more than 12 months of age; and</text>
</subparagraph><subparagraph id="HCB50026FF6F8454B972C5436614BC8ED"><enum>(B)</enum><clause commented="no" display-inline="yes-display-inline" id="HC729424DE0944781AAB5DF0029A02797"><enum>(i)</enum><text>the woman was under the
age of 20 at the time of birth; or</text>
</clause><clause id="H7F909670CDF54C0B87B4A66809EC9135" indent="up1"><enum>(ii)</enum><text>the infant referred to in
subparagraph (A) is the first child of the woman.</text>
</clause></subparagraph></paragraph><paragraph id="H40B23AC14B324DA989F22C9D7D4F3861"><enum>(2)</enum><header>Additional
requirements for certain mothers</header><text>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.</text>
</paragraph></subsection><subsection id="H4F2008D2617945928EA274BBD184EA69"><enum>(c)</enum><header>Certain
requirements</header><text>A grant may be made under subsection (a) only if the
applicant involved agrees as follows:</text>
<paragraph id="HA2140BD3BF174AB398FD002BC7F7B6E7"><enum>(1)</enum><text>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—</text>
<subparagraph id="H3038F23565264CDAAC5073369433114E"><enum>(A)</enum><text>providing
information on child development; and</text>
</subparagraph><subparagraph id="H11885093B8C34BF9B74E61541ECE6600"><enum>(B)</enum><text>soliciting
questions from the mothers.</text>
</subparagraph></paragraph><paragraph id="H497271C783054A22ACC6D951163619DA"><enum>(2)</enum><text>The registered
nurses who make home visits under subsection (a) will, as needed, provide
referrals for health and social services.</text>
</paragraph><paragraph id="H397D53D4F776410CA100E37119D10700"><enum>(3)</enum><text>The period during
which the visits will be available to an eligible mother will not be fewer than
six months.</text>
</paragraph><paragraph id="H4837323D51114A5C8EB5F0D435D1205"><enum>(4)</enum><text>An
eligible mother will not receive more than one visit each month during the
period in which such visits are available to the woman.</text>
</paragraph></subsection><subsection id="HFD88EEC7C26549D2959BCD18D88DE02E"><enum>(d)</enum><header>Authorized
services</header>
<paragraph id="H0A35007D6F1C4B1387EA264DC7005949"><enum>(1)</enum><header>Requirements</header><text>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):</text>
<subparagraph id="H5B515CACD208455EA8E1EB5574350538"><enum>(A)</enum><text>Information on
child health and development, including suggestions for child-developmental
activities that are enjoyable for parents and children.</text>
</subparagraph><subparagraph id="HFFCC184FC2E54394BCFA55249050CEE0"><enum>(B)</enum><text>Advice on
parenting, including information on how to develop a strong parent-child
relationship.</text>
</subparagraph><subparagraph id="H93FFC19B14A74D149F719DE3528E5DB"><enum>(C)</enum><text>Information on
resources about parenting, including identifying books and videos that are
available at local libraries.</text>
</subparagraph><subparagraph id="HA4B5463D18E143EE8606681C13D27DDE"><enum>(D)</enum><text>Information on
upcoming parenting workshops in the local region.</text>
</subparagraph><subparagraph id="H1314E0F67A244EB1AAF468D377B85EEA"><enum>(E)</enum><text>Information on
programs that facilitate parent-to-parent support services.</text>
</subparagraph><subparagraph id="H1C8399F3B669445096B4009187CAE8CC"><enum>(F)</enum><text>Factually and
medically accurate and complete information about contraception.</text>
</subparagraph><subparagraph id="H3BD7893E43374CF8B33F3DD100E4885B"><enum>(G)</enum><text>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.</text>
</subparagraph></paragraph><paragraph id="H646D537EA89647EBB5E9E74927F146CF"><enum>(2)</enum><header>Additional
services</header><text>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).</text>
</paragraph></subsection><subsection id="HB10A8E1D907A485FBAD8E61897167B73"><enum>(e)</enum><header>Authorization of
Appropriations</header><text>For the purpose of carrying out this section,
there are authorized to be appropriated $3,000,000 for fiscal year 2007.</text>
</subsection></section><section id="HB02E364A58F24704A8354221ECFEEF54"><enum>1705.</enum><header>Grants for
increasing public awareness of resources available to women preparing for child
birth</header>
<subsection id="H40978787988F40B2A137E057E6CD6630"><enum>(a)</enum><header>Grants</header><text display-inline="yes-display-inline">The Secretary may make grants to States to
increase public awareness of resources available to women preparing for child
birth and to new parents.</text>
</subsection><subsection id="H85F5F24358724AD5BD1CCE98F1172628"><enum>(b)</enum><header>Use of
funds</header><text>The Secretary may make a grant to a State under this
section only if the State agrees to use the grant for the following:</text>
<paragraph id="H4FF736E47DEA449DA8D6C1F7E8428783"><enum>(1)</enum><text>Identification of
resources available to pregnant women who have decided to carry their
pregnancies to term or to new parents, or both.</text>
</paragraph><paragraph id="HF79246363F704B60878D4479F992617D"><enum>(2)</enum><text>Conducting an
advertising campaign to increase public awareness of such resources.</text>
</paragraph><paragraph id="HA04118AB834547EF8CE12DA96364141D"><enum>(3)</enum><text>Establishing and
maintaining a toll-free telephone line to direct people to—</text>
<subparagraph id="H5182537E0B4B4D23A5BC1F36B890AD89"><enum>(A)</enum><text>organizations that
provide support services for pregnant women who have decided to carry their
pregnancies to term;</text>
</subparagraph><subparagraph id="HA57AA6AFE75A4AD0891B7E97EE107703"><enum>(B)</enum><text>adoption centers;
and</text>
</subparagraph><subparagraph id="H0687F7F4A52A4AB487EAEED0306922FE"><enum>(C)</enum><text>organizations that
provide support services to new parents.</text>
</subparagraph></paragraph></subsection><subsection id="HD37DD34360444ABAA7D0139760092E9"><enum>(c)</enum><header>Prohibition</header><text>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.</text>
</subsection><subsection id="HCC1A9B665A814DDA907869CA69A2E685"><enum>(d)</enum><header>Identification
of resources</header><text>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:</text>
<paragraph id="H2197D7C8D1FA4BD7B6A585AC4C856BCF"><enum>(1)</enum><text>The resources
identified pursuant to subsection (b)(1).</text>
</paragraph><paragraph id="HC16841E023B741A78BCC7C9103904700"><enum>(2)</enum><text>The organizations
and adoption centers to which people are directed pursuant to an advertising
campaign or telephone line funded under this section.</text>
</paragraph></subsection><subsection id="H76BD23F6BBFB4C948C58E4F8CADF8964"><enum>(e)</enum><header>Authorization of
Appropriations</header><text>The Secretary shall make such funds available as
may be necessary to carry out the activities of this section.</text>
</subsection></section><enum>XVIII</enum><header>Collecting and
Reporting Abortion Surveillance Data</header>
<section id="H8FE7EACFA3BC4ED382330038DE0323D8"><enum>1801.</enum><header>Grants for
collection and reporting of abortion surveillance data</header>
<subsection id="H6EC66CE5CDC04CCA978231A43325B300"><enum>(a)</enum><header>Grants</header><text>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.</text>
</subsection><subsection id="H929A8D4D74904B0AA41580EFA780691C"><enum>(b)</enum><header>Reporting
requirement</header>
<paragraph id="H8EDBBDFBFDB047D8B6B4A6F5DB64C79"><enum>(1)</enum><header>In
general</header><text>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.</text>
</paragraph><paragraph id="H6973592D68D3473EA19029F114894DCA"><enum>(2)</enum><header>Contents</header><text>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.</text>
</paragraph><paragraph id="H6E586F61E53546EEA8EA766F0542D062"><enum>(3)</enum><header>Confidentiality</header><text display-inline="yes-display-inline">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.</text>
</paragraph></subsection><subsection id="H5343668966FF4F8D84ACA296C69BEC31"><enum>(c)</enum><header>Report to
congress</header><text>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.</text>
</subsection><subsection id="H5CDBB7D702634FFDACDC7086E0629165"><enum>(d)</enum><header>Authorization of
Appropriations</header><text>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.</text>
</subsection></section><section id="H090434358A0A44ADB827390601012168"><enum>1802.</enum><header>Report on
reasons why women choose to have an abortion</header>
<subsection id="H2078EEF9C61E4CD8BE3DBDC438E38429"><enum>(a)</enum><header>In
general</header><text display-inline="yes-display-inline">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.</text>
</subsection><subsection id="HDFDE1D80FA904501BC362680782700CC"><enum>(b)</enum><header>Authorization of
Appropriations</header><text>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.</text>
</subsection></section>