[Congressional Bills 109th Congress]
[From the U.S. Government Publishing Office]
[H.R. 6145 Introduced in House (IH)]








109th CONGRESS
  2d Session
                                H. R. 6145

 To provide for programs that reduce the need for abortion, help women 
            bear healthy children, and support new parents.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                           September 21, 2006

   Mr. Davis of Tennessee (for himself, Mr. Smith of New Jersey, Ms. 
Kaptur, Mr. Lipinski, Mr. Ortiz, Mr. Melancon, Mr. Ford, Mr. Costello, 
Mr. Peterson of Minnesota, Mr. Oberstar, Mr. McIntyre, Mr. Holden, Mr. 
 Berry, Mr. Boyd, Mr. Marshall, Mr. Kildee, Mr. Kennedy of Minnesota, 
     Mr. Fitzpatrick of Pennsylvania, Mr. Mollohan, Mr. Taylor of 
Mississippi, Mr. King of New York, Mr. Clyburn, Mr. Murtha, Mr. Ryan of 
   Ohio, Mr. Langevin, Ms. Bordallo, and Mr. Barrow) introduced the 
   following bill; which was referred to the Committee on Energy and 
   Commerce, and in addition to the Committees on Education and the 
    Workforce, Ways and Means, and Agriculture, for a period to be 
subsequently determined by the Speaker, in each case for consideration 
  of such provisions as fall within the jurisdiction of the committee 
                               concerned

_______________________________________________________________________

                                 A BILL


 
 To provide for programs that reduce the need for abortion, help women 
            bear healthy children, and support new parents.

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

SECTION 1. SHORT TITLE; TABLE OF CONTENTS.

    (a) Short Title.--This Act may be cited as the ``Pregnant Women 
Support Act''.
    (b) Table of Contents.--The table of contents for this Act is as 
follows:

Sec. 1. Short title; table of contents.
Sec. 2. Findings.
Sec. 3. Definitions.
      TITLE I--COLLECTING AND REPORTING ABORTION SURVEILLANCE DATA

Sec. 101. Grants for collection and reporting of abortion surveillance 
                            data.
Sec. 102. Report on reasons why women choose to have an abortion.
       TITLE II--DISCLOSURE OF INFORMATION FOR ABORTION SERVICES

Sec. 201. Disclosure of information for abortion services.
  TITLE III--MEDICAID AND SCHIP COVERAGE OF PREGNANT WOMEN AND UNBORN 
                                CHILDREN

Sec. 301. Codification of optional SCHIP coverage of unborn children.
Sec. 302. Coordination with the maternal and child health program.
Sec. 303. Increase in SCHIP income eligibility.
Sec. 304. Outreach program to encourage those eligible for services to 
                            enroll.
  TITLE IV--HEALTH INSURANCE COVERAGE FOR PREGNANT WOMEN AND NEWBORNS

Sec. 401. Individual health insurance coverage for pregnant women.
Sec. 402. Continuation of health insurance coverage for newborns.
      TITLE V--INCREASING WOMEN'S KNOWLEDGE ABOUT THEIR PREGNANCY

Sec. 501. Grants to health centers for purchase of ultrasound 
                            equipment.
 TITLE VI--SERVICES REGARDING POSITIVE TEST DIAGNOSIS OF DOWN SYNDROME 
                OR OTHER PRENATALLY DIAGNOSED CONDITIONS

Sec. 601. Services to patients receiving positive test diagnosis for 
                            down syndrome or other prenatally diagnosed 
                            conditions.
 TITLE VII--IDENTIFICATION AND TREATMENT OF DOMESTIC VIOLENCE AGAINST 
                             PREGNANT WOMEN

Sec. 701. Findings.
Sec. 702. Separate program for domestic violence, dating violence, 
                            sexual assault and stalking screening and 
                            treatments for pregnant women and new 
                            mothers.
Sec. 703. Additional authorization of appropriations for public 
                            campaign to increase public awareness.
Sec. 704. Homicide death certificates.
                 TITLE VIII--PUBLIC AWARENESS CAMPAIGN

Sec. 801. Grants for increasing public awareness of resources available 
                            to assist pregnant women carrying their 
                            pregnancies to term and to assist new 
                            parents.
         TITLE IX--SUPPORT FOR PREGNANT AND PARENTING STUDENTS

Sec. 901. Support services for students of institutions of higher 
                            education.
Sec. 902. Child care for parenting students.
           TITLE X--SUPPORT FOR PREGNANT AND PARENTING TEENS

Sec. 1001.  Grants to States.
  TITLE XI--FEDERALLY-FUNDED HOMES FOR PREGNANT AND PARENTING WOMEN; 
                 ADOPTION COUNSELING; PARENTING SKILLS

Sec. 1101. Counseling requirements.
    TITLE XII--EXPANSION OF ADOPTION CREDIT AND ADOPTION ASSISTANCE 
                                PROGRAMS

Sec. 1201. Expansion of adoption credit and adoption assistance 
                            programs.
              TITLE XIII--PROVIDING SUPPORT TO NEW PARENTS

Sec. 1301. Increased support for WIC program.
Sec. 1302. Nutritional support for low-income parents.
Sec. 1303. Increased funding for the Child Care and Development Block 
                            Grant program.
Sec. 1304. Teenage or first-time mothers; free home visits by 
                            registered nurses for education on health 
                            needs of infants.

SEC. 2. FINDINGS.

    The Congress finds as follows:
            (1) There are 1.29 million abortions annually in America.
            (2) 48 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) ``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.
            (5) This Act is an initiative to gather more complete 
        information about abortion, to reduce the abortion rate by 
        helping women carry their pregnancies to term and bear healthy 
        children, and by affirming the right of women to be fully 
        informed about their other options when they seek an abortion.
            (6) The initiative will work to support women facing 
        unplanned pregnancies, new parents and their children by 
        providing comprehensive measures for health care needs, 
        supportive services and helpful prenatal information and 
        postnatal services.

SEC. 3. DEFINITIONS.

    For purposes of this Act:
            (1) The term ``Secretary'' means the Secretary of Health 
        and Human Services.
            (2) The term ``State'' includes the 50 States, the District 
        of Columbia, the Commonwealth of Puerto Rico, the Commonwealth 
        of the Northern Mariana Islands, American Samoa, Guam, the 
        Virgin Islands, and any other territory or possession of the 
        United States.

      TITLE I--COLLECTING AND REPORTING ABORTION SURVEILLANCE DATA

SEC. 101. GRANTS FOR COLLECTION AND REPORTING OF ABORTION SURVEILLANCE 
              DATA.

    (a) Grants.--The Secretary, acting through the Director of the 
Centers for Disease Control and Prevention, may make grants to States 
for collecting and reporting abortion surveillance data.
    (b) Reporting Requirement.--
            (1) In general.--The Secretary may make a grant to a State 
        under this section only if the State agrees to submit a report 
        in each of fiscal years 2008 and 2010 on the State's abortion 
        surveillance data.
            (2) Contents.--Each report submitted by a State under this 
        subsection shall, with respect to the preceding 2 fiscal years, 
        include--
                    (A) the number and characteristics of women 
                obtaining abortions in the State; and
                    (B) the characteristics of these abortions, 
                including the approximate gestational age of the unborn 
                child, the abortion method, and any known physical or 
                psychological complications.
    (c) Confidentiality.--The Secretary shall maintain the 
confidentiality of any individually identifiable information reported 
to the Secretary under this section.
    (d) Report.--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.
    (e) Authorization of Appropriations.--To carry out this section, 
there are authorized to be appropriated such sums as may be necessary 
for each of fiscal years 2006 through 2010.

SEC. 102. REPORT ON REASONS WHY WOMEN CHOOSE TO HAVE AN ABORTION.

    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.

       TITLE II--DISCLOSURE OF INFORMATION FOR ABORTION SERVICES

SEC. 201. DISCLOSURE OF INFORMATION FOR ABORTION SERVICES.

    (a) In General.--Health facilities that perform abortions in or 
affecting interstate commerce shall obtain informed consent from the 
pregnant woman seeking to have the abortion. Informed consent shall 
exist only after a woman has voluntarily completed or opted not to 
complete pre-abortion counseling sessions.
    (b) Accurate Information.--Counseling sessions under subsection (a) 
shall include the following information:
            (1) The probable gestational age and characteristics of the 
        unborn child at the time the abortion will be performed.
            (2) How the abortion procedure is performed.
            (3) Possible short-term and long-term risks and 
        complications of the procedure to be performed.
            (4) Options or alternatives to abortion, including, but not 
        limited to, adoption, and the resources available in the 
        community to assist women choosing these options.
            (5) The availability of post-procedure medical services to 
        address the risks and complications of the procedure.
    (c) Medical Emergencies.--In the case of a medical emergency 
consent is presumed. A medical emergency is expressed as a condition 
which, on the basis of the physician's good-faith clinical judgment, so 
complicate the medical condition of a pregnant woman as to necessitate 
the immediate termination of her pregnancy to avert her death or for 
which a delay will create a serious risk of substantial and 
irreversible impairment of a major bodily function.
    (d) Civil Remedies.--
            (1) Civil action.--Any female upon whom an abortion has 
        been performed or attempted without complying with the informed 
        consent requirements may bring a civil action in an appropriate 
        district court of the United States against the person who 
        performed the abortion in knowing or reckless violation of this 
        section for actual and punitive damages.
            (2) Certain authorities and requirements.--With respect to 
        an action under paragraph (1):
                    (A) The court may award attorney's fees to the 
                plaintiff if judgment is rendered in favor of the 
                plaintiff, and may award attorney's fees to the 
                defendant if judgment is rendered in favor of the 
                defendant and the court finds that the plaintiff's case 
                was frivolous and brought in bad faith.
                    (B) The court shall determine whether the anonymity 
                of the female involved will be preserved from public 
                disclosure if the female has not consented to her 
                identity being disclosed. If the female's identity is 
                to be shielded, the court shall issue an order sealing 
                the record and excluding individuals from the courtroom 
                to preserve her identity.
                    (C) In the absence of the female's written consent, 
                anyone other than a public official who brings the 
                action shall do so under a pseudonym.
            (3) Rule of construction.--Nothing in this subsection may 
        be construed to conceal the identity of the plaintiff or of the 
        witnesses from the defendant.
    (e) Severability.--If any provision of this section requiring 
informed consent for abortions is found unconstitutional, the 
unconstitutional provision is severable and the other provisions of 
this section remain in effect.
    (f) Preemption.--Nothing in this section shall prevent a State from 
enacting and enforcing additional requirements with respect to informed 
consent.

  TITLE III--MEDICAID AND SCHIP COVERAGE OF PREGNANT WOMEN AND UNBORN 
                                CHILDREN

SEC. 301. CODIFICATION OF OPTIONAL SCHIP COVERAGE OF UNBORN CHILDREN.

    (a) In General.--Section 2110(b) of the Social Security Act (42 
U.S.C. 1397jj(b)) is amended by adding at the end the following new 
paragraph:
            ``(5) Coverage of unborn children.--The terms `child' and 
        `individual' include, at the State option, an unborn child.''.
    (b) Construction.--Subsection (a) shall be construed as codifying 
the regulation promulgated at Federal Register 61956 (October 2, 2002), 
relating to eligibility for prenatal care and other health services for 
unborn children under SCHIP.

SEC. 302. COORDINATION WITH THE MATERNAL AND CHILD HEALTH PROGRAM.

    (a) In General.--Section 2102(b)(3) of the Social Security Act (42 
U.S.C. 1397bb(b)(3)) is amended--
            (1) in subparagraph (D), by striking ``and'' at the end;
            (2) in subparagraph (E), by striking the period and 
        inserting ``; and''; and
            (3) by adding at the end the following new subparagraph:
                    ``(F) that operations and activities under this 
                title are developed and implemented in consultation and 
                coordination with the program operated by the State 
                under title V in areas including outreach and 
                enrollment, benefits and services, service delivery 
                standards, public health and social service agency 
                relationships, and quality assurance and data 
                reporting.''.
    (b) Conforming Medicaid Amendment.--Section 1902(a)(11) of such Act 
(42 U.S.C. 1396a(a)(11)) is amended--
            (1) by striking ``and'' before ``(C)''; and
            (2) by inserting before the semicolon at the end the 
        following: ``, and (D) provide that operations and activities 
        under this title are developed and implemented in consultation 
        and coordination with the program operated by the State under 
        title V in areas including outreach and enrollment, benefits 
        and services, service delivery standards, public health and 
        social service agency relationships, and quality assurance and 
        data reporting''.
    (c) Effective Date.--The amendments made by this section take 
effect on January 1, 2007.

SEC. 303. INCREASE IN SCHIP INCOME ELIGIBILITY.

    (a) Definition of Low-Income Child.--Section 2110(c)(4) of the 
Social Security Act (42 U.S.C. 42 U.S.C. 1397jj(c)(4)) is amended by 
striking ``200'' and inserting ``250''.
    (b) Effective Date.--The amendment made by subsection (a) applies 
to child health assistance provided and allotments determined under 
section 2104 of the Social Security Act (42 U.S.C. 1397dd) for fiscal 
years beginning with fiscal year 2007.

SEC. 304. OUTREACH PROGRAM TO ENCOURAGE THOSE ELIGIBLE FOR SERVICES TO 
              ENROLL.

    The Secretary shall make such funds available as may be necessary 
to encourage eligible pregnant women to enroll for services for their 
unborn children under this title.

  TITLE IV--HEALTH INSURANCE COVERAGE FOR PREGNANT WOMEN AND NEWBORNS

SEC. 401. INDIVIDUAL HEALTH INSURANCE COVERAGE FOR PREGNANT WOMEN.

    (a) Limitation on Imposition of Pre-Existing Condition Exclusions 
and Waiting Periods for Women With Prior Coverage.--Title XXVII of the 
Public Health Service Act is amended by inserting after section 2752 
the following new section:

``SEC. 2753. PROVIDING INDIVIDUAL HEALTH INSURANCE COVERAGE WITHOUT 
              REGARD TO PREEXISTING CONDITION EXCLUSION AND WAITING 
              PERIODS FOR PREGNANT WOMEN WITHIN ONE YEAR OF CONTINUOUS 
              PRIOR COVERAGE.

    ``In the case of a woman who has had at least 12 months of 
creditable coverage before seeking individual health insurance 
coverage, such individual health insurance coverage, and the health 
insurance issuer offering such coverage, may not impose any preexisting 
condition exclusion relating to pregnancy as a preexisting condition, 
any waiting period, or otherwise discriminate in coverage or premiums 
against the woman on the basis that she is pregnant.''.
    (b) Effective Date.--The amendment made by subsection (a) shall 
take effect on January 1, 2007, and shall apply to women who become 
pregnant on or after such date.

SEC. 402. CONTINUATION OF HEALTH INSURANCE COVERAGE FOR NEWBORNS.

    (a) Group Health Plan Coverage.--Title XXVII of the Public Health 
Service Act is amended by inserting after section 2706 the following 
new section:

``SEC. 2707. CONTINUATION OF COVERAGE FOR NEWBORNS.

    ``(a) Notification.--In the case of a pregnant woman who is covered 
under a group health plan, or under group health insurance coverage, 
for other than family coverage, the plan or issuer of the insurance 
shall provide notice to the woman during the 5th month of pregnancy, 
during the 8th month of pregnancy, and within 2 weeks after delivery, 
of the woman's option to provide continuing coverage of the newborn 
child under the group health plan or health insurance coverage under 
subsection (b).
    ``(b) Option of Continued Coverage for Newborns.--In the case of a 
pregnant woman described in subsection (a) who has a newborn child 
under a group health plan or under group health insurance coverage, the 
plan or issuer offering the coverage shall provide the woman with the 
option of electing coverage of the newborn child at least through the 
end of the 30-day period beginning on the date of birth of the child 
and no waiting period or preexisting condition exclusion shall apply 
with respect to the coverage of such a newborn child under such plan or 
coverage. Such continuation coverage shall remain in effect, subject to 
payment of applicable premiums, for at least such period as the 
Secretary specifies.''.
    (b) Individual Health Insurance Coverage.--Such title is further 
amended by inserting after section 2753, as added by section 401, the 
following new section:

``SEC. 2754. CONTINUATION OF COVERAGE FOR NEWBORNS.

    ``The provisions of section 2707 shall apply with respect to 
individual health insurance coverage and the issuer of such coverage in 
the same manner as they apply to group health insurance coverage and 
the issuer of such coverage.''.
    (c) Effective Date.--The amendments made by this section shall take 
effect on January 1, 2007, and shall apply to women who become pregnant 
on or after such date and children who are born of such women.

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

SEC. 501. GRANTS TO HEALTH CENTERS FOR PURCHASE OF ULTRASOUND 
              EQUIPMENT.

    Part B of title III of the Public Health Service Act (42 U.S.C. 243 
et seq.) is amended by inserting after section 317L the following:

``SEC. 317L-1. GRANTS FOR THE PURCHASE OR UPGRADE OF ULTRASOUND 
              EQUIPMENT.

    ``(a) In General.--The Secretary may make grants for the purchase 
of ultrasound equipment. Such ultrasound equipment shall be used by the 
recipients of such grants to provide, under the direction and 
supervision of a licensed medical physician, ultrasound examinations to 
pregnant women consenting to such services.
    ``(b) Eligibility Requirements.--An entity may receive a grant 
under subsection (a) only if the entity meets the following conditions:
            ``(1) The entity is a health center eligible to receive a 
        grant under section 330 of the Public Health Service Act 
        (relating to community health centers, migrant health centers, 
        homeless health centers, and public-housing health centers).
            ``(2) The entity agrees to comply with the following 
        medical procedures:
                    ``(A) The entity will inform each pregnant woman 
                upon whom the ultrasound equipment is used that she has 
                the right to view the visual image of the unborn child 
                from the ultrasound examination and that she has the 
                right to hear a general anatomical and physiological 
                description of the characteristics of the unborn child.
                    ``(B) The entity will inform each pregnant woman 
                that she has the right to learn, according to the best 
                medical judgment of the physician performing the 
                ultrasound examination or the physician's agent 
                performing such exam, the approximate age of the embryo 
                or unborn child considering the number of weeks elapsed 
                from the probable time of the conception of the embryo 
                or unborn child, based upon the information provided by 
                the client as to the time of her last menstrual period, 
                her medical history, a physical examination, or 
                appropriate laboratory tests.
    ``(c) Application for Grant.--A grant may be made under subsection 
(a) only if an application for the grant is submitted to the Secretary 
and the application is in such form, is made in such manner, and 
contains such agreements, assurances, and information as the Secretary 
determines to be necessary to carry out this section.
    ``(d) Annual Report to Secretary.--A grant may be made under 
subsection (a) only if the applicant for the grant agrees to report on 
an annual basis to the Secretary, in such form and manner as the 
Secretary may require, on the ongoing compliance of the applicant with 
the eligibility conditions established in subsection (b).
    ``(e) Authorization of Appropriations.--For the purpose of carrying 
out this section, there are authorized to be appropriated $3,000,000 
for fiscal year 2008, and such sums as may be necessary for each of the 
fiscal years 2009 and 2010.''.

 TITLE VI--SERVICES REGARDING POSITIVE TEST DIAGNOSIS OF DOWN SYNDROME 
                OR OTHER PRENATALLY DIAGNOSED CONDITIONS

SEC. 601. SERVICES TO PATIENTS RECEIVING POSITIVE TEST DIAGNOSIS FOR 
              DOWN SYNDROME OR OTHER PRENATALLY DIAGNOSED CONDITIONS.

    (a) Findings and Purposes.--
            (1) Findings.--The Congress finds as follows:
                    (A) Pregnant women who choose to undergo prenatal 
                genetic testing should have access to timely, 
                scientific, and nondirective counseling about the 
                conditions being tested for and the accuracy of such 
                tests, from health care professionals qualified to 
                provide and interpret these tests. Informed consent is 
                a critical component of all genetic testing.
                    (B) A recent, peer-reviewed study and two reports 
                from the Centers for Disease Control and Prevention on 
                prenatal testing found a deficiency in the data needed 
                to understand the epidemiology of prenatally diagnosed 
                conditions, to monitor trends accurately, and to 
                increase the effectiveness of health intervention.
            (2) Purposes.--It is the purpose of this section, after the 
        diagnosis of an unborn child with Down syndrome or other 
        prenatally diagnosed conditions, to--
                    (A) increase patient referrals to providers of key 
                support services for women who have received a positive 
                test diagnosis for Down syndrome, or other prenatally 
                diagnosed conditions, as well as to provide up-to-date, 
                science-based information about life-expectancy and 
                development potential for a child born with Down 
                syndrome or other prenatally diagnosed condition;
                    (B) provide networks of support through a Centers 
                for Disease Control and Prevention patient and provider 
                outreach program;
                    (C) improve available data by incorporating 
                information directly revealed by prenatal testing into 
                existing State-based surveillance programs for birth 
                defects and prenatally diagnosed conditions; and
                    (D) ensure that patients receive up-to-date, 
                scientific information about the accuracy of the test.
    (b) Amendment to the Public Health Service Act.--Part P of title 
III of the Public Health Service Act (42 U.S.C. 280g et seq.) is 
amended by adding at the end the following:

``SEC. 399P. SUPPORT FOR PATIENTS RECEIVING A POSITIVE TEST DIAGNOSIS 
              OF DOWN SYNDROME OR OTHER PRENATALLY DIAGNOSED 
              CONDITIONS.

    ``(a) Definitions.--In this section:
            ``(1) Down syndrome.--The term `Down syndrome' refers to a 
        chromosomal disorder caused by an error in cell division that 
        results in the presence of an extra whole or partial copy of 
        chromosome 21.
            ``(2) Health care provider.--The term `health care 
        provider' means any person or entity required by State or 
        Federal law or regulation to be licensed, registered, or 
        certified to provide health care services, and who is so 
        licensed, registered, or certified.
            ``(3) Prenatally diagnosed condition.--The term `prenatally 
        diagnosed condition' means any fetal health condition 
        identified by prenatal genetic testing or prenatal screening 
        procedures.
            ``(4) Prenatal test.--The term `prenatal test' means 
        diagnostic or screening tests offered to pregnant women seeking 
        routine prenatal care that are administered by a health care 
        provider based on medical history, family background, ethnic 
        background, previous test results, or other risk factors.
    ``(b) Information and Support Services.--The Secretary, acting 
through the Director of the National Institutes of Health, the Director 
of the Centers for Disease Control and Prevention, or the Administrator 
of the Health Resources and Services Administration, may authorize and 
oversee certain activities, including the awarding of grants, contracts 
or cooperative agreements, to--
            ``(1) collect, synthesize, and disseminate current 
        scientific information relating to Down syndrome or other 
        prenatally diagnosed conditions; and
            ``(2) coordinate the provision of, and access to, new or 
        existing supportive services for patients receiving a positive 
        test diagnosis for Down syndrome or other prenatally diagnosed 
        conditions, including--
                    ``(A) the establishment of a resource telephone 
                hotline and Internet Website accessible to patients 
                receiving a positive test result;
                    ``(B) the establishment of a clearinghouse of 
                scientific information, clinical course, life 
                expectancy and development potential relating to Down 
                syndrome or other prenatally diagnosed conditions;
                    ``(C) the establishment of national and local peer-
                support programs;
                    ``(D) the establishment of a national registry, or 
                network of local registries, of families willing to 
                adopt newborns with Down syndrome or other prenatally 
                diagnosed conditions, and links to adoption agencies 
                willing to place babies with Down syndrome or other 
                prenatally diagnosed conditions, with families willing 
                to adopt; and
                    ``(E) the establishment of awareness and education 
                programs for health care providers who provide the 
                results of prenatal tests for Down syndrome or other 
                prenatally diagnosed conditions, to patients, 
                consistent with the purpose described in section 
                2(b)(1) of the Prenatal Diagnosis Support Act.
    ``(c) Data Collection.--
            ``(1) Provision of assistance.--The Secretary, acting 
        through the Director of the Centers for Disease Control and 
        Prevention, shall provide assistance to State and local health 
        departments to integrate the results of prenatal testing into 
        State-based vital statistics and birth defects surveillance 
        programs.
            ``(2) Activities.--The Secretary shall ensure that 
        activities carried out under paragraph (1) are sufficient to 
        extract population-level data relating to national rates and 
        results of prenatal testing.
    ``(d) Provision of Information by Providers.--Upon receipt of a 
positive test result from a prenatal test for Down syndrome or other 
prenatally diagnosed conditions performed on a patient, the health care 
provider involved (or his or her designee) shall provide the patient 
with the following:
            ``(1) Up-to-date, scientific, written information 
        concerning the life expectancy, clinical course, and 
        intellectual and functional development and treatment options 
        for an unborn child diagnosed with or child born with Down 
        syndrome or other prenatally diagnosed conditions.
            ``(2) Referral to supportive services providers, including 
        information hotlines specific to Down syndrome or other 
        prenatally diagnosed conditions, resource centers or 
        clearinghouses, and other education and support programs as 
        described in subsection (b)(2).
    ``(e) Privacy.--
            ``(1) In general.--Notwithstanding subsections (c) and (d), 
        nothing in this section shall be construed to permit or require 
        the collection, maintenance, or transmission, without the 
        health care provider obtaining the prior, written consent of 
        the patient, of--
                    ``(A) health information or data that identify a 
                patient, or with respect to which there is a reasonable 
                basis to believe the information could be used to 
                identify the patient (including a patient's name, 
                address, healthcare provider, or hospital); and
                    ``(B) data that are not related to the epidemiology 
                of the condition being tested for.
            ``(2) Guidance.--Not later than 180 days after the date of 
        enactment of this section, the Secretary shall establish 
        guidelines concerning the implementation of paragraph (1) and 
        subsection (d).
    ``(f) Reports.--
            ``(1) Implementation report.--Not later than 2 years after 
        the date of enactment of this section, and every 2 years 
        thereafter, the Secretary shall submit a report to Congress 
        concerning the implementation of the guidelines described in 
        subsection (e)(2).
            ``(2) GAO report.--Not later than 1 year after the date of 
        enactment of this section, the Government Accountability Office 
        shall submit a report to Congress concerning the effectiveness 
        of current healthcare and family support programs serving as 
        resources for the families of children with disabilities.
    ``(g) Authorization of Appropriations.--There is authorized to be 
appropriated to carry out this section $5,000,000 for each of the 
fiscal years 2007 through 2011.''.

 TITLE VII--IDENTIFICATION AND TREATMENT OF DOMESTIC VIOLENCE AGAINST 
                             PREGNANT WOMEN

SEC. 701. FINDINGS.

    The Congress finds as follows:
            (1) Pregnant and recently pregnant women are more likely to 
        be victims of homicide than to die of any other causes, and 
        evidence exists that a significant proportion of all female 
        homicide victims are killed by their intimate partners.
            (2) A 2001 study published by the Journal of the American 
        Medical Association found that murder is the number one cause 
        of death among pregnant women.
            (3) Research suggests that injury related deaths, including 
        homicide and suicide, account for approximately one-third of 
        all maternal mortality cases, while medical reasons make up the 
        rest. Homicide is the leading cause of death overall for 
        pregnant women, followed by cancer, acute and chronic 
        respiratory conditions, motor vehicle collisions and drug 
        overdose, peripartum and postpartum cardiomyopthy, and suicide.

SEC. 702. SEPARATE PROGRAM FOR DOMESTIC VIOLENCE, DATING VIOLENCE, 
              SEXUAL ASSAULT AND STALKING SCREENING AND TREATMENTS FOR 
              PREGNANT WOMEN AND NEW MOTHERS.

    (a) Allotments.--For the purpose described in subsection (b), the 
Secretary shall, for fiscal year 2007 and each subsequent fiscal year, 
allot to each State that has transmitted an application for the fiscal 
year under section 505(a) of the Social Security Act an amount equal to 
the product of--
            (1) the amount appropriated under subsection (d) for the 
        fiscal year; and
            (2) the percentage determined for the State under section 
        502(c)(1)(B)(ii) of such Act.
    (b) Purpose.--The purpose of an allotment under subsection (a) with 
respect to a State is to enable the State to provide services to 
pregnant women who want to carry their child to term and mothers of 
children up to one year old who are victims of domestic violence, 
dating violence, sexual assault, or stalking; identification and 
treatment of pregnant women who want to carry their children to term 
and mothers of children up to one year old, including the provision of 
domestic violence, dating violence, sexual assault, or stalking 
identification, treatment services, to identify increasing the number 
of persons identified, assessed, treated, and referred, for, such 
victims; and to train health care professionals, and behavioral and 
public health staff, on how to identify and respond to adult and minor 
patients experiencing domestic violence, dating violence, sexual 
assault, or stalking. Such training shall include--
            (1) identifying patients of clients experiencing domestic 
        violence, dating violence, sexual assault, or stalking;
            (2) assessing the immediate and short-term safety of the 
        patient or client, the impact of the abuse on the health of the 
        patient, and assisting the patient in developing a plan to 
        promote his or her safety;
            (3) examining and treating such patients or clients within 
        the scope of the health professional's discipline, training, 
        and practice (including providing medical advice regarding the 
        dynamics and nature of domestic violence, dating violence 
        sexual assault, or stalking);
            (4) maintaining complete medical or forensic records that 
        include the documentation of the examination, treatment given, 
        and referrals made, and recording the location and nature of 
        the victim's injuries, and establishing mechanisms to ensure 
        the privacy and confidentiality of those medical records;
            (5) referring the patient or client to public and private 
        nonprofit entities that provide services for such victims; and
            (6) ensuring that all services are provided in a 
        linguistically and culturally relevant manner.
    (c) Application of Provisions.--
            (1) In general.--Sections 503, 507, and 508 of the Social 
        Security Act apply to allotments under subsection (a) to the 
        same extent and in the same manner as such sections apply to 
        allotments under section 502(c) of such Act.
            (2) Secretarial discretion.--Sections 505 and 506 of the 
        Social Security Act apply to allotments under subsection (a) to 
        the extent determined by the Secretary to be appropriate.
    (d) Authorization of Appropriations.--For the purpose of making 
allotments under subsection (a), there are authorized to be 
appropriated $4,000,000 for each of the fiscal years 2007 through 2011.

SEC. 703. ADDITIONAL AUTHORIZATION OF APPROPRIATIONS FOR PUBLIC 
              CAMPAIGN TO INCREASE PUBLIC AWARENESS.

    Section 403(b) of Public Law 109-162 (119 Stat. 3023) is amended by 
striking ``such sums'' and all that follows and inserting the 
following: ``$3,000,000 for fiscal year 2007, and such sums as may be 
necessary for each of the fiscal years 2008 through 2011.''.

SEC. 704. HOMICIDE DEATH CERTIFICATES.

    Upon the enactment of this Act, each State shall, within one year 
after the date of such enactment, require a pregnant ``box check'' on 
homicide death certificates.

                 TITLE VIII--PUBLIC AWARENESS CAMPAIGN

SEC. 801. GRANTS FOR INCREASING PUBLIC AWARENESS OF RESOURCES AVAILABLE 
              TO ASSIST PREGNANT WOMEN CARRYING THEIR PREGNANCIES TO 
              TERM AND TO ASSIST NEW PARENTS.

    (a) Grants.--The Secretary may make grants to States to increase 
public awareness of resources available to pregnant women who intend to 
carry their pregnancy to term and to new parents.
    (b) Use of Funds.--The Secretary may make a grant to a State under 
this section only if the State agrees to use the grant for the 
following:
            (1) Identification of resources available to assist 
        pregnant women who intend to carry their pregnancy to term or 
        to assist new parents, or both.
            (2) Conducting an advertising campaign to increase public 
        awareness of such resources.
            (3) Establishing and maintaining a toll-free telephone line 
        to direct people to--
                    (A) organizations that provide support services for 
                pregnant women who intend to carry their pregnancy to 
                term;
                    (B) adoption centers; and
                    (C) organizations that provide support services to 
                new parents.
    (c) Prohibition.--The Secretary shall prohibit each State receiving 
a grant under this section from using the grant to direct people to an 
organization or adoption center that is for-profit.
    (d) Identification of Resources.--The Secretary shall require each 
State receiving a grant under this section to make publicly available 
by means of the Internet (electronic and paper form) a list of the 
following:
            (1) The resources identified pursuant to subsection (b)(1).
            (2) The organizations and adoption centers to which people 
        are directed pursuant to an advertising campaign or telephone 
        line funded under this section.
    (e) Authorization of Appropriations.--The Secretary shall make such 
funds available as may be necessary to carry out the activities of this 
section.

         TITLE IX--SUPPORT FOR PREGNANT AND PARENTING STUDENTS

SEC. 901. SUPPORT SERVICES FOR STUDENTS OF INSTITUTIONS OF HIGHER 
              EDUCATION.

    (a) In General.--The Secretary may make grants to public 
institutions of higher education to carry out demonstration projects 
for the purpose of providing services to assist both pregnant students 
who intend to carry their pregnancy to term, including those 
anticipating adoption, and parenting students in continuing their 
studies and graduating.
    (b) Certain Requirements for Grantees.--A grant may be made under 
subsection (a) only if the institution of higher education involved 
agrees that the institution--
            (1) will provide the services through on-campus facilities; 
        and
            (2) will submit to the Secretary, for each fiscal year for 
        which the grant is provided, a report describing the activities 
        carried out under the grant and the effects of the activities 
        on the students involved.
    (c) Application for Grant.--A grant may be made under subsection 
(a) only if an application for the grant is submitted to the Secretary 
and the application is in such form, is made in such manner, and 
contains such agreements, assurances, and information as the Secretary 
determines to be necessary to carry out this section.
    (d) Limitations on Amount of Grant.--A grant under subsection (a) 
for a fiscal year may not be made in an amount exceeding $25,000.
    (e) Authorization of Appropriations.--For the purpose of carrying 
out this section, there are authorized to be appropriated $500,000 for 
each of the fiscal years 2008 through 2011.

SEC. 902. CHILD CARE FOR PARENTING STUDENTS.

    (a) Minimum Grant.--Section 419N(b)(2)(B) of the Higher Education 
Act of 1965 (20 U.S.C. 1070e(b)(2)(B)) is amended by striking 
``$10,000'' and inserting ``$30,000''.
    (b) Definition of Low-Income Student.--Section 419N(b)(7) of such 
Act is amended to read as follows:
            ``(7) Definition of low-income student.--For the purpose of 
        this section, the term `low-income student' means a student 
        whose income is at or up to 200 percent of the poverty 
        level.''.
    (c) Authorization of Appropriations.--Section 419N(g) of such Act 
is amended by striking ``$45,000,000 for fiscal year 1999'' and 
inserting ``$75,000,000 for fiscal year 2007''.

           TITLE X--SUPPORT FOR PREGNANT AND PARENTING TEENS

SEC. 1001. GRANTS TO STATES.

    The Secretary shall make grants to States to allow early childhood 
education programs, including Head Start, to work with pregnant or 
parenting teens to complete high school and prepare for college or for 
vocational education.

  TITLE XI--FEDERALLY-FUNDED HOMES FOR PREGNANT AND PARENTING WOMEN; 
                 ADOPTION COUNSELING; PARENTING SKILLS

SEC. 1101. COUNSELING REQUIREMENTS.

    With respect to any program of grants that is administered by the 
Secretary and whose purposes include providing funds for group homes 
for pregnant and parenting women, the Secretary shall require as a 
condition of making such grants that the entities operating the group 
homes provide to such women, upon request--
            (1) adoption counseling; and
            (2) counseling on parenting skills.

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

SEC. 1201. EXPANSION OF ADOPTION CREDIT AND ADOPTION ASSISTANCE 
              PROGRAMS.

    (a) Increase in Dollar Limitation.--
            (1) Adoption credit.--
                    (A) In general.--Paragraph (1) of section 23(b) of 
                the Internal Revenue Code of 1986 (relating to dollar 
                limitation) is amended by striking ``$10,000'' and 
                inserting ``$15,000''.
                    (B) Child with special needs.--Paragraph (3) of 
                section 23(a) of such Code (relating to $10,000 credit 
                for adoption of child with special needs regardless of 
                expenses) is amended
                            (i) in the text by striking ``$10,000'' and 
                        inserting ``$15,000'', and
                            (ii) in the heading by striking ``$10,000'' 
                        and inserting ``$15,000''.
                    (C) Conforming amendment to inflation adjustment.--
                Subsection (h) of section 23 of such Code (relating to 
                adjustments for inflation) is amended to read as 
                follows:
    ``(h) Adjustments for Inflation.--
            ``(1) Dollar limitations.--In the case of a taxable year 
        beginning after December 31, 2007, each of the dollar amounts 
        in subsections (a)(3) and (b)(1) shall be increased by an 
        amount equal to--
                    ``(A) such dollar amount, multiplied by
                    ``(B) the cost-of-living adjustment determined 
                under section 1(f)(3) for the calendar year in which 
                the taxable year begins, determined by substituting 
                `calendar year 2006' for `calendar year 1992' in 
                subparagraph (B) thereof.
        If any amount as increased under the preceding sentence is not 
        a multiple of $10, such amount shall be rounded to the nearest 
        multiple of $10.
            ``(2) Income limitation.--In the case of a taxable year 
        beginning after December 31, 2002, the dollar amount in 
        subsection (b)(2)(A)(i) shall be increased by an amount equal 
        to--
                    ``(A) such dollar amount, multiplied by
                    ``(B) the cost-of-living adjustment determined 
                under section 1(f)(3) for the calendar year in which 
                the taxable year begins, determined by substituting 
                `calendar year 2001' for `calendar year 1992' in 
                subparagraph (B) thereof.
        If any amount as increased under the preceding sentence is not 
        a multiple of $10, such amount shall be rounded to the nearest 
        multiple of $10.''.
            (2) Adoption assistance programs.--
                    (A) In general.--Paragraph (1) of section 137(b) of 
                the Internal Revenue Code of 1986 (relating to dollar 
                limitation) is amended by striking ``$10,000'' and 
                inserting ``$15,000''.
                    (B) Child with special needs.--Paragraph (2) of 
                section 137(a) of such Code (relating to $10,000 
                exclusion for adoption of child with special needs 
                regardless of expenses) is amended--
                            (i) in the text by striking ``$10,000'' and 
                        inserting ``$15,000'', and
                            (ii) in the heading by striking ``$10,000'' 
                        and inserting ``$15,000''.
                    (C) Conforming amendment to inflation adjustment.--
                Subsection (f) of section 137 of such Code (relating to 
                adjustments for inflation) is amended to read as 
                follows:
    ``(f) Adjustments for Inflation.--
            ``(1) Dollar limitations.--In the case of a taxable year 
        beginning after December 31, 2007, each of the dollar amounts 
        in subsections (a)(2) and (b)(1) shall be increased by an 
        amount equal to--
                    ``(A) such dollar amount, multiplied by
                    ``(B) the cost-of-living adjustment determined 
                under section 1(f)(3) for the calendar year in which 
                the taxable year begins, determined by substituting 
                `calendar year 2006' for `calendar year 1992' in 
                subparagraph (B) thereof.
        If any amount as increased under the preceding sentence is not 
        a multiple of $10, such amount shall be rounded to the nearest 
        multiple of $10.
            ``(2) Income limitation.--In the case of a taxable year 
        beginning after December 31, 2002, the dollar amount in 
        subsection (b)(2)(A)(i) shall be increased by an amount equal 
        to--
                    ``(A) such dollar amount, multiplied by
                    ``(B) the cost-of-living adjustment determined 
                under section 1(f)(3) for the calendar year in which 
                the taxable year begins, determined by substituting 
                `calendar year 2001' for `calendar year 1992' in 
                subparagraph thereof.
        If any amount as increased under the preceding sentence is not 
        a multiple of $10, such amount shall be rounded to the nearest 
        multiple of $10.''.
    (b) Credit Made Refundable.--
            (1) Credit moved to subpart relating to refundable 
        credits.--The Internal Revenue Code of 1986 is amended--
                    (A) by redesignating section 36 as section 37,
                    (B) by redesignating section 23, as amended by 
                subsection (a), as section 36, and
                    (C) by moving section 36 (as so redesignated) from 
                subpart A of part IV of subchapter A of chapter 1 to 
                the location immediately before section 37 (as so 
                redesignated) in subpart C of part IV of subchapter A 
                of chapter 1.
            (2) Conforming amendments.--
                    (A) Section 24(b)(3)(B) of such Code is amended by 
                striking ``and sections 23'' and inserting ``section''.
                    (B) Section 25(e)(1)(C) of such Code is amended by 
                striking ``23,''.
                    (C) Section 25B(g)(2) of such Code is amended by 
                striking ``and section 23''.
                    (D) Section 36 of such code, as so redesignated, is 
                amended--
                            (i) by striking paragraph (4) of subsection 
                        (b), and
                            (ii) by striking subsection (c).
                    (E) Section 137 of such code is amended--
                            (i) in subsection (d) by striking ``section 
                        23(d)'' and inserting ``section 36(d)'', and
                            (ii) in subsection (e) by striking 
                        ``section 23'' and inserting ``section 36''.
                    (F) Section 1400C(d) of such Code is amended by 
                striking ``23, 24,'' and inserting ``24''.
                    (G) The table of sections for subpart A of part IV 
                of subchapter A of chapter 1 of such Code of 1986 is 
                amended by striking the item relating to section 23.
                    (H) Paragraph (2) of section 1324(b) of title 31, 
                United States Code, is amended by inserting ``or 36'' 
                after ``section 35''.
                    (I) The table of sections for subpart C of part IV 
                of subchapter A of chapter 1 of the Internal Revenue 
                Code of 1986 is amended by striking the last item and 
                inserting the following new items:

``Sec. 36. Adoption expenses.
``Sec. 37. Overpayments of tax.''.
    (c) Modifications Made by Egtrra to Adoption Credit Made 
Permanent.--Title IX of the Economic Growth and Tax Relief 
Reconciliation Act of 2001 shall not apply to the amendments made by 
section 202 of such Act.
    (d) Effective Date.--The amendments made by this section shall 
apply to taxable years beginning after December 31, 2006.

              TITLE XIII--PROVIDING SUPPORT TO NEW PARENTS

SEC. 1301. INCREASED SUPPORT FOR WIC PROGRAM.

    (a) Findings.--Congress finds the following:
            (1) The special supplemental nutrition program for women, 
        infants, and children (WIC) authorized in the Child Nutrition 
        Act of 1966 (42 U.S.C. 1786) serves over 8,000,000 women, 
        infants, and children.
            (2) Half of all infants in the United States and 1 in 4 
        young children under age 5 get crucial health and nutrition 
        benefits from the WIC Program.
            (3) It is estimated that every dollar spent on WIC results 
        in between $1.92 and $4.21 in Medicaid savings for newborns and 
        their mothers.
            (4) The WIC program has been proven to increase the number 
        of women receiving prenatal care, reduce the incidence of low 
        birth weight and fetal mortality, reduce anemia, and enhance 
        the nutritional quality of the diet of mothers and children.
            (5) The WIC program's essential, effective nutrition 
        services include nutrition assessment, counseling and 
        education, obesity prevention, breastfeeding support and 
        promotion, prenatal and pediatric health care referrals and 
        follow-up, spousal and child abuse referral, drug and alcohol 
        abuse referral, immunization screening, assessment and 
        referral, and a host of other services for mothers and 
        children.
            (6) One in 10 people eligible to participate in the WIC 
        program are unable to receive WIC services.
    (b) Authorization of Appropriations.--For the purpose of carrying 
out the special supplemental nutrition program for women, infants, and 
children (WIC) (42 U.S.C. 1786), there is authorized to be appropriated 
$5,388,000,000 for fiscal year 2007, of which there is authorized to be 
appropriated $15,000,000 for breast-feeding peer counselors, 
$14,000,000 for infrastructure needs, and $30,000,000 for management 
information systems.

SEC. 1302. NUTRITIONAL SUPPORT FOR LOW-INCOME PARENTS.

    Section 5(c)(2) of the Food Stamp Act of 1977 (7 U.S.C. 2014(c)(2)) 
is amended by striking ``30 percentum'' and inserting ``85 percentum''.

SEC. 1303. INCREASED FUNDING FOR THE CHILD CARE AND DEVELOPMENT BLOCK 
              GRANT PROGRAM.

    (a) Authorization of Appropriations.--Section 658B of the Child 
Care and Development Block Grant Act of 1990 (42 U.S.C. 9858) is 
amended to read as follows:

``SEC. 658B. AUTHORIZATION OF APPROPRIATIONS.

    ``There are authorized to be appropriated to carry out this 
subchapter $2,350,000,000 for fiscal year 2007 and such sums as may be 
necessary for fiscal years 2007 through 2011.''.
    (b) Conforming Amendment.--Section 658E(c)(3)(D) of the Child Care 
and Development Block Grant Act of 1990 (42 U.S.C. 9858c(c)(3)(D)) is 
amended by striking ``1997 through 2002'' and inserting ``2007 through 
2011''.

SEC. 1304. TEENAGE OR FIRST-TIME MOTHERS; FREE HOME VISITS BY 
              REGISTERED NURSES FOR EDUCATION ON HEALTH NEEDS OF 
              INFANTS.

    (a) In General.--The Secretary may make grants to local health 
departments to provide to eligible mothers, without charge, education 
on the health needs of their infants through visits to their homes by 
registered nurses.
    (b) Eligible Mother.--
            (1) In general.--For purposes of subsection (a), a woman is 
        an eligible mother if, subject to paragraph (2), the woman--
                    (A) is the mother of an infant who is not more than 
                12 months of age; and
                    (B)(i) the woman was under the age of 20 at the 
                time of birth; or
                    (ii) the infant referred to in subparagraph (A) is 
                the first child of the woman.
            (2) Additional requirements for certain mothers.--In the 
        case of a woman described in paragraph (1)(B)(ii) who is 20 
        years of age or older, the woman is an eligible mother for 
        purposes of subsection (a) only if the woman meets such 
        standards in addition to the applicable standards under 
        paragraph (1) as the local health department involved 
        determines to be appropriate.
    (c) Certain Requirements.--A grant may be made under subsection (a) 
only if the applicant involved agrees as follows:
            (1) The program carried out under such subsection by the 
        applicant will be designed to instill in eligible mothers 
        confidence in their abilities to provide for the health needs 
        of their newborns, including through--
                    (A) providing information on child development; and
                    (B) soliciting questions from the mothers.
            (2) The registered nurses who make home visits under 
        subsection (a) will, as needed, provide referrals for health 
        and social services to serve the needs of the newborns.
            (3) The period during which the visits will be available to 
        an eligible mother will not be fewer than six months.
            (4) An eligible mother will not receive more than one visit 
        each month during the period in which such visits are available 
        to the woman.
    (d) Authorized Services.--
            (1) Requirements.--A grant may be made under subsection (a) 
        only if the applicant involved agrees that the following 
        services will be provided by registered nurses in home visits 
        under subsection (a):
                    (A) Information on child health and development, 
                including suggestions for child-developmental 
                activities that are enjoyable for parents and children.
                    (B) Advice on parenting, including information on 
                how to develop a strong parent-child relationship.
                    (C) Information on resources about parenting, 
                including identifying books and videos that are 
                available at local libraries.
                    (D) Information on upcoming parenting workshops in 
                the local region.
                    (E) Information on programs that facilitate parent-
                to-parent support services.
                    (F) In the case of an eligible mother who is a 
                student, information on resources that may assist the 
                mother in completing the educational courses involved.
            (2) Additional services.--A grant under subsection (a) may 
        be expended to provide services during home visits under such 
        subsection in addition to the services specified in paragraph 
        (1).
    (e) Authorization of Appropriations.--For the purpose of carrying 
out this section, there are authorized to be appropriated $3,000,000 
for fiscal year 2007.
                                 <all>