1.Short title; table of
contents
(a)This Act may be cited as the Prevention First Act
.
(b)The table of contents for this Act is as follows:
Sec. 1. Short title; table of contents.
Sec. 2. Findings.
Title I—Title X of Public Health
Service Act
Sec. 101. Short title.
Sec. 102. Authorization of appropriations.
Title II—Equity in Prescription Insurance and Contraceptive
Coverage
Sec. 201. Short title.
Sec. 202. Amendments to Employee Retirement Income Security Act of
1974.
Sec. 203. Amendments to Public
Health Service Act relating to the group market.
Sec. 204. Amendment to Public
Health Service Act relating to the individual market.
Title III—Emergency Contraception Education and
Information
Sec. 301. Short title.
Sec. 302. Emergency contraception education and information
programs.
Title IV—Compassionate assistance for rape
emergencies
Sec. 401. Short title.
Sec. 402. Survivors of sexual assault; provision by hospitals
of emergency contraceptives without charge.
Title V—At-Risk Communities Teen Pregnancy Prevention
Act
Sec. 501. Short title.
Sec. 502. Teen pregnancy
prevention.
Sec. 503. Research.
Sec. 504. General requirements.
Title VI—Accuracy of Contraceptive Information
Sec. 601. Short title.
Sec. 602. Accuracy of contraceptive information.
Title VII—Unintended Pregnancy Reduction Act
Sec. 701. Short title.
Sec. 702. Medicaid; clarification of coverage of family
planning services and supplies.
Sec. 703. Expansion of family planning services.
Sec. 704. Effective date.
Title VIII—Responsible Education About Life Act
Sec. 801. Short title.
Sec. 802. Assistance to reduce teen pregnancy, HIV/AIDS, and
other sexually transmitted diseases and to support healthy adolescent
development.
Sec. 803. Sense of Congress.
Sec. 804. Evaluation of programs.
Sec. 805. Definitions.
Sec. 806. Appropriations.
2.The Congress finds as follows:
(1)Healthy People
2010 sets forth a reduction of unintended pregnancies as an important health
objective for the Nation to achieve over the first decade of the new century, a
goal first articulated in the 1979 Surgeon General’s Report, Healthy People,
and reiterated in Healthy People 2000: National Health Promotion and Disease
Prevention Objectives.
(2)Although the
Centers for Disease Control and Prevention (referred to in this section as the
CDC
) included family planning in its published list of the Ten
Great Public Health Achievements in the 20th Century, the United States still
has one of the highest rates of unintended pregnancies among industrialized
nations.
(3)Each year,
3,000,000 pregnancies, nearly half of all pregnancies, in the United States are
unintended, and nearly half of unintended pregnancies end in abortion.
(4)In 2004,
34,400,000 women, half of all women of reproductive age, were in need of
contraceptive services and supplies to help prevent unintended pregnancy, and
nearly half of those were in need of public support for such care.
(5)The United States
has the highest rate of infection with sexually transmitted diseases of any
industrialized country. In 2005, there were approximately 19,000,000 new cases
of sexually transmitted diseases, almost half of them occurring in young people
ages 15 to 24. According to the CDC, these sexually transmitted diseases impose
a tremendous economic burden with direct medical costs as high as
$14,100,000,000 per year.
(6)Increasing access
to family planning services will improve women’s health and reduce the rates of
unintended pregnancy, abortion, and infection with sexually transmitted
diseases. Contraceptive use saves public health dollars. For every dollar spent
to increase funding for family planning programs under title X of the Public
Health Service Act, $3.80 is saved.
(7)Contraception is
basic health care that improves the health of women and children by enabling
women to plan and space births.
(8)Women experiencing
unintended pregnancy are at greater risk for physical abuse and women having
closely spaced births are at greater risk of maternal death.
(9)A
child born from an unintended pregnancy is at greater risk than a child born
from an intended pregnancy of low birth weight, dying in the first year of
life, being abused, and not receiving sufficient resources for healthy
development.
(10)The ability to
control fertility allows couples to achieve economic stability by facilitating
greater educational achievement and participation in the workforce.
(11)Without
contraception, a sexually active woman has an 85 percent chance of becoming
pregnant within a year.
(12)The percentage of
sexually active women ages 15 through 44 who were not using contraception
increased from 5.4 percent to 7.4 percent in 2002, an increase of 37 percent,
according to the CDC. This represents an apparent increase of 1,430,000 women
and could raise the rate of unintended pregnancy.
(13)Many poor and low-income women cannot
afford to purchase contraceptive services and supplies on their own. In 2003,
20.5 percent of all women ages 15 through 44 were uninsured.
(14)Public health
programs, such as the Medicaid program and family planning programs under title
X of the Public Health Service Act, provide high-quality family planning
services and other preventive health care to underinsured or uninsured
individuals who may otherwise lack access to health care.
(15)The Medicaid program is the single largest
source of public funding for family planning services and HIV/AIDS care in the
United States. Half of all public dollars spent on contraceptive services and
supplies in the United States are provided through the Medicaid program and
more than 6,000,000 low-income women of reproductive age rely on such program
for their basic health care needs.
(16)Each year, family
planning services provided under title X of the Public Health Service Act
enable people in the United States to prevent approximately 1,000,000
unintended pregnancies, and one in three women of reproductive age who obtains
testing or treatment for sexually transmitted diseases does so at a clinic
receiving funds under such title. In 2005, such clinics provided 2.5 million
Pap smears, over 5.3 million sexually transmitted disease tests, and over 6.2
million HIV tests.
(17)The combination
of an increasing number of uninsured individuals, stagnant funding for family
planning, health care inflation, new and expensive contraceptive technologies,
increasing costs of contraceptives, and improved but expensive screening and
treatment for cervical cancer and sexually transmitted diseases, has diminished
the ability of clinics receiving funds under title X of the Public Health
Service Act to adequately serve all individuals in need of services of such
clinics. Taking inflation into account, funding for the family planning
programs under such title declined by 59 percent between 1980 and 2005.
(18)While the
Medicaid program remains the largest source of subsidized family planning
services, States are facing significant budgetary pressures to cut their
Medicaid programs, putting many women at risk of losing coverage for family
planning services.
(19)In addition,
eligibility under the Medicaid program in many States is severely restricted,
which leaves family planning services financially out of reach for many poor
women. Many States have demonstrated tremendous success with Medicaid family
planning waivers that allow States to expand access to Medicaid family planning
services. However, the administrative burden of applying for a waiver poses a
significant barrier to States that would like to expand their coverage of
family planning programs through Medicaid.
(20)As of December of
2006, 24 States offered expanded family planning benefits as a result of
Medicaid family planning waivers. The cost-effectiveness of these waivers was
affirmed by a recent evaluation funded by the Centers for Medicare &
Medicaid Services. This evaluation of six waivers found that all family
planning programs under such waivers resulted in significant savings to both
the Federal and State governments. Moreover, the researchers found measurable
reductions in unintended pregnancy.
(21)Although
employer-sponsored health plans have improved coverage of contraceptive
services and supplies, largely in response to State contraceptive coverage
laws, there is still significant room for improvement. The ongoing lack of
coverage in health insurance plans, particularly in self-insured and individual
plans, continues to place effective forms of contraception beyond the financial
reach of many women.
(22)Including
contraceptive coverage in private health care plans saves employers money. Not
covering contraceptives in employee health plans costs employers 15 to 17
percent more than providing such coverage.
(23)Approved for use
by the Food and Drug Administration, emergency contraception is a safe and
effective way to prevent unintended pregnancy after unprotected sex. New
research confirms that easier access to emergency contraceptives does not
increase sexual risk-taking or sexually transmitted diseases.
(24)The available evidence shows that many
women do not know about emergency contraception, do not know where to get it,
or are unable to access it. Overcoming these obstacles could help ensure that
more women use emergency contraception consistently and correctly.
(25)A November 2006
study of declining pregnancy rates among teens concluded that the reduction in
teen pregnancy between 1995 and 2002 is primarily the result of increased use
of contraceptives. As such, it is critically important that teens receive
accurate, unbiased information about contraception.
(26)The American
Medical Association, the American Nurses Association, the American Academy of
Pediatrics, the American College of Obstetricians and Gynecologists, the
American Public Health Association, and the Society for Adolescent Medicine,
support responsible sexuality education that includes information about both
abstinence and contraception.
(27)Teens who receive
comprehensive sexuality education that includes discussion of contraception as
well as abstinence are more likely than those who receive abstinence-only
messages to delay sex, to have fewer partners, and to use contraceptives when
they do become sexually active.
(28)Government-funded
abstinence-only-until-marriage programs are precluded from discussing
contraception except to talk about failure rates. An October 2006 report by the
Government Accountability Office found that the Department of Health and Human
Services does not review the materials of recipients of grants administered by
such department for scientific accuracy and requires grantees to review their
own materials for scientific accuracy. The GAO also reported on the
Department’s total lack of appropriate and customary measurements to determine
if funded programs are effective. In addition, a separate letter from the
Government Accountability Office found that the Department of Health and Human
Services is in violation of Federal law by failing to enforce a requirement
under the Public Health Service Act that Federally-funded grantees working to
address the prevention of sexually transmitted diseases, including
abstinence-only-until-marriage programs, must provide medically accurate
information about the effectiveness of condoms.
(29)Recent scientific
reports by the Institute of Medicine, the American Medical Association, and the
Office on National AIDS Policy stress the need for sexuality education that
includes messages about abstinence and provides young people with information
about contraception for the prevention of teen pregnancy, HIV/AIDS, and other
sexually transmitted diseases.
(30)A 2006 statement
from the American Public Health Association (APHA
)
recognizes the importance of abstinence education, but only as part of a
comprehensive sexuality education program … APHA calls for repealing current
federal funding for abstinence-only programs and replacing it with funding for
a new Federal program to promote comprehensive sexuality education, combining
information about abstinence with age-appropriate sexuality
education.
(31)Comprehensive
sexuality education programs respect the diversity of values and beliefs
represented in the community and will complement and augment the sexuality
education children receive from their families.
(32)Nearly half of the 40,000 annual new cases
of HIV infections in the United States occur in youth ages 13 through 24.
African American and Latino youth have been disproportionately affected by the
HIV/AIDS epidemic. Although African American adolescents, ages 13 through 19,
represent only 15 percent of the adolescent population in the United States,
they accounted for 73 percent of new AIDS cases reported among adolescents in
2004. Latino adolescents, ages age 13 through 19, accounted for 14 percent of
AIDS cases among adolescents, compared to 16 percent of all adolescents in the
United States, in 2004. Teens in the United States contract an estimated 9.1
million sexually transmitted infections each year. By age 24, at least one in
four sexually active people between the ages of 15 and 24 will have contracted
a sexually transmitted disease.
(33)Approximately 50 young people a day, an
average of two young people every hour of every day, are infected with HIV in
the United States.
<enum>I</enum><header>Title
X of <act-name parsable-cite="PHSA">Public Health Service
Act</act-name></header>
<section id="H4C118EB6048447259B2F14A0BE355835"><enum>101.</enum><header>Short
title</header><text display-inline="no-display-inline">This title may be cited
as the <quote><short-title>Title X Family Planning
Services Act of 2007</short-title></quote>.</text>
</section><section id="HCB6ABD56A07E4699AC8B88757914F024"><enum>102.</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
<act-name parsable-cite="PHSA">Public Health Service Act</act-name>, there are
authorized to be appropriated $700,000,000 for fiscal year 2008 and such sums
as may be necessary for each subsequent fiscal year.</text>
</section><enum>II</enum><header>Equity in
Prescription Insurance and Contraceptive Coverage</header>
<section id="H0166385E897642939219F99535B2EC39"><enum>201.</enum><header>Short
title</header><text display-inline="no-display-inline">This title may be cited
as the <quote><short-title>Equity in Prescription
Insurance and Contraceptive Coverage Act</short-title> of 2007</quote>.</text>
</section><section id="HF02A8DEFD4514EB78CB6D6A3255D3E09"><enum>202.</enum><header>Amendments to
<act-name parsable-cite="ERISA">Employee Retirement Income Security Act of
1974</act-name></header>
<subsection id="HCCF3DD53B12543AA0096917F00C060A7"><enum>(a)</enum><header>In
general</header><text>Subpart B of part 7 of subtitle B of title I of the
<act-name parsable-cite="ERISA">Employee Retirement Income Security Act of
1974</act-name> (29 U.S.C. 1185 et seq.) is amended by adding at the end the
following:</text>
<quoted-block act-name="Employee Retirement Income Security Act of 1974" id="H350972C20217454FAAEDC418DA6847FB">
<section id="H4D20BDF06DDA4553A53180E00064E9C0"><enum>714.</enum><header>Standards
relating to benefits for contraceptives</header>
<subsection id="H68F3B79CACAF4349B25D5E2B83FB5FAF"><enum>(a)</enum><header>Requirements for
coverage</header><text>A group health plan, and a health insurance issuer
providing health insurance coverage in connection with a group health plan, may
not—</text>
<paragraph id="H301AE9D5A2BF4293B2644BD71D00AC55"><enum>(1)</enum><text>exclude or
restrict benefits for prescription contraceptive drugs or devices approved by
the Food and Drug Administration, or generic equivalents approved as
substitutable by the Food and Drug Administration, if such plan or coverage
provides benefits for other outpatient prescription drugs or devices; or</text>
</paragraph><paragraph id="H69EA43E07F4F4130928B11C9004536C5"><enum>(2)</enum><text>exclude or
restrict benefits for outpatient contraceptive services if such plan or
coverage provides benefits for other outpatient services provided by a health
care professional (referred to in this section as <quote>outpatient health care
services</quote>).</text>
</paragraph></subsection><subsection id="H0E016D4262964517941D00AF0064F800"><enum>(b)</enum><header>Prohibitions</header><text>A
group health plan, and a health insurance issuer providing health insurance
coverage in connection with a group health plan, may not—</text>
<paragraph id="H8244DE19C4324C02A8C74790F8D386F9"><enum>(1)</enum><text>deny to an
individual eligibility, or continued eligibility, to enroll or to renew
coverage under the terms of the plan because of the individual’s or enrollee’s
use or potential use of items or services that are covered in accordance with
the requirements of this section;</text>
</paragraph><paragraph id="H2F428569B2024442BBEED1BC5E506FAA"><enum>(2)</enum><text>provide monetary
payments or rebates to a covered individual to encourage such individual to
accept less than the minimum protections available under this section;</text>
</paragraph><paragraph id="H47E0A6B640474797AE6DB89DD5B06B77"><enum>(3)</enum><text>penalize or
otherwise reduce or limit the reimbursement of a health care professional
because such professional prescribed contraceptive drugs or devices, or
provided contraceptive services, described in subsection (a), in accordance
with this section; or</text>
</paragraph><paragraph id="HFA9CB980D11543F78C6E584BAC4DEF"><enum>(4)</enum><text>provide incentives
(monetary or otherwise) to a health care professional to induce such
professional to withhold from a covered individual contraceptive drugs or
devices, or contraceptive services, described in subsection (a).</text>
</paragraph></subsection><subsection id="HFFB654CFFDCD445EB0DFA8BAE27B3E1"><enum>(c)</enum><header>Rules of
construction</header>
<paragraph id="H378FAF7237FC40A08E50C7684F6DA886"><enum>(1)</enum><header>In
general</header><text>Nothing in this section shall be construed—</text>
<subparagraph id="HFEDC11644958463CB54C4B21EA708C44"><enum>(A)</enum><text>as preventing a
group health plan and a health insurance issuer providing health insurance
coverage in connection with a group health plan from imposing deductibles,
coinsurance, or other cost-sharing or limitations in relation to—</text>
<clause id="HE70B5EA240AC427E00E25291F80013A1"><enum>(i)</enum><text>benefits for
contraceptive drugs under the plan or coverage, except that such a deductible,
coinsurance, or other cost-sharing or limitation for any such drug shall be
consistent with those imposed for other outpatient prescription drugs otherwise
covered under the plan or coverage;</text>
</clause><clause id="HDB5EF462CB694D7998D4528876DB8612"><enum>(ii)</enum><text>benefits for
contraceptive devices under the plan or coverage, except that such a
deductible, coinsurance, or other cost-sharing or limitation for any such
device shall be consistent with those imposed for other outpatient prescription
devices otherwise covered under the plan or coverage; and</text>
</clause><clause id="H2ABBD7B704774426A5BC94DFC4F4EDE8"><enum>(iii)</enum><text>benefits for
outpatient contraceptive services under the plan or coverage, except that such
a deductible, coinsurance, or other cost-sharing or limitation for any such
service shall be consistent with those imposed for other outpatient health care
services otherwise covered under the plan or coverage;</text>
</clause></subparagraph><subparagraph id="H225D2EA9D03748758F466E7FF05C64F0"><enum>(B)</enum><text>as requiring a
group health plan and a health insurance issuer providing health insurance
coverage in connection with a group health plan to cover experimental or
investigational contraceptive drugs or devices, or experimental or
investigational contraceptive services, described in subsection (a), except to
the extent that the plan or issuer provides coverage for other experimental or
investigational outpatient prescription drugs or devices, or experimental or
investigational outpatient health care services; or</text>
</subparagraph><subparagraph id="HBD51008A25E7421BA67CD3001CA018C5"><enum>(C)</enum><text>as modifying,
diminishing, or limiting the rights or protections of an individual under any
other Federal law.</text>
</subparagraph></paragraph><paragraph id="H99DBCBC52400451FB4F2CBCE6B97C5AE"><enum>(2)</enum><header>Limitations</header><text>As
used in paragraph (1), the term <term>limitation</term> includes—</text>
<subparagraph id="H2BBA7856AA89451399006559DEDF0000"><enum>(A)</enum><text>in the case of a
contraceptive drug or device, restricting the type of health care professionals
that may prescribe such drugs or devices, utilization review provisions, and
limits on the volume of prescription drugs or devices that may be obtained on
the basis of a single consultation with a professional; or</text>
</subparagraph><subparagraph id="H12F93B32CF954571B87F6D72727C4B00"><enum>(B)</enum><text>in the case of an
outpatient contraceptive service, restricting the type of health care
professionals that may provide such services, utilization review provisions,
requirements relating to second opinions prior to the coverage of such
services, and requirements relating to preauthorizations prior to the coverage
of such services.</text>
</subparagraph></paragraph></subsection><subsection id="H36EB0E06CDD14830A0A8001604775500"><enum>(d)</enum><header>Notice under
group health plan</header><text>The imposition of the requirements of this
section shall be treated as a material modification in the terms of the plan
described in section 102(a)(1), for purposes of assuring notice of such
requirements under the plan, except that the summary description required to be
provided under the last sentence of section 104(b)(1) with respect to such
modification shall be provided by not later than 60 days after the first day of
the first plan year in which such requirements apply.</text>
</subsection><subsection id="H61A444B3A0924BE7A8E27C576F38B51C"><enum>(e)</enum><header>Preemption</header><text>Nothing
in this section shall be construed to preempt any provision of State law to the
extent that such State law establishes, implements, or continues in effect any
standard or requirement that provides coverage or protections for participants
or beneficiaries that are greater than the coverage or protections provided
under this section.</text>
</subsection><subsection id="H05DDFE1467C04B7B90AEA8F44D7BBF8C"><enum>(f)</enum><header>Definition</header><text>In
this section, the term <term>outpatient contraceptive services</term> means
consultations, examinations, procedures, and medical services, provided on an
outpatient basis and related to the use of contraceptive methods (including
natural family planning) to prevent an unintended
pregnancy.</text>
</subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection><subsection id="H83F0CE3D44EA40E5A36FBD47A4A350F4"><enum>(b)</enum><header>Clerical
amendment</header><text>The table of contents in section 1 of the
<act-name parsable-cite="ERISA">Employee Retirement Income Security Act of
1974</act-name> (29 U.S.C. 1001) is amended by inserting after the item
relating to section 713 the following:</text>
<quoted-block act-name="Employee Retirement Income Security Act of 1974" id="HAA3A830DB208459B00CFF93359BFBDE" style="USC">
<toc regeneration="no-regeneration">
<toc-entry level="section">Sec. 714. Standards relating to benefits
for
contraceptives.</toc-entry>
</toc>
<after-quoted-block>.</after-quoted-block></quoted-block>
</subsection><subsection id="HDB3CB04EDAC1473F906F88C9F298AC44"><enum>(c)</enum><header>Effective
date</header><text>The amendments made by this section shall apply with respect
to plan years beginning on or after January 1, 2008.</text>
</subsection></section><section id="HF2EA30DD0FA649C4A740F2EE5CF3D400"><enum>203.</enum><header>Amendments to
<act-name parsable-cite="PHSA">Public Health Service Act</act-name> relating to
the group market</header>
<subsection id="H81143EE51C6B46F98DFF8BB6D9DF2017"><enum>(a)</enum><header>In
general</header><text>Subpart 2 of part A of title XXVII of the
<act-name parsable-cite="PHSA">Public Health Service Act</act-name> (42 U.S.C.
300gg–4 et seq.) is amended by adding at the end the following:</text>
<quoted-block act-name="Public Health Service Act" id="H07E9C67DE0E044A7BB85ED67E35D5551">
<section id="H9CD0E4B5FEC84E50851BABB37321D372"><enum>2707.</enum><header>Standards
relating to benefits for contraceptives</header>
<subsection id="H10B138B327594BB0AD91001DC00F4B9"><enum>(a)</enum><header>Requirements for
coverage</header><text>A group health plan, and a health insurance issuer
providing health insurance coverage in connection with a group health plan, may
not—</text>
<paragraph id="H3E309FEA7DD54654B1CDF6AF4FEA52E6"><enum>(1)</enum><text>exclude or
restrict benefits for prescription contraceptive drugs or devices approved by
the Food and Drug Administration, or generic equivalents approved as
substitutable by the Food and Drug Administration, if such plan or coverage
provides benefits for other outpatient prescription drugs or devices; or</text>
</paragraph><paragraph id="H9865EB9EB9864CCFA4AF7E751BC3775F"><enum>(2)</enum><text>exclude or
restrict benefits for outpatient contraceptive services if such plan or
coverage provides benefits for other outpatient services provided by a health
care professional (referred to in this section as <quote>outpatient health care
services</quote>).</text>
</paragraph></subsection><subsection id="HABD914008A694FFC988BCC7DEF9ED2D"><enum>(b)</enum><header>Prohibitions</header><text>A
group health plan, and a health insurance issuer providing health insurance
coverage in connection with a group health plan, may not—</text>
<paragraph id="H159A15F01D2D4EBA9BD2CB902D41A5F"><enum>(1)</enum><text>deny to an
individual eligibility, or continued eligibility, to enroll or to renew
coverage under the terms of the plan because of the individual’s or enrollee’s
use or potential use of items or services that are covered in accordance with
the requirements of this section;</text>
</paragraph><paragraph id="H0BA92B54D5D141B5B9A5A27CECF168E7"><enum>(2)</enum><text>provide monetary
payments or rebates to a covered individual to encourage such individual to
accept less than the minimum protections available under this section;</text>
</paragraph><paragraph id="HC3A463546DF94B14B54D58601EA15494"><enum>(3)</enum><text>penalize or
otherwise reduce or limit the reimbursement of a health care professional
because such professional prescribed contraceptive drugs or devices, or
provided contraceptive services, described in subsection (a), in accordance
with this section; or</text>
</paragraph><paragraph id="H89D2B050E0DF4607A470328FC84188F"><enum>(4)</enum><text>provide incentives
(monetary or otherwise) to a health care professional to induce such
professional to withhold from covered individual contraceptive drugs or
devices, or contraceptive services, described in subsection (a).</text>
</paragraph></subsection><subsection id="HBC136C92104F4F2600006B216262FED9"><enum>(c)</enum><header>Rules of
construction</header>
<paragraph id="HFDE8BED1A5FA4FA897F4F784079B231B"><enum>(1)</enum><header>In
general</header><text>Nothing in this section shall be construed—</text>
<subparagraph id="HC905ECF344BD4C0BB8FB001E7608FF10"><enum>(A)</enum><text>as preventing a
group health plan and a health insurance issuer providing health insurance
coverage in connection with a group health plan from imposing deductibles,
coinsurance, or other cost-sharing or limitations in relation to—</text>
<clause id="HF61F09844DD744D5A5CAA5C3A052D199"><enum>(i)</enum><text>benefits for
contraceptive drugs under the plan or coverage, except that such a deductible,
coinsurance, or other cost-sharing or limitation for any such drug shall be
consistent with those imposed for other outpatient prescription drugs otherwise
covered under the plan or coverage;</text>
</clause><clause id="HC3DBA7B968C04385BFC699C83CE8CC97"><enum>(ii)</enum><text>benefits for
contraceptive devices under the plan or coverage, except that such a
deductible, coinsurance, or other cost-sharing or limitation for any such
device shall be consistent with those imposed for other outpatient prescription
devices otherwise covered under the plan or coverage; and</text>
</clause><clause id="H34926F06B2994D248FD228C87E547479"><enum>(iii)</enum><text>benefits for
outpatient contraceptive services under the plan or coverage, except that such
a deductible, coinsurance, or other cost-sharing or limitation for any such
service shall be consistent with those imposed for other outpatient health care
services otherwise covered under the plan or coverage;</text>
</clause></subparagraph><subparagraph id="H722FF2DA1FAC4147A459CCDF55EA5F9C"><enum>(B)</enum><text>as requiring a
group health plan and a health insurance issuer providing health insurance
coverage in connection with a group health plan to cover experimental or
investigational contraceptive drugs or devices, or experimental or
investigational contraceptive services, described in subsection (a), except to
the extent that the plan or issuer provides coverage for other experimental or
investigational outpatient prescription drugs or devices, or experimental or
investigational outpatient health care services; or</text>
</subparagraph><subparagraph id="H7F097809B7F54B6E923F02541FB2BD48"><enum>(C)</enum><text>as modifying,
diminishing, or limiting the rights or protections of an individual under any
other Federal law.</text>
</subparagraph></paragraph><paragraph id="HC70A133D3C1145D0A10073B21D7C0407"><enum>(2)</enum><header>Limitations</header><text>As
used in paragraph (1), the term <term>limitation</term> includes—</text>
<subparagraph id="HA66FC10A565D42DBBE2530DFDF9F3224"><enum>(A)</enum><text>in the case of a
contraceptive drug or device, restricting the type of health care professionals
that may prescribe such drugs or devices, utilization review provisions, and
limits on the volume of prescription drugs or devices that may be obtained on
the basis of a single consultation with a professional; or</text>
</subparagraph><subparagraph id="HEF7A990DF271469C8CE8F6201FDC2BE"><enum>(B)</enum><text>in the case of an
outpatient contraceptive service, restricting the type of health care
professionals that may provide such services, utilization review provisions,
requirements relating to second opinions prior to the coverage of such
services, and requirements relating to preauthorizations prior to the coverage
of such services.</text>
</subparagraph></paragraph></subsection><subsection id="H6384F0193AE948A48CC13D1DD344F3E2"><enum>(d)</enum><header>Notice</header><text>A
group health plan under this part shall comply with the notice requirement
under section 714(d) of the <act-name parsable-cite="ERISA">Employee Retirement
Income Security Act of 1974</act-name> with respect to the requirements of this
section as if such section applied to such plan.</text>
</subsection><subsection id="H295ADA45CDC341BE8E095FF13C60A595"><enum>(e)</enum><header>Preemption</header><text>Nothing
in this section shall be construed to preempt any provision of State law to the
extent that such State law establishes, implements, or continues in effect any
standard or requirement that provides coverage or protections for enrollees
that are greater than the coverage or protections provided under this
section.</text>
</subsection><subsection id="H76489A9DD0D34EC9B3A8805F0560A353"><enum>(f)</enum><header>Definition</header><text>In
this section, the term <term>outpatient contraceptive services</term> means
consultations, examinations, procedures, and medical services, provided on an
outpatient basis and related to the use of contraceptive methods (including
natural family planning) to prevent an unintended
pregnancy.</text>
</subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection><subsection id="H83548C0343F548A08054B78CD79234C"><enum>(b)</enum><header>Effective
date</header><text>The amendments made by this section shall apply with respect
to group health plans for plan years beginning on or after January 1,
2008.</text>
</subsection></section><section id="H2C8361133825427F907F81F052004712"><enum>204.</enum><header>Amendment to
<act-name parsable-cite="PHSA">Public Health Service Act</act-name> relating to
the individual market</header>
<subsection id="HFED76184D6854BB19384FDFD18F587DC"><enum>(a)</enum><header>In
general</header><text>Part B of title XXVII of the
<act-name parsable-cite="PHSA">Public Health Service Act</act-name> (42 U.S.C.
300gg–41 et seq.) is amended—</text>
<paragraph id="H897EA9EBF15E43658C38DAFD46007B55"><enum>(1)</enum><text>by redesignating
the first subpart 3 (relating to other requirements) as subpart 2; and</text>
</paragraph><paragraph id="H01138751EB2C45C4B8DD251D9123D2ED"><enum>(2)</enum><text>by adding at the
end of subpart 2 the following:</text>
<quoted-block id="H0BFD15ABA65644BAA40011164C006F21">
<section id="HCD47F39603664FFCAE9F007BB20F0B6"><enum>2753.</enum><header>Standards
relating to benefits for contraceptives</header><text display-inline="no-display-inline">The provisions of section 2707 shall apply
to health insurance coverage offered by a health insurance issuer in the
individual market in the same manner as they apply to health insurance coverage
offered by a health insurance issuer in connection with a group health plan in
the small or large group
market.</text>
</section><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></subsection><subsection id="HE0972884131E48C8A5E5FF3305D7199D"><enum>(b)</enum><header>Effective
date</header><text>The amendment made by this section shall apply with respect
to health insurance coverage offered, sold, issued, renewed, in effect, or
operated in the individual market on or after January 1, 2008.</text>
</subsection></section><enum>III</enum><header>Emergency
Contraception Education and Information</header>
<section id="HDF8DB5156F74414DA9F02B74A980BA44"><enum>301.</enum><header>Short
title</header><text display-inline="no-display-inline">This title may be cited
as the <quote><short-title>Emergency Contraception
Education Act</short-title> of 2007</quote>.</text>
</section><section id="H65953EAEF7F047A3A8E3BAC6ED7C276C"><enum>302.</enum><header>Emergency
contraception education and information programs</header>
<subsection id="HC49A3A079D4440619CED190435DF34F"><enum>(a)</enum><header>Definitions</header><text>For
purposes of this section:</text>
<paragraph id="HDCA4BA862DB24FC2A59D98EE5974A7D2"><enum>(1)</enum><header>Emergency
contraception</header><text>The term <term>emergency contraception</term> means
a drug or device (as the terms are defined in section 201 of the
<act-name parsable-cite="FFDCA">Federal Food, Drug, and Cosmetic Act</act-name>
(21 U.S.C. 321)) or a drug regimen that is—</text>
<subparagraph id="H09A45A159E40422981DA5535A174FFC4"><enum>(A)</enum><text>used after sexual
relations;</text>
</subparagraph><subparagraph id="HEE55FCEF36984DAFA7147269AF1B725"><enum>(B)</enum><text>prevents pregnancy,
by preventing ovulation, fertilization of an egg, or implantation of an egg in
a uterus; and</text>
</subparagraph><subparagraph id="HF18F6FCDC50B4400A3F9A1FA340876BE"><enum>(C)</enum><text>approved by the
Food and Drug Administration.</text>
</subparagraph></paragraph><paragraph id="H82E54F4B81BB4017ADFABDEBE600C59F"><enum>(2)</enum><header>Health care
provider</header><text>The term <term>health care provider</term> means an
individual who is licensed or certified under State law to provide health care
services and who is operating within the scope of such license.</text>
</paragraph><paragraph id="H7D6DB7C3A92B4A9D928087B8D6D2365D"><enum>(3)</enum><header>Institution of
higher education</header><text>The term <term>institution of higher
education</term> has the same meaning given such term in section 1201(a) of the
<act-name parsable-cite="HEA65">Higher Education Act of 1965</act-name> (20
U.S.C. 1141(a)).</text>
</paragraph><paragraph id="HE485DB26B80E4E04A049B71B30EF7D7D"><enum>(4)</enum><header>Secretary</header><text>The
term <term>Secretary</term> means the Secretary of Health and Human
Services.</text>
</paragraph></subsection><subsection id="HDD04144D355147B78731570010741DB4"><enum>(b)</enum><header>Emergency
contraception public education program</header>
<paragraph id="H23E2E0B7014C416300449035C52F9EDE"><enum>(1)</enum><header>In
general</header><text>The Secretary, acting through the Director of the Centers
for Disease Control and Prevention, shall develop and disseminate to the public
information on emergency contraception.</text>
</paragraph><paragraph id="HD8A9CB37F9124A0A8FD8CF629C51A685"><enum>(2)</enum><header>Dissemination</header><text>The
Secretary may disseminate information under paragraph (1) directly or through
arrangements with nonprofit organizations, consumer groups, institutions of
higher education, Federal, State, or local agencies, clinics, and the
media.</text>
</paragraph><paragraph id="HFB34B2DE22D4453B8F6E2E0006DAED71"><enum>(3)</enum><header>Information</header><text>The
information disseminated under paragraph (1) shall include, at a minimum, a
description of emergency contraception and an explanation of the use, safety,
efficacy, and availability of such contraception.</text>
</paragraph></subsection><subsection id="HA1AEA3273BA349349D8037EDEDA1948B"><enum>(c)</enum><header>Emergency
contraception information program for health care providers</header>
<paragraph id="H2B4B6E76008C4888B097412CDAB6A050"><enum>(1)</enum><header>In
general</header><text>The Secretary, acting through the Administrator of the
Health Resources and Services Administration and in consultation with major
medical and public health organizations, shall develop and disseminate to
health care providers information on emergency contraception.</text>
</paragraph><paragraph id="H6214AC04337F4029A9BDEEA9D5D49E66"><enum>(2)</enum><header>Information</header><text>The
information disseminated under paragraph (1) shall include, at a
minimum—</text>
<subparagraph id="HF38EE24E925A4EA8A1414C9C95004446"><enum>(A)</enum><text>information
describing the use, safety, efficacy, and availability of emergency
contraception;</text>
</subparagraph><subparagraph id="H69E36375412A496CBA5F3F62876CE96B"><enum>(B)</enum><text>a recommendation
regarding the use of such contraception in appropriate cases; and</text>
</subparagraph><subparagraph id="H214228F3EE154248AE9CBFF12D3B0593"><enum>(C)</enum><text>information
explaining how to obtain copies of the information developed under subsection
(b) for distribution to the patients of the providers.</text>
</subparagraph></paragraph></subsection><subsection id="H2CF04CBFE4CE41A8B6D5C454FBFADA5C"><enum>(d)</enum><header>Authorization of
appropriations</header><text>There are authorized to be appropriated to carry
out this section such sums as may be necessary for each of the fiscal years
2008 through 2012.</text>
</subsection></section><enum>IV</enum><header>Compassionate
assistance for rape emergencies</header>
<section id="H4688E3D0F4B64D1D863029F42EC86C24"><enum>401.</enum><header>Short
title</header><text display-inline="no-display-inline">This title may be cited
as the <quote><short-title>Compassionate Assistance for
Rape Emergencies Act of 2007</short-title></quote>.</text>
</section><section id="H3E05D06F6F974B86B3B8D83DCF5754E5"><enum>402.</enum><header>Survivors of
sexual assault; provision by hospitals of emergency contraceptives without
charge</header>
<subsection id="H959FD0693724489C856F1C29527B3379"><enum>(a)</enum><header>In
general</header><text>Federal funds may not be provided to a hospital under any
health-related program, unless the hospital meets the conditions specified in
subsection (b) in the case of—</text>
<paragraph id="HD9945D76B78B4EAD83FE6BAFB353A08D"><enum>(1)</enum><text>any woman who
presents at the hospital and states that she is a victim of sexual assault, or
is accompanied by someone who states she is a victim of sexual assault;
and</text>
</paragraph><paragraph id="H9AB4B1EE124C424300007E25B0D67B83"><enum>(2)</enum><text>any woman who
presents at the hospital whom hospital personnel have reason to believe is a
victim of sexual assault.</text>
</paragraph></subsection><subsection id="H13E78F667F274C12B9F6D741B6ECE2B"><enum>(b)</enum><header>Assistance for
victims</header><text>The conditions specified in this subsection regarding a
hospital and a woman described in subsection (a) are as follows:</text>
<paragraph id="HDDEDF95432AA4F3CA812A5251BA9DBC8"><enum>(1)</enum><text>The hospital
promptly provides the woman with medically and factually accurate and unbiased
written and oral information about emergency contraception, including
information explaining that—</text>
<subparagraph id="H4F09C687A4754E0D9F4EC100D6BA910"><enum>(A)</enum><text>emergency
contraception does not cause an abortion; and</text>
</subparagraph><subparagraph id="H0DD20E0AB5C74B96AE1D6DF7664FCAA7"><enum>(B)</enum><text>emergency
contraception is effective in most cases in preventing pregnancy after
unprotected sex.</text>
</subparagraph></paragraph><paragraph id="H58CFFC5431AF4D81A7E94856E3FACE4E"><enum>(2)</enum><text>The hospital
promptly offers emergency contraception to the woman, and promptly provides
such contraception to her on her request.</text>
</paragraph><paragraph id="H1B23A93F8DAD4B809E72A9B4AFF4D4DB"><enum>(3)</enum><text>The information
provided pursuant to paragraph (1) is in clear and concise language, is readily
comprehensible, and meets such conditions regarding the provision of the
information in languages other than English as the Secretary may
establish.</text>
</paragraph><paragraph id="H895414BE63A94C71821B7D12C724997"><enum>(4)</enum><text>The services
described in paragraphs (1) through (3) are not denied because of the inability
of the woman or her family to pay for the services.</text>
</paragraph></subsection><subsection id="H834F82A9DCB243BA98C030969E69974"><enum>(c)</enum><header>Definitions</header><text>For
purposes of this section:</text>
<paragraph id="H9AC0DB8135194F76899BE49FC0B34C00"><enum>(1)</enum><text>The term
<term>emergency contraception</term> means a drug, drug regimen, or device
that—</text>
<subparagraph id="H40E2BDCB3FA2403D90012FDD707BED5F"><enum>(A)</enum><text>is used
postcoitally;</text>
</subparagraph><subparagraph id="H643ADC9B845E4D22B0EECCD54D8386C3"><enum>(B)</enum><text>prevents pregnancy
by delaying ovulation, preventing fertilization of an egg, or preventing
implantation of an egg in a uterus; and</text>
</subparagraph><subparagraph id="HFD2C1206653F4FC289B044D7131CA75C"><enum>(C)</enum><text>is approved by the
Food and Drug Administration.</text>
</subparagraph></paragraph><paragraph id="HEDFC37EB01304405BB08001F00CFBEAF"><enum>(2)</enum><text>The term
<term>hospital</term> has the meanings given such term in title XVIII of the
<act-name parsable-cite="SSA">Social Security Act</act-name>, including the
meaning applicable in such title for purposes of making payments for emergency
services to hospitals that do not have agreements in effect under such
title.</text>
</paragraph><paragraph id="H4A83806212234D00BE177863EE00E905"><enum>(3)</enum><text>The term
<term>Secretary</term> means the Secretary of Health and Human Services.</text>
</paragraph><paragraph id="HDD8A5AC1F9EF47A4B588ED78F6A015F8"><enum>(4)</enum><text>The term
<term>sexual assault</term> means coitus in which the woman involved does not
consent or lacks the legal capacity to consent.</text>
</paragraph></subsection><subsection id="HB18F2E23FE964B07AB28F81120C4168D"><enum>(d)</enum><header>Effective date;
agency criteria</header><text>This section takes effect upon the expiration of
the 180-day period beginning on the date of the enactment of this Act. Not
later than 30 days prior to the expiration of such period, the Secretary shall
publish in the Federal Register criteria for carrying out this section.</text>
</subsection></section><enum>V</enum><header>At-Risk
Communities Teen Pregnancy Prevention Act</header>
<section id="H8F457691481E406AAF2F1FC4DCCA99B"><enum>501.</enum><header>Short
title</header><text display-inline="no-display-inline">This title may be cited
as the <quote>At-Risk Communities Teen Pregnancy Prevention Act of
2007</quote>.</text>
</section><section id="IDC8E67080064349B7A75F39DA72E37B68"><enum>502.</enum><header>Teenage
pregnancy prevention</header><text display-inline="no-display-inline">Part P of
title III of the <act-name parsable-cite="PHSA">Public Health Service
Act</act-name> (42 U.S.C. 280g et seq.) is amended by inserting after section
399N the following section:</text>
<quoted-block act-name="Public Health Service Act" display-inline="no-display-inline" id="IDEB76EF363FDC49AF98746ECBBF592422" style="OLC">
<section id="ID18CC7C79D4D84E2ABB0B531353A56A82"><enum>399N–1.</enum><header>Teenage
pregnancy prevention grants</header>
<subsection id="ID4138227A6F7B498DB1DD0EB2A3FED58A"><enum>(a)</enum><header>Authority</header><text>The
Secretary may award on a competitive basis grants to public and private
entities to establish or expand teenage pregnancy prevention programs.</text>
</subsection><subsection id="ID1EF21369F36240E3A74602DF756ECCC2"><enum>(b)</enum><header>Grant
Recipients</header><text>Grant recipients under this section may include State
and local not-for-profit coalitions working to prevent teenage pregnancy,
State, local, and tribal agencies, schools, entities that provide after-school
programs, and community and faith-based groups.</text>
</subsection><subsection id="IDCF06CFA920F9462D965A305D9B8CABAD"><enum>(c)</enum><header>Priority</header><text>In
selecting grant recipients under this section, the Secretary shall give—</text>
<paragraph id="IDAC72981B308545AF906BF13DF3A50E25"><enum>(1)</enum><text>highest priority
to applicants seeking assistance for programs targeting communities or
populations in which—</text>
<subparagraph id="IDD49F4EF806D5402A946CA4FB71E402F2"><enum>(A)</enum><text>teenage pregnancy
or birth rates are higher than the corresponding State average; or</text>
</subparagraph><subparagraph id="IDEE4FF3A7D2934BEFB2AB8B80B03E4CAE"><enum>(B)</enum><text>teenage pregnancy
or birth rates are increasing; and</text>
</subparagraph></paragraph><paragraph id="ID103E0939D2704F1E9D2008FF8FA9DB4A"><enum>(2)</enum><text>priority to
applicants seeking assistance for programs that—</text>
<subparagraph id="IDBF48F3B3D2204842BA7EE6D1DC03BC74"><enum>(A)</enum><text>will benefit
underserved or at-risk populations such as young males or immigrant youths;
or</text>
</subparagraph><subparagraph id="IDBB40995F45844C21B9263ECE1B1842AC"><enum>(B)</enum><text>will take
advantage of other available resources and be coordinated with other programs
that serve youth, such as workforce development and after school
programs.</text>
</subparagraph></paragraph></subsection><subsection id="ID86E9C8B46ACA4AAEA1DA8447DD383D5A"><enum>(d)</enum><header>Use of
Funds</header><text>Funds received by an entity as a grant under this section
shall be used for programs that—</text>
<paragraph id="IDCAF26DA474F643C2BAA5A3AF6D162BFA"><enum>(1)</enum><text>replicate or
substantially incorporate the elements of one or more teenage pregnancy
prevention programs that have been proven (on the basis of rigorous scientific
research) to delay sexual intercourse or sexual activity, increase condom or
contraceptive use (without increasing sexual activity), or reduce teenage
pregnancy; and</text>
</paragraph><paragraph id="IDCB120202D39C414A81BF67BCEF4ADD71"><enum>(2)</enum><text>incorporate one
or more of the following strategies for preventing teenage pregnancy:
encouraging teenagers to delay sexual activity; sex and HIV education;
interventions for sexually active teenagers; preventive health services; youth
development programs; service learning programs; and outreach or media
programs.</text>
</paragraph></subsection><subsection id="IDB9EEE1E5D03D42AABEB0080731A9A347"><enum>(e)</enum><header>Complete
Information</header><text>Programs receiving funds under this section that
choose to provide information on HIV/AIDS or contraception or both must provide
information that is complete and medically accurate.</text>
</subsection><subsection id="IDB95A0076C3E34AA6B9B0200D5DDE5C85"><enum>(f)</enum><header>Relation to
Abstinence-Only Programs</header><text>Funds under this section are not
intended for use by abstinence-only education programs. Abstinence-only
education programs that receive Federal funds through the Maternal and Child
Health Block Grant, the Administration for Children and Families, the
Adolescent Family Life Program, and any other program that uses the definition
of <quote>abstinence education</quote> found in section 510(b) of the
<act-name parsable-cite="SSA">Social Security Act</act-name> are ineligible for
funding.</text>
</subsection><subsection id="IDB9880F324B294A28ACC1143590E29B65"><enum>(g)</enum><header>Applications</header><text>Each
entity seeking a grant under this section shall submit an application to the
Secretary at such time and in such manner as the Secretary may require.</text>
</subsection><subsection id="IDFC5A01435006415DB96EEC55B7285D60"><enum>(h)</enum><header>Matching
Funds</header>
<paragraph id="ID12E86C710BE34E4FA8EA13657BF42513"><enum>(1)</enum><header>In
general</header><text>The Secretary may not award a grant to an applicant for a
program under this section unless the applicant demonstrates that it will pay,
from funds derived from non-Federal sources, at least 25 percent of the cost of
the program.</text>
</paragraph><paragraph id="ID6E4EF38650B14DE48D0BBD2177546DA3"><enum>(2)</enum><header>Applicant’s
share</header><text>The applicant’s share of the cost of a program shall be
provided in cash or in kind.</text>
</paragraph></subsection><subsection id="IDCCCAE0F2803541FCAD152CE5784A4B45"><enum>(i)</enum><header>Supplementation
of Funds</header><text>An entity that receives funds as a grant under this
section shall use the funds to supplement and not supplant funds that would
otherwise be available to the entity for teenage pregnancy prevention.</text>
</subsection><subsection id="ID3B2A6812A8A44C7DBBEE7550AB1DD833"><enum>(j)</enum><header>Evaluations</header>
<paragraph id="IDB8AD5D423F8440CB843140EE3C179F80"><enum>(1)</enum><header>In
general</header><text>The Secretary shall—</text>
<subparagraph id="ID853130E4D27C4FEF8E3C9487AC419D7C"><enum>(A)</enum><text>conduct or
provide for a rigorous evaluation of 10 percent of programs for which a grant
is awarded under this section;</text>
</subparagraph><subparagraph id="IDC807AD4BF02E43FABA93BDD12F62DFDA"><enum>(B)</enum><text>collect basic
data on each program for which a grant is awarded under this section;
and</text>
</subparagraph><subparagraph id="ID5D0DA1A502434FC0AF1E091B29939E4F"><enum>(C)</enum><text>upon completion
of the evaluations referred to in subparagraph (A), submit to the Congress a
report that includes a detailed statement on the effectiveness of grants under
this section.</text>
</subparagraph></paragraph><paragraph id="ID40B6D69569CC4220A793BD3BC155AD0A"><enum>(2)</enum><header>Cooperation by
grantees</header><text>Each grant recipient under this section shall provide
such information and cooperation as may be required for an evaluation under
paragraph (1).</text>
</paragraph></subsection><subsection id="ID1B35D591DDE14BA6B0DB969F83104530"><enum>(k)</enum><header>Definition</header><text>For
purposes of this section, the term <term>rigorous scientific research</term>
means based on a program evaluation that:</text>
<paragraph id="ID3813719F311E4E22A023FFBF784FD1F2"><enum>(1)</enum><text>Measured impact
on sexual or contraceptive behavior, pregnancy or childbearing.</text>
</paragraph><paragraph id="ID73DB10EDA19D4E338BC6AB81AB8B5500"><enum>(2)</enum><text>Employed an
experimental or quasi-experimental design with well-constructed and appropriate
comparison groups.</text>
</paragraph><paragraph id="ID7BBC8E17C5184DEC811CC7B6F94BC42A"><enum>(3)</enum><text>Had a sample size
large enough (at least 100 in the combined treatment and control group) and a
follow-up interval long enough (at least six months) to draw valid conclusions
about impact.</text>
</paragraph></subsection><subsection commented="no" display-inline="no-display-inline" id="ID183346F4C5834871927A6CC427D17EE5"><enum>(l)</enum><header>Authorization
of Appropriations</header><text>There are authorized to be appropriated to
carry out this section such sums as may be necessary for fiscal year 2007 and
each subsequent fiscal
year.</text>
</subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</section><section display-inline="no-display-inline" id="H1285A79F76D14D7FB74C99CAA9D4C351" section-type="subsequent-section"><enum>503.</enum><header>Research</header>
<subsection id="HFDC44648A5654065889F87E4150000CE"><enum>(a)</enum><header>In
general</header><text>The Secretary of Health and Human Services, acting
through the Director of the Centers for Disease Control and Prevention, shall
make grants to public or nonprofit private entities to conduct, support, and
coordinate research on the prevention of teen pregnancy in eligible
communities, including research on the factors contributing to the
disproportionate rates of teen pregnancy in such communities.</text>
</subsection><subsection id="HB2B0F6B2CBA049E5BE00D0B768FD8319"><enum>(b)</enum><header>Research</header><text>In
carrying out subsection (a), the Secretary of Health and Human Services shall
support research that—</text>
<paragraph id="H62D320ACEACD4FED00003ED7221FBD2"><enum>(1)</enum><text display-inline="yes-display-inline">investigates and determines the incidence
and prevalence of teen pregnancy in communities described in such
subsection;</text>
</paragraph><paragraph id="H8D94ABBCC0EF466CBF3D15F3B0D2C7DE"><enum>(2)</enum><text>examines—</text>
<subparagraph id="HEC76C5240535432E99A0D1B4CA43ED45"><enum>(A)</enum><text>the extent of the
impact of teen pregnancy on—</text>
<clause id="H4B22E8BB403F465A98E834CF8756B3DB"><enum>(i)</enum><text>the
health and well-being of teenagers in the communities; and</text>
</clause><clause id="H84EAEF42599448459B0680C9C67100E9"><enum>(ii)</enum><text>the
scholastic achievement of such teenagers;</text>
</clause></subparagraph><subparagraph id="H2805ADDDAC7C43459E65F8A4D82452D6"><enum>(B)</enum><text>the variance in
the rates of teen pregnancy by—</text>
<clause id="HDD097BB748CE484F8B89B03B1EC02553"><enum>(i)</enum><text>location (such as
inner cities, inner suburbs, and outer suburbs);</text>
</clause><clause id="H9C28B253BA8E4B27B46FA2F834EBE7B"><enum>(ii)</enum><text>population
subgroup (such as Hispanic, Asian-Pacific Islander, African-American, Native
American); and</text>
</clause><clause id="HE1F26C0BD8ED4A03B3FF0204F43758C"><enum>(iii)</enum><text>level of
acculturation;</text>
</clause></subparagraph><subparagraph id="H6DF9C515B0014C1EB5CD23C9D2D83F2E"><enum>(C)</enum><text>the importance of
the physical and social environment as a factor in placing communities at risk
of increased rates of teen pregnancy; and</text>
</subparagraph><subparagraph id="H022893B047A545BDB73DF96B1B348FB9"><enum>(D)</enum><text>the importance of
aspirations as a factor affecting young women’s risk of teen pregnancy;
and</text>
</subparagraph></paragraph><paragraph id="H7D4157DDB6EE40CD9EC13E9F2CC22CD2"><enum>(3)</enum><text>is used to
develop—</text>
<subparagraph id="H9E9693023E5E4FD89EC22C2EEFA3B600"><enum>(A)</enum><text>measures to
address race, ethnicity, socioeconomic status, environment, and educational
attainment and the relationship to the incidence and prevalence of teen
pregnancy; and</text>
</subparagraph><subparagraph id="H1CDE69A84FDC4448A0FEBD18CD57A7BC"><enum>(B)</enum><text>efforts to link
the measures to relevant databases, including health databases.</text>
</subparagraph></paragraph></subsection><subsection id="H727CB03C9B0A4B09882BAD99D9C10748"><enum>(c)</enum><header>Priority</header><text>In
making grants under subsection (a), the Secretary of Health and Human Services
shall give priority to research that incorporates—</text>
<paragraph id="HCF4ACA580D604EE2A947250045C43ED5"><enum>(1)</enum><text>interdisciplinary
approaches; or</text>
</paragraph><paragraph id="H2B1B2209D62645C587AFAE884B74E527"><enum>(2)</enum><text>a
strong emphasis on community-based participatory research.</text>
</paragraph></subsection><subsection display-inline="no-display-inline" id="HEFD5EE03452A4A628160B9519800F96F"><enum>(d)</enum><header>Authorization of
appropriations</header><text>For the purpose of carrying out this section,
there is authorized to be appropriated such sums as may be necessary for each
of the fiscal years 2008 through 2012.</text>
</subsection></section><section display-inline="no-display-inline" id="H5C7564A0C1234C66BFA300E563CB0067" section-type="subsequent-section"><enum>504.</enum><header>General
requirements</header>
<subsection id="HC64D82520BDB45F7BCB16513EB276484"><enum>(a)</enum><header>Medically
accurate information</header><text>A grant may be made under this title only if
the applicant involved agrees that all information provided pursuant to the
grant will be age-appropriate, factually and medically accurate and complete,
and scientifically based.</text>
</subsection><subsection display-inline="no-display-inline" id="H8B1DF25C826B430A842870954067CB7B"><enum>(b)</enum><header>Cultural context
of services</header><text>A grant may be made under this title only if the
applicant involved agrees that information, activities, and services under the
grant that are directed toward a particular population group will be provided
in the language and cultural context that is most appropriate for individuals
in such group.</text>
</subsection><subsection id="H451AC644DCB646B998B1C0C8E3260002"><enum>(c)</enum><header>Application for
grant</header><text display-inline="yes-display-inline">A grant may be made
under this title only if an application for the grant is submitted to the
Secretary of Health and Human Services and the application is in such form, is
made in such manner, and contains such agreements, assurances, and information
as the Secretary of Health and Human Services determines to be necessary to
carry out the program involved.</text>
</subsection></section><enum>VI</enum><header>Accuracy of
Contraceptive Information</header>
<section id="H27AA28143E204A1392A3AEDADF6840AF"><enum>601.</enum><header>Short
title</header><text display-inline="no-display-inline">This title may be cited
as the <quote><short-title>Truth in Contraception
Act</short-title> of 2007</quote>.</text>
</section><section id="HE979CD9A1B42439DA717C9B5C6791EB4"><enum>602.</enum><header>Accuracy of
contraceptive information</header><text display-inline="no-display-inline">Notwithstanding any other provision of law,
any information concerning the use of a contraceptive provided through any
federally funded sex education, family life education, abstinence education,
comprehensive health education, or character education program shall be
medically accurate and shall include health benefits and failure rates relating
to the use of such contraceptive.</text>
</section><enum>VII</enum><header>Unintended
Pregnancy Reduction Act</header>
<section commented="no" display-inline="no-display-inline" id="HB65BEADA0C964B20A720C00005C4606" section-type="subsequent-section"><enum>701.</enum><header>Short
title</header><text display-inline="no-display-inline">This title may be cited
as the <quote><short-title>Unintended Pregnancy Reduction
Act of 2007</short-title></quote>.</text>
</section><section commented="no" display-inline="no-display-inline" id="H39BE43C9D3F0413AA63E7411AC65C39C" section-type="subsequent-section"><enum>702.</enum><header>Medicaid;
clarification of coverage of family planning services and
supplies</header><text display-inline="no-display-inline">Section 1937(b) of
the Social Security Act (42 U.S.C. 1396u–7(b)) is amended by adding at the end
the following:</text>
<quoted-block display-inline="no-display-inline" id="H62638AE5B1D24354A88086004ED8D1A3" style="OLC">
<paragraph commented="no" display-inline="no-display-inline" id="H8CB406A05B6049BA89E8ED042D682FA5"><enum>(5)</enum><header>Coverage of
family planning services and supplies</header><text display-inline="yes-display-inline">Notwithstanding the previous provisions of
this section, a State may not provide for medical assistance through enrollment
of an individual with benchmark coverage or benchmark-equivalent coverage under
this section unless such coverage includes for any individual described in
section 1905(a)(4)(C), medical assistance for family planning services and
supplies in accordance with such
section.</text>
</paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</section><section commented="no" display-inline="no-display-inline" id="HF25DF4A3A3E24D3C80EA916D7E2B16F4" section-type="subsequent-section"><enum>703.</enum><header>Expansion of family
planning services</header>
<subsection commented="no" display-inline="no-display-inline" id="HACFFA76259634F84B4A93B066EAB4090"><enum>(a)</enum><header>Coverage as
Mandatory Categorically Needy Group</header>
<paragraph commented="no" display-inline="no-display-inline" id="H54D9F144A8724EF086A75DF374B0D01D"><enum>(1)</enum><header>In
general</header><text display-inline="yes-display-inline">Section
1902(a)(10)(A)(i) of the Social Security Act (42 U.S.C. 1396a(a)(10)(A)(i)) is
amended—</text>
<subparagraph commented="no" display-inline="no-display-inline" id="HA87C52592DCF46358F5DD6AB1B1CA"><enum>(A)</enum><text display-inline="yes-display-inline">in subclause (VI), by striking
<quote>or</quote> at the end;</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="HD5F63D8F1F0E49BABFECA632E544E3BD"><enum>(B)</enum><text display-inline="yes-display-inline">in subclause (VII), by adding
<quote>or</quote> at the end; and</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="H31F69ABEBC8742C485958E4253798436"><enum>(C)</enum><text display-inline="yes-display-inline">by adding at the end the following new
subclause:</text>
<quoted-block display-inline="no-display-inline" id="H17970A0BBD554246921DD84D24C3A38B" style="OLC">
<subclause commented="no" display-inline="no-display-inline" id="H79EB0DBFF2B44D27B2FB51E55483A513"><enum>(VIII)</enum><text display-inline="yes-display-inline">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 commented="no" display-inline="no-display-inline" id="HE6F8A3D3E9BE4423B23577A0FFA25340"><enum>(2)</enum><header>Group
described</header><text display-inline="yes-display-inline">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="HE3550DF32C5F4387A41CCF77052486ED" style="OLC">
<subsection commented="no" display-inline="no-display-inline" id="H3FECE4DE8A264BEB9550F92C177C0363"><enum>(dd)</enum><paragraph commented="no" display-inline="yes-display-inline" id="H7BDA2D8349C348E8A76C6FE3638EC8F6"><enum>(1)</enum><text display-inline="yes-display-inline">Individuals described in this subsection
are individuals who—</text>
<subparagraph commented="no" display-inline="no-display-inline" id="H4705CD5DE47D4FA18820044809F38DA8" indent="up1"><enum>(A)</enum><text display-inline="yes-display-inline">meet at least the income eligibility
standards established under the State plan as of January 1, 2007, for pregnant
women or such higher income eligibility standard for such women as the State
may establish; and</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="H8E9753482FAA4493AABFB370561DE8BB" indent="up1"><enum>(B)</enum><text display-inline="yes-display-inline">are not pregnant.</text>
</subparagraph></paragraph><paragraph commented="no" display-inline="no-display-inline" id="HFBAF99EAC5044F0CB4CC5B16AECAC334" indent="up1"><enum>(2)</enum><text display-inline="yes-display-inline">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 January 1,
2007.</text>
</paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph><paragraph commented="no" display-inline="no-display-inline" id="H0C34279F789341BC9D9E2025B36B82E6"><enum>(3)</enum><header>Limitation on
benefits</header><text display-inline="yes-display-inline">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 commented="no" display-inline="no-display-inline" id="H5A315D7DD5414D8E9F9D79DE3400BA26"><enum>(A)</enum><text display-inline="yes-display-inline">by striking <quote>and (XIV)</quote> and
inserting <quote>(XIV)</quote>; and</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="HAE9641581D26472ABED12BE6D7D57773"><enum>(B)</enum><text display-inline="yes-display-inline">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 commented="no" display-inline="no-display-inline" id="H640E3FF296E346C99480F394AF9C1F2C"><enum>(4)</enum><header>Conforming
amendments</header><text display-inline="yes-display-inline">Section 1905(a) of
the Social Security Act (42 U.S.C. 1396d(a)) is amended in the matter preceding
paragraph (1)—</text>
<subparagraph commented="no" display-inline="no-display-inline" id="HA922D80741594E77B9F259B610006859"><enum>(A)</enum><text display-inline="yes-display-inline">in clause (xii), by striking
<quote>or</quote> at the end;</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="HF9A2E6B1750549AEAA80E03EE446EA7B"><enum>(B)</enum><text display-inline="yes-display-inline">in clause (xii), by adding
<quote>or</quote> at the end; and</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="HDF3170515FA5487185A14710B53C7FAF"><enum>(C)</enum><text display-inline="yes-display-inline">by inserting after clause (xiii) the
following:</text>
<quoted-block display-inline="no-display-inline" id="H673F99348AEF4AA7836B1E75B6761C19" style="OLC">
<clause commented="no" display-inline="no-display-inline" id="H23EF431972CD48EDB7D3DE66B399FD62"><enum>(xiv)</enum><text display-inline="yes-display-inline">individuals described in section
1902(dd),</text>
</clause><after-quoted-block>.</after-quoted-block></quoted-block>
</subparagraph></paragraph></subsection><subsection commented="no" display-inline="no-display-inline" id="H4EC9AF7344DA407E97E3D2A4F837F6A0"><enum>(b)</enum><header>Presumptive
eligibility</header>
<paragraph commented="no" display-inline="no-display-inline" id="HB499F7B1DDDB44A79956046EAE82C2E"><enum>(1)</enum><header>In
general</header><text display-inline="yes-display-inline">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="HB5F6CCA198514B48B300AB00D64CE812" style="traditional">
<section commented="no" display-inline="no-display-inline" id="H9BBF09EEF71F4EE4A5E1BFC1B389A451" section-type="subsequent-section"><enum>1920C.</enum><header>PRESUMPTIVE ELIGIBILITY FOR FAMILY PLANNING
SERVICES</header><subsection commented="no" display-inline="yes-display-inline" id="H7A8EB486F1254951AAE3B0008A47537"><enum>(a)</enum><header>State
Option</header><text display-inline="yes-display-inline">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 commented="no" display-inline="no-display-inline" id="H47545E41ACC740F690D1D679B577DD6E"><enum>(b)</enum><header>Definitions</header><text display-inline="yes-display-inline">For purposes of this section:</text>
<paragraph commented="no" display-inline="no-display-inline" id="HF17C42AC98A141A593DDDD04495E8C4B"><enum>(1)</enum><header>Presumptive
eligibility period</header><text display-inline="yes-display-inline">The term
<term>presumptive eligibility period</term> means, with respect to an
individual described in subsection (a), the period that—</text>
<subparagraph commented="no" display-inline="no-display-inline" id="H1C5CDEE6C5C147AE9CD646BB2D63E792"><enum>(A)</enum><text display-inline="yes-display-inline">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 commented="no" display-inline="no-display-inline" id="HA67608BD971D443E81813BA8B6AB45E4"><enum>(B)</enum><text display-inline="yes-display-inline">ends with (and includes) the earlier
of—</text>
<clause commented="no" display-inline="no-display-inline" id="H58009F9CE9164B82BCD5D1647B7393B4"><enum>(i)</enum><text display-inline="yes-display-inline">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 commented="no" display-inline="no-display-inline" id="H4163F87FCDE7428797B65E304DBD44A7"><enum>(ii)</enum><text display-inline="yes-display-inline">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 commented="no" display-inline="no-display-inline" id="HEB20A4DE99F84F10A603952E9778B271"><enum>(2)</enum><header>Qualified
entity</header>
<subparagraph commented="no" display-inline="no-display-inline" id="HAA9DA9DD93C140DAB9648CF5C9F3E9E"><enum>(A)</enum><header>In
general</header><text display-inline="yes-display-inline">Subject to
subparagraph (B), the term <term>qualified entity</term> means any entity
that—</text>
<clause commented="no" display-inline="no-display-inline" id="H8023DA9E726C4F94A8EB804EE1C09968"><enum>(i)</enum><text display-inline="yes-display-inline">is eligible for payments under a State plan
approved under this title; and</text>
</clause><clause commented="no" display-inline="no-display-inline" id="HEC06C5D9D428468EA599DF49165D4FD1"><enum>(ii)</enum><text display-inline="yes-display-inline">is determined by the State agency to be
capable of making determinations of the type described in paragraph
(1)(A).</text>
</clause></subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="H513CB2E6978E4B228FB38C2766A6915B"><enum>(B)</enum><header>Regulations</header><text display-inline="yes-display-inline">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 commented="no" display-inline="no-display-inline" id="HC69F3D8B0C3A41E5853F957ED23E1F49"><enum>(C)</enum><header>Rule of
construction</header><text display-inline="yes-display-inline">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 commented="no" display-inline="no-display-inline" id="HA9715189E4494890AF8CC951D9446BD0"><enum>(c)</enum><header>Administration</header>
<paragraph commented="no" display-inline="no-display-inline" id="HFE95ECDDEF7047C4BCF2C34FF42710D3"><enum>(1)</enum><header>In
general</header><text display-inline="yes-display-inline">The State agency
shall provide qualified entities with—</text>
<subparagraph commented="no" display-inline="no-display-inline" id="HF545298483274971AABC81F7FC27BF7"><enum>(A)</enum><text display-inline="yes-display-inline">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 commented="no" display-inline="no-display-inline" id="HB37E250D55844B9D9BDC9DAA56962BBC"><enum>(B)</enum><text display-inline="yes-display-inline">information on how to assist such
individuals in completing and filing such forms.</text>
</subparagraph></paragraph><paragraph commented="no" display-inline="no-display-inline" id="HD102152ACC48490A006DCA742311B24"><enum>(2)</enum><header>Notification
requirements</header><text display-inline="yes-display-inline">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 commented="no" display-inline="no-display-inline" id="H5724219264AD4378BDD4A837CDC4B2DE"><enum>(A)</enum><text display-inline="yes-display-inline">notify the State agency of the
determination within 5 working days after the date on which determination is
made; and</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="HB27944F253F440D2BE5D6B7D21A09071"><enum>(B)</enum><text display-inline="yes-display-inline">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 commented="no" display-inline="no-display-inline" id="H082AB44777E940FB95966F4C63ED1052"><enum>(3)</enum><header>Application for
medical assistance</header><text display-inline="yes-display-inline">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 commented="no" display-inline="no-display-inline" id="HA590B64AB0E8422399CCA8CC40D34D26"><enum>(d)</enum><header>Payment</header><text display-inline="yes-display-inline">Notwithstanding any other provision of this
title, medical assistance that—</text>
<paragraph commented="no" display-inline="no-display-inline" id="H2916CE2569394C58A4CD58812B16B224"><enum>(1)</enum><text display-inline="yes-display-inline">is furnished to an individual described in
subsection (a)—</text>
<subparagraph commented="no" display-inline="no-display-inline" id="HD33E112BA2CD4288AB7B39D73E4623CE"><enum>(A)</enum><text display-inline="yes-display-inline">during a presumptive eligibility
period;</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="H70AAA9B7C3DC4B4A9F425006A082F75E"><enum>(B)</enum><text display-inline="yes-display-inline">by a entity that is eligible for payments
under the State plan; and</text>
</subparagraph></paragraph><paragraph commented="no" display-inline="no-display-inline" id="HD4068C28F6164F5387865B218F28B93D"><enum>(2)</enum><text display-inline="yes-display-inline">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 commented="no" display-inline="no-display-inline" id="H7ACAC94C83D74590A27BA3BAA9D8796C"><enum>(2)</enum><header>Conforming
amendments</header>
<subparagraph commented="no" display-inline="no-display-inline" id="H01E1D2B93AC24249A7583904B4B8B6FC"><enum>(A)</enum><text display-inline="yes-display-inline">Section 1902(a)(47) of the Social Security
Act (42 U.S.C. 1396a(a)(47)) is amended by inserting before the semicolon at
the end the following: <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 commented="no" display-inline="no-display-inline" id="HA9455D92AA3F4AC4A09E44CAD63C9D67"><enum>(B)</enum><text display-inline="yes-display-inline">Section 1903(u)(1)(D)(v) of such Act (42
U.S.C. 1396b(u)(1)(D)(v)) is amended—</text>
<clause commented="no" display-inline="no-display-inline" id="H2B373E7B331846028B7F4F9828DEA16B"><enum>(i)</enum><text display-inline="yes-display-inline">by striking <quote>or for</quote> and
inserting <quote>, for</quote>; and</text>
</clause><clause commented="no" display-inline="no-display-inline" id="H29D8DC2F4F4949F3BF6EB42CD741E8D1"><enum>(ii)</enum><text display-inline="yes-display-inline">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></section><section commented="no" display-inline="no-display-inline" id="H158AAE6496274077969BE69F3786158C" section-type="subsequent-section"><enum>704.</enum><header>Effective
date</header>
<subsection commented="no" display-inline="no-display-inline" id="H204B02C15C744BB4BB5D2C29F566C9F5"><enum>(a)</enum><header>In
general</header><text display-inline="yes-display-inline">Except as provided in
paragraph (2), the amendments made by this title take effect on October 1,
2007.</text>
</subsection><subsection commented="no" display-inline="no-display-inline" id="H68FC4B85E2404583A8DED82E701F7F58"><enum>(b)</enum><header>Extension of
effective date for state law amendment</header><text display-inline="yes-display-inline">In the case of a State plan under title XIX
of the Social Security Act (42 U.S.C. 1396 et seq.) which the Secretary of
Health and Human Services determines requires State legislation in order for
the plan to meet the additional requirements imposed by the amendments made by
this title, 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 the 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>
</subsection></section><enum>VIII</enum><header>Responsible
Education About Life Act</header>
<section display-inline="no-display-inline" id="HECF04232EEC44DE193DABA5E9B70CA67" section-type="subsequent-section"><enum>801.</enum><header>Short
title</header><text display-inline="no-display-inline">This title may be cited
as the <quote><short-title>Responsible Education About
Life Act of 2007</short-title></quote>.</text>
</section><section id="H163DAE51BF484D669962CD9E9EB7D409"><enum>802.</enum><header>Assistance to
reduce teen pregnancy, HIV/AIDS, and other sexually transmitted diseases and to
support healthy adolescent development</header>
<subsection id="HC4049167E4434377B0A0B375ACA0C86D"><enum>(a)</enum><header>In
general</header><text>Each eligible State shall be entitled to receive from the
Secretary of Health and Human Services, for each of the fiscal years 2008
through 2012, a grant to conduct programs of family life education, including
education on both abstinence and contraception for the prevention of teenage
pregnancy and sexually transmitted diseases, including HIV/AIDS.</text>
</subsection><subsection id="H6C426E526C994E3FB14E001ED41500C2"><enum>(b)</enum><header>Requirements for
family life programs</header><text>For purposes of this title, a program of
family life education is a program that—</text>
<paragraph id="H18255909C5D14A4F96631035384EB5D"><enum>(1)</enum><text>is
age-appropriate and medically accurate;</text>
</paragraph><paragraph id="H64321467233F4631AFF6C47F5537663D"><enum>(2)</enum><text>does not teach or
promote religion;</text>
</paragraph><paragraph id="HA6BC4D2842034FC3B85E1723F3C6627"><enum>(3)</enum><text>teaches that
abstinence is the only sure way to avoid pregnancy or sexually transmitted
diseases;</text>
</paragraph><paragraph id="H7C96BA69D4E04F81B9222ED248FEA8D0"><enum>(4)</enum><text>stresses the value
of abstinence while not ignoring those young people who have had or are having
sexual intercourse;</text>
</paragraph><paragraph id="HC4AE6191088945C98681C0AD002379AE"><enum>(5)</enum><text>provides
information about the health benefits and side effects of all contraceptives
and barrier methods as a means to prevent pregnancy;</text>
</paragraph><paragraph id="H77A4C6EADD9E4EF59C2589D78F1636D"><enum>(6)</enum><text>provides
information about the health benefits and side effects of all contraceptives
and barrier methods as a means to reduce the risk of contracting sexually
transmitted diseases, including HIV/AIDS;</text>
</paragraph><paragraph id="HA968F20F0F5A4791969E00BE002EC059"><enum>(7)</enum><text>encourages family
communication between parent and child about sexuality;</text>
</paragraph><paragraph id="H96AD434D6030411E8E6624D39505AC99"><enum>(8)</enum><text>teaches young
people the skills to make responsible decisions about sexuality, including how
to avoid unwanted verbal, physical, and sexual advances and how not to make
unwanted verbal, physical, and sexual advances; and</text>
</paragraph><paragraph id="H9DA83D4D0DB842E186DBEA2E4EFEF9FD"><enum>(9)</enum><text>teaches young
people how alcohol and drug use can effect responsible decision making.</text>
</paragraph></subsection><subsection id="H412BF9325D1E4BA38EEC75B9E2CE16BA"><enum>(c)</enum><header>Additional
activities</header><text>In carrying out a program of family life education, a
State may expend a grant under subsection (a) to carry out educational and
motivational activities that help young people—</text>
<paragraph id="H67D0D93BEDB841CC94CDAAD2C829C68"><enum>(1)</enum><text>gain knowledge
about the physical, emotional, biological, and hormonal changes of adolescence
and subsequent stages of human maturation;</text>
</paragraph><paragraph id="H577D32C4B6B74545BE9FB9AB97524511"><enum>(2)</enum><text>develop the
knowledge and skills necessary to ensure and protect their sexual and
reproductive health from unintended pregnancy and sexually transmitted disease,
including HIV/AIDS throughout their lifespan;</text>
</paragraph><paragraph id="HF364E963C13542BDA2CC07775D098833"><enum>(3)</enum><text>gain knowledge
about the specific involvement and responsibility of males in sexual decision
making;</text>
</paragraph><paragraph id="H391DE778C49647F6A5CEE33DFE14092"><enum>(4)</enum><text>develop healthy
attitudes and values about adolescent growth and development, body image,
racial and ethnic diversity, and other related subjects;</text>
</paragraph><paragraph id="H3F829F2E0EC64539B9FB451403F43847"><enum>(5)</enum><text>develop and
practice healthy life skills, including goal-setting, decision making,
negotiation, communication, and stress management;</text>
</paragraph><paragraph id="H85A0CE4664234C5194DE2EA6030260D6"><enum>(6)</enum><text>promote
self-esteem and positive interpersonal skills focusing on relationship
dynamics, including friendships, dating, romantic involvement, marriage and
family interactions; and</text>
</paragraph><paragraph id="HD5045E185D9D428FB1DF00BD186C863"><enum>(7)</enum><text>prepare for the
adult world by focusing on educational and career success, including developing
skills for employment preparation, job seeking, independent living, financial
self-sufficiency, and workplace productivity.</text>
</paragraph></subsection></section><section id="HE2148D4196A149BA0002161DEAE2236"><enum>803.</enum><header>Sense of
Congress</header><text display-inline="no-display-inline">It is the sense of
Congress that while States are not required under this title to provide
matching funds, with respect to grants authorized under section 802(a), they
are encouraged to do so.</text>
</section><section id="H3842E91202AA4B50B7BC62001DD7D01F"><enum>804.</enum><header>Evaluation of
programs</header>
<subsection id="H779EE3E3457E43DBA8805CD644DFE8BA"><enum>(a)</enum><header>In
general</header><text>For the purpose of evaluating the effectiveness of
programs of family life education carried out with a grant under section 802,
evaluations of such program shall be carried out in accordance with subsections
(b) and (c).</text>
</subsection><subsection id="HCB1F3CC2B5D64CCB964624528CF7997B"><enum>(b)</enum><header>National
evaluation</header>
<paragraph id="H67910BF7B2A6480E876D1CC59F229DCA"><enum>(1)</enum><header>In
general</header><text>The Secretary shall provide for a national evaluation of
a representative sample of programs of family life education carried out with
grants under section 802. A condition for the receipt of such a grant is that
the State involved agree to cooperate with the evaluation. The purposes of the
national evaluation shall be the determination of—</text>
<subparagraph id="HEBC8755576BF49479500FC67B994EDE9"><enum>(A)</enum><text>the effectiveness
of such programs in helping to delay the initiation of sexual intercourse and
other high-risk behaviors;</text>
</subparagraph><subparagraph id="HD37EA11389494A5296F2ADCF03361FB7"><enum>(B)</enum><text>the effectiveness
of such programs in preventing adolescent pregnancy;</text>
</subparagraph><subparagraph id="HC3F2AD65844342FB005DEB6DF05CEA6F"><enum>(C)</enum><text>the effectiveness
of such programs in preventing sexually transmitted disease, including
HIV/AIDS;</text>
</subparagraph><subparagraph id="HFC989CBB89C84D8D004FDA09A8618C12"><enum>(D)</enum><text>the effectiveness
of such programs in increasing contraceptive knowledge and contraceptive
behaviors when sexual intercourse occurs; and</text>
</subparagraph><subparagraph id="HCF4A3C6102B34611A52FDEC56E00FF93"><enum>(E)</enum><text>a list of best
practices based upon essential programmatic components of evaluated programs
that have led to success in subparagraphs (A) through (D).</text>
</subparagraph></paragraph><paragraph id="H274BC7505D1E4830858481C812268066"><enum>(2)</enum><header>Report</header><text>A
report providing the results of the national evaluation under paragraph (1)
shall be submitted to Congress not later than March 31, 2011, with an interim
report provided on an annual basis at the end of each fiscal year.</text>
</paragraph></subsection><subsection id="H79D3BB51271342BC8F749F4CBB8F226F"><enum>(c)</enum><header>Individual State
evaluations</header>
<paragraph id="HA772EFDBBBCE497A9DE356E7600A9AE"><enum>(1)</enum><header>In
general</header><text>A condition for the receipt of a grant under section 802
is that the State involved agree to provide for the evaluation of the programs
of family education carried out with the grant in accordance with the
following:</text>
<subparagraph id="H7DB2FE31CADA43359ED525639B0670D9"><enum>(A)</enum><text>The evaluation
will be conducted by an external, independent entity.</text>
</subparagraph><subparagraph id="H501DD80E5D6449C7A825C0D77D9B80D7"><enum>(B)</enum><text>The purposes of
the evaluation will be the determination of—</text>
<clause id="HED473384E9E44EB59CE1D882E9B9F4C0"><enum>(i)</enum><text>the
effectiveness of such programs in helping to delay the initiation of sexual
intercourse and other high-risk behaviors;</text>
</clause><clause id="H3E600698CE40411C81800844D7E948C3"><enum>(ii)</enum><text>the
effectiveness of such programs in preventing adolescent pregnancy;</text>
</clause><clause id="HD51BDC6E46C147C2A8FE4996B169B81"><enum>(iii)</enum><text>the
effectiveness of such programs in preventing sexually transmitted disease,
including HIV/AIDS; and</text>
</clause><clause id="H72115AC8A2824F4F879FD4CC9D752150"><enum>(iv)</enum><text>the
effectiveness of such programs in increasing contraceptive knowledge and
contraceptive behaviors when sexual intercourse occurs.</text>
</clause></subparagraph></paragraph><paragraph id="H38D655A3DECF4DCA89704E321E757335"><enum>(2)</enum><header>Use of
grant</header><text>A condition for the receipt of a grant under section 802 is
that the State involved agree that not more than 10 percent of the grant will
be expended for the evaluation under paragraph (1).</text>
</paragraph></subsection></section><section id="H14A44713EFDB457294600003A2AD0AB"><enum>805.</enum><header>Definitions</header><text display-inline="no-display-inline">For purposes of this title:</text>
<paragraph id="H2EC0465701784D5787C9208C45C94125"><enum>(1)</enum><text>The term
<term>eligible State</term> means a State that submits to the Secretary an
application for a grant under section 802 that 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 title.</text>
</paragraph><paragraph id="HF6A524D26946424DBEB865C1ACCD8B27"><enum>(2)</enum><text>The term
<term>HIV/AIDS</term> means the human immunodeficiency virus, and includes
acquired immune deficiency syndrome.</text>
</paragraph><paragraph id="H5DA79CD6869E41F7AD7FCD734F633CB8"><enum>(3)</enum><text>The term
<term>medically accurate</term>, with respect to information, means information
that is supported by research, recognized as accurate and objective by leading
medical, psychological, psychiatric, and public health organizations and
agencies, and where relevant, published in peer review journals.</text>
</paragraph><paragraph id="H8A21BB5277314413B858062B6F34E62"><enum>(4)</enum><text>The term
<term>Secretary</term> means the Secretary of Health and Human Services.</text>
</paragraph></section><section id="H978C68BCA94D436D9B456D00CC3D022D"><enum>806.</enum><header>Appropriations</header>
<subsection id="HDD8CC78AE90B42E4B8CE271D86BE9891"><enum>(a)</enum><header>In
general</header><text display-inline="yes-display-inline">For the purpose of
carrying out this title, there are authorized to be appropriated such sums as
may be necessary for each of the fiscal years 2008 through 2012.</text>
</subsection><subsection id="HB14E77B22F7B4F2A833050CE9FE6B2D5"><enum>(b)</enum><header>Allocations</header><text>Of
the amounts appropriated under subsection (a) for a fiscal year—</text>
<paragraph id="H466A1E265E9542AA83D95ED46CE6E8DF"><enum>(1)</enum><text>not more than 7
percent may be used for the administrative expenses of the Secretary in
carrying out this title for that fiscal year; and</text>
</paragraph><paragraph id="H57C101794B3A4752A12FA6FD8C8859AA"><enum>(2)</enum><text>not more than 10
percent may be used for the national evaluation under section 804(b).</text>
</paragraph></subsection></section>