[Congressional Bills 111th Congress]
[From the U.S. Government Publishing Office]
[H.R. 3312 Introduced in House (IH)]

111th CONGRESS
  1st Session
                                H. R. 3312

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


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                             July 23, 2009

 Mr. Ryan of Ohio (for himself, Ms. DeLauro, Ms. Herseth Sandlin, Mr. 
    Perriello, Mr. Smith of Washington, Mr. Farr, Mr. Crowley, Mr. 
  McGovern, Mr. Obey, Mr. Meek of Florida, Mr. Davis of Alabama, Mr. 
   Doyle, and Mr. Langevin) introduced the following bill; which was 
 referred to the Committee on Energy and Commerce, and in addition to 
 the Committees on Education and Labor, Ways and Means, the Judiciary, 
  and Agriculture, for a period to be subsequently determined by the 
  Speaker, in each case for consideration of such provisions as fall 
           within the jurisdiction of the committee concerned

_______________________________________________________________________

                                 A BILL


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

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

SECTION 1. SHORT TITLE; TABLE OF CONTENTS.

    (a) Short Title.--This Act may be cited as the ``Preventing 
Unintended Pregnancies, Reducing the Need for Abortion, and Supporting 
Parents Act''.
    (b) Table of Contents.--The table of contents for this Act is as 
follows:

Sec. 1. Short title; table of contents.
Sec. 2. Findings; purpose.
Sec. 3. Definitions.
Sec. 4. Eligibility of Indian tribes for awards.
      TITLE I--EDUCATION PROGRAMS FOR PREVENTING TEEN PREGNANCIES

Sec. 101. Findings.
Sec. 102. Education programs for preventing teen pregnancies.
       TITLE II--REAUTHORIZATION OF CERTAIN AFTER-SCHOOL PROGRAMS

Sec. 201. Findings.
Sec. 202. Reauthorization of certain after-school programs.
         TITLE III--TEEN PREGNANCY PREVENTION INCENTIVE GRANTS

Sec. 301. Teen pregnancy prevention incentive grants.
Sec. 302. Establishing national goal to prevent teen pregnancy.
TITLE IV--DEMONSTRATION GRANTS TO ENCOURAGE CREATIVE APPROACHES TO TEEN 
                          PREGNANCY PREVENTION

Sec. 401. Demonstration grants to encourage creative approaches to teen 
                            pregnancy prevention.
    TITLE V--NATIONAL CAMPAIGN TO ENLIST PARENTS IN PREVENTING TEEN 
                               PREGNANCY

Sec. 501. Findings.
Sec. 502. Creating a national initiative to enlist parents of 
                            adolescents in preventing teen pregnancy; 
                            provision of challenge grants for state and 
                            local programs.
   TITLE VI--PREVENTING UNPLANNED PREGNANCY AMONG COMMUNITY COLLEGE 
                                STUDENTS

Sec. 601. Findings.
Sec. 602. Demonstration grants to prevent unplanned pregnancy among 
                            community college students.
   TITLE VII--CLARIFICATION OF CONTINUED MEDICAID COVERAGE OF FAMILY 
                           PLANNING SERVICES

Sec. 701. Clarification of continue Medicaid coverage of family 
                            planning services.
 TITLE VIII--EXPANDED MEDICAID ELIGIBILITY FOR FAMILY PLANNING SERVICES

Sec. 801. Expand Medicaid eligibility for family planning services.
      TITLE IX--MEDICAID AND CHIP COVERAGE OF MOTHERS AND CHILDREN

Sec. 901. Extending postpartum coverage for Medicaid and CHIP.
Sec. 902. Coordination with the maternal and child health program.
Sec. 903. Increase in SCHIP income eligibility.
Sec. 904. Outreach program to encourage those eligible for services to 
                            enroll.
             TITLE X--TITLE X OF PUBLIC HEALTH SERVICE ACT

Sec. 1001. Short title.
Sec. 1002. Authorization of appropriations.
             TITLE XI--ENSURING COVERAGE OF MATERNITY CARE

Sec. 1101. Removal of pregnancy as a preexisting condition under 
                            individual health insurance coverage.
Sec. 1102. Coverage of maternity care in the individual market.
          TITLE XII--IMPROVING ACCESS TO PRENATAL ULTRASOUNDS

Sec. 1201. Grants to health centers for purchase of ultrasound 
                            equipment.
    TITLE XIII--PREVENTING DOMESTIC VIOLENCE AND SEXUAL ASSAULT AND 
   ADDRESSING THE LINK BETWEEN SUCH VIOLENCE AND UNINTENDED PREGNANCY

Sec. 1301. Findings.
Sec. 1302. Separate program to identify and treat women who are victims 
                            of or at risk of domestic violence, dating 
                            violence, sexual assault, sexual coercion, 
                            or stalking.
Sec. 1303. Additional authorization of appropriations for public 
                            campaign to increase public awareness.
         TITLE XIV--SUPPORT FOR PREGNANT AND PARENTING STUDENTS

Sec. 1401. Support services for students.
Sec. 1402. Child care access means parents in school program.
    TITLE XV--GRANTS FOR A NATIONAL INFORMATION CAMPAIGN ON ADOPTION

Sec. 1501. Grants for a national information campaign on adoption.
    TITLE XVI--EXPANSION OF ADOPTION CREDIT AND ADOPTION ASSISTANCE 
                                PROGRAMS

Sec. 1601. Expansion of adoption credit and adoption assistance 
                            programs.
              TITLE XVII--PROVIDING SUPPORT TO NEW PARENTS

Sec. 1701. Increased support for WIC program.
Sec. 1702. Nutritional support for low-income parents.
Sec. 1703. Increased funding for the child care and development block 
                            grant program.
Sec. 1704. Free home visits by trained home visitors for education on 
                            health and developmental needs of infants 
                            and toddlers for low-income families.
Sec. 1705. Grants to increase public awareness of resources available 
                            to new parents.
      TITLE XVIII--RESEARCH ON RESPONSES TO UNINTENDED PREGNANCIES

Sec. 1801. Report on responses to unintended pregnancy.

SEC. 2. FINDINGS; PURPOSE.

    (a) Findings.--Congress makes the following findings:
            (1) 49 percent of all pregnancies in America are 
        unintended. Excluding miscarriages, 42 percent of unintended 
        pregnancies end in abortion.
            (2) There are approximately 1,200,000 abortions annually in 
        America and one in five pregnancies ends in abortion.
            (3) 57 percent of women who have abortions have incomes 
        below 200 percent of the poverty level.
            (4) Rates of unintended pregnancy in the United States 
        increased by nearly 30 percent among low-income women between 
        1994 and 2001, and a low-income woman today is about 4 times as 
        likely to have an unintended pregnancy as her higher income 
        counterpart.
            (5) Levels of contraceptive use among low-income women at 
        risk of unintended pregnancy declined significantly between 
        1994 and 2001, from 92 percent to 86 percent.
            (6) By helping couples avoid unintended pregnancy, 
        Medicaid-funded and title X contraceptive services are highly 
        cost-effective, and every public dollar spent on family 
        planning saves $4 in the cost of pregnancy-related care alone.
            (7) Abortion rates decreased among higher income women but 
        increased among low-income women between 1994 and 2001, and a 
        low-income woman is more than 4 times as likely to have an 
        abortion as her higher income counterpart.
            (8) Most women cite more than one reason for their decision 
        to have an abortion. The most frequently cited reasons were: 
        ``having a baby would dramatically change my life'' (74 
        percent) by interfering with educational and job prospects and 
        responsibilities towards existing children and ``cannot afford 
        a baby now'' (73 percent).
    (b) Purpose.--The purpose of this Act is to provide a comprehensive 
initiative to--
            (1) reduce the need for abortion by reducing the number of 
        unintended pregnancies and supporting women facing unplanned 
        pregnancies;
            (2) prevent unintended pregnancies from occurring in the 
        first place--
                    (A) by reducing teen pregnancy through 
                comprehensive education, after-school and other 
                programs, and involving parents; and
                    (B) by increasing support for family planning 
                services under title X of the Public Health Service Act 
                and extending Medicaid family planning services to more 
                low-income women and men; and
            (3) support pregnant women, new parents, and their 
        children, through measures that address domestic violence and 
        sexual assault, provide health care services, information about 
        pregnancy, and other supportive services for pregnant women, 
        and provide supportive services for new parents.

SEC. 3. DEFINITIONS.

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

SEC. 4. ELIGIBILITY OF INDIAN TRIBES FOR AWARDS.

    (a) In General.--In the case of programs carried out pursuant to 
this Act that make awards of grants, cooperative agreements, or 
contracts, Indian tribes are eligible for awards under the programs in 
accordance with such criteria as the Secretary may establish.
    (b) Definitions.--For purposes of this Act, the term ``Indian 
tribe'' has the meaning given such term in section 4 of the Indian 
Self-Determination and Education Assistance Act (25 U.S.C. 450b).

      TITLE I--EDUCATION PROGRAMS FOR PREVENTING TEEN PREGNANCIES

SEC. 101. FINDINGS.

    The Congress finds as follows:
            (1) The United States has the highest teen pregnancy rate 
        and teen birth rate among comparable countries, costing the 
        United States at least $9,000,000,000 annually.
            (2) Three out of ten young women in America become pregnant 
        before they reach the age of 20.
            (3) According to the National Center on Health Statistics, 
        the teen birth rate increased 5 percent between 2005 and 2007, 
        reversing a 14-year decline. Teen birth rates increased 
        significantly in over half of states, representing nearly every 
        region of the country.
            (4) Teen pregnancy has serious consequences for young 
        parents, their children, and communities as a whole. Too-early 
        childbearing increases the likelihood that a young woman will 
        drop out of high school and that she and her child will live in 
        poverty.
            (5) Statistically, the sons of teen mothers are more likely 
        to be incarcerated. The daughters of teen mothers are more 
        likely to become teen mothers too.
            (6) Teens that grow up in disadvantaged economic, social, 
        and family circumstances are more likely to engage in risky 
        behavior and have a child during adolescence.
            (7) In a national survey on teen attitudes towards teen 
        pregnancy, 7 in 10 girls and 6 in 10 boys report that they wish 
        they had waited until they were older to have sex.
            (8) Programs comprehensive in scope are effective in 
        reducing risk behaviors by delaying or reducing sexual 
        activity, reducing the number of sexual partners or increasing 
        condom or contraceptive use. Reducing risky behaviors leads to 
        reductions in unintended pregnancy and abortion and 
        transmission of sexually transmitted diseases (STDs), including 
        HIV.
            (9) According to the results of a 2005-2006 nationally 
        representative survey of U.S. adults, more than 8 of 10 of 
        those polled support comprehensive education.
            (10) Ethnic and racial minority groups have been 
        disproportionately affected by early pregnancy and parenthood. 
        Fifty-three percent of Latina teens and 51 percent of African-
        American young women will become pregnant at least once before 
        they turn 20, as compared to only 19 percent of non-Hispanic 
        White young women.
            (11) Recent estimates suggest that while 15- to 24-year-
        olds represent 25 percent of the sexually active population, 
        they acquire nearly half of all new STIs. Each year, one in 
        four sexually active teenagers contracts a sexually transmitted 
        infection.
            (12) Nearly 15 percent of the 56,000 annual new cases of 
        HIV infections in the United States occurred in youth ages 13 
        through 24 in 2006. An average of one young person every hour 
        of every day is infected with HIV in the United States.
            (13) African-American and Latino youth have been 
        disproportionately affected by the HIV/AIDS epidemic. Although 
        African-American adolescents ages 13 through 19 represent only 
        17 percent of the adolescent population in the United States, 
        they accounted for 70 percent of new HIV/AIDS cases reported 
        among teens in 2005. Latino adolescents ages 13 through 19 
        accounted for 17 percent of AIDS cases among teens, the same as 
        their proportion of the U.S. population in 2005.
            (14) Parental involvement is critical to any healthy 
        relationship program. A major study showed that adolescents who 
        reported feeling connected to parents and family were more 
        likely than other teens to delay initiating sexual intercourse. 
        Another study found that teens who reported previous 
        discussions of sexuality with parents were seven times more 
        likely to feel able to communicate with a partner about HIV/
        AIDS than those who did not have such discussions with their 
        parents. Parental involvement is a leading protective factor 
        for dating violence prevention.
            (15) Comprehensive education programs respect the diversity 
        of values and beliefs represented in the community and will 
        complement and augment the education children receive from 
        their families and faith communities.
            (16) Incorporating teen dating violence prevention into 
        health education and comprehensive education is imperative 
        given the widespread experience of violence in dating 
        relationships. Approximately one in three teens reports some 
        kind of abuse in a romantic relationship, including emotional 
        and verbal abuse. Young women who experience dating violence 
        have sex earlier than their peers; are much less likely to use 
        birth control; and engage in a wide variety of high-risk 
        behaviors including multiple partners, sex with older men, and 
        drug and alcohol abuse. Young women who are victims of dating 
        violence are four to six times more likely than non-abused 
        girls to become pregnant.

SEC. 102. EDUCATION PROGRAMS FOR PREVENTING TEEN PREGNANCIES.

    (a) In General.--The Secretary shall make grants to local 
educational agencies, State and local public health agencies, and 
nonprofit private entities for the purpose of carrying out projects to 
provide comprehensive education on preventing teen pregnancies.
    (b) Preference in Making Grants.--In making grants under subsection 
(a), the Secretary shall give preference to applicants that will carry 
out the projects under such subsection in communities for which the 
rate of teen pregnancy is significantly above the average rate of such 
pregnancies.
    (c) Certain Requirements.--A grant may be made under subsection (a) 
only if the applicant for the grant meets the following conditions with 
respect to the project involved:
            (1) The applicant agrees that information provided by the 
        project will be age-appropriate, factually and medically 
        accurate and complete, and scientifically based.
            (2) The applicant agrees that strategies replicate or 
        substantially incorporate the elements of one or more 
        comprehensive education programs that have been proven 
        effective on the basis of rigorous scientific research to--
                    (A) delay sexual intercourse or sexual activity;
                    (B) improve contraceptive use;
                    (C) reduce the number of partners among those who 
                are sexually active; or
                    (D) reduce teenage pregnancy.
            (3) The applicant agrees that the project will not teach or 
        promote religion.
            (4) The applicant agrees that the project will 
        substantially incorporate the following elements--
                    (A) encourage teens to delay sexual activity;
                    (B) provide comprehensive educational services and 
                interventions, including information about the risks 
                and benefits of all contraceptives as a means to 
                prevent pregnancy and reduce the risk of contracting 
                sexually transmitted diseases, including HIV/AIDS;
                    (C) educate both young men and women about the 
                responsibilities and pressures that come along with 
                parenting;
                    (D) encourage family communication about sexuality;
                    (E) teach young people the skills to make 
                responsible decisions about sexuality, including how to 
                avoid unwanted verbal, physical, and sexual advances 
                and how avoid making unwanted verbal, physical, and 
                sexual advances that are not wanted by the other party;
                    (F) develop healthy relationships, including the 
                prevention of dating and sexual violence; and
                    (G) teach young people how alcohol and drug use can 
                affect responsible decisionmaking.
    (d) Optional Additional Activities.--In carrying out a 
comprehensive education program, a grant under this section may be 
expended to carry out, in addition to the services specified in 
subsection (c), educational and motivational activities that help young 
people to--
            (1) gain knowledge about the physical, emotional, 
        biological, and hormonal changes of adolescence and subsequent 
        stages of human maturation;
            (2) 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;
            (3) gain knowledge about the specific involvement and 
        responsibility of each individual in sexual decision making;
            (4) develop healthy attitudes and values about adolescent 
        growth and development, body image, racial and ethnic 
        diversity, and other related subjects;
            (5) develop and practice healthy life skills, including 
        goal-setting, decision making, negotiation, communication, and 
        stress management;
            (6) promote self-esteem and positive interpersonal skills 
        focusing on relationship dynamics, including, but not limited 
        to, friendships, dating, romantic involvement, marriage, and 
        family interactions; and
            (7) prepare for the adult world by focusing on educational 
        and career success, including developing skills for employment, 
        job seeking, independent living, financial self-sufficiency, 
        and workplace productivity.
    (e) Matching Funds.--
            (1) In general.--With respect to the costs of the project 
        to be carried out under subsection (a) by an applicant, a grant 
        may be made under such subsection only if the applicant agrees 
        to make available (directly or through donations from public or 
        private entities) non-Federal contributions toward such costs 
        in an amount that is not less than 25 percent of such costs ($1 
        for each $3 of Federal funds provided in the grant).
            (2) Determination of amount contributed.--Non-Federal 
        contributions required in paragraph (1) may be in cash or in 
        kind, fairly evaluated, including plant, equipment, or 
        services. Amounts provided by the Federal Government, or 
        services assisted or subsidized to any significant extent by 
        the Federal Government, may not be included in determining the 
        amount of such non-Federal contributions.
    (f) Supplementation of Funds.--An applicant to which a grant is 
made under subsection (a) for a fiscal year shall use the grant to 
supplement and not supplant funds that would otherwise be available to 
the applicant for carrying out the purpose described in such 
subsection.
    (g) Data Reporting.--A State to which a grant is made under this 
paragraph for a fiscal year shall cooperate with the Secretary to 
collect information and report on outcomes of programs funded under the 
grant, as specified by the Secretary.
    (h) Application for Grant.--A grant may be made under subsection 
(a) only if an application for the grant is submitted to the Secretary 
and the application is in such form, is made in such manner, and 
contains such agreements, assurances, and information, including the 
agreement under subsection (e), as the Secretary determines to be 
necessary to carry out this section.
    (i) Evaluation.--
            (1) In general.--The Secretary shall commission a random 
        assignment evaluation conducted by a third party of the 
        programs of a few selected grantees under this section.
            (2) Allocation.--Of the amount appropriated to carry out 
        this section, the Secretary may use not more than 10 percent of 
        such amount for the purpose of carrying out clause (i) for 
        fiscal year 2010. Funds allocated under this paragraph are 
        authorized to be appropriated to remain available for 
        expenditure through fiscal year 2015.
    (j) Report to Congress.--Not later than April 1, 2015, the 
Secretary shall submit to the Congress a report describing the extent 
to which projects under subsection (a) have been successful in reducing 
teen pregnancy and achieving other evaluation outcomes in the 
communities in which the projects have been carried out.
    (k) Definitions.--For purposes of this section:
            (1) The term ``age-appropriate'', with respect to the 
        information in pregnancy prevention, means topics, messages, 
        and teaching methods suitable to particular ages or age groups 
        of children and adolescents, based on developing cognitive, 
        emotional, and behavioral capacity typical for the age or age 
        group.
            (2) The term ``factually and medically accurate and 
        complete'' means verified or supported by the weight of 
        research conducted in compliance with accepted scientific 
        methods and--
                    (A) published in peer-reviewed journals, where 
                applicable; or
                    (B) comprising information that leading 
                professional organizations and agencies with relevant 
                expertise in the field recognize as accurate, 
                objective, and complete.
            (3) The term ``HIV/AIDS'' means the human immunodeficiency 
        virus, and includes acquired immune deficiency syndrome.
            (4) The term ``local educational agency'' has the meaning 
        given such term in section 9101 of the Elementary and Secondary 
        Education Act of 1965 (20 U.S.C. 7801).
    (l) Authorization of Appropriations.--For the purpose of carrying 
out this section, there are authorized to be appropriated such sums as 
may be necessary for each of fiscal years 2010 through 2015.

       TITLE II--REAUTHORIZATION OF CERTAIN AFTER-SCHOOL PROGRAMS

SEC. 201. FINDINGS.

    The Congress finds as follows:
            (1) The likelihood of teens having sex for the first time 
        increases with the number of unsupervised hours teens have 
        during a week.
            (2) After-school programs can reduce teen risky behavior. 
        Teenage girls who play sports, for instance, are more likely to 
        delay sex and have fewer partners and less likely to become 
        pregnant.
            (3) After-school programs can help prevent teen pregnancy 
        by advancing good decisionmaking skills and providing teens 
        with health education and positive role models in a supervised 
        setting.

SEC. 202. REAUTHORIZATION OF CERTAIN AFTER-SCHOOL PROGRAMS.

    (a) 21st Century Community Learning Centers.--Section 4206 of the 
Elementary and Secondary Education Act of 1965 (20 U.S.C. 7176) is 
amended--
            (1) in paragraph (5), by striking ``and'';
            (2) in paragraph (6), by striking the period at the end and 
        inserting a semicolon; and
            (3) by adding at the end the following:
            ``(7) $2,750,000,000 for fiscal year 2010; and
            ``(8) $2,750,000,000 for fiscal year 2011.''.
    (b) Carol M. White Physical Education Program.--Section 5401 of the 
Elementary and Secondary Education Act of 1965 (20 U.S.C. 7241) is 
amended by adding at the end the following:
            ``(7) $755,000,000 for fiscal year 2010, of which 
        $80,000,000 is for carrying out subpart 10.
            ``(8) $755,000,000 for fiscal year 2011, of which 
        $80,000,000 is for carrying out subpart 10.''.
    (c) Federal TRIO Programs.--Section 402A(g) of the Higher Education 
Act of 1965 (20 U.S.C. 1070a-11(g)) is amended by striking 
``$900,000,000 for fiscal year 2009 and such sums as may be necessary 
for each of the five succeeding fiscal years'' and inserting 
``$980,000,000 for fiscal year 2010 and such sums as may be necessary 
for each of the 5 succeeding fiscal years''.
    (d) Gearup.--Section 404H of the Higher Education Act of 1965 (20 
U.S.C. 1070a-28) is amended by striking ``$400,000,000 for fiscal year 
2009 and such sums as may be necessary for each of the five succeeding 
fiscal years'' and inserting ``$450,000,000 for fiscal year 2010 and 
such sums as may be necessary for each of the 5 succeeding fiscal 
years''.

         TITLE III--TEEN PREGNANCY PREVENTION INCENTIVE GRANTS

SEC. 301. TEEN PREGNANCY PREVENTION INCENTIVE GRANTS.

    Section 403(a)(2) of the Social Security Act (42 U.S.C. 603(a)(2)) 
is amended to read as follows:
            ``(2) Incentive grants to prevent teen pregnancy.--
                    ``(A) Grants to eligible states.--
                            ``(i) In general.--
                                    ``(I) Fiscal year 2010; grants to 
                                states with compliant plans.--For 
                                fiscal year 2010, each State that meets 
                                the requirements of clause (ii) of this 
                                subparagraph shall be eligible to 
                                receive from the Secretary for such 
                                year a grant in an amount determined 
                                under subparagraph (B)(i)(I).
                                    ``(II) Subsequent fiscal years; 
                                grants to high-achieving states with 
                                compliant plans.--For each of fiscal 
                                years 2011 through 2014, each high-
                                achieving State that meets the 
                                requirements of clause (ii) of this 
                                subparagraph shall be eligible to 
                                receive from the Secretary for such 
                                year a grant in an amount determined 
                                under subparagraph (B)(i)(II).
                                    ``(III) High-achieving state.--In 
                                this paragraph, the term `high-
                                achieving State', with respect to a 
                                year, means a State which exceeds the 
                                national performance in the teen 
                                pregnancy rate.
                            ``(ii) Submission of plan; requirements.--A 
                        plan meets the requirements of this clause if 
                        the plan describes--
                                    ``(I) the State's numerical goal 
                                for reducing teen pregnancy and teen 
                                births;
                                    ``(II) the strategies to be used to 
                                achieve such goal;
                                    ``(III) the efforts the State will 
                                make to involve young men, as well as 
                                young women, in delaying pregnancy and 
                                parenting;
                                    ``(IV) efforts to involve parents 
                                and other caretakers; and
                                    ``(V) efforts to reach communities 
                                or populations experiencing rates of 
                                teen pregnancy above the State average.
                            ``(iii) Set-aside for grants to indian 
                        tribes.--An amount equal to 1.5 percent of the 
                        amount appropriated under subparagraph (H) for 
                        a fiscal year shall be reserved for awarding 
                        grants to Indian tribes under this paragraph in 
                        such manner, and subject to such requirements, 
                        as the Secretary, in consultation with such 
                        tribes, determines appropriate.
                            ``(iv) State.--In this paragraph, the term 
                        `State' means each of the several States of the 
                        United States, the District of Columbia, the 
                        Commonwealth of Puerto Rico, the United States 
                        Virgin Islands, Guam, American Samoa, and the 
                        Commonwealth of the Northern Mariana Islands.
                    ``(B) Amount of grant.--
                            ``(i) In general.--The amount of a grant 
                        under subparagraph (A)(i) to an eligible State 
                        for a fiscal year shall be the following 
                        amount, as applicable:
                                    ``(I) For fiscal year 2010, the 
                                amount that bears the same ratio to the 
                                amount appropriated under subparagraph 
                                (H) for the fiscal year as the 
                                proportion of births in the State to 
                                teens under age 20 bears to the number 
                                of such births in all eligible States 
                                in the most recent year for which data 
                                is available.
                                    ``(II) For each of fiscal years 
                                2011 through 2014, the amount that 
                                bears the same ratio to the amount 
                                appropriated under subparagraph (H) for 
                                the fiscal year as the proportion of 
                                teens under age 20 in the State bears 
                                to the number of such teens in all 
                                eligible States in the most recent year 
                                for which data is available.
                            ``(ii) Determination of teen pregnancy 
                        rates.--For purposes of this paragraph, the 
                        teen pregnancy rate for a State shall be 
                        determined on the basis of the teen pregnancy 
                        rate per 1,000 women, ages 15 through 19, who 
                        reside in the State. If teen pregnancy data is 
                        not available in a particular State, the 
                        Secretary may identify alternative sources of 
                        data.
                    ``(C) Use of funds.--
                            ``(i) In general.--A State or Indian tribe 
                        shall use funds provided under a grant under 
                        this paragraph to implement teen pregnancy 
                        prevention strategies that meet the following 
                        requirements:
                                    ``(I) The strategies replicate or 
                                substantially incorporate the elements 
                                of one or more teen pregnancy 
                                prevention programs that have been 
                                proven effective on the basis of 
                                rigorous scientific research to--
                                            ``(aa) delay or decrease 
                                        sexual intercourse or sexual 
                                        activity;
                                            ``(bb) increase 
                                        contraceptive use among 
                                        sexually active teens; or
                                            ``(cc) reduce teenage 
                                        pregnancy.
                                    ``(II) The strategies incorporate 
                                one or more of the following strategies 
                                for preventing teenage pregnancy:
                                            ``(aa) Encouraging 
                                        teenagers to delay sexual 
                                        activity.
                                            ``(bb) Sex and HIV 
                                        education.
                                            ``(cc) Preventive health 
                                        services.
                                            ``(dd) Youth development 
                                        programs.
                                            ``(ee) Service learning 
                                        programs.
                                            ``(ff) Helping parents 
                                        communicate with teens.
                                            ``(gg) Outreach or media 
                                        programs.
                                    ``(III) The strategies provide 
                                information that is age-appropriate, 
                                factually and medically accurate and 
                                complete, and scientifically based.
                    ``(D) Subgrant or contract recipients.--A State to 
                which a grant is made under this paragraph for a fiscal 
                year may award subgrants or contracts to--
                            ``(i) State or local nonprofit coalitions 
                        or organizations working to prevent teenage 
                        pregnancy;
                            ``(ii) State, local, or tribal agencies;
                            ``(iii) schools;
                            ``(iv) entities that provide after-school 
                        programs;
                            ``(v) nonprofit community or faith-based 
                        organizations; or
                            ``(vi) other organizations designated by 
                        the State.
                    ``(E) Supplementation of funds.--A State to which a 
                grant is made under this paragraph for a fiscal year 
                shall use funds provided under the grant to supplement 
                and not supplant funds that would otherwise be 
                available to the State for preventing teen pregnancy.
                    ``(F) Requirement.--As a condition on receipt of 
                funds for activities under this paragraph, a grantee, 
                subgrantee, or contractee shall agree that such 
                activities will not include teaching or promoting 
                religion.
                    ``(G) Data reporting.--A State to which a grant is 
                made under this paragraph for a fiscal year shall 
                cooperate with the Secretary to collect information and 
                report on outcomes of programs funded under the grant, 
                as specified by the Secretary.
                    ``(H) Appropriation.--To carry out this section, 
                there are authorized to be appropriated such sums as 
                may be necessary for each of fiscal years 2010 through 
                2014.
                    ``(I) Evaluation.--
                            ``(i) In general.--The Secretary shall, by 
                        grant or contract, gather and disseminate 
                        information on effective practices, programs, 
                        and strategies for reducing teen pregnancy 
                        rates that are used by States that receive 
                        grants under this paragraph in order to allow 
                        other States, and leaders in the area of teen 
                        pregnancy prevention, to learn from the 
                        experiences of successful States. The Secretary 
                        shall publish an interim and final report 
                        summarizing and synthesizing outcomes and 
                        lessons learned pursuant to such grants, 
                        including a random-assignment evaluation of 
                        selected programs.
                            ``(ii) Appropriation.--The Secretary may 
                        use up to 10 percent of the amount appropriated 
                        under subparagraph (H) to carry out clause (i) 
                        for fiscal year 2010, and the amount shall 
                        remain available through fiscal year 2015.''.

SEC. 302. ESTABLISHING NATIONAL GOAL TO PREVENT TEEN PREGNANCY.

    Section 905 of the Personal Responsibility and Work Opportunity 
Reconciliation Act of 1996 (42 U.S.C. 710 note) is amended to read as 
follows:

``SEC. 905. ESTABLISHING NATIONAL GOAL TO PREVENT TEEN PREGNANCY.

    ``(a) In General.--Not later than 90 days after the date of the 
enactment of this Act, the Secretary of Health and Human Services shall 
establish a national goal of reducing teen pregnancy by at least one-
third over the subsequent ten years.
    ``(b) Report.--Not later than 12 months after the date of the 
enactment of the Preventing Unintended Pregnancies, Reducing the Need 
for Abortion, and Supporting Parents Act, and annually thereafter, the 
Secretary of Health and Human Services shall report to Congress with 
respect to the progress that has been made in meeting the national goal 
established under subsection (a) and with respect to State-level 
progress on reducing teen pregnancy.''.

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

SEC. 401. DEMONSTRATION GRANTS TO ENCOURAGE CREATIVE APPROACHES TO TEEN 
              PREGNANCY PREVENTION.

    (a) In General.--The Secretary may make grants to several public or 
nonprofit private entities for the purpose of assisting the entities in 
demonstrating innovative approaches to prevent teen pregnancies.
    (b) Certain Approaches.--Approaches under subsection (a) may 
include approaches such as the following:
            (1) Encouraging teen-driven approaches to pregnancy 
        prevention.
            (2) Exposing teens to realistic simulations of the 
        physical, emotional, and financial consequences of pregnancy 
        and parenting.
            (3) Facilitating communication between parents and 
        children, especially using programs that have been evaluated 
        and proven effective.
            (4) Reaching teens through innovative uses of media and 
        technology.
            (5) Helping teens develop healthy relationships.
    (c) Matching Funds.--
            (1) In general.--With respect to the costs of the project 
        to be carried out under subsection (a) by an applicant, a grant 
        may be made under such subsection only if the applicant agrees 
        to make available (directly or through donations from public or 
        private entities) non-Federal contributions toward such costs 
        in an amount that is not less than 25 percent of such costs ($1 
        for each $3 of Federal funds provided in the grant).
            (2) Determination of amount contributed.--Non-Federal 
        contributions required in paragraph (1) may be in cash or in 
        kind, fairly evaluated, including plant, equipment, or 
        services. Amounts provided by the Federal Government, or 
        services assisted or subsidized to any significant extent by 
        the Federal Government, may not be included in determining the 
        amount of such non-Federal contributions.
    (d) Requirement.--As a condition on the receipt of funds for 
activities under this section, an applicant shall agree that such 
activities will not include teaching or promoting religion.
    (e) Evaluation of Projects.--The Secretary shall establish criteria 
for the evaluation of projects under subsection (a). A grant may be 
made under such subsection only if the applicant involved--
            (1) agrees to conduct evaluations of the project in 
        accordance with such criteria;
            (2) agrees to submit to the Secretary such reports 
        describing the results of the evaluations as the Secretary 
        determines to be appropriate; and
            (3) submits to the Secretary, in the application under 
        subsection (f), a plan for conducting the evaluations.
    (f) Application for Grant.--A grant may be made under subsection 
(a) only if an application for the grant is submitted to the Secretary 
and the application is in such form, is made in such manner, and 
contains such agreements, assurances, and information, including the 
agreements under subsections (c) and (e) and the plan under subsection 
(e)(3), as the Secretary determines to be necessary to carry out this 
section.
    (g) Report to Congress.--Not later than April 1, 2015, the 
Secretary shall submit to the Congress a report describing the extent 
to which projects under subsection (a) have been successful in reducing 
the rate of teen pregnancies in the communities in which the projects 
have been carried out. Such reports shall describe the various 
approaches used under subsection (a) and the effectiveness of each of 
the approaches.
    (h) Authorization of Appropriations.--For the purpose of carrying 
out this section, there are authorized to be appropriated such sums as 
may be necessary for each of fiscal years 2010 through 2014.

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

SEC. 501. FINDINGS.

    The Congress finds as follows:
            (1) Teens with strong emotional attachments to their 
        parents are more likely to delay becoming sexually active. 
        Seven out of ten teens say that they are prepared to listen to 
        things parents thought the teens were not ready to hear.
            (2) Ninety percent of parents of teens report that they 
        know they should talk to their teens about sex but often don't 
        know what to say, how to say it, or when to start the 
        conversations.

SEC. 502. CREATING A NATIONAL INITIATIVE TO ENLIST PARENTS OF 
              ADOLESCENTS IN PREVENTING TEEN PREGNANCY; PROVISION OF 
              CHALLENGE GRANTS FOR STATE AND LOCAL PROGRAMS.

    (a) Grant.--The Secretary shall select on the basis of competitive 
grants, national nonpartisan, nonprofit organizations that meet the 
requirements of this section to establish and operate a national 
initiative for parents of adolescents to carry out the purposes and 
activities described in subsections (b) and (c) (referred to in this 
section as the ``Initiative'').
    (b) Requirements.--The Secretary may make a grant under this 
section only if--
            (1) the organization has experience working to reduce teen 
        pregnancy;
            (2) the organization has a demonstrated ability to work 
        with and provide assistance to a broad range of individuals and 
        entities, including teens, parents, the entertainment and news 
        media, State, tribal, and local organizations, teen pregnancy 
        prevention practitioners, businesses, faith and community 
        leaders, and researchers;
            (3) the organization is research-based;
            (4) the organization has comprehensive knowledge and data 
        about teen pregnancy prevention strategies; and
            (5) the organization agrees that the activities funded 
        under this section will not include teaching or promoting 
        religion.
    (c) Purposes.--The purposes of the Initiative are to--
            (1) support parents in their essential role in preventing 
        teen pregnancy by equipping them with information and resources 
        to promote and strengthen communication with their children 
        about sex, values, and healthy relationships;
            (2) develop and implement media campaigns to promote 
        positive information and messages for parents about how they 
        can help address teen pregnancy; and
            (3) provide challenge grants to States and Native American 
        tribes to promote parent education and involvement.
    (d) Activities.--The grantees shall carry out the purposes 
described in subsection (c) through the following activities:
            (1) Providing resources for parents and other adults (such 
        as other family members, teachers, coaches, mentors, and faith 
        leaders) that help to foster strong connections with children, 
        including--
                    (A) online access to current research;
                    (B) user-friendly guides for parents;
                    (C) practical tips and advice from experts;
                    (D) alerts about new trends among teens;
                    (E) suggestions for how to use the entertainment 
                media as a discussion-starter; and
                    (F) information about the rapidly-changing media 
                environment of teens.
        In order to efficiently reach and support parents, information 
        shall be provided primarily through technological means, 
        including the Internet.
            (2) Using a portion of the funds available through this 
        section to develop and implement media campaigns directly or 
        through grants, contracts, or cooperative agreements with other 
        entities. Such campaigns may include the production and 
        distribution of printed materials and messages for print media, 
        television, and radio broadcast media, the Internet, or such 
        other new technology as may be appropriate for reaching large 
        numbers of parents and other adults involved in the lives of 
        teens. Special efforts shall be made to develop messages that 
        are effective in reaching fathers as well as mothers. To the 
        extent possible, funds used to develop and implement media 
        campaigns under this subsection shall be matched with non-
        Federal resources, including in-kind contributions, from public 
        and private entities. Such campaigns may also include the 
        grantee providing consultation and serving as a source of 
        factual information to individuals and organizations in the 
        entertainment industry on issues related to teen pregnancy 
        prevention that highlights the role of parents.
            (3) Awarding challenge grants on a competitive basis to 
        States and Indian tribes. Applicants shall submit a plan for 
        how they would involve parents and other caregivers (such as 
        grandparents, foster parents, and other guardians) in helping 
        to reduce teen pregnancy through activities such as--
                    (A) workshops and community meetings;
                    (B) providing information through employers, civic 
                associations, community and faith-based organizations, 
                parent-teacher organizations, and other organizations 
                that reach large numbers of parents; and
                    (C) innovative ways to provide education and 
                support for parents through online communities and 
                neighborhood-based activities.
    (e) Authorization of Appropriation.--
            (1) In general.--For the purpose of carrying out this 
        section, there is authorized to be appropriated $30,000,000 for 
        each of fiscal years 2010 through 2014.
            (2) Challenge grants.--Of the amount appropriated under 
        paragraph (1) for a fiscal year, not less than $10,000,000 
        shall be made available for challenge grants under subsection 
        (d)(3).

   TITLE VI--PREVENTING UNPLANNED PREGNANCY AMONG COMMUNITY COLLEGE 
                                STUDENTS

SEC. 601. FINDINGS.

    Congress makes the following findings:
            (1) There are 11,500,000 students enrolled in community 
        college and 60 percent of these students are women.
            (2) 61 percent of women who have children after enrolling 
        in community college fail to finish their degree. This drop-out 
        rate is 65 percent higher than that of women who don't have 
        children.
            (3) Approximately 15 percent of all community college 
        students are single parents compared to 6 percent at 4-year 
        colleges.
            (4) Only two out of ten students at 2-year institutions 
        report receiving information from their college on pregnancy 
        prevention, compared to 33 percent of students at 4-year 
        institutions.
            (5) Few community colleges have the resources to provide 
        information, education, or other activities focused on healthy 
        relationships or pregnancy prevention and planning.
            (6) For women with some college, 53 percent of pregnancies 
        were unplanned. This is twice as high as the percent of 
        pregnancies that are unplanned for college graduates (26 
        percent).

SEC. 602. DEMONSTRATION GRANTS TO PREVENT UNPLANNED PREGNANCY AMONG 
              COMMUNITY COLLEGE STUDENTS.

    (a) In General.--The Secretary of Education shall award 
demonstration grants under this section on a competitive basis to 
community colleges for the purpose of developing and implementing 
innovative approaches to prevent unplanned pregnancy and promote 
healthy relationships among women and men in community colleges in 
order to remove a barrier to degree completion by these students, 
reduce poverty among these students, and improve the success of these 
students.
    (b) Requirements.--A grant may be made under this section only if 
the applicant for the grant agrees that--
            (1) all information provided will be factually and 
        medically accurate and complete, and scientifically based; and
            (2) the activities funded under this title will not include 
        teaching or promoting religion.
    (c) Activities.--
            (1) In general.--A grant made under this section may be 
        used for one or more of the following:
                    (A) Developing educational content to incorporate 
                in first-year orientation or core courses where 
                appropriate.
                    (B) Creating innovative technology-based approaches 
                to deliver messages and information to students, 
                faculty, and staff.
                    (C) Training for targeted faculty and staff on how 
                unplanned pregnancy affects student success and ways to 
                help students address this issue.
                    (D) Creating partnerships with community-based 
                organizations who have expertise in addressing 
                pregnancy prevention or healthy relationships.
                    (E) Developing and employing peer-outreach and 
                education to generate discussion and raise awareness 
                among students.
                    (F) Providing campus-based family planning 
                services.
                    (G) Teaching students about developing healthy 
                relationships, including the prevention of dating and 
                sexual violence.
                    (H) Providing students with information regarding 
                the dynamics and nature of domestic violence, dating 
                violence, sexual assault, sexual coercion, or stalking; 
                its implications for unintended pregnancy and sexually 
                transmitted infections and HIV; and strategies to 
                manage health in the context of a violent relationship.
            (2) Integration.--Activities funded through a grant under 
        this title should be integrated into the academic or support 
        areas of the community colleges in order to reach a large 
        number of students. Priority should be given to activities that 
        could operate on a sustained basis after the grant ends.
    (d) Evaluation of Projects.--The Secretary shall establish criteria 
for the evaluation of projects funded under this section. A grant may 
be made only if the applicant involved--
            (1) agrees to participate in an independent evaluation of 
        the project in accordance with such criteria; and
            (2) agrees to submit to the Secretary such data as the 
        Secretary determines to be appropriate.
    (e) Definition.--For the purpose of this section, the term 
``community college'' means an institution of higher education (as such 
term is defined in section 101(a) of the Higher Education Act of 1965 
(20 U.S.C. 1001(a))) at which the highest degree offered is 
predominantly the associate's degree.
    (f) Authorization of Appropriations.--
            (1) In general.--For the purpose of carrying out this 
        section, there is authorized to be appropriated $15,000,000 for 
        each of fiscal years 2010 through 2012.
            (2) Allocation.--Of the amount appropriated to carry out 
        this section for a fiscal year--
                    (A) at least 5 percent shall be made available--
                            (i) for technical assistance for the 
                        projects funded under this section;
                            (ii) to raise awareness of the issue of 
                        pregnancy prevention; and
                            (iii) to disseminate promising practices 
                        among community colleges and other similar 
                        postsecondary institutions; and
                    (B) up to 10 percent shall be made available for 
                evaluations of the projects.

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

SEC. 701. CLARIFICATION OF CONTINUED MEDICAID COVERAGE OF FAMILY 
              PLANNING SERVICES.

    (a) In General.--Section 1937(b) of the Social Security Act (42 
U.S.C. 1396u-7(b)) is amended by adding at the end the following:
            ``(5) Coverage of family planning services and supplies.--
        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 and 
        services in accordance with such section.''.
    (b) Effective Date.--
            (1) In general.--The amendment made by this section shall 
        take effect on October 1, 2010.
            (2) Extension of effective date for state law amendment.--
        In the case of a State plan under title XIX of the Social 
        Security Act (42 U.S.C. 1396 et seq.) which the Secretary of 
        Health and Human Services determines requires State legislation 
        in order for the plan to meet the additional requirements 
        imposed by the amendments made by this section, the State plan 
        shall not be regarded as failing to comply with the 
        requirements of such title solely on the basis of its failure 
        to meet these additional requirements before the first day of 
        the first calendar quarter beginning after the close of the 
        first regular session of the State legislature that begins 
        after the date of enactment of this Act. For purposes of the 
        previous sentence, in the case of a State that has a 2-year 
        legislative session, each year of the session is considered to 
        be a separate regular session of the State legislature.

 TITLE VIII--EXPANDED MEDICAID ELIGIBILITY FOR FAMILY PLANNING SERVICES

SEC. 801. EXPANDED MEDICAID ELIGIBILITY FOR FAMILY PLANNING SERVICES.

    (a) Coverage as Mandatory Categorically Needy Group.--
            (1) In general.--Section 1902(a)(10)(A)(i) of the Social 
        Security Act (42 U.S.C. 1396a(a)(10)(A)(i)) is amended--
                    (A) in subclause (VI), by striking ``or'' at the 
                end;
                    (B) in subclause (VII), by adding ``or'' at the 
                end; and
                    (C) by adding at the end the following new 
                subclause:
                                    ``(VIII) who are described in 
                                subsection (gg) (relating to 
                                individuals who meet the income 
                                standards for pregnant women);''.
            (2) Group described.--Section 1902 of such Act (42 U.S.C. 
        1396a) is amended by adding at the end the following new 
        subsection:
    ``(gg)(1) Individuals described in this subsection are individuals 
who--
            ``(A) meet at least the income eligibility standards 
        established under the State plan as of January 1, 2009, for 
        pregnant women or such higher income eligibility standard for 
        such women as the State may establish; and
            ``(B) are not pregnant.
    ``(2) At the option of a State, individuals described in this 
subsection may include individuals who are determined to meet the 
income eligibility standards referred to in paragraph (1)(A) under the 
terms and conditions applicable to making eligibility determinations 
for medical assistance under this title under a waiver to provide the 
benefits described in clause (XV) of the matter following subparagraph 
(G) of section 1902(a)(10) granted to the State under section 1115 as 
of January 1, 2007.''.
            (3) Limitation on benefits.--Section 1902(a)(10) of the 
        Social Security Act (42 U.S.C. 1396a(a)(10)) is amended in the 
        matter following subparagraph (G)--
                    (A) by striking ``and (XIV)'' and inserting 
                ``(XIV)''; and
                    (B) by striking the semicolon at the end and 
                inserting ``, and (XV) the medical assistance made 
                available to an individual described in subsection (gg) 
                who is eligible for medical assistance only because of 
                subparagraph (A)(i)(VIII) shall be limited to family 
                planning services and supplies described in section 
                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''.
            (4) Conforming amendments.--Section 1905(a) of the Social 
        Security Act (42 U.S.C. 1396d(a)) is amended in the matter 
        preceding paragraph (1)--
                    (A) in clause (xii), by striking ``or'' at the end;
                    (B) in clause (xiii), by adding ``or'' at the end; 
                and
                    (C) by inserting after clause (xiii) the following:
                            ``(xiv) individuals described in section 
                        1902(gg),''.
    (b) Presumptive Eligibility.--
            (1) In general.--Title XIX of the Social Security Act (42 
        U.S.C. 1396 et seq.) is amended by inserting after section 
        1920B the following:

         ``presumptive eligibility for family planning services

    ``Sec. 1920C.  (a) State Option.--A State plan approved under 
section 1902 may provide for making medical assistance available to an 
individual described in section 1902(gg) (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(gg) who is eligible for medical assistance 
only because of section 1902(a)(10)(i)(VIII), such medical assistance 
may be limited to family planning services and supplies described in 
1905(a)(4)(C) and, at the State's option, medical diagnosis or 
treatment services that are provided in conjunction with a family 
planning service in a family planning setting provided during the 
period in which such an individual is eligible.
    ``(b) Definitions.--For purposes of this section:
            ``(1) Presumptive eligibility period.--The term 
        `presumptive eligibility period' means, with respect to an 
        individual described in subsection (a), the period that--
                    ``(A) begins with the date on which a qualified 
                entity determines, on the basis of preliminary 
                information, that the individual is described in 
                section 1902(gg); and
                    ``(B) ends with (and includes) the earlier of--
                            ``(i) the day on which a determination is 
                        made with respect to the eligibility of such 
                        individual for services under the State plan; 
                        or
                            ``(ii) in the case of such an individual 
                        who does not file an application by the last 
                        day of the month following the month during 
                        which the entity makes the determination 
                        referred to in subparagraph (A), such last day.
            ``(2) Qualified entity.--
                    ``(A) In general.--Subject to subparagraph (B), the 
                term `qualified entity' means any entity that--
                            ``(i) is eligible for payments under a 
                        State plan approved under this title; and
                            ``(ii) is determined by the State agency to 
                        be capable of making determinations of the type 
                        described in paragraph (1)(A).
                    ``(B) Regulations.--The Secretary may issue 
                regulations further limiting those entities that may 
                become qualified entities in order to prevent fraud and 
                abuse and for other reasons.
                    ``(C) Rule of construction.--Nothing in this 
                paragraph shall be construed as preventing a State from 
                limiting the classes of entities that may become 
                qualified entities, consistent with any limitations 
                imposed under subparagraph (B).
    ``(c) Administration.--
            ``(1) In general.--The State agency shall provide qualified 
        entities with--
                    ``(A) such forms as are necessary for an 
                application to be made by an individual described in 
                subsection (a) for medical assistance under the State 
                plan; and
                    ``(B) information on how to assist such individuals 
                in completing and filing such forms.
            ``(2) Notification requirements.--A qualified entity that 
        determines under subsection (b)(1)(A) that an individual 
        described in subsection (a) is presumptively eligible for 
        medical assistance under a State plan shall--
                    ``(A) notify the State agency of the determination 
                within 5 working days after the date on which 
                determination is made; and
                    ``(B) inform such individual at the time the 
                determination is made that an application for medical 
                assistance is required to be made by not later than the 
                last day of the month following the month during which 
                the determination is made.
            ``(3) Application for medical assistance.--In the case of 
        an individual described in subsection (a) who is determined by 
        a qualified entity to be presumptively eligible for medical 
        assistance under a State plan, the individual shall apply for 
        medical assistance by not later than the last day of the month 
        following the month during which the determination is made.
    ``(d) Payment.--Notwithstanding any other provision of this title, 
medical assistance that--
            ``(1) is furnished to an individual described in subsection 
        (a)--
                    ``(A) during a presumptive eligibility period; and
                    ``(B) by a entity that is eligible for payments 
                under the State plan; and
            ``(2) is included in the care and services covered by the 
        State plan, shall be treated as medical assistance provided by 
        such plan for purposes of clause (4) of the first sentence of 
        section 1905(b).''.

      TITLE IX--MEDICAID AND CHIP COVERAGE OF MOTHERS AND CHILDREN

SEC. 901. EXTENDING POSTPARTUM COVERAGE FOR MEDICAID AND CHIP.

    (a) Medicaid Coverage Extension.--
            (1) Section 1902 of the Social Security Act (42 U.S.C. 
        1306a) is amended--
                    (A) in subsections (e)(5), (e)(6), and (l)(1)(A), 
                by striking ``60-day'' and inserting ``1-year'' each 
                place it appears; and
                    (B) in the matter in subsection (a)(10) following 
                subparagraph (G)--
                            (i) in clause (V), by inserting ``, except 
                        that the limit on medical assistance under this 
                        clause does not apply during the 1-year period 
                        beginning on the last day of the pregnancy'' 
                        after ``under the State plan''; and
                            (ii) in clause (VII), by inserting ``, 
                        except that the limit on medical assistance 
                        under this clause does not apply during the 1-
                        year period beginning on the last day of the 
                        pregnancy'' after ``may complicate pregnancy''.
            (2) Section 1903(v)(4)(A)(i) of such Act (42 U.S.C. 
        1396b(v)(4)(A)(i)) is amended by striking ``60-day'' and 
        inserting ``1-year''.
            (3) Section 1938(b)(2)(C) of such Act (42 U.S.C. 1396u-
        8(b)(2)(C)) is amended by striking ``60 days'' and inserting 
        ``1 year''.
    (b) SCHIP.--
            (1) Section 2112(d)(2)(A) of such Act (42 U.S.C. 
        1397ll(d)(2)(A)) is amended--
                    (A) in subsections (d)(2)(A) and (f)(2), by 
                striking ``60-day'' and inserting ``1-year'' each place 
                it appears; and
                    (B) in subsection (f)(2)--
                            (i) in the heading by striking ``postpartum 
                        services'' and inserting ``services 
                        postpartum'';
                            (ii) by striking ``may continue'' and 
                        inserting ``shall continue'';
                            (iii) by striking ``, as well as postpartum 
                        services,'' and ``and postpartum services''; 
                        and
                            (iv) by striking ``, but only if'' and all 
                        that follows up to the period at the end.

SEC. 902. COORDINATION WITH THE MATERNAL AND CHILD HEALTH PROGRAM.

    (a) In General.--Section 2102(b)(3) of the Social Security Act (42 
U.S.C. 1397bb(b)(3)) is amended--
            (1) in subparagraph (D), by striking ``and'' at the end;
            (2) in subparagraph (E), by striking the period and 
        inserting ``; and''; and
            (3) by adding at the end the following new subparagraph:
                    ``(F) that operations and activities under this 
                title are developed and implemented in consultation and 
                coordination with the program operated by the State 
                under title V in areas including outreach and 
                enrollment, benefits and services, service delivery 
                standards, public health and social service agency 
                relationships, and quality assurance and data 
                reporting.''.
    (b) Conforming Medicaid Amendment.--Section 1902(a)(11) of such Act 
(42 U.S.C. 1396a(a)(11)) is amended--
            (1) by striking ``and'' before ``(C)''; and
            (2) by inserting before the semicolon at the end the 
        following: ``, and (D) provide that operations and activities 
        under this title are developed and implemented in consultation 
        and coordination with the program operated by the State under 
        title V in areas including outreach and enrollment, benefits 
        and services, service delivery standards, public health and 
        social service agency relationships, and quality assurance and 
        data reporting''.
    (c) Effective Date.--The amendments made by this section take 
effect on January 1, 2010.

SEC. 903. INCREASE IN SCHIP INCOME ELIGIBILITY.

    (a) Definition of Low-Income Child.--Section 2110(c)(4) of the 
Social Security Act (42 U.S.C. 1397jj(c)(4)) is amended by striking 
``200'' and inserting ``250''.
    (b) Effective Date.--The amendment made by subsection (a) applies 
to child health assistance provided and allotments determined under 
section 2104 of the Social Security Act (42 U.S.C. 1397dd) for fiscal 
years beginning with fiscal year 2010.

SEC. 904. OUTREACH PROGRAM TO ENCOURAGE THOSE ELIGIBLE FOR SERVICES TO 
              ENROLL.

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

             TITLE X--TITLE X OF PUBLIC HEALTH SERVICE ACT

SEC. 1001. SHORT TITLE.

    This title may be cited as the ``Title X Family Planning Services 
Act of 2009''.

SEC. 1002. AUTHORIZATION OF APPROPRIATIONS.

    For the purpose of making grants and contracts under section 1001 
of the Public Health Service Act (42 U.S.C. 300), there are authorized 
to be appropriated $700,000,000 for fiscal year 2010, and such sums as 
may be necessary for each subsequent fiscal year.

             TITLE XI--ENSURING COVERAGE OF MATERNITY CARE

SEC. 1101. REMOVAL OF PREGNANCY AS A PREEXISTING CONDITION UNDER 
              INDIVIDUAL HEALTH INSURANCE COVERAGE.

    (a) In General.--Title XXVII of the Public Health Service Act (42 
U.S.C. 300gg et seq.) is amended by inserting after section 2753 the 
following:

``SEC. 2754. PREEXISTING CONDITION EXCLUSION NOT APPLICABLE TO 
              PREGNANCY.

    ``Individual health insurance coverage, and a health insurance 
issuer offering individual health insurance coverage, may not impose 
any preexisting condition exclusion relating to pregnancy as a 
preexisting condition.''.
    (b) Effective Date.--The amendment made by subsection (a) shall 
apply to coverage provided on or after January 1, 2010.

SEC. 1102. COVERAGE OF MATERNITY CARE IN THE INDIVIDUAL MARKET.

    (a) In General.--Title XXVII of the Public Health Service Act (42 
U.S.C. 300gg et seq.), as amended by section 1101, is further amended 
by inserting after section 2754 the following:

``SEC. 2755. COVERAGE OF MATERNITY CARE.

    ``(a) In General.--A health insurance issuer offering health 
insurance in the individual market that is issued, amended, renewed, or 
delivered on or after the date of enactment of this section, shall 
provide coverage for maternity services.
    ``(b) Maternity Services Defined.--In this section the term 
`maternity services' includes preconception, prenatal care, necessary 
immunizations, mental health screening and services, ambulatory care 
maternity services, complications of pregnancy, neonatal care, 
inpatient hospital maternity care including labor and delivery, 
including c-sections, and postpartum care including family planning 
services.
    ``(c) Non-Preemption.--Nothing in this section shall be construed 
to preempt any State law in effect as of the date of enactment of this 
section, with respect to health insurance that requires coverage of 
maternity services that exceeds the minimum coverage requirements as 
specified in subsection (a).''.
    (b) Effective Date.--The amendment made by subsection (a) shall 
apply to coverage provided on or after January 1, 2010.

          TITLE XII--IMPROVING ACCESS TO PRENATAL ULTRASOUNDS

SEC. 1201. GRANTS TO HEALTH CENTERS FOR PURCHASE OF ULTRASOUND 
              EQUIPMENT.

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

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

    ``(a) In General.--The Secretary may make grants for the purchase 
of ultrasound equipment. Such ultrasound equipment shall be used by the 
recipients of such grants to provide ultrasound examinations to 
pregnant women consenting to such services.
    ``(b) Eligibility Requirements.--An entity may receive a grant 
under subsection (a) only if--
            ``(1) the entity is a health center eligible to receive a 
        grant under section 330; and
            ``(2) the entity follows practice standards supported by 
        the American Institute of Ultrasound in Medicine and other 
        professional organizations representing health care providers.
    ``(c) Application for Grant.--A grant may be made under subsection 
(a) only if an application for the grant is submitted in such form, in 
such manner, and containing such agreements, assurances, and 
information as the Secretary determines to be necessary.
    ``(d) Annual Report to Secretary.--A grant may be made under 
subsection (a) only if the applicant for the grant agrees to report on 
an annual basis to the Secretary, in such form and manner as the 
Secretary may require, on the ongoing compliance of the applicant with 
the eligibility conditions established in this section.
    ``(e) Authorization of Appropriations.--For the purpose of carrying 
out this section, there are authorized to be appropriated $3,000,000 
for fiscal year 2010, and such sums as may be necessary for each of 
fiscal years 2011 through 2013.''

    TITLE XIII--PREVENTING DOMESTIC VIOLENCE AND SEXUAL ASSAULT AND 
   ADDRESSING THE LINK BETWEEN SUCH VIOLENCE AND UNINTENDED PREGNANCY

SEC. 1301. FINDINGS.

    The Congress finds as follows:
            (1) On average, almost 500 women are raped or sexually 
        assaulted each day in the United States and 4,800,000 intimate 
        partner related physical assaults and rapes are experienced by 
        women each year.
            (2) Homicide was found to be a leading cause of pregnancy-
        associated injury deaths among women from 1991-1999. The 
        pregnancy-associated homicide ratio was 1.7 per 100,000 live 
        births.
            (3) Women experiencing abuse in the year prior to and/or 
        during a recent pregnancy are 40 to 60 percent more likely than 
        non-abused women to report high-blood pressure, vaginal 
        bleeding, severe nausea, kidney or urinary tract infections and 
        hospitalization during pregnancy and are 37 percent more likely 
        to deliver preterm.
            (4) Children born to abused mothers are 17 percent more 
        likely to be born underweight and more than 30 percent more 
        likely than other children to require intensive care upon 
        birth.
            (5) Too few doctors screen their patients for abuse, even 
        though up to one in 12 pregnant women are battered.
            (6) Physical violence is linked to STD and HIV 
        transmission, miscarriages, and risky sexual health behavior.
            (7) A study found women who experienced intimate partner 
        violence were more likely to report a lack of contraception use 
        due to partner control over contraception.
            (8) Two in five adult women who have been abused by 
        partners have experienced an unwanted pregnancy.

SEC. 1302. SEPARATE PROGRAM TO IDENTIFY AND TREAT WOMEN WHO ARE VICTIMS 
              OF OR AT RISK OF DOMESTIC VIOLENCE, DATING VIOLENCE, 
              SEXUAL ASSAULT, SEXUAL COERCION, OR STALKING.

    (a) Allotments.--For the purpose described in subsection (b), the 
Secretary shall, for fiscal year 2008 and each subsequent fiscal year, 
allot to each State that has transmitted an application for the fiscal 
year under section 505(a) of the Social Security Act an amount equal to 
the product of--
            (1) the amount appropriated under subsection (d) for the 
        fiscal year; and
            (2) the percentage determined for the State under section 
        502(c)(1)(B)(ii) of such Act.
    (b) Purpose.--The purpose of an allotment under subsection (a) with 
respect to a State is to enable the State to better identify and treat 
women who are victims of or at risk of domestic violence, dating 
violence, sexual assault, sexual coercion, or stalking through training 
health care professionals and behavioral and public health staff how to 
identify, assess, treat, and refer such women. Such training shall 
include--
            (1) identifying patients or clients at risk of or 
        experiencing domestic violence, dating violence sexual assault, 
        sexual coercion, or stalking;
            (2) assessing the immediate safety of the patient or 
        client, the impact of the abuse on the health of the patient, 
        and assisting the patient in developing a plan to promote her 
        safety;
            (3) examining and treating such patients or clients, 
        including providing information regarding the dynamics and 
        nature of domestic violence, dating violence sexual assault, 
        sexual coercion, or stalking;
            (4) providing information regarding its implications for 
        unintended pregnancy and sexually transmitted infections and 
        HIV;
            (5) emphasizing strategies to manage the patient or 
        client's health, including unintended pregnancies, in the 
        context of a violent relationship;
            (6) maintaining complete medical or forensic records that 
        include the documentation of the examination, treatment given, 
        and referrals made, and establishing mechanisms to ensure the 
        privacy and confidentiality of those medical records;
            (7) referring the patient or client to public and private 
        nonprofit entities that provide services for such victims; and
            (8) ensuring that all services are provided in a 
        linguistically and culturally relevant manner.
    (c) Application of Provisions.--
            (1) In general.--Sections 503, 507, and 508 of the Social 
        Security Act apply to allotments under subsection (a) to the 
        same extent and in the same manner as such sections apply to 
        allotments under section 502(c) of such Act.
            (2) Secretarial discretion.--Sections 505 and 506 of the 
        Social Security Act apply to allotments under subsection (a) to 
        the extent determined by the Secretary to be appropriate.
    (d) Authorization of Appropriations.--For the purpose of making 
allotments under subsection (a), there is authorized to be appropriated 
$4,000,000 for each of fiscal years 2010 through 2014.

SEC. 1303. ADDITIONAL AUTHORIZATION OF APPROPRIATIONS FOR PUBLIC 
              CAMPAIGN TO INCREASE PUBLIC AWARENESS.

    Section 403 of the Violence Against Women and Department of Justice 
Reauthorization Act of 2005 (42 U.S.C. 14045c) is amended--
            (1) in subsection (a), by inserting ``women, including'' 
        after ``against''; and
            (2) in subsection (b), by striking ``such sums'' and all 
        that follows and inserting the following: ``$5,000,000 for 
        fiscal year 2010, and such sums as may be necessary for each of 
        fiscal years 2011 through 2014.''.

         TITLE XIV--SUPPORT FOR PREGNANT AND PARENTING STUDENTS

SEC. 1401. SUPPORT SERVICES FOR STUDENTS.

    (a) In General.--The Secretary of Education may make grants to 
institutions of higher education (as defined in section 102 of the 
Higher Education Act of 1965 (20 U.S.C. 1002)) that receive Federal 
financial assistance to carry out demonstration projects for the 
purpose of providing services to assist students who have decided to 
carry their pregnancies to term, including those anticipating adoption, 
and parenting students, in continuing their studies and graduating.
    (b) Application.--Each institution of higher education desiring a 
grant under this section shall submit to the Secretary of Education an 
application in such form, in such manner, and containing such 
agreements, assurances, and information as the Secretary determines to 
be necessary to carry out this section. Such application shall include 
an assurance that the institution will--
            (1) provide the services offered under the demonstration 
        program carried out with such grant through on-campus 
        facilities; and
            (2) submit to the Secretary, for each fiscal year for which 
        such grant is awarded, a report describing the activities 
        carried out under the grant and the effects of the activities 
        on the students to whom services are provided.
    (c) Limitations on Amount of Grant.--Each grant awarded under 
subsection (a) for a fiscal year shall be for an amount that is not 
more than $25,000.
    (d) Authorization of Appropriations.--For the purpose of carrying 
out this section, there are authorized to be appropriated $500,000 for 
each of fiscal years 2010 through 2014.

SEC. 1402. CHILD CARE ACCESS MEANS PARENTS IN SCHOOL PROGRAM.

    Section 419N(b)(2)(B) of the Higher Education Act of 1965 (20 
U.S.C. 1070e(b)(2)(B)) is amended to read as follows:
                    ``(B) Minimum.--A grant under this section shall be 
                awarded in an amount that is not less than $30,000.''.

    TITLE XV--GRANTS FOR A NATIONAL INFORMATION CAMPAIGN ON ADOPTION

SEC. 1501. GRANTS FOR A NATIONAL INFORMATION CAMPAIGN ON ADOPTION.

    (a) Grants.--The Secretary shall select on the basis of competitive 
grants, national nonpartisan, nonprofit organizations that meet the 
requirements of this section to establish national information 
campaigns to educate the public about adoption, including foster care 
adoption, and resources available to prospective and current adoptive 
parents, and to carry out the purposes and activities described in 
subsections (c) and (d).
    (b) Requirements for Grant.--The Secretary may award a grant under 
this section to an entity only if the Secretary determines that--
            (1) the organization has experience in the field of 
        adoption and foster care, which includes, but is not limited 
        to, research and education;
            (2) the organization is research-based;
            (3) the organization has comprehensive knowledge and data 
        about adoption and foster care;
            (4) the organization has a demonstrated ability to work 
        with and provide assistance to a broad range of individuals and 
        entities; and
            (5) the organization has provided assurances satisfactory 
        to the Secretary that the activities funded under this section 
        will not include teaching or promoting religion.
    (c) Purposes.--Purposes under subsection (a) may include the 
following:
            (1) Developing and implementing comprehensive information 
        campaigns to promote accurate positive information and messages 
        on adoption, including foster care adoption, and the benefits 
        it can bring to children and families.
            (2) Reaching the public in a linguistically and culturally 
        relevant manner, dispelling negative stereotypes while 
        promoting accurate, comprehensive positive information and 
        messages about adoption, including foster care adoption.
    (d) Activities.--Each grantee shall carry out the purposes 
described in subsection (c) and develop and implement information 
campaigns directly or through grants, contracts, or cooperative 
agreements with other entities. Activities may include the following:
            (1) Public service announcements.
            (2) Paid educational messages for print media.
            (3) Public transit advertising.
            (4) Radio broadcast media.
            (5) Internet.
            (6) Other new technology as may be appropriate for reaching 
        a large audience.
            (7) Providing information through community and faith-based 
        organizations.
            (8) Providing workshops or trainings for media, 
        professionals, and other relevant parties.
    (e) Submission of Plan.--
            (1) In general.--To be eligible to receive a grant under 
        this section, a grantee shall submit to the Secretary an 
        application that meets the requirements of paragraph (2).
            (2) Requirements.--An application under this subsection 
        shall be submitted in such form, in such manner, and containing 
        such information and assurances as the Secretary may prescribe, 
        and shall include the following:
                    (A) A complete description of applicant's plan for 
                the proposed public information campaign.
                    (B) A description of the positive messages for the 
                proposed public information campaign.
                    (C) An identification of the media organizations 
                and other groups through which the campaign will be 
                carried out.
                    (D) A description of the nature, amount, 
                distribution, and timing of informational messages to 
                be used in the campaign.
                    (E) If targeting specific communities and groups, 
                an identification of the specific communities and 
                groups to be educated by the campaign, and a 
                description of how the campaign will educate the 
                communities and groups.
                    (F) If targeting specific communities and groups, 
                the plans of the applicant with respect to working with 
                organizations that have expertise in developing 
                culturally appropriate informational messages.
                    (G) A description of the geographic distribution of 
                the campaign.
                    (H) Such other information and assurances as the 
                Secretary may require.
    (f) Evaluation of Project.--The Secretary shall establish criteria 
for the evaluation of projects. A grant may be made only if the grantee 
involved--
            (1) agrees to participate in an independent evaluation of 
        the project in accordance with such criteria; and
            (2) agrees to submit to the Secretary such data as the 
        Secretary determines to be appropriate.
    (g) Authorization of Appropriations.--
            (1) In general.--For the purpose of carrying out this 
        section, there is authorized to be appropriated $30,000,000 for 
        each of fiscal years 2010 through 2014.
            (2) Evaluation.--Of the total amount appropriated to carry 
        out this section for a fiscal year, not more than 10 percent 
        may be made available for the evaluation of projects.

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

SEC. 1601. EXPANSION OF ADOPTION CREDIT AND ADOPTION ASSISTANCE 
              PROGRAMS.

    (a) Increase in Dollar Limitation.--
            (1) Adoption credit.--
                    (A) In general.--Paragraph (1) of section 23(b) of 
                the Internal Revenue Code of 1986 (relating to dollar 
                limitation) is amended by striking ``$10,000'' and 
                inserting ``$15,000''.
                    (B) Child with special needs.--Paragraph (3) of 
                section 23(a) of such Code (relating to $10,000 credit 
                for adoption of child with special needs regardless of 
                expenses) is amended--
                            (i) in the text by striking ``$10,000'' and 
                        inserting ``$15,000'', and
                            (ii) in the heading by striking ``$10,000'' 
                        and inserting ``$15,000''.
                    (C) Conforming amendment to inflation adjustment.--
                Subsection (h) of section 23 of such Code (relating to 
                adjustments for inflation) is amended to read as 
                follows:
    ``(h) Adjustments for Inflation.--
            ``(1) Dollar limitations.--In the case of a taxable year 
        beginning after December 31, 2010, each of the dollar amounts 
        in subsections (a)(3) and (b)(1) shall be increased by an 
        amount equal to--
                    ``(A) such dollar amount, multiplied by
                    ``(B) the cost-of-living adjustment determined 
                under section 1(f)(3) for the calendar year in which 
                the taxable year begins, determined by substituting 
                `calendar year 2009' for `calendar year 1992' in 
                subparagraph (B) thereof.
        If any amount as increased under the preceding sentence is not 
        a multiple of $10, such amount shall be rounded to the nearest 
        multiple of $10.
            ``(2) Income limitation.--In the case of a taxable year 
        beginning after December 31, 2002, the dollar amount in 
        subsection (b)(2)(A)(i) shall be increased by an amount equal 
        to--
                    ``(A) such dollar amount, multiplied by
                    ``(B) the cost-of-living adjustment determined 
                under section 1(f)(3) for the calendar year in which 
                the taxable year begins, determined by substituting 
                `calendar year 2001' for `calendar year 1992' in 
                subparagraph (B) thereof.
        If any amount as increased under the preceding sentence is not 
        a multiple of $10, such amount shall be rounded to the nearest 
        multiple of $10.''.
            (2) Adoption assistance programs.--
                    (A) In general.--Paragraph (1) of section 137(b) of 
                the Internal Revenue Code of 1986 (relating to dollar 
                limitation) is amended by striking ``$10,000'' and 
                inserting ``$15,000''.
                    (B) Child with special needs.--Paragraph (2) of 
                section 137(a) of such Code (relating to $10,000 
                exclusion for adoption of child with special needs 
                regardless of expenses) is amended--
                            (i) in the text by striking ``$10,000'' and 
                        inserting ``$15,000'', and
                            (ii) in the heading by striking ``$10,000'' 
                        and inserting ``$15,000''.
                    (C) Conforming amendment to inflation adjustment.--
                Subsection (f) of section 137 of such Code (relating to 
                adjustments for inflation) is amended to read as 
                follows:
    ``(f) Adjustments for Inflation.--
            ``(1) Dollar limitations.--In the case of a taxable year 
        beginning after December 31, 2010, each of the dollar amounts 
        in subsections (a)(2) and (b)(1) shall be increased by an 
        amount equal to--
                    ``(A) such dollar amount, multiplied by
                    ``(B) the cost-of-living adjustment determined 
                under section 1(f)(3) for the calendar year in which 
                the taxable year begins, determined by substituting 
                `calendar year 2009' for `calendar year 1992' in 
                subparagraph (B) thereof.
        If any amount as increased under the preceding sentence is not 
        a multiple of $10, such amount shall be rounded to the nearest 
        multiple of $10.
            ``(2) Income limitation.--In the case of a taxable year 
        beginning after December 31, 2002, the dollar amount in 
        subsection (b)(2)(A) shall be increased by an amount equal to--
                    ``(A) such dollar amount, multiplied by
                    ``(B) the cost-of-living adjustment determined 
                under section 1(f)(3) for the calendar year in which 
                the taxable year begins, determined by substituting 
                `calendar year 2001' for `calendar year 1992' in 
                subparagraph thereof.
        If any amount as increased under the preceding sentence is not 
        a multiple of $10, such amount shall be rounded to the nearest 
        multiple of $10.''.
    (b) Credit Made Refundable.--
            (1) Credit moved to subpart relating to refundable 
        credits.--The Internal Revenue Code of 1986 is amended--
                    (A) by redesignating section 23, as amended by 
                subsection (a), as section 36B, and
                    (B) by moving section 36B (as so redesignated) from 
                subpart A of part IV of subchapter A of chapter 1 to 
                the location immediately before section 37 in subpart C 
                of part IV of subchapter A of chapter 1.
            (2) Conforming amendments.--
                    (A) Section 24(b)(3)(B) of such Code is amended by 
                striking ``sections 23,''.
                    (B) Section 25(e)(1)(C) of such Code is amended--
                            (i) in clause (i) by striking ``23, 25D,'' 
                        and inserting ``25D'', and
                            (ii) in clause (ii) by striking ``23,''.
                    (C) Section 25A(i)(5)(B) of such Code is amended by 
                striking ``23, 25D'' and inserting ``25D''.
                    (D) Section 25B(g)(2) of such Code is amended by 
                striking ``23,''.
                    (E) Section 26(a)(1) of such Code is amended by 
                striking ``23,''.
                    (F) Section 30(c)(2)(B)(ii) of such Code is amended 
                by striking ``23, 25D'' and inserting ``25D''.
                    (G) Section 30B(g)(2)(B)(ii) of such Code is 
                amended by striking ``23,''.
                    (H) Section 30D(c)(2)(B)(ii) of such Code is 
                amended by striking ``sections 23 and'' and inserting 
                ``section''.
                    (I) Section 36B of such Code, as so redesignated, 
                is amended--
                            (i) by striking paragraph (4) of subsection 
                        (b), and
                            (ii) by striking subsection (c).
                    (J) Section 137 of such Code is amended--
                            (i) in subsection (d) by striking ``section 
                        23(d)'' and inserting ``section 36B(d)'', and
                            (ii) in subsection (e) by striking 
                        ``section 23'' and inserting ``section 36B''.
                    (K) Section 904(i) of such Code is amended by 
                striking ``23,''.
                    (L) Section 1016(a)(26) is amended by striking 
                ``23(g)'' and inserting ``36B(g)''.
                    (M) Section 1400C(d) of such Code is amended by 
                striking ``23,''.
                    (N) The table of sections for subpart A of part IV 
                of subchapter A of chapter 1 of such Code of 1986 is 
                amended by striking the item relating to section 23.
                    (O) Paragraph (2) of section 1324(b) of title 31, 
                United States Code, is amended by inserting ``36B,'' 
                after ``36A,''.
                    (P) The table of sections for subpart C of part IV 
                of subchapter A of chapter 1 of the Internal Revenue 
                Code of 1986 is amended by striking the last item and 
                inserting the following new items:

``Sec. 36B. Adoption expenses.''.
    (c) Modifications Made by EGTRRA to Adoption Credit Made 
Permanent.--Title IX of the Economic Growth and Tax Relief 
Reconciliation Act of 2001 shall not apply to the amendments made by 
section 202 of such Act.
    (d) Effective Date.--The amendments made by this section shall 
apply to taxable years beginning after December 31, 2009.

              TITLE XVII--PROVIDING SUPPORT TO NEW PARENTS

SEC. 1701. INCREASED SUPPORT FOR WIC PROGRAM.

    (a) Findings.--Congress finds the following:
            (1) The special supplemental nutrition program for women, 
        infants, and children (WIC) authorized by section 17 of the 
        Child Nutrition Act of 1966 (42 U.S.C. 1786) serves over 
        9,000,000 women, infants, and children.
            (2) Over half of all infants in the United States and 1 in 
        4 young children under age 5 get crucial health and nutrition 
        benefits from the WIC Program.
            (3) It is estimated that every dollar spent on WIC results 
        in between $1.92 and $4.21 in Medicaid savings for newborns and 
        their mothers.
            (4) The WIC program has been proven to increase the number 
        of women receiving prenatal care, reduce the incidence of low 
        birth weight and fetal mortality, reduce anemia, and enhance 
        the nutritional quality of the diet of mothers and children.
            (5) The WIC program's essential, effective nutrition 
        services include nutrition assessment, counseling and 
        education, obesity prevention, breastfeeding support and 
        promotion, prenatal and pediatric health care referrals and 
        follow-up, spousal and child abuse referral, drug and alcohol 
        abuse referral, immunization screening, assessment and 
        referral, and a host of other services for mothers and 
        children.
            (6) One in 10 people eligible to participate in the WIC 
        program are unable to receive WIC services.
    (b) Extending Certification Period.--Section 17(d)(3)(A) of the 
Child Nutrition Act of 1966 (42 U.S.C. 1786(d)(3)(A)) is amended by 
adding at the end the following:
                            ``(iii) Children.--A State may elect to 
                        certify children for a period of 1 year.''.
    (c) Promoting and Supporting Breastfeeding.--
            (1) The second sentence of section 17(a) of the Child 
        Nutrition Act of 1966 (42 U.S.C. 1786(a)) is amended to read as 
        follows: ``It is, therefore, the purpose of the program 
        authorized by this section to provide, up to the authorization 
        levels set forth in subsection (g) of this section, 
        supplemental foods, nutrition education, and breastfeeding 
        support and promotion through any eligible local agency that 
        applies for participation in the program.''
            (2) Section 17(h)(10)(B)(iii) of the Child Nutrition Act of 
        1966 (42 U.S.C. 1786(h)(10(B)(iii)) is amended to read as 
        follows:
                            ``(iii) $40,000,000 shall be used for 
                        special nutrition education such as 
                        breastfeeding peer counselors and other related 
                        activities.''.
            (3) Section 17(h)(1)(C)(ii) of the Child Nutrition Act of 
        1966 (42 U.S.C. 1786(h)(1)(C)(ii)) is amended to read as 
        follows:
                            ``(ii) Breast pumps.--A State agency may, 
                        without restriction, use amounts available 
                        under clause (i) for the provision of breast 
                        pumps needed to serve participants.''.
    (d) Appropriating Funding for WIC.--Section 17(g)(1)(A) of the 
Child Nutrition Act of 1966 (42 U.S.C. 1786(g)(1)(A)) is amended to 
read as follows:
                    ``(A) Authorization.--There are authorized to be 
                appropriated to carry out this section--
                            ``(i) $7,777,000,000 for fiscal year 2010, 
                        of which--
                                    ``(I) $40,000,000 shall be made 
                                available for breastfeeding peer 
                                counselors;
                                    ``(II) $40,000,000 shall be made 
                                available for infrastructure needs;
                                    ``(III) $60,000,000 shall be made 
                                available for management information 
                                systems; and
                                    ``(IV) $5,000,000 shall be made 
                                available to support rigorous health 
                                outcomes research and evaluation.
                            ``(ii) such sums as may be necessary for 
                        fiscal year 2011.''.

SEC. 1702. NUTRITIONAL SUPPORT FOR LOW-INCOME PARENTS.

    Section 5(c)(2) of the Food and Nutrition Act of 2008 (7 U.S.C. 
2014(c)(2)) is amended by striking ``30 percentum'' and inserting ``85 
percent''.

SEC. 1703. INCREASED FUNDING FOR THE CHILD CARE AND DEVELOPMENT BLOCK 
              GRANT PROGRAM.

    Section 658B of the Child Care and Development Block Grant Act of 
1990 (42 U.S.C. 9858) is amended by striking ``$1,000,000,000 for each 
of fiscal years 1996 through 2002'' and inserting ``$4,127,000,000 for 
each of fiscal years 2010 through 2016''.

SEC. 1704. FREE HOME VISITS BY TRAINED HOME VISITORS FOR EDUCATION ON 
              HEALTH AND DEVELOPMENTAL NEEDS OF INFANTS AND TODDLERS 
              FOR LOW-INCOME FAMILIES.

    (a) In General.--The Secretary may make grants to health 
departments and schools to provide to eligible families, without 
charge, education on the health and developmental needs of their 
infants through visits to their homes by trained home visitors.
    (b) Definitions.--In this section:
            (1) Eligible family.--The term ``eligible family'' means a 
        family that--
                    (A) has low income; and
                    (B) includes the parents or caregivers of a child 
                who has not yet entered kindergarten.
            (2) Low income.--
                    (A) In general.--The term ``low income'' means 
                income not exceeding 200 percent of the poverty line 
                for a family of the size involved.
                    (B) Special rule.--For purposes of this section, a 
                family that has low income when the provision of home 
                visitation services to the family commences shall be 
                considered to have low income throughout the course of 
                receiving the services.
            (3) Poverty line.--The term ``poverty line'' has the 
        meaning given the term in section 673(2) of the Community 
        Services Block Grant Act (42 U.S.C. 9902(2)), including any 
        revision required by such section.
    (c) Certain Requirements.--A grant may be made under subsection (a) 
only if the applicant involved agrees as follows:
            (1) The program carried out under subsection (a) by the 
        applicant will be designed to instill in eligible families 
        confidence in their abilities to provide for the health needs 
        of their newborns, including through--
                    (A) providing information on child development; and
                    (B) soliciting questions from the families.
            (2) The trained home visitors who make home visits under 
        subsection (a) will, as needed, provide referrals for health 
        and social services.
            (3) The period during which the visits will be available to 
        an eligible family will not be less than 1 year.
            (4) An eligible family will receive no less than 2 visits 
        each month, with more frequent visits provided for families 
        with high needs.
            (5) The program is proven effective on the basis of 
        rigorous scientific research.
    (d) Authorized Services.--
            (1) Requirements.--A grant may be made under subsection (a) 
        only if the applicant involved agrees that the following 
        services will be provided by trained home visitors in home 
        visits under subsection (a):
                    (A) Research based information on child health and 
                age appropriate development, including suggestions for 
                child-developmental activities.
                    (B) Advice on parenting, including information on 
                how to develop a strong parent-child relationship and 
                realistic expectations of age-appropriate child 
                behaviors.
                    (C) Information on parenting, including identifying 
                books, videos and parenting workshops in the local 
                region.
                    (D) Information on programs that facilitate parent-
                to-parent support services.
                    (E) Factually and medically accurate and complete 
                information about contraception.
                    (F) In the case of an eligible entity who is a 
                student, information on resources that may assist the 
                mother in completing the educational courses involved.
                    (G) Child health and developmental screening.
            (2) Additional services.--A grant under subsection (a) may 
        be expended to provide services under such subsection in 
        addition to the services specified in paragraph (1). The 
        services may include--
                    (A) providing the necessary hygiene products for 
                children, such as diapers, that allow a parent to 
                provide for the basic needs of the child; or
                    (B) an effort to recruit low-income pregnant women 
                who are in their third trimester and have decided to 
                carry their pregnancy to term.
    (e) Limitations on Authorization of Appropriations.--To carry out 
this section, there are authorized to be appropriated $150,000,000 for 
fiscal year 2010, $250,000,000 for fiscal year 2011, $350,000,000 for 
fiscal year 2012, $450,000,000 for fiscal year 2013, and $550,000,000 
for fiscal year 2014.

SEC. 1705. GRANTS TO INCREASE PUBLIC AWARENESS OF RESOURCES AVAILABLE 
              TO NEW PARENTS.

    (a) Grants.--The Secretary may make grants to States to increase 
public awareness of resources available to new parents.
    (b) Use of Funds.--The Secretary may make a grant to a State under 
this section only if the State agrees to use the grant for all the 
following:
            (1) Identification of resources available to new parents.
            (2) Conducting an advertising campaign to increase public 
        awareness of the resources.
            (3) Establishing and maintaining a toll-free telephone line 
        to direct people to--
                    (A) adoption centers; and
                    (B) organizations that provide support services to 
                new parents.
    (c) Prohibition.--The Secretary shall prohibit each State receiving 
a grant under this section from using the grant to direct people to an 
organization or adoption center that is operated for profit.
    (d) Certifications Required as Condition of Grant.--As a condition 
of providing a grant to a State under this section, the Secretary shall 
require the State to certify to the Secretary that the State will--
            (1) use the grant to direct people to an organization that 
        provides mandatory full disclosure as to which services and 
        referrals the organization will or will not provide; and
            (2) make publicly available by means of the Internet (in 
        electronic and paper form) a list of--
                    (A) the resources identified by the State pursuant 
                to subsection (b)(1); and
                    (B) the organizations and adoption centers to which 
                people are directed pursuant to an advertising campaign 
                or telephone line funded under this section.

      TITLE XVIII--RESEARCH ON RESPONSES TO UNINTENDED PREGNANCIES

SEC. 1801. REPORT ON RESPONSES TO UNINTENDED PREGNANCY.

    (a) In General.--The Secretary shall enter into an agreement with 
the Institute of Medicine to study the range of choices women make in 
response to unintended pregnancy. The Secretary shall ensure that a 
report from the Institute describing the findings of the study is 
submitted to the Congress not later than January 10, 2013. Names may 
not be collected for purposes of the study.
    (b) Authorization of Appropriations.--To carry out this section, 
there are authorized to be appropriated such sums as may be necessary 
for each of fiscal years 2010 through 2013.
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