<?xml version="1.0"?>
<?xml-stylesheet type="text/xsl" href="billres.xsl"?>
<!DOCTYPE bill PUBLIC "-//US Congress//DTDs/bill.dtd//EN" "bill.dtd">
<bill bill-stage="Introduced-in-House" bill-type="olc" dms-id="HD98F3036CFFE493F83A637664F02BD4D" public-private="public">
	<form>
		<distribution-code display="yes">I</distribution-code>
		<congress>111th CONGRESS</congress>
		<session>2d Session</session>
		<legis-num>H. R. 5033</legis-num>
		<current-chamber>IN THE HOUSE OF REPRESENTATIVES</current-chamber>
		<action>
			<action-date date="20100415">April 15, 2010</action-date>
			<action-desc><sponsor name-id="R000486">Ms. Roybal-Allard</sponsor>
			 (for herself and <cosponsor name-id="D000096">Mr. Davis of
			 Illinois</cosponsor>) introduced the following bill; which was referred to the
			 <committee-name committee-id="HIF00">Committee on Energy and
			 Commerce</committee-name></action-desc>
		</action>
		<legis-type>A BILL</legis-type>
		<official-title>To authorize the Secretary of Health and Human Services
		  to carry out programs to provide youth in racial or ethnic minority or
		  immigrant communities the information and skills needed to reduce teenage
		  pregnancies.</official-title>
	</form>
	<legis-body id="H7B93577463C34077A60C686ACEE68923" style="OLC">
		<section id="H51F8467C4AD8410795B7E5D47013C6B2" section-type="section-one"><enum>1.</enum><header>Short title</header><text display-inline="no-display-inline">This Act may be cited as the
			 <quote><short-title>Communities of Color Teenage Pregnancy
			 Prevention Act of 2010</short-title></quote>.</text>
		</section><section id="H752E3E4D94814942964641591172D156"><enum>2.</enum><header>Purpose</header><text display-inline="no-display-inline">It is the purpose of this Act to develop and
			 carry out research and demonstration projects on new and existing program
			 interventions to provide youth in racial or ethnic minority or immigrant
			 communities the information and skills needed to reduce teenage pregnancies,
			 build healthy relationships, and improve overall health and well-being.</text>
		</section><section id="H4FF93EE5BF974D54800C73E09172D775"><enum>3.</enum><header>Findings</header><text display-inline="no-display-inline">The Congress finds the following:</text>
			<paragraph id="H398A31BEA109471DBBC45503431779A3"><enum>(1)</enum><text>Teenage pregnancy
			 is one of the most critical issues facing the Nation today. The United States
			 has the highest teenage pregnancy rate of any developed nation, with nearly
			 750,000 teenage girls (ages 15 to 19) becoming pregnant each year, and 80
			 percent of those pregnancies unplanned.</text>
			</paragraph><paragraph id="H77BF63266F7841F698D710FDE0E44E85"><enum>(2)</enum><text>Nationally,
			 teenage pregnancy has significant fiscal implications, costing taxpayers at
			 least $9,100,000,000 annually.</text>
			</paragraph><paragraph id="H147879237AC3427D8AEE16577CE9611B"><enum>(3)</enum><text>Communities of
			 color disproportionately suffer from teenage pregnancy. Fifty-two percent of
			 Latinas and 50 percent of African-American girls will become pregnant at least
			 once before they turn 20. In comparison, only 19 percent of non-Hispanic white
			 teenage girls under the age of 20 become pregnant.</text>
			</paragraph><paragraph id="H6F6F413B414B44C08147078598B8F50C"><enum>(4)</enum><text>Between 2005 and
			 2006, the teen pregnancy rate increased for every racial/ethnic subgroup.
			 Hispanic teens continue to have the highest rates of both teen pregnancy and
			 birth.</text>
			</paragraph><paragraph id="H81B8BB8C17BD4EDD9080B63F28CB8402"><enum>(5)</enum><text>Research shows
			 that starting a family too soon may have significant social, educational, and
			 financial impacts on the lives of young people. Less than half of teenage
			 mothers finish high school and less than 2 percent go on to finish college,
			 making it difficult to find and maintain a job.</text>
			</paragraph><paragraph id="H461623D5316C4D0DAF529B6448FB0D1A"><enum>(6)</enum><text>New research shows
			 that teenage dating violence and abuse are serious public health problems and
			 are associated with higher levels of teenage pregnancy and unplanned pregnancy.
			 Studies show that 1 in 5 teenage girls in the United States report having
			 experienced physical or sexual intimate partner violence.</text>
			</paragraph><paragraph id="H44FFA641A37047B6B21C4A6EDDBF1E08"><enum>(7)</enum><text>Promoting and
			 building healthy relationships are fundamental to prevent teenage pregnancies
			 and unplanned pregnancies.</text>
			</paragraph></section><section id="H52AF37A3823C4F919F79FA3504E39DC8"><enum>4.</enum><header>Demonstration
			 grants to reduce teenage pregnancies</header>
			<subsection id="H9D67478B865E4DE082BAC7B4D8F066F2"><enum>(a)</enum><header>In
			 general</header><text>The Secretary shall award competitive grants to eligible
			 entities for new and existing program interventions to provide youth in racial
			 or ethnic minority or immigrant communities the information and skills needed
			 to reduce teenage pregnancies and develop healthy relationships.</text>
			</subsection><subsection id="H9782B2C0FF1E4B778C6BBD2EE46369D6"><enum>(b)</enum><header>Priority</header><text>In
			 awarding grants under this section, the Secretary shall give priority to
			 applicants proposing to carry out projects in racial or ethnic minority or
			 immigrant communities.</text>
			</subsection><subsection id="HE986AE32A48244F69EF38FCBEF140238"><enum>(c)</enum><header>Project
			 settings</header><text>Funds received under this section may be used to provide
			 information and skills as described in subsection (a)—</text>
				<paragraph id="HE0983F270B104EF4A1A4BA375D7FDD1C"><enum>(1)</enum><text>through
			 classroom-based settings, such as school health education or family and
			 consumer science education; after-school programs; community-based programs;
			 workforce development programs; and health clinics; or</text>
				</paragraph><paragraph id="H5133DF990C664FDBA1AD03307D63C5AB"><enum>(2)</enum><text>in collaboration
			 with systems that serve large numbers of at-risk youth such as juvenile justice
			 or foster care systems.</text>
				</paragraph></subsection><subsection id="H04D85000F8644B55813857A115FF6415"><enum>(d)</enum><header>Project
			 requirements</header><text>As a condition on receipt of a grant under this
			 section, an entity shall agree that information and skills provided through the
			 grant will be—</text>
				<paragraph id="HABADFBA5379C479EB26E6147EEBDBA7F"><enum>(1)</enum><text>age-appropriate;</text>
				</paragraph><paragraph id="HF7C861FD7114404C95FB3908699AC7AD"><enum>(2)</enum><text>evidence-based;</text>
				</paragraph><paragraph id="H2806BD3B49F543B59A355A1BF0FB0F50"><enum>(3)</enum><text>provided in
			 accordance with section 7(b); and</text>
				</paragraph><paragraph id="HA505A518DCAD4A498F29418997605DB3"><enum>(4)</enum><text>culturally
			 sensitive and relevant to the target population</text>
				</paragraph></subsection><subsection id="H0BD18EA9E8AF424889AAE6EEEDC2B88E"><enum>(e)</enum><header>Evaluation</header><text>Of
			 the total amount made available to carry out this section for a fiscal year,
			 the Secretary, acting through the Director of the Centers for Disease Control
			 and Prevention, shall use 10 percent of such amount to carry out a rigorous,
			 independent evaluation to determine the extent and the effectiveness of
			 activities funded through this section in changing attitudes and
			 behavior.</text>
			</subsection><subsection id="HC49F94DB7C6640DF8C531461E39A42F1"><enum>(f)</enum><header>Definition</header><text>In
			 this section, the term <term>eligible entity</term> means a State, local, or
			 tribal agency; a school or postsecondary institution; an after-school program;
			 a nonprofit coalition; a community or faith-based organization; or any other
			 entity determined appropriate by the Secretary.</text>
			</subsection></section><section id="H947D8C0C0DEC43098931D2EFF081E102"><enum>5.</enum><header>Multimedia
			 campaigns to reduce teenage pregnancies</header>
			<subsection id="H75A2D4834E554894994452261ABDFEB9"><enum>(a)</enum><header>In
			 general</header><text>The Secretary shall award competitive grants to carry out
			 multimedia campaigns to provide public education and increase public awareness
			 regarding teenage pregnancy and related social and emotional issues.</text>
			</subsection><subsection id="H0CE7426EDF4B425AB4A17E2974EE5E00"><enum>(b)</enum><header>Priority</header><text>In
			 awarding grants under this section, the Secretary shall give priority to
			 applicants proposing to carry out campaigns developed for racial or ethnic
			 minority or immigrant communities.</text>
			</subsection><subsection id="H947A362327684360A4CA5D8B9E62C7FA"><enum>(c)</enum><header>Information To
			 be provided</header><text>As a condition on receipt of a grant under this
			 section, an entity shall agree to use the grant to carry out multimedia
			 campaigns described in subsection (a) that—</text>
				<paragraph id="H1A8BCCBA746249F39F779293E045D993"><enum>(1)</enum><text>at a minimum,
			 shall provide information on—</text>
					<subparagraph id="H122C03AC4D864F099A8C29495C88453D"><enum>(A)</enum><text>the prevention of
			 teenage pregnancy; and</text>
					</subparagraph><subparagraph id="HF19D7C9637864D32B2233865475ECBF1"><enum>(B)</enum><text>healthy
			 relationship development; and</text>
					</subparagraph></paragraph><paragraph id="H2534F44BBE58432DB143F13449E71396"><enum>(2)</enum><text>may provide
			 information on the prevention of dating violence.</text>
				</paragraph></subsection></section><section id="HE996D204778B45319D17211E4E67665A"><enum>6.</enum><header>Research on
			 reducing teenage pregnancies</header>
			<subsection id="H5124FCA7E7544516B128A73B0FF21F16"><enum>(a)</enum><header>Purpose</header><text>The
			 purpose of this section is to provide for the conduct, support, or coordination
			 of research among culturally and linguistically specific communities, including
			 projects that—</text>
				<paragraph id="H40D61FE1DA3C459387E14CFB6B3648AF"><enum>(1)</enum><text>examine factors
			 that contribute to disproportionately high rates of teenage and unintended
			 pregnancy or sexual abuse in such communities;</text>
				</paragraph><paragraph id="HD2699DE520CC4129828467E25E1E7028"><enum>(2)</enum><text>explore
			 research-based strategies for addressing high rates of teenage pregnancy and
			 unintended pregnancies through programs that emphasize healthy relationships;
			 and</text>
				</paragraph><paragraph id="H7DDC9DA2BC734269B79A7B4996698736"><enum>(3)</enum><text>study the role
			 which violence and abuse play in the decisions made by young people about
			 relationships, sex, pregnancy, and childbearing.</text>
				</paragraph></subsection><subsection id="H53C64D7C4C1B420D8C5C44947F074F29"><enum>(b)</enum><header>In
			 general</header><text>The Secretary, acting through the Director of the Centers
			 for Disease Control and Prevention, shall make grants to public and private
			 entities to conduct, support, or coordinate research that—</text>
				<paragraph id="HD0FD13CAD5D54172AE5B7E20EF02369F"><enum>(1)</enum><text>investigates the
			 incidence and prevalence of teenage pregnancy and births in racial and ethnic
			 minority or immigrant communities;</text>
				</paragraph><paragraph id="HAA40474AA6564CD39C3C625C25BF74B8"><enum>(2)</enum><text>examines—</text>
					<subparagraph id="H9568E4892AFC4B998CFF0A8526031F78"><enum>(A)</enum><text>the relationships
			 between teenage pregnancy or dating abuse and one or more of—</text>
						<clause id="HAB6A1184A56D4C2E98BE6BF19D553DDF"><enum>(i)</enum><text>the
			 mental and physical health and well-being of teenagers in such
			 communities;</text>
						</clause><clause id="HE4A1407A293045FD931879108C5CE4BD"><enum>(ii)</enum><text>the
			 scholastic achievement of such teenagers, including with respect to school
			 completion;</text>
						</clause><clause id="H262D7266A8C74792925523AC20FAC49F"><enum>(iii)</enum><text>family
			 communication; and</text>
						</clause><clause id="HFA1D6E02214244C5B2F633F324DEFAB5"><enum>(iv)</enum><text>exposure to
			 violence, sexual abuse, pregnancy coercion, and birth control sabotage;</text>
						</clause></subparagraph><subparagraph id="H5908EB4BF3B147079916D236727183F5"><enum>(B)</enum><text>effective
			 interventions to reduce pregnancy coercion and birth control sabotage;</text>
					</subparagraph><subparagraph id="HF4BE743CA89F4D14B3BCF4E2295C7324"><enum>(C)</enum><text>the variance in
			 the rates of teenage pregnancy by—</text>
						<clause id="HAFB3B914C8AD4793B1E696F8A78166B9"><enum>(i)</enum><text>location (such as
			 inner cities, inner suburbs, outer suburbs, and rural areas);</text>
						</clause><clause id="H2EA593E9CDAE48019C62E19C465D4ECD"><enum>(ii)</enum><text>population
			 subgroup (such as Hispanic, Asian, African-American, Pacific Islander, American
			 Indian, and Alaskan Native);</text>
						</clause><clause id="H84D576F110DB4F15BCB9194FC00004FC"><enum>(iii)</enum><text>level of
			 acculturation; or</text>
						</clause><clause id="HCC6851C9CB554C3FAE0E21FE903789F7"><enum>(iv)</enum><text>socioeconomic
			 status (such as income, educational attainment of the parents of the teenager,
			 and school attendance of the teenager);</text>
						</clause></subparagraph><subparagraph id="H7FA9A875275D4EC9824123A43C24E770"><enum>(D)</enum><text>the importance of
			 the physical and social environment as a factor in placing communities at risk
			 of increased rates of teenage pregnancy or dating violence abuse; and</text>
					</subparagraph><subparagraph id="HBCAA316CE2E64012866B5DDFFBF03A0E"><enum>(E)</enum><text>the importance of
			 aspirations and motivations as factors affecting young people’s risk of teenage
			 pregnancy or dating abuse;</text>
					</subparagraph></paragraph><paragraph id="HE6AA6F9CE56C40219B04F300A109BA66"><enum>(3)</enum><text>improves data
			 collection on—</text>
					<subparagraph id="H51E11EA1ED854B80951B77213D9654D1"><enum>(A)</enum><text>sexual and
			 reproductive health, including teenage pregnancies and births, among all
			 minority communities and subpopulations, with an emphasis on American Indian
			 and Alaska Native youth;</text>
					</subparagraph><subparagraph id="HE9F49D8EA2BA448FA2D011FF8ADC4CF4"><enum>(B)</enum><text>sexual behavior,
			 sexual or reproductive coercion, birth control sabotage, and teenage
			 contraceptive use patterns at the State level; or</text>
					</subparagraph><subparagraph id="H1EDE1207EC084317B7AEA8198A183149"><enum>(C)</enum><text>teenage
			 pregnancies among youth in and aging out of foster care or juvenile justice
			 systems;</text>
					</subparagraph></paragraph><paragraph id="H7BDE59C80AED4BDC92A842C772316B36"><enum>(4)</enum><text>examines
			 underlying factors that lead to teenage pregnancy among youth in foster care or
			 juvenile justice systems;</text>
				</paragraph><paragraph id="HD20A2170306D49669DF9B22A5860A16A"><enum>(5)</enum><text>identifies
			 strategies to address the disproportionate rates of teenage and unintended
			 pregnancies and dating violence in racial or ethnic minority or immigrant
			 communities;</text>
				</paragraph><paragraph id="HBFB5C6ED1D9648E1979307F820D53095"><enum>(6)</enum><text>examines the
			 effectiveness of media campaigns addressing healthy relationship development,
			 dating violence prevention, and teenage pregnancy; or</text>
				</paragraph><paragraph id="HF7D9F0F9F00E4D48A460B93F7C67395A"><enum>(7)</enum><text>examines how
			 effective interventions can be replicated or adapted in other settings to serve
			 racial or ethnic minority or immigrant communities.</text>
				</paragraph></subsection><subsection id="H3840E1D39D7B4971A761A73C5885CDBE"><enum>(c)</enum><header>Priority</header><text>In
			 carrying out this section, the Secretary shall give priority to research that
			 incorporates—</text>
				<paragraph id="H0C13DA7971134C78AE16E04224C766DC"><enum>(1)</enum><text>interdisciplinary
			 approaches; or</text>
				</paragraph><paragraph id="H623A812486194375AC2B0372B06BC021"><enum>(2)</enum><text>a
			 strong emphasis on community-based participatory research.</text>
				</paragraph></subsection></section><section id="H56A10ECA192E4358B28FF6B15013236C"><enum>7.</enum><header>Miscellaneous
			 provisions</header>
			<subsection id="HB4365B2E6938486DA570CD1765E98BD1"><enum>(a)</enum><header>Applications</header><text>To
			 seek a grant under this Act, an entity shall submit an application to the
			 Secretary in such form, in such manner, and containing such agreements,
			 assurances, and information as the Secretary may require.</text>
			</subsection><subsection id="HC945D4EC909A47548E9637C71D2A8143"><enum>(b)</enum><header>Additional
			 requirements</header><text>A grant may be made under this Act only if the
			 applicant involved agrees that information, activities, and services under the
			 grant—</text>
				<paragraph id="H972C2615744B4C2DA0004C05CCADE58E"><enum>(1)</enum><text>will be
			 evidence-based;</text>
				</paragraph><paragraph id="HB3DEA830BCFB43FDA33364E6847B0C16"><enum>(2)</enum><text>will be factually
			 and medically accurate and complete; and</text>
				</paragraph><paragraph id="H563FCEAE89FF476EB3C79B5F3FB88130"><enum>(3)</enum><text>if directed to a
			 particular population group, will be provided in an appropriate language and
			 cultural context.</text>
				</paragraph></subsection><subsection id="HB1CFEA23C19C41918DEBBE285141DB1B"><enum>(c)</enum><header>Training and
			 technical assistance</header>
				<paragraph id="H9B997A406F3541A8BD30F293974D4FA1"><enum>(1)</enum><header>In
			 general</header><text>Of the total amount made available to carry out this Act
			 for a fiscal year, the Secretary shall use 10 percent to provide, directly or
			 through a competitive grant process, training and technical assistance to the
			 grant recipients under this section, including by disseminating research and
			 information regarding effective and promising practices, providing consultation
			 and resources on a broad array of teenage and unintended pregnancy and violence
			 prevention strategies, and developing resources and materials.</text>
				</paragraph><paragraph id="H7C869A112A2A4024B62DBF187E138650"><enum>(2)</enum><header>Collaboration</header><text>In
			 carrying out this subsection, the Secretary shall collaborate with a variety of
			 entities that have expertise in the prevention of teenage pregnancy, healthy
			 relationship development, and violence prevention.</text>
				</paragraph></subsection></section><section id="H8DE8ACD65F314DC5B94512E377FC7F08"><enum>8.</enum><header>Definitions</header><text display-inline="no-display-inline">In this Act:</text>
			<paragraph commented="no" id="H2FB5C305053042D8B78F9A4DC567CEEC"><enum>(1)</enum><header>Medically
			 accurate and complete</header><text display-inline="yes-display-inline">The
			 term <term>medically accurate and complete</term> means verified or supported
			 by the weight of research conducted in compliance with accepted scientific
			 methods and—</text>
				<subparagraph commented="no" id="H840FF2581BB64097887FF4BF8AF139DE"><enum>(A)</enum><text>published in
			 peer-reviewed journals, where applicable; or</text>
				</subparagraph><subparagraph id="H3C9AE89DA04349ACA53685762B21F844"><enum>(B)</enum><text>comprising
			 information that leading professional organizations and agencies with relevant
			 expertise in the field recognize as accurate, objective, and complete.</text>
				</subparagraph></paragraph><paragraph id="H50709F97E4CD46A1953193983DD20ACD"><enum>(2)</enum><header>Racial or ethnic
			 minority or immigrant communities</header><text>The term <term>racial or ethnic
			 minority or immigrant communities</term> means communities with a substantial
			 number of residents who are members of racial or ethnic minority groups or who
			 are immigrants.</text>
			</paragraph><paragraph id="H08CB49FFBB424857A4E9588A0A32FE9A"><enum>(3)</enum><header>Secretary</header><text>The
			 term <term>Secretary</term> means the Secretary of Health and Human
			 Services.</text>
			</paragraph><paragraph id="HABE77E1E92B942B190BAE3B1F0895007"><enum>(4)</enum><header>Youth</header><text>The
			 term <term>youth</term> means individuals who are 11 to 19 years of age.</text>
			</paragraph></section><section id="H4AECEEABC0604E66AB40793264A38BA3"><enum>9.</enum><header>Authorization of
			 appropriations</header><text display-inline="no-display-inline">There are
			 authorized to be appropriated—</text>
			<paragraph id="HF993A43B9BCA4CD5B55EFB1113D9371E"><enum>(1)</enum><text>to carry out
			 section 4, $45,000,000 for each of fiscal years 2011 through 2015;</text>
			</paragraph><paragraph id="HDA03EFDA3A124ECB9331ED1CAFC1182D"><enum>(2)</enum><text>to carry out
			 section 5, $5,000,000 for each of fiscal years 2011 through 2015; and</text>
			</paragraph><paragraph id="H0AFC0392E20A4B85A0FCDB1F3028187B"><enum>(3)</enum><text>to carry out
			 section 6, $10,000,000 for each of fiscal years 2011 through 2015.</text>
			</paragraph></section></legis-body>
</bill>
