1.Short title; table of
contents
(a)This Act may be cited as the Pregnant Women Support Act
.
(b)The table of contents for this Act is as follows:
Sec. 1. Short title; table of contents.
Sec. 2. Findings.
Sec. 3. Definitions.
Title I—Public awareness and assistance for pregnant women and
new parents
Sec. 101. Grants for increasing public awareness of resources
available to assist pregnant women in carrying their pregnancies to term and to
assist new parents.
Title II—Increasing Women’s Knowledge About Their
Pregnancy
Sec. 201. Grants to health centers for purchase of ultrasound
equipment.
Title III—Pregnancy as a preexisting condition
Sec. 301. Individual health insurance coverage for pregnant
women.
Sec. 302. Continuation of health insurance coverage for
newborns.
Title IV—Medicaid and SCHIP Coverage of Pregnant Women and Unborn
Children
Sec. 401. Treatment of unborn children.
Sec. 402. Coordination with the maternal and child health
program.
Title V—Disclosure of Information on Abortion
Services
Sec. 501. Disclosure of information on abortion
services.
Title VI—Services to patients receiving positive test diagnosis
of down syndrome or other prenatally diagnosed conditions
Sec. 601. Services to patients receiving positive test
diagnosis for down syndrome or other prenatally diagnosed
conditions.
Title VII—Support for Pregnant and Parenting College
Students
Sec. 701. Sense of Congress.
Sec. 702. Definitions.
Sec. 703. Pregnant and parenting student services pilot
program.
Sec. 704. Application; number of grants.
Sec. 705. Matching requirement.
Sec. 706. Use of funds.
Sec. 707. Reporting.
Sec. 708. Authorization of appropriations.
Title VIII—Support for pregnant and parenting teens
Sec. 801. Grants to States.
Title IX—Improving services for pregnant women who are victims of
domestic violence, dating violence, and stalking
Sec. 901. Findings.
Sec. 902. Program to support pregnant women who are victims of
domestic violence.
Sec. 903. Homicide death certificates of certain female
victims.
Title X—Life support centers for pregnant women, mothers, and
children
Sec. 1001. Life Support Centers Pilot Program.
Title XI—Expansion of Adoption Credit and Adoption Assistance
Programs
Sec. 1101. Expansion of adoption credit and adoption assistance
programs.
Title XII—Providing Support to New Parents
Sec. 1201. Increased support for WIC program.
Sec. 1202. Nutritional support for low-income
parents.
Sec. 1203. Increased funding for the Child Care and Development
Block Grant program.
Sec. 1204. Teenage or first-time mothers; free home visits by
registered nurses for education on health needs of infants.
Title XIII—Collecting and Reporting Abortion Data
Sec. 1301. Grants for collection and reporting of abortion
data.
2.The Congress finds as follows:
(1)In
2004, 839,226 abortions were reported to the Centers for Disease Control and
Prevention.
(2)48 percent of all
pregnancies in America are unintended. Excluding miscarriages, 54 percent of
unintended pregnancies end in abortion.
(3)57 percent of
women who have abortions have incomes below 200 percent of the poverty
level.
(4)Cannot afford a baby
is the
second most frequently cited reason women choose to have an abortion; 73
percent of women having abortions cited this reason as a contributing
factor.
(5)This Act is an initiative to gather more
complete information about abortion, to reduce the abortion rate by helping
women carry their pregnancies to term and bear healthy children, and by
affirming the right of women to be fully informed about their other options
when they seek an abortion.
(6)The initiative will
work to support women facing unplanned pregnancies, new parents and their
children by providing comprehensive measures for health care needs, supportive
services and helpful prenatal information and postnatal services.
3.Except as otherwise provided in this Act,
for purposes of this Act:
(1)The term
Secretary means the Secretary of Health and Human Services.
(2)The term State includes the 50
States, the District of Columbia, the Commonwealth of Puerto Rico, the
Commonwealth of the Northern Mariana Islands, American Samoa, Guam, the Virgin
Islands, and any other territory or possession of the United States.
<enum>I</enum><header>Public
awareness and assistance for pregnant women and new parents</header>
<section id="HA292734D921A49ABB38BBDD511D5424"><enum>101.</enum><header>Grants for
increasing public awareness of resources available to assist pregnant women in
carrying their pregnancies to term and to assist new parents</header>
<subsection id="H4CE4923B8FDF4508A86D0672E206A525"><enum>(a)</enum><header>Grants</header><text display-inline="yes-display-inline">The Secretary may make grants to States to
increase public awareness of resources available to pregnant women to carry
their pregnancy to term and to new parents.</text>
</subsection><subsection id="HA9BF1E2F0BCA452897FAC60000089E26"><enum>(b)</enum><header>Use of
funds</header><text>The Secretary may make a grant to a State under this
section only if the State agrees to use the grant for the following:</text>
<paragraph id="HEEABE2801A5447368823EF3400047144"><enum>(1)</enum><text display-inline="yes-display-inline">Identification of resources available to
assist pregnant women to carry their pregnancy to term or to assist new
parents, or both.</text>
</paragraph><paragraph id="HE58046CFB7344E79A8B2C0A447E692D0"><enum>(2)</enum><text>Conducting an
advertising campaign to increase public awareness of such resources.</text>
</paragraph><paragraph id="H4FB9B6FDF9F0403B8378F6AC76EA00DD"><enum>(3)</enum><text>Establishing and
maintaining a toll-free telephone line to direct people to—</text>
<subparagraph id="HC31682F2C4C14619963256AD4D4F069B"><enum>(A)</enum><text>organizations that
provide support services for pregnant women to carry their pregnancy to
term;</text>
</subparagraph><subparagraph id="H58B0E8B06FC441D89624D9BEAB1BA6A3"><enum>(B)</enum><text>adoption centers;
and</text>
</subparagraph><subparagraph id="HBF4FE095F1BE4EDA80C6BCC5E87D9BE5"><enum>(C)</enum><text>organizations that
provide support services to new parents.</text>
</subparagraph></paragraph></subsection><subsection id="H8862F16A1BC9473CA74E2781E64CFE08"><enum>(c)</enum><header>Prohibition</header><text>The
Secretary shall prohibit each State receiving a grant under this section from
using the grant to direct people to an organization or adoption center that is
for-profit.</text>
</subsection><subsection id="H583C85C72A8049358E103850E58E4358"><enum>(d)</enum><header>Identification
of resources</header><text>The Secretary shall require each State receiving a
grant under this section to make publicly available by means of the Internet
(electronic and paper form) a list of the following:</text>
<paragraph id="HBB911FC90D624496B87B3E26598B6F2D"><enum>(1)</enum><text>The resources
identified pursuant to subsection (b)(1).</text>
</paragraph><paragraph id="H63CC8CC24E0E416E00F050DBC82F91B"><enum>(2)</enum><text>The organizations
and adoption centers to which people are directed pursuant to an advertising
campaign or telephone line funded under this section.</text>
</paragraph></subsection><subsection commented="no" display-inline="no-display-inline" id="H433995F56FEF49C8ADD6AA1100000005"><enum>(e)</enum><header>Authorization of
Appropriations</header><text>The Secretary shall make such funds available as
may be necessary to carry out the activities of this section.</text>
</subsection></section><enum>II</enum><header>Increasing Women’s
Knowledge About Their Pregnancy</header>
<section id="HB697B9FEC4F447FBBDA3E96B00007597"><enum>201.</enum><header>Grants to
health centers for purchase of ultrasound equipment</header><text display-inline="no-display-inline">Part B of title III of the Public Health
Service Act (42 U.S.C. 243 et seq.) is amended by inserting after section 317L
the following:</text>
<quoted-block display-inline="no-display-inline" id="H19524ACB8FC249EDAD8D60D3FA18F2F8" style="OLC">
<section id="H49516D63CDCB4FA0BE9C4242B600BB73"><enum>317L–1.</enum><header>Grants for
the purchase or upgrade of ultrasound equipment</header>
<subsection id="H98854A181BB24DFCBBD9B14C604C9CD3"><enum>(a)</enum><header>In
general</header><text>The Secretary may make grants for the purchase of
ultrasound equipment. Such ultrasound equipment shall be used by the recipients
of such grants to provide, under the direction and supervision of a licensed
medical physician, ultrasound examinations to pregnant women consenting to such
services.</text>
</subsection><subsection id="H677500A08552420090296743E95B72D5"><enum>(b)</enum><header>Eligibility
requirements</header><text>An entity may receive a grant under subsection (a)
only if the entity meets the following conditions:</text>
<paragraph id="H814DD72158E3426D99285DBA73A57581"><enum>(1)</enum><text>The entity is a
health center eligible to receive a grant under section 330 (relating to
community health centers, migrant health centers, homeless health centers, and
public-housing health centers).</text>
</paragraph><paragraph id="H9314ACEB937049EFBD59201108007843"><enum>(2)</enum><text>The entity agrees
to comply with the following medical procedures:</text>
<subparagraph id="H54076806A44E433B94B5E4CACDC73178"><enum>(A)</enum><text display-inline="yes-display-inline">The entity will inform each pregnant woman
upon whom the ultrasound equipment is used that she has the right to view the
visual image of the unborn child from the ultrasound examination and that she
has the right to hear a general anatomical and physiological description of the
characteristics of the unborn child.</text>
</subparagraph><subparagraph id="HB43BE26A64084718A55471B3C008DA5"><enum>(B)</enum><text display-inline="yes-display-inline">The entity will inform each pregnant woman
that she has the right to learn, according to the best medical judgment of the
physician performing the ultrasound examination or the physician’s agent
performing such exam, the approximate age of the embryo or unborn child
considering the number of weeks elapsed from the probable time of the
conception of the embryo or unborn child, based upon the information provided
by the client as to the time of her last menstrual period, her medical history,
a physical examination, or appropriate laboratory tests.</text>
</subparagraph></paragraph></subsection><subsection id="H538BE2C199304834A4DB15C48C0EDC"><enum>(c)</enum><header>Application for
grant</header><text>A grant may be made under subsection (a) only if an
application for the grant is submitted to the Secretary and the application is
in such form, is made in such manner, and contains such agreements, assurances,
and information as the Secretary determines to be necessary to carry out this
section.</text>
</subsection><subsection id="H597211FA16E947A588C91400E1A4F3CC"><enum>(d)</enum><header>Annual report to
Secretary</header><text>A grant may be made under subsection (a) only if the
applicant for the grant agrees to report on an annual basis to the Secretary,
in such form and manner as the Secretary may require, on the ongoing compliance
of the applicant with the eligibility conditions established in subsection
(b).</text>
</subsection><subsection commented="no" display-inline="no-display-inline" id="H6ADEB2A628494DB1B1852BD08E30796D"><enum>(e)</enum><header>Authorization of
appropriations</header><text>For the purpose of carrying out this section,
there are authorized to be appropriated $3,000,000 for fiscal year 2010, and
such sums as may be necessary for each of the fiscal years 2011 through
2014.</text>
</subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</section><enum>III</enum><header>Pregnancy as a
preexisting condition</header>
<section id="H75DC6277038A4D5797B60010A00534D"><enum>301.</enum><header>Individual
health insurance coverage for pregnant women</header>
<subsection id="H830D7582EBB3495B8867B30492EE3129"><enum>(a)</enum><header>Limitation on
imposition of pre-existing condition exclusions and waiting periods for women
with prior coverage</header><text>Title XXVII of the Public Health Service Act
(42 U.S.C. 300gg et seq.) is amended by inserting after section 2753 the
following new section:</text>
<quoted-block display-inline="no-display-inline" id="HA0A02D2112BC44D59C009F6406BCBB61" style="OLC">
<section id="HE5574693C86549FC8485F7083386A871"><enum>2754.</enum><header>Providing
individual health insurance coverage without regard to preexisting condition
exclusion and waiting periods for pregnant women within one year of continuous
prior coverage</header><text display-inline="no-display-inline">In the case of
a woman who has had at least 12 months of creditable coverage before seeking
individual health insurance coverage, such individual health insurance
coverage, and the health insurance issuer offering such coverage, may not
impose any preexisting condition exclusion relating to pregnancy as a
preexisting condition, any waiting period, or otherwise discriminate in
coverage or premiums against the woman on the basis that she is
pregnant.</text>
</section><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection><subsection id="HFFBC2B524C3E4ABDAE5D128B9CDA099B"><enum>(b)</enum><header>Effective
date</header><text>The amendment made by subsection (a) shall take effect on
October 1, 2009, and shall apply to women who become pregnant on or after such
date.</text>
</subsection></section><section id="HDA2D8AABCC534F9BB0483636E053008E"><enum>302.</enum><header>Continuation of
health insurance coverage for newborns</header>
<subsection id="H0C497FA92B464724958CD49776C8175F"><enum>(a)</enum><header>Group health
plan coverage</header><text>Title XXVII of the Public Health Service Act (42
U.S.C. 300gg et seq.) is amended by inserting after section 2707 the following
new section:</text>
<quoted-block display-inline="no-display-inline" id="HD19F334BA85E4135BEAF8F6897D377BE" style="OLC">
<section id="H94F1BCAED3804BD489FB5B0089A29800"><enum>2708.</enum><header>Continuation
of coverage for newborns</header>
<subsection id="HCC2B02DCFC7D493BB73C6951FF96C66C"><enum>(a)</enum><header>Notification</header><text display-inline="yes-display-inline">In the case of a pregnant woman who is
covered under a group health plan, or under group health insurance coverage,
for other than family coverage, the plan or issuer of the insurance shall
provide notice to the woman during the 5th month of pregnancy, during the 8th
month of pregnancy, and within 2 weeks after delivery, of the woman’s option to
provide continuing coverage of the newborn child under the group health plan or
health insurance coverage under subsection (b).</text>
</subsection><subsection id="H51DCDECFDA7440A794EE2427DF8F9454"><enum>(b)</enum><header>Option of
continued coverage for newborns</header><text>In the case of a pregnant woman
described in subsection (a) who has a newborn child under a group health plan
or under group health insurance coverage, the plan or issuer offering the
coverage shall provide the woman with the option of electing coverage of the
newborn child at least through the end of the 30-day period beginning on the
date of birth of the child and no waiting period or preexisting condition
exclusion shall apply with respect to the coverage of such a newborn child
under such plan or coverage. Such continuation coverage shall remain in effect,
subject to payment of applicable premiums, for at least such period as the
Secretary
specifies.</text>
</subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection><subsection id="H2660906AA3484A9FBE713CF36B815581"><enum>(b)</enum><header>Individual
health insurance coverage</header><text>Such title is further amended by
inserting after section 2754, as added by section 301, the following new
section:</text>
<quoted-block display-inline="no-display-inline" id="H8E3D69B0651A46E49F55B8BDCDCBEC45" style="OLC">
<section id="H9B5A2565B7AE4CD5B072E6C8BC1403A3"><enum>2755.</enum><header>Continuation
of coverage for newborns</header><text display-inline="no-display-inline">The
provisions of section 2708 shall apply with respect to individual health
insurance coverage and the issuer of such coverage in the same manner as they
apply to group health insurance coverage and the issuer of such
coverage.</text>
</section><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection><subsection commented="no" display-inline="no-display-inline" id="H425FA992EDFF4860829B299E5404931F"><enum>(c)</enum><header>Effective
date</header><text display-inline="yes-display-inline">The amendments made by
this section shall take effect on January 1, 2010, and shall apply to women who
become pregnant on or after such date and children who are born of such
women.</text>
</subsection></section><enum>IV</enum><header>Medicaid and
SCHIP Coverage of Pregnant Women and Unborn Children</header>
<section id="HAF6817FDA7394B6D90003DF0003FA1C2"><enum>401.</enum><header>Treatment of
unborn children</header>
<subsection id="H8274B51C244A4F36A402754B9CA068E4"><enum>(a)</enum><header>Codification of
current regulations</header><text display-inline="yes-display-inline">Section
2110(c)(1) (42 U.S.C. 1397(c)(1)) of the Social Security Act is amended by
striking the period at the end and inserting the following: <quote>, and
includes, at the option of a State, an unborn child.</quote>.</text>
</subsection><subsection id="HA45F2DDA97FC4CCB0058701C87834959"><enum>(b)</enum><header>Clarifications
regarding coverage of mothers</header><text>Section 2103 (42 U.S.C. 1397cc) of
such Act is amended by adding at the end the following new subsection:</text>
<quoted-block display-inline="no-display-inline" id="H3F3C09F052774D8A90C80000823B3971" style="OLC">
<subsection id="H861FF07EC20E4E0E97D5757B21ABC9F5"><enum>(g)</enum><header>Clarifications
regarding authority To provide postpartum services and maternal health
care</header><text display-inline="yes-display-inline">Any State that provides
child health assistance to an unborn child under the option described in
section 2110(c)(1) may—</text>
<paragraph id="H2040EDBAB1514A27B1ED7CC7FD0B100"><enum>(1)</enum><text>continue to provide
such assistance to the mother, as well as postpartum services, through the end
of the month in which the 60-day period (beginning on the last day of
pregnancy) ends; and</text>
</paragraph><paragraph id="H70653ADED1554AE59361881ED2C4CABE"><enum>(2)</enum><text>in the interest of
the child to be born, have flexibility in defining and providing services to
benefit either the mother or unborn child consistent with the health of
both.</text>
</paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection></section><section id="H5B5C4D15E36442D68E72F1501285A6EB"><enum>402.</enum><header>Coordination
with the maternal and child health program</header>
<subsection id="HE0F4421DC09047899314A6C95BE2CEF"><enum>(a)</enum><header>In
general</header><text display-inline="yes-display-inline">Section 2102(b)(3) of
the Social Security Act (42 U.S.C. 1397bb(b)(3)) is amended—</text>
<paragraph id="H09BB6A892D444C84BC97FAAE2654BC30"><enum>(1)</enum><text>in subparagraph
(D), by striking <quote>and</quote> at the end;</text>
</paragraph><paragraph id="H6FFE071AA3F941AB9D67DD81CC325060"><enum>(2)</enum><text>in subparagraph
(E), by striking the period and inserting <quote>; and</quote>; and</text>
</paragraph><paragraph id="HAFF8DFE82B90457E9203BB52B99524CB"><enum>(3)</enum><text>by adding at the
end the following new subparagraph:</text>
<quoted-block id="HAEFCD6322EBE496ABCCBB20329E9003C" style="OLC">
<subparagraph id="H2AB0BE9B386F4994AAB9CAF04CC5FEA3"><enum>(F)</enum><text>that operations
and activities under this title are developed and implemented in consultation
and coordination with the program operated by the State under title V in areas
including outreach and enrollment, benefits and services, service delivery
standards, public health and social service agency relationships, and quality
assurance and data
reporting.</text>
</subparagraph><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></subsection><subsection id="HF7F4B4598CF14FDBA4CAAB669038D542"><enum>(b)</enum><header>Conforming
medicaid amendment</header><text>Section 1902(a)(11) of such Act (42 U.S.C.
1396a(a)(11)) is amended—</text>
<paragraph id="HAFF8E05A657E4231984964009CA7D10"><enum>(1)</enum><text>by
striking <quote>and</quote> before <quote>(C)</quote>; and</text>
</paragraph><paragraph id="HA8259D78E0294C62BEDD4EDACDF38CB9"><enum>(2)</enum><text>by inserting
before the semicolon at the end the following: <quote>, and (D) provide that
operations and activities under this title are developed and implemented in
consultation and coordination with the program operated by the State under
title V in areas including outreach and enrollment, benefits and services,
service delivery standards, public health and social service agency
relationships, and quality assurance and data reporting</quote>.</text>
</paragraph></subsection><subsection commented="no" display-inline="no-display-inline" id="HEBE731789F884C5DAAD2D0425C0005AD"><enum>(c)</enum><header>Effective
date</header><text>The amendments made by this section take effect on October
1, 2009.</text>
</subsection></section><enum>V</enum><header>Disclosure of
Information on Abortion Services</header>
<section id="HBB6C583E2EB4434290F846F6E91BA76"><enum>501.</enum><header>Disclosure of
information on abortion services</header>
<subsection id="H72715138842545D285DCBBE764FC75B6"><enum>(a)</enum><header>In
general</header><text>Health facilities that perform abortions in or affecting
interstate commerce shall obtain informed consent from the pregnant woman
seeking to have the abortion. Informed consent shall exist only after a woman
has voluntarily completed or opted not to complete pre-abortion counseling
sessions.</text>
</subsection><subsection id="H7928FD059D6142B9B1D0D6A187A461ED"><enum>(b)</enum><header>Accurate
information</header><text display-inline="yes-display-inline">Counseling
sessions under subsection (a) shall include the following information:</text>
<paragraph id="H11661566B0A64104AAC74F8173F17B3C"><enum>(1)</enum><text display-inline="yes-display-inline">The probable gestational age and
characteristics of the unborn child at the time the abortion will be
performed.</text>
</paragraph><paragraph id="HA6637BD9892A49E2B6ABEA3380D2D245"><enum>(2)</enum><text>How the abortion
procedure is performed.</text>
</paragraph><paragraph id="H7AB1FD8A03384FDBB9315E7B75FDEEB"><enum>(3)</enum><text>Possible short-term
and long-term risks and complications of the procedure to be performed.</text>
</paragraph><paragraph id="H6332505FE3734396955C51013775AA00"><enum>(4)</enum><text>Options or
alternatives to abortion, including, but not limited to, adoption, and the
resources available in the community to assist women choosing these
options.</text>
</paragraph><paragraph id="H79536EE53C944ABE9F9212506400DA27"><enum>(5)</enum><text>The availability
of post-procedure medical services to address the risks and complications of
the procedure.</text>
</paragraph></subsection><subsection id="H603CD49277374F519DC8F83BBD44B2A7"><enum>(c)</enum><header>Exception</header><text>This
section shall not apply when the pregnant woman is herself incapable, under
State law, of making medical decisions. This section does not affect or modify
any requirement under State law for making medical decisions for such
patients.</text>
</subsection><subsection id="HEE78CBB7E931467FA23000CB1D13542D"><enum>(d)</enum><header>Civil
remedies</header>
<paragraph id="H9BB4B1D6493B4CAAA7E5500A7C2583E"><enum>(1)</enum><header>Civil
action</header><text>Any female upon whom an abortion has been performed or
attempted without complying with the informed consent requirements may bring a
civil action in an appropriate district court of the United States against the
person who performed the abortion in knowing or reckless violation of this
section for actual and punitive damages.</text>
</paragraph><paragraph id="HA2D4774BEB7C424589EB99571D749F93"><enum>(2)</enum><header>Certain
authorities and requirements</header><text>With respect to an action under
paragraph (1):</text>
<subparagraph id="H00548389A9244C4EA12052D7E2923D2C"><enum>(A)</enum><text>The court may
award attorney's fees to the plaintiff if judgment is rendered in favor of the
plaintiff, and may award attorney's fees to the defendant if judgment is
rendered in favor of the defendant and the court finds that the plaintiff's
case was frivolous and brought in bad faith.</text>
</subparagraph><subparagraph id="H23DCA97E4C494CE5A8557BD2FE9C09DA"><enum>(B)</enum><text>The court shall
determine whether the anonymity of the female involved will be preserved from
public disclosure if the female has not consented to her identity being
disclosed. If the female's identity is to be shielded, the court shall issue an
order sealing the record and excluding individuals from the courtroom to
preserve her identity.</text>
</subparagraph><subparagraph id="H6943CB555480473C99A8C200EED5E7E5"><enum>(C)</enum><text>In the absence of
the female's written consent, anyone other than a public official who brings
the action shall do so under a pseudonym.</text>
</subparagraph></paragraph><paragraph id="H782245E17FCB47F4B4225C2847CFD1B3"><enum>(3)</enum><header>Rule of
construction</header><text>Nothing in this subsection may be construed to
conceal the identity of the plaintiff or of the witnesses from the
defendant.</text>
</paragraph></subsection><subsection id="H7591CB43D4704667A3B3155766EB93E4"><enum>(e)</enum><header>Severability</header><text>If
any provision of this section requiring informed consent for abortions is found
unconstitutional, the unconstitutional provision is severable and the other
provisions of this section remain in effect.</text>
</subsection><subsection commented="no" display-inline="no-display-inline" id="H7D167519383246888B9F278400C900EE"><enum>(f)</enum><header>Preemption</header><text display-inline="yes-display-inline">Nothing in this section shall prevent a
State from enacting and enforcing additional requirements with respect to
informed consent.</text>
</subsection></section><enum>VI</enum><header>Services to
patients receiving positive test diagnosis of down syndrome or other prenatally
diagnosed conditions</header>
<section id="H5CF1C27A0E9E45AEB265BA46DE2E3CEA"><enum>601.</enum><header>Services to
patients receiving positive test diagnosis for down syndrome or other
prenatally diagnosed conditions</header>
<subsection id="H569DE5852DEB4B6900FE9B01EFFC84A7"><enum>(a)</enum><header>Findings and
purposes</header>
<paragraph id="H26C45BBBC0014FC682C5F1FF2F7207F3"><enum>(1)</enum><header>Findings</header><text>The
Congress finds as follows:</text>
<subparagraph id="HADC16ED9B6C744FCA0AE72C018CE18BE"><enum>(A)</enum><text>Pregnant women who
choose to undergo prenatal genetic testing should have access to timely,
scientific, and nondirective counseling about the conditions being tested for
and the accuracy of such tests, from health care professionals qualified to
provide and interpret these tests. Informed consent is a critical component of
all genetic testing.</text>
</subparagraph><subparagraph id="HFF765EE247EF4EE28083FC65B872E949"><enum>(B)</enum><text>A recent,
peer-reviewed study and two reports from the Centers for Disease Control and
Prevention on prenatal testing found a deficiency in the data needed to
understand the epidemiology of prenatally diagnosed conditions, to monitor
trends accurately, and to increase the effectiveness of health
intervention.</text>
</subparagraph></paragraph><paragraph id="H0AF09407038D43AE83E8F0DA42A36670"><enum>(2)</enum><header>Purposes</header><text>It
is the purpose of this section, after the diagnosis of an unborn child with
Down syndrome or other prenatally diagnosed conditions, to—</text>
<subparagraph id="HD147988DFF4A481C00E0ECF8FE93E5E"><enum>(A)</enum><text>increase patient
referrals to providers of key support services to assist parents in the care,
or placement for adoption, of a child with Down syndrome, or other prenatally
diagnosed conditions, as well as to provide up-to-date, science-based
information about life-expectancy and development potential for a child born
with Down syndrome or other prenatally diagnosed condition;</text>
</subparagraph><subparagraph id="HA91BC4A7CFE442D6AE6C9654606EC03C"><enum>(B)</enum><text>provide networks
of support services described in subparagraph (A) through a Centers for Disease
Control and Prevention patient and provider outreach program;</text>
</subparagraph><subparagraph id="H1E8F8AE9068F4F2188409862CDF19149"><enum>(C)</enum><text>improve available
data by incorporating information directly revealed by prenatal testing into
existing State-based surveillance programs for birth defects and prenatally
diagnosed conditions; and</text>
</subparagraph><subparagraph id="H19EF3827367148CCA651B86CD05C7CC9"><enum>(D)</enum><text>ensure that
patients receive up-to-date, scientific information about the accuracy of the
test.</text>
</subparagraph></paragraph></subsection><subsection id="HDE726441809F4538A3B4D038F5EB03CE"><enum>(b)</enum><header>Amendment to the
Public Health Service Act</header><text>Part P of title III of the Public
Health Service Act (42 U.S.C. 280g et seq.) is amended by adding at the end the
following:</text>
<quoted-block display-inline="no-display-inline" id="HB971F302D8984B3FBDF8EC8C67B3F06B" style="OLC">
<section id="H56AADF9DA6FB47CA8D3D8168F7B4245C"><enum>399U.</enum><header>Support for
patients receiving a positive test diagnosis of down syndrome or other
prenatally diagnosed conditions</header>
<subsection id="H44A277A9FA4F47649C81BF5FD2DCCF3"><enum>(a)</enum><header>Definitions</header><text>In
this section:</text>
<paragraph id="H65962BEAE14D43DBA693E4E748CDD4C9"><enum>(1)</enum><header>Down
syndrome</header><text>The term <term>Down syndrome</term> refers to a
chromosomal disorder caused by an error in cell division that results in the
presence of an extra whole or partial copy of chromosome 21.</text>
</paragraph><paragraph id="H2DD746F88396418CBF28E2F6A7A3D7E"><enum>(2)</enum><header>Health care
provider</header><text>The term <term>health care provider</term> means any
person or entity required by State or Federal law or regulation to be licensed,
registered, or certified to provide health care services, and who is so
licensed, registered, or certified.</text>
</paragraph><paragraph id="H03DC55D88D0D450882D6AFD9F088E048"><enum>(3)</enum><header>Prenatally
diagnosed condition</header><text>The term <term>prenatally diagnosed
condition</term> means any fetal health condition identified by prenatal
genetic testing or prenatal screening procedures.</text>
</paragraph><paragraph id="H55805151AD344D9EAF50753923EAA2EE"><enum>(4)</enum><header>Prenatal
test</header><text>The term <term>prenatal test</term> means diagnostic or
screening tests offered to pregnant women seeking routine prenatal care that
are administered by a health care provider based on medical history, family
background, ethnic background, previous test results, or other risk
factors.</text>
</paragraph><paragraph id="H690614A96F7944AF8590D6F69105E9C1"><enum>(5)</enum><header>Support</header><text>The
terms <term>support</term> and <term>supportive services</term> mean services
to assist parents to care for, and prepare to care for, a child with Down
Syndrome or another prenatally diagnosed condition, and to facilitate the
adoption of such children as appropriate.</text>
</paragraph></subsection><subsection id="HD530FE6B1C354E388F157064752FA345"><enum>(b)</enum><header>Information and
support services</header><text>The Secretary, acting through the Director of
the National Institutes of Health, the Director of the Centers for Disease
Control and Prevention, or the Administrator of the Health Resources and
Services Administration, may authorize and oversee certain activities,
including the awarding of grants, contracts, or cooperative agreements,
to—</text>
<paragraph id="H681EB5F944D84F38AC00E3A80DDADEF"><enum>(1)</enum><text>collect,
synthesize, and disseminate current scientific information relating to Down
syndrome or other prenatally diagnosed conditions;</text>
</paragraph><paragraph id="H1F1A74D45DB54B3FB8B9A4641C541BC"><enum>(2)</enum><text>coordinate the
provision of, and access to, new or existing supportive services for patients
receiving a positive test diagnosis for Down syndrome or other prenatally
diagnosed conditions, including—</text>
<subparagraph id="H5DF9AD4C640242B2A196B4F3002FF342"><enum>(A)</enum><text>the establishment
of a resource telephone hotline and Internet Website accessible to patients
receiving a positive test result;</text>
</subparagraph><subparagraph id="H789A44E20C9A49D88D8200F1C8C317F"><enum>(B)</enum><text>the establishment
of national and local peer-support programs; and</text>
</subparagraph><subparagraph id="H6D511A04B34E45F1870018C1D0257FFF"><enum>(C)</enum><text>the establishment
of a national registry, or network of local registries, of families willing to
adopt newborns with Down syndrome or other prenatally diagnosed conditions, and
links to adoption agencies willing to place babies with Down syndrome or other
prenatally diagnosed conditions, with families willing to adopt;</text>
</subparagraph></paragraph><paragraph id="H158C6FE7311149638B4CB2C16597B296"><enum>(3)</enum><text display-inline="yes-display-inline">establish a clearinghouse of information
regarding the scientific facts, clinical course, life expectancy, and
development potential relating to Down syndrome or other prenatally diagnosed
conditions; and</text>
</paragraph><paragraph id="H41BC5EAD1AA043AD9132A3BA1668D6D"><enum>(4)</enum><text display-inline="yes-display-inline">establish awareness and education programs
for health care providers who provide the results of prenatal tests for Down
syndrome or other prenatally diagnosed conditions, to patients, consistent with
the purpose described in section 601(a)(2)(A) of the Pregnant Women Support
Act.</text>
</paragraph></subsection><subsection id="H8237FF5CB18944B6AA5F2DE461A90C0"><enum>(c)</enum><header>Data
collection</header>
<paragraph id="H578852AB6BAB4A20BDC9484CE3E9951F"><enum>(1)</enum><header>Provision of
assistance</header><text>The Secretary, acting through the Director of the
Centers for Disease Control and Prevention, shall provide assistance to State
and local health departments to integrate the results of prenatal testing into
State-based vital statistics and birth defects surveillance programs.</text>
</paragraph><paragraph id="H7EA3AD03F0D745D2A95567A92F00C487"><enum>(2)</enum><header>Activities</header><text>The
Secretary shall ensure that activities carried out under paragraph (1) are
sufficient to extract population-level data relating to national rates and
results of prenatal testing.</text>
</paragraph></subsection><subsection id="H6DA34BD4AB984B33B413279E00BF4E00"><enum>(d)</enum><header>Provision of
information by providers</header><text>Upon receipt of a positive test result
from a prenatal test for Down syndrome or other prenatally diagnosed conditions
performed on a patient, the health care provider involved (or his or her
designee) shall provide the patient with the following:</text>
<paragraph id="HA834EA90E3B14F56A3449EFB22DADA3"><enum>(1)</enum><text>Up-to-date,
scientific, written information concerning the life expectancy, clinical
course, and intellectual and functional development and treatment options for
an unborn child diagnosed with or child born with Down syndrome or other
prenatally diagnosed conditions.</text>
</paragraph><paragraph id="HEA763E5E62CA469C9207E8C5B3A4E435"><enum>(2)</enum><text>Referral to
supportive services providers, including information hotlines specific to Down
syndrome or other prenatally diagnosed conditions, resource centers or
clearinghouses, and other education and support programs described in
subsection (b).</text>
</paragraph></subsection><subsection id="HF860BD6DB4C14DB28889A4ACE4313B8C"><enum>(e)</enum><header>Privacy</header>
<paragraph id="H6296DA348826477197D12CF7F8ABC810"><enum>(1)</enum><header>In
general</header><text>Notwithstanding subsections (c) and (d), nothing in this
section shall be construed to permit or require the collection, maintenance, or
transmission, without the health care provider obtaining the prior, written
consent of the patient, of—</text>
<subparagraph id="HCA3D908F9A754460A504BDF68928CDB"><enum>(A)</enum><text>health information
or data that identify a patient, or with respect to which there is a reasonable
basis to believe the information could be used to identify the patient
(including a patient’s name, address, healthcare provider, or hospital);
and</text>
</subparagraph><subparagraph id="HA4C7DCAB17F84C65A6F1BABD0A663F7"><enum>(B)</enum><text>data that are not
related to the epidemiology of the condition being tested for.</text>
</subparagraph></paragraph><paragraph id="HEA479FD3880749219C155713B189FADE"><enum>(2)</enum><header>Guidance</header><text>Not
later than 180 days after the date of enactment of this section, the Secretary
shall establish guidelines concerning the implementation of paragraph (1) and
subsection (d).</text>
</paragraph></subsection><subsection id="H849362713E664B7A9B93CA4060C40981"><enum>(f)</enum><header>Reports</header>
<paragraph id="HB7FD4D2165B0471B92C06DF25D33BCF"><enum>(1)</enum><header>Implementation
report</header><text>Not later than 2 years after the date of enactment of this
section, and every 2 years thereafter, the Secretary shall submit a report to
Congress concerning the implementation of the guidelines described in
subsection (e)(2).</text>
</paragraph><paragraph id="H24CFE298BE1544D5B1A6A757A7A89D00"><enum>(2)</enum><header>GAO
report</header><text>Not later than 1 year after the date of enactment of this
section, the Government Accountability Office shall submit a report to Congress
concerning the effectiveness of current healthcare and family support programs
serving as resources for the families of children with disabilities.</text>
</paragraph></subsection><subsection commented="no" display-inline="no-display-inline" id="HAB9F0ABC70574874AA8E321BAD9576CD"><enum>(g)</enum><header>Authorization of
appropriations</header><text>There is authorized to be appropriated to carry
out this section $5,000,000 for each of the fiscal years 2010 through
2014.</text>
</subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection></section><enum>VII</enum><header>Support for
Pregnant and Parenting College Students</header>
<section id="H8247A0FC0DC0466B002C6356F9D12EFB"><enum>701.</enum><header>Sense of
Congress</header><text display-inline="no-display-inline">It is the sense of
Congress that—</text>
<paragraph id="HC3870C429C114B8E8BB4B623391E30B3"><enum>(1)</enum><text display-inline="yes-display-inline">pregnant college students should not have
to make a choice between keeping their baby and staying in school;</text>
</paragraph><paragraph id="H899E2445FF6246F790274C5709016900"><enum>(2)</enum><text display-inline="yes-display-inline">the pilot program under this title will
help interested, eligible institutions of higher education establish pregnancy
and parenting student services offices that will operate independent of Federal
funding no later than 5 years after the date of the enactment of this title;
and</text>
</paragraph><paragraph id="H927A4DF136774021ADA0B6EAF6E8A229"><enum>(3)</enum><text display-inline="yes-display-inline">amounts appropriated to carry out other
Federal programs should be reduced to offset the costs of this title.</text>
</paragraph></section><section id="H7E61840F38B74F90A34E5F7CAFC2978F"><enum>702.</enum><header>Definitions</header><text display-inline="no-display-inline">In this title:</text>
<paragraph id="H6F7CD8831A7E46D48B543D7F842270B"><enum>(1)</enum><header>Eligible
institution of higher education</header><text>The term <term>eligible
institution of higher education</term> means an institution of higher education
(as such term is defined in section 101 of the Higher Education Act of 1965 (20
U.S.C. 1001)) that has established and operates, or agrees to establish and
operate upon the receipt of a grant under this title, a pregnant and parenting
student services office described in
<internal-xref idref="HE0A0B8E43E1F4CAAA7385700EB884C31" legis-path="906.">section 706</internal-xref>.</text>
</paragraph><paragraph commented="no" id="HDC4DC2ABB6374384A62CB6003E607FC1"><enum>(2)</enum><header>Parent;
parenting</header><text>The terms <term>parent</term> and
<term>parenting</term> refer to a parent or legal guardian of a minor.</text>
</paragraph><paragraph id="HF6C3AF9A8012434881CB22667861D700"><enum>(3)</enum><header>Secretary</header><text>The
term <term>Secretary</term> means the Secretary of Education.</text>
</paragraph></section><section id="H22DA5C5654A748B78B4B01A252CA00B9"><enum>703.</enum><header>Pregnant and
parenting student services pilot program</header><text display-inline="no-display-inline">From amounts appropriated under
<internal-xref idref="HEBBE1BA4F7364F1EA565760314E892A9" legis-path="908.">section 708</internal-xref> for a fiscal year, the Secretary
shall establish a pilot program to award grants to eligible institutions of
higher education to enable the eligible institutions to establish (or maintain)
and operate pregnant and parenting student services offices in accordance with
<internal-xref idref="HE0A0B8E43E1F4CAAA7385700EB884C31" legis-path="906.">section 706</internal-xref>.</text>
</section><section id="H3217408B2E734992ADC09BA3E859EA6"><enum>704.</enum><header>Application;
number of grants</header>
<subsection id="H78BA4235D4CF4B399D7BF79015CD25D8"><enum>(a)</enum><header>Application</header><text display-inline="yes-display-inline">An eligible institution of higher education
that desires to receive a grant under this title shall submit an application to
the Secretary at such time, in such manner, and containing such information as
the Secretary may require.</text>
</subsection><subsection id="H302994CC67964E7DBC1778A629B7A7D5"><enum>(b)</enum><header>Requests for
additional information</header><text display-inline="yes-display-inline">The
Secretary may require an eligible institution submitting an application under
subsection (a) to provide additional information if the Secretary determines
such information is necessary to process the application.</text>
</subsection><subsection id="H5F08206E1DF54A2387F42956E2CF3D36"><enum>(c)</enum><header>Number of
grants</header><text display-inline="yes-display-inline">Subject to the
availability of appropriations under
<internal-xref idref="HEBBE1BA4F7364F1EA565760314E892A9" legis-path="908.">section 708</internal-xref>, the Secretary shall award grants
under this title to no more than 200 eligible institutions.</text>
</subsection></section><section id="H7DC9CBA47B0D4C5AB0B58C787155121E"><enum>705.</enum><header>Matching
requirement</header><text display-inline="no-display-inline">An eligible
institution of higher education that receives a grant under this title shall
contribute to the conduct of the pregnant and parenting student services office
supported by the grant an amount from non-Federal funds equal to the amount of
the grant. The non-Federal share may be in cash or in kind, fairly evaluated,
including services, facilities, supplies, or equipment.</text>
</section><section id="HE0A0B8E43E1F4CAAA7385700EB884C31"><enum>706.</enum><header>Use of
funds</header>
<subsection id="HDC4F2D061AA54A96B26BFF62A1D2CA72"><enum>(a)</enum><header>In
general</header><text display-inline="yes-display-inline">An eligible
institution of higher education that receives a grant under this title shall
use grant funds to establish (or maintain) and operate a pregnant and parenting
student services office, located on the campus of the eligible institution,
that carries out the following programs and activities:</text>
<paragraph id="H314D931D96D942C6A31D39B6C780EF14"><enum>(1)</enum><text>Hosts an initial
pregnancy and parenting resource forum—</text>
<subparagraph id="HA7E014AC27364150B2F600C1C0BDB3EF"><enum>(A)</enum><text>to assess
pregnancy and parenting resources, located on the campus or within the local
community, that are available to meet the needs described in
<internal-xref idref="HFA6E099814BF44CD9E840234F9DAD153" legis-path="906.(a)(2)">paragraph (2)</internal-xref>; and</text>
</subparagraph><subparagraph id="HBCD5360BB2E04AB2A06DDB6DBA1C6B44"><enum>(B)</enum><text>to set goals
for—</text>
<clause id="H05B5553CFABA42F28D47C8661F8FEE3E"><enum>(i)</enum><text>improving such
resources for pregnant, parenting, and prospective parenting students;
and</text>
</clause><clause id="HFB04B2B13B374A7F80C0B2CFE64E5127"><enum>(ii)</enum><text>improving access
to such resources.</text>
</clause></subparagraph></paragraph><paragraph id="HFA6E099814BF44CD9E840234F9DAD153"><enum>(2)</enum><text>Annually assesses
the performance of the eligible institution and the office in meeting the
following needs of students enrolled in the eligible institution who are
pregnant or are parents:</text>
<subparagraph id="H6AA4970020884E749DEDE4CEA34FA87"><enum>(A)</enum><text>The inclusion of
maternity coverage and the availability of riders for additional family members
in student health care.</text>
</subparagraph><subparagraph id="HE5DEBF380947486BA8A7A5F3A5005D03"><enum>(B)</enum><text>Family
housing.</text>
</subparagraph><subparagraph id="H1BB013536EB94C439F6500DFEF066FD5"><enum>(C)</enum><text>Child care.</text>
</subparagraph><subparagraph id="HF2A9EC6334DE4DD1BFB13B8F00B025B8"><enum>(D)</enum><text>Flexible or
alternative academic scheduling, such as telecommuting programs.</text>
</subparagraph><subparagraph id="H10B01B636E6D40BA9B7465DCA728BF96"><enum>(E)</enum><text>Education to
improve parenting skills for mothers and fathers and to strengthen
marriages.</text>
</subparagraph><subparagraph id="H89FB912D32C24F0094001F08D489D704"><enum>(F)</enum><text>Maternity and baby
clothing, baby food (including formula), baby furniture, and similar items to
assist parents and prospective parents in meeting the material needs of their
children.</text>
</subparagraph><subparagraph id="H99253B3FE57745589DA0245FD79040F7"><enum>(G)</enum><text>Post-partum
counseling and support groups.</text>
</subparagraph></paragraph><paragraph id="H81AB3D61DFC64E4BA72338B1D7B9AA1F"><enum>(3)</enum><text>Identifies public
and private service providers, located on the campus of the eligible
institution or within the local community, that are qualified to meet the needs
described in paragraph (2), and establishes programs with qualified providers
to meet such needs.</text>
</paragraph><paragraph id="HFC858142578449A6B3DBA92AD997193"><enum>(4)</enum><text>Assists pregnant
and parenting students and their spouses in locating and obtaining services
that meet the needs described in paragraph (2).</text>
</paragraph><paragraph commented="no" id="H61EF2D137CF8421CAC3F0400526738F6"><enum>(5)</enum><text>If appropriate,
provides referrals for prenatal care and delivery, infant or foster care, or
adoption, to a student who requests such information. An office shall make such
referrals only to service providers that primarily serve the following types of
individuals:</text>
<subparagraph commented="no" id="HE0D7DAC960F4425885E77618C018DBD5"><enum>(A)</enum><text>Parents.</text>
</subparagraph><subparagraph commented="no" id="H56FD3714BB74423FAF4D43A1F35B53A7"><enum>(B)</enum><text>Prospective
parents awaiting adoption.</text>
</subparagraph><subparagraph commented="no" id="HBF821AD2FF264964A943E22BC76E301E"><enum>(C)</enum><text>Women who are
pregnant and plan on parenting or placing the child for adoption.</text>
</subparagraph><subparagraph commented="no" id="H3B1513A120C447B6B8FF192587465289"><enum>(D)</enum><text>Parenting or
prospective parenting couples who are married or who plan on marrying in order
to provide a supportive environment for each other and their child.</text>
</subparagraph></paragraph></subsection><subsection id="H58697E4CC5E1429BACF353668E6E7E96"><enum>(b)</enum><header>Expanded
services</header><text>In carrying out the programs and activities described in
<internal-xref idref="HDC4F2D061AA54A96B26BFF62A1D2CA72" legis-path="906.(a)">subsection (a)</internal-xref>, an eligible institution of
higher education receiving a grant under this title may choose to provide
access to such programs and activities to a pregnant or parenting employee of
the eligible institution, and the employee’s spouse.</text>
</subsection></section><section id="H78076C1F494345C5983CFEB3FCD5EEF2"><enum>707.</enum><header>Reporting</header>
<subsection id="H77533A856A494A2EA18CBF34AAE54739"><enum>(a)</enum><header>Annual report by
institutions</header>
<paragraph id="H4F9F66F5422245039F20B6186FAE5546"><enum>(1)</enum><header>In
general</header><text>For each fiscal year that an eligible institution of
higher education receives a grant under this title, the eligible institution
shall prepare and submit to the Secretary, by the date determined by the
Secretary, a report that—</text>
<subparagraph id="H71490916EA8C4BAEAF4269808F20FA15"><enum>(A)</enum><text>itemizes the
pregnant and parenting student services office's expenditures for the fiscal
year;</text>
</subparagraph><subparagraph commented="no" display-inline="no-display-inline" id="HBE7D753C33D240B5ADB0612C8DF6565D"><enum>(B)</enum><text>contains a review
and evaluation of the performance of the office in fulfilling the requirements
of this title, using the specific performance criteria or standards established
under paragraph (2)(A); and</text>
</subparagraph><subparagraph id="HD06851F4B27D45AC9020E868C689AE20"><enum>(C)</enum><text>describes the
achievement of the office in meeting the needs listed in
<internal-xref idref="HFA6E099814BF44CD9E840234F9DAD153" legis-path="906.(a)(2)">section 706(a)(2)</internal-xref> of the students
served by the eligible institution, and the frequency of use of the office by
such students.</text>
</subparagraph></paragraph><paragraph id="HB406806575B44B3DBCECC8BC339DDB6B"><enum>(2)</enum><header>Performance
criteria</header><text display-inline="yes-display-inline">Not later than 180
days before the date the annual report described in
<internal-xref idref="H4F9F66F5422245039F20B6186FAE5546" legis-path="907.(a)(1)">paragraph (1)</internal-xref> is submitted, the
Secretary—</text>
<subparagraph id="H670356A8FD434DEC986615584698C694"><enum>(A)</enum><text display-inline="yes-display-inline">shall identify the specific performance
criteria or standards that shall be used to prepare the report; and</text>
</subparagraph><subparagraph id="H3EB80D2E00224455BEB1C1CCEE28D4B5"><enum>(B)</enum><text display-inline="yes-display-inline">may establish the form or format of the
report.</text>
</subparagraph></paragraph><paragraph id="H28F0B29809B8436AA0F43E07B2E5544"><enum>(3)</enum><header>Additional
information</header><text display-inline="yes-display-inline">After reviewing
an annual report of an eligible institution of higher education, the Secretary
may require that the eligible institution provide additional information if the
Secretary determines that such additional information is necessary to evaluate
the pilot program.</text>
</paragraph></subsection><subsection id="H68F301E45AAB4B2CBA8D6FAA93CB27CD"><enum>(b)</enum><header>Report by
Secretary</header><text>The Secretary shall annually prepare and submit a
report on the findings of the pilot program under this title, including the
number of eligible institutions of higher education that were awarded grants
and the number of students served by each pregnant and parenting student
services office receiving funds under this title, to the appropriate committees
of the Senate and the House of Representatives.</text>
</subsection></section><section commented="no" display-inline="no-display-inline" id="HEBBE1BA4F7364F1EA565760314E892A9" section-type="subsequent-section"><enum>708.</enum><header>Authorization of
appropriations</header><text display-inline="no-display-inline">There is
authorized to be appropriated to carry out this title not more than $10,000,000
for each of the fiscal years 2010 through 2014.</text>
</section><enum>VIII</enum><header>Support for
pregnant and parenting teens</header>
<section commented="no" display-inline="no-display-inline" id="H78809CF18F554FA29770F4117152012" section-type="subsequent-section"><enum>801.</enum><header>Grants to
States</header><text display-inline="no-display-inline">The Secretary shall
make grants to States to allow early childhood education programs, including
Head Start, to work with pregnant or parenting teens to complete high school
and prepare for college or for vocational education.</text>
</section><enum>IX</enum><header>Improving services
for pregnant women who are victims of domestic violence, dating violence, and
stalking</header>
<section id="H7867C43C48744299A062B5DDBBBFF753"><enum>901.</enum><header>Findings</header><text display-inline="no-display-inline">The Congress finds as follows:</text>
<paragraph id="HAD07A4F7D4F2409BBEA372A9D470DCEA"><enum>(1)</enum><text display-inline="yes-display-inline">Pregnant and recently pregnant women are
more likely to be victims of homicide than to die of any other causes, and
evidence exists that a significant proportion of all female homicide victims
are killed by their intimate partners.</text>
</paragraph><paragraph id="HA7EB6FBC8CF84AF0B74312DACBE24804"><enum>(2)</enum><text>A
2001 study published by the Journal of the American Medical Association found
that murder is the number one cause of death among pregnant women.</text>
</paragraph><paragraph id="H2460B364B9124D34A07ECAE866EB023"><enum>(3)</enum><text>Research suggests
that injury-related deaths, including homicide and suicide, account for
approximately one-third of all maternal mortality cases, while medical reasons
make up the rest. Homicide is the leading cause of death overall for pregnant
women, followed by cancer, acute and chronic respiratory conditions, motor
vehicle collisions and drug overdose, peripartum and postpartum cardiomyopthy,
and suicide.</text>
</paragraph></section><section id="HC3014227F63E4CA9ADF5C59CE700DFB8"><enum>902.</enum><header>Program to
support pregnant women who are victims of domestic violence</header>
<subsection id="HB2FB5994A19A4C679EAFA5A0664CA19C"><enum>(a)</enum><header>In
general</header><text display-inline="yes-display-inline">For fiscal year 2010
and each subsequent fiscal year, the Attorney General, through the Director of
the Office on Violence Against Women, may award grants to States, to be used
for any of the following purposes:</text>
<paragraph id="HDCFE0EB80AFC429ABEA19951D57FBAA4"><enum>(1)</enum><text>To assist States
in providing intervention services, accompaniment, and supportive social
services for eligible pregnant women who are victims of domestic violence,
dating violence, or stalking.</text>
</paragraph><paragraph id="H4891C3FE1F8B430986B161C87900D9A2"><enum>(2)</enum><text>To provide for
technical assistance and training (as described in subsection (c)) relating to
violence against eligible pregnant women to be made available to the
following:</text>
<subparagraph id="HE805BFDB62324F6DB6102407A7F7CF6B"><enum>(A)</enum><text>Federal, State,
tribal, territorial, and local governments, law enforcement agencies, and
courts.</text>
</subparagraph><subparagraph id="H400EC32914284D3F89821E662F2BB13D"><enum>(B)</enum><text>Professionals
working in legal, social service, and health care settings.</text>
</subparagraph><subparagraph id="H71DA1842B53541D287E2815161200FB"><enum>(C)</enum><text>Nonprofit
organizations.</text>
</subparagraph><subparagraph id="H787D6EBAFAEE43AF957E50BA8156CE1E"><enum>(D)</enum><text>Faith-based
organizations.</text>
</subparagraph></paragraph></subsection><subsection id="H87A5F01266A44511AA6FE26ED2DCD776"><enum>(b)</enum><header>State
eligibility</header><text>To be eligible for a grant under subsection (a), a
State shall—</text>
<paragraph id="H9BF22F3D43A64500855075BF00DBD07E"><enum>(1)</enum><text>submit to the
Attorney General an application in such time and manner, and containing such
information, as specified by the Attorney General; and</text>
</paragraph><paragraph id="H455B4B476A294D25AFB9914BD3F41FB"><enum>(2)</enum><text>for a grant made
for a fiscal year beginning on or after the date that is one year after the
date of the enactment of this title, satisfy the requirement under section 903,
relating to female homicide victim determinations and death
certificates.</text>
</paragraph></subsection><subsection id="HE377C22F831B492FA49947004FD5D4D"><enum>(c)</enum><header>Technical
assistance and training described</header><text display-inline="yes-display-inline">For purposes of subsection (a)(2),
technical assistance and training is—</text>
<paragraph id="HE0EDABAD0A64415F883B00484B0502BB"><enum>(1)</enum><text>the identification
of eligible pregnant women experiencing domestic violence, dating violence, or
stalking;</text>
</paragraph><paragraph id="HF5546B791AE140A88296E74CD7237753"><enum>(2)</enum><text>the assessment of
the immediate and short-term safety of such a pregnant woman, the evaluation of
the impact of the violence or stalking on the pregnant woman’s health, and the
assistance of the pregnant woman in developing a plan aimed at preventing
further domestic violence, dating violence, or stalking, as appropriate;</text>
</paragraph><paragraph id="H070F54712EC14B32BC871D745F9CFFD"><enum>(3)</enum><text>the maintenance of
complete medical or forensic records that include the documentation of any
examination, treatment given, and referrals made, recording the location and
nature of the pregnant woman’s injuries, and the establishment of mechanisms to
ensure the privacy and confidentiality of those medical records; and</text>
</paragraph><paragraph id="HF908BDF46BCB49D690E44977FD172B2D"><enum>(4)</enum><text>the identification
and referral of the pregnant woman to appropriate public and private nonprofit
entities that provide intervention services, accompaniment, and supportive
social services.</text>
</paragraph></subsection><subsection id="H829948C2435D4BCEBE6FB39D4E62BFC6"><enum>(d)</enum><header>Definitions</header><text display-inline="yes-display-inline">For purposes of this title:</text>
<paragraph id="H38258E056C8B406EA6DA490233C47D7F"><enum>(1)</enum><header>Accompaniment</header><text display-inline="yes-display-inline">The term <term>accompaniment</term> means
assisting, representing, and accompanying a woman in seeking judicial relief
for child support, child custody, restraining orders, and restitution for harm
to persons and property, and in filing criminal charges, and may include the
payment of court costs and reasonable attorney and witness fees associated
therewith.</text>
</paragraph><paragraph id="H60AAE4AF8CBA44D1B5CB3D3EF55B4F1"><enum>(2)</enum><header>Eligible pregnant
woman</header><text>The term <term>eligible pregnant woman</term> means any
woman who is pregnant on the date on which such woman becomes a victim of
domestic violence, dating violence, or stalking or who was pregnant during the
one-year period before such date.</text>
</paragraph><paragraph id="HE50CDEBCF1EE49EBB2BED87DA6BF205D"><enum>(3)</enum><header>Intervention
services</header><text>The term <term>intervention services</term> means, with
respect to domestic violence, dating violence, or stalking, 24-hour telephone
hotline services for police protection and referral to shelters.</text>
</paragraph><paragraph id="H6EB7D6278D0F46B99FB5105E48DAD9F9"><enum>(4)</enum><header>State</header><text display-inline="yes-display-inline">The term <term>State</term> includes the
District of Columbia, any commonwealth, possession, or other territory of the
United States, and any Indian tribe or reservation.</text>
</paragraph><paragraph id="HBA0C45BE1B964B2F93A07E42F58558E"><enum>(5)</enum><header>Supportive social
services</header><text>The term <term>supportive social services</term> means
transitional and permanent housing, vocational counseling, and individual and
group counseling aimed at preventing domestic violence, dating violence, or
stalking.</text>
</paragraph><paragraph id="HD06D5C0C35F34E64B56745D1285700E3"><enum>(6)</enum><header>Violence</header><text>The
term <term>violence</term> means actual violence and the risk or threat of
violence.</text>
</paragraph></subsection><subsection id="H349950BE4CC0446A90E32EA8BBA8C7F8"><enum>(e)</enum><header>Authorization of
Appropriations</header><text>For the purpose of making allotments under
subsection (a), there are authorized to be appropriated $4,000,000 for each of
the fiscal years 2010 through 2014.</text>
</subsection></section><section commented="no" id="HEAB843CBE1E8488782CE058E35310054"><enum>903.</enum><header>Homicide death
certificates of certain female victims</header><text display-inline="no-display-inline">For purposes of section 902(b)(2), the
requirement under this section is that not later than the date that is one year
after the date of the enactment of this title, a State shall require, with
respect to any homicide case initiated after such one-year date and in which
the victim is a female of possible child-bearing age, each of the
following:</text>
<paragraph id="H449E8542EB744504ACA1EC793108ECAC"><enum>(1)</enum><text>A
determination of which, if any, of the following categories, described the
victim:</text>
<subparagraph id="H8826D3965A874E1AA3D0011F49F5615"><enum>(A)</enum><text>The victim was
pregnant on the date of her death.</text>
</subparagraph><subparagraph id="H39FB975C92A24A1395D39EC5A5D8EE00"><enum>(B)</enum><text>The victim was not
pregnant on the date of her death, but had been pregnant during the 42-day
period before such date.</text>
</subparagraph><subparagraph id="H6043DD7660704EB6B9F393BED909BDD"><enum>(C)</enum><text>The victim was not
pregnant on the date of her death, but had been pregnant during the period
beginning on the date that was one year before such date of her death and
ending on the date that was 43 days before such date of her death.</text>
</subparagraph><subparagraph id="H53D851E656E54B4F9932C10058F61380"><enum>(D)</enum><text>The victim was not
pregnant during the one-year period before the date of her death.</text>
</subparagraph><subparagraph id="HCC98C67EA93B4F529972EDF2D4671221"><enum>(E)</enum><text>It could not be
determined whether or not the victim had been pregnant during the one-year
period before the date of her death.</text>
</subparagraph></paragraph><paragraph commented="no" display-inline="no-display-inline" id="HBC2B5FA3DE9245C4B541FF37FAD98CEF"><enum>(2)</enum><text>The determination
made under paragraph (1) shall be included in the death certificate of the
victim.</text>
</paragraph></section><enum>X</enum><header>Life
support centers for pregnant women, mothers, and children</header>
<section id="HEA54D2AC27F64303A0612300002300EB"><enum>1001.</enum><header>Life Support
Centers Pilot Program</header>
<subsection id="H29ED36AA15174A15AF1345DA1E732DD8"><enum>(a)</enum><header>In
general</header><text>The Secretary shall establish a pilot program to fund
comprehensive and supportive services for pregnant women, mothers, and
children. Such services may include—</text>
<paragraph id="H3B2F576DFED04506AA02D2A920ED2624"><enum>(1)</enum><text>child care for
infants and toddlers to allow mothers to find jobs and finish their
education;</text>
</paragraph><paragraph id="HA669F7A1D1FB4D918FCEAD37FB6220F"><enum>(2)</enum><text>relocation
assistance to establish good and stable homes;</text>
</paragraph><paragraph id="H5E372A52138A4079B68FDD075156CFED"><enum>(3)</enum><text>educational
support, such as preparation for pregnant and parenting mothers for the
recognized equivalent of a secondary school diploma;</text>
</paragraph><paragraph id="H06254AD75CF043FDB502AED3E79FD97E"><enum>(4)</enum><text>counseling;</text>
</paragraph><paragraph id="H3A4409161F4D4782974DE1F9F660ECF3"><enum>(5)</enum><text>parenting
classes;</text>
</paragraph><paragraph id="HF4E9434951A84E21B900163FCFA65F58"><enum>(6)</enum><text>business skills
training;</text>
</paragraph><paragraph id="HC0C9D2EC55614E6CBB05E8EBF4FFA16C"><enum>(7)</enum><text>emergency aid in
times of crisis;</text>
</paragraph><paragraph id="H477796072C4E4472BB16913B387607F5"><enum>(8)</enum><text>nutrition
education and food assistance; and</text>
</paragraph><paragraph id="HD64DFDE37B8C47D18C00B853D0BB6F4C"><enum>(9)</enum><text>outreach to
seniors, many of whom volunteer to help with the children or who receive advice
on helping raise their own grandchildren.</text>
</paragraph></subsection><subsection id="H1B4A05C96A7F416998B0D100561F76A4"><enum>(b)</enum><header>Authorization of
appropriations</header><text>There is authorized to be appropriated to carry
out this section no more than $10,000,000 for each of the fiscal years 2010
through 2014.</text>
</subsection></section><enum>XI</enum><header>Expansion of
Adoption Credit and Adoption Assistance Programs</header>
<section id="HF7C5515B104848ABB3AFD300A6E0B320"><enum>1101.</enum><header>Expansion of
adoption credit and adoption assistance programs</header>
<subsection id="H72433DF16E424148ADDCD5726567582B"><enum>(a)</enum><header>Increase in
dollar limitation</header>
<paragraph id="HFE64448FFF7B46D19530227C1FD08BD7"><enum>(1)</enum><header>Adoption
credit</header>
<subparagraph id="HCB0A2C62F6AB428A95E82486DA55BE"><enum>(A)</enum><header>In
general</header><text>Paragraph (1) of section 23(b) of the Internal Revenue
Code of 1986 (relating to dollar limitation) is amended by striking
<quote>$10,000</quote> and inserting <quote>$15,000</quote>.</text>
</subparagraph><subparagraph id="HBA82E63B12764D29806B00C45E00C42D"><enum>(B)</enum><header>Child with
special needs</header><text>Paragraph (3) of section 23(a) of such Code
(relating to $10,000 credit for adoption of child with special needs regardless
of expenses) is amended—</text>
<clause id="HC55276F71FF64BFE966301396E1219A9"><enum>(i)</enum><text>by
striking <quote>$10,000</quote> and inserting <quote>$15,000</quote>,
and</text>
</clause><clause id="HB09F3BF8ACC54CC3B62D1DE20329C77F"><enum>(ii)</enum><text>by
striking <quote><header-in-text level="paragraph" style="OLC">$10,000</header-in-text></quote> in the heading and inserting
<quote><header-in-text level="paragraph" style="OLC">$15,000</header-in-text></quote>.</text>
</clause></subparagraph><subparagraph id="H5A8C1D64578C42B095F4EEDC5DBE8482"><enum>(C)</enum><header>Conforming
amendment to inflation adjustment</header><text>Subsection (h) of section 23 of
such Code (relating to adjustments for inflation) is amended to read as
follows:</text>
<quoted-block id="HC0F85EDC05C14ABE96A64C3EBB533C49" style="OLC">
<subsection id="H66D922AACF314B51AE7D3C29C356E3D5"><enum>(h)</enum><header>Adjustments for
inflation</header>
<paragraph id="H8DDDDFAA08D54D4A9886AB1DDBEE43DD"><enum>(1)</enum><header>Dollar
limitations</header><text>In the case of a taxable year beginning after
December 31, 2009, each of the dollar amounts in subsections (a)(3) and (b)(1)
shall be increased by an amount equal to—</text>
<subparagraph id="H3725FDF28DDE49B6B0F95DF277C1C082"><enum>(A)</enum><text>such dollar
amount, multiplied by</text>
</subparagraph><subparagraph id="H803AFB7D64454CEEAE6C53FD3DABC9C5"><enum>(B)</enum><text>the cost-of-living
adjustment determined under section 1(f)(3) for the calendar year in which the
taxable year begins, determined by substituting <quote>calendar year
2009</quote> for <quote>calendar year 1992</quote> in subparagraph (B)
thereof.</text>
</subparagraph><continuation-text continuation-text-level="paragraph">If any
amount as increased under the preceding sentence is not a multiple of $10, such
amount shall be rounded to the nearest multiple of $10.</continuation-text></paragraph><paragraph id="H35D8CAFB4088454495151518E17F4E1F"><enum>(2)</enum><header>Income
limitation</header><text>In the case of a taxable year beginning after December
31, 2002, the dollar amount in subsection (b)(2)(A)(i) shall be increased by an
amount equal to—</text>
<subparagraph id="H56B5282CD31D4AE800EE83F6FFCD9C5C"><enum>(A)</enum><text>such dollar
amount, multiplied by</text>
</subparagraph><subparagraph id="H116CC403879142EEBD2DA841944FF489"><enum>(B)</enum><text>the cost-of-living
adjustment determined under section 1(f)(3) for the calendar year in which the
taxable year begins, determined by substituting <quote>calendar year
2001</quote> for <quote>calendar year 1992</quote> in subparagraph (B)
thereof.</text>
</subparagraph><continuation-text continuation-text-level="paragraph">If any
amount as increased under the preceding sentence is not a multiple of $10, such
amount shall be rounded to the nearest multiple of
$10.</continuation-text></paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</subparagraph></paragraph><paragraph id="HC658FAC188624A78B3CF6F32B27CC1A7"><enum>(2)</enum><header>Adoption
assistance programs</header>
<subparagraph id="HEE5572EA545648C5B7138000E2C0F326"><enum>(A)</enum><header>In
general</header><text>Paragraph (1) of section 137(b) of the Internal Revenue
Code of 1986 (relating to dollar limitation) is amended by striking
<quote>$10,000</quote> and inserting <quote>$15,000</quote>.</text>
</subparagraph><subparagraph id="H5396ECBC4C594092A38F780446002EB1"><enum>(B)</enum><header>Child with
special needs</header><text>Paragraph (2) of section 137(a) of such Code
(relating to $10,000 exclusion for adoption of child with special needs
regardless of expenses) is amended—</text>
<clause id="H6B9DB8B7BE0C468BA6D173785CE84D2"><enum>(i)</enum><text>in
the text by striking <quote>$10,000</quote> and inserting
<quote>$15,000</quote>, and</text>
</clause><clause id="HCBA0E5F2360B496390A51B923707917D"><enum>(ii)</enum><text>in
the heading by striking <quote><header-in-text level="paragraph" style="OLC">$10,000</header-in-text></quote> and inserting
<quote><header-in-text level="paragraph" style="OLC">$15,000</header-in-text></quote>.</text>
</clause></subparagraph><subparagraph id="H2BC8B5144E474B6E8738D71F8FC1B26"><enum>(C)</enum><header>Conforming
amendment to inflation adjustment</header><text>Subsection (f) of section 137
of such Code (relating to adjustments for inflation) is amended to read as
follows:</text>
<quoted-block id="H09321BD115CD49028B355E1248DA3563" style="OLC">
<subsection id="H6A17B0FFD0E24814B7505F25AFAD9504"><enum>(f)</enum><header>Adjustments for
inflation</header>
<paragraph id="HCCE6E4E198254425A679AEED7F185015"><enum>(1)</enum><header>Dollar
limitations</header><text>In the case of a taxable year beginning after
December 31, 2009, each of the dollar amounts in subsections (a)(2) and (b)(1)
shall be increased by an amount equal to—</text>
<subparagraph id="HA9453BBC9C0447E2AD8BE5C297291BB2"><enum>(A)</enum><text>such dollar
amount, multiplied by</text>
</subparagraph><subparagraph id="H3F29CC72183B4FD8B3B2FDB3F5528CE"><enum>(B)</enum><text>the cost-of-living
adjustment determined under section 1(f)(3) for the calendar year in which the
taxable year begins, determined by substituting <quote>calendar year
2008</quote> for <quote>calendar year 1992</quote> in subparagraph (B)
thereof.</text>
</subparagraph><continuation-text continuation-text-level="paragraph">If any
amount as increased under the preceding sentence is not a multiple of $10, such
amount shall be rounded to the nearest multiple of $10.</continuation-text></paragraph><paragraph id="H192B442AAC5244AA90F3E83C766BFA4E"><enum>(2)</enum><header>Income
limitation</header><text>In the case of a taxable year beginning after December
31, 2002, the dollar amount in subsection (b)(2)(A) shall be increased by an
amount equal to—</text>
<subparagraph id="H1EAC3D47D6C54E93B14CE864C76092B2"><enum>(A)</enum><text>such dollar
amount, multiplied by</text>
</subparagraph><subparagraph id="H0D0C733D1EE6456EA71994A8E8E128D6"><enum>(B)</enum><text>the cost-of-living
adjustment determined under section 1(f)(3) for the calendar year in which the
taxable year begins, determined by substituting <quote>calendar year
2001</quote> for <quote>calendar year 1992</quote> in subparagraph
thereof.</text>
</subparagraph><continuation-text continuation-text-level="paragraph">If any
amount as increased under the preceding sentence is not a multiple of $10, such
amount shall be rounded to the nearest multiple of
$10.</continuation-text></paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</subparagraph></paragraph></subsection><subsection id="H52744FFE19194E68B02DBDC4D170E388"><enum>(b)</enum><header>Credit made
refundable</header>
<paragraph id="H9CE9722A556A440A87627B46955B27C5"><enum>(1)</enum><header>Credit moved to
subpart relating to refundable credits</header><text>The Internal Revenue Code
of 1986 is amended—</text>
<subparagraph id="H40126D02295A4330BFE0D46E56181BB3"><enum>(A)</enum><text>by redesignating
section 23, as amended by subsection (a), as section 36A, and</text>
</subparagraph><subparagraph id="H0C105881E5AC41C6AC7B9387BDDC410"><enum>(B)</enum><text>by moving section
36A (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.</text>
</subparagraph></paragraph><paragraph id="H951359F6033C46A8BE36887712FE3182"><enum>(2)</enum><header>Conforming
amendments</header>
<subparagraph id="HF405D8432A6942AF99C91988E401399"><enum>(A)</enum><text>Section 24(b)(3)(B)
of such Code is amended by striking <quote>23, 25B,</quote> and inserting
<quote>25B,</quote>.</text>
</subparagraph><subparagraph id="H341D2E45C122472F95D460287CBFBC89"><enum>(B)</enum><text>Section
25(e)(1)(C) of such Code is amended—</text>
<clause id="H4BA94EEB512E4AC68D061092E4ED003B"><enum>(i)</enum><text>in
clause (i) by striking <quote>23, 25D,</quote> and inserting
<quote>25D</quote>, and</text>
</clause><clause id="HE74B2E2AB3774CA5B42C5157A934B817"><enum>(ii)</enum><text>in
clause (ii) by striking <quote>23, 24,</quote> and inserting
<quote>24,</quote>.</text>
</clause></subparagraph><subparagraph id="H0CA8D1D3629F4F20B427BE44AB28DED9"><enum>(C)</enum><text>Section 25B(g)(2)
of such Code is amended by striking <quote>sections 23 and 25D</quote> and
inserting <quote>section 25D</quote>.</text>
</subparagraph><subparagraph id="H17214D3EAF1747DBB2751D92FA829913"><enum>(D)</enum><text>Section 26(a)(1)
of such Code is amended by striking <quote>23, 24</quote> and inserting
<quote>24</quote>.</text>
</subparagraph><subparagraph id="HCA682BD23C5F4CF89BFFA8A7E4DF29AA"><enum>(E)</enum><text>Section 36A of
such Code, as so redesignated, is amended—</text>
<clause id="H26E8E647D1804116998811175BFE16EF"><enum>(i)</enum><text>by
striking paragraph (4) of subsection (b), and</text>
</clause><clause id="H5AE55F53051E4A9C8110488FD0DEF7BC"><enum>(ii)</enum><text>by
striking subsection (c).</text>
</clause></subparagraph><subparagraph id="HD2ED81F811F841E793C6E62FE26925F"><enum>(F)</enum><text>Section 137 of such
Code is amended—</text>
<clause id="H2152DCC096C54F8090226DD5D0FFE729"><enum>(i)</enum><text>in
subsection (d) by striking <quote>section 23(d)</quote> and inserting
<quote>section 36A(d)</quote>, and</text>
</clause><clause id="HE807E9A6EFD54809996939A5BFE4EDA"><enum>(ii)</enum><text>in
subsection (e) by striking <quote>section 23</quote> and inserting
<quote>section 36A</quote>.</text>
</clause></subparagraph><subparagraph id="H4DA42B8ED32347A1A2AF137E948E8836"><enum>(G)</enum><text>Section 904(i) of
such Code is amended by striking <quote>23, 24,</quote> and inserting
<quote>24</quote>.</text>
</subparagraph><subparagraph id="H71310872337243CB9B4ED1E21334BD2C"><enum>(H)</enum><text>Section
1016(a)(26) of such Code is amended by striking <quote>23(g)</quote> and
inserting <quote>36A(g)</quote>.</text>
</subparagraph><subparagraph id="H132FAD9C8E7247CB98985BE0B1E1918"><enum>(I)</enum><text>Section 1400C(d)(2)
of such Code is amended by striking <quote>23, 24,</quote> and inserting
<quote>24,</quote>.</text>
</subparagraph><subparagraph id="H8DEA7B74C11D49D1BC87478EA795545F"><enum>(J)</enum><text>The table of
sections for subpart A of part IV of subchapter A of chapter 1 of such Code is
amended by striking the item relating to section 23.</text>
</subparagraph><subparagraph id="H8F698F1C5C284BC994C2C7059168CE60"><enum>(K)</enum><text>Paragraph (2) of
section 1324(b) of title 31, United States Code, is amended by inserting
<quote>36A,</quote> after <quote>36,</quote>.</text>
</subparagraph><subparagraph id="HC550D958ADF8485285A0097E4353B848"><enum>(L)</enum><text>The table of
sections for subpart C of part IV of subchapter A of chapter 1 of the Internal
Revenue Code of 1986 is amended by inserting after the item relating to section
36 the following new item:</text>
<quoted-block display-inline="no-display-inline" id="H31D03AD472804F6C00497EDBDD08E8D9" style="OLC">
<toc regeneration="no-regeneration">
<toc-entry level="section">Sec. 36A. Adoption
expenses.</toc-entry>
</toc>
<after-quoted-block>.</after-quoted-block></quoted-block>
</subparagraph></paragraph></subsection><subsection id="H65914B5E701F408384EA5FDDC5377A7"><enum>(c)</enum><header>Modifications
made by EGTRRA to adoption credit made permanent</header><text>Title IX of the
Economic Growth and Tax Relief Reconciliation Act of 2001 shall not apply to
the amendments made by section 202 of such Act.</text>
</subsection><subsection commented="no" display-inline="no-display-inline" id="HC7EC4718A710414CAFF298DEFF3498C3"><enum>(d)</enum><header>Effective
date</header><text>The amendments made by this section shall apply to taxable
years beginning after December 31, 2009.</text>
</subsection></section><enum>XII</enum><header>Providing
Support to New Parents</header>
<section id="H4B68C446D66F4DFA84E16DAE4C0C017"><enum>1201.</enum><header>Increased
support for WIC program</header>
<subsection id="H23841897967A4958B5BBC6E7E04076F9"><enum>(a)</enum><header>Findings</header><text>Congress
finds the following:</text>
<paragraph id="H9EEC13FF3E1B484DAEAEF40898CC369"><enum>(1)</enum><text>The special
supplemental nutrition program for women, infants, and children (WIC)
authorized in section 17 of the Child Nutrition Act of 1966 (42 U.S.C. 1786)
served approximately 8,100,000 women, infants, and children per month in fiscal
year 2006.</text>
</paragraph><paragraph id="H181AAA8E592A4EC88F234C26CBF2F69B"><enum>(2)</enum><text>Half of all
infants in the United States and 1 in 4 young children under age 5 get crucial
health and nutrition benefits from the WIC Program.</text>
</paragraph><paragraph id="HE8FCD38901794FB3BF2B4340A4AE66BD"><enum>(3)</enum><text>It is estimated
that every dollar spent on WIC results in between $1.92 and $4.21 in Medicaid
savings for newborns and their mothers.</text>
</paragraph><paragraph id="HDD00ABBD9D364CFF8E691C659500E7CF"><enum>(4)</enum><text>The WIC program
has been proven to increase the number of women receiving prenatal care, reduce
the incidence of low birth weight and fetal mortality, reduce anemia, and
enhance the nutritional quality of the diet of mothers and children.</text>
</paragraph><paragraph id="HE35081329BB24447B148F87EF3F4ACFE"><enum>(5)</enum><text display-inline="yes-display-inline">The WIC program’s essential, effective
nutrition services include nutrition assessment, counseling and education,
obesity prevention, breastfeeding support and promotion, prenatal and pediatric
health care referrals and follow-up, spousal and child abuse referral, drug and
alcohol abuse referral, immunization screening, assessment and referral, and a
host of other services for mothers and children.</text>
</paragraph></subsection><subsection id="H81043EA8D10C4E369B00983378F3A77"><enum>(b)</enum><header>Authorization of
appropriations</header><text display-inline="yes-display-inline">For the
purpose of carrying out the special supplemental nutrition program for women,
infants, and children (WIC) authorized in section 17 of the Child Nutrition Act
of 1966 (42 U.S.C. 1786), there is authorized to be appropriated $6,000,000,000
for fiscal year 2010, and such sums as may be necessary for each of fiscal
years 2011 through 2014, of which—</text>
<paragraph id="HCE423261E9FC477EB00037F76259A762"><enum>(1)</enum><text display-inline="yes-display-inline">there is authorized to be appropriated
$15,000,000 for fiscal year 2010, and such sums as may be necessary for each of
fiscal years 2011 through 2014, for breast-feeding peer counselors; and</text>
</paragraph><paragraph id="H69E21F2E6AA24FFFB713095B5FD47036"><enum>(2)</enum><text display-inline="yes-display-inline">there is authorized to be appropriated
$14,000,000 for fiscal year 2010, and such sums as may be necessary for each of
fiscal years 2011 through 2014, for infrastructure needs.</text>
</paragraph></subsection></section><section id="HAAE92C8A42D5489882BDBFFA51EAF97D"><enum>1202.</enum><header>Nutritional
support for low-income parents</header><text display-inline="no-display-inline">Section 5(c)(2) of the Food and Nutrition
Act of 2008 (7 U.S.C. 2014(c)(2)) is amended by striking “30 per centum” and
inserting “85 percent”.</text>
</section><section id="HF845285390ED4765A2E47E2116F9E700"><enum>1203.</enum><header>Increased
funding for the Child Care and Development Block Grant program</header>
<subsection id="H607E99A23FB24F7D0017DD1E3CB27440"><enum>(a)</enum><header>Authorization of
appropriations</header><text display-inline="yes-display-inline">Section 658B
of the Child Care and Development Block Grant Act of 1990 (42 U.S.C. 9858) is
amended to read as follows:</text>
<quoted-block display-inline="no-display-inline" id="HB6E8A63A23EF4C7797093C00E6090950" style="OLC">
<section id="H7D8E01E993E54799B2DA81D73BB10034"><enum>658B.</enum><header>Authorization
of appropriations</header><text display-inline="no-display-inline">There are
authorized to be appropriated to carry out this subchapter $2,350,000,000 for
fiscal year 2010 and such sums as may be necessary for fiscal years 2011
through
2014.</text>
</section><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection><subsection id="HDB5FA7E78BA14F6386BD7B9C80B29B85"><enum>(b)</enum><header>Conforming
amendment</header><text>Section 658E(c)(3)(D) of the Child Care and Development
Block Grant Act of 1990 (42 U.S.C. 9858c(c)(3)(D)) is amended by striking
<quote>1997 through 2002</quote> and inserting <quote>2010 through
2014</quote>.</text>
</subsection></section><section id="HAFD092F33C8E41F9A11D0123C9907E00"><enum>1204.</enum><header>Teenage or
first-time mothers; free home visits by registered nurses for education on
health needs of infants</header>
<subsection id="H14FA60B5C1DA4D7C991004708D90E76F"><enum>(a)</enum><header>In
general</header><text>The Secretary may make grants to local health departments
to provide to eligible mothers, without charge, education on the health needs
of their infants through visits to their homes by registered nurses.</text>
</subsection><subsection id="H7EA7440BDB464E75B5BA7746B3DB0061"><enum>(b)</enum><header>Eligible
mother</header>
<paragraph id="H4F26A5D0A7C84FEA9658E5903D6C4440"><enum>(1)</enum><header>In
general</header><text>For purposes of subsection (a), a woman is an eligible
mother if, subject to paragraph (2), the woman—</text>
<subparagraph id="H93A21FBA71684D9F9CF7F54661BA3B2C"><enum>(A)</enum><text>is the mother of
an infant who is not more than 24 months of age; and</text>
</subparagraph><subparagraph id="HF82F6E87C3A447D1A009EDDB7F177055"><enum>(B)</enum><clause commented="no" display-inline="yes-display-inline" id="HE80781CF2B82402CB1D8930091F1044D"><enum>(i)</enum><text>the woman was under the
age of 20 at the time of birth; or</text>
</clause><clause id="HC06BE86654CA45E6974BEE94B5F003FF" indent="up1"><enum>(ii)</enum><text>the infant referred to in
subparagraph (A) is the first child of the woman.</text>
</clause></subparagraph></paragraph><paragraph id="HCB9F696E1AD441FA9D2541FACF2FFE2"><enum>(2)</enum><header>Additional
requirements for certain mothers</header><text>In the case of a woman described
in paragraph (1)(B)(ii) who is 20 years of age or older, the woman is an
eligible mother for purposes of subsection (a) only if the woman meets such
standards in addition to the applicable standards under paragraph (1) as the
local health department involved determines to be appropriate.</text>
</paragraph></subsection><subsection id="H6D44DE727C104C908E3B287F167190CF"><enum>(c)</enum><header>Certain
requirements</header><text>A grant may be made under subsection (a) only if the
applicant involved agrees as follows:</text>
<paragraph id="HE8788353C959409AACDA9E99CD753ECD"><enum>(1)</enum><text>The program
carried out under such subsection by the applicant will be designed to instill
in eligible mothers confidence in their abilities to provide for the health
needs of their newborns, including through—</text>
<subparagraph id="HA501439DB53F47228ECAC4529212F0CD"><enum>(A)</enum><text>providing
information on child development; and</text>
</subparagraph><subparagraph id="H06FEBB576D9A4A8BB1CBFD3B65A2EF06"><enum>(B)</enum><text>soliciting
questions from the mothers.</text>
</subparagraph></paragraph><paragraph id="HF7330DFC0F0048149137E617ABBF898F"><enum>(2)</enum><text>The registered
nurses who make home visits under subsection (a) will, as needed, provide
referrals for health and social services to serve the needs of the
newborns.</text>
</paragraph><paragraph id="HF8B62395BE2245ECA70085D5B596138B"><enum>(3)</enum><text>The period during
which the visits will be available to an eligible mother will not be fewer than
six months.</text>
</paragraph></subsection><subsection id="HF9500993F3944E52A5C880004A7B845"><enum>(d)</enum><header>Authorized
services</header>
<paragraph id="H5A821ECB11784B6E88DDEF76834FF510"><enum>(1)</enum><header>Requirements</header><text>A
grant may be made under subsection (a) only if the applicant involved agrees
that the following services will be provided by registered nurses in home
visits under subsection (a):</text>
<subparagraph id="HEE7E1337068B4DEBA7E6A1C7DDB9B9C6"><enum>(A)</enum><text>Information on
child health and development, including suggestions for child-developmental
activities that are enjoyable for parents and children.</text>
</subparagraph><subparagraph id="H0B279022FF0E4C7796C9D7E7B888FED"><enum>(B)</enum><text>Advice on
parenting, including information on how to develop a strong parent-child
relationship.</text>
</subparagraph><subparagraph id="H691139C5CA764607B1B23C95B521A0C"><enum>(C)</enum><text>Information on
resources about parenting, including identifying books and videos that are
available at local libraries.</text>
</subparagraph><subparagraph id="H861D219B4F574636934DA419FA063409"><enum>(D)</enum><text>Information on
upcoming parenting workshops in the local region.</text>
</subparagraph><subparagraph id="H467A0903A2624410AFCCA1261476B0C4"><enum>(E)</enum><text>Information on
programs that facilitate parent-to-parent support services.</text>
</subparagraph><subparagraph id="H09260827C62547B38FACE7DFE5B38B24"><enum>(F)</enum><text>In the case of an
eligible mother who is a student, information on resources that may assist the
mother in completing the educational courses involved.</text>
</subparagraph></paragraph><paragraph id="HBDAF4B115F9146E89C2C6DE17B532837"><enum>(2)</enum><header>Additional
services</header><text>A grant under subsection (a) may be expended to provide
services during home visits under such subsection in addition to the services
specified in paragraph (1).</text>
</paragraph></subsection><subsection commented="no" display-inline="no-display-inline" id="H2B91F99353724438A221047B002CA303"><enum>(e)</enum><header>Authorization of
Appropriations</header><text>For the purpose of carrying out this section,
there are authorized to be appropriated $3,000,000 for fiscal year 2010, and
such sums as may be necessary for each of fiscal years 2011 through
2014.</text>
</subsection></section><enum>XIII</enum><header>Collecting and
Reporting Abortion Data</header>
<section id="H19A43CA014C146C881C0236BB6C545D8"><enum>1301.</enum><header>Grants for
collection and reporting of abortion data</header>
<subsection id="H7FDFF77921134FB0BA99E500199C5700"><enum>(a)</enum><header>Grants</header><text>The
Secretary, acting through the Director of the Centers for Disease Control and
Prevention, may make grants to States for collecting and reporting abortion
surveillance data.</text>
</subsection><subsection id="HA069D4ED8C714F4F81DB3710BC341BF"><enum>(b)</enum><header>Reporting
requirement</header>
<paragraph id="H19F8A2923ED749869E4822D424E75BD8"><enum>(1)</enum><header>In
general</header><text>The Secretary may make a grant to a State under this
section only if the State agrees to submit a report in each of fiscal years
2011 and 2013 on the State’s abortion surveillance data.</text>
</paragraph><paragraph id="HDF22FB4B3CBC4E93802BA746C31B7EDC"><enum>(2)</enum><header>Contents</header><text display-inline="yes-display-inline">Each report submitted by a State under this
subsection shall, with respect to the preceding 2 fiscal years, include—</text>
<subparagraph id="H2B37570974054122B99DE742D68190F0"><enum>(A)</enum><text>the number and
characteristics of women obtaining abortions in the State; and</text>
</subparagraph><subparagraph id="H1E6DD0EBBD234BFCB7CBFB9B36DE8526"><enum>(B)</enum><text>the
characteristics of these abortions, including the approximate gestational age
of the unborn child, the abortion method, and any known physical or
psychological complications.</text>
</subparagraph></paragraph><paragraph id="H6B77904C95554A00A22E2ED244333611"><enum>(3)</enum><header>Personal
information</header><text display-inline="yes-display-inline">A report
submitted by a State under this subsection shall not contain the name of any
woman obtaining or seeking to obtain an abortion, any common identifier (such
as a social security number), or any other identifier (including statistical
information) that would make it possible to identify in any manner or under any
circumstances an individual who has obtained or seeks to obtain an
abortion.</text>
</paragraph></subsection><subsection id="H005556E80D214808904CA769D09E799D"><enum>(c)</enum><header>Confidentiality</header><text>The
Secretary shall maintain the confidentiality of any individually identifiable
information reported to the Secretary under this section.</text>
</subsection><subsection id="HCB9473361BA64CBAB141A2D1B71BF3A"><enum>(d)</enum><header>Report to
Congress</header>
<paragraph id="H9EDCB788380C4AD5BF98F221DB632D17"><enum>(1)</enum><header>In
general</header><text>Not later than the end of fiscal year 2013, the Secretary
shall submit a report to the Congress on the abortion surveillance data
reported to the Secretary under this section.</text>
</paragraph><paragraph id="HEC77F7CC3EF64FA6A548BF8DD0C53C2B"><enum>(2)</enum><header>Personal
information</header><text>A report submitted by the Secretary to the Congress
under this subsection shall not contain any name or other identifier described
in subsection (b)(3).</text>
</paragraph></subsection><subsection commented="no" display-inline="no-display-inline" id="H9A30E106948141B089EC52FD4CC02EB1"><enum>(e)</enum><header>Authorization of
Appropriations</header><text>To carry out this section, there are authorized to
be appropriated such sums as may be necessary for each of fiscal years 2010
through 2014.</text>
</subsection></section>