[Congressional Bills 112th Congress]
[From the U.S. Government Publishing Office]
[H.R. 1135 Introduced in House (IH)]

112th CONGRESS
  1st Session
                                H. R. 1135

   To provide information on total spending on means-tested welfare 
 programs, to provide additional work requirements, and to provide an 
        overall spending limit on means-tested welfare programs.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                             March 16, 2011

Mr. Jordan (for himself, Mr. Scott of South Carolina, Mr. Garrett, Mr. 
  Burton of Indiana, and Mr. Gohmert) introduced the following bill; 
which was referred to the Committee on Ways and Means, and in addition 
  to the Committees on Agriculture, the Budget, Rules, and Energy and 
Commerce, for a period to be subsequently determined by the Speaker, in 
   each case for consideration of such provisions as fall within the 
                jurisdiction of the committee concerned

_______________________________________________________________________

                                 A BILL


 
   To provide information on total spending on means-tested welfare 
 programs, to provide additional work requirements, and to provide an 
        overall spending limit on means-tested welfare programs.

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

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Welfare Reform Act of 2011''.

SEC. 2. TABLE OF CONTENTS.

    The table of contents of this Act is as follows:

Sec. 1. Short title.
Sec. 2. Table of contents.
                         TITLE I--TANF REFORMS

Sec. 101. Short title.
Sec. 102. Elimination of temporary modification of the caseload 
                            reduction credit.
Sec. 103. Reduction in funding of State family assistance grants.
         TITLE II--WORK REQUIREMENTS FOR THE FOOD STAMP PROGRAM

Sec. 201. Restoration of Act short title and references to the food 
                            stamp program.
Sec. 202. Amendments.
Sec. 203. Termination of benefit increase.
 TITLE III--REPORTING OF MEANS-TESTED WELFARE SPENDING IN PRESIDENT'S 
                           BUDGET SUBMISSION

Sec. 301. Additional information in President's budget submission.
       TITLE IV--AGGREGATE CAP FOR MEANS-TESTED WELFARE SPENDING

Sec. 401. Definition of means-tested welfare spending.
Sec. 402. Reports to budget committees.
Sec. 403. Content of concurrent resolutions on the budget.
Sec. 404. Allocations of means-tested welfare spending.
Sec. 405. Reconciliation.
              TITLE V--GRANTS TO PROMOTE SELF-SUFFICIENCY

Sec. 501. Grants to States.
              TITLE VI--PROHIBITION ON FUNDING OF ABORTION

Sec. 601. Prohibition on funding for abortions.
Sec. 602. Prohibition on funding for health benefits plans that cover 
                            abortion.
Sec. 603. Prohibition on tax benefits relating to abortion.
Sec. 604. Construction relating to separate coverage.
Sec. 605. Construction relating to the use of non-Federal funds for 
                            health coverage.
Sec. 606. Treatment of abortions related to rape, incest, or preserving 
                            the life of the mother.

                         TITLE I--TANF REFORMS

SEC. 101. SHORT TITLE.

    This title may be cited as the ``Welfare Reform Restoration Act''.

SEC. 102. ELIMINATION OF TEMPORARY MODIFICATION OF THE CASELOAD 
              REDUCTION CREDIT.

    (a) In General.--Section 407(b)(3)(A)(i) of the Social Security Act 
(42 U.S.C. 607(b)(3)(A)(i)) is amended by striking ``(or if the 
immediately preceding fiscal year is fiscal year 2008, 2009, or 2010, 
then, at State option, during the emergency fund base year of the State 
with respect to the average monthly assistance caseload of the State 
(within the meaning of section 403(c)(9)), except that, if a State 
elects such option for fiscal year 2008, the emergency fund base year 
of the State with respect to such caseload shall be fiscal year 
2007))''.
    (b) Conforming Amendments.--Section 2101 of the American Recovery 
and Reinvestment Act of 2009 (123 Stat. 448-449; Public Law 111-5) is 
amended--
            (1) in subsection (a)(2), by striking ``, except that 
        paragraph (9) of such subsection shall remain in effect until 
        October 1, 2011, but only with respect to section 
        407(b)(3)(A)(i) of such Act''; and
            (2) by striking subsection (d)(2).

SEC. 103. REDUCTION IN FUNDING OF STATE FAMILY ASSISTANCE GRANTS.

    Section 403(a)(1)(C) of the Social Security Act (42 U.S.C. 
603(a)(1)(C)) is amended by striking ``2003 $16,566,542,000'' and 
inserting ``2011 and each succeeding fiscal year $15,566,042,000, 
notwithstanding any other provision of law''.

         TITLE II--WORK REQUIREMENTS FOR THE FOOD STAMP PROGRAM

SEC. 201. RESTORATION OF ACT SHORT TITLE AND REFERENCES TO THE FOOD 
              STAMP PROGRAM.

    Effective on the date of the enactment of this Act, the Food and 
Nutrition Act of 2008 (7 U.S.C. 2011 et seq.), and each provision of 
law amended by section 4001 or 4002 of the Food, Conservation, and 
Energy Act of 2008 (Public Law 110-246; 122 Stat. 1651), are restored 
as if sections 4001 and 4002 of the Food, Conservation, and Energy Act 
of 2008 had not been enacted.

SEC. 202. AMENDMENTS.

    (a) Declaration of Policy.--Section 2 of the Food and Nutrition Act 
of 2008 (7 U.S.C. 2011) is amended by adding at the end the following:
``Congress further finds that it should also be the goal of the food 
stamp program to increase employment, to encourage healthy marriage, 
and to promote prosperous self-sufficiency which shall mean the ability 
of households to maintain an income above the poverty level without 
Government services and benefits.''.
    (b) Definitions.--Section 3 of the Food and Nutrition Act of 2008 
(7 U.S.C. 2012) is amended by adding at the end the following:
    ``(w) Able-Bodied, Work-Eligible Adult.--The term `able-bodied, 
work-eligible adult' means an individual who--
            ``(1) is more than 18, and less than 63, years of age;
            ``(2) is not physically or mentally capable of work; and
            ``(3) is not the full-time caretaker of a disabled adult 
        dependent.
    ``(x) Not Physically or Mentally Capable of Work.--The term `not 
physically or mentally capable of work' shall mean an individual--
            ``(1) who currently receives benefits from the Supplemental 
        Security Income program or another program that provides 
        recurring benefits to individuals because the individual is 
        disabled and unable to work; or
            ``(2) who has been medically certified as physically or 
        mentally incapable of work and who has a credible pending 
        application for enrollment in the Supplemental Security Income 
        program or another program that provides recurring benefits to 
        individuals because the individual is disabled and unable to 
        work.
    ``(y) Family With Dependent Children.--The term `family with 
dependent children' means a unit consisting of a family head, one or 
more dependent children, and in some cases, the married spouse of the 
family head, all of whom share meals and reside within a single 
household. There may be more than one family with dependent children 
within a single household.
    ``(z) Family Head.--The term `family head' means--
            ``(1) a biological parent who is lawfully present in the 
        United States and resides within a household with one or more 
        dependent children who are biological offspring; or
            ``(2) in the absence of a biological parent, a step parent, 
        guardian, or adult relative who resides with and provides care 
        to the child or the children and is lawfully present in the 
        United States.
    ``(aa) Family Unit.--The term `family unit' means--
            ``(1) an adult residing without dependent children;
            ``(2) a single-headed family with dependent children; or
            ``(3) a married couple family with dependent children.
    ``(bb) Married Couple Family With Dependent Children.--The term 
`married couple family with dependent children' means a family with 
dependent children which has both a family head and the married spouse 
of the family head residing with the family.
    ``(cc) Married Spouse of the Family Head.--The term `married spouse 
of the family head' means the lawfully married spouse of the family 
head who resides with the family head and dependent children and is 
lawfully present in the United States.
    ``(dd) Member of a Family.--The term `member of a family' means the 
family head, married spouse if present, and all dependent children 
within a family with dependent children.
    ``(ee) Monthly Potential Work Activation Population.--The term 
`monthly potential work activation population' means the sum of--
            ``(1) all able bodied work eligible individuals without 
        dependents who have received food stamp benefits and who have 
        maintained less than 60 hours of paid employment during a 
        month;
            ``(2) all work eligible single-headed families with 
        dependent children which have received food stamp benefits 
        during the month and have maintained less than 120 hours of 
        paid employment by the family head during the month; and
            ``(3) all work eligible married couples with dependent 
        children which have received food stamp benefits during the 
        month and have maintained less than 120 combined hours of paid 
        employment between the family head and the married spouse, 
        summed together and counted jointly, during the month.
    ``(ff) Monthly Work Activation Participants.--The term `monthly 
work activation participants' means the sum of--
            ``(1) all able bodied work eligible individuals without 
        dependents who have received food stamp benefits and who have 
        maintained--
                    ``(A) less than 60 hours of paid employment during 
                a month; and
                    ``(B) more than 60 hours of combined paid 
                employment and work activation activity during the 
                month;
            ``(2) all work eligible single-headed families with 
        dependent children which have received food stamp benefits 
        during the month and contain a family head who has maintained--
                    ``(A) less than 120 hours of paid employment during 
                the month; and
                    ``(B) more than 120 hours of combined paid 
                employment and work activation activity during the 
                month; and
            ``(3) all work eligible married couples with dependent 
        children which have received food stamp benefits during the 
        month, and have maintained--
                    ``(A) less than 120 combined hours of paid 
                employment between the family head and the spouse, 
                summed together and counted jointly, during the month; 
                and
                    ``(B) more than 120 hours of combined paid 
                employment and work activation activity between the 
                family head and the married spouse, summed together and 
                counted jointly, during the month.
    ``(gg) Single-Headed Family With Dependent Children.--The term 
`single-headed family with dependent children' means a family with 
dependent children which contains a family head residing with the 
family but does not have a married spouse of the family head residing 
with the family.
    ``(hh) Supervised Job Search.--The term `supervised job search' 
means a job search program which has the following characteristics:
            ``(1) The job search occurs at an official location where 
        the recipient's presence and activity can be directly observed, 
        supervised, and monitored.
            ``(2) The recipient's entry, time on site, and exit from 
        the official job search location are recorded in a manner which 
        prevents fraud.
            ``(3) The recipient is expected to remain and undertake job 
        search activities at the job search center except for brief, 
        authorized departures for specified off-site interviews.
            ``(4) The amount of time the recipient is observed and 
        monitored engaging in job search at the official location is 
        recorded for purposes of compliance with section 29.
    ``(ii) Work Activation.--The term `work activation' means--
            ``(1) supervised job search;
            ``(2) community service activities;
            ``(3) education and job training for individuals who are 
        family heads or married spouses of family heads;
            ``(4) workfare under section 20; or
            ``(5) drug or alcohol treatment.
    ``(jj) Work Activation Ratio.--The term `work activation ratio' 
means the number of work activation participants in a given month 
divided by the potential work activation population for the same month.
    ``(kk) Work Activities.--The term `work activities' means paid 
employment, work activation, or a combination of both paid employment 
and work activation.
    ``(ll) Work Eligible Family Unit.--The term `work eligible family 
unit' means--
            ``(1) an able-bodied, work eligible adult without dependent 
        children;
            ``(2) a work eligible single-headed family with dependent 
        children; or
            ``(3) a work eligible married couple family with dependent 
        children.
    ``(mm) Work Eligible Adult Without Dependent Children.--The term 
`work eligible adult without dependent children' means an individual 
who--
            ``(1) is an able-bodied work eligible individual; and
            ``(2) is not a family head or the married spouse of a 
        family head.
    ``(nn) Work Eligible Married Couple Family With Dependent 
Children.--The term `work eligible married couple family with dependent 
children' means a married couple with dependent children which contains 
at least one work eligible able-bodied adult who is--
            ``(1) the family head; or
            ``(2) the married spouse of the family head.
    ``(oo) Work Eligible Single Headed Family With Dependent 
Children.--The term `work eligible single headed family with dependent 
children' means a single headed family with dependent children which 
has a family head who is an able bodied work eligible adult.''.
    (c) Conditions of Participation.--Section 6(d) of the Food and 
Nutrition Act of 2008 (7 U.S.C. 2015(d)) is amended to read as follows:
    ``(d) Conditions of Participation.--
            ``(1) Work requirements.--
                    ``(A) In general.--No able-bodied work eligible 
                adult shall be eligible to participate in the food 
                stamp program if the individual--
                            ``(i) refuses, at the time of application 
                        and every 12 months thereafter, to register for 
                        employment in a manner prescribed by the 
                        Secretary;
                            ``(ii) refuses without good cause to accept 
                        an offer of employment, at a site or plant not 
                        subject to a strike or lockout at the time of 
                        the refusal, at a wage not less than the higher 
                        of--
                                    ``(I) the applicable Federal or 
                                State minimum wage; or
                                    ``(II) 80 percent of the wage that 
                                would have governed had the minimum 
                                hourly rate under section 6(a)(1) of 
                                the Fair Labor Standards Act of 1938 
                                (29 U.S.C. 206 (a)(1)) been applicable 
                                to the offer of employment;
                            ``(iii) refuses without good cause to 
                        provide a State agency with sufficient 
                        information to allow the State agency to 
                        determine the employment status or the job 
                        availability of the individual; or
                            ``(iv) voluntarily--
                                    ``(I) quits a job; or
                                    ``(II) reduces work effort and, 
                                after the reduction, the individual is 
                                working less than 30 hours per week, 
                                unless another adult in the same family 
                                unit increases employment at the same 
                                time by an amount equal to the 
                                reduction in work effort by the first 
                                adult.
                    ``(B) Family unit ineligibility.--If an able-bodied 
                work eligible adult is ineligible to participate in the 
                food stamp program because of subparagraph (A), then no 
                other member of the family unit to which that adult 
                belongs shall be eligible to participate.
                    ``(C) Duration of ineligibility.--An able-bodied 
                work eligible adults who becomes ineligible under 
                subparagraph (A), and members of the family unit who 
                become ineligible under subparagraph (B), shall remain 
                ineligible for three months after the date at which 
                they became ineligible.
                    ``(D) Restoration of eligibility.--At the end of 
                three months of ineligibility under subsection (c), 
                members of a work eligible family unit may have their 
                eligibility to participate in the food stamp program 
                restored, if--
                            ``(i) the family unit is no longer work 
                        eligible family unit; or
                            ``(ii) the adult members of the family unit 
                        begin and maintain any combination of paid 
                        employment and work activation sufficient to 
                        meet the appropriate standards for resumption 
                        of benefits in section 29(c)(2).
            ``(2) Strike against a government.--For the purpose of 
        subparagraph (A)(iv), an employee of the Federal Government, a 
        State, or a political subdivision of a State, who is dismissed 
        for participating in a strike against the Federal Government, 
        the State, or the political subdivision of the State shall be 
        considered to have voluntarily quit without good cause.
            ``(3) Striking workers ineligible.--Notwithstanding any 
        other provision of law, no member of a family unit shall 
        participate in the food stamp program at any time that any 
        able-bodied work eligible adult member of such household is on 
        strike as defined in the Labor Management Relations Act, 1947 
        (29 U.S.C. 142(2)), because of a labor dispute (other than a 
        lockout) as defined in section 2(9) of the National Labor 
        Relations Act (29 U.S.C. 152(9)): Provided, That a family unit 
        shall not lose its eligibility to participate in the food stamp 
        program as a result of one of its members going on strike if 
        the household was eligible immediately prior to such strike, 
        however, such family unit shall not receive an increased 
        allotment as the result of a decrease in the income of the 
        striking member or members of the household: Provided further, 
        That such ineligibility shall not apply to any family unit that 
        does not contain a member on strike, if any of its members 
        refuses to accept employment at a plant or site because of a 
        strike or lockout.''.
    (d) Termination of Funding.--Section 6 of the Food and Nutrition 
Act of 2008 (7 U.S.C. 2015) is amended by striking subsection (h).
    (e) Eligibility of Students With Dependent Children.--Section 
6(e)(8) of the Food and Nutrition Act of 2008 (7 U.S.C. 2015(e)(8)) is 
amended to read as follows:
            ``(8) is enrolled full-time in an institution of higher 
        education, as determined by the institution, and--
                    ``(A) is a single parent with responsibility for 
                the care of a dependent child under 12 years of age; or
                    ``(B) is a family head or married spouse of a 
                family head in a married couple family with dependent 
                children and has a dependent child under age 12 
                residing in the home.''.
    (f) Work Requirement.--Section 6(o) of the Food and Nutrition Act 
of 2008 (7 U.S.C. 2015(o)) is amended to read as follows:
    ``(o) Fulfillment of Employment and Work Activation Requirements.--
            ``(1) In general.--If an adult or adults within a work 
        eligible family unit are required by the State agency to 
        participate in work activation under section 29, no member of 
        the family unit shall be eligible for food stamp benefits 
        unless the employment and work activation standards for the 
        family unit are fulfilled.
            ``(2) Sanctions and resumption of benefits.--If an adult or 
        adults within a work eligible family unit who are required by 
        the State agency to participate in work activation under 
        section 29 during a given month, fail to fulfill the work 
        activation standards, benefits for all members of the family 
        unit will be terminated in accordance with section 29(c)(1) and 
        may be resumed upon compliance with the provisions of section 
        29(c)(2).''.
    (g) Exclusion.--Section 6 of the Food and Nutrition Act of 2008 (7 
U.S.C. 2015) is amended by adding at the end the following:
    ``(r) Minor Children.--No child less than age 18 years of age may 
participate in the food stamp program unless that child is a member of 
a family with dependent children and resides with an adult who is--
            ``(1) the family head of the same family of which the child 
        is also a member;
            ``(2) eligible to participate, and is participating, in the 
        food stamp program as a member of the same household as the 
        child; and
            ``(3) lawfully residing, and is eligible to work, in the 
        United States.''.
    (h) Hearing and Determination.--Section 11(e)(10) of the Food and 
Nutrition Act of 2008 (7 U.S.C. 2020(e)(10)) is amended by striking ``: 
Provided'' and all that follows through ``hearing;'', and inserting a 
semicolon.
    (i) Work Requirements and Activation Program.--The Food and 
Nutrition Act of 2008 (7 U.S.C. 2011 et seq.) by adding at the end the 
following:

``SEC. 29. WORK REQUIREMENTS AND ACTIVATION PROGRAM.

    ``(a) Employment and Work Activation Standards.--Family units with 
adult members that are required to participate in work activation under 
section 29(b) during a full month of participation in the food stamp 
program shall be expected to fulfill the following levels of work 
activity during that month:
            ``(1) Each able-bodied work eligible adult without 
        dependent children shall be required to perform work activities 
        for at least 60 hours per month.
            ``(2) Each family head of a work eligible single-headed 
        family with dependent children shall be required to perform 
        work activities for at least 120 hours per month.
            ``(3) In each work eligible married couple family with 
        dependent children, the family head and married spouse shall be 
        required to perform work activities which when added together 
        for the two adults equal at least 120 hours per month: 
        Provided, That the 120 hour requirement shall be a single joint 
        obligation for the married couple as a whole in which the 
        activities of both married partners shall be combined together 
        and counted jointly.
                    ``(A) For purposes of meeting this requirement the 
                paid employment and work activation of the family head 
                shall be added to the paid employment and work 
                activation of the married spouse, and the requirement 
                shall be fulfilled as long as the sum of the work 
                activities of the two individuals when added together 
                equals or exceeds 120 hours per month.
                    ``(B) The work requirement for married couple with 
                dependent children may be fulfilled by--
                            ``(i) 120 or more hours of work activity by 
                        the family head;
                            ``(ii) 120 or more hours of work activities 
                        by the married spouse; or
                            ``(iii) the combined work activities of the 
                        family head and married spouse which when added 
                        together equal or exceed 120 hours.
                    ``(C) Neither the family head nor the married 
                spouse in a married couple with dependent children 
                shall be subject to a separate work activation 
                requirement as individuals.
    ``(b) Pro Rata Reduction in Employment and Work Activation Standard 
During a Partial Month.--
            ``(1) A work eligible family unit shall be subject to a 
        pro-rated work activity standard, if the family unit--
                    ``(A) receives a pro-rated monthly allotment during 
                the initial month of enrollment under section 8(c); and
                    ``(B) is required by the State to participate in 
                the work activation program during that month.
            ``(2) The pro-rated work activity standard shall be a 
        number of hours of work activity having a value which bears the 
        same ratio to the employment and work activation requirement 
        for that family unit for a full month under subsection (a) as 
        the ratio of the pro-rated monthly allotment received by the 
        household for the partial month under section 8(c) bears to the 
        full allotment the same household would receive for a complete 
        month.
            ``(3) For purposes of fulfilling the pro-rated work 
        activity requirement during an initial month of enrollment in 
        the food stamp program, only those hours of adult work activity 
        which occurred during the portion of the month in which the 
        family unit was participating in the food stamp program shall 
        be counted.
    ``(c) Sanction for Noncompliance.--
            ``(1) In general.--If a member or members of a work 
        eligible family unit are required to participate in the work 
        activation program under subsection (e) in a given calendar 
        month and the individual or individuals fail to fulfill the 
        work activity standard under subsection (a) or (b) for that 
        month, then no member of the family unit shall be eligible to 
        receive food stamp benefits during the subsequent calendar 
        month.
                    ``(A) Administration of sanction.--If a member or 
                members of a work eligible family unit is required to 
                participate in the work activation program under 
                subsection (e) in a given calendar month and the 
                individual or individuals fail to fulfill the work 
                activity standard for that month, then the State agency 
                must eliminate the food stamp benefit payment for all 
                members of the family unit that otherwise would have 
                been issued at the beginning of the next month except 
                as provided in subparagraph (B).
                    ``(B) Administrative delay of sanction.--If it is 
                administratively infeasible for the State to eliminate 
                the food stamp benefit would be issued at the beginning 
                of the first month after the month of noncompliance, 
                then the State must eliminate the payment to all 
                members of the family unit that otherwise would have 
                been made at the beginning of the second month after 
                the month of noncompliance: Provided, That the sanction 
                of benefits must occur no later than 32 days after the 
                end of the month of noncompliance, and: Provided 
                further, That at least one monthly payment to all 
                members of the family unit must be eliminated for each 
                month of noncompliance under paragraph (1).
            ``(2) Resumption of benefits after sanction.--
                    ``(A) In general.--If a family unit has had its 
                monthly benefit eliminated due to noncompliance with a 
                work activity requirement under subsection (b) then the 
                family unit shall not be eligible to receive future 
                benefits under the food stamp program, until----
                            ``(i) the work eligible member or members 
                        of the family unit have participated in the 
                        work activation program under subsection (e) 
                        for four consecutive subsequent weeks and 
                        fulfilled the work activity standard for the 
                        family unit for that same four week period; or
                            ``(ii) the family unit no longer contains 
                        any able bodied work eligible adults.
                    ``(B) Limitation.--The resumed benefits cannot 
                restore or compensate for the benefits that were 
                eliminated due to the sanction imposed in subsection 
                (c)(1).
    ``(d) Work Activation Is Not Employment.--Participation in work 
activation activities under this section shall not be deemed employment 
and shall not be subject to any law pertaining to wages, compensation, 
hours, or conditions of employment under any law administered by the 
Department of Labor.
    ``(e) Work Activation Program.--
            ``(1) Program.--States will run a work activation program.
            ``(2) Purpose.--The goal of the program shall be to 
        increase the employment of work eligible able-bodied adult food 
        stamp recipients. To accomplish this goal, each State shall 
        require able-bodied adult food stamp recipients who are 
        unemployed or under-employed to engage in work activation.
            ``(3) Target work activation ratios.--
                    ``(A) In general.--Commencing no later than six 
                months after the effective date of this section, the 
                State shall engage able-bodied food stamp recipients in 
                work activation each month in sufficient numbers to 
                meet the following monthly target work activation 
                ratios:
                            ``(i) In 2012 the monthly target work 
                        activation ratio shall be 4 percent.
                            ``(ii) In 2013 and in subsequent years the 
                        monthly target work activation ratio shall be 7 
                        percent.
                    ``(B) Limitation on education and training as a 
                component of work activation.--For purposes of 
                compliance by the State with the work activation 
                ratios, not more than 20 percent of the monthly work 
                activation participants counted by the State may be 
                engaged in employment and training as a means of 
                fulfilling their employment and work activation 
                standards.
            ``(4) Work activation priority populations.--
                    ``(A) In general.--In operating the work activation 
                program, States shall give priority to participation by 
                the following recipient groups:
                            ``(i) Work eligible adults without 
                        dependent children.
                            ``(ii) Work eligible adults who are also 
                        recipients of housing assistance.
                            ``(iii) Other work eligible recipients at 
                        the time of initial application for benefits.
                    ``(B) Participation share.--Except as provided in 
                paragraph (C), at least 80 percent of the participants 
                in work activation should belong to the three priority 
                groups listed in paragraph (A).
                    ``(C) Exception.--The numeric requirement in 
                paragraph (B) shall not pertain if the number of 
                recipients in the three priority groups in paragraph is 
                insufficient to meet that requirement, but in those 
                circumstances, the State will continue to give priority 
                to any recipients who belong to the three priority 
                groups.
            ``(5) Reimbursable expenses of participants.--
                    ``(A) The State agency shall provide payments or 
                reimbursements to participants in work activation 
                carried out under this section for--
                            ``(i) the actual costs of transportation 
                        and other actual costs (other than dependent 
                        care costs) that are reasonably necessary and 
                        directly related to participation in the work 
                        activation components of the program; and
                            ``(ii) the actual costs of such dependent 
                        care expenses that are determined by the State 
                        agency to be necessary for the participation of 
                        an individual in the work activation components 
                        of the program (other than an individual who is 
                        the caretaker relative of a dependent in a 
                        family receiving benefits under part A of title 
                        IV of the Social Security Act (42 U.S.C. 601 et 
                        seq.) in a local area where an employment, 
                        training, or education program under title IV 
                        of such Act (42 U.S.C. 601 et seq.) is in 
                        operation), except that no such payment or 
                        reimbursement shall exceed the applicable local 
                        market rate.
                    ``(B) In lieu of providing reimbursements for 
                dependent care expenses under clause (i), a State 
                agency may, at its option, arrange for dependent care 
                through providers by providing vouchers to the 
                household allowing the recipient to choose between all 
                lawful providers. The value of the voucher shall not 
                exceed the average local market rate.
                    ``(C) The value of any dependent care services 
                provided for or arranged under paragraph (1) or (2), or 
                any amount received as a payment or reimbursement under 
                (1), shall--
                            ``(i) not be treated as income for the 
                        purposes of any other Federal or federally 
                        assisted program that bases eligibility for, or 
                        the amount of benefits on, need; and
                            ``(ii) not be claimed as an employment-
                        related expense for the purposes of the credit 
                        provided under section 21 of title 26.
            ``(6) Penalties for inadequate state performance.--If, in a 
        given month, a State fails to engage food stamp recipients in 
        work activation in sufficient numbers to meet or exceed the 
        appropriate work activation ratio provided in subsection 
        (e)(3), the Federal food stamp funding provided to the State in 
        a subsequent penalty month will be reduced as follows: 
        Provided, That, the month in which the State failed to engage 
        food stamp recipients in work activation in sufficient numbers 
        to meet or exceed the appropriate target work activation ratio 
        shall be designated the non-performance month, and: Provided 
        further, That the month in which the State is penalized shall 
        be designated the penalty month:
                    ``(A) The penalty month shall be no later than four 
                months after the non-performance month.
                    ``(B) The amount of Federal food stamp funding the 
                State shall receive for the penalty month shall equal 
                the amount of Federal food stamp funds the State would 
                otherwise have received multiplied by a fraction 
                equaling--
                            ``(i) the actual monthly work activation 
                        ratio achieved by the State in the penalty 
                        month; divided by
                            ``(ii) the target monthly work activation 
                        ratio for the penalty month.
            ``(7) Rewards to states for reducing government 
        dependence.--If, in any future year, a State reduces its food 
        stamp caseload below the levels which existed in calendar year 
        2006, the State shall receive a financial reward for reducing 
        dependence.
                    ``(A) The reward shall equal one quarter of the 
                savings to the Federal Government for that year that 
                resulted from the caseload reduction.
                    ``(B) The State may use its reward funding for any 
                purpose it chooses that provides benefits or services 
                to individuals with incomes below 200 percent of the 
                Federal poverty level, improves social outcomes in low 
                income populations, encourages healthy marriage, or 
                increases self-sufficiency and reduces dependence.
            ``(8) Authorization of funding.--
                    ``(A) In general.--In fiscal year 2012, and in each 
                subsequent fiscal year there is authorized to be 
                appropriated $2,500,000,000 to be provided to State 
                governments for the purpose of administering a work 
                activation program in accordance with this section.
                    ``(B) Allocation among states.--The sum provided in 
                subparagraph (A) shall be allocated to the States in 
                proportion to each State's share of total funding for 
                the food stamp program under this Act in fiscal year 
                2007.''.
    (j) Conforming Amendments.--The Food and Nutrition Act of 2008 (7 
U.S.C. 2011 et seq.) is amended--
            (1) in section 5--
                    (A) in subsection (a) by striking ``, 6(d)(2),'',
                    (B) in subsection (d)(14) by striking 
                ``6(d)(4)(I)'' and inserting ``29'',
                    (C) in subsection (e)(3)(B)(iii) by striking 
                ``section (d)(3)'' and inserting ``section 29'', and
                    (D) in the 1st sentence of subsection (g)(3) by 
                striking ``6(d)'' and inserting ``29'',
            (2) in section 7(i)(2) by striking ``6(o)(2)'' and 
        inserting ``6(o)'',
            (3) in section 11(e) by striking paragraph (19),
            (4) in section 16--
                    (A) in subsection (b)(4) by striking ``6(d)'' and 
                inserting ``29'', and
                    (B) by striking subsection (h),
            (5) in section 17--
                    (A) in subsection (b)--
                            (i) in paragraph (1)(B)(iv)(III) by 
                        striking item (bb),
                            (ii) in paragraph (2) by striking the 2d 
                        sentence, and
                            (iii) in paragraph (3)(B) by striking 
                        ``6(d)'' and inserting ``29,'', and
                    (B) by striking subsection (g),
            (6) in section 20--
                    (A) in subsection (b)--
                            (i) by striking paragraph (1), and
                            (ii) by redesignating paragraphs (2) 
                        through (6) as paragraphs (1) through (5), 
                        respectively, and
                    (B) by striking subsection (f), and
            (7) in section 22(b) by striking paragraph (4).

SEC. 203. TERMINATION OF BENEFIT INCREASE.

    Section 101(a)(2) of division A of the American Recovery and 
Reinvestment Act of 2009 (Public Law 111-5; 123 Stat. 120), as amended 
by section 442 of Public Law 111-296 (124 Stat. 3183, 3265), is amended 
by striking ``after October 31, 2013'' and inserting ``on the date of 
the enactment of the Welfare Reform Act of 2011''.

 TITLE III--REPORTING OF MEANS-TESTED WELFARE SPENDING IN PRESIDENT'S 
                           BUDGET SUBMISSION

SEC. 301. ADDITIONAL INFORMATION IN PRESIDENT'S BUDGET SUBMISSION.

    Section 1105(a) of title 31, United States Code, is amended by 
adding at the end the following new paragraph:
            ``(37) the total level of spending on means-tested welfare 
        programs by the Federal Government and the total level of 
        spending on means-tested welfare programs by all State and 
        local governments and the Federal Government for the most 
        recent fiscal year for which such data is available and 
        estimated levels for the fiscal year during which the budget 
        submission of the President is made, for the fiscal year 
        beginning on October 1 of the calendar year during which the 
        budget submission is made, and for each of the nine ensuing 
        fiscal years, and for purposes of this paragraph, means-tested 
        welfare programs shall mean those programs defined in section 
        501 of the Welfare Reform Act of 2011.''.

       TITLE IV--AGGREGATE CAP FOR MEANS-TESTED WELFARE SPENDING

SEC. 401. DEFINITION OF MEANS-TESTED WELFARE SPENDING.

    Section 3 of the Congressional Budget and Impoundment Control Act 
of 1974 is amended by adding at the end the following new paragraph:
            ``(11)(A) The term `means-tested welfare spending' refers 
        to any Federal program that is designed to specifically provide 
        assistance or benefits exclusively to low-income Americans, but 
        is not such a program if it--
                    ``(i) is based on earned eligibility;
                    ``(ii) is not need-based;
                    ``(iii) is a program designed exclusively or 
                primarily for veterans of military service; or
                    ``(iv) offers universal or near universal 
                eligibility to the working population and their 
                dependents.
        Community and economic development programs targeted to low 
        income communities or populations shall be considered means-
        tested welfare programs for purposes of this paragraph.
            ``(B) For purposes of subparagraph (A), the following 
        Federal programs shall be considered to be means-tested welfare 
        spending:
                    ``(i) Cash and general programs.--
                            ``(I) Supplemental Security Income.
                            ``(II) Earned Income Tax Credit (Refundable 
                        Portion).
                            ``(III) Refundable Child Credit.
                            ``(IV) Temporary Assistance to Needy 
                        Families.
                            ``(V) Title IV-E Foster Care.
                            ``(VI) Title IV-E Adoption Assistance.
                            ``(VII) General Assistance to Indians.
                            ``(VIII) Assets for Independence.
                    ``(ii) Medical.--
                            ``(I) Medicaid.
                            ``(II) State Children's Health Insurance 
                        Program.
                            ``(III) Indian Health Services.
                            ``(IV) Consolidated Health Centers/
                        Community Health Centers.
                            ``(V) Maternal and Child Health.
                            ``(VI) Healthy Start.
                            ``(VII) Refundable Premiums and Out of 
                        Pocket Subsidies under the Patient Protection 
                        and Affordable Health Care Act (PPACA).
                    ``(iii) Food.--
                            ``(I) Food Stamps Program.
                            ``(II) School Lunch Program.
                            ``(III) Women, Infant and Children (WIC) 
                        Food Program.
                            ``(IV) School Breakfast.
                            ``(V) Child Care Food Program.
                            ``(VI) Nutrition Program for the Elderly, 
                        Nutrition Service Incentives.
                            ``(VII) Summer Food Service Program.
                            ``(VIII) Commodity Supplemental Food 
                        Program.
                            ``(IX) Temporary Emergency Food Program.
                            ``(X) Needy Families.
                            ``(XI) Farmer's Market Nutrition Program.
                            ``(XII) Special Milk Program.
                    ``(iv) Housing.--
                            ``(I) Section 8 Housing (HUD).
                            ``(II) Public Housing (HUD).
                            ``(III) State Housing Expenditures.
                            ``(IV) Home Investment Partnership Program 
                        (HUD).
                            ``(V) Homeless Assistance Grants (HUD).
                            ``(VI) Rural Housing Insurance Fund 
                        (Agriculture).
                            ``(VII) Rural Housing Service 
                        (Agriculture).
                            ``(VIII) Housing for the Elderly (HUD).
                            ``(IX) Native American Housing Block Grants 
                        (HUD).
                            ``(X) Other Assisted Housing Programs 
                        (HUD).
                            ``(XI) Housing for Persons with 
                        Disabilities (HUD).
                    ``(v) Energy and utilities.--
                            ``(I) Low Income Home Energy Assistance.
                            ``(II) Universal Service Fund--Subsidized 
                        Phone Service for Low Income Persons.
                            ``(III) Weatherization.
                    ``(vi) Education.--
                            ``(I) Pell Grants.
                            ``(II) Title I Grants to Local Education 
                        Authorities.
                            ``(III) Special Programs for Disadvantaged 
                        (TRIO).
                            ``(IV) Supplemental Education Opportunity 
                        Grants.
                            ``(V) Migrant Education.
                            ``(VI) Gear-Up.
                            ``(VII) Education for Homeless Children and 
                        Youth.
                            ``(VIII) Leveraging Educational Assistance 
                        Partnership (LEAP) Program.
                            ``(IX) Even Start.
                    ``(vii) Training.--
                            ``(I) Job Corps.
                            ``(II) Youth Opportunity Grants (under the 
                        Workforce Investment Act).
                            ``(III) Adult Employment and Training 
                        (under the Workforce Investment Act).
                            ``(IV) Senior Community Service Employment.
                            ``(V) Food Stamp Employment and Training 
                        Program.
                            ``(VI) Migrant Training.
                            ``(VII) YouthBuild.
                            ``(VIII) Native American Training.
                    ``(viii) Services.--
                            ``(I) Title XX Social Services Block Grant.
                            ``(II) Community Service Block Grant.
                            ``(III) Social Services for Refugees, 
                        Asylees, and Humanitarian Cases.
                            ``(IV) Title III Aging Americans Act.
                            ``(V) Legal Services Block Grant.
                            ``(VI) Family Planning.
                            ``(VII) Emergency Food and Shelter.
                            ``(VIII) Healthy Marriage and Responsible 
                        Fatherhood Grants.
                            ``(IX) Americorps VISTA.
                    ``(ix) Child care and child development.--
                            ``(I) Headstart.
                            ``(II) Childcare and Child Development 
                        Block Grant.
                            ``(III) Child Care Block Grant (under 
                        Temporary Assistance to Needy Families 
                        Program).
                    ``(x) Community development.--
                            ``(I) Community Development Block Grant.
                            ``(II) Economic Development Administration.
                            ``(III) Appalachian Regional Development.
                            ``(IV) Empowerment Zones, Enterprise 
                        Communities, Renewal Communities.
                            ``(V) Urban Development Block Grant.
            ``(C) For purposes of this paragraph, the term `means-
        tested welfare spending' shall not include--
                    ``(i) the Social Security Disability Insurance 
                program;
                    ``(ii) Medicare;
                    ``(iii) retirement insurance benefits and survivor 
                benefits under the Social Security program;
                    ``(iv) any program designed exclusively or 
                primarily for veterans of military service;
                    ``(v) unemployment insurance benefits provided 
                under Title K; and
                    ``(vi) programs designed specifically to provide 
                benefits to workers to compensate for job-related 
                injuries or illnesses.
            ``(D) For purposes of this paragraph, the term `spending on 
        means-tested welfare programs' shall mean the full cost of 
        benefits and services provided by the program, as well as the 
        administrative costs for operating the program, subject to the 
        limitations in subparagraph (E).
            ``(E)(i) For purposes of this paragraph only the refundable 
        portion of the following tax credits shall be counted as means-
        tested welfare expenditures:
                    ``(I) The earned income tax credit.
                    ``(II) The child tax credit.
                    ``(III) The making work pay tax credit.
            ``(ii) For purposes of this paragraph only the refundable 
        portion of the premium and out of pocket health care subsidies 
        to be paid under the Patient Protection and Affordable Health 
        Care Act shall be counted as means-tested welfare expenditures; 
        the refundable portion of these subsidies shall mean the 
        portion of the credit which is paid to an individual in excess 
        of the amount of Federal income tax owed by the individual.
            ``(iii) For purposes of this paragraph only the costs of 
        the free and reduced price segments of the school lunch and 
        school breakfast programs shall be included.
            ``(F) For purposes of this paragraph expenditures by state 
        and local governments of funds that are:
                    ``(i) obtained by the State and local government 
                from taxes, fees, or other sources of revenue 
                established by the State or local government; and
                    ``(ii) not received as any form of grant from the 
                Federal Government,
        shall not be considered as Federal means-tested welfare 
        spending even if such state and local expenditures take the 
        form of contributions to Federal programs listed or defined in 
        subparagraphs (A) and (B).''.

SEC. 402. REPORTS TO BUDGET COMMITTEES.

    Section 202(e)(1) of the Congressional Budget Act of 1974 is 
amended by inserting ``(A)'' after ``(1)'' and by inserting at the end 
the following new subparagraph:
            ``(B) Beginning with the first fiscal year that begins 
        after the date of enactment of this subsection and after any 
        monthly rate of unemployment during the immediately preceding 
        fiscal year is below 6.5 percent, the Director shall include in 
        each report submitted to the Committees on the Budget of the 
        House of Representatives and the Senate under subparagraph (A) 
        the following information for the fiscal year commencing on 
        October 1 of the year in which the report is submitted and for 
        each of the ensuing 4 fiscal years:
                    ``(i) The Congressional Budget Office baseline 
                level of Federal spending for aggregate means-tested 
                welfare programs.
                    ``(ii) The aggregate level of Federal means-tested 
                welfare spending computed by taking the aggregate level 
                of means-tested welfare spending for fiscal year 2007 
                and adjusting that for inflation using the Consumer 
                Price Index for All Urban Consumers, U.S. City Average, 
                All Items, Not Seasonally Adjusted (CPI-U), as computed 
                by the Bureau of Labor Statistics, for all fiscal years 
                occurring after fiscal year 2007 and before the 
                applicable fiscal year.''.

SEC. 403. CONTENT OF CONCURRENT RESOLUTIONS ON THE BUDGET.

    Section 301 of the Congressional Budget Act of 1974 is amended by 
adding at the end the following new subsection:
    ``(j) Means-Tested Welfare Spending.--Beginning with the first 
fiscal year that begins after the date of enactment of this subsection 
and after any monthly rate of unemployment during the immediately 
preceding fiscal year is below 6.5 percent, the concurrent resolution 
on the budget for the applicable fiscal year shall set forth the 
appropriate level for aggregate means-tested welfare spending for the 
first fiscal year of that concurrent resolution and for at least each 
of the 4 ensuing fiscal years. Such level shall not exceed the 
aggregate level of Federal means-tested welfare spending for fiscal 
year 2007, adjusted for inflation using the Consumer Price Index for 
All Urban Consumers, U.S. City Average, All Items, Not Seasonally 
Adjusted (CPI-U), as computed by the Bureau of Labor Statistics, for 
all fiscal years occurring after fiscal year 2007 and before the 
applicable fiscal year.''.

SEC. 404. ALLOCATIONS OF MEANS-TESTED WELFARE SPENDING.

    (a) In General.--Section 302 of the Congressional Budget Act of 
1974 is amended by adding at the end the following new subsection:
    ``(h) Means-Tested Welfare Spending Limit.--
            ``(1) Further division of amounts.--For any concurrent 
        resolution on the budget for which levels for aggregate means-
        tested welfare spending are set forth under section 301(j), in 
        the House of Representatives and the Senate, the amounts 
        allocated under subsection (a) shall be further divided to 
        establish an allocation of--
                    ``(A) total new budget authority and total outlays 
                for discretionary means-tested welfare spending in 
                appropriation measures for the first fiscal year of the 
                resolution on the budget; and
                    ``(B) total new budget authority and total outlays 
                for mandatory means-tested welfare spending for the 
                first fiscal year of the resolution on the budget and 
                at least each of the ensuing 4 fiscal years to all 
                other committees of the House of Representatives and 
                the Senate that have jurisdiction over legislation 
                providing mandatory means-tested welfare spending.
            ``(2) Point of order.--It shall not be in order in the 
        House of Representatives or the Senate to consider any bill, 
        joint resolution, or amendment if--
                    ``(A) the enactment of such bill or resolution as 
                reported;
                    ``(B) the adoption and enactment of such amendment; 
                or
                    ``(C) the enactment of such bill or resolution in 
                the form recommended in such conference report,
        would cause the applicable allocation of new budget authority 
        or outlays made under subparagraph (A) or (B) of paragraph (1) 
        for a fiscal year to be exceeded.''.
    (b) Conforming Amendment.--Section 302(b) of the Congressional 
Budget Act of 1974 is amended by striking ``under subsection (a)'' and 
inserting ``under subsections (a) and (h)''.

SEC. 405. RECONCILIATION.

    Section 310(a) of the Congressional Budget Act of 1974 is amended 
as follows:
            (1) Strike ``or'' at the end of paragraph (3) and strike 
        the period at the end of paragraph (4) and insert ``; and''.
            (2) Redesignate paragraph (4) as paragraph (5), and in 
        paragraph (5) as redesignated, strike ``and (3)'' and insert 
        ``(3), and (4)''.
            (3) After paragraph (3), insert the following new 
        paragraph:
            ``(4) specify the total amount by which new budget 
        authority for such fiscal year for mandatory means-tested 
        welfare spending contained in laws, bills, and resolutions 
        within the jurisdiction of a committee is to be changed and 
        direct that committee to determine and recommend changes to 
        accomplish a change of such total amount, which amount shall be 
        the amount by which the Congressional Budget Office baseline 
        level of spending for aggregate mandatory means-tested welfare 
        programs exceeds the allocation made pursuant to section 
        302(h)(1)(B) for such fiscal year.''.

              TITLE V--GRANTS TO PROMOTE SELF-SUFFICIENCY

SEC. 501. GRANTS TO STATES.

    (a) Purpose.--The purpose of this title is to encourage States to 
develop policies to promote self-sufficiency and prosperity and to 
reduce poverty and government dependence.
    (b) Grants.--The Social Security Act is amended by adding at the 
end the following:

    ``TITLE XXII--GRANTS TO STATES TO PROMOTE SELF-SUFFICIENCY AND 
                  PROSPERITY AND TO REDUCE DEPENDENCE

``SEC. 2201. GRANTS TO STATES.

    ``(a) In General.--The Secretary may provide grants to States to 
reward reductions in poverty and government dependence and increases in 
self-sufficiency.
    ``(b) Allocation of Grants to States.--For each fiscal year for 
which funds are made available under subsection (e), the Secretary 
shall make a grant in an amount equal to $100,000,000 to each of the 3 
States with the greatest percentage increases in the self-sufficiency 
ratio of the State for the preceding fiscal year over the self-
sufficiency ratio of the State for fiscal year 2007, as compared with 
the changes in that ratio for each other State, subject to subsection 
(c).
    ``(c) Limitation on Eligibility for Grants.--A State shall not be 
eligible for a grant under this title for a fiscal year unless the 
self-sufficiency ratio of the State for the fiscal year is greater than 
the self-sufficiency ratio of the State for fiscal year 2007.
    ``(d) Definitions.--In this title:
            ``(1) The term `self-sufficient family' means a family 
        (including a 1-person family) whose combined income, excluding 
        receipt of means-tested welfare spending (as defined in section 
        3(11)(A) of the Congressional Budget and Impoundment Control 
        Act of 1974), exceeds the poverty line (within the meaning of 
        section 673(2) of the Omnibus Budget Reconciliation Act of 
        1981, including any revision required by such section 
        applicable to a family of the size involved).
            ``(2) The term `self-sufficiency ratio' means, with respect 
        to a State and a fiscal year--
                    ``(A) the number of self-sufficient families 
                residing in the State during the fiscal year that are 
                headed by able-bodied individuals who have not attained 
                63 years of age; divided by
                    ``(B) the total number of families residing in the 
                State during the fiscal year that are headed by able-
                bodied individuals who have not attained 63 years of 
                age.
            ``(3) The term `State' means the 50 States and the District 
        of Columbia.
    ``(e) Limitations on Authorization of Appropriations.--For grants 
under this title, there are authorized to be appropriated to the 
Secretary $300,000,000 for fiscal year 2012 and each succeeding fiscal 
year.''.

              TITLE VI--PROHIBITION ON FUNDING OF ABORTION

SEC. 601. PROHIBITION ON FUNDING FOR ABORTIONS.

    No funds authorized or appropriated by Federal law, and none of the 
funds in any trust fund to which funds are authorized or appropriated 
by Federal law, shall be expended for any abortion.

SEC. 602. PROHIBITION ON FUNDING FOR HEALTH BENEFITS PLANS THAT COVER 
              ABORTION.

    None of the funds authorized or appropriated by Federal law, and 
none of the funds in any trust fund to which funds are authorized or 
appropriated by Federal law, shall be expended for health benefits 
coverage that includes coverage of abortion.

SEC. 603. PROHIBITION ON TAX BENEFITS RELATING TO ABORTION.

    For taxable years beginning after the date of the enactment of this 
section, no credit shall be allowed under the internal revenue laws 
with respect to amounts paid or incurred for an abortion or with 
respect to amounts paid or incurred for a health benefits plan 
(including premium assistance) that includes coverage of abortion.

SEC. 604. CONSTRUCTION RELATING TO SEPARATE COVERAGE.

    Nothing in this title shall be construed as prohibiting any 
individual, entity, or State or locality from purchasing separate 
abortion coverage or health benefits coverage that includes abortion so 
long as such coverage is paid for entirely using only funds not 
authorized or appropriated by Federal law and such coverage shall not 
be purchased using matching funds required for a federally subsidized 
program, including a State's or locality's contribution of Medicaid 
matching funds.

SEC. 605. CONSTRUCTION RELATING TO THE USE OF NON-FEDERAL FUNDS FOR 
              HEALTH COVERAGE.

    Nothing in this title shall be construed as restricting the ability 
of any non-Federal health benefits coverage provider from offering 
abortion coverage, or the ability of a State or locality to contract 
separately with such a provider for such coverage, so long as only 
funds not authorized or appropriated by Federal law are used and such 
coverage shall not be purchased using matching funds required for a 
federally subsidized program, including a State's or locality's 
contribution of Medicaid matching funds.

SEC. 606. TREATMENT OF ABORTIONS RELATED TO RAPE, INCEST, OR PRESERVING 
              THE LIFE OF THE MOTHER.

    The limitations established in this title shall not apply to an 
abortion--
            (1) if the pregnancy is the result of an act of rape or 
        incest; or
            (2) in the case where a woman suffers from a physical 
        disorder, physical injury, or physical illness that would, as 
        certified by a physician, place the woman in danger of death 
        unless an abortion is performed, including a life-endangering 
        physical condition caused by or arising from the pregnancy 
        itself.
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