[Congressional Record Volume 153, Number 1 (Thursday, January 4, 2007)]
[Senate]
[Pages S50-S56]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]

      By Mr. REID (for himself, Mrs. Clinton, Mrs. Murray, Mrs. Boxer, 
        Mr. Akaka, Mr. Kerry, Mr. Leahy, Mr. Obama, Mr. Schumer, Mr. 
        Lautenberg, Mr. Kennedy, Mr. Harkin, Mr. Menendez, and Mr. 
        Inouye):
  S. 21. A bill to expand access to preventive health care services 
that help reduce unintended pregnancy, reduce abortions, and improve 
access to women's health care; to the Committee on Health, Education, 
Labor, and Pensions.

                                 S. 21

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

     SECTION 1. SHORT TITLE; TABLE OF CONTENTS.

       (a) Short Title.--This Act may be cited as the ``Prevention 
     First Act''.
       (b) Table of Contents.--The table of contents for this Act 
     is as follows:

Sec. 1. Short title; table of contents.
Sec. 2. Findings.

             TITLE I--TITLE X OF PUBLIC HEALTH SERVICE ACT

Sec. 101. Short title.
Sec. 102. Authorization of appropriations.

 TITLE II--EQUITY IN PRESCRIPTION INSURANCE AND CONTRACEPTIVE COVERAGE

Sec. 201. Short title.
Sec. 202. Amendments to Employee Retirement Income Security Act of 
              1974.
Sec. 203. Amendments to Public Health Service Act relating to the group 
              market.
Sec. 204. Amendment to Public Health Service Act relating to the 
              individual market.

      TITLE III--EMERGENCY CONTRACEPTION EDUCATION AND INFORMATION

Sec. 301. Short title.
Sec. 302. Emergency contraception education and information programs.

        TITLE IV--COMPASSIONATE ASSISTANCE FOR RAPE EMERGENCIES

Sec. 401. Short title.
Sec. 402. Survivors of sexual assault; provision by hospitals of 
              emergency contraceptives without charge.

       TITLE V--AT-RISK COMMUNITIES TEEN PREGNANCY PREVENTION ACT

Sec. 501. Short title.
Sec. 502. Teen pregnancy prevention.
Sec. 503. School-based projects.
Sec. 504. Multimedia campaigns.
Sec. 505. National clearinghouse.
Sec. 506. Research.
Sec. 507. General requirements.
Sec. 508. Definitions.

            TITLE VI--ACCURACY OF CONTRACEPTIVE INFORMATION

Sec. 601. Short title.
Sec. 602. Accuracy of contraceptive information.

             TITLE VII--UNINTENDED PREGNANCY REDUCTION ACT

Sec. 701. Short title.
Sec. 702. Medicaid; clarification of coverage of family planning 
              services and supplies.
Sec. 703. Expansion of family planning services.
Sec. 704. Effective date.

            TITLE VIII--RESPONSIBLE EDUCATION ABOUT LIFE ACT

Sec. 801. Short title.
Sec. 802. Assistance to reduce teen pregnancy, HIV/AIDS, and other 
              sexually transmitted diseases and to support healthy 
              adolescent development.
Sec. 803. Sense of Congress.
Sec. 804. Evaluation of programs.
Sec. 805. Definitions.
Sec. 806. Appropriations.

     SEC. 2. FINDINGS.

       The Congress finds as follows:
       (1) Healthy People 2010 sets forth a reduction of 
     unintended pregnancies as an important health objective for 
     the Nation to achieve over the first decade of the new 
     century, a goal first articulated in the 1979 Surgeon 
     General's Report, Healthy People, and reiterated in Healthy 
     People 2000: National Health Promotion and Disease Prevention 
     Objectives.
       (2) Although the Centers for Disease Control and Prevention 
     (referred to in this section as the ``CDC'') included family 
     planning in its published list of the Ten Great Public Health 
     Achievements in the 20th Century, the United States still has 
     one of the highest rates of unintended pregnancies among 
     industrialized nations.
       (3) Each year, 3,000,000 pregnancies, nearly half of all 
     pregnancies, in the United States are unintended, and nearly 
     half of unintended pregnancies end in abortion.
       (4) In 2004, 34,400,000 women, half of all women of 
     reproductive age, were in need of contraceptive services and 
     supplies to help prevent unintended pregnancy, and nearly 
     half of those were in need of public support for such care.
       (5) The United States has the highest rate of infection 
     with sexually transmitted diseases of any industrialized 
     country. In 2005, there were approximately 19,000,000 new 
     cases of sexually transmitted diseases, almost half of them 
     occurring in young people ages 15 to 24. According to the 
     CDC, these sexually transmitted diseases impose a tremendous 
     economic burden with direct medical costs as high as 
     $14,100,000,000 per year.
       (6) Increasing access to family planning services will 
     improve women's health and reduce the rates of unintended 
     pregnancy, abortion, and infection with sexually transmitted 
     diseases. Contraceptive use saves public health dollars. For 
     every dollar spent to increase funding for family planning 
     programs under title X of the Public Health Service Act, 
     $3.80 is saved.
       (7) Contraception is basic health care that improves the 
     health of women and children by enabling women to plan and 
     space births.
       (8) Women experiencing unintended pregnancy are at greater 
     risk for physical abuse and women having closely spaced 
     births are at greater risk of maternal death.
       (9) A child born from an unintended pregnancy is at greater 
     risk than a child born from an intended pregnancy of low 
     birth weight, dying in the first year of life, being abused, 
     and not receiving sufficient resources for healthy 
     development.
       (10) The ability to control fertility allows couples to 
     achieve economic stability by facilitating greater 
     educational achievement and participation in the workforce.
       (11) Without contraception, a sexually active woman has an 
     85 percent chance of becoming pregnant within a year.
       (12) The percentage of sexually active women ages 15 
     through 44 who were not using contraception increased from 
     5.4 percent to 7.4 percent in 2002, an increase of 37 
     percent, according to the CDC. This represents an apparent 
     increase of 1,430,000 women and could raise the rate of 
     unintended pregnancy.
       (13) Many poor and low-income women cannot afford to 
     purchase contraceptive services and supplies on their own. In 
     2003, 20.5 percent of all women ages 15 through 44 were 
     uninsured.
       (14) Public health programs, such as the Medicaid program 
     and family planning programs under title X of the Public 
     Health Service Act, provide high-quality family planning 
     services and other preventive health care to underinsured or 
     uninsured individuals who may otherwise lack access to health 
     care.
       (15) The Medicaid program is the single largest source of 
     public funding for family planning services and HIV/AIDS care 
     in the

[[Page S51]]

     United States. Half of all public dollars spent on 
     contraceptive services and supplies in the United States are 
     provided through the Medicaid program and more than 6,000,000 
     low-income women of reproductive age rely on such program for 
     their basic health care needs.
       (16) Each year, family planning services provided under 
     title X of the Public Health Service Act enable people in the 
     United States to prevent approximately 1,000,000 unintended 
     pregnancies, and one in three women of reproductive age who 
     obtains testing or treatment for sexually transmitted 
     diseases does so at a clinic receiving funds under such 
     title. In 2005, such clinics provided 2.5 million Pap smears, 
     over 5.3 million sexually transmitted disease tests, and over 
     6.2 million HIV tests.
       (17) The combination of an increasing number of uninsured 
     individuals, stagnant funding for family planning, health 
     care inflation, new and expensive contraceptive technologies, 
     increasing costs of contraceptives, and improved but 
     expensive screening and treatment for cervical cancer and 
     sexually transmitted diseases, has diminished the ability of 
     clinics receiving funds under title X of the Public Health 
     Service Act to adequately serve all individuals in need of 
     services of such clinics. Taking inflation into account, 
     funding for the family planning programs under such title 
     declined by 59 percent between 1980 and 2005.
       (18) While the Medicaid program remains the largest source 
     of subsidized family planning services, States are facing 
     significant budgetary pressures to cut their Medicaid 
     programs, putting many women at risk of losing coverage for 
     family planning services.
       (19) In addition, eligibility under the Medicaid program in 
     many States is severely restricted, which leaves family 
     planning services financially out of reach for many poor 
     women. Many States have demonstrated tremendous success with 
     Medicaid family planning waivers that allow States to expand 
     access to Medicaid family planning services. However, the 
     administrative burden of applying for a waiver poses a 
     significant barrier to States that would like to expand their 
     coverage of family planning programs through Medicaid.
       (20) As of December of 2006, 24 States offered expanded 
     family planning benefits as a result of Medicaid family 
     planning waivers. The cost-effectiveness of these waivers was 
     affirmed by a recent evaluation funded by the Centers for 
     Medicare & Medicaid Services. This evaluation of six waivers 
     found that all family planning programs under such waivers 
     resulted in significant savings to both the Federal and State 
     governments. Moreover, the researchers found measurable 
     reductions in unintended pregnancy.
       (21) Although employer-sponsored health plans have improved 
     coverage of contraceptive services and supplies, largely in 
     response to State contraceptive coverage laws, there is still 
     significant room for improvement. The ongoing lack of 
     coverage in health insurance plans, particularly in self-
     insured and individual plans, continues to place effective 
     forms of contraception beyond the financial reach of many 
     women.
       (22) Including contraceptive coverage in private health 
     care plans saves employers money. Not covering contraceptives 
     in employee health plans costs employers 15 to 17 percent 
     more than providing such coverage.
       (23) Approved for use by the Food and Drug Administration, 
     emergency contraception is a safe and effective way to 
     prevent unintended pregnancy after unprotected sex. New 
     research confirms that easier access to emergency 
     contraceptives does not increase sexual risk-taking or 
     sexually transmitted diseases.
       (24) The available evidence shows that many women do not 
     know about emergency contraception, do not know where to get 
     it, or are unable to access it. Overcoming these obstacles 
     could help ensure that more women use emergency contraception 
     consistently and correctly.
       (25) A November 2006 study of declining pregnancy rates 
     among teens concluded that the reduction in teen pregnancy 
     between 1995 and 2002 is primarily the result of increased 
     use of contraceptives. As such, it is critically important 
     that teens receive accurate, unbiased information about 
     contraception.
       (26) The American Medical Association, the American Nurses 
     Association, the American Academy of Pediatrics, the American 
     College of Obstetricians and Gynecologists, the American 
     Public Health Association, and the Society for Adolescent 
     Medicine, support responsible sexuality education that 
     includes information about both abstinence and contraception.
       (27) Teens who receive comprehensive sexuality education 
     that includes discussion of contraception as well as 
     abstinence are more likely than those who receive abstinence-
     only messages to delay sex, to have fewer partners, and to 
     use contraceptives when they do become sexually active.
       (28) Government-funded abstinence-only-until-marriage 
     programs are precluded from discussing contraception except 
     to talk about failure rates. An October 2006 report by the 
     Government Accountability Office found that the Department of 
     Health and Human Services does not review the materials of 
     recipients of grants administered by such department for 
     scientific accuracy and requires grantees to review their own 
     materials for scientific accuracy. The GAO also reported on 
     the Department's total lack of appropriate and customary 
     measurements to determine if funded programs are effective. 
     In addition, a separate letter from the Government 
     Accountability Office found that the Department of Health and 
     Human Services is in violation of Federal law by failing to 
     enforce a requirement under the Public Health Service Act 
     that Federally-funded grantees working to address the 
     prevention of sexually transmitted diseases, including 
     abstinence-only-until-marriage programs, must provide 
     medically accurate information about the effectiveness of 
     condoms.
       (29) Recent scientific reports by the Institute of 
     Medicine, the American Medical Association, and the Office on 
     National AIDS Policy stress the need for sexuality education 
     that includes messages about abstinence and provides young 
     people with information about contraception for the 
     prevention of teen pregnancy, HIV/AIDS, and other sexually 
     transmitted diseases.
       (30) A 2006 statement from the American Public Health 
     Association (``APHA'') ``recognizes the importance of 
     abstinence education, but only as part of a comprehensive 
     sexuality education program . . . APHA calls for repealing 
     current federal funding for abstinence-only programs and 
     replacing it with funding for a new Federal program to 
     promote comprehensive sexuality education, combining 
     information about abstinence with age-appropriate sexuality 
     education.''
       (31) Comprehensive sexuality education programs respect the 
     diversity of values and beliefs represented in the community 
     and will complement and augment the sexuality education 
     children receive from their families.
       (32) Nearly half of the 40,000 annual new cases of HIV 
     infections in the United States occur in youth ages 13 
     through 24. African American and Latino youth have been 
     disproportionately affected by the HIV/AIDS epidemic. 
     Although African American adolescents, ages 13 through 19, 
     represent only 15 percent of the adolescent population in the 
     United States, they accounted for 73 percent of new AIDS 
     cases reported among adolescents in 2004. Latino adolescents, 
     ages age 13 through 19, accounted for 14 percent of AIDS 
     cases among adolescents, compared to 16 percent of all 
     adolescents in the United States, in 2004. Teens in the 
     United States contract an estimated 9.1 million sexually 
     transmitted infections each year. By age 24, at least one in 
     four sexually active people between the ages of 15 and 24 
     will have contracted a sexually transmitted disease.
       (33) Approximately 50 young people a day, an average of two 
     young people every hour of every day, are infected with HIV 
     in the United States.

             TITLE I--TITLE X OF PUBLIC HEALTH SERVICE ACT

     SEC. 101. SHORT TITLE.

       This title may be cited as the ``Title X Family Planning 
     Services Act of 2007''.

     SEC. 102. AUTHORIZATION OF APPROPRIATIONS.

       For the purpose of making grants and contracts under 
     section 1001 of the Public Health Service Act, there are 
     authorized to be appropriated $700,000,000 for fiscal year 
     2008 and such sums as may be necessary for each subsequent 
     fiscal year.

 TITLE II--EQUITY IN PRESCRIPTION INSURANCE AND CONTRACEPTIVE COVERAGE

     SEC. 201. SHORT TITLE.

       This title may be cited as the ``Equity in Prescription 
     Insurance and Contraceptive Coverage Act of 2007''.

     SEC. 202. AMENDMENTS TO EMPLOYEE RETIREMENT INCOME SECURITY 
                   ACT OF 1974.

       (a) In General.--Subpart B of part 7 of subtitle B of title 
     I of the Employee Retirement Income Security Act of 1974 (29 
     U.S.C. 1185 et seq.) is amended by adding at the end the 
     following:

     ``SEC. 714. STANDARDS RELATING TO BENEFITS FOR 
                   CONTRACEPTIVES.

       ``(a) Requirements for Coverage.--A group health plan, and 
     a health insurance issuer providing health insurance coverage 
     in connection with a group health plan, may not--
       ``(1) exclude or restrict benefits for prescription 
     contraceptive drugs or devices approved by the Food and Drug 
     Administration, or generic equivalents approved as 
     substitutable by the Food and Drug Administration, if such 
     plan or coverage provides benefits for other outpatient 
     prescription drugs or devices; or
       ``(2) exclude or restrict benefits for outpatient 
     contraceptive services if such plan or coverage provides 
     benefits for other outpatient services provided by a health 
     care professional (referred to in this section as `outpatient 
     health care services').
       ``(b) Prohibitions.--A group health plan, and a health 
     insurance issuer providing health insurance coverage in 
     connection with a group health plan, may not--
       ``(1) deny to an individual eligibility, or continued 
     eligibility, to enroll or to renew coverage under the terms 
     of the plan because of the individual's or enrollee's use or 
     potential use of items or services that are covered in 
     accordance with the requirements of this section;
       ``(2) provide monetary payments or rebates to a covered 
     individual to encourage such individual to accept less than 
     the minimum protections available under this section;
       ``(3) penalize or otherwise reduce or limit the 
     reimbursement of a health care professional because such 
     professional prescribed contraceptive drugs or devices, or 
     provided contraceptive services, described in subsection (a), 
     in accordance with this section; or

[[Page S52]]

       ``(4) provide incentives (monetary or otherwise) to a 
     health care professional to induce such professional to 
     withhold from a covered individual contraceptive drugs or 
     devices, or contraceptive services, described in subsection 
     (a).
       ``(c) Rules of Construction.--
       ``(1) In general.--Nothing in this section shall be 
     construed--
       ``(A) as preventing a group health plan and a health 
     insurance issuer providing health insurance coverage in 
     connection with a group health plan from imposing 
     deductibles, coinsurance, or other cost-sharing or 
     limitations in relation to--
       ``(i) benefits for contraceptive drugs under the plan or 
     coverage, except that such a deductible, coinsurance, or 
     other cost-sharing or limitation for any such drug shall be 
     consistent with those imposed for other outpatient 
     prescription drugs otherwise covered under the plan or 
     coverage;
       ``(ii) benefits for contraceptive devices under the plan or 
     coverage, except that such a deductible, coinsurance, or 
     other cost-sharing or limitation for any such device shall be 
     consistent with those imposed for other outpatient 
     prescription devices otherwise covered under the plan or 
     coverage; and
       ``(iii) benefits for outpatient contraceptive services 
     under the plan or coverage, except that such a deductible, 
     coinsurance, or other cost-sharing or limitation for any such 
     service shall be consistent with those imposed for other 
     outpatient health care services otherwise covered under the 
     plan or coverage;
       ``(B) as requiring a group health plan and a health 
     insurance issuer providing health insurance coverage in 
     connection with a group health plan to cover experimental or 
     investigational contraceptive drugs or devices, or 
     experimental or investigational contraceptive services, 
     described in subsection (a), except to the extent that the 
     plan or issuer provides coverage for other experimental or 
     investigational outpatient prescription drugs or devices, or 
     experimental or investigational outpatient health care 
     services; or
       ``(C) as modifying, diminishing, or limiting the rights or 
     protections of an individual under any other Federal law.
       ``(2) Limitations.--As used in paragraph (1), the term 
     `limitation' includes--
       ``(A) in the case of a contraceptive drug or device, 
     restricting the type of health care professionals that may 
     prescribe such drugs or devices, utilization review 
     provisions, and limits on the volume of prescription drugs or 
     devices that may be obtained on the basis of a single 
     consultation with a professional; or
       ``(B) in the case of an outpatient contraceptive service, 
     restricting the type of health care professionals that may 
     provide such services, utilization review provisions, 
     requirements relating to second opinions prior to the 
     coverage of such services, and requirements relating to 
     preauthorizations prior to the coverage of such services.
       ``(d) Notice Under Group Health Plan.--The imposition of 
     the requirements of this section shall be treated as a 
     material modification in the terms of the plan described in 
     section 102(a)(1), for purposes of assuring notice of such 
     requirements under the plan, except that the summary 
     description required to be provided under the last sentence 
     of section 104(b)(1) with respect to such modification shall 
     be provided by not later than 60 days after the first day of 
     the first plan year in which such requirements apply.
       ``(e) Preemption.--Nothing in this section shall be 
     construed to preempt any provision of State law to the extent 
     that such State law establishes, implements, or continues in 
     effect any standard or requirement that provides coverage or 
     protections for participants or beneficiaries that are 
     greater than the coverage or protections provided under this 
     section.
       ``(f) Definition.--In this section, the term `outpatient 
     contraceptive services' means consultations, examinations, 
     procedures, and medical services, provided on an outpatient 
     basis and related to the use of contraceptive methods 
     (including natural family planning) to prevent an unintended 
     pregnancy.''.
       (b) Clerical Amendment.--The table of contents in section 1 
     of the Employee Retirement Income Security Act of 1974 (29 
     U.S.C. 1001) is amended by inserting after the item relating 
     to section 713 the following:

``Sec. 714. Standards relating to benefits for contraceptives''.
       (c) Effective Date.--The amendments made by this section 
     shall apply with respect to plan years beginning on or after 
     January 1, 2008.

     SEC. 203. AMENDMENTS TO PUBLIC HEALTH SERVICE ACT RELATING TO 
                   THE GROUP MARKET.

       (a) In General.--Subpart 2 of part A of title XXVII of the 
     Public Health Service Act (42 U.S.C. 300gg-4 et seq.) is 
     amended by adding at the end the following:

     ``SEC. 2707. STANDARDS RELATING TO BENEFITS FOR 
                   CONTRACEPTIVES.

       ``(a) Requirements for Coverage.--A group health plan, and 
     a health insurance issuer providing health insurance coverage 
     in connection with a group health plan, may not--
       ``(1) exclude or restrict benefits for prescription 
     contraceptive drugs or devices approved by the Food and Drug 
     Administration, or generic equivalents approved as 
     substitutable by the Food and Drug Administration, if such 
     plan or coverage provides benefits for other outpatient 
     prescription drugs or devices; or
       ``(2) exclude or restrict benefits for outpatient 
     contraceptive services if such plan or coverage provides 
     benefits for other outpatient services provided by a health 
     care professional (referred to in this section as `outpatient 
     health care services').
       ``(b) Prohibitions.--A group health plan, and a health 
     insurance issuer providing health insurance coverage in 
     connection with a group health plan, may not--
       ``(1) deny to an individual eligibility, or continued 
     eligibility, to enroll or to renew coverage under the terms 
     of the plan because of the individual's or enrollee's use or 
     potential use of items or services that are covered in 
     accordance with the requirements of this section;
       ``(2) provide monetary payments or rebates to a covered 
     individual to encourage such individual to accept less than 
     the minimum protections available under this section;
       ``(3) penalize or otherwise reduce or limit the 
     reimbursement of a health care professional because such 
     professional prescribed contraceptive drugs or devices, or 
     provided contraceptive services, described in subsection (a), 
     in accordance with this section; or
       ``(4) provide incentives (monetary or otherwise) to a 
     health care professional to induce such professional to 
     withhold from covered individual contraceptive drugs or 
     devices, or contraceptive services, described in subsection 
     (a).
       ``(c) Rules of Construction.--
       ``(1) In general.--Nothing in this section shall be 
     construed--
       ``(A) as preventing a group health plan and a health 
     insurance issuer providing health insurance coverage in 
     connection with a group health plan from imposing 
     deductibles, coinsurance, or other cost-sharing or 
     limitations in relation to--
       ``(i) benefits for contraceptive drugs under the plan or 
     coverage, except that such a deductible, coinsurance, or 
     other cost-sharing or limitation for any such drug shall be 
     consistent with those imposed for other outpatient 
     prescription drugs otherwise covered under the plan or 
     coverage;
       ``(ii) benefits for contraceptive devices under the plan or 
     coverage, except that such a deductible, coinsurance, or 
     other cost-sharing or limitation for any such device shall be 
     consistent with those imposed for other outpatient 
     prescription devices otherwise covered under the plan or 
     coverage; and
       ``(iii) benefits for outpatient contraceptive services 
     under the plan or coverage, except that such a deductible, 
     coinsurance, or other cost-sharing or limitation for any such 
     service shall be consistent with those imposed for other 
     outpatient health care services otherwise covered under the 
     plan or coverage;
       ``(B) as requiring a group health plan and a health 
     insurance issuer providing health insurance coverage in 
     connection with a group health plan to cover experimental or 
     investigational contraceptive drugs or devices, or 
     experimental or investigational contraceptive services, 
     described in subsection (a), except to the extent that the 
     plan or issuer provides coverage for other experimental or 
     investigational outpatient prescription drugs or devices, or 
     experimental or investigational outpatient health care 
     services; or
       ``(C) as modifying, diminishing, or limiting the rights or 
     protections of an individual under any other Federal law.
       ``(2) Limitations.--As used in paragraph (1), the term 
     `limitation' includes--
       ``(A) in the case of a contraceptive drug or device, 
     restricting the type of health care professionals that may 
     prescribe such drugs or devices, utilization review 
     provisions, and limits on the volume of prescription drugs or 
     devices that may be obtained on the basis of a single 
     consultation with a professional; or
       ``(B) in the case of an outpatient contraceptive service, 
     restricting the type of health care professionals that may 
     provide such services, utilization review provisions, 
     requirements relating to second opinions prior to the 
     coverage of such services, and requirements relating to 
     preauthorizations prior to the coverage of such services.
       ``(d) Notice.--A group health plan under this part shall 
     comply with the notice requirement under section 714(d) of 
     the Employee Retirement Income Security Act of 1974 with 
     respect to the requirements of this section as if such 
     section applied to such plan.
       ``(e) Preemption.--Nothing in this section shall be 
     construed to preempt any provision of State law to the extent 
     that such State law establishes, implements, or continues in 
     effect any standard or requirement that provides coverage or 
     protections for enrollees that are greater than the coverage 
     or protections provided under this section.
       ``(f) Definition.--In this section, the term `outpatient 
     contraceptive services' means consultations, examinations, 
     procedures, and medical services, provided on an outpatient 
     basis and related to the use of contraceptive methods 
     (including natural family planning) to prevent an unintended 
     pregnancy.''.
       (b) Effective Date.--The amendments made by this section 
     shall apply with respect to group health plans for plan years 
     beginning on or after January 1, 2008.

     SEC. 204. AMENDMENT TO PUBLIC HEALTH SERVICE ACT RELATING TO 
                   THE INDIVIDUAL MARKET.

       (a) In General.--Part B of title XXVII of the Public Health 
     Service Act (42 U.S.C. 300gg-41 et seq.) is amended--
       (1) by redesignating the first subpart 3 (relating to other 
     requirements) as subpart 2; and
       (2) by adding at the end of subpart 2 the following:

[[Page S53]]

     ``SEC. 2753. STANDARDS RELATING TO BENEFITS FOR 
                   CONTRACEPTIVES.

       ``The provisions of section 2707 shall apply to health 
     insurance coverage offered by a health insurance issuer in 
     the individual market in the same manner as they apply to 
     health insurance coverage offered by a health insurance 
     issuer in connection with a group health plan in the small or 
     large group market.''.
       (b) Effective Date.--The amendment made by this section 
     shall apply with respect to health insurance coverage 
     offered, sold, issued, renewed, in effect, or operated in the 
     individual market on or after January 1, 2008.

      TITLE III--EMERGENCY CONTRACEPTION EDUCATION AND INFORMATION

     SEC. 301. SHORT TITLE.

       This title may be cited as the ``Emergency Contraception 
     Education Act of 2007''.

     SEC. 302. EMERGENCY CONTRACEPTION EDUCATION AND INFORMATION 
                   PROGRAMS.

       (a) Definitions.--For purposes of this section:
       (1) Emergency contraception.--The term ``emergency 
     contraception'' means a drug or device (as the terms are 
     defined in section 201 of the Federal Food, Drug, and 
     Cosmetic Act (21 U.S.C. 321)) or a drug regimen that is--
       (A) used after sexual relations;
       (B) prevents pregnancy, by preventing ovulation, 
     fertilization of an egg, or implantation of an egg in a 
     uterus; and
       (C) approved by the Food and Drug Administration.
       (2) Health care provider.--The term ``health care 
     provider'' means an individual who is licensed or certified 
     under State law to provide health care services and who is 
     operating within the scope of such license.
       (3) Institution of higher education.--The term 
     ``institution of higher education'' has the same meaning 
     given such term in section 1201(a) of the Higher Education 
     Act of 1965 (20 U.S.C. 1141(a)).
       (4) Secretary.--The term ``Secretary'' means the Secretary 
     of Health and Human Services.
       (b) Emergency Contraception Public Education Program.--
       (1) In general.--The Secretary, acting through the Director 
     of the Centers for Disease Control and Prevention, shall 
     develop and disseminate to the public information on 
     emergency contraception.
       (2) Dissemination.--The Secretary may disseminate 
     information under paragraph (1) directly or through 
     arrangements with nonprofit organizations, consumer groups, 
     institutions of higher education, Federal, State, or local 
     agencies, clinics, and the media.
       (3) Information.--The information disseminated under 
     paragraph (1) shall include, at a minimum, a description of 
     emergency contraception and an explanation of the use, 
     safety, efficacy, and availability of such contraception.
       (c) Emergency Contraception Information Program for Health 
     Care Providers.--
       (1) In general.--The Secretary, acting through the 
     Administrator of the Health Resources and Services 
     Administration and in consultation with major medical and 
     public health organizations, shall develop and disseminate to 
     health care providers information on emergency contraception.
       (2) Information.--The information disseminated under 
     paragraph (1) shall include, at a minimum--
       (A) information describing the use, safety, efficacy, and 
     availability of emergency contraception;
       (B) a recommendation regarding the use of such 
     contraception in appropriate cases; and
       (C) information explaining how to obtain copies of the 
     information developed under subsection (b) for distribution 
     to the patients of the providers.
       (d) Authorization of Appropriations.--There are authorized 
     to be appropriated to carry out this section such sums as may 
     be necessary for each of the fiscal years 2008 through 2012.

        TITLE IV--COMPASSIONATE ASSISTANCE FOR RAPE EMERGENCIES

     SEC. 401. SHORT TITLE.

       This title may be cited as the ``Compassionate Assistance 
     for Rape Emergencies Act of 2007''.

     SEC. 402. SURVIVORS OF SEXUAL ASSAULT; PROVISION BY HOSPITALS 
                   OF EMERGENCY CONTRACEPTIVES WITHOUT CHARGE.

       (a) In General.--Federal funds may not be provided to a 
     hospital under any health-related program, unless the 
     hospital meets the conditions specified in subsection (b) in 
     the case of--
       (1) any woman who presents at the hospital and states that 
     she is a victim of sexual assault, or is accompanied by 
     someone who states she is a victim of sexual assault; and
       (2) any woman who presents at the hospital whom hospital 
     personnel have reason to believe is a victim of sexual 
     assault.
       (b) Assistance for Victims.--The conditions specified in 
     this subsection regarding a hospital and a woman described in 
     subsection (a) are as follows:
       (1) The hospital promptly provides the woman with medically 
     and factually accurate and unbiased written and oral 
     information about emergency contraception, including 
     information explaining that--
       (A) emergency contraception does not cause an abortion; and
       (B) emergency contraception is effective in most cases in 
     preventing pregnancy after unprotected sex.
       (2) The hospital promptly offers emergency contraception to 
     the woman, and promptly provides such contraception to her on 
     her request.
       (3) The information provided pursuant to paragraph (1) is 
     in clear and concise language, is readily comprehensible, and 
     meets such conditions regarding the provision of the 
     information in languages other than English as the Secretary 
     may establish.
       (4) The services described in paragraphs (1) through (3) 
     are not denied because of the inability of the woman or her 
     family to pay for the services.
       (c) Definitions.--For purposes of this section:
       (1) The term ``emergency contraception'' means a drug, drug 
     regimen, or device that--
       (A) is used postcoitally;
       (B) prevents pregnancy by delaying ovulation, preventing 
     fertilization of an egg, or preventing implantation of an egg 
     in a uterus; and
       (C) is approved by the Food and Drug Administration.
       (2) The term ``hospital'' has the meanings given such term 
     in title XVIII of the Social Security Act, including the 
     meaning applicable in such title for purposes of making 
     payments for emergency services to hospitals that do not have 
     agreements in effect under such title.
       (3) The term ``Secretary'' means the Secretary of Health 
     and Human Services.
       (4) The term ``sexual assault'' means coitus in which the 
     woman involved does not consent or lacks the legal capacity 
     to consent.
       (d) Effective Date; Agency Criteria.--This section takes 
     effect upon the expiration of the 180-day period beginning on 
     the date of the enactment of this Act. Not later than 30 days 
     prior to the expiration of such period, the Secretary shall 
     publish in the Federal Register criteria for carrying out 
     this section.

       TITLE V--AT-RISK COMMUNITIES TEEN PREGNANCY PREVENTION ACT

     SEC. 501. SHORT TITLE.

       This title may be cited as the ``At-Risk Communities Teen 
     Pregnancy Prevention Act of 2007''.

     SEC. 502. TEEN PREGNANCY PREVENTION.

       (a) In General.--The Secretary of Health and Human Services 
     (referred to in this title as the ``Secretary'') shall make 
     grants to public and nonprofit private entities for the 
     purpose of carrying out projects to prevent teen pregnancies 
     in communities with a substantial incidence or prevalence of 
     cases of teen pregnancy as compared to the average number of 
     such cases in communities in the State involved (referred to 
     in this title as ``eligible communities'').
       (b) Requirements Regarding Purpose of Grants.--A grant may 
     be made under subsection (a) only if, with respect to the 
     expenditure of the grant to carry out the purpose described 
     in such subsection, the applicant involved agrees to use one 
     or more of the following strategies:
       (1) Promote effective communication among families about 
     preventing teen pregnancy, particularly communication among 
     parents or guardians and their children.
       (2) Educate community members about the consequences of 
     teen pregnancy.
       (3) Encourage young people to postpone sexual activity and 
     prepare for a healthy, successful adulthood.
       (4) Provide educational information, including medically 
     accurate contraceptive information, for young people in such 
     communities who are already sexually active or are at risk of 
     becoming sexually active and inform young people in such 
     communities about the responsibilities and consequences of 
     being a parent, and how early pregnancy and parenthood can 
     interfere with educational and other goals.
       (c) Utilizing Effective Strategies.--A grant may be made 
     under subsection (a) only if the applicant involved agrees 
     that, in carrying out the purpose described in such 
     subsection, the applicant will, whenever possible, use 
     strategies that have been demonstrated to be effective, or 
     that incorporate characteristics of effective programs.
       (d) Report.--A grant may be made under subsection (a) only 
     if the applicant involved agrees to submit to the Secretary, 
     in accordance with the criteria of the Secretary, a report 
     that provides information on the project under such 
     subsection, including outcomes. The Secretary shall make such 
     reports available to the public.
       (e) Evaluations.--Not later than 12 months after the date 
     of the enactment of this Act, the Secretary shall, directly 
     or through contract, provide for evaluations of six projects 
     under subsection (a). Such evaluations shall describe--
       (1) the activities carried out with the grant; and
       (2) how such activities increased education and awareness 
     services relating to the prevention of teen pregnancy.
       (f) Authorization of Appropriations.--For the purpose of 
     carrying out this section, there are authorized to be 
     appropriated such sums as may be necessary for each of the 
     fiscal years 2008 through 2012.

     SEC. 503. SCHOOL-BASED PROJECTS.

       (a) In General.--The Secretary of Health and Human Services 
     may make grants to public and nonprofit private entities for 
     the purpose of establishing and operating for eligible 
     communities, in association with public secondary schools for 
     such communities, projects for one or more of the following:

[[Page S54]]

       (1) To carry out activities, including counseling, to 
     prevent teen pregnancy.
       (2) To provide necessary social and cultural support 
     services regarding teen pregnancy.
       (3) To provide health and educational services related to 
     the prevention of teen pregnancy.
       (4) To promote better health and educational outcomes among 
     pregnant teens.
       (5) To provide training for individuals who plan to work in 
     school-based support programs regarding the prevention of 
     teen pregnancy.
       (b) Priority.--In making grants under subsection (a), the 
     Secretary shall give priority to providing for projects under 
     such subsection in eligible communities.
       (c) Required Coalition.--A grant may be made under 
     subsection (a) only if the applicant involved has formed an 
     appropriate coalition of entities for purposes of carrying 
     out a project under such subsection, including--
       (1) one or more public secondary schools for the eligible 
     community involved; and
       (2) entities to provide the services of the project.
       (d) Training.--A grant under subsection (a) may be expended 
     to train individuals to provide the services described in 
     paragraphs (1) and (2) of such subsection for the project 
     involved.
       (e) Authorization of Appropriations.--For the purpose of 
     carrying out this section, there is authorized to be 
     appropriated such sums as may be necessary for each of the 
     fiscal years 2008 through 2012.

     SEC. 504. MULTIMEDIA CAMPAIGNS.

       (a) In General.--The Secretary of Health and Human Services 
     shall make grants to public and nonprofit private entities 
     for the purpose of carrying out multimedia campaigns to 
     provide public education and increase awareness with respect 
     to the issue of teen pregnancy and related social and 
     emotional issues.
       (b) Priority.--In making grants under subsection (a), the 
     Secretary shall give priority to campaigns described in such 
     subsection that are directed toward eligible communities.
       (c) Requirements.--A grant may be made under subsection (a) 
     only if the applicant involved agrees that the multimedia 
     campaign under such subsection will--
       (1) provide information on the prevention of teen 
     pregnancy;
       (2) provide information that identifies organizations in 
     the communities involved that--
       (A) provide health and educational services related to the 
     prevention of teen pregnancy; and
       (B) provide necessary social and cultural support services; 
     and
       (3) coincide with efforts of the National Clearinghouse for 
     Teen Pregnancy Prevention that are made under section 
     505(b)(1).
       (d) Authorization of Appropriations.--For the purpose of 
     carrying out this section, there is authorized to be 
     appropriated such sums as may be necessary for each of the 
     fiscal years 2008 through 2012.

     SEC. 505. NATIONAL CLEARINGHOUSE.

       (a) In General.--The Secretary shall make grants to a 
     nonprofit private entity to establish and operate a National 
     Clearinghouse for Teen Pregnancy Prevention (referred to in 
     this section as the ``Clearinghouse'') for the purposes 
     described in subsection (b).
       (b) Purposes of Clearinghouse.--The purposes referred to in 
     subsection (a) regarding the Clearinghouse are as follows:
       (1) To provide information and technical assistance to 
     States, Indian tribes, local communities, and other public or 
     private entities to develop content and messages for teens 
     and adults that address and seek to reduce the rate of teen 
     pregnancy.
       (2) To support parents in their essential role in 
     preventing teen pregnancy by equipping parents with 
     information and resources to promote and strengthen 
     communication with their children about sex, values, and 
     positive relationships, including healthy relationships.
       (c) Requirements for Grantee.--A grant may be made under 
     subsection (a) only if the applicant involved is an 
     organization that meets the following conditions:
       (1) The organization is a nationally recognized, 
     nonpartisan organization that focuses exclusively on 
     preventing teen pregnancy and has at least 10 years of 
     experience in working with diverse groups to reduce the rate 
     of teen pregnancy.
       (2) The organization has a demonstrated ability to work 
     with and provide assistance to a broad range of individuals 
     and entities, including teens; parents; the entertainment and 
     news media; State, tribal, and local organizations; networks 
     of teen pregnancy prevention practitioners; businesses; faith 
     and community leaders; and researchers.
       (3) The organization has experience in the use of 
     culturally competent and linguistically appropriate methods 
     to address teen pregnancy in eligible communities.
       (4) The organization conducts or supports research and has 
     experience with scientific analyses and evaluations.
       (5) The organization has comprehensive knowledge and data 
     about strategies for the prevention of teen pregnancy.
       (6) The organization has experience in carrying out 
     functions similar to the functions described in subsection 
     (b).
       (d) Authorization of Appropriations.--For the purpose of 
     carrying out this section, there is authorized to be 
     appropriated such sums as may be necessary for each of the 
     fiscal years 2008 through 2012.

     SEC. 506. RESEARCH.

       (a) In General.--The Secretary of Health and Human 
     Services, acting through the Director of the Centers for 
     Disease Control and Prevention, shall make grants to public 
     or nonprofit private entities to conduct, support, and 
     coordinate research on the prevention of teen pregnancy in 
     eligible communities, including research on the factors 
     contributing to the disproportionate rates of teen pregnancy 
     in such communities.
       (b) Research.--In carrying out subsection (a), the 
     Secretary shall support research that--
       (1) investigates and determines the incidence and 
     prevalence of teen pregnancy in communities described in such 
     subsection;
       (2) examines--
       (A) the extent of the impact of teen pregnancy on--
       (i) the health and well-being of teenagers in the 
     communities; and
       (ii) the scholastic achievement of such teenagers;
       (B) the variance in the rates of teen pregnancy by--
       (i) location (such as inner cities, inner suburbs, and 
     outer suburbs);
       (ii) population subgroup (such as Hispanic, Asian-Pacific 
     Islander, African-American, Native American); and
       (iii) level of acculturation;
       (C) the importance of the physical and social environment 
     as a factor in placing communities at risk of increased rates 
     of teen pregnancy; and
       (D) the importance of aspirations as a factor affecting 
     young women's risk of teen pregnancy; and
       (3) is used to develop--
       (A) measures to address race, ethnicity, socioeconomic 
     status, environment, and educational attainment and the 
     relationship to the incidence and prevalence of teen 
     pregnancy; and
       (B) efforts to link the measures to relevant databases, 
     including health databases.
       (c) Priority.--In making grants under subsection (a), the 
     Secretary shall give priority to research that incorporates--
       (1) interdisciplinary approaches; or
       (2) a strong emphasis on community-based participatory 
     research.
       (d) Authorization of Appropriations.--For the purpose of 
     carrying out this section, there is authorized to be 
     appropriated such sums as may be necessary for each of the 
     fiscal years 2008 through 2012.

     SEC. 507. GENERAL REQUIREMENTS.

       (a) Medically Accurate Information.--A grant may be made 
     under this title only if the applicant involved agrees that 
     all information provided pursuant to the grant will be age-
     appropriate, factually and medically accurate and complete, 
     and scientifically based.
       (b) Cultural Context of Services.--A grant may be made 
     under this title only if the applicant involved agrees that 
     information, activities, and services under the grant that 
     are directed toward a particular population group will be 
     provided in the language and cultural context that is most 
     appropriate for individuals in such group.
       (c) Application for Grant.--A grant may be made under this 
     title 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 the program involved.

     SEC. 508. DEFINITIONS.

       For purposes of this title:
       (1) The term ``eligible community'' has the meaning 
     indicated for such term in section 502(a).
       (2) The term ``racial or ethnic minority or immigrant 
     communities'' means communities with a substantial number of 
     residents who are members of racial or ethnic minority groups 
     or who are immigrants.
       (3) The term ``Secretary'' has the meaning indicated for 
     such term in section 502(a).

            TITLE VI--ACCURACY OF CONTRACEPTIVE INFORMATION

     SEC. 601. SHORT TITLE.

       This title may be cited as the ``Truth in Contraception Act 
     of 2007''.

     SEC. 602. ACCURACY OF CONTRACEPTIVE INFORMATION.

       Notwithstanding any other provision of law, any information 
     concerning the use of a contraceptive provided through any 
     federally funded sex education, family life education, 
     abstinence education, comprehensive health education, or 
     character education program shall be medically accurate and 
     shall include health benefits and failure rates relating to 
     the use of such contraceptive.

             TITLE VII--UNINTENDED PREGNANCY REDUCTION ACT

     SEC. 701. SHORT TITLE.

       This title may be cited as the ``Unintended Pregnancy 
     Reduction Act of 2007''.

     SEC. 702. MEDICAID; CLARIFICATION OF COVERAGE OF FAMILY 
                   PLANNING SERVICES AND SUPPLIES.

       Section 1937(b) of the Social Security Act (42 U.S.C. 
     1396u-7(b)) is amended by adding at the end the following:
       ``(5) Coverage of family planning services and supplies.--
     Notwithstanding the previous provisions of this section, a 
     State may not provide for medical assistance through 
     enrollment of an individual with benchmark coverage or 
     benchmark-equivalent coverage under this section unless such 
     coverage includes for any individual described in section 
     1905(a)(4)(C), medical assistance for family planning 
     services and supplies in accordance with such section.''.

[[Page S55]]

     SEC. 703. EXPANSION OF FAMILY PLANNING SERVICES.

       (a) Coverage as Mandatory Categorically Needy Group.--
       (1) In general.--Section 1902(a)(10)(A)(i) of the Social 
     Security Act (42 U.S.C. 1396a(a)(10)(A)(i)) is amended--
       (A) in subclause (VI), by striking ``or'' at the end;
       (B) in subclause (VII), by adding ``or'' at the end; and
       (C) by adding at the end the following new subclause:

       ``(VIII) who are described in subsection (dd) (relating to 
     individuals who meet the income standards for pregnant 
     women);''.

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


         ``PRESUMPTIVE ELIGIBILITY FOR FAMILY PLANNING SERVICES

       ``Sec. 1920C.  (a) State Option.--A State plan approved 
     under section 1902 may provide for making medical assistance 
     available to an individual described in section 1902(dd) 
     (relating to individuals who meet the income eligibility 
     standard for pregnant women in the State) during a 
     presumptive eligibility period. In the case of an individual 
     described in section 1902(dd) who is eligible for medical 
     assistance only because of subparagraph (A)(10)(i)(VIII), 
     such medical assistance may be limited to family planning 
     services and supplies described in 1905(a)(4)(C) and, at the 
     State's option, medical diagnosis or treatment services that 
     are provided in conjunction with a family planning service in 
     a family planning setting provided during the period in which 
     such an individual is eligible.
       ``(b) Definitions.--For purposes of this section:
       ``(1) Presumptive eligibility period.--The term 
     `presumptive eligibility period' means, with respect to an 
     individual described in subsection (a), the period that--
       ``(A) begins with the date on which a qualified entity 
     determines, on the basis of preliminary information, that the 
     individual is described in section 1902(dd); and
       ``(B) ends with (and includes) the earlier of--
       ``(i) the day on which a determination is made with respect 
     to the eligibility of such individual for services under the 
     State plan; or
       ``(ii) in the case of such an individual who does not file 
     an application by the last day of the month following the 
     month during which the entity makes the determination 
     referred to in subparagraph (A), such last day.
       ``(2) Qualified entity.--
       ``(A) In general.--Subject to subparagraph (B), the term 
     `qualified entity' means any entity that--
       ``(i) is eligible for payments under a State plan approved 
     under this title; and
       ``(ii) is determined by the State agency to be capable of 
     making determinations of the type described in paragraph 
     (1)(A).
       ``(B) Regulations.--The Secretary may issue regulations 
     further limiting those entities that may become qualified 
     entities in order to prevent fraud and abuse and for other 
     reasons.
       ``(C) Rule of construction.--Nothing in this paragraph 
     shall be construed as preventing a State from limiting the 
     classes of entities that may become qualified entities, 
     consistent with any limitations imposed under subparagraph 
     (B).
       ``(c) Administration.--
       ``(1) In general.--The State agency shall provide qualified 
     entities with--
       ``(A) such forms as are necessary for an application to be 
     made by an individual described in subsection (a) for medical 
     assistance under the State plan; and
       ``(B) information on how to assist such individuals in 
     completing and filing such forms.
       ``(2) Notification requirements.--A qualified entity that 
     determines under subsection (b)(1)(A) that an individual 
     described in subsection (a) is presumptively eligible for 
     medical assistance under a State plan shall--
       ``(A) notify the State agency of the determination within 5 
     working days after the date on which determination is made; 
     and
       ``(B) inform such individual at the time the determination 
     is made that an application for medical assistance is 
     required to be made by not later than the last day of the 
     month following the month during which the determination is 
     made.
       ``(3) Application for medical assistance.--In the case of 
     an individual described in subsection (a) who is determined 
     by a qualified entity to be presumptively eligible for 
     medical assistance under a State plan, the individual shall 
     apply for medical assistance by not later than the last day 
     of the month following the month during which the 
     determination is made.
       ``(d) Payment.--Notwithstanding any other provision of this 
     title, medical assistance that--
       ``(1) is furnished to an individual described in subsection 
     (a)--
       ``(A) during a presumptive eligibility period;
       ``(B) by a entity that is eligible for payments under the 
     State plan; and
       ``(2) is included in the care and services covered by the 
     State plan, shall be treated as medical assistance provided 
     by such plan for purposes of clause (4) of the first sentence 
     of section 1905(b).''.
       (2) Conforming amendments.--
       (A) Section 1902(a)(47) of the Social Security Act (42 
     U.S.C. 1396a(a)(47)) is amended by inserting before the 
     semicolon at the end the following: ``and provide for making 
     medical assistance available to individuals described in 
     subsection (a) of section 1920C during a presumptive 
     eligibility period in accordance with such section.''.
       (B) Section 1903(u)(1)(D)(v) of such Act (42 U.S.C. 
     1396b(u)(1)(D)(v)) is amended--
       (i) by striking ``or for'' and inserting ``, for''; and
       (ii) by inserting before the period the following: ``, or 
     for medical assistance provided to an individual described in 
     subsection (a) of section 1920C during a presumptive 
     eligibility period under such section''.

     SEC. 704. EFFECTIVE DATE.

       (a) In General.--Except as provided in paragraph (2), the 
     amendments made by this title take effect on October 1, 2007.
       (b) Extension of Effective Date for State Law Amendment.--
     In the case of a State plan under title XIX of the Social 
     Security Act (42 U.S.C. 1396 et seq.) which the Secretary of 
     Health and Human Services determines requires State 
     legislation in order for the plan to meet the additional 
     requirements imposed by the amendments made by this title, 
     the State plan shall not be regarded as failing to comply 
     with the requirements of such title solely on the basis of 
     its failure to meet these additional requirements before the 
     first day of the first calendar quarter beginning after the 
     close of the first regular session of the State legislature 
     that begins after the date of the enactment of this Act. For 
     purposes of the previous sentence, in the case of a State 
     that has a 2-year legislative session, each year of the 
     session is considered to be a separate regular session of the 
     State legislature.

            TITLE VIII--RESPONSIBLE EDUCATION ABOUT LIFE ACT

     SEC. 801. SHORT TITLE.

       This title may be cited as the ``Responsible Education 
     About Life Act of 2007''.

     SEC. 802. ASSISTANCE TO REDUCE TEEN PREGNANCY, HIV/AIDS, AND 
                   OTHER SEXUALLY TRANSMITTED DISEASES AND TO 
                   SUPPORT HEALTHY ADOLESCENT DEVELOPMENT.

       (a) In General.--Each eligible State shall be entitled to 
     receive from the Secretary of Health and Human Services, for 
     each of the fiscal years 2008 through 2012, a grant to 
     conduct programs of family life education, including 
     education on both abstinence and contraception for the 
     prevention of teenage pregnancy and sexually transmitted 
     diseases, including HIV/AIDS.
       (b) Requirements for Family Life Programs.--For purposes of 
     this title, a program of family life education is a program 
     that--
       (1) is age-appropriate and medically accurate;
       (2) does not teach or promote religion;
       (3) teaches that abstinence is the only sure way to avoid 
     pregnancy or sexually transmitted diseases;
       (4) stresses the value of abstinence while not ignoring 
     those young people who have had or are having sexual 
     intercourse;
       (5) provides information about the health benefits and side 
     effects of all contraceptives and barrier methods as a means 
     to prevent pregnancy;

[[Page S56]]

       (6) provides information about the health benefits and side 
     effects of all contraceptives and barrier methods as a means 
     to reduce the risk of contracting sexually transmitted 
     diseases, including HIV/AIDS;
       (7) encourages family communication between parent and 
     child about sexuality;
       (8) teaches young people the skills to make responsible 
     decisions about sexuality, including how to avoid unwanted 
     verbal, physical, and sexual advances and how not to make 
     unwanted verbal, physical, and sexual advances; and
       (9) teaches young people how alcohol and drug use can 
     effect responsible decision making.
       (c) Additional Activities.--In carrying out a program of 
     family life education, a State may expend a grant under 
     subsection (a) to carry out educational and motivational 
     activities that help young people--
       (1) gain knowledge about the physical, emotional, 
     biological, and hormonal changes of adolescence and 
     subsequent stages of human maturation;
       (2) develop the knowledge and skills necessary to ensure 
     and protect their sexual and reproductive health from 
     unintended pregnancy and sexually transmitted disease, 
     including HIV/AIDS throughout their lifespan;
       (3) gain knowledge about the specific involvement and 
     responsibility of males in sexual decision making;
       (4) develop healthy attitudes and values about adolescent 
     growth and development, body image, racial and ethnic 
     diversity, and other related subjects;
       (5) develop and practice healthy life skills, including 
     goal-setting, decision making, negotiation, communication, 
     and stress management;
       (6) promote self-esteem and positive interpersonal skills 
     focusing on relationship dynamics, including friendships, 
     dating, romantic involvement, marriage and family 
     interactions; and
       (7) prepare for the adult world by focusing on educational 
     and career success, including developing skills for 
     employment preparation, job seeking, independent living, 
     financial self-sufficiency, and workplace productivity.

     SEC. 803. SENSE OF CONGRESS.

       It is the sense of Congress that while States are not 
     required under this title to provide matching funds, with 
     respect to grants authorized under section 802(a), they are 
     encouraged to do so.

     SEC. 804. EVALUATION OF PROGRAMS.

       (a) In General.--For the purpose of evaluating the 
     effectiveness of programs of family life education carried 
     out with a grant under section 802, evaluations of such 
     program shall be carried out in accordance with subsections 
     (b) and (c).
       (b) National Evaluation.--
       (1) In general.--The Secretary shall provide for a national 
     evaluation of a representative sample of programs of family 
     life education carried out with grants under section 802. A 
     condition for the receipt of such a grant is that the State 
     involved agree to cooperate with the evaluation. The purposes 
     of the national evaluation shall be the determination of--
       (A) the effectiveness of such programs in helping to delay 
     the initiation of sexual intercourse and other high-risk 
     behaviors;
       (B) the effectiveness of such programs in preventing 
     adolescent pregnancy;
       (C) the effectiveness of such programs in preventing 
     sexually transmitted disease, including HIV/AIDS;
       (D) the effectiveness of such programs in increasing 
     contraceptive knowledge and contraceptive behaviors when 
     sexual intercourse occurs; and
       (E) a list of best practices based upon essential 
     programmatic components of evaluated programs that have led 
     to success in subparagraphs (A) through (D).
       (2) Report.--A report providing the results of the national 
     evaluation under paragraph (1) shall be submitted to Congress 
     not later than March 31, 2011, with an interim report 
     provided on an annual basis at the end of each fiscal year.
       (c) Individual State Evaluations.--
       (1) In general.--A condition for the receipt of a grant 
     under section 802 is that the State involved agree to provide 
     for the evaluation of the programs of family education 
     carried out with the grant in accordance with the following:
       (A) The evaluation will be conducted by an external, 
     independent entity.
       (B) The purposes of the evaluation will be the 
     determination of--
       (i) the effectiveness of such programs in helping to delay 
     the initiation of sexual intercourse and other high-risk 
     behaviors;
       (ii) the effectiveness of such programs in preventing 
     adolescent pregnancy;
       (iii) the effectiveness of such programs in preventing 
     sexually transmitted disease, including HIV/AIDS; and
       (iv) the effectiveness of such programs in increasing 
     contraceptive knowledge and contraceptive behaviors when 
     sexual intercourse occurs.
       (2) Use of grant.--A condition for the receipt of a grant 
     under section 802 is that the State involved agree that not 
     more than 10 percent of the grant will be expended for the 
     evaluation under paragraph (1).

     SEC. 805. DEFINITIONS.

       For purposes of this title:
       (1) The term ``eligible State'' means a State that submits 
     to the Secretary an application for a grant under section 802 
     that is in such form, is made in such manner, and contains 
     such agreements, assurances, and information as the Secretary 
     determines to be necessary to carry out this title.
       (2) The term ``HIV/AIDS'' means the human immunodeficiency 
     virus, and includes acquired immune deficiency syndrome.
       (3) The term ``medically accurate'', with respect to 
     information, means information that is supported by research, 
     recognized as accurate and objective by leading medical, 
     psychological, psychiatric, and public health organizations 
     and agencies, and where relevant, published in peer review 
     journals.
       (4) The term ``Secretary'' means the Secretary of Health 
     and Human Services.

     SEC. 806. APPROPRIATIONS.

       (a) In General.--For the purpose of carrying out this 
     title, there are authorized to be appropriated such sums as 
     may be necessary for each of the fiscal years 2008 through 
     2012.
       (b) Allocations.--Of the amounts appropriated under 
     subsection (a) for a fiscal year--
       (1) not more than 7 percent may be used for the 
     administrative expenses of the Secretary in carrying out this 
     title for that fiscal year; and
       (2) not more than 10 percent may be used for the national 
     evaluation under section 804(b).
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