[Congressional Record Volume 155, Number 9 (Thursday, January 15, 2009)]
[Senate]
[Pages S620-S626]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]

      By Mr. CASEY (for himself and Mr. Nelson, of Nebraska):
  S. 270. A bill to provide for programs that reduce the need for 
abortion, help women bear healthy children, and support new parents; to 
the Committee on Health, Education, Labor, and Pensions.
   Mr. CASEY. Mr. President, I rise today to speak about a member of 
the American family for whom we all care, but for whom we don't do 
nearly enough to support: pregnant women.
  I remember the times my wife Terese learned she was pregnant, and 
even though I can never experience it directly, I know through her and 
my sisters that there is one indelible and unforgettable moment when a 
woman finds out she is pregnant. For many women, this is a moment of 
great joy, the miracle of pregnancy. Perhaps it has been long awaited 
or perhaps it is something of a surprise, but it is welcome. Many of 
these women don't need help beyond what their families provide and 
others may receive adequate support within our existing framework of 
programs and services.
  But there is another circumstance that a pregnant woman may face. For 
that woman, the moment of discovery is not a moment of joy. For her, it 
is a moment of terror, or panic or even shame. She may be in a doctor's 
office or clinic or she may be at home. For her, that moment begins a 
crisis in which she feels overwhelmingly and perhaps almost unbearably 
alone. She could be wealthy, middle income or poor, but most likely 
poor. Whatever her income, she feels, very simply, all alone.
  A pregnant woman may have an abusive spouse or boyfriend who is 
tormenting her. She is all alone.
  Another pregnant woman may believe that she cannot support or care 
for a new baby at this point in her life. She is all alone.
  Another woman might believe that her financial situation is so 
precarious that she cannot care for and raise a child. She may feel 
alone and helpless.
  We know that 48 percent of all pregnancies are unintended and, 
excluding miscarriages, 54 percent of unintended pregnancies end in 
abortion. The response ``cannot afford a baby'' is the second most 
frequently cited reason why women choose to have an abortion and 73 
percent of women having abortions cited this reason as a contributing 
factor.
  A woman who is facing the challenges of an unplanned pregnancy that 
may be a crisis for her does not need a lecture from a politician or a 
clinical reminder that she has a simple choice to make. The choice is 
never simple. Never. This woman needs support and love and 
understanding. She needs to be embraced in her time of crisis, not sent 
on her way to deal with it on her own. She needs our help to walk with 
her, not only throughout the nine months of her pregnancy, but also for 
the early months and years of her child's life.
  We in the Congress, in both the House and Senate and both parties, 
need to address this issue in a comprehensive way that meets these 
needs. Some members have initiated good efforts and we should applaud 
and support those efforts, but I believe that neither political party 
is doing enough for pregnant women in America today. While there is 
tremendous disagreement on how we can best do this, there is one 
significant area of common ground--one thing we all agree upon. We all 
want to reduce the number of abortions.
  Many women who have abortions do so very reluctantly, and while 
``choice'' is a term that is widely used in this debate, many women who 
face unplanned pregnancies do not feel they have a genuine choice. That 
is why I am introducing the Pregnant Women Support Act. With this bill, 
it is my fervent hope that a new dialogue--a common ground--will emerge 
on how we can reduce abortions by offering pregnant women real choices:
  This bill will: assist pregnant and parenting teens to finish high 
school and prepare for college or vocational training; help pregnant 
college students stay in school, offering them counseling as well as 
assistance with continuing their education, parenting support and 
classes, and child care assistance.

[[Page S621]]

  It will provide counseling and shelter to pregnant women in abusive 
relationships who may be fearful of continuing a (pregnancy in a crisis 
situation; establish a national toll-free number and public awareness 
campaign to offer women support and knowledge about options and 
resources available to them when they face an unplanned pregnancy; give 
women free sonogram examinations by providing grants for the purchase 
of ultrasound equipment; provide parents with information about genetic 
disability testing, including support for parents who receive a 
diagnosis of Down Syndrome; ensure that pregnant women receive prenatal 
and postnatal care by eliminating pregnancy as a pre-existing condition 
in the individual healthcare market and also eliminating waiting 
periods for women with prior coverage; increase funding for nurse home 
visitation for pregnant and first time mothers. One example of this is 
the Nurse-Family Partnership, an evidence-based program and national 
model in which nurses mentor young first-time and primarily low-income 
mothers, establishing a supportive relationship with both mother and 
child.
  Studies have shown this program to be both cost effective and hugely 
successful in terms of life outcomes for both mothers and children; 
increase funding for the Women, Infants and Children Program, providing 
nutrition assessment, counseling and education, obesity prevention, 
breastfeeding support, prenatal and pediatric health care referrals, 
immunization screening and referral, and a host of other services for 
mothers and children; expand nutritional support for low-income parents 
by increasing the income eligibility level for food stamps; increase 
funding for the Child Care and Development Block Grant, the primary 
source of federal funding for child care assistance for low-income 
parents.
   I introduce this bill with the deepest conviction that we can find 
common ground. I believe that we can transform this debate by focusing 
upon the issues that unite us, not the issues that divide us. It's well 
known where I stand on these issues. I am a pro-life Democrat. I 
believe that life begins at conception and ends when we draw our last 
breath. I believe that the role of government is to protect, enrich, 
and value life for everyone, at every moment, from beginning to end. 
And I believe that we as a nation have to do more to support women and 
their children when they are most vulnerable--during pregnancy and 
early childhood.
  I support family planning programs because they avoid what can be a 
dark moment, when a woman, often alone, faces a pregnancy she feels she 
can't handle. I support family planning programs precisely because they 
reduce abortions. But that is not the issue I address today. Today, 
with this bill, I am focused on the woman who is pregnant and I am 
asking a question we should all be asking: ``What more can I do?'' 
``What more can we do for pregnant women who need our help?''
  I believe there is more common ground in America than we might 
realize--if only we focus on how we can truly help and support women 
who wish to carry their pregnancies to term and how we can give them 
and their babies what they really need to begin healthy and productive 
lives together.
  For the past 35 years, the abortion issue has been used mostly as a 
way to divide people, even as the number of abortions remains 
unacceptably high. We have to find a better way. I believe the Pregnant 
Women Support Act is part of that better way. We must work toward real 
solutions to the issue of abortion by targeting the underlying factors 
that often lead women to have abortions. This is precisely what the 
Pregnant Women Support Act will do.
  We need to walk in solidarity with pregnant women who face unplanned 
pregnancies and who need our support and help, not our judgment. That 
is exactly what this bill does for that woman who finds herself alone 
as she faces what may be the most difficult experience of her entire 
life: the woman who has no one to turn to for advice, for counsel, for 
support. I truly believe there are few things more terrifying than the 
prospect of supporting another human being when you have no support of 
your own.
  Reducing the number of abortions should not be a partisan issue. It 
should not pit Democrats against Republicans. I seek. common ground. I 
ask my colleagues on both sides of the aisle to join me in seeking real 
solutions that will unite us in providing life with dignity, before and 
after birth, for pregnant women, mothers and children. Surely we must 
all agree that no woman should ever have to face the crisis of an 
unplanned pregnancy alone.
  Mr. President, I ask unanimous consent that the text of the bill be 
printed in the Record.
  Mr. President, I ask unanimous consent that the text of the bill be 
printed in the Record.

                                 S. 270

       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 ``Pregnant 
     Women Support 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.
Sec. 3. Definitions.

  TITLE I--PUBLIC AWARENESS AND ASSISTANCE FOR PREGNANT WOMEN AND NEW 
                                PARENTS

Sec. 101. Grants for increasing public awareness of resources available 
              to assist pregnant women in carrying their pregnancies to 
              term and to assist new parents.

      TITLE II--INCREASING WOMEN'S KNOWLEDGE ABOUT THEIR PREGNANCY

Sec. 201. Grants to health centers for purchase of ultrasound 
              equipment.

            TITLE III--PREGNANCY AS A PREEXISTING CONDITION

Sec. 301. Individual health insurance coverage for pregnant women.
Sec. 302. Continuation of health insurance coverage for newborns.

  TITLE IV--MEDICAID AND SCHIP COVERAGE OF PREGNANT WOMEN AND UNBORN 
                                CHILDREN

Sec. 401. Treatment of unborn children.
Sec. 402. Coordination with the maternal and child health program.

        TITLE V--DISCLOSURE OF INFORMATION ON ABORTION SERVICES

Sec. 501. Disclosure of information on abortion services.

  TITLE VI--SERVICES TO PATIENTS RECEIVING POSITIVE TEST DIAGNOSIS OF 
         DOWN SYNDROME OR OTHER PRENATALLY DIAGNOSED CONDITIONS

Sec. 601. Services to patients receiving positive test diagnosis for 
              down syndrome or other prenatally diagnosed conditions.

     TITLE VII--SUPPORT FOR PREGNANT AND PARENTING COLLEGE STUDENTS

Sec. 701. Sense of Congress.
Sec. 702. Definitions.
Sec. 703. Pregnant and parenting student services pilot program.
Sec. 704. Application; number of grants.
Sec. 705. Matching Requirement.
Sec. 706. Use of funds.
Sec. 707. Reporting.
Sec. 708. Authorization of appropriations.

          TITLE VIII--SUPPORT FOR PREGNANT AND PARENTING TEENS

Sec. 801. Grants to States.

  TITLE IX--IMPROVING SERVICES FOR PREGNANT WOMEN WHO ARE VICTIMS OF 
            DOMESTIC VIOLENCE, DATING VIOLENCE, AND STALKING

Sec. 901. Findings.
Sec. 902. Program to support pregnant women who are victims of domestic 
              violence.
Sec. 903. Homicide death certificates of certain female victims.

TITLE X--LIFE SUPPORT CENTERS FOR PREGNANT WOMEN, MOTHERS, AND CHILDREN

Sec. 1001. Life support centers pilot program.

               TITLE XI--PROVIDING SUPPORT TO NEW PARENTS

Sec. 1101. Increased support for WIC program.
Sec. 1102. Nutritional support for low-income parents.
Sec. 1103. Increased funding for the Child Care and Development Block 
              Grant program.
Sec. 1104. Teenage or first-time mothers; free home visits by 
              registered nurses for education on health needs of 
              infants.

           TITLE XII--COLLECTING AND REPORTING ABORTION DATA

Sec. 1201. Grants for collection and reporting of abortion data.

     SEC. 2. FINDINGS.

       The Congress finds as follows:
       (1) In 2004, 839,226 abortions were reported to the Centers 
     for Disease Control and Prevention.
       (2) 48 percent of all pregnancies in America are 
     unintended. Excluding miscarriages, 54 percent of unintended 
     pregnancies end in abortion.
       (3) 57 percent of women who have abortions have incomes 
     below 200 percent of the poverty level.
       (4) ``Cannot afford a baby'' is the second most frequently 
     cited reason women choose

[[Page S622]]

     to have an abortion; 73 percent of women having abortions 
     cited this reason as a contributing factor.
       (5) This Act is an initiative to gather more complete 
     information about abortion, to reduce the abortion rate by 
     helping women carry their pregnancies to term and bear 
     healthy children, and by affirming the right of women to be 
     fully informed about their other options when they seek an 
     abortion.
       (6) The initiative will work to support women facing 
     unplanned pregnancies, new parents and their children by 
     providing comprehensive measures for health care needs, 
     supportive services and helpful prenatal information and 
     postnatal services.

     SEC. 3. DEFINITIONS.

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

  TITLE I--PUBLIC AWARENESS AND ASSISTANCE FOR PREGNANT WOMEN AND NEW 
                                PARENTS

     SEC. 101. GRANTS FOR INCREASING PUBLIC AWARENESS OF RESOURCES 
                   AVAILABLE TO ASSIST PREGNANT WOMEN IN CARRYING 
                   THEIR PREGNANCIES TO TERM AND TO ASSIST NEW 
                   PARENTS.

       (a) Grants.--The Secretary may make grants to States to 
     increase public awareness of resources available to pregnant 
     women to carry their pregnancy to term and to new parents.
       (b) Use of Funds.--The Secretary may make a grant to a 
     State under this section only if the State agrees to use the 
     grant for the following:
       (1) Identification of resources available to assist 
     pregnant women to carry their pregnancy to term or to assist 
     new parents, or both.
       (2) Conducting an advertising campaign to increase public 
     awareness of such resources.
       (3) Establishing and maintaining a toll-free telephone line 
     to direct people to--
       (A) organizations that provide support services for 
     pregnant women to carry their pregnancy to term;
       (B) adoption centers; and
       (C) organizations that provide support services to new 
     parents.
       (c) Prohibition.--The Secretary shall prohibit each State 
     receiving a grant under this section from using the grant to 
     direct people to an organization or adoption center that is 
     for-profit.
       (d) Identification of Resources.--The Secretary shall 
     require each State receiving a grant under this section to 
     make publicly available by means of the Internet (electronic 
     and paper form) a list of the following:
       (1) The resources identified pursuant to subsection (b)(1).
       (2) The organizations and adoption centers to which people 
     are directed pursuant to an advertising campaign or telephone 
     line funded under this section.
       (e) Authorization of Appropriations.--The Secretary shall 
     make such funds available as may be necessary to carry out 
     the activities of this section.

      TITLE II--INCREASING WOMEN'S KNOWLEDGE ABOUT THEIR PREGNANCY

     SEC. 201. GRANTS TO HEALTH CENTERS FOR PURCHASE OF ULTRASOUND 
                   EQUIPMENT.

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

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

       ``(a) In General.--The Secretary may make grants for the 
     purchase of ultrasound equipment. Such ultrasound equipment 
     shall be used by the recipients of such grants to provide, 
     under the direction and supervision of a licensed medical 
     physician, ultrasound examinations to pregnant women 
     consenting to such services.
       ``(b) Eligibility Requirements.--An entity may receive a 
     grant under subsection (a) only if the entity meets the 
     following conditions:
       ``(1) The entity is a health center eligible to receive a 
     grant under section 330 (relating to community health 
     centers, migrant health centers, homeless health centers, and 
     public-housing health centers).
       ``(2) The entity agrees to comply with the following 
     medical procedures:
       ``(A) The entity will inform each pregnant woman upon whom 
     the ultrasound equipment is used that she has the right to 
     view the visual image of the unborn child from the ultrasound 
     examination and that she has the right to hear a general 
     anatomical and physiological description of the 
     characteristics of the unborn child.
       ``(B) The entity will inform each pregnant woman that she 
     has the right to learn, according to the best medical 
     judgment of the physician performing the ultrasound 
     examination or the physician's agent performing such exam, 
     the approximate age of the embryo or unborn child considering 
     the number of weeks elapsed from the probable time of the 
     conception of the embryo or unborn child, based upon the 
     information provided by the client as to the time of her last 
     menstrual period, her medical history, a physical 
     examination, or appropriate laboratory tests.
       ``(c) Application for Grant.--A grant may be made under 
     subsection (a) only if an application for the grant is 
     submitted to the Secretary and the application is in such 
     form, is made in such manner, and contains such agreements, 
     assurances, and information as the Secretary determines to be 
     necessary to carry out this section.
       ``(d) Annual Report to Secretary.--A grant may be made 
     under subsection (a) only if the applicant for the grant 
     agrees to report on an annual basis to the Secretary, in such 
     form and manner as the Secretary may require, on the ongoing 
     compliance of the applicant with the eligibility conditions 
     established in subsection (b).
       ``(e) Authorization of Appropriations.--For the purpose of 
     carrying out this section, there are authorized to be 
     appropriated $3,000,000 for fiscal year 2010, and such sums 
     as may be necessary for each of the fiscal years 2011 through 
     2014.''.

            TITLE III--PREGNANCY AS A PREEXISTING CONDITION

     SEC. 301. INDIVIDUAL HEALTH INSURANCE COVERAGE FOR PREGNANT 
                   WOMEN.

       (a) Limitation on Imposition of Pre-Existing Condition 
     Exclusions and Waiting Periods for Women With Prior 
     Coverage.--Title XXVII of the Public Health Service Act (42 
     U.S.C. 300gg et seq.) is amended by inserting after section 
     2753 the following new section:

     ``SEC. 2754. PROVIDING INDIVIDUAL HEALTH INSURANCE COVERAGE 
                   WITHOUT REGARD TO PREEXISTING CONDITION 
                   EXCLUSION AND WAITING PERIODS FOR PREGNANT 
                   WOMEN WITHIN ONE YEAR OF CONTINUOUS PRIOR 
                   COVERAGE.

       ``In the case of a woman who has had at least 12 months of 
     creditable coverage before seeking individual health 
     insurance coverage, such individual health insurance 
     coverage, and the health insurance issuer offering such 
     coverage, may not impose any preexisting condition exclusion 
     relating to pregnancy as a preexisting condition, any waiting 
     period, or otherwise discriminate in coverage or premiums 
     against the woman on the basis that she is pregnant.''.
       (b) Effective Date.--The amendment made by subsection (a) 
     shall take effect on October 1, 2009, and shall apply to 
     women who become pregnant on or after such date.

     SEC. 302. CONTINUATION OF HEALTH INSURANCE COVERAGE FOR 
                   NEWBORNS.

       (a) Group Health Plan Coverage.--Title XXVII of the Public 
     Health Service Act (42 U.S.C. 300gg et seq.) is amended by 
     inserting after section 2707 the following new section:

     ``SEC. 2708. CONTINUATION OF COVERAGE FOR NEWBORNS.

       ``(a) Notification.--In the case of a pregnant woman who is 
     covered under a group health plan, or under group health 
     insurance coverage, for other than family coverage, the plan 
     or issuer of the insurance shall provide notice to the woman 
     during the 5th month of pregnancy, during the 8th month of 
     pregnancy, and within 2 weeks after delivery, of the woman's 
     option to provide continuing coverage of the newborn child 
     under the group health plan or health insurance coverage 
     under subsection (b).
       ``(b) Option of Continued Coverage for Newborns.--In the 
     case of a pregnant woman described in subsection (a) who has 
     a newborn child under a group health plan or under group 
     health insurance coverage, the plan or issuer offering the 
     coverage shall provide the woman with the option of electing 
     coverage of the newborn child at least through the end of the 
     30-day period beginning on the date of birth of the child and 
     no waiting period or preexisting condition exclusion shall 
     apply with respect to the coverage of such a newborn child 
     under such plan or coverage. Such continuation coverage shall 
     remain in effect, subject to payment of applicable premiums, 
     for at least such period as the Secretary specifies.''.
       (b) Individual Health Insurance Coverage.--Such title is 
     further amended by inserting after section 2754, as added by 
     section 301, the following new section:

     ``SEC. 2755. CONTINUATION OF COVERAGE FOR NEWBORNS.

       ``The provisions of section 2708 shall apply with respect 
     to individual health insurance coverage and the issuer of 
     such coverage in the same manner as they apply to group 
     health insurance coverage and the issuer of such coverage.''.
       (c) Effective Date.--The amendments made by this section 
     shall take effect on January 1, 2010, and shall apply to 
     women who become pregnant on or after such date and children 
     who are born of such women.

  TITLE IV--MEDICAID AND SCHIP COVERAGE OF PREGNANT WOMEN AND UNBORN 
                                CHILDREN

     SEC. 401. TREATMENT OF UNBORN CHILDREN.

       (a) Codification of Current Regulations.--Section 
     2110(c)(1) (42 U.S.C. 1397(c)(1)) is amended by striking the 
     period at the end and inserting the following: ``, and 
     includes, at the option of a State, an unborn child.''.
       (b) Clarifications Regarding Coverage of Mothers.--Section 
     2103 (42 U.S.C. 1397cc) is amended by adding at the end the 
     following new subsection:
       ``(g) Clarifications Regarding Authority to Provide 
     Postpartum Services and Maternal Health Care.--Any State that 
     provides child health assistance to an unborn child under the 
     option described in section 2110(c)(1) may--
       ``(1) continue to provide such assistance to the mother, as 
     well as postpartum services, through the end of the month in 
     which the

[[Page S623]]

     60-day period (beginning on the last day of pregnancy) ends; 
     and
       ``(2) in the interest of the child to be born, have 
     flexibility in defining and providing services to benefit 
     either the mother or unborn child consistent with the health 
     of both.''.

     SEC. 402. COORDINATION WITH THE MATERNAL AND CHILD HEALTH 
                   PROGRAM.

       (a) In General.--Section 2102(b)(3) of the Social Security 
     Act (42 U.S.C. 1397bb(b)(3)) is amended--
       (1) in subparagraph (D), by striking ``and'' at the end;
       (2) in subparagraph (E), by striking the period and 
     inserting ``; and''; and
       (3) by adding at the end the following new subparagraph:
       ``(F) that operations and activities under this title are 
     developed and implemented in consultation and coordination 
     with the program operated by the State under title V in areas 
     including outreach and enrollment, benefits and services, 
     service delivery standards, public health and social service 
     agency relationships, and quality assurance and data 
     reporting.''.
       (b) Conforming Medicaid Amendment.--Section 1902(a)(11) of 
     such Act (42 U.S.C. 1396a(a)(11)) is amended--
       (1) by striking ``and'' before ``(C)''; and
       (2) by inserting before the semicolon at the end the 
     following: ``, and (D) provide that operations and activities 
     under this title are developed and implemented in 
     consultation and coordination with the program operated by 
     the State under title V in areas including outreach and 
     enrollment, benefits and services, service delivery 
     standards, public health and social service agency 
     relationships, and quality assurance and data reporting''.
       (c) Effective Date.--The amendments made by this section 
     take effect on October 1, 2009.

        TITLE V--DISCLOSURE OF INFORMATION ON ABORTION SERVICES

     SEC. 501. DISCLOSURE OF INFORMATION ON ABORTION SERVICES.

       (a) In General.--Health facilities that perform abortions 
     in or affecting interstate commerce shall obtain informed 
     consent from the pregnant woman seeking to have the abortion. 
     Informed consent shall exist only after a woman has 
     voluntarily completed or opted not to complete pre-abortion 
     counseling sessions.
       (b) Accurate Information.--Counseling sessions under 
     subsection (a) shall include the following information:
       (1) The probable gestational age and characteristics of the 
     unborn child at the time the abortion will be performed.
       (2) How the abortion procedure is performed.
       (3) Possible short-term and long-term risks and 
     complications of the procedure to be performed.
       (4) Options or alternatives to abortion, including, but not 
     limited to, adoption, and the resources available in the 
     community to assist women choosing these options.
       (5) The availability of post-procedure medical services to 
     address the risks and complications of the procedure.
       (c) Exception.--This section shall not apply when the 
     pregnant woman is herself incapable, under State law, of 
     making medical decisions. This section does not affect or 
     modify any requirement under State law for making medical 
     decisions for such patients.
       (d) Civil Remedies.--
       (1) Civil action.--Any female upon whom an abortion has 
     been performed or attempted without complying with the 
     informed consent requirements may bring a civil action in an 
     appropriate district court of the United States against the 
     person who performed the abortion in knowing or reckless 
     violation of this section for actual and punitive damages.
       (2) Certain authorities and requirements.--With respect to 
     an action under paragraph (1):
       (A) The court may award attorney's fees to the plaintiff if 
     judgment is rendered in favor of the plaintiff, and may award 
     attorney's fees to the defendant if judgment is rendered in 
     favor of the defendant and the court finds that the 
     plaintiff's case was frivolous and brought in bad faith.
       (B) The court shall determine whether the anonymity of the 
     female involved will be preserved from public disclosure if 
     the female has not consented to her identity being disclosed. 
     If the female's identity is to be shielded, the court shall 
     issue an order sealing the record and excluding individuals 
     from the courtroom to preserve her identity.
       (C) In the absence of the female's written consent, anyone 
     other than a public official who brings the action shall do 
     so under a pseudonym.
       (3) Rule of construction.--Nothing in this subsection may 
     be construed to conceal the identity of the plaintiff or of 
     the witnesses from the defendant.
       (e) Severability.--If any provision of this section 
     requiring informed consent for abortions is found 
     unconstitutional, the unconstitutional provision is severable 
     and the other provisions of this section remain in effect.
       (f) Preemption.--Nothing in this section shall prevent a 
     State from enacting and enforcing additional requirements 
     with respect to informed consent.

  TITLE VI--SERVICES TO PATIENTS RECEIVING POSITIVE TEST DIAGNOSIS OF 
         DOWN SYNDROME OR OTHER PRENATALLY DIAGNOSED CONDITIONS

     SEC. 601. SERVICES TO PATIENTS RECEIVING POSITIVE TEST 
                   DIAGNOSIS FOR DOWN SYNDROME OR OTHER PRENATALLY 
                   DIAGNOSED CONDITIONS.

       (a) Findings and Purposes.--
       (1) Findings.--The Congress finds as follows:
       (A) Pregnant women who choose to undergo prenatal genetic 
     testing should have access to timely, scientific, and 
     nondirective counseling about the conditions being tested for 
     and the accuracy of such tests, from health care 
     professionals qualified to provide and interpret these tests. 
     Informed consent is a critical component of all genetic 
     testing.
       (B) A recent, peer-reviewed study and two reports from the 
     Centers for Disease Control and Prevention on prenatal 
     testing found a deficiency in the data needed to understand 
     the epidemiology of prenatally diagnosed conditions, to 
     monitor trends accurately, and to increase the effectiveness 
     of health intervention.
       (2) Purposes.--It is the purpose of this section, after the 
     diagnosis of an unborn child with Down syndrome or other 
     prenatally diagnosed conditions, to--
       (A) increase patient referrals to providers of key support 
     services to assist parents in the care, or placement for 
     adoption, of a child with Down syndrome, or other prenatally 
     diagnosed conditions, as well as to provide up-to-date, 
     science-based information about life-expectancy and 
     development potential for a child born with Down syndrome or 
     other prenatally diagnosed condition;
       (B) provide networks of support services described in 
     subparagraph (A) through a Centers for Disease Control and 
     Prevention patient and provider outreach program;
       (C) improve available data by incorporating information 
     directly revealed by prenatal testing into existing State-
     based surveillance programs for birth defects and prenatally 
     diagnosed conditions; and
       (D) ensure that patients receive up-to-date, scientific 
     information about the accuracy of the test.
       (b) Amendment to the Public Health Service Act.--Part P of 
     title III of the Public Health Service Act (42 U.S.C. 280g et 
     seq.) is amended by adding at the end the following:

     ``SEC. 399U. SUPPORT FOR PATIENTS RECEIVING A POSITIVE TEST 
                   DIAGNOSIS OF DOWN SYNDROME OR OTHER PRENATALLY 
                   DIAGNOSED CONDITIONS.

       ``(a) Definitions.--In this section:
       ``(1) Down syndrome.--The term `Down syndrome' refers to a 
     chromosomal disorder caused by an error in cell division that 
     results in the presence of an extra whole or partial copy of 
     chromosome 21.
       ``(2) Health care provider.--The term `health care 
     provider' means any person or entity required by State or 
     Federal law or regulation to be licensed, registered, or 
     certified to provide health care services, and who is so 
     licensed, registered, or certified.
       ``(3) Prenatally diagnosed condition.--The term `prenatally 
     diagnosed condition' means any fetal health condition 
     identified by prenatal genetic testing or prenatal screening 
     procedures.
       ``(4) Prenatal test.--The term `prenatal test' means 
     diagnostic or screening tests offered to pregnant women 
     seeking routine prenatal care that are administered by a 
     health care provider based on medical history, family 
     background, ethnic background, previous test results, or 
     other risk factors.
       ``(5) Support.--The terms `support' and `supportive 
     services' mean services to assist parents to care for, and 
     prepare to care for, a child with Down Syndrome or another 
     prenatally diagnosed condition, and to facilitate the 
     adoption of such children as appropriate.
       ``(b) Information and Support Services.--The Secretary, 
     acting through the Director of the National Institutes of 
     Health, the Director of the Centers for Disease Control and 
     Prevention, or the Administrator of the Health Resources and 
     Services Administration, may authorize and oversee certain 
     activities, including the awarding of grants, contracts, or 
     cooperative agreements, to--
       ``(1) collect, synthesize, and disseminate current 
     scientific information relating to Down syndrome or other 
     prenatally diagnosed conditions;
       ``(2) coordinate the provision of, and access to, new or 
     existing supportive services for patients receiving a 
     positive test diagnosis for Down syndrome or other prenatally 
     diagnosed conditions, including--
       ``(A) the establishment of a resource telephone hotline and 
     Internet Website accessible to patients receiving a positive 
     test result;
       ``(B) the establishment of national and local peer-support 
     programs; and
       ``(C) the establishment of a national registry, or network 
     of local registries, of families willing to adopt newborns 
     with Down syndrome or other prenatally diagnosed conditions, 
     and links to adoption agencies willing to place babies with 
     Down syndrome or other prenatally diagnosed conditions, with 
     families willing to adopt;
       ``(3) establish a clearinghouse of information regarding 
     the scientific facts, clinical course, life expectancy, and 
     development potential relating to Down syndrome or other 
     prenatally diagnosed conditions; and
       ``(4) establish awareness and education programs for health 
     care providers who provide

[[Page S624]]

     the results of prenatal tests for Down syndrome or other 
     prenatally diagnosed conditions, to patients, consistent with 
     the purpose described in section 601(a)(2)(A) of the Pregnant 
     Women Support Act.
       ``(c) Data Collection.--
       ``(1) Provision of assistance.--The Secretary, acting 
     through the Director of the Centers for Disease Control and 
     Prevention, shall provide assistance to State and local 
     health departments to integrate the results of prenatal 
     testing into State-based vital statistics and birth defects 
     surveillance programs.
       ``(2) Activities.--The Secretary shall ensure that 
     activities carried out under paragraph (1) are sufficient to 
     extract population-level data relating to national rates and 
     results of prenatal testing.
       ``(d) Provision of Information by Providers.--Upon receipt 
     of a positive test result from a prenatal test for Down 
     syndrome or other prenatally diagnosed conditions performed 
     on a patient, the health care provider involved (or his or 
     her designee) shall provide the patient with the following:
       ``(1) Up-to-date, scientific, written information 
     concerning the life expectancy, clinical course, and 
     intellectual and functional development and treatment options 
     for an unborn child diagnosed with or child born with Down 
     syndrome or other prenatally diagnosed conditions.
       ``(2) Referral to supportive services providers, including 
     information hotlines specific to Down syndrome or other 
     prenatally diagnosed conditions, resource centers or 
     clearinghouses, and other education and support programs 
     described in subsection (b).
       ``(e) Privacy.--
       ``(1) In general.--Notwithstanding subsections (c) and (d), 
     nothing in this section shall be construed to permit or 
     require the collection, maintenance, or transmission, without 
     the health care provider obtaining the prior, written consent 
     of the patient, of--
       ``(A) health information or data that identify a patient, 
     or with respect to which there is a reasonable basis to 
     believe the information could be used to identify the patient 
     (including a patient's name, address, healthcare provider, or 
     hospital); and
       ``(B) data that are not related to the epidemiology of the 
     condition being tested for.
       ``(2) Guidance.--Not later than 180 days after the date of 
     enactment of this section, the Secretary shall establish 
     guidelines concerning the implementation of paragraph (1) and 
     subsection (d).
       ``(f) Reports.--
       ``(1) Implementation report.--Not later than 2 years after 
     the date of enactment of this section, and every 2 years 
     thereafter, the Secretary shall submit a report to Congress 
     concerning the implementation of the guidelines described in 
     subsection (e)(2).
       ``(2) GAO report.--Not later than 1 year after the date of 
     enactment of this section, the Government Accountability 
     Office shall submit a report to Congress concerning the 
     effectiveness of current healthcare and family support 
     programs serving as resources for the families of children 
     with disabilities.
       ``(g) Authorization of Appropriations.--There is authorized 
     to be appropriated to carry out this section $5,000,000 for 
     each of the fiscal years 2010 through 2014.''.

     TITLE VII--SUPPORT FOR PREGNANT AND PARENTING COLLEGE STUDENTS

     SEC. 701. SENSE OF CONGRESS.

       It is the sense of Congress that--
       (1) pregnant college students should not have to make a 
     choice between keeping their baby and staying in school;
       (2) the pilot program under this title will help 
     interested, eligible institutions of higher education 
     establish pregnancy and parenting student services offices 
     that will operate independent of Federal funding no later 
     than 5 years after the date of the enactment of this title; 
     and
       (3) amounts appropriated to carry out other Federal 
     programs should be reduced to offset the costs of this title.

     SEC. 702. DEFINITIONS.

       In this title:
       (1) Eligible institution of higher education.--The term 
     ``eligible institution of higher education'' means an 
     institution of higher education (as such term is defined in 
     section 101 of the Higher Education Act of 1965 (20 U.S.C. 
     1001)) that has established and operates, or agrees to 
     establish and operate upon the receipt of a grant under this 
     title, a pregnant and parenting student services office 
     described in section 706.
       (2) Parent; parenting.--The terms ``parent'' and 
     ``parenting'' refer to a parent or legal guardian of a minor.
       (3) Secretary.--The term ``Secretary'' means the Secretary 
     of Education.

     SEC. 703. PREGNANT AND PARENTING STUDENT SERVICES PILOT 
                   PROGRAM.

       From amounts appropriated under section 708 for a fiscal 
     year, the Secretary shall establish a pilot program to award 
     grants to eligible institutions of higher education to enable 
     the eligible institutions to establish (or maintain) and 
     operate pregnant and parenting student services offices in 
     accordance with section 706.

     SEC. 704. APPLICATION; NUMBER OF GRANTS.

       (a) Application.--An eligible institution of higher 
     education that desires to receive a grant under this title 
     shall submit an application to the Secretary at such time, in 
     such manner, and containing such information as the Secretary 
     may require.
       (b) Requests for Additional Information.--The Secretary may 
     require an eligible institution submitting an application 
     under subsection (a) to provide additional information if the 
     Secretary determines such information is necessary to process 
     the application.
       (c) Number of Grants.--Subject to the availability of 
     appropriations under section 708, the Secretary shall award 
     grants under this title to no more than 200 eligible 
     institutions.

     SEC. 705. MATCHING REQUIREMENT.

       An eligible institution of higher education that receives a 
     grant under this title shall contribute to the conduct of the 
     pregnant and parenting student services office supported by 
     the grant an amount from non-Federal funds equal to the 
     amount of the grant. The non-Federal share may be in cash or 
     in kind, fairly evaluated, including services, facilities, 
     supplies, or equipment.

     SEC. 706. USE OF FUNDS.

       (a) In General.--An eligible institution of higher 
     education that receives a grant under this title shall use 
     grant funds to establish (or maintain) and operate a pregnant 
     and parenting student services office, located on the campus 
     of the eligible institution, that carries out the following 
     programs and activities:
       (1) Hosts an initial pregnancy and parenting resource 
     forum--
       (A) to assess pregnancy and parenting resources, located on 
     the campus or within the local community, that are available 
     to meet the needs described in paragraph (2); and
       (B) to set goals for--
       (i) improving such resources for pregnant, parenting, and 
     prospective parenting students; and
       (ii) improving access to such resources.
       (2) Annually assesses the performance of the eligible 
     institution and the office in meeting the following needs of 
     students enrolled in the eligible institution who are 
     pregnant or are parents:
       (A) The inclusion of maternity coverage and the 
     availability of riders for additional family members in 
     student health care.
       (B) Family housing.
       (C) Child care.
       (D) Flexible or alternative academic scheduling, such as 
     telecommuting programs.
       (E) Education to improve parenting skills for mothers and 
     fathers and to strengthen marriages.
       (F) Maternity and baby clothing, baby food (including 
     formula), baby furniture, and similar items to assist parents 
     and prospective parents in meeting the material needs of 
     their children.
       (G) Post-partum counseling and support groups.
       (3) Identifies public and private service providers, 
     located on the campus of the eligible institution or within 
     the local community, that are qualified to meet the needs 
     described in paragraph (2), and establishes programs with 
     qualified providers to meet such needs.
       (4) Assists pregnant and parenting students and their 
     spouses in locating and obtaining services that meet the 
     needs described in paragraph (2).
       (5) If appropriate, provides referrals for prenatal care 
     and delivery, infant or foster care, or adoption, to a 
     student who requests such information. An office shall make 
     such referrals only to service providers that primarily serve 
     the following types of individuals:
       (A) Parents.
       (B) Prospective parents awaiting adoption.
       (C) Women who are pregnant and plan on parenting or placing 
     the child for adoption.
       (D) Parenting or prospective parenting couples who are 
     married or who plan on marrying in order to provide a 
     supportive environment for each other and their child.
       (b) Expanded Services.--In carrying out the programs and 
     activities described in subsection (a), an eligible 
     institution of higher education receiving a grant under this 
     title may choose to provide access to such programs and 
     activities to a pregnant or parenting employee of the 
     eligible institution, and the employee's spouse.

     SEC. 707. REPORTING.

       (a) Annual Report by Institutions.--
       (1) In general.--For each fiscal year that an eligible 
     institution of higher education receives a grant under this 
     title, the eligible institution shall prepare and submit to 
     the Secretary, by the date determined by the Secretary, a 
     report that--
       (A) itemizes the pregnant and parenting student services 
     office's expenditures for the fiscal year;
       (B) contains a review and evaluation of the performance of 
     the office in fulfilling the requirements of this title, 
     using the specific performance criteria or standards 
     established under paragraph (2)(A); and
       (C) describes the achievement of the office in meeting the 
     needs listed in section 706(a)(2) of the students served by 
     the eligible institution, and the frequency of use of the 
     office by such students.
       (2) Performance criteria.--Not later than 180 days before 
     the date the annual report described in paragraph (1) is 
     submitted, the Secretary--
       (A) shall identify the specific performance criteria or 
     standards that shall be used to prepare the report; and
       (B) may establish the form or format of the report.
       (3) Additional information.--After reviewing an annual 
     report of an eligible institution of higher education, the 
     Secretary may require that the eligible institution provide 
     additional information if the Secretary determines that such 
     additional information is necessary to evaluate the pilot 
     program.

[[Page S625]]

       (b) Report by Secretary.--The Secretary shall annually 
     prepare and submit a report on the findings of the pilot 
     program under this title, including the number of eligible 
     institutions of higher education that were awarded grants and 
     the number of students served by each pregnant and parenting 
     student services office receiving funds under this title, to 
     the appropriate committees of the Senate and the House of 
     Representatives.

     SEC. 708. AUTHORIZATION OF APPROPRIATIONS.

       There is authorized to be appropriated to carry out this 
     title not more than $10,000,000 for each of the fiscal years 
     2010 through 2014.

          TITLE VIII--SUPPORT FOR PREGNANT AND PARENTING TEENS

     SEC. 801. GRANTS TO STATES.

       The Secretary shall make grants to States to allow early 
     childhood education programs, including Head Start, to work 
     with pregnant or parenting teens to complete high school and 
     prepare for college or for vocational education.

  TITLE IX--IMPROVING SERVICES FOR PREGNANT WOMEN WHO ARE VICTIMS OF 
            DOMESTIC VIOLENCE, DATING VIOLENCE, AND STALKING

     SEC. 901. FINDINGS.

       The Congress finds as follows:
       (1) Pregnant and recently pregnant women are more likely to 
     be victims of homicide than to die of any other causes, and 
     evidence exists that a significant proportion of all female 
     homicide victims are killed by their intimate partners.
       (2) A 2001 study published by the Journal of the American 
     Medical Association found that murder is the number one cause 
     of death among pregnant women.
       (3) Research suggests that injury-related deaths, including 
     homicide and suicide, account for approximately one-third of 
     all maternal mortality cases, while medical reasons make up 
     the rest. Homicide is the leading cause of death overall for 
     pregnant women, followed by cancer, acute and chronic 
     respiratory conditions, motor vehicle collisions and drug 
     overdose, peripartum and postpartum cardiomyopthy, and 
     suicide.

     SEC. 902. PROGRAM TO SUPPORT PREGNANT WOMEN WHO ARE VICTIMS 
                   OF DOMESTIC VIOLENCE.

       (a) In General.--For fiscal year 2010 and each subsequent 
     fiscal year, the Attorney General, through the Director of 
     the Office on Violence Against Women, may award grants to 
     States, to be used for any of the following purposes:
       (1) To assist States in providing intervention services, 
     accompaniment, and supportive social services for eligible 
     pregnant women who are victims of domestic violence, dating 
     violence, or stalking.
       (2) To provide for technical assistance and training (as 
     described in subsection (c)) relating to violence against 
     eligible pregnant women to be made available to the 
     following:
       (A) Federal, State, tribal, territorial, and local 
     governments, law enforcement agencies, and courts.
       (B) Professionals working in legal, social service, and 
     health care settings.
       (C) Nonprofit organizations.
       (D) Faith-based organizations.
       (b) State Eligibility.--To be eligible for a grant under 
     subsection (a), a State shall--
       (1) submit to the Attorney General an application in such 
     time and manner, and containing such information, as 
     specified by the Attorney General; and
       (2) for a grant made for a fiscal year beginning on or 
     after the date that is one year after the date of the 
     enactment of this title, satisfy the requirement under 
     section 903, relating to female homicide victim 
     determinations and death certificates.
       (c) Technical Assistance and Training Described.--For 
     purposes of subsection (a)(2), technical assistance and 
     training is--
       (1) the identification of eligible pregnant women 
     experiencing domestic violence, dating violence, or stalking;
       (2) the assessment of the immediate and short-term safety 
     of such a pregnant woman, the evaluation of the impact of the 
     violence or stalking on the pregnant woman's health, and the 
     assistance of the pregnant woman in developing a plan aimed 
     at preventing further domestic violence, dating violence, or 
     stalking, as appropriate;
       (3) the maintenance of complete medical or forensic records 
     that include the documentation of any examination, treatment 
     given, and referrals made, recording the location and nature 
     of the pregnant woman's injuries, and the establishment of 
     mechanisms to ensure the privacy and confidentiality of those 
     medical records; and
       (4) the identification and referral of the pregnant woman 
     to appropriate public and private nonprofit entities that 
     provide intervention services, accompaniment, and supportive 
     social services.
       (d) Definitions.--For purposes of this title:
       (1) Accompaniment.--The term ``accompaniment'' means 
     assisting, representing, and accompanying a woman in seeking 
     judicial relief for child support, child custody, restraining 
     orders, and restitution for harm to persons and property, and 
     in filing criminal charges, and may include the payment of 
     court costs and reasonable attorney and witness fees 
     associated therewith.
       (2) Eligible pregnant woman.--The term ``eligible pregnant 
     woman'' means any woman who is pregnant on the date on which 
     such woman becomes a victim of domestic violence, dating 
     violence, or stalking or who was pregnant during the one-year 
     period before such date.
       (3) Intervention services.--The term ``intervention 
     services'' means, with respect to domestic violence, dating 
     violence, or stalking, 24-hour telephone hotline services for 
     police protection and referral to shelters.
       (4) State.--The term ``State'' includes the District of 
     Columbia, any commonwealth, possession, or other territory of 
     the United States, and any Indian tribe or reservation.
       (5) Supportive social services.--The term ``supportive 
     social services'' means transitional and permanent housing, 
     vocational counseling, and individual and group counseling 
     aimed at preventing domestic violence, dating violence, or 
     stalking.
       (6) Violence.--The term ``violence'' means actual violence 
     and the risk or threat of violence.
       (e) Authorization of Appropriations.--For the purpose of 
     making allotments under subsection (a), there are authorized 
     to be appropriated $4,000,000 for each of the fiscal years 
     2010 through 2014.

     SEC. 903. HOMICIDE DEATH CERTIFICATES OF CERTAIN FEMALE 
                   VICTIMS.

       For purposes of section 902(b)(2), the requirement under 
     this section is that not later than the date that is one year 
     after the date of the enactment of this title, a State shall 
     require, with respect to any homicide case initiated after 
     such one-year date and in which the victim is a female of 
     possible child-bearing age, each of the following:
       (1) A determination of which, if any, of the following 
     categories, described the victim:
       (A) The victim was pregnant on the date of her death.
       (B) The victim was not pregnant on the date of her death, 
     but had been pregnant during the 42-day period before such 
     date.
       (C) The victim was not pregnant on the date of her death, 
     but had been pregnant during the period beginning on the date 
     that was one year before such date of her death and ending on 
     the date that was 43 days before such date of her death.
       (D) The victim was not pregnant during the one-year period 
     before the date of her death.
       (E) It could not be determined whether or not the victim 
     had been pregnant during the one-year period before the date 
     of her death.
       (2) The determination made under paragraph (1) shall be 
     included in the death certificate of the victim.

TITLE X--LIFE SUPPORT CENTERS FOR PREGNANT WOMEN, MOTHERS, AND CHILDREN

     SEC. 1001. LIFE SUPPORT CENTERS PILOT PROGRAM.

       (a) In General.--The Secretary shall establish a pilot 
     program to fund comprehensive and supportive services for 
     pregnant women, mothers, and children. Such services may 
     include--
       (1) child care for infants and toddlers to allow mothers to 
     find jobs and finish their education;
       (2) relocation assistance to establish good and stable 
     homes;
       (3) educational support, such as preparation for pregnant 
     and parenting mothers for the recognized equivalent of a 
     secondary school diploma;
       (4) counseling, including adoption counseling;
       (5) parenting classes;
       (6) business skills training;
       (7) emergency aid in times of crisis;
       (8) nutrition education and food assistance; and
       (9) outreach to seniors, many of whom volunteer to help 
     with the children or who receive advice on helping raise 
     their own grandchildren.
       (b) Authorization of Appropriations.--There is authorized 
     to be appropriated to carry out this section no more than 
     $10,000,000 for each of the fiscal years 2010 through 2014.

               TITLE XI--PROVIDING SUPPORT TO NEW PARENTS

     SEC. 1101. INCREASED SUPPORT FOR WIC PROGRAM.

       (a) Findings.--Congress finds the following:
       (1) The special supplemental nutrition program for women, 
     infants, and children (WIC) authorized in section 17 of the 
     Child Nutrition Act of 1966 (42 U.S.C. 1786) served 
     approximately 8,100,000 women, infants, and children per 
     month in fiscal year 2006.
       (2) Half of all infants in the United States and 1 in 4 
     young children under age 5 get crucial health and nutrition 
     benefits from the WIC Program.
       (3) It is estimated that every dollar spent on WIC results 
     in between $1.92 and $4.21 in Medicaid savings for newborns 
     and their mothers.
       (4) The WIC program has been proven to increase the number 
     of women receiving prenatal care, reduce the incidence of low 
     birth weight and fetal mortality, reduce anemia, and enhance 
     the nutritional quality of the diet of mothers and children.
       (5) The WIC program's essential, effective nutrition 
     services include nutrition assessment, counseling and 
     education, obesity prevention, breastfeeding support and 
     promotion, prenatal and pediatric health care referrals and 
     follow-up, spousal and child abuse referral, drug and alcohol 
     abuse referral, immunization screening, assessment and 
     referral, and a host of other services for mothers and 
     children.
       (b) Authorization of Appropriations.--For the purpose of 
     carrying out the special supplemental nutrition program for 
     women, infants, and children (WIC) authorized in section 17 
     of the Child Nutrition Act of 1966 (42

[[Page S626]]

     U.S.C. 1786), there is authorized to be appropriated such 
     sums as may be necessary for each of fiscal years 2010 
     through 2014, of which--
       (1) there is authorized to be appropriated $15,000,000 for 
     fiscal year 2010, and such sums as may be necessary for each 
     of fiscal years 2011 through 2014, for breast-feeding peer 
     counselors; and
       (2) there is authorized to be appropriated $14,000,000 for 
     fiscal year 2010, and such sums as may be necessary for each 
     of fiscal years 2011 through 2014, for infrastructure needs.

     SEC. 1102. NUTRITIONAL SUPPORT FOR LOW-INCOME PARENTS.

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

     SEC. 1103. INCREASED FUNDING FOR THE CHILD CARE AND 
                   DEVELOPMENT BLOCK GRANT PROGRAM.

       (a) Authorization of Appropriations.--Section 658B of the 
     Child Care and Development Block Grant Act of 1990 (42 U.S.C. 
     9858) is amended to read as follows:

     ``SEC. 658B. AUTHORIZATION OF APPROPRIATIONS.

       ``There are authorized to be appropriated to carry out this 
     subchapter $2,350,000,000 for fiscal year 2010 and such sums 
     as may be necessary for fiscal years 2011 through 2014.''.
       (b) Conforming Amendment.--Section 658E(c)(3)(D) of the 
     Child Care and Development Block Grant Act of 1990 (42 U.S.C. 
     9858c(c)(3)(D)) is amended by striking ``1997 through 2002'' 
     and inserting ``2010 through 2014''.

     SEC. 1104. TEENAGE OR FIRST-TIME MOTHERS; FREE HOME VISITS BY 
                   REGISTERED NURSES FOR EDUCATION ON HEALTH NEEDS 
                   OF INFANTS.

       (a) In General.--The Secretary may make grants to local 
     health departments to provide to eligible mothers, without 
     charge, education on the health needs of their infants 
     through visits to their homes by registered nurses.
       (b) Eligible Mother.--
       (1) In general.--For purposes of subsection (a), a woman is 
     an eligible mother if, subject to paragraph (2), the woman--
       (A) is the mother of an infant who is not more than 24 
     months of age; and
       (B)(i) the woman was under the age of 20 at the time of 
     birth; or
       (ii) the infant referred to in subparagraph (A) is the 
     first child of the woman.
       (2) Additional requirements for certain mothers.--In the 
     case of a woman described in paragraph (1)(B)(ii) who is 20 
     years of age or older, the woman is an eligible mother for 
     purposes of subsection (a) only if the woman meets such 
     standards in addition to the applicable standards under 
     paragraph (1) as the local health department involved 
     determines to be appropriate.
       (c) Certain Requirements.--A grant may be made under 
     subsection (a) only if the applicant involved agrees as 
     follows:
       (1) The program carried out under such subsection by the 
     applicant will be designed to instill in eligible mothers 
     confidence in their abilities to provide for the health needs 
     of their newborns, including through--
       (A) providing information on child development; and
       (B) soliciting questions from the mothers.
       (2) The registered nurses who make home visits under 
     subsection (a) will, as needed, provide referrals for health 
     and social services to serve the needs of the newborns.
       (3) The period during which the visits will be available to 
     an eligible mother will not be fewer than six months.
       (d) Authorized Services.--
       (1) Requirements.--A grant may be made under subsection (a) 
     only if the applicant involved agrees that the following 
     services will be provided by registered nurses in home visits 
     under subsection (a):
       (A) Information on child health and development, including 
     suggestions for child-developmental activities that are 
     enjoyable for parents and children.
       (B) Advice on parenting, including information on how to 
     develop a strong parent-child relationship.
       (C) Information on resources about parenting, including 
     identifying books and videos that are available at local 
     libraries.
       (D) Information on upcoming parenting workshops in the 
     local region.
       (E) Information on programs that facilitate parent-to-
     parent support services.
       (F) In the case of an eligible mother who is a student, 
     information on resources that may assist the mother in 
     completing the educational courses involved.
       (2) Additional services.--A grant under subsection (a) may 
     be expended to provide services during home visits under such 
     subsection in addition to the services specified in paragraph 
     (1).
       (e) Authorization of Appropriations.--For the purpose of 
     carrying out this section, there are authorized to be 
     appropriated $3,000,000 for fiscal year 2010, and such sums 
     as may be necessary for each of fiscal years 2011 through 
     2014.

           TITLE XII--COLLECTING AND REPORTING ABORTION DATA

     SEC. 1201. GRANTS FOR COLLECTION AND REPORTING OF ABORTION 
                   DATA.

       (a) Grants.--The Secretary, acting through the Director of 
     the Centers for Disease Control and Prevention, may make 
     grants to States for collecting and reporting abortion 
     surveillance data.
       (b) Reporting Requirement.--
       (1) In general.--The Secretary may make a grant to a State 
     under this section only if the State agrees to submit a 
     report in each of fiscal years 2011 and 2013 on the State's 
     abortion surveillance data.
       (2) Contents.--Each report submitted by a State under this 
     subsection shall, with respect to the preceding 2 fiscal 
     years, include--
       (A) the number and characteristics of women obtaining 
     abortions in the State; and
       (B) the characteristics of these abortions, including the 
     approximate gestational age of the unborn child, the abortion 
     method, and any known physical or psychological 
     complications.
       (3) Personal information.--A report submitted by a State 
     under this subsection shall not contain the name of any woman 
     obtaining or seeking to obtain an abortion, any common 
     identifier (such as a social security number), or any other 
     identifier (including statistical information) that would 
     make it possible to identify in any manner or under any 
     circumstances an individual who has obtained or seeks to 
     obtain an abortion.
       (c) Confidentiality.--The Secretary shall maintain the 
     confidentiality of any individually identifiable information 
     reported to the Secretary under this section.
       (d) Report to Congress.--
       (1) In general.--Not later than the end of fiscal year 
     2013, the Secretary shall submit a report to the Congress on 
     the abortion surveillance data reported to the Secretary 
     under this section.
       (2) Personal information.--A report submitted by the 
     Secretary to the Congress under this subsection shall not 
     contain any name or other identifier described in subsection 
     (b)(3).
       (e) Authorization of Appropriations.--To carry out this 
     section, there are authorized to be appropriated such sums as 
     may be necessary for each of fiscal years 2010 through 2014.
                                 ______