111 HR 3312 IH: Preventing Unintended Pregnancies, Reducing the Need for Abortion, and Supporting Parents Act
U.S. House of Representatives
2009-07-23
text/xml
EN
Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.
1.Short title; table of
contents
(a)This Act may be cited as the Preventing Unintended Pregnancies, Reducing the Need for
Abortion, and Supporting Parents Act
.
(b)The table of contents for this Act is as follows:
Sec. 1. Short title; table of contents.
Sec. 2. Findings; purpose.
Sec. 3. Definitions.
Sec. 4. Eligibility of Indian tribes for awards.
Title I—Education programs for preventing teen
pregnancies
Sec. 101. Findings.
Sec. 102. Education programs for preventing teen
pregnancies.
Title II—Reauthorization of certain after-school
programs
Sec. 201. Findings.
Sec. 202. Reauthorization of certain after-school
programs.
Title III—Teen pregnancy prevention incentive grants
Sec. 301. Teen pregnancy prevention incentive
grants.
Sec. 302. Establishing national goal to prevent teen
pregnancy.
Title IV—Demonstration grants to encourage creative approaches to
teen pregnancy prevention
Sec. 401. Demonstration grants to encourage creative approaches
to teen pregnancy prevention.
Title V—National campaign to enlist parents in preventing teen
pregnancy
Sec. 501. Findings.
Sec. 502. Creating a national initiative to enlist parents of
adolescents in preventing teen pregnancy; provision of challenge grants for
state and local programs.
Title VI—Preventing Unplanned Pregnancy Among Community College
Students
Sec. 601. Findings.
Sec. 602. Demonstration grants to prevent unplanned pregnancy
among community college students.
Title VII—Clarification of continued medicaid coverage of family
planning services
Sec. 701. Clarification of continue Medicaid coverage of family
planning services.
Title VIII—Expanded Medicaid eligibility for family planning
services
Sec. 801. Expand Medicaid eligibility for family planning
services.
Title IX—Medicaid and CHIP coverage of mothers and
children
Sec. 901. Extending postpartum coverage for Medicaid and
CHIP.
Sec. 902. Coordination with the maternal and child health
program.
Sec. 903. Increase in SCHIP income eligibility.
Sec. 904. Outreach program to encourage those eligible for
services to enroll.
Title X—Title X of Public Health Service Act
Sec. 1001. Short title.
Sec. 1002. Authorization of appropriations.
Title XI—Ensuring coverage of maternity care
Sec. 1101. Removal of pregnancy as a preexisting condition
under individual health insurance coverage.
Sec. 1102. Coverage of maternity care in the individual
market.
Title XII—Improving access to prenatal ultrasounds
Sec. 1201. Grants to health centers for purchase of ultrasound
equipment.
Title XIII—Preventing domestic violence and sexual assault and
addressing the link between such violence and unintended pregnancy
Sec. 1301. Findings.
Sec. 1302. Separate program to identify and treat women who are
victims of or at risk of domestic violence, dating violence, sexual assault,
sexual coercion, or stalking.
Sec. 1303. Additional authorization of appropriations for
public campaign to increase public awareness.
Title XIV—Support for pregnant and parenting students
Sec. 1401. Support services for students.
Sec. 1402. Child care access means parents in school
program.
Title XV—Grants for a national information campaign on
adoption
Sec. 1501. Grants for a national information campaign on
adoption.
Title XVI—Expansion of adoption credit and adoption assistance
programs
Sec. 1601. Expansion of adoption credit and adoption assistance
programs.
Title XVII—Providing support to new parents
Sec. 1701. Increased support for WIC program.
Sec. 1702. Nutritional support for low-income
parents.
Sec. 1703. Increased funding for the child care and development
block grant program.
Sec. 1704. Free home visits by trained home visitors for
education on health and developmental needs of infants and toddlers for
low-income families.
Sec. 1705. Grants to increase public awareness of resources
available to new parents.
Title XVIII—Research on responses to unintended
pregnancies
Sec. 1801. Report on responses to unintended
pregnancy.
2.
(a)Congress
makes the following findings:
(1)49 percent of all
pregnancies in America are unintended. Excluding miscarriages, 42 percent of
unintended pregnancies end in abortion.
(2)There are
approximately 1,200,000 abortions annually in America and one in five
pregnancies ends in abortion.
(3)57 percent of
women who have abortions have incomes below 200 percent of the poverty
level.
(4)Rates of
unintended pregnancy in the United States increased by nearly 30 percent among
low-income women between 1994 and 2001, and a low-income woman today is about 4
times as likely to have an unintended pregnancy as her higher income
counterpart.
(5)Levels of
contraceptive use among low-income women at risk of unintended pregnancy
declined significantly between 1994 and 2001, from 92 percent to 86
percent.
(6)By helping couples
avoid unintended pregnancy, Medicaid-funded and title X contraceptive services
are highly cost-effective, and every public dollar spent on family planning
saves $4 in the cost of pregnancy-related care alone.
(7)Abortion rates
decreased among higher income women but increased among low-income women
between 1994 and 2001, and a low-income woman is more than 4 times as likely to
have an abortion as her higher income counterpart.
(8)Most women cite
more than one reason for their decision to have an abortion. The most
frequently cited reasons were: having a baby would dramatically change
my life
(74 percent) by interfering with educational and job prospects
and responsibilities towards existing children and cannot afford a baby
now
(73 percent).
(b)The
purpose of this Act is to provide a comprehensive initiative to—
(1)reduce the need
for abortion by reducing the number of unintended pregnancies and supporting
women facing unplanned pregnancies;
(2)prevent unintended
pregnancies from occurring in the first place—
(A)by reducing teen
pregnancy through comprehensive education, after-school and other programs, and
involving parents; and
(B)by increasing
support for family planning services under title X of the Public Health Service
Act and extending Medicaid family planning services to more low-income women
and men; and
(3)support pregnant
women, new parents, and their children, through measures that address domestic
violence and sexual assault, provide health care services, information about
pregnancy, and other supportive services for pregnant women, and provide
supportive services for new parents.
3.For purposes of this Act:
(1)The term
Secretary means the Secretary of Health and Human Services.
(2)Except as
specified, 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.
4.Eligibility of
Indian tribes for awards
(a)In the case of programs carried out pursuant to this Act
that make awards of grants, cooperative agreements, or contracts, Indian tribes
are eligible for awards under the programs in accordance with such criteria as
the Secretary may establish.
(b)For
purposes of this Act, the term Indian tribe has the meaning given
such term in section 4 of the Indian Self-Determination and Education
Assistance Act (25 U.S.C. 450b).
<enum>I</enum><header>Education programs
for preventing teen pregnancies</header>
<section id="H4A181508CE7F49AB8393B32D6F7BF74A"><enum>101.</enum><header>Findings</header><text display-inline="no-display-inline">The Congress finds as follows:</text>
<paragraph id="H06A1999F1E3E42D4BAA4558F2ED904AC"><enum>(1)</enum><text>The United States
has the highest teen pregnancy rate and teen birth rate among comparable
countries, costing the United States at least $9,000,000,000 annually.</text>
</paragraph><paragraph id="H1E077534F0F84ACDA5FDBFD04A2F9F19"><enum>(2)</enum><text>Three out of ten
young women in America become pregnant before they reach the age of 20.</text>
</paragraph><paragraph id="HF6DC7AA349724F45B37B3A5780708CF9"><enum>(3)</enum><text>According to the
National Center on Health Statistics, the teen birth rate increased 5 percent
between 2005 and 2007, reversing a 14-year decline. Teen birth rates increased
significantly in over half of states, representing nearly every region of the
country.</text>
</paragraph><paragraph id="H05EC4F5EF54B4104B90667DF027457FB"><enum>(4)</enum><text>Teen pregnancy has
serious consequences for young parents, their children, and communities as a
whole. Too-early childbearing increases the likelihood that a young woman will
drop out of high school and that she and her child will live in poverty.</text>
</paragraph><paragraph id="H8535AF2EE32B400DA8EF8F660B514198"><enum>(5)</enum><text>Statistically, the
sons of teen mothers are more likely to be incarcerated. The daughters of teen
mothers are more likely to become teen mothers too.</text>
</paragraph><paragraph id="HCE3557FEC2344F038059E72F054EF263"><enum>(6)</enum><text>Teens that grow up
in disadvantaged economic, social, and family circumstances are more likely to
engage in risky behavior and have a child during adolescence.</text>
</paragraph><paragraph id="H6F30B34A0DB34E3E81AAD90666A7975B"><enum>(7)</enum><text>In a national
survey on teen attitudes towards teen pregnancy, 7 in 10 girls and 6 in 10 boys
report that they wish they had waited until they were older to have sex.</text>
</paragraph><paragraph id="H3E90721BCFF3460185A853C170CEF77C"><enum>(8)</enum><text>Programs
comprehensive in scope are effective in reducing risk behaviors by delaying or
reducing sexual activity, reducing the number of sexual partners or increasing
condom or contraceptive use. Reducing risky behaviors leads to reductions in
unintended pregnancy and abortion and transmission of sexually transmitted
diseases (STDs), including HIV.</text>
</paragraph><paragraph id="H4D945EA2B2854B0EA0D8820B1D22E970"><enum>(9)</enum><text>According to the
results of a 2005–2006 nationally representative survey of U.S. adults, more
than 8 of 10 of those polled support comprehensive education.</text>
</paragraph><paragraph id="HD6D5AB75BD284D3A93F595C878D5BAFD"><enum>(10)</enum><text>Ethnic and racial
minority groups have been disproportionately affected by early pregnancy and
parenthood. Fifty-three percent of Latina teens and 51 percent of
African-American young women will become pregnant at least once before they
turn 20, as compared to only 19 percent of non-Hispanic White young
women.</text>
</paragraph><paragraph id="HFFA97D50F93E40AD892262A0C3802DCA"><enum>(11)</enum><text>Recent estimates
suggest that while 15- to 24-year-olds represent 25 percent of the sexually
active population, they acquire nearly half of all new STIs. Each year, one in
four sexually active teenagers contracts a sexually transmitted
infection.</text>
</paragraph><paragraph id="HA8FFB37E99C24BAC847622522A67310E"><enum>(12)</enum><text>Nearly 15 percent
of the 56,000 annual new cases of HIV infections in the United States occurred
in youth ages 13 through 24 in 2006. An average of one young person every hour
of every day is infected with HIV in the United States.</text>
</paragraph><paragraph id="HD4591DB5D615458292B8707DE81EA87A"><enum>(13)</enum><text>African-American
and Latino youth have been disproportionately affected by the HIV/AIDS
epidemic. Although African-American adolescents ages 13 through 19 represent
only 17 percent of the adolescent population in the United States, they
accounted for 70 percent of new HIV/AIDS cases reported among teens in 2005.
Latino adolescents ages 13 through 19 accounted for 17 percent of AIDS cases
among teens, the same as their proportion of the U.S. population in
2005.</text>
</paragraph><paragraph id="H80331F58A7B1490DA5B4E09D0C161CA9"><enum>(14)</enum><text>Parental
involvement is critical to any healthy relationship program. A major study
showed that adolescents who reported feeling connected to parents and family
were more likely than other teens to delay initiating sexual intercourse.
Another study found that teens who reported previous discussions of sexuality
with parents were seven times more likely to feel able to communicate with a
partner about HIV/AIDS than those who did not have such discussions with their
parents. Parental involvement is a leading protective factor for dating
violence prevention.</text>
</paragraph><paragraph id="HC3B584D1DFFA488F8B8A77494819EB59"><enum>(15)</enum><text>Comprehensive
education programs respect the diversity of values and beliefs represented in
the community and will complement and augment the education children receive
from their families and faith communities.</text>
</paragraph><paragraph id="H4160FCFE3D6E45248E833EDBFB933632"><enum>(16)</enum><text>Incorporating
teen dating violence prevention into health education and comprehensive
education is imperative given the widespread experience of violence in dating
relationships. Approximately one in three teens reports some kind of abuse in a
romantic relationship, including emotional and verbal abuse. Young women who
experience dating violence have sex earlier than their peers; are much less
likely to use birth control; and engage in a wide variety of high-risk
behaviors including multiple partners, sex with older men, and drug and alcohol
abuse. Young women who are victims of dating violence are four to six times
more likely than non-abused girls to become pregnant.</text>
</paragraph></section><section id="HC67F081841E044C29FC97AE22B603A39"><enum>102.</enum><header>Education
programs for preventing teen pregnancies</header>
<subsection id="H2C3D3D99BA474A2492983A6818C503AA"><enum>(a)</enum><header>In
General</header><text>The Secretary shall make grants to local educational
agencies, State and local public health agencies, and nonprofit private
entities for the purpose of carrying out projects to provide comprehensive
education on preventing teen pregnancies.</text>
</subsection><subsection id="HA9E2A98008D54710AC30B9BF3DDB3F38"><enum>(b)</enum><header>Preference in
Making Grants</header><text>In making grants under subsection (a), the
Secretary shall give preference to applicants that will carry out the projects
under such subsection in communities for which the rate of teen pregnancy is
significantly above the average rate of such pregnancies.</text>
</subsection><subsection id="H3BD5F7D69D72490DA0BD41C33BC6B858"><enum>(c)</enum><header>Certain
Requirements</header><text>A grant may be made under subsection (a) only if the
applicant for the grant meets the following conditions with respect to the
project involved:</text>
<paragraph id="HA37BE9C63DA545CF9B0C79B41B90E4AE"><enum>(1)</enum><text>The applicant
agrees that information provided by the project will be age-appropriate,
factually and medically accurate and complete, and scientifically based.</text>
</paragraph><paragraph id="H61E4687B9D634DF4ADC8B4EAC2F36DB1"><enum>(2)</enum><text display-inline="yes-display-inline">The applicant agrees that strategies
replicate or substantially incorporate the elements of one or more
comprehensive education programs that have been proven effective on the basis
of rigorous scientific research to—</text>
<subparagraph id="H6DA8E42F7C384D64BAEF1653152FBBEE"><enum>(A)</enum><text>delay sexual
intercourse or sexual activity;</text>
</subparagraph><subparagraph id="HA9B7FAB0F7B742EA86A964E47EA14FB2"><enum>(B)</enum><text>improve
contraceptive use;</text>
</subparagraph><subparagraph id="HF1668CC0F5464AFBB3F2AE358DC25866"><enum>(C)</enum><text>reduce the number
of partners among those who are sexually active; or</text>
</subparagraph><subparagraph id="H7E964237772D494AB2AE46599B3D22D3"><enum>(D)</enum><text>reduce teenage
pregnancy.</text>
</subparagraph></paragraph><paragraph id="H7F86C09548134D0BAD9A7B338D82C626"><enum>(3)</enum><text>The applicant
agrees that the project will not teach or promote religion.</text>
</paragraph><paragraph id="HAA17771E7F344CB28EDF75A9E7CF7149"><enum>(4)</enum><text>The applicant
agrees that the project will substantially incorporate the following
elements—</text>
<subparagraph id="H2FFF20EFDDF94D76AA15D512B32802B7"><enum>(A)</enum><text>encourage teens to
delay sexual activity;</text>
</subparagraph><subparagraph id="HC35221A2A8AB4C8AB38B9995BCD6DBA7"><enum>(B)</enum><text>provide
comprehensive educational services and interventions, including information
about the risks and benefits of all contraceptives as a means to prevent
pregnancy and reduce the risk of contracting sexually transmitted diseases,
including HIV/AIDS;</text>
</subparagraph><subparagraph id="H98DBA447E4CD4978B5A13867A1DBD205"><enum>(C)</enum><text>educate both young
men and women about the responsibilities and pressures that come along with
parenting;</text>
</subparagraph><subparagraph id="H3C4B5C71F1BB45848F0EA4D146AAC763"><enum>(D)</enum><text>encourage family
communication about sexuality;</text>
</subparagraph><subparagraph id="HF311879F97CE416BBB8EF623A44FF770"><enum>(E)</enum><text>teach young people
the skills to make responsible decisions about sexuality, including how to
avoid unwanted verbal, physical, and sexual advances and how avoid making
unwanted verbal, physical, and sexual advances that are not wanted by the other
party;</text>
</subparagraph><subparagraph id="H20E11F2BE00B466E88BE3F4AC1EFA2B7"><enum>(F)</enum><text>develop healthy
relationships, including the prevention of dating and sexual violence;
and</text>
</subparagraph><subparagraph id="HD34A9FEA6A254FE385229BF105A8EEF7"><enum>(G)</enum><text>teach young people
how alcohol and drug use can affect responsible decisionmaking.</text>
</subparagraph></paragraph></subsection><subsection commented="no" id="H772700878B4244A3941CB2B735328D48"><enum>(d)</enum><header>Optional
Additional Activities</header><text>In carrying out a comprehensive education
program, a grant under this section may be expended to carry out, in addition
to the services specified in subsection (c), educational and motivational
activities that help young people to—</text>
<paragraph commented="no" id="H53F6C4CE08ED4A118EBA9557B19B35A4"><enum>(1)</enum><text>gain knowledge
about the physical, emotional, biological, and hormonal changes of adolescence
and subsequent stages of human maturation;</text>
</paragraph><paragraph commented="no" id="HB5E1242A4DC14013AE67DBF3B524150A"><enum>(2)</enum><text>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;</text>
</paragraph><paragraph commented="no" id="HCADE7F7A8A6A4BE2B8580132E93B653A"><enum>(3)</enum><text>gain knowledge
about the specific involvement and responsibility of each individual in sexual
decision making;</text>
</paragraph><paragraph commented="no" id="HF36EDC410291406890D06EFED4B7D1FF"><enum>(4)</enum><text>develop healthy
attitudes and values about adolescent growth and development, body image,
racial and ethnic diversity, and other related subjects;</text>
</paragraph><paragraph commented="no" id="HD90928E23D7A444B90ACFA02AB3D05B7"><enum>(5)</enum><text>develop and
practice healthy life skills, including goal-setting, decision making,
negotiation, communication, and stress management;</text>
</paragraph><paragraph commented="no" id="H259640FAC913413AB33C84F002F67B0E"><enum>(6)</enum><text>promote
self-esteem and positive interpersonal skills focusing on relationship
dynamics, including, but not limited to, friendships, dating, romantic
involvement, marriage, and family interactions; and</text>
</paragraph><paragraph commented="no" id="H43019FB6894041689B4A2D8932248253"><enum>(7)</enum><text>prepare for the
adult world by focusing on educational and career success, including developing
skills for employment, job seeking, independent living, financial
self-sufficiency, and workplace productivity.</text>
</paragraph></subsection><subsection id="HEAC822767001443ABFDCBF74CBB3344B"><enum>(e)</enum><header>Matching
Funds</header>
<paragraph id="H54CF21BEC5414142A0999BC36CFFC678"><enum>(1)</enum><header>In
general</header><text>With respect to the costs of the project to be carried
out under subsection (a) by an applicant, a grant may be made under such
subsection only if the applicant agrees to make available (directly or through
donations from public or private entities) non-Federal contributions toward
such costs in an amount that is not less than 25 percent of such costs ($1 for
each $3 of Federal funds provided in the grant).</text>
</paragraph><paragraph id="H64C88FFADB0C47C291B39B32E246CF09"><enum>(2)</enum><header>Determination of
amount contributed</header><text>Non-Federal contributions required in
paragraph (1) may be in cash or in kind, fairly evaluated, including plant,
equipment, or services. Amounts provided by the Federal Government, or services
assisted or subsidized to any significant extent by the Federal Government, may
not be included in determining the amount of such non-Federal
contributions.</text>
</paragraph></subsection><subsection id="HA8A7C60AA2674E33BD84D42BE30B7522"><enum>(f)</enum><header>Supplementation
of Funds</header><text>An applicant to which a grant is made under subsection
(a) for a fiscal year shall use the grant to supplement and not supplant funds
that would otherwise be available to the applicant for carrying out the purpose
described in such subsection.</text>
</subsection><subsection id="H66E84E803FC140FAB0E384A508D0A53B"><enum>(g)</enum><header>Data
reporting</header><text>A State to which a grant is made under this paragraph
for a fiscal year shall cooperate with the Secretary to collect information and
report on outcomes of programs funded under the grant, as specified by the
Secretary.</text>
</subsection><subsection id="HAA98331D420C4C3EA185C3ECCD7866C7"><enum>(h)</enum><header>Application for
Grant</header><text>A grant may be made under subsection (a) only if an
application for the grant is submitted to the Secretary and the application is
in such form, is made in such manner, and contains such agreements, assurances,
and information, including the agreement under subsection (e), as the Secretary
determines to be necessary to carry out this section.</text>
</subsection><subsection commented="no" id="H6AF0004F414740C3966867D7E2EE4735"><enum>(i)</enum><header>Evaluation</header>
<paragraph commented="no" id="H2A6E036B3BBA46D0B409E31F5BEADEAA"><enum>(1)</enum><header>In
general</header><text>The Secretary shall commission a random assignment
evaluation conducted by a third party of the programs of a few selected
grantees under this section.</text>
</paragraph><paragraph commented="no" id="H01DF3A5F2EB94FEB98B012FCA930B8EB"><enum>(2)</enum><header>Allocation</header><text>Of
the amount appropriated to carry out this section, the Secretary may use not
more than 10 percent of such amount for the purpose of carrying out clause (i)
for fiscal year 2010. Funds allocated under this paragraph are authorized to be
appropriated to remain available for expenditure through fiscal year
2015.</text>
</paragraph></subsection><subsection id="H99AD83CC51FE469BB949DDA2553CE84F"><enum>(j)</enum><header>Report to
Congress</header><text>Not later than April 1, 2015, the Secretary shall submit
to the Congress a report describing the extent to which projects under
subsection (a) have been successful in reducing teen pregnancy and achieving
other evaluation outcomes in the communities in which the projects have been
carried out.</text>
</subsection><subsection id="HA46A9972093F4EAFBFA3F5D7EE3D2BA4"><enum>(k)</enum><header>Definitions</header><text>For
purposes of this section:</text>
<paragraph id="HE9DD85D0BDDD4140AB03E147C6DF4D08"><enum>(1)</enum><text>The term
<term>age-appropriate</term>, with respect to the information in pregnancy
prevention, means topics, messages, and teaching methods suitable to particular
ages or age groups of children and adolescents, based on developing cognitive,
emotional, and behavioral capacity typical for the age or age group.</text>
</paragraph><paragraph id="H7A7EF47E1BF44167AEEBA7BDC4FBA7B6"><enum>(2)</enum><text>The term
<term>factually and medically accurate and complete</term> means verified or
supported by the weight of research conducted in compliance with accepted
scientific methods and—</text>
<subparagraph id="H4F813D52BE9441E1B59BC82833511506"><enum>(A)</enum><text>published in
peer-reviewed journals, where applicable; or</text>
</subparagraph><subparagraph id="H93DC9E499CD242D6816B4ADC28512384"><enum>(B)</enum><text>comprising
information that leading professional organizations and agencies with relevant
expertise in the field recognize as accurate, objective, and complete.</text>
</subparagraph></paragraph><paragraph id="H0248937534254E229315DC19D9C0676A"><enum>(3)</enum><text>The term
<term>HIV/AIDS</term> means the human immunodeficiency virus, and includes
acquired immune deficiency syndrome.</text>
</paragraph><paragraph id="H71D4C7CC5F5D40AAA7BC0C08F59EFFDA"><enum>(4)</enum><text>The term
<term>local educational agency</term> has the meaning given such term in
section 9101 of the Elementary and Secondary Education Act of 1965 (20 U.S.C.
7801).</text>
</paragraph></subsection><subsection id="H11F4D9D77B1C4329B94AA145B406C232"><enum>(l)</enum><header>Authorization of
Appropriations</header><text>For the purpose of carrying out this section,
there are authorized to be appropriated such sums as may be necessary for each
of fiscal years 2010 through 2015.</text>
</subsection></section><enum>II</enum><header>Reauthorization
of certain after-school programs</header>
<section id="HD724DBB633E147DE9D4FC57AA30C041F"><enum>201.</enum><header>Findings</header><text display-inline="no-display-inline">The Congress finds as follows:</text>
<paragraph id="H69F52B6079694E56BBA9BA85970A76EF"><enum>(1)</enum><text>The likelihood of
teens having sex for the first time increases with the number of unsupervised
hours teens have during a week.</text>
</paragraph><paragraph id="HB77612287DF44CAA93A862B3152E9528"><enum>(2)</enum><text>After-school
programs can reduce teen risky behavior. Teenage girls who play sports, for
instance, are more likely to delay sex and have fewer partners and less likely
to become pregnant.</text>
</paragraph><paragraph id="HF3650A351CB841708A884C19C00792E9"><enum>(3)</enum><text>After-school
programs can help prevent teen pregnancy by advancing good decisionmaking
skills and providing teens with health education and positive role models in a
supervised setting.</text>
</paragraph></section><section id="H2F4B1E86B8004539B4499DB78A907099"><enum>202.</enum><header>Reauthorization
of certain after-school programs</header>
<subsection id="HC3A4263CDAC9450EA60DEC4A222A98A3"><enum>(a)</enum><header>21st Century
Community Learning Centers</header><text>Section 4206 of the Elementary and
Secondary Education Act of 1965 (<external-xref legal-doc="usc" parsable-cite="usc/20/7176">20 U.S.C. 7176</external-xref>) is amended—</text>
<paragraph id="H56D5AA93CFFD41C99BCCA9973A72F029"><enum>(1)</enum><text>in paragraph (5),
by striking <quote>and</quote>;</text>
</paragraph><paragraph id="H0FE524DCA8624C0E84397D6B978B1E67"><enum>(2)</enum><text>in paragraph (6),
by striking the period at the end and inserting a semicolon; and</text>
</paragraph><paragraph id="H526D9CD2319648DBB7F056CDAE63FAFD"><enum>(3)</enum><text>by adding at the
end the following:</text>
<quoted-block id="H99C2057D74E14173B69BC8ABAE019746" style="OLC">
<paragraph id="HDE51B24E6130463DABEA99FD1C9C2DFC"><enum>(7)</enum><text>$2,750,000,000 for
fiscal year 2010; and</text>
</paragraph><paragraph id="H91597DB00AAC4093ACC671FA5BA7B0AB"><enum>(8)</enum><text>$2,750,000,000 for
fiscal year
2011.</text>
</paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></subsection><subsection id="H866DC5AE59C64507810117CC1EED8761"><enum>(b)</enum><header>Carol M. White
Physical Education Program</header><text>Section 5401 of the Elementary and
Secondary Education Act of 1965 (<external-xref legal-doc="usc" parsable-cite="usc/20/7241">20 U.S.C. 7241</external-xref>) is amended by adding at the
end the following:</text>
<quoted-block id="H85FD5A219656408B9953D62F3316BAE4" style="OLC">
<paragraph id="H358210AC522F4E8492225C167C04A5C1"><enum>(7)</enum><text>$755,000,000 for
fiscal year 2010, of which $80,000,000 is for carrying out subpart 10.</text>
</paragraph><paragraph id="H8F9B618A480F4EB09FD95102CD5756C1"><enum>(8)</enum><text>$755,000,000 for
fiscal year 2011, of which $80,000,000 is for carrying out subpart
10.</text>
</paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection><subsection id="H4653A8A3CA584E3681176AEC1019E7B1"><enum>(c)</enum><header>Federal TRIO
Programs</header><text display-inline="yes-display-inline">Section 402A(g) of
the Higher Education Act of 1965 (<external-xref legal-doc="usc" parsable-cite="usc/20/1070a-11">20 U.S.C. 1070a–11(g)</external-xref>) is amended by striking
<quote>$900,000,000 for fiscal year 2009 and such sums as may be necessary for
each of the five succeeding fiscal years</quote> and inserting
<quote>$980,000,000 for fiscal year 2010 and such sums as may be necessary for
each of the 5 succeeding fiscal years</quote>.</text>
</subsection><subsection id="HE494A7158809433989BEB7CC103D7C96"><enum>(d)</enum><header>Gearup</header><text display-inline="yes-display-inline">Section 404H of the Higher Education Act of
1965 (<external-xref legal-doc="usc" parsable-cite="usc/20/1070a-28">20 U.S.C. 1070a–28</external-xref>) is amended by striking <quote>$400,000,000 for fiscal
year 2009 and such sums as may be necessary for each of the five succeeding
fiscal years</quote> and inserting <quote>$450,000,000 for fiscal year 2010 and
such sums as may be necessary for each of the 5 succeeding fiscal
years</quote>.</text>
</subsection></section><enum>III</enum><header>Teen pregnancy
prevention incentive grants</header>
<section id="HAE2E460D2C9B41B180102FE8EABF1D48"><enum>301.</enum><header>Teen pregnancy
prevention incentive grants</header><text display-inline="no-display-inline">Section 403(a)(2) of the Social Security Act
(<external-xref legal-doc="usc" parsable-cite="usc/42/603">42 U.S.C. 603(a)(2)</external-xref>) is amended to read as follows:</text>
<quoted-block id="H58E68AFB10B24AFDB263259B17A679AE" style="OLC">
<paragraph id="H1627B1953FF345F6B6CB955054A2965A"><enum>(2)</enum><header>Incentive grants
to prevent teen pregnancy</header>
<subparagraph id="HF2E819E0B78F444C95A4E19A3AFF2EF2"><enum>(A)</enum><header>Grants to
eligible states</header>
<clause id="H47192A569AA14F6ABD0CCBE86196B825"><enum>(i)</enum><header>In
general</header>
<subclause id="H8A363745B7C646C38F5690888490C58C"><enum>(I)</enum><header>Fiscal year
2010; grants to states with compliant plans</header><text>For fiscal year 2010,
each State that meets the requirements of clause (ii) of this subparagraph
shall be eligible to receive from the Secretary for such year a grant in an
amount determined under subparagraph (B)(i)(I).</text>
</subclause><subclause id="H44FD3549A75C4577A4597C64F9DAD615"><enum>(II)</enum><header>Subsequent
fiscal years; grants to high-achieving states with compliant
plans</header><text>For each of fiscal years 2011 through 2014, each
high-achieving State that meets the requirements of clause (ii) of this
subparagraph shall be eligible to receive from the Secretary for such year a
grant in an amount determined under subparagraph (B)(i)(II).</text>
</subclause><subclause id="HBB543C6DDBD84F7681F3D447D3A9AD32"><enum>(III)</enum><header>High-achieving
state</header><text>In this paragraph, the term <term>high-achieving
State</term>, with respect to a year, means a State which exceeds the national
performance in the teen pregnancy rate.</text>
</subclause></clause><clause id="HAC4B12FF71BA45488BDB4AF8BEE12E5C"><enum>(ii)</enum><header>Submission of
plan; requirements</header><text>A plan meets the requirements of this clause
if the plan describes—</text>
<subclause id="H1DA1E08346D445229AAF585AE4C72CFA"><enum>(I)</enum><text>the State’s
numerical goal for reducing teen pregnancy and teen births;</text>
</subclause><subclause id="HF1351C65F417477E9AFC8FC75C8E42EF"><enum>(II)</enum><text>the strategies to
be used to achieve such goal;</text>
</subclause><subclause id="H75B7C176338248D2B9665E6622739B16"><enum>(III)</enum><text>the efforts the
State will make to involve young men, as well as young women, in delaying
pregnancy and parenting;</text>
</subclause><subclause id="HE69C022D70D84B1E9DD4D9DA4109E569"><enum>(IV)</enum><text>efforts to
involve parents and other caretakers; and</text>
</subclause><subclause id="H6227996758154E2D892178F020ECA5D5"><enum>(V)</enum><text>efforts to reach
communities or populations experiencing rates of teen pregnancy above the State
average.</text>
</subclause></clause><clause id="H54DCFBE25C454BF48C00D65B3E678DA7"><enum>(iii)</enum><header>Set-aside for
grants to Indian tribes</header><text>An amount equal to 1.5 percent of the
amount appropriated under subparagraph (H) for a fiscal year shall be reserved
for awarding grants to Indian tribes under this paragraph in such manner, and
subject to such requirements, as the Secretary, in consultation with such
tribes, determines appropriate.</text>
</clause><clause id="H799D1005B28D484EA20A75A59714E3CF"><enum>(iv)</enum><header>State</header><text>In
this paragraph, the term <term>State</term> means each of the several States of
the United States, the District of Columbia, the Commonwealth of Puerto Rico,
the United States Virgin Islands, Guam, American Samoa, and the Commonwealth of
the Northern Mariana Islands.</text>
</clause></subparagraph><subparagraph id="H73256C4315754C21BED5D4D631FC3F62"><enum>(B)</enum><header>Amount of
grant</header>
<clause id="H7141008048E74512A9E14F081D39C021"><enum>(i)</enum><header>In
general</header><text>The amount of a grant under subparagraph (A)(i) to an
eligible State for a fiscal year shall be the following amount, as
applicable:</text>
<subclause id="H0589DC7DD9A54A98A68007F6CDA859D9"><enum>(I)</enum><text>For fiscal year
2010, the amount that bears the same ratio to the amount appropriated under
subparagraph (H) for the fiscal year as the proportion of births in the State
to teens under age 20 bears to the number of such births in all eligible States
in the most recent year for which data is available.</text>
</subclause><subclause id="H96366A33C1594482B679B7542BB54570"><enum>(II)</enum><text>For each of
fiscal years 2011 through 2014, the amount that bears the same ratio to the
amount appropriated under subparagraph (H) for the fiscal year as the
proportion of teens under age 20 in the State bears to the number of such teens
in all eligible States in the most recent year for which data is
available.</text>
</subclause></clause><clause id="HAC8C69E0AAE94F9C8FB5E63815627391"><enum>(ii)</enum><header>Determination
of teen pregnancy rates</header><text>For purposes of this paragraph, the teen
pregnancy rate for a State shall be determined on the basis of the teen
pregnancy rate per 1,000 women, ages 15 through 19, who reside in the State. If
teen pregnancy data is not available in a particular State, the Secretary may
identify alternative sources of data.</text>
</clause></subparagraph><subparagraph id="HC879261E51B14F4EAEB9A3FFD16E79B8"><enum>(C)</enum><header>Use of
funds</header>
<clause id="H2093846B75D34D27897F3EFBFCEB5EF8"><enum>(i)</enum><header>In
general</header><text>A State or Indian tribe shall use funds provided under a
grant under this paragraph to implement teen pregnancy prevention strategies
that meet the following requirements:</text>
<subclause id="H872B5D721A7F45FD9E0F838931C11C01"><enum>(I)</enum><text>The strategies
replicate or substantially incorporate the elements of one or more teen
pregnancy prevention programs that have been proven effective on the basis of
rigorous scientific research to—</text>
<item id="HA4A0C6F394134EAEAA3933BEBEC94827"><enum>(aa)</enum><text>delay or decrease
sexual intercourse or sexual activity;</text>
</item><item id="HD660755D2CE2456E911EB866589A577D"><enum>(bb)</enum><text>increase
contraceptive use among sexually active teens; or</text>
</item><item id="HE41FDC430620455A9A85B06595F92709"><enum>(cc)</enum><text>reduce teenage
pregnancy.</text>
</item></subclause><subclause id="HFEAC49C747EF46FE99F559F75E5E4620"><enum>(II)</enum><text>The strategies
incorporate one or more of the following strategies for preventing teenage
pregnancy:</text>
<item id="HE8BDC9ECCBAE467B84465A505596D417"><enum>(aa)</enum><text>Encouraging
teenagers to delay sexual activity.</text>
</item><item id="H12138821D75F4EBCB6B3EBA1EEE980B0"><enum>(bb)</enum><text>Sex
and HIV education.</text>
</item><item id="H299438317B3E48D8AE5483C47A8FDBB4"><enum>(cc)</enum><text>Preventive health
services.</text>
</item><item id="H410A10B1E0FD46F0833E58B338964F8F"><enum>(dd)</enum><text>Youth development
programs.</text>
</item><item id="H0879A07ABF9047B5BD70D7118F3A994B"><enum>(ee)</enum><text>Service learning
programs.</text>
</item><item id="H2970016AB63C4E52802EA32FFC7EAD82"><enum>(ff)</enum><text>Helping parents
communicate with teens.</text>
</item><item id="H2D4FA75B10A84695B14BEC542E19ABC5"><enum>(gg)</enum><text>Outreach or media
programs.</text>
</item></subclause><subclause id="H0FDA5E72F4BC4C07B70ECCEB756409DB"><enum>(III)</enum><text>The strategies
provide information that is age-appropriate, factually and medically accurate
and complete, and scientifically based.</text>
</subclause></clause></subparagraph><subparagraph id="HEC14B2DDC04249E69C714E09E5046A22"><enum>(D)</enum><header>Subgrant or
contract recipients</header><text>A State to which a grant is made under this
paragraph for a fiscal year may award subgrants or contracts to—</text>
<clause id="H2BE5BB6DDA334747800DDFC0FBB55AF8"><enum>(i)</enum><text>State or local
nonprofit coalitions or organizations working to prevent teenage
pregnancy;</text>
</clause><clause id="H7A4F9CC4A6304D4CB1C629D96834645D"><enum>(ii)</enum><text>State, local, or
tribal agencies;</text>
</clause><clause id="H4E6E07385FDC4632808FBEAB56F79BCF"><enum>(iii)</enum><text>schools;</text>
</clause><clause id="HC5263D08C06449D8AC6E161D7065CB3C"><enum>(iv)</enum><text>entities that
provide after-school programs;</text>
</clause><clause id="H32E2D1C00D314C4AA3DC311E0200892C"><enum>(v)</enum><text>nonprofit
community or faith-based organizations; or</text>
</clause><clause id="H52E61BECD1034A9986DA051FA04BE6DF"><enum>(vi)</enum><text>other
organizations designated by the State.</text>
</clause></subparagraph><subparagraph id="HD9011E19640441E69A44F2216C7C08D0"><enum>(E)</enum><header>Supplementation
of funds</header><text>A State to which a grant is made under this paragraph
for a fiscal year shall use funds provided under the grant to supplement and
not supplant funds that would otherwise be available to the State for
preventing teen pregnancy.</text>
</subparagraph><subparagraph id="H4578A52C56E04B049E8FA807217200B6"><enum>(F)</enum><header>Requirement</header><text>As
a condition on receipt of funds for activities under this paragraph, a grantee,
subgrantee, or contractee shall agree that such activities will not include
teaching or promoting religion.</text>
</subparagraph><subparagraph id="H9D0058528C3B44E0AA6820C43AA1123E"><enum>(G)</enum><header>Data
reporting</header><text>A State to which a grant is made under this paragraph
for a fiscal year shall cooperate with the Secretary to collect information and
report on outcomes of programs funded under the grant, as specified by the
Secretary.</text>
</subparagraph><subparagraph id="H0A242B555A1E413889EB4ECAE3FF7A39"><enum>(H)</enum><header>Appropriation</header><text>To
carry out this section, there are authorized to be appropriated such sums as
may be necessary for each of fiscal years 2010 through 2014.</text>
</subparagraph><subparagraph id="HE6291A2D73A741CA8980132BF340F15E"><enum>(I)</enum><header>Evaluation</header>
<clause id="HA3CD4AB2E4E6443CBD56EE3336D9DDAB"><enum>(i)</enum><header>In
general</header><text>The Secretary shall, by grant or contract, gather and
disseminate information on effective practices, programs, and strategies for
reducing teen pregnancy rates that are used by States that receive grants under
this paragraph in order to allow other States, and leaders in the area of teen
pregnancy prevention, to learn from the experiences of successful States. The
Secretary shall publish an interim and final report summarizing and
synthesizing outcomes and lessons learned pursuant to such grants, including a
random-assignment evaluation of selected programs.</text>
</clause><clause id="HE5CA10DD35894609943B64EAD9DF7A55"><enum>(ii)</enum><header>Appropriation</header><text display-inline="yes-display-inline">The Secretary may use up to 10 percent of
the amount appropriated under subparagraph (H) to carry out clause (i) for
fiscal year 2010, and the amount shall remain available through fiscal year
2015.</text>
</clause></subparagraph></paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</section><section id="H87C125ED1AA647B4893BD4643D0250E2"><enum>302.</enum><header>Establishing
national goal to prevent teen pregnancy</header><text display-inline="no-display-inline">Section 905 of the Personal Responsibility
and Work Opportunity Reconciliation Act of 1996 (<external-xref legal-doc="usc" parsable-cite="usc/42/710">42 U.S.C. 710</external-xref> note) is amended
to read as follows:</text>
<quoted-block id="HEF20FD8451554C16AB08C6FA961BE6B3" style="OLC">
<section id="H4DD63A4EC1AB400AB901C4AD8F74B864"><enum>905.</enum><header>Establishing
national goal to prevent teen pregnancy</header>
<subsection id="H20180390E30C42D9A8C3606E50FB0997"><enum>(a)</enum><header>In
General</header><text>Not later than 90 days after the date of the enactment of
this Act, the Secretary of Health and Human Services shall establish a national
goal of reducing teen pregnancy by at least one-third over the subsequent ten
years.</text>
</subsection><subsection id="HDD94C8DEC136465FA3C3F11236E3AC9C"><enum>(b)</enum><header>Report</header><text>Not
later than 12 months after the date of the enactment of the
<short-title>Preventing Unintended Pregnancies, Reducing
the Need for Abortion, and Supporting Parents Act</short-title>, and annually
thereafter, the Secretary of Health and Human Services shall report to Congress
with respect to the progress that has been made in meeting the national goal
established under subsection (a) and with respect to State-level progress on
reducing teen
pregnancy.</text>
</subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</section><enum>IV</enum><header>Demonstration
grants to encourage creative approaches to teen pregnancy prevention</header>
<section id="H8BB0A99A0CE441AE93C824581ECA7123"><enum>401.</enum><header>Demonstration
grants to encourage creative approaches to teen pregnancy prevention</header>
<subsection id="HFBF9B783583744539F0D389DE4488244"><enum>(a)</enum><header>In
General</header><text>The Secretary may make grants to several public or
nonprofit private entities for the purpose of assisting the entities in
demonstrating innovative approaches to prevent teen pregnancies.</text>
</subsection><subsection id="H09062B47F19F494B9170C3802043C3BE"><enum>(b)</enum><header>Certain
Approaches</header><text>Approaches under subsection (a) may include approaches
such as the following:</text>
<paragraph id="HB8794E9DA32F49EF8175F94074AE8445"><enum>(1)</enum><text>Encouraging
teen-driven approaches to pregnancy prevention.</text>
</paragraph><paragraph id="HF5E617DE1E244629BF3B8D34506801E9"><enum>(2)</enum><text>Exposing teens to
realistic simulations of the physical, emotional, and financial consequences of
pregnancy and parenting.</text>
</paragraph><paragraph id="HB12CA239A9734F9B89196A47576522D0"><enum>(3)</enum><text>Facilitating
communication between parents and children, especially using programs that have
been evaluated and proven effective.</text>
</paragraph><paragraph id="HF6423E56206345CDB1DE007AA732E75D"><enum>(4)</enum><text>Reaching teens
through innovative uses of media and technology.</text>
</paragraph><paragraph id="HBC11AC374099410EA656CA540CE91A6D"><enum>(5)</enum><text>Helping teens
develop healthy relationships.</text>
</paragraph></subsection><subsection id="H90F2BDF9CC9B4ED98E45BC09B5131849"><enum>(c)</enum><header>Matching
Funds</header>
<paragraph id="HE88CDBDDD9104B1C93FFBE1BAFAF39DC"><enum>(1)</enum><header>In
general</header><text>With respect to the costs of the project to be carried
out under subsection (a) by an applicant, a grant may be made under such
subsection only if the applicant agrees to make available (directly or through
donations from public or private entities) non-Federal contributions toward
such costs in an amount that is not less than 25 percent of such costs ($1 for
each $3 of Federal funds provided in the grant).</text>
</paragraph><paragraph id="H9D538415C4CA4AF182A310550CD8E290"><enum>(2)</enum><header>Determination of
amount contributed</header><text>Non-Federal contributions required in
paragraph (1) may be in cash or in kind, fairly evaluated, including plant,
equipment, or services. Amounts provided by the Federal Government, or services
assisted or subsidized to any significant extent by the Federal Government, may
not be included in determining the amount of such non-Federal
contributions.</text>
</paragraph></subsection><subsection id="HDC41A8D56ACE49E9BCE43A615F3F9C90"><enum>(d)</enum><header>Requirement</header><text>As
a condition on the receipt of funds for activities under this section, an
applicant shall agree that such activities will not include teaching or
promoting religion.</text>
</subsection><subsection id="H3B64DB50637E43C29FC49D0594FC85B2"><enum>(e)</enum><header>Evaluation of
Projects</header><text>The Secretary shall establish criteria for the
evaluation of projects under subsection (a). A grant may be made under such
subsection only if the applicant involved—</text>
<paragraph id="HCF60F10D33F7474F96AB63D6EF546C29"><enum>(1)</enum><text>agrees to conduct
evaluations of the project in accordance with such criteria;</text>
</paragraph><paragraph id="HAD14CDAEBF604EF68DD67549716CC317"><enum>(2)</enum><text>agrees to submit
to the Secretary such reports describing the results of the evaluations as the
Secretary determines to be appropriate; and</text>
</paragraph><paragraph id="H6367836686454D51B00FC6F669535FC5"><enum>(3)</enum><text>submits to the
Secretary, in the application under subsection (f), a plan for conducting the
evaluations.</text>
</paragraph></subsection><subsection id="HC4A32D3A015046EDB64B3A1639B6CAF1"><enum>(f)</enum><header>Application for
Grant</header><text>A grant may be made under subsection (a) only if an
application for the grant is submitted to the Secretary and the application is
in such form, is made in such manner, and contains such agreements, assurances,
and information, including the agreements under subsections (c) and (e) and the
plan under subsection (e)(3), as the Secretary determines to be necessary to
carry out this section.</text>
</subsection><subsection id="H8BBB0F10270D4913B423120BEF10CF0D"><enum>(g)</enum><header>Report to
Congress</header><text>Not later than April 1, 2015, the Secretary shall submit
to the Congress a report describing the extent to which projects under
subsection (a) have been successful in reducing the rate of teen pregnancies in
the communities in which the projects have been carried out. Such reports shall
describe the various approaches used under subsection (a) and the effectiveness
of each of the approaches.</text>
</subsection><subsection id="HF0349189B78342CFA6851E96C73E012E"><enum>(h)</enum><header>Authorization of
Appropriations</header><text>For the purpose of carrying out this section,
there are authorized to be appropriated such sums as may be necessary for each
of fiscal years 2010 through 2014.</text>
</subsection></section><enum>V</enum><header>National campaign
to enlist parents in preventing teen pregnancy</header>
<section id="H3D0F25F0682B4DF78D033E3E34BBF389"><enum>501.</enum><header>Findings</header><text display-inline="no-display-inline">The Congress finds as follows:</text>
<paragraph id="H130707A3E7F141E8B17AC100329F9ED0"><enum>(1)</enum><text>Teens with strong
emotional attachments to their parents are more likely to delay becoming
sexually active. Seven out of ten teens say that they are prepared to listen to
things parents thought the teens were not ready to hear.</text>
</paragraph><paragraph id="HA2D87F9AC80A4FF2B53B5D3311D2D6CE"><enum>(2)</enum><text>Ninety percent of
parents of teens report that they know they should talk to their teens about
sex but often don’t know what to say, how to say it, or when to start the
conversations.</text>
</paragraph></section><section id="H49B605111B6A44ACB7A6D143757416A7"><enum>502.</enum><header>Creating a
national initiative to enlist parents of adolescents in preventing teen
pregnancy; provision of challenge grants for state and local programs</header>
<subsection id="H764405B46AC444ECB95AF26843790956"><enum>(a)</enum><header>Grant</header><text>The
Secretary shall select on the basis of competitive grants, national
nonpartisan, nonprofit organizations that meet the requirements of this section
to establish and operate a national initiative for parents of adolescents to
carry out the purposes and activities described in subsections (b) and (c)
(referred to in this section as the <quote>Initiative</quote>).</text>
</subsection><subsection id="H565642CE4E41473781856C3F2437847F"><enum>(b)</enum><header>Requirements</header><text>The
Secretary may make a grant under this section only if—</text>
<paragraph id="H3BCCF3BD15334FF381E8A8A245A40F35"><enum>(1)</enum><text>the organization
has experience working to reduce teen pregnancy;</text>
</paragraph><paragraph id="H1684355B44A644D2B6F7AE12C0D321BA"><enum>(2)</enum><text>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, teen pregnancy prevention
practitioners, businesses, faith and community leaders, and researchers;</text>
</paragraph><paragraph id="H4A978964F0D74355A3762D116F15636E"><enum>(3)</enum><text>the organization
is research-based;</text>
</paragraph><paragraph id="HA4AD418D27854033A43EDC70C677C9A1"><enum>(4)</enum><text>the organization
has comprehensive knowledge and data about teen pregnancy prevention
strategies; and</text>
</paragraph><paragraph id="H15684D15F71F4DFEA930E4D8E3A9A194"><enum>(5)</enum><text>the organization
agrees that the activities funded under this section will not include teaching
or promoting religion.</text>
</paragraph></subsection><subsection id="H42B8D0B47AE247DFA91ACAD0883C24A0"><enum>(c)</enum><header>Purposes</header><text>The
purposes of the Initiative are to—</text>
<paragraph id="H1D171FDDDB8A4E308500ED4B59E2585C"><enum>(1)</enum><text>support parents in
their essential role in preventing teen pregnancy by equipping them with
information and resources to promote and strengthen communication with their
children about sex, values, and healthy relationships;</text>
</paragraph><paragraph id="H2203DF4FDFEE41FEBE07FC1659FE5054"><enum>(2)</enum><text>develop and
implement media campaigns to promote positive information and messages for
parents about how they can help address teen pregnancy; and</text>
</paragraph><paragraph id="H97AF4EC93BC448968813E71735DA516F"><enum>(3)</enum><text>provide challenge
grants to States and Native American tribes to promote parent education and
involvement.</text>
</paragraph></subsection><subsection id="H029AB4E76A88412D8F8CBC06978DADA2"><enum>(d)</enum><header>Activities</header><text>The
grantees shall carry out the purposes described in subsection (c) through the
following activities:</text>
<paragraph id="H6BCAF1D74060406EA5941999DF60A9CB"><enum>(1)</enum><text>Providing
resources for parents and other adults (such as other family members, teachers,
coaches, mentors, and faith leaders) that help to foster strong connections
with children, including—</text>
<subparagraph id="H784A802B969242DC95FD1B5D5B52EA28"><enum>(A)</enum><text>online access to
current research;</text>
</subparagraph><subparagraph id="HE72FDE691E614033A66002A67817DC86"><enum>(B)</enum><text>user-friendly
guides for parents;</text>
</subparagraph><subparagraph id="HA4F751A129EA4A4083AE392A1CC4481C"><enum>(C)</enum><text>practical tips and
advice from experts;</text>
</subparagraph><subparagraph id="H635DA98A98D94E9DB86EB8256744251A"><enum>(D)</enum><text>alerts about new
trends among teens;</text>
</subparagraph><subparagraph id="H3785F34BD50345059C2AFDEA7CEF85D2"><enum>(E)</enum><text>suggestions for
how to use the entertainment media as a discussion-starter; and</text>
</subparagraph><subparagraph id="H09A5045243D04DE088764F387B397F56"><enum>(F)</enum><text>information about
the rapidly-changing media environment of teens.</text>
</subparagraph><continuation-text continuation-text-level="paragraph">In order to
efficiently reach and support parents, information shall be provided primarily
through technological means, including the Internet.</continuation-text></paragraph><paragraph id="H3E8B2CEC06DC4C838DF29CB30B3513F3"><enum>(2)</enum><text>Using a portion of
the funds available through this section to develop and implement media
campaigns directly or through grants, contracts, or cooperative agreements with
other entities. Such campaigns may include the production and distribution of
printed materials and messages for print media, television, and radio broadcast
media, the Internet, or such other new technology as may be appropriate for
reaching large numbers of parents and other adults involved in the lives of
teens. Special efforts shall be made to develop messages that are effective in
reaching fathers as well as mothers. To the extent possible, funds used to
develop and implement media campaigns under this subsection shall be matched
with non-Federal resources, including in-kind contributions, from public and
private entities. Such campaigns may also include the grantee providing
consultation and serving as a source of factual information to individuals and
organizations in the entertainment industry on issues related to teen pregnancy
prevention that highlights the role of parents.</text>
</paragraph><paragraph id="H7EEBBE517E9D4170A17AA068516EE678"><enum>(3)</enum><text>Awarding challenge
grants on a competitive basis to States and Indian tribes. Applicants shall
submit a plan for how they would involve parents and other caregivers (such as
grandparents, foster parents, and other guardians) in helping to reduce teen
pregnancy through activities such as—</text>
<subparagraph id="HF36FB8FBA6854EAAA61D6D48F9677D69"><enum>(A)</enum><text>workshops and
community meetings;</text>
</subparagraph><subparagraph id="HA42A9717FF3442C39231A581D1DA04FD"><enum>(B)</enum><text>providing
information through employers, civic associations, community and faith-based
organizations, parent-teacher organizations, and other organizations that reach
large numbers of parents; and</text>
</subparagraph><subparagraph id="H5C41249428D14D40AF411AA1215158C6"><enum>(C)</enum><text>innovative ways to
provide education and support for parents through online communities and
neighborhood-based activities.</text>
</subparagraph></paragraph></subsection><subsection id="HABC198E3586C4B40A81DD6E845CE2500"><enum>(e)</enum><header>Authorization of
Appropriation</header>
<paragraph id="H6621DD82851449CF96C2851972863029"><enum>(1)</enum><header>In
general</header><text>For the purpose of carrying out this section, there is
authorized to be appropriated $30,000,000 for each of fiscal years 2010 through
2014.</text>
</paragraph><paragraph id="H2038D8390F674545842965D84F436FA4"><enum>(2)</enum><header>Challenge
grants</header><text>Of the amount appropriated under paragraph (1) for a
fiscal year, not less than $10,000,000 shall be made available for challenge
grants under subsection (d)(3).</text>
</paragraph></subsection></section><enum>VI</enum><header>Preventing
Unplanned Pregnancy Among Community College Students</header>
<section commented="no" id="H3046C221CD7A4F87A0A8E88DD4D1AA35"><enum>601.</enum><header>Findings</header><text display-inline="no-display-inline">Congress makes the following
findings:</text>
<paragraph commented="no" id="H05792141BC184C80B285066478ED454C"><enum>(1)</enum><text>There are
11,500,000 students enrolled in community college and 60 percent of these
students are women.</text>
</paragraph><paragraph commented="no" id="H415BA4B2C88F4AEEA254BA562A4D0416"><enum>(2)</enum><text>61 percent of
women who have children after enrolling in community college fail to finish
their degree. This drop-out rate is 65 percent higher than that of women who
don’t have children.</text>
</paragraph><paragraph commented="no" id="H463800D607E54CE1956B755B9895AED8"><enum>(3)</enum><text>Approximately 15
percent of all community college students are single parents compared to 6
percent at 4-year colleges.</text>
</paragraph><paragraph commented="no" id="H759F6A7FCB5A45DCAB58896ADED505E5"><enum>(4)</enum><text>Only two out of
ten students at 2-year institutions report receiving information from their
college on pregnancy prevention, compared to 33 percent of students at 4-year
institutions.</text>
</paragraph><paragraph commented="no" id="H4E6AE1E1B29C411C9BB376CB2A9EE925"><enum>(5)</enum><text>Few community
colleges have the resources to provide information, education, or other
activities focused on healthy relationships or pregnancy prevention and
planning.</text>
</paragraph><paragraph commented="no" id="H3051DDDAA10E467C9D2AE9E611CACD59"><enum>(6)</enum><text>For women with
some college, 53 percent of pregnancies were unplanned. This is twice as high
as the percent of pregnancies that are unplanned for college graduates (26
percent).</text>
</paragraph></section><section commented="no" id="HA378833F038F4B5F97E61529DB6B7980"><enum>602.</enum><header>Demonstration
grants to prevent unplanned pregnancy among community college students</header>
<subsection commented="no" id="H7AFC62A03327412D810A11D99EDE30C2"><enum>(a)</enum><header>In
General</header><text>The Secretary of Education shall award demonstration
grants under this section on a competitive basis to community colleges for the
purpose of developing and implementing innovative approaches to prevent
unplanned pregnancy and promote healthy relationships among women and men in
community colleges in order to remove a barrier to degree completion by these
students, reduce poverty among these students, and improve the success of these
students.</text>
</subsection><subsection commented="no" id="HD4230C4A89E5457CAB0A275388DA73EE"><enum>(b)</enum><header>Requirements</header><text>A
grant may be made under this section only if the applicant for the grant agrees
that—</text>
<paragraph commented="no" id="HCF763122BDDC44F6BEF276FD830B3064"><enum>(1)</enum><text>all information
provided will be factually and medically accurate and complete, and
scientifically based; and</text>
</paragraph><paragraph commented="no" id="H75FF3035A4B7484CB62D11608D16F008"><enum>(2)</enum><text>the activities
funded under this title will not include teaching or promoting religion.</text>
</paragraph></subsection><subsection commented="no" display-inline="no-display-inline" id="H3B305EE171654FD581223EAEDBFF927B"><enum>(c)</enum><header>Activities</header>
<paragraph id="H8D0C75F3C3204CE599F9E6D92696F097"><enum>(1)</enum><header>In
general</header><text>A grant made under this section may be used for one or
more of the following:</text>
<subparagraph commented="no" id="HF77BE37DD2F449BABE595A130F283DB3"><enum>(A)</enum><text>Developing
educational content to incorporate in first-year orientation or core courses
where appropriate.</text>
</subparagraph><subparagraph commented="no" id="H0EAA9E3B844F4B83A823FA03BA6CC524"><enum>(B)</enum><text>Creating
innovative technology-based approaches to deliver messages and information to
students, faculty, and staff.</text>
</subparagraph><subparagraph commented="no" id="H8C1A315F07934837AA7C1E0CB2F8C8AD"><enum>(C)</enum><text>Training for
targeted faculty and staff on how unplanned pregnancy affects student success
and ways to help students address this issue.</text>
</subparagraph><subparagraph commented="no" id="HE623002FCE3644C09BC2F752E364E460"><enum>(D)</enum><text>Creating
partnerships with community-based organizations who have expertise in
addressing pregnancy prevention or healthy relationships.</text>
</subparagraph><subparagraph commented="no" id="H3B1D3075D9CD45C9B6B1FF6577BC66EF"><enum>(E)</enum><text>Developing and
employing peer-outreach and education to generate discussion and raise
awareness among students.</text>
</subparagraph><subparagraph commented="no" id="H479D560EB2054577B38DFA5B62C11CE1"><enum>(F)</enum><text>Providing
campus-based family planning services.</text>
</subparagraph><subparagraph commented="no" id="HB7BE7B9E0145447CAA8254B606D5689F"><enum>(G)</enum><text>Teaching students
about developing healthy relationships, including the prevention of dating and
sexual violence.</text>
</subparagraph><subparagraph commented="no" id="HCEFA01C7686D44588AE328DA7F9420CF"><enum>(H)</enum><text>Providing students
with information regarding the dynamics and nature of domestic violence, dating
violence, sexual assault, sexual coercion, or stalking; its implications for
unintended pregnancy and sexually transmitted infections and HIV; and
strategies to manage health in the context of a violent relationship.</text>
</subparagraph></paragraph><paragraph id="H3E748113D52C4CA8ABB5806F957EFFDC"><enum>(2)</enum><header>Integration</header><text display-inline="yes-display-inline">Activities funded through a grant under
this title should be integrated into the academic or support areas of the
community colleges in order to reach a large number of students. Priority
should be given to activities that could operate on a sustained basis after the
grant ends.</text>
</paragraph></subsection><subsection commented="no" id="H2FB96ED0056C4254BA95964C802AD3E3"><enum>(d)</enum><header>Evaluation of
projects</header><text>The Secretary shall establish criteria for the
evaluation of projects funded under this section. A grant may be made only if
the applicant involved—</text>
<paragraph commented="no" id="H0972E4BF3A314F0D924C2A45FFDB7C37"><enum>(1)</enum><text>agrees to
participate in an independent evaluation of the project in accordance with such
criteria; and</text>
</paragraph><paragraph commented="no" id="HD4377F89F8924EFDA719CCA58172DB75"><enum>(2)</enum><text>agrees to submit
to the Secretary such data as the Secretary determines to be
appropriate.</text>
</paragraph></subsection><subsection commented="no" id="H3D76B0421B644C729DBDB007C277EE35"><enum>(e)</enum><header>Definition</header><text>For
the purpose of this section, the term <term>community college</term> means an
institution of higher education (as such term is defined in section 101(a) of
the Higher Education Act of 1965 (<external-xref legal-doc="usc" parsable-cite="usc/20/1001">20 U.S.C. 1001(a)</external-xref>)) at which the highest
degree offered is predominantly the associate’s degree.</text>
</subsection><subsection commented="no" id="H8B7624BEA6494563BDCB5DD61D79E6BF"><enum>(f)</enum><header>Authorization of
appropriations</header>
<paragraph commented="no" display-inline="no-display-inline" id="HFD4E4BD0783D4F5BA8D1C67B04F9785A"><enum>(1)</enum><header>In
General</header><text>For the purpose of carrying out this section, there is
authorized to be appropriated $15,000,000 for each of fiscal years 2010 through
2012.</text>
</paragraph><paragraph commented="no" id="HC8C8F37B50E4443A891B58BC094D80D5"><enum>(2)</enum><header>Allocation</header><text>Of
the amount appropriated to carry out this section for a fiscal year—</text>
<subparagraph commented="no" id="HE4DEA9A48C0C4F45A7A2305B02D5DA5C"><enum>(A)</enum><text>at least 5 percent
shall be made available—</text>
<clause id="HFDB5DD46AA584030BDFA3E5C2B2C9680"><enum>(i)</enum><text>for
technical assistance for the projects funded under this section;</text>
</clause><clause id="HC084D4CF95964C08B6281AC64037A535"><enum>(ii)</enum><text>to
raise awareness of the issue of pregnancy prevention; and</text>
</clause><clause id="H92734CD9EC1A46D0A6250BBF002F6E0D"><enum>(iii)</enum><text>to
disseminate promising practices among community colleges and other similar
postsecondary institutions; and</text>
</clause></subparagraph><subparagraph commented="no" id="HBF3A8353FC9345A18938820D2A3A759A"><enum>(B)</enum><text>up to 10 percent
shall be made available for evaluations of the projects.</text>
</subparagraph></paragraph></subsection></section><enum>VII</enum><header>Clarification of
continued medicaid coverage of family planning services</header>
<section id="H1E5471709C194136B592FEF11FC9D8D6"><enum>701.</enum><header>Clarification
of continued medicaid coverage of family planning services</header>
<subsection id="H59855A8A03A04057BBEB3ECEEFEF7AAC"><enum>(a)</enum><header>In
General</header><text>Section 1937(b) of the Social Security Act (42 U.S.C.
1396u–7(b)) is amended by adding at the end the following:</text>
<quoted-block id="H451E583E3A3F463E8941A1D5C852E1EF" style="OLC">
<paragraph id="H6C36EF8FE8F24094BAD6A280D33ED0CD"><enum>(5)</enum><header>Coverage of
family planning services and supplies</header><text>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 and services in accordance with such
section.</text>
</paragraph><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection><subsection id="H85B883CD4F3F496AA00C93DD23271873"><enum>(b)</enum><header>Effective
Date</header>
<paragraph id="HA5C0EFEE50384F90A38E4F11D51B1849"><enum>(1)</enum><header>In
general</header><text>The amendment made by this section shall take effect on
October 1, 2010.</text>
</paragraph><paragraph id="H8330F4DE189143128457D425FC961E47"><enum>(2)</enum><header>Extension of
effective date for state law amendment</header><text>In the case of a State
plan under title XIX of the Social Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1396">42 U.S.C. 1396 et seq.</external-xref>) 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 section, 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 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.</text>
</paragraph></subsection></section><enum>VIII</enum><header>Expanded
Medicaid eligibility for family planning services</header>
<section id="H56BC40C8F5D94BB1B072995CBA468E4F"><enum>801.</enum><header>Expanded
medicaid eligibility for family planning services</header>
<subsection id="H2A819107FBFF4B478AABD7BA17498CD9"><enum>(a)</enum><header>Coverage as
Mandatory Categorically Needy Group</header>
<paragraph id="HBA0D924CFDDC45B0B0BA3288B473C3C3"><enum>(1)</enum><header>In
general</header><text>Section 1902(a)(10)(A)(i) of the Social Security Act (42
U.S.C. 1396a(a)(10)(A)(i)) is amended—</text>
<subparagraph id="HD3EC32B7AF0249D09DBA7DA1EE98DF59"><enum>(A)</enum><text>in subclause (VI),
by striking <quote>or</quote> at the end;</text>
</subparagraph><subparagraph id="H76066CD151E1455B9CB7BD25609B3A09"><enum>(B)</enum><text>in subclause
(VII), by adding <quote>or</quote> at the end; and</text>
</subparagraph><subparagraph id="HAD69DD279EF9414B9AB6680AFA21FA06"><enum>(C)</enum><text>by adding at the
end the following new subclause:</text>
<quoted-block id="H1C004CCAF36D423E8B3FA90F9CD5FD63" style="OLC">
<subclause id="H45BC9DCBA1964217AEDCEEBA7674EBE1"><enum>(VIII)</enum><text>who are
described in subsection (gg) (relating to individuals who meet the income
standards for pregnant
women);</text>
</subclause><after-quoted-block>.</after-quoted-block></quoted-block>
</subparagraph></paragraph><paragraph id="H2D7D1844F7814360808B3E9C205399E2"><enum>(2)</enum><header>Group
described</header><text>Section 1902 of such Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1396a">42 U.S.C. 1396a</external-xref>) is amended
by adding at the end the following new subsection:</text>
<quoted-block id="H99040429FAC34F0B845BCE2F2FB0EA86" style="OLC">
<subsection id="HC7356C25208B41D3B69F9CA698FA2054"><enum>(gg)</enum><paragraph commented="no" display-inline="yes-display-inline" id="HCBE5003F593E4EFF937D6E97B7EF98F0"><enum>(1)</enum><text>Individuals described in
this subsection are individuals who—</text>
<subparagraph id="H7C38FF343E01441FB47E2366F8992F4F" indent="up1"><enum>(A)</enum><text>meet at least the income eligibility
standards established under the State plan as of January 1, 2009, for pregnant
women or such higher income eligibility standard for such women as the State
may establish; and</text>
</subparagraph><subparagraph id="H39C06AA9E9554509989F2AC8F4230D8B" indent="up1"><enum>(B)</enum><text>are not pregnant.</text>
</subparagraph></paragraph><paragraph id="H332B2BF7BB784E3C8B02CDF1A270704B" indent="up1"><enum>(2)</enum><text>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.</text>
</paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph><paragraph id="H7A3FA47046F54FE8A5121945D1D6EF95"><enum>(3)</enum><header>Limitation on
benefits</header><text>Section 1902(a)(10) of the Social Security Act (42
U.S.C. 1396a(a)(10)) is amended in the matter following subparagraph
(G)—</text>
<subparagraph id="HC29287489BE14D2880DABBCC42584A74"><enum>(A)</enum><text>by striking
<quote>and (XIV)</quote> and inserting <quote>(XIV)</quote>; and</text>
</subparagraph><subparagraph id="HD79D51268B4D49F5A20920E8CA4CCEED"><enum>(B)</enum><text>by striking the
semicolon at the end and inserting <quote>, and (XV) the medical assistance
made available to an individual described in subsection (gg) who is eligible
for medical assistance only because of subparagraph (A)(i)(VIII) shall be
limited to family planning services and supplies described in section
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</quote>.</text>
</subparagraph></paragraph><paragraph id="HED00E9C0FA444A36BB87444A1D1B368B"><enum>(4)</enum><header>Conforming
amendments</header><text>Section 1905(a) of the Social Security Act (42 U.S.C.
1396d(a)) is amended in the matter preceding paragraph (1)—</text>
<subparagraph id="HCBB49B4C2F634078A8189A6E43BA94DE"><enum>(A)</enum><text>in clause (xii),
by striking <quote>or</quote> at the end;</text>
</subparagraph><subparagraph id="HAC6433213FA441A1BFFEB43F0525A913"><enum>(B)</enum><text>in clause (xiii),
by adding <quote>or</quote> at the end; and</text>
</subparagraph><subparagraph id="H5CAA1D67FB2D4A0CA22DD15CC2D064C1"><enum>(C)</enum><text>by inserting after
clause (xiii) the following:</text>
<quoted-block id="HE3BA3307C40F4B999169D3A93EF9AC0D" style="OLC">
<clause id="H743E93B2B06344A4836FDA66E3207BD6"><enum>(xiv)</enum><text>individuals
described in section
1902(gg),</text>
</clause><after-quoted-block>.</after-quoted-block></quoted-block>
</subparagraph></paragraph></subsection><subsection id="HCAD8437E951D40C7983FBEBD235AC26A"><enum>(b)</enum><header>Presumptive
Eligibility</header>
<paragraph id="H947C45B36BB24C93A8AFE648C09E6D36"><enum>(1)</enum><header>In
general</header><text>Title XIX of the Social Security Act (42 U.S.C. 1396 et
seq.) is amended by inserting after section 1920B the following:</text>
<quoted-block display-inline="no-display-inline" id="H542A67061E0C4196820CE7985D627C7B" style="traditional">
<section id="H6C49930B8DF7467DAE201F5F2DAAF5B8"><enum>1920C.</enum><header>PRESUMPTIVE ELIGIBILITY FOR FAMILY PLANNING
SERVICES</header><subsection commented="no" display-inline="yes-display-inline" id="H2B63F7B9D46F428E8F55215A99B356FC"><enum>(a)</enum><header>State
Option</header><text>A State plan approved under section 1902 may provide for
making medical assistance available to an individual described in section
1902(gg) (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(gg) who is eligible for medical
assistance only because of section 1902(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.</text>
</subsection><subsection id="H05168E659DEF44DEA2E4845D2B7C3E66"><enum>(b)</enum><header>Definitions</header><text>For
purposes of this section:</text>
<paragraph id="HEF62487C1D5148C798AA6AD0DEB7EDD2"><enum>(1)</enum><header>Presumptive
eligibility period</header><text>The term <term>presumptive eligibility
period</term> means, with respect to an individual described in subsection (a),
the period that—</text>
<subparagraph id="H73A205E70B7F47708CCA83B4E94421DF"><enum>(A)</enum><text>begins with the
date on which a qualified entity determines, on the basis of preliminary
information, that the individual is described in section 1902(gg); and</text>
</subparagraph><subparagraph id="H682AECFBB31D49D6BB91C57F34B06359"><enum>(B)</enum><text>ends with (and
includes) the earlier of—</text>
<clause id="H5827D2E0069949CA8D8AF864EBB260D7"><enum>(i)</enum><text>the day on which a
determination is made with respect to the eligibility of such individual for
services under the State plan; or</text>
</clause><clause id="H1847FE1B544C474F9FD33BC1C85610B5"><enum>(ii)</enum><text>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.</text>
</clause></subparagraph></paragraph><paragraph id="HCB855DA2CF8943ECA59D3A7120E3807C"><enum>(2)</enum><header>Qualified
entity</header>
<subparagraph id="H593E59095B524415AA074B5C83E20018"><enum>(A)</enum><header>In
general</header><text>Subject to subparagraph (B), the term <term>qualified
entity</term> means any entity that—</text>
<clause id="H6AE1FB3F14BF4EE5ADCD469FE40AF503"><enum>(i)</enum><text>is
eligible for payments under a State plan approved under this title; and</text>
</clause><clause id="HEBD32E64BB00432EB346608E123BB1A2"><enum>(ii)</enum><text>is determined by
the State agency to be capable of making determinations of the type described
in paragraph (1)(A).</text>
</clause></subparagraph><subparagraph id="H4B0AD0CEBD8C43F7A3D602E1B207CCCC"><enum>(B)</enum><header>Regulations</header><text>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.</text>
</subparagraph><subparagraph id="H0FD9FC3FF2B74C49A2F7BB0997BFADEB"><enum>(C)</enum><header>Rule of
construction</header><text>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).</text>
</subparagraph></paragraph></subsection><subsection id="H1703AE29C9DD443C98CD870AB1E484AD"><enum>(c)</enum><header>Administration</header>
<paragraph id="HA42CE72454BA4536B306F911E69839CC"><enum>(1)</enum><header>In
general</header><text>The State agency shall provide qualified entities
with—</text>
<subparagraph id="HB91D7C86B3564565B6227FCEDD6B2CE3"><enum>(A)</enum><text>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</text>
</subparagraph><subparagraph id="H9B9A3F762CFF4BE4BD9C38D25946A33D"><enum>(B)</enum><text>information on how
to assist such individuals in completing and filing such forms.</text>
</subparagraph></paragraph><paragraph id="H9465ACEDC58044B0B836164DC5350BCD"><enum>(2)</enum><header>Notification
requirements</header><text>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—</text>
<subparagraph id="H2EE9DB13A535414CB56C72CB8FBF32D9"><enum>(A)</enum><text>notify the State
agency of the determination within 5 working days after the date on which
determination is made; and</text>
</subparagraph><subparagraph id="H0BB4A69D55C24CBB8A3F827C955CBE5B"><enum>(B)</enum><text>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.</text>
</subparagraph></paragraph><paragraph id="H58D9D9D85FDE45EE9D9DFA3A43396FF4"><enum>(3)</enum><header>Application for
medical assistance</header><text>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.</text>
</paragraph></subsection><subsection id="H18198D06A8E44718AF868DF0AA907BA7"><enum>(d)</enum><header>Payment</header><text>Notwithstanding
any other provision of this title, medical assistance that—</text>
<paragraph id="H5A07277E3E0E4427959EDC9E3C40CF6B"><enum>(1)</enum><text>is furnished to an
individual described in subsection (a)—</text>
<subparagraph id="HCA48113159D045C38492A240E1585765"><enum>(A)</enum><text>during a
presumptive eligibility period; and</text>
</subparagraph><subparagraph id="H0AC8F74DC5ED458984D1B323872549B4"><enum>(B)</enum><text>by a entity that
is eligible for payments under the State plan; and</text>
</subparagraph></paragraph><paragraph id="HB0C0AAE7ECC74FBEA0D10CA486C59396"><enum>(2)</enum><text>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).</text>
</paragraph></subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></subsection></section><enum>IX</enum><header>Medicaid and CHIP
coverage of mothers and children</header>
<section commented="no" id="HA4708B794F554DCD81ED2D02B90F6721"><enum>901.</enum><header>Extending
postpartum coverage for Medicaid and CHIP</header>
<subsection id="H1EC47632B1834E669C61A600F4C2026"><enum>(a)</enum><header>Medicaid coverage
extension</header>
<paragraph id="HC84AD012318643F7A810DC0928426300"><enum>(1)</enum><text display-inline="yes-display-inline">Section 1902 of the Social Security Act (42
U.S.C. 1306a) is amended—</text>
<subparagraph id="H3021BEF7B4C345F58DAF9DA38F4CDBB2"><enum>(A)</enum><text>in subsections
(e)(5), (e)(6), and (l)(1)(A), by striking <quote>60-day</quote> and inserting
<quote>1-year</quote> each place it appears; and</text>
</subparagraph><subparagraph id="H74AB01D2655148FB80CC14DB26256C8E"><enum>(B)</enum><text>in the matter in
subsection (a)(10) following subparagraph (G)—</text>
<clause id="H9F03CB926D664FEDADFFE0816DDAD111"><enum>(i)</enum><text>in
clause (V), by inserting <quote>, except that the limit on medical assistance
under this clause does not apply during the 1-year period beginning on the last
day of the pregnancy</quote> after <quote>under the State plan</quote>;
and</text>
</clause><clause id="H8D30481A9CF747AF915219451E6E1F52"><enum>(ii)</enum><text display-inline="yes-display-inline">in clause (VII), by inserting <quote>,
except that the limit on medical assistance under this clause does not apply
during the 1-year period beginning on the last day of the pregnancy</quote>
after <quote>may complicate pregnancy</quote>.</text>
</clause></subparagraph></paragraph><paragraph id="HC1FECB1D7B434701A7586600DBB27CFE"><enum>(2)</enum><text>Section
1903(v)(4)(A)(i) of such Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1396b">42 U.S.C. 1396b(v)(4)(A)(i)</external-xref>) is amended by
striking <quote>60-day</quote> and inserting <quote>1-year</quote>.</text>
</paragraph><paragraph id="H888D8E19AF3E48AE8EC5EEDCCCF69491"><enum>(3)</enum><text>Section
1938(b)(2)(C) of such Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1396u-8">42 U.S.C. 1396u–8(b)(2)(C)</external-xref>) is amended by striking
<quote>60 days</quote> and inserting <quote>1 year</quote>.</text>
</paragraph></subsection><subsection id="H43E443CB039B4C1CB3B3F60099534361"><enum>(b)</enum><header>SCHIP</header>
<paragraph id="H2B814F6CDE8C49BBA66CEABC004D33F2"><enum>(1)</enum><text>Section
2112(d)(2)(A) of such Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1397ll">42 U.S.C. 1397ll(d)(2)(A)</external-xref>) is amended—</text>
<subparagraph id="HF9E695942E264D5E8FCBB9D97BEF3DE"><enum>(A)</enum><text>in subsections
(d)(2)(A) and (f)(2), by striking <quote>60-day</quote> and inserting
<quote>1-year</quote> each place it appears; and</text>
</subparagraph><subparagraph id="H99055639EE0D4646A8DE88AC00F3F8AB"><enum>(B)</enum><text>in subsection
(f)(2)—</text>
<clause id="H042897F41A634899BCD82AAD1A7E34D"><enum>(i)</enum><text>in
the heading by striking <quote><header-in-text level="paragraph" style="OLC">postpartum services</header-in-text></quote> and inserting
<quote><header-in-text level="paragraph" style="OLC">services
postpartum</header-in-text></quote>;</text>
</clause><clause id="H6F1D4F4FA3AC4BC79176FB912CD73FBA"><enum>(ii)</enum><text>by
striking <quote>may continue</quote> and inserting <quote>shall
continue</quote>;</text>
</clause><clause id="H1BDC01AA2BD74A02BA419900D53B90F4"><enum>(iii)</enum><text>by
striking <quote>, as well as postpartum services,</quote> and <quote>and
postpartum services</quote>; and</text>
</clause><clause id="H76DFE76A45274E4B8900A1E8EDCF45FE"><enum>(iv)</enum><text>by
striking <quote>, but only if</quote> and all that follows up to the period at
the end.</text>
</clause></subparagraph></paragraph></subsection></section><section id="HF7934D0F49124FFDA21D084EE7C4B612"><enum>902.</enum><header>Coordination
with the maternal and child health program</header>
<subsection id="H9991BA891F2C47DF9FC3209FCE4DCBE7"><enum>(a)</enum><header>In
General</header><text>Section 2102(b)(3) of the Social Security Act (42 U.S.C.
1397bb(b)(3)) is amended—</text>
<paragraph id="HC9118DA7560B4D569D7CC396FA0F58FC"><enum>(1)</enum><text>in subparagraph
(D), by striking <quote>and</quote> at the end;</text>
</paragraph><paragraph id="H989CEB3AB97641A8BC9A8718E1AEDDD8"><enum>(2)</enum><text>in subparagraph
(E), by striking the period and inserting <quote>; and</quote>; and</text>
</paragraph><paragraph id="HACB40CEB954748F9A1A9AC3BA256E66E"><enum>(3)</enum><text>by adding at the
end the following new subparagraph:</text>
<quoted-block id="HF68AB484CE2C489EB3F15524CCD56A59" style="OLC">
<subparagraph id="H4CA5E431DC51473BB7235160697B6AEB"><enum>(F)</enum><text>that operations
and activities under this title are developed and implemented in consultation
and coordination with the program operated by the State under title V in areas
including outreach and enrollment, benefits and services, service delivery
standards, public health and social service agency relationships, and quality
assurance and data
reporting.</text>
</subparagraph><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></subsection><subsection id="H830853EF6BE04822ACD56DF487074796"><enum>(b)</enum><header>Conforming
Medicaid Amendment</header><text>Section 1902(a)(11) of such Act (42 U.S.C.
1396a(a)(11)) is amended—</text>
<paragraph id="H11B7D115BBCF4C9CA7F5962628CF6C60"><enum>(1)</enum><text>by striking
<quote>and</quote> before <quote>(C)</quote>; and</text>
</paragraph><paragraph id="HF8195C7701F44AC6AAB876BF5FFD13A3"><enum>(2)</enum><text>by inserting
before the semicolon at the end the following: <quote>, and (D) provide that
operations and activities under this title are developed and implemented in
consultation and coordination with the program operated by the State under
title V in areas including outreach and enrollment, benefits and services,
service delivery standards, public health and social service agency
relationships, and quality assurance and data reporting</quote>.</text>
</paragraph></subsection><subsection id="H49402AA3F79B431DB87E1294D7281E36"><enum>(c)</enum><header>Effective
Date</header><text>The amendments made by this section take effect on January
1, 2010.</text>
</subsection></section><section id="HE2CC146640484622A7F2967D8F5099B1"><enum>903.</enum><header>Increase in
SCHIP income eligibility</header>
<subsection id="H0E48F975373E4475979EF3B35DDB1C1C"><enum>(a)</enum><header>Definition of
Low-Income Child</header><text>Section 2110(c)(4) of the Social Security Act
(<external-xref legal-doc="usc" parsable-cite="usc/42/1397jj">42 U.S.C. 1397jj(c)(4)</external-xref>) is amended by striking <quote>200</quote> and
inserting <quote>250</quote>.</text>
</subsection><subsection id="H2F17985C316B4D539E3D50DE59FB1679"><enum>(b)</enum><header>Effective
Date</header><text>The amendment made by subsection (a) applies to child health
assistance provided and allotments determined under section 2104 of the Social
Security Act (<external-xref legal-doc="usc" parsable-cite="usc/42/1397dd">42 U.S.C. 1397dd</external-xref>) for fiscal years beginning with fiscal year
2010.</text>
</subsection></section><section id="HF510FE35CC8647BC978B4F0249E75DF3"><enum>904.</enum><header>Outreach
program to encourage those eligible for services to enroll</header><text display-inline="no-display-inline">The Secretary shall make such funds
available as may be necessary to encourage eligible pregnant women to enroll
for services under this title.</text>
</section><enum>X</enum><header>Title
X of Public Health Service Act</header>
<section id="H5928C3FC96E348F5B868B211378E592E"><enum>1001.</enum><header>Short
title</header><text display-inline="no-display-inline">This title may be cited
as the <quote>Title X Family Planning Services Act of 2009</quote>.</text>
</section><section id="H1FFA80E8457647079A93AF9FD70A0338"><enum>1002.</enum><header>Authorization
of appropriations</header><text display-inline="no-display-inline">For the
purpose of making grants and contracts under section 1001 of the Public Health
Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/300">42 U.S.C. 300</external-xref>), there are authorized to be appropriated
$700,000,000 for fiscal year 2010, and such sums as may be necessary for each
subsequent fiscal year.</text>
</section><enum>XI</enum><header>Ensuring coverage
of maternity care</header>
<section id="H6F007BC4DE074F6EB73FA7770362E661"><enum>1101.</enum><header>Removal of
pregnancy as a preexisting condition under individual health insurance
coverage</header>
<subsection id="H5046BE42A379457C8F5E7B226B094FBD"><enum>(a)</enum><header>In
General</header><text>Title XXVII of the Public Health Service Act (42 U.S.C.
300gg et seq.) is amended by inserting after section 2753 the following:</text>
<quoted-block id="H597B81E1272E4859BD3C26160DAA5C0E" style="OLC">
<section id="HB378228EECD24C32836A24E8B7F6C429"><enum>2754.</enum><header>Preexisting
condition exclusion not applicable to pregnancy</header><text display-inline="no-display-inline">Individual health insurance coverage, and a
health insurance issuer offering individual health insurance coverage, may not
impose any preexisting condition exclusion relating to pregnancy as a
preexisting
condition.</text>
</section><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection><subsection id="H6762D382029B41079836EED074747DE5"><enum>(b)</enum><header>Effective
Date</header><text>The amendment made by subsection (a) shall apply to coverage
provided on or after January 1, 2010.</text>
</subsection></section><section commented="no" id="HEF408685A8454BA6A36F3F30B4CB8B24"><enum>1102.</enum><header>Coverage of
maternity care in the individual market</header>
<subsection commented="no" id="H1C328ACA0655495DB4D2C1E87CF23024"><enum>(a)</enum><header>In
general</header><text>Title XXVII of the Public Health Service Act (42 U.S.C.
300gg et seq.), as amended by section 1101, is further amended by inserting
after section 2754 the following:</text>
<quoted-block display-inline="no-display-inline" id="H25B0B928505D463891DB666A7E43D6" style="OLC">
<section id="HE2D86F793A0E4E85B092403010111463"><enum>2755.</enum><header>Coverage of
maternity care</header>
<subsection id="HC3CAC3508AB14D52A8584F28E28504B2"><enum>(a)</enum><header>In
general</header><text display-inline="yes-display-inline">A health insurance
issuer offering health insurance in the individual market that is issued,
amended, renewed, or delivered on or after the date of enactment of this
section, shall provide coverage for maternity services.</text>
</subsection><subsection id="H031EBC0A37D24B8AB7D46E00ABE8CF30"><enum>(b)</enum><header>Maternity
services defined</header><text>In this section the term <term>maternity
services</term> includes preconception, prenatal care, necessary immunizations,
mental health screening and services, ambulatory care maternity services,
complications of pregnancy, neonatal care, inpatient hospital maternity care
including labor and delivery, including c-sections, and postpartum care
including family planning services.</text>
</subsection><subsection id="HF25D7BAEE9464DBBA1F07FDD967F22F4"><enum>(c)</enum><header>Non-Preemption</header><text>Nothing
in this section shall be construed to preempt any State law in effect as of the
date of enactment of this section, with respect to health insurance that
requires coverage of maternity services that exceeds the minimum coverage
requirements as specified in subsection
(a).</text>
</subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection><subsection id="HFD756DBC23C740A9B8586496C664AA6C"><enum>(b)</enum><header>Effective
date</header><text>The amendment made by subsection (a) shall apply to coverage
provided on or after January 1, 2010.</text>
</subsection></section><enum>XII</enum><header>Improving access
to prenatal ultrasounds</header>
<section id="HFE6AB3D3AD2841B388E6BD3C64288F32"><enum>1201.</enum><header>Grants to
health centers for purchase of ultrasound equipment</header><text display-inline="no-display-inline">Part B of title III of the Public Health
Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/243">42 U.S.C. 243 et seq.</external-xref>) is amended by inserting after section 317L
the following:</text>
<quoted-block id="HC7D00D4CA51F4E57B92875CE47D388DB" style="OLC">
<section id="HDBE870646E8F4D2BAA1EDAC9C13C93DF"><enum>317L–1.</enum><header>Grants for
the purchase or upgrade of ultrasound equipment</header>
<subsection id="HE26ED1A7DEBA42E4800F385FDC4C20D2"><enum>(a)</enum><header>In
General</header><text>The Secretary may make grants for the purchase of
ultrasound equipment. Such ultrasound equipment shall be used by the recipients
of such grants to provide ultrasound examinations to pregnant women consenting
to such services.</text>
</subsection><subsection id="HDFFF679D5BAA4D6DA6760D179E3ACE72"><enum>(b)</enum><header>Eligibility
Requirements</header><text>An entity may receive a grant under subsection (a)
only if—</text>
<paragraph id="H0D937F59957A414DB342D83E1FC7B633"><enum>(1)</enum><text>the entity is a
health center eligible to receive a grant under section 330; and</text>
</paragraph><paragraph id="H2F95AE07A2404A05B7BE65521459283B"><enum>(2)</enum><text>the entity follows
practice standards supported by the American Institute of Ultrasound in
Medicine and other professional organizations representing health care
providers.</text>
</paragraph></subsection><subsection id="H871D60D0EAFF430AB74FE2E96FF75E8E"><enum>(c)</enum><header>Application for
Grant</header><text>A grant may be made under subsection (a) only if an
application for the grant is submitted in such form, in such manner, and
containing such agreements, assurances, and information as the Secretary
determines to be necessary.</text>
</subsection><subsection id="H54CECA3CBA8749E5A8307E8073A4755D"><enum>(d)</enum><header>Annual Report to
Secretary</header><text>A grant may be made under subsection (a) only if the
applicant for the grant agrees to report on an annual basis to the Secretary,
in such form and manner as the Secretary may require, on the ongoing compliance
of the applicant with the eligibility conditions established in this
section.</text>
</subsection><subsection id="H8DA88451BD354A0680F23A4C8A29BC9D"><enum>(e)</enum><header>Authorization of
Appropriations</header><text>For the purpose of carrying out this section,
there are authorized to be appropriated $3,000,000 for fiscal year 2010, and
such sums as may be necessary for each of fiscal years 2011 through
2013.</text>
</subsection></section><after-quoted-block></after-quoted-block></quoted-block>
</section><enum>XIII</enum><header>Preventing
domestic violence and sexual assault and addressing the link between such
violence and unintended pregnancy</header>
<section id="H4A73D12014304022BFAAEF94E9C1254D"><enum>1301.</enum><header>Findings</header><text display-inline="no-display-inline">The Congress finds as follows:</text>
<paragraph id="H138CFA00FDF8468A98B5ED4EA030D964"><enum>(1)</enum><text>On average, almost
500 women are raped or sexually assaulted each day in the United States and
4,800,000 intimate partner related physical assaults and rapes are experienced
by women each year.</text>
</paragraph><paragraph id="H014BB835E1794B8BAA5BE30720D30D6C"><enum>(2)</enum><text>Homicide was found
to be a leading cause of pregnancy-associated injury deaths among women from
1991–1999. The pregnancy-associated homicide ratio was 1.7 per 100,000 live
births.</text>
</paragraph><paragraph id="HCC27FF892A76486589BC6D6E5CF35799"><enum>(3)</enum><text>Women experiencing
abuse in the year prior to and/or during a recent pregnancy are 40 to 60
percent more likely than non-abused women to report high-blood pressure,
vaginal bleeding, severe nausea, kidney or urinary tract infections and
hospitalization during pregnancy and are 37 percent more likely to deliver
preterm.</text>
</paragraph><paragraph id="H18B29BE3E8094BE9AA1F12E75618F5E7"><enum>(4)</enum><text>Children born to
abused mothers are 17 percent more likely to be born underweight and more than
30 percent more likely than other children to require intensive care upon
birth.</text>
</paragraph><paragraph id="HC041F11CF8FA4345B1825D2F952B4636"><enum>(5)</enum><text>Too few doctors
screen their patients for abuse, even though up to one in 12 pregnant women are
battered.</text>
</paragraph><paragraph id="HA71CD0CC63404D93A4F14A04B090C4B5"><enum>(6)</enum><text>Physical violence
is linked to STD and HIV transmission, miscarriages, and risky sexual health
behavior.</text>
</paragraph><paragraph id="H533075694AFA4AE68933C746DF4D291D"><enum>(7)</enum><text>A
study found women who experienced intimate partner violence were more likely to
report a lack of contraception use due to partner control over
contraception.</text>
</paragraph><paragraph id="HF6AC7BB06AFC4F2FBAA45AEDF4FFCDCC"><enum>(8)</enum><text>Two in five adult
women who have been abused by partners have experienced an unwanted
pregnancy.</text>
</paragraph></section><section id="HF5987C87C9674A348EF288297B1CB3AC"><enum>1302.</enum><header>Separate
program to identify and treat women who are victims of or at risk of domestic
violence, dating violence, sexual assault, sexual coercion, or
stalking</header>
<subsection id="HFBA18D77CB7B4B70A37A749F299DB8C5"><enum>(a)</enum><header>Allotments</header><text>For
the purpose described in subsection (b), the Secretary shall, for fiscal year
2008 and each subsequent fiscal year, allot to each State that has transmitted
an application for the fiscal year under section 505(a) of the Social Security
Act an amount equal to the product of—</text>
<paragraph id="H9C37CD353885464899CA96365F551763"><enum>(1)</enum><text>the amount
appropriated under subsection (d) for the fiscal year; and</text>
</paragraph><paragraph id="HAEE44511E2D044F6BF95192705BCAF88"><enum>(2)</enum><text>the percentage
determined for the State under section 502(c)(1)(B)(ii) of such Act.</text>
</paragraph></subsection><subsection id="H9F1837A066E74493B8C3336319329DE9"><enum>(b)</enum><header>Purpose</header><text>The
purpose of an allotment under subsection (a) with respect to a State is to
enable the State to better identify and treat women who are victims of or at
risk of domestic violence, dating violence, sexual assault, sexual coercion, or
stalking through training health care professionals and behavioral and public
health staff how to identify, assess, treat, and refer such women. Such
training shall include—</text>
<paragraph id="H01E5611C23D045CBAAE824F484558020"><enum>(1)</enum><text>identifying
patients or clients at risk of or experiencing domestic violence, dating
violence sexual assault, sexual coercion, or stalking;</text>
</paragraph><paragraph id="H90D50BA46CDB4182AF53C418A730FFAE"><enum>(2)</enum><text>assessing the
immediate safety of the patient or client, the impact of the abuse on the
health of the patient, and assisting the patient in developing a plan to
promote her safety;</text>
</paragraph><paragraph id="HD06F51F27C5E4B869F3EF352E7719C61"><enum>(3)</enum><text>examining and
treating such patients or clients, including providing information regarding
the dynamics and nature of domestic violence, dating violence sexual assault,
sexual coercion, or stalking;</text>
</paragraph><paragraph id="H1B5AD84A70E44C6BA4C8573CF1DFEEA0"><enum>(4)</enum><text>providing
information regarding its implications for unintended pregnancy and sexually
transmitted infections and HIV;</text>
</paragraph><paragraph id="H81342208BC34461093727584AE65868C"><enum>(5)</enum><text>emphasizing
strategies to manage the patient or client’s health, including unintended
pregnancies, in the context of a violent relationship;</text>
</paragraph><paragraph id="H126FE18E1B4A41FA9014EC45FD4878DF"><enum>(6)</enum><text>maintaining
complete medical or forensic records that include the documentation of the
examination, treatment given, and referrals made, and establishing mechanisms
to ensure the privacy and confidentiality of those medical records;</text>
</paragraph><paragraph id="HD067BF2F4F9B4A9AA1EACBBFA26F078D"><enum>(7)</enum><text>referring the
patient or client to public and private nonprofit entities that provide
services for such victims; and</text>
</paragraph><paragraph id="H5367CEF18DA147A68204F6034D393E6F"><enum>(8)</enum><text>ensuring that all
services are provided in a linguistically and culturally relevant
manner.</text>
</paragraph></subsection><subsection id="H0349BD3CB422432D8DD286E12D17EADA"><enum>(c)</enum><header>Application of
Provisions</header>
<paragraph id="HC8A79BF6633549B0BBB28D1DFEBFA115"><enum>(1)</enum><header>In
general</header><text>Sections 503, 507, and 508 of the Social Security Act
apply to allotments under subsection (a) to the same extent and in the same
manner as such sections apply to allotments under section 502(c) of such
Act.</text>
</paragraph><paragraph id="H69060BF8D0CF454E8F7A0966F84AF18B"><enum>(2)</enum><header>Secretarial
discretion</header><text>Sections 505 and 506 of the Social Security Act apply
to allotments under subsection (a) to the extent determined by the Secretary to
be appropriate.</text>
</paragraph></subsection><subsection id="H72A9E935DCD1415CB72134088B19ADBF"><enum>(d)</enum><header>Authorization of
Appropriations</header><text>For the purpose of making allotments under
subsection (a), there is authorized to be appropriated $4,000,000 for each of
fiscal years 2010 through 2014.</text>
</subsection></section><section commented="no" id="H6772984E64E5431194A56EFC0D5204C1"><enum>1303.</enum><header>Additional
authorization of appropriations for public campaign to increase public
awareness</header><text display-inline="no-display-inline">Section 403 of the
Violence Against Women and Department of Justice Reauthorization Act of 2005
(<external-xref legal-doc="usc" parsable-cite="usc/42/14045c">42 U.S.C. 14045c</external-xref>) is amended—</text>
<paragraph commented="no" id="H5C1ECC0E096A4B65B7A27C9682990470"><enum>(1)</enum><text display-inline="yes-display-inline">in subsection (a), by inserting
<quote>women, including</quote> after <quote>against</quote>; and</text>
</paragraph><paragraph commented="no" id="H4390236A8D17495681E62DB407DC0100"><enum>(2)</enum><text display-inline="yes-display-inline">in subsection (b), by striking <quote>such
sums</quote> and all that follows and inserting the following:
<quote>$5,000,000 for fiscal year 2010, and such sums as may be necessary for
each of fiscal years 2011 through 2014.</quote>.</text>
</paragraph></section><enum>XIV</enum><header>Support for
pregnant and parenting students</header>
<section id="H01ED0D9E097649AFA52432D44BCFEAF7"><enum>1401.</enum><header>Support
services for students</header>
<subsection id="HB7567D7C387F4250B6AC0084AB85BE76"><enum>(a)</enum><header>In
General</header><text>The Secretary of Education may make grants to
institutions of higher education (as defined in section 102 of the Higher
Education Act of 1965 (<external-xref legal-doc="usc" parsable-cite="usc/20/1002">20 U.S.C. 1002</external-xref>)) that receive Federal financial
assistance to carry out demonstration projects for the purpose of providing
services to assist students who have decided to carry their pregnancies to
term, including those anticipating adoption, and parenting students, in
continuing their studies and graduating.</text>
</subsection><subsection id="H4B753235378746FC9AC1C3D19769D2E1"><enum>(b)</enum><header>Application</header><text>Each
institution of higher education desiring a grant under this section shall
submit to the Secretary of Education an application in such form, in such
manner, and containing such agreements, assurances, and information as the
Secretary determines to be necessary to carry out this section. Such
application shall include an assurance that the institution will—</text>
<paragraph id="H08B4E449A63244F480A29D16CEBB9FE2"><enum>(1)</enum><text>provide the
services offered under the demonstration program carried out with such grant
through on-campus facilities; and</text>
</paragraph><paragraph id="H9B13E5606706481CAA0A6D780B6C1901"><enum>(2)</enum><text>submit to the
Secretary, for each fiscal year for which such grant is awarded, a report
describing the activities carried out under the grant and the effects of the
activities on the students to whom services are provided.</text>
</paragraph></subsection><subsection id="H3CD88481347F434C8E1A11C95292905F"><enum>(c)</enum><header>Limitations on
amount of grant</header><text>Each grant awarded under
<internal-xref idref="HB7567D7C387F4250B6AC0084AB85BE76" legis-path="1501.(a)">subsection (a)</internal-xref> for a fiscal year shall be
for an amount that is not more than $25,000.</text>
</subsection><subsection id="H8AD8FD9F88DB45F2805B38F6B46B9810"><enum>(d)</enum><header>Authorization of
appropriations</header><text>For the purpose of carrying out this section,
there are authorized to be appropriated $500,000 for each of fiscal years 2010
through 2014.</text>
</subsection></section><section id="HAAB5BCC87496441B9979098EF1EFBE51"><enum>1402.</enum><header>Child care
access means parents in school program</header><text display-inline="no-display-inline">Section 419N(b)(2)(B) of the Higher
Education Act of 1965 (<external-xref legal-doc="usc" parsable-cite="usc/20/1070e">20 U.S.C. 1070e(b)(2)(B)</external-xref>) is amended to read as
follows:</text>
<quoted-block display-inline="no-display-inline" id="HA1BD1477E41140C2BF9B18FE6ED296DD" style="OLC">
<subparagraph id="H912BEF4F59554C80ABEF8CD234F18581"><enum>(B)</enum><header>Minimum</header><text display-inline="yes-display-inline">A grant under this section shall be awarded
in an amount that is not less than
$30,000.</text>
</subparagraph><after-quoted-block>.</after-quoted-block></quoted-block>
</section><enum>XV</enum><header>Grants for a
national information campaign on adoption</header>
<section commented="no" id="H30CB33E284A841CF8C93C50550E9E16E"><enum>1501.</enum><header>Grants for a
national information campaign on adoption</header>
<subsection commented="no" id="HEB1A2859CA114D3680E0DB9C0B3BEA8D"><enum>(a)</enum><header>Grants</header><text>The
Secretary shall select on the basis of competitive grants, national
nonpartisan, nonprofit organizations that meet the requirements of this section
to establish national information campaigns to educate the public about
adoption, including foster care adoption, and resources available to
prospective and current adoptive parents, and to carry out the purposes and
activities described in subsections (c) and (d).</text>
</subsection><subsection commented="no" id="HB56DDA2246354706A316F2D26AD95D41"><enum>(b)</enum><header>Requirements for
grant</header><text>The Secretary may award a grant under this section to an
entity only if the Secretary determines that—</text>
<paragraph commented="no" id="H0136A45F625F4D52BB71D5B599B3F718"><enum>(1)</enum><text>the organization
has experience in the field of adoption and foster care, which includes, but is
not limited to, research and education;</text>
</paragraph><paragraph commented="no" id="H6E34DDE20471430388C8AFF0799F8006"><enum>(2)</enum><text>the organization
is research-based;</text>
</paragraph><paragraph commented="no" id="H8AC0CA9B904B45E689AE9F09B0E9AD26"><enum>(3)</enum><text>the organization
has comprehensive knowledge and data about adoption and foster care;</text>
</paragraph><paragraph commented="no" id="HA85EB9CB79724D69991B7146A255EA4E"><enum>(4)</enum><text>the organization
has a demonstrated ability to work with and provide assistance to a broad range
of individuals and entities; and</text>
</paragraph><paragraph commented="no" id="HEE3F044F1CF642F1BAD1533661E5B720"><enum>(5)</enum><text>the organization
has provided assurances satisfactory to the Secretary that the activities
funded under this section will not include teaching or promoting
religion.</text>
</paragraph></subsection><subsection commented="no" id="H2BFC95F5201949F19784F9DA30B011ED"><enum>(c)</enum><header>Purposes</header><text>Purposes
under subsection (a) may include the following:</text>
<paragraph commented="no" id="H2CD3DD3F99E045F892DC4F2E83A15FD8"><enum>(1)</enum><text>Developing and
implementing comprehensive information campaigns to promote accurate positive
information and messages on adoption, including foster care adoption, and the
benefits it can bring to children and families.</text>
</paragraph><paragraph commented="no" id="HEC5C14BDD3A6497C83E93CB4B34CD001"><enum>(2)</enum><text>Reaching the
public in a linguistically and culturally relevant manner, dispelling negative
stereotypes while promoting accurate, comprehensive positive information and
messages about adoption, including foster care adoption.</text>
</paragraph></subsection><subsection commented="no" id="H6B676EB828654821A2386B1E61F53B9D"><enum>(d)</enum><header>Activities</header><text>Each
grantee shall carry out the purposes described in subsection (c) and develop
and implement information campaigns directly or through grants, contracts, or
cooperative agreements with other entities. Activities may include the
following:</text>
<paragraph commented="no" id="H3B9B082765BB4FFB87941B936FF10D4B"><enum>(1)</enum><text>Public service
announcements.</text>
</paragraph><paragraph commented="no" id="HED25F1062F624623B5173F2E083E0AB3"><enum>(2)</enum><text>Paid educational
messages for print media.</text>
</paragraph><paragraph commented="no" id="H19BD4691CEBF47F18B30D1C136C17B0E"><enum>(3)</enum><text>Public transit
advertising.</text>
</paragraph><paragraph commented="no" id="HE88BF984418B40C2B93CC1E6D41AE665"><enum>(4)</enum><text>Radio broadcast
media.</text>
</paragraph><paragraph commented="no" id="H00D63DC85F674022A5289462916719C7"><enum>(5)</enum><text>Internet.</text>
</paragraph><paragraph commented="no" id="H376D486A5F0F475DA112A14E7E84E22B"><enum>(6)</enum><text>Other new
technology as may be appropriate for reaching a large audience.</text>
</paragraph><paragraph commented="no" id="HC77A871C42C74F2199CAAB3550B5412D"><enum>(7)</enum><text>Providing
information through community and faith-based organizations.</text>
</paragraph><paragraph commented="no" id="H976CFF9D638D4A2C9EB42870BC57A5B9"><enum>(8)</enum><text>Providing
workshops or trainings for media, professionals, and other relevant
parties.</text>
</paragraph></subsection><subsection commented="no" id="H07A7B5FF3BA649D7A1A0C00DA831C0B5"><enum>(e)</enum><header>Submission of
plan</header>
<paragraph commented="no" id="H1FC5B06788204DC7AA9B07DFB3DE3E2F"><enum>(1)</enum><header>In
general</header><text>To be eligible to receive a grant under this section, a
grantee shall submit to the Secretary an application that meets the
requirements of paragraph (2).</text>
</paragraph><paragraph commented="no" id="H96D8B27DF02F45969BABAD2A0D87F612"><enum>(2)</enum><header>Requirements</header><text>An
application under this subsection shall be submitted in such form, in such
manner, and containing such information and assurances as the Secretary may
prescribe, and shall include the following:</text>
<subparagraph commented="no" id="HF9AF5F64526A440C850153947C082B75"><enum>(A)</enum><text>A complete
description of applicant’s plan for the proposed public information
campaign.</text>
</subparagraph><subparagraph commented="no" id="H7BA72F2EDC2B4DCBB6236098B3B5EBA2"><enum>(B)</enum><text>A description of
the positive messages for the proposed public information campaign.</text>
</subparagraph><subparagraph commented="no" id="H21D1227C00EA4F10BD58E974E6EB591A"><enum>(C)</enum><text>An identification
of the media organizations and other groups through which the campaign will be
carried out.</text>
</subparagraph><subparagraph commented="no" id="H5855C677CD3A49D0AE92DECDEC293AC4"><enum>(D)</enum><text>A description of
the nature, amount, distribution, and timing of informational messages to be
used in the campaign.</text>
</subparagraph><subparagraph commented="no" id="HE1DB35DE5F0C42EE97516E8977AC0DEF"><enum>(E)</enum><text>If targeting
specific communities and groups, an identification of the specific communities
and groups to be educated by the campaign, and a description of how the
campaign will educate the communities and groups.</text>
</subparagraph><subparagraph commented="no" id="H66787555F6D142D7A97F8CD1DC1903A5"><enum>(F)</enum><text>If targeting
specific communities and groups, the plans of the applicant with respect to
working with organizations that have expertise in developing culturally
appropriate informational messages.</text>
</subparagraph><subparagraph commented="no" id="HEF39BAD22EE643F8A21CCB5AD8257C98"><enum>(G)</enum><text>A description of
the geographic distribution of the campaign.</text>
</subparagraph><subparagraph commented="no" id="HA8A4801A071549DC9607510A965B5EC8"><enum>(H)</enum><text>Such other
information and assurances as the Secretary may require.</text>
</subparagraph></paragraph></subsection><subsection commented="no" id="HECD4CB4267504CC9B54F706E9AE7F9DE"><enum>(f)</enum><header>Evaluation of
project</header><text>The Secretary shall establish criteria for the evaluation
of projects. A grant may be made only if the grantee involved—</text>
<paragraph commented="no" id="HBC8614C617C94915A3FD10C30E4ADF49"><enum>(1)</enum><text>agrees to
participate in an independent evaluation of the project in accordance with such
criteria; and</text>
</paragraph><paragraph commented="no" id="H9D597C24186646B69221C4DE51BA39C1"><enum>(2)</enum><text>agrees to submit
to the Secretary such data as the Secretary determines to be
appropriate.</text>
</paragraph></subsection><subsection commented="no" id="H48C4240D394C40E7B7D5424F264858E8"><enum>(g)</enum><header>Authorization of
appropriations</header>
<paragraph commented="no" id="HD3BD5BC321A0472AA4D63A36C964A54A"><enum>(1)</enum><header>In
general</header><text>For the purpose of carrying out this section, there is
authorized to be appropriated $30,000,000 for each of fiscal years 2010 through
2014.</text>
</paragraph><paragraph commented="no" id="H2180FB8F57AA48F6842C006E3B417690"><enum>(2)</enum><header>Evaluation</header><text>Of
the total amount appropriated to carry out this section for a fiscal year, not
more than 10 percent may be made available for the evaluation of
projects.</text>
</paragraph></subsection></section><enum>XVI</enum><header>Expansion of
adoption credit and adoption assistance programs</header>
<section id="HC636E2D5D00D46A4A82B0FFD4378E870"><enum>1601.</enum><header>Expansion of
adoption credit and adoption assistance programs</header>
<subsection id="H56AA29AE43714875BE4733AAFA402354"><enum>(a)</enum><header>Increase in
Dollar Limitation</header>
<paragraph id="HC7B2F7E514C14F6483B4FF79AECEB3B0"><enum>(1)</enum><header>Adoption
credit</header>
<subparagraph id="HDC511276529447D5B139F3F84A67039B"><enum>(A)</enum><header>In
general</header><text>Paragraph (1) of section 23(b) of the Internal Revenue
Code of 1986 (relating to dollar limitation) is amended by striking
<quote>$10,000</quote> and inserting <quote>$15,000</quote>.</text>
</subparagraph><subparagraph id="H0794F01AB6A248CF86410004808D8733"><enum>(B)</enum><header>Child with
special needs</header><text>Paragraph (3) of section 23(a) of such Code
(relating to $10,000 credit for adoption of child with special needs regardless
of expenses) is amended—</text>
<clause id="H0ED11E65D2E34D0B8E7AAF563C84B856"><enum>(i)</enum><text>in
the text by striking <quote>$10,000</quote> and inserting
<quote>$15,000</quote>, and</text>
</clause><clause id="HD7E5E8FC3548433D80EB31BAEE947BAE"><enum>(ii)</enum><text>in
the heading by striking <quote>$10,000</quote> and inserting
<quote>$15,000</quote>.</text>
</clause></subparagraph><subparagraph id="H1AE68B99178543B3A89058B37A48C825"><enum>(C)</enum><header>Conforming
amendment to inflation adjustment</header><text>Subsection (h) of section 23 of
such Code (relating to adjustments for inflation) is amended to read as
follows:</text>
<quoted-block id="HF95017AEDD674B5AAEC7B6312B96790C" style="OLC">
<subsection id="H98F6FBB2AA1349FC9B855E29064A899E"><enum>(h)</enum><header>Adjustments for
Inflation</header>
<paragraph id="HAB1BCE79879544C9ABFCAD816B18916F"><enum>(1)</enum><header>Dollar
limitations</header><text>In the case of a taxable year beginning after
December 31, 2010, each of the dollar amounts in subsections (a)(3) and (b)(1)
shall be increased by an amount equal to—</text>
<subparagraph id="H501E59AD2775453B8C1AC87539C41B2C"><enum>(A)</enum><text>such dollar
amount, multiplied by</text>
</subparagraph><subparagraph id="HDEB6A8C94ADB4E45AD5B512FEFD2C119"><enum>(B)</enum><text>the cost-of-living
adjustment determined under section 1(f)(3) for the calendar year in which the
taxable year begins, determined by substituting <quote>calendar year
2009</quote> for <quote>calendar year 1992</quote> in subparagraph (B)
thereof.</text>
</subparagraph><continuation-text continuation-text-level="paragraph">If any
amount as increased under the preceding sentence is not a multiple of $10, such
amount shall be rounded to the nearest multiple of $10.</continuation-text></paragraph><paragraph id="H930097BD92564D069B62FD19D38863EC"><enum>(2)</enum><header>Income
limitation</header><text>In the case of a taxable year beginning after December
31, 2002, the dollar amount in subsection (b)(2)(A)(i) shall be increased by an
amount equal to—</text>
<subparagraph id="HD6D3E4496BB643A3958404A7472BC692"><enum>(A)</enum><text>such dollar
amount, multiplied by</text>
</subparagraph><subparagraph id="HCAB181A2E81446E8B5AB994B6671CF2C"><enum>(B)</enum><text>the cost-of-living
adjustment determined under section 1(f)(3) for the calendar year in which the
taxable year begins, determined by substituting <quote>calendar year
2001</quote> for <quote>calendar year 1992</quote> in subparagraph (B)
thereof.</text>
</subparagraph><continuation-text continuation-text-level="paragraph">If any
amount as increased under the preceding sentence is not a multiple of $10, such
amount shall be rounded to the nearest multiple of
$10.</continuation-text></paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</subparagraph></paragraph><paragraph id="HD91B40CB33F54C57A2EF13CF0E07637E"><enum>(2)</enum><header>Adoption
assistance programs</header>
<subparagraph id="H3D7F86A0E66540DCB9B53BDB79EBC00D"><enum>(A)</enum><header>In
general</header><text>Paragraph (1) of section 137(b) of the Internal Revenue
Code of 1986 (relating to dollar limitation) is amended by striking
<quote>$10,000</quote> and inserting <quote>$15,000</quote>.</text>
</subparagraph><subparagraph id="HDB792CEEB302484FBC71B6777CD41E96"><enum>(B)</enum><header>Child with
special needs</header><text>Paragraph (2) of section 137(a) of such Code
(relating to $10,000 exclusion for adoption of child with special needs
regardless of expenses) is amended—</text>
<clause id="H566E94E30B904296B806E90884F61E24"><enum>(i)</enum><text>in
the text by striking <quote>$10,000</quote> and inserting
<quote>$15,000</quote>, and</text>
</clause><clause id="H9589DCC76C734CE9820AE99B9DB638BF"><enum>(ii)</enum><text>in
the heading by striking <quote>$10,000</quote> and inserting
<quote>$15,000</quote>.</text>
</clause></subparagraph><subparagraph id="H1F0AAE5839AE45EA9098FBF7B48A36B4"><enum>(C)</enum><header>Conforming
amendment to inflation adjustment</header><text>Subsection (f) of section 137
of such Code (relating to adjustments for inflation) is amended to read as
follows:</text>
<quoted-block id="HED1B255A2BE4495A8C44D6E40407B44F" style="OLC">
<subsection id="H451AC442F2E141D3809F07035AE1F00B"><enum>(f)</enum><header>Adjustments for
Inflation</header>
<paragraph id="H4DF9FCFB36FF4DC6A1727B7943F3D009"><enum>(1)</enum><header>Dollar
limitations</header><text>In the case of a taxable year beginning after
December 31, 2010, each of the dollar amounts in subsections (a)(2) and (b)(1)
shall be increased by an amount equal to—</text>
<subparagraph id="H585D73793BE447299865E447E56F09E8"><enum>(A)</enum><text>such dollar
amount, multiplied by</text>
</subparagraph><subparagraph id="H4358163B54744B6E922C2F9E16F09250"><enum>(B)</enum><text>the cost-of-living
adjustment determined under section 1(f)(3) for the calendar year in which the
taxable year begins, determined by substituting <quote>calendar year
2009</quote> for <quote>calendar year 1992</quote> in subparagraph (B)
thereof.</text>
</subparagraph><continuation-text continuation-text-level="paragraph">If any
amount as increased under the preceding sentence is not a multiple of $10, such
amount shall be rounded to the nearest multiple of $10.</continuation-text></paragraph><paragraph id="HD7CA42DDA8B2457780638CDC6B8C2792"><enum>(2)</enum><header>Income
limitation</header><text>In the case of a taxable year beginning after December
31, 2002, the dollar amount in subsection (b)(2)(A) shall be increased by an
amount equal to—</text>
<subparagraph id="H55A5D2F87DCB4BC6AFB603F842690CC8"><enum>(A)</enum><text>such dollar
amount, multiplied by</text>
</subparagraph><subparagraph id="HA9E1750E3F5A4393BB367550709182CC"><enum>(B)</enum><text>the cost-of-living
adjustment determined under section 1(f)(3) for the calendar year in which the
taxable year begins, determined by substituting <quote>calendar year
2001</quote> for <quote>calendar year 1992</quote> in subparagraph
thereof.</text>
</subparagraph><continuation-text continuation-text-level="paragraph">If any
amount as increased under the preceding sentence is not a multiple of $10, such
amount shall be rounded to the nearest multiple of
$10.</continuation-text></paragraph></subsection><after-quoted-block>.</after-quoted-block></quoted-block>
</subparagraph></paragraph></subsection><subsection id="H4590A6742B5242ED9527C206E4414146"><enum>(b)</enum><header>Credit Made
Refundable</header>
<paragraph id="HA2547344707B4B6A957A1211B2B4184A"><enum>(1)</enum><header>Credit moved to
subpart relating to refundable credits</header><text>The Internal Revenue Code
of 1986 is amended—</text>
<subparagraph id="H4BE4F4E987F84448879A7AFBB50BA3C6"><enum>(A)</enum><text>by redesignating
section 23, as amended by subsection (a), as section 36B, and</text>
</subparagraph><subparagraph id="HA7FA83BF214F4A2C875779450CBC2C7E"><enum>(B)</enum><text>by moving section
36B (as so redesignated) from subpart A of part IV of subchapter A of chapter 1
to the location immediately before section 37 in subpart C of part IV of
subchapter A of chapter 1.</text>
</subparagraph></paragraph><paragraph id="H04063A65931C4DC3976508FD7F95FB36"><enum>(2)</enum><header>Conforming
amendments</header>
<subparagraph id="H3737D4663FA34E66901B45391057C2B2"><enum>(A)</enum><text>Section
24(b)(3)(B) of such Code is amended by striking <quote>sections
23,</quote>.</text>
</subparagraph><subparagraph id="HEC1C87A7A8344B24B22C97ADF2600090"><enum>(B)</enum><text>Section
25(e)(1)(C) of such Code is amended—</text>
<clause id="H8A31FEF891164F2E8091F4FACFDF37FA"><enum>(i)</enum><text>in
clause (i) by striking <quote>23, 25D,</quote> and inserting
<quote>25D</quote>, and</text>
</clause><clause id="HCCADF0E5045D48C0AF9082643944AE10"><enum>(ii)</enum><text>in
clause (ii) by striking <quote>23,</quote>.</text>
</clause></subparagraph><subparagraph id="HAB8B88B03F16437CB62371023F946EDD"><enum>(C)</enum><text>Section
25A(i)(5)(B) of such Code is amended by striking <quote>23, 25D</quote> and
inserting <quote>25D</quote>.</text>
</subparagraph><subparagraph id="H077F6C19F4084D008986E14BE234F573"><enum>(D)</enum><text>Section 25B(g)(2)
of such Code is amended by striking <quote>23,</quote>.</text>
</subparagraph><subparagraph id="HCFDF048890FA40E88811693D693F975C"><enum>(E)</enum><text>Section 26(a)(1)
of such Code is amended by striking <quote>23,</quote>.</text>
</subparagraph><subparagraph id="H6FE51825971B4868BC2ED29E69A4504D"><enum>(F)</enum><text>Section
30(c)(2)(B)(ii) of such Code is amended by striking <quote>23, 25D</quote> and
inserting <quote>25D</quote>.</text>
</subparagraph><subparagraph id="H64ABA98D1D964F3890E99C3FB8B4494C"><enum>(G)</enum><text>Section
30B(g)(2)(B)(ii) of such Code is amended by striking <quote>23,</quote>.</text>
</subparagraph><subparagraph id="H66CF136B4F2F40FDB9C71CD0460A7E0"><enum>(H)</enum><text>Section
30D(c)(2)(B)(ii) of such Code is amended by striking <quote>sections 23
and</quote> and inserting <quote>section</quote>.</text>
</subparagraph><subparagraph id="H9C011850921E4CFB96F3B2A71001923C"><enum>(I)</enum><text>Section 36B of
such Code, as so redesignated, is amended—</text>
<clause id="H31C18CB7FC664D9791FEF919D578D924"><enum>(i)</enum><text>by
striking paragraph (4) of subsection (b), and</text>
</clause><clause id="H900544D00D184DE9804BA5D00DB362DD"><enum>(ii)</enum><text>by
striking subsection (c).</text>
</clause></subparagraph><subparagraph id="H9F7426D1566842FF8E4C62FE08F6C5AD"><enum>(J)</enum><text>Section 137 of
such Code is amended—</text>
<clause id="HEA0BAE5AABEF44E7B34AD917841A5260"><enum>(i)</enum><text>in
subsection (d) by striking <quote>section 23(d)</quote> and inserting
<quote>section 36B(d)</quote>, and</text>
</clause><clause id="H53E0CDA2B2494DCFAC4A5023A39C88DD"><enum>(ii)</enum><text>in
subsection (e) by striking <quote>section 23</quote> and inserting
<quote>section 36B</quote>.</text>
</clause></subparagraph><subparagraph id="H3187A7A6E8DA4C409AE8A0D2EAD36532"><enum>(K)</enum><text>Section 904(i) of
such Code is amended by striking <quote>23,</quote>.</text>
</subparagraph><subparagraph id="HB4188964C2484182ADF0C75380A53ACF"><enum>(L)</enum><text>Section
1016(a)(26) is amended by striking <quote>23(g)</quote> and inserting
<quote>36B(g)</quote>.</text>
</subparagraph><subparagraph id="H187106E2314F4CD9B85A32C42F95DBC4"><enum>(M)</enum><text>Section 1400C(d)
of such Code is amended by striking <quote>23,</quote>.</text>
</subparagraph><subparagraph id="H3F6B63FE0BD84B1FA689CC86F6EB3746"><enum>(N)</enum><text>The table of
sections for subpart A of part IV of subchapter A of chapter 1 of such Code of
1986 is amended by striking the item relating to section 23.</text>
</subparagraph><subparagraph id="H41074758585541D0AB53D0637543B71E"><enum>(O)</enum><text>Paragraph (2) of
<external-xref legal-doc="usc" parsable-cite="usc/31/1324">section 1324(b)</external-xref> of title 31, United States Code, is amended by inserting
<quote>36B,</quote> after <quote>36A,</quote>.</text>
</subparagraph><subparagraph id="H5E945A7218C24D478DF980B101D1BF67"><enum>(P)</enum><text>The table of
sections for subpart C of part IV of subchapter A of chapter 1 of the Internal
Revenue Code of 1986 is amended by striking the last item and inserting the
following new items:</text>
<quoted-block display-inline="no-display-inline" id="H9AB40B929DC64A3384B22248EE62EE8A" style="OLC">
<toc regeneration="no-regeneration">
<toc-entry level="section">Sec. 36B. Adoption
expenses.</toc-entry>
</toc>
<after-quoted-block>.</after-quoted-block></quoted-block>
</subparagraph></paragraph></subsection><subsection id="H0C2CF7C4B06548CF94B9AAF80A470345"><enum>(c)</enum><header>Modifications
Made by EGTRRA to Adoption Credit Made Permanent</header><text>Title IX of the
Economic Growth and Tax Relief Reconciliation Act of 2001 shall not apply to
the amendments made by section 202 of such Act.</text>
</subsection><subsection id="HD78CE6C43DC84228920D564365672063"><enum>(d)</enum><header>Effective
Date</header><text>The amendments made by this section shall apply to taxable
years beginning after December 31, 2009.</text>
</subsection></section><enum>XVII</enum><header>Providing
support to new parents</header>
<section id="H80CCBFC44F654E4A97CFD94CAD68B939"><enum>1701.</enum><header>Increased
support for WIC program</header>
<subsection id="H5347123EF93A40CF8190CCF946EE8888"><enum>(a)</enum><header>Findings</header><text>Congress
finds the following:</text>
<paragraph id="H7ADB9BBBFBA8454AAC203BB0F1CC203C"><enum>(1)</enum><text>The special
supplemental nutrition program for women, infants, and children (WIC)
authorized by section 17 of the Child Nutrition Act of 1966 (<external-xref legal-doc="usc" parsable-cite="usc/42/1786">42 U.S.C. 1786</external-xref>)
serves over 9,000,000 women, infants, and children.</text>
</paragraph><paragraph id="H1F6A96593B20438DA75759EC5E9D6BD3"><enum>(2)</enum><text>Over half of all
infants in the United States and 1 in 4 young children under age 5 get crucial
health and nutrition benefits from the WIC Program.</text>
</paragraph><paragraph id="H01F215E236874A36BE2CABC3743284DB"><enum>(3)</enum><text>It is estimated
that every dollar spent on WIC results in between $1.92 and $4.21 in Medicaid
savings for newborns and their mothers.</text>
</paragraph><paragraph id="H0FDF51323707449F9F894DB0D0FC47B2"><enum>(4)</enum><text>The WIC program
has been proven to increase the number of women receiving prenatal care, reduce
the incidence of low birth weight and fetal mortality, reduce anemia, and
enhance the nutritional quality of the diet of mothers and children.</text>
</paragraph><paragraph id="H2562117383DE488384636045EF691756"><enum>(5)</enum><text>The WIC program’s
essential, effective nutrition services include nutrition assessment,
counseling and education, obesity prevention, breastfeeding support and
promotion, prenatal and pediatric health care referrals and follow-up, spousal
and child abuse referral, drug and alcohol abuse referral, immunization
screening, assessment and referral, and a host of other services for mothers
and children.</text>
</paragraph><paragraph id="HC826E9569D9F47C3BD1AFE9A7A22B880"><enum>(6)</enum><text>One in 10 people
eligible to participate in the WIC program are unable to receive WIC
services.</text>
</paragraph></subsection><subsection commented="no" id="HB04A53E8CAED4AC7BE42DA0C499A0B00"><enum>(b)</enum><header>Extending
certification period</header><text>Section 17(d)(3)(A) of the Child Nutrition
Act of 1966 (<external-xref legal-doc="usc" parsable-cite="usc/42/1786">42 U.S.C. 1786(d)(3)(A)</external-xref>) is amended by adding at the end the
following:</text>
<quoted-block display-inline="no-display-inline" id="H6249CA643C7940E5941F16D05AFB8DB1" style="OLC">
<clause commented="no" id="H9CCCDD8612134BF1BB555A21F7EE8509"><enum>(iii)</enum><header>Children</header><text display-inline="yes-display-inline">A State may elect to certify children for a
period of 1
year.</text>
</clause><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection><subsection id="HD8D382A132094C2DA2E3CA5648319D0C"><enum>(c)</enum><header>Promoting and
supporting breastfeeding</header>
<paragraph id="H7371D4B996294D2AAD7BBE4E07D89C0C"><enum>(1)</enum><text display-inline="yes-display-inline">The second sentence of section 17(a) of the
Child Nutrition Act of 1966 (<external-xref legal-doc="usc" parsable-cite="usc/42/1786">42 U.S.C. 1786(a)</external-xref>) is amended to read as follows:
<quote>It is, therefore, the purpose of the program authorized by this section
to provide, up to the authorization levels set forth in subsection (g) of this
section, supplemental foods, nutrition education, and breastfeeding support and
promotion through any eligible local agency that applies for participation in
the program.</quote></text>
</paragraph><paragraph id="HC1B92EFC292B438DA0DD3D9C189D2541"><enum>(2)</enum><text display-inline="yes-display-inline">Section 17(h)(10)(B)(iii) of the Child
Nutrition Act of 1966 (42 U.S.C. 1786(h)(10(B)(iii)) is amended to read as
follows:</text>
<quoted-block display-inline="no-display-inline" id="H35FC796292B94BB5BDB47564CD289430" style="OLC">
<clause id="H4FF9E5164F1145839ED64818C0C03555"><enum>(iii)</enum><text display-inline="yes-display-inline">$40,000,000 shall be used for special
nutrition education such as breastfeeding peer counselors and other related
activities.</text>
</clause><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph><paragraph commented="no" id="H56BC36C2FFFE49FA8A07B24B0B333A02"><enum>(3)</enum><text>Section
17(h)(1)(C)(ii) of the Child Nutrition Act of 1966 (42 U.S.C.
1786(h)(1)(C)(ii)) is amended to read as follows:</text>
<quoted-block display-inline="no-display-inline" id="H827F29E9AD0D49F0A7A81E383427AF89" style="OLC">
<clause commented="no" id="H6B2AA89BC14E4A8EA0B0565DCA556582"><enum>(ii)</enum><header>Breast
pumps</header><text display-inline="yes-display-inline">A State agency may,
without restriction, use amounts available under clause (i) for the provision
of breast pumps needed to serve
participants.</text>
</clause><after-quoted-block>.</after-quoted-block></quoted-block>
</paragraph></subsection><subsection id="H99C34EEA4F0446AFADAEF2DEAD7336EB"><enum>(d)</enum><header>Appropriating
funding for WIC</header><text>Section 17(g)(1)(A) of the Child Nutrition Act of
1966 (<external-xref legal-doc="usc" parsable-cite="usc/42/1786">42 U.S.C. 1786(g)(1)(A)</external-xref>) is amended to read as follows:</text>
<quoted-block id="H2A9EF54ABCEF4BACA49CAF117275C59D" style="OLC">
<subparagraph id="H1D2F0770345D4090B782A5A20FBD0C91"><enum>(A)</enum><header>Authorization</header><text>There
are authorized to be appropriated to carry out this section—</text>
<clause id="H277BD1D3D0A142B48E93C6F143396274"><enum>(i)</enum><text>$7,777,000,000 for
fiscal year 2010, of which—</text>
<subclause id="H3174C5F55EEB4D539A570877BC83DB04"><enum>(I)</enum><text>$40,000,000 shall
be made available for breastfeeding peer counselors;</text>
</subclause><subclause id="H9F9C42DC9E284EC9B2DB40009F3383DF"><enum>(II)</enum><text>$40,000,000 shall
be made available for infrastructure needs;</text>
</subclause><subclause id="H82C7570132B4470EACF7D648E7821A0B"><enum>(III)</enum><text>$60,000,000
shall be made available for management information systems; and</text>
</subclause><subclause id="H8450A50AA7464D9E9F0CAA194349BCEA"><enum>(IV)</enum><text>$5,000,000 shall
be made available to support rigorous health outcomes research and
evaluation.</text>
</subclause></clause><clause id="HA72E81AB7BD04327A96C27BC4BEF74DB"><enum>(ii)</enum><text>such sums as may
be necessary for fiscal year
2011.</text>
</clause></subparagraph><after-quoted-block>.</after-quoted-block></quoted-block>
</subsection></section><section id="HC94B9BE43BD443D39031EF72D0537686"><enum>1702.</enum><header>Nutritional
support for low-income parents</header><text display-inline="no-display-inline">Section 5(c)(2) of the Food and Nutrition
Act of 2008 (<external-xref legal-doc="usc" parsable-cite="usc/7/2014">7 U.S.C. 2014(c)(2)</external-xref>) is amended by striking <quote>30
percentum</quote> and inserting <quote>85 percent</quote>.</text>
</section><section id="H5D197CD8675C4150B19855E42F8298F2"><enum>1703.</enum><header>Increased
funding for the child care and development block grant program</header><text display-inline="no-display-inline">Section 658B of the Child Care and
Development Block Grant Act of 1990 (<external-xref legal-doc="usc" parsable-cite="usc/42/9858">42 U.S.C. 9858</external-xref>) is amended by striking
<quote>$1,000,000,000 for each of fiscal years 1996 through 2002</quote> and
inserting <quote>$4,127,000,000 for each of fiscal years 2010 through
2016</quote>.</text>
</section><section id="H0B60951DFA994BD49559F8CC1F09B63E"><enum>1704.</enum><header>Free home
visits by trained home visitors for education on health and developmental needs
of infants and toddlers for low-income families</header>
<subsection id="HA6CEAD5436BE4D03A2CA8AA83613923B"><enum>(a)</enum><header>In
general</header><text>The Secretary may make grants to health departments and
schools to provide to eligible families, without charge, education on the
health and developmental needs of their infants through visits to their homes
by trained home visitors.</text>
</subsection><subsection id="H4A4EFDE5799347CE8C326F3125051F9A"><enum>(b)</enum><header>Definitions</header><text display-inline="yes-display-inline">In this section:</text>
<paragraph id="H3953CC67775F481E92040F01B10158D0"><enum>(1)</enum><header>Eligible
family</header><text display-inline="yes-display-inline">The term
<term>eligible family</term> means a family that—</text>
<subparagraph id="HAE61814DB10C4E77A847B21D6E88462D"><enum>(A)</enum><text>has low income;
and</text>
</subparagraph><subparagraph id="HECE72756BF7B4A718786AB58E02620F8"><enum>(B)</enum><text>includes the
parents or caregivers of a child who has not yet entered kindergarten.</text>
</subparagraph></paragraph><paragraph id="HA065A6D192654F2C86F951128D500001"><enum>(2)</enum><header>Low
income</header>
<subparagraph id="H77AD50A0D23243B1AFEEC3FAF950636C"><enum>(A)</enum><header>In
general</header><text>The term <term>low income</term> means income not
exceeding 200 percent of the poverty line for a family of the size
involved.</text>
</subparagraph><subparagraph id="H6339994CD98345E181D54AF375486D91"><enum>(B)</enum><header>Special
rule</header><text>For purposes of this section, a family that has low income
when the provision of home visitation services to the family commences shall be
considered to have low income throughout the course of receiving the
services.</text>
</subparagraph></paragraph><paragraph id="HF3FB8B4AE6A04180A3914B7EFAA210FF"><enum>(3)</enum><header>Poverty
line</header><text display-inline="yes-display-inline">The term <term>poverty
line</term> has the meaning given the term in section 673(2) of the Community
Services Block Grant Act (<external-xref legal-doc="usc" parsable-cite="usc/42/9902">42 U.S.C. 9902(2)</external-xref>), including any revision required
by such section.</text>
</paragraph></subsection><subsection id="H6097614A82004D1DAF7E9960AE9BE501"><enum>(c)</enum><header>Certain
requirements</header><text>A grant may be made under subsection (a) only if the
applicant involved agrees as follows:</text>
<paragraph id="H21B6DB5076A14669AA276AB1D491C68E"><enum>(1)</enum><text>The program
carried out under subsection (a) by the applicant will be designed to instill
in eligible families confidence in their abilities to provide for the health
needs of their newborns, including through—</text>
<subparagraph id="HE1A5E7E6477D420DB1120DCF7FE3EB1C"><enum>(A)</enum><text>providing
information on child development; and</text>
</subparagraph><subparagraph id="H8F88479281D04C339196AF9BB76EB99B"><enum>(B)</enum><text>soliciting
questions from the families.</text>
</subparagraph></paragraph><paragraph id="HB4184E26675C430198E969AF3016E4BF"><enum>(2)</enum><text>The trained home
visitors who make home visits under subsection (a) will, as needed, provide
referrals for health and social services.</text>
</paragraph><paragraph id="HE207B2356BCD4EFFB1498F7A27021BD0"><enum>(3)</enum><text>The period during
which the visits will be available to an eligible family will not be less than
1 year.</text>
</paragraph><paragraph id="H75592DEA026A462BA316471EA73249AD"><enum>(4)</enum><text>An eligible family
will receive no less than 2 visits each month, with more frequent visits
provided for families with high needs.</text>
</paragraph><paragraph id="H88D69748617A4DDAA8B6EEC453713E93"><enum>(5)</enum><text>The program is
proven effective on the basis of rigorous scientific research.</text>
</paragraph></subsection><subsection id="H2ABC5636B8494DA09C8CC744E8C925D6"><enum>(d)</enum><header>Authorized
services</header>
<paragraph id="HC25A2D4A905A4D4AB762F555F8CE1196"><enum>(1)</enum><header>Requirements</header><text>A
grant may be made under subsection (a) only if the applicant involved agrees
that the following services will be provided by trained home visitors in home
visits under subsection (a):</text>
<subparagraph id="HCEF64C1ACC754C7C87E6487B57CB59BE"><enum>(A)</enum><text>Research based
information on child health and age appropriate development, including
suggestions for child-developmental activities.</text>
</subparagraph><subparagraph id="H594204F3A7714F80AA0056CA00A2F8F9"><enum>(B)</enum><text>Advice on
parenting, including information on how to develop a strong parent-child
relationship and realistic expectations of age-appropriate child
behaviors.</text>
</subparagraph><subparagraph id="H1C23B1E65BDC47B2B61B936D6A90D1C7"><enum>(C)</enum><text>Information on
parenting, including identifying books, videos and parenting workshops in the
local region.</text>
</subparagraph><subparagraph id="HA262111015D54C9889BB06B09802F802"><enum>(D)</enum><text>Information on
programs that facilitate parent-to-parent support services.</text>
</subparagraph><subparagraph id="HFFEDFB40BB3241EBB0683BA345FEFF69"><enum>(E)</enum><text>Factually and
medically accurate and complete information about contraception.</text>
</subparagraph><subparagraph id="HCE343E77FEA148279CFBCF81119114C2"><enum>(F)</enum><text>In the case of an
eligible entity who is a student, information on resources that may assist the
mother in completing the educational courses involved.</text>
</subparagraph><subparagraph id="H8FBDED2FF9EE4735A9AA01BE4DF8AC90"><enum>(G)</enum><text>Child health and
developmental screening.</text>
</subparagraph></paragraph><paragraph id="H6F26BBE7B2F94AD4AA1F73C40DE8F628"><enum>(2)</enum><header>Additional
services</header><text>A grant under subsection (a) may be expended to provide
services under such subsection in addition to the services specified in
paragraph (1). The services may include—</text>
<subparagraph id="HEC26C4CBD711409CBAAEFFB40BF26AE2"><enum>(A)</enum><text>providing the
necessary hygiene products for children, such as diapers, that allow a parent
to provide for the basic needs of the child; or</text>
</subparagraph><subparagraph id="HF4A92ADC4F62404DBDC24CDC1372ECF5"><enum>(B)</enum><text>an effort to
recruit low-income pregnant women who are in their third trimester and have
decided to carry their pregnancy to term.</text>
</subparagraph></paragraph></subsection><subsection id="H0DCD1423B0F0438DBD5F011CD2C47C12"><enum>(e)</enum><header>Limitations on
authorization of appropriations</header><text>To carry out this section, there
are authorized to be appropriated $150,000,000 for fiscal year 2010,
$250,000,000 for fiscal year 2011, $350,000,000 for fiscal year 2012,
$450,000,000 for fiscal year 2013, and $550,000,000 for fiscal year
2014.</text>
</subsection></section><section id="HD8FAF4268A6842C5B4663DC4A9298684"><enum>1705.</enum><header>Grants to
increase public awareness of resources available to new parents</header>
<subsection id="H0036ECD69B724AEF833E1BB8779CEE93"><enum>(a)</enum><header>Grants</header><text>The
Secretary may make grants to States to increase public awareness of resources
available to new parents.</text>
</subsection><subsection id="HA4C735C3CE7442A08B086B4829044611"><enum>(b)</enum><header>Use of
funds</header><text>The Secretary may make a grant to a State under this
section only if the State agrees to use the grant for all the following:</text>
<paragraph id="H2BAC4F247B284F1C8916254020DD308A"><enum>(1)</enum><text>Identification of
resources available to new parents.</text>
</paragraph><paragraph id="H4B5A6F3AE14E444BA6B1C3AE31BEE0C5"><enum>(2)</enum><text>Conducting an
advertising campaign to increase public awareness of the resources.</text>
</paragraph><paragraph id="H85ED3FB431F94009B2028351FADC8680"><enum>(3)</enum><text>Establishing and
maintaining a toll-free telephone line to direct people to—</text>
<subparagraph id="H53D7A2C911C942BF9CBFBA20933DBC53"><enum>(A)</enum><text>adoption centers;
and</text>
</subparagraph><subparagraph id="H8D862E1B8B0B4C6DBF464C04E9E633E9"><enum>(B)</enum><text>organizations that
provide support services to new parents.</text>
</subparagraph></paragraph></subsection><subsection id="HA6FA7A9C8B7D4FE2A9A3A28DC9A63334"><enum>(c)</enum><header>Prohibition</header><text>The
Secretary shall prohibit each State receiving a grant under this section from
using the grant to direct people to an organization or adoption center that is
operated for profit.</text>
</subsection><subsection id="H0F8B7F7E55334B4180F9E0EA22DA8B31"><enum>(d)</enum><header>Certifications
required as condition of grant</header><text>As a condition of providing a
grant to a State under this section, the Secretary shall require the State to
certify to the Secretary that the State will—</text>
<paragraph id="H4A03829AD3164FE48678C32B1D39E357"><enum>(1)</enum><text>use the grant to
direct people to an organization that provides mandatory full disclosure as to
which services and referrals the organization will or will not provide;
and</text>
</paragraph><paragraph id="HA20661AD2F0E4CE3B946A789EDACA64E"><enum>(2)</enum><text display-inline="yes-display-inline">make publicly available by means of the
Internet (in electronic and paper form) a list of—</text>
<subparagraph display-inline="no-display-inline" id="H39C2C31C7FAE44E986D51B9CFC8705FA"><enum>(A)</enum><text>the resources
identified by the State pursuant to subsection (b)(1); and</text>
</subparagraph><subparagraph id="H362858D441E749E0A2372F242B7C048F"><enum>(B)</enum><text>the organizations
and adoption centers to which people are directed pursuant to an advertising
campaign or telephone line funded under this section.</text>
</subparagraph></paragraph></subsection></section><enum>XVIII</enum><header>Research on
responses to unintended pregnancies</header>
<section id="H115A6AE3574B448DAF6E09057AB6B9B3"><enum>1801.</enum><header>Report on
responses to unintended pregnancy</header>
<subsection id="H0FC513CC774E449199F5A76BBFD6A03E"><enum>(a)</enum><header>In
General</header><text>The Secretary shall enter into an agreement with the
Institute of Medicine to study the range of choices women make in response to
unintended pregnancy. The Secretary shall ensure that a report from the
Institute describing the findings of the study is submitted to the Congress not
later than January 10, 2013. Names may not be collected for purposes of the
study.</text>
</subsection><subsection id="H12CCF60BE53B42979D688C011D6F9F38"><enum>(b)</enum><header>Authorization of
Appropriations</header><text>To carry out this section, there are authorized to
be appropriated such sums as may be necessary for each of fiscal years 2010
through 2013.</text>
</subsection></section>