,i  #aafth ,,congress  #b;d ,session    
,h4 ,r4 #fagh  ,,in ,,the ,,house ,,of  
,,representatives  ,march #aj1 #bjbj,ms4
 ,bonamici 7for herself1 ,mr4 ,nadler1  
,mr4 ,grijalva1 ,mr4 ,blumenauer1 and   
,mr4 ,sablan7 introduced the following  
bill2 which was referred to the         
,committee on ,energy and ,commerce  ,a 
,,bill  ,to amend the ,public ,health   
,service ,act to provide for a          
demonstration program to facilitate the 
clinical adoption of pregnancy intention
 screening initiatives by health care   
and social service providers4  #a4      
,short title ,this ,act may be cited as 
the ,enhancing ,questions to ,understand
 ,intentions for ,pregnancy ,act of     
#bjbj or the ,,equip ,act of #bjbj4  #b4
 ,pregnancy intention screening         
initiative demonstration program ,part  
,p of title ,,iii of the ,public ,health
 ,service ,act 7#db ,u4,s4,c4 #bhj;g et 
seq47 is amended by adding at the end   
the following new section3  #cii,v-#g4  
,pregnancy intention screening          

initiative demonstration program  7a7   
,program establishment ,the ,secretary1 
through the ,director of the ,centers   
for ,disease ,control and ,prevention1  
shall establish a demonstration program 
to facilitate the clinical adoption of  
pregnancy intention screening           
initiatives by health care and social   
service providers4  7b7 ,grants ,the    
,secretary may carry out the            
demonstration program through awarding  
grants to eligible entities to implement
 pregnancy intention screening          
initiatives1 collect data1 and evaluate 
such initiatives4  7c7 ,eligible        
,entities  7#a7 ,in general ,an eligible
 entity under this section is an entity 
described in paragraph 7#b7 that        
provides non-directive1 comprehensive1  
medically accurate information4  7#b7   
,entities described ,for purposes of    
paragraph 7#a71 an entity described in  
this paragraph is a community-based     
organization1 voluntary health          
organization1 public health department1 

community health center1 or other       
interested public or private primary1   
behavioral1 or other health care or     
social service provider or organization4
  7d7 ,pregnancy intention screening    
initiative ,for purposes of this        
section1 the term pregnancy intention   
screening initiative means any          
initiative by an eligible entity to     
routinely screen women with respect to  
their pregnancy desires and goals to    
either prevent unintended pregnancies or
 improve the likelihood of healthy      
pregnancies1 in order to better provide 
health care that meets the contraceptive
 or pre-pregnancy needs and goals of    
such women4  7e7 ,evaluation  7#a7 ,in  
general ,the ,secretary1 acting through 
the ,director of the ,centers for       
,disease ,control and ,prevention1      
shall1 by grant or contract1 and after  
consultation as described in paragraph  
7#b71 conduct an evaluation of the      
demonstration program1 with respect to  
pregnancy intention screening           

initiatives1 conducted under this       
section4 ,such an evaluation shall      
include3 7,a7 ,assessment of the        
implementation of pregnancy intention   
screening protocols among a diverse     
group of patients and providers1        
including collecting data on the        
experiences and outcomes for diverse    
patient populations in a variety of     
clinical settings4  7,b7 ,analysis of   
outcome measures that will facilitate   
effective and widespread adoption of    
such protocols by health care providers 
for inquiring about and responding to   
pregnancy goals of women with both      
contraceptive and pre-pregnancy care4   
7,c7 ,consideration of health           
disparities among the population served4
  7,d7 ,assessment of the equitable and 
voluntary application of such           
initiatives to minority and medically   
underserved communities4  7,e7          
,assessment of the training1 capacity1  
and ongoing technical assistance needed 
for providers to effectively implement  

such pregnancy intention screening      
protocols4  7,f7 ,assessment of whether 
referral systems for selected protocols 
follow evidence-based standards that    
ensure access to comprehensive health   
services and appropriate follow-up care4
  7,g7 ,measuring through rigorous      
methods the effect of such initiatives  
on key health outcomes4  7#b7           
,consultation with independent experts  
,in conducting any evaluation under     
paragraph 7#a71 the ,director of the    
,centers for ,disease ,control and      
,prevention shall consult with          
physicians1 physician assistants1       
advanced practice registered nurses1    
registered nurses1 nurse midwives1 and  
other health care providers who         
specialize in women's health1 and other 
experts in public health1 clinical      
practice1 program evaluation1 and       
research4  7#c7 ,report ,not later than 
one year after the last day of the      
demonstration program under this        
section1 the ,director of the ,centers  

for ,disease ,control and ,prevention   
shall submit to ,congress a report on   
the results of the evaluation conducted 
under paragraph 7#a7 and shall make the 
report publicly available4  7f7 ,funding
  7#a7 ,authorization of appropriations 
,to carry out this section1 there is    
authorized to be appropriated           
#aj1jjj1jjj for each of fiscal years    
#bjba through #bjbc4  7#b7 ,limitation  
,not more than #bj percent of funds     
appropriated to carry out this section  
pursuant to paragraph 7#a7 for a fiscal 
year may be used for purposes of the    
evaluation under subsection 7e74  4