,i  #aai? ,,congress  #a/ ,session  ,h4 
,r4 #ebjb  ,,9 ,,! ,,h\se ,,(           
,,repres5tatives  ,septemb] #h1         
#bjbe,ms4 ,morrison 7= h]self & ,mrs4   
,h9son7 introduc$ ! foll[+ bill2 :i* 0  
ref]r$ to ! ,committee on ,en]gy &      
,comm]ce  ,a ,,bill  ,to address        
mat]nity c>e %ortages & promote optimal 
mat]nity outcomes by exp&+ access to    
bir? c5t]s & explor+ m effective paym5t 
models = bir? c5t] c>e1 & = o!r         
purposes4  #a4 ,%ort title ,?is ,act may
 be cit$ z ! ,bett] ,availability (     
,bir? ,c5t]s ,improves ,outcomes &      
,exp&s ,sav+s ,act or ! ,,babies ,act4  
#b4 ,grants to improve access to free/&+
 bir? c5t] s]vices ,"p ,p ( title ,,iii 
( ! ,public ,heal? ,s]vice ,act 7#db    
,u4,s4,c4 #bhj;g et seq47 is am5d$ by   
add+ at ! end ! foll[+3  #cii,v-#h4     
,/rong />t bir? c5t] grants to assi/    
bir? c5t]s ) />t-up or expansion co/s to
 exp& access to bir? c5t] s]vices 9     
und]s]v$ areas  7a7 ,9 g5]al ,!         
,secret>y1 act+ ?r\gh ! ,adm9i/rator ( !

 ,heal? ,res\rces & ,s]vices            
,adm9i/ration1 may aw>d grants to       
eligible bir? c5t]s t are accr$it$1 or  
int5d to seek accr$itation1 z bir? c5t]s
 by a nationally recogniz$ accr$it+ body
 su* z ! ,commission = ! ,accr$itation (
 ,bir? ,c5t]s1 or t h ! int5tion ( seek+
 su* accr$itation1 = ! purposes describ$
 9 subsection 7b74  7b7 ,use ( funds ,a 
bir? c5t] receiv+ a grant "u ?is section
 may use su* grant funds = any ( !      
foll[+ purposes3  7#a7 ,r5ovation1      
expansion1 or con/ruction ( a bir? c5t] 
facility4  7#b7 ,pur*as+ or updat+      
equipm5t = a bir? c5t]4  7#c7           
,accr$itation & ,/ate lic5sure          
activities4  7c7 ,grants2 grant am\nts  
,= ea* ( fiscal ye>s #bjbf ?r\gh #bjcj1 
! ,secret>y %all aw>d grants "u ?is     
section to up to #ae bir? c5t]s1 ea* 9  
an am\nt ( n less ?an #cjj1jjj & n m ?an
 #ejj1jjj4  7d7 ,special consid]ations  
,9 aw>d+ grants "u ?is section1 !       
,secret>y %all give special consid]ation
 to an eligible bir? c5t] t-- 7#a7 is   

locat$ 91 or (f]s s]vices to1 a         
geographic area t--  7,a7 has be5       
designat$ "u section #ccb z a heal?     
pr(essional %ortage area ) respect to   
mat]nity c>e2 or  7,b7 has mat]nity c>e 
outcomes t are bel[ a ?re%old e/abli%$  
by ! ,secret>y2 &  7#b7 has n previ\sly 
receiv$ a grant "u ?is section4  7e7    
,au?orization ( appropriations ,!re is  
au?oriz$ to be appropriat$ to c>ry out  
?is section #e1jjj1jjj = ! p]iod (      
fiscal ye>s #bjbf ?r\gh #bjcj4  4  #c4  
,m$icaid demon/ration program to improve
 free/&+ bir? c5t] s]vices ,section     
#aijc ( ! ,social ,security ,act 7#db   
,u4,s4,c4 #acif;b7 is am5d$ by add+ at !
 end ! foll[+ new subsection3  7cc7     
,demon/ration program ,to improve       
free/&+ bir? c5t] s]vices  7#a7         
,au?ority ,! ,secret>y %all conduct a   
demon/ration program = ! purpose (      
explor+ m effective paym5t models = bir?
 c5t] c>e 9 ord] to improve access to1 &
 ! quality & scope (1 free/&+ bir? c5t] 
s]vices = wom5 ) a l[-risk pregnancy :o 

are eligible = m$ical assi/ance "u !    
,/ate plan "u ?is title or "u a waiv] ( 
su* plan4  7#b7  ,deadl9es =            
p>ticipation crit]ia1 prospective paym5t
 sy/em2 plann+ grants  7,a7             
,p>ticipation & prospective paym5t sy/em
 deadl9e  ,n lat] ?an #a ye> aft] ! date
 ( ! enactm5t ( ?is subsection1 !       
,secret>y %all d ! foll[+3  7i7         
,publication ( p>ticipation crit]ia =   
free/&+ bir? c5t]s  7,i7  ,9 g5]al  ,!  
,secret>y %all publi% crit]ia = a       
free/&+ bir? c5t] to be c]tifi$ by a    
,/ate = purposes ( p>ticipat+ 9 a ,/ate 
demon/ration program conduct$ "u ?is    
subsection4  7,,ii7  ,requirem5ts  ,!   
crit]ia requir$ to be publi%$ "u        
subclause 7,i7 %all include ! foll[+3   
7aa7  ,accr$itation  ,at ! "t (         
c]tification = purposes ( p>ticipat+ 9 !
 demon/ration program conduct$ "u ?is   
subsection1 a free/&+ bir? c5t] %all be 
accr$it$ or h complet$ ! initial phase (
 accr$itation f an approv$1 nationally  
recogniz$ bir? c5t] accr$itation body1 z

 det]m9$ by ! ,secret>y4  7bb7          
,lic5sure & o!r requirem5ts  ,a free/&+ 
bir? c5t] %all-- 7,,aa7 be lic5s$1 or   
o!rwise approv$1 by ! ,/ate to provide  
pr5atal1 labor & deliv]y1 po/p>tum1     
newborn c>e1 & o!r ambulatory s]vices = 
:i* m$ical assi/ance is available "u !  
,/ate plan or waiv] "u ?is title2 &     
7,,bb7 comply ) su* o!r requirem5ts     
relat+ to ! heal? & safety ( individuals
 :o receive s]vices furni%$ by !        
facility z ! ,/ate %all e/abli%4  7cc7  
,c>e coord9ation  ,a free/&+ bir? c5t]  
%all be able to meet c>e coord9ation    
requirem5ts e/abli%$ by ! ,secret>y1    
includ+ requirem5ts to coord9ate c>e    
across sett+s & provid]s to ensure      
seamless transitions = pati5ts across ! 
full spectrum ( heal? s]vices1 & %all be
 able to engage 9 consultation = high]  
level mat]nity c>e s]vices1 non-mat]nity
 c>e s]vices1 & behavioral heal? ne$s1  
:i* may include plans = consultation1   
collaboration & ref]ral1 & arrangem5ts )
 ! foll[+3  7,,aa7 ,f$]ally qualifi$    

heal? c5t]s 7& z applicable1 rural heal?
 cl9ics7 to provide ,f$]ally qualifi$   
heal? c5t] s]vices 7& z applicable1     
rural heal? cl9ic s]vices7 to ! ext5t   
su* s]vices are n provid$ directly ?r\gh
 ! bir? c5t]4  7,,bb7 ,o!r outpati5t    
cl9ics1 includ+ lic5s$ midwif]y &       
physician practices4  7,,cc7 ,inpati5t  
acute c>e facilities ) ob/etrical c>e   
units4  7dd7 ,scope ( s]vices ,z det]m9$
 by ! ,secret>y1 a free/&+ bir? c5t]    
%all be able to provide p]ip>tum c>e =  
wom5 ) a l[-risk pregnancy & = newborns1
 consi/5t ) evid5ce-bas$ guidel9es4     
7ee7  ,capabilities  ,a free/&+ bir?    
c5t] %all h ! foll[+ capabilities3      
7,,aa7 ,9 addition to ! requirem5ts     
specifi$ "u section #dca4ec ( title #db1
 ,code ( ,f$]al ,regulations1 & any     
successor regulation 7relat+ to         
assurance ( transportation71 !          
capability & equipm5t to provide        
pr5atal1 labor & deliv]y1 po/p>tum1 &   
newborn c>e = wom5 ) a l[-risk          
pregnancy1 read9ess at all times to     

initiate em]g5cy proc$ures to meet      
unexpect$ ne$s ( su* wom5 & ( newborns  
)9 ! c5t]1 includ+ at lea/ #b qualifi$  
/aff on-site at e bir?1 & ! ability to  
facilitate transport to an acute c>e    
hospital ) an ob/etrical c>e unit :5    
necess>y4  7,,bb7 ,an e/abli%$ transf]  
plan ) a receiv+ hospital ) an          
ob/etrical c>e unit ) policies &        
proc$ures = timely transport4  7,,cc7   
,m$ical consultation available f a      
lic5s$ bo>d-c]tifi$ physician ) admitt+ 
privileges 9 ob/etrics at a ne>by       
hospital1 z def9$ by ,/ate law or       
regulation4  7,,dd7 ,data collection1   
/orage1 & retrieval1 includ+ data on    
intrap>tum & po/p>tum mat]nal & newborn 
transf] rates & hospital admissions4    
7,,ee7 ,! ability to initiate & docum5t 
quality improvem5t programs z requir$ by
 accr$itation t include ef=ts to        
maximize pati5t safety1 su* z safety    
*eckli/s1 validat$ tra9+ & compet5cy (  
/aff1 & em]g5cy prep>$ness & drills4    
7ff7  ,heal? c>e provid]s  ,a free/&+   

bir? c5t] %all employ1 or h c>e deliv]y 
arrangem5ts )1 bo? ( ! foll[+3  7,,aa7  
,a physician lic5s$ to practice )9 !    
,/ate or jurisdiction ( ! bir? c5t]4    
7,,bb7 ,a midwife t meets or exce$s !   
education & tra9+ /&>ds ( !             
,int]national ,conf$]ation ( ,midwives &
 :o is lic5s$ to practice )9 !          
jurisdiction ( ! bir? c5t]4  7gg7       
,non-duplication  ,9 c>ry+ out ?is      
subsection1 ! ,secret>y %all1 ) respect 
to a ,/ate p>ticipat+ 9 ! demon/ration  
program1 e/abli% proc$ures to prev5t1 to
 ! greate/ ext5t practicable1 !         
provision (1 or paym5t =1 s]vices "u !  
demon/ration program = :i* m$ical       
assi/ance is available "u ! ,/ate plan  
"u ?is title or waiv] ( su* plan4  7ii7 
,guidance on developm5t ( prospective   
paym5t sy/em = te/+ "u ,/ate            
demon/ration programs  7,i7  ,9 g5]al   
,! ,secret>y %all issue guidance =      
,/ates p>ticipat+ 9 a demon/ration      
program conduct$ "u ?is subsection to   
e/abli% a prospective paym5t sy/em t    

%all only apply to free/&+ bir? c5t]    
s]vices t--  7aa7 meet ! crit]ia        
e/abli%$ "u clause 7i72 &  7bb7 are     
furni%$ by a free/&+ bir? c5t]          
p>ticipat+ 9 su* a demon/ration program4
  7,,ii7  ,requirem5ts  ,! guidance     
issu$ by ! ,secret>y "u subclause 7,i7  
%all1 to ! greate/ ext5t practicable1   
provide =--  7aa7 a p>tial facility     
paym5t bas$ on units 9 ! case t a       
pregnant woman is admitt$ 9 labor & !n  
ne$s to be transf]r$ to ! hospital 9    
labor be=e ! bir? ( ! baby2  7bb7 a     
facility paym5t = !rapeutic re/ or =    
obs]vation %ort /ays to rule out labor2 
7cc7 ensur+ paym5t = ! newborn & "m z #b
 sep>ate facility paym5t compon5ts2     
7dd7 ensur+ paym5t = nitr\s oxide &     
hydro!rapy supplies co/s = pa9 relief2  
7ee7 ensur+ paym5t = all pr(essional    
s]vices ( heal? pr(essionals involv$ 9 !
 deliv]y ( c>e 9 a bir? c5t]1 :i* may   
include--  7,,aa7 #c or m pr5atal (fice 
visits2  7,,bb7 obs]vation & triage2    
7,,cc7 newborn exam & c>e2 &  7,,dd7    

multiple po/p>tum1 "m1 & newborn visits1
 z ne$$2  7ff7 ensur+ paym5t = p>tial   
pr5atal & po/p>tum c>e episodes or =    
pr5atal c>e only ) plann$ deliv]y 9 !   
hospital & return+ = po/p>tum c>e 9 !   
bir? c5t]2 &  7gg7 paym5t = s]vices     
provid$ )9-- 7,,aa7 9 ! case ( a        
pregnant woman1 ! p]iod t comm5ces ^u ! 
confirmation ( pregnancy :5 ! woman is  
accept$ into c>e at ! free/&+ bir? c5t]1
 cont9ues ?r\gh pr5atal c>e1 labor1 &   
deliv]y1 & ends at ! completion ( !     
po/p>tum p]iod 7z def9$ by ,/ate law or 
regulation7 ) docum5tation ( a plan =   
cont9u$ well woman c>e1 inclusive ( at  
lea/ #b po/p>tum c>e visits2 &  7,,bb7 9
 ! case ( a newborn1 a p]iod t cont9ues 
?r\gh ! fir/ #bh days ( life )          
docum5tation ( cont9u$ infant c>e4      
7iii7  ,publication ( an ,,rfp = ,/ates 
to apply = ! demon/ration program  7,i7 
,9 g5]al  ,! ,secret>y %all publi% a    
reque/ = proposal 79 ?is clause ref]r$  
to z an ,,rfp7 = ,/ates to e/abli% & te/
 a prospective paym5t sy/em = free/&+   

bir? c5t] s]vices t--  7aa7 meets !     
crit]ia e/abli%$ "u clause 7i72 &  7bb7 
are furni%$ by a free/&+ bir? c5t]      
p>ticipat+ 9 a demon/ration program "u  
?is subsection4  7,,ii7  ,requirem5ts   
,! ,,rfp publi%$ by ! ,secret>y "u      
subclause 7,i7 %all1 to ! greate/ ext5t 
practicable1 include ! foll[+ p>amet]s3 
7aa7 ,/ates %all h a m9imum numb] (     
e/abli%$ or develop+ bir? c5t]s4  7bb7  
,/ates %all h a me*anism to recognize or
 lic5se bir? c5t]s4  7cc7 ,/ates %all h 
at lea/ #a area t has be5 designat$ a   
mat]nity c>e des]t4  7dd7 ,/ates %all h 
areas ) mat]nity c>e outcomes t are bel[
 a c]ta9 ?re%old1 z det]m9$ by !        
,secret>y4  7ee7 ,/ates %all repres5t a 
div]se selection ( geographic areas1    
includ+ rural & und]s]v$ areas4  7ff7   
,pref]5ce %all be giv5 to ,/ates t      
demon/rate ! pot5tial to exp& !         
availability ( & access to mat]nity c>e 
s]vices 9 a demon/ration area & increase
 ! quality ( s]vices provid$ by free/&+ 
bir? c5t]s )\t increas+ net ,f$]al      

sp5d+1 z det]m9$ by ! ,secret>y4        
7,,iii7  ,requir$ in=mation  ,a ,/ate   
application to conduct a demon/ration   
program "u ?is subsection %all include !
 foll[+3  7aa7 ,a description ( ! t>get 
population ( individuals :o are eligible
 = m$ical assi/ance "u ! ,/ate plan "u  
?is title or "u a waiv] ( su* plan & are
 to be s]v$ "u ! demon/ration program4  
7bb7 ,a li/ ( ! p>ticipat+ free/&+ bir? 
c5t]s 9 ! ,/ate4  7cc7 ,v]ification t   
ea* p>ticipat+ free/&+ bir? c5t] meets !
 p>ticipation crit]ia e/abli%$ 9        
p>agraph 7#b77;,a77i74  7dd7 ,a         
description ( ! scope ( ! free/&+ bir?  
c5t] s]vices available "u ! ,/ate plan  
"u ?is title or waiv] ( su* plan = wom5 
) a l[-risk pregnancy t w be paid = "u !
 prospective paym5t sy/em te/$ 9 !      
demon/ration program4  7ee7 ,v]ification
 t ! ,/ate has agre$ to pay = su*       
s]vices at ! rate e/abli%$ "u !         
prospective paym5t sy/em4  7ff7 ,an     
assurance t ! ,/ate w require free/&+   
bir? c5t]s to submit to ! ,/ate1 & t !  

,/ate w submit to ! ,secret>y1 su*      
in=mation & data z ! ,/ate or ,secret>y 
may require relat+ to ! demon/ration    
program or an episode ( c>e = su* a     
pregnant woman or newborn4  7gg7 ,su*   
o!r in=mation z ! ,secret>y may require 
relat+ to ! demon/ration program1       
includ+ ) respect to det]m9+ ! s\ndness 
( ! propos$ prospective paym5t sy/em4   
7,,iv7  ,deadl9es = submission ( ,,rfp  
applications  ,! deadl9e = a ,/ate to   
submit an application to p>ticipate 9 ! 
demon/ration program conduct$ "u ?is    
subsection %all be ! date t is #ij days 
aft] ! date on :i* ! ,secret>y publi%es 
! ,,rfp "u subclause 7,i74  7,b7        
,plann+ grants  7i7  ,9 g5]al  ,n lat]  
?an #ah mon?s aft] ! date ( ! enactm5t (
 ?is subsection1 ! ,secret>y %all aw>d a
 plann+ grant to up to #f ,/ates = !    
purpose ( develop+ a detail$ proposal to
 conduct a demon/ration program describ$
 9 p>agraph 7#c74  7ii7  ,use ( funds   
,a ,/ate aw>d$ a plann+ grant "u ?is    
subp>agraph %all use ! funds aw>d$ "u   

su* grant to--  7,i7 solicit input )    
respect to ! developm5t ( ! demon/ration
 program f pati5ts1 provid]s 7includ+   
c]tifi$ nurse-midwives1 o!r midwives    
lic5s$ )9 ! ,/ate1 & physicians71 & o!r 
/akehold]s2  7,,ii7 secure p>ticipation 
( free/&+ bir? c5t]s t meet ! crit]ia   
e/abli%$ "u subp>agraph 7,a77i71 includ+
 by provid+ support = su* c5t]s to meet 
t crit]ia 7includ+ accr$itation7 9 ord] 
to maximize ! numb] ( free/&+ bir? c5t]s
 p>ticipat+ 9 ! demon/ration program2 & 
7,,iii7 9 accordance ) ! guidance issu$ 
"u subp>agraph 7,a77ii71 e/abli% a      
prospective paym5t sy/em :i* ! ,/ate    
%all use = mak+ paym5ts to free/&+ bir? 
c5t]s p>ticipat+ 9 ! demon/ration       
program4  7#c7  ,/ate demon/ration      
programs  7,a7  ,9 g5]al  ,n lat] ?an #b
 ye>s aft] ! date ( ! enactm5t ( ?is    
subsection1 ! ,/ates select$ by !       
,secret>y "u p>agraph 7#b77;,b77i7 %all 
beg9 conduct+ ! demon/ration program "u 
?is p>agraph4  7,b7  ,l5g? (            
demon/ration programs  ,a ,/ate conduct+

 a demon/ration program 9 accordance )  
?is p>agraph %all conduct ! program = a 
#d-ye> p]iod4  7,c7  ,paym5t = s]vices  
provid$ by free/&+ bir? c5t]s  7i7  ,9  
g5]al  ,= ea* qu>t] dur+ ! #d-ye> p]iod 
dur+ :i* a ,/ate p>ticipates 9 a        
demon/ration program "u ?is subsection1 
! ,secret>y %all pay su* ,/ate an am\nt 
equal to ! ,f$]al m$ical assi/ance      
p]c5tage 7z def9$ 9 section #aije7;b77 (
 ! total am\nt exp5d$ by su* ,/ate dur+ 
su* qu>t] "u ! prospective paym5t sy/em 
e/abli%$ by su* ,/ate pursuant to       
p>agraph 7#b77;,b77,,iii7 to free/&+    
bir? c5t]s = s]vices t are--  7,i7      
furni%$ pursuant to ! crit]ia e/abli%$  
"u p>agraph 7#b77;,a77i7 to individuals 
enroll$ 9 ! ,/ate plan 7or waiv] ( su*  
plan7 ( su* ,/ate "u ?is title2 &       
7,,ii7 describ$ 9 ! demon/ration program
 application submitt$ by su* ,/ate &    
approv$ by ! ,secret>y4  7ii7           
,adm9i/rative exp5ses  ,am\nts exp5d$ by
 a ,/ate to conduct a demon/ration      
program 9 accordance ) ?is p>agraph %all

 be consid]$1 = purposes ( subsection   
7a77#g71 to be necess>y = ! prop] &     
effici5t adm9i/ration ( ! ,/ate plan4   
7,d7  ,waiv] ( ,/atewid5ess requirem5t  
,! ,secret>y %all waive ! requirem5ts ( 
section #aijb7;a77#a7 7relat+ to        
,/atewid5ess71 section                  
#aijb7;a77#aj77;,b7 7relat+ to          
comp>ability71 & any o!r provision ( ?is
 title :i* w\ld be directly contr>y to !
 au?ority "u ?is subsection z may be    
necess>y = a ,/ate to conduct a         
demon/ration program 9 accordance ) ?is 
p>agraph4  7,e7  ,annual reports  7i7   
,9 g5]al  ,n lat] ?an #b ye>s aft] !    
date on :i* ! fir/ ,/ate is select$ to  
conduct a demon/ration program "u ?is   
subsection1 & annually !reaft]1 bas$ on 
in=mation & data submitt$ by ,/ates 9   
accordance ) ! assurance provid$ "u     
p>agraph 7#b77;,a77iii77,,iii77ff71 !   
,secret>y %all submit to ,congress an   
annual report on all ,/ate demon/ration 
programs conduct$ "u ?is subsection4    
,ea* su* report %all include1 ) respect 

to ea* su* ,/ate demon/ration program-- 
7,i7 an assessm5t ( cl9ical outcomes =  
mat]nity s]vices provid$ by free/&+ bir?
 c5t]s p>ticipat+ 9 ! demon/ration      
program = individuals :o are eligible = 
m$ical assi/ance "u a ,/ate plan "u ?is 
title or "u a waiv] ( su* plan & are    
wom5 ) a l[-risk pregnancy ) outcomes 9 
comp>able demographic & geographic      
areas1 includ+ ) respect to--  7aa7 !   
numb] ( bir?s & data on intrap>tum &    
po/p>tum mat]nal & newborn transf] rates
 & hospital admissions2 &  7bb7 ! rate (
 prim>y & repeat ces>ean sections1      
pret]m bir?s1 & neonatal int5sive c>e   
unit admissions2 &  7,,ii7 an assessm5t 
( ! impact ( all ! ,/ate demon/ration   
programs conduct$ "u ?is subsection on !
 ,f$]al & ,/ate co/s relat+ to provid+  
free/&+ bir? c5t] s]vices = individuals 
:o are eligible = m$ical assi/ance "u a 
,/ate plan "u ?is title or "u a waiv] ( 
su* plan & are wom5 ) a l[-risk         
pregnancy 7includ+ ) respect to !       
provision ( inpati5t1 em]g5cy1 &        

ambulatory s]vices7 & newborn c>e1      
comp>$ to ! ,f$]al & ,/ate co/s relat$  
to ! provision (--  7aa7 free/&+ bir?   
c5t] s]vices to su* individuals by      
free/&+ bir? c5t]s outside ( su*        
demon/ration programs2 &  7bb7          
traditional mat]nity s]vices z provid$ 9
 non-bir? c5t] cl9ics & hospital        
programs4  7ii7  ,recomm5dations  ,n    
lat] ?an #f mon?s be=e ! ! la/ day ( !  
#d-ye> p]iod = :i* demon/ration programs
 are conduct$ "u ?is subsection1 !      
,secret>y %all submit to ,congress      
recomm5dations conc]n+ :e!r su*         
demon/ration programs %all be cont9u$1  
exp&$1 modifi$1 or t]m9at$4  7#d7       
,fund+  7,a7  ,9 g5]al  ,out ( any funds
 9 ! ,treasury n o!rwise appropriat$1   
!re is appropriat$ to ! ,secret>y--  7i7
 = fiscal ye> #bjbg1 #c1jjj1jjj =       
purposes ( c>ry+ out p>agraph 7#b77;,b72
 &  7ii7 = ea* ( fiscal ye>s #bjbh ?r\gh
 #bjca1 #f1jjj1jjj = purposes ( c>ry+   
out ! demon/ration programs describ$ 9  
p>agraph 7#c74  7,b7  ,availability     

,funds appropriat$ "u subp>agraph 7,a7  
%all rema9 available until exp5d$4  7#e7
  ,def9itions  ,9 ?is subsection3 7,a7  
,free/&+ bir? c5t] s]vices ,! t]m       
free/&+ bir? c5t] s]vices has ! mean+   
giv5 su* t]m 9 section #aije7l77#c77;,a7
 & includes su* o!r s]vices z !         
,secret>y %all det]m9e = purposes (     
conduct+ ! demon/ration programs        
describ$ 9 p>agraph 7#c74  7,b7         
,l[-risk pregnancy  ,! t]m l[-risk      
pregnancy means an uncomplicat$ s+leton 
t]m pregnancy ) a v]tex pres5tation & an
 expect$ uncomplicat$ bir?4  4