,,ii #aaith ,,congress #ast ,session ,s4 #afcj ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,may #f1 #bjbe,mrs4 ,britt 7for herself1 ,mr4 ,schmitt1 ,mr4 ,cramer1 ,mrs4 ,blackburn1 ,mr4 ,cornyn1 ,mr4 ,crapo1 ,mr4 ,daines1 ,mrs4 ,fischer1 ,mr4 ,grassley1 ,mr4 ,justice1 ,mr4 ,lankford1 ,mr4 ,marshall1 ,mr4 ,mc,cormick1 ,mr4 ,moran1 ,mr4 ,ricketts1 ,mr4 ,risch1 ,mr4 ,rounds1 ,mr4 ,sheehy1 ,mr4 ,wicker1 ,mr4 ,budd1 ,mrs4 ,hyde-,smith1 and ,mr4 ,graham7 introduced the following bill2 which was read twice and referred to the ,committee on ,health1 ,education1 ,labor1 and ,pensions ,a ,,bill ,to amend the ,public ,health ,service ,act to provide more opportunities for mothers to succeed1 and for other purposes4 #a4 ,short title2 table of contents 7a7 ,short title ,this ,act may be cited as the ,more ,opportunities for ,moms to ,succeed ,act or the ,,moms ,act4 7b7 ,table of contents ,the table of contents for this ,act is as follows3 ,sec4 #a4 ,short title2 table of contents4,,title ,i--,federal clearinghouse of resources for expecting moms,sec4 #aja4 ,pregnancy4gov4,sec4 #ajb4 ,national list of licensed child placement agencies4,sec4 #ajc4 ,list of funding opportunities available to pregnancy support centers4,,title ,,ii--,improving access to prenatal and postnatal resources,sec4 #bja4 ,positive alternatives for women4,sec4 #bjb4 ,improving access to prenatal and postnatal telehealth care4,,title ,,iii--,unborn child support,sec4 #cja4 ,child support enforcement on behalf of unborn children4 ,i ,federal clearinghouse of resources for expecting moms #aja4 ,pregnancy4gov ,the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bja et seq47 is amended by adding at the end the following3 ,,xxxiv ,resource directory for moms #cdja4 ,establishment of pregnancy4gov website 7a7 ,website ,not later than #a year after the date of enactment of this section1 the ,secretary shall publish a public website entitled pregnancy4gov4 ,the ,secretary may not delegate implementation or administration of the website below the level of the ,office of the ,secretary4 ,the website shall include the following3 7#a7 ,a clearinghouse of relevant resources available for pregnant and postpartum women1 and women parenting young children4 7#b7 ,a series of questions through which a user is able to generate a list of relevant resources of interest within the user's ,,zip ,code4 7#c7 ,a means to direct the user to identify whether to list the relevant resources of interest that are available online or within #a1 #e1 #aj1 #ej1 and #ajj miles of the user4 7#d7 ,a mechanism for users to take an assessment through the website and provide consent to use the user's contact information1 which the ,secretary may use to conduct outreach via phone or email to follow up with users on additional resources that would be helpful for the users to review4 7b7 ,resource list aggregation 7#a7 ,in general ,the ,secretary shall invite each ,state to provide recommendations of relevant resources referred to in subsection 7a77#c7 for such ,state4 7#b7 ,criteria for making recommendations ,the ,secretary shall develop criteria to provide to the ,states to determine whether resources recommended as described in paragraph 7#a7 should appear on the website4 ,such criteria shall include the requirement that the relevant resource is not a prohibited entity4 7#c7 ,grant program 7,a7 ,in general ,the ,secretary shall provide grants to ,states to establish or support a system that-- 7i7 aggregates relevant resources referred to in subsection 7a77#c71 in accordance with the criteria developed under paragraph 7#b72 and 7ii7 may be coordinated1 to the extent determined appropriate by the ,state1 by a statewide1 regionally based1 or community-based public or private entity4 7,b7 ,applications ,to be eligible to receive a grant under subparagraph 7,a71 a ,state shall submit an application to the ,secretary at such time1 in such manner1 and containing such information as the ,secretary may require1 including a plan for outreach and awareness activities1 and a list of relevant resources that would be included in the ,state system supported by the grant4 7c7 ,prohibition regarding certain entities ,relevant resources listed on the website1 and any additional resources promoted by the ,secretary1 may not include any resource offered by a prohibited entity4 ,no prohibited entity may receive a grant provided under subsection 7b77#c74 7d7 ,services in different languages ,the ,secretary shall ensure that the website provides the widest possible access to services for families who speak languages other than ,english4 7e7 ,reporting requirements 7#a7 ,in general ,not later than #ahj days after the date on which the website is established under this section1 the ,secretary shall submit to ,congress a report on-- 7,a7 the traffic of the website2 7,b7 user feedback on the accessibility and helpfulness of the website in tailoring to the user's needs2 7,c7 insights on gaps in relevant resources with respect to services for pregnant and postpartum women1 or women parenting young children2 7,d7 suggestions on how to improve user experience and accessibility based on user feedback and missing resources that would be helpful to include in future updates2 and 7,e7 certification that no prohibited entities are listed as a relevant resource or are in receipt of a grant under subsection 7b77#c74 7#b7 ,confidentiality ,the report under paragraph 7#a7 shall not include any personal identifying information regarding individuals who have used the website4 7f7 ,authorization of appropriations ,to carry out this section1 there are authorized to be appropriated such sums as may be necessary for each of fiscal years #bjbe through #bjcj4 7g7 ,definitions ,in this section3 7#a7 ,abortion ,the term abortion means the use or prescription of any instrument1 medicine1 drug1 or any other substance or device to intentionally-- 7,a7 kill the unborn child of a woman known to be pregnant2 or 7,b7 terminate the pregnancy of a woman known to be pregnant1 with an intention other than-- 7i7 after viability1 to produce a live birth and preserve the life and health of the child born alive2 7ii7 to remove a dead unborn child2 or 7iii7 to treat an ectopic pregnancy4 7#b7 ,born alive ,the term born alive has the meaning given such term in section #h7;b7 of title #a1 ,united ,states ,code4 7#c7 ,prohibited entity ,the term prohibited entity means an entity1 including its affiliates1 subsidiaries1 successors1 and clinics1 that performs1 induces1 refers for1 or counsels in favor of abortions1 or provides financial support to any other organization that conducts such activities4 7#d7 ,relevant resources ,the term relevant resources means the ,federal1 ,state1 local governmental1 and private resources that serve pregnant and postpartum women1 or women parenting young children in the categories of the following topics3 7,a7 ,mentorship opportunities1 including pregnancy and parenting help and case management resources4 7,b7 ,health and well-being services1 including women's medical services such as obstetrical and gynecological support services for women1 abortion pill reversal1 breastfeeding1 general health services1 primary care1 and dental care4 7,c7 ,financial assistance1 work opportunities1 nutrition assistance1 childcare1 and education opportunities for parents4 7,d7 ,material or legal support1 including transportation1 food1 nutrition1 clothing1 household goods1 baby supplies1 housing1 shelters1 maternity homes1 tax preparation1 legal support for child support1 family leave1 breastfeeding protections1 and custody issues4 7,e7 ,recovery and mental health services1 including services with respect to addiction or suicide intervention1 intimate partner violence1 sexual assault1 rape1 sex trafficking1 and counseling for women and families surrounding unexpected loss of a child4 7,f7 ,prenatal diagnostic services1 including disability support organizations1 medical interventions for a baby1 perinatal hospice resources1 pregnancy and infant loss support1 and literature on pregnancy wellness4 7,g7 ,healing and support services for abortion survivors and their families4 7,h7 ,services providing childcare1 adoption1 foster care1 and short term childcare services and resources4 7,i7 ,comprehensive information on alternatives to abortion4 7,j7 ,information about abortion risks1 including complications and failures4 7,k7 ,links to information on child development from moment of conception4 7#e7 ,unborn child ,the term unborn child has the meaning given such term in section #ahda7;d7 of title #ah1 ,united ,states ,code4 7#f7 ,website ,the term website means the public website entitled pregnancy4gov required to be established under subsection 7a74 4 #ajb4 ,national list of licensed child placement agencies 7a7 ,in general ,section #dgd of the ,social ,security ,act 7#db ,u4,s4,c4 #fgd7 is amended by adding at the end the following3 7h7 ,national list of licensed child placement agencies 7#a7 ,state reporting 7,a7 ,in general ,not later than ,january #a of each fiscal year1 a ,state with a plan approved under this part for the fiscal year shall submit to the ,secretary a list of private child placement agencies that1 as of the end of the preceding fiscal year1 were licensed or accredited by1 and in good standing with1 the ,state and exempt from ,federal income tax by reason of section #eja7;c77#c7 of the ,internal ,revenue ,code of #aihf4 7,b7 ,child placement agency ,in subparagraph 7,a71 the term child placement agency means an agency that places children in prospective adoptive homes4 7#b7 ,national list ,the ,secretary1 through the ,united ,states ,children's ,bureau1 shall compile and maintain on the public website entitled pregnancy4gov required to be established under title ,,xxxiv of the ,public ,health ,service ,act1 a publicly available list consisting of each list most recently submitted by a ,state under paragraph 7#a74 7#c7 ,annual reports to congress ,not later than the #bnd ,december #ca after the date of the enactment of this subsection1 and annually thereafter1 the ,secretary shall submit to the ,congress a written report that contains the list maintained under paragraph 7#b7 and identifies any child placement agency that is licensed by a ,state and is not on the list1 and a specification of any disciplinary actions that a ,state has taken against a private child placement agency4 4 7b7 ,loss of eligibility for adoption and legal guardianship incentive payments for failure of state ,to comply with list submission requirement ,section #dgc;,a7b7 of such ,act 7#db ,u4,s4,c4 #fgc;b7b77 is amended-- 7#a7 by striking and at the end of paragraph 7#c72 7#b7 by striking the period at the end of paragraph 7#d7 and inserting 2 and2 and 7#c7 by adding at the end the following3 7#e7 the ,state has complied with section #dgd7;h77#a7 with respect to the preceding fiscal year4 4 #ajc4 ,list of funding opportunities available to pregnancy support centers ,title ,,xxxiv of the ,public ,health ,service ,act 7as added by section #aja7 is amended by adding at the end the following3 #cdjb4 ,list of funding opportunities available to pregnancy support centers ,the ,secretary shall compile and maintain on the public website entitled pregnancy4gov required to be established under section #cdja1 a publicly available list of ,federal funding opportunities available to nonprofit and health care entities for pregnancy support services that offer or provide the relevant resources 7as defined in subsection 7g7 of such section74 4 ,,ii ,improving access to prenatal and postnatal resources #bja4 ,positive alternatives for women 7a7 ,program authority 7#a7 ,purpose ,the purpose of grants under this section shall be to support1 encourage1 and assist women-- 7,a7 to carry their pregnancies to term2 and 7,b7 to care for themselves and their babies after birth4 7#b7 ,grants ,for the purpose described in paragraph 7#a71 the ,secretary shall award grants to eligible entities described in subsection 7b7 to provide information on1 referral to1 and direct services as described in subsection 7c74 7b7 ,eligibility 7#a7 ,eligible entities ,to be eligible for a grant under this section1 an entity shall-- 7,a7 be a nonprofit organization2 7,b7 support1 encourage1 and assist women as described in subsection 7a77#a72 7,c7 agree to be subject to such monitoring and review as the ,secretary may require under subsection 7g72 7,d7 agree to not charge women for services provided through the grant2 7,e7 provide each pregnant woman counseled through the grant with accurate information on the developmental characteristics of babies and of unborn children1 including offering printed information2 and 7,f7 have a privacy policy and procedures in place to ensure that-- 7i7 the name1 address1 telephone number1 or any other information that might identify any woman seeking services supported through the grant is not made public or shared with any other entity without the written consent of the woman2 and 7ii7 the grantee adheres to requirements comparable to those applicable under the ,,hipaa privacy regulation 7as defined in section #aahj7;b77#c7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acbj;d-#i7;b77#c777 to covered entities 7as defined for purposes of such regulation74 7#b7 ,ineligible entities ,an entity shall be ineligible to receive a grant under this section if the entity or any affiliate1 subsidiary1 successor1 or clinic thereof-- 7,a7 performs1 induces1 refers for1 or counsels in favor of abortions2 or 7,b7 provides financial support to any other entity that conducts any activity described in subparagraph 7,a74 7#c7 ,financial records ,as a condition on receipt of a grant under this section1 an eligible entity shall agree to maintain and make available to the ,secretary records1 including financial records1 that demonstrate that the entity satisfies the requirements of paragraph 7#a7 and is not ineligible by operation of paragraph 7#b74 7c7 ,covered services 7#a7 ,required information and referral ,for the purpose described in subsection 7a77#a71 an eligible entity receiving a grant under this section shall use the grant to provide to pregnant and postpartum women1 or women parenting young children1 information on1 and referral to1 each of the following services3 7,a7 ,medical care4 7,b7 ,nutritional services4 7,c7 ,housing assistance4 7,d7 ,adoption services4 7,e7 ,education and employment assistance1 including services that support the continuation and completion of high school4 7,f7 ,child care assistance4 7,g7 ,parenting education and support services4 7,h7 ,voluntary substance abuse counseling and treatment4 7#b7 ,permissible direct provision of services ,for the purpose described in subsection 7a77#a71 in addition to using a grant under this section as described in paragraph 7#a71 an eligible entity receiving a grant under this section may use the grant for the direct provision of one or more services listed in paragraph 7#a74 7d7 ,prohibited uses of funds ,none of the funds made available under this section shall be used-- 7#a7 for health benefits coverage that includes coverage of abortion2 7#b7 for providing or assisting a woman to obtain adoption services from a provider of adoption services that is not licensed2 and 7#c7 for any of the activities described in subsection 7b77#b74 7e7 ,consideration ,in selecting the recipients of grants under this section1 the ,secretary shall consider each applicant's demonstrated capacity in providing services to assist a pregnant woman in carrying her pregnancy to term4 7f7 ,monitoring and review ,the ,secretary shall-- 7#a7 monitor and review each program funded through a grant under this section to ensure that the grantee carefully adheres to-- 7,a7 the purpose described in subsection 7a77#a72 and 7,b7 the requirements of this section2 and 7#b7 cease to fund a program under this section if the grantee fails to adhere to such purpose and requirements4 7g7 ,definitions ,in this section3 7#a7 ,abortion ,the term abortion means the use or prescription of any instrument1 medicine1 drug1 or any other substance or device to intentionally-- 7,a7 kill the unborn child of a woman known to be pregnant2 or 7,b7 terminate the pregnancy of a woman known to be pregnant1 with an intention other than-- 7i7 after viability1 to produce a live birth and preserve the life and health of the child born alive2 7ii7 to remove a dead unborn child2 or 7iii7 to treat an ectopic pregnancy4 7#b7 ,secretary ,the term ,secretary means the ,secretary of ,health and ,human ,services4 7h7 ,funding ,to carry out this section1 the ,secretary shall use unobligated amounts made available under the ,nonrecurring ,expenses ,fund of the ,department of ,health and ,human ,services4 #bjb4 ,improving access to prenatal and postnatal telehealth care 7a7 ,in general ,the ,secretary shall award grants to1 or enter into cooperative agreements with1 eligible entities to purchase equipment necessary for carrying out at-home telehealth visits for screening1 monitoring1 and management of prenatal and postnatal care for the purpose of improving maternal and infant health outcomes1 and reducing maternal mortality1 by improving access to care in rural areas1 frontier counties1 medically underserved areas1 or jurisdictions of ,indian ,tribes and ,tribal organizations4 7b7 ,ineligible entities ,an entity shall be ineligible to receive a grant or enter into a cooperative agreement under this section if the entity or any affiliate1 subsidiary1 successor1 or clinic thereof-- 7#a7 performs1 induces1 refers for1 or counsels in favor of abortions2 or 7#b7 provides financial support to any other entity that conducts any activity described in paragraph 7#a74 7c7 ,use of funds ,a recipient of a grant or cooperative agreement under this section shall use the award funds as described in subsection 7a71 which may include purchasing or providing equipment necessary for carrying out at-home telehealth visits 7such as remote physiologic devices and related services1 including pulse oximeters1 blood pressure cuffs1 scales1 and blood glucose monitors7 to screen1 monitor1 and manage prenatal and postnatal care at home by means of telehealth visits and services for the purpose described in subsection 7a74 7d7 ,report to ,congress ,not later than ,september #cj1 #bjbh1 the ,secretary shall submit to ,congress a report on activities supported through grants and cooperative agreements under this section1 including-- 7#a7 a description of the activities conducted pursuant to such grants and cooperative agreements2 and 7#b7 an analysis of the effects of such grants and cooperative agreements on improving prenatal and postnatal care in areas and jurisdictions described in subsection 7a74 7e7 ,definitions ,in this section3 7#a7 ,eligible entity ,the term eligible entity means an entity that provides prenatal care1 labor care1 birthing1 or postpartum care services in a rural area1 a frontier county1 a medically underserved area1 or the jurisdiction of an ,indian ,tribe or ,tribal organization4 7#b7 ,frontier county ,the term frontier county has the meaning given such term in section #ahhf7;d77#c77;,e77iii77,,iii7 of the ,social ,security ,act 7#db ,u4,s4,c4 #acieww7d77#c77;,e77iii77,,iii774 7#c7 ,indian tribe2 tribal organization ,the terms ,indian ,tribe and ,tribal organization have the meanings given such terms in section #d of the ,indian ,self-,determination and ,education ,assistance ,act 7#be ,u4,s4,c4 #ecjd74 7#d7 ,medically underserved area ,the term medically underserved area means a health professional shortage area designated under section #ccb of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bed;e74 7#e7 ,rural area ,the term rural area has the meaning given such term in section #ccj;,j7e7 of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bed;c-#ae7;e774 7#f7 ,secretary ,the term ,secretary means the ,secretary of ,health and ,human ,services4 7f7 ,authorization of appropriations ,to carry out this section1 there are authorized to be appropriated such sums as may be necessary for each of fiscal years #bjbe through #bjcj4 ,,iii ,unborn child support #cja4 ,child support enforcement on behalf of unborn children 7a7 ,state plan amendment ,section #ded of the ,social ,security ,act 7#db ,u4,s4,c4 #fed7 is amended-- 7#a7 in paragraph 7#d77;,a7-- 7,a7 in clause 7i7-- 7i7 by inserting 1 including an unborn child1 after child2 and 7ii7 by inserting and after the semicolon2 and 7,b7 in clause 7ii71 by inserting 1 including an unborn child after other child2 7#b7 in paragraph 7#cc71 by striking and after the semicolon2 7#c7 in paragraph 7#cd71 by striking the period and inserting 2 and2 7#d7 by inserting after paragraph 7#cd71 the following3 7#ce7 provide that the ,state will establish and enforce child support obligations of the biological father of an unborn child 7and subsequent to the birth of the child7 to the mother of such child provided that-- 7,a7 the mother has requested payment of such child support obligations2 7,b7 the start date for such obligations may begin with the first month in which the child was conceived1 as determined by a physician 7and shall begin with that month if the mother so requests72 7,c7 payments for such obligations may be retroactively collected or awarded1 including in the case where paternity is established subsequent to the birth of the child2 7,d7 the payment amount for such obligations shall be determined by a court1 in consultation with the mother1 taking into account the best interests of the mother and child2 7,e7 any measure to establish the paternity of a child 7born or unborn7 shall not be required without the consent of the mother2 and 7,f7 any measure to establish the paternity of an unborn child shall not be taken if the measure poses any risk of harm to the child if unborn4 2 and 7#e7 by adding at the end the following3 ,for purposes of paragraphs 7#d7 and 7#ce71 the term unborn child means a member of the species homo sapiens1 at any stage of development1 who is carried in the womb44 7b7 ,limitation of waiver authority ,section #aaae of the ,social ,security ,act 7#db ,u4,s4,c4 #acae7 is amended-- 7#a7 in subsection 7a71 in the matter preceding paragraph 7#a71 by striking ,in the case of and inserting ,except as provided in subsection 7c71 in the case of2 7#b7 in subsection 7b77#a71 in the matter preceding subparagraph 7,a71 by striking ,in the case of and inserting ,except as provided in subsection 7c71 in the case of2 and 7#c7 by striking subsection 7c7 and inserting the following3 7c7 ,no experimental1 pilot1 or demonstration project undertaken under subsection 7a7 to assist in promoting the objectives of part ,d of title ,,iv1 may permit modifications of paragraphs 7#d77;,a77ii7 and 7#ce7 of section #ded to establish and enforce child support obligations of the biological father of an unborn child4 ,for purposes of the preceding sentence1 the term unborn child means a member of the species homo sapiens1 at any stage of development1 who is carried in the womb4 4 7c7 ,effective date ,the amendments made by this section shall take effect on the date that is #b years after the date of enactment of this ,act and shall apply to payments under part ,d of title ,,iv of the ,social ,security ,act 7#db ,u4,s4,c4 #fea et seq47 for calendar quarters beginning on or after such date4