,,ii  #aai? ,,congress  #a/ ,session    
,s4 #afcj  ,,9 ,,! ,,s5ate ,,( ,,!      
,,unit$ ,,/ates  ,may #f1 #bjbe,mrs4    
,britt 7= h]self1 ,mr4 ,s*mitt1 ,mr4    
,cram]1 ,mrs4 ,blackburn1 ,mr4 ,cornyn1 
,mr4 ,crapo1 ,mr4 ,da9es1 ,mrs4 ,fis*]1 
,mr4 ,grassley1 ,mr4 ,ju/ice1 ,mr4      
,lank=d1 ,mr4 ,m>%all1 ,mr4 ,mc,cormick1
 ,mr4 ,moran1 ,mr4 ,ricketts1 ,mr4      
,ris*1 ,mr4 ,r\nds1 ,mr4 ,%eehy1 ,mr4   
,wick]1 ,mr4 ,budd1 ,mrs4 ,hyde-,smi?1 &
 ,mr4 ,graham7 introduc$ ! foll[+ bill2 
:i* 0 read twice & ref]r$ to !          
,committee on ,heal?1 ,education1       
,labor1 & ,p5sions  ,a ,,bill  ,to am5d 
! ,public ,heal? ,s]vice ,act to provide
 m opportunities = mo!rs to succe$1 & = 
o!r purposes4  #a4 ,%ort title2 table ( 
cont5ts  7a7 ,%ort title ,?is ,act may  
be cit$ z ! ,m ,opportunities = ,moms to
 ,succe$ ,act or ! ,,moms ,act4  7b7    
,table ( cont5ts ,! table ( cont5ts =   
?is ,act is z foll[s3 ,sec4 #a4 ,%ort   
title2 table ( cont5ts4,,title          
,i--,f$]al cle>+h\se ( res\rces =       

expect+ moms,sec4 #aja4                 
,pregnancy4gov4,sec4 #ajb4 ,national li/
 ( lic5s$ *ild placem5t ag5cies4,sec4   
#ajc4 ,li/ ( fund+ opportunities        
available to pregnancy support          
c5t]s4,,title ,,ii--,improv+ access to  
pr5atal & po/natal resources,sec4 #bja4 
,positive alt]natives = wom54,sec4 #bjb4
 ,improv+ access to pr5atal & po/natal  
teleheal? c>e4,,title ,,iii--,unborn    
*ild support,sec4 #cja4 ,*ild support   
en=cem5t on behalf ( unborn *ildr54  ,i 
,f$]al cle>+h\se ( res\rces = expect+   
moms  #aja4 ,pregnancy4gov ,! ,public   
,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bja 
et seq47 is am5d$ by add+ at ! end !    
foll[+3  ,,xxxiv ,res\rce directory =   
moms  #cdja4 ,e/abli%m5t ( pregnancy4gov
 website  7a7 ,website ,n lat] ?an #a   
ye> aft] ! date ( enactm5t ( ?is        
section1 ! ,secret>y %all publi% a      
public website entitl$ pregnancy4gov4 ,!
 ,secret>y may n delegate implem5tation 
or adm9i/ration ( ! website bel[ ! level
 ( ! ,(fice ( ! ,secret>y4 ,! website   

%all include ! foll[+3 7#a7 ,a cle>+h\se
 ( relevant res\rces available =        
pregnant & po/p>tum wom51 & wom5 p>5t+  
"y *ildr54  7#b7 ,a s]ies ( que/ions    
?r\gh :i* a us] is able to g5]ate a li/ 
( relevant res\rces ( int]e/ )9 ! us]'s 
,,zip ,code4  7#c7 ,a means to direct ! 
us] to id5tify :e!r to li/ ! relevant   
res\rces ( int]e/ t are available onl9e 
or )9 #a1 #e1 #aj1 #ej1 & #ajj miles ( !
 us]4  7#d7 ,a me*anism = us]s to take  
an assessm5t ?r\gh ! website & provide  
cons5t to use ! us]'s contact in=mation1
 :i* ! ,secret>y may use to conduct     
outrea* via phone or email to foll[ up )
 us]s on additional res\rces t w\ld be  
helpful = ! us]s to review4  7b7        
,res\rce li/ aggregation  7#a7 ,9 g5]al 
,! ,secret>y %all invite ea* ,/ate to   
provide recomm5dations ( relevant       
res\rces ref]r$ to 9 subsection 7a77#c7 
= su* ,/ate4  7#b7 ,crit]ia = mak+      
recomm5dations ,! ,secret>y %all develop
 crit]ia to provide to ! ,/ates to      
det]m9e :e!r res\rces recomm5d$ z       

describ$ 9 p>agraph 7#a7 %\ld appe> on !
 website4 ,su* crit]ia %all include !   
requirem5t t ! relevant res\rce is n a  
prohibit$ entity4  7#c7 ,grant program  
7,a7 ,9 g5]al ,! ,secret>y %all provide 
grants to ,/ates to e/abli% or support a
 sy/em t-- 7i7 aggregates relevant      
res\rces ref]r$ to 9 subsection 7a77#c71
 9 accordance ) ! crit]ia develop$ "u   
p>agraph 7#b72 &  7ii7 may be coord9at$1
 to ! ext5t det]m9$ appropriate by !    
,/ate1 by a /atewide1 regionally bas$1  
or community-bas$ public or private     
entity4  7,b7 ,applications ,to be      
eligible to receive a grant "u          
subp>agraph 7,a71 a ,/ate %all submit an
 application to ! ,secret>y at su* "t1 9
 su* mann]1 & conta9+ su* in=mation z ! 
,secret>y may require1 includ+ a plan = 
outrea* & aw>5ess activities1 & a li/ ( 
relevant res\rces t w\ld be includ$ 9 ! 
,/ate sy/em support$ by ! grant4  7c7   
,prohibition reg>d+ c]ta9 entities      
,relevant res\rces li/$ on ! website1 & 
any additional res\rces promot$ by !    

,secret>y1 may n include any res\rce    
(f]$ by a prohibit$ entity4 ,no         
prohibit$ entity may receive a grant    
provid$ "u subsection 7b77#c74  7d7     
,s]vices 9 diff]5t languages ,!         
,secret>y %all ensure t ! website       
provides ! wide/ possible access to     
s]vices = families :o speak languages   
o!r ?an ,engli%4  7e7 ,report+          
requirem5ts  7#a7 ,9 g5]al ,n lat] ?an  
#ahj days aft] ! date on :i* ! website  
is e/abli%$ "u ?is section1 ! ,secret>y 
%all submit to ,congress a report on--  
7,a7 ! traffic ( ! website2  7,b7 us]   
fe$back on ! accessibility & helpfulness
 ( ! website 9 tailor+ to ! us]'s ne$s2 
7,c7 insights on gaps 9 relevant        
res\rces ) respect to s]vices = pregnant
 & po/p>tum wom51 or wom5 p>5t+ "y      
*ildr52  7,d7 sugge/ions on h[ to       
improve us] exp]i5ce & accessibility    
bas$ on us] fe$back & miss+ res\rces t  
w\ld be helpful to include 9 future     
updates2 &  7,e7 c]tification t no      
prohibit$ entities are li/$ z a relevant

 res\rce or are 9 receipt ( a grant "u  
subsection 7b77#c74  7#b7               
,confid5tiality ,! report "u p>agraph   
7#a7 %all n include any p]sonal id5tify+
 in=mation reg>d+ individuals :o h us$ !
 website4  7f7 ,au?orization (          
appropriations ,to c>ry out ?is section1
 !re are au?oriz$ to be appropriat$ su* 
sums z may be necess>y = ea* ( fiscal   
ye>s #bjbe ?r\gh #bjcj4  7g7 ,def9itions
 ,9 ?is section3 7#a7 ,abortion ,! t]m  
abortion means ! use or prescription (  
any in/rum5t1 m$ic9e1 drug1 or any o!r  
sub/ance or device to int5tionally--    
7,a7 kill ! unborn *ild ( a woman kn[n  
to be pregnant2 or  7,b7 t]m9ate !      
pregnancy ( a woman kn[n to be pregnant1
 ) an int5tion o!r ?an-- 7i7 aft]       
viability1 to produce a live bir? &     
pres]ve ! life & heal? ( ! *ild born    
alive2  7ii7 to remove a dead unborn    
*ild2 or  7iii7 to treat an ectopic     
pregnancy4  7#b7 ,born alive ,! t]m born
 alive has ! mean+ giv5 su* t]m 9       
section #h7;b7 ( title #a1 ,unit$ ,/ates

 ,code4  7#c7 ,prohibit$ entity ,! t]m  
prohibit$ entity means an entity1       
includ+ its affiliates1 subsidi>ies1    
successors1 & cl9ics1 t p]=ms1 induces1 
ref]s =1 or c\nsels 9 favor ( abortions1
 or provides f9ancial support to any o!r
 organization t conducts su* activities4
  7#d7 ,relevant res\rces ,! t]m        
relevant res\rces means ! ,f$]al1 ,/ate1
 local gov]nm5tal1 & private res\rces t 
s]ve pregnant & po/p>tum wom51 or wom5  
p>5t+ "y *ildr5 9 ! categories ( !      
foll[+ topics3 7,a7 ,m5tor%ip           
opportunities1 includ+ pregnancy & p>5t+
 help & case managem5t res\rces4  7,b7  
,heal? & well-be+ s]vices1 includ+      
wom5's m$ical s]vices su* z ob/etrical &
 gynecological support s]vices = wom51  
abortion pill rev]sal1 brea/fe$+1 g5]al 
heal? s]vices1 prim>y c>e1 & d5tal c>e4 
7,c7 ,f9ancial assi/ance1 "w            
opportunities1 nutrition assi/ance1     
*ildc>e1 & education opportunities =    
p>5ts4  7,d7 ,mat]ial or legal support1 
includ+ transportation1 food1 nutrition1

 clo?+1 h\sehold goods1 baby supplies1  
h\s+1 %elt]s1 mat]nity homes1 tax       
prep>ation1 legal support = *ild        
support1 family leave1 brea/fe$+        
protections1 & cu/ody issues4  7,e7     
,recov]y & m5tal heal? s]vices1 includ+ 
s]vices ) respect to addiction or       
suicide int]v5tion1 intimate p>tn]      
viol5ce1 sexual assault1 rape1 sex      
traffick+1 & c\nsel+ = wom5 & families  
surr\nd+ unexpect$ loss ( a *ild4  7,f7 
,pr5atal diagno/ic s]vices1 includ+     
disability support organizations1 m$ical
 int]v5tions = a baby1 p]9atal hospice  
res\rces1 pregnancy & infant loss       
support1 & lit]ature on pregnancy       
wellness4  7,g7 ,heal+ & support s]vices
 = abortion survivors & _! families4    
7,h7 ,s]vices provid+ *ildc>e1 adoption1
 fo/] c>e1 & %ort t]m *ildc>e s]vices & 
res\rces4  7,i7 ,compreh5sive in=mation 
on alt]natives to abortion4  7,j7       
,in=mation ab\t abortion risks1 includ+ 
complications & failures4  7,k7 ,l9ks to
 in=mation on *ild developm5t f mom5t ( 

conception4  7#e7 ,unborn *ild ,! t]m   
unborn *ild has ! mean+ giv5 su* t]m 9  
section #ahda7;d7 ( title #ah1 ,unit$   
,/ates ,code4  7#f7 ,website ,! t]m     
website means ! public website entitl$  
pregnancy4gov requir$ to be e/abli%$ "u 
subsection 7a74  4  #ajb4 ,national li/ 
( lic5s$ *ild placem5t ag5cies  7a7 ,9  
g5]al ,section #dgd ( ! ,social         
,security ,act 7#db ,u4,s4,c4 #fgd7 is  
am5d$ by add+ at ! end ! foll[+3  7h7   
,national li/ ( lic5s$ *ild placem5t    
ag5cies  7#a7 ,/ate report+  7,a7 ,9    
g5]al ,n lat] ?an ,janu>y #a ( ea*      
fiscal ye>1 a ,/ate ) a plan approv$ "u 
?is "p = ! fiscal ye> %all submit to !  
,secret>y a li/ ( private *ild placem5t 
ag5cies t1 z ( ! end ( ! prec$+ fiscal  
ye>1 7 lic5s$ or accr$it$ by1 & 9 good  
/&+ )1 ! ,/ate & exempt f ,f$]al income 
tax by reason ( section #eja7;c77#c7 ( !
 ,int]nal ,rev5ue ,code ( #aihf4  7,b7  
,*ild placem5t ag5cy ,9 subp>agraph     
7,a71 ! t]m *ild placem5t ag5cy means an
 ag5cy t places *ildr5 9 prospective    

adoptive homes4  7#b7 ,national li/ ,!  
,secret>y1 ?r\gh ! ,unit$ ,/ates        
,*ildr5's ,bureau1 %all compile & ma9ta9
 on ! public website entitl$            
pregnancy4gov requir$ to be e/abli%$ "u 
title ,,xxxiv ( ! ,public ,heal? ,s]vice
 ,act1 a publicly available li/ consi/+ 
( ea* li/ mo/ rec5tly submitt$ by a     
,/ate "u p>agraph 7#a74  7#c7 ,annual   
reports to congress ,n lat] ?an ! #bnd  
,decemb] #ca aft] ! date ( ! enactm5t ( 
?is subsection1 & annually !reaft]1 !   
,secret>y %all submit to ! ,congress a  
writt5 report t conta9s ! li/ ma9ta9$ "u
 p>agraph 7#b7 & id5tifies any *ild     
placem5t ag5cy t is lic5s$ by a ,/ate & 
is n on ! li/1 & a specification ( any  
discipl9>y actions t a ,/ate has tak5   
aga9/ a private *ild placem5t ag5cy4  4 
7b7 ,loss ( eligibility = adoption &    
legal gu>dian%ip inc5tive paym5ts =     
failure ( /ate ,to comply ) li/         
submission requirem5t ,section          
#dgc;,a7b7 ( su* ,act 7#db ,u4,s4,c4    
#fgc;b7b77 is am5d$-- 7#a7 by /rik+ & at

 ! end ( p>agraph 7#c72  7#b7 by /rik+ !
 p]iod at ! end ( p>agraph 7#d7 & ins]t+
 2 &2 &  7#c7 by add+ at ! end ! foll[+3
  7#e7 ! ,/ate has compli$ ) section    
#dgd7;h77#a7 ) respect to ! prec$+      
fiscal ye>4  4  #ajc4 ,li/ ( fund+      
opportunities available to pregnancy    
support c5t]s ,title ,,xxxiv ( ! ,public
 ,heal? ,s]vice ,act 7z add$ by section 
#aja7 is am5d$ by add+ at ! end !       
foll[+3  #cdjb4 ,li/ ( fund+            
opportunities available to pregnancy    
support c5t]s ,! ,secret>y %all compile 
& ma9ta9 on ! public website entitl$    
pregnancy4gov requir$ to be e/abli%$ "u 
section #cdja1 a publicly available li/ 
( ,f$]al fund+ opportunities available  
to nonpr(it & heal? c>e entities =      
pregnancy support s]vices t (f] or      
provide ! relevant res\rces 7z def9$ 9  
subsection 7g7 ( su* section74  4  ,,ii 
,improv+ access to pr5atal & po/natal   
res\rces  #bja4 ,positive alt]natives = 
wom5  7a7 ,program au?ority  7#a7       
,purpose ,! purpose ( grants "u ?is     

section %all be to support1 enc\rage1 & 
assi/ wom5-- 7,a7 to c>ry _! pregnancies
 to t]m2 &  7,b7 to c>e = !mselves & _! 
babies aft] bir?4  7#b7 ,grants ,= !    
purpose describ$ 9 p>agraph 7#a71 !     
,secret>y %all aw>d grants to eligible  
entities describ$ 9 subsection 7b7 to   
provide in=mation on1 ref]ral to1 &     
direct s]vices z describ$ 9 subsection  
7c74  7b7 ,eligibility  7#a7 ,eligible  
entities ,to be eligible = a grant "u   
?is section1 an entity %all-- 7,a7 be a 
nonpr(it organization2  7,b7 support1   
enc\rage1 & assi/ wom5 z describ$ 9     
subsection 7a77#a72  7,c7 agree to be   
subject to su* monitor+ & review z !    
,secret>y may require "u subsection 7g72
  7,d7 agree to n *>ge wom5 = s]vices   
provid$ ?r\gh ! grant2  7,e7 provide ea*
 pregnant woman c\nsel$ ?r\gh ! grant ) 
accurate in=mation on ! developm5tal    
*>act]i/ics ( babies & ( unborn *ildr51 
includ+ (f]+ pr9t$ in=mation2 &  7,f7 h 
a privacy policy & proc$ures 9 place to 
ensure t-- 7i7 ! "n1 address1 telephone 

numb]1 or any o!r in=mation t might     
id5tify any woman seek+ s]vices support$
 ?r\gh ! grant is n made public or %>$ )
 any o!r entity )\t ! writt5 cons5t ( ! 
woman2 &  7ii7 ! grantee adh]es to      
requirem5ts comp>able to ^? applicable  
"u ! ,,hipaa privacy regulation 7z def9$
 9 section #aahj7;b77#c7 ( ! ,social    
,security ,act 7#db ,u4,s4,c4           
#acbj;d-#i7;b77#c777 to cov]$ entities  
7z def9$ = purposes ( su* regulation74  
7#b7 ,ineligible entities ,an entity    
%all be ineligible to receive a grant "u
 ?is section if ! entity or any         
affiliate1 subsidi>y1 successor1 or     
cl9ic !re(-- 7,a7 p]=ms1 induces1 ref]s 
=1 or c\nsels 9 favor ( abortions2 or   
7,b7 provides f9ancial support to any   
o!r entity t conducts any activity      
describ$ 9 subp>agraph 7,a74  7#c7      
,f9ancial records ,z a condition on     
receipt ( a grant "u ?is section1 an    
eligible entity %all agree to ma9ta9 &  
make available to ! ,secret>y records1  
includ+ f9ancial records1 t demon/rate t

 ! entity satisfies ! requirem5ts (     
p>agraph 7#a7 & is n ineligible by      
op]ation ( p>agraph 7#b74  7c7 ,cov]$   
s]vices  7#a7 ,requir$ in=mation &      
ref]ral ,= ! purpose describ$ 9         
subsection 7a77#a71 an eligible entity  
receiv+ a grant "u ?is section %all use 
! grant to provide to pregnant &        
po/p>tum wom51 or wom5 p>5t+ "y *ildr51 
in=mation on1 & ref]ral to1 ea* ( !     
foll[+ s]vices3 7,a7 ,m$ical c>e4  7,b7 
,nutritional s]vices4  7,c7 ,h\s+       
assi/ance4  7,d7 ,adoption s]vices4     
7,e7 ,education & employm5t assi/ance1  
includ+ s]vices t support ! cont9uation 
& completion ( high s*ool4  7,f7 ,*ild  
c>e assi/ance4  7,g7 ,p>5t+ education & 
support s]vices4  7,h7 ,volunt>y        
sub/ance abuse c\nsel+ & treatm5t4  7#b7
 ,p]missible direct provision ( s]vices 
,= ! purpose describ$ 9 subsection      
7a77#a71 9 addition to us+ a grant "u   
?is section z describ$ 9 p>agraph 7#a71 
an eligible entity receiv+ a grant "u   
?is section may use ! grant = ! direct  

provision ( "o or m s]vices li/$ 9      
p>agraph 7#a74  7d7 ,prohibit$ uses (   
funds ,none ( ! funds made available "u 
?is section %all be us$-- 7#a7 = heal?  
b5efits cov]age t includes cov]age (    
abortion2  7#b7 = provid+ or assi/+ a   
woman to obta9 adoption s]vices f a     
provid] ( adoption s]vices t is n       
lic5s$2 &  7#c7 = any ( ! activities    
describ$ 9 subsection 7b77#b74  7e7     
,consid]ation ,9 select+ ! recipi5ts (  
grants "u ?is section1 ! ,secret>y %all 
consid] ea* applicant's demon/rat$      
capacity 9 provid+ s]vices to assi/ a   
pregnant woman 9 c>ry+ h] pregnancy to  
t]m4  7f7 ,monitor+ & review ,!         
,secret>y %all-- 7#a7 monitor & review  
ea* program fund$ ?r\gh a grant "u ?is  
section to ensure t ! grantee c>efully  
adh]es to-- 7,a7 ! purpose describ$ 9   
subsection 7a77#a72 &  7,b7 !           
requirem5ts ( ?is section2 &  7#b7 cease
 to fund a program "u ?is section if !  
grantee fails to adh]e to su* purpose & 
requirem5ts4  7g7 ,def9itions ,9 ?is    

section3 7#a7 ,abortion ,! t]m abortion 
means ! use or prescription ( any       
in/rum5t1 m$ic9e1 drug1 or any o!r      
sub/ance or device to int5tionally--    
7,a7 kill ! unborn *ild ( a woman kn[n  
to be pregnant2 or  7,b7 t]m9ate !      
pregnancy ( a woman kn[n to be pregnant1
 ) an int5tion o!r ?an-- 7i7 aft]       
viability1 to produce a live bir? &     
pres]ve ! life & heal? ( ! *ild born    
alive2  7ii7 to remove a dead unborn    
*ild2 or  7iii7 to treat an ectopic     
pregnancy4  7#b7 ,secret>y ,! t]m       
,secret>y means ! ,secret>y ( ,heal? &  
,human ,s]vices4  7h7 ,fund+ ,to c>ry   
out ?is section1 ! ,secret>y %all use   
unobligat$ am\nts made available "u !   
,nonrecurr+ ,exp5ses ,fund ( ! ,dep>tm5t
 ( ,heal? & ,human ,s]vices4  #bjb4     
,improv+ access to pr5atal & po/natal   
teleheal? c>e  7a7 ,9 g5]al ,! ,secret>y
 %all aw>d grants to1 or ent] into      
coop]ative agreem5ts )1 eligible        
entities to pur*ase equipm5t necess>y = 
c>ry+ out at-home teleheal? visits =    

scre5+1 monitor+1 & managem5t ( pr5atal 
& po/natal c>e = ! purpose ( improv+    
mat]nal & infant heal? outcomes1 & r$uc+
 mat]nal mortality1 by improv+ access to
 c>e 9 rural areas1 fronti] c\nties1    
m$ically und]s]v$ areas1 or             
jurisdictions ( ,indian ,tribes &       
,tribal organizations4  7b7 ,ineligible 
entities ,an entity %all be ineligible  
to receive a grant or ent] into a       
coop]ative agreem5t "u ?is section if ! 
entity or any affiliate1 subsidi>y1     
successor1 or cl9ic !re(-- 7#a7 p]=ms1  
induces1 ref]s =1 or c\nsels 9 favor (  
abortions2 or  7#b7 provides f9ancial   
support to any o!r entity t conducts any
 activity describ$ 9 p>agraph 7#a74  7c7
 ,use ( funds ,a recipi5t ( a grant or  
coop]ative agreem5t "u ?is section %all 
use ! aw>d funds z describ$ 9 subsection
 7a71 :i* may include pur*as+ or provid+
 equipm5t necess>y = c>ry+ out at-home  
teleheal? visits 7su* z remote          
physiologic devices & relat$ s]vices1   
includ+ pulse oximet]s1 blood pressure  

cuffs1 scales1 & blood glucose monitors7
 to scre51 monitor1 & manage pr5atal &  
po/natal c>e at home by means (         
teleheal? visits & s]vices = ! purpose  
describ$ 9 subsection 7a74  7d7 ,report 
to ,congress ,n lat] ?an ,septemb] #cj1 
#bjbh1 ! ,secret>y %all submit to       
,congress a report on activities        
support$ ?r\gh grants & coop]ative      
agreem5ts "u ?is section1 includ+-- 7#a7
 a description ( ! activities conduct$  
pursuant to su* grants & coop]ative     
agreem5ts2 &  7#b7 an analysis ( !      
effects ( su* grants & coop]ative       
agreem5ts on improv+ pr5atal & po/natal 
c>e 9 areas & jurisdictions describ$ 9  
subsection 7a74  7e7 ,def9itions ,9 ?is 
section3 7#a7 ,eligible entity ,! t]m   
eligible entity means an entity t       
provides pr5atal c>e1 labor c>e1 bir?+1 
or po/p>tum c>e s]vices 9 a rural area1 
a fronti] c\nty1 a m$ically und]s]v$    
area1 or ! jurisdiction ( an ,indian    
,tribe or ,tribal organization4  7#b7   
,fronti] c\nty ,! t]m fronti] c\nty has 

! mean+ giv5 su* t]m 9 section          
#ahhf7;d77#c77;,e77iii77,,iii7 ( !      
,social ,security ,act 7#db ,u4,s4,c4   
#acieww7d77#c77;,e77iii77,,iii774  7#c7 
,indian tribe2 tribal organization ,!   
t]ms ,indian ,tribe & ,tribal           
organization h ! mean+s giv5 su* t]ms 9 
section #d ( ! ,indian                  
,self-,det]m9ation & ,education         
,assi/ance ,act 7#be ,u4,s4,c4 #ecjd74  
7#d7 ,m$ically und]s]v$ area ,! t]m     
m$ically und]s]v$ area means a heal?    
pr(essional %ortage area designat$ "u   
section #ccb ( ! ,public ,heal? ,s]vice 
,act 7#db ,u4,s4,c4 #bed;e74  7#e7      
,rural area ,! t]m rural area has !     
mean+ giv5 su* t]m 9 section #ccj;,j7e7 
( ! ,public ,heal? ,s]vice ,act 7#db    
,u4,s4,c4 #bed;c-#ae7;e774  7#f7        
,secret>y ,! t]m ,secret>y means !      
,secret>y ( ,heal? & ,human ,s]vices4   
7f7 ,au?orization ( appropriations ,to  
c>ry out ?is section1 !re are au?oriz$  
to be appropriat$ su* sums z may be     
necess>y = ea* ( fiscal ye>s #bjbe ?r\gh

 #bjcj4  ,,iii ,unborn *ild support     
#cja4 ,*ild support en=cem5t on behalf (
 unborn *ildr5  7a7 ,/ate plan am5dm5t  
,section #ded ( ! ,social ,security ,act
 7#db ,u4,s4,c4 #fed7 is am5d$-- 7#a7 9 
p>agraph 7#d77;,a7-- 7,a7 9 clause 7i7--
 7i7 by ins]t+ 1 includ+ an unborn *ild1
 aft] *ild2 &  7ii7 by ins]t+ & aft] !  
semicolon2 &  7,b7 9 clause 7ii71 by    
ins]t+ 1 includ+ an unborn *ild aft] o!r
 *ild2  7#b7 9 p>agraph 7#cc71 by /rik+ 
& aft] ! semicolon2  7#c7 9 p>agraph    
7#cd71 by /rik+ ! p]iod & ins]t+ 2 &2   
7#d7 by ins]t+ aft] p>agraph 7#cd71 !   
foll[+3  7#ce7 provide t ! ,/ate w      
e/abli% & en=ce *ild support obligations
 ( ! biological fa!r ( an unborn *ild 7&
 subsequ5t to ! bir? ( ! *ild7 to ! "m (
 su* *ild provid$ t-- 7,a7 ! "m has     
reque/$ paym5t ( su* *ild support       
obligations2  7,b7 ! />t date = su*     
obligations may beg9 ) ! fir/ mon? 9 :i*
 ! *ild 0 conceiv$1 z det]m9$ by a      
physician 7& %all beg9 ) t mon? if ! "m 
s reque/s72  7,c7 paym5ts = su*         

obligations may be retroactively        
collect$ or aw>d$1 includ+ 9 ! case :]e 
pat]nity is e/abli%$ subsequ5t to ! bir?
 ( ! *ild2  7,d7 ! paym5t am\nt = su*   
obligations %all be det]m9$ by a c\rt1 9
 consultation ) ! "m1 tak+ into acc\nt !
 be/ int]e/s ( ! "m & *ild2  7,e7 any   
measure to e/abli% ! pat]nity ( a *ild  
7born or unborn7 %all n be requir$ )\t !
 cons5t ( ! "m2 &  7,f7 any measure to  
e/abli% ! pat]nity ( an unborn *ild %all
 n be tak5 if ! measure poses any risk (
 h>m to ! *ild if unborn4  2 &  7#e7 by 
add+ at ! end ! foll[+3 ,= purposes (   
p>agraphs 7#d7 & 7#ce71 ! t]m unborn    
*ild means a memb] ( ! species homo     
sapi5s1 at any /age ( developm5t1 :o is 
c>ri$ 9 ! womb44  7b7 ,limitation (     
waiv] au?ority ,section #aaae ( !       
,social ,security ,act 7#db ,u4,s4,c4   
#acae7 is am5d$-- 7#a7 9 subsection 7a71
 9 ! matt] prec$+ p>agraph 7#a71 by     
/rik+ ,9 ! case ( & ins]t+ ,except z    
provid$ 9 subsection 7c71 9 ! case (2   
7#b7 9 subsection 7b77#a71 9 ! matt]    

prec$+ subp>agraph 7,a71 by /rik+ ,9 !  
case ( & ins]t+ ,except z provid$ 9     
subsection 7c71 9 ! case (2 &  7#c7 by  
/rik+ subsection 7c7 & ins]t+ ! foll[+3 
7c7 ,no exp]im5tal1 pilot1 or           
demon/ration project und]tak5 "u        
subsection 7a7 to assi/ 9 promot+ !     
objectives ( "p ,d ( title ,,iv1 may    
p]mit modifications ( p>agraphs         
7#d77;,a77ii7 & 7#ce7 ( section #ded to 
e/abli% & en=ce *ild support obligations
 ( ! biological fa!r ( an unborn *ild4  
,= purposes ( ! prec$+ s5t5ce1 ! t]m    
unborn *ild means a memb] ( ! species   
homo sapi5s1 at any /age ( developm5t1  
:o is c>ri$ 9 ! womb4  4  7c7 ,effective
 date ,! am5dm5ts made by ?is section   
%all take effect on ! date t is #b ye>s 
aft] ! date ( enactm5t ( ?is ,act & %all
 apply to paym5ts "u "p ,d ( title ,,iv 
( ! ,social ,security ,act 7#db         
,u4,s4,c4 #fea et seq47 = cal5d> qu>t]s 
beg9n+ on or aft] su* date4