Adolescent Pregnancy and Parenthood Act of 1989

Adolescent Pregnancy and Parenthood Act of 1989 - Replaces title XX (Adolescent Family Life Demonstration Projects) of the Public Health Service Act with a new title on services for pregnant adolescents and adolescent parents.

Authorizes the Secretary of Health and Human Services to make grants and enter into contracts to provide authorized services to certain pregnant adolescents, adolescent mothers, and the qualified relations of such adolescents. Includes among authorized services: (1) comprehensive prenatal and postpartum care; (2) well-baby and well-child care; (3) family planning methods and services; (4) family life and parenting education; (5) education and referral regarding sexually transmitted diseases; (6) counseling and referral; (7) aid in obtaining health, mental health, and social services; and (8) other appropriate services.

Sets forth priorities in making the grants and contracts.

Requires that applicants for the grants and contracts agree to: (1) give priority to the provision of services to low income individuals and others who have limited access to such services; (2) not require an individual to accept authorized services as a prerequisite to other services or assistance; (3) provide services only on a voluntary basis and only after advising of the benefits and risks of each of the options available; (4) encourage the individual, to the extent practicable, to seek the assistance of the individual's family, and (5) encourage community involvement in the planning and implementation of the program.

Requires that charges imposed by the applicant, if any: (1) be made according to a public schedule; (2) not be imposed on individuals below the poverty line; and (3) be adjusted to reflect the income of the individual.

Authorizes appropriations for FY 1990 through 1992.

 
HR 1117 IH
101st CONGRESS
1st Session
 H. R. 1117
To amend the Public Health Service Act to provide for certain services to
pregnant adolescents and adolescent parents, and for other purposes.
IN THE HOUSE OF REPRESENTATIVES
February 27, 1989
Mr. LELAND (for himself, Mrs. JOHNSON of Connecticut, and Mr. WAXMAN)
introduced the following bill; which was referred to the Committee on Energy
and Commerce
A BILL
To amend the Public Health Service Act to provide for certain services to
pregnant adolescents and adolescent parents, and for other purposes.
  Be it enacted by the Senate and House of Representatives of the United
  States of America in Congress assembled,
SECTION 1. SHORT TITLE.
 This Act may be cited as the `Adolescent Pregnancy and Parenthood Act
 of 1989'.
SEC. 2. ESTABLISHMENT OF PROGRAM OF SERVICES FOR PREGNANT ADOLESCENTS AND
ADOLESCENT PARENTS.
  Title XX of the Public Health Service Act (42 U.S.C. 300z et seq.) is
  amended to read as follows:
`TITLE XX--SERVICES FOR PREGNANT ADOLESCENTS AND ADOLESCENT PARENTS
`SEC. 2001. ESTABLISHMENT OF PROGRAM OF GRANTS AND CONTRACTS.
  `(a) IN GENERAL- The Secretary may make grants to, and enter into contracts
  with, public and nonprofit private entities for the purpose of making the
  services described in subsection (b) available--
  `(1) to any pregnant individual who has decided to carry the pregnancy to
  term and who became pregnant while less than 18 years of age;
  `(2) to any mother of a child less than 6 years of age, which mother was
  less than 18 years of age when she became pregnant with the child; and
  `(3) to the qualified relations of pregnant individuals described in
  paragraph (1) and mothers described in paragraph (2).
  `(b) DESCRIPTION OF AUTHORIZED SERVICES- The services referred to in
  subsection (a) are--
  `(1) comprehensive prenatal and postpartum care (including ensuring
  that the pregnant individual involved is, for delivery of the infant,
  transported and admitted to the medical facility involved);
  `(2) well-baby care and well-child care;
  `(3) a broad range of acceptable and effective family planning methods
  and services;
  `(4) family life and parenting education;
  `(5) preventive education with respect to sexually transmitted diseases
  and referral to entities providing screening for, and treatment of,
  such diseases;
  `(6) counseling and referral services, including counseling and referrals
  with respect to educational services, employment services, employment
  training, nutrition, substance abuse, and adoption;
  `(7) aid in establishing eligibility for assistance, and in obtaining
  services, under Federal, State, and local programs providing health services,
  mental health services, or social services; and
  `(8) other appropriate services, as determined by the Secretary.
`SEC. 2002. PREFERENCES WITH RESPECT TO GRANTS AND CONTRACTS.
  `In providing financial assistance under section 2001(a), the Secretary
  shall give preference to any applicant that--
  `(1) is experienced in the delivery of authorized services; and
  `(2) will carry out the purpose described in such section in any geographic
  area in which--
  `(A) there is an inadequate availability of authorized services; and
  `(B) there is a substantial incidence of childbearing among teenagers,
  of infant mortality, or of low-income individuals.
`SEC. 2003. REQUIREMENTS WITH RESPECT TO CARRYING OUT PURPOSE OF FINANCIAL
ASSISTANCE.
  `(a) PROVISION OF SERVICES TO PREGNANT ADOLESCENTS OR ADOLESCENT PARENTS,
  OR BOTH- The Secretary may not provide financial assistance under section
  2001(a) unless the applicant for such assistance agrees that the applicant
  will make authorized services available--
  `(1) to individuals described in paragraph (1) of section 2001(a) and to
  the qualified relations of such individuals;
  `(2) to individuals described in paragraph (2) of such section and to the
  qualified relations of such individuals; or
  `(3) to all individuals described in such section.
  `(b) PRIORITIES IN PROVISION OF SERVICES- The Secretary may not provide
  financial assistance under section 2001(a) unless the applicant for such
  assistance agrees to give priority to the provision of authorized services
  to low-income eligible individuals and to other eligible individuals who
  have limited access to such services.
  `(c) AVAILABILITY OF SERVICES- The Secretary may not provide financial
  assistance under section 2001(a) unless the applicant for such assistance
  agrees to make available to eligible individuals, directly or through
  contracts with public or nonprofit private entities, each of the services
  described in paragraphs (1) through (8) of section 2001(b).
  `(d) ADDITIONAL REQUIRED AGREEMENTS- The Secretary may not provide financial
  assistance under section 2001(a) unless the applicant for such assistance
  agrees that--
  `(1) the applicant will not require an eligible individual to accept
  authorized services as a prerequisite to eligibility for, or receipt of,
  any other service or assistance provided by the applicant;
  `(2) the applicant will provide authorized services only on a voluntary
  basis and only after eligible individuals seeking such services have been
  advised of the benefits and risks of each of the options available to the
  individuals and have had the opportunity to choose freely among the options,
  including referral to another source of care when indicated;
  `(3) the applicant will, with respect to any individual described in
  paragraph (1) or (2) of section 2001, encourage the individual to seek,
  to the maximum extent practicable, the assistance of the family of such
  individual during pregnancy and parenthood; and
  `(4) the applicant will encourage the community involved to participate in
  the planning and implementation of the program established by the applicant
  pursuant to section 2001(a).
`SEC. 2004. GENERAL PROVISIONS.
  `(a) LIMITATION ON IMPOSITION OF FEES FOR SERVICES- The Secretary may not
  provide financial assistance under section 2001(a) unless the applicant
  for such assistance agrees that, if a charge is imposed by the applicant
  for the delivery of authorized services, such charge--
  `(1) will be made according to a schedule of charges that is made available
  to the public;
  `(2) will not be imposed on any eligible individual seeking such services
  with an income of less than 100 percent of the official poverty line; and
  `(3) will be adjusted to reflect the income of the eligible individual
  involved.
  `(b) RELATIONSHIP TO ITEMS AND SERVICES UNDER OTHER PROGRAMS- The Secretary
  may not provide financial assistance under section 2001(a) unless the
  applicant for such assistance agrees that the applicant will not make
  payments from such assistance for any item or service to the extent that
  payment has been made, or can reasonably be expected to be made, with
  respect to such item or service--
  `(1) under any State compensation program, under an insurance policy,
  or under any Federal or State health benefits program; or
  `(2) by an entity that provides health services on a prepaid basis.
  `(c) INCREASED AVAILABILITY OF SERVICES FROM PROVIDER- The Secretary may not
  provide financial assistance under section 2001(a) unless the applicant for
  such assistance agrees to maintain non-Federal expenditures for authorized
  services at a level equal to not less than the average level of such
  expenditures maintained by the applicant for the 2-year period preceding
  the fiscal year for which the applicant is applying for such assistance.
  `(d) LIMITATION OF ADMINISTRATIVE EXPENSES- The Secretary may not provide
  financial assistance under section 2001(a) for a fiscal year unless the
  applicant for such assistance agrees that not more than 10 percent of the
  assistance will be expended by the applicant for administrative expenses
  with respect to carrying out the purpose described in section 2002(a).
  `(e) REPORTS- The Secretary may not provide financial assistance under
  section 2001(a) for a fiscal year unless the applicant for such assistance
  agrees to collect and submit to the Secretary--
  `(1) data for the fiscal year on the number of individuals receiving
  authorized services from the applicant, the demographic characteristics
  of the population of such individuals, the services provided to such
  individuals, and the results achieved with respect to the provision of
  such services; and
  `(2) such other data as the Secretary determines to be necessary to carry
  out this title.
  `(f) REQUIREMENT OF APPLICATION- The Secretary may not provide financial
  assistance under section 2001(a) unless--
  `(1) an application for such assistance is submitted to the Secretary;
  `(2) with respect to carrying out the purpose for which the grant is to
  be made, the application provides assurances of compliance satisfactory
  to the Secretary; and
  `(3) the application otherwise is in such form, is made in such manner,
  and contains such agreements, assurances, and information as the Secretary
  determines to be necessary to carry out this title.
`SEC. 2005. EVALUATIONS AND REPORTS FROM SECRETARY.
  `(a) EVALUATIONS-
  `(1) The Secretary shall, directly or through grants or contracts,
  evaluate the programs carried out by recipients of grants and contracts
  under section 2001(a).
  `(2) Of the amounts appropriated pursuant to section 2007, the Secretary
  may expend not more than 1 percent to carry out paragraph (1).
  `(b) REPORTS- Not later than January 10 of each year, the Secretary shall
  submit to the Congress a comprehensive report describing the programs
  carried out by recipients of grants and contracts under section 2001(a)
  and the findings made as a result of the evaluations required in subsection
  (a)(1). Each such report shall include a summary of the data provided to
  the Secretary pursuant to section 2004(e).
`SEC. 2006. DEFINITIONS.
  `For purposes of this title:
  `(1) The term `authorized services' means the services described in
  section 2001(b).
  `(2) The term `eligible individuals' means individuals described in section
  2001(a) to whom the recipient of financial assistance under such section
  elects, pursuant to section 2003(a), to provide authorized services.
  `(3) The term `official poverty line' means the official poverty line
  established by the Director of the Office of Management and Budget and
  revised by the Secretary in accordance with section 673(2) of the Omnibus
  Budget Reconciliation Act of 1981.
  `(4) The term `qualified relation' means--
  `(A) with respect to a pregnant individual described in subsection (a)(1)
  of section 2001 who is receiving the services described in subsection (b)
  of such section--
  `(i) the male partner of the pregnant individual;
  `(ii) any individual who will be the guardian of the infant to be born as
  a result of the pregnancy; and
  `(iii) any individual (including any member of the family of the pregnant
  individual) who agrees to share responsibility for such infant; and
  `(B) with respect to a mother described in subsection (a)(2) of section 2001
  who is receiving the services described in subsection (b) of such section--
  `(i) any of her children who are less than 6 years of age and with respect
  to whom the mother became pregnant when she was less than 18 years of age;
  `(ii) the male partner of the mother;
  `(iii) the guardian of any of such children; and
  `(iv) any individual (including any member of the family of the mother)
  who agrees to share responsibility for any of such children.
`SEC. 2007. AUTHORIZATION OF APPROPRIATIONS.
  `For the purpose of carrying out this title, there are authorized to be
  appropriated $60,000,000 for fiscal year 1990, $65,000,000 for fiscal year
  1991, and $70,000,000 for fiscal year 1992.'.
SEC. 3. EFFECTIVE DATE.
  The amendments made by this Act shall take effect October 1, 1989, or upon
  the date of the enactment of this Act, whichever occurs later.