| 1 | 1 | | I |
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| 2 | 2 | | 118THCONGRESS |
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| 3 | 3 | | 1 |
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| 4 | 4 | | STSESSION H. R. 477 |
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| 5 | 5 | | To amend title V of the Social Security Act to establish a grant program |
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| 6 | 6 | | for community-based maternal mentoring programs. |
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| 7 | 7 | | IN THE HOUSE OF REPRESENTATIVES |
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| 8 | 8 | | JANUARY24, 2023 |
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| 9 | 9 | | Mrs. M |
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| 10 | 10 | | ILLERof West Virginia introduced the following bill; which was |
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| 11 | 11 | | referred to the Committee on Energy and Commerce |
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| 12 | 12 | | A BILL |
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| 13 | 13 | | To amend title V of the Social Security Act to establish |
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| 14 | 14 | | a grant program for community-based maternal men- |
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| 15 | 15 | | toring programs. |
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| 16 | 16 | | Be it enacted by the Senate and House of Representa-1 |
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| 17 | 17 | | tives of the United States of America in Congress assembled, 2 |
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| 18 | 18 | | SECTION 1. SHORT TITLE. 3 |
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| 19 | 19 | | This Act may be cited as the ‘‘Community Mentors 4 |
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| 20 | 20 | | for Moms Act’’. 5 |
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| 21 | 21 | | SEC. 2. GRANTS FOR COMMUNITY-BASED MATERNAL MEN-6 |
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| 22 | 22 | | TORING PROGRAMS. 7 |
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| 23 | 23 | | Title V of the Social Security Act (42 U.S.C. 701 8 |
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| 24 | 24 | | et seq.) is amended by adding at the end the following: 9 |
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| 27 | 27 | | •HR 477 IH |
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| 28 | 28 | | ‘‘SEC. 514. GRANTS FOR COMMUNITY-BASED MATERNAL 1 |
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| 29 | 29 | | MENTORING PROGRAMS. 2 |
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| 30 | 30 | | ‘‘(a) I |
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| 31 | 31 | | NGENERAL.—In addition to any other pay-3 |
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| 32 | 32 | | ments made under this title to a State, the Secretary shall 4 |
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| 33 | 33 | | make grants to eligible entities to conduct demonstration 5 |
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| 34 | 34 | | projects for, and enable such entities to deliver services 6 |
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| 35 | 35 | | under, community-based mentoring programs that satisfy 7 |
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| 36 | 36 | | the requirements of subsection (c) to eligible mothers in 8 |
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| 37 | 37 | | order to promote improvements in maternal and child well- 9 |
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| 38 | 38 | | being, financial stewardship, child development, parenting, 10 |
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| 39 | 39 | | and access to social services and other community re-11 |
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| 40 | 40 | | sources. 12 |
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| 41 | 41 | | ‘‘(b) A |
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| 42 | 42 | | PPLICATION.—The Secretary may not award 13 |
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| 43 | 43 | | funds made available under this subsection on a non-14 |
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| 44 | 44 | | competitive basis, and may not provide any such funds to 15 |
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| 45 | 45 | | an entity for the purpose of carrying out a community- 16 |
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| 46 | 46 | | based mentoring program unless the entity has submitted 17 |
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| 47 | 47 | | an application to the Secretary that includes— 18 |
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| 48 | 48 | | ‘‘(1) a description of how the programs or ac-19 |
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| 49 | 49 | | tivities proposed in the application will improve ma-20 |
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| 50 | 50 | | ternal mental and physical health outcomes in a 21 |
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| 51 | 51 | | service area identified by the entity, substantially in-22 |
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| 52 | 52 | | crease the number of eligible mothers in a service 23 |
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| 53 | 53 | | area with access to a community-based mentoring 24 |
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| 54 | 54 | | relationship, utilize community volunteer mentors, 25 |
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| 55 | 55 | | and supplement, including by avoiding duplication 26 |
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| 58 | 58 | | •HR 477 IH |
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| 59 | 59 | | with, existing social services and community re-1 |
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| 60 | 60 | | sources; 2 |
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| 61 | 61 | | ‘‘(2) a description of how the program will part-3 |
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| 62 | 62 | | ner with other community institutions, including pri-4 |
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| 63 | 63 | | vate institutions, in identifying eligible mothers in 5 |
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| 64 | 64 | | need of a mentor and, as applicable, creating sup-6 |
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| 65 | 65 | | port communities among eligible mothers; 7 |
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| 66 | 66 | | ‘‘(3) a description of the populations to be 8 |
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| 67 | 67 | | served by the entity, including specific information 9 |
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| 68 | 68 | | on how the entity will serve eligible mothers who be-10 |
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| 69 | 69 | | long to high-risk populations as identified in sub-11 |
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| 70 | 70 | | section (d); 12 |
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| 71 | 71 | | ‘‘(4) a description of the maternal and child 13 |
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| 72 | 72 | | health indicators, financial well-being, and other 14 |
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| 73 | 73 | | needs of populations to be served by the entity as 15 |
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| 74 | 74 | | described in paragraph (3), including, to the extent 16 |
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| 75 | 75 | | practicable, the prevalence of mentoring opportuni-17 |
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| 76 | 76 | | ties for such populations; 18 |
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| 77 | 77 | | ‘‘(5) the quantifiable benchmarks that will be 19 |
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| 78 | 78 | | used to measure program success; 20 |
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| 79 | 79 | | ‘‘(6) a commitment by the entity to consult 21 |
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| 80 | 80 | | with experts with a demonstrated history of men-22 |
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| 81 | 81 | | toring and case management success in achieving 23 |
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| 82 | 82 | | the outcomes described in subsection (c)(2)(A) in de-24 |
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| 83 | 83 | | veloping the programs and activities; and 25 |
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| 87 | 87 | | ‘‘(7) such other application information as the 1 |
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| 88 | 88 | | Secretary may deem necessary, with the goal of 2 |
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| 89 | 89 | | minimizing the application burden on small non-3 |
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| 90 | 90 | | governmental organizations that would otherwise 4 |
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| 91 | 91 | | qualify for the grant. 5 |
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| 92 | 92 | | ‘‘(c) R |
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| 93 | 93 | | EQUIREMENTS.— 6 |
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| 94 | 94 | | ‘‘(1) C |
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| 95 | 95 | | ORE COMPONENTS .—A community ma-7 |
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| 96 | 96 | | ternal mentoring program conducted with a grant 8 |
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| 97 | 97 | | made under this section shall include the following 9 |
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| 98 | 98 | | core components: 10 |
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| 99 | 99 | | ‘‘(A) Provision of community-based men-11 |
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| 100 | 100 | | toring relationships for eligible mothers, which 12 |
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| 101 | 101 | | may include dedicated individual mentors and 13 |
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| 102 | 102 | | networks of peer and community support 14 |
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| 103 | 103 | | groups. 15 |
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| 104 | 104 | | ‘‘(B) An individualized needs assessment 16 |
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| 105 | 105 | | for each eligible mother participating in the 17 |
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| 106 | 106 | | program, to be administered at the outset of 18 |
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| 107 | 107 | | the program. 19 |
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| 108 | 108 | | ‘‘(C) Recruitment and utilization of com-20 |
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| 109 | 109 | | munity-based, volunteer mentors. 21 |
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| 110 | 110 | | ‘‘(D) Provision of training to participating 22 |
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| 111 | 111 | | mentors to equip them with mentoring best 23 |
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| 112 | 112 | | practices and knowledge of public and private 24 |
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| 115 | 115 | | •HR 477 IH |
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| 116 | 116 | | resources available to eligible mothers (includ-1 |
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| 117 | 117 | | ing public social services). 2 |
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| 118 | 118 | | ‘‘(2) M |
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| 119 | 119 | | EASURABLE IMPROVEMENTS IN BENCH -3 |
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| 120 | 120 | | MARK AREAS.— 4 |
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| 121 | 121 | | ‘‘(A) I |
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| 122 | 122 | | N GENERAL.—The eligible entity 5 |
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| 123 | 123 | | shall establish, subject to the approval of the 6 |
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| 124 | 124 | | Secretary, quantifiable, measurable 3- and 5- 7 |
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| 125 | 125 | | year benchmarks demonstrating the program 8 |
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| 126 | 126 | | results in improvements for eligible mothers 9 |
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| 127 | 127 | | participating in the program in the following 10 |
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| 128 | 128 | | areas: 11 |
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| 129 | 129 | | ‘‘(i) The number of eligible mothers in 12 |
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| 130 | 130 | | the eligible entity’s service area with access 13 |
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| 131 | 131 | | to a community-based mentoring relation-14 |
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| 132 | 132 | | ship. 15 |
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| 133 | 133 | | ‘‘(ii) Improved maternal and child 16 |
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| 134 | 134 | | health, including mental and behavioral 17 |
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| 135 | 135 | | health. 18 |
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| 136 | 136 | | ‘‘(iii) Improved financial literacy. 19 |
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| 137 | 137 | | ‘‘(iv) Improved family economic self- 20 |
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| 138 | 138 | | sufficiency. 21 |
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| 139 | 139 | | ‘‘(v) Improved coordination and refer-22 |
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| 140 | 140 | | rals for other community resources and 23 |
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| 141 | 141 | | supports, including public and private re-24 |
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| 142 | 142 | | sources. 25 |
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| 145 | 145 | | •HR 477 IH |
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| 146 | 146 | | ‘‘(B) DEMONSTRATION OF IMPROVE -1 |
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| 147 | 147 | | MENT.— 2 |
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| 148 | 148 | | ‘‘(i) R |
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| 149 | 149 | | EPORT TO THE SECRETARY .— 3 |
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| 150 | 150 | | Not later than 30 days after the end of the 4 |
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| 151 | 151 | | third year in which the eligible entity con-5 |
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| 152 | 152 | | ducts the program, the entity shall submit 6 |
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| 153 | 153 | | to the Secretary a report describing the 7 |
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| 154 | 154 | | program’s results in the areas specified in 8 |
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| 155 | 155 | | subparagraph (A). 9 |
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| 156 | 156 | | ‘‘(ii) I |
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| 157 | 157 | | MPROVEMENT PLAN .—If the re-10 |
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| 158 | 158 | | port submitted to the Secretary fails to 11 |
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| 159 | 159 | | demonstrate improvements in at least 3 of 12 |
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| 160 | 160 | | the areas outlined in subparagraph (A), 13 |
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| 161 | 161 | | the eligible entity shall develop and imple-14 |
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| 162 | 162 | | ment a plan to improve outcomes in each 15 |
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| 163 | 163 | | of the areas specified in subparagraph (A), 16 |
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| 164 | 164 | | subject to approval by the Secretary. 17 |
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| 165 | 165 | | ‘‘(iii) N |
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| 166 | 166 | | O IMPROVEMENT OR FAILURE 18 |
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| 167 | 167 | | TO SUBMIT REPORT .—If, 1 year after an 19 |
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| 168 | 168 | | eligible entity submits an improvement 20 |
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| 169 | 169 | | plan under clause (ii), the Secretary deter-21 |
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| 170 | 170 | | mines that the entity has failed to dem-22 |
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| 171 | 171 | | onstrate any improvement in the areas 23 |
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| 172 | 172 | | specified in subparagraph (A), or if the 24 |
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| 173 | 173 | | Secretary determines that an eligible entity 25 |
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| 177 | 177 | | has failed to submit the report required 1 |
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| 178 | 178 | | under clause (i), and has not agreed to a 2 |
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| 179 | 179 | | reasonable timeline to submit such report 3 |
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| 180 | 180 | | under such conditions as may be deter-4 |
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| 181 | 181 | | mined by the Secretary, the Secretary shall 5 |
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| 182 | 182 | | terminate the entity’s grant and may re-6 |
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| 183 | 183 | | allocate any unpaid grant funds toward fu-7 |
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| 184 | 184 | | ture grants provided under this section. 8 |
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| 185 | 185 | | ‘‘(3) I |
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| 186 | 186 | | MPROVEMENTS IN PARTICIPANT OUT -9 |
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| 187 | 187 | | COMES.— 10 |
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| 188 | 188 | | ‘‘(A) I |
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| 189 | 189 | | N GENERAL.—The program is de-11 |
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| 190 | 190 | | signed, with respect to an eligible mother par-12 |
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| 191 | 191 | | ticipating in the program, to result in the par-13 |
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| 192 | 192 | | ticipant outcomes described in subparagraph 14 |
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| 193 | 193 | | (B) that are relevant to the mother (as deter-15 |
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| 194 | 194 | | mined pursuant to an individualized needs as-16 |
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| 195 | 195 | | sessment administered to the mother). 17 |
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| 196 | 196 | | ‘‘(B) P |
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| 197 | 197 | | ARTICIPANT OUTCOMES .—The par-18 |
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| 198 | 198 | | ticipant outcomes described in this subpara-19 |
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| 199 | 199 | | graph are the following: 20 |
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| 200 | 200 | | ‘‘(i) Improvements in prenatal and 21 |
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| 201 | 201 | | maternal health, including mental and be-22 |
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| 202 | 202 | | havioral health and improved pregnancy 23 |
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| 203 | 203 | | outcomes. 24 |
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| 207 | 207 | | ‘‘(ii) Improvements in child health 1 |
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| 208 | 208 | | and development, including the prevention 2 |
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| 209 | 209 | | of child injuries and maltreatment. 3 |
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| 210 | 210 | | ‘‘(iii) Higher levels of engagement be-4 |
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| 211 | 211 | | tween mothers, children, and their health 5 |
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| 212 | 212 | | providers. 6 |
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| 213 | 213 | | ‘‘(iv) Reductions in mother’s stress 7 |
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| 214 | 214 | | and anxiety. 8 |
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| 215 | 215 | | ‘‘(v) Improvements in parenting skills. 9 |
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| 216 | 216 | | ‘‘(vi) Improvement in financial literacy 10 |
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| 217 | 217 | | skills. 11 |
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| 218 | 218 | | ‘‘(vii) Improvements in child’s school 12 |
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| 219 | 219 | | readiness and academic achievement. 13 |
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| 220 | 220 | | ‘‘(viii) Improvements in family eco-14 |
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| 221 | 221 | | nomic self-sufficiency. 15 |
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| 222 | 222 | | ‘‘(ix) Improvements in the coordina-16 |
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| 223 | 223 | | tion of referrals for, and the provision of, 17 |
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| 224 | 224 | | other community resources, including pri-18 |
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| 225 | 225 | | vate and public resources, and supports for 19 |
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| 226 | 226 | | eligible families. 20 |
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| 227 | 227 | | ‘‘(d) P |
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| 228 | 228 | | RIORITIZATION.—An eligible entity receiving a 21 |
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| 229 | 229 | | grant under this section shall identify and prioritize high- 22 |
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| 230 | 230 | | risk populations in provision of services, including— 23 |
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| 231 | 231 | | ‘‘(1) low-income eligible mothers; 24 |
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| 235 | 235 | | ‘‘(2) eligible mothers who are pregnant women 1 |
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| 236 | 236 | | who have not attained the age of 21; 2 |
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| 237 | 237 | | ‘‘(3) eligible mothers from populations with a 3 |
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| 238 | 238 | | high risk of maternal morbidity; 4 |
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| 239 | 239 | | ‘‘(4) eligible mothers with a history of sub-5 |
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| 240 | 240 | | stance abuse or victims of domestic abuse; 6 |
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| 241 | 241 | | ‘‘(5) eligible mothers with children with develop-7 |
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| 242 | 242 | | mental disabilities; and 8 |
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| 243 | 243 | | ‘‘(6) eligible mothers residing in a qualified op-9 |
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| 244 | 244 | | portunity zone, as designated under section 1400Z– 10 |
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| 245 | 245 | | 1 of the Internal Revenue Code of 1986. 11 |
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| 246 | 246 | | ‘‘(e) M |
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| 247 | 247 | | AINTENANCE OFEFFORT.—Funds provided to 12 |
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| 248 | 248 | | an eligible entity under a grant awarded under subsection 13 |
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| 249 | 249 | | (a) shall supplement, and not supplant, funds from other 14 |
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| 250 | 250 | | sources for maternal mentorship or case management 15 |
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| 251 | 251 | | services. 16 |
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| 252 | 252 | | ‘‘(f)(1) E |
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| 253 | 253 | | VALUATION.—The Secretary shall engage in 17 |
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| 254 | 254 | | ongoing research and evaluation activities in order to in-18 |
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| 255 | 255 | | crease knowledge about the implementation and effective-19 |
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| 256 | 256 | | ness of community maternal mentoring programs. The 20 |
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| 257 | 257 | | Secretary may carry out such activities directly, or 21 |
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| 258 | 258 | | through grants, cooperative agreements, or contracts, and 22 |
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| 259 | 259 | | shall submit a report to Congress not less than annually 23 |
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| 260 | 260 | | on the research and evaluation steps being taken to meas-24 |
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| 261 | 261 | | ure the impact and effectiveness of programs funded 25 |
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| 264 | 264 | | •HR 477 IH |
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| 265 | 265 | | under this subchapter, as well as any interim outcomes 1 |
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| 266 | 266 | | that may be available. 2 |
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| 267 | 267 | | ‘‘(2) R |
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| 268 | 268 | | EPORTREQUIREMENT.—Not later than 3 3 |
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| 269 | 269 | | years after the date of enactment of this section, the Sec-4 |
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| 270 | 270 | | retary shall submit a report to Congress on the effective-5 |
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| 271 | 271 | | ness of programs funded with grants under subsection (a) 6 |
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| 272 | 272 | | in producing the outcomes described in subsection 7 |
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| 273 | 273 | | (c)(3)(B), which shall include recommendations for im-8 |
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| 274 | 274 | | proving program design and implementation. 9 |
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| 275 | 275 | | ‘‘(g) T |
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| 276 | 276 | | ECHNICALASSISTANCE.—The Secretary shall 10 |
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| 277 | 277 | | provide an eligible entity required to develop and imple-11 |
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| 278 | 278 | | ment an improvement plan under clause (c)(2)(B) with 12 |
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| 279 | 279 | | technical assistance to develop and implement the plan. 13 |
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| 280 | 280 | | The Secretary may provide the technical assistance di-14 |
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| 281 | 281 | | rectly or through grants, contracts, or cooperative agree-15 |
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| 282 | 282 | | ments. 16 |
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| 283 | 283 | | ‘‘(h) N |
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| 284 | 284 | | OFUNDS TOPROHIBITEDENTITIES.—No 17 |
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| 285 | 285 | | prohibited entity shall be eligible to receive a grant under 18 |
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| 286 | 286 | | subsection (a), or any other funds made available by this 19 |
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| 287 | 287 | | section. 20 |
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| 288 | 288 | | ‘‘(i) P |
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| 289 | 289 | | ROTECTIONS FOR PARTICIPATINGRELIGIOUS 21 |
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| 290 | 290 | | O |
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| 291 | 291 | | RGANIZATIONS.—A religious organization shall be eligi-22 |
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| 292 | 292 | | ble to apply for and receive funding for a program under 23 |
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| 293 | 293 | | this section on the same basis as a nonreligious organiza-24 |
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| 294 | 294 | | tion, and a religious organization’s exemptions, in title VII 25 |
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| 297 | 297 | | •HR 477 IH |
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| 298 | 298 | | of the Civil Rights Act of 1964 (including exemption from 1 |
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| 299 | 299 | | prohibitions in employment discrimination in section 2 |
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| 300 | 300 | | 702(a) of that Act (42 U.S.C. 2000e–1(a))), title VIII of 3 |
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| 301 | 301 | | the Civil Rights Act of 1968, title IX of the Educational 4 |
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| 302 | 302 | | Amendments of 1987, the Americans with Disabilities Act, 5 |
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| 303 | 303 | | the Religious Freedom Restoration Act, the Religious 6 |
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| 304 | 304 | | Land Use and Institutionalized Persons Act, or any other 7 |
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| 305 | 305 | | provision in law providing an exemption for a religious or-8 |
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| 306 | 306 | | ganization, shall not be waived by its participation in, or 9 |
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| 307 | 307 | | receipt of funds from, a grant provided by this section. 10 |
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| 308 | 308 | | ‘‘(j) A |
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| 309 | 309 | | UTHORIZATION OF APPROPRIATIONS.—For 11 |
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| 310 | 310 | | purposes of carrying out this section, there are authorized 12 |
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| 311 | 311 | | to be appropriated $100,000,000 for each of fiscal years 13 |
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| 312 | 312 | | 2024 through 2026. 14 |
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| 313 | 313 | | ‘‘(1) R |
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| 314 | 314 | | ESERVATIONS.—Of the amounts appro-15 |
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| 315 | 315 | | priated under this subsection for a fiscal year (or 16 |
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| 316 | 316 | | portion of a fiscal year), the Secretary shall reserve 17 |
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| 317 | 317 | | 3 percent for purposes of carrying out subsections 18 |
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| 318 | 318 | | (f) and (g). 19 |
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| 319 | 319 | | ‘‘(2) A |
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| 320 | 320 | | VAILABILITY.—Funds made available to 20 |
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| 321 | 321 | | an eligible entity under this section for a fiscal year 21 |
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| 322 | 322 | | (or portion of a fiscal year) shall remain available 22 |
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| 323 | 323 | | for expenditure by the eligible entity through the end 23 |
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| 324 | 324 | | of the third succeeding fiscal year after award. 24 |
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| 325 | 325 | | ‘‘(k) D |
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| 326 | 326 | | EFINITIONS.—In this section: 25 |
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| 329 | 329 | | •HR 477 IH |
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| 330 | 330 | | ‘‘(1) ELIGIBLE ENTITY.—The term ‘eligible en-1 |
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| 331 | 331 | | tity’ means a local government, Indian Tribe (or a 2 |
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| 332 | 332 | | consortium of Indian Tribes), Tribal Organization, 3 |
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| 333 | 333 | | Urban Indian Organization, or nonprofit organiza-4 |
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| 334 | 334 | | tion, including religious organizations, with a dem-5 |
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| 335 | 335 | | onstrated history of serving eligible mothers. 6 |
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| 336 | 336 | | ‘‘(2) E |
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| 337 | 337 | | LIGIBLE MOTHER.—The term ‘eligible 7 |
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| 338 | 338 | | mother’ means— 8 |
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| 339 | 339 | | ‘‘(A) a woman who is pregnant; or 9 |
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| 340 | 340 | | ‘‘(B) a woman who has primary caregiving 10 |
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| 341 | 341 | | responsibilities for a child under the age of 6. 11 |
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| 342 | 342 | | ‘‘(3) P |
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| 343 | 343 | | ROHIBITED ENTITY.—The term ‘prohib-12 |
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| 344 | 344 | | ited entity’ means an entity, including its affiliates, 13 |
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| 345 | 345 | | subsidiaries, successors, and clinics that, as of the 14 |
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| 346 | 346 | | date of enactment of this section, performs, induces, 15 |
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| 347 | 347 | | refers for, or counsels in favor of abortions, or pro-16 |
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| 348 | 348 | | vides financial support to any other organization 17 |
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| 349 | 349 | | that conducts such activities. 18 |
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| 350 | 350 | | ‘‘(4) C |
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| 351 | 351 | | OMMUNITY-BASED MENTORING RELA -19 |
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| 352 | 352 | | TIONSHIP.—The term ‘community-based mentoring 20 |
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| 353 | 353 | | relationship’ means a dedicated mentor and, as ap-21 |
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| 354 | 354 | | plicable, group of mentors or a peer support group, 22 |
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| 355 | 355 | | that meet regularly with an eligible mother and help 23 |
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| 356 | 356 | | that mother address barriers to care, mental, behav-24 |
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| 357 | 357 | | ioral, and physical well-being, and economic mobility 25 |
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| 358 | 358 | | VerDate Sep 11 2014 03:05 Mar 09, 2023 Jkt 039200 PO 00000 Frm 00012 Fmt 6652 Sfmt 6201 E:\BILLS\H477.IH H477 |
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| 359 | 359 | | pbinns on DSKJLVW7X2PROD with $$_JOB 13 |
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| 360 | 360 | | •HR 477 IH |
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| 361 | 361 | | by providing support services and linkages to com-1 |
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| 362 | 362 | | munity resources. A community-based mentoring re-2 |
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| 363 | 363 | | lationship should, to the extent practicable, have an 3 |
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| 364 | 364 | | understanding of the barriers and lived experience of 4 |
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| 365 | 365 | | that community, which may include shared lived ex-5 |
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| 366 | 366 | | perience.’’. 6 |
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| 367 | 367 | | Æ |
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| 368 | 368 | | VerDate Sep 11 2014 03:05 Mar 09, 2023 Jkt 039200 PO 00000 Frm 00013 Fmt 6652 Sfmt 6301 E:\BILLS\H477.IH H477 |
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| 369 | 369 | | pbinns on DSKJLVW7X2PROD with $$_JOB |
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