Bill summaries are authored by CRS.

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Reported to Senate with amendment(s) (08/03/1989)

Adolescent Pregnancy Prevention, Care, and Research Grants Act of 1989 - Replaces the current title XX (Adolescent Family Life Demonstration Projects) of the Public Health Service Act with a new title on adolescent pregnancy prevention, care, and research grants.

Authorizes the Secretary of Health and Human Services to make grants to provide care services to pregnant adolescents and adolescent parents and prevention services to nonpregnant adolescents. Lists permissible uses for the grants. Requires that grantees charge fees for services only according to a fee schedule approved by the Secretary that bases fees on income. Prohibits a grantee from discriminating on the basis of an individual's inability to pay for services. Sets forth priorities in making the grants. Provides for the amount of a grant.

Prohibits the Federal portion of the grant from exceeding 75 percent of annual program costs. Allows non-Federal contributions to be in cash or in kind. Allows the Secretary to waive the 75 percent limitation in accordance with criteria established by regulation.

Sets forth descriptions and assurances which must be included in grant applications.

Requires grant recipients to spend between three and ten percent to conduct, through an independent entity, an evaluation of the services supported. Allows grantees to use up to one-half of the ten percent amount to: (1) participate in a multi-site evaluation; and (2) be pooled to conduct a study of the effectiveness of different combinations of services. Sets forth reporting requirements.

Directs the Secretary to coordinate Federal policies and programs providing services relating to the prevention of initial and recurrent adolescent pregnancies and providing care for pregnant adolescents and adolescent parents. Requires grant recipients to coordinate activities with other grant recipients in the same locality.

Authorizes the Secretary to make grants to support: (1) research concerning the societal causes and consequences of pregnancy, childbearing, and child rearing for adolescent females and males; (2) evaluative research to identify services that reduce adolescent pregnancy rates and that improve the outcome of adolescent childbearing; and (3) the dissemination of information from programs and research relating to adolescent pregnancy and parenthood.

Allows research and dissemination grants to be made for one year, with renewals for four additional one-year periods. Limits the amount of a grant for direct costs, but allows: (1) additional amounts for indirect costs as the Secretary deems appropriate; and (2) the Secretary to waive the limitation. Sets forth allowed and prohibited uses of the funds.

Directs the Secretary to coordinate research and dissemination activities carried out under these provisions with such activities carried out by the National Institutes of Health (NIH).

Directs the Secretary to establish a system for the review of applications that is substantially similar to the system for scientific peer review of the NIH. Requires the creation of a panel to review applications. Prohibits application approval unless the panel has determined the program to be of scientific merit.

Sets forth reporting requirements.

Directs the Secretary to reserve certain amounts appropriated under this title for evaluation of activities. Requires the Secretary to report the results of each evaluation to the appropriate committees of the Congress.

Authorizes appropriations for carrying out the title added by this Act for FY 1990 through 1992.

Prohibits use of funds for grants under this Act for payment for the performance of an abortion.