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Congressional Research Service
Informing the legislative debate since 1914


Updated December  6, 2018


The Pregnancy Assistance Fund

The Pregnancy Assistance Fund (PAF) program  focuses on
meeting the educational, social service, and health needs of
vulnerable expectant and parenting individuals and their
families during pregnancy and the postnatal period. The
Patient Protection and Affordable Care Act (ACA; P.L.
111-148, as amended) established the program and
provided $25 million in annual mandatory funding for each
of FY2010  through FY2019. The law identifies eligible
populations as expectant and parenting teens, college
students, and women of any age who experience domestic
violence, sexual violence, sexual assault, or stalking.

Background
The research literature indicates that pregnancy has high
costs for the individuals eligible for the PAF program.
Teenage mothers and fathers tend to have less education
and are more likely to live in poverty than their peers who
are not parenting. Nearly one-third of adolescent females
who have dropped out of high school and college cite
pregnancy or parenthood as a reason. One analysis found
that single young women who had children after enrolling
in community college were 65% more  likely to drop out
than their same-age peers who did not have children after
enrolling. Studies further indicate that approximately 3% to
9%  of women experience domestic violence during
pregnancy.

Grant Categories and Requirements
The U.S. Department of Health and Human Services (HHS)
administers the PAF program, and funding is awarded
competitively to the 50 states, District of Columbia (DC),
U.S. territories, and tribal entities (hereinafter, state
grantees) that apply successfully. The grantees may use the
funds as follows:

*  to provide subgrants to institutions of higher education
   (IHEs), high schools, or community service providers to
   enable these subgrantees to establish, operate, or
   maintain pregnancy or parenting services for the
   expectant and parenting population;

*  to provide, in partnership with the state attorney
   general's office, certain legal and supportive services for
   women  who  experience domestic violence, sexual
   violence, sexual assault, or stalking while they are
   pregnant or parenting an infant; and

*  to support, either directly or through a subgrantee,
   public awareness about PAF services for the expectant
   and parenting population that is eligible for the program.

The PAF  authorizing law requires each subgrantee to
provide an annual report to the state grantee that itemizes
program expenditures; reviews and evaluates its


performance; and describes its achievements in meeting the
needs of participants, including the frequency with which
they used services. Grantees must prepare an annual report
to HHS  on this subgrantee information, the number of
subgrantees that were awarded funds, and the number of
individuals who were served with funds.

IHEs,  High Schools,  and Community Service
Providers
Subgrants can be provided to high schools (schools that
serve grades 7-12), community service organizations
(organizations that provide social services directly or by
government  contract), and IHEs (vocational schools,
community  colleges, universities, etc.). Only IHEs must
provide a 25% match of their awards with funds or non-
monetary support such as services and facilities.

The law specifies that subgrantees can carry out selected
activities on campuses and in communities, such as
conducting a needs assessment to examine pregnancy and
parenting resources on a campus and within a community,
as well as setting goals for improving such resources and
access to them. Other activities can include annually
assessing the performance of the subgrantee in meeting
needs of participants with regard to child care, flexible or
alternative academic scheduling, parenting education, basic
provisions, and including maternity coverage and
availability of riders for additional family members in
student health coverage.

Offices of State Attorneys  General
State grantees must partner with their state's office of the
attorney general to provide specified activities-
intervention services, accompaniment services, and
supportive social services-targeted to individuals of any
age who are pregnant or have been pregnant in the past year
and are victims of domestic violence, sexual violence,
sexual assault, or stalking. Intervention services refers to
24-hour telephone hotline services for police protection and
referral to shelters. Accompaniment services means
assisting, representing, and accompanying a woman in
seeking judicial relief for restraining orders and help with
filing criminal charges, among other activities. Supportive
social services means transitional and permanent housing,
vocational counseling, and individual and group counseling
aimed at preventing domestic violence, sexual violence,
sexual assault, or stalking.

These partnership grants also focus on providing training
and technical assistance (related to domestic violence,
sexual violence, sexual assault, or stalking against pregnant
women  or women  pregnant within the past year) to
specified entities, such as government agencies,


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