Title 42, The Public Health and WelfareRelease 119-110

§254c–6 Certain Services for Pregnant Women

Title 42 › CHAPTER 6A — PUBLIC HEALTH SERVICE › SUBCHAPTER II — GENERAL POWERS AND DUTIES › Part D — Primary Health Care › subpart i — health centers › § 254c–6

Last updated Sep 22, 2026|Official source

Summary

The Secretary must give grants to national, regional, or local adoption groups so they can train staff at public and nonprofit health centers to provide adoption information and referrals. The training must teach staff to offer adoption on an equal basis with all other options in counseling that does not push one choice. Grants can only be made if the adoption group follows best-practice guidelines that the Secretary helps create with adoption groups and public health entities. Those guidelines had to be finished within 180 days after October 17, 2000, and no grants can be made before the guidelines exist. Grantees may run programs themselves or fund other adoption groups and may develop training materials that match the guidelines. Trainers must know all parts of the adoption process and be experienced in the areas served by the health centers, though trainers can be trained in a different place. “Adoption organization” means a nonprofit whose main work is adoption and that knows how to give adoption information. “Designated staff” are the center workers who give pregnancy or adoption information. “Eligible health centers” are public or nonprofit centers serving pregnant women. The training must include centers funded under sections 300, 254b, and school service grants. The Secretary must tell eligible centers about the training, encourage them to join, and the training groups must pay centers’ training costs. The Secretary must report to Congress by 1 year after October 17, 2000, and again after training starts, on how often adoption information is offered. Reports must not break patient confidentiality or interfere with the provider‑patient relationship. Grants require an application, and funds were authorized as needed for fiscal years 2001 through 2005.

Full Legal Text

Title 42, §254c–6

The Public Health and Welfare, Source: USLM XML via OLRC

(a)Infant adoption awareness
(1)In general
The Secretary shall make grants to national, regional, or local adoption organizations for the purpose of developing and implementing programs to train the designated staff of eligible health centers in providing adoption information and referrals to pregnant women on an equal basis with all other courses of action included in nondirective counseling to pregnant women.
(2)Best-practices guidelines
(A)In general
A condition for the receipt of a grant under paragraph (1) is that the adoption organization involved agree that, in providing training under such paragraph, the organization will follow the guidelines developed under subparagraph (B).
(B)Process for development of guidelines
(i)In general
The Secretary shall establish and supervise a process described in clause (ii) in which the participants are—
(I)an appropriate number and variety of adoption organizations that, as a group, have expertise in all models of adoption practice and that represent all members of the adoption triad (birth mother, infant, and adoptive parent); and
(II)affected public health entities.
(ii)Description of process
The process referred to in clause (i) is a process in which the participants described in such clause collaborate to develop best-practices guidelines on the provision of adoption information and referrals to pregnant women on an equal basis with all other courses of action included in nondirective counseling to pregnant women.
(iii)Date certain for development
The Secretary shall ensure that the guidelines described in clause (ii) are developed not later than 180 days after October 17, 2000.
(C)Relation to authority for grants
The Secretary may not make any grant under paragraph (1) before the date on which the guidelines under subparagraph (B) are developed.
(3)Use of grant
(A)In general
With respect to a grant under paragraph (1)—
(i)an adoption organization may expend the grant to carry out the programs directly or through grants to or contracts with other adoption organizations;
(ii)the purposes for which the adoption organization expends the grant may include the development of a training curriculum, consistent with the guidelines developed under paragraph (2)(B); and
(iii)a condition for the receipt of the grant is that the adoption organization agree that, in providing training for the designated staff of eligible health centers, such organization will make reasonable efforts to ensure that the individuals who provide the training are individuals who are knowledgeable in all elements of the adoption process and are experienced in providing adoption information and referrals in the geographic areas in which the eligible health centers are located, and that the designated staff receive the training in such areas.
(B)Rule of construction regarding training of trainers
With respect to individuals who under a grant under paragraph (1) provide training for the designated staff of eligible health centers (referred to in this subparagraph as “trainers”), subparagraph (A)(iii) may not be construed as establishing any limitation regarding the geographic area in which the trainers receive instruction in being such trainers. A trainer may receive such instruction in a different geographic area than the area in which the trainer trains (or will train) the designated staff of eligible health centers.
(4)Adoption organizations; eligible health centers; other definitions
For purposes of this section: (A)
(B)The term “designated staff”, with respect to an eligible health center, means staff of the center who provide pregnancy or adoption information and referrals (or will provide such information and referrals after receiving training under a grant under paragraph (1)).
(C)The term “eligible health centers” means public and nonprofit private entities that provide health services to pregnant women.
(5)Training for certain eligible health centers
A condition for the receipt of a grant under paragraph (1) is that the adoption organization involved agree to make reasonable efforts to ensure that the eligible health centers with respect to which training under the grant is provided include—
(A)eligible health centers that receive grants under section 300 of this title (relating to voluntary family planning projects);
(B)eligible health centers that receive grants under section 254b of this title (relating to community health centers, migrant health centers, and centers regarding homeless individuals and residents of public housing); and
(C)eligible health centers that receive grants under this chapter for the provision of services in schools.
(6)Participation of certain eligible health clinics
In the case of eligible health centers that receive grants under section 254b or 300 of this title:
(A)Within a reasonable period after the Secretary begins making grants under paragraph (1), the Secretary shall provide eligible health centers with complete information about the training available from organizations receiving grants under such paragraph. The Secretary shall make reasonable efforts to encourage eligible health centers to arrange for designated staff to participate in such training. Such efforts shall affirm Federal requirements, if any, that the eligible health center provide nondirective counseling to pregnant women.
(B)All costs of such centers in obtaining the training shall be reimbursed by the organization that provides the training, using grants under paragraph (1).
(C)Not later than 1 year after October 17, 2000, the Secretary shall submit to the appropriate committees of the Congress a report evaluating the extent to which adoption information and referral, upon request, are provided by eligible health centers. Within a reasonable time after training under this section is initiated, the Secretary shall submit to the appropriate committees of the Congress a report evaluating the extent to which adoption information and referral, upon request, are provided by eligible health centers in order to determine the effectiveness of such training and the extent to which such training complies with subsection (a)(1). In preparing the reports required by this subparagraph, the Secretary shall in no respect interpret the provisions of this section to allow any interference in the provider-patient relationship, any breach of patient confidentiality, or any monitoring or auditing of the counseling process or patient records which breaches patient confidentiality or reveals patient identity. The reports required by this subparagraph shall be conducted by the Secretary acting through the Administrator of the Health Resources and Services Administration and in collaboration with the Director of the Agency for Healthcare Research and Quality.
(b)Application for grant
The Secretary may make a grant under subsection (a) only if an application for the grant is submitted to the Secretary and the application 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 section.
(c)Authorization of appropriations
For the purpose of carrying out this section, there are authorized to be appropriated such sums as may be necessary for each of the fiscal years 2001 through 2005.

Reference

Citations & Metadata

Citation

42 U.S.C. § 254c–6

Title 42, The Public Health and Welfare

Last Updated

Sep 22, 2026

Release point: 119-110