Summary

Creates a federal online clearinghouse listing licensed private child placement agencies and federal funding opportunities for pregnancy support centers, requires states to report those agencies annually, and ties state noncompliance to eligibility for certain incentive payments. Establishes HHS-run grant programs to fund nonprofit pregnancy support services and a telehealth equipment program for prenatal/postnatal care in rural, frontier, medically underserved, and Tribal areas (funded 2025–2030 as "as needed"). Permits states to pursue child support from the biological father of an unborn child under specified conditions, with statutory protections for the pregnant person; those child-support rules take effect two years after enactment.

Key Points

• Requires States to annually report licensed private child placement agencies to HHS, which will publish a national list on a public website.
• Creates an HHS clearinghouse webpage that also lists federal funding opportunities for pregnancy support centers.
• Authorizes two HHS grant programs: one funding nonprofit pregnancy/postnatal support services, and one funding at-home prenatal/postnatal telehealth equipment for underserved areas.
• Prohibits grant funding to entities involved with abortion or to unlicensed adoption providers and requires financial oversight of grantees.
• Allows States, under specified conditions and protections, to establish child-support claims against the biological father of an unborn child; those rules take effect two years after enactment.
• HHS must report to Congress on telehealth activities by September 30, 2029; program funding is authorized as "such sums as may be necessary" for FY2025–2030.
• States that do not submit required lists risk losing eligibility for adoption and guardianship incentive payments.
• Places new administrative and compliance burdens on States, HHS, and nonprofit applicants seeking grant funds.
• Targets telehealth investment to rural, frontier, medically underserved, and Tribal communities to expand prenatal/postnatal monitoring and management.

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