This Act may be cited as the “Improving Adoption Outcomes and Affordability Act of 2019”.

(a) Services authorized.—The Secretary of Health and Human Services (in this section referred to as the “Secretary”) shall, either directly or by grant to or contract with the eligible entities described in subsection (b), provide services described in subsection (c) for birthmothers who are placing a child for adoption.

(b) Eligible entities.—The eligible entities referred to in subsection (a) are States, local governmental entities, and public or private agencies or organizations, including public or private licensed child welfare or adoption agencies or adoptive family groups and faith-based organizations.

(c) Types of services.—The types of services referred to in subsection (a) are—

(1) counseling services for birthmothers who are placing or have placed a child for adoption, including—

(A) individual counseling;

(B) mental health counseling; and

(C) substance abuse counseling;

(2) provide information relating to the availability of post-adoption services and benefits for birthmothers, including contact information for post-adoption services and benefits provided by States and local units of government, as appropriate; and

(3) training of staff at hospitals and other appropriate birth care facilities relating to interaction of such staff with birthmothers and adoptive families.

(d) Application.—Each eligible entity referred to in subsection (a) that desires to receive a grant or enter into a contract with the Secretary under subsection (a) shall submit an application to the Secretary that describes the manner in which the entity will use funds under the grant or contract during the 3 fiscal years subsequent to the date of the application to accomplish the purposes of this section. Such application shall be submitted in a form and manner determined to be appropriate by the Secretary.

(e) Reports.—The Secretary shall require each eligible entity referred to in subsection (a) that receives a grant or enters into a contract with the Secretary under subsection (a) to submit to the Secretary a report on the services provided or activities carried out by the entity for each fiscal year for which the entity receives amounts under the grant or contract. The report shall contain such information as the Secretary determines is necessary to provide an accurate description of the services provided or activities carried out with such amounts.

(f) Services To supplement and not supplant.—Services provided under a grant or contract under subsection (a) shall supplement, and not supplant, services provided using any other funds made available for the same general purposes.

(g) Technical assistance and administrative provisions.—The Secretary shall—

(1) provide technical assistance to eligible entities referred to in subsection (a) that receive a grant or enter into a contract with the Secretary under subsection (a) for purposes of providing the services described in subsection (c);

(2) as appropriate, coordinate the provision of services described in subsection (c) with other adoption-related research, training, services, and assistance activities carried out by the Department of Health and Human Services; and

(3) either directly, or by grant to or contract with a public or private agency or organization—

(A) evaluate the implementation and effectiveness of the provision of services described in subsection (c) and other activities carried out under this section;

(B) identify different pre-placement services provided for birthmothers, the availability and utilization of such services, and how pre-placement services might be improved; and

(C) not later than 3 years after the date of the enactment of this Act, submit to Congress a report that contains the results of the evaluation under subparagraph (A) and the information described in subparagraph (B).

(a) In general.—To carry out this Act, there are authorized to be appropriated to the Secretary of Health and Human Services—

(1) $30,000,000 for fiscal year 2020; and

(2) such sums as may be necessary for each of the fiscal years 2021 through 2024.

(b) Availability.—Amounts appropriated pursuant to the authorization of appropriations under subsection (a) are authorized to remain available until expended.