Originating in the early 1990’s, the “Commitment of Care” was formally adopted by major U.S. pregnancy help affiliation organizations in January 2001. Focusing primarily on positive client care, these ethical codes of practice dispelled the abortion activists’ false accusations and formed the basis for strong client services approval ratings.

Robust growth of pregnancy help efforts in specific – and non-profit entities in general – has brought additional scrutiny of these organizations. In response, the Leadership Alliance of Pregnancy Care Organizations (LAPCO), added new basic standards for organizational competency. Integrating these ethical codes of practice into the existing client-care elements produced the expanded document now known as the “Commitment of Care and Competence.”

Introduced in 2009 and updated in 2024, this commitment to ethical practices is the core standard for affiliation for all major life-affirming pregnancy help affiliate groups. We encourage affiliates to print the Commitment of Care and Competence and hang it up in your lobby.

• Clients are served without regard to age, race, income, nationality, religious affiliation, disability or other arbitrary circumstances.
• Clients are treated with kindness and compassion, in a caring manner.
• Clients always receive honest and open answers.
• Client information is kept securely and confidentially and only released with the client’s signed authorization or as required by law.
• Clients receive accurate information about pregnancy, fetal development, lifestyle issues, and related concerns.
• We do not offer, recommend, or refer for abortions or abortifacients, or contraceptives. We are committed to offering accurate information about related risks and procedures.
• All of our advertising and communications are truthful and honest, and accurately describe the services we offer.
• We provide a safe environment by screening and equipping all staff and volunteers interacting with clients.
• We are governed by a Board of Directors and operate in accordance with our articles of incorporation, bylaws, and stated purpose and mission.
• We comply with applicable legal and regulatory requirements regarding employment, fundraising, financial management, taxation, and public disclosure, including the filing of all applicable government reports in a timely manner.
• All services are provided in accordance with pertinent and applicable laws. Medical services are provided in accordance with medical standards, under the supervision and direction of a licensed physician (or advanced clinical provider as permitted by law).
• All of our staff and volunteers receive appropriate training to uphold these standards.

Final language as approved by the Leadership Alliance of Pregnancy Care Organizations – 07/10/24

Download a copy of the Commitment of Care and Competence and hang it up at your center. 

Click here to access Heartbeat International's Raising the Standard course, which introduces organizations and their leaders to Our Commitment of Care and Competence.

Heartbeat Principles:

• Heartbeat affiliates propose and offer, through education and creative services, positive, life-affirming choices for the woman challenged by pregnancy.
• Heartbeat affiliates shall prefer and promote the value and place of sexual intimacy, children, and family building within marriage between one man and one woman.
• Heartbeat affiliates’ services are personal, confidential, and nonjudgmental.
• Heartbeat affiliates present alternatives to abortion without discriminating based on race, ethnicity, creed, color, national origin, age, or marital status.
• Heartbeat affiliates shall not advise, provide, or refer for abortion, abortifacients, or contraceptives.

Heartbeat Program Policies

• Heartbeat International does not promote abortion, abortifacients, or contraceptives.
• Heartbeat International does not promote birth control (devices or medications) for family planning, population control, or health issues, including disease prevention.
• Heartbeat International does promote God's Plan for our sexuality: marriage between one man and one woman, sexual intimacy, children, unconditional/unselfish love, and relationship with God must go together.
• Heartbeat International does promote sexual integrity/sexual purity before marriage and sexual integrity faithfulness within marriage.
• All Heartbeat International policies and materials are consistent with Biblical principles and with orthodox Christian (Catholic, Protestant, and Orthodox) ethical principles and teaching on the dignity of the human person and sanctity of human life.

Not all pregnancy centers offer medical services. If you have questions about the services offered at this pregnancy center, please ask to speak to a center representative.

What is Heartbeat International?

What is Option Line?

What's the difference between Option Line and Pregnancy Decision Line?

How can I make certain I'm part of Option Line?

What is Extend Web Services and how can my center benefit from it?

What is Next Level and how can my organization benefit from it?

What are Heartbeat's core philosophies?

What standards does Heartbeat promote?

What is the difference between Heartbeat and Care Net?

What is Heartbeat's position on birth control?

Frequently Asked Questions about Ministries

How do I start a pregnancy center?

I’m a new director, what resources are available to assist me?

As a Board member, what resources are available to me?

How do we add medical services to our Pregnancy Center?

How can we find out if we are a mandated reporter?

Our ministry is experiencing conflict between the Board and the Executive Director, what can we do?

Q. How do I start a pregnancy center?

A. Heartbeat offers a number of resources to brand new organizations, and you can find them all by clicking here. 

Additionally, those starting a center receive complimentary first year affiliation along with discount pricing on resources. Affiliates have access to consultation by phone and/or email. Our affiliates receive special discounts on training, consultations and conferences as well. Affiliates receive newsletters and email blasts with updates on important information that pregnancy help organizations need to know. Affiliation with Heartbeat also puts you on “Option Line” www.optionline.org (See question on Option Line below).

We also suggest that you go to OptionLine.org, click on “find a center,” and enter your zip code to see if/what other organizations exist in your area and network with them as you pursue starting a ministry so as to not compete with funding resources in the area. Sometimes we find that a group may wish to open a center in an area where another center has been strategically planning and praying to open. You may actually be the answer to another center's prayers.

When you inform us that your center is open we will then include your information in the worldwide directory (and on Option Line if you are an affiliate).

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Q. What is Heartbeat International?

A. Heartbeat International® is the first network of pro-life pregnancy resource centers in the U.S. and the most expansive in the world. Since 1971, Heartbeat has supported, strengthened and started over 3,500 pregnancy help locations on every inhabited continent to provide alternatives to abortion.

We are a nonprofit, interdenominational Christian association of faith-based pregnancy resource centers, medical clinics, maternity homes, and nonprofit adoption agencies endorsed by Christian leaders nationwide.

Heartbeat is what is known as a federation. It is a looser type of association. Members must adhere to 5 basic principles and all other matters of policy and management are up to the local Board of Directors. Centers are encouraged to be entrepreneurial and are seen as the experts in their particular community. Reporting statistics is not required but an annual survey, including stats, is requested.

Pregnancy centers are encouraged to use a statement of faith with which they feel comfortable. Many use statements that reflect orthodox Christianity such as the Nicene Creed. Samples are supplied upon request of an interdenominational statement of faith that focuses on being inclusive rather than exclusive.

Those who want direction and resources but place a high value on being independent in decision-making will enjoy affiliation with Heartbeat.

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Q. What is the difference between Heartbeat International and Care Net?

Heartbeat International was founded in 1971 by the first pregnancy help centers in the country, who wanted their own affiliation organization. Its first name was Alternatives to Abortion (soon changed to Alternatives to Abortion International or AAI).  AAI described itself as “non-denominational and non-sectarian.”  When key Evangelical leaders joined the pro-life movement in the mid 1970’s, AAI supported their efforts to found a pro-life organization with an explicit Evangelical statement of faith.  This new Evangelical organization was named Christian Action Council (now called Care Net).  To learn how to start pregnancy help centers, the Executive Director of Christian Action Council, Curt Young, was invited to serve on the AAI Board (now Heartbeat International), and he did for 3½ years.  Christian Action Council (now Care Net) started its first pregnancy help center in 1981.

Heartbeat International and Care Net share a common cause in inspiring and equipping Christian communities in the establishment of pregnancy help efforts that reach the vulnerable and rescue the innocent.  In addition, we have previously partnered together for nine years on a joint venture that founded and developed Option Line, as well as currently work together to publish a Salary Survey bi-annually. Such cooperative efforts serve our common goals in a Great Work that saves lives and changes lives by the power of the Gospel at work in and through us.

Care Net and Heartbeat are not identical, however. Heartbeat International's distinctives include:

Heartbeat International is international in scope. (Reference Matthew 28:19 and Acts 1:8) From its inception, Heartbeat, then called Alternatives to Abortion International (or AAI), recognized that alternatives to abortion were going to be needed worldwide as abortion was a global tragedy. Heartbeat has affiliates on every inhabited continent and travels regularly in support of our global mission and our international partners. Care Net only has affiliated service providers in the U.S. and Canada.

Heartbeat International trains and supports leaders for a broad range of life-affirming affiliates including pregnancy help centers (medical and non-medical), maternity homes, non-profit adoption agencies, abortion recovery efforts, social services, and others who align with our Christ-centered mission, values, and principles. Care Net only affiliates pregnancy centers, while also working to engage and equip local church participants to directly offer compassion, hope, help, and discipleship to women and men considering abortion.

Heartbeat International is founded upon historic Christian orthodoxy as recognized in the Nicene Creed and/or the Apostle’s Creed. Heartbeat purposely integrates passionate pro-life proponents from all Christendom (Evangelical, Catholic, Protestant, Orthodox, Charismatic, and non-denominational) at every level of Heartbeat (board, leadership, staff, and consultants), and in its training and materials. The development or adoption of a particular statement of faith, as well as its missional focus, is a matter left to each independent affiliate of Heartbeat. Care Net, by contrast, is expressly organized as an Evangelical ministry, expecting their affiliating pregnancy center is “equally committed to sharing the Gospel of salvation through Jesus Christ with those it serves” (from the Care Net “Standards of Affiliation,” as of 08/2019).  This includes Care Net requiring each affiliated pregnancy center board to acknowledge annually and affirm the Care Net Statement of Faith, which is adapted from the National Association of Evangelicals’ Statement of Faith.  

Heartbeat International’s ministry philosophy is intentionally grassroots, bottom-up, innovative and entrepreneurial. While both Heartbeat and Care Net use the national code of ethical conduct known as “Our Commitment of Care and Competence” as a standard of affiliation, Heartbeat has only a few additional non-negotiable requirements for affiliation (see our Principles of Affiliation). Heartbeat highlights effective models of ministry arising from our affiliates for our affiliates to evaluate, imitate and adapt further. Heartbeat trains in best practices, but avoids setting required policies and procedures or forcing rigid reporting requirements. Care Net requires pregnancy centers abide by 15 “Standards of Affiliation,” including annually submitting a “Care Net Certificate of Compliance, Pregnancy Center Statistical Report, and additional policy requirements relative to adoption services, and use of the Care Net logo.

Heartbeat International embraces the call to promote a culture of life among our clients, constituents, communities, and countries. This philosophy of ministry brings us to extend our work beyond core compassion outreach services to include influencing our cultures at large. We fulfill this in partnership with our affiliates, in part, by interacting with the government at various levels (for example, in our Babies Go To Congress program), by impacting public policy, and by calling clients and our culture to true reproductive health. The latter is embodied in our unique Sexual Integrity Program which introduces a model for sexual wholeness for use in pregnancy help efforts to promote healthy and life-affirming choices regarding sexuality.

Learn more about the Heartbeat Difference by clicking here.

Q. How do we add medical services to our Pregnancy Center?

A. Heartbeat offers several resources that will assist you in this process. Medical Essentials for Pregnancy Help Organizations helps centers explore the question, "Should we expand in this area?" with its guidance on evaluating the rationale for offering medical services. Heartbeat is with you through this Manual as you look at the needs of your community as well as the benefits, issues, and resource requirements of a medical pregnancy center.

To offer ultrasound you must first become a medical clinic – meaning that you have a Medical Director who is a D.O. or/and M.D. You operate under his/her licensure. You will need insurance to operate a medical clinic.

Your center will need an ultrasound tech, a trained nurse, or other trained health professional as approved by your state regulations and your medical director to perform the ultrasounds.

You may also wish to find a center in your area that offers medical services and tour their facility. They may be able to walk you through the transition quickly by sharing their process and their policies and procedures.

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Q. I’m a new director, what resources are available to assist me?

A. Heartbeat International has a manual that was written just for you. DIRECT Well equips new directors and refreshes seasoned directors for effective day-to-day operations. Once a year we offer the New Director track at Pregnancy Help Institute for directors with three years of experience or less. The training provides an opportunity for you to network with other Directors, learn important responsibilities, and get your questions answered. The annual Heartbeat International Pregnancy Help Conference is also a great opportunity to learn and grow as a pregnancy help organization director.

We also offer manuals on Employee Policies, and Sample Policies and Procedures for Pregnancy Centers. You can read more about these and other resources in our online store. You will also receive a copy of our latest resource catalog when you affiliate.

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Q. As a Board member, what resources are available to me?

A. The Board has the full responsibility of the organization. Heartbeat has developed a resource called GOVERN Well for Board members and the Executive Director. The manual explains the six proven areas of governance that successful Boards use. GOVERN Well supports the spiritual growth of Board Members who lead by radiating our Christ-based vision of a bright future to everyone touched by the organization. Center Directors tell us that they and their Board Members not only read this Manual, they study it and keep it at hand for ready reference.

As a Board member we offer you consultation by phone and email as well as encourage you to take advantage of the trainings and conferences we offer throughout the year.

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Q. Our ministry is experiencing conflict between the Board and the Executive Director, what can we do?

A. One of the keys to resolving conflicts is to understand and follow the spheres of authority in your organization. For example, it should be made clear that the full Board is the “boss” of the Executive Director. Individual Board members should not be giving directives to the Executive Director. The staff should also be aware that if they experience conflicts they go to the Executive Director or their supervisor, not the Board. Clear boundaries are extremely important. GOVERN Well addresses this issue.

We offer consultation by phone and email and encourage you to call so we can assist you and direct you to helpful resources. Heartbeat recommends that you to have a conflict resolution policy in place and follow the pattern set out in Mathew 18. We also have staff trained in Peacemaker’s Ministry that can help in biblical conflict resolution.

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Q. How can we find out if we are a mandated reporter?

A. It is important that clients be appropriately notified before receiving services that the center’s promise of confidentiality is subject to certain exceptions. The following statement may be inserted on client services forms to provide this notice: “All information shared by you during your relationship as a client with the center will be kept in the strictest confidence except as required by law or as required for the protection of you or others".

We recommend that your center carefully review state requirements to determine the scope of your reporting responsibilities as related to statutory rape. A good resource for the laws in this area is located at: http://www.childwelfare.gov/systemwide/laws_policies/statutes/manda.cfm. You can type in your state to see what the law is in your state and can further narrow your search to select those topics that are of interest to you (i.e. who is a mandatory reporter, how is abuse/neglect defined, etc.)

Heartbeat also recommends that you also check with your local attorney to understand the laws in your state regarding this issue.

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Q. What is Option Line?

A. Option Line is a program of Heartbeat International, with the toll-free number  1-800-712-HELP (4357), and website www.OptionLine.org available 24 hours a day, 7 days a week via e-mail, instant message and telephone. Originally a joint venture with Care Net from 2003-2012, this outreach has responded to millions contacts. Option Line refers each contact to a pregnancy help center near them for life-affirming services (including pregnancy tests, ultrasound, material aid) and/or answers to questions about abortion, adoption, parenting, medical referrals, housing, and many other issues.

In order to receive calls, appointments (via Plus Link) and referrals from Option Line, a service provider must be a current affiliate Heartbeat International and follow the national standard Commitment of Care and Competence. Currently, Care Net affiliates in good standing are also listed as an extension of our previous joint venture.

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Q. What's the difference between Option Line and Pregnancy Decision Line?

While both Option Line and Pregnancy Decision Line connect with pregnancy help organizations, there are some distinct differences that make them both unique.

As an affiliate of Heartbeat International, Care Net or both, your organization is more than likely represented on both www.OptionLine.org and www.PregnancyDecisionLine.org as a place for women seeking pregnancy help to turn. Greater outreach means more connections for clients to your center. 

We are here to serve the pregnancy help movement and the women in the communities it serves. We know that the best alternative to abortion is another person, that is why we do all we can to connect women with pregnancy help as soon as possible. 

Beyond answering the phones, Option Line can schedule appointments at your center! Please review your organization's details to ensure that they are up-to-date. If you have any changes at all, please contact us. 

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Q.  How can I make certain I am a part of Option Line?

A.  As a Heartbeat affiliate, you have the opportunity to become part of the Option Line. However, affiliation does not automatically place you on the network.  If you are a Heartbeat or Care Net affiliate and your center is NOT currently listed on Option Line, here is a list of possible reasons why your center does not show up in the search:

• Your affiliation with Heartbeat and/or Care Net has lapsed.
• Your center has not fully adopted the Commitment of Care and Competence.
• Your center is located outside of the U.S. and Canada

If you meet all the requirements and your center is still not listed, please contact Heartbeat or call the Option Line business office at 614-802-2808.

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Q.  What is Extend Web Services?

A.  Extend Web Services is a web hosting and design service specifically for pregnancy help organizations operated as a program of Heartbeat International. Extend Web Services provides affordable options for outreach to clients as well as supporter sites. Whether you need the simplest and easiest way to reach clients or dynamic personalized options, the Extend product line provides numerous options. Extend also provides Search Engine Optimization services for websites whether hosted by Extend or not.

Extend products have a medically accurate managed content and have the unique opportunity to be linked via the Option Line website. Their services are available regardless of affiliation with Heartbeat International.

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Q. What is Next Level?

A. Next Level CMS harnesses the power of big data to make local centers and medical clinics as effective as they can possibly be. At Heartbeat, we believe we are better together, and our center management software reflects that by collecting data, across the pregnancy help movement, on critical metrics to provide powerful, actionable insights at the local level.

Crafted by a team of professional healthcare software developers, Next Level CMS also closes a key informational gap within local centers by streamlining intake and data collection to unleash your organization's power of woman-centered service. 

Next Level CMs's tablet-based, mobile-native design also gives you a cutting-edge tool to make sure that no client ever falls through the cracks from the moment you say "Hello."

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Q. What is Heartbeat's position on birth control?

A. Heartbeat International does not promote birth control (devices or medications) for family planning, population control, or health issues, including disease prevention. All Heartbeat International policies and materials are consistent with Biblical principles and with orthodox Christian (Catholic, Protestant, and Orthodox) ethical principles and teaching on the dignity of the human person and sanctity of human life.

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Updates to Terms

Heartbeat International may modify the terms and conditions of use agreement at any time, and from time to time, and such modifications shall be effective immediately upon posting of the modified agreement.

Severability

If any provisions of these Terms and Conditions of Use are found void, unenforceable or unlawful, it does not and will not serve to invalidate any other provisions in the terms and Conditions of Use. All other provisions will remain valid, in full force and effect.

Governing Law

These Terms and Conditions of Use shall be construed, interpreted and performed exclusively according to the, excluding conflict of law rules, of the State of Ohio, United States of America. Any legal action with respect to any transaction must be commenced within one year after the cause of action has arisen.

Questions

Should you have any questions or concerns regarding Heartbeat International's Terms and Conditions of Use, please contact us at This email address is being protected from spambots. You need JavaScript enabled to view it..