[Congressional Bills 112th Congress]
[From the U.S. Government Publishing Office]
[S. 1440 Engrossed Amendment House (EAH)]

                In the House of Representatives, U. S.,

                                                     December 19, 2012.
    Resolved, That the bill from the Senate (S. 1440) entitled ``An Act 
to reduce preterm labor and delivery and the risk of pregnancy-related 
deaths and complications due to pregnancy, and to reduce infant 
mortality caused by prematurity.'', do pass with the following

                              AMENDMENTS:

            Strike out all after the enacting clause and insert:

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Prematurity Research Expansion and 
Education for Mothers who deliver Infants Early Reauthorization Act'' 
or the ``PREEMIE Reauthorization Act''.

SEC. 2. TABLE OF CONTENTS.

    The table of contents of this Act is as follows:

Sec. 1. Short title.
Sec. 2. Table of contents.

 TITLE I--PREMATURITY RESEARCH EXPANSION AND EDUCATION FOR MOTHERS WHO 
                         DELIVER INFANTS EARLY

Sec. 101. Research and activities at the Centers for Disease Control 
                            and Prevention.
Sec. 102. Activities at the Health Resources and Services 
                            Administration.
Sec. 103. Other activities.

             TITLE II--NATIONAL PEDIATRIC RESEARCH NETWORK

Sec. 201. National Pediatric Research Network.

       TITLE III--CHILDREN'S HOSPITAL GME SUPPORT REAUTHORIZATION

Sec. 301. Program of payments to children's hospitals that operate 
                            graduate medical education programs.

 TITLE I--PREMATURITY RESEARCH EXPANSION AND EDUCATION FOR MOTHERS WHO 
                         DELIVER INFANTS EARLY

SEC. 101. RESEARCH AND ACTIVITIES AT THE CENTERS FOR DISEASE CONTROL 
              AND PREVENTION.

    (a) Epidemiological Studies.--Section 3 of the Prematurity Research 
Expansion and Education for Mothers who deliver Infants Early Act (42 
U.S.C. 247b-4f) is amended by striking subsection (b) and inserting the 
following:
    ``(b) Studies and Activities on Preterm Birth.--
            ``(1) In general.--The Secretary of Health and Human 
        Services, acting through the Director of the Centers for 
        Disease Control and Prevention, may, subject to the 
        availability of appropriations--
                    ``(A) conduct epidemiological studies on the 
                clinical, biological, social, environmental, genetic, 
                and behavioral factors relating to prematurity, as 
                appropriate;
                    ``(B) conduct activities to improve national data 
                to facilitate tracking the burden of preterm birth; and
                    ``(C) continue efforts to prevent preterm birth, 
                including late preterm birth, through the 
                identification of opportunities for prevention and the 
                assessment of the impact of such efforts.
            ``(2) Report.--Not later than 2 years after the date of 
        enactment of the PREEMIE Reauthorization Act, and every 2 years 
        thereafter, the Secretary of Health and Human Services, acting 
        through the Director of the Centers for Disease Control and 
        Prevention, shall submit to the appropriate committees of 
        Congress reports concerning the progress and any results of 
        studies conducted under paragraph (1).''.
    (b) Reauthorization.--Section 3(e) of the Prematurity Research 
Expansion and Education for Mothers who deliver Infants Early Act (42 
U.S.C. 247b-4f(e)) is amended by striking ``2011'' and inserting 
``2017''.

SEC. 102. ACTIVITIES AT THE HEALTH RESOURCES AND SERVICES 
              ADMINISTRATION.

    (a) Telemedicine and High-risk Pregnancies.--Section 330I(i)(1)(B) 
of the Public Health Service Act (42 U.S.C. 254c-14(i)(1)(B)) is 
amended by striking ``or case management services'' and inserting 
``case management services, or prenatal care for high-risk 
pregnancies'';
    (b) Public and Health Care Provider Education.--Section 399Q of the 
Public Health Service Act (42 U.S.C. 280g-5) is amended--
            (1) in subsection (b)--
                    (A) in paragraph (1), by striking subparagraphs (A) 
                through (F) and inserting the following:
                    ``(A) the core risk factors for preterm labor and 
                delivery;
                    ``(B) medically indicated deliveries before full 
                term;
                    ``(C) the importance of preconception and prenatal 
                care, including--
                            ``(i) smoking cessation;
                            ``(ii) weight maintenance and good 
                        nutrition, including folic acid;
                            ``(iii) the screening for and the treatment 
                        of infections; and
                            ``(iv) stress management;
                    ``(D) treatments and outcomes for premature 
                infants, including late preterm infants;
                    ``(E) the informational needs of families during 
                the stay of an infant in a neonatal intensive care 
                unit; and
                    ``(F) utilization of evidence-based strategies to 
                prevent birth injuries;''; and
                    (B) by striking paragraph (2) and inserting the 
                following:
            ``(2) programs to increase the availability, awareness, and 
        use of pregnancy and post-term information services that 
        provide evidence-based, clinical information through 
        counselors, community outreach efforts, electronic or 
        telephonic communication, or other appropriate means regarding 
        causes associated with prematurity, birth defects, or health 
        risks to a post-term infant;''; and
            (2) in subsection (c), by striking ``2011'' and inserting 
        ``2017''.

SEC. 103. OTHER ACTIVITIES.

    (a) Interagency Coordinating Council on Prematurity and Low 
Birthweight.--The Prematurity Research Expansion and Education for 
Mothers who deliver Infants Early Act is amended by striking section 5 
(42 U.S.C. 247b-4g).
    (b) Advisory Committee on Infant Mortality.--
            (1) Establishment.--The Secretary of Health and Human 
        Services (referred to in this section as the ``Secretary'') may 
        establish an advisory committee known as the ``Advisory 
        Committee on Infant Mortality'' (referred to in this section as 
        the ``Advisory Committee'').
            (2) Duties.--The Advisory Committee shall provide advice 
        and recommendations to the Secretary concerning the following 
        activities:
                    (A) Programs of the Department of Health and Human 
                Services that are directed at reducing infant mortality 
                and improving the health status of pregnant women and 
                infants.
                    (B) Strategies to coordinate the various Federal 
                programs and activities with State, local, and private 
                programs and efforts that address factors that affect 
                infant mortality.
                    (C) Implementation of the Healthy Start program 
                under section 330H of the Public Health Service Act (42 
                U.S.C. 254c-8) and Healthy People 2020 infant mortality 
                objectives.
                    (D) Strategies to reduce preterm birth rates 
                through research, programs, and education.
            (3) Plan for hhs preterm birth activities.--Not later than 
        1 year after the date of enactment of this section, the 
        Advisory Committee (or an existing advisory committee 
        designated by the Secretary) shall develop a plan for 
        conducting and supporting research, education, and programs on 
        preterm birth through the Department of Health and Human 
        Services and shall periodically review and revise the plan, as 
        appropriate. The plan shall--
                    (A) examine research and educational activities 
                that receive Federal funding in order to enable the 
                plan to provide informed recommendations to reduce 
                preterm birth and address racial and ethnic disparities 
                in preterm birth rates;
                    (B) identify research gaps and opportunities to 
                implement evidence-based strategies to reduce preterm 
                birth rates among the programs and activities of the 
                Department of Health and Human Services regarding 
                preterm birth, including opportunities to minimize 
                duplication; and
                    (C) reflect input from a broad range of scientists, 
                patients, and advocacy groups, as appropriate.
            (4) Membership.--The Secretary shall ensure that the 
        membership of the Advisory Committee includes the following:
                    (A) Representatives provided for in the original 
                charter of the Advisory Committee.
                    (B) A representative of the National Center for 
                Health Statistics.
    (c) Patient Safety Studies and Report.--
            (1) In general.--The Secretary shall designate an 
        appropriate agency within the Department of Health and Human 
        Services to coordinate existing studies on hospital 
        readmissions of preterm infants.
            (2) Report to secretary and congress.--Not later than 1 
        year after the date of the enactment of this Act, the agency 
        designated under paragraph (1) shall submit to the Secretary 
        and to Congress a report containing the findings and 
        recommendations resulting from the studies coordinated under 
        such paragraph, including recommendations for hospital 
        discharge and followup procedures designed to reduce rates of 
        preventable hospital readmissions for preterm infants.

             TITLE II--NATIONAL PEDIATRIC RESEARCH NETWORK

SEC. 201. NATIONAL PEDIATRIC RESEARCH NETWORK.

    Section 409D of the Public Health Service Act (42 U.S.C. 284h; 
relating to the Pediatric Research Initiative) is amended--
            (1) by redesignating subsection (d) as subsection (f); and
            (2) by inserting after subsection (c) the following:
    ``(d) National Pediatric Research Network.--
            ``(1) Network.--In carrying out the Initiative, the 
        Director of NIH, in consultation with the Director of the 
        Eunice Kennedy Shriver National Institute of Child Health and 
        Human Development and in collaboration with other appropriate 
        national research institutes and national centers that carry 
        out activities involving pediatric research, may provide for 
        the establishment of a National Pediatric Research Network 
        consisting of the pediatric research consortia receiving awards 
        under paragraph (2).
            ``(2) Pediatric research consortia.--
                    ``(A) In general.--The Director of NIH may award 
                funding, including through grants, contracts, or other 
                mechanisms, to public or private nonprofit entities--
                            ``(i) for establishing or strengthening 
                        pediatric research consortia; and
                            ``(ii) for providing support for such 
                        consortia, including with respect to--
                                    ``(I) basic, clinical, behavioral, 
                                or translational research to meet unmet 
                                pediatric research needs; and
                                    ``(II) training researchers in 
                                pediatric research techniques in order 
                                to address unmet pediatric research 
                                needs.
                    ``(B) Research.--The Director of NIH may ensure 
                that--
                            ``(i) each consortium receiving an award 
                        under subparagraph (A) conducts or supports at 
                        least one category of research described in 
                        subparagraph (A)(ii)(I) and collectively such 
                        consortia conduct or support all such 
                        categories of research; and
                            ``(ii) one or more such consortia provide 
                        training described in subparagraph (A)(ii)(II).
                    ``(C) Number of consortia.--
                            ``(i) In general.--The Director of NIH may 
                        make awards under this paragraph for not more 
                        than 8 pediatric research consortia, with a 
                        minimum of one pediatric research consortium 
                        that prioritizes collaboration with 
                        institutions serving rural areas.
                            ``(ii) Exception.--Notwithstanding clause 
                        (i), the Director of NIH may make awards under 
                        this paragraph for more than 8 pediatric 
                        research consortia based on a finding of need 
                        by the Director. Before making any award 
                        pursuant to the preceding sentence, the 
                        Director of NIH shall give written notice to 
                        the Congress of the Director's intent to make 
                        the award and shall include in the notice an 
                        explanation of the Director's finding of need.
                    ``(D) Organization of consortium.--Each consortium 
                receiving an award under subparagraph (A) shall--
                            ``(i) be formed from a collaboration of 
                        cooperating institutions;
                            ``(ii) be coordinated by a lead 
                        institution;
                            ``(iii) agree to disseminate scientific 
                        findings rapidly and efficiently; and
                            ``(iv) meet such requirements as may be 
                        prescribed by the Director of NIH.
                    ``(E) Supplement, not supplant.--Any support 
                received by a consortium under subparagraph (A) shall 
                be used to supplement, and not supplant, other public 
                or private support for activities authorized to be 
                supported under this paragraph.
                    ``(F) Duration of consortium support.--Support of a 
                consortium under subparagraph (A) may be for a period 
                of not to exceed 5 years. Such period may be extended 
                at the discretion of the Director of NIH.
            ``(3) Coordination of consortia activities.--The Director 
        of NIH shall--
                    ``(A) as appropriate, provide for the coordination 
                of activities (including the exchange of information 
                and regular communication) among the consortia 
                established pursuant to paragraph (2); and
                    ``(B) as appropriate, require the periodic 
                preparation and submission to the Director of reports 
                on the activities of each such consortium.
            ``(4) Assistance with registries.--Each consortium 
        receiving an award under paragraph (2)(A) shall provide 
        assistance to the Centers for Disease Control and Prevention in 
        the establishment or expansion of patient registries and other 
        surveillance systems as appropriate and upon request by the 
        Director of the Centers.
    ``(e) Research on Pediatric Rare Diseases or Conditions.--In making 
awards under subsection (d)(2) for pediatric research consortia, the 
Director of NIH shall ensure that an appropriate number of such awards 
are awarded to such consortia that agree to--
            ``(1) focus primarily on pediatric rare diseases or 
        conditions (including any such diseases or conditions that are 
        genetic disorders or are related to birth defects); and
            ``(2) conduct or coordinate one or more multisite clinical 
        trials of therapies for, or approaches to, the prevention, 
        diagnosis, or treatment of one or more pediatric rare diseases 
        or conditions.''.

       TITLE III--CHILDREN'S HOSPITAL GME SUPPORT REAUTHORIZATION

SEC. 301. PROGRAM OF PAYMENTS TO CHILDREN'S HOSPITALS THAT OPERATE 
              GRADUATE MEDICAL EDUCATION PROGRAMS.

    (a) In General.--Section 340E of the Public Health Service Act (42 
U.S.C. 256e) is amended--
            (1) in subsection (a), by striking ``through 2005 and each 
        of fiscal years 2007 through 2011'' and inserting ``through 
        2005, each of fiscal years 2007 through 2011, and each of 
        fiscal years 2013 through 2017'';
            (2) in subsection (f)(1)(A)(iv), by inserting ``and each of 
        fiscal years 2013 through 2017'' after ``2011''; and
            (3) in subsection (f)(2)(D), by inserting ``and each of 
        fiscal years 2013 through 2017'' after ``2011''.
    (b) Report to Congress.--Section 340E(b)(3)(D) of the Public Health 
Service Act (42 U.S.C. 256e(b)(3)(D)) is amended by striking ``Not 
later than the end of fiscal year 2011'' and inserting ``Not later than 
the end of fiscal year 2016''.

            Amend the title so as to read: ``An Act to reduce preterm 
        labor and delivery and the risk of pregnancy-related deaths and 
        complications due to pregnancy; to reduce infant mortality 
        caused by prematurity; to provide for a National Pediatric 
        Research Network, including with respect to pediatric rare 
        diseases or conditions; and to reauthorize support for graduate 
        medical education programs in children's hospitals.''.

            Attest:

                                                                 Clerk.
112th CONGRESS

  2d Session

                                S. 1440

_______________________________________________________________________

                               AMENDMENTS