[Congressional Bills 115th Congress]
[From the U.S. Government Publishing Office]
[S. 3029 Enrolled Bill (ENR)]

        S.3029

                     One Hundred Fifteenth Congress

                                 of the

                        United States of America


                          AT THE SECOND SESSION

         Begun and held at the City of Washington on Wednesday,
           the third day of January, two thousand and eighteen


                                 An Act


 
 To revise and extend the Prematurity Research Expansion and Education 
        for Mothers who deliver Infants Early Act (PREEMIE Act).

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
    This Act may be cited as the ``Prematurity Research Expansion and 
Education for Mothers who deliver Infants Early Reauthorization Act of 
2018'' or the ``PREEMIE Reauthorization Act of 2018''.
SEC. 2. RESEARCH RELATING TO PRETERM LABOR AND DELIVERY AND THE CARE, 
TREATMENT, AND OUTCOMES OF PRETERM AND LOW BIRTHWEIGHT INFANTS.
    Section 2 of the Prematurity Research Expansion and Education for 
Mothers who deliver Infants Early Act (42 U.S.C. 247b-4f) is amended--
        (1) in subsection (b)--
            (A) in paragraph (1)(A), by striking ``clinical, 
        biological, social, environmental, genetic, and behavioral 
        factors relating'' and inserting ``factors relating to 
        prematurity, such as clinical, biological, social, 
        environmental, genetic, and behavioral factors, and other 
        determinants that contribute to health disparities and are 
        related''; and
            (B) in paragraph (2), by striking `` concerning the 
        progress and any results of studies conducted under paragraph 
        (1)'' and inserting ``regarding activities and studies 
        conducted under paragraph (1), including any applicable 
        analyses of preterm birth. Such report shall be posted on the 
        Internet website of the Department of Health and Human 
        Services.'';
        (2) by striking subsection (c) and inserting the following:
    ``(c) Pregnancy Risk Assessment Monitoring Survey.--The Secretary 
of Health and Human Services, acting through the Director of the 
Centers for Disease Control and Prevention, shall--
        ``(1) continue systems for the collection of maternal-infant 
    clinical and biomedical information, including electronic health 
    records, electronic databases, and biobanks, to link with the 
    Pregnancy Risk Assessment Monitoring System (PRAMS) and other 
    epidemiological studies of prematurity in order to track, to the 
    extent practicable, all pregnancy outcomes and prevent preterm 
    birth; and
        ``(2) provide technical assistance, as appropriate, to support 
    States in improving the collection of information pursuant to this 
    subsection.''; and
        (3) in subsection (e), by striking ``except for subsection (c), 
    $1,880,000 for each of fiscal years 2014 through 2018'' and 
    inserting ``$2,000,000 for each of fiscal years 2019 through 
    2023''.
SEC. 3. PUBLIC AND HEALTH CARE PROVIDER EDUCATION AND SUPPORT SERVICES.
    Section 399Q of the Public Health Service Act (42 U.S.C. 280g-5) is 
amended--
        (1) in subsection (a)--
            (A) by striking ``conduct demonstration projects'' and 
        inserting ``conduct activities, which may include demonstration 
        projects''; and
            (B) by striking ``for babies born preterm'' and inserting 
        ``mothers of infants born preterm, and infants born preterm, as 
        appropriate''; and
        (2) in subsection (b)--
            (A) in the matter preceding paragraph (1), by striking 
        ``under the demonstration project'';
            (B) in paragraph (1)--
                (i) in the matter preceding subparagraph (A), by 
            striking ``programs to test and evaluate various strategies 
            to provide'' and inserting ``programs, including those to 
            test and evaluate strategies, which, in collaboration with 
            States, localities, tribes, and community organizations, 
            support the provision of'';
                (ii) by redesignating subparagraphs (B) through (F) as 
            subparagraphs (C) through (G), respectively;
                (iii) by inserting after subparagraph (A), the 
            following:
            ``(B) evidence-based strategies to prevent preterm birth 
        and associated outcomes;'';
                (iv) in subparagraph (C), as so redesignated, by 
            inserting ``, and the risks of non-medically indicated 
            deliveries before full term'' before the semicolon;
                (v) in subparagraph (D), as so redesignated--

                    (I) in clause (ii), by inserting ``intake'' before 
                the semicolon;
                    (II) in clause (iii), by striking ``and'' at the 
                end;
                    (III) by redesignating clause (iv) as clause (vii); 
                and
                    (IV) by inserting after clause (iii), the 
                following:

                ``(iv) screening for and treatment of substance use 
            disorders;
                ``(v) screening for and treatment of maternal 
            depression;
                ``(vi) maternal immunization; and'';
                (vi) in subparagraph (E), as so redesignated, by adding 
            ``and'' after the semicolon;
                (vii) in subparagraph (F), as so redesignated, by 
            striking ``; and'' and inserting a period; and
                (viii) by striking subparagraph (G), as so 
            redesignated; and
            (C) in paragraph (2), by inserting ``, as well as 
        prevention of a future preterm birth'' before the semicolon.
SEC. 4. ADVISORY COMMITTEE ON MATERNAL AND INFANT HEALTH.
    Section 104(b) of the PREEMIE Reauthorization Act (42 U.S.C. 247b-
4f note) is amended--
        (1) in paragraph (2)--
            (A) in the matter preceding subparagraph (A), by striking 
        ``and recommendations to the Secretary concerning the following 
        activities'' and inserting ``, recommendations, or information 
        to the Secretary as may be necessary to improve activities and 
        programs to reduce severe maternal morbidity, maternal 
        mortality, infant mortality, and preterm birth, which may 
        include recommendations, advice, or information related to the 
        following'';
            (B) in subparagraph (A), by striking ``and improving the 
        health status of pregnant women and infants'' and inserting ``, 
        preterm birth, and improving the health status of pregnant 
        women and infants, and information on cost-effectiveness and 
        outcomes of such programs'';
            (C) in subparagraph (C), by striking ``Implementation of 
        the'' and inserting ``The''; and
            (D) by striking subparagraph (D) and inserting the 
        following:
            ``(D) Implementation of Healthy People objectives related 
        to maternal and infant health.
            ``(E) Strategies to reduce racial, ethnic, geographic, and 
        other health disparities in birth outcomes, including by 
        increasing awareness of Federal programs related to appropriate 
        access to, or information regarding, prenatal care to address 
        risk factors for preterm labor and delivery.
            ``(F) Strategies, including the implementation of such 
        strategies, to address gaps in Federal research, programs, and 
        education efforts related to the prevention of severe maternal 
        morbidity, maternal mortality, infant mortality, and other 
        adverse birth outcomes.'';
        (2) by striking paragraph (3) and redesignating paragraph (4) 
    as paragraph (3); and
        (3) by adding at the end the following:
        ``(4) Biennial report.--Not later than 1 year after the date of 
    enactment of the PREEMIE Reauthorization Act of 2018, and every 2 
    years thereafter, the Advisory Committee shall--
            ``(A) publish a report summarizing activities and 
        recommendations of the Advisory Committee since the publication 
        of the previous report;
            ``(B) submit such report to the Secretary and the 
        appropriate Committees of Congress; and
            ``(C) post such report on the Internet website of the 
        Department of Health and Human Services.''.
SEC. 5. INTERAGENCY WORKING GROUP.
    (a) In General.--The Secretary of Health and Human Services, in 
collaboration with other departments, as appropriate, may establish an 
interagency working group in order to improve coordination of programs 
and activities to prevent preterm birth, infant mortality, and related 
adverse birth outcomes.
    (b) Duties.--The working group established under subsection (a) 
shall--
        (1) identify gaps, unnecessary duplication, and opportunities 
    for improved coordination in Federal programs and activities 
    related to preterm birth and infant mortality;
        (2) assess the extent to which the goals and metrics of 
    relevant programs and activities within the Department of Health 
    and Human Services, and, as applicable, those in other departments, 
    are aligned; and
        (3) assess the extent to which such programs are coordinated 
    across agencies within such Department; and
        (4) make specific recommendations, as applicable, to reduce or 
    minimize gaps and unnecessary duplication, and improve coordination 
    of goals, programs, and activities across agencies within such 
    Department.
    (c) Report.--Not later than 1 year after the date on which the 
working group is established under subsection (a), the Secretary of 
Health and Human Services shall submit to the Committee on Health, 
Education, Labor, and Pensions of the Senate and the Committee on 
Energy and Commerce of the House of Representatives a report 
summarizing the findings of the working group under subsection (b) and 
the specific recommendations to improve Federal programs at the 
Department of Health and Human Services under subsection (b)(4).

                               Speaker of the House of Representatives.

                            Vice President of the United States and    
                                               President of the Senate.