[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.