[Congressional Bills 115th Congress]
[From the U.S. Government Publishing Office]
[S. 3029 Engrossed in Senate (ES)]
<DOC>
115th CONGRESS
2d Session
S. 3029
_______________________________________________________________________
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).
Passed the Senate September 12, 2018.
Attest:
Secretary.
115th CONGRESS
2d Session
S. 3029
_______________________________________________________________________
AN ACT
To revise and extend the Prematurity Research Expansion and Education
for Mothers who deliver Infants Early Act (PREEMIE Act).