[Congressional Bills 115th Congress]
[From the U.S. Government Publishing Office]
[S. 3029 Reported in Senate (RS)]

<DOC>





                                                       Calendar No. 503
115th CONGRESS
  2d Session
                                S. 3029

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


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

                              June 7, 2018

  Mr. Alexander (for himself, Mr. Bennet, Ms. Smith, Ms. Warren, Mr. 
   Casey, Ms. Baldwin, Ms. Collins, Mr. Cassidy, Mr. Young, and Mrs. 
    Murray) introduced the following bill; which was read twice and 
  referred to the Committee on Health, Education, Labor, and Pensions

                              July 9, 2018

              Reported by Mr. Alexander, with an amendment
 [Strike out all after the enacting clause and insert the part printed 
                               in italic]

_______________________________________________________________________

                                 A BILL


 
 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,

<DELETED>SECTION 1. SHORT TITLE.</DELETED>

<DELETED>    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''.</DELETED>

<DELETED>SEC. 2. RESEARCH RELATING TO PRETERM LABOR AND DELIVERY AND 
              THE CARE, TREATMENT, AND OUTCOMES OF PRETERM AND LOW 
              BIRTHWEIGHT INFANTS.</DELETED>

<DELETED>    Section 2 of the Prematurity Research Expansion and 
Education for Mothers who deliver Infants Early Act (42 U.S.C. 247b-4f) 
is amended--</DELETED>
        <DELETED>    (1) in subsection (b)--</DELETED>
                <DELETED>    (A) in paragraph (1)(A), by striking 
                ``clinical, biological, social, environmental, genetic, 
                and behavioral factors relating'' and inserting 
                ``biological, social, and other determinants that 
                contribute to health disparities and are related''; 
                and</DELETED>
                <DELETED>    (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.'';</DELETED>
        <DELETED>    (2) by striking subsection (c) and inserting the 
        following:</DELETED>
<DELETED>    ``(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--</DELETED>
        <DELETED>    ``(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</DELETED>
        <DELETED>    ``(2) provide technical assistance, as 
        appropriate, to support States in improving the collection of 
        information pursuant to this subsection.''; and</DELETED>
        <DELETED>    (3) in subsection (e), by striking ``except for 
        subsection (c), $1,880,000,000 for each of fiscal years 2014 
        through 2018'' and inserting ``$2,000,000 for each of fiscal 
        years 2019 through 2023''.</DELETED>

<DELETED>SEC. 3. PUBLIC AND HEALTH CARE PROVIDER EDUCATION AND SUPPORT 
              SERVICES.</DELETED>

<DELETED>    Section 399Q of the Public Health Service Act (42 U.S.C. 
280g-5) is amended--</DELETED>
        <DELETED>    (1) in subsection (a)--</DELETED>
                <DELETED>    (A) by striking ``conduct demonstration 
                projects for the purpose of improving'' and inserting 
                ``continue efforts to improve''; and</DELETED>
                <DELETED>    (B) by striking ``for babies born 
                preterm'' and inserting ``mothers of infants born 
                preterm, and infants born preterm, including through 
                demonstration projects, as appropriate''; and</DELETED>
        <DELETED>    (2) in subsection (b)--</DELETED>
                <DELETED>    (A) in the matter preceding paragraph (1), 
                by striking ``under the demonstration 
                project'';</DELETED>
                <DELETED>    (B) in paragraph (1)--</DELETED>
                        <DELETED>    (i) in the matter preceding 
                        subparagraph (A), by striking ``programs to 
                        test and evaluate various'' and inserting 
                        ``programs which, in collaboration with States, 
                        localities, and community organizations, 
                        support'';</DELETED>
                        <DELETED>    (ii) by redesignating 
                        subparagraphs (B) through (F) as subparagraphs 
                        (C) through (G), respectively;</DELETED>
                        <DELETED>    (iii) by inserting after 
                        subparagraph (A), the following:</DELETED>
                <DELETED>    ``(B) evidence-based strategies to prevent 
                preterm birth and associated outcomes;'';</DELETED>
                        <DELETED>    (iv) in subparagraph (C), as so 
                        redesignated, by inserting ``, and the risks of 
                        non-medically indicated deliveries before full 
                        term'' before the semicolon;</DELETED>
                        <DELETED>    (v) in subparagraph (D), as so 
                        redesignated--</DELETED>
                                <DELETED>    (I) in clause (ii), by 
                                inserting ``intake'' before the 
                                semicolon;</DELETED>
                                <DELETED>    (II) in clause (iii), by 
                                striking ``and'' at the end;</DELETED>
                                <DELETED>    (III) by redesignating 
                                clause (iv) as clause (vii); 
                                and</DELETED>
                                <DELETED>    (IV) by inserting after 
                                clause (iii), the following:</DELETED>
                        <DELETED>    ``(iv) screening for and treatment 
                        of substance use disorders;</DELETED>
                        <DELETED>    ``(v) screening and treatment of 
                        maternal depression;</DELETED>
                        <DELETED>    ``(vi) maternal immunization; 
                        and'';</DELETED>
                        <DELETED>    (vi) in subparagraph (E), as so 
                        redesignated, by adding ``and'' after the 
                        semicolon;</DELETED>
                        <DELETED>    (vii) in subparagraph (F), as so 
                        redesignated, by striking ``; and'' and 
                        inserting a period; and</DELETED>
                        <DELETED>    (viii) by striking subparagraph 
                        (G), as so redesignated; and</DELETED>
                <DELETED>    (C) in paragraph (2), by inserting ``, as 
                well as prevention of a future preterm birth'' before 
                the semicolon.</DELETED>

<DELETED>SEC. 4. ADVISORY COMMITTEE ON INFANT MORTALITY.</DELETED>

<DELETED>    Section 104(b) of the PREEMIE Reauthorization Act (42 
U.S.C. 247b-4f note) is amended--</DELETED>
        <DELETED>    (1) in paragraph (2)--</DELETED>
                <DELETED>    (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 and infant mortality 
                and preterm birth, which may include recommendations, 
                advice, or information related to the 
                following'';</DELETED>
                <DELETED>    (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'';</DELETED>
                <DELETED>    (C) in subparagraph (C), by striking 
                ``Implementation of the'' and inserting ``The''; 
                and</DELETED>
                <DELETED>    (D) by striking subparagraph (D) and 
                inserting the following:</DELETED>
                <DELETED>    ``(D) Implementation of Healthy People 
                objectives related to maternal and infant 
                health.</DELETED>
                <DELETED>    ``(E) Strategies to reduce racial, ethnic, 
                geographic, and other health disparities in birth 
                outcomes.</DELETED>
                <DELETED>    ``(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 
                and infant mortality, and other adverse birth 
                outcomes.'';</DELETED>
        <DELETED>    (2) by striking paragraph (3) and redesignating 
        paragraph (4) as paragraph (3); and</DELETED>
        <DELETED>    (3) by adding at the end the following:</DELETED>
        <DELETED>    ``(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--</DELETED>
                <DELETED>    ``(A) publish a report summarizing 
                activities and recommendations of the Advisory 
                Committee since the publication of the previous 
                report;</DELETED>
                <DELETED>    ``(B) submit such report to the Secretary 
                and the appropriate Committees of Congress; 
                and</DELETED>
                <DELETED>    ``(C) post such report on the Internet 
                website of the Department of Health and Human 
                Services.''.</DELETED>

<DELETED>SEC. 5. INTERAGENCY WORKING GROUP.</DELETED>

<DELETED>    (a) In General.--The Secretary of Health and Human 
Services may establish an interagency working group in order to improve 
coordination of programs and activities within the Department of Health 
and Human Services to prevent preterm birth, infant mortality, and 
related adverse birth outcomes.</DELETED>
<DELETED>    (b) Duties.--The working group established under 
subsection (a) shall--</DELETED>
        <DELETED>    (1) identify gaps, duplication, or overlap in 
        Federal programs and activities related to preterm birth and 
        infant mortality;</DELETED>
        <DELETED>    (2) assess the extent to which the goals and 
        metrics of relevant programs and activities within the 
        Department of Health and Human Services are aligned; 
        and</DELETED>
        <DELETED>    (3) assess the extent to which such programs are 
        coordinated across agencies within such Department; 
        and</DELETED>
        <DELETED>    (4) make specific recommendations, as applicable, 
        to reduce or minimize unnecessary duplication and overlap and 
        improve coordination of goals, programs, and activities across 
        agencies within such Department.</DELETED>
<DELETED>    (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).</DELETED>

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 may 
establish an interagency working group in order to improve coordination 
of programs and activities within the Department of Health and Human 
Services 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 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).
                                                       Calendar No. 503

115th CONGRESS

  2d Session

                                S. 3029

_______________________________________________________________________

                                 A BILL

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

_______________________________________________________________________

                              July 9, 2018

                       Reported with an amendment