[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