116 HR 5995 IH: Pregnancy Loss Mental Health Research Act of 2021
U.S. House of Representatives
2021-11-17
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EN
Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.
1.This Act may be cited as the Pregnancy Loss Mental Health Research Act of 2021
.<enum>I</enum><header>Research on clinical mental health complications following a pregnancy loss</header><section id="HD4E4EAF350C04B9F8257BDA263F6DE2A"><enum>101.</enum><header>Expansion and intensification of activities of National Institute of Mental Health</header><subsection id="H0EA6A4D9D28741708735D4EFBF0C4C65"><enum>(a)</enum><header>In general</header><text display-inline="yes-display-inline">The Secretary of Health and Human Services, acting through the Director of the National Institutes of Health and the Director of the National Institute of Mental Health (in this section referred to as the <quote>Institute</quote>), shall expand and intensify research and related activities of the Institute with respect to clinical mental health complications, including persistent complex bereavement disorder, following a pregnancy loss (including a miscarriage, stillbirth, or abortion).</text></subsection><subsection id="H7B87AF3E5BE041D1AC3A9D96CD053446"><enum>(b)</enum><header>Coordination with other Institutes</header><text display-inline="yes-display-inline">The Director of the Institute shall coordinate the activities of the Director under subsection (a) with similar activities conducted by the other national research institutes and agencies of the National Institutes of Health to the extent that such Institutes and agencies have responsibilities that are related to clinical mental health complications following a pregnancy loss (including a miscarriage, stillbirth, or abortion).</text></subsection><subsection id="H0892A4DFECDD48DA895011C632AEA21F"><enum>(c)</enum><header>Programs for pregnancy loss conditions</header><text display-inline="yes-display-inline">In carrying out subsection (a), the Director of the Institute shall conduct or support research to expand the understanding of the causes of, and to identify treatment for, mental health conditions following a pregnancy loss, including the following:</text><paragraph id="H96E0E85E982D4BF8B1E3178DE206420D"><enum>(1)</enum><text>Basic research concerning the etiology and causes of the conditions.</text></paragraph><paragraph id="HD7AA31C3AEB946C3A54FC220224452D1"><enum>(2)</enum><text display-inline="yes-display-inline">The development of improved screening and diagnostic techniques.</text></paragraph><paragraph id="H9AA8CE1CF9DA418AB328869589DA106C"><enum>(3)</enum><text>Clinical research for the development and evaluation of new treatments, including new biological agents.</text></paragraph><paragraph id="H788A7FEDD76E4108A6987AE313F20B06"><enum>(4)</enum><text>Information and education programs for health care professionals and the public.</text></paragraph></subsection><subsection id="H7B1CB267297E4292957F69B8A51B51D7"><enum>(d)</enum><header>Longitudinal study</header><paragraph id="H014D28A9E6CF4F919C8E0B30A0C18EFB"><enum>(1)</enum><header>In general</header><text display-inline="yes-display-inline">The Director of the Institute shall conduct a national longitudinal study to determine the prevalence of mental health complications following a pregnancy loss, and the symptoms, severity, and duration of such cases, toward the goal of more fully identifying the characteristics of such cases and developing diagnostic techniques.</text></paragraph><paragraph id="HDAB75E4B5FB948ED8C3583C3FED5554B"><enum>(2)</enum><header>Report</header><text display-inline="yes-display-inline">Beginning not later than 3 years after the date of the enactment of this Act, and periodically thereafter for the duration of the study under paragraph (1), the Director of the Institute shall prepare and submit to the Congress a report on the findings of the study, any progress with respect to the study, and methodologies used to conduct the study.</text></paragraph></subsection></section><section id="H210791E7FB6C42828B22AB21CA55AC89"><enum>102.</enum><header>Authorization of appropriations</header><subsection id="HDAAF09B024744D818445AAD5A703D9B3"><enum>(a)</enum><header>In general</header><text>For the purpose of carrying out this title, there is authorized to be appropriated $4,500,000 for each of the fiscal years 2022 through 2023.</text></subsection><subsection id="H480CCB1854BF4243BC229FEBDB45AD0E"><enum>(b)</enum><header>Limitation</header><text>Any amounts appropriated under this title are subject to the requirements and limitations under sections 506 and 507 of division H of the Consolidated Appropriations Act, 2021 (<external-xref legal-doc="public-law" parsable-cite="pl/116/260">Public Law 116–260</external-xref>) in the same manner and to the same extent as if such amounts for each year were appropriated under such division.</text></subsection></section><enum>II</enum><header>Delivery of services with respect to mental health complications following a pregnancy loss</header><section id="HF3B8F251A639474C8240CF77D5CD1073"><enum>201.</enum><header>Grant program for clinical mental health conditions following a pregnancy loss</header><subsection id="H1E7CD110D0DD455AB0179802B3F2F532"><enum>(a)</enum><header>In general</header><text display-inline="yes-display-inline">The Secretary of Health and Human Services (in this title referred to as the <quote>Secretary</quote>) shall in accordance with this title make grants to provide for projects for the establishment, operation, and coordination of effective and cost-efficient systems for the delivery of mental health services to individuals struggling with clinical mental health conditions following a pregnancy loss.</text></subsection><subsection id="H3F7DEB6C414C4B44A1E8D74461834433"><enum>(b)</enum><header>Recipients of grants</header><text>A grant under subsection (a) may be made to an entity only if the entity—</text><paragraph id="HBCA88DBD1137448D980FA49128C86634"><enum>(1)</enum><text>is a public or nonprofit private entity, which may include a State or local government; a public or nonprofit private hospital, community-based organization, community health center, migrant health center, or homeless health center; or other appropriate public or nonprofit private entity; and</text></paragraph><paragraph id="H2D3AD4C357EA404B9902185ECFE4098D"><enum>(2)</enum><text>has experience in providing the services described in subsection (a) before the date of the enactment of this Act.</text></paragraph></subsection><subsection id="HBFA6171DF34E48E2955ADF785CA5EBF5"><enum>(c)</enum><header>Certain activities</header><text display-inline="yes-display-inline">To the extent practicable and appropriate, the Secretary shall ensure that projects under subsection (a) provide services for the screening, diagnosis, and management of mental health conditions, including persistent complex bereavement disorders, following a pregnancy loss. Such activities may include the following:</text><paragraph id="H7E975C146AAB4843BF2A8AE71036B432"><enum>(1)</enum><text display-inline="yes-display-inline">Delivering or enhancing outpatient and home-based health and support services (including case management, screening and mental health treatment services) for individuals with, or who are at risk of developing, mental health complications following a pregnancy loss, and delivering or enhancing support services for the families of such individuals.</text></paragraph><paragraph id="H666C3C5EA2F7440EB47A56511515AC41"><enum>(2)</enum><text>Delivering or enhancing inpatient care management services that ensure the well being of the mother and family, and the future development of the infant.</text></paragraph><paragraph id="H4C60929B66D047AEA00B72E3A02685F1"><enum>(3)</enum><text display-inline="yes-display-inline">Improving the quality, availability, and organization of health care and support services (including transportation services, attendant care, homemaker services, day or respite care, and providing counseling on financial assistance and insurance) for individuals with mental health conditions following a pregnancy loss.</text></paragraph></subsection><subsection id="HEAD0C60851DE409B85042BDB0CF0B851"><enum>(d)</enum><header>Integration with other programs</header><text>To the extent practicable and appropriate, the Secretary shall integrate the program under this title with other grant programs carried out by the Secretary, including the program under section 330 of the <act-name parsable-cite="PHSA">Public Health Service Act</act-name> (<external-xref legal-doc="usc" parsable-cite="usc/42/254b">42 U.S.C. 254b</external-xref>).</text></subsection><subsection id="H77705AD89A8645509E77A65BBAECBEAA"><enum>(e)</enum><header>Limitation on amount of grants</header><text>A grant under subsection (a) may not for any fiscal year be made in an amount exceeding $100,000.</text></subsection></section><section id="H8C329BC2B27A48EB84F16260F36B6D47"><enum>202.</enum><header>Certain requirements for grant program for clinical mental health conditions following a pregnancy loss</header><text display-inline="no-display-inline">A grant may be made under section 201 only if the applicant involved makes the following agreements:</text><paragraph id="HF34A5CF73BD442E48672FEC1864FB659"><enum>(1)</enum><text>Not more than 5 percent of the grant will be used for administration, accounting, reporting, and program oversight functions.</text></paragraph><paragraph id="H8BC4E6D78DED405284BF43C369A2D493"><enum>(2)</enum><text display-inline="yes-display-inline">The grant will be used to supplement and not supplant funds from other sources related to the treatment of clinical mental health conditions following a pregnancy loss.</text></paragraph><paragraph id="HF995E4613931451B9DD6B1011066D2D9"><enum>(3)</enum><text>The applicant will abide by any limitations deemed appropriate by the Secretary on any charges to individuals receiving services pursuant to the grant. As deemed appropriate by the Secretary, such limitations on charges may vary based on the financial circumstances of the individual receiving services.</text></paragraph><paragraph id="HB3CF271066454F61B4491582B33D2FF8"><enum>(4)</enum><text>The grant will not be expended to make payment for services authorized under section 201(a) to the extent that payment has been made, or can reasonably be expected to be made, with respect to such services—</text><subparagraph id="H520243E331BD4BD1B2543E8EE4085071"><enum>(A)</enum><text>under any State compensation program, under an insurance policy, or under any Federal or State health benefits program; or</text></subparagraph><subparagraph id="H675B0726B06846E4B4788C8358BD6944"><enum>(B)</enum><text>by an entity that provides health services on a prepaid basis.</text></subparagraph></paragraph><paragraph id="H97BC4CD509B64DAFBCC76866C37C3188"><enum>(5)</enum><text>The applicant will, at each site at which the applicant provides services under section 201(a), post a conspicuous notice informing individuals who receive the services of any Federal policies that apply to the applicant with respect to the imposition of charges on such individuals.</text></paragraph></section><section id="H0F2B266C60F849A2B4384FB243200BFF"><enum>203.</enum><header>Technical assistance</header><text display-inline="no-display-inline">The Secretary may provide technical assistance to assist entities in complying with the requirements of this title in order to make such entities eligible to receive grants under section 201.</text></section><section id="HFD48E2F2D6AA42ECAD9ADECAC38AE852"><enum>204.</enum><header>No funds for certain abortion providers</header><subsection id="H7665968D9B6B49F2B2D07ADF7BC7596E"><enum>(a)</enum><header>In general</header><text display-inline="yes-display-inline">Notwithstanding any other provision of law, none of the funds made available by this Act may be made available either directly, through a State (including through managed care contracts with a State), or through any other means, to a prohibited entity.</text></subsection><subsection id="H2C106488C0C44E9B8F19320EF57CE706"><enum>(b)</enum><header>Prohibited entity</header><text display-inline="yes-display-inline">The term <term>prohibited entity</term> means an entity, including its affiliates, subsidiaries, successors, and clinics that, as of the date of enactment of this Act—</text><paragraph id="H2176D727ECEE43A5B32E975C620CD078"><enum>(1)</enum><text>is an organization described in <external-xref legal-doc="usc" parsable-cite="usc/26/501">section 501(c)(3)</external-xref> of the Internal Revenue Code of 1986 and exempt from taxation under section 501(a) of such Code; </text></paragraph><paragraph id="HA0AF9E9A95044CB8B39C6DBB55896CE3"><enum>(2)</enum><text>is an essential community provider described in section 156.235 of title 45, Code of Federal Regulations (as in effect on the date of enactment of this Act), that is primarily engaged in family planning services, reproductive health, and related medical care; and </text></paragraph><paragraph id="HCC73EBC338A747A5BF356FB96408DF2F"><enum>(3)</enum><text>performs, or provides any funds to any other entity that performs, abortions, other than—</text><subparagraph id="HC89E5E7761644E2798C4EB3315A4263A"><enum>(A)</enum><text>in the case of a pregnancy that is the result of an act of rape or incest; or</text></subparagraph><subparagraph id="HEE0EB090FEF24F41A70414DE863D2DBB"><enum>(B)</enum><text>in the case where a woman suffers from a physical disorder, physical injury, or physical illness that would, as certified by a physician, place the woman in danger of death unless an abortion is performed, including a life endangering physical condition caused by, or arising from, the pregnancy itself.</text></subparagraph></paragraph></subsection><subsection id="H5D247FC3F9A144BBBED9BAC7F8588CF2"><enum>(c)</enum><header>End of prohibition</header><text>The definition in subsection (b) shall cease to apply to an entity if such entity certifies that it, including its affiliates, subsidiaries, successors, and clinics, will not perform, and will not provide any funds to any other entity that performs, an abortion described in subsection (b)(3). </text></subsection><subsection id="HA228FDF93C7547BCB8194BD7D239972D"><enum>(d)</enum><header>Repayment by prohibited entity</header><text>The Secretary of Health and Human Services shall seek repayment of any Federal assistance received by any entity that had made a certification described in subsection (c) and subsequently violated the terms of such certification.</text></subsection></section><section id="H94E4580F3240414C858D41707062C30C"><enum>205.</enum><header>Authorization of appropriations</header><subsection id="HE2CE9BC5A54B401088D6EC5B55B6A3AD"><enum>(a)</enum><header>In general</header><text display-inline="yes-display-inline">For the purpose of carrying out this title, there is authorized to be appropriated $4,500,000 for each of the fiscal years 2022 through 2023.</text></subsection><subsection id="H18EEBDB7C23742848A7F96164F340001"><enum>(b)</enum><header>Limitation</header><text display-inline="yes-display-inline">Any amounts appropriated under this title are subject to the requirements and limitations under sections 506 and 507 of division H of the Consolidated Appropriations Act, 2021 (<external-xref legal-doc="public-law" parsable-cite="pl/116/260">Public Law 116–260</external-xref>) in the same manner and to the same extent as if such amounts for each year were appropriated under such division.</text></subsection></section>