[Congressional Bills 118th Congress]
[From the U.S. Government Publishing Office]
[S. 1573 Reported in Senate (RS)]

<DOC>





                                                       Calendar No. 223
118th CONGRESS
  1st Session
                                S. 1573

  To reauthorize the Prematurity Research Expansion and Education for 
                 Mothers who deliver Infants Early Act.


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

                              May 11, 2023

 Mr. Bennet (for himself, Mr. Boozman, Ms. Stabenow, Mrs. Hyde-Smith, 
 Ms. Klobuchar, Mrs. Gillibrand, Ms. Smith, Mr. Young, Mr. Casey, Mr. 
 Braun, Ms. Sinema, Mrs. Capito, Mr. Daines, and Mr. Scott of Florida) 
introduced the following bill; which was read twice and referred to the 
          Committee on Health, Education, Labor, and Pensions

                            October 4, 2023

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

_______________________________________________________________________

                                 A BILL


 
  To reauthorize the Prematurity Research Expansion and Education for 
                 Mothers who deliver Infants Early 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 ``PREEMIE Reauthorization Act 
of 2023''.</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>    (a) In General.--Section 3(e) of the Prematurity Research 
Expansion and Education for Mothers who deliver Infants Early Act (42 
U.S.C. 247b-4f(e)) is amended by striking ``fiscal years 2019 through 
2023'' and inserting ``fiscal years 2024 through 2028''.</DELETED>
<DELETED>    (b) Technical Correction.--Effective as if included in the 
enactment of the PREEMIE Reauthorization Act of 2018 (Public Law 115-
328; 132 Stat. 4471), section 2 of such Act is amended, in the matter 
preceding paragraph (1), by striking ``Section 2'' and inserting 
``Section 3''.</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 (b)(1)(D)--</DELETED>
                <DELETED>    (A) by redesignating clauses (vi) and 
                (vii) as clauses (vii) and (viii), respectively; 
                and</DELETED>
                <DELETED>    (B) by inserting after clause (v) the 
                following:</DELETED>
                        <DELETED>    ``(vi) screening for and treatment 
                        of chronic conditions;''; and</DELETED>
        <DELETED>    (2) in subsection (c), by striking ``fiscal years 
        2014 through 2018'' and inserting ``fiscal years 2024 through 
        2028''.</DELETED>

<DELETED>SEC. 4. INTERAGENCY WORKING GROUP.</DELETED>

<DELETED>    Section 5(a) of the PREEMIE Reauthorization Act of 2018 
(Public Law 115-328; 132 Stat. 4473) is amended by striking ``The 
Secretary of Health and Human Services, in collaboration with other 
departments, as appropriate, may establish'' and inserting ``Not later 
than 18 months after the date of the enactment of the PREEMIE 
Reauthorization Act of 2023, the Secretary of Health and Human 
Services, in collaboration with other departments, as appropriate, 
shall establish''.</DELETED>

<DELETED>SEC. 5. STUDY ON PRETERM BIRTHS.</DELETED>

<DELETED>    (a) In General.--The Secretary of Health and Human 
Services shall enter into appropriate arrangements with the National 
Academies of Sciences, Engineering, and Medicine under which the 
National Academies shall--</DELETED>
        <DELETED>    (1) not later than 30 days after the date of 
        enactment of this Act, convene a committee of experts in 
        maternal health to study premature births in the United States; 
        and</DELETED>
        <DELETED>    (2) upon completion of the study under paragraph 
        (1)--</DELETED>
                <DELETED>    (A) approve by consensus a report on the 
                results of such study;</DELETED>
                <DELETED>    (B) include in such report--</DELETED>
                        <DELETED>    (i) an assessment of each of the 
                        topics listed in subsection (b);</DELETED>
                        <DELETED>    (ii) the analysis required by 
                        subsection (c); and</DELETED>
                        <DELETED>    (iii) the raw data used to develop 
                        such report; and</DELETED>
                <DELETED>    (C) not later than 24 months after the 
                date of enactment of this Act, transmit such report 
                to--</DELETED>
                        <DELETED>    (i) the Secretary of Health and 
                        Human Services;</DELETED>
                        <DELETED>    (ii) the Committee on Energy and 
                        Commerce of the House of Representatives; 
                        and</DELETED>
                        <DELETED>    (iii) the Committee on Finance and 
                        the Committee on Health, Education, Labor, and 
                        Pensions of the Senate.</DELETED>
<DELETED>    (b) Assessment Topics.--The topics listed in this 
subsection are of each of the following:</DELETED>
        <DELETED>    (1) The financial costs of premature birth to 
        society, including--</DELETED>
                <DELETED>    (A) an analysis of stays in neonatal 
                intensive care units and the cost of such 
                stays;</DELETED>
                <DELETED>    (B) long-term costs of stays in such units 
                to society and the family involved post-discharge; 
                and</DELETED>
                <DELETED>    (C) health care costs for families post-
                discharge from such units (such as medications, 
                therapeutic services, co-pays visits and specialty 
                equipment).</DELETED>
        <DELETED>    (2) The factors that impact pre-term birth 
        rates.</DELETED>
        <DELETED>    (3) Gaps in public health programs that have 
        caused increases in premature birth, including--</DELETED>
                <DELETED>    (A) gaps in the detection of premature 
                birth risk factors;</DELETED>
                <DELETED>    (B) gaps in information from States on 
                pre-term birth; and</DELETED>
                <DELETED>    (C) gaps in support and resources for 
                parents provided in-hospital, in non-hospital settings, 
                and post-discharge.</DELETED>
<DELETED>    (c) Analysis.--The analysis required by this subsection is 
an analysis of--</DELETED>
        <DELETED>    (1) targeted research strategies to develop 
        effective drugs, treatments, or interventions to bring at-risk 
        pregnancies to term;</DELETED>
        <DELETED>    (2) State and other programs' best practices with 
        respect to reducing premature birth rates;</DELETED>
        <DELETED>    (3) opportunities to address developmental origins 
        of health with respect to premature birth rates; and</DELETED>
        <DELETED>    (4) precision medicine and preventative care 
        approaches starting early in the life course (including during 
        pregnancy) with a focus on behavioral and biological influences 
        on premature birth, child health, and the trajectory of such 
        approaches into adulthood.</DELETED>

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``PREEMIE Reauthorization Act of 
2023''.

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

    (a) In General.--Section 3(e) of the Prematurity Research Expansion 
and Education for Mothers who deliver Infants Early Act (42 U.S.C. 
247b-4f(e)) is amended by striking ``fiscal years 2019 through 2023'' 
and inserting ``fiscal years 2024 through 2028''.
    (b) Technical Correction.--Effective as if included in the 
enactment of the PREEMIE Reauthorization Act of 2018 (Public Law 115-
328), section 2 of such Act is amended, in the matter preceding 
paragraph (1), by striking ``Section 2'' and inserting ``Section 3''.

SEC. 3. INTERAGENCY WORKING GROUP.

    Section 5(a) of the PREEMIE Reauthorization Act of 2018 (Public Law 
115-328) is amended by striking ``The Secretary of Health and Human 
Services, in collaboration with other departments, as appropriate, may 
establish'' and inserting ``Not later than 18 months after the date of 
the enactment of the PREEMIE Reauthorization Act of 2023, the Secretary 
of Health and Human Services, in collaboration with other departments, 
as appropriate, shall establish''.

SEC. 4. STUDY ON PRETERM BIRTHS.

    (a) In General.--The Secretary of Health and Human Services shall 
enter into appropriate arrangements with the National Academies of 
Sciences, Engineering, and Medicine under which the National Academies 
shall--
            (1) not later than 30 days after the date of enactment of 
        this Act, convene a committee of experts in maternal health to 
        study premature births in the United States; and
            (2) upon completion of the study under paragraph (1)--
                    (A) approve by consensus a report on the results of 
                such study;
                    (B) include in such report--
                            (i) an assessment of each of the topics 
                        listed in subsection (b);
                            (ii) the analysis required by subsection 
                        (c); and
                            (iii) the raw data used to develop such 
                        report; and
                    (C) not later than 24 months after the date of 
                enactment of this Act, transmit such report to--
                            (i) the Secretary of Health and Human 
                        Services;
                            (ii) the Committee on Energy and Commerce 
                        of the House of Representatives; and
                            (iii) the Committee on Finance and the 
                        Committee on Health, Education, Labor, and 
                        Pensions of the Senate.
    (b) Assessment Topics.--The topics listed in this subsection are 
each of the following:
            (1) The financial costs of premature birth to society, 
        including--
                    (A) an analysis of stays in neonatal intensive care 
                units and the cost of such stays;
                    (B) long-term costs of stays in such units to 
                society and the family involved post-discharge; and
                    (C) health care costs for families post-discharge 
                from such units (such as medications, therapeutic 
                services, co-payments for visits, and specialty 
                equipment).
            (2) The factors that impact preterm birth rates.
            (3) Opportunities for earlier detection of premature birth 
        risk factors, including--
                    (A) opportunities to improve maternal and infant 
                health; and
                    (B) opportunities for public health programs to 
                provide support and resources for parents in-hospital, 
                in non-hospital settings, and post-discharge.
    (c) Analysis.--The analysis required by this subsection is an 
analysis of--
            (1) targeted research strategies to develop effective 
        drugs, treatments, or interventions to bring at-risk 
        pregnancies to term;
            (2) State and other programs' best practices with respect 
        to reducing premature birth rates; and
            (3) precision medicine and preventative care approaches 
        starting early in the life course (including during pregnancy) 
        with a focus on behavioral and biological influences on 
        premature birth, child health, and the trajectory of such 
        approaches into adulthood.
                                                       Calendar No. 223

118th CONGRESS

  1st Session

                                S. 1573

_______________________________________________________________________

                                 A BILL

  To reauthorize the Prematurity Research Expansion and Education for 
                 Mothers who deliver Infants Early Act.

_______________________________________________________________________

                            October 4, 2023

                       Reported with an amendment