[115th Congress Public Law 328]
[From the U.S. Government Publishing Office]



[[Page 132 STAT. 4471]]

Public Law 115-328
115th Congress

                                 An Act


 
 To revise and extend the Prematurity Research Expansion and Education 
 for Mothers who deliver Infants Early Act (PREEMIE Act). <<NOTE: Dec. 
                        18, 2018 -  [S. 3029]>> 

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled, <<NOTE: Prematurity 
Research Expansion and Education for Mothers who deliver Infants Early 
Reauthorization Act of 2018.>> 
SECTION 1. <<NOTE: 42 USC 201 note.>>  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) <<NOTE: Reports. Web posting.>>  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

[[Page 132 STAT. 4472]]

            (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.

[[Page 132 STAT. 4473]]

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) <<NOTE: Web posting.>>  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) <<NOTE: Assessments.>>  Duties.--The working group established 
under subsection (a) shall--

[[Page 132 STAT. 4474]]

            (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) <<NOTE: Recommenda- tions.>>  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).

    Approved December 18, 2018.

LEGISLATIVE HISTORY--S. 3029:
---------------------------------------------------------------------------

CONGRESSIONAL RECORD, Vol. 164 (2018):
            Sept. 12, considered and passed Senate.
            Dec. 11, considered and passed House.

                                  <all>