    [United States Statutes at Large, Volume 132, 115th Congress, 2nd Session]
    [From the U.S. Government Publishing Office, www.gpo.gov]

    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). <>

    Be it enacted by the Senate and House of Representatives of the
    United States of America in Congress assembled, <>
    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

    [[Page 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 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) <>  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) <>  Duties.--The working group established
    under subsection (a) shall--

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