H. R. 6085
IN THE HOUSE OF REPRESENTATIVES
June 13, 2018
Ms. Eshoo (for herself and Mr. Lance) introduced the following bill; which was referred to the Committee on Energy and Commerce
To revise and extend the Prematurity Research Expansion and Education for Mothers who deliver Infants Early Act (PREEMIE Act).
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.
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—
in subsection (b)—
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
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.;
by striking subsection (c) and inserting the following:
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—
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;
provide technical assistance, as appropriate, to support States in improving the collection of information pursuant to this subsection.
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.
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—
in subsection (a)—
conduct demonstration projects for the purpose of improving and inserting
continue efforts to improve; and
for babies born preterm and inserting
mothers of infants born preterm, and infants born preterm, including through demonstration projects, as appropriate; and
in subsection (b)—
in the matter preceding paragraph (1), by striking
under the demonstration project;
in paragraph (1)—
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;
by redesignating subparagraphs (B) through (F) as subparagraphs (C) through (G), respectively;
by inserting after subparagraph (A), the following:
evidence-based strategies to prevent preterm birth and associated outcomes;
in subparagraph (C), as so redesignated, by inserting
, and the risks of non-medically indicated deliveries before full term before the semicolon;
in subparagraph (D), as so redesignated—
in clause (ii), by inserting
intake before the semicolon;
in clause (iii), by striking
and at the end;
by redesignating clause (iv) as clause (vii); and
by inserting after clause (iii), the following:
screening for and treatment of substance use disorders;
screening and treatment of maternal depression;
maternal immunization; and
in subparagraph (E), as so redesignated, by adding
and after the semicolon;
in subparagraph (F), as so redesignated, by striking
; and and inserting a period; and
by striking subparagraph (G), as so redesignated; and
in paragraph (2), by inserting
, as well as prevention of a future preterm birth before the semicolon.
Advisory Committee on Infant Mortality
Section 104(b) of the PREEMIE Reauthorization Act (42 U.S.C. 247b–4f note) is amended—
in paragraph (2)—
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;
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;
in subparagraph (C), by striking
Implementation of the and inserting
by striking subparagraph (D) and inserting the following:
Implementation of Healthy People objectives related to maternal and infant health.
Strategies to reduce racial, ethnic, geographic, and other health disparities in birth outcomes.
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.
by striking paragraph (3) and redesignating paragraph (4) as paragraph (3); and
by adding at the end the following:
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—
publish a report summarizing activities and recommendations of the Advisory Committee since the publication of the previous report;
submit such report to the Secretary and the appropriate Committees of Congress; and
post such report on the Internet website of the Department of Health and Human Services.
Interagency working group
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.
The working group established under subsection (a) shall—
identify gaps, duplication, or overlap in Federal programs and activities related to preterm birth and infant mortality;
assess the extent to which the goals and metrics of relevant programs and activities within the Department of Health and Human Services are aligned;
assess the extent to which such programs are coordinated across agencies within such Department; and
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.
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).