IIB
116th CONGRESS
1st Session
H. R. 2507
IN THE SENATE OF THE UNITED STATES
July 25, 2019
Received; read twice and referred to the Committee on Health, Education, Labor, and Pensions
AN ACT
To amend the Public Health Service Act to reauthorize certain programs under part A of title XI of such Act relating to genetic diseases, and for other purposes.
Short title
This Act may be cited as the Newborn Screening Saves Lives Reauthorization Act of 2019
.
Improved newborn and child screening and follow-up for heritable disorders
Purposes
Section 1109(a) of the Public Health Service Act (42 U.S.C. 300b–8(a)) is amended—
in paragraph (1), by striking enhance, improve or
and inserting facilitate, enhance, improve, or
;
by amending paragraph (3) to read as follows:
to develop, and deliver to parents, families, and patient advocacy and support groups, educational programs that—
address newborn screening counseling, testing (including newborn screening pilot studies), follow-up, treatment, specialty services, and long-term care;
assess the target audience’s current knowledge, incorporate health communications strategies, and measure impact; and
are at appropriate literacy levels;
; and
in paragraph (4)—
by striking followup
and inserting follow-up
; and
by inserting before the semicolon at the end the following: , including re-engaging patients who have not received recommended follow-up services and supports
.
Approval factors
Section 1109(c) of the Public Health Service Act (42 U.S.C. 300b–8(c)) is amended—
by striking or will use
and inserting will use
; and
by inserting , or will use amounts received under such grant to enhance capacity and infrastructure to facilitate the adoption of,
before the guidelines and recommendations
.
Advisory committee on heritable disorders in newborns and children
Section 1111 of the Public Health Service Act (42 U.S.C. 300b–10) is amended—
in subsection (b)—
in paragraph (5), by inserting and adopt process improvements
after take appropriate steps
;
in paragraph (7) by striking and
at the end;
by redesignating paragraph (8) as paragraph (9);
by inserting after paragraph (7) the following:
develop, maintain, and publish on a publicly accessible website consumer-friendly materials detailing—
the uniform screening panel nomination process, including data requirements, standards, and the use of international data in nomination submissions; and
the process for obtaining technical assistance for submitting nominations to the uniform screening panel and detailing the instances in which the provision of technical assistance would introduce a conflict of interest for members of the Advisory Committee; and
;
in paragraph (9), as redesignated—
by redesignating subparagraphs (K) and (L) as subparagraphs (L) and (M), respectively; and
by inserting after subparagraph (J) the following:
the appropriate and recommended use of safe and effective genetic testing by health care professionals in newborns and children with an initial diagnosis of a disease or condition characterized by a variety of genetic causes and manifestations;
; and
in subsection (g)—
in paragraph (1) by striking 2019
and inserting 2024
; and
in paragraph (2) by striking 2019
and inserting 2024
.
Clearinghouse of newborn screening information
Section 1112(c) of the Public Health Service Act (42 U.S.C. 300b–11(c)) is amended by striking and supplement, not supplant, existing information sharing efforts
and inserting and complement other Federal newborn screening information sharing activities
.
Laboratory quality and surveillance
Section 1113 of the Public Health Service Act (42 U.S.C. 300b–12) is amended—
in subsection (a)—
in paragraph (1)—
by striking performance evaluation services,
and inserting development of new screening tests,
; and
by striking and
at the end;
in paragraph (2)—
by striking performance test materials
and inserting test performance materials
; and
by striking the period at the end and inserting ; and
; and
by adding at the end the following:
performance evaluation services to enhance disease detection, including the development of tools, resources, and infrastructure to improve data analysis, test result interpretation, data harmonization, and dissemination of laboratory best practices.
; and
in subsection (b) to read as follows:
Surveillance activities
The Secretary, acting through the Director of the Centers for Disease Control and Prevention, and taking into consideration the expertise of the Advisory Committee on Heritable Disorders in Newborns and Children established under section 1111, shall provide for the coordination of national surveillance activities, including—
standardizing data collection and reporting through the use of electronic and other forms of health records to achieve real-time data for tracking and monitoring the newborn screening system, from the initial positive screen through diagnosis and long-term care management; and
by promoting data sharing linkages between State newborn screening programs and State-based birth defects and developmental disabilities surveillance programs to help families connect with services to assist in evaluating long-term outcomes.
.
Hunter Kelly research program
Section 1116 of the Public Health Service Act (42 U.S.C. 300b–15) is amended—
in subsection (a)(1)—
by striking may
and inserting shall
; and
in subparagraph (D)—
by inserting , or with a high probability of being recommended by,
after recommended by
; and
by striking that screenings are ready for nationwide implementation
and inserting that reliable newborn screening technologies are piloted and ready for use
; and
in subsection (b) to read as follows:
Funding
In carrying out the research program under this section, the Secretary and the Director shall ensure that entities receiving funding through the program will provide assurances, as practicable, that such entities will work in consultation with State departments of health, as appropriate.
.
Authorization of appropriations for newborn screening programs and activities
Section 1117 of the Public Health Service Act (42 U.S.C. 300b–16) is amended—
in paragraph (1)—
by striking $11,900,000
and inserting $31,000,000
;
by striking 2015
and inserting 2020
; and
by striking 2019
and inserting 2024
; and
in paragraph (2)—
by striking $8,000,000
and inserting $29,650,000
;
by striking 2015
and inserting 2020
; and
by striking 2019
and inserting 2024
.
Institutional review boards; ethics guidance program
Section 12 of the Newborn Screening Saves Lives Reauthorization Act of 2014 (42 U.S.C. 289 note) is amended to read as follows:
Institutional review boards; ethics guidance program
Research on nonidentified newborn dried blood spots shall be considered secondary research (as that term is defined in section 46.104(d)(4) of title 45, Code of Federal Regulations (or successor regulations)) with nonidentified biospecimens for purposes of federally funded research conducted pursuant to the Public Health Service Act (42 U.S.C. 200 et seq.).
.
NAM report on the modernization of newborn screening
Study
Not later than 60 days after the date of the enactment of this Act, the Secretary of Health and Human Services shall seek to enter into an agreement with the National Academy of Medicine (in this section referred to as NAM
) (or if NAM declines to enter into such an agreement, another appropriate entity) under which NAM, or such other appropriate entity, agrees to conduct a study on the following:
The uniform screening panel review and recommendation processes to identify factors that impact decisions to add new conditions to the uniform screening panel, to describe challenges posed by newly nominated conditions, including low-incidence diseases, late onset variants, and new treatments without long-term efficacy data.
The barriers that preclude States from adding new uniform screening panel conditions to their State screening panels with recommendations on resources needed to help States implement uniform screening panel recommendations.
The current state of federally and privately funded newborn screening research with recommendations for optimizing the capacity of this research, including piloting multiple prospective conditions at once and addressing rare disease questions.
New and emerging technologies that would permit screening for new categories of disorders, or would make current screening more effective, more efficient, or less expensive.
Technological and other infrastructure needs to improve timeliness of diagnosis and short- and long-term follow-up for infants identified through newborn screening and improve public health surveillance.
Current and future communication and educational needs for priority stakeholders and the public to promote understanding and knowledge of a modernized newborn screening system with an emphasis on evolving communication channels and messaging.
The extent to which newborn screening yields better data on the disease prevalence for screened conditions and improves long-term outcomes for those identified through newborn screening, including existing systems supporting such data collection and recommendations for systems that would allow for improved data collection.
The impact on newborn morbidity and mortality in States that adopt newborn screening tests included on the uniform panel.
Public stakeholder meeting
In the course of completing the study described in subsection (a), NAM or such other appropriate entity shall hold not less than one public meeting to obtain stakeholder input on the topics of such study.
Report
Not later than 18 months after the effective date of the agreement under subsection (a), such agreement shall require NAM, or such other appropriate entity, to submit to the Secretary of Health and Human Services and the appropriate committees of jurisdiction of Congress a report containing—
the results of the study conducted under subsection (a);
recommendations to modernize the processes described in subsection (a)(1); and
recommendations for such legislative and administrative action as NAM, or such other appropriate entity, determines appropriate.
Authorization of appropriations
There is authorized to be appropriated $2,000,000 for the period of fiscal years 2020 and 2021 to carry out this section.
Passed the House of Representatives July 24, 2019.
Cheryl L. Johnson,
Clerk
