[Congressional Bills 112th Congress]
[From the U.S. Government Publishing Office]
[S. 1440 Engrossed Amendment House (EAH)]
In the House of Representatives, U. S.,
December 19, 2012.
Resolved, That the bill from the Senate (S. 1440) entitled ``An Act
to reduce preterm labor and delivery and the risk of pregnancy-related
deaths and complications due to pregnancy, and to reduce infant
mortality caused by prematurity.'', do pass with the following
AMENDMENTS:
Strike out all after the enacting clause and insert:
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Prematurity Research Expansion and
Education for Mothers who deliver Infants Early Reauthorization Act''
or the ``PREEMIE Reauthorization Act''.
SEC. 2. TABLE OF CONTENTS.
The table of contents of this Act is as follows:
Sec. 1. Short title.
Sec. 2. Table of contents.
TITLE I--PREMATURITY RESEARCH EXPANSION AND EDUCATION FOR MOTHERS WHO
DELIVER INFANTS EARLY
Sec. 101. Research and activities at the Centers for Disease Control
and Prevention.
Sec. 102. Activities at the Health Resources and Services
Administration.
Sec. 103. Other activities.
TITLE II--NATIONAL PEDIATRIC RESEARCH NETWORK
Sec. 201. National Pediatric Research Network.
TITLE III--CHILDREN'S HOSPITAL GME SUPPORT REAUTHORIZATION
Sec. 301. Program of payments to children's hospitals that operate
graduate medical education programs.
TITLE I--PREMATURITY RESEARCH EXPANSION AND EDUCATION FOR MOTHERS WHO
DELIVER INFANTS EARLY
SEC. 101. RESEARCH AND ACTIVITIES AT THE CENTERS FOR DISEASE CONTROL
AND PREVENTION.
(a) Epidemiological Studies.--Section 3 of the Prematurity Research
Expansion and Education for Mothers who deliver Infants Early Act (42
U.S.C. 247b-4f) is amended by striking subsection (b) and inserting the
following:
``(b) Studies and Activities on Preterm Birth.--
``(1) In general.--The Secretary of Health and Human
Services, acting through the Director of the Centers for
Disease Control and Prevention, may, subject to the
availability of appropriations--
``(A) conduct epidemiological studies on the
clinical, biological, social, environmental, genetic,
and behavioral factors relating to prematurity, as
appropriate;
``(B) conduct activities to improve national data
to facilitate tracking the burden of preterm birth; and
``(C) continue efforts to prevent preterm birth,
including late preterm birth, through the
identification of opportunities for prevention and the
assessment of the impact of such efforts.
``(2) Report.--Not later than 2 years after the date of
enactment of the PREEMIE Reauthorization Act, and every 2 years
thereafter, the Secretary of Health and Human Services, acting
through the Director of the Centers for Disease Control and
Prevention, shall submit to the appropriate committees of
Congress reports concerning the progress and any results of
studies conducted under paragraph (1).''.
(b) Reauthorization.--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 ``2011'' and inserting
``2017''.
SEC. 102. ACTIVITIES AT THE HEALTH RESOURCES AND SERVICES
ADMINISTRATION.
(a) Telemedicine and High-risk Pregnancies.--Section 330I(i)(1)(B)
of the Public Health Service Act (42 U.S.C. 254c-14(i)(1)(B)) is
amended by striking ``or case management services'' and inserting
``case management services, or prenatal care for high-risk
pregnancies'';
(b) Public and Health Care Provider Education.--Section 399Q of the
Public Health Service Act (42 U.S.C. 280g-5) is amended--
(1) in subsection (b)--
(A) in paragraph (1), by striking subparagraphs (A)
through (F) and inserting the following:
``(A) the core risk factors for preterm labor and
delivery;
``(B) medically indicated deliveries before full
term;
``(C) the importance of preconception and prenatal
care, including--
``(i) smoking cessation;
``(ii) weight maintenance and good
nutrition, including folic acid;
``(iii) the screening for and the treatment
of infections; and
``(iv) stress management;
``(D) treatments and outcomes for premature
infants, including late preterm infants;
``(E) the informational needs of families during
the stay of an infant in a neonatal intensive care
unit; and
``(F) utilization of evidence-based strategies to
prevent birth injuries;''; and
(B) by striking paragraph (2) and inserting the
following:
``(2) programs to increase the availability, awareness, and
use of pregnancy and post-term information services that
provide evidence-based, clinical information through
counselors, community outreach efforts, electronic or
telephonic communication, or other appropriate means regarding
causes associated with prematurity, birth defects, or health
risks to a post-term infant;''; and
(2) in subsection (c), by striking ``2011'' and inserting
``2017''.
SEC. 103. OTHER ACTIVITIES.
(a) Interagency Coordinating Council on Prematurity and Low
Birthweight.--The Prematurity Research Expansion and Education for
Mothers who deliver Infants Early Act is amended by striking section 5
(42 U.S.C. 247b-4g).
(b) Advisory Committee on Infant Mortality.--
(1) Establishment.--The Secretary of Health and Human
Services (referred to in this section as the ``Secretary'') may
establish an advisory committee known as the ``Advisory
Committee on Infant Mortality'' (referred to in this section as
the ``Advisory Committee'').
(2) Duties.--The Advisory Committee shall provide advice
and recommendations to the Secretary concerning the following
activities:
(A) Programs of the Department of Health and Human
Services that are directed at reducing infant mortality
and improving the health status of pregnant women and
infants.
(B) Strategies to coordinate the various Federal
programs and activities with State, local, and private
programs and efforts that address factors that affect
infant mortality.
(C) Implementation of the Healthy Start program
under section 330H of the Public Health Service Act (42
U.S.C. 254c-8) and Healthy People 2020 infant mortality
objectives.
(D) Strategies to reduce preterm birth rates
through research, programs, and education.
(3) Plan for hhs preterm birth activities.--Not later than
1 year after the date of enactment of this section, the
Advisory Committee (or an existing advisory committee
designated by the Secretary) shall develop a plan for
conducting and supporting research, education, and programs on
preterm birth through the Department of Health and Human
Services and shall periodically review and revise the plan, as
appropriate. The plan shall--
(A) examine research and educational activities
that receive Federal funding in order to enable the
plan to provide informed recommendations to reduce
preterm birth and address racial and ethnic disparities
in preterm birth rates;
(B) identify research gaps and opportunities to
implement evidence-based strategies to reduce preterm
birth rates among the programs and activities of the
Department of Health and Human Services regarding
preterm birth, including opportunities to minimize
duplication; and
(C) reflect input from a broad range of scientists,
patients, and advocacy groups, as appropriate.
(4) Membership.--The Secretary shall ensure that the
membership of the Advisory Committee includes the following:
(A) Representatives provided for in the original
charter of the Advisory Committee.
(B) A representative of the National Center for
Health Statistics.
(c) Patient Safety Studies and Report.--
(1) In general.--The Secretary shall designate an
appropriate agency within the Department of Health and Human
Services to coordinate existing studies on hospital
readmissions of preterm infants.
(2) Report to secretary and congress.--Not later than 1
year after the date of the enactment of this Act, the agency
designated under paragraph (1) shall submit to the Secretary
and to Congress a report containing the findings and
recommendations resulting from the studies coordinated under
such paragraph, including recommendations for hospital
discharge and followup procedures designed to reduce rates of
preventable hospital readmissions for preterm infants.
TITLE II--NATIONAL PEDIATRIC RESEARCH NETWORK
SEC. 201. NATIONAL PEDIATRIC RESEARCH NETWORK.
Section 409D of the Public Health Service Act (42 U.S.C. 284h;
relating to the Pediatric Research Initiative) is amended--
(1) by redesignating subsection (d) as subsection (f); and
(2) by inserting after subsection (c) the following:
``(d) National Pediatric Research Network.--
``(1) Network.--In carrying out the Initiative, the
Director of NIH, in consultation with the Director of the
Eunice Kennedy Shriver National Institute of Child Health and
Human Development and in collaboration with other appropriate
national research institutes and national centers that carry
out activities involving pediatric research, may provide for
the establishment of a National Pediatric Research Network
consisting of the pediatric research consortia receiving awards
under paragraph (2).
``(2) Pediatric research consortia.--
``(A) In general.--The Director of NIH may award
funding, including through grants, contracts, or other
mechanisms, to public or private nonprofit entities--
``(i) for establishing or strengthening
pediatric research consortia; and
``(ii) for providing support for such
consortia, including with respect to--
``(I) basic, clinical, behavioral,
or translational research to meet unmet
pediatric research needs; and
``(II) training researchers in
pediatric research techniques in order
to address unmet pediatric research
needs.
``(B) Research.--The Director of NIH may ensure
that--
``(i) each consortium receiving an award
under subparagraph (A) conducts or supports at
least one category of research described in
subparagraph (A)(ii)(I) and collectively such
consortia conduct or support all such
categories of research; and
``(ii) one or more such consortia provide
training described in subparagraph (A)(ii)(II).
``(C) Number of consortia.--
``(i) In general.--The Director of NIH may
make awards under this paragraph for not more
than 8 pediatric research consortia, with a
minimum of one pediatric research consortium
that prioritizes collaboration with
institutions serving rural areas.
``(ii) Exception.--Notwithstanding clause
(i), the Director of NIH may make awards under
this paragraph for more than 8 pediatric
research consortia based on a finding of need
by the Director. Before making any award
pursuant to the preceding sentence, the
Director of NIH shall give written notice to
the Congress of the Director's intent to make
the award and shall include in the notice an
explanation of the Director's finding of need.
``(D) Organization of consortium.--Each consortium
receiving an award under subparagraph (A) shall--
``(i) be formed from a collaboration of
cooperating institutions;
``(ii) be coordinated by a lead
institution;
``(iii) agree to disseminate scientific
findings rapidly and efficiently; and
``(iv) meet such requirements as may be
prescribed by the Director of NIH.
``(E) Supplement, not supplant.--Any support
received by a consortium under subparagraph (A) shall
be used to supplement, and not supplant, other public
or private support for activities authorized to be
supported under this paragraph.
``(F) Duration of consortium support.--Support of a
consortium under subparagraph (A) may be for a period
of not to exceed 5 years. Such period may be extended
at the discretion of the Director of NIH.
``(3) Coordination of consortia activities.--The Director
of NIH shall--
``(A) as appropriate, provide for the coordination
of activities (including the exchange of information
and regular communication) among the consortia
established pursuant to paragraph (2); and
``(B) as appropriate, require the periodic
preparation and submission to the Director of reports
on the activities of each such consortium.
``(4) Assistance with registries.--Each consortium
receiving an award under paragraph (2)(A) shall provide
assistance to the Centers for Disease Control and Prevention in
the establishment or expansion of patient registries and other
surveillance systems as appropriate and upon request by the
Director of the Centers.
``(e) Research on Pediatric Rare Diseases or Conditions.--In making
awards under subsection (d)(2) for pediatric research consortia, the
Director of NIH shall ensure that an appropriate number of such awards
are awarded to such consortia that agree to--
``(1) focus primarily on pediatric rare diseases or
conditions (including any such diseases or conditions that are
genetic disorders or are related to birth defects); and
``(2) conduct or coordinate one or more multisite clinical
trials of therapies for, or approaches to, the prevention,
diagnosis, or treatment of one or more pediatric rare diseases
or conditions.''.
TITLE III--CHILDREN'S HOSPITAL GME SUPPORT REAUTHORIZATION
SEC. 301. PROGRAM OF PAYMENTS TO CHILDREN'S HOSPITALS THAT OPERATE
GRADUATE MEDICAL EDUCATION PROGRAMS.
(a) In General.--Section 340E of the Public Health Service Act (42
U.S.C. 256e) is amended--
(1) in subsection (a), by striking ``through 2005 and each
of fiscal years 2007 through 2011'' and inserting ``through
2005, each of fiscal years 2007 through 2011, and each of
fiscal years 2013 through 2017'';
(2) in subsection (f)(1)(A)(iv), by inserting ``and each of
fiscal years 2013 through 2017'' after ``2011''; and
(3) in subsection (f)(2)(D), by inserting ``and each of
fiscal years 2013 through 2017'' after ``2011''.
(b) Report to Congress.--Section 340E(b)(3)(D) of the Public Health
Service Act (42 U.S.C. 256e(b)(3)(D)) is amended by striking ``Not
later than the end of fiscal year 2011'' and inserting ``Not later than
the end of fiscal year 2016''.
Amend the title so as to read: ``An Act to reduce preterm
labor and delivery and the risk of pregnancy-related deaths and
complications due to pregnancy; to reduce infant mortality
caused by prematurity; to provide for a National Pediatric
Research Network, including with respect to pediatric rare
diseases or conditions; and to reauthorize support for graduate
medical education programs in children's hospitals.''.
Attest:
Clerk.
112th CONGRESS
2d Session
S. 1440
_______________________________________________________________________
AMENDMENTS