[Congressional Bills 117th Congress]
[From the U.S. Government Publishing Office]
[H.R. 5995 Introduced in House (IH)]
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117th CONGRESS
1st Session
H. R. 5995
To provide research on, and services for, individuals with clinical
mental health complications following a pregnancy loss, and for other
purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
November 17, 2021
Mr. Emmer (for himself, Mr. Lamborn, Mr. Rice of South Carolina, Mr.
Weber of Texas, Mr. Bost, Mr. McKinley, Mrs. Kim of California, Mr.
Luetkemeyer, Mr. Jackson, Mr. Fortenberry, Mr. Kelly of Mississippi,
Mr. Crawford, Mr. Banks, Mr. Mullin, Ms. Salazar, Mr. Smucker, Mrs.
Miller-Meeks, Mrs. Lesko, Mr. Harris, and Mr. Norman) introduced the
following bill; which was referred to the Committee on Energy and
Commerce
_______________________________________________________________________
A BILL
To provide research on, and services for, individuals with clinical
mental health complications following a pregnancy loss, and for other
purposes.
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 ``Pregnancy Loss Mental Health
Research Act of 2021''.
TITLE I--RESEARCH ON CLINICAL MENTAL HEALTH COMPLICATIONS FOLLOWING A
PREGNANCY LOSS
SEC. 101. EXPANSION AND INTENSIFICATION OF ACTIVITIES OF NATIONAL
INSTITUTE OF MENTAL HEALTH.
(a) In General.--The Secretary of Health and Human Services, acting
through the Director of the National Institutes of Health and the
Director of the National Institute of Mental Health (in this section
referred to as the ``Institute''), shall expand and intensify research
and related activities of the Institute with respect to clinical mental
health complications, including persistent complex bereavement
disorder, following a pregnancy loss (including a miscarriage,
stillbirth, or abortion).
(b) Coordination With Other Institutes.--The Director of the
Institute shall coordinate the activities of the Director under
subsection (a) with similar activities conducted by the other national
research institutes and agencies of the National Institutes of Health
to the extent that such Institutes and agencies have responsibilities
that are related to clinical mental health complications following a
pregnancy loss (including a miscarriage, stillbirth, or abortion).
(c) Programs for Pregnancy Loss Conditions.--In carrying out
subsection (a), the Director of the Institute shall conduct or support
research to expand the understanding of the causes of, and to identify
treatment for, mental health conditions following a pregnancy loss,
including the following:
(1) Basic research concerning the etiology and causes of
the conditions.
(2) The development of improved screening and diagnostic
techniques.
(3) Clinical research for the development and evaluation of
new treatments, including new biological agents.
(4) Information and education programs for health care
professionals and the public.
(d) Longitudinal Study.--
(1) In general.--The Director of the Institute shall
conduct a national longitudinal study to determine the
prevalence of mental health complications following a pregnancy
loss, and the symptoms, severity, and duration of such cases,
toward the goal of more fully identifying the characteristics
of such cases and developing diagnostic techniques.
(2) Report.--Beginning not later than 3 years after the
date of the enactment of this Act, and periodically thereafter
for the duration of the study under paragraph (1), the Director
of the Institute shall prepare and submit to the Congress a
report on the findings of the study, any progress with respect
to the study, and methodologies used to conduct the study.
SEC. 102. AUTHORIZATION OF APPROPRIATIONS.
(a) In General.--For the purpose of carrying out this title, there
is authorized to be appropriated $4,500,000 for each of the fiscal
years 2022 through 2023.
(b) Limitation.--Any amounts appropriated under this title are
subject to the requirements and limitations under sections 506 and 507
of division H of the Consolidated Appropriations Act, 2021 (Public Law
116-260) in the same manner and to the same extent as if such amounts
for each year were appropriated under such division.
TITLE II--DELIVERY OF SERVICES WITH RESPECT TO MENTAL HEALTH
COMPLICATIONS FOLLOWING A PREGNANCY LOSS
SEC. 201. GRANT PROGRAM FOR CLINICAL MENTAL HEALTH CONDITIONS FOLLOWING
A PREGNANCY LOSS.
(a) In General.--The Secretary of Health and Human Services (in
this title referred to as the ``Secretary'') shall in accordance with
this title make grants to provide for projects for the establishment,
operation, and coordination of effective and cost-efficient systems for
the delivery of mental health services to individuals struggling with
clinical mental health conditions following a pregnancy loss.
(b) Recipients of Grants.--A grant under subsection (a) may be made
to an entity only if the entity--
(1) is a public or nonprofit private entity, which may
include a State or local government; a public or nonprofit
private hospital, community-based organization, community
health center, migrant health center, or homeless health
center; or other appropriate public or nonprofit private
entity; and
(2) has experience in providing the services described in
subsection (a) before the date of the enactment of this Act.
(c) Certain Activities.--To the extent practicable and appropriate,
the Secretary shall ensure that projects under subsection (a) provide
services for the screening, diagnosis, and management of mental health
conditions, including persistent complex bereavement disorders,
following a pregnancy loss. Such activities may include the following:
(1) Delivering or enhancing outpatient and home-based
health and support services (including case management,
screening and mental health treatment services) for individuals
with, or who are at risk of developing, mental health
complications following a pregnancy loss, and delivering or
enhancing support services for the families of such
individuals.
(2) Delivering or enhancing inpatient care management
services that ensure the well being of the mother and family,
and the future development of the infant.
(3) Improving the quality, availability, and organization
of health care and support services (including transportation
services, attendant care, homemaker services, day or respite
care, and providing counseling on financial assistance and
insurance) for individuals with mental health conditions
following a pregnancy loss.
(d) Integration With Other Programs.--To the extent practicable and
appropriate, the Secretary shall integrate the program under this title
with other grant programs carried out by the Secretary, including the
program under section 330 of the Public Health Service Act (42 U.S.C.
254b).
(e) Limitation on Amount of Grants.--A grant under subsection (a)
may not for any fiscal year be made in an amount exceeding $100,000.
SEC. 202. CERTAIN REQUIREMENTS FOR GRANT PROGRAM FOR CLINICAL MENTAL
HEALTH CONDITIONS FOLLOWING A PREGNANCY LOSS.
A grant may be made under section 201 only if the applicant
involved makes the following agreements:
(1) Not more than 5 percent of the grant will be used for
administration, accounting, reporting, and program oversight
functions.
(2) The grant will be used to supplement and not supplant
funds from other sources related to the treatment of clinical
mental health conditions following a pregnancy loss.
(3) The applicant will abide by any limitations deemed
appropriate by the Secretary on any charges to individuals
receiving services pursuant to the grant. As deemed appropriate
by the Secretary, such limitations on charges may vary based on
the financial circumstances of the individual receiving
services.
(4) The grant will not be expended to make payment for
services authorized under section 201(a) to the extent that
payment has been made, or can reasonably be expected to be
made, with respect to such services--
(A) under any State compensation program, under an
insurance policy, or under any Federal or State health
benefits program; or
(B) by an entity that provides health services on a
prepaid basis.
(5) The applicant will, at each site at which the applicant
provides services under section 201(a), post a conspicuous
notice informing individuals who receive the services of any
Federal policies that apply to the applicant with respect to
the imposition of charges on such individuals.
SEC. 203. TECHNICAL ASSISTANCE.
The Secretary may provide technical assistance to assist entities
in complying with the requirements of this title in order to make such
entities eligible to receive grants under section 201.
SEC. 204. NO FUNDS FOR CERTAIN ABORTION PROVIDERS.
(a) In General.--Notwithstanding any other provision of law, none
of the funds made available by this Act may be made available either
directly, through a State (including through managed care contracts
with a State), or through any other means, to a prohibited entity.
(b) Prohibited Entity.--The term ``prohibited entity'' means an
entity, including its affiliates, subsidiaries, successors, and clinics
that, as of the date of enactment of this Act--
(1) is an organization described in section 501(c)(3) of
the Internal Revenue Code of 1986 and exempt from taxation
under section 501(a) of such Code;
(2) is an essential community provider described in section
156.235 of title 45, Code of Federal Regulations (as in effect
on the date of enactment of this Act), that is primarily
engaged in family planning services, reproductive health, and
related medical care; and
(3) performs, or provides any funds to any other entity
that performs, abortions, other than--
(A) in the case of a pregnancy that is the result
of an act of rape or incest; or
(B) in the case where a woman suffers from a
physical disorder, physical injury, or physical illness
that would, as certified by a physician, place the
woman in danger of death unless an abortion is
performed, including a life endangering physical
condition caused by, or arising from, the pregnancy
itself.
(c) End of Prohibition.--The definition in subsection (b) shall
cease to apply to an entity if such entity certifies that it, including
its affiliates, subsidiaries, successors, and clinics, will not
perform, and will not provide any funds to any other entity that
performs, an abortion described in subsection (b)(3).
(d) Repayment by Prohibited Entity.--The Secretary of Health and
Human Services shall seek repayment of any Federal assistance received
by any entity that had made a certification described in subsection (c)
and subsequently violated the terms of such certification.
SEC. 205. AUTHORIZATION OF APPROPRIATIONS.
(a) In General.--For the purpose of carrying out this title, there
is authorized to be appropriated $4,500,000 for each of the fiscal
years 2022 through 2023.
(b) Limitation.--Any amounts appropriated under this title are
subject to the requirements and limitations under sections 506 and 507
of division H of the Consolidated Appropriations Act, 2021 (Public Law
116-260) in the same manner and to the same extent as if such amounts
for each year were appropriated under such division.
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