H.R.1462 - Protecting Our Infants Act of 2015114th Congress (2015-2016)
|Sponsor:||Rep. Clark, Katherine M. [D-MA-5] (Introduced 03/19/2015)|
|Committees:||House - Energy and Commerce|
|Committee Reports:||H. Rept. 114-244|
|Latest Action:||Senate - 07/14/2016 Indefinitely postponed by Senate by Unanimous Consent. (consideration: CR S5195) (All Actions)|
This bill has the status Passed House
Here are the steps for Status of Legislation:
- Passed House
Text: H.R.1462 — 114th Congress (2015-2016)All Information (Except Text)
Text available as:
Received in Senate (09/09/2015)
To combat the rise of prenatal opioid abuse and neonatal abstinence syndrome.
This Act may be cited as the “Protecting Our Infants Act of 2015”.
Congress finds as follows:
(1) Opioid prescription rates have risen dramatically over the past several years. According to the Centers for Disease Control and Prevention, in some States, there are as many as 96 to 143 prescriptions for opioids per 100 adults per year.
(2) In recent years, there has been a steady rise in the number of overdose deaths involving heroin. According to the Centers for Disease Control and Prevention, the death rate for heroin overdose doubled from 2010 to 2012.
(3) At the same time, there has been an increase in cases of neonatal abstinence syndrome (referred to in this section as “NAS”). In the United States, the incidence of NAS has risen from 1.20 per 1,000 hospital births in 2000 to 3.39 per 1,000 hospital births in 2009.
(4) NAS refers to medical issues associated with drug withdrawal in newborns due to exposure to opioids or other drugs in utero.
(5) The average cost of treatment in a hospital for NAS increased from $39,400 in 2000 to $53,400 in 2009. Most of these costs are born by the Medicaid program.
(6) Preventing opioid abuse among pregnant women and women of childbearing age is crucial.
(7) Medically appropriate opioid use in pregnancy is not uncommon, and opioids are often the safest and most appropriate treatment for moderate to severe pain for pregnant women.
(8) Addressing NAS effectively requires a focus on women of childbearing age, pregnant women, and infants from preconception through early childhood.
(9) NAS can result from the use of prescription drugs as prescribed for medical reasons, from the abuse of prescription drugs, or from the use of illegal opioids like heroin.
(10) For pregnant women who are abusing opioids, it is most appropriate to treat and manage maternal substance use in a non-punitive manner.
(11) According to a report of the Government Accountability Office (referred to in this section as the “GAO report”), more research is needed to optimize the identification and treatment of babies with NAS and to better understand long-term impacts on children.
(12) According to the GAO report, the Department of Health and Human Services does not have a focal point to lead planning and coordinating efforts to address prenatal opioid use and NAS across the department.
(13) According to the GAO report, “given the increasing use of heroin and abuse of opioids prescribed for pain management, as well as the increased rate of NAS in the United States, it is important to improve the efficiency and effectiveness of planning and coordination of Federal efforts on prenatal opioid use and NAS”.
(a) In general.—The Secretary of Health and Human Services (referred to in this Act as the “Secretary”), acting through the Director of the Agency for Healthcare Research and Quality (referred to in this section as the “Director”), shall conduct a study and develop recommendations for preventing and treating prenatal opioid abuse and neonatal abstinence syndrome, soliciting input from nongovernmental entities, including organizations representing patients, health care providers, hospitals, other treatment facilities, and other entities, as appropriate.
(b) Report.—Not later than 1 year after the date of enactment of this Act, the Director shall publish on the Internet Web site of the Agency for Healthcare Research and Quality a report on the study and recommendations under subsection (a). Such report shall address each of the issues described in paragraphs (1) through (3) of subsection (c).
(1) a comprehensive assessment of existing research with respect to the prevention, identification, treatment, and long-term outcomes of neonatal abstinence syndrome, including the identification and treatment of pregnant women or women who may become pregnant who use opioids or other drugs;
(A) the causes of and risk factors for opioid use disorders among women of reproductive age, including pregnant women;
(B) the barriers to identifying and treating opioid use disorders among women of reproductive age, including pregnant and postpartum women and women with young children;
(C) current practices in the health care system to respond to and treat pregnant women with opioid use disorders and infants born with neonatal abstinence syndrome;
(D) medically indicated use of opioids during pregnancy;
(E) access to treatment for opioid use disorders in pregnant and postpartum women; and
(F) access to treatment for infants with neonatal abstinence syndrome; and
(A) preventing, identifying, and treating neonatal abstinence syndrome in infants;
(B) treating pregnant women who are dependent on opioids; and
(C) preventing opioid dependence among women of reproductive age, including pregnant women, who may be at risk of developing opioid dependence.
(a) Review of programs.—The Secretary shall lead a review of planning and coordination within the Department of Health and Human Services related to prenatal opioid use and neonatal abstinence syndrome.
(b) Strategy To close gaps in research and programming.—In carrying out subsection (a), the Secretary shall develop a strategy to address research and program gaps, including such gaps identified in findings made by reports of the Government Accountability Office. Such strategy shall address—
(A) the most appropriate treatment of pregnant women with opioid use disorders;
(B) the most appropriate treatment and management of infants with neonatal abstinence syndrome; and
(C) the long-term effects of prenatal opioid exposure on children; and
(A) the availability of treatment programs for pregnant and postpartum women and for newborns with neonatal abstinence syndrome; and
(B) guidance and coordination in Federal efforts to address prenatal opioid use or neonatal abstinence syndrome.
(c) Report.—Not later than 1 year after the date of enactment of this Act, the Secretary 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 on the findings of the review described in subsection (a) and the strategy developed under subsection (b).
(A) the incidence and prevalence of neonatal abstinence syndrome;
(B) the identification of causes for neonatal abstinence syndrome, including new and emerging trends; and
(C) the demographics and other relevant information associated with neonatal abstinence syndrome;
(2) collect available surveillance data described in paragraph (1) from States, as applicable; and
(3) make surveillance data collected pursuant to paragraph (2) publically available on an appropriate Internet Web site.
(b) Public health response.—The Director of the Centers for Disease Control and Prevention shall encourage increased utilization of effective public health measures to reduce neonatal abstinence syndrome.
Passed the House of Representatives September 8, 2015.
|Attest:||karen l. haas,|