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: 

1 SECTION 1. SHORT TITLE. 

2 This Act may be cited as the ‘‘Prematurity Research 

3 Expansion and Education for Mothers who deliver Infants 

4 Early Reauthorization Act’’ or the ‘‘PREEMIE Reauthor5 ization Act’’. 

6 SEC. 2. TABLE OF CONTENTS. 

7 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. 
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TITLE III—CHILDREN’S HOSPITAL GME SUPPORT 

REAUTHORIZATION 

Sec. 301. Program of payments to children’s hospitals that operate graduate medical education programs. 

1 TITLE I—PREMATURITY RE2 SEARCH EXPANSION AND 

3 EDUCATION FOR MOTHERS 

4 WHO DELIVER INFANTS 

5 EARLY 

6 SEC. 101. RESEARCH AND ACTIVITIES AT THE CENTERS FOR 

7 DISEASE CONTROL AND PREVENTION. 

8 (a) EPIDEMIOLOGICAL STUDIES.—Section 3 of the 

9 Prematurity Research Expansion and Education for Moth10 ers who deliver Infants Early Act (42 U.S.C. 247b–4f) is 

11 amended by striking subsection (b) and inserting the fol12 lowing: 

13 ‘‘(b) STUDIES AND ACTIVITIES ON PRETERM BIRTH.— 

14 ‘‘(1) IN GENERAL.—The Secretary of Health and 

15 Human Services, acting through the Director of the 

16 Centers for Disease Control and Prevention, may, 

17 subject to the availability of appropriations— 

18 ‘‘(A) conduct epidemiological studies on the 

19 clinical, biological, social, environmental, ge20 netic, and behavioral factors relating to pre21 maturity, as appropriate; 
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1 ‘‘(B) conduct activities to improve national 

2 data to facilitate tracking the burden of preterm 

3 birth; and 

4 ‘‘(C) continue efforts to prevent preterm 

5 birth, including late preterm birth, through the 

6 identification of opportunities for prevention 

7 and the assessment of the impact of such efforts. 

8 ‘‘(2) REPORT.—Not later than 2 years after the 

9 date of enactment of the PREEMIE Reauthorization 

10 Act, and every 2 years thereafter, the Secretary of 

11 Health and Human Services, acting through the Di12 rector of the Centers for Disease Control and Preven13 tion, shall submit to the appropriate committees of 

14 Congress reports concerning the progress and any re15 sults of studies conducted under paragraph (1).’’. 

16 (b) REAUTHORIZATION.—Section 3(e) of the Pre17 maturity Research Expansion and Education for Mothers 

18 who deliver Infants Early Act (42 U.S.C. 247b–4f(e)) is 

19 amended by striking ‘‘2011’’ and inserting ‘‘2017’’. 

20 SEC. 102. ACTIVITIES AT THE HEALTH RESOURCES AND 

21 SERVICES ADMINISTRATION. 

22 (a) TELEMEDICINE AND HIGH-RISK PREGNANCIES.— 

23 Section 330I(i)(1)(B) of the Public Health Service Act (42 

24 U.S.C. 254c–14(i)(1)(B)) is amended by striking ‘‘or case 
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1 management services’’ and inserting ‘‘case management 

2 services, or prenatal care for high-risk pregnancies’’; 

3 (b) PUBLIC AND HEALTH CARE PROVIDER EDU4 CATION.—Section 399Q of the Public Health Service Act 

5 (42 U.S.C. 280g–5) is amended— 

6 (1) in subsection (b)— 

7 (A) in paragraph (1), by striking subpara8 graphs (A) through (F) and inserting the fol9 lowing: 

10 ‘‘(A) the core risk factors for preterm labor 

11 and delivery; 

12 ‘‘(B) medically indicated deliveries before 

13 full term; 

14 ‘‘(C) the importance of preconception and 

15 prenatal care, including— 

16 ‘‘(i) smoking cessation; 

17 ‘‘(ii) weight maintenance and good nu18 trition, including folic acid; 

19 ‘‘(iii) the screening for and the treat20 ment of infections; and 

21 ‘‘(iv) stress management; 

22 ‘‘(D) treatments and outcomes for pre23 mature infants, including late preterm infants; 
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1 ‘‘(E) the informational needs of families 

2 during the stay of an infant in a neonatal inten3 sive care unit; and 

4 ‘‘(F) utilization of evidence-based strategies 

5 to prevent birth injuries;’’; and 

6 (B) by striking paragraph (2) and inserting 

7 the following: 

8 ‘‘(2) programs to increase the availability, 

9 awareness, and use of pregnancy and post-term infor10 mation services that provide evidence-based, clinical 

11 information through counselors, community outreach 

12 efforts, electronic or telephonic communication, or 

13 other appropriate means regarding causes associated 

14 with prematurity, birth defects, or health risks to a 

15 post-term infant;’’; and 

16 (2) in subsection (c), by striking ‘‘2011’’ and in17 serting ‘‘2017’’. 

18 SEC. 103. OTHER ACTIVITIES. 

19 (a) INTERAGENCY COORDINATING COUNCIL ON PRE20 MATURITY AND LOW BIRTHWEIGHT.—The Prematurity Re21 search Expansion and Education for Mothers who deliver 

22 Infants Early Act is amended by striking section 5 (42 

23 U.S.C. 247b–4g). 

24 (b) ADVISORY COMMITTEE ON INFANT MORTALITY.— 
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1 (1) ESTABLISHMENT.—The Secretary of Health 

2 and Human Services (referred to in this section as 

3 the ‘‘Secretary’’) may establish an advisory committee 

4 known as the ‘‘Advisory Committee on Infant Mor5 tality’’ (referred to in this section as the ‘‘Advisory 

6 Committee’’). 

7 (2) DUTIES.—The Advisory Committee shall pro8 vide advice and recommendations to the Secretary 

9 concerning the following activities: 

10 (A) Programs of the Department of Health 

11 and Human Services that are directed at reduc12 ing infant mortality and improving the health 

13 status of pregnant women and infants. 

14 (B) Strategies to coordinate the various 

15 Federal programs and activities with State, 

16 local, and private programs and efforts that ad17 dress factors that affect infant mortality. 

18 (C) Implementation of the Healthy Start 

19 program under section 330H of the Public 

20 Health Service Act (42 U.S.C. 254c–8) and 

21 Healthy People 2020 infant mortality objectives. 

22 (D) Strategies to reduce preterm birth rates 

23 through research, programs, and education. 

24 (3) PLAN FOR HHS PRETERM BIRTH ACTIVI25 TIES.—Not later than 1 year after the date of enact-
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1 ment of this section, the Advisory Committee (or an 

2 existing advisory committee designated by the Sec3 retary) shall develop a plan for conducting and sup4 porting research, education, and programs on preterm 

5 birth through the Department of Health and Human 

6 Services and shall periodically review and revise the 

7 plan, as appropriate. The plan shall— 

8 (A) examine research and educational ac9 tivities that receive Federal funding in order to 

10 enable the plan to provide informed rec11 ommendations to reduce preterm birth and ad12 dress racial and ethnic disparities in preterm 

13 birth rates; 

14 (B) identify research gaps and opportuni15 ties to implement evidence-based strategies to re16 duce preterm birth rates among the programs 

17 and activities of the Department of Health and 

18 Human Services regarding preterm birth, in19 cluding opportunities to minimize duplication; 

20 and 

21 (C) reflect input from a broad range of sci22 entists, patients, and advocacy groups, as appro23 priate. 
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1 (4) MEMBERSHIP.—The Secretary shall ensure 

2 that the membership of the Advisory Committee in3 cludes the following: 

4 (A) Representatives provided for in the 

5 original charter of the Advisory Committee. 

6 (B) A representative of the National Center 

7 for Health Statistics. 

8 (c) PATIENT SAFETY STUDIES AND REPORT.— 

9 (1) IN GENERAL.—The Secretary shall designate 

10 an appropriate agency within the Department of 

11 Health and Human Services to coordinate existing 

12 studies on hospital readmissions of preterm infants. 

13 (2) REPORT TO SECRETARY AND CONGRESS.— 

14 Not later than 1 year after the date of the enactment 

15 of this Act, the agency designated under paragraph 

16 (1) shall submit to the Secretary and to Congress a 

17 report containing the findings and recommendations 

18 resulting from the studies coordinated under such 

19 paragraph, including recommendations for hospital 

20 discharge and followup procedures designed to reduce 

21 rates of preventable hospital readmissions for preterm 

22 infants. 
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1 TITLE II—NATIONAL PEDIATRIC 

2 RESEARCH NETWORK 

3 SEC. 201. NATIONAL PEDIATRIC RESEARCH NETWORK. 

4 Section 409D of the Public Health Service Act (42 

5 U.S.C. 284h; relating to the Pediatric Research Initiative) 

6 is amended— 

7 (1) by redesignating subsection (d) as subsection 

8 (f); and 

9 (2) by inserting after subsection (c) the fol10 lowing: 

11 ‘‘(d) NATIONAL PEDIATRIC RESEARCH NETWORK.— 

12 ‘‘(1) NETWORK.—In carrying out the Initiative, 

13 the Director of NIH, in consultation with the Director 

14 of the Eunice Kennedy Shriver National Institute of 

15 Child Health and Human Development and in col16 laboration with other appropriate national research 

17 institutes and national centers that carry out activi18 ties involving pediatric research, may provide for the 

19 establishment of a National Pediatric Research Net20 work consisting of the pediatric research consortia re21 ceiving awards under paragraph (2). 

22 ‘‘(2) PEDIATRIC RESEARCH CONSORTIA.— 

23 ‘‘(A) IN GENERAL.—The Director of NIH 

24 may award funding, including through grants, 
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1 contracts, or other mechanisms, to public or pri2 vate nonprofit entities— 

3 ‘‘(i) for establishing or strengthening 

4 pediatric research consortia; and 

5 ‘‘(ii) for providing support for such 

6 consortia, including with respect to— 

7 ‘‘(I) basic, clinical, behavioral, or 

8 translational research to meet unmet 

9 pediatric research needs; and 

10 ‘‘(II) training researchers in pedi11 atric research techniques in order to 

12 address unmet pediatric research 

13 needs. 

14 ‘‘(B) RESEARCH.—The Director of NIH 

15 may ensure that— 

16 ‘‘(i) each consortium receiving an 

17 award under subparagraph (A) conducts or 

18 supports at least one category of research 

19 described in subparagraph (A)(ii)(I) and 

20 collectively such consortia conduct or sup21 port all such categories of research; and 

22 ‘‘(ii) one or more such consortia pro23 vide training described in subparagraph 

24 (A)(ii)(II). 

25 ‘‘(C) NUMBER OF CONSORTIA.— 
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1 ‘‘(i) IN GENERAL.—The Director of 

2 NIH may make awards under this para3 graph for not more than 8 pediatric re4 search consortia, with a minimum of one 

5 pediatric research consortium that 

6 prioritizes collaboration with institutions 

7 serving rural areas. 

8 ‘‘(ii) EXCEPTION.—Notwithstanding 

9 clause (i), the Director of NIH may make 

10 awards under this paragraph for more than 

11 8 pediatric research consortia based on a 

12 finding of need by the Director. Before mak13 ing any award pursuant to the preceding 

14 sentence, the Director of NIH shall give 

15 written notice to the Congress of the Direc16 tor’s intent to make the award and shall in17 clude in the notice an explanation of the 

18 Director’s finding of need. 

19 ‘‘(D) ORGANIZATION OF CONSORTIUM.— 

20 Each consortium receiving an award under sub21 paragraph (A) shall— 

22 ‘‘(i) be formed from a collaboration of 

23 cooperating institutions; 

24 ‘‘(ii) be coordinated by a lead institu25 tion; 
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1 ‘‘(iii) agree to disseminate scientific 

2 findings rapidly and efficiently; and 

3 ‘‘(iv) meet such requirements as may 

4 be prescribed by the Director of NIH. 

5 ‘‘(E) SUPPLEMENT, NOT SUPPLANT.—Any 

6 support received by a consortium under subpara7 graph (A) shall be used to supplement, and not 

8 supplant, other public or private support for ac9 tivities authorized to be supported under this 

10 paragraph. 

11 ‘‘(F) DURATION OF CONSORTIUM SUP12 PORT.—Support of a consortium under subpara13 graph (A) may be for a period of not to exceed 

14 5 years. Such period may be extended at the dis15 cretion of the Director of NIH. 

16 ‘‘(3) COORDINATION OF CONSORTIA ACTIVI17 TIES.—The Director of NIH shall— 

18 ‘‘(A) as appropriate, provide for the coordi19 nation of activities (including the exchange of 

20 information and regular communication) among 

21 the consortia established pursuant to paragraph 

22 (2); and 

23 ‘‘(B) as appropriate, require the periodic 

24 preparation and submission to the Director of 

25 reports on the activities of each such consortium. 
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1 ‘‘(4) ASSISTANCE WITH REGISTRIES.—Each con2 sortium receiving an award under paragraph (2)(A) 

3 shall provide assistance to the Centers for Disease 

4 Control and Prevention in the establishment or ex5 pansion of patient registries and other surveillance 

6 systems as appropriate and upon request by the Di7 rector of the Centers. 

8 ‘‘(e) RESEARCH ON PEDIATRIC RARE DISEASES OR

9 CONDITIONS.—In making awards under subsection (d)(2) 

10 for pediatric research consortia, the Director of NIH shall 

11 ensure that an appropriate number of such awards are 

12 awarded to such consortia that agree to— 

13 ‘‘(1) focus primarily on pediatric rare diseases 

14 or conditions (including any such diseases or condi15 tions that are genetic disorders or are related to birth 

16 defects); and 

17 ‘‘(2) conduct or coordinate one or more multisite 

18 clinical trials of therapies for, or approaches to, the 

19 prevention, diagnosis, or treatment of one or more pe20 diatric rare diseases or conditions.’’. 
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1 TITLE III—CHILDREN’S HOS2 PITAL GME SUPPORT REAU3 THORIZATION 

4 SEC. 301. PROGRAM OF PAYMENTS TO CHILDREN’S HOS5 PITALS THAT OPERATE GRADUATE MEDICAL 

6 EDUCATION PROGRAMS. 

7 (a) IN GENERAL.—Section 340E of the Public Health 

8 Service Act (42 U.S.C. 256e) is amended— 

9 (1) in subsection (a), by striking ‘‘through 2005 

10 and each of fiscal years 2007 through 2011’’ and in11 serting ‘‘through 2005, each of fiscal years 2007 

12 through 2011, and each of fiscal years 2013 through 

13 2017’’; 

14 (2) in subsection (f)(1)(A)(iv), by inserting ‘‘and 

15 each of fiscal years 2013 through 2017’’ after ‘‘2011’’; 

16 and 

17 (3) in subsection (f)(2)(D), by inserting ‘‘and 

18 each of fiscal years 2013 through 2017’’ after ‘‘2011’’. 

19 (b) REPORT TO CONGRESS.—Section 340E(b)(3)(D) of 

20 the Public Health Service Act (42 U.S.C. 256e(b)(3)(D)) is 

21 amended by striking ‘‘Not later than the end of fiscal year 

22 2011’’ and inserting ‘‘Not later than the end of fiscal year 

23 2016’’. 
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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