I 

113TH CONGRESS 

1ST SESSION H. R. 669 

To amend the Public Health Service Act to improve the health of children 

and help better understand and enhance awareness about unexpected 

sudden death in early life. 

IN THE HOUSE OF REPRESENTATIVES 

FEBRUARY 13, 2013 

Mr. PALLONE (for himself and Mr. KING of New York) introduced the 

following bill; which was referred to the Committee on Energy and Commerce 

A BILL 

To amend the Public Health Service Act to improve the 

health of children and help better understand and enhance awareness about unexpected sudden death in early 

life. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Sudden Unexpected 

5 Death Data Enhancement and Awareness Act’’. 


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1 SEC. 2. AMENDMENT TO THE PUBLIC HEALTH SERVICE 

2 ACT. 

3 Title III of the Public Health Service Act (42 U.S.C. 

4 241 et seq.) is amended by adding at the end the fol5 lowing: 

6 ‘‘PART W—SUDDEN UNEXPECTED INFANT DEATH 

7 AND SUDDEN UNEXPLAINED DEATH IN 

8 CHILDHOOD 

9 ‘‘SEC. 399OO. DEFINITIONS. 

10 ‘‘In this part: 

11 ‘‘(1) ADMINISTRATOR.—The term ‘Adminis12 trator’ means the Administrator of the Health Re13 sources and Services Administration. 

14 ‘‘(2) DEATH SCENE INVESTIGATOR.—The term 

15 ‘death scene investigator’ means an individual cer16 tified as a death scene investigator by an accredited 

17 professional certification board. 

18 ‘‘(3) DIRECTOR.—The term ‘Director’ means 

19 the Director of the Centers for Disease Control and 

20 Prevention. 

21 ‘‘(4) STATE.—The term ‘State’ has the mean22 ing given to such term in section 2, except that such 

23 term includes tribes and tribal organizations (as 

24 such terms are defined in section 4 of the Indian 

25 Self-Determination and Education Assistance Act). 


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1 ‘‘(5) SUDDEN UNEXPECTED INFANT DEATH; 

2 SUID.—The terms ‘sudden unexpected infant death’ 

3 and ‘SUID’ mean the sudden death of an infant 

4 under 1 year of age that when first discovered did 

5 not have an obvious cause. Such terms include those 

6 deaths that are later determined to be from ex7 plained as well as unexplained causes. 

8 ‘‘(6) SUDDEN UNEXPLAINED DEATH IN CHILD9 HOOD; SUDC.—The terms ‘sudden unexplained death 

10 in childhood’ and ‘SUDC’ mean the sudden death of 

11 a child older than 1 year of age which remains unex12 plained after a thorough case investigation that in13 cludes a review of the clinical history and cir14 cumstances of death and performance of a complete 

15 autopsy with appropriate ancillary testing. 

16 ‘‘SEC. 399OO–1. DEATH SCENE INVESTIGATION AND AU17 TOPSY. 

18 ‘‘(a) INVESTIGATIONS.— 

19 ‘‘(1) GRANTS.—The Secretary, acting through 

20 the Director, shall award grants to States to enable 

21 such States to improve the completion of comprehen22 sive death scene investigations for sudden unex23 pected infant death and sudden unexplained death in 

24 childhood. 


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1 ‘‘(2) APPLICATION.—To be eligible to receive a 

2 grant under paragraph (1), a State shall submit to 

3 the Secretary an application at such time, in such 

4 manner, and containing such information as the Sec5 retary may require. 

6 ‘‘(3) USE OF FUNDS.— 

7 ‘‘(A) IN GENERAL.—A State shall use 

8 amounts received under a grant under para9 graph (1) to improve the completion of com10 prehensive death scene investigations for sud11 den unexpected infant death and sudden unex12 plained death in childhood, including through 

13 the awarding of subgrants to local jurisdictions 

14 to be used to implement standard death scene 

15 investigation protocols for sudden unexpected 

16 infant death and sudden unexplained death in 

17 childhood and conduct comprehensive, stand18 ardized autopsies. 

19 ‘‘(B) PROTOCOLS.—A standard death 

20 scene protocol implemented under subparagraph 

21 (A) shall include the obtaining of information 

22 on current and past medical history of the in23 fant/child, the circumstances surrounding the 

24 death including any suspicious circumstances, 

25 the sleep position and sleep environment of the 


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1 infant/child, and whether there were any acci2 dental or environmental factors associated with 

3 the death. The Director in consultation with 

4 medical examiners, coroners, death scene inves5 tigators, law enforcement, emergency medical 

6 technicians and paramedics, public health agen7 cies, and other individuals or groups determined 

8 necessary by the Director shall develop a stand9 ard death scene protocol for children from 1 to 

10 4 years of age, using existing protocols devel11 oped for SUID. 

12 ‘‘(b) AUTOPSIES.— 

13 ‘‘(1) IN GENERAL.—The Secretary, acting 

14 through the Director, shall award grants to States 

15 to enable such States to increase the rate at which 

16 comprehensive, standardized autopsies are per17 formed for sudden unexpected infant death and sud18 den unexplained death in childhood. 

19 ‘‘(2) APPLICATION.—To be eligible to receive a 

20 grant under paragraph (1), a State shall submit to 

21 the Secretary an application at such time, in such 

22 manner, and containing such information as the Sec23 retary may require. 

24 ‘‘(3) COMPREHENSIVE AUTOPSY.—For purposes 

25 of this subsection, a comprehensive autopsy shall inVerDate Mar 15 2010 22:29 Feb 21, 2013 Jkt 029200 PO 00000 Frm 00005 Fmt 6652 Sfmt 6201 E:\BILLS\H669.IH H669

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1 clude a full external and internal examination, in2 cluding microscopic examination, of all major organs 

3 and tissues including the brain, complete 

4 radiographs, vitreous fluid analysis, photo docu5 mentation, selected microbiology when indicated, 

6 metabolic testing, and toxicology screening of the in7 fant or child involved. 

8 ‘‘(4) GUIDELINES.—The Director, in consulta9 tion with board certified forensic pathologists, med10 ical examiners, coroners, pediatric pathologists, pedi11 atric cardiologists, pediatric neuropathologists and 

12 geneticists, and other individuals and groups deter13 mined necessary by the Director shall develop na14 tional guidelines for a standard autopsy protocol for 

15 sudden unexpected infant death and sudden unex16 plained death in childhood. The Director shall en17 sure that the majority of such consultation is with 

18 board certified forensic pathologists, medical exam19 iners, and coroners. The Director is encouraged to 

20 seek additional input from child abuse experts, be21 reavement specialists, parents, and public health 

22 agencies on nonmedical aspects of the autopsy guide23 lines. In developing such protocol, the Director shall 

24 consider autopsy protocols used by State and local 

25 jurisdictions. 


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1 ‘‘(c) STUDY ON GENETIC TESTING.—The Director, 

2 in consultation with medical examiners, coroners, forensic 

3 pathologists, geneticists, researchers, public health offi4 cials, and other individuals and groups determined nec5 essary by the Director, shall commission a study to deter6 mine the benefits and appropriateness of genetic testing 

7 for infant and early childhood deaths that remain unex8 plained after a complete death scene investigation and 

9 comprehensive, standardized autopsy. Such study shall in10 clude recommendations on developing a standard protocol 

11 for use in determining when to utilize genetic testing and 

12 standard protocols for the collection and storage of speci13 mens suitable for genetic testing. 

14 ‘‘(d) AUTHORIZATION OF APPROPRIATIONS.—There 

15 is authorized to be appropriated $8,000,000 for each of 

16 fiscal years 2014 through 2018 to carry out this section. 

17 ‘‘SEC. 399OO–2. TRAINING. 

18 ‘‘(a) GRANTS.—The Secretary, acting through the 

19 Director, shall award grants to eligible entities for the pro20 vision of training on death scene investigation specific for 

21 SUID and SUDC. 

22 ‘‘(b) ELIGIBLE ENTITIES.—To be eligible to receive 

23 a grant under subsection (a), an entity shall— 

24 ‘‘(1) be— 

25 ‘‘(A) a State or local government entity; or 


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1 ‘‘(B) a nonprofit private entity; and 

2 ‘‘(2) submit to the Secretary an application at 

3 such time, in such manner, and containing such in4 formation as the Secretary may require. 

5 ‘‘(c) USE OF FUNDS.—An eligible entity shall use 

6 amounts received under a grant under this section to— 

7 ‘‘(1) provide training to medical examiners, 

8 coroners, death scene investigators, law enforcement 

9 personnel, and emergency medical technicians or 

10 paramedics concerning death scene investigations for 

11 SUID and SUDC, including the use of standard 

12 death scene investigation protocols that include in13 formation on the current and past medical history of 

14 the infant/child, the circumstances surrounding the 

15 death including any suspicious circumstances, the 

16 sleep position and sleep environment of the infant/ 

17 child, and whether there were any accidental or envi18 ronmental factors associated with the death; 

19 ‘‘(2) provide training directly to individuals who 

20 are responsible for conducting and reviewing death 

21 scene investigations for sudden unexpected infant 

22 death and sudden unexplained death in childhood; 

23 ‘‘(3) provide training to multidisciplinary teams, 

24 including teams that have a medical examiner or 

25 coroner, death scene investigator, law enforcement 


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1 representative, and an emergency medical technician 

2 or paramedic; 

3 ‘‘(4) in the case of national and State-based 

4 grantees that are comprised of medical examiners, 

5 coroners, death scene investigators, law enforcement 

6 personnel, or emergency medical technicians and 

7 paramedics, integrate training under the grant on 

8 death scene investigation of SUID and SUDC into 

9 professional accreditation and training programs; 

10 ‘‘(5) in the case of State and local government 

11 entity grantees, obtain equipment, including com12 puter equipment, to aid in the completion of stand13 ard death scene investigation; or 

14 ‘‘(6) conduct training activities for medical ex15 aminers, coroners, and forensic pathologists con16 cerning standard autopsy protocols for sudden unex17 pected infant death and sudden unexplained death in 

18 childhood and integrate the training under the grant 

19 on standard autopsy protocols in SUID and SUDC 

20 into professional accreditation and training pro21 grams. 

22 ‘‘(d) AUTHORIZATION OF APPROPRIATIONS.—There 

23 is authorized to be appropriated to carry out this section 

24 $2,000,000 for each of fiscal years 2014 through 2018. 


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1 ‘‘SEC. 399OO–3. CHILD DEATH REVIEW. 

2 ‘‘(a) PREVENTION.— 

3 ‘‘(1) CORE CAPACITY GRANTS.—The Secretary, 

4 acting through the Administrator, shall award 

5 grants to States to build and strengthen State ca6 pacity and implement State and local child death re7 view programs and prevention strategies. 

8 ‘‘(2) PLANNING GRANTS.—The Secretary, act9 ing through the Administrator, shall award planning 

10 grants to States that have no existing child death re11 view program or States in which the only child death 

12 review programs are State-based, for the develop13 ment of local child death review programs and pre14 vention strategies. 

15 ‘‘(3) APPLICATION.—To be eligible to receive a 

16 grant under paragraph (1) or (2), a State shall sub17 mit to the Secretary an application at such time, in 

18 such manner, and containing such information as 

19 the Secretary may require. 

20 ‘‘(4) TECHNICAL ASSISTANCE.—The Secretary, 

21 acting through the Administrator, shall provide tech22 nical assistance to assist States— 

23 ‘‘(A) in developing the capacity for com24 prehensive child death review programs, includ25 ing the development of best practices for the 

26 implementation of such programs; and 


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1 ‘‘(B) in maintaining the national child 

2 death case reporting system. 

3 ‘‘(b) AUTHORIZATION OF APPROPRIATIONS.—There 

4 is authorized to be appropriated $7,000,000 for each of 

5 fiscal years 2014 through 2018 to carry out subsection 

6 (a). 

7 ‘‘SEC. 399OO–4. ENHANCING THE NATIONAL CHILD DEATH 

8 CASE REPORTING SYSTEM. 

9 ‘‘(a) IN GENERAL.—The Secretary, acting through 

10 the Director and in consultation with the national child 

11 death case reporting system, national health organiza12 tions, and professional societies with experience and exper13 tise relating to reducing SUID and SUDC, shall modify 

14 such national death case reporting system, in accordance 

15 with subsection (b), to assure that such system provides 

16 for population-based data for ages 0 through 4 years of 

17 age and facilitates the understanding of the root causes, 

18 rates, and trends of SUID and SUDC with respect to such 

19 ages. 

20 ‘‘(b) GOALS OF MODIFIED NATIONAL CHILD DEATH

21 CASE REPORTING SYSTEM.—The modifications under 

22 subsection (a) to the national child death case reporting 

23 system shall facilitate the collection, analysis, and dissemi24 nation of data by— 


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1 ‘‘(1) implementing a surveillance and moni2 toring system based on thorough and complete death 

3 scene investigation data, clinical history, and au4 topsy findings; 

5 ‘‘(2) collecting standardized information about 

6 the environmental, medical, genetic, and social cir7 cumstances of death (including sleep environment 

8 and quality of the death scene investigation) if de9 termined that such may correlate with infant and 

10 early childhood deaths, as well as information from 

11 other law enforcement, medical examiner, coroner, 

12 emergency medical services (EMS), medical records, 

13 and vital records (if possible); 

14 ‘‘(3) supporting multidisciplinary infant and 

15 early childhood death reviews such as those per16 formed by child death review committees to collect 

17 and review the standardized information and accu18 rately and consistently classify and characterize 

19 SUID and SUDC; 

20 ‘‘(4) facilitating the sharing of information to 

21 improve the public reporting of surveillance and vital 

22 statistics describing the epidemiology of SUID and 

23 SUDC; and 

24 ‘‘(5) utilizing current infrastructure of existing 

25 surveillance systems. 


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1 ‘‘(c) AUTHORIZATION OF APPROPRIATIONS.—There 

2 is authorized to be appropriated to carry out this section 

3 $3,000,000 for each of fiscal years 2014 through 2018. 

4 ‘‘SEC. 399OO–5. PUBLIC AWARENESS AND EDUCATION CAM5 PAIGN. 

6 ‘‘(a) ESTABLISHMENT.—The Secretary, acting 

7 through the Administrator and in consultation with the 

8 Director and the Director of the National Institutes of 

9 Health, shall establish and implement a culturally com10 petent research-based public health awareness and edu11 cation campaign to provide information that is focused on 

12 decreasing the risk factors that contribute to sudden unex13 pected infant death and sudden unexplained death in 

14 childhood, including educating individuals and organiza15 tions about safe sleep environments, sleep positions, and 

16 reducing exposure to smoking during pregnancy and after 

17 birth. 

18 ‘‘(b) TARGETED POPULATIONS.—The campaign 

19 under subsection (a) shall be designed to reduce health 

20 disparities through the targeting of populations with high 

21 rates of sudden unexpected infant death and sudden unex22 plained death in childhood. 

23 ‘‘(c) CONSULTATION.—In establishing and imple24 menting the campaign under subsection (a), the Secretary 

25 shall consult with national organizations representing 


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1 health care providers, including nurses and physicians, 

2 parents, child care providers, children’s advocacy and safe3 ty organizations, maternal and child health programs and 

4 women’s, infants’, and children’s nutrition professionals, 

5 and other individuals and groups determined necessary by 

6 the Secretary for such establishment and implementation. 

7 ‘‘(d) GRANTS.— 

8 ‘‘(1) IN GENERAL.—In carrying out the cam9 paign under subsection (a), the Secretary shall 

10 award grants to national organizations, State and 

11 local health departments, and community-based or12 ganizations for the conduct of education and out13 reach programs for health care providers, parents, 

14 child care providers, public health agencies, and 

15 community organizations. 

16 ‘‘(2) APPLICATION.—To be eligible to receive a 

17 grant under paragraph (1), an entity shall submit to 

18 the Secretary an application at such time, in such 

19 manner, and containing such information as the Sec20 retary may require. 

21 ‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—There 

22 is authorized to be appropriated to carry out this section 

23 $7,000,000 for fiscal year 2014 and $5,000,000 for each 

24 of fiscal years 2015 through 2018. 


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1 ‘‘SEC. 399OO–6. GRANTS FOR SUPPORT SERVICES. 

2 ‘‘(a) IN GENERAL.—The Secretary, acting through 

3 the Administrator, shall award grants to national organi4 zations, State and local health departments, and commu5 nity-based organizations, for the provisions of support 

6 services to families who have had a child die of sudden 

7 unexpected infant death and sudden unexplained death in 

8 childhood. 

9 ‘‘(b) APPLICATION.—To be eligible to receive a grant 

10 under subsection (a), an entity shall submit to the Sec11 retary an application at such time, in such manner, and 

12 containing such information as the Secretary may require. 

13 ‘‘(c) USE OF FUNDS.—Amounts received under a 

14 grant awarded under subsection (a) may be used to pro15 vide grief counseling, education, home visits, 24-hour hot16 lines, and support groups for families who have lost a child 

17 to sudden unexpected infant death or sudden unexplained 

18 death in childhood. 

19 ‘‘(d) PREFERENCE.—In awarding grants under sub20 section (a), the Secretary shall give preference to commu21 nity-based applicants that have a proven history of effec22 tive direct support services and interventions for sudden 

23 unexpected infant death and sudden unexplained death in 

24 childhood and can demonstrate experience through col25 laborations and partnerships for delivering services 

26 throughout a State or region. 


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1 ‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—There 

2 is authorized to be appropriated to carry out this section 

3 $500,000 for each of fiscal years 2014 through 2018. 

4 ‘‘SEC. 399OO–7. EVALUATION OF STATE AND REGIONAL 

5 NEEDS. 

6 ‘‘(a) IN GENERAL.—The Secretary, acting through 

7 the Director and in consultation with the Administrator, 

8 shall conduct a needs assessment on a State and regional 

9 basis of the availability of personnel, training, technical 

10 assistance, and resources for investigating and deter11 mining sudden unexpected infant death and sudden unex12 plained death in childhood and make recommendations to 

13 increase collaboration on a State and regional level for in14 vestigation and determination. 

15 ‘‘(b) AUTHORIZATION OF APPROPRIATIONS.—There 

16 is authorized to be appropriated to carry out this section, 

17 $250,000 for each of fiscal years 2014 through 2018.’’. 

18 SEC. 3. ENHANCING PUBLIC HEALTH ACTIVITIES RELATED 

19 TO STILLBIRTH. 

20 Part P of title III of the Public Health Service Act 

21 (42 U.S.C. 280g et seq.) is amended by adding at the end 

22 the following: 


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1 ‘‘SEC. 399V–6. ENHANCING PUBLIC HEALTH ACTIVITIES RE2 LATED TO STILLBIRTH. 

3 ‘‘(a) GRANTS.—The Secretary, acting through the 

4 Director of the Centers for Disease Control and Preven5 tion, shall award grants to eligible States and metropolitan 

6 areas to enhance and expand surveillance efforts to collect 

7 thorough and complete epidemiologic information on still8 births, including through the utilization of the infrastruc9 ture of existing surveillance systems (including vital statis10 tics systems). 

11 ‘‘(b) ELIGIBILITY.—To be eligible to receive a grant 

12 under subsection (a), an entity shall— 

13 ‘‘(1) be a State or a major metropolitan area 

14 (as defined by the Secretary); and 

15 ‘‘(2) submit to the Secretary an application at 

16 such time, in such manner, and containing such in17 formation as the Secretary may require, including— 

18 ‘‘(A) an assurance that the applicant will 

19 implement the standardized surveillance pro20 tocol developed under subsection (c); and 

21 ‘‘(B) a description of the infrastructure of 

22 existing surveillance systems in the State or 

23 major metropolitan area, as applicable. 

24 ‘‘(c) SURVEILLANCE PROTOCOL.—The Secretary, 

25 acting through the Director of the Centers for Disease 

26 Control and Prevention, shall— 


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1 ‘‘(1) provide for the continued development and 

2 dissemination of a standard protocol for stillbirth 

3 data collection and surveillance, in consultation with 

4 representatives of health and advocacy organizations, 

5 State and local governments, and other interested 

6 entities determined appropriate by the Secretary; 

7 ‘‘(2) monitor trends and identify potential risk 

8 factors for further study using existing sources of 

9 surveillance data and expanded sources of data from 

10 targeted surveillance efforts, and methods for the 

11 evaluation of stillbirth prevention efforts; and 

12 ‘‘(3) develop and evaluate methods to link exist13 ing data to provide more complete information for 

14 research into the causes and conditions associated 

15 with stillbirth. 

16 ‘‘(d) POSTMORTEM EVALUATION AND DATA COLLEC17 TION.—The Secretary, acting through the Director of the 

18 Centers for Disease Control and Prevention and in con19 sultation with physicians, nurses, pathologists, geneticists, 

20 parents, and other groups determined necessary by the Di21 rector, shall develop guidelines for increasing the perform22 ance and data collection of postmortem stillbirth evalua23 tion, including conducting and reimbursing autopsies, pla24 cental histopathology, and cytogenetic testing. The guideVerDate Mar 15 2010 22:29 Feb 21, 2013 Jkt 029200 PO 00000 Frm 00018 Fmt 6652 Sfmt 6201 E:\BILLS\H669.IH H669

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1 lines should take into account cultural competency issues 

2 related to postmortem stillbirth evaluation. 

3 ‘‘(e) PUBLIC HEALTH PROGRAMMATIC ACTIVITIES

4 RELATED TO STILLBIRTH.—The Secretary, acting 

5 through the Director of the Centers for Disease Control 

6 and Prevention, shall— 

7 ‘‘(1) develop behavioral surveys for women ex8 periencing stillbirth, using existing State-based in9 frastructure for pregnancy-related information gath10 ering; and 

11 ‘‘(2) increase the technical assistance provided 

12 to States, Indian tribes, territories, and local com13 munities to enhance capacity for improved investiga14 tion of medical and social factors surrounding still15 birth events. 

16 ‘‘(f) PUBLIC EDUCATION AND PREVENTION PRO17 GRAMS.—The Secretary, acting through the Director of 

18 the Centers for Disease Control and Prevention and in 

19 consultation with health care providers, public health or20 ganizations, maternal and child health programs, parents, 

21 and other groups deemed necessary by the Director, shall 

22 directly or through grants, cooperative agreements, or con23 tracts to eligible entities, develop and conduct evidence24 based public education and prevention programs aimed at 

25 reducing the occurrence of stillbirth overall and addressing 


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1 the racial and ethnic disparities in its occurrence, includ2 ing— 

3 ‘‘(1) public education programs, services, and 

4 demonstrations which are designed to increase gen5 eral awareness of stillbirths; and 

6 ‘‘(2) the development of tools for the education 

7 of health professionals and women concerning the 

8 known risk factors for stillbirth, promotion of fetal 

9 movement awareness, and the importance of early 

10 and regular prenatal care to monitor the health and 

11 development of the fetus up to and during delivery. 

12 ‘‘(g) TASK FORCE.—The Secretary, in consultation 

13 with the Director of the National Institutes of Health, the 

14 Director of the Centers for Disease Control and Preven15 tion, and health care providers, researchers, parents, and 

16 other groups deemed necessary by the Directors, shall es17 tablish a task force to develop a national research plan 

18 to determine the causes of, and how to prevent, stillbirth. 

19 ‘‘(h) GRANTS FOR SUPPORT SERVICES.— 

20 ‘‘(1) IN GENERAL.—The Secretary, acting 

21 through the Administrator of the Health Resources 

22 and Services Administration, shall award grants to 

23 national organizations, State and local health de24 partments, and community-based organizations, for 


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1 the provisions of support services to families who 

2 have experienced stillbirth. 

3 ‘‘(2) APPLICATION.—To be eligible to receive a 

4 grant under subsection (a), an entity shall submit to 

5 the Secretary an application at such time, in such 

6 manner, and containing such information as the Sec7 retary may require. 

8 ‘‘(3) USE OF FUNDS.—Amounts received under 

9 a grant awarded under subsection (a) may be used 

10 to provide grief counseling, education, home visits, 

11 24-hour hotlines, and support groups for families 

12 who have experienced stillbirth. 

13 ‘‘(4) PREFERENCE.—In awarding grants under 

14 subsection (a), the Secretary shall give preference to 

15 applicants that are community-based organizations 

16 that have a proven history of providing effective di17 rect support services and interventions related to 

18 stillbirths and can demonstrate experience through 

19 collaborations and partnerships for delivering serv20 ices throughout a State or region. 

21 ‘‘(i) DEFINITIONS.—In this section: 

22 ‘‘(1) The term ‘State’ has the meaning given to 

23 such term in section 2, except that such term in24 cludes tribes and tribal organizations (as such terms 


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1 are defined in section 4 of the Indian Self-Deter2 mination and Education Assistance Act). 

3 ‘‘(2) The term ‘stillbirth’ means a spontaneous, 

4 not induced, pregnancy loss 20 weeks or later after 

5 gestation, or if the age of the fetus is not known, 

6 then a fetus weighing 350 grams or more. 

7 ‘‘(j) AUTHORIZATION OF APPROPRIATIONS.—There 

8 is authorized to be appropriated to carry out this section, 

9 $3,000,000 for each of fiscal years 2014 through 2018.’’. 

10 SEC. 4. REPORT TO CONGRESS. 

11 Not later than 2 years after the date of enactment 

12 of this Act, the Secretary of Health and Human Services, 

13 acting through the Director of the Centers for Disease 

14 Control and Prevention and in consultation with the Di15 rector of the National Institutes of Health and the Admin16 istrator of the Health Resources and Services Administra17 tion, shall submit to Congress a report describing the 

18 progress made in implementing this Act (and the amend19 ments made by this Act). 

Æ 


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