IB 

Union Calendar No. 382 

111TH CONGRESS 

2D SESSION H. R. 5462 

[Report No. 111–642] 

To authorize the Secretary of Health and Human Services, acting through 

the Director of the Centers for Disease Control and Prevention, to 

establish and implement a birth defects prevention, risk reduction, and 

public awareness program. 

IN THE HOUSE OF REPRESENTATIVES 

MAY 28, 2010 

Ms. DELAURO (for herself, Mr. BURGESS, Mr. GENE GREEN of Texas, Mr. 

GRIJALVA, Mrs. CAPPS, Mrs. BLACKBURN, Ms. DEGETTE, Mr. 

COURTNEY, Ms. ESHOO, Mr. SARBANES, Mr. SESSIONS, Mr. GONZALEZ, 

Mr. RUSH, Mr. WEINER, Mrs. MCMORRIS RODGERS, Ms. SCHAKOWSKY, 

Ms. MOORE of Wisconsin, Ms. SUTTON, Mr. MARKEY of Massachusetts, 

Mr. MATHESON, Mr. BUTTERFIELD, Ms. NORTON, Mr. TERRY, and Ms. 

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

SEPTEMBER 28, 2010 

Additional sponsors: Mr. WELCH, Ms. MATSUI, Mr. SABLAN, Mr. MCNERNEY, 

Ms. CASTOR of Florida, Mr. HINCHEY, Mr. HALL of Texas, Mr. MURPHY

of Connecticut, Ms. SLAUGHTER, Mr. BARROW, Mr. CUELLAR, Ms. 

EDDIE BERNICE JOHNSON of Texas, Ms. ROYBAL-ALLARD, Mr. TOWNS, 

Mr. MCCAUL, Mr. KING of New York, Mr. KIRK, Mr. MILLER of North 

Carolina, Ms. LEE of California, Mr. DAVIS of Illinois, Mr. JACKSON of 

Illinois, Mr. MCDERMOTT, Ms. GIFFORDS, Mrs. CHRISTENSEN, Mr. 

BILBRAY, and Mr. LIPINSKI

SEPTEMBER 28, 2010 

Reported with amendments, committed to the Committee of the Whole House 

on the State of the Union, and ordered to be printed 

[Strike out all after the enacting clause and insert the part printed in italic] 

[For text of introduced bill, see copy of bill as introduced on May 28, 2010] 


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A BILL 

To authorize the Secretary of Health and Human Services, 

acting through the Director of the Centers for Disease 

Control and Prevention, to establish and implement a 

birth defects prevention, risk reduction, and public 

awareness program. 


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•HR 5462 RH

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 ‘‘Birth Defects Preven5 tion, Risk Reduction, and Awareness Act of 2010’’. 

6 SEC. 2. BIRTH DEFECTS PREVENTION, RISK REDUCTION, 

7 AND AWARENESS. 

8 (a) PROGRAM.—The Public Health Service Act (42 

9 U.S.C. 201 et seq.) is amended by inserting after section 

10 317T (42 U.S.C. 247b-22) the following new section: 

11 ‘‘SEC. 317U. BIRTH DEFECTS PREVENTION, RISK REDUC12 TION, AND AWARENESS. 

13 ‘‘(a) GRANT PROGRAM.—The Secretary shall establish 

14 and implement a birth defects prevention and public aware15 ness program to award grants to States or organizations 

16 for the provision of pregnancy and breastfeeding informa17 tion services. 

18 ‘‘(b) PREFERENCE.—In the case of States or organiza19 tions that are otherwise equally qualified, the Secretary, in 

20 awarding a grant under this section, shall give preference 

21 to— 

22 ‘‘(1) States that made pregnancy and 

23 breastfeeding information services available on Janu24 ary 1, 2006; and 


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1 ‘‘(2) organizations that will provide pregnancy 

2 and breastfeeding information services in such States. 

3 ‘‘(c) MATCHING FUNDS.—The Secretary may only 

4 award a grant under this section to a State or organization 

5 that agrees, with respect to the costs to be incurred in car6 rying out the grant activities, to make available (directly 

7 or through donations from public or private entities) non8 Federal funds toward such costs in an amount equal to not 

9 less than 25 percent of the amount of the grant. 

10 ‘‘(d) COORDINATION.—The Secretary shall ensure that 

11 activities carried out using a grant under this section are 

12 coordinated, to the maximum extent practicable, with other 

13 birth defects prevention and environmental health activities 

14 of the Federal Government, including activities carried out 

15 by the Health Resources and Services Administration and 

16 the Centers for Disease Control and Prevention with respect 

17 to pediatric environmental health specialty units and chil18 dren’s environmental health centers. 

19 ‘‘(e) EVALUATION.—In furtherance of the program es20 tablished under subsection (a), the Secretary shall provide 

21 for an evaluation of pregnancy and breastfeeding informa22 tion services to identify efficient and effective models of— 

23 ‘‘(1) providing information; 

24 ‘‘(2) raising awareness and increasing knowledge 

25 about birth defects prevention measures; 


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1 ‘‘(3) modifying risk behaviors; or 

2 ‘‘(4) other outcome measures as determined ap3 propriate by the Secretary. 

4 ‘‘(f) PREGNANCY AND BREASTFEEDING INFORMATION

5 SERVICES DEFINED.—For purposes of this section, the term 

6 ‘pregnancy and breastfeeding information services’ includes 

7 only— 

8 ‘‘(1) information services to provide accurate, 

9 evidence-based, clinical information regarding mater10 nal exposures during pregnancy or breastfeeding that 

11 may be associated with birth defects or other health 

12 risks to an infant that is breastfed, such as exposures 

13 to medications, chemicals, infections, foodborne patho14 gens, illnesses, nutrition, or lifestyle factors; 

15 ‘‘(2) the provision of accurate, evidence-based in16 formation weighing risks of exposures during 

17 breastfeeding against the benefits of breastfeeding; and 

18 ‘‘(3) the provision of information described in 

19 paragraph (1) or (2) through counselors, Web sites, 

20 fact sheets, telephonic or electronic communication, 

21 community outreach efforts, or other appropriate 

22 means. 

23 ‘‘(g) AUTHORIZATION OF APPROPRIATIONS.—To carry 

24 out this section, there are authorized to be appropriated 

25 $4,500,000 for fiscal year 2012, $5,500,000 for fiscal year 


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1 2013, $6,500,000 for fiscal year 2014, $7,500,000 for fiscal 

2 year 2015, and $8,500,000 for fiscal year 2016.’’. 

Amend the title so as to read: ‘‘A bill to amend title 

III of the Public Health Service Act to authorize the Secretary of Health and Human Services to establish and 

implement a birth defects prevention, risk reduction, and 

public awareness program.’’. 


srobinson on DSKHWCL6B1PROD with BILLS

srobinson on DSKHWCL6B1PROD with BILLS
Union Calendar No. 382 

111TH CONGRESS 

2D SESSION H. R. 5462 

[Report No. 111–642] 

A BILL 

To authorize the Secretary of Health and Human 

risk reduction, and public awareness program. tablish and implement a birth defects prevention, ters for Disease Control and Prevention, to esServices, acting through the Director of the CenSEPTEMBER 28, 2010 

Reported with amendments, committed to the Committee 

dered to be printed of the Whole House on the State of the Union, and orVerDate Mar 15 2010 21:55 Sep 28, 2010 Jkt 089200 PO 00000 Frm 00008 Fmt 6651 Sfmt 6651 E:\BILLS\H5462.RH H5462

srobinson on DSKHWCL6B1PROD with BILLS