I 

118TH CONGRESS 

1ST SESSION H. R. 5312 

To amend the Child Nutrition Act of 1966 to support women, infants, 

and children impacted by substance use disorder, and for other purposes. 

IN THE HOUSE OF REPRESENTATIVES 

AUGUST 29, 2023 

Ms. MANNING (for herself, Mr. THOMPSON of Pennsylvania, and Mr. TRONE) 

introduced the following bill; which was referred to the Committee on 

Education and the Workforce 

A BILL 

To amend the Child Nutrition Act of 1966 to support 

women, infants, and children impacted by substance use 

disorder, and for other purposes. 

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 ‘‘Supporting Healthy 

5 Mothers and Infants Act of 2023’’. 

6 SEC. 2. AMENDMENTS TO SPECIAL SUPPLEMENTAL NUTRI7 TION PROGRAM. 

8 (a) SPECIAL SUPPLEMENTAL NUTRITION PROGRAM

9 FOR WOMEN, INFANTS, AND CHILDREN.—Section 17 of 


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1 the Child Nutrition Act of 1966 (42 U.S.C. 1786) is 

2 amended— 

3 (1) in subsection (a), by striking ‘‘drug abuse’’ 

4 and inserting ‘‘substance use disorder’’; 

5 (2) in subsection (b)— 

6 (A) in paragraph (8), by striking ‘‘drug 

7 abuse’’ and inserting ‘‘substance use disorder’’; 

8 and 

9 (B) in paragraph (16)— 

10 (i) in the matter preceding subpara11 graph (A), by striking ‘‘Drug abuse edu12 cation’’ and inserting ‘‘Substance use dis13 order education’’; 

14 (ii) in subparagraph (A), by striking 

15 ‘‘dangers of drug abuse’’ and inserting 

16 ‘‘harm of substance use during pregnancy 

17 and lactation’’; and 

18 (iii) in subparagraph (B)— 

19 (I) by striking ‘‘are suspected 

20 drug abusers’’ and inserting ‘‘may 

21 have a substance use disorder’’; 

22 (II) by striking ‘‘drug abuse clin23 ics,’’; and 


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1 (III) by striking ‘‘drug abuse 

2 professionals’’ and inserting ‘‘re3 sources’’; 

4 (3) in subsection (e)— 

5 (A) in paragraph (1)— 

6 (i) by striking ‘‘drug abuse’’ each 

7 place it appears and inserting ‘‘substance 

8 use disorder’’; and 

9 (ii) by striking ‘‘effects of drug’’ and 

10 inserting ‘‘effects of a substance use dis11 order’’; and 

12 (B) in paragraph (5), by striking ‘‘sub13 stance abuse’’ and inserting ‘‘substance use dis14 order’’; 

15 (4) in subsection (f)— 

16 (A) in paragraph (1)(C)(ix), by striking 

17 ‘‘drugs’’ and inserting ‘‘illicit or other harmful 

18 substances’’; and 

19 (B) in paragraph (13), by striking ‘‘drug 

20 abuse education’’ and inserting ‘‘substance use 

21 disorder education’’; 

22 (5) in subsection (k)(1)— 

23 (A) by striking ‘‘1 member’’ and inserting 

24 ‘‘one member’’; and 


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1 (B) by striking ‘‘drug abuse’’ and inserting 

2 ‘‘substance use disorder’’; and 

3 (6) by redesignating subsections (l) through (q) 

4 as subsections (m) through (r), respectively, and by 

5 inserting after subsection (k) the following: 

6 ‘‘(l) ACTIVITIES TO SUPPORT WIC-ELIGIBLE INDI7 VIDUALS IMPACTED BY SUBSTANCE USE DISORDER.— 

8 ‘‘(1) IN GENERAL.—The Secretary shall— 

9 ‘‘(A) develop and disseminate nutrition 

10 education materials for individuals eligible for 

11 the program; and 

12 ‘‘(B) conduct outreach to individuals who 

13 are potentially eligible for the program and who 

14 are impacted by a substance use disorder. 

15 ‘‘(2) PURPOSE.—The purpose of this subsection 

16 is to ensure that individuals participating in the pro17 gram who are impacted by a substance use disorder 

18 receive accurate nutrition education from trained 

19 staff in an effective and unbiased manner. 

20 ‘‘(3) NUTRITION EDUCATION MATERIALS.— 

21 ‘‘(A) IN GENERAL.—The Secretary shall 

22 collaborate with the Secretary of Health and 

23 Human Services to develop appropriate evi24 dence-based nutrition education materials for 


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1 individuals impacted by a substance use dis2 order, including— 

3 ‘‘(i) nutrition education materials for 

4 individuals with substance use disorder 

5 during pregnancy and in the postpartum 

6 period; and 

7 ‘‘(ii) nutrition education materials for 

8 infants impacted by prenatal substance ex9 posure and neonatal abstinence syndrome. 

10 ‘‘(B) EDUCATIONAL MATERIALS UP11 DATE.—The materials developed pursuant to 

12 subparagraph (A) shall be included in the edu13 cational materials developed under paragraph 

14 (15) of section 515(b) of the Public Health 

15 Service Act (42 U.S.C. 290bb–21(b)) and guid16 ance issued under section 1005 of the SUP17 PORT for Patients and Communities Act (42 

18 U.S.C. 1396a note). 

19 ‘‘(4) NUTRITION EDUCATION CLEARING20 HOUSE.—The Secretary shall make available to all 

21 State agencies through an online clearinghouse any 

22 nutrition education and training materials related to 

23 nutrition for individuals impacted by a substance use 

24 disorder or neonatal abstinence syndrome that have 

25 been produced by the Secretary or the Secretary of 


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1 Health and Human Services (or produced by a State 

2 agency and approved by the Secretary), including 

3 educational materials developed under paragraph 

4 (15) of section 515(b) of the Public Health Service 

5 Act (42 U.S.C. 290bb–21(b)) and guidance issued 

6 under section 1005 of the SUPPORT for Patients 

7 and Communities Act (42 U.S.C. 1396a note). 

8 ‘‘(5) AUTHORIZATION OF APPROPRIATIONS.— 

9 There are authorized to be appropriated to carry out 

10 this subsection $1,000,000 for fiscal year 2024, to 

11 remain available until expended.’’. 

12 (b) CONFORMING AMENDMENTS.—Section 17(q) of 

13 the Child Nutrition Act of 1966 (42 U.S.C. 1786(q)), as 

14 redesignated by subsection (a) is amended— 

15 (1) in paragraph (1), by striking ‘‘subsection 

16 (o)(1)(A)’’ and inserting ‘‘subsection (p)(1)(A)’’; and 

17 (2) in paragraph (2)(B), by striking ‘‘sub18 section (o)(1)(A)’’ and inserting ‘‘subsection 

19 (p)(1)(A)’’. 

Æ 


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