I 

118TH CONGRESS 

1ST SESSION H. R. 5458 

To direct the Patient Center Outcome Research Institute to prepare and 

release a report on home cardiorespiratory monitors for infants, and 

for other purposes. 

IN THE HOUSE OF REPRESENTATIVES 

SEPTEMBER 14, 2023 

Mr. YAKYM introduced the following bill; which was referred to the Committee 

on Energy and Commerce, and in addition to the Committee on Ways 

and Means, for a period to be subsequently determined by the Speaker, 

in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned 

A BILL 

To direct the Patient Center Outcome Research Institute 

to prepare and release a report on home cardiorespiratory monitors for infants, 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 ‘‘Baby Observation Act’’ 

5 or ‘‘BO’s Act’’. 


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•HR 5458 IH

1 SEC. 2. STUDY ON HOME CARDIORESPIRATORY MONITORS 

2 FOR INFANTS. 

3 (a) IN GENERAL.—Not later than 15 months after 

4 the date of the enactment of this Act and in accordance 

5 with paragraphs (8) and (9) of section 1181(d) of the So6 cial Security Act (42 U.S.C. 1320e(d)), the Patient-Cen7 tered Outcomes Research Institute established pursuant 

8 to subsection (b) of such section shall make publicly avail9 able a study and report on home cardiorespiratory mon10 itors, including— 

11 (1) a review of the literature on, and a data 

12 analysis of, best practices to reduce or prevent sleep13 related sudden infant death syndrome or sudden un14 expected infant death (as such terms are defined in 

15 section 1121(e)(1) of the Public Health Service Act 

16 (42 U.S.C. 300c–11(e))); 

17 (2) a description of— 

18 (A) the available evidence on the effective19 ness, performance, and accuracy of home car20 diorespiratory monitors that track the heart 

21 rate, blood oxygen levels, and other vital signs 

22 of an infant; and 

23 (B) new models of care to improve the 

24 home sleeping environment of an infant, includ25 ing the use of cardiorespiratory monitors; 


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•HR 5458 IH

1 (3) health care plan criteria for medically ap2 propriate coverage for a home cardiorespiratory 

3 monitor; and 

4 (4) recommendations on whether home cardio5 respiratory monitors have shown product efficacy 

6 supporting coverage under an employer-sponsored 

7 health care plan, a qualified health plan offered 

8 through an Exchange established pursuant to title I 

9 of the Patient Protection and Affordable Care Act, 

10 the Medicaid program established under title XIX of 

11 the Social Security Act, and CHIP plans under title 

12 XXI of the Social Security Act. 

13 (b) DEFINITIONS.—In this Act: 

14 (1) HOME CARDIORESPIRATORY MONITOR.— 

15 The term ‘‘home cardiorespiratory monitor’’ means a 

16 medical device used in the home to track the res17 piratory effort and heart rate of a sleeping infant. 

18 (2) INFANT.—The term ‘‘infant’’ means a per19 son under 2 years of age. 

20 (c) FUNDING.—The trustee of the Patient-Centered 

21 Outcomes Research Trust Fund (as described in section 

22 9511 of the Internal Revenue Code) shall provide from 

23 such trust fund such funds as may be required to carry 

24 out the study under subsection (a). 

Æ 


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