In the House of Representatives, U. S., 

November 12, 2013. 

Resolved, That the bill from the Senate (S. 252) 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. TABLE OF CONTENTS. 

2 The table of contents for this Act is as follows: 

Sec. 1. Table of contents. 

TITLE I—PREEMIE ACT REAUTHORIZATION 

Sec. 101. Short title. 

Sec. 102. Research and activities at the Centers for Disease Control and Prevention. 

Sec. 103. Activities at the Health Resources and Services Administration. 

Sec. 104. Other activities. 

TITLE II—NATIONAL PEDIATRIC RESEARCH NETWORK 

Sec. 201. Short title. 

Sec. 202. National Pediatric Research Network. 

TITLE III—CHIMP ACT AMENDMENTS 

Sec. 301. Short title. 

Sec. 302. Care for NIH chimpanzees. 
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1 TITLE I—PREEMIE ACT 

2 REAUTHORIZATION 

3 SEC. 101. SHORT TITLE. 

4 This title may be cited as the ‘‘Prematurity Research 

5 Expansion and Education for Mothers who deliver Infants 

6 Early Reauthorization Act’’ or the ‘‘PREEMIE Reauthor7 ization Act’’. 

8 SEC. 102. RESEARCH AND ACTIVITIES AT THE CENTERS FOR 

9 DISEASE CONTROL AND PREVENTION. 

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

11 Prematurity Research Expansion and Education for Moth12 ers who deliver Infants Early Act (42 U.S.C. 247b–4f) is 

13 amended by striking subsection (b) and inserting the fol14 lowing: 

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

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

17 Human Services, acting through the Director of the 

18 Centers for Disease Control and Prevention, may, 

19 subject to the availability of appropriations— 

20 ‘‘(A) conduct epidemiological studies on the 

21 clinical, biological, social, environmental, ge22 netic, and behavioral factors relating to pre23 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 ‘‘$5,000,000’’ and all that follows 

20 through ‘‘2011.’’ and inserting ‘‘$1,880,000 for each of fiscal 

21 years 2014 through 2018.’’. 

22 SEC. 103. ACTIVITIES AT THE HEALTH RESOURCES AND 

23 SERVICES ADMINISTRATION. 

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

25 Section 330I(i)(1)(B) of the Public Health Service Act (42 
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1 U.S.C. 254c–14(i)(1)(B)) is amended by striking ‘‘or case 

2 management services’’ and inserting ‘‘case management 

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

4 (b) PUBLIC AND HEALTH CARE PROVIDER EDU5 CATION.—Section 399Q of the Public Health Service Act 

6 (42 U.S.C. 280g–5) is amended— 

7 (1) in subsection (b)— 

8 (A) in paragraph (1), by striking subpara9 graphs (A) through (F) and inserting the fol10 lowing: 

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

12 and delivery; 

13 ‘‘(B) medically indicated deliveries before 

14 full term; 

15 ‘‘(C) the importance of preconception and 

16 prenatal care, including— 

17 ‘‘(i) smoking cessation; 

18 ‘‘(ii) weight maintenance and good nu19 trition, including folic acid; 

20 ‘‘(iii) the screening for and the treat21 ment of infections; and 

22 ‘‘(iv) stress management; 

23 ‘‘(D) treatments and outcomes for pre24 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 ‘‘$5,000,000’’ 

17 and all that follows through ‘‘2011.’’ and inserting 

18 ‘‘$1,900,000 for each of fiscal years 2014 through 

19 2018.’’. 

20 SEC. 104. OTHER ACTIVITIES. 

21 (a) INTERAGENCY COORDINATING COUNCIL ON PRE22 MATURITY AND LOW BIRTHWEIGHT.—The Prematurity Re23 search Expansion and Education for Mothers who deliver 

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

25 U.S.C. 247b–4g). 
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1 (b) ADVISORY COMMITTEE ON INFANT MORTALITY.— 

2 (1) ESTABLISHMENT.—The Secretary of Health 

3 and Human Services (referred to in this section as 

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

5 known as the ‘‘Advisory Committee on Infant Mor6 tality’’ (referred to in this section as the ‘‘Advisory 

7 Committee’’). 

8 (2) DUTIES.—The Advisory Committee shall pro9 vide advice and recommendations to the Secretary 

10 concerning the following activities: 

11 (A) Programs of the Department of Health 

12 and Human Services that are directed at reduc13 ing infant mortality and improving the health 

14 status of pregnant women and infants. 

15 (B) Strategies to coordinate the various 

16 Federal programs and activities with State, 

17 local, and private programs and efforts that ad18 dress factors that affect infant mortality. 

19 (C) Implementation of the Healthy Start 

20 program under section 330H of the Public 

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

22 Healthy People 2020 infant mortality objectives. 

23 (D) Strategies to reduce preterm birth rates 

24 through research, programs, and education. 
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1 (3) PLAN FOR HHS PRETERM BIRTH ACTIVI2 TIES.—Not later than 1 year after the date of enact3 ment of this section, the Advisory Committee (or an 

4 advisory committee in existence as of the date of en5 actment of this Act and designated by the Secretary) 

6 shall develop a plan for conducting and supporting 

7 research, education, and programs on preterm birth 

8 through the Department of Health and Human Serv9 ices and shall periodically review and revise the plan, 

10 as appropriate. The plan shall— 

11 (A) examine research and educational ac12 tivities that receive Federal funding in order to 

13 enable the plan to provide informed rec14 ommendations to reduce preterm birth and ad15 dress racial and ethnic disparities in preterm 

16 birth rates; 

17 (B) identify research gaps and opportuni18 ties to implement evidence-based strategies to re19 duce preterm birth rates among the programs 

20 and activities of the Department of Health and 

21 Human Services regarding preterm birth, in22 cluding opportunities to minimize duplication; 

23 and 
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1 (C) reflect input from a broad range of sci2 entists, patients, and advocacy groups, as appro3 priate. 

4 (4) MEMBERSHIP.—The Secretary shall ensure 

5 that the membership of the Advisory Committee in6 cludes the following: 

7 (A) Representatives provided for in the 

8 original charter of the Advisory Committee. 

9 (B) A representative of the National Center 

10 for Health Statistics. 

11 (c) PATIENT SAFETY STUDIES AND REPORT.— 

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

13 an appropriate agency within the Department of 

14 Health and Human Services to coordinate existing 

15 studies on hospital readmissions of preterm infants. 

16 (2) REPORT TO SECRETARY AND CONGRESS.— 

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

18 of this Act, the agency designated under paragraph 

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

20 report containing the findings and recommendations 

21 resulting from the studies coordinated under such 

22 paragraph, including recommendations for hospital 

23 discharge and followup procedures designed to reduce 

24 rates of preventable hospital readmissions for preterm 

25 infants. 
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1 TITLE II—NATIONAL PEDIATRIC 

2 RESEARCH NETWORK 

3 SEC. 201. SHORT TITLE. 

4 This title may be cited as the ‘‘National Pediatric Re5 search Network Act of 2013’’. 

6 SEC. 202. NATIONAL PEDIATRIC RESEARCH NETWORK. 

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

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

9 is amended— 

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

11 (f); and 

12 (2) by inserting after subsection (c) the fol13 lowing: 

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

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

16 the Director of NIH, in consultation with the Director 

17 of the Eunice Kennedy Shriver National Institute of 

18 Child Health and Human Development and in col19 laboration with other appropriate national research 

20 institutes and national centers that carry out activi21 ties involving pediatric research, may provide for the 

22 establishment of a National Pediatric Research Net23 work in order to more effectively support pediatric re24 search and optimize the use of Federal resources. Such 
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1 National Pediatric Research Network may be com2 prised of, as appropriate— 

3 ‘‘(A) the pediatric research consortia receiv4 ing awards under paragraph (2); or 

5 ‘‘(B) other consortia, centers, or networks fo6 cused on pediatric research that are recognized 

7 by the Director of NIH and established pursuant 

8 to the authorities vested in the National Insti9 tutes of Health by other sections of this Act. 

10 ‘‘(2) PEDIATRIC RESEARCH CONSORTIA.— 

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

12 may award funding, including through grants, 

13 contracts, or other mechanisms, to public or pri14 vate nonprofit entities for providing support for 

15 pediatric research consortia, including with re16 spect to— 

17 ‘‘(i) basic, clinical, behavioral, or 

18 translational research to meet unmet needs 

19 for pediatric research; and 

20 ‘‘(ii) training researchers in pediatric 

21 research techniques in order to address 

22 unmet pediatric research needs. 

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

24 shall, as appropriate, ensure that— 
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1 ‘‘(i) each consortium receiving an 

2 award under subparagraph (A) conducts or 

3 supports at least one category of research 

4 described in subparagraph (A)(i) and collec5 tively such consortia conduct or support 

6 such categories of research; and 

7 ‘‘(ii) one or more such consortia pro8 vide training described in subparagraph 

9 (A)(ii). 

10 ‘‘(C) ORGANIZATION OF CONSORTIUM.— 

11 Each consortium receiving an award under sub12 paragraph (A) shall— 

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

14 cooperating institutions; 

15 ‘‘(ii) be coordinated by a lead institu16 tion or institutions; 

17 ‘‘(iii) agree to disseminate scientific 

18 findings, including from clinical trials, rap19 idly and efficiently, as appropriate, to— 

20 ‘‘(I) other consortia; 

21 ‘‘(II) the National Institutes of 

22 Health; 

23 ‘‘(III) the Food and Drug Admin24 istration; 
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1 ‘‘(IV) and other relevant agencies; 

2 and 

3 ‘‘(iv) meet such requirements as may 

4 be prescribed by the Director of NIH. 

5 ‘‘(D) 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 ‘‘(E) DURATION OF SUPPORT.—Support of 

12 a consortium under subparagraph (A) may be 

13 for a period of not to exceed 5 years. Such period 

14 may be extended at the discretion of the Director 

15 of NIH. 

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

18 ‘‘(A) provide for the coordination of activi19 ties (including the exchange of information and 

20 regular communication) among the consortia es21 tablished pursuant to paragraph (2); and 

22 ‘‘(B) require the periodic preparation and 

23 submission to the Director of reports on the ac24 tivities of each such consortium. 
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1 ‘‘(4) ASSISTANCE WITH REGISTRIES.—Each con2 sortium receiving an award under paragraph (2)(A) 

3 may provide assistance, as appropriate, to the Centers 

4 for Disease Control and Prevention for activities re5 lated to patient registries and other surveillance sys6 tems upon request by the Director of the Centers for 

7 Disease Control and Prevention. 

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) consider pediatric rare diseases or condi14 tions, or those related to birth defects; and 

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

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

17 prevention, diagnosis, or treatment of one or more pe18 diatric rare diseases or conditions.’’. 

19 TITLE III—CHIMP ACT 

20 AMENDMENTS 

21 SEC. 301. SHORT TITLE. 

22 This title may be cited as the ‘‘CHIMP Act Amend23 ments of 2013’’. 
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1 SEC. 302. CARE FOR NIH CHIMPANZEES. 

2 (a) IN GENERAL.—Section 404K(g) of the Public 

3 Health Service Act (42 U.S.C. 283m(g)) is amended— 

4 (1) by amending paragraph (1) to read as fol5 lows: 

6 ‘‘(1) IN GENERAL.—Of the amount appropriated 

7 for the National Institutes of Health, there are au8 thorized to be appropriated to carry out this section 

9 and for the care, maintenance, and transportation of 

10 all chimpanzees otherwise under the ownership or 

11 control of the National Institutes of Health, and to 

12 enable the National Institutes of Health to operate 

13 more efficiently and economically by decreasing the 

14 overall Federal cost of providing for the care, mainte15 nance, and transportation of chimpanzees — 

16 ‘‘(A) for fiscal year 2014, $12,400,000; 

17 ‘‘(B) for fiscal year 2015, $11,650,000; 

18 ‘‘(C) for fiscal year 2016, $10,900,000; 

19 ‘‘(D) for fiscal year 2017, $10,150,000; and 

20 ‘‘(E) for fiscal year 2018, $9,400,000.’’; and 

21 (2) by striking paragraph (2); 

22 (3) by redesignating paragraph (3) as para23 graph (2); and 

24 (4) in paragraph (2), as so redesignated— 

25 (A) by striking ‘‘With respect to amounts 

26 reserved under paragraph (1)’’ and inserting 
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1 ‘‘With respect to amounts authorized to be ap2 propriated by paragraph (1)’’; and 

3 (B) by striking ‘‘board of directors’’ and in4 serting ‘‘Secretary in consultation with the board 

5 of directors’’. 

6 (b) GAO STUDY.—Not later than 2 years after the date 

7 of enactment of this Act, the Comptroller General of the 

8 United States shall conduct an independent evaluation, and 

9 submit to the appropriate committees of Congress a report, 

10 regarding chimpanzees under the ownership or control the 

11 National Institutes of Health. Such report shall review and 

12 assess— 

13 (1) the research status of such chimpanzees; 

14 (2) the cost for the care, maintenance, and trans15 portation of such chimpanzees, including the cost bro16 ken down by— 

17 (A) research or retirement status; 

18 (B) services included in the care, mainte19 nance, and transportation; and 

20 (C) location; 

21 (3) the extent to which matching requirements 

22 have been met pursuant to section 404K(e)(4) of the 

23 Public Health Service Act (42 U.S.C. 283m(e)(4)); 

24 and 
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1 (4) any options for cost savings for the support 

2 and maintenance of such chimpanzees. 

3 (c) BIENNIAL REPORT.—Section 404K(g) of the Public 

4 Health Service Act (42 U.S.C. 283m(g)) is amended by add5 ing at the end the following: 

6 ‘‘(3) BIENNIAL REPORT.—Not later than 180 

7 days after the date enactment of this Act, the Director 

8 of the National Institutes of Health shall submit to 

9 the Committee on Health, Education, Labor, and 

10 Pensions and the Committee on Appropriations of the 

11 Senate and the Committee on Energy and Commerce 

12 and the Committee on Appropriations in the House 

13 of Representatives a report, to be updated biennially, 

14 regarding— 

15 ‘‘(A) the care, maintenance, and transpor16 tation of the chimpanzees under the ownership or 

17 control of the National Institutes of Health; 

18 ‘‘(B) costs related to such care, mainte19 nance, and transportation, and any other related 

20 costs; and 

21 ‘‘(C) the research status of such chim22 panzees.’’. 
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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, and to 

reduce infant mortality caused by prematurity, and for 

other purposes.’’. 

Attest: 

Clerk. 
113TH CONGRESS 

1ST SESSION S. 252 

AMENDMENTS