292 
velop a uniform, comprehensive case abstraction 
form and make such form available to States for 
State maternal mortality review committees for use 
by such committees in order to— 
‘‘(A) ensure that the cases and information 
collected and reviewed by such committees can 
be pooled for review by the Department of 
Health and Human Services and its agencies; 
and 
‘‘(B) preserve the uniformity of the infor-
mation and its use for Federal public health 
purposes. 
‘‘(2) PERMISSIBLE
STATE
MODIFICATION.— 
Each State may modify the form developed under 
paragraph (1) for implementation and use by such 
State or by the State maternal mortality review com-
mittee of such State by including on such form addi-
tional information to be collected, but may not alter 
the standard questions on such form, in order to en-
sure that the information can be collected and re-
viewed centrally at the Federal level. 
‘‘(d) TREATMENT AS PUBLIC HEALTH AUTHORITY 
FOR PURPOSES OF HIPAA.—For purposes of applying 
HIPAA privacy and security law (as defined in section 
3009(a)(2) of the Public Health Service Act), a State ma-
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ternal mortality review committee of a State established 
pursuant to this section to carry out activities described 
in subsection (b)(2)(A) shall be deemed to be a public 
health authority described in section 164.501 (and ref-
erenced in section 164.512(b)(1)(i)) of title 45, Code of 
Federal Regulations (or any successor regulation), car-
rying out public health activities and purposes described 
in such section 164.512(b)(1)(i) (or any such successor 
regulation). 
‘‘(e) PUBLIC DISCLOSURE OF INFORMATION.— 
‘‘(1) IN GENERAL.—For fiscal year 2012 or a 
subsequent fiscal year, each State receiving a grant 
under this section for such year shall, subject to 
paragraph (3), provide for the public disclosure, and 
submission to the information clearinghouse estab-
lished under paragraph (2), of the information in-
cluded in the report of the State under section 
506(a)(2)(F) for such year (relating to the findings 
for such year of the State maternal mortality review 
committee established by the State under this sec-
tion). 
‘‘(2) 
INFORMATION
CLEARINGHOUSE.—The 
Secretary of Health and Human Services shall es-
tablish an information clearinghouse, that shall be 
administered by the Director of the Centers for Dis-
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294 
ease Control and Prevention, that will maintain find-
ings and recommendations submitted pursuant to 
paragraph (1) and provide such findings and rec-
ommendations for public review and research pur-
poses by State health departments, maternal mor-
tality review committees, and health providers and 
institutions. 
‘‘(3) CONFIDENTIALITY OF INFORMATION.—In 
no case shall any individually identifiable health in-
formation be provided to the public, or submitted to 
the information clearinghouse, under paragraph (1). 
‘‘(f) CONFIDENTIALITY
OF
REVIEW
COMMITTEE 
PROCEEDINGS.— 
‘‘(1) IN GENERAL.—All proceedings and activi-
ties of a State maternal mortality review committee 
under this section, opinions of members of such a 
committee formed as a result of such proceedings 
and activities, and records obtained, created, or 
maintained pursuant to this section, including 
records of interviews, written reports, and state-
ments procured by the Department of Health and 
Human Services or by any other person, agency, or 
organization acting jointly with the Department, in 
connection with morbidity and mortality reviews 
under this section, shall be confidential, and not sub-
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ject to discovery, subpoena, or introduction into evi-
dence in any civil, criminal, legislative, or other pro-
ceeding. Such records shall not be open to public in-
spection. 
‘‘(2) TESTIMONY
OF
MEMBERS
OF
COM-
MITTEE.— 
‘‘(A) IN GENERAL.—Members of a State 
maternal mortality review committee under this 
section may not be questioned in any civil, 
criminal, legislative, or other proceeding regard-
ing information presented in, or opinions 
formed as a result of, a meeting or communica-
tion of the committee. 
‘‘(B) CLARIFICATION.—Nothing in this 
subsection shall be construed to prevent a mem-
ber of such a committee from testifying regard-
ing information that was obtained independent 
of such member’s participation on the com-
mittee, or that is public information. 
‘‘(3) AVAILABILITY OF INFORMATION FOR RE-
SEARCH
PURPOSES.—Nothing in this subsection 
shall prohibit the publishing by such a committee or 
the Department of Health and Human Services of 
statistical compilations and research reports that— 
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‘‘(A) are based on confidential information, 
relating to morbidity and mortality review; and 
‘‘(B) do not contain identifying informa-
tion or any other information that could be 
used to ultimately identify the individuals con-
cerned. 
‘‘(g) DEFINITIONS.—For purposes of this section: 
‘‘(1) The term ‘pregnancy-associated death’ 
means the death of a woman while pregnant or dur-
ing the one-year period following the date of the end 
of pregnancy, irrespective of the cause of such death. 
‘‘(2) The term ‘pregnancy-related death’ means 
the death of a woman while pregnant or during the 
one-year period following the date of the end of 
pregnancy, irrespective of the duration or site of the 
pregnancy, from any cause related to or aggravated 
by the pregnancy or its management, but not from 
any accidental or incidental cause. 
‘‘(3) The term ‘woman of childbearing age’ 
means a woman who is at least 10 years of age and 
not more than 54 years of age.’’. 
(b) INCLUSION OF FINDINGS OF REVIEW COMMIT-
TEES IN REQUIRED REPORTS.— 
(1) STATE
TRIENNIAL
REPORTS.—Paragraph 
(2) of section 506(a) of such Act (42 U.S.C. 706(a)) 
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is amended by inserting after subparagraph (E) the 
following new subparagraph: 
‘‘(F) In the case of a State receiving a 
grant under section 514, beginning for the first 
fiscal year beginning after 3 years after the 
date of establishment of the State maternal 
mortality review committee established by the 
State pursuant to such grant and once every 3 
years thereafter, information containing the 
findings and recommendations of such com-
mittee and information on the implementation 
of such recommendations during the period in-
volved.’’. 
(2) ANNUAL
REPORTS
TO
CONGRESS.—Para-
graph (3) of such section is amended— 
(A) in subparagraph (D), at the end, by 
striking ‘‘and’’; 
(B) in subparagraph (E), at the end, by 
striking the period and inserting ‘‘; and’’; and 
(C) by adding at the end the following new 
subparagraph: 
‘‘(F) For fiscal year 2012 and each subse-
quent fiscal year, taking into account the find-
ings, recommendations, and implementation in-
formation submitted by States pursuant to 
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paragraph (2)(F), on the status of pregnancy- 
related deaths and pregnancy-associated deaths 
in the United States and including rec-
ommendations on methods to prevent such 
deaths in the United States.’’. 
SEC. 
506. 
ELIMINATING 
DISPARITIES 
IN 
MATERNITY 
HEALTH OUTCOMES. 
Part B of title III of the Public Health Service Act 
is amended by inserting after section 317V, as added, the 
following new section: 
‘‘SEC. 317W. ELIMINATING DISPARITIES IN MATERNITY 
HEALTH OUTCOMES. 
‘‘(a) IN GENERAL.—The Secretary shall, in consulta-
tion with relevant national stakeholder organizations, such 
as national medical specialty organizations, national ma-
ternal child health organizations, and national health dis-
parity organizations, carry out the following activities to 
eliminate disparities in maternal health outcomes: 
‘‘(1) Conduct research into the determinants 
and the distribution of disparities in maternal care, 
health risks, and health outcomes, and improve the 
capacity of the performance measurement infrastruc-
ture to measure such disparities. 
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‘‘(2) Expand access to services that have been 
demonstrated to improve the quality and outcomes 
of maternity care for vulnerable populations. 
‘‘(3) Establish a demonstration project to com-
pare the effectiveness of interventions to reduce dis-
parities in maternity services and outcomes, and im-
plement and assess effective interventions. 
‘‘(b) SCOPE AND SELECTION OF STATES FOR DEM-
ONSTRATION
PROJECT.—The 
demonstration 
project 
under subsection (a)(3) shall be conducted in no more 
than 8 States, which shall be selected by the Secretary 
based on— 
‘‘(1) applications submitted by States, which 
specify which regions and populations the State in-
volved will serve under the demonstration project; 
‘‘(2) criteria designed by the Secretary to en-
sure that, as a whole, the demonstration project is, 
to the greatest extent possible, representative of the 
demographic and geographic composition of commu-
nities most affected by disparities; 
‘‘(3) criteria designed by the Secretary to en-
sure that a variety of type of models are tested 
through the demonstration project and that such 
models include interventions that have an existing 
evidence base for effectiveness; and 
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‘‘(4) criteria designed by the Secretary to as-
sure that the demonstration projects and models will 
be carried out in consultation with local and regional 
provider organizations, such as community health 
centers, hospital systems, and medical societies rep-
resenting providers of maternity services. 
‘‘(c) DURATION
OF DEMONSTRATION PROJECT.— 
The demonstration project under subsection (a)(3) shall 
begin on January 1, 2012, and end on December 31, 
2016. 
‘‘(d) GRANTS FOR EVALUATION AND MONITORING.— 
The Secretary may make grants to States and health care 
providers participating in the demonstration project under 
subsection (a)(3) for the purpose of collecting data nec-
essary for the evaluation and monitoring of such project. 
‘‘(e) REPORTS.— 
‘‘(1) STATE REPORTS.—Each State that par-
ticipates in the demonstration project under sub-
section (a)(3) shall report to the Secretary, in a 
time, form, and manner specified by the Secretary, 
the data necessary to— 
‘‘(A) monitor the— 
‘‘(i) outcomes of the project; 
‘‘(ii) costs of the project; and 
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‘‘(iii) quality of maternity care pro-
vided under the project; and 
‘‘(B) evaluate the rationale for the selec-
tion of the items and services included in any 
bundled payment made by the State under the 
project. 
‘‘(2) FINAL REPORT.—Not later than December 
31, 2017, the Secretary shall submit to Congress a 
report on the results of the demonstration project 
under subsection (a)(3).’’. 
SEC. 507. DECREASING THE RISK FACTORS FOR SUDDEN 
UNEXPECTED INFANT DEATH AND SUDDEN 
UNEXPLAINED DEATH IN CHILDHOOD. 
(a) ESTABLISHMENT.—The Secretary of Health and 
Human Services acting through the Administrator of the 
Health Resources and Services Administration and in con-
sultation with the Director of the Centers for Disease Con-
trol and Prevention and the Director of the National Insti-
tutes of Health (in this section referred to as the ‘‘Sec-
retary’’) shall establish and implement a culturally com-
petent public health awareness and education campaign 
to provide information that is focused on decreasing the 
risk factors for sudden unexpected infant death and sud-
den unexplained death in childhood, including educating 
individuals about safe sleep environments, sleep positions, 
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and reducing exposure to smoking during pregnancy and 
after birth. 
(b) TARGETED POPULATIONS.—The campaign under 
subsection (a) shall be designed to reduce health dispari-
ties through the targeting of populations with high rates 
of sudden unexpected infant death and sudden unex-
plained death in childhood. 
(c) CONSULTATION.—In establishing and imple-
menting the campaign under subsection (a), the Secretary 
shall consult with national organizations representing 
health care providers, including nurses and physicians, 
parents, child care providers, children’s advocacy and safe-
ty organizations, maternal and child health programs and 
women’s, infants, and children nutrition professionals, and 
other individuals and groups determined necessary by the 
Secretary for such establishment and implementation. 
(d) GRANTS.— 
(1) IN
GENERAL.—In carrying out the cam-
paign under subsection (a), the Secretary shall 
award grants to national organizations, State and 
local health departments, and community-based or-
ganizations for the conduct of education and out-
reach programs for nurses, parents, child care pro-
viders, public health agencies, and community orga-
nizations. 
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(2) APPLICATION.—To be eligible to receive a 
grant under paragraph (1), an entity shall submit to 
the Secretary an application at such time, in such 
manner, and containing such information as the Sec-
retary may require. 
(e) AUTHORIZATION OF APPROPRIATIONS.—There is 
authorized to be appropriated to carry out this section 
such sums as may be necessary for each of fiscal years 
2012 through 2016. 
SEC. 508. REDUCING TEENAGE PREGNANCIES. 
Title III of the Public Health Service Act (42 U.S.C. 
241 et seq.) is amended by adding at the end the following 
new part: 
‘‘PART W—YOUTH PREGNANCY PREVENTION 
PROGRAMS 
‘‘SEC. 399OO. PURPOSE. 
‘‘It is the purpose of this part to develop and carry 
out research and demonstration projects on new and exist-
ing program interventions to provide youth in racial or 
ethnic minority or immigrant communities the information 
and skills needed to reduce teenage pregnancies, build 
healthy relationships, and improve overall health and well- 
being. 
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‘‘SEC. 399OO–1. DEMONSTRATION GRANTS TO REDUCE 
TEENAGE PREGNANCIES. 
‘‘(a) IN GENERAL.—The Secretary shall award com-
petitive grants to eligible entities for establishing or ex-
panding programs to provide youth in racial or ethnic mi-
nority or immigrant communities the information and 
skills needed to avoid teenage pregnancy and develop 
healthy relationships. 
‘‘(b) PRIORITY.—In awarding grants under this sec-
tion, the Secretary shall give priority to applicants— 
‘‘(1) proposing to carry out projects in racial or 
ethnic minority or immigrant communities; 
‘‘(2) that have a demonstrated history of effec-
tively working with such targeted communities; or 
‘‘(3) that have a demonstrated history of engag-
ing in a meaningful and significant partnership with 
such targeted communities. 
‘‘(c) 
PROGRAM
SETTINGS.—Programs 
funded 
through a grant under subsection (a) shall be provided— 
‘‘(1) through classroom-based settings, such as 
school health education, humanities, language arts, 
or family and consumer science education; after- 
school programs; community-based programs; work-
force development programs; and health care set-
tings; or 
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‘‘(2) in collaboration with systems that serve 
large numbers of at-risk youth such as juvenile jus-
tice or foster care systems. 
‘‘(d) PROJECT REQUIREMENTS.—As a condition of 
receipt of a grant under this section, an entity shall agree 
that, with respect to information and skills provided 
through the grant— 
‘‘(1) such information and skills will be— 
‘‘(A) age-appropriate; 
‘‘(B) evidence-based or evidence-informed; 
‘‘(C) provided in accordance with section 
399OO–5(b); and 
‘‘(D) culturally sensitive and relevant to 
the target populations; and 
‘‘(2) any information provided about contracep-
tives shall include the health benefits and side ef-
fects of all contraceptives and barrier methods. 
‘‘(e) EVALUATION.—Of the total amount made avail-
able to carry out this section for a fiscal year, the Sec-
retary, acting through the Director of the Centers for Dis-
ease Control and Prevention and other agencies as appro-
priate, shall allot up to 10 percent of such amount to carry 
out a rigorous, independent evaluation to determine the 
extent and the effectiveness of activities funded through 
this section during such fiscal year in changing attitudes 
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and behavior of teenagers with respect to healthy relation-
ships and childbearing. 
‘‘(f) GRANTS FOR INDIAN TRIBES OR TRIBAL ORGA-
NIZATIONS.—Of the total amount made available to carry 
out this section for a fiscal year, the Secretary shall re-
serve 5 percent of such amount to award grants under 
this section to Indian tribes and tribal organizations in 
such manner, and subject to such requirements, as the 
Secretary, in consultation with Indian tribes and tribal or-
ganizations, determines appropriate. 
‘‘(g) ELIGIBLE ENTITY DEFINED.— 
‘‘(1) IN GENERAL.—In this section, the term 
‘eligible entity’ means a State, local, or tribal agen-
cy; a school or postsecondary institution; an after- 
school program; a nonprofit organization; or a com-
munity or faith-based organization. 
‘‘(2) PREVENTING
EXCLUSION
OF
SMALLER 
COMMUNITY-BASED
ORGANIZATIONS.—In carrying 
out this section, the Secretary shall ensure that the 
amounts and requirements of grants provided under 
this section do not preclude receipt of such grants 
by community-based organizations with a dem-
onstrated history of effectively working with adoles-
cents in racial or ethnic minority or immigrant com-
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munities or engaged in meaningful and significant 
partnership with such communities. 
‘‘SEC. 399OO–2. MULTIMEDIA CAMPAIGNS TO REDUCE 
TEENAGE PREGNANCIES. 
‘‘(a) IN GENERAL.—The Secretary shall award com-
petitive grants to public and private entities to carry out 
multimedia campaigns to provide public education and in-
crease public awareness regarding teenage pregnancy and 
related social and emotional issues, such as violence pre-
vention. 
‘‘(b) PRIORITY.—In awarding grants under this sec-
tion, the Secretary shall give priority to applicants pro-
posing to carry out campaigns developed for racial or eth-
nic minority or immigrant communities. 
‘‘(c) INFORMATION TO BE PROVIDED.—As a condi-
tion of receipt of a grant under this section, an entity shall 
agree to use the grant to carry out multimedia campaigns 
described in subsection (a) that— 
‘‘(1) at a minimum, shall provide information 
on— 
‘‘(A) the prevention of teenage pregnancy; 
and 
‘‘(B) healthy relationship development; and 
‘‘(2) may provide information on the prevention 
of dating violence. 
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‘‘SEC. 399OO–3. RESEARCH ON REDUCING TEENAGE PREG-
NANCIES AND TEENAGE DATING VIOLENCE 
AND IMPROVING HEALTHY RELATIONSHIPS. 
‘‘(a) IN GENERAL.—The Secretary, acting through 
the Director of the Centers for Disease Control and Pre-
vention, shall make grants to public and private entities 
to conduct, support, or coordinate research on teenage 
pregnancy, dating violence, and healthy relationships 
among racial or ethnic minority or immigrant communities 
that— 
‘‘(1) improves data collection on— 
‘‘(A) sexual and reproductive health, in-
cluding teenage pregnancies and births, among 
all minority communities and subpopulations in 
which such data are not collected, including 
American Indian and Alaska Native youth; 
‘‘(B) sexual behavior, sexual or reproduc-
tive coercion, and teenage contraceptive use 
patterns at the State level, as appropriate; and 
‘‘(C) teenage pregnancies among youth in 
and aging out of foster care or juvenile justice 
systems and the underlying factors that lead to 
teenage pregnancy among youth in foster care 
or juvenile justice systems; 
‘‘(2) investigates— 
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‘‘(A) the variance in the rates of teenage 
pregnancy by— 
‘‘(i) racial and ethnic group (such as 
Hispanic, Asian-American, African-Amer-
ican, Pacific Islander, American Indian, 
and Alaska Native); and 
‘‘(ii) socioeconomic status, including 
as based on the income of the family and 
education attainment; 
‘‘(B) factors affecting the risk for youth of 
teenage pregnancy or dating abuse, including 
the physical and social environment, level of ac-
culturation, access to health care, aspirations 
for the future, and history of physical or sexual 
violence or abuse; 
‘‘(C) the role that violence and abuse play 
in teenage sex, pregnancy, and childbearing; 
‘‘(D) strategies to address the dispropor-
tionate rates of teenage pregnancies and dating 
violence in racial or ethnic minority or immi-
grant communities; 
‘‘(E) how effective interventions can be 
replicated or adapted in other settings to serve 
racial or ethnic minority or immigrant commu-
nities; and 
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‘‘(F) the effectiveness of media campaigns 
in addressing healthy relationship development, 
dating violence prevention, and teenage preg-
nancy; and 
‘‘(3) tests research-based strategies for address-
ing high rates of unintended teenage pregnancy 
through programs that emphasize healthy relation-
ships and violence prevention. 
‘‘(b) PRIORITY.—In carrying out this section, the 
Secretary shall give priority to research that incor-
porates— 
‘‘(1) interdisciplinary approaches; 
‘‘(2) a strong emphasis on community-based 
participatory research; or 
‘‘(3) translational research. 
‘‘SEC. 399OO–4. HHS ADOLESCENT HEALTH WORK GROUP. 
‘‘(a) PURPOSE.—Not later than 30 days after the 
date of the enactment of this part, the Secretary shall di-
rect the interagency adolescent health workgroup within 
the Office of Adolescent Health of the Department of 
Health and Human Services to— 
‘‘(1) include in the work of the group strategies 
for teenage dating violence prevention and healthy 
teenage relationships with a particular focus among 
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racial or ethnic minority or immigrant communities; 
and 
‘‘(2) with respect to including such strategies, 
consult, to the greatest extent possible, with the 
Federal Interagency Workgroup on Teen Dating Vi-
olence formed under the leadership of the National 
Institute of Justice of the Department of Justice. 
‘‘(b) 
REPORT
REQUIREMENT.—The 
Secretary, 
through the Office of Adolescent Health, shall periodically 
submit to Congress a report that— 
‘‘(1) includes a review of the evidence-based 
programs on preventing teenage pregnancy, which 
are carried out and identified by the Office; and 
‘‘(2) identifies the programs of the Department 
of Health and Human Services that include teenage 
dating violence prevention and the promotion of 
healthy teenage relationships as part of a strategy to 
prevent teenage pregnancy. 
‘‘SEC. 399OO–5. GENERAL GRANT PROVISIONS. 
‘‘(a) APPLICATIONS.—To seek a grant under this 
part, an entity shall submit an application to the Secretary 
in such form, in such manner, and containing such agree-
ments, assurances, and information as the Secretary may 
require. 
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‘‘(b) ADDITIONAL REQUIREMENTS.—A grant may be 
made under this part only if the applicant involved agrees 
that information, activities, and services provided under 
the grant— 
‘‘(1) will be evidence-based or evidence in-
formed; 
‘‘(2) will be factually and medically accurate 
and complete; and 
‘‘(3) if directed to a particular population 
group, will be provided in an appropriate language 
and cultural context. 
‘‘(c) TRAINING AND TECHNICAL ASSISTANCE.— 
‘‘(1) IN GENERAL.—Of the total amount made 
available to carry out this part for a fiscal year, the 
Secretary shall use 10 percent to provide, directly or 
through a competitive grant process, training and 
technical assistance to the grant recipients under 
this part, including by disseminating research and 
information regarding effective and promising prac-
tices, providing consultation and resources on a 
broad array of teenage and unintended pregnancy 
and violence prevention strategies, and developing 
resources and materials. 
‘‘(2) COLLABORATION.—In carrying out this 
subsection, the Secretary shall collaborate with enti-
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ties that have expertise in the prevention of teenage 
pregnancy, healthy relationship development, minor-
ity health and health disparities, and violence pre-
vention. 
‘‘SEC. 399OO–6. DEFINITIONS. 
‘‘In this part: 
‘‘(1) MEDICALLY ACCURATE AND COMPLETE.— 
The term ‘medically accurate and complete’ means, 
with respect to information, activities, or services, 
verified or supported by the weight of research con-
ducted in compliance with accepted scientific meth-
ods and— 
‘‘(A) published in peer-reviewed journals, 
where applicable; or 
‘‘(B) comprising information that leading 
professional organizations and agencies with 
relevant expertise in the field recognize as accu-
rate, objective, and complete. 
‘‘(2) RACIAL OR ETHNIC MINORITY OR IMMI-
GRANT COMMUNITIES.—The term ‘racial or ethnic 
minority or immigrant communities’ means commu-
nities with a substantial number of residents who 
are members of racial or ethnic minority groups or 
who are immigrants. 
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‘‘(3) REPRODUCTIVE COERCION.—The term ‘re-
productive coercion’ means, with respect to a person, 
coercive behavior that interferes with the ability of 
such person to control the reproductive decision-
making of such person, such as intentionally expos-
ing such person to sexually transmitted infections; in 
the case such person is a female, attempting to im-
pregnate such person against her will; intentionally 
interfering with the person’s birth control; or threat-
ening or acting violent if the person does not comply 
with the perpetrator’s wishes regarding contracep-
tion or the decision whether to terminate or continue 
a pregnancy. 
‘‘(4) YOUTH.—The term ‘youth’ means individ-
uals who are 11 to 19 years of age. 
‘‘SEC. 399OO–7. REPORTS. 
‘‘(a) REPORT ON USE OF FUNDS.—Not later than 
1 year after the date of the enactment of this part, the 
Secretary shall submit to Congress a report on the use 
of funds provided pursuant to this part. 
‘‘(b) REPORT ON IMPACT OF PROGRAMS.—Not later 
than March 1, 2016, the Secretary shall submit to Con-
gress a report on the impact that the programs under this 
part had on reducing teenage pregnancies. 
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‘‘SEC. 399OO–8. AUTHORIZATION OF APPROPRIATIONS. 
‘‘(a) IN GENERAL.—There are authorized to be ap-
propriated to carry out this part such sums as may be 
necessary for each of the fiscal years 2012 through 2016. 
‘‘(b) AVAILABILITY.—Amounts appropriated pursu-
ant to subsection (a)— 
‘‘(1) are authorized to remain available until ex-
pended; and 
‘‘(2) are in addition to amounts otherwise made 
available for such purposes.’’. 
SEC. 509. GESTATIONAL DIABETES. 
Part B of title III of the Public Health Service Act 
(42 U.S.C. 243 et seq.) is amended by adding after section 
317H the following: 
‘‘SEC. 317H–1. GESTATIONAL DIABETES. 
‘‘(a) UNDERSTANDING
AND MONITORING GESTA-
TIONAL DIABETES.— 
‘‘(1) IN
GENERAL.—The Secretary, acting 
through the Director of the Centers for Disease 
Control and Prevention, in consultation with the Di-
abetes Mellitus Interagency Coordinating Committee 
established under section 429 and representatives of 
appropriate national health organizations, shall de-
velop a multisite gestational diabetes research 
project within the diabetes program of the Centers 
for Disease Control and Prevention to expand and 
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enhance surveillance data and public health research 
on gestational diabetes. 
‘‘(2) AREAS TO BE ADDRESSED.—The research 
project developed under paragraph (1) shall ad-
dress— 
‘‘(A) procedures to establish accurate and 
efficient systems for the collection of gestational 
diabetes data within each State and common-
wealth, territory, or possession of the United 
States; 
‘‘(B) the progress of collaborative activities 
with the National Vital Statistics System, the 
National Center for Health Statistics, and 
State health departments with respect to the 
standard birth certificate, in order to improve 
surveillance of gestational diabetes; 
‘‘(C) postpartum methods of tracking 
women with gestational diabetes after delivery 
as well as targeted interventions proven to 
lower the incidence of type 2 diabetes in that 
population; 
‘‘(D) variations in the distribution of diag-
nosed and undiagnosed gestational diabetes, 
and of impaired fasting glucose tolerance and 
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impaired fasting glucose, within and among 
groups of women; and 
‘‘(E) factors and culturally sensitive inter-
ventions that influence risks and reduce the in-
cidence of gestational diabetes and related com-
plications during childbirth, including cultural, 
behavioral, racial, ethnic, geographic, demo-
graphic, socioeconomic, and genetic factors. 
‘‘(3) REPORT.—Not later than 2 years after the 
date of the enactment of this section, and annually 
thereafter, the Secretary shall generate a report on 
the findings and recommendations of the research 
project including prevalence of gestational diabetes 
in the multisite area and disseminate the report to 
the appropriate Federal and non-Federal agencies. 
‘‘(b) EXPANSION OF GESTATIONAL DIABETES RE-
SEARCH.— 
‘‘(1) IN GENERAL.—The Secretary shall expand 
and intensify public health research regarding gesta-
tional diabetes. Such research may include— 
‘‘(A) developing and testing novel ap-
proaches for improving postpartum diabetes 
testing or screening and for preventing type 2 
diabetes in women with a history of gestational 
diabetes; and 
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‘‘(B) conducting public health research to 
further understanding of the epidemiologic, 
socioenvironmental, behavioral, translation, and 
biomedical factors and health systems that in-
fluence the risk of gestational diabetes and the 
development of type 2 diabetes in women with 
a history of gestational diabetes. 
‘‘(2) AUTHORIZATION
OF
APPROPRIATIONS.— 
There is authorized to be appropriated to carry out 
this subsection $5,000,000 for each of fiscal years 
2012 through 2016. 
‘‘(c) DEMONSTRATION GRANTS TO LOWER
THE 
RATE OF GESTATIONAL DIABETES.— 
‘‘(1) IN
GENERAL.—The Secretary, acting 
through the Director of the Centers for Disease 
Control and Prevention, shall award grants, on a 
competitive basis, to eligible entities for demonstra-
tion projects that implement evidence-based inter-
ventions to reduce the incidence of gestational diabe-
tes, the recurrence of gestational diabetes in subse-
quent pregnancies, and the development of type 2 di-
abetes in women with a history of gestational diabe-
tes. 
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(i) the effectiveness of such programs 
in helping to delay the initiation of sexual 
intercourse and other high-risk behaviors; 
(ii) the effectiveness of such programs 
in preventing adolescent pregnancy; 
(iii) the effectiveness of such pro-
grams in preventing sexually transmitted 
disease, including HIV/AIDS; and 
(iv) the effectiveness of such programs 
in increasing contraceptive and barrier 
method knowledge and contraceptive be-
haviors when sexual intercourse occurs. 
(f) LIMITATIONS ON USE OF FUNDS.— 
(1) LIMITATIONS
ON
SECRETARY.—Of the 
amounts appropriated for a fiscal year for purposes 
of this section, the Secretary may not use more 
than— 
(A) 7 percent of such amounts for admin-
istrative expenses related to carrying out this 
section for that fiscal year; and 
(B) 10 percent of such amounts for the 
national evaluation under subsection (e)(2). 
(2) LIMITATIONS TO STATES.—Of amounts pro-
vided to an eligible State under this subsection, the 
State may not use more than 10 percent of the 
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