I 
115TH CONGRESS 
2D SESSION 
H. R. 5492 
To amend the Public Health Service Act to address the use of opioids 
and substance use disorders with respect to pregnant women and babies, 
and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
APRIL 12, 2018 
Mr. GUTHRIE (for himself and Mr. BEN RAY LUJA´N of New Mexico) intro-
duced the following bill; which was referred to the Committee on Energy 
and Commerce 
A BILL 
To amend the Public Health Service Act to address the 
use of opioids and substance use disorders with respect 
to pregnant women and babies, and for other purposes. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Maternal Opioid Treat-
ment, Health, Education, and Recovery Act of 2018’’. 
SEC. 2. EARLY INTERVENTION. 
(a) DEVELOPMENT OF EDUCATIONAL MATERIALS BY 
CENTER FOR SUBSTANCE ABUSE PREVENTION.—Section 
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515(b) of the Public Health Service Act (42 U.S.C. 
290bb–21(b)) is amended— 
(1) in paragraph (13), by striking ‘‘and’’ at the 
end; 
(2) in paragraph (14), by striking the period at 
the end and inserting ‘‘; and’’; and 
(3) by adding at the end the following: 
‘‘(15) in cooperation with relevant stakeholders 
and the Director of the Centers for Disease Control 
and Prevention, develop educational materials for 
clinicians to use with pregnant women for shared de-
cision-making regarding pain management during 
pregnancy.’’. 
(b) GUIDELINES AND RECOMMENDATIONS BY CEN-
TER
FOR
SUBSTANCE
ABUSE
TREATMENT.—Section 
507(b) of the Public Health Service Act (42 U.S.C. 
290bb(b)) is amended— 
(1) in paragraph (13), by striking ‘‘and’’ at the 
end; 
(2) in paragraph (14), by striking the period at 
the end and inserting a semicolon; and 
(3) by adding at the end the following: 
‘‘(15) in cooperation with the Secretary, imple-
ment and disseminate the recommendations in the 
report entitled ‘Protecting Our Infants Act: Final 
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Strategy’ issued by the Department of Health and 
Human Services in 2017; and’’. 
(c) SUPPORT OF PARTNERSHIPS BY CENTER FOR 
SUBSTANCE ABUSE TREATMENT.—Section 507(b) of the 
Public Health Service Act (42 U.S.C. 290bb(b)), as 
amended by subsection (b), is further amended by adding 
at the end the following: 
‘‘(16) in cooperation with relevant stakeholders 
such as BABYCENTER, March of Dimes, the 
American College of Obstetricians and Gyne-
cologists, and the American Academy of Pediatrics, 
support public-private partnerships to assist with 
education and support of pregnant women and 
health care providers who treat pregnant women and 
babies.’’. 
SEC. 3. EXPANDED TREATMENT OPTIONS FOR MOMS AND 
BABIES. 
(a) TREATMENT
SERVICES
INCLUDING
REFER-
RALS.—Section 508 of the Public Health Service Act (42 
U.S.C. 290bb–1) is amended— 
(1) in subsection (b)— 
(A) in paragraph (1), by striking ‘‘and’’ at 
the end; 
(B) in paragraph (2), by striking the pe-
riod at the end and inserting ‘‘; and’’; and 
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(C) by adding at the end the following: 
‘‘(3) the services will be administered consistent 
with appropriate guidelines, including the clinical 
guide entitled ‘Clinical Guidance for Treating Preg-
nant and Parenting Women with Opioid Use Dis-
order and Their Infants’ (or any successor guide).’’; 
and 
(2) in subsection (d), by amending paragraph 
(10) to read as follows: 
‘‘(10) Planning for, and counseling to assist 
with, care outside of the clinical and in-person set-
ting, both before and after discharge, including re-
ferrals to any public or nonprofit private entities in 
the community involved that provide services appro-
priate for the woman and the children of the 
woman.’’. 
(b) REPORT.—Not later than 180 days after the date 
of enactment of this Act, the Secretary of Health and 
Human Services shall submit to the appropriate commit-
tees of the Congress and post on a publicly available 
website a report regarding the implementation of the 
strategy relating to prenatal opioid use, including neonatal 
abstinence syndrome, developed pursuant to section 2 of 
the Protecting Our Infants Act of 2015 (Public Law 114– 
91). Such report shall include— 
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(1) updates on the implementation of the strat-
egy, including information regarding the agencies in-
volved in the implementation; 
(2) any additional funding required to fully im-
plement the strategy; and 
(3) processes by which to coordinate the out-
lined activities across the Department of Health and 
Human Services. 
Æ 
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