SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Stillbirth Health Im-
provement and Education for Autumn Act of 2021’’ or 
the ‘‘SHINE for Autumn Act of 2021’’. 
SEC. 2. STILLBIRTH RESEARCH AND DATA COLLECTION IM-
PROVEMENTS. 
Title III of the Public Health Service Act is amended 
by inserting after section 317L–1 of such Act (42 U.S.C. 
247b–13a) the following: 
‘‘SEC. 317L–2. STILLBIRTH RESEARCH AND DATA COLLEC-
TION IMPROVEMENTS. 
‘‘(a) STILLBIRTH SURVEILLANCE AND RISK FACTOR 
STUDIES.— 
‘‘(1) IN GENERAL.—The Secretary may award 
grants to States for purposes of— 
‘‘(A) conducting surveillance and collecting 
data with respect to stillbirths; 
‘‘(B) building State and local public health 
capacity to assess stillbirth data; and 
‘‘(C) collecting and reporting data on still-
birth risk factors, including any quantifiable 
outcomes with respect to such risk factors. 
‘‘(2) AUTHORIZATION
OF
APPROPRIATIONS.— 
To carry out this subsection, there is authorized to 
be appropriated $5,000,000 for each of fiscal years 
2022 through 2026.
‘‘(b) GUIDELINES AND EDUCATIONAL AWARENESS 
MATERIALS.— 
‘‘(1) IN GENERAL.—The Secretary shall— 
‘‘(A) issue guidelines to State departments 
of health and State and local vital statistics 
units on— 
‘‘(i) collecting data on stillbirth from 
health care providers, and with the consent 
of the family involved, including any such 
data with respect to the clinical history, 
postmortem examination, and placental pa-
thology; 
‘‘(ii) sharing such data with Federal 
agencies determined appropriate by the Di-
rector of the Centers for Disease Control 
and Prevention; and 
‘‘(iii) improving processes and train-
ing related to stillbirth data collection and 
reporting to ensure standardization and 
completeness of data; and 
‘‘(B) develop, and make publicly available, 
educational awareness materials on stillbirths. 
‘‘(2) CONSULTATION.—In carrying out para-
graph (1), the Secretary may consult with—
‘‘(A) national health care professional as-
sociations; 
‘‘(B) national associations representing 
State and local public health officials; 
‘‘(C) organizations that assist families with 
burial support and bereavement services; 
‘‘(D) nurses and nurse practitioners; 
‘‘(E) obstetricians and gynecologists; 
‘‘(F) pediatricians; 
‘‘(G) maternal-fetal medicine specialists; 
‘‘(H) midwives; 
‘‘(I) mental health professionals; 
‘‘(J) statisticians; 
‘‘(K) individuals who have experienced a 
stillbirth; and 
‘‘(L) advocacy organizations representing 
such individuals. 
‘‘(3) AUTHORIZATION
OF
APPROPRIATIONS.— 
To carry out this subsection, there is authorized to 
be appropriated $1,000,000 for each of fiscal years 
2022 through 2026. 
‘‘(c) VITAL STATISTICS UNIT DEFINED.—In this sec-
tion, the term ‘vital statistics unit’ means the entity that 
is responsible for maintaining vital records for a State, 
or a political subdivision of such State, including official
records of live births, deaths, fetal deaths, marriages, di-
vorces, and annulments.’’. 
SEC. 3. PERINATAL PATHOLOGY FELLOWSHIPS. 
The Public Health Service Act is amended by insert-
ing after section 1122 of such Act (42 U.S.C. 300c–12) 
the following: 
‘‘SEC. 1123. IMPROVING PERINATAL PATHOLOGY. 
‘‘(a) IN GENERAL.—The Secretary shall establish 
and implement, or incorporate into an existing training 
program, a Perinatal Pathology Fellowship Program or a 
Postdoctoral Research Fellowship on Factors Associated 
with Stillbirth Program to— 
‘‘(1) provide training in perinatal autopsy pa-
thology; 
‘‘(2) conduct research on, and improve data col-
lection through fetal autopsies with respect to, still-
birth; and 
‘‘(3) address challenges in stillbirth education, 
research, and data collection. 
‘‘(b) AUTHORIZATION OF APPROPRIATIONS.—There 
are authorized to be appropriated to carry out this section 
$3,000,000 for each of fiscal years 2022 through 2026.’’. 
SEC. 4. REPORTS. 
(a) EDUCATIONAL GUIDELINES REPORT.—
(1) IN
GENERAL.—Not later than five years 
after the date of enactment of this Act, the Sec-
retary of Health and Human Services shall publish 
on a public website of the Department of Health and 
Human Services a report with educational guidelines 
on stillbirth and stillbirth risk factors. 
(2) CONTENTS.—Such report shall include, to 
the extent practicable and appropriate, the guide-
lines issued and educational awareness materials de-
veloped under section 317L–2 of the Public Health 
Service Act, as added by section 2 of this Act. 
(b) PROGRESS REPORT.—Not later than five years 
after the date of enactment of this Act, the Secretary of 
Health and Human Services shall submit to the Congress 
a comprehensive report on the progress and effectiveness 
of the Perinatal Pathology Fellowship Program estab-
lished under section 1123 of the Public Health Service 
Act, as added by section 3 of this Act. 
Passed the House of Representatives December 8, 
2021. 
Attest: 
Clerk.