SEC. 2. AMENDMENT TO THE PUBLIC HEALTH SERVICE 
ACT. 
Title III of the Public Health Service Act (42 U.S.C. 
241 et seq.) is amended by adding at the end the fol-
lowing: 
‘‘PART W—SUDDEN UNEXPECTED INFANT DEATH 
AND 
SUDDEN 
UNEXPLAINED 
DEATH 
IN 
CHILDHOOD 
‘‘SEC. 399OO. DEFINITIONS. 
‘‘In this part: 
‘‘(1) ADMINISTRATOR.—The term ‘Adminis-
trator’ means the Administrator of the Health Re-
sources and Services Administration. 
‘‘(2) DEATH SCENE INVESTIGATOR.—The term 
‘death scene investigator’ means an individual cer-
tified or trained as a death scene investigator by an 
accredited professional certification board. 
‘‘(3) DIRECTOR.—The term ‘Director’ means 
the Director of the Centers for Disease Control and 
Prevention. 
‘‘(4) STATE.—The term ‘State’ has the mean-
ing given to such term in section 2, except that such 
term includes tribes and tribal organizations (as 
such terms are defined in section 4 of the Indian 
Self-Determination and Education Assistance Act). 
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‘‘(5) SUDDEN
UNEXPECTED
INFANT
DEATH; 
SUID.—The terms ‘sudden unexpected infant death’ 
and ‘SUID’ mean the sudden death of an infant 
under 1 year of age that when first discovered did 
not have an obvious cause. Such terms include those 
deaths that are later determined to be from ex-
plained as well as unexplained causes. 
‘‘(6) SUDDEN UNEXPLAINED DEATH IN CHILD-
HOOD; SUDC.—The terms ‘sudden unexplained death 
in childhood’ and ‘SUDC’ mean the sudden death of 
a child who is 1 year of age or older, which remains 
unexplained after a thorough case investigation that 
includes a review of the clinical history and cir-
cumstances of death and performance of a complete 
autopsy with appropriate ancillary testing. 
‘‘SEC. 399OO–1. DEATH SCENE INVESTIGATION AND AU-
TOPSY. 
‘‘(a) INVESTIGATIONS.— 
‘‘(1) 
REPORTING.—The 
Secretary, 
acting 
through the Director, in consultation with board-cer-
tified forensic pathologists, medical examiners, coro-
ners, pediatric pathologists, pediatric cardiologists, 
pediatric neuropathologists and geneticists, and 
other individuals and groups as the Director deter-
mines necessary, shall revise the Sudden Unex-
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plained Infant Death Investigation Reporting Form 
of the Centers for Disease Control and Prevention 
and the Child Death Review Case Reporting System 
to include doll re-enactments and scene investigation 
information on deaths of children through age 4. 
‘‘(2) GRANTS.—The Secretary, acting through 
the Director, shall award grants to States to enable 
such States to improve the completion of comprehen-
sive death scene investigations, and reviews of such 
investigations, for sudden unexpected infant death 
and sudden unexplained death in childhood. 
‘‘(3) APPLICATION.—To be eligible to receive a 
grant under paragraph (1), a State shall submit to 
the Secretary an application at such time, in such 
manner, and containing such information as the Sec-
retary may require. 
‘‘(4) USE OF FUNDS.— 
‘‘(A) IN
GENERAL.—A State shall use 
amounts received under a grant under para-
graph (1) to improve the completion of com-
prehensive death scene investigations for sud-
den unexpected infant death and sudden unex-
plained death in childhood, including through 
the awarding of subgrants to local jurisdictions 
to be used to implement standard death scene 
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investigation protocols for sudden unexpected 
infant death and sudden unexplained death in 
childhood and conduct comprehensive, stand-
ardized autopsies. 
‘‘(B) 
PROTOCOLS.—A 
standard 
death 
scene protocol implemented under subparagraph 
(A) shall include the obtaining of information 
on current and past medical history of the in-
fant or child; the circumstances surrounding 
the 
death, 
including 
any 
suspicious 
cir-
cumstances; whether there were any accidental 
or environmental factors associated with the 
death; and in the case of a sleep-related death, 
the sleep position and sleep environment. 
‘‘(b) AUTOPSIES.— 
‘‘(1) IN
GENERAL.—The Secretary, acting 
through the Director, shall award grants to States 
and local governmental entities to enable such States 
and entities to increase the rate at which com-
prehensive, standardized autopsies are performed for 
sudden unexpected infant death and sudden unex-
plained death in childhood. 
‘‘(2) INFORMED
CONSENT.—Grants awarded 
under this subsection may be used for studies and 
demonstration projects to increase the rate of con-
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sent among families of deceased children for the in-
clusion of genetic or tissue samples collected during 
autopsy in registries established for the purposes of 
conducting research into SUID and SUDC. 
‘‘(3) APPLICATION.—To be eligible to receive a 
grant under paragraph (1), an eligible entity de-
scribed in such paragraph shall submit to the Sec-
retary an application at such time, in such manner, 
and containing such information as the Secretary 
may require. 
‘‘(4) COMPREHENSIVE AUTOPSY.—For purposes 
of this subsection, a comprehensive autopsy, which 
may include minimally invasive techniques, shall in-
clude a full external and internal examination, in-
cluding microscopic examination, of all major organs 
and 
tissues 
including 
the 
brain, 
complete 
radiographs, vitreous fluid analysis, photo docu-
mentation, metabolic testing, toxicology screening, 
and, when indicated, selected genetic and microbi-
ology analyses of the infant or child involved. 
‘‘(c) STUDY ON GENETIC ANALYSIS.—The Director, 
in consultation with medical examiners, coroners, forensic 
pathologists, geneticists, researchers, public health offi-
cials, and other individuals and groups as the Director de-
termines necessary, shall commission a study to determine 
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