IIB 
111TH CONGRESS 
2D SESSION 
H. R. 5462 
IN THE SENATE OF THE UNITED STATES 
NOVEMBER 15, 2010 
Received; read twice and referred to the Committee on Health, Education, 
Labor, and Pensions 
AN ACT 
To amend title III of the Public Health Service Act to 
authorize the Secretary of Health and Human Services 
to establish and implement a birth defects prevention, 
risk reduction, and public awareness program. 
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled, 
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SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Birth Defects Preven-
tion, Risk Reduction, and Awareness Act of 2010’’. 
SEC. 2. BIRTH DEFECTS PREVENTION, RISK REDUCTION, 
AND AWARENESS. 
(a) PROGRAM.—The Public Health Service Act (42 
U.S.C. 201 et seq.) is amended by inserting after section 
317T (42 U.S.C. 247b–22) the following new section: 
‘‘SEC. 317U. BIRTH DEFECTS PREVENTION, RISK REDUC-
TION, AND AWARENESS. 
‘‘(a) GRANT PROGRAM.—The Secretary shall estab-
lish and implement a birth defects prevention and public 
awareness program to award grants to States or organiza-
tions for the provision of pregnancy and breastfeeding in-
formation services. 
‘‘(b) PREFERENCE.—In the case of States or organi-
zations that are otherwise equally qualified, the Secretary, 
in awarding a grant under this section, shall give pref-
erence to— 
‘‘(1) 
States 
that 
made 
pregnancy 
and 
breastfeeding information services available on Janu-
ary 1, 2006; and 
‘‘(2) organizations that will provide pregnancy 
and breastfeeding information services in such 
States. 
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‘‘(c) MATCHING FUNDS.—The Secretary may only 
award a grant under this section to a State or organiza-
tion that agrees, with respect to the costs to be incurred 
in carrying out the grant activities, to make available (di-
rectly or through donations from public or private entities) 
non-Federal funds toward such costs in an amount equal 
to not less than 25 percent of the amount of the grant. 
‘‘(d) COORDINATION.—The Secretary shall ensure 
that activities carried out using a grant under this section 
are coordinated, to the maximum extent practicable, with 
other birth defects prevention and environmental health 
activities of the Federal Government, including activities 
carried out by the Health Resources and Services Admin-
istration and the Centers for Disease Control and Preven-
tion with respect to pediatric environmental health spe-
cialty units and children’s environmental health centers. 
‘‘(e) EVALUATION.—In furtherance of the program 
established under subsection (a), the Secretary shall pro-
vide for an evaluation of pregnancy and breastfeeding in-
formation services to identify efficient and effective models 
of— 
‘‘(1) providing information; 
‘‘(2) raising awareness and increasing knowl-
edge about birth defects prevention measures; 
‘‘(3) modifying risk behaviors; or 
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‘‘(4) other outcome measures as determined ap-
propriate by the Secretary. 
‘‘(f) PREGNANCY AND BREASTFEEDING INFORMA-
TION SERVICES DEFINED.—For purposes of this section, 
the term ‘pregnancy and breastfeeding information serv-
ices’ includes only— 
‘‘(1) information services to provide accurate, 
evidence-based, clinical information regarding mater-
nal exposures during pregnancy or breastfeeding 
that may be associated with birth defects or other 
health risks to an infant that is breastfed, such as 
exposures to medications, chemicals, infections, 
foodborne pathogens, illnesses, nutrition, or lifestyle 
factors; 
‘‘(2) the provision of accurate, evidence-based 
information weighing risks of exposures during 
breastfeeding against the benefits of breastfeeding; 
and 
‘‘(3) the provision of information described in 
paragraph (1) or (2) through counselors, Web sites, 
fact sheets, telephonic or electronic communication, 
community outreach efforts, or other appropriate 
means. 
‘‘(g) AUTHORIZATION
OF
APPROPRIATIONS.—To 
carry out this section, there are authorized to be appro-
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priated $4,500,000 for fiscal year 2012, $5,500,000 for 
fiscal year 2013, $6,500,000 for fiscal year 2014, 
$7,500,000 for fiscal year 2015, and $8,500,000 for fiscal 
year 2016.’’. 
Passed the House of Representatives September 30 
(legislative day September 29), 2010. 
Attest: 
LORRAINE C. MILLER, 
Clerk. 
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