IB 
Union Calendar No. 382 
111TH CONGRESS 
2D SESSION 
H. R. 5462 
[Report No. 111–642] 
To authorize the Secretary of Health and Human Services, acting through 
the Director of the Centers for Disease Control and Prevention, to 
establish and implement a birth defects prevention, risk reduction, and 
public awareness program. 
IN THE HOUSE OF REPRESENTATIVES 
MAY 28, 2010 
Ms. DELAURO (for herself, Mr. BURGESS, Mr. GENE GREEN of Texas, Mr. 
GRIJALVA, Mrs. CAPPS, Mrs. BLACKBURN, Ms. DEGETTE, Mr. 
COURTNEY, Ms. ESHOO, Mr. SARBANES, Mr. SESSIONS, Mr. GONZALEZ, 
Mr. RUSH, Mr. WEINER, Mrs. MCMORRIS RODGERS, Ms. SCHAKOWSKY, 
Ms. MOORE of Wisconsin, Ms. SUTTON, Mr. MARKEY of Massachusetts, 
Mr. MATHESON, Mr. BUTTERFIELD, Ms. NORTON, Mr. TERRY, and Ms. 
HARMAN) introduced the following bill; which was referred to the Com-
mittee on Energy and Commerce 
SEPTEMBER 28, 2010 
Additional sponsors: Mr. WELCH, Ms. MATSUI, Mr. SABLAN, Mr. MCNERNEY, 
Ms. CASTOR of Florida, Mr. HINCHEY, Mr. HALL of Texas, Mr. MURPHY 
of Connecticut, Ms. SLAUGHTER, Mr. BARROW, Mr. CUELLAR, Ms. 
EDDIE BERNICE JOHNSON of Texas, Ms. ROYBAL-ALLARD, Mr. TOWNS, 
Mr. MCCAUL, Mr. KING of New York, Mr. KIRK, Mr. MILLER of North 
Carolina, Ms. LEE of California, Mr. DAVIS of Illinois, Mr. JACKSON of 
Illinois, Mr. MCDERMOTT, Ms. GIFFORDS, Mrs. CHRISTENSEN, Mr. 
BILBRAY, and Mr. LIPINSKI 
SEPTEMBER 28, 2010 
Reported with amendments, committed to the Committee of the Whole House 
on the State of the Union, and ordered to be printed 
[Strike out all after the enacting clause and insert the part printed in italic] 
[For text of introduced bill, see copy of bill as introduced on May 28, 2010] 
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A BILL 
To authorize the Secretary of Health and Human Services, 
acting through the Director of the Centers for Disease 
Control and Prevention, to establish and implement a 
birth defects prevention, risk reduction, and public 
awareness program. 
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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 ‘‘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 establish 
and implement a birth defects prevention and public aware-
ness program to award grants to States or organizations 
for the provision of pregnancy and breastfeeding informa-
tion services. 
‘‘(b) PREFERENCE.—In the case of States or organiza-
tions that are otherwise equally qualified, the Secretary, in 
awarding a grant under this section, shall give preference 
to— 
‘‘(1) 
States 
that 
made 
pregnancy 
and 
breastfeeding information services available on Janu-
ary 1, 2006; and 
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‘‘(2) organizations that will provide pregnancy 
and breastfeeding information services in such States. 
‘‘(c) MATCHING FUNDS.—The Secretary may only 
award a grant under this section to a State or organization 
that agrees, with respect to the costs to be incurred in car-
rying out the grant activities, to make available (directly 
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 Administration and 
the Centers for Disease Control and Prevention with respect 
to pediatric environmental health specialty units and chil-
dren’s environmental health centers. 
‘‘(e) EVALUATION.—In furtherance of the program es-
tablished under subsection (a), the Secretary shall provide 
for an evaluation of pregnancy and breastfeeding informa-
tion services to identify efficient and effective models of— 
‘‘(1) providing information; 
‘‘(2) raising awareness and increasing knowledge 
about birth defects prevention measures; 
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‘‘(3) modifying risk behaviors; or 
‘‘(4) other outcome measures as determined ap-
propriate by the Secretary. 
‘‘(f) PREGNANCY AND BREASTFEEDING INFORMATION 
SERVICES DEFINED.—For purposes of this section, the term 
‘pregnancy and breastfeeding information services’ 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 patho-
gens, illnesses, nutrition, or lifestyle factors; 
‘‘(2) the provision of accurate, evidence-based in-
formation 
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 appropriated 
$4,500,000 for fiscal year 2012, $5,500,000 for fiscal year 
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2013, $6,500,000 for fiscal year 2014, $7,500,000 for fiscal 
year 2015, and $8,500,000 for fiscal year 2016.’’. 
Amend the title so as to read: ‘‘A bill to amend title 
III of the Public Health Service Act to authorize the Sec-
retary of Health and Human Services to establish and 
implement a birth defects prevention, risk reduction, and 
public awareness program.’’. 
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Union Calendar No. 382 
111TH CONGRESS 
2D SESSION 
H. R. 5462 
[Report No. 111–642] 
A BILL 
To authorize the Secretary of Health and Human 
Services, acting through the Director of the Cen-
ters for Disease Control and Prevention, to es-
tablish and implement a birth defects prevention, 
risk reduction, and public awareness program. 
SEPTEMBER 28, 2010 
Reported with amendments, committed to the Committee 
of the Whole House on the State of the Union, and or-
dered to be printed 
VerDate Mar 15 2010 
21:55 Sep 28, 2010
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