I 
113TH CONGRESS 
2D SESSION 
H. R. 4639 
To authorize funding for the creation and implementation of infant mortality 
pilot programs in standard metropolitan statistical areas with high rates 
of infant mortality, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
MAY 9, 2014 
Mr. COHEN introduced the following bill; which was referred to the Committee 
on Energy and Commerce 
A BILL 
To authorize funding for the creation and implementation 
of infant mortality pilot programs in standard metropoli-
tan statistical areas with high rates of infant mortality, 
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 ‘‘Nationally Enhancing 
the Wellbeing of Babies through Outreach and Research 
Now Act’’ or the ‘‘NEWBORN Act’’. 
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munity to be served and strategies to address 
those needs; 
‘‘(B) provide outreach to at-risk mothers 
through programs deemed appropriate by the 
Administrator; 
‘‘(C) develop and implement standardized 
systems for improved access, utilization, and 
quality of social, educational, and clinical serv-
ices to promote healthy pregnancies, full-term 
births, and healthy infancies delivered to women 
and their infants, such as— 
‘‘(i) counseling on infant care, feed-
ing, and parenting; 
‘‘(ii) postpartum care; 
‘‘(iii) prevention of premature deliv-
ery; and 
‘‘(iv) additional counseling for at-risk 
mothers, including smoking cessation pro-
grams, drug treatment programs, alcohol 
treatment programs, nutrition and physical 
activity programs, postpartum depression 
and domestic violence programs, social and 
psychological services, dental care, and 
parenting programs; 
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‘‘(D) establish a rural outreach program to 
provide care to at-risk mothers in rural areas; 
‘‘(E) establish a regional public education 
campaign, including a campaign to— 
‘‘(i) prevent preterm births; and 
‘‘(ii) educate the public about infant 
mortality; 
‘‘(F) provide for any other activities, pro-
grams, or strategies as identified by the com-
munity plan; and 
‘‘(G) coordinate efforts between— 
‘‘(i) the health department of each 
county or other eligible entity to be served 
through the infant mortality pilot program; 
and 
‘‘(ii) existing entities that work to re-
duce the rate of infant mortality within the 
area of any such county or other eligible 
entity. 
‘‘(5) LIMITATION.—Of the funds received 
through a grant under this subsection for a fiscal 
year, an eligible entity shall not use more than 10 
percent for program evaluation. 
‘‘(6) REPORTS ON PILOT PROGRAMS.— 
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‘‘(A) IN GENERAL.—Not later than 1 year 
after receiving a grant, and annually thereafter 
for the duration of the grant period, each entity 
that receives a grant under paragraph (1) shall 
submit a report to the Secretary detailing its 
infant mortality pilot program. 
‘‘(B) CONTENTS OF REPORT.—The reports 
required under subparagraph (A) shall include 
information such as the methodology of, and 
outcomes and statistics from, the grantee’s in-
fant mortality pilot program. 
‘‘(C) EVALUATION.—The Secretary shall 
use the reports required under subparagraph 
(A) to evaluate, and conduct statistical research 
on, infant mortality pilot programs funded 
through this subsection. 
‘‘(7) DEFINITIONS.—For the purposes of this 
subsection: 
‘‘(A) ADMINISTRATOR.—The term ‘Admin-
istrator’ means the Administrator of the Health 
Resources and Services Administration. 
‘‘(B) ELIGIBLE ENTITY.—The term ‘eligi-
ble entity’ means a county, city, territorial, or 
tribal health department that has submitted a 
proposal to the Secretary that the Secretary 
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deems likely to reduce infant mortality rates 
within the standard metropolitan statistical 
area involved. 
‘‘(C) TRIBAL.—The term ‘tribal’ refers to 
an Indian tribe, a Tribal organization, or an 
Urban Indian organization, as such terms are 
defined in section 4 of the Indian Health Care 
Improvement Act.’’; and 
(3) by amending subsection (f), as so redesig-
nated— 
(A) in paragraph (1)— 
(i) by amending the paragraph head-
ing to read: ‘‘HEALTHY
START
INITIA-
TIVE’’; and 
(ii) by inserting after ‘‘carrying out 
this section’’ the following: ‘‘(other than 
subsection (e))’’; 
(B) by redesignating paragraph (2) as 
paragraph (3); 
(C) by inserting after paragraph (1) the 
following: 
‘‘(2) INFANT MORTALITY PILOT PROGRAMS.— 
There is authorized to be appropriated $10,000,000 
for each of fiscal years 2015 through 2019 to carry 
out subsection (e). Amounts authorized by this para-
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graph to be appropriated to carry out subsection (e) 
are in addition to amounts authorized by paragraph 
(1) to be appropriated to carry out the Healthy 
Start Initiative under subsection (a).’’; and 
(D) in paragraph (3)(A), as so redesig-
nated, by striking ‘‘the program under this sec-
tion’’ and inserting ‘‘the program under sub-
section (a)’’. 
Æ 
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