I 
117TH CONGRESS 
1ST SESSION H. R. 5487 
To improve research and data collection on stillbirths, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
OCTOBER 5, 2021 
Ms. HERRERA BEUTLER (for herself, Ms. ROYBAL-ALLARD, Ms. CASTOR of 
Florida, and Mr. MULLIN) introduced the following bill; which was re-
ferred to the Committee on Energy and Commerce 
A BILL 
To improve research and data collection on stillbirths, 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 ‘‘Stillbirth Health Im-
provement and Education for Autumn Act of 2021’’ or 
the ‘‘SHINE for Autumn Act of 2021’’. 
VerDate Sep 11 2014 
05:14 Oct 06, 2021
Jkt 029200
PO 00000
Frm 00001
Fmt 6652
Sfmt 6201
E:\BILLS\H5487.IH
H5487
kjohnson on DSK79L0C42PROD with BILLS
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; and 
‘‘(B) 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— 
VerDate Sep 11 2014 
05:14 Oct 06, 2021
Jkt 029200
PO 00000
Frm 00002
Fmt 6652
Sfmt 6201
E:\BILLS\H5487.IH
H5487
kjohnson on DSK79L0C42PROD with BILLS
‘‘(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; and 
‘‘(ii) sharing such data with Federal 
agencies determined appropriate by the Di-
rector of the Centers for Disease Control 
and Prevention; and 
‘‘(B) develop, and make publicly available, 
educational awareness materials on stillbirths. 
‘‘(2) CONSULTATION.—In carrying out para-
graph (1), the Secretary shall consult with— 
‘‘(A) national health care professional as-
sociations; 
‘‘(B) obstetricians and gynecologists; 
‘‘(C) pediatricians; 
‘‘(D) maternal-fetal medicine specialists; 
‘‘(E) midwives; 
‘‘(F) mental health professionals; 
‘‘(G) statisticians; 
‘‘(H) individuals who have experienced a 
stillbirth; and 
VerDate Sep 11 2014 
05:14 Oct 06, 2021
Jkt 029200
PO 00000
Frm 00003
Fmt 6652
Sfmt 6201
E:\BILLS\H5487.IH
H5487
kjohnson on DSK79L0C42PROD with BILLS
‘‘(I) 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) DEFINITIONS.—In this section: 
‘‘(1) STILLBIRTH.—The term ‘stillbirth’ means 
the death or loss of a baby before or during delivery, 
occurring at or after 20 weeks of pregnancy. 
‘‘(2) VITAL STATISTICS UNIT.—The term ‘vital 
statistics unit’ means the entity that is responsible 
for maintaining vital records for a State, or a polit-
ical subdivision of such State, including official 
records of live births, deaths, fetal deaths, mar-
riages, divorces, 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 a Perinatal Pathology Fellowship Program 
to— 
VerDate Sep 11 2014 
05:14 Oct 06, 2021
Jkt 029200
PO 00000
Frm 00004
Fmt 6652
Sfmt 6201
E:\BILLS\H5487.IH
H5487
kjohnson on DSK79L0C42PROD with BILLS