IB 
Union Calendar No. 149 
117TH CONGRESS 
1ST SESSION H. R. 5561 
[Report No. 117–208] 
To reauthorize a program for early detection, diagnosis, and treatment regard-
ing deaf and hard-of-hearing newborns, infants, and young children, 
and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
OCTOBER 12, 2021 
Mr. GUTHRIE (for himself and Ms. MATSUI) introduced the following bill; 
which was referred to the Committee on Energy and Commerce 
DECEMBER 8, 2021 
Additional sponsor: Mr. KILMER 
DECEMBER 8, 2021 
Reported with an amendment, 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 October 12, 2021] 
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A BILL 
To reauthorize a program for early detection, diagnosis, and 
treatment regarding deaf and hard-of-hearing newborns, 
infants, and young children, and for other purposes. 
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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 ‘‘Early Hearing Detection 
and Intervention Act of 2021’’. 
SEC. 2. REAUTHORIZATION OF PROGRAM FOR EARLY DE-
TECTION, DIAGNOSIS, AND TREATMENT RE-
GARDING 
DEAF 
AND 
HARD-OF-HEARING 
NEWBORNS, 
INFANTS, 
AND 
YOUNG 
CHIL-
DREN. 
Section 399M(f) of the Public Health Service Act (42 
U.S.C. 280g–1(f)) is amended— 
(1) in paragraph (1), by striking ‘‘$17,818,000 
for fiscal year 2018, $18,173,800 for fiscal year 2019, 
$18,628,145 for fiscal year 2020, $19,056,592 for fis-
cal year 2021, and $19,522,758 for fiscal year 2022’’ 
and inserting ‘‘$17,818,000 for each of fiscal years 
2022 through 2026’’; 
(2) in paragraph (2), by striking ‘‘$10,800,000 
for fiscal year 2018, $11,026,800 for fiscal year 2019, 
$11,302,470 for fiscal year 2020, $11,562,427 for fis-
cal year 2021, and $11,851,488 for fiscal year 2022’’ 
and inserting ‘‘$16,000,000 for each of fiscal years 
2022 through 2026’’; and 
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(3) in paragraph (3), by striking ‘‘fiscal years 
2011 through 2015’’ and inserting ‘‘fiscal years 2022 
through 2026’’. 
SEC. 3. GAO STUDY ON STATE EARLY HEARING DETECTION 
AND INTERVENTION PROGRAMS. 
(a) IN GENERAL.—The Comptroller General of the 
United States shall conduct a study reviewing State early 
hearing detection and intervention (in this section referred 
to as ‘‘EHDI’’) programs. Such study shall— 
(1) analyze how information collected through 
such programs informs what is known about EHDI 
activities to ensure that newborns, infants, and young 
children have access to timely hearing screenings and 
early interventions, including information on any 
disparities in such access; 
(2) analyze what is known about how parents 
use State EHDI websites to seek health and pro-
grammatic guidance related to their child’s hearing 
loss diagnosis; and 
(3) identify efforts and any promising practices 
of the Centers for Disease Control and Prevention, the 
Health Resources and Services Administration, the 
National Institute on Deafness and Other Commu-
nication Disorders, and State EHDI programs— 
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(A) to address disparities in outreach for, 
or access to, timely hearing screenings and early 
interventions; and 
(B) to ensure that EHDI follow-up services 
are communicated and made available to medi-
cally underserved populations, including racial 
and ethnic minorities. 
(b) REPORT.—Not later than two years after the date 
of the enactment of this Act, the Comptroller General 
shall— 
(1) complete the study under subsection (a) and 
submit a report on the results of the study to— 
(A) the Committee on Energy and Com-
merce of the House of Representatives; and 
(B) the Committee on Health, Education, 
Labor, and Pensions of the Senate; and 
(2) make such report publicly available. 
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