I 
119TH CONGRESS 
1ST SESSION H. R. 1197 
To reauthorize the Prematurity Research Expansion and Education for 
Mothers who deliver Infants Early Act. 
IN THE HOUSE OF REPRESENTATIVES 
FEBRUARY 11, 2025 
Ms. KELLY of Illinois (for herself, Mrs. MILLER-MEEKS, Mrs. FLETCHER, Mr. 
CARTER of Georgia, Ms. BROWN, and Mrs. KIGGANS of Virginia) intro-
duced the following bill; which was referred to the Committee on Energy 
and Commerce 
A BILL 
To reauthorize the Prematurity Research Expansion and 
Education for Mothers who deliver Infants Early Act. 
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 ‘‘PREEMIE Reauthor-
ization Act of 2025’’. 
SEC. 2. PREEMIE. 
(a) RESEARCH RELATING TO PRETERM LABOR AND 
DELIVERY AND THE CARE, TREATMENT, AND OUTCOMES 
OF PRETERM AND LOW BIRTHWEIGHT INFANTS.— 
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(1) IN
GENERAL.—Section 3(e) of the Pre-
maturity Research Expansion and Education for 
Mothers who deliver Infants Early Act (42 U.S.C. 
247b–4f(e)) is amended by striking ‘‘fiscal years 
2019 through 2023’’ and inserting ‘‘fiscal years 
2025 through 2029’’. 
(2) TECHNICAL CORRECTION.—Effective as if 
included in the enactment of the PREEMIE Reau-
thorization Act of 2018 (Public Law 115–328), sec-
tion 2 of such Act is amended, in the matter pre-
ceding paragraph (1), by striking ‘‘Section 2’’ and 
inserting ‘‘Section 3’’. 
(b) INTERAGENCY WORKING GROUP.—Section 5(a) 
of the PREEMIE Reauthorization Act of 2018 (Public 
Law 115–328) is amended by striking ‘‘The Secretary of 
Health and Human Services, in collaboration with other 
departments, as appropriate, may establish’’ and inserting 
‘‘Not later than 18 months after the date of the enactment 
of the PREEMIE Reauthorization Act of 2025, the Sec-
retary of Health and Human Services, in collaboration 
with other departments, as appropriate, shall establish’’. 
(c) STUDY ON PRETERM BIRTHS.— 
(1) IN GENERAL.—The Secretary of Health and 
Human Services shall enter into appropriate ar-
rangements 
with 
the 
National 
Academies 
of 
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(III) the Committee on Finance 
and the Committee on Health, Edu-
cation, Labor, and Pensions of the 
Senate. 
(2) ASSESSMENT TOPICS.—The topics listed in 
this subsection are each of the following: 
(A) The financial costs of premature birth 
to society, including— 
(i) an analysis of stays in neonatal in-
tensive care units and the cost of such 
stays; 
(ii) long-term costs of stays in such 
units to society and the family involved 
post-discharge; and 
(iii) health care costs for families 
post-discharge from such units (such as 
medications, therapeutic services, co-pay-
ments for visits, and specialty equipment). 
(B) The factors that impact preterm birth 
rates. 
(C) Opportunities for earlier detection of 
premature birth risk factors, including— 
(i) opportunities to improve maternal 
and infant health; and 
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(ii) opportunities for public health 
programs to provide support and resources 
for parents in-hospital, in non-hospital set-
tings, and post-discharge. 
(3) ANALYSIS.—The analysis required by this 
subsection is an analysis of— 
(A) targeted research strategies to develop 
effective drugs, treatments, or interventions to 
bring at-risk pregnancies to term; 
(B) State and other programs’ best prac-
tices with respect to reducing premature birth 
rates; and 
(C) precision medicine and preventative 
care approaches starting early in the life course 
(including during pregnancy) with a focus on 
behavioral and biological influences on pre-
mature birth, child health, and the trajectory of 
such approaches into adulthood. 
Æ 
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