the benefits and appropriateness of genetic analysis for in-
fant and early childhood deaths that remain unexplained 
after a complete death scene investigation and comprehen-
sive, standardized autopsy. Such study shall include rec-
ommendations on developing a standard protocol for use 
in determining when to utilize genetic analysis, and stand-
ard protocols for the collection and storage of specimens 
suitable for genetic analysis. 
‘‘(d) AUTHORIZATION OF APPROPRIATIONS.—There 
is authorized to be appropriated $8,000,000 for each of 
fiscal years 2019 through 2023 to carry out this section. 
‘‘SEC. 399OO–2. TRAINING. 
‘‘(a) GRANTS.—The Secretary, acting through the 
Director, shall award grants to eligible entities for the pro-
vision of training on death scene investigation specific for 
SUID and SUDC. 
‘‘(b) ELIGIBLE ENTITIES.—To be eligible to receive 
a grant under subsection (a), an entity shall— 
‘‘(1) be— 
‘‘(A) a State or local government entity; or 
‘‘(B) a nonprofit private entity; 
‘‘(2) submit to the Secretary an application at 
such time, in such manner, and containing such in-
formation as the Secretary may require; and 
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‘‘(3) make publishing training materials devel-
oped under subsection (a) available on an Internet 
website and at no charge to attendees of training 
under subsection (c)(1). 
‘‘(c) USE OF FUNDS.—An eligible entity shall use 
amounts received under a grant under this section to— 
‘‘(1) provide training to medical examiners, 
coroners, death scene investigators, law enforcement 
personnel, justices of the peace, emergency medical 
technicians, paramedics, or emergency department 
personnel concerning death scene investigations for 
SUID and SUDC, including the use of standard 
death scene investigation protocols that include in-
formation on the current and past medical history of 
the infant/child, the circumstances surrounding the 
death including any suspicious circumstances, the 
sleep position and sleep environment of the infant/ 
child, and whether there were any accidental or envi-
ronmental factors associated with the death; 
‘‘(2) provide training directly to individuals who 
are responsible for conducting and reviewing death 
scene investigations for sudden unexpected infant 
death and sudden unexplained death in childhood; 
‘‘(3) provide training to multidisciplinary teams, 
including teams that have a medical examiner or 
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coroner, death scene investigator, law enforcement 
representative, and an emergency medical technician 
or paramedic; 
‘‘(4) in the case of national and State-based 
grantees that are comprised of medical examiners, 
coroners, death scene investigators, law enforcement 
personnel, or emergency medical technicians and 
paramedics, integrate training under the grant on 
death scene investigation of SUID and SUDC into 
professional accreditation and training programs; or 
‘‘(5) in the case of State and local government 
entity grantees, obtain equipment, including scene 
investigation kits, to aid in the completion of stand-
ard death scene investigation. 
‘‘(d) AUTHORIZATION OF APPROPRIATIONS.—There 
is authorized to be appropriated to carry out this section 
$2,000,000 for each of fiscal years 2019 through 2023. 
‘‘SEC. 399OO–3. INFANT AND CHILD DEATH REVIEW. 
‘‘(a) PREVENTION.— 
‘‘(1) CORE CAPACITY GRANTS.—The Secretary, 
acting through the Administrator and in consulta-
tion with the Associate Commissioner of the Chil-
dren’s Bureau, shall award grants to States to build 
and strengthen State capacity so as to review 100 
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percent of all infant and child deaths, and to develop 
and implement prevention strategies, as appropriate. 
‘‘(2) PLANNING GRANTS.—The Secretary, act-
ing through the Administrator, shall award planning 
grants to States that have no existing infant or child 
death review program or States in which the only in-
fant and child death review programs are State- 
based, for the development of local infant and child 
death review programs and prevention strategies. 
‘‘(3) APPLICATION.—To be eligible to receive a 
grant under paragraph (1) or (2), a State shall sub-
mit to the Secretary an application at such time, in 
such manner, and containing such information as 
the Secretary may require. 
‘‘(4) TECHNICAL ASSISTANCE.—The Secretary, 
acting through the Administrator, shall provide tech-
nical assistance to assist States— 
‘‘(A) in developing the capacity for com-
prehensive infant and child death review pro-
grams, including the development of best prac-
tices for the implementation of such programs; 
and 
‘‘(B) in maintaining the National Infant 
and Child Death Case Reporting System. 
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‘‘(b) AUTHORIZATION OF APPROPRIATIONS.—There 
is authorized to be appropriated $15,000,000 for each of 
fiscal years 2019 through 2023 to carry out subsection 
(a). 
‘‘SEC. 399OO–4. ENHANCING THE NATIONAL INFANT AND 
CHILD DEATH CASE REPORTING SYSTEM. 
‘‘(a) IN GENERAL.—The Secretary, acting through 
the Director and in consultation with the National Infant 
and Child Death Case Reporting System, national health 
organizations, and professional societies with experience 
and expertise relating to reducing SUID and SUDC, shall 
maintain current efforts of the National Infant and Child 
Death Case Reporting System so as to provide population- 
based data on deaths occurring for children ages 0 
through 4, in order to facilitate the understanding of the 
root causes, rates, trends, and geographic variations of 
SUID and SUDC with respect to such ages. 
‘‘(b) COMPILATION AND AVAILABILITY OF DATA.— 
The Secretary shall compile the data submitted under this 
section and make such data available to the public in a 
timely manner on an appropriate Internet website in a for-
mat that is useful to the public and to other entities. 
‘‘(c) AUTHORIZATION OF APPROPRIATIONS.—There 
is authorized to be appropriated to carry out this section 
$1,000,000 for each of fiscal years 2019 through 2023. 
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‘‘SEC. 399OO–5. GRANTS TO SUPPORT INFANT SAFE SLEEP. 
‘‘(a) IN GENERAL.—The Secretary, acting through 
the Administrator, shall award grants to national organi-
zations, community-based organizations, municipal public 
safety departments, and nonprofit organizations for the 
provision of evidence-based approaches for educational 
programs, and outreach activities focused on decreasing 
the risk factors that contribute to SUID. 
‘‘(b) APPLICATION.—To be eligible to receive a grant 
under subsection (a), an entity shall submit to the Sec-
retary an application at such time, in such manner, and 
containing such information as the Secretary may require. 
‘‘(c) USE OF FUNDS.—Amounts received under a 
grant awarded under subsection (a) may be used to— 
‘‘(1) provide outreach and education services di-
rectly to parents and families, which— 
‘‘(A) may include home visits, 24-hour hot-
lines, Internet-based educational materials, mo-
bile health technologies, and social marketing 
campaigns; 
‘‘(B) shall apply current safe sleep guide-
lines published by a professional pediatric orga-
nization; and 
‘‘(C) may provide safe sleep-related prod-
ucts to families for free-of-charge or at reduced 
cost that have published, peer-reviewed evidence 
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to support safer sleep environments for infants 
through age one; or 
‘‘(2) build capacity in professionals working 
with families to support safe sleep. 
‘‘(d) SAFE-SLEEP PRODUCTS.—Any product related 
to safe sleep for an infant that is provided under sub-
section (c)(1)(C) shall— 
‘‘(1) be a full-sized crib, a non-full-sized crib, or 
a play yard; 
‘‘(2) provide a flat surface; 
‘‘(3) not include a supplemental mattress or 
soft bedding; and 
‘‘(4) be covered by, and be in compliance with, 
a regulation or mandatory standard promulgated by 
the Consumer Product Safety Commission. 
‘‘(e) PREFERENCE.—In awarding grants under sub-
section (a), the Secretary shall give preference to appli-
cants that have a proven history of developing or deliv-
ering interventions for infants and families to support safe 
sleep, include plans to report evidence of program out-
comes, and can demonstrate experience through collabora-
tions and partnerships for delivering services throughout 
a State or region. 
‘‘(f) SET-ASIDE.—Not more than 5 percent of the 
amount of funds allocated to carry out this section may 
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be used to conduct research into the behavioral risks that 
lead to unsafe sleep practices and ways to mitigate those 
risks. 
‘‘(g) AUTHORIZATION OF APPROPRIATIONS.—There 
is authorized to be appropriated to carry out this section 
$5,000,000 for fiscal year 2019 and $7,000,000 for each 
of fiscal years 2020 through 2023. 
‘‘SEC. 399OO–6. GRANTS FOR SUPPORT SERVICES. 
‘‘(a) IN GENERAL.—The Secretary, acting through 
the Administrator, shall award grants to national organi-
zations, State and local health departments, community- 
based organizations, and nonprofit organizations for the 
provisions of support services to families who have had 
a child die of sudden unexpected infant death and sudden 
unexplained death in childhood. 
‘‘(b) APPLICATION.—To be eligible to receive a grant 
under subsection (a), an entity shall submit to the Sec-
retary an application at such time, in such manner, and 
containing such information as the Secretary may require. 
‘‘(c) USE OF FUNDS.—Amounts received under a 
grant awarded under subsection (a) may be used to pro-
vide grief counseling, education, home visits, 24-hour hot-
lines, or information, resources, and referrals; ensure ac-
cess to grief and bereavement services; build capacity in 
professionals working with families who experience a sud-
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den death; or support groups for families who have lost 
a child to sudden unexpected infant death or sudden unex-
plained death in childhood. 
‘‘(d) PREFERENCE.—In awarding grants under sub-
section (a), the Secretary shall give preference to appli-
cants that have a proven history of effective direct support 
services and interventions for sudden unexpected infant 
death and sudden unexplained death in childhood and can 
demonstrate experience through collaborations and part-
nerships for delivering services described in subsection (c). 
‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—There 
is authorized to be appropriated to carry out this section 
$1,000,000 for each of fiscal years 2019 through 2023.’’. 
SEC. 3. SENSE OF CONGRESS. 
It is the sense of Congress that additional research 
is needed to improve the understanding of the epidemi-
ology of sudden unexplained death in childhood. 
SEC. 4. REPORT TO CONGRESS. 
Not later than 1 year after the date of enactment 
of this Act, and annually thereafter, the Secretary of 
Health and Human Services, acting through the Director 
of the Centers for Disease Control and Prevention and in 
consultation with the Director of the National Institutes 
of Health and the Administrator of the Health Resources 
and Services Administration, shall submit to the Com-
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mittee on Health, Education, Labor, and Pensions of the 
Senate and the Committee on Energy and Commerce of 
the House of Representatives a report that contains, with 
respect to the preceding 1-year reporting period— 
(1) information regarding the absolute number 
and incidence of both sudden unexpected infant 
death and sudden unexplained death in childhood, 
information about such conditions by racial and eth-
nic groups, information about such conditions by 
State, aggregate information obtained from death 
scene investigations and autopsies, and recommenda-
tions for reducing the incidence of sudden unex-
pected infant death and sudden unexplained death in 
childhood; 
(2) an assessment of the extent to which var-
ious approaches of preventing sudden unexpected in-
fant death have been effective; 
(3) a description of the activities carried out 
under part W of title III of the Public Health Serv-
ice Act (as added by section 2); and 
(4) any recommendations of the Secretary re-
garding such part W. 
Æ 
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