I 
117TH CONGRESS 
1ST SESSION H. R. 5604 
To direct the Patient Center Outcome Research Institute to prepare and 
release a report on home cardiorespiratory monitors for infants, and 
for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
OCTOBER 15, 2021 
Mrs. WALORSKI introduced the following bill; which was referred to the Com-
mittee on Energy and Commerce, and in addition to the Committee on 
Ways and Means, for a period to be subsequently determined by the 
Speaker, in each case for consideration of such provisions as fall within 
the jurisdiction of the committee concerned 
A BILL 
To direct the Patient Center Outcome Research Institute 
to prepare and release a report on home cardiorespira-
tory monitors for infants, 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 ‘‘Baby Observation Act’’ 
or ‘‘BO’s Act’’. 
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SEC. 2. STUDY ON HOME CARDIORESPIRATORY MONITORS 
FOR INFANTS. 
(a) IN GENERAL.—Not later than 15 months after 
the date of the enactment of this Act and in accordance 
with paragraphs (8) and (9) of section 1181(d) of the So-
cial Security Act (42 U.S.C. 1320e(d)), the Patient-Cen-
tered Outcomes Research Institute established pursuant 
to subsection (b) of such section shall make publically 
available a study and report on home cardiorespiratory 
monitors, including— 
(1) a review of the literature on, and a data 
analysis of, best practices to reduce or prevent sleep- 
related sudden infant death syndrome or sudden un-
expected infant death (as such terms are defined in 
section 1121(e)(1) of the Public Health Service Act 
(42 U.S.C. 300c–11(e))); 
(2) a description of— 
(A) the available evidence on the effective-
ness, performance, and accuracy of home car-
diorespiratory monitors that track the heart 
rate, blood oxygen levels, and other vital signs 
of an infant; and 
(B) new models of care to improve the 
home sleeping environment of an infant, includ-
ing the use of cardiorespiratory monitors; 
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(3) health care plan criteria for medically ap-
propriate coverage for a home cardiorespiratory 
monitor; and 
(4) recommendations on whether home cardio-
respiratory monitors have shown product efficacy 
supporting coverage under an employer-sponsored 
health care plan, a qualified health plan offered 
through an Exchange established pursuant to title I 
of the Patient Protection and Affordable Care Act, 
the Medicaid program established under title XIX of 
the Social Security Act, and CHIP plans under title 
XXI of the Social Security Act. 
(b) DEFINITIONS.—In this Act: 
(1) HOME
CARDIORESPIRATORY
MONITOR.— 
The term ‘‘home cardiorespiratory monitor’’ means a 
medical device used in the home to track the res-
piratory effort and heart rate of a sleeping infant. 
(2) INFANT.—The term ‘‘infant’’ means a per-
son under 2 years of age. 
(c) FUNDING.—The trustee of the Patient-Centered 
Outcomes Research Trust Fund (as described in section 
9511 of the Internal Revenue Code) shall provide from 
such trust fund such funds as may be required to carry 
out the study under subsection (a). 
Æ 
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