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‘‘(ii) family medical history; 
‘‘(iii) the circumstances surrounding 
the death, including any suspicious cir-
cumstances; 
‘‘(iv) the sleep position and sleep envi-
ronment of the infant; and 
‘‘(v) any accidental or environmental 
factors associated with death. 
‘‘(3) GUIDELINES FOR A STANDARD AUTOPSY 
PROTOCOL.—The Secretary, in consultation with the 
Attorney General of the United States, forensic pa-
thologists, medical examiners, coroners, pediatric pa-
thologists, 
pediatric 
cardiologists, 
pediatric 
neuropathologists, geneticists, infectious disease spe-
cialists, and other individuals and organizations de-
termined appropriate by the Secretary, shall— 
‘‘(A) develop guidelines for a standard au-
topsy protocol for SUID; and 
‘‘(B) not less than every 5 years, review 
and, as appropriate, update such guidelines. 
‘‘(4) TRAINING.—The Secretary, in consultation 
with the Attorney General of the United States, 
may— 
‘‘(A) conduct or support— 
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‘‘(i) training activities for medical ex-
aminers, coroners, medicolegal death scene 
investigators, law enforcement personnel, 
and emergency medical technicians or 
paramedics concerning death scene inves-
tigations for SUID, including the use of 
standard death scene investigation proto-
cols disseminated under paragraph (2); 
and 
‘‘(ii) training activities for medical ex-
aminers, coroners, and forensic patholo-
gists concerning standard autopsy proto-
cols for SUID developed under paragraph 
(3); and 
‘‘(B) make recommendations to health pro-
fessional organizations regarding the integra-
tion of protocols disseminated or developed 
under this subsection, and training conducted 
or supported under this paragraph, into exist-
ing training and continuing education pro-
grams. 
‘‘(c) SUDDEN UNEXPLAINED DEATH IN CHILDHOOD 
ACTIVITIES.—The Secretary, acting through the Director 
of the Centers for Disease Control and Prevention, shall 
continue to carry out activities of the Centers relating to 
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sudden unexpected death in childhood (SUDC), including 
the following: 
‘‘(1) SURVEILLANCE.—The Secretary, in con-
sultation with the Director of the National Institutes 
of Health, shall provide for surveillance efforts to 
gather sociodemographic, death scene investigation, 
clinical history, and autopsy information on SUDC 
cases through the review of existing records on 
SUDC, including through the utilization of existing 
surveillance systems (including the Sudden Death in 
the Young Registry). 
‘‘(2) GUIDELINES FOR A STANDARD AUTOPSY 
PROTOCOL.—The Secretary, in consultation with the 
Attorney General of the United States, forensic pa-
thologists, medical examiners, coroners, pediatric pa-
thologists, 
pediatric 
cardiologists, 
pediatric 
neuropathologists, geneticists, infectious disease spe-
cialists, and other individuals and organizations de-
termined appropriate by the Secretary, may— 
‘‘(A) develop guidelines for a standard au-
topsy protocol for SUDC; and 
‘‘(B) not less than every 5 years, review 
and, as appropriate, update such guidelines. 
‘‘(3) REVIEW OF APPLICABILITY OF PROGRAMS 
AND ACTIVITIES.—Not later than 18 months after 
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the date of enactment of this section, the Secretary, 
acting through the Director of the Centers for Dis-
ease Control and Prevention, and in consultation 
with the Director of the National Institutes of 
Health, shall complete an evaluation of the possi-
bility of carrying out or intensifying, with respect to 
SUDC, the types of programs and activities that are 
authorized to be carried out under subsection (b) 
with respect to SUID. 
‘‘(d) REPORT TO CONGRESS.—Not later than 2 years 
after the date of enactment of this Act, the Secretary, act-
ing through the Director of the Centers for Disease Con-
trol and Prevention, shall submit to the Congress a report 
on the implementation of this section. Such report shall 
include— 
‘‘(1) the results of the evaluation under sub-
section (c)(3); and 
‘‘(2) a description of any activities that— 
‘‘(A) are being carried out by the Centers 
for Disease Control and Prevention in consulta-
tion with the National Institutes of Health re-
lating to stillbirth, SUID, or SUDC; and 
‘‘(B) are in addition to the activities being 
carried out pursuant to this section. 
‘‘(e) DEFINITIONS.—In this section: 
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‘‘(1) The term ‘stillbirth’ means a spontaneous 
fetal death that— 
‘‘(A) occurs at 20 or more weeks gestation; 
or 
‘‘(B) if the age of the fetus is not known, 
involves a fetus weighing 350 grams or more. 
‘‘(2) The terms ‘sudden unexpected infant 
death’ and ‘SUID’ mean the death of an infant less 
than 1 year of age— 
‘‘(A) which occurs suddenly and unexpect-
edly; and 
‘‘(B) whose cause— 
‘‘(i) is not immediately obvious prior 
to investigation; and 
‘‘(ii) is either explained upon inves-
tigation or remains unexplained. 
‘‘(3) The terms ‘sudden unexplained death in 
childhood’ and ‘SUDC’ mean the sudden death of a 
child 1 year of age or older which remains unex-
plained after a thorough case investigation that in-
cludes— 
‘‘(A) a review of the clinical history and 
circumstances of death; and 
‘‘(B) performance of a complete autopsy 
with appropriate ancillary testing. 
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‘‘(f) FUNDING.—No additional funds are authorized 
to be appropriated for the purpose of carrying out this 
section, and this section shall be carried out using 
amounts otherwise available for such purpose.’’. 
Passed the House of Representatives September 9, 
2014. 
Attest: 
KAREN L. HAAS, 
Clerk. 
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