IB 
Union Calendar No. 130 
118TH CONGRESS 
1ST SESSION H. R. 3226 
[Report No. 118–164] 
To reauthorize the Prematurity Research Expansion and Education for 
Mothers who deliver Infants Early Act. 
IN THE HOUSE OF REPRESENTATIVES 
MAY 11, 2023 
Ms. ESHOO (for herself, Ms. KELLY of Illinois, Ms. BLUNT ROCHESTER, Mr. 
BURGESS, Mrs. MILLER-MEEKS, and Mrs. KIGGANS of Virginia) intro-
duced the following bill; which was referred to the Committee on Energy 
and Commerce 
AUGUST 25, 2023 
Additional sponsors: Ms. UNDERWOOD, Mr. CARTER
of Georgia, Mr. 
FITZPATRICK, Mr. MOORE of Alabama, Ms. CRAIG, Ms. BARRAGA´N, Ms. 
CASTOR of Florida, Mrs. CHERFILUS-MCCORMICK, Ms. NORTON, Mr. 
NICKEL, Mr. BALDERSON, Ms. STEVENS, Ms. PINGREE, Mr. ALLRED, 
Mr. KRISHNAMOORTHI, Mrs. FLETCHER, Mr. RUIZ, Ms. WILD, Mr. 
TONKO, Mrs. NAPOLITANO, Mr. VEASEY, Mr. MORELLE, and Mr. 
CA´RDENAS 
AUGUST 25, 2023 
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 May 11, 2023] 
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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 ‘‘PREEMIE Reauthoriza-
tion Act of 2023’’. 
SEC. 2. RESEARCH RELATING TO PRETERM LABOR AND DE-
LIVERY AND THE CARE, TREATMENT, AND 
OUTCOMES OF PRETERM AND LOW BIRTH-
WEIGHT INFANTS. 
(a) IN GENERAL.—Section 3(e) of the Prematurity Re-
search 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 2024 through 2028’’. 
(b) TECHNICAL CORRECTION.—Effective as if included 
in the enactment of the PREEMIE Reauthorization Act of 
2018 (Public Law 115–328), section 2 of such Act is amend-
ed, in the matter preceding paragraph (1), by striking ‘‘Sec-
tion 2’’ and inserting ‘‘Section 3’’. 
SEC. 3. 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 
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enactment of the PREEMIE Reauthorization Act of 2023, 
the Secretary of Health and Human Services, in collabora-
tion with other departments, as appropriate, shall estab-
lish’’. 
SEC. 4. STUDY ON PRETERM BIRTHS. 
(a) IN GENERAL.—The Secretary of Health and 
Human Services shall enter into appropriate arrangements 
with the National Academies of Sciences, Engineering, and 
Medicine under which the National Academies shall— 
(1) not later than 30 days after the date of en-
actment of this Act, convene a committee of experts in 
maternal health to study premature births in the 
United States; and 
(2) upon completion of the study under para-
graph (1)— 
(A) approve by consensus a report on the 
results of such study; 
(B) include in such report— 
(i) an assessment of each of the topics 
listed in subsection (b); 
(ii) the analysis required by subsection 
(c); and 
(iii) the raw data used to develop such 
report; and 
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(C) not later than 24 months after the date 
of enactment of this Act, transmit such report 
to— 
(i) the Secretary of Health and 
Human Services; 
(ii) the Committee on Energy and 
Commerce of the House of Representatives; 
and 
(iii) the Committee on Finance and the 
Committee on Health, Education, Labor, 
and Pensions of the Senate. 
(b) ASSESSMENT TOPICS.—The topics listed in this 
subsection are of each of the following: 
(1) The financial costs of premature birth to so-
ciety, including— 
(A) an analysis of stays in neonatal inten-
sive care units and the cost of such stays; 
(B) long-term costs of stays in such units to 
society and the family involved post-discharge; 
and 
(C) health care costs for families post-dis-
charge from such units (such as medications, 
therapeutic services, co-pays visits and specialty 
equipment). 
(2) The factors that impact pre-term birth rates. 
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(3) Opportunities for earlier detection of pre-
mature birth risk factors, including— 
(A) opportunities to improve maternal and 
infant health; and 
(B) opportunities for public health pro-
grams to provide support and resources for par-
ents in-hospital, in non-hospital settings, and 
post-discharge. 
(c) ANALYSIS.—The analysis required by this sub-
section is an analysis of— 
(1) targeted research strategies to develop effec-
tive drugs, treatments, or interventions to bring at- 
risk pregnancies to term; 
(2) State and other programs’ best practices with 
respect to reducing premature birth rates; and 
(3) precision medicine and preventative care ap-
proaches starting early in the life course (including 
during pregnancy) with a focus on behavioral and bi-
ological influences on premature birth, child health, 
and the trajectory of such approaches into adulthood. 
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Union Calendar No. 130 
118TH CONGRESS 
1ST SESSION 
H. R. 3226 
[Report No. 118–164] 
A BILL 
To reauthorize the Prematurity Research Expan-
sion and Education for Mothers who deliver In-
fants Early Act. 
AUGUST 25, 2023 
Reported with an amendment, committed to the Com-
mittee of the Whole House on the State of the Union, 
and ordered to be printed 
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