I 
115TH CONGRESS 
2D SESSION 
H. R. 6085 
To revise and extend the Prematurity Research Expansion and Education 
for Mothers who deliver Infants Early Act (PREEMIE Act). 
IN THE HOUSE OF REPRESENTATIVES 
JUNE 13, 2018 
Ms. ESHOO (for herself and Mr. LANCE) introduced the following bill; which 
was referred to the Committee on Energy and Commerce 
A BILL 
To revise and extend the Prematurity Research Expansion 
and Education for Mothers who deliver Infants Early 
Act (PREEMIE 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 ‘‘Prematurity Research 
Expansion and Education for Mothers who deliver Infants 
Early Reauthorization Act of 2018’’ or the ‘‘PREEMIE 
Reauthorization Act of 2018’’. 
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SEC. 2. RESEARCH RELATING TO PRETERM LABOR AND DE-
LIVERY AND THE CARE, TREATMENT, AND 
OUTCOMES OF PRETERM AND LOW BIRTH-
WEIGHT INFANTS. 
Section 2 of the Prematurity Research Expansion 
and Education for Mothers who deliver Infants Early Act 
(42 U.S.C. 247b–4f) is amended— 
(1) in subsection (b)— 
(A) in paragraph (1)(A), by striking ‘‘clin-
ical, biological, social, environmental, genetic, 
and behavioral factors relating’’ and inserting 
‘‘biological, social, and other determinants that 
contribute to health disparities and are re-
lated’’; and 
(B) in paragraph (2), by striking ‘‘con-
cerning the progress and any results of studies 
conducted under paragraph (1)’’ and inserting 
‘‘regarding activities and studies conducted 
under paragraph (1), including any applicable 
analyses of preterm birth. Such report shall be 
posted on the Internet website of the Depart-
ment of Health and Human Services.’’; 
(2) by striking subsection (c) and inserting the 
following: 
‘‘(c) PREGNANCY RISK ASSESSMENT MONITORING 
SURVEY.—The Secretary of Health and Human Services, 
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acting through the Director of the Centers for Disease 
Control and Prevention, shall— 
‘‘(1) continue systems for the collection of ma-
ternal-infant clinical and biomedical information, in-
cluding electronic health records, electronic data-
bases, and biobanks, to link with the Pregnancy 
Risk Assessment Monitoring System (PRAMS) and 
other epidemiological studies of prematurity in order 
to track, to the extent practicable, all pregnancy out-
comes and prevent preterm birth; 
‘‘(2) provide technical assistance, as appro-
priate, to support States in improving the collection 
of information pursuant to this subsection.’’; and 
(3) in subsection (e), by striking ‘‘except for 
subsection (c), $1,880,000,000 for each of fiscal 
years 
2014 
through 
2018’’ 
and 
inserting 
‘‘$2,000,000 for each of fiscal years 2019 through 
2023’’. 
SEC. 3. PUBLIC AND HEALTH CARE PROVIDER EDUCATION 
AND SUPPORT SERVICES. 
Section 399Q of the Public Health Service Act (42 
U.S.C. 280g–5) is amended— 
(1) in subsection (a)— 
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(A) by striking ‘‘conduct demonstration 
projects for the purpose of improving’’ and in-
serting ‘‘continue efforts to improve’’; and 
(B) by striking ‘‘for babies born preterm’’ 
and inserting ‘‘mothers of infants born preterm, 
and infants born preterm, including through 
demonstration projects, as appropriate’’; and 
(2) in subsection (b)— 
(A) in the matter preceding paragraph (1), 
by striking ‘‘under the demonstration project’’; 
(B) in paragraph (1)— 
(i) in the matter preceding subpara-
graph (A), by striking ‘‘programs to test 
and evaluate various’’ and inserting ‘‘pro-
grams which, in collaboration with States, 
localities, and community organizations, 
support’’; 
(ii) by redesignating subparagraphs 
(B) through (F) as subparagraphs (C) 
through (G), respectively; 
(iii) by inserting after subparagraph 
(A), the following: 
‘‘(B) evidence-based strategies to prevent 
preterm birth and associated outcomes;’’; 
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