I 
117TH CONGRESS 
1ST SESSION H. R. 5995 
To provide research on, and services for, individuals with clinical mental 
health complications following a pregnancy loss, and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
NOVEMBER 17, 2021 
Mr. EMMER (for himself, Mr. LAMBORN, Mr. RICE of South Carolina, Mr. 
WEBER of Texas, Mr. BOST, Mr. MCKINLEY, Mrs. KIM of California, Mr. 
LUETKEMEYER, Mr. JACKSON, Mr. FORTENBERRY, Mr. KELLY of Mis-
sissippi, Mr. CRAWFORD, Mr. BANKS, Mr. MULLIN, Ms. SALAZAR, Mr. 
SMUCKER, Mrs. MILLER-MEEKS, Mrs. LESKO, Mr. HARRIS, and Mr. 
NORMAN) introduced the following bill; which was referred to the Com-
mittee on Energy and Commerce 
A BILL 
To provide research on, and services for, individuals with 
clinical mental health complications following a preg-
nancy loss, 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 ‘‘Pregnancy Loss Men-
tal Health Research Act of 2021’’. 
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TITLE I—RESEARCH ON CLIN-
ICAL MENTAL HEALTH COM-
PLICATIONS 
FOLLOWING 
A 
PREGNANCY LOSS 
SEC. 101. EXPANSION AND INTENSIFICATION OF ACTIVI-
TIES OF NATIONAL INSTITUTE OF MENTAL 
HEALTH. 
(a) IN GENERAL.—The Secretary of Health and 
Human Services, acting through the Director of the Na-
tional Institutes of Health and the Director of the Na-
tional Institute of Mental Health (in this section referred 
to as the ‘‘Institute’’), shall expand and intensify research 
and related activities of the Institute with respect to clin-
ical mental health complications, including persistent com-
plex bereavement disorder, following a pregnancy loss (in-
cluding a miscarriage, stillbirth, or abortion). 
(b) COORDINATION WITH OTHER INSTITUTES.—The 
Director of the Institute shall coordinate the activities of 
the Director under subsection (a) with similar activities 
conducted by the other national research institutes and 
agencies of the National Institutes of Health to the extent 
that such Institutes and agencies have responsibilities that 
are related to clinical mental health complications fol-
lowing a pregnancy loss (including a miscarriage, still-
birth, or abortion). 
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(c) PROGRAMS
FOR
PREGNANCY
LOSS
CONDI-
TIONS.—In carrying out subsection (a), the Director of the 
Institute shall conduct or support research to expand the 
understanding of the causes of, and to identify treatment 
for, mental health conditions following a pregnancy loss, 
including the following: 
(1) Basic research concerning the etiology and 
causes of the conditions. 
(2) The development of improved screening and 
diagnostic techniques. 
(3) Clinical research for the development and 
evaluation of new treatments, including new biologi-
cal agents. 
(4) Information and education programs for 
health care professionals and the public. 
(d) LONGITUDINAL STUDY.— 
(1) IN GENERAL.—The Director of the Institute 
shall conduct a national longitudinal study to deter-
mine the prevalence of mental health complications 
following a pregnancy loss, and the symptoms, sever-
ity, and duration of such cases, toward the goal of 
more fully identifying the characteristics of such 
cases and developing diagnostic techniques. 
(2) REPORT.—Beginning not later than 3 years 
after the date of the enactment of this Act, and peri-
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odically thereafter for the duration of the study 
under paragraph (1), the Director of the Institute 
shall prepare and submit to the Congress a report 
on the findings of the study, any progress with re-
spect to the study, and methodologies used to con-
duct the study. 
SEC. 102. AUTHORIZATION OF APPROPRIATIONS. 
(a) IN GENERAL.—For the purpose of carrying out 
this title, there is authorized to be appropriated 
$4,500,000 for each of the fiscal years 2022 through 
2023. 
(b) LIMITATION.—Any amounts appropriated under 
this title are subject to the requirements and limitations 
under sections 506 and 507 of division H of the Consoli-
dated Appropriations Act, 2021 (Public Law 116–260) in 
the same manner and to the same extent as if such 
amounts for each year were appropriated under such divi-
sion. 
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TITLE II—DELIVERY OF SERV-
ICES WITH RESPECT TO MEN-
TAL 
HEALTH 
COMPLICA-
TIONS FOLLOWING A PREG-
NANCY LOSS 
SEC. 
201. 
GRANT 
PROGRAM 
FOR 
CLINICAL 
MENTAL 
HEALTH CONDITIONS FOLLOWING A PREG-
NANCY LOSS. 
(a) IN GENERAL.—The Secretary of Health and 
Human Services (in this title referred to as the ‘‘Sec-
retary’’) shall in accordance with this title make grants 
to provide for projects for the establishment, operation, 
and coordination of effective and cost-efficient systems for 
the delivery of mental health services to individuals strug-
gling with clinical mental health conditions following a 
pregnancy loss. 
(b) RECIPIENTS OF GRANTS.—A grant under sub-
section (a) may be made to an entity only if the entity— 
(1) is a public or nonprofit private entity, which 
may include a State or local government; a public or 
nonprofit private hospital, community-based organi-
zation, community health center, migrant health 
center, or homeless health center; or other appro-
priate public or nonprofit private entity; and 
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(2) has experience in providing the services de-
scribed in subsection (a) before the date of the en-
actment of this Act. 
(c) CERTAIN ACTIVITIES.—To the extent practicable 
and appropriate, the Secretary shall ensure that projects 
under subsection (a) provide services for the screening, di-
agnosis, and management of mental health conditions, in-
cluding persistent complex bereavement disorders, fol-
lowing a pregnancy loss. Such activities may include the 
following: 
(1) Delivering or enhancing outpatient and 
home-based health and support services (including 
case management, screening and mental health 
treatment services) for individuals with, or who are 
at risk of developing, mental health complications 
following a pregnancy loss, and delivering or enhanc-
ing support services for the families of such individ-
uals. 
(2) Delivering or enhancing inpatient care man-
agement services that ensure the well being of the 
mother and family, and the future development of 
the infant. 
(3) Improving the quality, availability, and or-
ganization of health care and support services (in-
cluding transportation services, attendant care, 
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homemaker services, day or respite care, and pro-
viding counseling on financial assistance and insur-
ance) for individuals with mental health conditions 
following a pregnancy loss. 
(d) INTEGRATION WITH OTHER PROGRAMS.—To the 
extent practicable and appropriate, the Secretary shall in-
tegrate the program under this title with other grant pro-
grams carried out by the Secretary, including the program 
under section 330 of the Public Health Service Act (42 
U.S.C. 254b). 
(e) LIMITATION ON AMOUNT OF GRANTS.—A grant 
under subsection (a) may not for any fiscal year be made 
in an amount exceeding $100,000. 
SEC. 202. CERTAIN REQUIREMENTS FOR GRANT PROGRAM 
FOR CLINICAL MENTAL HEALTH CONDITIONS 
FOLLOWING A PREGNANCY LOSS. 
A grant may be made under section 201 only if the 
applicant involved makes the following agreements: 
(1) Not more than 5 percent of the grant will 
be used for administration, accounting, reporting, 
and program oversight functions. 
(2) The grant will be used to supplement and 
not supplant funds from other sources related to the 
treatment of clinical mental health conditions fol-
lowing a pregnancy loss. 
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(3) The applicant will abide by any limitations 
deemed appropriate by the Secretary on any charges 
to individuals receiving services pursuant to the 
grant. As deemed appropriate by the Secretary, such 
limitations on charges may vary based on the finan-
cial circumstances of the individual receiving serv-
ices. 
(4) The grant will not be expended to make 
payment for services authorized under section 
201(a) to the extent that payment has been made, 
or can reasonably be expected to be made, with re-
spect to such services— 
(A) under any State compensation pro-
gram, under an insurance policy, or under any 
Federal or State health benefits program; or 
(B) by an entity that provides health serv-
ices on a prepaid basis. 
(5) The applicant will, at each site at which the 
applicant provides services under section 201(a), 
post a conspicuous notice informing individuals who 
receive the services of any Federal policies that 
apply to the applicant with respect to the imposition 
of charges on such individuals. 
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SEC. 203. TECHNICAL ASSISTANCE. 
The Secretary may provide technical assistance to as-
sist entities in complying with the requirements of this 
title in order to make such entities eligible to receive 
grants under section 201. 
SEC. 204. NO FUNDS FOR CERTAIN ABORTION PROVIDERS. 
(a) IN GENERAL.—Notwithstanding any other provi-
sion of law, none of the funds made available by this Act 
may be made available either directly, through a State (in-
cluding through managed care contracts with a State), or 
through any other means, to a prohibited entity. 
(b) PROHIBITED ENTITY.—The term ‘‘prohibited en-
tity’’ means an entity, including its affiliates, subsidiaries, 
successors, and clinics that, as of the date of enactment 
of this Act— 
(1) is an organization described in section 
501(c)(3) of the Internal Revenue Code of 1986 and 
exempt from taxation under section 501(a) of such 
Code; 
(2) is an essential community provider de-
scribed in section 156.235 of title 45, Code of Fed-
eral Regulations (as in effect on the date of enact-
ment of this Act), that is primarily engaged in fam-
ily planning services, reproductive health, and re-
lated medical care; and 
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(3) performs, or provides any funds to any 
other entity that performs, abortions, other than— 
(A) in the case of a pregnancy that is the 
result of an act of rape or incest; or 
(B) in the case where a woman suffers 
from a physical disorder, physical injury, or 
physical illness that would, as certified by a 
physician, place the woman in danger of death 
unless an abortion is performed, including a life 
endangering physical condition caused by, or 
arising from, the pregnancy itself. 
(c) END OF PROHIBITION.—The definition in sub-
section (b) shall cease to apply to an entity if such entity 
certifies that it, including its affiliates, subsidiaries, suc-
cessors, and clinics, will not perform, and will not provide 
any funds to any other entity that performs, an abortion 
described in subsection (b)(3). 
(d) REPAYMENT BY PROHIBITED ENTITY.—The Sec-
retary of Health and Human Services shall seek repay-
ment of any Federal assistance received by any entity that 
had made a certification described in subsection (c) and 
subsequently violated the terms of such certification. 
SEC. 205. AUTHORIZATION OF APPROPRIATIONS. 
(a) IN GENERAL.—For the purpose of carrying out 
this title, there is authorized to be appropriated 
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$4,500,000 for each of the fiscal years 2022 through 
2023. 
(b) LIMITATION.—Any amounts appropriated under 
this title are subject to the requirements and limitations 
under sections 506 and 507 of division H of the Consoli-
dated Appropriations Act, 2021 (Public Law 116–260) in 
the same manner and to the same extent as if such 
amounts for each year were appropriated under such divi-
sion. 
Æ 
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