I 118th CONGRESS 1st Session H. R. 5312 IN THE HOUSE OF REPRESENTATIVES August 29, 2023 Ms. Manning (for herself, Mr. Thompson of Pennsylvania , and Mr. Trone ) introduced the following bill; which was referred to the Committee on Education and the Workforce A BILL To amend the Child Nutrition Act of 1966 to support women, infants, and children impacted by substance use disorder, and for other purposes.

1. Short title This Act may be cited as the Supporting Healthy Mothers and Infants Act of 2023 . 2. Amendments to special supplemental nutrition program (a) Special supplemental nutrition program for women, infants, and children Section 17 of the Child Nutrition Act of 1966 ( 42 U.S.C. 1786 ) is amended— (1) in subsection (a), by striking drug abuse and inserting substance use disorder ; (2) in subsection (b)— (A) in paragraph (8), by striking drug abuse and inserting substance use disorder ; and (B) in paragraph (16)— (i) in the matter preceding subparagraph (A), by striking Drug abuse education and inserting Substance use disorder education ; (ii) in subparagraph (A), by striking dangers of drug abuse and inserting harm of substance use during pregnancy and lactation ; and (iii) in subparagraph (B)— (I) by striking are suspected drug abusers and inserting may have a substance use disorder ; (II) by striking drug abuse clinics, ; and (III) by striking drug abuse professionals and inserting resources ; (3) in subsection (e)— (A) in paragraph (1)— (i) by striking drug abuse each place it appears and inserting substance use disorder ; and (ii) by striking effects of drug and inserting effects of a substance use disorder ; and (B) in paragraph (5), by striking substance abuse and inserting substance use disorder ; (4) in subsection (f)— (A) in paragraph (1)(C)(ix), by striking drugs and inserting illicit or other harmful substances ; and (B) in paragraph (13), by striking drug abuse education and inserting substance use disorder education ; (5) in subsection (k)(1)— (A) by striking 1 member and inserting one member ; and (B) by striking drug abuse and inserting substance use disorder ; and (6) by redesignating subsections (l) through (q) as subsections (m) through (r), respectively, and by inserting after subsection (k) the following: (l) Activities To support WIC-Eligible individuals impacted by substance use disorder (1) In general The Secretary shall— (A) develop and disseminate nutrition education materials for individuals eligible for the program; and (B) conduct outreach to individuals who are potentially eligible for the program and who are impacted by a substance use disorder. (2) Purpose The purpose of this subsection is to ensure that individuals participating in the program who are impacted by a substance use disorder receive accurate nutrition education from trained staff in an effective and unbiased manner. (3) Nutrition education materials (A) In general The Secretary shall collaborate with the Secretary of Health and Human Services to develop appropriate evidence-based nutrition education materials for individuals impacted by a substance use disorder, including— (i) nutrition education materials for individuals with substance use disorder during pregnancy and in the postpartum period; and (ii) nutrition education materials for infants impacted by prenatal substance exposure and neonatal abstinence syndrome. (B) Educational materials update The materials developed pursuant to subparagraph (A) shall be included in the educational materials developed under paragraph (15) of section 515(b) of the Public Health Service Act ( 42 U.S.C. 290bb–21(b) ) and guidance issued under section 1005 of the SUPPORT for Patients and Communities Act ( 42 U.S.C. 1396a note). (4) Nutrition education clearinghouse The Secretary shall make available to all State agencies through an online clearinghouse any nutrition education and training materials related to nutrition for individuals impacted by a substance use disorder or neonatal abstinence syndrome that have been produced by the Secretary or the Secretary of Health and Human Services (or produced by a State agency and approved by the Secretary), including educational materials developed under paragraph (15) of section 515(b) of the Public Health Service Act ( 42 U.S.C. 290bb–21(b) ) and guidance issued under section 1005 of the SUPPORT for Patients and Communities Act ( 42 U.S.C. 1396a note). (5) Authorization of appropriations There are authorized to be appropriated to carry out this subsection $1,000,000 for fiscal year 2024, to remain available until expended. . (b) Conforming amendments Section 17(q) of the Child Nutrition Act of 1966 ( 42 U.S.C. 1786(q) ), as redesignated by subsection (a) is amended— (1) in paragraph (1), by striking subsection (o)(1)(A) and inserting subsection (p)(1)(A) ; and (2) in paragraph (2)(B), by striking subsection (o)(1)(A) and inserting subsection (p)(1)(A) .