II 118th CONGRESS 1st Session S. 2978 IN THE SENATE OF THE UNITED STATES September 28 (legislative day, September 22), 2023 Mr. Van Hollen introduced the following bill; which was read twice and referred to the Committee on Health, Education, Labor, and Pensions A BILL To authorize funding for the establishment and implementation of infant mortality pilot programs in standard metropolitan statistical areas with high rates of infant mortality, and for other purposes.

1. Short title This Act may be cited as the Nationally Enhancing the Well-being of Babies through Outreach and Research Now Act or the NEWBORN Act . 2. Infant mortality pilot programs Section 330H of the Public Health Service Act ( 42 U.S.C. 254c–8 ) is amended— (1) by redesignating subsections (e) and (f) as subsections (f) and (g), respectively; (2) by inserting after subsection (d) the following: (e) Infant mortality pilot programs (1) In general The Secretary shall award grants to eligible entities to establish, implement, and oversee infant mortality pilot programs. (2) Period of a grant The period of a grant under this subsection shall be not more than 5 years. (3) Preference In awarding grants under this subsection, the Secretary shall give preference to— (A) eligible entities proposing to serve any of the 50 counties or groups of counties with the highest rates of infant mortality in the United States, based on the most recent 3 years of available data, as determined by the Secretary; and (B) eligible entities the proposed infant mortality pilot program of which would address— (i) birth defects; (ii) preterm birth and low birth weight; (iii) sudden infant death; (iv) maternal pregnancy complications; or (v) injuries to infants. (4) Use of funds An infant mortality pilot program carried out using a grant under this subsection may— (A) include the development of a plan that identifies the individual needs of each community to be served and strategies to address those needs; (B) provide outreach to at-risk mothers through programs deemed appropriate by the Administrator; (C) develop and implement standardized systems for improved access, utilization, and quality of social, educational, and clinical services to promote healthy pregnancies, full-term births, and healthy infancies delivered to women and their infants, such as— (i) counseling on infant care, feeding, and parenting; (ii) postpartum care; (iii) prevention of premature delivery; and (iv) additional counseling for at-risk mothers, including smoking cessation programs, drug treatment programs, alcohol treatment programs, nutrition and physical activity programs, postpartum depression and domestic violence programs, social and psychological services, dental care, and parenting programs; (D) establish a rural outreach program to provide care to at-risk mothers in rural areas; (E) establish a regional public education campaign, including a campaign to— (i) prevent preterm births; and (ii) provide education to the public about infant mortality; (F) provide for any other activities, programs, or strategies, as identified by the plan under subparagraph (A); and (G) coordinate efforts between— (i) the health department of each county or other eligible entity to be served through the infant mortality pilot program; and (ii) existing entities that work to reduce the rate of infant mortality within the area of any such county or other eligible entity. (5) Limitation Of the funds received through a grant under this subsection for a fiscal year, an eligible entity shall not use more than 10 percent for program evaluation. (6) Reports on pilot programs (A) In general Not later than 1 year after receiving a grant, and annually thereafter for the duration of the grant period, each eligible entity that receives a grant under paragraph (1) shall submit a report to the Secretary that details the infant mortality pilot program carried out using the grant. (B) Contents of report The reports required under subparagraph (A) shall include information such as the methodology of, and outcomes and statistics from, the infant mortality pilot program carried out using the grant. (C) Evaluation The Secretary shall use the reports required under subparagraph (A) to evaluate, and conduct statistical research on, infant mortality pilot programs carried out using grants under this subsection. (7) Definitions In this subsection: (A) Eligible entity The term eligible entity means— (i) a county, city, or territorial health department; (ii) the health department of an Indian tribe, a tribal organization, or an Urban Indian organization, as such terms are defined in section 4 of the Indian Health Care Improvement Act; or (iii) in the case of a State with a centralized health department, the State health department. (B) Secretary The term Secretary means the Secretary, acting through the Administrator of the Health Resources and Services Administration. ; (3) in subsection (f), as so redesignated— (A) in paragraph (1)— (i) in the heading, by striking Authorization of appropriations and inserting Healthy start initiative ; and (ii) by inserting (other than subsection (e)) after carrying out this section ; (B) by redesignating paragraph (2) as paragraph (3); (C) by inserting after paragraph (1) the following: (2) Infant mortality pilot programs There is authorized to be appropriated $10,000,000 for each of fiscal years 2023 through 2027 to carry out subsection (e). ; and (D) in paragraph (3)(A), as so redesignated, by striking the program under this section and inserting the program under subsection (a) ; and (4) in each of paragraphs (2) and (3)(B) of subsection (g), as so redesignated, by striking subsection (e)(2)(B) and inserting subsection (f)(3)(B) .