PREEMIE Reauthorization Act

Bill: 113-s-252
Sponsor: full_name: Sen. Alexander, Lamar [R-TN]
Introduced: 2013-02-07
Policy area: Health
Subjects: Advisory bodies

Animal protection and human-animal relationships

Birth defects

Child health

Congressional oversight

Government information and archives

Government studies and investigations

Health information and medical records

Health programs administration and funding

Health promotion and preventive care

Hereditary and development disorders

Hospital care

Mammals

Medical education

Medical research

Minority health

Research administration and funding

Sex and reproductive health

Women's health
Latest action: action_date: 2013-11-27
text: Became Public Law No: 113-55.

Summaries:
action_date: 2013-02-07
action_desc: Introduced in Senate
text: <p>Prematurity Research Expansion and Education for Mothers who deliver Infants Early Reauthorization Act or PREEMIE Reauthorization Act - Amends the Prematurity Research Expansion and Education for Mothers who deliver Infants Early Act to revise and reauthorize requirements for research on prematurity and preterm births.</p> <p>Requires the Director of the Office for the Advancement of Telehealth to give preference in awarding grants to an eligible entity that proposes to use the grant funds to develop plans for, or to establish, telehealth networks that provide prenatal care for high-risk pregnancies.</p> <p> Revises and reauthorizes through FY2017 the authority of the Secretary of Health and Human Services (HHS) to conduct demonstration projects related to preterm births.</p><p> Repeals establishment of the Interagency Coordinating Council on Prematurity and Low Birthweight.</p> <p> Authorizes the Secretary to establish the Advisory Committee on Infant Mortality. Directs the Advisory Committee (or an existing advisory committee designated by the Secretary) to develop, and periodically review and revise, a plan for conducting and supporting research, education, and programs on preterm birth through HHS.</p> <p> Requires the Secretary to designate an appropriate agency within HHS to coordinate existing studies and report to the Secretary and Congress on hospital readmissions of preterm infants.</p> <div> <div> </div> </div>

action_date: 2013-02-14
action_desc: Reported to Senate without amendment
text: <p><b>(This measure has not been amended since it was introduced. The summary has been expanded because action occurred on the measure.)</b></p> <p>Prematurity Research Expansion and Education for Mothers who deliver Infants Early Reauthorization Act or PREEMIE Reauthorization Act - (Sec. 2) Amends the Prematurity Research Expansion and Education for Mothers who deliver Infants Early Act to revise and reauthorize requirements for research on prematurity and preterm births.</p> <p>Authorizes the Director of the Centers for Disease Control and Prevention (CDC) to: (1) conduct epidemiological studies (as currently required) on the clinical, biological, social, environmental, genetic, and behavioral factors related to prematurity, as appropriate; (2) conduct activities to improve national data to facilitate tracking preterm births; and (3) continue efforts to prevent preterm birth through the identification of opportunities for prevention and the assessment of their impact.</p> <p>(Sec. 3) Requires the Director of the Office for the Advancement of Telehealth to give preference in awarding grants to an eligible entity that proposes to use the grant funds to develop plans for, or to establish, telehealth networks that provide prenatal care for high-risk pregnancies.</p> <p> Revises and reauthorizes through FY2017 the authority of the Secretary of Health and Human Services (HHS) to conduct demonstration projects related to preterm births.</p> <p>Includes as activities under such projects programs to test and evaluate various strategies to provide information and education to health care providers and the public on: (1) the core risk factors for preterm labor and delivery, medically indicated deliveries before full term, (2) the importance of preconception and prenatal care, (3) treatments and outcomes for premature infants, (4) meeting the informational needs of families during the stay of an infant in a neonatal intensive care unit, and (5) utilization of evidence-based strategies to prevent birth injuries.</p> <p>Authorizes as additional activities under such projects the establishment of programs to increase the availability, awareness, and use of pregnancy and post-term information services that provide evidence-based, clinical information through counselors, community outreach efforts, electronic or telephonic communication, or other appropriate means regarding causes associated with prematurity, birth defects, or health risks to a post-term infant.</p> <p> (Sec. 4) Repeals establishment of the Interagency Coordinating Council on Prematurity and Low Birthweight.</p> <p> Authorizes the Secretary to establish the Advisory Committee on Infant Mortality. Directs the Advisory Committee (or an existing advisory committee designated by the Secretary) to develop, and periodically review and revise, a plan for conducting and supporting research, education, and programs on preterm birth through HHS.</p> <p> Requires the Secretary to designate an appropriate agency within HHS to coordinate existing studies and report to the Secretary and Congress on hospital readmissions of preterm infants.</p> <div> <div> </div> </div>

action_date: 2013-09-25
action_desc: Passed Senate amended
text: <p>Prematurity Research Expansion and Education for Mothers who deliver Infants Early Reauthorization Act or PREEMIE Reauthorization Act - (Sec. 2) Amends the Prematurity Research Expansion and Education for Mothers who deliver Infants Early Act to revise and reauthorize requirements for research on prematurity and preterm births.</p> <p>Authorizes the Director of the Centers for Disease Control and Prevention (CDC) to: (1) conduct epidemiological studies (as currently required) on the clinical, biological, social, environmental, genetic, and behavioral factors related to prematurity, as appropriate; (2) conduct activities to improve national data to facilitate tracking preterm births; and (3) continue efforts to prevent preterm birth through the identification of opportunities for prevention and the assessment of their impact.</p> <p>(Sec. 3) Requires the Director of the Office for the Advancement of Telehealth to give preference in awarding grants to an eligible entity that proposes to use the grant funds to develop plans for, or to establish, telehealth networks that provide prenatal care for high-risk pregnancies.</p> <p> Revises and reauthorizes through FY2017 the authority of the Secretary of Health and Human Services (HHS) to conduct demonstration projects related to preterm births.</p> <p>Includes as activities under such projects programs to test and evaluate various strategies to provide information and education to health care providers and the public on: (1) the core risk factors for preterm labor and delivery, medically indicated deliveries before full term, (2) the importance of preconception and prenatal care, (3) treatments and outcomes for premature infants, (4) meeting the informational needs of families during the stay of an infant in a neonatal intensive care unit, and (5) utilization of evidence-based strategies to prevent birth injuries.</p> <p>Authorizes as additional activities under such projects the establishment of programs to increase the availability, awareness, and use of pregnancy and post-term information services that provide evidence-based, clinical information through counselors, community outreach efforts, electronic or telephonic communication, or other appropriate means regarding causes associated with prematurity, birth defects, or health risks to a post-term infant.</p> <p> (Sec. 4) Repeals establishment of the Interagency Coordinating Council on Prematurity and Low Birthweight.</p> <p> Authorizes the Secretary to establish the Advisory Committee on Infant Mortality. Directs the Advisory Committee (or an existing advisory committee designated by the Secretary) to develop, and periodically review and revise, a plan for conducting and supporting research, education, and programs on preterm birth through HHS.</p> <p> Requires the Secretary to designate an appropriate agency within HHS to coordinate existing studies and report to the Secretary and Congress on hospital readmissions of preterm infants.</p> <div> <div> </div> </div>

action_date: 2013-11-12
action_desc: Passed House amended
text: <p><b>Title I: PREEMIE Act Reauthorization</b> - Prematurity Research Expansion and Education for Mothers who deliver Infants Early Reauthorization Act or the PREEMIE Reauthorization Act - (Sec. 102) Amends the Prematurity Research Expansion and Education for Mothers who deliver Infants Early Act to revise and reauthorize requirements for research on prematurity and preterm births.</p> <p>Authorizes the Director of the Centers for Disease Control and Prevention (CDC) to: (1) conduct epidemiological studies (as currently required) on the clinical, biological, social, environmental, genetic, and behavioral factors related to prematurity, as appropriate; (2) conduct activities to improve national data to facilitate tracking preterm births; and (3) continue efforts to prevent preterm birth through the identification of opportunities for prevention and the assessment of their impact.</p> <p>(Sec. 103) Requires the Director of the Office for the Advancement of Telehealth to give preference in awarding grants to an eligible entity that proposes to use the grant funds to develop plans for, or to establish, telehealth networks that provide prenatal care for high-risk pregnancies.</p> <p>Revises and reauthorizes through FY2017 the authority of the Secretary of Health and Human Services (HHS) to conduct demonstration projects related to preterm births.</p> <p> Includes as activities under such projects programs to test and evaluate various strategies to provide information and education to health care providers and the public on: (1) the core risk factors for preterm labor and delivery, (2) medically indicated deliveries before full term, (3) the importance of preconception and prenatal care, (4) treatments and outcomes for premature infants, (5) meeting the informational needs of families during the stay of an infant in a neonatal intensive care unit, and (6) utilization of evidence-based strategies to prevent birth injuries.</p> <p>Authorizes as additional activities under such projects the establishment of programs to increase the availability, awareness, and use of pregnancy and post-term information services that provide evidence-based, clinical information through counselors, community outreach efforts, electronic or telephonic communication, or other appropriate means regarding causes associated with prematurity, birth defects, or health risks to a post-term infant.</p> <p>(Sec. 104) Repeals establishment of the Interagency Coordinating Council on Prematurity and Low Birthweight.</p> <p>Authorizes the Secretary to establish the Advisory Committee on Infant Mortality. Directs the Advisory Committee (or an existing advisory committee designated by the Secretary) to develop, and periodically review and revise, a plan for conducting and supporting research, education, and programs on preterm birth through HHS.</p> <p>Requires the Secretary to designate an appropriate agency within HHS to coordinate existing studies and report to the Secretary and Congress on hospital readmissions of preterm infants.</p> <p><b>Title II: National Pediatric Research Network</b> - National Pediatric Research Network Act of 2013 - (Sec. 202) Amends the Public Health Service Act to authorize the Director of the National Institutes of Health (NIH), in carrying out the Pediatric Research Initiative, to consult with the Director of the Eunice Kennedy Shriver National Institute of Child Health and Human Development to provide for the establishment of a National Pediatric Research Network.</p> <p>Authorizes the Director of the Institute to award funding to public or private nonprofit entities for providing support for pediatric research consortia, including with respect to basic, clinical, behavioral, or translational research and the training of researchers in pediatric research techniques. Requires consortia to be formed from a collaboration of cooperating institutions, coordinated by a lead institution or institutions, agree to disseminate scientific findings rapidly and efficiently to other consortia, NIH, FDA, and other relevant agencies, and meet requirements prescribed by the Director of NIH. Allows such support to be for a period of five years, with additional extensions at the discretion of the Director of NIH.</p> <p>Requires the Director of NIH to provide for the coordination of activities among the consortia and to require the periodic preparation and submission of reports on their activities. Requires each pediatric research consortium receiving an award to assist the Centers for Disease Control and Prevention (CDC) in the establishment or expansion of patient registries and other surveillance systems as appropriate and upon request by the CDC.</p> <p>Requires the Director of NIH to ensure that an appropriate number of such awards are awarded to consortia that agree to: (1) consider pediatric rare diseases or conditions or those related to birth defects; and (2) conduct or coordinate one or more multisite clinical trials of therapies for, or approaches to, the prevention, diagnosis, or treatment of one or more pediatric rare diseases or conditions.</p> <p><b>Title III: CHIMP Act Amendments</b> - CHIMP Act Amendments of 2013 - (Sec. 302) Amends the Public Health Service Act, with respect to the lifetime care of chimpanzees used in federally conducted or supported medical research, to revise the sanctuary system of care, maintenance, and transportation of all chimpanzees under the ownership and control of NIH to: (1) authorize appropriations, in declining amounts, for FY2014-FY2018; (2) eliminate a restriction on reservation of funds for a fiscal year that requires appropriations to equal or exceed amounts appropriated for FY1999; and (3) require the use of funds for other compliant facilities to be determined by the Secretary (rather than, as under current law, by the board of directors of the nonprofit entity operating the facility).</p> <p> Requires the Comptroller General (GAO) to evaluate: (1) the research status of NIH-owned or -controlled chimpanzees; (2) the costs of care and maintenance, broken down by research or retirement status, services included, and location; (3) the extent to which requirements that a nonprofit private entity match funding have been met; and (4) any options for cost savings for support and maintenance.</p> <p>Requires the Director of NIH to report to Congress, with biennial updates, on: (1) the care, maintenance, and transportation of the chimpanzees under NIH ownership or control; (2) related costs; and (3) the research status of such chimpanzees.</p>

action_date: 2013-11-27
action_desc: Public Law
text: <p><b>(This measure has not been amended since it was passed by the House on November 12, 2013. The summary of that version is repeated here.)</b></p> <p><b>Title I: PREEMIE Act Reauthorization</b> - Prematurity Research Expansion and Education for Mothers who deliver Infants Early Reauthorization Act or the PREEMIE Reauthorization Act - (Sec. 102) Amends the Prematurity Research Expansion and Education for Mothers who deliver Infants Early Act to revise and reauthorize requirements for research on prematurity and preterm births.</p> <p>Authorizes the Director of the Centers for Disease Control and Prevention (CDC) to: (1) conduct epidemiological studies (as currently required) on the clinical, biological, social, environmental, genetic, and behavioral factors related to prematurity, as appropriate; (2) conduct activities to improve national data to facilitate tracking preterm births; and (3) continue efforts to prevent preterm birth through the identification of opportunities for prevention and the assessment of their impact.</p> <p>(Sec. 103) Requires the Director of the Office for the Advancement of Telehealth to give preference in awarding grants to an eligible entity that proposes to use the grant funds to develop plans for, or to establish, telehealth networks that provide prenatal care for high-risk pregnancies.</p> <p>Revises and reauthorizes through FY2017 the authority of the Secretary of Health and Human Services (HHS) to conduct demonstration projects related to preterm births.</p> <p>Includes as activities under such projects programs to test and evaluate various strategies to provide information and education to health care providers and the public on: (1) the core risk factors for preterm labor and delivery, (2) medically indicated deliveries before full term, (3) the importance of preconception and prenatal care, (4) treatments and outcomes for premature infants, (5) meeting the informational needs of families during the stay of an infant in a neonatal intensive care unit, and (6) utilization of evidence-based strategies to prevent birth injuries.</p> <p>Authorizes as additional activities under such projects the establishment of programs to increase the availability, awareness, and use of pregnancy and post-term information services that provide evidence-based, clinical information through counselors, community outreach efforts, electronic or telephonic communication, or other appropriate means regarding causes associated with prematurity, birth defects, or health risks to a post-term infant.</p> <p>(Sec. 104) Repeals establishment of the Interagency Coordinating Council on Prematurity and Low Birthweight.</p> <p>Authorizes the Secretary to establish the Advisory Committee on Infant Mortality. Directs the Advisory Committee (or an existing advisory committee designated by the Secretary) to develop, and periodically review and revise, a plan for conducting and supporting research, education, and programs on preterm birth through HHS.</p> <p>Requires the Secretary to designate an appropriate agency within HHS to coordinate existing studies and report to the Secretary and Congress on hospital readmissions of preterm infants.</p> <p><b>Title II: National Pediatric Research Network</b> - National Pediatric Research Network Act of 2013 - (Sec. 202) Amends the Public Health Service Act to authorize the Director of the National Institutes of Health (NIH), in carrying out the Pediatric Research Initiative, to consult with the Director of the Eunice Kennedy Shriver National Institute of Child Health and Human Development to provide for the establishment of a National Pediatric Research Network.</p> <p>Authorizes the Director of the Institute to award funding to public or private nonprofit entities for providing support for pediatric research consortia, including with respect to basic, clinical, behavioral, or translational research and the training of researchers in pediatric research techniques. Requires consortia to be formed from a collaboration of cooperating institutions, coordinated by a lead institution or institutions, agree to disseminate scientific findings rapidly and efficiently to other consortia, NIH, FDA, and other relevant agencies, and meet requirements prescribed by the Director of NIH. Allows such support to be for a period of five years, with additional extensions at the discretion of the Director of NIH.</p> <p>Requires the Director of NIH to provide for the coordination of activities among the consortia and to require the periodic preparation and submission of reports on their activities. Requires each pediatric research consortium receiving an award to assist the Centers for Disease Control and Prevention (CDC) in the establishment or expansion of patient registries and other surveillance systems as appropriate and upon request by the CDC.</p> <p>Requires the Director of NIH to ensure that an appropriate number of such awards are awarded to consortia that agree to: (1) consider pediatric rare diseases or conditions or those related to birth defects; and (2) conduct or coordinate one or more multisite clinical trials of therapies for, or approaches to, the prevention, diagnosis, or treatment of one or more pediatric rare diseases or conditions.</p> <p><b>Title III: CHIMP Act Amendments</b> - CHIMP Act Amendments of 2013 - (Sec. 302) Amends the Public Health Service Act, with respect to the lifetime care of chimpanzees used in federally conducted or supported medical research, to revise the sanctuary system of care, maintenance, and transportation of all chimpanzees under the ownership and control of NIH to: (1) authorize appropriations, in declining amounts, for FY2014-FY2018; (2) eliminate a restriction on reservation of funds for a fiscal year that requires appropriations to equal or exceed amounts appropriated for FY1999; and (3) require the use of funds for other compliant facilities to be determined by the Secretary (rather than, as under current law, by the board of directors of the nonprofit entity operating the facility).</p> <p> Requires the Comptroller General (GAO) to evaluate: (1) the research status of NIH-owned or -controlled chimpanzees; (2) the costs of care and maintenance, broken down by research or retirement status, services included, and location; (3) the extent to which requirements that a nonprofit private entity match funding have been met; and (4) any options for cost savings for support and maintenance.</p> <p>Requires the Director of NIH to report to Congress, with biennial updates, on: (1) the care, maintenance, and transportation of the chimpanzees under NIH ownership or control; (2) related costs; and (3) the research status of such chimpanzees.</p>

tv_txt: II 113th CONGRESS 1st Session S. 252 IN THE SENATE OF THE UNITED STATES February 7, 2013 Mr. Alexander (for himself, Mr. Bennet , Mr. Isakson , Ms. Mikulski , Mr. Reed , Mr. Menendez , and Ms. Landrieu ) introduced the following bill; which was read twice and referred to the Committee on Health, Education, Labor, and Pensions A BILL To reduce preterm labor and delivery and the risk of pregnancy-related deaths and complications due to pregnancy, and to reduce infant mortality caused by prematurity.

1. Short title This Act may be cited as the Prematurity Research Expansion and Education for Mothers who deliver Infants Early Reauthorization Act or the PREEMIE Reauthorization Act . 2. Research and activities at the centers for disease control and prevention (a) Epidemiological studies Section 3 of the Prematurity Research Expansion and Education for Mothers who deliver Infants Early Act (42 U.S.C. 247b–4f) is amended by striking subsection (b) and inserting the following: (b) Studies and Activities on Preterm Birth (1) In general The Secretary of Health and Human Services, acting through the Director of the Centers for Disease Control and Prevention, may, subject to the availability of appropriations— (A) conduct epidemiological studies on the clinical, biological, social, environmental, genetic, and behavioral factors relating to prematurity, as appropriate; (B) conduct activities to improve national data to facilitate tracking the burden of preterm birth; and (C) continue efforts to prevent preterm birth, including late preterm birth, through the identification of opportunities for prevention and the assessment of the impact of such efforts. (2) Report Not later than 2 years after the date of enactment of the PREEMIE Reauthorization Act, and every 2 years thereafter, the Secretary of Health and Human Services, acting through the Director of the Centers for Disease Control and Prevention, shall submit to the appropriate committees of Congress reports concerning the progress and any results of studies conducted under paragraph (1). . (b) Reauthorization Section 3(e) of the Prematurity Research Expansion and Education for Mothers who deliver Infants Early Act (42 U.S.C. 247b–4f(e)) is amended by striking 2007 through 2011 and inserting 2014 through 2018 . 3. Activities at the health resources and services administration (a) Telemedicine and high-Risk pregnancies Section 330I(i)(1)(B) of the Public Health Service Act ( 42 U.S.C. 254c–14(i)(1)(B) ) is amended by striking or case management services and inserting case management services, or prenatal care for high-risk pregnancies ; (b) Public and health care provider education Section 399Q of the Public Health Service Act ( 42 U.S.C. 280g–5 ) is amended— (1) in subsection (b)— (A) in paragraph (1), by striking subparagraphs (A) through (F) and inserting the following: (A) the core risk factors for preterm labor and delivery; (B) medically indicated deliveries before full term; (C) the importance of preconception and prenatal care, including— (i) smoking cessation; (ii) weight maintenance and good nutrition, including folic acid; (iii) the screening for and the treatment of infections; and (iv) stress management; (D) treatments and outcomes for premature infants, including late preterm infants; (E) the informational needs of families during the stay of an infant in a neonatal intensive care unit; and (F) utilization of evidence-based strategies to prevent birth injuries; ; and (B) by striking paragraph (2) and inserting the following: (2) programs to increase the availability, awareness, and use of pregnancy and post-term information services that provide evidence-based, clinical information through counselors, community outreach efforts, electronic or telephonic communication, or other appropriate means regarding causes associated with prematurity, birth defects, or health risks to a post-term infant; ; and (2) in subsection (c), by striking 2007 through 2011 and inserting 2014 through 2018 . 4. Other activities (a) Interagency Coordinating Council on Prematurity and Low Birthweight The Prematurity Research Expansion and Education for Mothers who deliver Infants Early Act is amended by striking section 5 ( 42 U.S.C. 247b–4g ). (b) Advisory Committee on Infant Mortality (1) Establishment The Secretary of Health and Human Services (referred to in this section as the Secretary ) may establish an advisory committee known as the Advisory Committee on Infant Mortality (referred to in this section as the Advisory Committee ). (2) Duties The Advisory Committee shall provide advice and recommendations to the Secretary concerning the following activities: (A) Programs of the Department of Health and Human Services that are directed at reducing infant mortality and improving the health status of pregnant women and infants. (B) Strategies to coordinate the various Federal programs and activities with State, local, and private programs and efforts that address factors that affect infant mortality. (C) Implementation of the Healthy Start program under section 330H of the Public Health Service Act ( 42 U.S.C. 254c–8 ) and Healthy People 2020 infant mortality objectives. (D) Strategies to reduce preterm birth rates through research, programs, and education. (3) Plan for HHS preterm birth activities Not later than 1 year after the date of enactment of this section, the Advisory Committee (or an advisory committee in existence as of the date of enactment of this Act and designated by the Secretary) shall develop a plan for conducting and supporting research, education, and programs on preterm birth through the Department of Health and Human Services and shall periodically review and revise the plan, as appropriate. The plan shall— (A) examine research and educational activities that receive Federal funding in order to enable the plan to provide informed recommendations to reduce preterm birth and address racial and ethnic disparities in preterm birth rates; (B) identify research gaps and opportunities to implement evidence-based strategies to reduce preterm birth rates among the programs and activities of the Department of Health and Human Services regarding preterm birth, including opportunities to minimize duplication; and (C) reflect input from a broad range of scientists, patients, and advocacy groups, as appropriate. (4) Membership The Secretary shall ensure that the membership of the Advisory Committee includes the following: (A) Representatives provided for in the original charter of the Advisory Committee. (B) A representative of the National Center for Health Statistics. (c) Patient Safety Studies and report (1) In general The Secretary shall designate an appropriate agency within the Department of Health and Human Services to coordinate existing studies on hospital readmissions of preterm infants. (2) Report to Secretary and Congress Not later than 1 year after the date of the enactment of this Act, the agency designated under paragraph (1) shall submit to the Secretary and to Congress a report containing the findings and recommendations resulting from the studies coordinated under such paragraph, including recommendations for hospital discharge and followup procedures designed to reduce rates of preventable hospital readmissions for preterm infants.

tv_txt: II Calendar No. 13 113th CONGRESS 1st Session S. 252 IN THE SENATE OF THE UNITED STATES February 7, 2013 Mr. Alexander (for himself, Mr. Bennet , Mr. Isakson , Ms. Mikulski , Mr. Reed , Mr. Menendez , Ms. Landrieu , and Mr. Coons ) introduced the following bill; which was read twice and referred to the Committee on Health, Education, Labor, and Pensions February 14, 2013 Reported by Mr. Harkin , without amendment A BILL To reduce preterm labor and delivery and the risk of pregnancy-related deaths and complications due to pregnancy, and to reduce infant mortality caused by prematurity.

1. Short title This Act may be cited as the Prematurity Research Expansion and Education for Mothers who deliver Infants Early Reauthorization Act or the PREEMIE Reauthorization Act . 2. Research and activities at the centers for disease control and prevention (a) Epidemiological studies Section 3 of the Prematurity Research Expansion and Education for Mothers who deliver Infants Early Act (42 U.S.C. 247b–4f) is amended by striking subsection (b) and inserting the following: (b) Studies and Activities on Preterm Birth (1) In general The Secretary of Health and Human Services, acting through the Director of the Centers for Disease Control and Prevention, may, subject to the availability of appropriations— (A) conduct epidemiological studies on the clinical, biological, social, environmental, genetic, and behavioral factors relating to prematurity, as appropriate; (B) conduct activities to improve national data to facilitate tracking the burden of preterm birth; and (C) continue efforts to prevent preterm birth, including late preterm birth, through the identification of opportunities for prevention and the assessment of the impact of such efforts. (2) Report Not later than 2 years after the date of enactment of the PREEMIE Reauthorization Act, and every 2 years thereafter, the Secretary of Health and Human Services, acting through the Director of the Centers for Disease Control and Prevention, shall submit to the appropriate committees of Congress reports concerning the progress and any results of studies conducted under paragraph (1). . (b) Reauthorization Section 3(e) of the Prematurity Research Expansion and Education for Mothers who deliver Infants Early Act (42 U.S.C. 247b–4f(e)) is amended by striking 2007 through 2011 and inserting 2014 through 2018 . 3. Activities at the health resources and services administration (a) Telemedicine and high-risk pregnancies Section 330I(i)(1)(B) of the Public Health Service Act ( 42 U.S.C. 254c–14(i)(1)(B) ) is amended by striking or case management services and inserting case management services, or prenatal care for high-risk pregnancies ; (b) Public and health care provider education Section 399Q of the Public Health Service Act ( 42 U.S.C. 280g–5 ) is amended— (1) in subsection (b)— (A) in paragraph (1), by striking subparagraphs (A) through (F) and inserting the following: (A) the core risk factors for preterm labor and delivery; (B) medically indicated deliveries before full term; (C) the importance of preconception and prenatal care, including— (i) smoking cessation; (ii) weight maintenance and good nutrition, including folic acid; (iii) the screening for and the treatment of infections; and (iv) stress management; (D) treatments and outcomes for premature infants, including late preterm infants; (E) the informational needs of families during the stay of an infant in a neonatal intensive care unit; and (F) utilization of evidence-based strategies to prevent birth injuries; ; and (B) by striking paragraph (2) and inserting the following: (2) programs to increase the availability, awareness, and use of pregnancy and post-term information services that provide evidence-based, clinical information through counselors, community outreach efforts, electronic or telephonic communication, or other appropriate means regarding causes associated with prematurity, birth defects, or health risks to a post-term infant; ; and (2) in subsection (c), by striking 2007 through 2011 and inserting 2014 through 2018 . 4. Other activities (a) Interagency Coordinating Council on Prematurity and Low Birthweight The Prematurity Research Expansion and Education for Mothers who deliver Infants Early Act is amended by striking section 5 ( 42 U.S.C. 247b–4g ). (b) Advisory Committee on Infant Mortality (1) Establishment The Secretary of Health and Human Services (referred to in this section as the Secretary ) may establish an advisory committee known as the Advisory Committee on Infant Mortality (referred to in this section as the Advisory Committee ). (2) Duties The Advisory Committee shall provide advice and recommendations to the Secretary concerning the following activities: (A) Programs of the Department of Health and Human Services that are directed at reducing infant mortality and improving the health status of pregnant women and infants. (B) Strategies to coordinate the various Federal programs and activities with State, local, and private programs and efforts that address factors that affect infant mortality. (C) Implementation of the Healthy Start program under section 330H of the Public Health Service Act ( 42 U.S.C. 254c–8 ) and Healthy People 2020 infant mortality objectives. (D) Strategies to reduce preterm birth rates through research, programs, and education. (3) Plan for HHS preterm birth activities Not later than 1 year after the date of enactment of this section, the Advisory Committee (or an advisory committee in existence as of the date of enactment of this Act and designated by the Secretary) shall develop a plan for conducting and supporting research, education, and programs on preterm birth through the Department of Health and Human Services and shall periodically review and revise the plan, as appropriate. The plan shall— (A) examine research and educational activities that receive Federal funding in order to enable the plan to provide informed recommendations to reduce preterm birth and address racial and ethnic disparities in preterm birth rates; (B) identify research gaps and opportunities to implement evidence-based strategies to reduce preterm birth rates among the programs and activities of the Department of Health and Human Services regarding preterm birth, including opportunities to minimize duplication; and (C) reflect input from a broad range of scientists, patients, and advocacy groups, as appropriate. (4) Membership The Secretary shall ensure that the membership of the Advisory Committee includes the following: (A) Representatives provided for in the original charter of the Advisory Committee. (B) A representative of the National Center for Health Statistics. (c) Patient Safety Studies and report (1) In general The Secretary shall designate an appropriate agency within the Department of Health and Human Services to coordinate existing studies on hospital readmissions of preterm infants. (2) Report to Secretary and Congress Not later than 1 year after the date of the enactment of this Act, the agency designated under paragraph (1) shall submit to the Secretary and to Congress a report containing the findings and recommendations resulting from the studies coordinated under such paragraph, including recommendations for hospital discharge and followup procedures designed to reduce rates of preventable hospital readmissions for preterm infants.

February 14, 2013 Reported without amendment

tv_txt: 113th CONGRESS 1st Session S. 252 IN THE SENATE OF THE UNITED STATES AN ACT To reduce preterm labor and delivery and the risk of pregnancy-related deaths and complications due to pregnancy, and to reduce infant mortality caused by prematurity.

1. Short title This Act may be cited as the Prematurity Research Expansion and Education for Mothers who deliver Infants Early Reauthorization Act or the PREEMIE Reauthorization Act . 2. Research and activities at the centers for disease control and prevention (a) Epidemiological studies Section 3 of the Prematurity Research Expansion and Education for Mothers who deliver Infants Early Act (42 U.S.C. 247b–4f) is amended by striking subsection (b) and inserting the following: (b) Studies and Activities on Preterm Birth (1) In general The Secretary of Health and Human Services, acting through the Director of the Centers for Disease Control and Prevention, may, subject to the availability of appropriations— (A) conduct epidemiological studies on the clinical, biological, social, environmental, genetic, and behavioral factors relating to prematurity, as appropriate; (B) conduct activities to improve national data to facilitate tracking the burden of preterm birth; and (C) continue efforts to prevent preterm birth, including late preterm birth, through the identification of opportunities for prevention and the assessment of the impact of such efforts. (2) Report Not later than 2 years after the date of enactment of the PREEMIE Reauthorization Act, and every 2 years thereafter, the Secretary of Health and Human Services, acting through the Director of the Centers for Disease Control and Prevention, shall submit to the appropriate committees of Congress reports concerning the progress and any results of studies conducted under paragraph (1). . (b) Reauthorization Section 3(e) of the Prematurity Research Expansion and Education for Mothers who deliver Infants Early Act (42 U.S.C. 247b–4f(e)) is amended by striking $5,000,000 and all that follows through 2011. and inserting $1,880,000 for each of fiscal years 2014 through 2018. . 3. Activities at the health resources and services administration (a) Telemedicine and high-risk pregnancies Section 330I(i)(1)(B) of the Public Health Service Act ( 42 U.S.C. 254c–14(i)(1)(B) ) is amended by striking or case management services and inserting case management services, or prenatal care for high-risk pregnancies ; (b) Public and health care provider education Section 399Q of the Public Health Service Act ( 42 U.S.C. 280g–5 ) is amended— (1) in subsection (b)— (A) in paragraph (1), by striking subparagraphs (A) through (F) and inserting the following: (A) the core risk factors for preterm labor and delivery; (B) medically indicated deliveries before full term; (C) the importance of preconception and prenatal care, including— (i) smoking cessation; (ii) weight maintenance and good nutrition, including folic acid; (iii) the screening for and the treatment of infections; and (iv) stress management; (D) treatments and outcomes for premature infants, including late preterm infants; (E) the informational needs of families during the stay of an infant in a neonatal intensive care unit; and (F) utilization of evidence-based strategies to prevent birth injuries; ; and (B) by striking paragraph (2) and inserting the following: (2) programs to increase the availability, awareness, and use of pregnancy and post-term information services that provide evidence-based, clinical information through counselors, community outreach efforts, electronic or telephonic communication, or other appropriate means regarding causes associated with prematurity, birth defects, or health risks to a post-term infant; ; and (2) in subsection (c), by striking $5,000,000 and all that follows through 2011. and inserting $1,900,000 for each of fiscal years 2014 through 2018. . 4. Other activities (a) Interagency Coordinating Council on Prematurity and Low Birthweight The Prematurity Research Expansion and Education for Mothers who deliver Infants Early Act is amended by striking section 5 ( 42 U.S.C. 247b–4g ). (b) Advisory Committee on Infant Mortality (1) Establishment The Secretary of Health and Human Services (referred to in this section as the Secretary ) may establish an advisory committee known as the Advisory Committee on Infant Mortality (referred to in this section as the Advisory Committee ). (2) Duties The Advisory Committee shall provide advice and recommendations to the Secretary concerning the following activities: (A) Programs of the Department of Health and Human Services that are directed at reducing infant mortality and improving the health status of pregnant women and infants. (B) Strategies to coordinate the various Federal programs and activities with State, local, and private programs and efforts that address factors that affect infant mortality. (C) Implementation of the Healthy Start program under section 330H of the Public Health Service Act ( 42 U.S.C. 254c–8 ) and Healthy People 2020 infant mortality objectives. (D) Strategies to reduce preterm birth rates through research, programs, and education. (3) Plan for HHS preterm birth activities Not later than 1 year after the date of enactment of this section, the Advisory Committee (or an advisory committee in existence as of the date of enactment of this Act and designated by the Secretary) shall develop a plan for conducting and supporting research, education, and programs on preterm birth through the Department of Health and Human Services and shall periodically review and revise the plan, as appropriate. The plan shall— (A) examine research and educational activities that receive Federal funding in order to enable the plan to provide informed recommendations to reduce preterm birth and address racial and ethnic disparities in preterm birth rates; (B) identify research gaps and opportunities to implement evidence-based strategies to reduce preterm birth rates among the programs and activities of the Department of Health and Human Services regarding preterm birth, including opportunities to minimize duplication; and (C) reflect input from a broad range of scientists, patients, and advocacy groups, as appropriate. (4) Membership The Secretary shall ensure that the membership of the Advisory Committee includes the following: (A) Representatives provided for in the original charter of the Advisory Committee. (B) A representative of the National Center for Health Statistics. (c) Patient Safety Studies and report (1) In general The Secretary shall designate an appropriate agency within the Department of Health and Human Services to coordinate existing studies on hospital readmissions of preterm infants. (2) Report to Secretary and Congress Not later than 1 year after the date of the enactment of this Act, the agency designated under paragraph (1) shall submit to the Secretary and to Congress a report containing the findings and recommendations resulting from the studies coordinated under such paragraph, including recommendations for hospital discharge and followup procedures designed to reduce rates of preventable hospital readmissions for preterm infants.

Passed the Senate September 25 (legislative day, September 24), 2013. Secretary

tv_txt: IC 113th CONGRESS 1st Session S. 252 IN THE HOUSE OF REPRESENTATIVES September 26, 2013 Referred to the Committee on Energy and Commerce AN ACT To reduce preterm labor and delivery and the risk of pregnancy-related deaths and complications due to pregnancy, and to reduce infant mortality caused by prematurity.

1. Short title This Act may be cited as the Prematurity Research Expansion and Education for Mothers who deliver Infants Early Reauthorization Act or the PREEMIE Reauthorization Act . 2. Research and activities at the centers for disease control and prevention (a) Epidemiological studies Section 3 of the Prematurity Research Expansion and Education for Mothers who deliver Infants Early Act ( 42 U.S.C. 247b–4f ) is amended by striking subsection (b) and inserting the following: (b) Studies and Activities on Preterm Birth (1) In general The Secretary of Health and Human Services, acting through the Director of the Centers for Disease Control and Prevention, may, subject to the availability of appropriations— (A) conduct epidemiological studies on the clinical, biological, social, environmental, genetic, and behavioral factors relating to prematurity, as appropriate; (B) conduct activities to improve national data to facilitate tracking the burden of preterm birth; and (C) continue efforts to prevent preterm birth, including late preterm birth, through the identification of opportunities for prevention and the assessment of the impact of such efforts. (2) Report Not later than 2 years after the date of enactment of the PREEMIE Reauthorization Act, and every 2 years thereafter, the Secretary of Health and Human Services, acting through the Director of the Centers for Disease Control and Prevention, shall submit to the appropriate committees of Congress reports concerning the progress and any results of studies conducted under paragraph (1). . (b) Reauthorization Section 3(e) of the Prematurity Research Expansion and Education for Mothers who deliver Infants Early Act (42 U.S.C. 247b–4f(e)) is amended by striking $5,000,000 and all that follows through 2011. and inserting $1,880,000 for each of fiscal years 2014 through 2018. . 3. Activities at the health resources and services administration (a) Telemedicine and high-risk pregnancies Section 330I(i)(1)(B) of the Public Health Service Act ( 42 U.S.C. 254c–14(i)(1)(B) ) is amended by striking or case management services and inserting case management services, or prenatal care for high-risk pregnancies ; (b) Public and health care provider education Section 399Q of the Public Health Service Act ( 42 U.S.C. 280g–5 ) is amended— (1) in subsection (b)— (A) in paragraph (1), by striking subparagraphs (A) through (F) and inserting the following: (A) the core risk factors for preterm labor and delivery; (B) medically indicated deliveries before full term; (C) the importance of preconception and prenatal care, including— (i) smoking cessation; (ii) weight maintenance and good nutrition, including folic acid; (iii) the screening for and the treatment of infections; and (iv) stress management; (D) treatments and outcomes for premature infants, including late preterm infants; (E) the informational needs of families during the stay of an infant in a neonatal intensive care unit; and (F) utilization of evidence-based strategies to prevent birth injuries; ; and (B) by striking paragraph (2) and inserting the following: (2) programs to increase the availability, awareness, and use of pregnancy and post-term information services that provide evidence-based, clinical information through counselors, community outreach efforts, electronic or telephonic communication, or other appropriate means regarding causes associated with prematurity, birth defects, or health risks to a post-term infant; ; and (2) in subsection (c), by striking $5,000,000 and all that follows through 2011. and inserting $1,900,000 for each of fiscal years 2014 through 2018. . 4. Other activities (a) Interagency Coordinating Council on Prematurity and Low Birthweight The Prematurity Research Expansion and Education for Mothers who deliver Infants Early Act is amended by striking section 5 ( 42 U.S.C. 247b–4g ). (b) Advisory Committee on Infant Mortality (1) Establishment The Secretary of Health and Human Services (referred to in this section as the Secretary ) may establish an advisory committee known as the Advisory Committee on Infant Mortality (referred to in this section as the Advisory Committee ). (2) Duties The Advisory Committee shall provide advice and recommendations to the Secretary concerning the following activities: (A) Programs of the Department of Health and Human Services that are directed at reducing infant mortality and improving the health status of pregnant women and infants. (B) Strategies to coordinate the various Federal programs and activities with State, local, and private programs and efforts that address factors that affect infant mortality. (C) Implementation of the Healthy Start program under section 330H of the Public Health Service Act ( 42 U.S.C. 254c–8 ) and Healthy People 2020 infant mortality objectives. (D) Strategies to reduce preterm birth rates through research, programs, and education. (3) Plan for HHS preterm birth activities Not later than 1 year after the date of enactment of this section, the Advisory Committee (or an advisory committee in existence as of the date of enactment of this Act and designated by the Secretary) shall develop a plan for conducting and supporting research, education, and programs on preterm birth through the Department of Health and Human Services and shall periodically review and revise the plan, as appropriate. The plan shall— (A) examine research and educational activities that receive Federal funding in order to enable the plan to provide informed recommendations to reduce preterm birth and address racial and ethnic disparities in preterm birth rates; (B) identify research gaps and opportunities to implement evidence-based strategies to reduce preterm birth rates among the programs and activities of the Department of Health and Human Services regarding preterm birth, including opportunities to minimize duplication; and (C) reflect input from a broad range of scientists, patients, and advocacy groups, as appropriate. (4) Membership The Secretary shall ensure that the membership of the Advisory Committee includes the following: (A) Representatives provided for in the original charter of the Advisory Committee. (B) A representative of the National Center for Health Statistics. (c) Patient Safety Studies and report (1) In general The Secretary shall designate an appropriate agency within the Department of Health and Human Services to coordinate existing studies on hospital readmissions of preterm infants. (2) Report to Secretary and Congress Not later than 1 year after the date of the enactment of this Act, the agency designated under paragraph (1) shall submit to the Secretary and to Congress a report containing the findings and recommendations resulting from the studies coordinated under such paragraph, including recommendations for hospital discharge and followup procedures designed to reduce rates of preventable hospital readmissions for preterm infants.

Passed the Senate September 25 (legislative day, September 24), 2013. Nancy Erickson, Secretary

tv_txt: One Hundred Thirteenth Congress of the United States of America 1st Session Begun and held at the City of Washington on Thursday, the third day of January, two thousand and thirteen S. 252 IN THE SENATE OF THE UNITED STATES AN ACT To reduce preterm labor and delivery and the risk of pregnancy-related deaths and complications due to pregnancy, and to reduce infant mortality caused by prematurity, and for other purposes.

1. Table of contents The table of contents for this Act is as follows: Sec. 1. Table of contents. Title I—PREEMIE Act Reauthorization Sec. 101. Short title. Sec. 102. Research and activities at the Centers for Disease Control and Prevention. Sec. 103. Activities at the Health Resources and Services Administration. Sec. 104. Other activities. Title II—National Pediatric Research Network Sec. 201. Short title. Sec. 202. National Pediatric Research Network. Title III—CHIMP Act Amendments Sec. 301. Short title. Sec. 302. Care for NIH chimpanzees. I PREEMIE Act Reauthorization 101. Short title This title may be cited as the Prematurity Research Expansion and Education for Mothers who deliver Infants Early Reauthorization Act or the PREEMIE Reauthorization Act . 102. Research and activities at the Centers for Disease Control and Prevention (a) Epidemiological studies Section 3 of the Prematurity Research Expansion and Education for Mothers who deliver Infants Early Act ( 42 U.S.C. 247b–4f ) is amended by striking subsection (b) and inserting the following: (b) Studies and Activities on Preterm Birth (1) In general The Secretary of Health and Human Services, acting through the Director of the Centers for Disease Control and Prevention, may, subject to the availability of appropriations— (A) conduct epidemiological studies on the clinical, biological, social, environmental, genetic, and behavioral factors relating to prematurity, as appropriate; (B) conduct activities to improve national data to facilitate tracking the burden of preterm birth; and (C) continue efforts to prevent preterm birth, including late preterm birth, through the identification of opportunities for prevention and the assessment of the impact of such efforts. (2) Report Not later than 2 years after the date of enactment of the PREEMIE Reauthorization Act, and every 2 years thereafter, the Secretary of Health and Human Services, acting through the Director of the Centers for Disease Control and Prevention, shall submit to the appropriate committees of Congress reports concerning the progress and any results of studies conducted under paragraph (1). . (b) Reauthorization Section 3(e) of the Prematurity Research Expansion and Education for Mothers who deliver Infants Early Act (42 U.S.C. 247b–4f(e)) is amended by striking $5,000,000 and all that follows through 2011. and inserting $1,880,000 for each of fiscal years 2014 through 2018. . 103. Activities at the Health Resources and Services Administration (a) Telemedicine and high-Risk pregnancies Section 330I(i)(1)(B) of the Public Health Service Act ( 42 U.S.C. 254c–14(i)(1)(B) ) is amended by striking or case management services and inserting case management services, or prenatal care for high-risk pregnancies ; (b) Public and health care provider education Section 399Q of the Public Health Service Act ( 42 U.S.C. 280g–5 ) is amended— (1) in subsection (b)— (A) in paragraph (1), by striking subparagraphs (A) through (F) and inserting the following: (A) the core risk factors for preterm labor and delivery; (B) medically indicated deliveries before full term; (C) the importance of preconception and prenatal care, including— (i) smoking cessation; (ii) weight maintenance and good nutrition, including folic acid; (iii) the screening for and the treatment of infections; and (iv) stress management; (D) treatments and outcomes for premature infants, including late preterm infants; (E) the informational needs of families during the stay of an infant in a neonatal intensive care unit; and (F) utilization of evidence-based strategies to prevent birth injuries; ; and (B) by striking paragraph (2) and inserting the following: (2) programs to increase the availability, awareness, and use of pregnancy and post-term information services that provide evidence-based, clinical information through counselors, community outreach efforts, electronic or telephonic communication, or other appropriate means regarding causes associated with prematurity, birth defects, or health risks to a post-term infant; ; and (2) in subsection (c), by striking $5,000,000 and all that follows through 2011. and inserting $1,900,000 for each of fiscal years 2014 through 2018. . 104. Other activities (a) Interagency Coordinating Council on Prematurity and Low Birthweight The Prematurity Research Expansion and Education for Mothers who deliver Infants Early Act is amended by striking section 5 ( 42 U.S.C. 247b–4g ). (b) Advisory Committee on Infant Mortality (1) Establishment The Secretary of Health and Human Services (referred to in this section as the Secretary ) may establish an advisory committee known as the Advisory Committee on Infant Mortality (referred to in this section as the Advisory Committee ). (2) Duties The Advisory Committee shall provide advice and recommendations to the Secretary concerning the following activities: (A) Programs of the Department of Health and Human Services that are directed at reducing infant mortality and improving the health status of pregnant women and infants. (B) Strategies to coordinate the various Federal programs and activities with State, local, and private programs and efforts that address factors that affect infant mortality. (C) Implementation of the Healthy Start program under section 330H of the Public Health Service Act ( 42 U.S.C. 254c–8 ) and Healthy People 2020 infant mortality objectives. (D) Strategies to reduce preterm birth rates through research, programs, and education. (3) Plan for HHS preterm birth activities Not later than 1 year after the date of enactment of this section, the Advisory Committee (or an advisory committee in existence as of the date of enactment of this Act and designated by the Secretary) shall develop a plan for conducting and supporting research, education, and programs on preterm birth through the Department of Health and Human Services and shall periodically review and revise the plan, as appropriate. The plan shall— (A) examine research and educational activities that receive Federal funding in order to enable the plan to provide informed recommendations to reduce preterm birth and address racial and ethnic disparities in preterm birth rates; (B) identify research gaps and opportunities to implement evidence-based strategies to reduce preterm birth rates among the programs and activities of the Department of Health and Human Services regarding preterm birth, including opportunities to minimize duplication; and (C) reflect input from a broad range of scientists, patients, and advocacy groups, as appropriate. (4) Membership The Secretary shall ensure that the membership of the Advisory Committee includes the following: (A) Representatives provided for in the original charter of the Advisory Committee. (B) A representative of the National Center for Health Statistics. (c) Patient Safety Studies and report (1) In general The Secretary shall designate an appropriate agency within the Department of Health and Human Services to coordinate existing studies on hospital readmissions of preterm infants. (2) Report to Secretary and Congress Not later than 1 year after the date of the enactment of this Act, the agency designated under paragraph (1) shall submit to the Secretary and to Congress a report containing the findings and recommendations resulting from the studies coordinated under such paragraph, including recommendations for hospital discharge and followup procedures designed to reduce rates of preventable hospital readmissions for preterm infants. II National Pediatric Research Network 201. Short title This title may be cited as the National Pediatric Research Network Act of 2013 . 202. National Pediatric Research Network Section 409D of the Public Health Service Act ( 42 U.S.C. 284h ; relating to the Pediatric Research Initiative) is amended— (1) by redesignating subsection (d) as subsection (f); and (2) by inserting after subsection (c) the following: (d) National Pediatric Research Network (1) Network In carrying out the Initiative, the Director of NIH, in consultation with the Director of the Eunice Kennedy Shriver National Institute of Child Health and Human Development and in collaboration with other appropriate national research institutes and national centers that carry out activities involving pediatric research, may provide for the establishment of a National Pediatric Research Network in order to more effectively support pediatric research and optimize the use of Federal resources. Such National Pediatric Research Network may be comprised of, as appropriate— (A) the pediatric research consortia receiving awards under paragraph (2); or (B) other consortia, centers, or networks focused on pediatric research that are recognized by the Director of NIH and established pursuant to the authorities vested in the National Institutes of Health by other sections of this Act. (2) Pediatric research consortia (A) In general The Director of NIH may award funding, including through grants, contracts, or other mechanisms, to public or private nonprofit entities for providing support for pediatric research consortia, including with respect to— (i) basic, clinical, behavioral, or translational research to meet unmet needs for pediatric research; and (ii) training researchers in pediatric research techniques in order to address unmet pediatric research needs. (B) Research The Director of NIH shall, as appropriate, ensure that— (i) each consortium receiving an award under subparagraph (A) conducts or supports at least one category of research described in subparagraph (A)(i) and collectively such consortia conduct or support such categories of research; and (ii) one or more such consortia provide training described in subparagraph (A)(ii). (C) Organization of consortium Each consortium receiving an award under subparagraph (A) shall— (i) be formed from a collaboration of cooperating institutions; (ii) be coordinated by a lead institution or institutions; (iii) agree to disseminate scientific findings, including from clinical trials, rapidly and efficiently, as appropriate, to— (I) other consortia; (II) the National Institutes of Health; (III) the Food and Drug Administration; (IV) and other relevant agencies; and (iv) meet such requirements as may be prescribed by the Director of NIH. (D) Supplement, not supplant Any support received by a consortium under subparagraph (A) shall be used to supplement, and not supplant, other public or private support for activities authorized to be supported under this paragraph. (E) Duration of support Support of a consortium under subparagraph (A) may be for a period of not to exceed 5 years. Such period may be extended at the discretion of the Director of NIH. (3) Coordination of consortia activities The Director of NIH shall, as appropriate— (A) provide for the coordination of activities (including the exchange of information and regular communication) among the consortia established pursuant to paragraph (2); and (B) require the periodic preparation and submission to the Director of reports on the activities of each such consortium. (4) Assistance with registries Each consortium receiving an award under paragraph (2)(A) may provide assistance, as appropriate, to the Centers for Disease Control and Prevention for activities related to patient registries and other surveillance systems upon request by the Director of the Centers for Disease Control and Prevention. (e) Research on pediatric rare diseases or conditions In making awards under subsection (d)(2) for pediatric research consortia, the Director of NIH shall ensure that an appropriate number of such awards are awarded to such consortia that agree to— (1) consider pediatric rare diseases or conditions, or those related to birth defects; and (2) conduct or coordinate one or more multisite clinical trials of therapies for, or approaches to, the prevention, diagnosis, or treatment of one or more pediatric rare diseases or conditions. . III CHIMP Act Amendments 301. Short title This title may be cited as the CHIMP Act Amendments of 2013 . 302. Care for NIH chimpanzees (a) In general Section 404K(g) of the Public Health Service Act ( 42 U.S.C. 283m(g) ) is amended— (1) by amending paragraph (1) to read as follows: (1) In general Of the amount appropriated for the National Institutes of Health, there are authorized to be appropriated to carry out this section and for the care, maintenance, and transportation of all chimpanzees otherwise under the ownership or control of the National Institutes of Health, and to enable the National Institutes of Health to operate more efficiently and economically by decreasing the overall Federal cost of providing for the care, maintenance, and transportation of chimpanzees— (A) for fiscal year 2014, $12,400,000; (B) for fiscal year 2015, $11,650,000; (C) for fiscal year 2016, $10,900,000; (D) for fiscal year 2017, $10,150,000; and (E) for fiscal year 2018, $9,400,000. ; (2) by striking paragraph (2); (3) by redesignating paragraph (3) as paragraph (2); and (4) in paragraph (2), as so redesignated— (A) by striking With respect to amounts reserved under paragraph (1) and inserting With respect to amounts authorized to be appropriated by paragraph (1) ; and (B) by striking board of directors and inserting Secretary in consultation with the board of directors . (b) GAO study Not later than 2 years after the date of enactment of this Act, the Comptroller General of the United States shall conduct an independent evaluation, and submit to the appropriate committees of Congress a report, regarding chimpanzees under the ownership or control the National Institutes of Health. Such report shall review and assess— (1) the research status of such chimpanzees; (2) the cost for the care, maintenance, and transportation of such chimpanzees, including the cost broken down by— (A) research or retirement status; (B) services included in the care, maintenance, and transportation; and (C) location; (3) the extent to which matching requirements have been met pursuant to section 404K(e)(4) of the Public Health Service Act ( 42 U.S.C. 283m(e)(4) ); and (4) any options for cost savings for the support and maintenance of such chimpanzees. (c) Biennial report Section 404K(g) of the Public Health Service Act ( 42 U.S.C. 283m(g) ) is amended by adding at the end the following: (3) Biennial report Not later than 180 days after the date enactment of this Act, the Director of the National Institutes of Health shall submit to the Committee on Health, Education, Labor, and Pensions and the Committee on Appropriations of the Senate and the Committee on Energy and Commerce and the Committee on Appropriations in the House of Representatives a report, to be updated biennially, regarding— (A) the care, maintenance, and transportation of the chimpanzees under the ownership or control of the National Institutes of Health; (B) costs related to such care, maintenance, and transportation, and any other related costs; and (C) the research status of such chimpanzees. .

Speaker of the House of Representatives Vice President of the United States and President of the Senate

tv_txt: 113th CONGRESS 1st Session In the House of Representatives, U. S., November 12, 2013 AMENDMENTS:

That the bill from the Senate (S. 252) entitled An Act to reduce preterm labor and delivery and the risk of pregnancy-related deaths and complications due to pregnancy, and to reduce infant mortality caused by prematurity. , do pass with the following Strike out all after the enacting clause and insert: 1. Table of contents The table of contents for this Act is as follows: Sec. 1. Table of contents. Title I—PREEMIE Act Reauthorization Sec. 101. Short title. Sec. 102. Research and activities at the Centers for Disease Control and Prevention. Sec. 103. Activities at the Health Resources and Services Administration. Sec. 104. Other activities. Title II—National Pediatric Research Network Sec. 201. Short title. Sec. 202. National Pediatric Research Network. Title III—CHIMP Act Amendments Sec. 301. Short title. Sec. 302. Care for NIH chimpanzees. I PREEMIE Act Reauthorization 101. Short title This title may be cited as the Prematurity Research Expansion and Education for Mothers who deliver Infants Early Reauthorization Act or the PREEMIE Reauthorization Act . 102. Research and activities at the Centers for Disease Control and Prevention (a) Epidemiological studies Section 3 of the Prematurity Research Expansion and Education for Mothers who deliver Infants Early Act ( 42 U.S.C. 247b–4f ) is amended by striking subsection (b) and inserting the following: (b) Studies and Activities on Preterm Birth (1) In general The Secretary of Health and Human Services, acting through the Director of the Centers for Disease Control and Prevention, may, subject to the availability of appropriations— (A) conduct epidemiological studies on the clinical, biological, social, environmental, genetic, and behavioral factors relating to prematurity, as appropriate; (B) conduct activities to improve national data to facilitate tracking the burden of preterm birth; and (C) continue efforts to prevent preterm birth, including late preterm birth, through the identification of opportunities for prevention and the assessment of the impact of such efforts. (2) Report Not later than 2 years after the date of enactment of the PREEMIE Reauthorization Act, and every 2 years thereafter, the Secretary of Health and Human Services, acting through the Director of the Centers for Disease Control and Prevention, shall submit to the appropriate committees of Congress reports concerning the progress and any results of studies conducted under paragraph (1). . (b) Reauthorization Section 3(e) of the Prematurity Research Expansion and Education for Mothers who deliver Infants Early Act (42 U.S.C. 247b–4f(e)) is amended by striking $5,000,000 and all that follows through 2011. and inserting $1,880,000 for each of fiscal years 2014 through 2018. . 103. Activities at the Health Resources and Services Administration (a) Telemedicine and high-Risk pregnancies Section 330I(i)(1)(B) of the Public Health Service Act ( 42 U.S.C. 254c–14(i)(1)(B) ) is amended by striking or case management services and inserting case management services, or prenatal care for high-risk pregnancies ; (b) Public and health care provider education Section 399Q of the Public Health Service Act ( 42 U.S.C. 280g–5 ) is amended— (1) in subsection (b)— (A) in paragraph (1), by striking subparagraphs (A) through (F) and inserting the following: (A) the core risk factors for preterm labor and delivery; (B) medically indicated deliveries before full term; (C) the importance of preconception and prenatal care, including— (i) smoking cessation; (ii) weight maintenance and good nutrition, including folic acid; (iii) the screening for and the treatment of infections; and (iv) stress management; (D) treatments and outcomes for premature infants, including late preterm infants; (E) the informational needs of families during the stay of an infant in a neonatal intensive care unit; and (F) utilization of evidence-based strategies to prevent birth injuries; ; and (B) by striking paragraph (2) and inserting the following: (2) programs to increase the availability, awareness, and use of pregnancy and post-term information services that provide evidence-based, clinical information through counselors, community outreach efforts, electronic or telephonic communication, or other appropriate means regarding causes associated with prematurity, birth defects, or health risks to a post-term infant; ; and (2) in subsection (c), by striking $5,000,000 and all that follows through 2011. and inserting $1,900,000 for each of fiscal years 2014 through 2018. . 104. Other activities (a) Interagency Coordinating Council on Prematurity and Low Birthweight The Prematurity Research Expansion and Education for Mothers who deliver Infants Early Act is amended by striking section 5 ( 42 U.S.C. 247b–4g ). (b) Advisory Committee on Infant Mortality (1) Establishment The Secretary of Health and Human Services (referred to in this section as the Secretary ) may establish an advisory committee known as the Advisory Committee on Infant Mortality (referred to in this section as the Advisory Committee ). (2) Duties The Advisory Committee shall provide advice and recommendations to the Secretary concerning the following activities: (A) Programs of the Department of Health and Human Services that are directed at reducing infant mortality and improving the health status of pregnant women and infants. (B) Strategies to coordinate the various Federal programs and activities with State, local, and private programs and efforts that address factors that affect infant mortality. (C) Implementation of the Healthy Start program under section 330H of the Public Health Service Act ( 42 U.S.C. 254c–8 ) and Healthy People 2020 infant mortality objectives. (D) Strategies to reduce preterm birth rates through research, programs, and education. (3) Plan for HHS preterm birth activities Not later than 1 year after the date of enactment of this section, the Advisory Committee (or an advisory committee in existence as of the date of enactment of this Act and designated by the Secretary) shall develop a plan for conducting and supporting research, education, and programs on preterm birth through the Department of Health and Human Services and shall periodically review and revise the plan, as appropriate. The plan shall— (A) examine research and educational activities that receive Federal funding in order to enable the plan to provide informed recommendations to reduce preterm birth and address racial and ethnic disparities in preterm birth rates; (B) identify research gaps and opportunities to implement evidence-based strategies to reduce preterm birth rates among the programs and activities of the Department of Health and Human Services regarding preterm birth, including opportunities to minimize duplication; and (C) reflect input from a broad range of scientists, patients, and advocacy groups, as appropriate. (4) Membership The Secretary shall ensure that the membership of the Advisory Committee includes the following: (A) Representatives provided for in the original charter of the Advisory Committee. (B) A representative of the National Center for Health Statistics. (c) Patient Safety Studies and report (1) In general The Secretary shall designate an appropriate agency within the Department of Health and Human Services to coordinate existing studies on hospital readmissions of preterm infants. (2) Report to Secretary and Congress Not later than 1 year after the date of the enactment of this Act, the agency designated under paragraph (1) shall submit to the Secretary and to Congress a report containing the findings and recommendations resulting from the studies coordinated under such paragraph, including recommendations for hospital discharge and followup procedures designed to reduce rates of preventable hospital readmissions for preterm infants. II National Pediatric Research Network 201. Short title This title may be cited as the National Pediatric Research Network Act of 2013 . 202. National Pediatric Research Network Section 409D of the Public Health Service Act ( 42 U.S.C. 284h ; relating to the Pediatric Research Initiative) is amended— (1) by redesignating subsection (d) as subsection (f); and (2) by inserting after subsection (c) the following: (d) National Pediatric Research Network (1) Network In carrying out the Initiative, the Director of NIH, in consultation with the Director of the Eunice Kennedy Shriver National Institute of Child Health and Human Development and in collaboration with other appropriate national research institutes and national centers that carry out activities involving pediatric research, may provide for the establishment of a National Pediatric Research Network in order to more effectively support pediatric research and optimize the use of Federal resources. Such National Pediatric Research Network may be comprised of, as appropriate— (A) the pediatric research consortia receiving awards under paragraph (2); or (B) other consortia, centers, or networks focused on pediatric research that are recognized by the Director of NIH and established pursuant to the authorities vested in the National Institutes of Health by other sections of this Act. (2) Pediatric research consortia (A) In general The Director of NIH may award funding, including through grants, contracts, or other mechanisms, to public or private nonprofit entities for providing support for pediatric research consortia, including with respect to— (i) basic, clinical, behavioral, or translational research to meet unmet needs for pediatric research; and (ii) training researchers in pediatric research techniques in order to address unmet pediatric research needs. (B) Research The Director of NIH shall, as appropriate, ensure that— (i) each consortium receiving an award under subparagraph (A) conducts or supports at least one category of research described in subparagraph (A)(i) and collectively such consortia conduct or support such categories of research; and (ii) one or more such consortia provide training described in subparagraph (A)(ii). (C) Organization of consortium Each consortium receiving an award under subparagraph (A) shall— (i) be formed from a collaboration of cooperating institutions; (ii) be coordinated by a lead institution or institutions; (iii) agree to disseminate scientific findings, including from clinical trials, rapidly and efficiently, as appropriate, to— (I) other consortia; (II) the National Institutes of Health; (III) the Food and Drug Administration; (IV) and other relevant agencies; and (iv) meet such requirements as may be prescribed by the Director of NIH. (D) Supplement, not supplant Any support received by a consortium under subparagraph (A) shall be used to supplement, and not supplant, other public or private support for activities authorized to be supported under this paragraph. (E) Duration of support Support of a consortium under subparagraph (A) may be for a period of not to exceed 5 years. Such period may be extended at the discretion of the Director of NIH. (3) Coordination of consortia activities The Director of NIH shall, as appropriate— (A) provide for the coordination of activities (including the exchange of information and regular communication) among the consortia established pursuant to paragraph (2); and (B) require the periodic preparation and submission to the Director of reports on the activities of each such consortium. (4) Assistance with registries Each consortium receiving an award under paragraph (2)(A) may provide assistance, as appropriate, to the Centers for Disease Control and Prevention for activities related to patient registries and other surveillance systems upon request by the Director of the Centers for Disease Control and Prevention. (e) Research on pediatric rare diseases or conditions In making awards under subsection (d)(2) for pediatric research consortia, the Director of NIH shall ensure that an appropriate number of such awards are awarded to such consortia that agree to— (1) consider pediatric rare diseases or conditions, or those related to birth defects; and (2) conduct or coordinate one or more multisite clinical trials of therapies for, or approaches to, the prevention, diagnosis, or treatment of one or more pediatric rare diseases or conditions. . III CHIMP Act Amendments 301. Short title This title may be cited as the CHIMP Act Amendments of 2013 . 302. Care for NIH chimpanzees (a) In general Section 404K(g) of the Public Health Service Act ( 42 U.S.C. 283m(g) ) is amended— (1) by amending paragraph (1) to read as follows: (1) In general Of the amount appropriated for the National Institutes of Health, there are authorized to be appropriated to carry out this section and for the care, maintenance, and transportation of all chimpanzees otherwise under the ownership or control of the National Institutes of Health, and to enable the National Institutes of Health to operate more efficiently and economically by decreasing the overall Federal cost of providing for the care, maintenance, and transportation of chimpanzees— (A) for fiscal year 2014, $12,400,000; (B) for fiscal year 2015, $11,650,000; (C) for fiscal year 2016, $10,900,000; (D) for fiscal year 2017, $10,150,000; and (E) for fiscal year 2018, $9,400,000. ; (2) by striking paragraph (2); (3) by redesignating paragraph (3) as paragraph (2); and (4) in paragraph (2), as so redesignated— (A) by striking With respect to amounts reserved under paragraph (1) and inserting With respect to amounts authorized to be appropriated by paragraph (1) ; and (B) by striking board of directors and inserting Secretary in consultation with the board of directors . (b) GAO study Not later than 2 years after the date of enactment of this Act, the Comptroller General of the United States shall conduct an independent evaluation, and submit to the appropriate committees of Congress a report, regarding chimpanzees under the ownership or control the National Institutes of Health. Such report shall review and assess— (1) the research status of such chimpanzees; (2) the cost for the care, maintenance, and transportation of such chimpanzees, including the cost broken down by— (A) research or retirement status; (B) services included in the care, maintenance, and transportation; and (C) location; (3) the extent to which matching requirements have been met pursuant to section 404K(e)(4) of the Public Health Service Act ( 42 U.S.C. 283m(e)(4) ); and (4) any options for cost savings for the support and maintenance of such chimpanzees. (c) Biennial report Section 404K(g) of the Public Health Service Act ( 42 U.S.C. 283m(g) ) is amended by adding at the end the following: (3) Biennial report Not later than 180 days after the date enactment of this Act, the Director of the National Institutes of Health shall submit to the Committee on Health, Education, Labor, and Pensions and the Committee on Appropriations of the Senate and the Committee on Energy and Commerce and the Committee on Appropriations in the House of Representatives a report, to be updated biennially, regarding— (A) the care, maintenance, and transportation of the chimpanzees under the ownership or control of the National Institutes of Health; (B) costs related to such care, maintenance, and transportation, and any other related costs; and (C) the research status of such chimpanzees. .

Amend the title so as to read: An Act to reduce preterm labor and delivery and the risk of pregnancy-related deaths and complications due to pregnancy, and to reduce infant mortality caused by prematurity, and for other purposes. .

Lorraine Miller Clerk.