In this task, you are given text for US Congressional and California state bills, your task is to generate a summary for this bill.

[EX Q]: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Women and Children's HIV Protection 
Act of 2003''.

SEC. 2. FINDINGS.

    The Congress finds as follows:
            (1) Perinatal transmission is the leading cause of 
        pediatric HIV infections, including AIDS cases.
            (2) The Centers for Disease Control and Prevention 
        (``CDC'') estimates that nearly 7,000 HIV-infected women give 
        birth in the United States each year and as many as 400 babies 
        continue to be born with HIV infection each year.
            (3) Medical advances have made it possible to nearly 
        eliminate perinatal HIV transmission.
            (4) Research studies have demonstrated that the 
        administration of antiviral medication during pregnancy, during 
        labor, and immediately following birth can significantly reduce 
        the transmission of HIV from an infected mother to her baby. 
        Caesarean section further reduces the risk of transmission.
            (5) Even if treatment begins shortly after birth, 
        antiretroviral therapy can substantially reduce the chance that 
        an HIV-exposed infant will become infected.
            (6) Breastfeeding by HIV-infected mothers poses additional 
        significant risk of infection to babies.
            (7) The Institute of Medicine (``IOM'') has recommended the 
        adoption of a national policy of universal HIV testing, with 
        patient notification, as a routine component of prenatal care. 
        However, 15 percent of HIV-infected pregnant women receive no 
        prenatal care according to the IOM.
            (8) The CDC has recommended since 1995 that all pregnant 
        women be counseled and offered voluntary HIV testing. Yet 
        nearly half of pregnant women are still not tested according to 
        the CDC. The CDC has found that mandatory testing of newborns 
        and universal HIV testing of pregnant woman are the best 
        approaches for identifying, treating, and preventing HIV among 
        pregnant women and children.
            (9) The American Medical Association recommends mandatory 
        HIV testing of all newborns with appropriate treatment for 
        affected mothers and children.
            (10) Testing newborns whose mothers' status is unknown 
        ensures that every child at risk for HIV is identified.
            (11) More than a third of the HIV infections that occur 
        annually among newborns in the United States could be prevented 
        with routine HIV testing of pregnant woman or newborns 
        according to a 2002 report by the Inspector General of the 
        Department of Health and Human Services. This represents over 
        100 babies born every year that are needlessly infected.
            (12) The provision of testing of pregnant women and 
        newborns with appropriate counseling and treatment can 
        significantly reduce the number of pediatric HIV infections, 
        including AIDS cases, can improve access to and medical care 
        for the woman and children, and can provide opportunities to 
        further reduce transmission among adults.
            (13) The provision of such testing, counseling, and 
        treatment can reduce the overall cost of pediatric HIV 
        infections, including AIDS cases.
            (14) New York State has required mandatory HIV counseling 
        and voluntary testing for pregnant women and mandatory HIV 
        testing of all newborns since February 1997. As a result, the 
        perinatal HIV transmission rate in the State has dropped from 
        25 percent to an all time low of 3.5 percent and over 99 
percent of HIV-infected women and their children have been linked to 
care.
    (15) For the foregoing reasons--
                    (A) universal routine HIV testing of pregnant women 
                and newborns should be the standard of care; and
                    (B) the relevant medical organizations, as well as 
                public health officials, should issue guidelines making 
                such testing, counseling, and treatment the standard of 
                care.

SEC. 3. GRANTS REGARDING COUNSELING AND TESTING OF PREGNANT WOMEN AND 
              NEWBORN INFANTS.

    Subpart II of part B of title XXVI of the Public Health Service Act 
(42 U.S.C. 300ff-33 et seq.) is amended by inserting after section 2625 
the following section:

``SEC. 2625A. GRANTS REGARDING COUNSELING AND TESTING OF PREGNANT WOMEN 
              AND NEWBORN INFANTS.

    ``(a) In General.--Of the amounts appropriated under section 2677 
for a fiscal year for carrying out this part, exclusive of amounts 
available for grants under section 2618(a)(2)(I), the Secretary, 
subject to subsection (b)(2), shall reserve $82,875,000 for making 
grants to each State that demonstrates that the law or regulations of 
the State are in accordance with the following:
            ``(1) That all pregnant women receiving prenatal care in 
        the State be offered counseling and testing regarding HIV 
        disease.
            ``(2) In the case of prenatal testing for such disease that 
        is conducted in the State, that the results of such testing be 
        promptly disclosed to the pregnant woman involved.
            ``(3) In the case of newborn infants who are born in the 
        State and whose biological mothers have not undergone prenatal 
        testing for HIV disease, that each such infant undergo testing 
        for such disease.
            ``(4) That the results of such testing of a newborn infant 
        be promptly disclosed in accordance with the following, as 
        applicable to the infant involved:
                    ``(A) To the biological mother of the infant 
                (without regard to whether she is the legal guardian of 
                the infant).
                    ``(B) If the State is the legal guardian of the 
                infant:
                            ``(i) To the appropriate official of the 
                        State agency with responsibility for the care 
                        of the infant.
                            ``(ii) To the appropriate official of each 
                        authorized agency providing assistance in the 
                        placement of the infant.
                            ``(iii) If the authorized agency is giving 
                        significant consideration to approving an 
                        individual as a foster parent of the infant, to 
                        the prospective foster parent.
                            ``(iv) If the authorized agency is giving 
                        significant consideration to approving an 
                        individual as an adoptive parent of the infant, 
                        to the prospective adoptive parent.
                    ``(C) If neither the biological mother nor the 
                State is the legal guardian of the infant, to another 
                legal guardian of the infant.
                    ``(D) To the child's health care provider.
            ``(5) That, in disclosing the test results to an individual 
        under paragraph (2) or (4), appropriate counseling on HIV 
        disease and appropriate referrals for health care be offered to 
        the individual (except in the case of a disclosure to an 
        official of a State or an authorized agency, or to a health 
        care provider).''.
    ``(b) Date Certain for Making Grants; Limitation on Reservation of 
Funds.--
            ``(1) Date certain for making grants.--Not later than the 
        end of the three-month period beginning on the date on which 
        appropriations first become available for a fiscal year for 
        grants under section 2611, the Secretary shall make grants 
        under subsection (a) for such fiscal year to all States that 
        seek such grants and meet the condition described in such 
        subsection for the grants.
            ``(2) Limitation on reservation of funds.--Effective upon 
        the expiration of the period described in paragraph (1) with 
        respect to a fiscal year, the unobligated portion of the amount 
        reserved under subsection (a) for the fiscal year is available 
        for grants under section 2611 for the fiscal year.
    ``(c) Amount of Grants.--Each grant under subsection (a) for a 
fiscal year shall be made in the amount of $1,500,000, except that the 
amount of such a grant for a territory of the United States shall be 
$375,000.
    ``(d) Authorized Expenditures.--A grant under subsection (a) may be 
expended for any purpose for which a grant under 2611 is authorized to 
be expended.
    ``(e) Definitions.--For purposes of this section, the terms `State' 
and `territory of the United States' have the meanings that apply to 
such terms for purposes of grants under section 2611 (including the 
meanings that apply for purposes of section 2618).''.
[EX A]: Women and Children's HIV Protection Act of 2003 - Amends the Public Health Service Act to provide for grants regarding the counseling and testing of pregnant women and newborn infants out of moneys appropriated under the care grant program. Prohibits making a grant to a State unless the State demonstrates that the law or regulations of the State require specified testing and services for pregnant women and newborn infants regarding HIV disease.

[EX Q]: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Fairness for Homeowners Act of 
2007''.

SEC. 2. ORIGINATIONS OF CONSUMER CREDIT TRANSACTIONS SECURED BY THE 
              CONSUMER'S PRINCIPAL DWELLING.

    (a) In General.--The Truth in Lending Act (15 U.S.C. 1601 et seq.) 
is amended by inserting after section 129 the following new section:
``Sec. 129A. Originations of consumer credit transactions secured by 
              the consumer's principal dwelling
    ``(a) Definitions.--For purposes of this section, the following 
definitions shall apply:
            ``(1) Fully indexed rate.--The term `fully indexed rate' 
        equals the index rate prevailing at the time a consumer credit 
        transaction secured by a consumer's principal dwelling is 
        originated, plus the margin that will apply after the 
        expiration of an introductory interest rate.
            ``(2) Mortgage broker.--The term `mortgage broker' means 
        any person who is defined as a mortgage broker under applicable 
        State law.
    ``(b) Requirements for Originators.--
            ``(1) Ability to pay.--
                    ``(A) In general.--No creditor or mortgage broker 
                may make, provide, or arrange for any consumer credit 
                transaction secured by a consumer's principal dwelling 
                without verifying the consumer's reasonable ability to 
                pay the scheduled payments of the following, as 
                applicable: principal; interest; real estate taxes; 
                homeowner's insurance, assessments, and mortgage 
                insurance premiums.
                    ``(B) Variable interest rate.--In the case of any 
                consumer credit transaction secured by a consumer's 
                principal dwelling for which the applicable annual 
                percentage rate may vary over the life of the credit, 
                the reasonable ability to pay shall be determined, for 
                purposes of this paragraph, on the basis of a fully 
                indexed rate plus 200 basis points and a repayment 
                schedule which achieves full amortization over the life 
                of the extension of credit.
                    ``(C) Verification of consumer income and financial 
                resources.--In the case of any consumer credit 
                transaction secured by a consumer's principal dwelling, 
                the income and financial resources of the consumer 
                shall be verified for purposes of this paragraph by tax 
                returns, payroll receipts, bank records, or other 
                similarly reliable documents.
                    ``(D) Other criteria.--No provision of this 
                paragraph shall be construed as prohibiting reliance on 
                criteria other than a consumer's income and financial 
                resources to establish the reasonable ability of the 
                consumer to repay any consumer credit transaction 
                secured by the consumer's principal dwelling, to the 
                extent such other criteria are also verified through 
                reasonably reliable methods and documentation.
                    ``(E) Consumer statement is insufficient proof.--A 
                statement by a consumer of the consumer's income or 
                financial resources shall not be sufficient to 
                establish the existence of any income or financial 
                resources when verifying the reasonable ability of the 
                consumer to repay any consumer credit transaction 
                secured by the consumer's principal dwelling, for 
                purposes of this paragraph.
            ``(2) Prohibition on steering.--No creditor or mortgage 
        broker may make, provide, or arrange for any consumer credit 
        transaction secured by a consumer's principal dwelling that is 
        of a lower investment grade if--
                    ``(A) the consumer's credit score; or
                    ``(B) comparable underwriting data, in any case in 
                which the creditor or mortgage broker does not utilize 
                credit scoring or a credit score for the consumer is 
                unavailable,
        indicates that the borrower may qualify for a consumer credit 
        transaction, available from or through the creditor or mortgage 
        broker, that is of a higher investment grade.
            ``(3) Prohibition on prepayment penalties for arms.--
                    ``(A) In general.--In the case of any consumer 
                credit transaction secured by a consumer's principal 
                dwelling that provides for variable rates of interest 
                on the credit extended under the transaction, the 
                transaction may not contain terms under which a 
                consumer must pay a prepayment penalty for paying all 
                or part of the principal before the date on which the 
                principal is due.
                    ``(B) Exclusion for jumbo mortgages.--Subparagraph 
                (A) shall not apply to any consumer credit transaction 
                secured by a consumer's principal dwelling the 
                principal amount (as defined in subsection (c)(2)) of 
                which exceeds the maximum dollar amount limitation (for 
                a residence of the applicable size) on the amount of 
                the principal obligation of a mortgage for a 1- to 4-
                family residence that may be purchased by the Federal 
                Home Loan Mortgage Corporation, as then in effect 
                pursuant to section 305(a)(2) of the Federal Home Loan 
                Mortgage Corporation Act.
    ``(c) Limitation on Financed Points, Charges, and Fees.--
            ``(1) In general.--No creditor or mortgage broker may, in 
        connection with any consumer credit transaction secured by the 
        consumer's principal dwelling, include in the principal amount 
        of such transaction any portion of any qualified finance charge 
        in excess of the amount which is equal to 5 percent of the 
        principal amount of the transaction.
            ``(2) Definitions.--For purposes of this subsection, the 
        following definitions shall apply:
                    ``(A) Qualified finance charge.--The term 
                `qualified finance charge' means the sum of--
                            ``(i) the finance charge as determined 
                        under section 106, minus any interest and time 
                        price differential; and
                            ``(ii) all compensation paid to a mortgage 
                        broker from any source in connection with this 
                        transaction.
                    ``(B) Principal amount.--The term `principal 
                amount' means--
                            ``(i) in the case of any consumer credit 
                        transaction under an open end credit plan 
                        secured by the consumer's principal dwelling, 
                        the maximum amount of credit that may be 
                        extended under the terms of such plan as 
                        determined without taking into account any 
                        amount included in determining the finance 
                        charge under section 106; and
                            ``(ii) in the case of any other consumer 
                        credit transaction secured by a consumer's 
                        principal dwelling, the amount financed (as 
                        defined in section 138(a)(2)).
            ``(3) Prohibition on excessive finance charges.--No 
        creditor or mortgage broker may, in connection with any 
        consumer credit transaction secured by the consumer's principal 
        dwelling, impose or receive any amount included in determining 
        the qualified finance charge for such transaction that exceeds 
        the amount which is equal to 5 percent of the principal amount 
        of the transaction.
            ``(4) Exception.--This subsection shall not apply to any 
        consumer credit transaction secured by the consumer's principal 
        dwelling that is ensured or guaranteed by the Secretary of 
        Housing and Urban Development, the Secretary of Veterans 
        Affairs, or the Farmers Home Administration.
    ``(d) Mortgage Broker Duties of Agency.--
            ``(1) In general.--Any mortgage broker acting to obtain or 
        arrange for any consumer credit transaction secured by the 
        consumer's principal dwelling shall be considered to have an 
        agency relationship with the consumer in all cases by operation 
        of law and shall comply with the following duties:
                    ``(A) Mortgage brokers shall act in the consumer's 
                best interest and in the utmost good faith toward each 
                consumer and shall not compromise a consumer's right or 
                interest in favor of another's right or interest, 
                including a right or interest of the mortgage broker.
                    ``(B) A mortgage broker shall not accept, give, or 
                charge any undisclosed compensation or realize any 
                undisclosed remuneration, either through direct or 
                indirect means, that inures to the benefit of the 
                mortgage broker on an expenditure made for the 
                consumer.
                    ``(C) Mortgage brokers shall carry out all lawful 
                instructions given by the consumer.
                    ``(D) Mortgage brokers shall disclose to consumers 
                all material facts of which the mortgage broker has 
                knowledge which might reasonably affect the consumer's 
                rights, interests, or ability to receive the consumer's 
                intended benefit from the consumer credit transaction, 
                but not facts which are reasonably susceptible to the 
                knowledge of the consumer.
                    ``(E) Mortgage brokers shall use reasonable care in 
                performing duties.
                    ``(F) Mortgage brokers shall account to a consumer 
                for all the consumer's money and property received as 
                agent.
            ``(2) Scope.--The duty of agency between mortgage broker 
        and consumer applies when the mortgage broker is acting in the 
        capacity of mortgage broker providing mortgage brokerage 
        services with respect to any consumer credit transaction 
        secured by the consumer's principal dwelling for which the 
        broker is not the creditor.
            ``(3) Rules of construction.--
                    ``(A) Fees for services rendered.--No provision of 
                this subsection shall be construed as prohibiting a 
                mortgage broker from contracting for or collecting a 
                fee for services rendered which had been disclosed to 
                the consumer in advance of the provision of such 
                services.
                    ``(B) Duty of broker.--No provision of this 
                subsection shall be construed as requiring a mortgage 
                broker--
                            ``(i) to obtain or arrange for any consumer 
                        credit transaction secured by the consumer's 
                        principal dwelling on behalf of a consumer that 
                        contains terms or conditions not available to 
                        the mortgage broker in the mortgage broker's 
                        usual course of business; or
                            ``(ii) to obtain or arrange for any 
                        consumer credit transaction secured by the 
                        consumer's principal dwelling from a creditor 
                        with whom the mortgage broker does not have a 
                        business relationship.
    ``(e) Independent Verification of Consumer Counseling Before 
Refinancing Special Mortgages.--
            ``(1) In general.--No creditor or mortgage broker may make, 
        provide, or arrange for any consumer credit transaction secured 
        by the consumer's principal dwelling all or a portion of the 
        proceeds of which are used to fully or partially pay off a 
        special mortgage unless the borrower has obtained a written 
        certification from an authorized independent loan counselor 
        that the borrower has received counseling on the advisability 
        of the transaction.
            ``(2) Definitions.--For purposes of this section, the 
        following definitions shall apply:
                    ``(A) Special mortgage.--The term `special 
                mortgage' means any consumer credit transaction secured 
                by the consumer's principal dwelling that was 
                originated, subsidized, funded, or guaranteed by or 
                through a State, tribal, or local government, or 
                nonprofit organization, that bears 1 or more of the 
                following nonstandard payment terms which substantially 
                benefit the consumer:
                            ``(i) Payments vary with income.
                            ``(ii) Payments of principal or interest 
                        are not required or can be deferred under 
                        specified conditions.
                            ``(iii) Principal or interest is forgivable 
                        under specified conditions.
                            ``(iv) Either no interest or an annual 
                        interest rate of 2 percent or less is charged 
                        in connection with the loan.
                    ``(B) Authorized loan counselor.--The term 
                `authorized independent loan counselor' means any 
                nonprofit, third-party individual or organization 
                providing homebuyer education programs, foreclosure 
                prevention services, mortgage loan counseling, or 
                credit counseling that is certified by the Secretary of 
                Housing and Urban Development, or certified by any 
                State housing agency or nonprofit organization 
                designated by such Secretary, for such purposes.
    ``(f) Minimum Financial Requirements for Mortgage Brokers.--No 
mortgage broker may obtain or arrange for any consumer credit 
transaction secured by the consumer's principal dwelling unless at all 
times the mortgage broker--
            ``(1) maintains a minimum net worth, net of intangibles, of 
        at least $500,000, as determined in accordance with generally 
        accepted accounting principles; or
            ``(2) maintains a surety bond or irrevocable letter of 
        credit in the amount of $50,000.
    ``(g) Enforcement.--For purposes of providing a cause of action for 
any failure by a mortgage broker to comply with any requirement imposed 
under this section, section 130(a) shall be applied with respect to any 
such failure--
            ``(1) by substituting `mortgage broker' for `creditor' each 
        place such term appears in such section; and
            ``(2) by treating all qualified finance charges (as defined 
        in subsection (c)(2)(A)) incurred in the origination of any 
        consumer credit transaction secured by the consumer's principal 
        dwelling as actual damages sustained by the consumer as a 
        result of the failure.
    ``(h) Exclusion of Reverse Mortgages.--This section shall not apply 
with respect to any consumer mortgage transaction that constitutes a 
reverse mortgage.''.
    (b) Technical and Conforming Amendments.--The Truth in Lending Act 
is amended--
            (1) in section 103 (u) (15 U.S.C. 1602(u)), by striking 
        ``and the disclosures required by section 129(a)'' and 
        inserting ``and the provisions of section 129 and 129A''; and
            (2) in section 130 (15 U.S.C. 1640), by inserting ``or 
        129A'' after section 129 each place such term appears.
    (c) Clerical Amendment.--The table of sections for chapter 2 of the 
Truth in Lending Act is amended by inserting after the item relating to 
section 129 the following new item:

``129A. Originations of consumer credit transactions secured by the 
                            consumer's principal dwelling.''.
[EX A]: Fairness for Homeowners Act of 2007 - Amends the Truth in Lending Act to prohibit any creditor or mortgage broker from making, providing, or arranging for any consumer credit transaction secured by a consumer's principal dwelling without verifying the consumer's reasonable ability to make the scheduled payments of principal, interest (including variable interest), real estate taxes, homeowner's insurance, assessments, and mortgage insurance premiums.

Prescribes criteria for determining the reasonable ability to make such payments.

Prohibits steering (arranging for a lower investment grade credit transaction if the consumer qualifies for a higher investment grade transaction) and prepayment penalties for adjustable rate mortgages (ARMs) that are not jumbo mortgages.

Limits financed points, finance charges, and fees to 5% of a transaction's principal, unless the transaction is ensured or guaranteed by the Secretary of Housing and Urban Development, the Secretary of Veterans Affairs, or the Farmers Home Administration.

Specifies duties of agency for mortgage brokers acting to obtain or arrange for any consumer credit transaction secured by the consumer's principal dwelling.

Requires creditors and mortgage brokers to obtain independent verification that a borrower seeking to refinance a special mortgage has received counseling on the transaction's advisability. Defines "special mortgage" as one that: (1) was originated, subsidized, funded, or guaranteed by or through a state, tribal, or local government, or nonprofit organization; and (2) bears one or more specified nonstandard payment terms which substantially benefit the consumer.

Prescribes minimum financial requirements for mortgage brokers.

Excludes reverse mortgages from coverage by this Act.

[EX Q]: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Prematurity Research Expansion and 
Education for Mothers who deliver Infants Early Act'' or the ``PREEMIE 
Act''.

SEC. 2. FINDINGS AND PURPOSE.

    (a) Findings.--Congress makes the following findings:
            (1) Premature birth is a serious and growing problem. The 
        rate of preterm birth increased 27 percent between 1981 and 
        2001 (from 9.4 percent to 11.9 percent). In 2001, more than 
        476,000 babies were born prematurely in the United States.
            (2) Preterm birth accounts for 23 percent of deaths in the 
        first month of life.
            (3) Premature infants are 14 times more likely to die in 
        the first year of life.
            (4) Premature babies who survive may suffer lifelong 
        consequences, including cerebral palsy, mental retardation, 
        chronic lung disease, and vision and hearing loss.
            (5) Preterm and low birthweight birth is a significant 
        financial burden in health care. The estimated charges for 
        hospital stays for infants with any diagnosis of prematurity/
        low birthweight were $11,900,000,000 in 2000. The average 
        lifetime medical costs of a premature baby are conservatively 
        estimated at $500,000.
            (6) The proportion of preterm infants born to African-
        American mothers (17.3 percent) was significantly higher 
        compared to the rate of infants born to white mothers (10.6 
        percent). Prematurity or low birthweight is the leading cause 
        of death for African-American infants.
            (7) The cause of approximately half of all premature births 
        is unknown.
            (8) Women who smoke during pregnancy are twice as likely as 
        nonsmokers to give birth to a low birthweight baby. Babies born 
        to smokers weigh, on average, 200 grams less than nonsmokers' 
        babies.
            (9) To reduce the rates of preterm labor and delivery more 
        research is needed on the underlying causes of preterm 
        delivery, the development of treatments for prevention of 
        preterm birth, and treatments improving outcomes for infants 
        born preterm.
    (b) Purposes.--It the purpose of this Act to--
            (1) reduce rates of preterm labor and delivery;
            (2) work toward an evidence-based standard of care for 
        pregnant women at risk of preterm labor or other serious 
        complications, and for infants born preterm and at a low 
        birthweight; and
            (3) reduce infant mortality and disabilities caused by 
        prematurity.

SEC. 3. RESEARCH RELATING TO PRETERM LABOR AND DELIVERY AND THE CARE, 
              TREATMENT, AND OUTCOMES OF PRETERM AND LOW BIRTHWEIGHT 
              INFANTS.

    (a) General Expansion of NIH Research.--Part B of title IV of the 
Public Health Service Act (42 U.S.C. 284 et seq.) is amended by adding 
at the end the following:

``SEC. 409J. EXPANSION AND COORDINATION OF RESEARCH RELATING TO PRETERM 
              LABOR AND DELIVERY AND INFANT MORTALITY.

    ``(a) In General.--The Director of NIH shall expand, intensify, and 
coordinate the activities of the National Institutes of Health with 
respect to research on the causes of preterm labor and delivery, infant 
mortality, and improving the care and treatment of preterm and low 
birthweight infants.
    ``(b) Authorization of Research Networks.--There shall be 
established within the National Institutes of Health a Maternal-Fetal 
Medicine Units Network and a Neonatal Research Units Network. In 
complying with this subsection, the Director of NIH shall utilize 
existing networks.
    ``(c) Authorization of Appropriations.--There are authorized to be 
appropriated to carry out this section, such sums as may be necessary 
for each of fiscal years 2004 through 2008.''.
    (b) General Expansion of CDC Research.--Section 301 of the Public 
Health Service Act (42 U.S.C. 241 et seq.) is amended by adding at the 
end the following:
    ``(e) The Director of the Centers for Disease Control and 
Prevention shall expand, intensify, and coordinate the activities of 
the Centers for Disease Control and Prevention with respect to preterm 
labor and delivery and infant mortality.''.
    (c) Study on Assisted Reproduction Technologies.--Section 1004(c) 
of the Children's Health Act of 2000 (Public Law 106-310) is amended--
            (1) in paragraph (2), by striking ``and'' at the end;
            (2) in paragraph (3), by striking the period and inserting 
        ``; and''; and
            (3) by adding at the end the following:
            ``(4) consider the impact of assisted reproduction 
        technologies on the mother's and children's health and 
        development.''.
    (d) Study on Relationship Between Prematurity and Birth Defects.--
            (1) In general.--The Director of the Centers for Disease 
        Control and Prevention shall conduct a study on the 
        relationship between prematurity, birth defects, and 
        developmental disabilities.
            (2) Report.--Not later than 2 year after the date of 
        enactment of this Act, the Director of the Centers for Disease 
        Control and Prevention shall submit to the appropriate 
        committees of Congress a report concerning the results of the 
        study conducted under paragraph (1).
    (e) Review of Pregnancy Risk Assessment Monitoring Survey.--The 
Director of the Centers for Disease Control and Prevention shall 
conduct a review of the Pregnancy Risk Assessment Monitoring Survey to 
ensure that the Survey includes information relative to medical care 
and intervention received, in order to track pregnancy outcomes and 
reduce instances of preterm birth.
    (f) Study on the Health and Economic Consequences of Preterm 
Birth.--
            (1) In general.--The Director of the National Institutes of 
        Health in conjunction with the Director of the Centers for 
        Disease Control and Prevention shall enter into a contract with 
        the Institute of Medicine of the National Academy of Sciences 
        for the conduct of a study to define and address the health and 
        economic consequences of preterm birth. In conducting the 
        study, the Institute of Medicine shall--
                    (A) review and assess the epidemiology of premature 
                birth and low birthweight, and the associated maternal 
                and child health effects in the United States, with 
                attention paid to categories of gestational age, 
                plurality, maternal age, and racial or ethnic 
                disparities;
                    (B) review and describe the spectrum of short and 
                long-term disability and health-related quality of life 
                associated with premature births and the impact on 
                maternal health, health care and quality of life, 
                family employment, caregiver issues, and other social 
                and financial burdens;
                    (C) assess the direct and indirect costs associated 
                with premature birth, including morbidity, disability, 
                and mortality;
                    (D) identify gaps and provide recommendations for 
                feasible systems of monitoring and assessing associated 
                economic and quality of life burdens associated with 
                prematurity;
                    (E) explore the implications of the burden of 
                premature births for national health policy;
                    (F) identify community outreach models that are 
                effective in decreasing prematurity rates in 
                communities;
                    (G) consider options for addressing, as 
                appropriate, the allocation of public funds to 
                biomedical and behavioral research, the costs and 
                benefits of preventive interventions, public health, 
                and access to health care; and
                    (H) provide recommendations on best practices and 
                interventions to prevent premature birth, as well as 
                the most promising areas of research to further 
                prevention efforts.
            (2) Report.--Not later than 1 year after the date on which 
        the contract is entered into under paragraph (1), the Institute 
        of Medicine shall submit to the Director of the National 
        Institutes of Health, the Director of the Centers for Disease 
        Control and Prevention, and the appropriate committees of 
        Congress a report concerning the results of the study conducted 
        under such paragraph.
    (g) Evaluation of National Core Performance Measures.--
            (1) In general.--The Administrator of the Health Resources 
        and Services Administration shall conduct an assessment of the 
        current national core performance measures and national core 
        outcome measures utilized under the Maternal and Child Health 
        Block Grant under title V of the Social Security Act (42 U.S.C. 
        701 et seq.) for purposes of expanding such measures to include 
        some of the known risk factors of low birthweight and 
        prematurity, including the percentage of infants born to 
        pregnant women who smoked during pregnancy.
            (2) Report.--Not later than 1 year after the date of 
        enactment of this Act, the Administrator of the Health 
        Resources and Services Administration shall submit to the 
        appropriate committees of Congress a report concerning the 
        results of the evaluation conducted under paragraph (1).

SEC. 4. PUBLIC AND HEALTH CARE PROVIDER EDUCATION AND SUPPORT SERVICES.

    Part P of title III of the Public Health Service Act (42 U.S.C. 
280g et seq.) is amended by adding at the end the following:

``SEC. 399O. PUBLIC AND HEALTH CARE PROVIDER EDUCATION AND SUPPORT 
              SERVICES.

    ``(a) In General.--The Secretary, directly or through the awarding 
of grants to public or private nonprofit entities, shall conduct a 
demonstration project to improve the provision of information on 
prematurity to health professionals and other health care providers and 
the public.
    ``(b) Activities.--Activities to be carried out under the 
demonstration project under subsection (a) shall include the 
establishment of programs--
            ``(1) to provide information and education to health 
        professionals, other health care providers, and the public 
        concerning--
                    ``(A) the signs of preterm labor, updated as new 
                research results become available;
                    ``(B) the screening for and the treating of 
                infections;
                    ``(C) counseling on optimal weight and good 
                nutrition, including folic acid;
                    ``(D) smoking cessation education and counseling; 
                and
                    ``(E) stress management; and
            ``(2) to improve the treatment and outcomes for babies born 
        premature, including the use of evidence-based standards of 
        care by health care professionals for pregnant women at risk of 
        preterm labor or other serious complications and for infants 
        born preterm and at a low birthweight.
    ``(c) Requirement.--Any program or activity funded under this 
section shall be evidence-based.
    ``(d) NICU Family Support Programs.--The Secretary shall conduct, 
through the awarding of grants to public and nonprofit private 
entities, projects to respond to the emotional and informational needs 
of families during the stay of an infant in a neonatal intensive care 
unit, during the transition of the infant to the home, and in the event 
of a newborn death. Activities under such projects may include 
providing books and videos to families that provide information about 
the neonatal intensive care unit experience, and providing direct 
services that provide emotional support within the neonatal intensive 
care unit setting.
    ``(e) Authorization of Appropriations.--There are authorized to be 
appropriated to carry out this section, such sums as may be necessary 
for each of fiscal years 2004 through 2008.''.

SEC. 5. INTERAGENCY COORDINATING COUNCIL ON PREMATURITY AND LOW 
              BIRTHWEIGHT.

    (a) Purpose.--It is the purpose of this section to stimulate 
multidisciplinary research, scientific exchange, and collaboration 
among the agencies of the Department of Health and Human Services and 
to assist the Department in targeting efforts to achieve the greatest 
advances toward the goal of reducing prematurity and low birthweight.
    (b) Establishment.--The Secretary of Health and Human Services 
shall establish an Interagency Coordinating Council on Prematurity and 
Low Birthweight (referred to in this section as the Council) to carry 
out the purpose of this section.
    (c) Composition.--The Council shall be composed of members to be 
appointed by the Secretary, including representatives of--
            (1) the agencies of the Department of Health and Human 
        Services; and
            (2) voluntary health care organizations, including 
        grassroots advocacy organizations, providers of specialty 
        obstetrical and pediatric care, and researcher organizations.
    (d) Activities.--The Council shall--
            (1) annually report to the Secretary of Health and Human 
        Services on current Departmental activities relating to 
        prematurity and low birthweight;
            (2) plan and hold a conference on prematurity and low 
        birthweight under the sponsorship of the Surgeon General;
            (3) establish a consensus research plan for the Department 
        of Health and Human Services on prematurity and low 
        birthweight;
            (4) report to the Secretary of Health and Human Services 
        and the appropriate committees of Congress on recommendations 
        derived from the conference held under paragraph (2) and on the 
        status of Departmental research activities concerning 
        prematurity and low birthweight;
            (5) carry out other activities determined appropriate by 
        the Secretary of Health and Human Services; and
            (6) oversee the coordination of the implementation of this 
        Act.

SEC. 6. AUTHORIZATION OF APPROPRIATIONS.

    There are authorized to be appropriated to carry out this Act, such 
sums as may be necessary for each of fiscal years 2004 through 2008.
[EX A]:
Prematurity Research Expansion and Education for Mothers who deliver Infants Early Act or the PREEMIE Act - Amends the Public Health Service Act to require both the National Institutes of Health (NIH) and the Centers for Disease Control (CDC) to expand and coordinate research relating to preterm labor and delivery and infant mortality.

Establishes within NIH two networks: a Maternal-Fetal Medicine Units Network and a Neonatal Research Unit Network.

Requires the Director of the CDC to study and report on the relationship between prematurity, birth defects, and developmental disabilities as well as review the Pregnancy Risk Assessment Monitoring Survey.

Requires the Director of NIH to contract with the Institute of Medicine of the National Academy of Sciences for a study on the health and economic consequences of preterm birth.

Directs the Administrator of the Health Resources and Services Administration to assess the current national core performance and outcome measures under the Maternal and Child Health Block Grant with the goal of expanding them to include known risk factors of low birthweight and prematurity such as smoking by pregnant women.

Requires the Secretary of Health and Human Services to make grants for a demonstration project to improve the provision of information on prematurity to health professionals and other health care providers and the public.

Funds grants for projects to support the informational and emotional needs of families during the stay of an infant in a neonatal intensive care unit (nicu).

Establishes an Interagency Coordinating Council on Prematurity and Low Birthweight.