An act to revise and extend the Prematurity Research Expansion and Education for Mothers who deliver Infants Early Act (PREEMIE Act)
PL 115-328 (S.3029), enacted 12/18/2018

132 STAT. 4471 
PUBLIC LAW 115–328—DEC. 18, 2018 
Public Law 115–328 
115th Congress 
An Act 
To revise and extend the Prematurity Research Expansion and Education for Mothers 
who deliver Infants Early Act (PREEMIE Act). 
Be it enacted by the Senate and House of Representatives of 
the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Prematurity Research Expansion 
and Education for Mothers who deliver Infants Early Reauthoriza-
tion Act of 2018’’ or the ‘‘PREEMIE Reauthorization Act of 2018’’. 
SEC. 2. RESEARCH RELATING TO PRETERM LABOR AND DELIVERY 
AND THE CARE, TREATMENT, AND OUTCOMES OF PRETERM 
AND LOW BIRTHWEIGHT INFANTS. 
Section 2 of the Prematurity Research Expansion and Education 
for Mothers who deliver Infants Early Act (42 U.S.C. 247b–4f) 
is amended— 
(1) in subsection (b)— 
(A) in paragraph (1)(A), by striking ‘‘clinical, biological, 
social, environmental, genetic, and behavioral factors 
relating’’ and inserting ‘‘factors relating to prematurity, 
such as clinical, biological, social, environmental, genetic, 
and behavioral factors, and other determinants that con-
tribute to health disparities and are related’’; and 
(B) in paragraph (2), by striking ‘‘ concerning the 
progress and any results of studies conducted under para-
graph (1)’’ and inserting ‘‘regarding activities and studies 
conducted under paragraph (1), including any applicable 
analyses of preterm birth. Such report shall be posted 
on the Internet website of the Department of Health and 
Human Services.’’; 
(2) by striking subsection (c) and inserting the following: 
‘‘(c) PREGNANCY RISK ASSESSMENT MONITORING SURVEY.—The 
Secretary of Health and Human Services, acting through the 
Director of the Centers for Disease Control and Prevention, shall— 
‘‘(1) continue systems for the collection of maternal-infant 
clinical and biomedical information, including electronic health 
records, electronic databases, and biobanks, to link with the 
Pregnancy Risk Assessment Monitoring System (PRAMS) and 
other epidemiological studies of prematurity in order to track, 
to the extent practicable, all pregnancy outcomes and prevent 
preterm birth; and 
‘‘(2) provide technical assistance, as appropriate, to support 
States in improving the collection of information pursuant to 
this subsection.’’; and 
Reports. 
Web posting. 
42 USC 201 note. 
Prematurity 
Research 
Expansion and 
Education for 
Mothers who 
deliver Infants 
Early 
Reauthorization 
Act of 2018. 
Dec. 18, 2018 
[S. 3029] 
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132 STAT. 4472 
PUBLIC LAW 115–328—DEC. 18, 2018 
(3) in subsection (e), by striking ‘‘except for subsection 
(c), $1,880,000 for each of fiscal years 2014 through 2018’’ 
and inserting ‘‘$2,000,000 for each of fiscal years 2019 through 
2023’’. 
SEC. 3. PUBLIC AND HEALTH CARE PROVIDER EDUCATION AND SUP-
PORT SERVICES. 
Section 399Q of the Public Health Service Act (42 U.S.C. 280g– 
5) is amended— 
(1) in subsection (a)— 
(A) by striking ‘‘conduct demonstration projects’’ and 
inserting ‘‘conduct activities, which may include demonstra-
tion projects’’; and 
(B) by striking ‘‘for babies born preterm’’ and inserting 
‘‘mothers of infants born preterm, and infants born preterm, 
as appropriate’’; and 
(2) in subsection (b)— 
(A) in the matter preceding paragraph (1), by striking 
‘‘under the demonstration project’’; 
(B) in paragraph (1)— 
(i) in the matter preceding subparagraph (A), by 
striking ‘‘programs to test and evaluate various strate-
gies to provide’’ and inserting ‘‘programs, including 
those to test and evaluate strategies, which, in 
collaboration with States, localities, tribes, and commu-
nity organizations, support the provision of’’; 
(ii) by redesignating subparagraphs (B) through 
(F) as subparagraphs (C) through (G), respectively; 
(iii) by inserting after subparagraph (A), the fol-
lowing: 
‘‘(B) evidence-based strategies to prevent preterm birth 
and associated outcomes;’’; 
(iv) in subparagraph (C), as so redesignated, by 
inserting ‘‘, and the risks of non-medically indicated 
deliveries before full term’’ before the semicolon; 
(v) in subparagraph (D), as so redesignated— 
(I) in clause (ii), by inserting ‘‘intake’’ before 
the semicolon; 
(II) in clause (iii), by striking ‘‘and’’ at the 
end; 
(III) by redesignating clause (iv) as clause (vii); 
and 
(IV) by inserting after clause (iii), the fol-
lowing: 
‘‘(iv) screening for and treatment of substance use 
disorders; 
‘‘(v) screening for and treatment of maternal 
depression; 
‘‘(vi) maternal immunization; and’’; 
(vi) in subparagraph (E), as so redesignated, by 
adding ‘‘and’’ after the semicolon; 
(vii) in subparagraph (F), as so redesignated, by 
striking ‘‘; and’’ and inserting a period; and 
(viii) by striking subparagraph (G), as so redesig-
nated; and 
(C) in paragraph (2), by inserting ‘‘, as well as preven-
tion of a future preterm birth’’ before the semicolon. 
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132 STAT. 4473 
PUBLIC LAW 115–328—DEC. 18, 2018 
SEC. 4. ADVISORY COMMITTEE ON MATERNAL AND INFANT HEALTH. 
Section 104(b) of the PREEMIE Reauthorization Act (42 U.S.C. 
247b–4f note) is amended— 
(1) in paragraph (2)— 
(A) in the matter preceding subparagraph (A), by 
striking ‘‘and recommendations to the Secretary concerning 
the following activities’’ and inserting ‘‘, recommendations, 
or information to the Secretary as may be necessary to 
improve activities and programs to reduce severe maternal 
morbidity, maternal mortality, infant mortality, and 
preterm birth, which may include recommendations, advice, 
or information related to the following’’; 
(B) in subparagraph (A), by striking ‘‘and improving 
the health status of pregnant women and infants’’ and 
inserting ‘‘, preterm birth, and improving the health status 
of pregnant women and infants, and information on cost- 
effectiveness and outcomes of such programs’’; 
(C) in subparagraph (C), by striking ‘‘Implementation 
of the’’ and inserting ‘‘The’’; and 
(D) by striking subparagraph (D) and inserting the 
following: 
‘‘(D) Implementation of Healthy People objectives 
related to maternal and infant health. 
‘‘(E) Strategies to reduce racial, ethnic, geographic, and 
other health disparities in birth outcomes, including by 
increasing awareness of Federal programs related to appro-
priate access to, or information regarding, prenatal care 
to address risk factors for preterm labor and delivery. 
‘‘(F) Strategies, including the implementation of such 
strategies, to address gaps in Federal research, programs, 
and education efforts related to the prevention of severe 
maternal morbidity, maternal mortality, infant mortality, 
and other adverse birth outcomes.’’; 
(2) by striking paragraph (3) and redesignating paragraph 
(4) as paragraph (3); and 
(3) by adding at the end the following: 
‘‘(4) BIENNIAL REPORT.—Not later than 1 year after the 
date of enactment of the PREEMIE Reauthorization Act of 
2018, and every 2 years thereafter, the Advisory Committee 
shall— 
‘‘(A) publish a report summarizing activities and rec-
ommendations of the Advisory Committee since the publica-
tion of the previous report; 
‘‘(B) submit such report to the Secretary and the appro-
priate Committees of Congress; and 
‘‘(C) post such report on the Internet website of the 
Department of Health and Human Services.’’. 
SEC. 5. INTERAGENCY WORKING GROUP. 
(a) IN GENERAL.—The Secretary of Health and Human Services, 
in collaboration with other departments, as appropriate, may estab-
lish an interagency working group in order to improve coordination 
of programs and activities to prevent preterm birth, infant mor-
tality, and related adverse birth outcomes. 
(b) DUTIES.—The working group established under subsection 
(a) shall— 
Assessments. 
Web posting. 
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132 STAT. 4474 
PUBLIC LAW 115–328—DEC. 18, 2018 
LEGISLATIVE HISTORY—S. 3029: 
CONGRESSIONAL RECORD, Vol. 164 (2018): 
Sept. 12, considered and passed Senate. 
Dec. 11, considered and passed House. 
(1) identify gaps, unnecessary duplication, and opportuni-
ties for improved coordination in Federal programs and activi-
ties related to preterm birth and infant mortality; 
(2) assess the extent to which the goals and metrics of 
relevant programs and activities within the Department of 
Health and Human Services, and, as applicable, those in other 
departments, are aligned; and 
(3) assess the extent to which such programs are coordi-
nated across agencies within such Department; and 
(4) make specific recommendations, as applicable, to reduce 
or minimize gaps and unnecessary duplication, and improve 
coordination of goals, programs, and activities across agencies 
within such Department. 
(c) REPORT.—Not later than 1 year after the date on which 
the working group is established under subsection (a), the Secretary 
of Health and Human Services shall submit to the Committee 
on Health, Education, Labor, and Pensions of the Senate and the 
Committee on Energy and Commerce of the House of Representa-
tives a report summarizing the findings of the working group under 
subsection (b) and the specific recommendations to improve Federal 
programs at the Department of Health and Human Services under 
subsection (b)(4). 
Approved December 18, 2018. 
Recommenda- 
tions. 
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