PREEMIE Reauthorization Act
PL 113-55 (S.252), enacted 11/27/2013

[113th Congress Public Law 55]
[From the U.S. Government Publishing Office]



[[Page 127 STAT. 641]]

Public Law 113-55
113th Congress

                                 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. <<NOTE: Nov. 
                         27, 2013 -  [S. 252]>> 

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,
SECTION 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.

 TITLE <<NOTE: Prematurity Research Expansion and Education for Mothers 
 who deliver Infants Early Reauthorization Act. 42 USC 201 note.>>  I--
PREEMIE ACT REAUTHORIZATION
SEC. 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''.
SEC. 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--

[[Page 127 STAT. 642]]

                    ``(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.''.
SEC. 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,

[[Page 127 STAT. 643]]

        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.''.
SEC. 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) <<NOTE: 42 USC 247b-4f note.>>  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) <<NOTE: Deadline.>>  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.

[[Page 127 STAT. 644]]

            (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.

 TITLE <<NOTE: National Pediatric Research Network Act of 2013. 42 USC 
201 note.>>  II--NATIONAL PEDIATRIC RESEARCH NETWORK
SEC. 201. SHORT TITLE.

    This title may be cited as the ``National Pediatric Research Network 
Act of 2013''.
SEC. 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--

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                          ``(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) <<NOTE: Reports.>>  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

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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.''.

TITLE <<NOTE: CHIMP Act Amendments of 2013.>>  III--CHIMP ACT AMENDMENTS
SEC. <<NOTE: 42 USC 201 note.>>  301. SHORT TITLE.

    This title may be cited as the ``CHIMP Act Amendments of 2013''.
SEC. 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) <<NOTE: Appropriation authorization.>>  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) <<NOTE: Deadline. Reports.>>  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;

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            (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.''.

    Approved November 27, 2013.

LEGISLATIVE HISTORY--S. 252:
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CONGRESSIONAL RECORD, Vol. 159 (2013):
            Sept. 24, considered and passed Senate.
            Nov. 12, considered and passed House, amended.
            Nov. 14, Senate concurred in House amendments.

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