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Bill
Notes

S. 252 — what changed

Prematurity Research Expansion and Education for Mothers who deliver Infants Early Reauthorization Act

From Referred in House to Enrolled Bill. 1 section amended, 8 added, and 3 removed between Referred in House and Enrolled Bill.

Section 1 Table of contents

changed This The table of contents for this Act may be cited is as the “Prematurity Research Expansion and Education for Mothers who deliver Infants Early Reauthorization Act” or the “PREEMIE Reauthorization Act”.follows:

Sec. 2 Research and activities at the centers for disease control and prevention

removed
(a)
removed 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:

removed “(b) Studies and Activities on Preterm Birth

removed “(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—

removed “(A) conduct epidemiological studies on the clinical, biological, social, environmental, genetic, and behavioral factors relating to prematurity, as appropriate;

removed “(B) conduct activities to improve national data to facilitate tracking the burden of preterm birth; and

removed “(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.

removed “(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)
removed 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. 3 Activities at the health resources and services administration

removed
(a)
removed 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)
removed Public and health care provider education— Section 399Q of the Public Health Service Act (42 U.S.C. 280g–5) is amended—
(1)
removed in subsection (b)—
(A)
removed in paragraph (1), by striking subparagraphs (A) through (F) and inserting the following:

removed “(A) the core risk factors for preterm labor and delivery;

removed “(B) medically indicated deliveries before full term;

removed “(C) the importance of preconception and prenatal care, including—

removed “(i) smoking cessation;

removed “(ii) weight maintenance and good nutrition, including folic acid;

removed “(iii) the screening for and the treatment of infections; and

removed “(iv) stress management;

removed “(D) treatments and outcomes for premature infants, including late preterm infants;

removed “(E) the informational needs of families during the stay of an infant in a neonatal intensive care unit; and

removed “(F) utilization of evidence-based strategies to prevent birth injuries;”

(B)
removed by striking paragraph (2) and inserting the following:

removed “(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;”

(2)
removed 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. 4 Other activities

removed
(a)
removed 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)
removed Advisory Committee on Infant Mortality—
(1)
removed 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)
removed Duties— The Advisory Committee shall provide advice and recommendations to the Secretary concerning the following activities:
(A)
removed 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)
removed 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)
removed 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)
removed Strategies to reduce preterm birth rates through research, programs, and education.
(3)
removed 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)
removed 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)
removed 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)
removed reflect input from a broad range of scientists, patients, and advocacy groups, as appropriate.
(4)
removed Membership— The Secretary shall ensure that the membership of the Advisory Committee includes the following:
(A)
removed Representatives provided for in the original charter of the Advisory Committee.
(B)
removed A representative of the National Center for Health Statistics.
(c)
removed Patient Safety Studies and report—
(1)
removed 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)
removed 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.

Sec. 101 Short title

added

added 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

added
(a)
added 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:

added “(b) Studies and Activities on Preterm Birth

added “(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—

added “(A) conduct epidemiological studies on the clinical, biological, social, environmental, genetic, and behavioral factors relating to prematurity, as appropriate;

added “(B) conduct activities to improve national data to facilitate tracking the burden of preterm birth; and

added “(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.

added “(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)
added 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

added
(a)
added 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)
added Public and health care provider education— Section 399Q of the Public Health Service Act (42 U.S.C. 280g–5) is amended—
(1)
added in subsection (b)—
(A)
added in paragraph (1), by striking subparagraphs (A) through (F) and inserting the following:

added “(A) the core risk factors for preterm labor and delivery;

added “(B) medically indicated deliveries before full term;

added “(C) the importance of preconception and prenatal care, including—

added “(i) smoking cessation;

added “(ii) weight maintenance and good nutrition, including folic acid;

added “(iii) the screening for and the treatment of infections; and

added “(iv) stress management;

added “(D) treatments and outcomes for premature infants, including late preterm infants;

added “(E) the informational needs of families during the stay of an infant in a neonatal intensive care unit; and

added “(F) utilization of evidence-based strategies to prevent birth injuries;”

(B)
added by striking paragraph (2) and inserting the following:

added “(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;”

(2)
added 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

added
(a)
added 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)
added Advisory Committee on Infant Mortality—
(1)
added 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)
added Duties— The Advisory Committee shall provide advice and recommendations to the Secretary concerning the following activities:
(A)
added 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)
added 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)
added 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)
added Strategies to reduce preterm birth rates through research, programs, and education.
(3)
added 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)
added 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)
added 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)
added reflect input from a broad range of scientists, patients, and advocacy groups, as appropriate.
(4)
added Membership— The Secretary shall ensure that the membership of the Advisory Committee includes the following:
(A)
added Representatives provided for in the original charter of the Advisory Committee.
(B)
added A representative of the National Center for Health Statistics.
(c)
added Patient Safety Studies and report—
(1)
added 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)
added 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.

Sec. 201 Short title

added

added This title may be cited as the “National Pediatric Research Network Act of 2013”.

Sec. 202 National Pediatric Research Network

added

added Section 409D of the Public Health Service Act (42 U.S.C. 284h; relating to the Pediatric Research Initiative) is amended—

(1)
added by redesignating subsection (d) as subsection (f); and
(2)
added by inserting after subsection (c) the following:

added “(d) National Pediatric Research Network

added “(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—

added “(A) the pediatric research consortia receiving awards under paragraph (2); or

added “(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.

added “(2) Pediatric research consortia

added “(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—

added “(i) basic, clinical, behavioral, or translational research to meet unmet needs for pediatric research; and

added “(ii) training researchers in pediatric research techniques in order to address unmet pediatric research needs.

added “(B) Research—The Director of NIH shall, as appropriate, ensure that—

added “(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

added “(ii) one or more such consortia provide training described in subparagraph (A)(ii).

added “(C) Organization of consortium—Each consortium receiving an award under subparagraph (A) shall—

added “(i) be formed from a collaboration of cooperating institutions;

added “(ii) be coordinated by a lead institution or institutions;

added “(iii) agree to disseminate scientific findings, including from clinical trials, rapidly and efficiently, as appropriate, to—

added “(I) other consortia;

added “(II) the National Institutes of Health;

added “(III) the Food and Drug Administration;

added “(IV) and other relevant agencies; and

added “(iv) meet such requirements as may be prescribed by the Director of NIH.

added “(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.

added “(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.

added “(3) Coordination of consortia activities—The Director of NIH shall, as appropriate—

added “(A) provide for the coordination of activities (including the exchange of information and regular communication) among the consortia established pursuant to paragraph (2); and

added “(B) require the periodic preparation and submission to the Director of reports on the activities of each such consortium.

added “(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.

added “(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—

added “(1) consider pediatric rare diseases or conditions, or those related to birth defects; and

added “(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.”

Sec. 301 Short title

added

added This title may be cited as the “CHIMP Act Amendments of 2013”.

Sec. 302 Care for NIH chimpanzees

added
(a)
added In general— Section 404K(g) of the Public Health Service Act (42 U.S.C. 283m(g)) is amended—
(1)
added by amending paragraph (1) to read as follows:

added “(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—

added “(A) for fiscal year 2014, $12,400,000;

added “(B) for fiscal year 2015, $11,650,000;

added “(C) for fiscal year 2016, $10,900,000;

added “(D) for fiscal year 2017, $10,150,000; and

added “(E) for fiscal year 2018, $9,400,000.”

(2)
added by striking paragraph (2);
(3)
added by redesignating paragraph (3) as paragraph (2); and
(4)
added in paragraph (2), as so redesignated—
(A)
added 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)
added by striking “board of directors” and inserting “Secretary in consultation with the board of directors”.
(b)
added 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)
added the research status of such chimpanzees;
(2)
added the cost for the care, maintenance, and transportation of such chimpanzees, including the cost broken down by—
(A)
added research or retirement status;
(B)
added services included in the care, maintenance, and transportation; and
(C)
added location;
(3)
added 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)
added any options for cost savings for the support and maintenance of such chimpanzees.
(c)
added 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:

added “(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—

added “(A) the care, maintenance, and transportation of the chimpanzees under the ownership or control of the National Institutes of Health;

added “(B) costs related to such care, maintenance, and transportation, and any other related costs; and

added “(C) the research status of such chimpanzees.”