HR 3226 — PREEMIE Reauthorization Act of 2023

changes in existing law made by 
the bill, as reported, are shown as follows (existing law 
proposed to be omitted is enclosed in black brackets, new 
matter is printed in italics, and existing law in which no 
change is proposed is shown in roman):

 PREMATURITY RESEARCH EXPANSION AND EDUCATION FOR MOTHERS WHO DELIVER 
 INFANTS EARLY ACT

[Section 2(b) of H.R. 3226 (as reported) provides for a 
technical correction to section 2 of the PREEMIE 
Reauthorization Act of 2018 (Public Law 115-328) shown in the 
second Act below. Such amendment will result in the amendments 
made by such Act to be carried out to section 3 of the 
Prematurity Research Expansion and Education for Mothers who 
deliver Infants Early Act which are reflected here in order to 
represent the amendment by section 2(a) of H.R. 3226 (as 
reported).]

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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 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 Secretary, acting through 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.''.
 (b) Studies and Activities on Preterm Birth.
 (1) In general.--The Secretary of Health and Human 
 Services, acting through the Director of the Centers 
 for Disease Control and Prevention, may, subject to the 
 availability of appropriations--
 (A) conduct epidemiological studies on the 
 factors relating to prematurity, such as 
 clinical, biological, social, environmental, 
 genetic, and behavioral factors, and other 
 determinants that contribute to health 
 disparities and are related 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 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..
 (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.
 (d) Evaluation of Existing Tools and Measures.--The Secretary 
of Health and Human Services shall review existing tools and 
measures to ensure that such tools and measures include 
information related to the known risk factors of low birth 
weight and preterm birth.
 (e) Authorization of Appropriations.--There is authorized to 
be appropriated to carry out this section, $2,000,000 for each 
of [fiscal years 2019 through 2023] fiscal years 2024 through 
2028.

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 ---------- 

 PREEMIE REAUTHORIZATION ACT OF 2018

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SEC. 2. RESEARCH RELATING TO PRETERM LABOR AND DELIVERY AND THE CARE, 
 TREATMENT, AND OUTCOMES OF PRETERM AND LOW 
 BIRTHWEIGHT INFANTS.

 [Section 2] Section 3 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 contribute to 
 health disparities and are related''; and
 (B) in paragraph (2), by striking `` 
 concerning the progress and any results of 
 studies conducted under paragraph (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
 (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''.

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SEC. 5. INTERAGENCY WORKING GROUP.

 (a) In General.--[The Secretary of Health and Human Services, 
in collaboration with other departments, as appropriate, may 
establish] Not later than 18 months after the date of the 
enactment of the PREEMIE Reauthorization Act of 2023, the 
Secretary of Health and Human Services, in collaboration with 
other departments, as appropriate, shall establish an 
interagency working group in order to improve coordination of 
programs and activities to prevent preterm birth, infant 
mortality, and related adverse birth outcomes.
 (b) Duties.--The working group established under subsection 
(a) shall--
 (1) identify gaps, unnecessary duplication, and 
 opportunities for improved coordination in Federal 
 programs and activities 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 
 coordinated 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 
Representatives 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).

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