,,ii  #aacth ,,congress  #ast ,session  
,s4 #adid  ,,in ,,the ,,senate ,,of     
,,the ,,united ,,states  ,september #aa1
 #bjac,mrs4 ,feinstein 7for herself1    
,ms4 ,collins1 and ,mrs4 ,hagan7        
introduced the following bill2 which was
 read twice and referred to the         
,committee on ,health1 ,education1      
,labor1 and ,pensions  ,a ,,bill  ,to   
amend the ,child ,care and ,development 
,block ,grant ,act of #aiij to improve  
child safety and reduce the incidence of
 preventable infant deaths in child care
 settings4  #a4 ,short title ,this ,act 
may be cited as the ,child ,care ,infant
 ,mortality ,prevention ,act of #bjac4  
#b4 ,findings and purposes  7a7         
,findings ,congress finds the following3
 7#a7 ,for millions of today's working  
families1 child care is an essential    
ingredient of their success4 ,child care
 helps children1 families1 and          
communities prosper1 and helps the      
,nation maintain its competitive edge4  
7#b7 ,close to #ab1jjj1jjj children     

under age #e1 and #aj1jjj1jjj over the  
age of #e1 are in some type of child    
care setting each day4  7#c7 ,more than 
#fj percent of children are cared for   
regularly in a child care setting4  7#d7
 ,recent polls of working parents found 
that parents are primarily concerned    
about safety and quality of care1       
followed by cost4  7#e7 ,nationally1 the
 most common form of death among        
post-neonatal infants under age #a is   
death occurring during sleep1 as a      
result of incorrect sleeping practices4 
7#f7 ,according to the ,centers for     
,disease ,control and ,prevention1 each 
year in the ,united ,states1 more than  
#d1ejj infants die suddenly of no       
immediately obvious cause4 ,half of     
these sudden unexpected infant deaths   
are due to ,sudden ,infant ,death       
,syndrome1 the leading cause of sudden  
unexpected infant deaths and all deaths 
among infants who are not younger than  
#a month but younger than #ab months4   
7#g7 ,researchers estimate that child   

care settings account for at least #bj  
percent of sudden unexpected infant     
deaths in the ,united ,states4  7#h7 ,in
 its #bjaa report on child care center  
licensing regulations1 ,child ,care     
,aware of ,america1 formerly known as   
the ,national ,association of ,child    
,care ,resource and ,referral ,agencies1
 noted that-- 7,a7 extensive research   
and recommendations from organizations  
like the ,american ,academy of          
,pediatrics and the ,national ,centers  
for ,disease ,control and ,prevention   
favor simple life-saving safe sleep     
strategies to eliminate serious risk    
factors for ,sudden ,infant ,death      
,syndrome and sudden unexpected infant  
death2 and  7,b7 the strategies noted in
 subparagraph 7,a7 are not universally  
required under the ,child ,care and     
,development ,block ,grant ,act of #aiij
 nor in the majority of ,state child    
care regulations4  #c4 ,goals ,section  
#feh;,a7b77#e7 of the ,child ,care and  
,development ,block ,grant ,act of #aiij

 7#db ,u4,s4,c4 #iheh note7 is amended  
to read as follows3  7#e7 to ensure the 
health1 safety1 development and         
well-being of children in programs      
supported under this subchapter and to  
assist ,states in improving the overall 
quality of child care services and      
programs by implementing the health1    
safety1 licensing1 and oversight        
standards established in ,state law     
7including regulations74  4  #d4        
,application and plan ,section          
#feh;,e7c77#b77;,f7 of the ,child ,care 
and ,development ,block ,grant ,act of  
#aiij 7#db ,u4,s4,c4                    
#fheh;c7c77#b77;,f77 is amended by      
striking clause 7iii7 and all that      
follows and inserting the following3    
7iii7 minimum health and safety training
 appropriate to the provider setting1   
including training on cardiopulmonary   
resuscitation1 first aid1 safe sleep    
practices and other sudden unexpected   
infant death prevention strategies4  4  
#e4 ,activities to promote child safety 

and improve the quality of child care   
,section #feh;,g of the ,child ,care and
 ,development ,block ,grant ,act of     
#aiij 7#db ,u4,s4,c4 #iheh;e7 is        
amended-- 7#a7 by striking choice1 and  
and inserting choice12 and  7#b7 by     
striking the period and inserting       
training 7including training in safe    
sleep practices1 first aid1 and         
cardiopulmonary resuscitation71 and     
other activities designed to ensure and 
improve the health and safety of        
children receiving child care services  
under this subchapter44  #f4            
,dissemination of materials and         
information on safe sleep and other     
sudden unexpected infant death          
prevention strategies ,section #feh,k of
 the ,child ,care and ,development      
,block ,grant ,act of #aiij 7#db        
,u4,s4,c4 #iheh;i7 is amended-- 7#a7 by 
striking the section header and         
inserting the following3  #feh,k4       
,reports1 audits1 and information  2    
and  7#b7 by adding at the end the      

following3  7c7 ,information on sudden  
unexpected infant death prevention      
strategies ,the ,secretary1 working with
 the ,director of the ,centers for      
,disease ,control and ,prevention and   
the ,director of the ,eunice ,kennedy   
,shriver ,national ,institute of ,child 
,health and ,human ,development1 shall--
 7#a7 update training1 instructional    
materials1 and other information on safe
 sleep practices and other sudden       
unexpected infant death prevention      
strategies2 and  7#b7 widely distribute 
the training1 materials1 and information
 to parents1 child care providers1      
pediatricians1 home visitors1 community 
colleges1 and other individuals and     
entities4  4