#aac? ,,congress  #a/ ,session  ,9 !    
,h\se ( ,repres5tatives1 ,u4 ,s41       
,novemb] #ab1 #bjac  ,,am5dm5ts3  ,t !  
bill f ! ,s5ate 7,s4 #beb7 entitl$ ,an  
,act to r$uce pret]m labor & deliv]y & !
 risk ( pregnancy-relat$ dea?s &        
complications due to pregnancy1 & to    
r$uce infant mortality caus$ by         
prematurity41 d pass ) ! foll[+  ,/rike 
out all aft] ! enact+ clause & ins]t3   
#a4 ,table ( cont5ts ,! table ( cont5ts 
= ?is ,act is z foll[s3  ,sec4 #a4      
,table ( cont5ts4 ,title ,i--,,preemie  
,act ,reau?orization ,sec4 #aja4 ,%ort  
title4 ,sec4 #ajb4 ,rese>* & activities 
at ! ,c5t]s = ,disease ,control &       
,prev5tion4 ,sec4 #ajc4 ,activities at !
 ,heal? ,res\rces & ,s]vices            
,adm9i/ration4 ,sec4 #ajd4 ,o!r         
activities4 ,title ,,ii--,national      
,p$iatric ,rese>* ,network ,sec4 #bja4  
,%ort title4 ,sec4 #bjb4 ,national      
,p$iatric ,rese>* ,network4 ,title      
,,iii--,,*imp ,act ,am5dm5ts ,sec4 #cja4
 ,%ort title4 ,sec4 #cjb4 ,c>e = ,,nih  

*impanzees4  ,i ,,preemie ,act          
,reau?orization  #aja4 ,%ort title ,?is 
title may be cit$ z ! ,prematurity      
,rese>* ,expansion & ,education = ,mo!rs
 :o deliv] ,infants ,e>ly               
,reau?orization ,act or ! ,,preemie     
,reau?orization ,act4  #ajb4 ,rese>* &  
activities at ! ,c5t]s = ,disease       
,control & ,prev5tion  7a7              
,epidemiological /udies ,section #c ( ! 
,prematurity ,rese>* ,expansion &       
,education = ,mo!rs :o deliv] ,infants  
,e>ly ,act 7#db ,u4,s4,c4 #bdg;b-#d;f7  
is am5d$ by /rik+ subsection 7b7 &      
ins]t+ ! foll[+3  7b7 ,/udies &         
,activities on ,pret]m ,bir?  7#a7 ,9   
g5]al ,! ,secret>y ( ,heal? & ,human    
,s]vices1 act+ ?r\gh ! ,director ( !    
,c5t]s = ,disease ,control & ,prev5tion1
 may1 subject to ! availability (       
appropriations--  7,a7 conduct          
epidemiological /udies on ! cl9ical1    
biological1 social1 environm5tal1       
g5etic1 & behavioral factors relat+ to  
prematurity1 z appropriate2  7,b7       

conduct activities to improve national  
data to facilitate track+ ! burd5 (     
pret]m bir?2 &  7,c7 cont9ue ef=ts to   
prev5t pret]m bir?1 includ+ late pret]m 
bir?1 ?r\gh ! id5tification (           
opportunities = prev5tion & ! assessm5t 
( ! impact ( su* ef=ts4  7#b7 ,report ,n
 lat] ?an #b ye>s aft] ! date ( enactm5t
 ( ! ,,preemie ,reau?orization ,act1 & e
 #b ye>s !reaft]1 ! ,secret>y ( ,heal? &
 ,human ,s]vices1 act+ ?r\gh ! ,director
 ( ! ,c5t]s = ,disease ,control &       
,prev5tion1 %all submit to ! appropriate
 committees ( ,congress reports conc]n+ 
! progress & any results ( /udies       
conduct$ "u p>agraph 7#a74  4  7b7      
,reau?orization ,section #c7;e7 ( !     
,prematurity ,rese>* ,expansion &       
,education = ,mo!rs :o deliv] ,infants  
,e>ly ,act 7#db ,u4,s4,c4               
#bdg;b-#d;f7e77 is am5d$ by /rik+       
#e1jjj1jjj & all t foll[s ?r\gh #bjaa4 &
 ins]t+ #a1hhj1jjj = ea* ( fiscal ye>s  
#bjad ?r\gh #bjah44  #ajc4 ,activities  
at ! ,heal? ,res\rces & ,s]vices        

,adm9i/ration  7a7 ,telem$ic9e &        
high-,risk pregnancies ,section         
#ccj;,i7i77#a77;,b7 ( ! ,public ,heal?  
,s]vice ,act 7#db ,u4,s4,c4             
#bed;c-#ad7;i77#a77;,b77 is am5d$ by    
/rik+ or case managem5t s]vices & ins]t+
 case managem5t s]vices1 or pr5atal c>e 
= high-risk pregnancies2  7b7 ,public & 
heal? c>e provid] education ,section    
#cii,q ( ! ,public ,heal? ,s]vice ,act  
7#db ,u4,s4,c4 #bhj;g-#e7 is am5d$--    
7#a7 9 subsection 7b7--  7,a7 9 p>agraph
 7#a71 by /rik+ subp>agraphs 7,a7 ?r\gh 
7,f7 & ins]t+ ! foll[+3  7,a7 ! core    
risk factors = pret]m labor & deliv]y2  
7,b7 m$ically indicat$ deliv]ies be=e   
full t]m2  7,c7 ! importance (          
preconception & pr5atal c>e1 includ+--  
7i7 smok+ cessation2  7ii7 weight       
ma9t5ance & good nutrition1 includ+     
folic acid2  7iii7 ! scre5+ = & !       
treatm5t ( infections2 &  7iv7 /ress    
managem5t2  7,d7 treatm5ts & outcomes = 
premature infants1 includ+ late pret]m  
infants2  7,e7 ! in=mational ne$s (     

families dur+ ! /ay ( an infant 9 a     
neonatal int5sive c>e unit2 &  7,f7     
utilization ( evid5ce-bas$ /rategies to 
prev5t bir? injuries2  2 &  7,b7 by     
/rik+ p>agraph 7#b7 & ins]t+ ! foll[+3  
7#b7 programs to increase !             
availability1 aw>5ess1 & use ( pregnancy
 & po/-t]m in=mation s]vices t provide  
evid5ce-bas$1 cl9ical in=mation ?r\gh   
c\nselors1 community outrea* ef=ts1     
electronic or telephonic communication1 
or o!r appropriate means reg>d+ causes  
associat$ ) prematurity1 bir? defects1  
or heal? risks to a po/-t]m infant2  2 &
  7#b7 9 subsection 7c71 by /rik+       
#e1jjj1jjj & all t foll[s ?r\gh #bjaa4 &
 ins]t+ #a1ijj1jjj = ea* ( fiscal ye>s  
#bjad ?r\gh #bjah44  #ajd4 ,o!r         
activities  7a7 ,int]ag5cy ,coord9at+   
,c\ncil on ,prematurity & ,l[           
,bir?weight ,! ,prematurity ,rese>*     
,expansion & ,education = ,mo!rs :o     
deliv] ,infants ,e>ly ,act is am5d$ by  
/rik+ section #e 7#db ,u4,s4,c4         
#bdg;b-#d;g74  7b7 ,advisory ,committee 

on ,infant ,mortality  7#a7 ,e/abli%m5t 
,! ,secret>y ( ,heal? & ,human ,s]vices 
7ref]r$ to 9 ?is section z ! ,secret>y7 
may e/abli% an advisory committee kn[n z
 ! ,advisory ,committee on ,infant      
,mortality 7ref]r$ to 9 ?is section z ! 
,advisory ,committee74  7#b7 ,duties ,! 
,advisory ,committee %all provide advice
 & recomm5dations to ! ,secret>y conc]n+
 ! foll[+ activities3  7,a7 ,programs ( 
! ,dep>tm5t ( ,heal? & ,human ,s]vices t
 are direct$ at r$uc+ infant mortality &
 improv+ ! heal? /atus ( pregnant wom5 &
 infants4  7,b7 ,/rategies to coord9ate 
! v>i\s ,f$]al programs & activities )  
,/ate1 local1 & private programs & ef=ts
 t address factors t affect infant      
mortality4  7,c7 ,implem5tation ( !     
,heal?y ,/>t program "u section #ccj;,h 
( ! ,public ,heal? ,s]vice ,act 7#db    
,u4,s4,c4 #bed;c-#h7 & ,heal?y ,p #bjbj 
infant mortality objectives4  7,d7      
,/rategies to r$uce pret]m bir? rates   
?r\gh rese>*1 programs1 & education4    
7#c7 ,plan = ,,hhs pret]m bir?          

activities ,n lat] ?an #a ye> aft] !    
date ( enactm5t ( ?is section1 !        
,advisory ,committee 7or an advisory    
committee 9 exi/5ce z ( ! date (        
enactm5t ( ?is ,act & designat$ by !    
,secret>y7 %all develop a plan =        
conduct+ & support+ rese>*1 education1 &
 programs on pret]m bir? ?r\gh !        
,dep>tm5t ( ,heal? & ,human ,s]vices &  
%all p]iodically review & revise ! plan1
 z appropriate4 ,! plan %all--  7,a7    
exam9e rese>* & educational activities t
 receive ,f$]al fund+ 9 ord] to enable !
 plan to provide in=m$ recomm5dations to
 r$uce pret]m bir? & address racial &   
e?nic disp>ities 9 pret]m bir? rates2   
7,b7 id5tify rese>* gaps & opportunities
 to implem5t evid5ce-bas$ /rategies to  
r$uce pret]m bir? rates among ! programs
 & activities ( ! ,dep>tm5t ( ,heal? &  
,human ,s]vices reg>d+ pret]m bir?1     
includ+ opportunities to m9imize        
duplication2 &  7,c7 reflect input f a  
broad range ( sci5ti/s1 pati5ts1 &      
advocacy gr\ps1 z appropriate4  7#d7    

,memb]%ip ,! ,secret>y %all ensure t !  
memb]%ip ( ! ,advisory ,committee       
includes ! foll[+3  7,a7 ,repres5tatives
 provid$ = 9 ! orig9al *>t] ( !         
,advisory ,committee4  7,b7 ,a          
repres5tative ( ! ,national ,c5t] =     
,heal? ,/ati/ics4  7c7 ,pati5t ,safety  
,/udies & report  7#a7 ,9 g5]al ,!      
,secret>y %all designate an appropriate 
ag5cy )9 ! ,dep>tm5t ( ,heal? & ,human  
,s]vices to coord9ate exi/+ /udies on   
hospital readmissions ( pret]m infants4 
7#b7 ,report to ,secret>y & ,congress ,n
 lat] ?an #a ye> aft] ! date ( !        
enactm5t ( ?is ,act1 ! ag5cy designat$  
"u p>agraph 7#a7 %all submit to !       
,secret>y & to ,congress a report       
conta9+ ! f9d+s & recomm5dations result+
 f ! /udies coord9at$ "u su* p>agraph1  
includ+ recomm5dations = hospital       
dis*>ge & foll[up proc$ures design$ to  
r$uce rates ( prev5table hospital       
readmissions = pret]m infants4  ,,ii    
,national ,p$iatric ,rese>* ,network    
#bja4 ,%ort title ,?is title may be cit$

 z ! ,national ,p$iatric ,rese>*        
,network ,act ( #bjac4  #bjb4 ,national 
,p$iatric ,rese>* ,network ,section     
#dji;,d ( ! ,public ,heal? ,s]vice ,act 
7#db ,u4,s4,c4 #bhd;h2 relat+ to !      
,p$iatric ,rese>* ,initiative7 is       
am5d$--  7#a7 by r$esignat+ subsection  
7d7 z subsection 7f72 &  7#b7 by ins]t+ 
aft] subsection 7c7 ! foll[+3  7d7      
,national ,p$iatric ,rese>* ,network    
7#a7 ,network ,9 c>ry+ out !            
,initiative1 ! ,director ( ,,nih1 9     
consultation ) ! ,director ( ! ,eunice  
,k5n$y ,%riv] ,national ,in/itute (     
,*ild ,heal? & ,human ,developm5t & 9   
collaboration ) o!r appropriate national
 rese>* in/itutes & national c5t]s t    
c>ry out activities involv+ p$iatric    
rese>*1 may provide = ! e/abli%m5t ( a  
,national ,p$iatric ,rese>* ,network 9  
ord] to m effectively support p$iatric  
rese>* & optimize ! use ( ,f$]al        
res\rces4 ,su* ,national ,p$iatric      
,rese>* ,network may be compris$ (1 z   
appropriate--  7,a7 ! p$iatric rese>*   

consortia receiv+ aw>ds "u p>agraph     
7#b72 or  7,b7 o!r consortia1 c5t]s1 or 
networks focus$ on p$iatric rese>* t are
 recogniz$ by ! ,director ( ,,nih &     
e/abli%$ pursuant to ! au?orities ve/$ 9
 ! ,national ,in/itutes ( ,heal? by o!r 
sections ( ?is ,act4  7#b7 ,p$iatric    
rese>* consortia  7,a7 ,9 g5]al ,!      
,director ( ,,nih may aw>d fund+1       
includ+ ?r\gh grants1 contracts1 or o!r 
me*anisms1 to public or private nonpr(it
 entities = provid+ support = p$iatric  
rese>* consortia1 includ+ ) respect to--
  7i7 basic1 cl9ical1 behavioral1 or    
translational rese>* to meet unmet ne$s 
= p$iatric rese>*2 &  7ii7 tra9+        
rese>*]s 9 p$iatric rese>* te*niques 9  
ord] to address unmet p$iatric rese>*   
ne$s4  7,b7 ,rese>* ,! ,director ( ,,nih
 %all1 z appropriate1 ensure t--  7i7   
ea* consortium receiv+ an aw>d "u       
subp>agraph 7,a7 conducts or supports at
 lea/ "o category ( rese>* describ$ 9   
subp>agraph 7,a77i7 & collectively su*  
consortia conduct or support su*        

categories ( rese>*2 &  7ii7 "o or m su*
 consortia provide tra9+ describ$ 9     
subp>agraph 7,a77ii74  7,c7             
,organization ( consortium ,ea*         
consortium receiv+ an aw>d "u           
subp>agraph 7,a7 %all--  7i7 be =m$ f a 
collaboration ( coop]at+ in/itutions2   
7ii7 be coord9at$ by a lead in/itution  
or in/itutions2  7iii7 agree to         
dissem9ate sci5tific f9d+s1 includ+ f   
cl9ical trials1 rapidly & effici5tly1 z 
appropriate1 to--  7,i7 o!r consortia2  
7,,ii7 ! ,national ,in/itutes ( ,heal?2 
7,,iii7 ! ,food & ,drug ,adm9i/ration2  
7,,iv7 & o!r relevant ag5cies2 &  7iv7  
meet su* requirem5ts z may be prescrib$ 
by ! ,director ( ,,nih4  7,d7           
,supplem5t1 n supplant ,any support     
receiv$ by a consortium "u subp>agraph  
7,a7 %all be us$ to supplem5t1 & n      
supplant1 o!r public or private support 
= activities au?oriz$ to be support$ "u 
?is p>agraph4  7,e7 ,duration ( support 
,support ( a consortium "u subp>agraph  
7,a7 may be = a p]iod ( n to exce$ #e   

ye>s4 ,su* p]iod may be ext5d$ at !     
discretion ( ! ,director ( ,,nih4  7#c7 
,coord9ation ( consortia activities ,!  
,director ( ,,nih %all1 z appropriate-- 
7,a7 provide = ! coord9ation (          
activities 7includ+ ! ex*ange (         
in=mation & regul> communication7 among 
! consortia e/abli%$ pursuant to        
p>agraph 7#b72 &  7,b7 require ! p]iodic
 prep>ation & submission to ! ,director 
( reports on ! activities ( ea* su*     
consortium4  7#d7 ,assi/ance ) regi/ries
 ,ea* consortium receiv+ an aw>d "u     
p>agraph 7#b77;,a7 may provide          
assi/ance1 z appropriate1 to ! ,c5t]s = 
,disease ,control & ,prev5tion =        
activities relat$ to pati5t regi/ries & 
o!r surveillance sy/ems ^u reque/ by !  
,director ( ! ,c5t]s = ,disease ,control
 & ,prev5tion4  7e7 ,rese>* on p$iatric 
r>e diseases or conditions ,9 mak+ aw>ds
 "u subsection 7d77#b7 = p$iatric rese>*
 consortia1 ! ,director ( ,,nih %all    
ensure t an appropriate numb] ( su*     
aw>ds are aw>d$ to su* consortia t agree

 to--  7#a7 consid] p$iatric r>e        
diseases or conditions1 or ^? relat$ to 
bir? defects2 &  7#b7 conduct or        
coord9ate "o or m multisite cl9ical     
trials ( !rapies =1 or approa*es to1 !  
prev5tion1 diagnosis1 or treatm5t ( "o  
or m p$iatric r>e diseases or           
conditions4  4  ,,iii ,,*imp ,act       
,am5dm5ts  #cja4 ,%ort title ,?is title 
may be cit$ z ! ,,*imp ,act ,am5dm5ts ( 
#bjac4  #cjb4 ,c>e = ,,nih *impanzees   
7a7 ,9 g5]al ,section #djd,k7g7 ( !     
,public ,heal? ,s]vice ,act 7#db        
,u4,s4,c4 #bhcm7g77 is am5d$--  7#a7 by 
am5d+ p>agraph 7#a7 to read z foll[s3   
7#a7 ,9 g5]al ,( ! am\nt appropriat$ = !
 ,national ,in/itutes ( ,heal?1 !re are 
au?oriz$ to be appropriat$ to c>ry out  
?is section & = ! c>e1 ma9t5ance1 &     
transportation ( all *impanzees o!rwise 
"u ! own]%ip or control ( ! ,national   
,in/itutes ( ,heal?1 & to enable !      
,national ,in/itutes ( ,heal? to op]ate 
m effici5tly & economically by decreas+ 
! ov]all ,f$]al co/ ( provid+ = ! c>e1  

ma9t5ance1 & transportation (           
*impanzees--  7,a7 = fiscal ye> #bjad1  
#ab1djj1jjj2  7,b7 = fiscal ye> #bjae1  
#aa1fej1jjj2  7,c7 = fiscal ye> #bjaf1  
#aj1ijj1jjj2  7,d7 = fiscal ye> #bjag1  
#aj1aej1jjj2 &  7,e7 = fiscal ye> #bjah1
 #i1djj1jjj4  2  7#b7 by /rik+ p>agraph 
7#b72  7#c7 by r$esignat+ p>agraph 7#c7 
z p>agraph 7#b72 &  7#d7 9 p>agraph     
7#b71 z s r$esignat$--  7,a7 by /rik+ ,)
 respect to am\nts res]v$ "u p>agraph   
7#a7 & ins]t+ ,) respect to am\nts      
au?oriz$ to be appropriat$ by p>agraph  
7#a72 &  7,b7 by /rik+ bo>d ( directors 
& ins]t+ ,secret>y 9 consultation ) !   
bo>d ( directors4  7b7 ,,gao /udy ,n    
lat] ?an #b ye>s aft] ! date ( enactm5t 
( ?is ,act1 ! ,comptroll] ,g5]al ( !    
,unit$ ,/ates %all conduct an indep5d5t 
evaluation1 & submit to ! appropriate   
committees ( ,congress a report1 reg>d+ 
*impanzees "u ! own]%ip or control !    
,national ,in/itutes ( ,heal?4 ,su*     
report %all review & assess--  7#a7 !   
rese>* /atus ( su* *impanzees2  7#b7 !  

co/ = ! c>e1 ma9t5ance1 & transportation
 ( su* *impanzees1 includ+ ! co/ brok5  
d[n by--  7,a7 rese>* or retirem5t      
/atus2  7,b7 s]vices includ$ 9 ! c>e1   
ma9t5ance1 & transportation2 &  7,c7    
location2  7#c7 ! ext5t to :i* mat*+    
requirem5ts h be5 met pursuant to       
section #djd,k7e77#d7 ( ! ,public ,heal?
 ,s]vice ,act 7#db ,u4,s4,c4            
#bhcm7e77#d772 &  7#d7 any options = co/
 sav+s = ! support & ma9t5ance ( su*    
*impanzees4  7c7 ,bi5nial report        
,section #djd,k7g7 ( ! ,public ,heal?   
,s]vice ,act 7#db ,u4,s4,c4 #bhcm7g77 is
 am5d$ by add+ at ! end ! foll[+3  7#c7 
,bi5nial report ,n lat] ?an #ahj days   
aft] ! date enactm5t ( ?is ,act1 !      
,director ( ! ,national ,in/itutes (    
,heal? %all submit to ! ,committee on   
,heal?1 ,education1 ,labor1 & ,p5sions &
 ! ,committee on ,appropriations ( !    
,s5ate & ! ,committee on ,en]gy &       
,comm]ce & ! ,committee on              
,appropriations 9 ! ,h\se (             
,repres5tatives a report1 to be updat$  

bi5nially1 reg>d+--  7,a7 ! c>e1        
ma9t5ance1 & transportation ( !         
*impanzees "u ! own]%ip or control ( !  
,national ,in/itutes ( ,heal?2  7,b7    
co/s relat$ to su* c>e1 ma9t5ance1 &    
transportation1 & any o!r relat$ co/s2 &
  7,c7 ! rese>* /atus ( su* *impanzees4 
4  ,am5d ! title s z to read3 ,an ,act  
to r$uce pret]m labor & deliv]y & ! risk
 ( pregnancy-relat$ dea?s &             
complications due to pregnancy1 & to    
r$uce infant mortality caus$ by         
prematurity1 & = o!r purposes44  ,cl]k4