,,ii  #aac? ,,congress  #a/ ,session    
,s4 #cad  ,,9 ,,! ,,s5ate ,,( ,,!       
,,unit$ ,,/ates  ,febru>y #ac1 #bjac    
,mr4 ,laut5b]g introduc$ ! foll[+ bill2 
:i* 0 read twice & ref]r$ to !          
,committee on ,heal?1 ,education1       
,labor1 & ,p5sions  ,a ,,bill  ,to am5d 
! ,public ,heal? ,s]vice ,act to improve
 ! heal? ( *ildr5 & help bett] und]/& & 
enhance aw>5ess ab\t unexpect$ sudd5    
dea? 9 e>ly life4  #a4 ,%ort title ,?is 
,act may be cit$ z ! ,sudd5 ,unexpect$  
,dea? ,data ,enhancem5t & ,aw>5ess ,act4
  #b4 ,am5dm5t to ! ,public ,heal?      
,s]vice ,act ,title ,,iii ( ! ,public   
,heal? ,s]vice ,act 7#db ,u4,s4,c4 #bda 
et seq47 is am5d$ by add+ at ! end !    
foll[+3  ,w ,sudd5 unexpect$ infant dea?
 & sudd5 unexpla9$ dea? 9 *ildhood      
#cii,,oo4 ,def9itions ,9 ?is "p3  7#a7  
,adm9i/rator ,! t]m ,adm9i/rator means !
 ,adm9i/rator ( ! ,heal? ,res\rces &    
,s]vices ,adm9i/ration4  7#b7 ,dea? sc5e
 inve/igator ,! t]m dea? sc5e           
inve/igator means an individual c]tifi$ 

z a dea? sc5e inve/igator by an accr$it$
 pr(essional c]tification bo>d4  7#c7   
,director ,! t]m ,director means !      
,director ( ! ,c5t]s = ,disease ,control
 & ,prev5tion4  7#d7 ,/ate ,! t]m ,/ate 
has ! mean+ giv5 to su* t]m 9 section   
#b1 except t su* t]m includes tribes &  
tribal organizations 7z su* t]ms are    
def9$ 9 section #d ( ! ,indian          
,self-,det]m9ation & ,education         
,assi/ance ,act74  7#e7 ,sudd5 unexpect$
 infant dea?2 ,,suid ,! t]ms sudd5      
unexpect$ infant dea? & ,,suid mean !   
sudd5 dea? ( an infant "u #a ye> ( age t
 :5 fir/ discov]$ did n h an obvi\s     
cause4 ,su* t]ms include ^? dea?s t are 
lat] det]m9$ to be f expla9$ z well z   
unexpla9$ causes4  7#f7 ,sudd5 unexpla9$
 dea? 9 *ildhood2 ,,sudc ,! t]ms sudd5  
unexpla9$ dea? 9 *ildhood & ,,sudc mean 
! sudd5 dea? ( a *ild old] ?an #a ye> ( 
age :i* rema9s unexpla9$ aft] a ?or\gh  
case inve/igation t includes a review ( 
! cl9ical hi/ory & circum/ances ( dea? &
 p]=mance ( a complete autopsy )        

appropriate ancill>y te/+4  #cii,,oo-#a4
 ,dea? sc5e inve/igation & autopsy  7a7 
,inve/igations  7#a7 ,grants ,!         
,secret>y1 act+ ?r\gh ! ,director1 %all 
aw>d grants to ,/ates to enable su*     
,/ates to improve ! completion (        
compreh5sive dea? sc5e inve/igations =  
sudd5 unexpect$ infant dea? & sudd5     
unexpla9$ dea? 9 *ildhood4  7#b7        
,application ,to be eligible to receive 
a grant "u p>agraph 7#a71 a ,/ate %all  
submit to ! ,secret>y an application at 
su* "t1 9 su* mann]1 & conta9+ su*      
in=mation z ! ,secret>y may require4    
7#c7 ,use ( funds  7,a7 ,9 g5]al ,a     
,/ate %all use am\nts receiv$ "u a grant
 "u p>agraph 7#a7 to improve !          
completion ( compreh5sive dea? sc5e     
inve/igations = sudd5 unexpect$ infant  
dea? & sudd5 unexpla9$ dea? 9 *ildhood1 
includ+ ?r\gh ! aw>d+ ( subgrants to    
local jurisdictions to be us$ to        
implem5t /&>d dea? sc5e inve/igation    
protocols = sudd5 unexpect$ infant dea? 
& sudd5 unexpla9$ dea? 9 *ildhood &     

conduct compreh5sive1 /&>diz$ autopsies4
  7,b7 ,protocols ,a /&>d dea? sc5e     
protocol implem5t$ "u subp>agraph 7,a7  
%all include ! obta9+ ( in=mation on    
curr5t & pa/ m$ical hi/ory ( !          
infant_/*ild1 ! circum/ances surr\nd+ ! 
dea? includ+ any suspici\s circum/ances1
 ! sleep position & sleep environm5t ( !
 infant_/*ild1 & :e!r !re 7 any         
accid5tal or environm5tal factors       
associat$ ) ! dea?4 ,! ,director 9      
consultation ) m$ical exam9]s1 coron]s1 
dea? sc5e inve/igators1 law en=cem5t1   
em]g5cy m$ical te*nicians & p>am$ics1   
public heal? ag5cies1 & o!r individuals 
or gr\ps det]m9$ necess>y by ! ,director
 %all develop a /&>d dea? sc5e protocol 
= *ildr5 f #a to #d ye>s ( age1 us+     
exi/+ protocols develop$ = ,,suid4  7b7 
,autopsies  7#a7 ,9 g5]al ,! ,secret>y1 
act+ ?r\gh ! ,director1 %all aw>d grants
 to ,/ates to enable su* ,/ates to      
increase ! rate at :i* compreh5sive1    
/&>diz$ autopsies are p]=m$ = sudd5     
unexpect$ infant dea? & sudd5 unexpla9$ 

dea? 9 *ildhood4  7#b7 ,application ,to 
be eligible to receive a grant "u       
p>agraph 7#a71 a ,/ate %all submit to ! 
,secret>y an application at su* "t1 9   
su* mann]1 & conta9+ su* in=mation z !  
,secret>y may require4  7#c7            
,compreh5sive autopsy ,= purposes ( ?is 
subsection1 a compreh5sive autopsy %all 
include a full ext]nal & int]nal        
exam9ation1 includ+ microscopic         
exam9ation1 ( all major organs & tissues
 includ+ ! bra91 complete radiographs1  
vitre\s fluid analysis1 photo           
docum5tation1 select$ microbiology :5   
indicat$1 metabolic te/+1 & toxicology  
scre5+ ( ! infant or *ild involv$4  7#d7
 ,guidel9es ,! ,director1 9 consultation
 ) bo>d c]tifi$ =5sic pa?ologi/s1 m$ical
 exam9]s1 coron]s1 p$iatric pa?ologi/s1 
p$iatric c>diologi/s1 p$iatric          
neuropa?ologi/s & g5etici/s1 & o!r      
individuals & gr\ps det]m9$ necess>y by 
! ,director %all develop national       
guidel9es = a /&>d autopsy protocol =   
sudd5 unexpect$ infant dea? & sudd5     

unexpla9$ dea? 9 *ildhood4 ,! ,director 
%all ensure t ! majority ( su*          
consultation is ) bo>d c]tifi$ =5sic    
pa?ologi/s1 m$ical exam9]s1 & coron]s4  
,! ,director is enc\rag$ to seek        
additional input f *ild abuse exp]ts1   
b]eavem5t speciali/s1 p>5ts1 & public   
heal? ag5cies on nonm$ical aspects ( !  
autopsy guidel9es4 ,9 develop+ su*      
protocol1 ! ,director %all consid]      
autopsy protocols us$ by ,/ate & local  
jurisdictions4  7c7 ,/udy on g5etic te/+
 ,! ,director1 9 consultation ) m$ical  
exam9]s1 coron]s1 =5sic pa?ologi/s1     
g5etici/s1 rese>*]s1 public heal?       
(ficials1 & o!r individuals & gr\ps     
det]m9$ necess>y by ! ,director1 %all   
commission a /udy to det]m9e ! b5efits &
 appropriat5ess ( g5etic te/+ = infant &
 e>ly *ildhood dea?s t rema9 unexpla9$  
aft] a complete dea? sc5e inve/igation &
 compreh5sive1 /&>diz$ autopsy4 ,su*    
/udy %all include recomm5dations on     
develop+ a /&>d protocol = use 9 det]m9+
 :5 to utilize g5etic te/+ & /&>d       

protocols = ! collection & /orage (     
specim5s suitable = g5etic te/+4  7d7   
,au?orization ( appropriations ,!re is  
au?oriz$ to be appropriat$ #h1jjj1jjj = 
ea* ( fiscal ye>s #bjad ?r\gh #bjah to  
c>ry out ?is section4  #cii,,oo-#b4     
,tra9+  7a7 ,grants ,! ,secret>y1 act+  
?r\gh ! ,director1 %all aw>d grants to  
eligible entities = ! provision ( tra9+ 
on dea? sc5e inve/igation specific =    
,,suid & ,,sudc4  7b7 ,eligible entities
 ,to be eligible to receive a grant "u  
subsection 7a71 an entity %all--  7#a7  
be--  7,a7 a ,/ate or local gov]nm5t    
entity2 or  7,b7 a nonpr(it private     
entity2 &  7#b7 submit to ! ,secret>y an
 application at su* "t1 9 su* mann]1 &  
conta9+ su* in=mation z ! ,secret>y may 
require4  7c7 ,use ( funds ,an eligible 
entity %all use am\nts receiv$ "u a     
grant "u ?is section to--  7#a7 provide 
tra9+ to m$ical exam9]s1 coron]s1 dea?  
sc5e inve/igators1 law en=cem5t         
p]sonnel1 & em]g5cy m$ical te*nicians or
 p>am$ics conc]n+ dea? sc5e             

inve/igations = ,,suid & ,,sudc1 includ+
 ! use ( /&>d dea? sc5e inve/igation    
protocols t include in=mation on !      
curr5t & pa/ m$ical hi/ory ( !          
infant_/*ild1 ! circum/ances surr\nd+ ! 
dea? includ+ any suspici\s circum/ances1
 ! sleep position & sleep environm5t ( !
 infant_/*ild1 & :e!r !re 7 any         
accid5tal or environm5tal factors       
associat$ ) ! dea?2  7#b7 provide tra9+ 
directly to individuals :o are          
responsible = conduct+ & review+ dea?   
sc5e inve/igations = sudd5 unexpect$    
infant dea? & sudd5 unexpla9$ dea? 9    
*ildhood2  7#c7 provide tra9+ to        
multidiscipl9>y teams1 includ+ teams t h
 a m$ical exam9] or coron]1 dea? sc5e   
inve/igator1 law en=cem5t repres5tative1
 & an em]g5cy m$ical te*nician or       
p>am$ic2  7#d7 9 ! case ( national &    
,/ate-bas$ grantees t are compris$ (    
m$ical exam9]s1 coron]s1 dea? sc5e      
inve/igators1 law en=cem5t p]sonnel1 or 
em]g5cy m$ical te*nicians & p>am$ics1   
integrate tra9+ "u ! grant on dea? sc5e 

inve/igation ( ,,suid & ,,sudc into     
pr(essional accr$itation & tra9+        
programs2  7#e7 9 ! case ( ,/ate & local
 gov]nm5t entity grantees1 obta9        
equipm5t1 includ+ comput] equipm5t1 to  
aid 9 ! completion ( /&>d dea? sc5e     
inve/igation2 or  7#f7 conduct tra9+    
activities = m$ical exam9]s1 coron]s1 & 
=5sic pa?ologi/s conc]n+ /&>d autopsy   
protocols = sudd5 unexpect$ infant dea? 
& sudd5 unexpla9$ dea? 9 *ildhood &     
integrate ! tra9+ "u ! grant on /&>d    
autopsy protocols 9 ,,suid & ,,sudc into
 pr(essional accr$itation & tra9+       
programs4  7d7 ,au?orization (          
appropriations ,!re is au?oriz$ to be   
appropriat$ to c>ry out ?is section     
#b1jjj1jjj = ea* ( fiscal ye>s #bjad    
?r\gh #bjah4  #cii,,oo-#c4 ,*ild dea?   
review  7a7 ,prev5tion  7#a7 ,core      
capacity grants ,! ,secret>y1 act+ ?r\gh
 ! ,adm9i/rator1 %all aw>d grants to    
,/ates to build & /r5g!n ,/ate capacity 
& implem5t ,/ate & local *ild dea?      
review programs & prev5tion /rategies4  

7#b7 ,plann+ grants ,! ,secret>y1 act+  
?r\gh ! ,adm9i/rator1 %all aw>d plann+  
grants to ,/ates t h no exi/+ *ild dea? 
review program or ,/ates 9 :i* ! only   
*ild dea? review programs are           
,/ate-bas$1 = ! developm5t ( local *ild 
dea? review programs & prev5tion        
/rategies4  7#c7 ,application ,to be    
eligible to receive a grant "u p>agraph 
7#a7 or 7#b71 a ,/ate %all submit to !  
,secret>y an application at su* "t1 9   
su* mann]1 & conta9+ su* in=mation z !  
,secret>y may require4  7#d7 ,te*nical  
assi/ance ,! ,secret>y1 act+ ?r\gh !    
,adm9i/rator1 %all provide te*nical     
assi/ance to assi/ ,/ates--  7,a7 9     
develop+ ! capacity = compreh5sive *ild 
dea? review programs1 includ+ !         
developm5t ( be/ practices = !          
implem5tation ( su* programs2 &  7,b7 9 
ma9ta9+ ! national *ild dea? case       
report+ sy/em4  7b7 ,au?orization (     
appropriations ,!re is au?oriz$ to be   
appropriat$ #g1jjj1jjj = ea* ( fiscal   
ye>s #bjad ?r\gh #bjah to c>ry out      

subsection 7a74  #cii,,oo-#d4 ,enhanc+ !
 national *ild dea? case report+ sy/em  
7a7 ,9 g5]al ,! ,secret>y1 act+ ?r\gh ! 
,director & 9 consultation ) ! national 
*ild dea? case report+ sy/em1 national  
heal? organizations1 & pr(essional      
societies ) exp]i5ce & exp]tise relat+  
to r$uc+ ,,suid & ,,sudc1 %all modify   
su* national dea? case report+ sy/em1 9 
accordance ) subsection 7b71 to assure t
 su* sy/em provides = population-bas$   
data = ages #j ?r\gh #d ye>s ( age &    
facilitates ! und]/&+ ( ! root causes1  
rates1 & tr5ds ( ,,suid & ,,sudc )      
respect to su* ages4  7b7 ,goals (      
modifi$ national *ild dea? case report+ 
sy/em ,! modifications "u subsection 7a7
 to ! national *ild dea? case report+   
sy/em %all facilitate ! collection1     
analysis1 & dissem9ation ( data by--    
7#a7 implem5t+ a surveillance & monitor+
 sy/em bas$ on ?or\gh & complete dea?   
sc5e inve/igation data1 cl9ical hi/ory1 
& autopsy f9d+s2  7#b7 collect+ /&>diz$ 
in=mation ab\t ! environm5tal1 m$ical1  

g5etic1 & social circum/ances ( dea?    
7includ+ sleep environm5t & quality ( ! 
dea? sc5e inve/igation7 if det]m9$ t su*
 may correlate ) infant & e>ly *ildhood 
dea?s1 z well z in=mation f o!r law     
en=cem5t1 m$ical exam9]1 coron]1 em]g5cy
 m$ical s]vices 7,,ems71 m$ical records1
 & vital records 7if possible72  7#c7   
support+ multidiscipl9>y infant & e>ly  
*ildhood dea? reviews su* z ^? p]=m$ by 
*ild dea? review committees to collect &
 review ! /&>diz$ in=mation & accurately
 & consi/5tly classify & *>act]ize      
,,suid & ,,sudc2  7#d7 facilitat+ ! %>+ 
( in=mation to improve ! public report+ 
( surveillance & vital /ati/ics describ+
 ! epidemiology ( ,,suid & ,,sudc2 &    
7#e7 utiliz+ curr5t infra/ructure (     
exi/+ surveillance sy/ems4  7c7         
,au?orization ( appropriations ,!re is  
au?oriz$ to be appropriat$ to c>ry out  
?is section #c1jjj1jjj = ea* ( fiscal   
ye>s #bjad ?r\gh #bjah4  #cii,,oo-#e4   
,public aw>5ess & education campaign    
7a7 ,e/abli%m5t ,! ,secret>y1 act+ ?r\gh

 ! ,adm9i/rator & 9 consultation ) !    
,director & ! ,director ( ! ,national   
,in/itutes ( ,heal?1 %all e/abli% &     
implem5t a culturally compet5t          
rese>*-bas$ public heal? aw>5ess &      
education campaign to provide in=mation 
t is focus$ on decreas+ ! risk factors t
 contribute to sudd5 unexpect$ infant   
dea? & sudd5 unexpla9$ dea? 9 *ildhood1 
includ+ educat+ individuals &           
organizations ab\t safe sleep           
environm5ts1 sleep positions1 & r$uc+   
exposure to smok+ dur+ pregnancy & aft] 
bir?4  7b7 ,t>get$ populations ,!       
campaign "u subsection 7a7 %all be      
design$ to r$uce heal? disp>ities ?r\gh 
! t>get+ ( populations ) high rates (   
sudd5 unexpect$ infant dea? & sudd5     
unexpla9$ dea? 9 *ildhood4  7c7         
,consultation ,9 e/abli%+ & implem5t+ ! 
campaign "u subsection 7a71 ! ,secret>y 
%all consult ) national organizations   
repres5t+ heal? c>e provid]s1 includ+   
nurses & physicians1 p>5ts1 *ild c>e    
provid]s1 *ildr5's advocacy & safety    

organizations1 mat]nal & *ild heal?     
programs & wom5's1 infants'1 & *ildr5's 
nutrition pr(essionals1 & o!r           
individuals & gr\ps det]m9$ necess>y by 
! ,secret>y = su* e/abli%m5t &          
implem5tation4  7d7 ,grants  7#a7 ,9    
g5]al ,9 c>ry+ out ! campaign "u        
subsection 7a71 ! ,secret>y %all aw>d   
grants to national organizations1 ,/ate 
& local heal? dep>tm5ts1 &              
community-bas$ organizations = ! conduct
 ( education & outrea* programs = heal? 
c>e provid]s1 p>5ts1 *ild c>e provid]s1 
public heal? ag5cies1 & community       
organizations4  7#b7 ,application ,to be
 eligible to receive a grant "u p>agraph
 7#a71 an entity %all submit to !       
,secret>y an application at su* "t1 9   
su* mann]1 & conta9+ su* in=mation z !  
,secret>y may require4  7e7             
,au?orization ( appropriations ,!re is  
au?oriz$ to be appropriat$ to c>ry out  
?is section #g1jjj1jjj = fiscal ye>     
#bjad & #e1jjj1jjj = ea* ( fiscal ye>s  
#bjae ?r\gh #bjah4  #cii,,oo-#f4 ,grants

 = support s]vices  7a7 ,9 g5]al ,!     
,secret>y1 act+ ?r\gh ! ,adm9i/rator1   
%all aw>d grants to national            
organizations1 ,/ate & local heal?      
dep>tm5ts1 & community-bas$             
organizations1 = ! provisions ( support 
s]vices to families :o h _h a *ild die (
 sudd5 unexpect$ infant dea? & sudd5    
unexpla9$ dea? 9 *ildhood4  7b7         
,application ,to be eligible to receive 
a grant "u subsection 7a71 an entity    
%all submit to ! ,secret>y an           
application at su* "t1 9 su* mann]1 &   
conta9+ su* in=mation z ! ,secret>y may 
require4  7c7 ,use ( funds ,am\nts      
receiv$ "u a grant aw>d$ "u subsection  
7a7 may be us$ to provide grief c\nsel+1
 education1 home visits1 #bd-;h\r       
hotl9es1 & support gr\ps = families :o h
 lo/ a *ild to sudd5 unexpect$ infant   
dea? or sudd5 unexpla9$ dea? 9 *ildhood4
  7d7 ,pref]5ce ,9 aw>d+ grants "u      
subsection 7a71 ! ,secret>y %all give   
pref]5ce to community-bas$ applicants t 
h a prov5 hi/ory ( effective direct     

support s]vices & int]v5tions = sudd5   
unexpect$ infant dea? & sudd5 unexpla9$ 
dea? 9 *ildhood & c demon/rate exp]i5ce 
?r\gh collaborations & p>tn]%ips =      
deliv]+ s]vices ?r\gh\t a ,/ate or      
region4  7e7 ,au?orization (            
appropriations ,!re is au?oriz$ to be   
appropriat$ to c>ry out ?is section     
#ejj1jjj = ea* ( fiscal ye>s #bjad ?r\gh
 #bjah4  #cii,,oo-#g4 ,evaluation (     
,/ate & regional ne$s  7a7 ,9 g5]al ,!  
,secret>y1 act+ ?r\gh ! ,director & 9   
consultation ) ! ,adm9i/rator1 %all     
conduct a ne$s assessm5t on a ,/ate &   
regional basis ( ! availability (       
p]sonnel1 tra9+1 te*nical assi/ance1 &  
res\rces = inve/igat+ & det]m9+ sudd5   
unexpect$ infant dea? & sudd5 unexpla9$ 
dea? 9 *ildhood & make recomm5dations to
 increase collaboration on a ,/ate &    
regional level = inve/igation &         
det]m9ation4  7b7 ,au?orization (       
appropriations ,!re is au?oriz$ to be   
appropriat$ to c>ry out ?is section1    
#bej1jjj = ea* ( fiscal ye>s #bjad ?r\gh

 #bjah4  4  #c4 ,enhanc+ public heal?   
activities relat$ to /illbir? ,"p ,p (  
title ,,iii ( ! ,public ,heal? ,s]vice  
,act 7#db ,u4,s4,c4 #bhj;g et seq47 is  
am5d$ by add+ at ! end ! foll[+3        
#cii,v-#f4 ,enhanc+ public heal?        
activities relat$ to /illbir?  7a7      
,grants ,! ,secret>y1 act+ ?r\gh !      
,director ( ! ,c5t]s = ,disease ,control
 & ,prev5tion1 %all aw>d grants to      
eligible ,/ates & metropolitan areas to 
enhance & exp& surveillance ef=ts to    
collect ?or\gh & complete epidemiologic 
in=mation on /illbir?s1 includ+ ?r\gh ! 
utilization ( ! infra/ructure ( exi/+   
surveillance sy/ems 7includ+ vital      
/ati/ics sy/ems74  7b7 ,eligibility ,to 
be eligible to receive a grant "u       
subsection 7a71 an entity %all--  7#a7  
be a ,/ate or a major metropolitan area 
7z def9$ by ! ,secret>y72 &  7#b7 submit
 to ! ,secret>y an application at su*   
"t1 9 su* mann]1 & conta9+ su* in=mation
 z ! ,secret>y may require1 includ+--   
7,a7 an assurance t ! applicant w       

implem5t ! /&>diz$ surveillance protocol
 develop$ "u subsection 7c72 &  7,b7 a  
description ( ! infra/ructure ( exi/+   
surveillance sy/ems 9 ! ,/ate or major  
metropolitan area1 z applicable4  7c7   
,surveillance protocol ,! ,secret>y1    
act+ ?r\gh ! ,director ( ! ,c5t]s =     
,disease ,control & ,prev5tion1 %all--  
7#a7 provide = ! cont9u$ developm5t &   
dissem9ation ( a /&>d protocol =        
/illbir? data collection & surveillance1
 9 consultation ) repres5tatives ( heal?
 & advocacy organizations1 ,/ate & local
 gov]nm5ts1 & o!r int]e/$ entities      
det]m9$ appropriate by ! ,secret>y2     
7#b7 monitor tr5ds & id5tify pot5tial   
risk factors = fur!r /udy us+ exi/+     
s\rces ( surveillance data & exp&$      
s\rces ( data f t>get$ surveillance     
ef=ts1 & me?ods = ! evaluation (        
/illbir? prev5tion ef=ts2 &  7#c7       
develop & evaluate me?ods to l9k exi/+  
data to provide m complete in=mation =  
rese>* into ! causes & conditions       
associat$ ) /illbir?4  7d7 ,po/mortem   

evaluation & ,data ,collection ,!       
,secret>y1 act+ ?r\gh ! ,director ( !   
,c5t]s = ,disease ,control & ,prev5tion 
& 9 consultation ) physicians1 nurses1  
pa?ologi/s1 g5etici/s1 p>5ts1 & o!r     
gr\ps det]m9$ necess>y by ! ,director1  
%all develop guidel9es = increas+ !     
p]=mance & data collection ( po/mortem  
/illbir? evaluation1 includ+ conduct+ & 
reimburs+ autopsies1 plac5tal           
hi/opa?ology1 & cytog5etic te/+4 ,!     
guidel9es %\ld take into acc\nt cultural
 compet5cy issues relat$ to po/mortem   
/illbir? evaluation4  7e7 ,public heal? 
programmatic activities relat$ to       
/illbir? ,! ,secret>y1 act+ ?r\gh !     
,director ( ! ,c5t]s = ,disease ,control
 & ,prev5tion1 %all--  7#a7 develop     
behavioral surveys = wom5 exp]i5c+      
/illbir?1 us+ exi/+ ,/ate-bas$          
infra/ructure = pregnancy-relat$        
in=mation ga!r+2 &  7#b7 increase !     
te*nical assi/ance provid$ to ,/ates1   
,indian tribes1 t]ritories1 & local     
communities to enhance capacity =       

improv$ inve/igation ( m$ical & social  
factors surr\nd+ /illbir? ev5ts4  7f7   
,public education & prev5tion programs  
,! ,secret>y1 act+ ?r\gh ! ,director ( !
 ,c5t]s = ,disease ,control & ,prev5tion
 & 9 consultation ) heal? c>e provid]s1 
public heal? organizations1 mat]nal &   
*ild heal? programs1 p>5ts1 & o!r gr\ps 
deem$ necess>y by ! ,director1 %all     
directly or ?r\gh grants1 coop]ative    
agreem5ts1 or contracts to eligible     
entities1 develop & conduct evid5ce-bas$
 public education & prev5tion programs  
aim$ at r$uc+ ! occurr5ce ( /illbir?    
ov]all & address+ ! racial & e?nic      
disp>ities 9 its occurr5ce1 includ+--   
7#a7 public education programs1 s]vices1
 & demon/rations :i* are design$ to     
increase g5]al aw>5ess ( /illbir?s2 &   
7#b7 ! developm5t ( tools = ! education 
( heal? pr(essionals & wom5 conc]n+ !   
kn[n risk factors = /illbir?1 promotion 
( fetal movem5t aw>5ess1 & ! importance 
( e>ly & regul> pr5atal c>e to monitor !
 heal? & developm5t ( ! fetus up to &   

dur+ deliv]y4  7g7 ,task =ce ,!         
,secret>y1 9 consultation ) ! ,director 
( ! ,national ,in/itutes ( ,heal?1 !    
,director ( ! ,c5t]s = ,disease ,control
 & ,prev5tion1 & heal? c>e provid]s1    
rese>*]s1 p>5ts1 & o!r gr\ps deem$      
necess>y by ! ,directors1 %all e/abli% a
 task =ce to develop a national rese>*  
plan to det]m9e ! causes (1 & h[ to     
prev5t1 /illbir?4  7h7 ,grants = support
 s]vices  7#a7 ,9 g5]al ,! ,secret>y1   
act+ ?r\gh ! ,adm9i/rator ( ! ,heal?    
,res\rces & ,s]vices ,adm9i/ration1 %all
 aw>d grants to national organizations1 
,/ate & local heal? dep>tm5ts1 &        
community-bas$ organizations1 = !       
provisions ( support s]vices to families
 :o h exp]i5c$ /illbir?4  7#b7          
,application ,to be eligible to receive 
a grant "u subsection 7a71 an entity    
%all submit to ! ,secret>y an           
application at su* "t1 9 su* mann]1 &   
conta9+ su* in=mation z ! ,secret>y may 
require4  7#c7 ,use ( funds ,am\nts     
receiv$ "u a grant aw>d$ "u subsection  

7a7 may be us$ to provide grief c\nsel+1
 education1 home visits1 #bd-;h\r       
hotl9es1 & support gr\ps = families :o h
 exp]i5c$ /illbir?4  7#d7 ,pref]5ce ,9  
aw>d+ grants "u subsection 7a71 !       
,secret>y %all give pref]5ce to         
applicants t are community-bas$         
organizations t h a prov5 hi/ory (      
provid+ effective direct support s]vices
 & int]v5tions relat$ to /illbir?s & c  
demon/rate exp]i5ce ?r\gh collaborations
 & p>tn]%ips = deliv]+ s]vices ?r\gh\t a
 ,/ate or region4  7i7 ,def9itions ,9   
?is section3  7#a7 ,! t]m ,/ate has !   
mean+ giv5 to su* t]m 9 section #b1     
except t su* t]m includes tribes &      
tribal organizations 7z su* t]ms are    
def9$ 9 section #d ( ! ,indian          
,self-,det]m9ation & ,education         
,assi/ance ,act74  7#b7 ,! t]m /illbir? 
means a spontane\s1 n induc$1 pregnancy 
loss #bj weeks or lat] aft] ge/ation1 or
 if ! age ( ! fetus is n kn[n1 !n a     
fetus weigh+ #cej grams or m4  7j7      
,au?orization ( appropriations ,!re is  

au?oriz$ to be appropriat$ to c>ry out  
?is section1 #c1jjj1jjj = ea* ( fiscal  
ye>s #bjad ?r\gh #bjah4  4  #d4 ,report 
to ,congress ,n lat] ?an #b ye>s aft] ! 
date ( enactm5t ( ?is ,act1 ! ,secret>y 
( ,heal? & ,human ,s]vices1 act+ ?r\gh !
 ,director ( ! ,c5t]s = ,disease        
,control & ,prev5tion & 9 consultation )
 ! ,director ( ! ,national ,in/itutes ( 
,heal? & ! ,adm9i/rator ( ! ,heal?      
,res\rces & ,s]vices ,adm9i/ration1 %all
 submit to ,congress a report describ+ !
 progress made 9 implem5t+ ?is ,act 7& !
 am5dm5ts made by ?is ,act74