,,ib  ,union ,cal5d> ,no4 #ahe  #aad?   
,,congress  #a/ ,session  ,h4 ,r4 #adfb 
,report ,no4 #aad-bdd  ,,9 ,,! ,,h\se   
,,( ,,repres5tatives  ,m>* #ai1 #bjae   
,ms4 ,cl>k ( ,massa*usetts 7= h]self &  
,mr4 ,/iv]s7 introduc$ ! foll[+ bill2   
:i* 0 ref]r$ to ! ,committee on ,en]gy &
 ,comm]ce  ,septemb] #h1 #bjae          
,additional sponsors3 ,mr4 ,b>r1 ,mr4   
,ha/+s1 ,mr4 ,israel1 ,mr4 ,keat+1 ,ms4 
,m5g1 ,ms4 ,moore1 ,ms4 ,tsongas1 ,mr4  
,y>mu?1 ,mrs4 ,lawr5ce1 ,mr4 ,mc,govern1
 ,mr4 ,ne:\se1 ,mr4 ,j5k9s ( ,we/       
,virg9ia1 ,mr4 ,tonko1 ,mr4 ,c>twright1 
,mr4 ,k5n$y1 ,mrs4 ,bu/os1 ,mr4 ,lance1 
,mrs4 ,com/ock1 ,ms4 ,ca/or ( ,florida1 
,mr4 ,turn]1 ,mr4 ,m\lton1 ,mr4 ,coh51  
,mr4 ,mooney ( ,we/ ,virg9ia1 ,mr4      
,rog]s ( ,k5tucky1 ,mr4 ,lyn*1 ,mr4     
,cram]1 ,mr4 ,h>p]1 ,mr4 ,de,saulnier1  
,mrs4 ,brooks ( ,indiana1 ,mr4 ,hanna1  
,mr4 ,coll9s ( ,new ,york1 ,mr4         
,grijalva1 ,mr4 ,l>son ( ,connecticut1  
,mr4 ,mull91 ,mr4 ,pet]s1 ,mr4 ,dold1   
,mrs4 ,beatty1 ,mr4 ,amodei1 ,ms4 ,ku/]1

 ,mr4 ,gu?rie1 ,ms4 ,del,bene1 ,mr4     
,hultgr51 ,mr4 ,heck ( ,nevada1 ,mr4 ,"y
 ( ,alaska1 ,mr4 ,mc,caul1 ,mr4 ,bi%op (
 ,georgia1 ,mr4 ,cicill9e1 ,mr4 ,wel*1  
,mr4 ,doggett1 ,mr4 ,brady (            
,p5nsylvania1 ,mr4 ,h9ojosa1 ,mr4       
,pi]luisi1 ,mrs4 ,black1 ,ms4 ,/efanik1 
,mr4 ,t$ ,lieu ( ,cali=nia1 ,mr4        
,higg9s1 ,mr4 ,lev91 ,mrs4 ,d+ell1 ,mr4 
,lucas1 ,ms4 ,wass]man ,s*ultz1 ,mr4    
,:itfield1 ,mr4 ,p]lmutt]1 ,mr4 ,rodney 
,davis ( ,ill9ois1 ,mr4 ,swalwell (     
,cali=nia1 ,ms4 ,slaught]1 ,ms4 ,cl>ke (
 ,new ,york1 ,mr4 ,roe ( ,t5nessee1 ,mr4
 ,"y ( ,i[a1 ,ms4 ,p+ree1 ,ms4          
,s*ak[sky1 ,mr4 ,jolly1 ,mr4 ,tib]i1    
,mr4 ,coop]1 ,mr4 ,capuano1 ,mr4 ,duncan
 ( ,t5nessee1 ,mr4 ,neal1 ,mr4          
,fitzpatrick1 ,mr4 ,bilirakis1 ,mr4 ,"y 
( ,indiana1 ,mr4 ,sean ,patrick ,maloney
 ( ,new ,york1 ,mr4 ,crd5as1 ,mr4       
,loebsack1 ,ms4 ,matsui1 ,mr4 ,kilm]1   
,ms4 ,kaptur1 ,mr4 ,ryan ( ,ohio1 ,mr4  
,johnson ( ,ohio1 ,mrs4 ,napolitano1    
,mr4 ,joyce1 ,ms4 ,br[nley ( ,cali=nia1 

,ms4 ,e/y1 ,mr4 ,mess]1 ,ms4 ,de,lauro1 
,mr4 ,co/ello ( ,p5nsylvania1 ,ms4      
,fudge1 ,ms4 ,s9ema1 ,ms4 ,h]r]a        
,beutl]1 & ,mr4 ,mac,arthur  ,septemb]  
#h1 #bjae ,committ$ to ! ,committee ( ! 
,:ole ,h\se on ! ,/ate ( ! ,union &     
ord]$ to be pr9t$  ,a ,,bill  ,to combat
 ! rise ( pr5atal opioid abuse &        
neonatal ab/95ce syndrome4  #a4 ,%ort   
title ,?is ,act may be cit$ z !         
,protect+ ,our ,infants ,act ( #bjae4   
#b4 ,f9d+s ,congress f9ds z foll[s3     
7#a7 ,opioid prescription rates h ris5  
dramatically ov] ! pa/ sev]al ye>s4     
,accord+ to ! ,c5t]s = ,disease ,control
 & ,prev5tion1 9 "s ,/ates1 !re are z _m
 z #if to #adc prescriptions = opioids  
p] #ajj adults p] ye>4  7#b7 ,9 rec5t   
ye>s1 !re has be5 a /eady rise 9 ! numb]
 ( ov]dose dea?s involv+ h]o94 ,accord+ 
to ! ,c5t]s = ,disease ,control &       
,prev5tion1 ! dea? rate = h]o9 ov]dose  
d\bl$ f #bjaj to #bjab4  7#c7 ,at ! same
 "t1 !re has be5 an increase 9 cases (  
neonatal ab/95ce syndrome 7ref]r$ to 9  

?is section z ,,nas74 ,9 ! ,unit$       
,/ates1 ! incid5ce ( ,,nas has ris5 f   
#a4bj p] #a1jjj hospital bir?s 9 #bjjj  
to #c4ci p] #a1jjj hospital bir?s 9     
#bjji4  7#d7 ,,nas ref]s to m$ical      
issues associat$ ) drug )drawal 9       
newborns due to exposure to opioids or  
o!r drugs 9 ut]o4  7#e7 ,! av]age co/ ( 
treatm5t 9 a hospital = ,,nas increas$ f
 #ci1djj 9 #bjjj to #ec1djj 9 #bjji4    
,mo/ ( ^! co/s are born by ! ,m$icaid   
program4  7#f7 ,prev5t+ opioid abuse    
among pregnant wom5 & wom5 ( *ildbe>+   
age is crucial4  7#g7 ,m$ically         
appropriate opioid use 9 pregnancy is n 
uncommon1 & opioids are (t5 ! safe/ &   
mo/ appropriate treatm5t = mod]ate to   
sev]e pa9 = pregnant wom54  7#h7        
,address+ ,,nas effectively requires a  
focus on wom5 ( *ildbe>+ age1 pregnant  
wom51 & infants f preconception ?r\gh   
e>ly *ildhood4  7#i7 ,,nas c result f ! 
use ( prescription drugs z prescrib$ =  
m$ical reasons1 f ! abuse ( prescription
 drugs1 or f ! use ( illegal opioids l  

h]o94  7#aj7 ,= pregnant wom5 :o are    
abus+ opioids1 x is mo/ appropriate to  
treat & manage mat]nal sub/ance use 9 a 
non-punitive mann]4  7#aa7 ,accord+ to a
 report ( ! ,gov]nm5t ,acc\ntability    
,(fice 7ref]r$ to 9 ?is section z !     
,,gao report71 m rese>* is ne$$ to      
optimize ! id5tification & treatm5t (   
babies ) ,,nas & to bett] und]/&        
long-t]m impacts on *ildr54  7#ab7      
,accord+ to ! ,,gao report1 ! ,dep>tm5t 
( ,heal? & ,human ,s]vices does n h a   
focal po9t to lead plann+ & coord9at+   
ef=ts to address pr5atal opioid use &   
,,nas across ! dep>tm5t4  7#ac7 ,accord+
 to ! ,,gao report1 giv5 ! increas+ use 
( h]o9 & abuse ( opioids prescrib$ = pa9
 managem5t1 z well z ! increas$ rate (  
,,nas 9 ! ,unit$ ,/ates1 x is important 
to improve ! effici5cy & effectiv5ess ( 
plann+ & coord9ation ( ,f$]al ef=ts on  
pr5atal opioid use & ,,nas4  #c4        
,develop+ recomm5dations = prev5t+ &    
treat+ pr5atal opioid abuse & neonatal  
ab/95ce syndrome  7a7 ,9 g5]al ,!       

,secret>y ( ,heal? & ,human ,s]vices    
7ref]r$ to 9 ?is ,act z ! ,secret>y71   
act+ ?r\gh ! ,director ( ! ,ag5cy =     
,heal?c>e ,rese>* & ,quality 7ref]r$ to 
9 ?is section z ! ,director71 %all      
conduct a /udy & develop recomm5dations 
= prev5t+ & treat+ pr5atal opioid abuse 
& neonatal ab/95ce syndrome1 solicit+   
input f nongov]nm5tal entities1 includ+ 
organizations repres5t+ pati5ts1 heal?  
c>e provid]s1 hospitals1 o!r treatm5t   
facilities1 & o!r entities1 z           
appropriate4  7b7 ,report ,n lat] ?an #a
 ye> aft] ! date ( enactm5t ( ?is ,act1 
! ,director %all publi% on ! ,int]net   
,web site ( ! ,ag5cy = ,heal?c>e ,rese>*
 & ,quality a report on ! /udy &        
recomm5dations "u subsection 7a74 ,su*  
report %all address ea* ( ! issues      
describ$ 9 p>agraphs 7#a7 ?r\gh 7#c7 (  
subsection 7c74  7c7 ,cont5ts ,! /udy   
describ$ 9 subsection 7a7 & ! report "u 
subsection 7b7 %all include--  7#a7 a   
compreh5sive assessm5t ( exi/+ rese>* ) 
respect to ! prev5tion1 id5tification1  

treatm5t1 & long-t]m outcomes ( neonatal
 ab/95ce syndrome1 includ+ !            
id5tification & treatm5t ( pregnant wom5
 or wom5 :o may become pregnant :o use  
opioids or o!r drugs2  7#b7 an          
evaluation (--  7,a7 ! causes ( & risk  
factors = opioid use disord]s among wom5
 ( reproductive age1 includ+ pregnant   
wom52  7,b7 ! b>ri]s to id5tify+ &      
treat+ opioid use disord]s among wom5 ( 
reproductive age1 includ+ pregnant &    
po/p>tum wom5 & wom5 ) "y *ildr52  7,c7 
curr5t practices 9 ! heal? c>e sy/em to 
respond to & treat pregnant wom5 )      
opioid use disord]s & infants born )    
neonatal ab/95ce syndrome2  7,d7        
m$ically indicat$ use ( opioids dur+    
pregnancy2  7,e7 access to treatm5t =   
opioid use disord]s 9 pregnant &        
po/p>tum wom52 &  7,f7 access to        
treatm5t = infants ) neonatal ab/95ce   
syndrome2 &  7#c7 recomm5dations on--   
7,a7 prev5t+1 id5tify+1 & treat+        
neonatal ab/95ce syndrome 9 infants2    
7,b7 treat+ pregnant wom5 :o are dep5d5t

 on opioids2 &  7,c7 prev5t+ opioid     
dep5d5ce among wom5 ( reproductive age1 
includ+ pregnant wom51 :o may be at risk
 ( develop+ opioid dep5d5ce4  #d4       
,improv+ prev5tion & treatm5t = pr5atal 
opioid abuse & neonatal ab/95ce syndrome
  7a7 ,review ( programs ,! ,secret>y   
%all lead a review ( plann+ &           
coord9ation )9 ! ,dep>tm5t ( ,heal? &   
,human ,s]vices relat$ to pr5atal opioid
 use & neonatal ab/95ce syndrome4  7b7  
,/rategy ,to close gaps 9 rese>* &      
programm+ ,9 c>ry+ out subsection 7a71 !
 ,secret>y %all develop a /rategy to    
address rese>* & program gaps1 includ+  
su* gaps id5tifi$ 9 f9d+s made by       
reports ( ! ,gov]nm5t ,acc\ntability    
,(fice4 ,su* /rategy %all address--     
7#a7 gaps 9 rese>*1 includ+ ) respect   
to-- 7,a7 ! mo/ appropriate treatm5t (  
pregnant wom5 ) opioid use disord]s2    
7,b7 ! mo/ appropriate treatm5t &       
managem5t ( infants ) neonatal ab/95ce  
syndrome2 &  7,c7 ! long-t]m effects (  
pr5atal opioid exposure on *ildr52 &    

7#b7 gaps 9 programs1 includ+-- 7,a7 !  
availability ( treatm5t programs =      
pregnant & po/p>tum wom5 & = newborns ) 
neonatal ab/95ce syndrome2 &  7,b7      
guidance & coord9ation 9 ,f$]al ef=ts to
 address pr5atal opioid use or neonatal 
ab/95ce syndrome4  7c7 ,report ,n lat]  
?an #a ye> aft] ! date ( enactm5t ( ?is 
,act1 ! ,secret>y %all submit to !      
,committee on ,heal?1 ,education1       
,labor1 & ,p5sions ( ! ,s5ate & !       
,committee on ,en]gy & ,comm]ce ( !     
,h\se ( ,repres5tatives a report on !   
f9d+s ( ! review describ$ 9 subsection  
7a7 & ! /rategy develop$ "u subsection  
7b74  #e4 ,improv+ data on & public     
heal? response to neonatal ab/95ce      
syndrome  7a7 ,data & surveillance ,!   
,director ( ! ,c5t]s = ,disease ,control
 & ,prev5tion %all1 z appropriate-- 7#a7
 provide te*nical assi/ance to ,/ates to
 improve ! availability & quality ( data
 collection & surveillance activities   
reg>d+ neonatal ab/95ce syndrome1       
includ+--  7,a7 ! incid5ce & preval5ce (

 neonatal ab/95ce syndrome2  7,b7 !     
id5tification ( causes = neonatal       
ab/95ce syndrome1 includ+ new & em]g+   
tr5ds2 &  7,c7 ! demographics & o!r     
relevant in=mation associat$ ) neonatal 
ab/95ce syndrome2  7#b7 collect         
available surveillance data describ$ 9  
p>agraph 7#a7 f ,/ates1 z applicable2 & 
7#c7 make surveillance data collect$    
pursuant to p>agraph 7#b7 publically    
available on an appropriate ,int]net    
,web site4  7b7 ,public heal? response  
,! ,director ( ! ,c5t]s = ,disease      
,control & ,prev5tion %all enc\rage     
increas$ utilization ( effective public 
heal? measures to r$uce neonatal ab/95ce
 syndrome4  ,septemb] #h1 #bjae         
,committ$ to ! ,committee ( ! ,:ole     
,h\se on ! ,/ate ( ! ,union & ord]$ to  
be pr9t$