,i  #aad? ,,congress  #b;d ,session  ,h4
 ,r4 #dega  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,febru>y #ab1 #bjaf   
,ms4 ,moore 7= h]self1 ,ms4 ,jackson    
,lee1 ,mr4 ,grijalva1 ,mr4 ,ryan (      
,ohio1 ,mr4 ,ha/+s1 ,mr4 ,rangel1 ,mrs4 
,beatty1 & ,ms4 ,bordallo7 introduc$ !  
foll[+ bill2 :i* 0 ref]r$ to !          
,committee on ,en]gy & ,comm]ce  ,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 
! ,r$uc+ ,unexpect$ ,dea?s 9 ,infants & 
,*ildr5 ,act ( #bjaf4  #b4 ,f9d+s       
,congress f9ds z foll[s3  7#a7 ,ne>ly   
#c1ejj infants die sudd5ly & unexpect$ly
 e ye>4  7#b7 ,infants born to l[-income
 wom5 are m likely to die be=e _! fir/  
bir?day ?an infants born 9 high]-income 
h\seholds4  7#c7 ,non-,hispanic ,black  
infants are m ?an twice z likely to die 
( ,sudd5 ,unexpect$ ,infant ,dea? comp>$
 to non-,hispanic ,:ite infants4  7#d7  

,disp>ities 9 sudd5 unexpect$ infant    
dea?s acc\nt = #ad p]c5t ( ! infant     
mortality gap betwe5 non-,hispanic      
,black infants comp>$ to non-,hispanic  
,:ite infants4  7#e7 ,pret]m bir? & l[  
bir? weight may be contribut+ factors 9 
dea?s f ,sudd5 ,infant ,dea? ,syndrome1 
:i* is a type ( sudd5 unexpect$ infant  
dea? & ! lead+ cause ( po/neonatal      
dea?s4  7#f7 ,timely pr5atal c>e &      
appropriate bir? spac+ c r$uce ! risks (
 e>ly deliv]y & l[ bir? weight4  7#g7   
,wom5 c r$uce ! risk ( infant mortality 
to _! infants by improv+ _! own heal?1  
bo? preconception & dur+ pregnancy4     
7#h7 ,! ,am]ican ,academy ( ,p$iatrics  
recomm5ds regul> pr5atal c>e z a /rategy
 = prev5t+ ,,sids1 not+ t !re is        
sub/antial epidemiologic evid5ce l9k+ a 
l[] risk ( ,,sids = infants ^: mo!rs    
obta9 regul> pr5atal c>e4  #c4 ,am5dm5t 
to ! ,public ,heal? ,s]vice ,act ,title 
,,iii ( ! ,public ,heal? ,s]vice ,act   
7#db ,u4,s4,c4 #bda et seq47 is am5d$ 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 :o is #a ye> ( age
 or old]1 :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 g5etic te/+ & 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 ,au?orization (     
appropriations ,!re is au?oriz$ to be   
appropriat$ #h1jjj1jjj = ea* ( fiscal   
ye>s #bjag ?r\gh #bjba 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$ical exam9]s1 coron]s1 dea?  
sc5e inve/igators1 law en=cem5t         
p]sonnel1 ju/ices ( ! peace1 & em]g5cy  
m$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 #bjag    
?r\gh #bjba4  #cii,,oo-#c4 ,infant &    
,*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 infant
 & *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/+ infant or *ild dea? review       
program or ,/ates 9 :i* ! only infant & 
*ild dea? review programs are           
,/ate-bas$1 = ! developm5t ( local      

infant & *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 infant & *ild dea? review  
programs1 includ+ ! developm5t ( be/    
practices = ! implem5tation ( su*       
programs2 &  7,b7 9 ma9ta9+ ! national  
infant & *ild dea? case report+ sy/em4  
7b7 ,au?orization ( appropriations ,!re 
is au?oriz$ to be appropriat$ #g1jjj1jjj
 = ea* ( fiscal ye>s #bjag ?r\gh #bjba  
to c>ry out subsection 7a74             
#cii,,oo-#d4 ,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 & nonpr(it organizations 
= ! 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 ensure access to grief
 & b]eavem5t s]vices1 build capacity 9  
pr(essionals work+ ) families :o        
exp]i5ce a sudd5 dea?1 & 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 #a1jjj1jjj = ea* ( fiscal   
ye>s #bjag ?r\gh #bjba4  #cii,,oo-#e4   
,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 section     
#bej1jjj = ea* ( fiscal ye>s #bjag ?r\gh
 #bjba4  4  #d4 ,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 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 ,/ate2 &  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 ! ,/ate4  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? ev5ts2 &  7#c7
 e/abli% be/ practices = home visits    
aft] ! dea? ( a *ild1 us+ exi/+ /&>ds = 

su* be/ practices1 z available4  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 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    
7#c7 ,use ( funds ,am\nts receiv$ "u a  
grant aw>d$ "u p>agraph 7#a7 may be us$ 
to provide grief c\nsel+1 education1    

home visits1 #bd-;h\r hotl9es1 ensure   
access to grief & b]eavem5t s]vices1    
build capacity 9 pr(essionals work+ )   
families :o exp]i5ce a sudd5 dea?1 &    
support gr\ps = families :o h exp]i5c$  
/illbir?4  7#d7 ,pref]5ce ,9 aw>d+      
grants "u p>agraph 7#a71 ! ,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 section #c1jjj1jjj = ea* ( fiscal   
ye>s #bjag ?r\gh #bjba4  4