,i  #aae? ,,congress  #b;d ,session  ,h4
 ,r4 #fjhe  ,,9 ,,! ,,h\se ,,(          
,,repres5tatives  ,june #ac1 #bjah,ms4  
,e%oo 7= h]self & ,mr4 ,lance7 introduc$
 ! foll[+ bill2 :i* 0 ref]r$ to !       
,committee on ,en]gy & ,comm]ce  ,a     
,,bill  ,to revise & ext5d !            
,prematurity ,rese>* ,expansion &       
,education = ,mo!rs :o deliv] ,infants  
,e>ly ,act 7,,preemie ,act74  #a4 ,%ort 
title ,?is ,act may be cit$ z !         
,prematurity ,rese>* ,expansion &       
,education = ,mo!rs :o deliv] ,infants  
,e>ly ,reau?orization ,act ( #bjah or ! 
,,preemie ,reau?orization ,act ( #bjah4 
#b4 ,rese>* relat+ to pret]m labor &    
deliv]y & ! c>e1 treatm5t1 & outcomes ( 
pret]m & l[ bir?weight infants ,section 
#b ( ! ,prematurity ,rese>* ,expansion &
 ,education = ,mo!rs :o deliv] ,infants 
,e>ly ,act 7#db ,u4,s4,c4 #bdg;b-#d;f7  
is am5d$--  7#a7 9 subsection 7b7-- 7,a7
 9 p>agraph 7#a77;,a71 by /rik+ cl9ical1
 biological1 social1 environm5tal1      
g5etic1 & behavioral factors relat+ &   

ins]t+ biological1 social1 & o!r        
det]m9ants t contribute to heal?        
disp>ities & are relat$2 &  7,b7 9      
p>agraph 7#b71 by /rik+ conc]n+ !       
progress & any results ( /udies conduct$
 "u p>agraph 7#a7 & ins]t+ reg>d+       
activities & /udies conduct$ "u p>agraph
 7#a71 includ+ any applicable analyses (
 pret]m bir?4 ,su* report %all be po/$  
on ! ,int]net website ( ! ,dep>tm5t (   
,heal? & ,human ,s]vices42  7#b7 by     
/rik+ subsection 7c7 & ins]t+ ! foll[+3 
7c7 ,pregnancy risk assessm5t monitor+  
survey ,! ,secret>y ( ,heal? & ,human   
,s]vices1 act+ ?r\gh ! ,director ( !    
,c5t]s = ,disease ,control & ,prev5tion1
 %all--  7#a7 cont9ue sy/ems = !        
collection ( mat]nal-infant cl9ical &   
biom$ical in=mation1 includ+ electronic 
heal? records1 electronic databases1 &  
biobanks1 to l9k ) ! ,pregnancy ,risk   
,assessm5t ,monitor+ ,sy/em 7,,prams7 & 
o!r epidemiological /udies ( prematurity
 9 ord] to track1 to ! ext5t            
practicable1 all pregnancy outcomes &   

prev5t pret]m bir?2  7#b7 provide       
te*nical assi/ance1 z appropriate1 to   
support ,/ates 9 improv+ ! collection ( 
in=mation pursuant to ?is subsection4  2
 &  7#c7 9 subsection 7e71 by /rik+     
except = subsection 7c71 #a1hhj1jjj1jjj 
= ea* ( fiscal ye>s #bjad ?r\gh #bjah & 
ins]t+ #b1jjj1jjj = ea* ( fiscal ye>s   
#bjai ?r\gh #bjbc4  #c4 ,public & heal? 
c>e provid] education & support s]vices 
,section #cii,q ( ! ,public ,heal?      
,s]vice ,act 7#db ,u4,s4,c4 #bhj;g-#e7  
is am5d$--  7#a7 9 subsection 7a7-- 7,a7
 by /rik+ conduct demon/ration projects 
= ! purpose ( improv+ & ins]t+ cont9ue  
ef=ts to improve2 &  7,b7 by /rik+ =    
babies born pret]m & ins]t+ mo!rs (     
infants born pret]m1 & infants born     
pret]m1 includ+ ?r\gh demon/ration      
projects1 z appropriate2 &  7#b7 9      
subsection 7b7-- 7,a7 9 ! matt] prec$+  
p>agraph 7#a71 by /rik+ "u !            
demon/ration project2  7,b7 9 p>agraph  
7#a7-- 7i7 9 ! matt] prec$+ subp>agraph 
7,a71 by /rik+ programs to te/ &        

evaluate v>i\s & ins]t+ programs :i*1 9 
collaboration ) ,/ates1 localities1 &   
community organizations1 support2  7ii7 
by r$esignat+ subp>agraphs 7,b7 ?r\gh   
7,f7 z subp>agraphs 7,c7 ?r\gh 7,g71    
respectively2  7iii7 by ins]t+ aft]     
subp>agraph 7,a71 ! foll[+3  7,b7       
evid5ce-bas$ /rategies to prev5t pret]m 
bir? & associat$ outcomes2  2  7iv7 9   
subp>agraph 7,c71 z s r$esignat$1 by    
ins]t+ 1 & ! risks ( non-m$ically       
indicat$ deliv]ies be=e full t]m be=e ! 
semicolon2  7v7 9 subp>agraph 7,d71 z s 
r$esignat$-- 7,i7 9 clause 7ii71 by     
ins]t+ intake be=e ! semicolon2  7,,ii7 
9 clause 7iii71 by /rik+ & at ! end2    
7,,iii7 by r$esignat+ clause 7iv7 z     
clause 7vii72 &  7,,iv7 by ins]t+ aft]  
clause 7iii71 ! foll[+3  7iv7 scre5+ = &
 treatm5t ( sub/ance use disord]s2  7v7 
scre5+ & treatm5t ( mat]nal depression2 
7vi7 mat]nal immunization2 &  2  7vi7 9 
subp>agraph 7,e71 z s r$esignat$1 by    
add+ & aft] ! semicolon2  7vii7 9       
subp>agraph 7,f71 z s r$esignat$1 by    

/rik+ 2 & & ins]t+ a p]iod2 &  7viii7 by
 /rik+ subp>agraph 7,g71 z s r$esignat$2
 &  7,c7 9 p>agraph 7#b71 by ins]t+ 1 z 
well z prev5tion ( a future pret]m bir? 
be=e ! semicolon4  #d4 ,advisory        
,committee on ,infant ,mortality        
,section #ajd7;b7 ( ! ,,preemie         
,reau?orization ,act 7#db ,u4,s4,c4     
#bdg;b-#d;f note7 is am5d$-- 7#a7 9     
p>agraph 7#b7--  7,a7 9 ! matt] prec$+  
subp>agraph 7,a71 by /rik+ &            
recomm5dations to ! ,secret>y conc]n+ ! 
foll[+ activities & ins]t+ 1            
recomm5dations1 or in=mation to !       
,secret>y z may be necess>y to improve  
activities & programs to r$uce sev]e    
mat]nal morbidity & infant mortality &  
pret]m bir?1 :i* may include            
recomm5dations1 advice1 or in=mation    
relat$ to ! foll[+2  7,b7 9 subp>agraph 
7,a71 by /rik+ & improv+ ! heal? /atus (
 pregnant wom5 & infants & ins]t+ 1     
pret]m bir?1 & improv+ ! heal? /atus (  
pregnant wom5 & infants1 & in=mation on 
co/-effectiv5ess & outcomes ( su*       

programs2  7,c7 9 subp>agraph 7,c71 by  
/rik+ ,implem5tation ( ! & ins]t+ ,!2 & 
7,d7 by /rik+ subp>agraph 7,d7 & ins]t+ 
! foll[+3  7,d7 ,implem5tation ( ,heal?y
 ,p objectives relat$ to mat]nal &      
infant heal?4  7,e7 ,/rategies to r$uce 
racial1 e?nic1 geographic1 & o!r heal?  
disp>ities 9 bir? outcomes4  7,f7       
,/rategies1 includ+ ! implem5tation (   
su* /rategies1 to address gaps 9 ,f$]al 
rese>*1 programs1 & education ef=ts     
relat$ to ! prev5tion ( sev]e mat]nal   
morbidity & infant mortality1 & o!r     
adv]se bir? outcomes4  2  7#b7 by /rik+ 
p>agraph 7#c7 & r$esignat+ p>agraph 7#d7
 z p>agraph 7#c72 &  7#c7 by add+ at !  
end ! foll[+3  7#d7 ,bi5nial report ,n  
lat] ?an #a ye> aft] ! date ( enactm5t (
 ! ,,preemie ,reau?orization ,act (     
#bjah1 & e #b ye>s !reaft]1 ! ,advisory 
,committee %all-- 7,a7 publi% a report  
summ>iz+ activities & recomm5dations ( !
 ,advisory ,committee s9ce ! publication
 ( ! previ\s report2  7,b7 submit su*   
report to ! ,secret>y & ! appropriate   

,committees ( ,congress2 &  7,c7 po/ su*
 report on ! ,int]net website ( !       
,dep>tm5t ( ,heal? & ,human ,s]vices4  4
  #e4 ,int]ag5cy work+ gr\p  7a7 ,9     
g5]al ,! ,secret>y ( ,heal? & ,human    
,s]vices may e/abli% an int]ag5cy work+ 
gr\p 9 ord] to improve coord9ation (    
programs & activities )9 ! ,dep>tm5t (  
,heal? & ,human ,s]vices to prev5t      
pret]m bir?1 infant mortality1 & relat$ 
adv]se bir? outcomes4  7b7 ,duties ,!   
work+ gr\p e/abli%$ "u subsection 7a7   
%all-- 7#a7 id5tify gaps1 duplication1  
or ov]lap 9 ,f$]al programs & activities
 relat$ to pret]m bir? & infant         
mortality2  7#b7 assess ! ext5t to :i* !
 goals & metrics ( relevant programs &  
activities )9 ! ,dep>tm5t ( ,heal? &    
,human ,s]vices are align$2  7#c7 assess
 ! ext5t to :i* su* programs are        
coord9at$ across ag5cies )9 su*         
,dep>tm5t2 &  7#d7 make specific        
recomm5dations1 z applicable1 to r$uce  
or m9imize unnecess>y duplication &     
ov]lap & improve coord9ation ( goals1   

programs1 & activities across ag5cies )9
 su* ,dep>tm5t4  7c7 ,report ,n lat] ?an
 #a ye> aft] ! date on :i* ! work+ gr\p 
is e/abli%$ "u subsection 7a71 !        
,secret>y ( ,heal? & ,human ,s]vices    
%all submit to ! ,committee on ,heal?1  
,education1 ,labor1 & ,p5sions ( !      
,s5ate & ! ,committee on ,en]gy &       
,comm]ce ( ! ,h\se ( ,repres5tatives a  
report summ>iz+ ! f9d+s ( ! work+ gr\p  
"u subsection 7b7 & ! specific          
recomm5dations to improve ,f$]al        
programs at ! ,dep>tm5t ( ,heal? &      
,human ,s]vices "u subsection 7b77#d74