,,ii #aaeth ,,congress #b;d ,session ,s4 #cjbi ,,in ,,the ,,senate ,,of ,,the ,,united ,,states ,june #g1 #bjah ,mr4 ,alexander 7for himself and ,mr4 ,bennet7 introduced the following bill2 which was read twice and referred to the ,committee on ,health1 ,education1 ,labor1 and ,pensions ,a ,,bill ,to revise and extend the ,prematurity ,research ,expansion and ,education for ,mothers who deliver ,infants ,early ,act 7,,preemie ,act74 #a4 ,short title ,this ,act may be cited as the ,prematurity ,research ,expansion and ,education for ,mothers who deliver ,infants ,early ,reauthorization ,act of #bjah or the ,,preemie ,reauthorization ,act of #bjah4 #b4 ,research relating to preterm labor and delivery and the care1 treatment1 and outcomes of preterm and low birthweight infants ,section #b of the ,prematurity ,research ,expansion and ,education for ,mothers who deliver ,infants ,early ,act 7#db ,u4,s4,c4 #bdg;b-#d;f7 is amended-- 7#a7 in subsection 7b7-- 7,a7 in paragraph 7#a77;,a71 by striking clinical1 biological1 social1 environmental1 genetic1 and behavioral factors relating and inserting biological1 social1 and other determinants that contribute to health disparities and are related2 and 7,b7 in paragraph 7#b71 by striking concerning the progress and any results of studies conducted under paragraph 7#a7 and inserting regarding activities and studies conducted under paragraph 7#a71 including any applicable analyses of preterm birth4 ,such report shall be posted on the ,internet website of the ,department of ,health and ,human ,services42 7#b7 by striking subsection 7c7 and inserting the following3 7c7 ,pregnancy risk assessment monitoring survey ,the ,secretary of ,health and ,human ,services1 acting through the ,director of the ,centers for ,disease ,control and ,prevention1 shall-- 7#a7 continue systems for the collection of maternal-infant clinical and biomedical information1 including electronic health records1 electronic databases1 and biobanks1 to link with the ,pregnancy ,risk ,assessment ,monitoring ,system 7,,prams7 and other epidemiological studies of prematurity in order to track1 to the extent practicable1 all pregnancy outcomes and prevent preterm birth2 and 7#b7 provide technical assistance1 as appropriate1 to support ,states in improving the collection of information pursuant to this subsection4 2 and 7#c7 in subsection 7e71 by striking except for subsection 7c71 #a1hhj1jjj1jjj for each of fiscal years #bjad through #bjah and inserting #b1jjj1jjj for each of fiscal years #bjai through #bjbc4 #c4 ,public and health care provider education and support services ,section #cii,q of the ,public ,health ,service ,act 7#db ,u4,s4,c4 #bhj;g-#e7 is amended-- 7#a7 in subsection 7a7-- 7,a7 by striking conduct demonstration projects for the purpose of improving and inserting continue efforts to improve2 and 7,b7 by striking for babies born preterm and inserting mothers of infants born preterm1 and infants born preterm1 including through demonstration projects1 as appropriate2 and 7#b7 in subsection 7b7-- 7,a7 in the matter preceding paragraph 7#a71 by striking under the demonstration project2 7,b7 in paragraph 7#a7-- 7i7 in the matter preceding subparagraph 7,a71 by striking programs to test and evaluate various and inserting programs which1 in collaboration with ,states1 localities1 and community organizations1 support2 7ii7 by redesignating subparagraphs 7,b7 through 7,f7 as subparagraphs 7,c7 through 7,g71 respectively2 7iii7 by inserting after subparagraph 7,a71 the following3 7,b7 evidence-based strategies to prevent preterm birth and associated outcomes2 2 7iv7 in subparagraph 7,c71 as so redesignated1 by inserting 1 and the risks of non-medically indicated deliveries before full term before the semicolon2 7v7 in subparagraph 7,d71 as so redesignated-- 7,i7 in clause 7ii71 by inserting intake before the semicolon2 7,,ii7 in clause 7iii71 by striking and at the end2 7,,iii7 by redesignating clause 7iv7 as clause 7vii72 and 7,,iv7 by inserting after clause 7iii71 the following3 7iv7 screening for and treatment of substance use disorders2 7v7 screening and treatment of maternal depression2 7vi7 maternal immunization2 and 2 7vi7 in subparagraph 7,e71 as so redesignated1 by adding and after the semicolon2 7vii7 in subparagraph 7,f71 as so redesignated1 by striking 2 and and inserting a period2 and 7viii7 by striking subparagraph 7,g71 as so redesignated2 and 7,c7 in paragraph 7#b71 by inserting 1 as well as prevention of a future preterm birth before the semicolon4 #d4 ,advisory ,committee on ,infant ,mortality ,section #ajd7;b7 of the ,,preemie ,reauthorization ,act 7#db ,u4,s4,c4 #bdg;b-#d;f note7 is amended-- 7#a7 in paragraph 7#b7-- 7,a7 in the matter preceding subparagraph 7,a71 by striking and recommendations to the ,secretary concerning the following activities and inserting 1 recommendations1 or information to the ,secretary as may be necessary to improve activities and programs to reduce severe maternal morbidity and infant mortality and preterm birth1 which may include recommendations1 advice1 or information related to the following2 7,b7 in subparagraph 7,a71 by striking and improving the health status of pregnant women and infants and inserting 1 preterm birth1 and improving the health status of pregnant women and infants1 and information on cost-effectiveness and outcomes of such programs2 7,c7 in subparagraph 7,c71 by striking ,implementation of the and inserting ,the2 and 7,d7 by striking subparagraph 7,d7 and inserting the following3 7,d7 ,implementation of ,healthy ,people objectives related to maternal and infant health4 7,e7 ,strategies to reduce racial1 ethnic1 geographic1 and other health disparities in birth outcomes4 7,f7 ,strategies1 including the implementation of such strategies1 to address gaps in ,federal research1 programs1 and education efforts related to the prevention of severe maternal morbidity and infant mortality1 and other adverse birth outcomes4 2 7#b7 by striking paragraph 7#c7 and redesignating paragraph 7#d7 as paragraph 7#c72 and 7#c7 by adding at the end the following3 7#d7 ,biennial report ,not later than #a year after the date of enactment of the ,,preemie ,reauthorization ,act of #bjah1 and every #b years thereafter1 the ,advisory ,committee shall-- 7,a7 publish a report summarizing activities and recommendations of the ,advisory ,committee since the publication of the previous report2 7,b7 submit such report to the ,secretary and the appropriate ,committees of ,congress2 and 7,c7 post such report on the ,internet website of the ,department of ,health and ,human ,services4 4 #e4 ,interagency working group 7a7 ,in general ,the ,secretary of ,health and ,human ,services may establish an interagency working group in order to improve coordination of programs and activities within the ,department of ,health and ,human ,services to prevent preterm birth1 infant mortality1 and related adverse birth outcomes4 7b7 ,duties ,the working group established under subsection 7a7 shall-- 7#a7 identify gaps1 duplication1 or overlap in ,federal programs and activities related to preterm birth and infant mortality2 7#b7 assess the extent to which the goals and metrics of relevant programs and activities within the ,department of ,health and ,human ,services are aligned2 and 7#c7 assess the extent to which such programs are coordinated across agencies within such ,department2 and 7#d7 make specific recommendations1 as applicable1 to reduce or minimize unnecessary duplication and overlap and improve coordination of goals1 programs1 and activities across agencies within such ,department4 7c7 ,report ,not later than #a year after the date on which the working group is established under subsection 7a71 the ,secretary of ,health and ,human ,services shall submit to the ,committee on ,health1 ,education1 ,labor1 and ,pensions of the ,senate and the ,committee on ,energy and ,commerce of the ,house of ,representatives a report summarizing the findings of the working group under subsection 7b7 and the specific recommendations to improve ,federal programs at the ,department of ,health and ,human ,services under subsection 7b77#d74